{ "resourceType": "StructureDefinition", "id": "vn-core-medicationrequest", "meta": { "lastUpdated": "2025-09-15T03:00:00+00:00" }, "url": "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest", "version": "1.0.0", "name": "VNCoreMedicationrequest", "title": "VN Core Medicationrequest (Profile)", "status": "active", "date": "2025-09-21T20:19:12+00:00", "publisher": "IronX", "contact": [ { "telecom": [ { "system": "url", "value": "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest" } ] } ], "description": "Đơn thuốc và yêu cầu kê đơn thuốc trong hệ thống y tế Việt Nam.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "script10.6", "uri": "http://ncpdp.org/SCRIPT10_6", "name": "Mapping to NCPDP SCRIPT 10.6" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "MedicationRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation": "constraint", "snapshot": { "element": [ { "id": "MedicationRequest", "path": "MedicationRequest", "short": "Đơn thuốc Việt Nam", "definition": "Đơn thuốc và yêu cầu kê đơn thuốc theo chuẩn Việt Nam cho hệ thống y tế", "alias": [ "Prescription", "Order" ], "min": 0, "max": "*", "base": { "path": "MedicationRequest", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Request" }, { "identity": "script10.6", "map": "Message/Body/NewRx" }, { "identity": "rim", "map": "CombinedMedicationRequest" } ] }, { "id": "MedicationRequest.id", "path": "MedicationRequest.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "isModifier": false, "isSummary": true }, { "id": "MedicationRequest.meta", "path": "MedicationRequest.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true }, { "id": "MedicationRequest.implicitRules", "path": "MedicationRequest.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true }, { "id": "MedicationRequest.language", "path": "MedicationRequest.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" } }, { "id": "MedicationRequest.text", "path": "MedicationRequest.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Act.text?" } ] }, { "id": "MedicationRequest.contained", "path": "MedicationRequest.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.extension", "path": "MedicationRequest.extension", "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.modifierExtension", "path": "MedicationRequest.modifierExtension", "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary": false, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.identifier", "path": "MedicationRequest.identifier", "short": "Mã định danh đơn thuốc", "definition": "Mã định danh duy nhất cho đơn thuốc trong hệ thống y tế Việt Nam", "comment": "This is a business identifier, not a resource identifier.", "min": 1, "max": "*", "base": { "path": "MedicationRequest.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.identifier" }, { "identity": "script10.6", "map": "Message/Header/PrescriberOrderNumber" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "ORC-2-Placer Order Number / ORC-3-Filler Order Number" }, { "identity": "rim", "map": ".id" } ] }, { "id": "MedicationRequest.identifier.id", "path": "MedicationRequest.identifier.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.identifier.extension", "path": "MedicationRequest.identifier.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.identifier.use", "path": "MedicationRequest.identifier.use", "short": "Mục đích sử dụng mã định danh", "definition": "Xác định mục đích sử dụng của mã định danh, cố định là 'official' để đảm bảo tính chính thức", "comment": "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min": 1, "max": "1", "base": { "path": "Identifier.use", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "fixedCode": "official", "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierUse" } ], "strength": "required", "description": "Identifies the purpose for this identifier, if known .", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping": [ { "identity": "v2", "map": "N/A" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "MedicationRequest.identifier.type", "path": "MedicationRequest.identifier.type", "short": "Loại mã định danh", "definition": "Loại mã định danh được sử dụng, bắt buộc phải là RI (Resource Identifier) theo quy định của hệ thống y tế Việt Nam", "comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements": "Allows users to make use of identifiers when the identifier system is not known.", "min": 1, "max": "1", "base": { "path": "Identifier.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "patternCodeableConcept": { "coding": [ { "code": "RI", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "display": "Resource identifier" } ] }, "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "IdentifierType" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean": true } ], "strength": "extensible", "description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet": "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping": [ { "identity": "v2", "map": "CX.5" }, { "identity": "rim", "map": "Role.code or implied by context" } ] }, { "id": "MedicationRequest.identifier.system", "path": "MedicationRequest.identifier.system", "short": "URI định danh cơ sở y tế", "definition": "URI định danh cơ sở y tế để kết hợp với value tạo thành mã duy nhất trên toàn quốc", "comment": "Identifier.system is always case sensitive.", "requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min": 1, "max": "1", "base": { "path": "Identifier.system", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "example": [ { "label": "General", "valueUri": "http://www.acme.com/identifiers/patient" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.4 / EI-2-4" }, { "identity": "rim", "map": "II.root or Role.id.root" }, { "identity": "servd", "map": "./IdentifierType" } ] }, { "id": "MedicationRequest.identifier.value", "path": "MedicationRequest.identifier.value", "short": "Giá trị mã định danh", "definition": "Giá trị cụ thể của mã định danh đơn thuốc do cơ sở y tế cấp", "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min": 1, "max": "1", "base": { "path": "Identifier.value", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "example": [ { "label": "General", "valueString": "123456" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.1 / EI.1" }, { "identity": "rim", "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity": "servd", "map": "./Value" } ] }, { "id": "MedicationRequest.identifier.period", "path": "MedicationRequest.identifier.period", "short": "Time period when id is/was valid for use", "definition": "Time period during which identifier is/was valid for use.", "min": 0, "max": "1", "base": { "path": "Identifier.period", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.7 + CX.8" }, { "identity": "rim", "map": "Role.effectiveTime or implied by context" }, { "identity": "servd", "map": "./StartDate and ./EndDate" } ] }, { "id": "MedicationRequest.identifier.assigner", "path": "MedicationRequest.identifier.assigner", "short": "Organization that issued id (may be just text)", "definition": "Organization that issued/manages the identifier.", "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min": 0, "max": "1", "base": { "path": "Identifier.assigner", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": true, "mapping": [ { "identity": "v2", "map": "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity": "rim", "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity": "servd", "map": "./IdentifierIssuingAuthority" } ] }, { "id": "MedicationRequest.status", "path": "MedicationRequest.status", "short": "Trạng thái đơn thuốc", "definition": "Trạng thái hiện tại của đơn thuốc (hoạt động, tạm dừng, hoàn thành, hủy bỏ)", "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min": 1, "max": "1", "base": { "path": "MedicationRequest.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestStatus" } ], "strength": "required", "description": "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1" }, "mapping": [ { "identity": "workflow", "map": "Request.status" }, { "identity": "script10.6", "map": "no mapping" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "rim", "map": ".statusCode" } ] }, { "id": "MedicationRequest.statusReason", "path": "MedicationRequest.statusReason", "short": "Reason for current status", "definition": "Captures the reason for the current state of the MedicationRequest.", "comment": "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.statusReason", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestStatusReason" } ], "strength": "example", "description": "Identifies the reasons for a given status.", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason" }, "mapping": [ { "identity": "workflow", "map": "Request.statusReason" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" } ] }, { "id": "MedicationRequest.intent", "path": "MedicationRequest.intent", "short": "Mục đích đơn thuốc", "definition": "Mục đích của đơn thuốc (đề xuất, kế hoạch, chỉ định, lệnh)", "comment": "It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.", "min": 1, "max": "1", "base": { "path": "MedicationRequest.intent", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestIntent" } ], "strength": "required", "description": "The kind of medication order.", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1" }, "mapping": [ { "identity": "workflow", "map": "Request.intent" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "rim", "map": ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" } ] }, { "id": "MedicationRequest.category", "path": "MedicationRequest.category", "short": "Loại đơn thuốc", "definition": "Phân loại đơn thuốc (nội trú, ngoại trú, cộng đồng)", "comment": "The category can be used to include where the medication is expected to be consumed or other types of requests.", "min": 0, "max": "*", "base": { "path": "MedicationRequest.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestCategory" } ], "strength": "example", "description": "A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-category" }, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value" } ] }, { "id": "MedicationRequest.priority", "path": "MedicationRequest.priority", "short": "Độ ưu tiên", "definition": "Độ ưu tiên của đơn thuốc (thường, khẩn cấp, cấp cứu)", "min": 0, "max": "1", "base": { "path": "MedicationRequest.priority", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestPriority" } ], "strength": "required", "description": "Identifies the level of importance to be assigned to actioning the request.", "valueSet": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1" }, "mapping": [ { "identity": "workflow", "map": "Request.priority" }, { "identity": "w5", "map": "FiveWs.grade" }, { "identity": "rim", "map": ".priorityCode" } ] }, { "id": "MedicationRequest.doNotPerform", "path": "MedicationRequest.doNotPerform", "short": "Không thực hiện", "definition": "Chỉ ra rằng đơn thuốc này là để ghi nhận thuốc không nên được sử dụng", "comment": "If do not perform is not