QĐ 4152/QĐ-BYT · Ministry of Health digital architecture v3.0
Ministry of Health digital architecture pivots to shared data, data warehouses and secure integration.
Impact on VN Core
- Positions VN Core as the standardisation layer
Current legal framework
Law leads, data design follows.
This public registry lists 172 source-linked legal references, mirroring all 172 concepts in VNLegalDocumentRefCS: 159 in force, 2 future-effective, 0 transition-stage, and 11 superseded but kept for reference. Filter by domain or status, or search by code/title. The "Impact on VN Core" column links straight to the affected profile or CodeSystem.
Last reviewed: 2026-07-16 Regulation codes are kept in Vietnamese (TT, QĐ, NĐ, Luật) for legal precision
172 documents
Domain
Status
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QĐ 3516/QĐ-BYT · Health digital transformation strategy
Prioritises data, CCCD identity, EMR/HSSK, citizen-facing apps and governed integration.
Impact on VN Core
- Priority profiles EMR + HSSK
NĐ 102/2025/NĐ-CP · Digital health data governance
National health database governance: Patient/Practitioner/Encounter/Composition. Defines responsibilities, scope, interoperability and open-data rules.
Impact on VN Core
- National health DB metadata
- VNCorePatient + Organization
NĐ 278/2025/NĐ-CP · Mandatory data connection and sharing
Mandates inter-database data connection and sharing. Remaining systems must complete standardisation and converge on the Data Sharing and Orchestration Platform by 31 Dec 2026.
Impact on VN Core
- Composition / Provenance
- Consent profile
- 31 Dec 2026 standardisation/connection milestone
NQ 60-NQ/TW · Resolution of the 11th Plenum (13th Central Committee) on apparatus restructuring
Central Party resolution on government streamlining — political foundation for NQ 202/2025/QH15 (administrative restructuring) and Law 72/2025 (2-tier government).
Impact on VN Core
- Precondition for 34-province 2-tier model
Luật 25/2008/QH12 · Law on Health Insurance (original)
Framework law on BHYT — amended by Law 51/2024. Legal root for the entire chain NĐ 188/2025/NĐ-CP, NĐ 233/2025/NĐ-CP, TT 12/2026/TT-BTC.
Impact on VN Core
- Foundation for VNCoreCoverage/Claim/EOB
Luật 51/2024/QH15 · Amendment to Health Insurance Law
Amends Law 25/2008 — basis for NĐ 188/2025/NĐ-CP and the new BHYT payment rules (benefit levels, cross-tier, multi-card).
Impact on VN Core
- VNCoreCoverage benefit level
Luật 44/2024/QH15 · Amendment to Pharmacy Law
Framework for medicines, e-prescription, market authorisation — basis for NĐ 163/2025/NĐ-CP, TT 26/2025/TT-BYT (outpatient prescription), TT 27/2025/TT-BYT (traditional medicine).
Impact on VN Core
- VNCoreMedication, MedicationRequest
Luật 134/2025/QH15 · Law on Artificial Intelligence
National AI law — classifies AI by 3 risk tiers (high/medium/low). Healthcare AI typically falls under HIGH risk, requiring transparency, accountability, human-centric design.
Impact on VN Core
- AI clinical decision support governance
NĐ 42/2025/NĐ-CP · Functions and tasks of the Ministry of Health
Defines the functions, tasks and organisational structure of the Ministry of Health after the 2025 government restructuring — authority basis for all MoH documents.
Impact on VN Core
- IG governance & MoH publisher reference
NĐ 148/2025/NĐ-CP · Decentralisation in healthcare
Decentralises healthcare administration between central — provincial — commune levels after district tier elimination. Affects Organization.partOf and management scope.
Impact on VN Core
- Organization.partOf hierarchy
NĐ 214/2025/NĐ-CP · Detailed implementation of Procurement Law
Detailed rules for contractor selection — basis for TT 57/2025/TT-BYT (medical-device grouping for procurement).
Impact on VN Core
- Procurement context for VNCoreDevice
NĐ 90/2026/NĐ-CP · Administrative penalties in healthcare
Administrative penalty framework — provides legal basis for Claim/EOB invariants and required IG rules.
Impact on VN Core
- Penalty link for Claim/EOB invariants
QĐ 11/2026/QĐ-TTg · National database catalogue
Specifies the national database catalogue, including healthcare DB — basis for Organization metadata and national data interoperability.
Impact on VN Core
- Organization metadata
NQ 202/2025/QH15 · Provincial restructuring (34 provinces)
34-province 2-tier government model changes how addresses are represented and how legacy district data is handled.
Impact on VN Core
- 2-tier administrative CodeSystem
- Address extension: ward + province
QĐ 19/2025/QĐ-TTg · New 34-province administrative codes
Operationalises NQ 202/2025/QH15 with the official 34-province + 3,321-commune codeset — basis for all address validation.
Impact on VN Core
- CodeSystem vn-administrative-division-cs
- ProvinceCS + WardCS
TT 17/2024/TT-BCA · Implementing regulations for the Identity Law
Foundation for the citizen ID concept and validation rules tied to it.
Impact on VN Core
- VNCorePatient.identifier slicing
- NamingSystem urn:vn:id:cccd
Luật 15/2023/QH15 · Law on Medical Examination and Treatment
Framework law for modern healthcare — basis for TT 13/2025/TT-BYT (EMR), TT 32/2023/TT-BYT (scope of practice), Decree 96/2023 (implementation).
Impact on VN Core
- Practitioner / Organization
- Encounter, RelatedPerson
NĐ 96/2023/NĐ-CP · Guidance for Law on Medical Examination 2023
Implements Law 15/2023 — practitioner licensing, facility registration, RelatedPerson workflow.
Impact on VN Core
- Practitioner.qualification
- Organization.type, RelatedPerson
TT 32/2023/TT-BYT · Scope of medical practice
Defines scope by specialty, practitioner licensing and CCHN code — basis for Practitioner.qualification.code.
Impact on VN Core
- Practitioner.qualification
TT 06/2024/TT-BYT · Ranking of public health service units
Four-tier ranking criteria for healthcare facilities (special, I, II, III, IV) — affects BHYT tier and Organization.type.
Impact on VN Core
- Organization.type, vn-ext-rank
NĐ 137/2024/NĐ-CP · Electronic transactions & digital signature
Framework for electronic transactions, digital signature and authentication — basis for EMR (TT 13/2025/TT-BYT) and Provenance/Composition signature.
Impact on VN Core
- Provenance.signature
- Composition.attester
TT 13/2025/TT-BYT · Electronic medical records
EMR becomes the primary deployment driver, requiring standardised records, documents and data provenance.
Impact on VN Core
- VNCoreComposition EMR
- DocumentReference, Provenance
QĐ 1332/QĐ-BYT · Digital health record on VNeID
Integrates digital health record into the VNeID app. VN Core uses VNeID at the citizen-app layer; primary patient identifier remains CCCD.
