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
This registry collects 89 regulations in force, 2 transition-stage documents, 6 superseded but kept for reference, and 4 future-effective. 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: 2026-05-01 Regulation codes are kept in Vietnamese (TT, QĐ, NĐ, Luật) for legal precision
Domain
Status
Ministry of Health digital architecture pivots to shared data, data warehouses and secure integration.
Impact on VN Core
Prioritises data, CCCD identity, EMR/HSSK, citizen-facing apps and governed integration.
Impact on VN Core
National health database governance: Patient/Practitioner/Encounter/Composition. Defines responsibilities, scope, interoperability and open-data rules.
Impact on VN Core
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
Central Party resolution on government streamlining — political foundation for NQ 202/2025 (administrative restructuring) and Law 72/2025 (2-tier government).
Impact on VN Core
Framework law on BHYT — amended by Law 51/2024. Legal root for the entire chain NĐ 188/2025, NĐ 233/2025, TT 12/2026/TT-BTC.
Impact on VN Core
Amends Law 25/2008 — basis for NĐ 188/2025 and the new BHYT payment rules (benefit levels, cross-tier, multi-card).
Impact on VN Core
Framework for medicines, e-prescription, market authorisation — basis for NĐ 163/2025, TT 26/2025 (outpatient prescription), TT 27/2025 (traditional medicine).
Impact on VN Core
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
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
Decentralises healthcare administration between central — provincial — commune levels after district tier elimination. Affects Organization.partOf and management scope.
Impact on VN Core
Detailed rules for contractor selection — basis for TT 57/2025/TT-BYT (medical-device grouping for procurement).
Impact on VN Core
Administrative penalty framework — provides legal basis for Claim/EOB invariants and required IG rules.
Impact on VN Core
Specifies the national database catalogue, including healthcare DB — basis for Organization metadata and national data interoperability.
Impact on VN Core
34-province 2-tier government model changes how addresses are represented and how legacy district data is handled.
Impact on VN Core
Operationalises NQ 202/2025 with the official 34-province + 3,321-commune codeset — basis for all address validation.
Impact on VN Core
Foundation for the citizen ID concept and validation rules tied to it.
Impact on VN Core
Framework law for modern healthcare — basis for TT 13/2025 (EMR), TT 32/2023 (scope of practice), Decree 96/2023 (implementation).
Impact on VN Core
Implements Law 15/2023 — practitioner licensing, facility registration, RelatedPerson workflow.
Impact on VN Core
Defines scope by specialty, practitioner licensing and CCHN code — basis for Practitioner.qualification.code.
Impact on VN Core
Four-tier ranking criteria for healthcare facilities (special, I, II, III, IV) — affects BHYT tier and Organization.type.
Impact on VN Core
Framework for electronic transactions, digital signature and authentication — basis for EMR (TT 13/2025) and Provenance/Composition signature.
Impact on VN Core
EMR becomes the primary deployment driver, requiring standardised records, documents and data provenance.
Impact on VN Core
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
100% of healthcare facilities must complete EMR by 31 Dec 2026; hospitals stop paper records from 01 Jan 2027.
Impact on VN Core
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
Publishes the data structure of the VNeID digital health record — standardises item-level data for HSSK aligned with CCCD.
Impact on VN Core
Detailed guidance for EMR deployment at healthcare facilities — complements QĐ 586/2026 at the operational plan level.
Impact on VN Core
Health data is classified as sensitive personal data; data-subject rights must be reflected in policy and access UX.
Impact on VN Core
Clarifies DPIA, DPO, 72-hour breach notification, and cross-border data transfer assessment obligations.
Impact on VN Core
Fully replaced by Decree 356/2025. Kept for historical reference only.
Impact on VN Core
Stricter requirements for scope assessment, storage, system protection and operational control for critical data and infrastructure.
Impact on VN Core
Requires data residency in Vietnam, data provision to authorities, and protection of critical information systems. Law 116/2025 extends the network information security provisions.
Impact on VN Core
Original XML schema for BHYT data exchange between healthcare facilities and Vietnam Social Security. QĐ 130/2023 is the direct successor; QĐ 4750/2023 and QĐ 3176/2024 are later amendments in the QĐ 130 chain. XML 4210 is retained for bridge/provenance only, not as the new design baseline.