specified, the request is a positive request e.g. \"do perform\".", "min": 0, "max": "1", "base": { "path": "MedicationRequest.doNotPerform", "min": 0, "max": "1" }, "type": [ { "code": "boolean" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)", "isSummary": true, "mapping": [ { "identity": "rim", "map": "SubstanceAdministration.actionNegationInd" } ] }, { "id": "MedicationRequest.reported[x]", "path": "MedicationRequest.reported[x]", "short": "Báo cáo từ bệnh nhân", "definition": "Thông tin về việc đơn thuốc được báo cáo từ bệnh nhân hoặc người nhà", "min": 0, "max": "1", "base": { "path": "MedicationRequest.reported[x]", "min": 0, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": ".participation[typeCode=INF].role" } ] }, { "id": "MedicationRequest.medication[x]", "path": "MedicationRequest.medication[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "Thuốc được kê đơn", "definition": "Thuốc được kê đơn có thể là mã hoặc tham chiếu", "comment": "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.", "min": 1, "max": "1", "base": { "path": "MedicationRequest.medication[x]", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationCode" } ], "strength": "example", "description": "A coded concept identifying substance or product that can be ordered.", "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes" }, "mapping": [ { "identity": "workflow", "map": "Request.code" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" }, { "identity": "rim", "map": "consumable.administrableMedication" } ] }, { "id": "MedicationRequest.medication[x]:medicationCodeableConcept", "path": "MedicationRequest.medication[x]", "sliceName": "medicationCodeableConcept", "short": "Mã thuốc", "definition": "Mã thuốc theo bộ mã chuẩn của Việt Nam", "comment": "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.medication[x]", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationCode" } ], "strength": "example", "description": "A coded concept identifying substance or product that can be ordered.", "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes" }, "mapping": [ { "identity": "workflow", "map": "Request.code" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" }, { "identity": "rim", "map": "consumable.administrableMedication" } ] }, { "id": "MedicationRequest.medication[x]:medicationReference", "path": "MedicationRequest.medication[x]", "sliceName": "medicationReference", "short": "Tham chiếu thuốc", "definition": "Tham chiếu đến thuốc được kê đơn", "comment": "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.medication[x]", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medication" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationCode" } ], "strength": "example", "description": "A coded concept identifying substance or product that can be ordered.", "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes" }, "mapping": [ { "identity": "workflow", "map": "Request.code" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" }, { "identity": "rim", "map": "consumable.administrableMedication" } ] }, { "id": "MedicationRequest.subject", "path": "MedicationRequest.subject", "short": "Bệnh nhân được kê đơn", "definition": "Tham chiếu đến bệnh nhân hoặc nhóm được kê đơn thuốc", "comment": "The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.", "min": 1, "max": "1", "base": { "path": "MedicationRequest.subject", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.subject" }, { "identity": "script10.6", "map": "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3-Patient ID List" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "MedicationRequest.encounter", "path": "MedicationRequest.encounter", "short": "Cuộc gặp gỡ y tế", "definition": "Tham chiếu đến cuộc gặp gỡ y tế khi kê đơn thuốc", "comment": "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\" If there is a need to link to episodes of care they will be handled with an extension.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-encounter" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.context" }, { "identity": "script10.6", "map": "no mapping" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "v2", "map": "PV1-19-Visit Number" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" } ] }, { "id": "MedicationRequest.supportingInformation", "path": "MedicationRequest.supportingInformation", "short": "Thông tin hỗ trợ", "definition": "Thông tin bổ sung hỗ trợ việc kê đơn thuốc", "min": 0, "max": "*", "base": { "path": "MedicationRequest.supportingInformation", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.supportingInfo" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" } ] }, { "id": "MedicationRequest.authoredOn", "path": "MedicationRequest.authoredOn", "short": "Ngày kê đơn", "definition": "Ngày giờ đơn thuốc được kê", "min": 1, "max": "1", "base": { "path": "MedicationRequest.authoredOn", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.authoredOn" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/WrittenDate" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "v2", "map": "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction" }, { "identity": "rim", "map": "author.time" } ] }, { "id": "MedicationRequest.requester", "path": "MedicationRequest.requester", "short": "Người kê đơn", "definition": "Tham chiếu đến người kê đơn thuốc", "min": 