HL7 Vietnam VN Core FHIR Implementation Guide

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review Viet Nam cờ

Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide - Draft for Community Review (v0.10.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Hồ sơ tài nguyên: Kiến nghị xem xét lại chi phí BHYT — VN Core BHYT Cost Appeal Task - Mô tả chi tiết

Draft tại thời điểm 2026-08-06

Các định nghĩa cho vn-core-claim-appeal-task hồ sơ tài nguyên

Guidance on how to interpret the contents of this table can be foundhere

0. Task
Definition

A task to be performed.

ShortA task to be performed
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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 (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())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
inv-1: Last modified date must be greater than or equal to authored-on date. (lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn)
vn-claim-appeal-outcome-required: Kiến nghị ở giai đoạn giữ nguyên hoặc chấp nhận phải mang kết quả giải quyết, và NGƯỢC LẠI: output chỉ được xuất hiện khi kiến nghị đã có kết quả cuối (siết P1 #7 — output trước khi kết thúc là kết quả tiền chế). An appeal that is upheld or reversed SHALL carry its resolution output, and output SHALL only be present at a terminal result stage. ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or output.exists()) and (output.empty() or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
vn-claim-appeal-state-coherent: Ma trận trạng thái Task ↔ giai đoạn kiến nghị: upheld/reversed chỉ đi với completed; withdrawn chỉ đi với cancelled; completed đòi giai đoạn là kết quả cuối. Task.status and appealStage SHALL follow the full coherence matrix (upheld/reversed ⇔ completed; withdrawn ⇒ cancelled). ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or status = 'completed') and (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and code = 'withdrawn').empty() or status = 'cancelled') and (status != 'completed' or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
vn-claim-appeal-decision-chronology: Kiến nghị đã kết thúc phải ghi thời điểm ra quyết định, và thời điểm ấy không được sớm hơn ngày nêu kiến nghị. A concluded appeal SHALL carry executionPeriod.end, which SHALL NOT precede authoredOn. (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed' or code = 'withdrawn')).exists() implies (executionPeriod.end.exists() and executionPeriod.end >= authoredOn))
inv-1: Last modified date must be greater than or equal to authored-on date. (lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn)
2. Task.implicitRules
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.

ShortA set of rules under which this content was created
Comments

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.

Control0..1
Typeuri
Is Modifiertrue because 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
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Task.extension
Definition

An Extension


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.

ShortExtensionAdditional content defined by implementations
Comments

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.

Control10..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Task.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 6. Task.extension:appealStage
    Slice NameappealStage
    Definition

    Giai đoạn nghiệp vụ của một kiến nghị xem xét lại việc từ chối thanh toán hoặc thu hồi chi phí khám bệnh, chữa bệnh bảo hiểm y tế.

    Tách khỏi Task.status vì status chỉ mô tả vòng đời kỹ thuật của công việc và không phân biệt được hai nhánh mà NĐ 188/2025/NĐ-CP Điều 51 khoản 3 và Điều 52 khoản 4 cho phép: kiến nghị chính cơ quan bảo hiểm xã hội xem xét lại, hay kiến nghị cơ quan có thẩm quyền giải quyết. Đó là khác biệt pháp lý quyết định, không phải chi tiết vận hành.

    ShortGiai đoạn kiến nghị — phân biệt đang ở cơ quan BHXH hay đã chuyển cơ quan có thẩm quyền
    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Giai đoạn kiến nghị chi phí BHYT — BHYT Cost Appeal Stage) (Extension Type: Coding)
    Is Modifierfalse
    Must Supporttrue
    Obligations
      ObligationsActor
      SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
      SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      8. Task.modifierExtension
      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.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Summaryfalse
      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.

      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      10. Task.status
      Definition

      Trạng thái kỹ thuật theo FHIR. KHÔNG mang được khác biệt pháp lý giữa hai nhánh kiến nghị tại Điều 51 khoản 3 — khác biệt đó thuộc extension appealStage.


      The current status of the task.

      ShortVòng đời kỹ thuật: requested | in-progress | completed | cancelleddraft | requested | received | accepted | +
      Control1..1
      BindingThe codes SHALL be taken from TaskStatushttp://hl7.org/fhir/ValueSet/task-status|4.0.1
      (required to http://hl7.org/fhir/ValueSet/task-status|4.0.1)

      The current status of the task.

      Typecode
      Is Modifiertrue because 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
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Obligations
        ObligationsActor
        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
        Summarytrue
        Requirements

        These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Task.intent
        Definition

        Indicates the "level" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.

        Shortunknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
        Comments

        This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

        In most cases, Tasks will have an intent of "order".

        Control1..1
        BindingThe codes SHALL be taken from TaskIntenthttp://hl7.org/fhir/ValueSet/task-intent|4.0.1
        (required to http://hl7.org/fhir/ValueSet/task-intent|4.0.1)

        Distinguishes whether the task is a proposal, plan or full order.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Obligations
          ObligationsActor
          SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
          SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
          Summarytrue
          Fixed Valueorder
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          14. Task.code
          Definition

          A name or code (or both) briefly describing what the task involves.