Impact on VN Core
- DocumentReference for HSSK
- Patient/RelatedPerson workflow
QĐ 586/QĐ-BYT · National EMR rollout plan 2026
100% of healthcare facilities must complete EMR by 31 Dec 2026; hospitals stop paper records from 01 Jan 2027.
Impact on VN Core
- EMR rollout roadmap v0.8.0 → v1.0.0
Luật 72/2025/QH15 · Law on Local Government Organisation (2-tier model)
Formally establishes 2-tier model: province/city + commune/ward/special-zone. Eliminates district tier. Distinguishes 3 commune types: xa (rural), phuong (urban), dac-khu (island).
Impact on VN Core
- Extension vn-ext-ward-type (wardType coding)
- VNWardTypeCS: xa / phuong / dac-khu
- VNHealthcareLevelCS: district tier → retired
QĐ 31/QĐ-BYT · Publication of digital health record data
Publishes the data structure of the VNeID digital health record — standardises item-level data for HSSK aligned with CCCD.
Impact on VN Core
- DocumentReference for HSSK
- CodeSystem SKĐT items
QĐ 965/QĐ-BYT · EMR rollout at healthcare facilities
Detailed guidance for EMR deployment at healthcare facilities — complements QĐ 586/QĐ-BYT at the operational plan level.
Impact on VN Core
- EMR deployment checklist
Luật 91/2025/QH15 · Law on Personal Data Protection
Health data is classified as sensitive personal data; data-subject rights must be reflected in policy and access UX.
Impact on VN Core
- Consent profile
- AuditEvent, Provenance
NĐ 356/2025/NĐ-CP · Guidance for Personal Data Protection Law
Clarifies DPIA, DPO, 72-hour breach notification, and cross-border data transfer assessment obligations.
Impact on VN Core
- Security page, DPO contact
NĐ 13/2023/NĐ-CP · Old Personal Data Protection Decree
Fully replaced by Decree 356/2025. Kept for historical reference only.
Impact on VN Core
- Not referenced in current IG
Luật 116/2025/QH15 · Law on Cybersecurity (amended)
Replaces Cybersecurity Law 24/2018/QH14 from 01 Jul 2026; stricter requirements for scope assessment, storage, system protection and operational control for critical data and infrastructure.
Impact on VN Core
- Security baseline, data residency
Luật 24/2018/QH14 · Cybersecurity Law (original)
Requires data residency in Vietnam, data provision to authorities, and protection of critical information systems. Replaced by Cybersecurity Law 116/2025/QH15 from 01 Jul 2026.
Impact on VN Core
- AuditEvent retention, data residency
QĐ 4210/QĐ-BYT · BHYT XML output schema (root)
Original XML schema for BHYT data exchange between healthcare facilities and Vietnam Social Security. QĐ 130/QĐ-BYT is the direct successor; QĐ 4750/QĐ-BYT and QĐ 3176/QĐ-BYT are later amendments in the QĐ 130/QĐ-BYT chain. XML 4210 is retained for bridge/provenance only, not as the new design baseline.
Impact on VN Core
- Lineage of ConceptMap XML1-XML12
- Legacy XML → FHIR Claim mapping
- Still the de-facto format at many facilities
In force BHYT & payment Issued 29 Oct 2024 · amends QĐ 4750/QĐ-BYT and QĐ 130/QĐ-BYT Thu Vien Phap Luat
QĐ 3176/QĐ-BYT · BHYT output schema (current)
Latest amendment in the QĐ 130/QĐ-BYT → QĐ 4750/QĐ-BYT → QĐ 3176/QĐ-BYT chain. Use QĐ 3176/QĐ-BYT as the current technical layer for XML tables and operational code sets, without treating it as a full-document replacement of QĐ 130/QĐ-BYT or QĐ 4750/QĐ-BYT.
Impact on VN Core
- ConceptMap XML1-XML12 ↔ FHIR
- VNCoreClaim/ExplanationOfBenefit
NĐ 164/2025/NĐ-CP · Electronic transactions for Social Security
Basis for Social Security electronic transactions and connection points for data lookup/exchange with the payer.
Impact on VN Core
- BHYT Submission package
NĐ 188/2025/NĐ-CP · Guidance on Health Insurance Law
BHYT reimbursement rules and benefit levels are reflected in the payer-side package without distorting the FHIR core semantics.
Impact on VN Core
- vn-ext-bhyt-benefit-level
- VNCoreCoverage
NĐ 74/2025/NĐ-CP · Amends Decree 70/2015 on BHYT
Amends Decree 70/2015 on BHYT for military, public security, cipher personnel and standing militia. Decree 188/2025/NĐ-CP repeals only Clause 5 Article 4 of Decree 74, not the whole decree.
Impact on VN Core
In force BHYT & payment Effective 19 Mar 2026 · sole itemisation template since 01 Jul 2026 Thu Vien Phap Luat
QĐ 697/QĐ-BYT · New healthcare cost itemisation form
Replaces QĐ 6556/QĐ-BYT from the signing date; the software transition window ended on 01 Jul 2026 — only the QĐ 697/QĐ-BYT template is used since then. 12 cost groups, 13 columns, supports multi-BHYT.
Impact on VN Core
- Claim/EOB restructure — v0.5.0
Superseded BHYT & payment Replaced by QĐ 697/QĐ-BYT · transition window ended 01 Jul 2026 Thu Vien Phap Luat
QĐ 6556/QĐ-BYT · Old cost itemisation form
QĐ 697/QĐ-BYT replaces this form; the transitional-use window ended on 01 Jul 2026. Retained only as a legacy basis for records created before that date.
Impact on VN Core
- Migration and transitional records
In force BHYT & payment Issued 29 Dec 2017 · effective 01 Mar 2018 · amended by TT 18/2022/TT-BYT Thu Vien Phap Luat
TT 56/2017/TT-BYT · Health-sector social insurance dossiers
Defines discharge papers, social-insurance sick-leave certificates and medical record summaries — the form templates that QĐ 3176/QĐ-BYT maps in Tables 7, 8 and 11.
Impact on VN Core
- XML7/XML8/XML11 — discharge, summary, sick-leave certificates
TT 18/2022/TT-BYT · Amendment to TT 56/2017/TT-BYT on social insurance dossiers
Updates form templates and treatment-method wording rules (medical, surgical, radiotherapy, chemotherapy...) — basis for the PP_DIEUTRI field in XML1/7/8/11 tables per QĐ 3176/QĐ-BYT.