1, "max": "1", "base": { "path": "MedicationRequest.requester", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-device" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.requester" }, { "identity": "w5", "map": "FiveWs.author" }, { "identity": "rim", "map": ".participation[typeCode=AUT].role" } ] }, { "id": "MedicationRequest.performer", "path": "MedicationRequest.performer", "short": "Người thực hiện", "definition": "Tham chiếu đến người dự kiến thực hiện việc dùng thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.performer", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-careteam" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.performer" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" } ] }, { "id": "MedicationRequest.performerType", "path": "MedicationRequest.performerType", "short": "Loại người thực hiện", "definition": "Chỉ ra loại người thực hiện việc dùng thuốc", "comment": "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.performerType", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestPerformerType" } ], "strength": "example", "description": "Identifies the type of individual that is desired to administer the medication.", "valueSet": "http://hl7.org/fhir/ValueSet/performer-role" }, "mapping": [ { "identity": "workflow", "map": "Request.performerType" }, { "identity": "rim", "map": ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" } ] }, { "id": "MedicationRequest.recorder", "path": "MedicationRequest.recorder", "short": "Người ghi nhận", "definition": "Tham chiếu đến người ghi nhận đơn thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.recorder", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)" } ] }, { "id": "MedicationRequest.reasonCode", "path": "MedicationRequest.reasonCode", "short": "Lý do kê đơn", "definition": "Lý do được mã hóa cho việc kê đơn thuốc", "comment": "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.", "min": 0, "max": "*", "base": { "path": "MedicationRequest.reasonCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestReason" } ], "strength": "example", "description": "A coded concept indicating why the medication was ordered.", "valueSet": "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping": [ { "identity": "workflow", "map": "Request.reasonCode" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "v2", "map": "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication" }, { "identity": "rim", "map": "reason.observation.reasonCode" } ] }, { "id": "MedicationRequest.reasonReference", "path": "MedicationRequest.reasonReference", "short": "Tham chiếu lý do", "definition": "Tham chiếu đến tình trạng, quan sát hoặc báo cáo làm lý do kê đơn thuốc", "comment": "This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.", "min": 0, "max": "*", "base": { "path": "MedicationRequest.reasonReference", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-condition", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-simple", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-social-history", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-vital-signs", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-laboratory" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.reasonReference" }, { "identity": "script10.6", "map": "no mapping" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "rim", "map": "reason.observation[code=ASSERTION].value" } ] }, { "id": "MedicationRequest.instantiatesCanonical", "path": "MedicationRequest.instantiatesCanonical", "short": "Tham chiếu định nghĩa chính thức", "definition": "Tham chiếu đến định nghĩa chính thức mà đơn thuốc dựa trên", "min": 0, "max": "*", "base": { "path": "MedicationRequest.instantiatesCanonical", "min": 0, "max": "*" }, "type": [ { "code": "canonical" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.instantiates" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "MedicationRequest.instantiatesUri", "path": "MedicationRequest.instantiatesUri", "short": "URI định nghĩa bên ngoài", "definition": "URI tham chiếu đến định nghĩa bên ngoài mà đơn thuốc dựa trên", "min": 0, "max": "*", "base": { "path": "MedicationRequest.instantiatesUri", "min": 0, "max": "*" }, "type": [ { "code": "uri" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "rim", "map": ".outboundRelationship[typeCode=DEFN].target" } ] }, { "id": "MedicationRequest.basedOn", "path": "MedicationRequest.basedOn", "short": "Dựa trên yêu cầu", "definition": "Tham chiếu đến yêu cầu hoặc kế hoạch mà đơn thuốc dựa trên", "min": 0, "max": "*", "base": { "path": "MedicationRequest.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.basedOn" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]" } ] }, { "id": "MedicationRequest.groupIdentifier", "path": "MedicationRequest.groupIdentifier", "short": "Mã nhóm đơn thuốc", "definition": "Mã định danh nhóm cho các đơn thuốc liên quan", "requirements": "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.groupIdentifier", "min": 0, "max": "1" }, "type": [ { "code": "Identifier" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": true, "mapping": [ { "identity": "workflow", "map": "Request.groupIdentifier" }, { "identity": "rim", "map": ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id" } ] }, { "id": "MedicationRequest.courseOfTherapyType", "path": "MedicationRequest.courseOfTherapyType", "short": "Loại liệu trình điều trị", "definition": "Mô tả loại liệu trình điều trị được chỉ ra bởi đơn thuốc", "comment": "This attribute should not be confused with the protocol of the medication.