          ShortLoại công việc — kiến nghị xem xét lạiTask Type
          Comments

          The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

          Control10..1
          BindingFor example codes, see TaskCodehttp://hl7.org/fhir/ValueSet/task-code|4.0.1
          (example to http://hl7.org/fhir/ValueSet/task-code|4.0.1)

          Codes to identify what the task involves. These will typically be specific to a particular workflow.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Obligations
            ObligationsActor
            SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
            SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. Task.code.text
            Definition

            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

            ShortPlain text representation of the concept
            Comments

            Very often the text is the same as a displayName of one of the codings.

            Control10..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. Task.focus
            Definition

            The request being actioned or the resource being manipulated by this task.

            ShortQuyết định bị kiến nghị: kết quả giám định hoặc đối soát thanh toán/thu hồiWhat task is acting on
            Comments

            If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).

            Control10..1
            TypeReference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile, Đối soát và phân bổ khoản thanh toán BHYT — VN Core BHYT Payment Reconciliation, DocumentReference, Resource)
            Is Modifierfalse
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            Obligations
              ObligationsActor
              SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
              SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
              Summarytrue
              Requirements

              Used to identify the thing to be done.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              20. Task.for
              Definition

              The entity who benefits from the performance of the service specified in the task (e.g., the patient).

              ShortNgười bệnh liên quan nếu kiến nghị gắn với một hồ sơ cụ thểBeneficiary of the Task
              Control0..1
              TypeReference(Resource)
              Is Modifierfalse
              Must Supporttrue
              Obligations
                ObligationsActor
                SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                Summarytrue
                Requirements

                Used to track tasks outstanding for a beneficiary. Do not use to track the task owner or creator (see owner and creator respectively). This can also affect access control.

                Alternate NamesPatient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                22. Task.executionPeriod
                Definition

                Thời gian giải quyết kiến nghị. executionPeriod.end BẮT BUỘC khi kiến nghị đã kết thúc (giai đoạn upheld, reversed hoặc withdrawn) — không có nó thì hồ sơ không nói được quyết định ra ngày nào, trong khi thời hạn giải quyết là ràng buộc pháp lý. Ràng buộc bởi invariant vn-claim-appeal-decision-chronology.


                Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).

                ShortKhoảng thời gian xem xét kiến nghị — `end` là thời điểm ra quyết địnhStart and end time of execution
                Control0..1
                TypePeriod
                Is Modifierfalse
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                  SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  24. Task.authoredOn
                  Definition

                  The date and time this task was created.

                  ShortThời điểm nêu kiến nghịTask Creation Date
                  Control10..1
                  This element is affected by the following invariants: inv-1
                  TypedateTime
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                    SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                    Summaryfalse
                    Requirements

                    Most often used along with lastUpdated to track duration of task to supporting monitoring and management.

                    Alternate NamesCreated Date
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    26. Task.requester
                    Definition

                    The creator of the task.

                    ShortCơ sở khám bệnh, chữa bệnh nêu kiến nghịWho is asking for task to be done
                    Control10..1
                    TypeReference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile, Cơ sở y tế VN Core — VN Core Organization Profile, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson)
                    Is Modifierfalse
                    Must Supporttrue
                    Must Support TypesNo must-support rules about the choice of types/profiles
                    Obligations
                      ObligationsActor
                      SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                      SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                      Summarytrue
                      Requirements

                      Identifies who created this task. May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      28. Task.owner
                      Definition

                      Individual organization or Device currently responsible for task execution.

                      ShortCơ quan giải quyết: cơ quan bảo hiểm xã hội hoặc cơ quan có thẩm quyềnResponsible individual
                      Comments

                      Tasks may be created with an owner not yet identified.

                      Control0..1
                      TypeReference(Cơ sở y tế VN Core — VN Core Organization Profile, Practitioner, PractitionerRole, Organization, CareTeam, HealthcareService, Patient, Device, RelatedPerson)
                      Is Modifierfalse
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                        Summarytrue
                        Requirements

                        Identifies who is expected to perform this task.

                        Alternate NamesPerformer, Executer
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        30. Task.reasonCode
                        Definition

                        A description or code indicating why this task needs to be performed.

                        ShortLý do kiến nghịWhy task is needed
                        Comments

                        This should only be included if there is no focus or if it differs from the reason indicated on the focus.

                        Control0..1
                        Binding

                        Indicates why the task is needed. E.g. Suspended because patient admitted to hospital.

                        TypeCodeableConcept
                        Is Modifierfalse
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                          SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          32. Task.input
                          Definition

                          Additional information that may be needed in the execution of the task.

                          ShortTài liệu kèm theo: biên bản giám định, văn bản thu hồi, chứng từ bổ sungInformation used to perform task
                          Control0..*
                          TypeBackboneElement
                          Is Modifierfalse
                          Must Supporttrue
                          Obligations
                            ObligationsActor
                            SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                            SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                            Summaryfalse
                            Requirements

                            Resources and data used to perform the task. This data is used in the business logic of task execution, and is stored separately because it varies between workflows.

                            Alternate NamesSupporting Information
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            34. Task.input.modifierExtension
                            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.

                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                            ShortExtensions that cannot be ignored even if unrecognized
                            Comments

                            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.