Impact on VN Core
- PP_DIEUTRI field across XML1/7/8/11 tables
Superseded BHYT & payment Issued 31 Dec 2020 · lapsed with Decree 146/2018 on 01 Jul 2025 Thu Vien Phap Luat
TT 30/2020/TT-BYT · Guidance for Decree 146/2018/NĐ-CP on health insurance (legacy)
Lapsed when Decree 188/2025/NĐ-CP replaced Decree 146/2018/NĐ-CP. Its newborn-record naming rule (point b, clause 1, Article 10) now corresponds to clause 2, Article 37 of Decree 188/2025/NĐ-CP; retained as a legacy basis for pre-01 Jul 2025 data.
Impact on VN Core
- Newborn HO_TEN in XML15 (legacy)
TT 13/2026/TT-BYT · Immunization activities — 14 mandatory vaccination diseases
Regulates immunization activities, replacing the previous immunization circulars (24/2018, 34/2018, 05/2020, 52/2025); Article 3 fixes the 14-disease mandatory list — adding HPV, pneumococcal and rotavirus to the EPI. Extends the legal basis of the vaccine-type code system.
Impact on VN Core
- VNVaccineTypeCS (hpv code) — Immunization/EPI
NĐ 165/2026/NĐ-CP · Implementing decree for the Disease Prevention Law
10 chapters, 97 articles implementing Law 114/2025/QH15: immunization, post-vaccination injury compensation (30× base salary; VND 100 million for death), free periodic health checkups, school health.
Impact on VN Core
- Immunization/EPI + periodic health-checkup framework
TT 12/2026/TT-BYT · List of 103 congenital diseases for prenatal and newborn screening
70 prenatal (Annex I) + 33 newborn (Annex II) screening diseases under Population Law 113/2025/QH15 — a screening ValueSet candidate for the 0.8.0 cycle, paired with Circular 11/2026/TT-BYT.
Impact on VN Core
- Screening ServiceRequest/Observation (0.8.0 backlog)
NĐ 168/2026/NĐ-CP · Implementing decree for the Population Law
Implements Law 113/2025/QH15: conditions and procedures for second-child maternity leave and childbirth financial support. Context for social-insurance maternity documents (XML10/XML11).
Impact on VN Core
- XML10/XML11 context (maternity, sick-leave benefits)
TT 16/2026/TT-BYT · Free-medicine support programmes for healthcare facilities
Replaces Circular 31/2018/TT-BYT; free-medicine programmes run under agreements between pharmaceutical businesses and healthcare facilities. Context for non-BHYT medication payment sources (NGUON_CTRA).
Impact on VN Core
- NGUON_CTRA/paymentSource — XML2 medications
NĐ 161/2026/NĐ-CP · Base salary of VND 2.53 million/month
Raises the base salary from VND 2.34M to 2.53M/month — the parameter behind the 45-month BHYT payment ceiling (T_TRANTT per Decree 188/2025/NĐ-CP) and vaccination-injury compensation. The IG references the multiplier only, never hard-coded amounts.
Impact on VN Core
- paymentCeiling (T_TRANTT) — Claim.item
In force Identity & EMR Issued 29 Apr 2026 · procedure devolution effective 01 Jul 2026 Thu Vien Phap Luat
NQ 21/2026/NQ-CP · Devolution of health administrative procedures to provinces
From 01 Jul 2026, provincial chairpersons issue/renew/adjust/suspend/revoke practice licences and facility operating licences — shifting the issuing-authority segment of the GPHN format (Decree 96/2023, Form 11) toward province codes. Business-condition cuts are expected from 01 Jul 2027.
Impact on VN Core
- GPHN issuer — VNCorePractitioner/VNCoreOrganization
Luật 148/2025/QH15 · Digital Transformation Law
8 chapters, 48 articles — a unified legal framework for digital government, economy and society; requires digital systems to be consistent, interoperable and data-sharing, following the National Digital Architecture Framework (Decision 3090/QĐ-BKHCN). The interoperability axis, together with Decree 278/2025/NĐ-CP, that VN Core FHIR aligns with.
Impact on VN Core
- Interoperability principles — Composition/Provenance/Consent
NĐ 233/2025/NĐ-CP · BHYT fund financial mechanism
Governs the financial mechanism for BHXH, BHTN and BHYT funds — revenue, expenditure and reserve provisions. Provides the financial basis for TT 12/2026/TT-BTC.
Impact on VN Core
- VNCoreCoverage — cumulativeCopay extension (Money VND)
- Claim/EOB — contribution rates, fund allocation
In force BHYT & payment Issued 10 Feb 2026 · effective 10 Feb 2026 · Ministry of Finance Thu Vien Phap Luat
TT 12/2026/TT-BTC · BHYT claim audit, payment and reconciliation
Electronic audit workflow via gdbhyt.baohiemxahoi.gov.vn. 6 forms: 01/BH (monthly summary), 03/BH (audit report), 05/BH (outcome notice), 06/BH (settlement record). Digital signature required on all submissions.
Impact on VN Core
- VNCorePaymentReconciliation (form 06/BH)
- VNClaimAuditStatusCS — audit status workflow
- VNCoreEndpointBHYT — gdbhyt portal
- VNCoreClaim — mandatory Provenance + digital signature
TT 04/2017/TT-BYT · Catalogue of medical supplies/devices covered by BHYT
Root catalogue for BHYT-reimbursable devices — amended by TT 24/2025/TT-BYT (VTYT → TBYT renaming) and consolidated in VBHN 14/VBHN-BYT.
Impact on VN Core
- Foundation for VNCoreDevice BHYT
VBHN 14/VBHN-BYT · Consolidated text TT 04/2017/TT-BYT + TT 24/2025/TT-BYT
9 BHYT device groups (N01-N09) — single authoritative source for the BHYT-reimbursable device catalogue.
Impact on VN Core
- VNCoreDevice — BHYT N01-N09
TT 37/2024/TT-BYT · BHYT pharmaceutical & biologic catalogue
Catalogue of pharmaceutical and biologic products under BHYT — basis for BHYT-reimbursable VNCoreMedication.
Impact on VN Core
- BHYT medication CodeSystem
QĐ 130/QĐ-BYT · BHYT output schema (root 2023)
Root decision for healthcare output data standards and formats; amended by QĐ 4750/QĐ-BYT and QĐ 3176/QĐ-BYT. TT 12/2026/TT-BTC continues to cite this chain.
Impact on VN Core
- BHYT XML1-XML12
- VNCoreClaim/ExplanationOfBenefit mapping
QĐ 4750/QĐ-BYT · Amendment to QĐ 130/QĐ-BYT (2023)
Amends QĐ 130/QĐ-BYT; QĐ 3176/QĐ-BYT further amends the chain and does not fully replace QĐ 4750/QĐ-BYT or QĐ 130/QĐ-BYT.
Impact on VN Core
- BHYT XML transition
- Mapping provenance for QĐ 3176/QĐ-BYT
QĐ 3276/QĐ-BYT · BHYT subject category code list
27 subject categories for BHYT visits — basis for VNCoreCoverage.class and MA_DT codes in BHXH XML.