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.courseOfTherapyType", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestCourseOfTherapy" } ], "strength": "example", "description": "Identifies the overall pattern of medication administratio.", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy" }, "mapping": [ { "identity": "rim", "map": "Act.code where classCode = LIST and moodCode = EVN" } ] }, { "id": "MedicationRequest.insurance", "path": "MedicationRequest.insurance", "short": "Bảo hiểm y tế", "definition": "Thông tin bảo hiểm có thể áp dụng cho đơn thuốc", "min": 0, "max": "*", "base": { "path": "MedicationRequest.insurance", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.insurance" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COVBY].target" } ] }, { "id": "MedicationRequest.note", "path": "MedicationRequest.note", "short": "Ghi chú bổ sung", "definition": "Thông tin bổ sung về đơn thuốc", "min": 0, "max": "*", "base": { "path": "MedicationRequest.note", "min": 0, "max": "*" }, "type": [ { "code": "Annotation" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.note" }, { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Note" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" } ] }, { "id": "MedicationRequest.dosageInstruction", "path": "MedicationRequest.dosageInstruction", "short": "Hướng dẫn liều dùng", "definition": "Hướng dẫn cách sử dụng thuốc", "comment": "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.", "min": 1, "max": "*", "base": { "path": "MedicationRequest.dosageInstruction", "min": 0, "max": "*" }, "type": [ { "code": "Dosage" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.occurrence[x]" }, { "identity": "rim", "map": "see dosageInstruction mapping" } ] }, { "id": "MedicationRequest.dispenseRequest", "path": "MedicationRequest.dispenseRequest", "short": "Yêu cầu phát thuốc", "definition": "Thông tin về yêu cầu phát thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/ExpirationDate" }, { "identity": "rim", "map": "component.supplyEvent" } ] }, { "id": "MedicationRequest.dispenseRequest.id", "path": "MedicationRequest.dispenseRequest.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.dispenseRequest.extension", "path": "MedicationRequest.dispenseRequest.extension", "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.dispenseRequest.modifierExtension", "path": "MedicationRequest.dispenseRequest.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill", "path": "MedicationRequest.dispenseRequest.initialFill", "short": "Phát thuốc ban đầu", "definition": "Thông tin về việc phát thuốc ban đầu", "comment": "If populating this element, either the quantity or the duration must be included.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.initialFill", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.id", "path": "MedicationRequest.dispenseRequest.initialFill.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.extension", "path": "MedicationRequest.dispenseRequest.initialFill.extension", "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "path": "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.quantity", "path": "MedicationRequest.dispenseRequest.initialFill.quantity", "short": "First fill quantity", "definition": "The amount or quantity to provide as part of the first dispense.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.initialFill.quantity", "min": 0, "max": "1" }, "type": [ { "code": "Quantity", "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Supply.quantity[moodCode=RQO]" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.duration", "path": "MedicationRequest.dispenseRequest.initialFill.duration", "short": "First fill duration", "definition": "The length of time that the first dispense is expected to last.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.initialFill.duration", "min": 0, "max": "1" }, "type": [ { "code": "Duration" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Supply.effectivetime[moodCode=RQO]" } ] }, { "id": "MedicationRequest.dispenseRequest.dispenseInterval", "path": "MedicationRequest.dispenseRequest.dispenseInterval", "short": "Khoảng cách phát thuốc", "definition": "Khoảng thời gian tối thiểu giữa các lần phát thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.dispenseInterval", "min": 0, "max": "1" }, "type": [ { "code": "Duration" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "Supply.effectivetime[moodCode=RQO]" } ] }, { "id": "MedicationRequest.dispenseRequest.validityPeriod", "path": "MedicationRequest.dispenseRequest.validityPeriod", "short": "Thời hạn hiệu lực", "definition": "Thời gian đơn thuốc có hiệu lực", "comment": "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.", "requirements": "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.validityPeriod", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Refills" }, { "identity": "rim", "map": "effectiveTime" } ] }, { "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short": "Số lần phát lại cho phép", "definition": "Số lần được phép phát lại thuốc", "comment": "If displaying \"number of authorized fills\", add 1 to this number.