                            Control0..*
                            TypeExtension
                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                            Summarytrue
                            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.

                            Alternate Namesextensions, user content, modifiers
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            36. Task.input.type
                            Definition

                            A code or description indicating how the input is intended to be used as part of the task execution.

                            ShortLabel for the input
                            Comments

                            If referencing a BPMN workflow or Protocol, the "system" is the URL for the workflow definition and the code is the "name" of the required input.

                            Control1..1
                            Binding

                            Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Comparison source", "Applicable consent", "Concomitent Medications", etc.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Summaryfalse
                            Requirements

                            Inputs are named to enable task automation to bind data and pass it from one task to the next.

                            Alternate NamesName
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            38. Task.input.value[x]
                            Definition

                            The value of the input parameter as a basic type.

                            ShortContent to use in performing the task
                            Control1..1
                            TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                            [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            40. Task.output
                            Definition

                            Kết quả giải quyết kiến nghị. Bắt buộc khi appealStage là upheld hoặc reversed theo invariant vn-claim-appeal-outcome-required, vì NĐ 188/2025/NĐ-CP Điều 53 khoản 1 buộc các bên thực hiện theo kết quả giải quyết cuối cùng.


                            Outputs produced by the Task.

                            ShortKết quả giải quyết — bắt buộc khi kiến nghị đã kết thúcInformation produced as part of task
                            Control0..*
                            TypeBackboneElement
                            Is Modifierfalse
                            Must Supporttrue
                            Obligations
                              ObligationsActor
                              SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                              SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                              Summaryfalse
                              Requirements

                              Resources and data produced during the execution the task. This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              42. Task.output.modifierExtension
                              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.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              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.

                              Control0..*
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              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.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              44. Task.output.type
                              Definition

                              The name of the Output parameter.

                              ShortLabel for output
                              Control1..1
                              Binding

                              Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Identified issues", "Preliminary results", "Filler order", "Final results", etc.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summaryfalse
                              Requirements

                              Outputs are named to enable task automation to bind data and pass it from one task to the next.

                              Alternate NamesName
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              46. Task.output.value[x]
                              Definition

                              The value of the Output parameter as a basic type.

                              ShortResult of output
                              Control1..1
                              TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              Requirements

                              Task outputs can take any form.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                              Guidance on how to interpret the contents of this table can be foundhere

                              0. Task
                              Invariantsvn-claim-appeal-outcome-required: Kiến nghị ở giai đoạn giữ nguyên hoặc chấp nhận phải mang kết quả giải quyết, và NGƯỢC LẠI: output chỉ được xuất hiện khi kiến nghị đã có kết quả cuối (siết P1 #7 — output trước khi kết thúc là kết quả tiền chế). An appeal that is upheld or reversed SHALL carry its resolution output, and output SHALL only be present at a terminal result stage. ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or output.exists()) and (output.empty() or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
                              vn-claim-appeal-state-coherent: Ma trận trạng thái Task ↔ giai đoạn kiến nghị: upheld/reversed chỉ đi với completed; withdrawn chỉ đi với cancelled; completed đòi giai đoạn là kết quả cuối. Task.status and appealStage SHALL follow the full coherence matrix (upheld/reversed ⇔ completed; withdrawn ⇒ cancelled). ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or status = 'completed') and (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and code = 'withdrawn').empty() or status = 'cancelled') and (status != 'completed' or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
                              vn-claim-appeal-decision-chronology: Kiến nghị đã kết thúc phải ghi thời điểm ra quyết định, và thời điểm ấy không được sớm hơn ngày nêu kiến nghị. A concluded appeal SHALL carry executionPeriod.end, which SHALL NOT precede authoredOn. (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed' or code = 'withdrawn')).exists() implies (executionPeriod.end.exists() and executionPeriod.end >= authoredOn))
                              2. Task.extension
                              Control1..?
                              SlicingThis element introduces a set of slices on Task.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ url
                              • 4. Task.extension:appealStage
                                Slice NameappealStage
                                ShortGiai đoạn kiến nghị — phân biệt đang ở cơ quan BHXH hay đã chuyển cơ quan có thẩm quyền
                                Control1..1
                                TypeExtension(Giai đoạn kiến nghị chi phí BHYT — BHYT Cost Appeal Stage) (Extension Type: Coding)
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                  SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                  6. Task.status
                                  Definition

                                  Trạng thái kỹ thuật theo FHIR. KHÔNG mang được khác biệt pháp lý giữa hai nhánh kiến nghị tại Điều 51 khoản 3 — khác biệt đó thuộc extension appealStage.