Impact on VN Core
- CodeSystem vn-bhyt-subject-cs
- VNCoreCoverage.class
QĐ 7603/QĐ-BYT · Shared code catalogue version 6
Root document for shared code catalogue version 6. TT 12/2026/TT-BTC continues to cite QĐ 7603/QĐ-BYT as amended by QĐ 4905/QĐ-BYT, QĐ 5937/QĐ-BYT, QĐ 824/QĐ-BYT, QĐ 2010/QĐ-BYT and QĐ 3276/QĐ-BYT; QĐ 2010/QĐ-BYT is not treated as a full replacement.
Impact on VN Core
- Shared code catalogue
- Transition catalogues and legacy data
NĐ 163/2025/NĐ-CP · Guidance for amended Pharmacy Law
Fully replaces Decree 54/2017 from 01 Jul 2025 — basis for prescribing, dispensing and drug registration numbers.
Impact on VN Core
- VNCoreMedication, MedicationRequest
NĐ 54/2017/NĐ-CP · Old Pharmacy Law guidance
Replaced by Decree 163/2025.
Impact on VN Core
- Not referenced in current IG
TT 26/2025/TT-BYT · Electronic prescription
Electronic prescription has full legal validity, integrates with the National Prescription System; patients have up to 5 days to fill.
Impact on VN Core
- VNCoreMedicationRequest
TT 27/2025/TT-BYT · Herbal & traditional medicine for BHYT
Catalogue of herbal/traditional medicines covered by BHYT — basis for the YHCT Medication package.
Impact on VN Core
- Medication YHCT subset
TT 24/2025/TT-BYT · Amendment to TT 04/2017/TT-BYT — BHYT medical supply catalogue
TT 04/2017/TT-BYT + TT 24/2025/TT-BYT + VBHN 14/VBHN-BYT: 9 BHYT device groups (N01-N09); VTYT terminology changed to TBYT.
Impact on VN Core
- VNCoreDevice, ChargeItem
NĐ 98/2021/NĐ-CP · Medical device management (root)
Root regulatory framework for medical devices — risk classification A/B/C/D, market registration. Consolidated with all amendments in VBHN 08/2026/VBHN-BYT.
Impact on VN Core
- VNCoreDevice.riskClass
- NamingSystem device-registration-number
In force Pharmacy, devices & imaging Issued 03 Mar 2023 · effective 03 Mar 2023 · gazette 14 Mar 2023 Thu Vien Phap Luat
NĐ 07/2023/NĐ-CP · Amendment 1 to Decree 98/2021 (medical devices)
First amendment to Decree 98/2021 covering price disclosure and device procurement. Now consolidated in VBHN 08/2026/VBHN-BYT.
Impact on VN Core
- VNCoreDevice — pricing/procurement
In force Pharmacy, devices & imaging Issued 01 Jan 2025 · effective 01 Jan 2025 · gazette 28 Jan 2025 Thu Vien Phap Luat
NĐ 04/2025/NĐ-CP · Amendment 2 to Decrees 98/2021 + 07/2023 (medical devices)
Second amendment to Decree 98/2021. Now consolidated with prior amendments in VBHN 08/2026/VBHN-BYT.
Impact on VN Core
- VNCoreDevice — registration updates
TT 23/2024/TT-BYT · Current technical service catalogue
Replaces TT 43/2013/TT-BYT — governs VNCoreServiceRequest, Procedure and specialty classification.
Impact on VN Core
- VNCoreServiceRequest
- CodeSystem DVKT
TT 43/2013/TT-BYT · Old technical service catalogue
Replaced by TT 23/2024/TT-BYT; techniques approved before TT 23 took effect may continue until 30 Jun 2026 under the transition clause.
Impact on VN Core
- Legacy technical line / backward audit
Luật 114/2025/QH15 · Disease Prevention Law
Replaces 2007 Infectious Disease Prevention Law. New framework for the Expanded Immunisation Programme and disease surveillance.
Impact on VN Core
- Immunization profile
- TCMR registry mapping
VBHN 08/2026/VBHN-BYT · Medical device management — consolidated text (NĐ 98/2021/NĐ-CP chain)
Consolidates NĐ 98/2021/NĐ-CP + NĐ 07/2023/NĐ-CP + NĐ 04/2025/NĐ-CP + NĐ 342/2025/NĐ-CP. Single authoritative source for all device citations (A/B/C/D risk class, registration, market approval, recall, IVD).
Impact on VN Core
VBHN 06/2026/VBHN-BYT · Commune Health Station — consolidated text (TT 43+53/2025)
Commune health station is a public health service unit under the commune People's Committee, with professional guidance from the Provincial Health Department. Has legal person status, own seal and bank account.
VBHN 04/2026/VBHN-BYT · Medical device calibration — consolidated text (TT 05/2022/TT-BYT + TT 59/2025/TT-BYT)
Consolidates TT 05/2022/TT-BYT + TT 59/2025/TT-BYT. Covers: market authorisation, import dossiers, quality calibration, post-market surveillance, recall and device safety alerts.
Impact on VN Core
- VNCoreDevice — market authorisation number
- DeviceDefinition.safety (post-market surveillance)
Superseded Pharmacy, devices & imaging Superseded from the TT 13/2025/TT-BYT issuance date Thu Vien Phap Luat
TT 46/2018/TT-BYT · Electronic medical records (old)
TT 13/2025/TT-BYT takes effect on 21 Jul 2025, but its repeal clause says TT 46/2018/TT-BYT ceases from the TT 13/2025/TT-BYT issuance date. Use only for legacy EMR data.
Impact on VN Core
- Legacy EMR migration only
TT 05/2022/TT-BYT · Guidance for Decree 98/2021 (medical devices)
Detailed guidance for device dossiers, market authorisation, quality calibration — consolidated in VBHN 04/2026/VBHN-BYT with TT 59/2025/TT-BYT.
Impact on VN Core
- VNCoreDevice — registration
TT 59/2025/TT-BYT · Amendment to TT 05/2022/TT-BYT (device calibration)
Amends device quality calibration procedures — consolidated in VBHN 04/2026/VBHN-BYT.
Impact on VN Core
- VNCoreDevice — calibration
TT 57/2025/TT-BYT · Device grouping by technical/quality standards
Groups devices by technical/quality standards for procurement — based on NĐ 214/2025/NĐ-CP. A separate package, NOT merged with risk class A/B/C/D under NĐ 98/2021/NĐ-CP.
Impact on VN Core
- Procurement extension for VNCoreDevice
TT 44/2025/TT-BYT · Decentralisation of medical-device administrative procedures
Decentralises medical-device administrative procedures between MoH and Provincial Health Departments.
Impact on VN Core
- Authority metadata for VNCoreDevice
TT 46/2025/TT-BYT · Equipment quotas for medical devices
Establishes equipment quotas for medical devices at healthcare facilities — basis for inventory and facility capacity analysis.
