Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide
0.10.0 - Draft for Community Review
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
| Draft tại thời điểm 2026-08-06 |
Các định nghĩa cho vn-ext-adjudication-legal-evidence phần mở rộng
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | Một căn cứ pháp lý cụ thể, có điều/khoản và tài liệu chứng minh, cho một kết quả giám định —
đặc biệt cho khoản tiền mang category Vì sao bắt buộc với từ chối. NĐ 188/2025/NĐ-CP Điều 51 khoản 2 quy định việc từ chối thanh toán "phải nêu rõ căn cứ, lý do từ chối, số tiền bị từ chối thanh toán trong biên bản giám định". Ba yếu tố đó là điều kiện của chính hành vi từ chối, không phải siêu dữ liệu tuỳ chọn. Một bản ghi chỉ nói "bị từ chối" mà không dẫn được căn cứ thì không đủ để cơ sở khám bệnh, chữa bệnh thực hiện quyền kiến nghị tại Điều 51 khoản 3. Vì sao áp cả cho khoản bị từ chối tự động. Cũng tại khoản 2, nghĩa vụ nêu căn cứ bao gồm "cả các chi phí khám bệnh, chữa bệnh bảo hiểm y tế đề nghị cơ quan bảo hiểm xã hội thanh toán trên môi trường điện tử được trả tự động khi cơ sở khám bệnh, chữa bệnh gửi dữ liệu". Từ chối do hệ thống tự sinh không được miễn nghĩa vụ này. Ranh giới. Extension mang căn cứ mà bên giám định VIỆN DẪN; nó không chứng minh việc viện dẫn là đúng. Đánh giá tính đúng đắn thuộc quy trình kiến nghị và cơ quan có thẩm quyền. Optional Extension Element - found in all resources. |
| Short | Bằng chứng pháp lý của kết quả giám định — Adjudication Legal EvidenceOptional Extensions Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-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()) |
| 2. Extension.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional 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. |
| Control | 20..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. Extension.extension:legalBasis | |
| Slice Name | legalBasis |
| Definition | An Extension |
| Short | Văn bản làm căn cứ (mã trong VNLegalDocumentRefCS)Additional content defined by implementations |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 6. Extension.extension:legalBasis.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 8. Extension.extension:legalBasis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | legalBasis |
| 10. Extension.extension:legalBasis.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see Văn bản pháp lý VN — Vietnam Legal Document Reference VS (required to http://fhir.hl7.org.vn/core/ValueSet/vn-legal-document-ref-vs) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 12. Extension.extension:locator | |
| Slice Name | locator |
| Definition | Bắt buộc vì chỉ nêu tên văn bản chưa phải là |
| Short | Điều/khoản/điểm cụ thể được viện dẫnAdditional content defined by implementations |
| Control | 10..1* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 14. Extension.extension:locator.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 16. Extension.extension:locator.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | locator |
| 18. Extension.extension:locator.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. Extension.extension:evidenceDocument | |
| Slice Name | evidenceDocument |
| Definition | Tham chiếu tới biên bản giám định (từ chối trước thanh toán, NĐ 188/2025/NĐ-CP Điều 51) hoặc văn bản thu hồi (sau thanh toán, Điều 52). Cardinality 0..1 chứ không 1..1 vì tại thời điểm trả kết quả trên môi trường điện tử, biên bản giấy có chữ ký hai bên có thể chưa được lập — chính khoản 2 cho thấy hai việc này tách nhau về thời điểm. |
| Short | Biên bản giám định hoặc văn bản thu hồi đính kèmAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 22. Extension.extension:evidenceDocument.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 24. Extension.extension:evidenceDocument.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | evidenceDocument |
| 26. Extension.extension:evidenceDocument.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | Reference(DocumentReference), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. Extension.extension:excerpt | |
| Slice Name | excerpt |
| Definition | An Extension |
| Short | Trích đoạn quy định được viện dẫnAdditional content defined by implementations |
| Control | 0..1* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 30. Extension.extension:excerpt.extension | |
| Definition | An Extension 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. |
| Short | ExtensionAdditional 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:excerpt.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | excerpt |
| 34. Extension.extension:excerpt.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 36. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-adjudication-legal-evidence |
| 38. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..01 |
| Type | Choice 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 |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-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. Extension | |