                                  ShortVòng đời kỹ thuật: requested | in-progress | completed | cancelled
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActor
                                    SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                    SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                    8. Task.intent
                                    Must Supporttrue
                                    Obligations
                                      ObligationsActor
                                      SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                      SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                      Fixed Valueorder
                                      10. Task.code
                                      ShortLoại công việc — kiến nghị xem xét lại
                                      Control1..?
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                        12. Task.code.text
                                        Control1..?
                                        Must Supporttrue
                                        14. Task.focus
                                        ShortQuyết định bị kiến nghị: kết quả giám định hoặc đối soát thanh toán/thu hồi
                                        Control1..?
                                        TypeReference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile, Đối soát và phân bổ khoản thanh toán BHYT — VN Core BHYT Payment Reconciliation, DocumentReference)
                                        Must Supporttrue
                                        Must Support TypesNo must-support rules about the choice of types/profiles
                                        Obligations
                                          ObligationsActor
                                          SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                          SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                          16. Task.for
                                          ShortNgười bệnh liên quan nếu kiến nghị gắn với một hồ sơ cụ thể
                                          Must Supporttrue
                                          Obligations
                                            ObligationsActor
                                            SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                            SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                            18. Task.executionPeriod
                                            Definition

                                            Thời gian giải quyết kiến nghị. executionPeriod.end BẮT BUỘC khi kiến nghị đã kết thúc (giai đoạn upheld, reversed hoặc withdrawn) — không có nó thì hồ sơ không nói được quyết định ra ngày nào, trong khi thời hạn giải quyết là ràng buộc pháp lý. Ràng buộc bởi invariant vn-claim-appeal-decision-chronology.

                                            ShortKhoảng thời gian xem xét kiến nghị — `end` là thời điểm ra quyết định
                                            Must Supporttrue
                                            Obligations
                                              ObligationsActor
                                              SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                              SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                              20. Task.authoredOn
                                              ShortThời điểm nêu kiến nghị
                                              Control1..?
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                22. Task.requester
                                                ShortCơ sở khám bệnh, chữa bệnh nêu kiến nghị
                                                Control1..?
                                                TypeReference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile, Cơ sở y tế VN Core — VN Core Organization Profile)
                                                Must Supporttrue
                                                Must Support TypesNo must-support rules about the choice of types/profiles
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                  SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                  24. Task.owner
                                                  ShortCơ quan giải quyết: cơ quan bảo hiểm xã hội hoặc cơ quan có thẩm quyền
                                                  TypeReference(Cơ sở y tế VN Core — VN Core Organization Profile)
                                                  Must Supporttrue
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                    SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                    26. Task.reasonCode
                                                    ShortLý do kiến nghị
                                                    Must Supporttrue
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                      SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                      28. Task.input
                                                      ShortTài liệu kèm theo: biên bản giám định, văn bản thu hồi, chứng từ bổ sung
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                        30. Task.output
                                                        Definition

                                                        Kết quả giải quyết kiến nghị. Bắt buộc khi appealStage là upheld hoặc reversed theo invariant vn-claim-appeal-outcome-required, vì NĐ 188/2025/NĐ-CP Điều 53 khoản 1 buộc các bên thực hiện theo kết quả giải quyết cuối cùng.

                                                        ShortKết quả giải quyết — bắt buộc khi kiến nghị đã kết thúc
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                          SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)

                                                          Guidance on how to interpret the contents of this table can be foundhere

                                                          0. Task
                                                          Definition

                                                          A task to be performed.

                                                          ShortA task to be performed
                                                          Control0..*
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                          dom-3: 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 (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())
                                                          dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                                                          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                          dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                          inv-1: Last modified date must be greater than or equal to authored-on date. (lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn)
                                                          vn-claim-appeal-outcome-required: Kiến nghị ở giai đoạn giữ nguyên hoặc chấp nhận phải mang kết quả giải quyết, và NGƯỢC LẠI: output chỉ được xuất hiện khi kiến nghị đã có kết quả cuối (siết P1 #7 — output trước khi kết thúc là kết quả tiền chế). An appeal that is upheld or reversed SHALL carry its resolution output, and output SHALL only be present at a terminal result stage. ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or output.exists()) and (output.empty() or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
                                                          vn-claim-appeal-state-coherent: Ma trận trạng thái Task ↔ giai đoạn kiến nghị: upheld/reversed chỉ đi với completed; withdrawn chỉ đi với cancelled; completed đòi giai đoạn là kết quả cuối. Task.status and appealStage SHALL follow the full coherence matrix (upheld/reversed ⇔ completed; withdrawn ⇒ cancelled). ((extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).empty() or status = 'completed') and (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and code = 'withdrawn').empty() or status = 'cancelled') and (status != 'completed' or extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed')).exists()))
                                                          vn-claim-appeal-decision-chronology: Kiến nghị đã kết thúc phải ghi thời điểm ra quyết định, và thời điểm ấy không được sớm hơn ngày nêu kiến nghị. A concluded appeal SHALL carry executionPeriod.end, which SHALL NOT precede authoredOn. (extension.where(url = 'http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-claim-appeal-stage').value.ofType(Coding).where(system = 'http://fhir.hl7.org.vn/core/CodeSystem/vn-claim-appeal-stage-cs' and (code = 'upheld' or code = 'reversed' or code = 'withdrawn')).exists() implies (executionPeriod.end.exists() and executionPeriod.end >= authoredOn))
                                                          2. Task.id
                                                          Definition

                                                          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                          ShortLogical id of this artifact
                                                          Comments

                                                          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                          Control0..1
                                                          Typeid
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          4. Task.meta
                                                          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.

                                                          ShortMetadata about the resource
                                                          Control0..1
                                                          TypeMeta
                                                          Is Modifierfalse
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          6. Task.implicitRules
                                                          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.