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "min": 0, "max": "1" }, "type": [ { "code": "unsignedInt" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Quantity" }, { "identity": "v2", "map": "RXE-12-Number of Refills" }, { "identity": "rim", "map": "repeatNumber" } ] }, { "id": "MedicationRequest.dispenseRequest.quantity", "path": "MedicationRequest.dispenseRequest.quantity", "short": "Số lượng phát", "definition": "Số lượng thuốc được phát trong mỗi lần", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.quantity", "min": 0, "max": "1" }, "type": [ { "code": "Quantity", "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/DaysSupply" }, { "identity": "v2", "map": "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system" }, { "identity": "rim", "map": "quantity" } ] }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "short": "Thời gian cung cấp dự kiến", "definition": "Thời gian dự kiến thuốc sẽ được cung cấp", "comment": "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "min": 0, "max": "1" }, "type": [ { "code": "Duration" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity": "rim", "map": "expectedUseTime" } ] }, { "id": "MedicationRequest.dispenseRequest.performer", "path": "MedicationRequest.dispenseRequest.performer", "short": "Đơn vị phát thuốc", "definition": "Tham chiếu đến đơn vị dự kiến phát thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.dispenseRequest.performer", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" } ] }, { "id": "MedicationRequest.substitution", "path": "MedicationRequest.substitution", "short": "Thay thế thuốc", "definition": "Thông tin về việc cho phép thay thế thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.substitution", "min": 0, "max": "1" }, "type": [ { "code": "BackboneElement" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "script10.6", "map": "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity": "rim", "map": "subjectOf.substitutionPersmission" } ] }, { "id": "MedicationRequest.substitution.id", "path": "MedicationRequest.substitution.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.substitution.extension", "path": "MedicationRequest.substitution.extension", "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "MedicationRequest.substitution.modifierExtension", "path": "MedicationRequest.substitution.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "N/A" } ] }, { "id": "MedicationRequest.substitution.allowed[x]", "path": "MedicationRequest.substitution.allowed[x]", "short": "Cho phép thay thế", "definition": "Có cho phép thay thế thuốc hay không", "comment": "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.", "min": 1, "max": "1", "base": { "path": "MedicationRequest.substitution.allowed[x]", "min": 1, "max": "1" }, "type": [ { "code": "boolean" }, { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationRequestSubstitution" } ], "strength": "example", "description": "Identifies the type of substitution allowed.", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode" }, "mapping": [ { "identity": "script10.6", "map": "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity": "v2", "map": "RXO-9-Allow Substitutions / RXE-9-Substitution Status" }, { "identity": "rim", "map": "code" } ] }, { "id": "MedicationRequest.substitution.reason", "path": "MedicationRequest.substitution.reason", "short": "Lý do thay thế", "definition": "Lý do cho việc thay thế thuốc", "min": 0, "max": "1", "base": { "path": "MedicationRequest.substitution.reason", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "MedicationIntendedSubstitutionReason" } ], "strength": "example", "description": "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.", "valueSet": "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason" }, "mapping": [ { "identity": "script10.6", "map": "not mapped" }, { "identity": "v2", "map": "RXE-9 Substition status" }, { "identity": "rim", "map": "reasonCode" } ] }, { "id": "MedicationRequest.priorPrescription", "path": "MedicationRequest.priorPrescription", "short": "Đơn thuốc trước", "definition": "Tham chiếu đến đơn thuốc trước đó", "min": 0, "max": "1", "base": { "path": "MedicationRequest.priorPrescription", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.replaces" }, { "identity": "script10.6", "map": "not mapped" }, { "identity": "rim", "map": ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]" } ] }, { "id": "MedicationRequest.detectedIssue", "path": "MedicationRequest.detectedIssue", "short": "Vấn đề phát hiện", "definition": "Vấn đề lâm sàng được phát hiện trong quá trình kê đơn", "comment": "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.", "alias": [ "Contraindication", "Drug Utilization Review (DUR)", "Alert" ], "min": 0, "max": "*", "base": { "path": "MedicationRequest.detectedIssue", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DetectedIssue" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "rim", "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value" } ] }, { "id": "MedicationRequest.eventHistory", "path": "MedicationRequest.eventHistory", "short": "Lịch sử sự kiện", "definition": "Lịch sử các sự kiện quan trọng trong quá trình kê đơn", "comment": "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).", "min": 0, "max": "*", "base": { "path": "MedicationRequest.eventHistory", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance" ] } ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": false, "isSummary": false, "mapping": [ { "identity": "workflow", "map": "Request.relevantHistory" }, { "identity": "rim", "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" } ] } ] }, "differential": { "element": [ { "id": "MedicationRequest", "path": "MedicationRequest", "short": "Đơn thuốc Việt Nam", "definition": "Đơn thuốc và yêu cầu kê đơn thuốc theo chuẩn Việt Nam cho hệ thống y tế" }, { "id": "MedicationRequest.identifier", "path": "MedicationRequest.identifier", "short": "Mã định danh đơn