Impact on VN Core
- VNCoreDevice — capacity/inventory metadata
- VNCoreOrganization — equipment profile
TT 30/2023/TT-BYT · Telemedicine
Telemedicine regulations — basis for telemedicine Encounter class and dedicated workflow.
Impact on VN Core
- Encounter.class telemedicine
TT 35/2024/TT-BYT · Basic quality standards for hospitals
Basic hospital quality standards — complements TT 06/2024/TT-BYT (ranking) on the operational-quality dimension.
Impact on VN Core
- Organization quality metadata
TT 38/2024/TT-BYT · Information system for healthcare management
National healthcare management information system framework — basis for interoperability and system CapabilityStatement.
Impact on VN Core
- CapabilityStatement reference
TT 40/2025/TT-BYT · Drug procurement at public health facilities
Drug procurement procedures at public healthcare facilities — complements NĐ 214/2025/NĐ-CP for pharmaceuticals.
Impact on VN Core
- Drug procurement context
TT 41/2025/TT-BYT · Professional title standards for physicians
Professional title standards for physicians — basis for Practitioner.qualification.code (MD, Specialist I/II, MSc, PhD).
Impact on VN Core
- Practitioner.qualification
TT 42/2025/TT-BYT · Health standards for motor vehicle drivers
Driver health examination requirements — specialised workflow with certificate templates.
Impact on VN Core
- Encounter type: driver-health
TT 43/2025/TT-BYT · Functions and tasks of commune health stations
Amended by TT 53/2025/TT-BYT and consolidated in VBHN 06/2026/VBHN-BYT.
Impact on VN Core
- Organization — commune station
TT 53/2025/TT-BYT · Amendment to TT 43/2025/TT-BYT (commune health stations)
Amends TT 43/2025/TT-BYT — consolidated in VBHN 06/2026/VBHN-BYT.
Impact on VN Core
- Organization — commune station
TT 49/2025/TT-BYT · Certification of traditional healers
Amends TT 02/2024/TT-BYT — certification process for traditional healers and family-recipe holders. Affects YHCT Practitioner.
Impact on VN Core
- Practitioner.qualification YHCT
TT 50/2025/TT-BYT · Clinical trial regulations
Clinical trial legal framework — basis for future ResearchStudy/ResearchSubject profiles.
Impact on VN Core
- ResearchStudy roadmap
TT 51/2025/TT-BYT · National technical regulations for medicines
National technical regulations for medicines — quality basis for VNCoreMedication.
Impact on VN Core
- VNCoreMedication quality
TT 52/2025/TT-BYT · Mandatory scope of vaccines and biologics
Mandatory vaccine/biologic catalogue — basis for Immunization and the Expanded Immunisation Programme.
Impact on VN Core
- Immunization profile
TT 54/2025/TT-BYT · Functions of public traditional medicine hospitals
Functional framework for public YHCT hospitals — basis for Organization.type for traditional medicine hospitals.
Impact on VN Core
- Organization.type YHCT
TT 55/2025/TT-BYT · Prescription of traditional and herbal medicines
Prescription procedure for traditional/herbal medicines — complements TT 26/2025/TT-BYT (outpatient pharmaceutical prescription).
Impact on VN Core
- MedicationRequest YHCT
TT 56/2025/TT-BYT · Occupational disease management
Occupational disease management framework — basis for occupational Condition and related workflows.
Impact on VN Core
- Condition occupational category
TT 60/2025/TT-BYT · Occupational diseases covered by BHYT
List of BHYT-eligible occupational diseases — complements TT 56/2025/TT-BYT on the payment side.
Impact on VN Core
- Coverage occupational scope
TT 07/2026/TT-BYT · Area standards for healthcare facility buildings
Area standards for healthcare buildings — Location/Organization metadata about physical infrastructure.
Impact on VN Core
- Location metadata
QĐ 2780/QĐ-BYT · Expanded Immunisation Programme 2026-2028
Expanded Immunisation Programme plan 2026-2028 — basis for the Immunization profile and TCMR vaccine set.
Impact on VN Core
- Immunization profile
- TCMR vaccine CodeSystem
QĐ 2010/QĐ-BYT · 54 shared department codes
Annex 6: 54 department/clinic codes — basis for VNCoreOrganizationDepartment and MA_KHOA.
Impact on VN Core
- CodeSystem vn-department-cs
QĐ 4469/QĐ-BYT · ICD-10 Vietnam
Vietnam edition of ICD-10. Decision 98/QĐ-BYT (14 Jan 2022) added COVID-19 codes (U07.1, U07.2).
Impact on VN Core
- CodeSystem vn-icd10-cs
QĐ 2427/QĐ-BYT · Shared clinical terminology codes — batch 1
SNOMED CT Vietnam terminology batch 1 — Body Structure (anatomical structures).
Impact on VN Core
- ConceptMap SNOMED CT VN
- CodeSystem snomed-vn-body-structure
QĐ 2493/QĐ-BYT · Shared clinical terminology codes — batch 2
SNOMED CT Vietnam terminology batch 2 — Morphologic Abnormality.
Impact on VN Core
- ConceptMap SNOMED CT VN
- CodeSystem snomed-vn-morphologic
QĐ 2805/QĐ-BYT · Shared clinical terminology codes — batch 3
SNOMED CT Vietnam terminology batch 3 — Allergy and Clinical Finding.
Impact on VN Core
- ConceptMap SNOMED CT VN
- CodeSystem snomed-vn-finding
QĐ 2552/QĐ-BYT · Traditional medicine terminology batch 1
Shared terminology for traditional medicine — Batch 1: clinical pattern, diagnosis, acupoints, techniques.
Impact on VN Core
- CodeSystem YHCT (batch 1)
QĐ 3080/QĐ-BYT · Traditional medicine terminology batch 2
Shared terminology for traditional medicine — Batch 2: symptoms, tongue, pulse, treatment principles, herbs, formulas.
Impact on VN Core
- CodeSystem YHCT (batch 2)
QĐ 1227/QĐ-BYT · Laboratory & imaging indicators batch 1
2,964 indicators (Hematology, Biochemistry, Microbiology, Pathology, Imaging).
Impact on VN Core
- CodeSystem vn-cls-cs
QĐ 387/QĐ-BYT · ICD-9-CM procedures (2026 edition)
International classification of procedures ICD-9-CM 2026 edition — used for DRG algorithms, DVKT coding and technical reference. Replaces QĐ 4440/QĐ-BYT 2020.
Impact on VN Core
- CodeSystem vn-icd9cm-cs
QĐ 4440/QĐ-BYT · ICD-9-CM procedures (old 2020 edition)
ICD-9-CM 2020 edition — replaced by QĐ 387/QĐ-BYT (05 Feb 2026).