                                                          ShortA set of rules under which this content was created
                                                          Comments

                                                          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.

                                                          Control0..1
                                                          Typeuri
                                                          Is Modifiertrue because 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
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          8. Task.language
                                                          Definition

                                                          The base language in which the resource is written.

                                                          ShortLanguage of the resource content
                                                          Comments

                                                          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).

                                                          Control0..1
                                                          BindingThe codes SHOULD be taken from CommonLanguages
                                                          (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                          A human language.

                                                          Additional BindingsPurpose
                                                          AllLanguagesMax Binding
                                                          Typecode
                                                          Is Modifierfalse
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          10. Task.text
                                                          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.

                                                          ShortText summary of the resource, for human interpretation
                                                          Comments

                                                          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.

                                                          Control0..1
                                                          TypeNarrative
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesnarrative, html, xhtml, display
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          12. Task.contained
                                                          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.

                                                          ShortContained, inline Resources
                                                          Comments

                                                          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.

                                                          Control0..*
                                                          TypeResource
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Alternate Namesinline resources, anonymous resources, contained resources
                                                          14. Task.extension
                                                          Definition

                                                          An Extension

                                                          ShortExtension
                                                          Control1..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Task.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 16. Task.extension:appealStage
                                                            Slice NameappealStage
                                                            Definition

                                                            Giai đoạn nghiệp vụ của một kiến nghị xem xét lại việc từ chối thanh toán hoặc thu hồi chi phí khám bệnh, chữa bệnh bảo hiểm y tế.

                                                            Tách khỏi Task.status vì status chỉ mô tả vòng đời kỹ thuật của công việc và không phân biệt được hai nhánh mà NĐ 188/2025/NĐ-CP Điều 51 khoản 3 và Điều 52 khoản 4 cho phép: kiến nghị chính cơ quan bảo hiểm xã hội xem xét lại, hay kiến nghị cơ quan có thẩm quyền giải quyết. Đó là khác biệt pháp lý quyết định, không phải chi tiết vận hành.

                                                            ShortGiai đoạn kiến nghị — phân biệt đang ở cơ quan BHXH hay đã chuyển cơ quan có thẩm quyền
                                                            Control1..1
                                                            This element is affected by the following invariants: ele-1
                                                            TypeExtension(Giai đoạn kiến nghị chi phí BHYT — BHYT Cost Appeal Stage) (Extension Type: Coding)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                              SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              18. Task.modifierExtension
                                                              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.

                                                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                              ShortExtensions that cannot be ignored
                                                              Comments

                                                              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.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                              Summaryfalse
                                                              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.

                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              20. Task.identifier
                                                              Definition

                                                              The business identifier for this task.

                                                              ShortTask Instance Identifier
                                                              NoteThis is a business identifier, not a resource identifier (see discussion)
                                                              Control0..*
                                                              TypeIdentifier
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              22. Task.instantiatesCanonical
                                                              Definition

                                                              The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

                                                              ShortFormal definition of task
                                                              Control0..1
                                                              Typecanonical(ActivityDefinition)
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              Enables a formal definition of how he task is to be performed, enabling automation.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              24. Task.instantiatesUri
                                                              Definition

                                                              The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.

                                                              ShortFormal definition of task
                                                              Control0..1
                                                              Typeuri
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              Enables a formal definition of how he task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              26. Task.basedOn
                                                              Definition

                                                              BasedOn refers to a higher-level authorization that triggered the creation of the task. It references a "request" resource such as a ServiceRequest, MedicationRequest, ServiceRequest, CarePlan, etc. which is distinct from the "request" resource the task is seeking to fulfill. This latter resource is referenced by FocusOn. For example, based on a ServiceRequest (= BasedOn), a task is created to fulfill a procedureRequest ( = FocusOn ) to collect a specimen from a patient.

                                                              ShortRequest fulfilled by this task
                                                              Control0..*
                                                              TypeReference(Resource)
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              28. Task.groupIdentifier
                                                              Definition

                                                              An identifier that links together multiple tasks and other requests that were created in the same context.

                                                              ShortRequisition or grouper id
                                                              Control0..1
                                                              TypeIdentifier
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

                                                              Billing and/or reporting can be linked to whether multiple requests were created as a single unit.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              30. Task.partOf
                                                              Definition

                                                              Task that this particular task is part of.

                                                              ShortComposite task
                                                              Comments

                                                              This should usually be 0..1.

                                                              Control0..*
                                                              TypeReference(Task)
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Requirements

                                                              Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              32. Task.status
                                                              Definition

                                                              Trạng thái kỹ thuật theo FHIR. KHÔNG mang được khác biệt pháp lý giữa hai nhánh kiến nghị tại Điều 51 khoản 3 — khác biệt đó thuộc extension appealStage.

                                                              ShortVòng đời kỹ thuật: requested | in-progress | completed | cancelled
                                                              Control1..1
                                                              BindingThe codes SHALL be taken from TaskStatus
                                                              (required to http://hl7.org/fhir/ValueSet/task-status|4.0.1)

                                                              The current status of the task.

                                                              Typecode
                                                              Is Modifiertrue because 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
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                Summarytrue
                                                                Requirements

                                                                These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                34. Task.statusReason
                                                                Definition

                                                                An explanation as to why this task is held, failed, was refused, etc.