Impact on VN Core
Latest amendment in the QĐ 130 → QĐ 4750 → QĐ 3176 chain. Use QĐ 3176 as the current technical layer for XML tables and operational code sets, without treating it as a full-document replacement of QĐ 130 or QĐ 4750.
Impact on VN Core
Basis for Social Security electronic transactions and connection points for data lookup/exchange with the payer.
Impact on VN Core
BHYT reimbursement rules and benefit levels are reflected in the payer-side package without distorting the FHIR core semantics.
Impact on VN Core
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
Replaces QĐ 6556/2018 from the signing date; 01 Jul 2026 is the healthcare-facility software rollout deadline, not the legal effective date. 12 cost groups, 13 columns, supports multi-BHYT.
Impact on VN Core
QĐ 697 replaces this form but allows facilities to keep using QĐ 6556 while they have not yet implemented the new template, no later than 01 Jul 2026.
Impact on VN Core
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
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
Root catalogue for BHYT-reimbursable devices — amended by TT 24/2025 (VTYT → TBYT renaming) and consolidated in VBHN 14/2025.
Impact on VN Core
9 BHYT device groups (N01-N09) — single authoritative source for the BHYT-reimbursable device catalogue.
Impact on VN Core
Catalogue of pharmaceutical and biologic products under BHYT — basis for BHYT-reimbursable VNCoreMedication.
Impact on VN Core
Root decision for healthcare output data standards and formats; amended by QĐ 4750/2023 and QĐ 3176/2024. TT 12/2026/TT-BTC continues to cite this chain.
Impact on VN Core
Amends QĐ 130; QĐ 3176 further amends the chain and does not fully replace QĐ 4750 or QĐ 130.
Impact on VN Core
27 subject categories for BHYT visits — basis for VNCoreCoverage.class and MA_DT codes in BHXH XML.
Impact on VN Core
Root document for shared code catalogue version 6. TT 12/2026/TT-BTC continues to cite QĐ 7603 as amended by QĐ 4905, QĐ 5937, QĐ 824, QĐ 2010 and QĐ 3276; QĐ 2010 is not treated as a full replacement.
Impact on VN Core
Fully replaces Decree 54/2017 from 01 Jul 2025 — basis for prescribing, dispensing and drug registration numbers.
Impact on VN Core
Replaced by Decree 163/2025.
Impact on VN Core
Electronic prescription has full legal validity, integrates with the National Prescription System; patients have up to 5 days to fill.
Impact on VN Core
Catalogue of herbal/traditional medicines covered by BHYT — basis for the YHCT Medication package.
Impact on VN Core
TT 04/2017 + TT 24/2025 + VBHN 14: 9 BHYT device groups (N01-N09); VTYT terminology changed to TBYT.
Impact on VN Core
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
First amendment to Decree 98/2021 covering price disclosure and device procurement. Now consolidated in VBHN 08/2026/VBHN-BYT.
Impact on VN Core
Second amendment to Decree 98/2021. Now consolidated with prior amendments in VBHN 08/2026/VBHN-BYT.
Impact on VN Core
Replaces TT 43/2013 — governs VNCoreServiceRequest, Procedure and specialty classification.
Impact on VN Core
Replaced by TT 23/2024; techniques approved before TT 23 took effect may continue until 30 Jun 2026 under the transition clause.
Impact on VN Core
Replaces 2007 Infectious Disease Prevention Law. New framework for the Expanded Immunisation Programme and disease surveillance.
Impact on VN Core
Consolidates NĐ 98/2021 + NĐ 07/2023 + NĐ 04/2025 + NĐ 342/2025. Single authoritative source for all device citations (A/B/C/D risk class, registration, market approval, recall, IVD).
Impact on VN Core
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.
Consolidates TT 05/2022 + TT 59/2025. Covers: market authorisation, import dossiers, quality calibration, post-market surveillance, recall and device safety alerts.
Impact on VN Core
TT 13/2025 takes effect on 21 Jul 2025, but its repeal clause says TT 46/2018 ceases from the TT 13 issuance date. Use only for legacy EMR data.
Impact on VN Core
Detailed guidance for device dossiers, market authorisation, quality calibration — consolidated in VBHN 04/2026 with TT 59/2025.
Impact on VN Core
Amends device quality calibration procedures — consolidated in VBHN 04/2026/VBHN-BYT.