Impact on VN Core
- Legacy reference
QĐ 98/QĐ-BYT · Adds COVID-19 codes to ICD-10 VN
Adds U07.1, U07.2 (COVID-19) to the ICD-10 VN issued under QĐ 4469/QĐ-BYT.
Impact on VN Core
- CodeSystem vn-icd10-cs (U07.x)
QĐ 3107/QĐ-BYT · Medical device nomenclature 2023
Medical device nomenclature version 2023 — basis for national Device.type coding.
Impact on VN Core
- CodeSystem vn-device-nomenclature
QĐ 847/QĐ-BYT · Medical device nomenclature 2024
Updates medical device nomenclature to 2024 edition — extends QĐ 3107/QĐ-BYT.
Impact on VN Core
- CodeSystem vn-device-nomenclature
TT 06/2026/TT-BYT · Disease coding under ICD-10
Disease and cause-of-death coding under ICD-10 — mandatory workflow for electronic diagnosis.
Impact on VN Core
- Condition.code rule
- DiagnosticReport.code rule
TT 30/2024/TT-BYT · Basic health service package at commune health stations
Catalogue and content of basic health services delivered by commune health stations.
Impact on VN Core
- Commune-level HealthcareService
QĐ 2919/QĐ-BYT · Electronic birth certificate data standard
Separates Table 9 from the QĐ 130/QĐ-BYT/QĐ 4750/QĐ-BYT/QĐ 3176/QĐ-BYT chain and defines the current electronic birth certificate data standard.
Impact on VN Core
- XML9 and birth certificate data
QĐ 4905/QĐ-BYT · Amendment to Annex 05 (medicine codes) of QĐ 7603/QĐ-BYT
Amends and supplements QĐ 7603/QĐ-BYT; it is not a full replacement of QĐ 7603/QĐ-BYT.
Impact on VN Core
- Legacy shared code catalogues
QĐ 5937/QĐ-BYT · Additional shared code catalogues for BHYT claims
Amends and supplements QĐ 7603/QĐ-BYT; Annex 5 department codes was repealed by QĐ 2010/QĐ-BYT, while remaining parts are tracked as legacy basis.
Impact on VN Core
- Legacy department and shared codes
QĐ 824/QĐ-BYT · Adds six shared code catalogues
Adds shared code catalogues for management, review and BHYT payment processing.
Impact on VN Core
- Encounter subject, service form and traditional medicine codes
QĐ 1551/QĐ-BYT · Health checkup data exchange and VNeID electronic health book
Guides collection, update and exchange of health checkup data and creation/update of the VNeID electronic health book.
Impact on VN Core
- Questionnaire, QuestionnaireResponse and health checkup Composition
QĐ 1272/QĐ-BYT · Annual free health checkup and screening plan
Approves the plan for at least annual free health checkups or screening for citizens.
Impact on VN Core
- Population health checkup and electronic health book use case
QĐ 1923/QĐ-BYT · Electronic health record platform
Plan for the electronic health record platform, including standardisation of core health information under HL7 FHIR.
Impact on VN Core
- Health record summary and FHIR mapping
Luật 84/2015/QH13 · Occupational safety and health law
Basis for periodic, occupational and selected specialised health checkups.
Impact on VN Core
- Health checkup workflow
Nghị quyết 282/NQ-CP · Government action programme for people health
Government action programme implementing NQ 72-NQ/TW, providing policy basis for QĐ 1272/QĐ-BYT and QĐ 1551/QĐ-BYT.
Impact on VN Core
- Policy driver for health checkup and health record use cases
QĐ 3412/QĐ-BYT · Maternal, child and reproductive health information catalogue
Core information catalogue for maternal, child and reproductive health systems.
Impact on VN Core
- Future obstetric and newborn scope
QĐ 3955/QĐ-BYT · Child information management catalogue at facility level
Core information catalogue for child information management systems at facility level.
Impact on VN Core
- Future child and social-care scope
Luật 113/2025/QH15 · Population Law 2025
Regulates population policy, including fetal sex disclosure for diseases specified by the Ministry of Health.
Impact on VN Core
- Fetal sex disclosure terminology
TT 11/2026/TT-BYT · Diseases allowing fetal sex disclosure
Catalogue of 137 ICD-10 coded diseases for which fetal sex may be disclosed for diagnosis and treatment.
Impact on VN Core
- Fetal sex disclosure disease ValueSet
QĐ 582/QĐ-BYT · Estimated BHYT medical expenditure for 2026
Allocates estimated BHYT medical expenditure for 2026 and replaces QĐ 32/QĐ-BYT.
Impact on VN Core
- Payment governance and reporting
QĐ 32/QĐ-BYT · Initial 2026 BHYT medical expenditure estimate
Initial 2026 BHYT expenditure allocation before QĐ 582/QĐ-BYT was issued.
Impact on VN Core
- Legacy reference for 2026 BHYT expenditure
QĐ 966/QĐ-BYT · Administrative procedures for medical examination and treatment
Publishes administrative procedures in medical examination and treatment and replaces QĐ 658/QĐ-BYT.
Impact on VN Core
- Licensing and care-service workflows
Superseded Pharmacy, devices & imaging Issued 16 Mar 2026 · superseded by QĐ 966/QĐ-BYT Thu Vien Phap Luat
QĐ 658/QĐ-BYT · Previous medical examination and treatment procedure publication
Prior publication of medical examination and treatment procedures before QĐ 966/QĐ-BYT took effect.
Impact on VN Core
- Legacy reference for care administrative procedures
TT 04/2026/TT-BYT · Decentralisation of administrative procedures for special techniques
Decentralises administrative handling for selected special professional techniques in medical examination and treatment.
Impact on VN Core
- Organization scope and service governance
QĐ 486/QĐ-BYT · Traditional medicine technical procedures
Traditional medicine technical procedures; Annex 02 applies from 01 Jul 2026.
Impact on VN Core
- Procedure and traditional medicine terminology
QĐ 622/QĐ-BYT · Radiology diagnostic imaging technical procedures volume 1
Radiology diagnostic imaging technical procedures, replacing QĐ 2775/QĐ-BYT 2025.
Impact on VN Core
- DiagnosticReport and imaging procedure
VBHN 05/VBHN-BYT · Consolidated traditional medicine technical procedures
Consolidated document for traditional medicine technical procedure rules.
Impact on VN Core
- Consolidated reference for traditional medicine
VBHN 07/VBHN-BYT · Consolidated decentralisation document for care procedures
Consolidates decentralisation rules for medical examination and treatment administrative procedures.
Impact on VN Core
- Consolidated care decentralisation reference
VBHN 10/VBHN-BYT · Consolidated medical examination and treatment administrative procedures
Consolidated rules on decentralised handling of medical examination and treatment administrative procedures.