                                                                ShortReason for current status
                                                                Comments

                                                                This applies to the current status. Look at the history of the task to see reasons for past statuses.

                                                                Control0..1
                                                                Binding

                                                                Codes to identify the reason for current status. These will typically be specific to a particular workflow.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                36. Task.businessStatus
                                                                Definition

                                                                Contains business-specific nuances of the business state.

                                                                ShortE.g. "Specimen collected", "IV prepped"
                                                                Control0..1
                                                                Binding

                                                                The domain-specific business-contextual sub-state of the task. For example: "Blood drawn", "IV inserted", "Awaiting physician signature", etc.

                                                                TypeCodeableConcept
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Requirements

                                                                There's often a need to track substates of a task - this is often variable by specific workflow implementation.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                38. Task.intent
                                                                Definition

                                                                Indicates the "level" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.

                                                                Shortunknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
                                                                Comments

                                                                This element is immutable. Proposed tasks, planned tasks, etc. must be distinct instances.

                                                                In most cases, Tasks will have an intent of "order".

                                                                Control1..1
                                                                BindingThe codes SHALL be taken from TaskIntent
                                                                (required to http://hl7.org/fhir/ValueSet/task-intent|4.0.1)

                                                                Distinguishes whether the task is a proposal, plan or full order.

                                                                Typecode
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Must Supporttrue
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                  SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                  Summarytrue
                                                                  Fixed Valueorder
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  40. Task.priority
                                                                  Definition

                                                                  Indicates how quickly the Task should be addressed with respect to other requests.

                                                                  Shortroutine | urgent | asap | stat
                                                                  Control0..1
                                                                  BindingThe codes SHALL be taken from RequestPriority
                                                                  (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1)

                                                                  The task's priority.

                                                                  Typecode
                                                                  Is Modifierfalse
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summaryfalse
                                                                  Requirements

                                                                  Used to identify the service level expected while performing a task.

                                                                  Meaning if MissingIf missing, this task should be performed with normal priority
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  42. Task.code
                                                                  Definition

                                                                  A name or code (or both) briefly describing what the task involves.

                                                                  ShortLoại công việc — kiến nghị xem xét lại
                                                                  Comments

                                                                  The title (eg "My Tasks", "Outstanding Tasks for Patient X") should go into the code.

                                                                  Control1..1
                                                                  BindingFor example codes, see TaskCode
                                                                  (example to http://hl7.org/fhir/ValueSet/task-code|4.0.1)

                                                                  Codes to identify what the task involves. These will typically be specific to a particular workflow.

                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Must Supporttrue
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                    SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                    Summarytrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    44. Task.code.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    46. Task.code.extension
                                                                    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.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    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.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Task.code.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 48. Task.code.coding
                                                                      Definition

                                                                      A reference to a code defined by a terminology system.

                                                                      ShortCode defined by a terminology system
                                                                      Comments

                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                      Control0..*
                                                                      TypeCoding
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Requirements

                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      50. Task.code.text
                                                                      Definition

                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                      ShortPlain text representation of the concept
                                                                      Comments

                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      52. Task.description
                                                                      Definition

                                                                      A free-text description of what is to be performed.

                                                                      ShortHuman-readable explanation of task
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      54. Task.focus
                                                                      Definition

                                                                      The request being actioned or the resource being manipulated by this task.

                                                                      ShortQuyết định bị kiến nghị: kết quả giám định hoặc đối soát thanh toán/thu hồi
                                                                      Comments

                                                                      If multiple resources need to be manipulated, use sub-tasks. (This ensures that status can be tracked independently for each referenced resource.).

                                                                      Control1..1
                                                                      TypeReference(Kết quả giải quyết BHYT VN Core — VN Core ClaimResponse Profile, Đối soát và phân bổ khoản thanh toán BHYT — VN Core BHYT Payment Reconciliation, DocumentReference)
                                                                      Is Modifierfalse
                                                                      Must Supporttrue
                                                                      Must Support TypesNo must-support rules about the choice of types/profiles
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                        Summarytrue
                                                                        Requirements

                                                                        Used to identify the thing to be done.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        56. Task.for
                                                                        Definition

                                                                        The entity who benefits from the performance of the service specified in the task (e.g., the patient).

                                                                        ShortNgười bệnh liên quan nếu kiến nghị gắn với một hồ sơ cụ thể
                                                                        Control0..1
                                                                        TypeReference(Resource)
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                          SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                          Summarytrue
                                                                          Requirements

                                                                          Used to track tasks outstanding for a beneficiary. Do not use to track the task owner or creator (see owner and creator respectively). This can also affect access control.

                                                                          Alternate NamesPatient
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          58. Task.encounter
                                                                          Definition

                                                                          The healthcare event (e.g. a patient and healthcare provider interaction) during which this task was created.

                                                                          ShortHealthcare event during which this task originated
                                                                          Control0..1
                                                                          TypeReference(Encounter)
                                                                          Is Modifierfalse
                                                                          Summarytrue
                                                                          Requirements

                                                                          For some tasks it may be important to know the link between the encounter the task originated within.