thuốc", "definition": "Mã định danh duy nhất cho đơn thuốc trong hệ thống y tế Việt Nam", "min": 1, "mustSupport": true }, { "id": "MedicationRequest.identifier.use", "path": "MedicationRequest.identifier.use", "short": "Mục đích sử dụng mã định danh", "definition": "Xác định mục đích sử dụng của mã định danh, cố định là 'official' để đảm bảo tính chính thức", "min": 1, "fixedCode": "official", "mustSupport": true }, { "id": "MedicationRequest.identifier.type", "path": "MedicationRequest.identifier.type", "short": "Loại mã định danh", "definition": "Loại mã định danh được sử dụng, bắt buộc phải là RI (Resource Identifier) theo quy định của hệ thống y tế Việt Nam", "min": 1, "patternCodeableConcept": { "coding": [ { "code": "RI", "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "display": "Resource identifier" } ] }, "mustSupport": true }, { "id": "MedicationRequest.identifier.system", "path": "MedicationRequest.identifier.system", "short": "URI định danh cơ sở y tế", "definition": "URI định danh cơ sở y tế để kết hợp với value tạo thành mã duy nhất trên toàn quốc", "min": 1, "mustSupport": true }, { "id": "MedicationRequest.identifier.value", "path": "MedicationRequest.identifier.value", "short": "Giá trị mã định danh", "definition": "Giá trị cụ thể của mã định danh đơn thuốc do cơ sở y tế cấp", "min": 1, "mustSupport": true }, { "id": "MedicationRequest.status", "path": "MedicationRequest.status", "short": "Trạng thái đơn thuốc", "definition": "Trạng thái hiện tại của đơn thuốc (hoạt động, tạm dừng, hoàn thành, hủy bỏ)", "mustSupport": true }, { "id": "MedicationRequest.intent", "path": "MedicationRequest.intent", "short": "Mục đích đơn thuốc", "definition": "Mục đích của đơn thuốc (đề xuất, kế hoạch, chỉ định, lệnh)", "mustSupport": true }, { "id": "MedicationRequest.category", "path": "MedicationRequest.category", "short": "Loại đơn thuốc", "definition": "Phân loại đơn thuốc (nội trú, ngoại trú, cộng đồng)", "mustSupport": true }, { "id": "MedicationRequest.priority", "path": "MedicationRequest.priority", "short": "Độ ưu tiên", "definition": "Độ ưu tiên của đơn thuốc (thường, khẩn cấp, cấp cứu)", "mustSupport": true }, { "id": "MedicationRequest.doNotPerform", "path": "MedicationRequest.doNotPerform", "short": "Không thực hiện", "definition": "Chỉ ra rằng đơn thuốc này là để ghi nhận thuốc không nên được sử dụng", "mustSupport": true }, { "id": "MedicationRequest.reported[x]", "path": "MedicationRequest.reported[x]", "short": "Báo cáo từ bệnh nhân", "definition": "Thông tin về việc đơn thuốc được báo cáo từ bệnh nhân hoặc người nhà", "mustSupport": true }, { "id": "MedicationRequest.medication[x]", "path": "MedicationRequest.medication[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "Thuốc được kê đơn", "definition": "Thuốc được kê đơn có thể là mã hoặc tham chiếu", "mustSupport": true }, { "id": "MedicationRequest.medication[x]:medicationCodeableConcept", "path": "MedicationRequest.medication[x]", "sliceName": "medicationCodeableConcept", "short": "Mã thuốc", "definition": "Mã thuốc theo bộ mã chuẩn của Việt Nam", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "MedicationRequest.medication[x]:medicationReference", "path": "MedicationRequest.medication[x]", "sliceName": "medicationReference", "short": "Tham chiếu thuốc", "definition": "Tham chiếu đến thuốc được kê đơn", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medication" ] } ], "mustSupport": true }, { "id": "MedicationRequest.subject", "path": "MedicationRequest.subject", "short": "Bệnh nhân được kê đơn", "definition": "Tham chiếu đến bệnh nhân hoặc nhóm được kê đơn thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "mustSupport": true }, { "id": "MedicationRequest.encounter", "path": "MedicationRequest.encounter", "short": "Cuộc gặp gỡ y tế", "definition": "Tham chiếu đến cuộc gặp gỡ y tế khi kê đơn thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-encounter" ] } ], "mustSupport": true }, { "id": "MedicationRequest.supportingInformation", "path": "MedicationRequest.supportingInformation", "short": "Thông tin hỗ trợ", "definition": "Thông tin bổ sung hỗ trợ việc kê đơn thuốc", "mustSupport": true }, { "id": "MedicationRequest.authoredOn", "path": "MedicationRequest.authoredOn", "short": "Ngày kê đơn", "definition": "Ngày giờ đơn thuốc được kê", "min": 1, "mustSupport": true }, { "id": "MedicationRequest.requester", "path": "MedicationRequest.requester", "short": "Người kê đơn", "definition": "Tham chiếu đến người kê đơn thuốc", "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-device" ] } ], "mustSupport": true }, { "id": "MedicationRequest.performer", "path": "MedicationRequest.performer", "short": "Người thực hiện", "definition": "Tham chiếu đến người dự kiến thực hiện việc dùng thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-patient", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-careteam" ] } ], "mustSupport": true }, { "id": "MedicationRequest.performerType", "path": "MedicationRequest.performerType", "short": "Loại người thực hiện", "definition": "Chỉ ra loại người thực hiện việc dùng thuốc", "mustSupport": true }, { "id": "MedicationRequest.recorder", "path": "MedicationRequest.recorder", "short": "Người ghi nhận", "definition": "Tham chiếu đến người ghi nhận đơn thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitioner", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-practitionerrole" ] } ], "mustSupport": true }, { "id": "MedicationRequest.reasonCode", "path": "MedicationRequest.reasonCode", "short": "Lý