Impact on VN Core
- Consolidated care procedure reference
QĐ 01/2008/QĐ-BYT · Emergency, intensive care and toxicology regulation
Requires emergency patients to be handled by priority level; VN Core five-level triage follows international practice and is not quoted from this decision.
Impact on VN Core
- Encounter priority and triage rationale
TT 27/2021/TT-BYT · Electronic prescribing
Defines electronic prescriptions as legally equivalent to paper prescriptions.
Impact on VN Core
- MedicationRequest and e-prescription
QĐ 808/QĐ-BYT · National prescription system connection
Guides connection to the national prescription system and the 14-character prescription code.
Impact on VN Core
- National prescription code NamingSystem
QĐ 425/QĐ-BYT · Operating regulation for the national prescription system
Operating regulation for the national information system on prescription management and dispensing by prescription.
Impact on VN Core
- Prescription integration governance
TT 14/2013/TT-BYT · Health checkup guidance
Original health checkup guidance and Type I-V health classification; amended by TT 09/2023/TT-BYT but still in force.
Impact on VN Core
- HealthCheckupClassification CodeSystem
In force Identity & EMR Issued 02 Mar 1979
QĐ 121-TCTK/PPCĐ · Vietnam ethnic-group catalogue
Catalogue of Vietnam 54 ethnic groups (General Statistics Office). Basis for VNEthnicityCS. No public TVPL source link.
Impact on VN Core
- VNEthnicityCS (54 ethnic groups)
In force Identity & EMR Issued 28 Dec 2020
CV 6955/BNV-TGCP · Recognised religious-organisation list
List of recognised religious organisations (Government Committee for Religious Affairs, Ministry of Home Affairs). Basis for VNReligionCS. No public TVPL source link.
Impact on VN Core
- VNReligionCS
QĐ 34/2020/QĐ-TTg · Vietnam Standard Classification of Occupations (VSCO 2020)
Five-level occupation classification for labour statistics, ISCO-08 compatible. Basis for the occupation CodeSystem (vn-occupation-cs) and VNCoreExtOccupation.
Impact on VN Core
- CodeSystem vn-occupation-cs
TT 14/2024/TT-BYT · Processing methods for medicinal materials and traditional medicines
Guidance on processing methods for medicinal materials and traditional medicines (replaces Circular 30/2017/TT-BYT). Descriptive source for VNCoreExtTraditionalProcessingMethod.
Impact on VN Core
- Extension vn-ext-traditional-processing-method
In force Terminology & code systems Issued 19 Jun 2026 · applied by 01 Aug 2026 at the latest Thu Vien Phap Luat
QĐ 1804/QĐ-BYT · Code lists for medical service types and departments
Code lists for medical service types (MA_LOAI_KCB, 16 codes) and departments (MA_KHOA, 61 departments + sub-units). Repeals Annex 1 of Decision 824/QĐ-BYT and Annex 6 of Decision 2010/QĐ-BYT from 01 Aug 2026.
Impact on VN Core
- VNEncounterTypeCS (10→16) + VNDepartmentCS (54→67)
In force Terminology & code systems Issued 23 Jun 2026 · applied when Circular 06/2026/TT-BYT takes effect (01 Jul 2026) Thu Vien Phap Luat
QĐ 1849/QĐ-BYT · Technical guidance for ICD-10 disease coding
Technical guidance accompanying Circular 06/2026/TT-BYT (5 annexes: chapters/blocks, coding principles, drugs/chemicals for Chapters XIX–XX, deleted codes, new codes). Supersedes the coding-guidance portion of Decision 4469/QĐ-BYT.
Impact on VN Core
- VNICD10VNVS — Condition/DiagnosticReport
QĐ 1965/QĐ-BYT · List of communicable diseases by group A/B/C
Communicable diseases classified into groups A/B/C under Article 15(4) of the Disease Prevention Law (114/2025/QH15): 15 Group A, 47 Group B, 19 Group C. Adds influenza A(H7N9) and MERS-CoV to Group A. Basis for the new VNCommunicableDiseaseCS.
Impact on VN Core
- VNCommunicableDiseaseCS (81 diseases, group A/B/C) — Condition
QĐ 1978/QĐ-BYT · Standardising traditional-medicine disease codes to ICD-10
Amends Annex 07.1 (traditional-medicine disease codes) of Decision 7603/QĐ-BYT per Circular 06/2026/TT-BYT — 30 codes re-mapped/added to ICD-10, 5 codes discontinued. The IG uses the QĐ 2552/QĐ-BYT (Mã U) scheme distinct from Decision 7603, so this is recorded as YHCT→ICD-10 mapping governance.
Impact on VN Core
- YHCT→ICD-10 mapping governance (no IG code remap)
TT 15/2026/TT-BYT · Implementing circular for the Disease Prevention Law
Details Law 114/2025/QH15: criteria for classifying communicable-disease groups, surveillance, notification, risk assessment and outbreak response. The classification criteria underpin Decision 1965/QĐ-BYT.
Impact on VN Core
- Grouping basis for VNCommunicableDiseaseCS
TT 25/2025/TT-BYT · Detailing the Social Insurance, OSH (health) and Medical Examination Laws
Details the Social Insurance Law, the OSH Law (health domain) and parts of the Medical Examination Law. Annex I (long-term treatment disease list) is referenced for MA_LOAI_KCB types 02/05/08 in Decision 1804/QĐ-BYT.
Impact on VN Core
- Long-term disease list source — VNEncounterTypeCS codes 05/08
TT 01/2025/TT-BYT · Implementing circular for the Health Insurance Law
Details the Health Insurance Law: primary-care registration, facility transfers, follow-up appointment slips, disease lists (Annexes I/II). Amended by Circular 06/2026/TT-BYT (digital signature replaces the seal from 01 Jun 2026; code Q87.11→Q87.1).
Impact on VN Core
- Legal basis for VNPatientVisitTypeCS (patient visit-type codes)
QĐ 2062/QĐ-BYT · Amends Decision 1551/QĐ-BYT on health-checkup data and the e-Health Record
Replaces Annexes 01–03 and adds Annexes 04–05 of Decision 1551/QĐ-BYT; the health-checkup interop contract is reduced to three age-group specifications; new OAuth2 API with data-sync/push + resource-sync/push, RSA-SHA256 and digital signatures. Decision 1551 must be read together with 2062.
Impact on VN Core
- Audit ADR-0015 (17 checkup Questionnaires), emrhub/NDOP G12 LogicalModels, CapabilityStatement
TT 25/2026/TT-BYT · Health-checkup forms (amends Circulars 01/2013/TT-BYT and 32/2023/TT-BYT)
Replaces health-checkup forms, adds a mental-health checkup form; technical-catalogue roadmap to 2028. Requires versioning of checkup Questionnaire/Procedure/ServiceRequest/DiagnosticReport.