                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          60. Task.executionPeriod
                                                                          Definition

                                                                          Thời gian giải quyết kiến nghị. executionPeriod.end BẮT BUỘC khi kiến nghị đã kết thúc (giai đoạn upheld, reversed hoặc withdrawn) — không có nó thì hồ sơ không nói được quyết định ra ngày nào, trong khi thời hạn giải quyết là ràng buộc pháp lý. Ràng buộc bởi invariant vn-claim-appeal-decision-chronology.

                                                                          ShortKhoảng thời gian xem xét kiến nghị — `end` là thời điểm ra quyết định
                                                                          Control0..1
                                                                          TypePeriod
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                            SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            62. Task.authoredOn
                                                                            Definition

                                                                            The date and time this task was created.

                                                                            ShortThời điểm nêu kiến nghị
                                                                            Control1..1
                                                                            This element is affected by the following invariants: inv-1
                                                                            TypedateTime
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                              SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                              Summaryfalse
                                                                              Requirements

                                                                              Most often used along with lastUpdated to track duration of task to supporting monitoring and management.

                                                                              Alternate NamesCreated Date
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              64. Task.lastModified
                                                                              Definition

                                                                              The date and time of last modification to this task.

                                                                              ShortTask Last Modified Date
                                                                              Control0..1
                                                                              This element is affected by the following invariants: inv-1
                                                                              TypedateTime
                                                                              Is Modifierfalse
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Used along with history to track task activity and time in a particular task state. This enables monitoring and management.

                                                                              Alternate NamesUpdate Date
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              66. Task.requester
                                                                              Definition

                                                                              The creator of the task.

                                                                              ShortCơ sở khám bệnh, chữa bệnh nêu kiến nghị
                                                                              Control1..1
                                                                              TypeReference(Cơ sở khám bệnh, chữa bệnh VN Core — VN Core KCB Organization Profile, Cơ sở y tế VN Core — VN Core Organization Profile)
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Must Support TypesNo must-support rules about the choice of types/profiles
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                                SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                                Summarytrue
                                                                                Requirements

                                                                                Identifies who created this task. May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                68. Task.performerType
                                                                                Definition

                                                                                The kind of participant that should perform the task.

                                                                                ShortRequested performer
                                                                                Control0..*
                                                                                BindingThe codes SHOULD be taken from ProcedurePerformerRoleCodes
                                                                                (preferred to http://hl7.org/fhir/ValueSet/performer-role|4.0.1)

                                                                                The type(s) of task performers allowed.

                                                                                TypeCodeableConcept
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Requirements

                                                                                Use to distinguish tasks on different activity queues.

                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                70. Task.owner
                                                                                Definition

                                                                                Individual organization or Device currently responsible for task execution.

                                                                                ShortCơ quan giải quyết: cơ quan bảo hiểm xã hội hoặc cơ quan có thẩm quyền
                                                                                Comments

                                                                                Tasks may be created with an owner not yet identified.

                                                                                Control0..1
                                                                                TypeReference(Cơ sở y tế VN Core — VN Core Organization Profile)
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                                  SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Identifies who is expected to perform this task.

                                                                                  Alternate NamesPerformer, Executer
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  72. Task.location
                                                                                  Definition

                                                                                  Principal physical location where the this task is performed.

                                                                                  ShortWhere task occurs
                                                                                  Control0..1
                                                                                  TypeReference(Location)
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  74. Task.reasonCode
                                                                                  Definition

                                                                                  A description or code indicating why this task needs to be performed.

                                                                                  ShortLý do kiến nghị
                                                                                  Comments

                                                                                  This should only be included if there is no focus or if it differs from the reason indicated on the focus.

                                                                                  Control0..1
                                                                                  Binding

                                                                                  Indicates why the task is needed. E.g. Suspended because patient admitted to hospital.

                                                                                  TypeCodeableConcept
                                                                                  Is Modifierfalse
                                                                                  Must Supporttrue
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                                    SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    76. Task.reasonReference
                                                                                    Definition

                                                                                    A resource reference indicating why this task needs to be performed.

                                                                                    ShortWhy task is needed
                                                                                    Comments

                                                                                    Tasks might be justified based on an Observation, a Condition, a past or planned procedure, etc. This should only be included if there is no focus or if it differs from the reason indicated on the focus. Use the CodeableConcept text element in Task.reasonCode if the data is free (uncoded) text.

                                                                                    Control0..1
                                                                                    TypeReference(Resource)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    78. Task.insurance
                                                                                    Definition

                                                                                    Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.

                                                                                    ShortAssociated insurance coverage
                                                                                    Control0..*
                                                                                    TypeReference(Coverage, ClaimResponse)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    80. Task.note
                                                                                    Definition

                                                                                    Free-text information captured about the task as it progresses.

                                                                                    ShortComments made about the task
                                                                                    Control0..*
                                                                                    TypeAnnotation
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    82. Task.relevantHistory
                                                                                    Definition

                                                                                    Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.

                                                                                    ShortKey events in history of the Task
                                                                                    Comments

                                                                                    This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.

                                                                                    Control0..*
                                                                                    TypeReference(Provenance)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Alternate NamesStatus History
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    84. Task.restriction
                                                                                    Definition

                                                                                    If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.