Impact on VN Core
Groups devices by technical/quality standards for procurement — based on NĐ 214/2025. A separate package, NOT merged with risk class A/B/C/D under NĐ 98.
Impact on VN Core
Decentralises medical-device administrative procedures between MoH and Provincial Health Departments.
Impact on VN Core
Establishes equipment quotas for medical devices at healthcare facilities — basis for inventory and facility capacity analysis.
Impact on VN Core
Telemedicine regulations — basis for telemedicine Encounter class and dedicated workflow.
Impact on VN Core
Basic hospital quality standards — complements TT 06/2024 (ranking) on the operational-quality dimension.
Impact on VN Core
National healthcare management information system framework — basis for interoperability and system CapabilityStatement.
Impact on VN Core
Drug procurement procedures at public healthcare facilities — complements NĐ 214/2025 for pharmaceuticals.
Impact on VN Core
Professional title standards for physicians — basis for Practitioner.qualification.code (MD, Specialist I/II, MSc, PhD).
Impact on VN Core
Driver health examination requirements — specialised workflow with certificate templates.
Impact on VN Core
Amended by TT 53/2025 and consolidated in VBHN 06/2026/VBHN-BYT.
Impact on VN Core
Amends TT 43/2025 — consolidated in VBHN 06/2026/VBHN-BYT.
Impact on VN Core
Amends TT 02/2024 — certification process for traditional healers and family-recipe holders. Affects YHCT Practitioner.
Impact on VN Core
Clinical trial legal framework — basis for future ResearchStudy/ResearchSubject profiles.
Impact on VN Core
National technical regulations for medicines — quality basis for VNCoreMedication.
Impact on VN Core
Mandatory vaccine/biologic catalogue — basis for Immunization and the Expanded Immunisation Programme.
Impact on VN Core
Functional framework for public YHCT hospitals — basis for Organization.type for traditional medicine hospitals.
Impact on VN Core
Prescription procedure for traditional/herbal medicines — complements TT 26/2025 (outpatient pharmaceutical prescription).
Impact on VN Core
Occupational disease management framework — basis for occupational Condition and related workflows.
Impact on VN Core
List of BHYT-eligible occupational diseases — complements TT 56/2025 on the payment side.
Impact on VN Core
Area standards for healthcare buildings — Location/Organization metadata about physical infrastructure.
Impact on VN Core
Expanded Immunisation Programme plan 2026-2028 — basis for the Immunization profile and TCMR vaccine set.
Impact on VN Core
Annex 6: 54 department/clinic codes — basis for VNCoreOrganizationDepartment and MA_KHOA.
Impact on VN Core
Vietnam edition of ICD-10. Decision 98/QĐ-BYT (14 Jan 2022) added COVID-19 codes (U07.1, U07.2).
Impact on VN Core
SNOMED CT Vietnam terminology batch 1 — Body Structure (anatomical structures).
Impact on VN Core
SNOMED CT Vietnam terminology batch 2 — Morphologic Abnormality.
Impact on VN Core
SNOMED CT Vietnam terminology batch 3 — Allergy and Clinical Finding.
Impact on VN Core
Shared terminology for traditional medicine — Batch 1: clinical pattern, diagnosis, acupoints, techniques.
Impact on VN Core
Shared terminology for traditional medicine — Batch 2: symptoms, tongue, pulse, treatment principles, herbs, formulas.
Impact on VN Core
2,964 indicators (Hematology, Biochemistry, Microbiology, Pathology, Imaging).
Impact on VN Core
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
ICD-9-CM 2020 edition — replaced by QĐ 387/QĐ-BYT (05 Feb 2026).
Impact on VN Core
Adds U07.1, U07.2 (COVID-19) to the ICD-10 VN issued under QĐ 4469/2020.
Impact on VN Core
Medical device nomenclature version 2023 — basis for national Device.type coding.
Impact on VN Core
Updates medical device nomenclature to 2024 edition — extends QĐ 3107/2024.
Impact on VN Core
Disease and cause-of-death coding under ICD-10 — mandatory workflow for electronic diagnosis.
Impact on VN Core
Browse each document, effective date, and the FHIR resource it impacts.
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Open the matrixPrivacy, consent, audit, and provenance — how the IG handles sensitive data.
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