do kê đơn", "definition": "Lý do được mã hóa cho việc kê đơn thuốc", "mustSupport": true }, { "id": "MedicationRequest.reasonReference", "path": "MedicationRequest.reasonReference", "short": "Tham chiếu lý do", "definition": "Tham chiếu đến tình trạng, quan sát hoặc báo cáo làm lý do kê đơn thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-condition", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-simple", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-social-history", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-vital-signs", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-observation-laboratory" ] } ], "mustSupport": true }, { "id": "MedicationRequest.instantiatesCanonical", "path": "MedicationRequest.instantiatesCanonical", "short": "Tham chiếu định nghĩa chính thức", "definition": "Tham chiếu đến định nghĩa chính thức mà đơn thuốc dựa trên", "mustSupport": true }, { "id": "MedicationRequest.instantiatesUri", "path": "MedicationRequest.instantiatesUri", "short": "URI định nghĩa bên ngoài", "definition": "URI tham chiếu đến định nghĩa bên ngoài mà đơn thuốc dựa trên", "mustSupport": true }, { "id": "MedicationRequest.basedOn", "path": "MedicationRequest.basedOn", "short": "Dựa trên yêu cầu", "definition": "Tham chiếu đến yêu cầu hoặc kế hoạch mà đơn thuốc dựa trên", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest", "http://hl7.org/fhir/StructureDefinition/ServiceRequest", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" ] } ], "mustSupport": true }, { "id": "MedicationRequest.groupIdentifier", "path": "MedicationRequest.groupIdentifier", "short": "Mã nhóm đơn thuốc", "definition": "Mã định danh nhóm cho các đơn thuốc liên quan", "mustSupport": true }, { "id": "MedicationRequest.courseOfTherapyType", "path": "MedicationRequest.courseOfTherapyType", "short": "Loại liệu trình điều trị", "definition": "Mô tả loại liệu trình điều trị được chỉ ra bởi đơn thuốc", "mustSupport": true }, { "id": "MedicationRequest.insurance", "path": "MedicationRequest.insurance", "short": "Bảo hiểm y tế", "definition": "Thông tin bảo hiểm có thể áp dụng cho đơn thuốc", "mustSupport": true }, { "id": "MedicationRequest.note", "path": "MedicationRequest.note", "short": "Ghi chú bổ sung", "definition": "Thông tin bổ sung về đơn thuốc", "mustSupport": true }, { "id": "MedicationRequest.dosageInstruction", "path": "MedicationRequest.dosageInstruction", "short": "Hướng dẫn liều dùng", "definition": "Hướng dẫn cách sử dụng thuốc", "min": 1, "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest", "path": "MedicationRequest.dispenseRequest", "short": "Yêu cầu phát thuốc", "definition": "Thông tin về yêu cầu phát thuốc", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.initialFill", "path": "MedicationRequest.dispenseRequest.initialFill", "short": "Phát thuốc ban đầu", "definition": "Thông tin về việc phát thuốc ban đầu", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.dispenseInterval", "path": "MedicationRequest.dispenseRequest.dispenseInterval", "short": "Khoảng cách phát thuốc", "definition": "Khoảng thời gian tối thiểu giữa các lần phát thuốc", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.validityPeriod", "path": "MedicationRequest.dispenseRequest.validityPeriod", "short": "Thời hạn hiệu lực", "definition": "Thời gian đơn thuốc có hiệu lực", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short": "Số lần phát lại cho phép", "definition": "Số lần được phép phát lại thuốc", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.quantity", "path": "MedicationRequest.dispenseRequest.quantity", "short": "Số lượng phát", "definition": "Số lượng thuốc được phát trong mỗi lần", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "short": "Thời gian cung cấp dự kiến", "definition": "Thời gian dự kiến thuốc sẽ được cung cấp", "mustSupport": true }, { "id": "MedicationRequest.dispenseRequest.performer", "path": "MedicationRequest.dispenseRequest.performer", "short": "Đơn vị phát thuốc", "definition": "Tham chiếu đến đơn vị dự kiến phát thuốc", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-organization" ] } ], "mustSupport": true }, { "id": "MedicationRequest.substitution", "path": "MedicationRequest.substitution", "short": "Thay thế thuốc", "definition": "Thông tin về việc cho phép thay thế thuốc", "mustSupport": true }, { "id": "MedicationRequest.substitution.allowed[x]", "path": "MedicationRequest.substitution.allowed[x]", "short": "Cho phép thay thế", "definition": "Có cho phép thay thế thuốc hay không", "mustSupport": true }, { "id": "MedicationRequest.substitution.reason", "path": "MedicationRequest.substitution.reason", "short": "Lý do thay thế", "definition": "Lý do cho việc thay thế thuốc", "mustSupport": true }, { "id": "MedicationRequest.priorPrescription", "path": "MedicationRequest.priorPrescription", "short": "Đơn thuốc trước", "definition": "Tham chiếu đến đơn thuốc trước đó", "type": [ { "code": "Reference", "targetProfile": [ "http://fhir.ironx.io.vn/StructureDefinition/vn-core-medicationrequest" ] } ], "mustSupport": true }, { "id": "MedicationRequest.detectedIssue", "path": "MedicationRequest.detectedIssue", "short": "Vấn đề phát hiện", "definition": "Vấn đề lâm sàng được phát hiện trong quá trình kê đơn", "mustSupport": true }, { "id": "MedicationRequest.eventHistory", "path": "MedicationRequest.eventHistory", "short": "Lịch sử sự kiện", "definition": "Lịch sử các sự kiện quan trọng trong quá trình kê đơn", "mustSupport": true } ] } }