                                                                                    ShortConstraints on fulfillment tasks
                                                                                    Control0..1
                                                                                    TypeBackboneElement
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    Sometimes when fulfillment is sought, you don't want full fulfillment.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    86. Task.restriction.id
                                                                                    Definition

                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    88. Task.restriction.extension
                                                                                    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.

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

                                                                                    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.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Alternate Namesextensions, user content
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    90. Task.restriction.modifierExtension
                                                                                    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.

                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                    Comments

                                                                                    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.

                                                                                    Control0..*
                                                                                    TypeExtension
                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                    Summarytrue
                                                                                    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.

                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    92. Task.restriction.repetitions
                                                                                    Definition

                                                                                    Indicates the number of times the requested action should occur.

                                                                                    ShortHow many times to repeat
                                                                                    Control0..1
                                                                                    TypepositiveInt
                                                                                    Is Modifierfalse
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    E.g. order that requests monthly lab tests, fulfillment is sought for 1.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    94. Task.restriction.period
                                                                                    Definition

                                                                                    Over what time-period is fulfillment sought.

                                                                                    ShortWhen fulfillment sought
                                                                                    Comments

                                                                                    Note that period.high is the due date representing the time by which the task should be completed.

                                                                                    Control0..1
                                                                                    TypePeriod
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Requirements

                                                                                    E.g. order that authorizes 1 year's services. Fulfillment is sought for next 3 months.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    96. Task.restriction.recipient
                                                                                    Definition

                                                                                    For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?

                                                                                    ShortFor whom is fulfillment sought?
                                                                                    Control0..*
                                                                                    TypeReference(Patient, Practitioner, PractitionerRole, RelatedPerson, Group, Organization)
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    98. Task.input
                                                                                    Definition

                                                                                    Additional information that may be needed in the execution of the task.

                                                                                    ShortTài liệu kèm theo: biên bản giám định, văn bản thu hồi, chứng từ bổ sung
                                                                                    Control0..*
                                                                                    TypeBackboneElement
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                                      SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Resources and data used to perform the task. This data is used in the business logic of task execution, and is stored separately because it varies between workflows.

                                                                                      Alternate NamesSupporting Information
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      100. Task.input.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      102. Task.input.extension
                                                                                      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.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      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.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      104. Task.input.modifierExtension
                                                                                      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.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      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.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      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.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      106. Task.input.type
                                                                                      Definition

                                                                                      A code or description indicating how the input is intended to be used as part of the task execution.

                                                                                      ShortLabel for the input
                                                                                      Comments

                                                                                      If referencing a BPMN workflow or Protocol, the "system" is the URL for the workflow definition and the code is the "name" of the required input.

                                                                                      Control1..1
                                                                                      Binding

                                                                                      Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Comparison source", "Applicable consent", "Concomitent Medications", etc.

                                                                                      TypeCodeableConcept
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Requirements

                                                                                      Inputs are named to enable task automation to bind data and pass it from one task to the next.

                                                                                      Alternate NamesName
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      108. Task.input.value[x]
                                                                                      Definition

                                                                                      The value of the input parameter as a basic type.

                                                                                      ShortContent to use in performing the task
                                                                                      Control1..1
                                                                                      TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                      Is Modifierfalse
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      110. Task.output
                                                                                      Definition

                                                                                      Kết quả giải quyết kiến nghị. Bắt buộc khi appealStage là upheld hoặc reversed theo invariant vn-claim-appeal-outcome-required, vì NĐ 188/2025/NĐ-CP Điều 53 khoản 1 buộc các bên thực hiện theo kết quả giải quyết cuối cùng.

                                                                                      ShortKết quả giải quyết — bắt buộc khi kiến nghị đã kết thúc
                                                                                      Control0..*
                                                                                      TypeBackboneElement
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:populate-if-knownBên gửi hồ sơ BHYT (Submitter)
                                                                                        SHALL:no-error & SHALL:persistBên giám định BHYT (Adjudicator)
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        Resources and data produced during the execution the task. This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        112. Task.output.id
                                                                                        Definition

                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        Summaryfalse
                                                                                        114. Task.output.extension
                                                                                        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.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Alternate Namesextensions, user content
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        116. Task.output.modifierExtension
                                                                                        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.

                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..*
                                                                                        TypeExtension
                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                        Summarytrue
                                                                                        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.

                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        118. Task.output.type
                                                                                        Definition

                                                                                        The name of the Output parameter.

                                                                                        ShortLabel for output
                                                                                        Control1..1
                                                                                        Binding

                                                                                        Codes to identify types of input parameters. These will typically be specific to a particular workflow. E.g. "Identified issues", "Preliminary results", "Filler order", "Final results", etc.

                                                                                        TypeCodeableConcept
                                                                                        Is Modifierfalse
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        Outputs are named to enable task automation to bind data and pass it from one task to the next.

                                                                                        Alternate NamesName
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        120. Task.output.value[x]
                                                                                        Definition

                                                                                        The value of the Output parameter as a basic type.

                                                                                        ShortResult of output
                                                                                        Control1..1
                                                                                        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summaryfalse
                                                                                        Requirements

                                                                                        Task outputs can take any form.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))