Impact on VN Core
- Checkup Questionnaire/DiagnosticReport — paired with Decision 2062/QĐ-BYT
CT 17/CT-TTg · Free periodic health checkups / screening for citizens
Prime Minister directive: by end-2026 all citizens receive free periodic checkups/screening and an e-Health Record; shift toward prevention.
Impact on VN Core
- Context for checkup Bundle, Observation, ServiceRequest, Appointment, Consent, Provenance
QĐ 826/QĐ-TTg · Project 06 population data & e-identity 2026–2030
Approves the programme for population-data, e-identity and e-authentication applications serving national digital transformation 2026–2030, vision to 2035.
Impact on VN Core
- VNeID/e-Health Record basis — Patient.identifier, DocumentReference
NQ 66.22/2026/NQ-CP · Digital-citizen development
Principles of digital-citizen development, rights/duties of digital citizens, national e-identity apps; 15 Oct is Digital Citizen Day. Effective until 28 Feb 2027.
Impact on VN Core
- Digital-citizen/VNeID basis for patient identity
TT 18/2026/TT-BYT · Drugs and materials under special control
Details the Pharmacy Law and Decree 163/2025/NĐ-CP: lists of narcotic, psychotropic, precursor and radioactive drugs; electronic records must be encrypted, tamper-evident, audit-logged and digitally signed.
Impact on VN Core
- MedicationRequest/Dispense/Administration + Provenance/AuditEvent
QĐ 1867/QĐ-BYT · National pharmaceutical database plan
Rolls out the national pharmaceutical database: pharmacy-facility identifiers, stock in/out/on-hand, drug lots, specially-controlled drugs and interoperability APIs.
Impact on VN Core
- Medication/Organization/Location + pharmacy-facility identifiers
NĐ 142/2026/NĐ-CP · Implementing decree for the AI Law
Details Law 134/2025/QH15: AI risk classification, conformity assessment for high-risk AI, transparency duties, human oversight. Medical AI may be high-risk.
Impact on VN Core
- AI governance — AuditEvent/Provenance/decision support (no core cardinality change)
QĐ 804/QĐ-TTg · Datasets for AI development
Datasets for AI development in essential sectors (including medical imaging data), 2026–2030.
Impact on VN Core
- Context for medical-imaging AI datasets — data provenance
Future-effective Strategy & architecture Issued 30 Jun 2026 · effective 15 Aug 2026 Thu Vien Phap Luat
QĐ 33/2026/QĐ-TTg · List of high-risk AI systems
46 high-risk AI systems across 6 sectors including health → require human oversight and transparency. Paired with Decree 142/2026/NĐ-CP and Law 134/2025/QH15.
Impact on VN Core
- High-risk medical AI — AuditEvent/decision-support governance
QĐ 366/QĐ-BHXH · Collection process for social/health/unemployment insurance; issuing books and cards
Process for collection and issuing of social-insurance books and health-insurance cards (replaces Decision 595/QĐ-BHXH); electronic BHYT card via VNeID/VssID.
Impact on VN Core
- Coverage context (electronic BHYT card)
QĐ 504/QĐ-BHXH · Cybersecurity regulation of Vietnam Social Security
Information-security and cybersecurity regulation of Vietnam Social Security (replaces Decision 967/QĐ-BHXH); security requirements when integrating with the BHXH portal API.
Impact on VN Core
- Deployment/security baseline for BHXH integration
TT 47/2026/TT-BCA · National cybersecurity standard for electronic-document storage systems
National technical regulation on cybersecurity for electronic-document storage systems: risk management, accounts/access, backup–recovery; requires encryption, immutable logs, digital signatures.
Impact on VN Core
- AuditEvent/Provenance + deployment security baseline
QĐ 2047/QĐ-BYT · Periodic health checkups for children under 6
Guidance on periodic checkups for children under 6 (at least once a year) with M-CHAT-R autism-risk screening for children aged 16–30 months.
Impact on VN Core
- Candidate pediatric checkup Questionnaire/Observation
CT 04/CT-BYT · Accelerating electronic medical records rollout
Directive pushing healthcare facilities to complete electronic medical records by 31 Dec 2026 at the latest. Paired with Circular 13/2025/TT-BYT and Decision 965/QĐ-BYT.
Impact on VN Core
- DocumentReference/Composition — EMR use case
TT 24/2026/TT-BYT · Risk classification and management of medical devices
Determines risk levels (classes A/B/C/D) and management measures for medical-device products; amends Circular 05/2022/TT-BYT — its provisions detailing Decree 98/2021/NĐ-CP expire from 01 Jul 2026.
Impact on VN Core
- VNDeviceRiskClassCS / Device — Decree 98/2021 chain
In force Strategy & architecture Issued and effective 15 Jul 2026
QĐ 2146/QĐ-BYT · MOH Digital Architecture Framework
First ministry-level document explicitly mandating HL7 FHIR R4 and DICOM as health-data interoperability standards, alongside ICD-10/ICD-11, SNOMED CT, LOINC and RxNorm for data normalisation — roadmap to 2030. Succeeds MOH e-Government Architecture 2.1 (Decisions 1928 and 4152) without an explicit repeal clause.
Impact on VN Core
- Legal anchor for VN Core’s FHIR R4 choice; SNOMED/LOINC/RxNorm supplements, ICD ConceptMaps
In force BHYT & payment Issued and effective 29 Jun 2026 · full compliance from 01 Jul 2026
QĐ 1931/QĐ-BYT · Amends Decision 3176/QĐ-BYT on the clinical-claims output data standard
Field MUC_HUONG in Tables 2 (drugs) and 3 (services/supplies) grows to a maximum of 4 characters; field SO_DANG_KY adds the UBND.YYYY.X.S convention for rare drugs imported under provincial People’s Committee permits.
Impact on VN Core
- BHYTXML2/XML3 logical models, VNCoreExtInsuranceCostInfo, field-level mapping
In force Strategy & architecture Issued and effective 13 Jul 2026
QĐ 2114/QĐ-BYT · Plan to build the national clinical-activity management information system
Implements Circular 38/2024/TT-BYT and Article 112 of the Medical Examination and Treatment Law: a national centralised database of clinical activity and licensed practice; phase 1 (2026) upgrades the practice registry (public licence listing, digital signing), phase 2 (2027–2028) nationwide interconnection.
Impact on VN Core
- VNCorePractitioner/VNCoreOrganization use case — licence cross-checking
In force Identity & EMR Issued 08 Jul 2026 · runs 08 Jul–15 Oct 2026
KH 1261/KH-BYT · 100-day campaign for the e-Health Record on VNeID
Nationwide campaign down to commune level: builds the personal health database from checkup data and clinical data synced from Social Security; one e-Health Record on VNeID per citizen; API interconnection of checkup data and non-insured clinical data (deadline 31 Aug 2026).
Impact on VN Core
- Checkup/e-Health Record adoption driver — VNHealthCheckupDataSetLM, VNCitizenAppClient/VNCoreServer
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