| Definition | Một căn cứ pháp lý cụ thể, có điều/khoản và tài liệu chứng minh, cho một kết quả giám định —
đặc biệt cho khoản tiền mang category Vì sao bắt buộc với từ chối. NĐ 188/2025/NĐ-CP Điều 51 khoản 2 quy định việc từ chối thanh toán "phải nêu rõ căn cứ, lý do từ chối, số tiền bị từ chối thanh toán trong biên bản giám định". Ba yếu tố đó là điều kiện của chính hành vi từ chối, không phải siêu dữ liệu tuỳ chọn. Một bản ghi chỉ nói "bị từ chối" mà không dẫn được căn cứ thì không đủ để cơ sở khám bệnh, chữa bệnh thực hiện quyền kiến nghị tại Điều 51 khoản 3. Vì sao áp cả cho khoản bị từ chối tự động. Cũng tại khoản 2, nghĩa vụ nêu căn cứ bao gồm "cả các chi phí khám bệnh, chữa bệnh bảo hiểm y tế đề nghị cơ quan bảo hiểm xã hội thanh toán trên môi trường điện tử được trả tự động khi cơ sở khám bệnh, chữa bệnh gửi dữ liệu". Từ chối do hệ thống tự sinh không được miễn nghĩa vụ này. Ranh giới. Extension mang căn cứ mà bên giám định VIỆN DẪN; nó không chứng minh việc viện dẫn là đúng. Đánh giá tính đúng đắn thuộc quy trình kiến nghị và cơ quan có thẩm quyền. |
| Short | Bằng chứng pháp lý của kết quả giám định — Adjudication Legal Evidence |
| 2. Extension.extension | |
| Control | 2..? |
| 4. Extension.extension:legalBasis | |
| Slice Name | legalBasis |
| Short | Văn bản làm căn cứ (mã trong VNLegalDocumentRefCS) |
| Control | 1..1 |
| Must Support | true |
| 6. Extension.extension:legalBasis.extension | |
| Control | 0..0 |
| 8. Extension.extension:legalBasis.url | |
| Fixed Value | legalBasis |
| 10. Extension.extension:legalBasis.value[x] | |
| Control | 1..? |
| Binding | The codes SHALL be taken from Văn bản pháp lý VN — Vietnam Legal Document Reference VS (required to http://fhir.hl7.org.vn/core/ValueSet/vn-legal-document-ref-vs) |
| Type | Coding |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 12. Extension.extension:locator | |
| Slice Name | locator |
| Definition | Bắt buộc vì chỉ nêu tên văn bản chưa phải là |
| Short | Điều/khoản/điểm cụ thể được viện dẫn |
| Control | 1..1 |
| Must Support | true |
| 14. Extension.extension:locator.extension | |
| Control | 0..0 |
| 16. Extension.extension:locator.url | |
| Fixed Value | locator |
| 18. Extension.extension:locator.value[x] | |
| Control | 1..? |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 20. Extension.extension:evidenceDocument | |
| Slice Name | evidenceDocument |
| Definition | Tham chiếu tới biên bản giám định (từ chối trước thanh toán, NĐ 188/2025/NĐ-CP Điều 51) hoặc văn bản thu hồi (sau thanh toán, Điều 52). Cardinality 0..1 chứ không 1..1 vì tại thời điểm trả kết quả trên môi trường điện tử, biên bản giấy có chữ ký hai bên có thể chưa được lập — chính khoản 2 cho thấy hai việc này tách nhau về thời điểm. |
| Short | Biên bản giám định hoặc văn bản thu hồi đính kèm |
| Control | 0..1 |
| Must Support | true |
| 22. Extension.extension:evidenceDocument.extension | |
| Control | 0..0 |
| 24. Extension.extension:evidenceDocument.url | |
| Fixed Value | evidenceDocument |
| 26. Extension.extension:evidenceDocument.value[x] | |
| Control | 1..? |
| Type | Reference(DocumentReference) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 28. Extension.extension:excerpt | |
| Slice Name | excerpt |
| Short | Trích đoạn quy định được viện dẫn |
| Control | 0..1 |
| Must Support | true |
| 30. Extension.extension:excerpt.extension | |
| Control | 0..0 |
| 32. Extension.extension:excerpt.url | |
| Fixed Value | excerpt |
| 34. Extension.extension:excerpt.value[x] | |
| Control | 1..? |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. Extension.url | |
| Fixed Value | http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-adjudication-legal-evidence |
| 38. Extension.value[x] | |
| Control | 0..0 |
Guidance on how to interpret the contents of this table can be foundhere
| 0. Extension | |
| Definition | Một căn cứ pháp lý cụ thể, có điều/khoản và tài liệu chứng minh, cho một kết quả giám định —
đặc biệt cho khoản tiền mang category Vì sao bắt buộc với từ chối. NĐ 188/2025/NĐ-CP Điều 51 khoản 2 quy định việc từ chối thanh toán "phải nêu rõ căn cứ, lý do từ chối, số tiền bị từ chối thanh toán trong biên bản giám định". Ba yếu tố đó là điều kiện của chính hành vi từ chối, không phải siêu dữ liệu tuỳ chọn. Một bản ghi chỉ nói "bị từ chối" mà không dẫn được căn cứ thì không đủ để cơ sở khám bệnh, chữa bệnh thực hiện quyền kiến nghị tại Điều 51 khoản 3. Vì sao áp cả cho khoản bị từ chối tự động. Cũng tại khoản 2, nghĩa vụ nêu căn cứ bao gồm "cả các chi phí khám bệnh, chữa bệnh bảo hiểm y tế đề nghị cơ quan bảo hiểm xã hội thanh toán trên môi trường điện tử được trả tự động khi cơ sở khám bệnh, chữa bệnh gửi dữ liệu". Từ chối do hệ thống tự sinh không được miễn nghĩa vụ này. Ranh giới. Extension mang căn cứ mà bên giám định VIỆN DẪN; nó không chứng minh việc viện dẫn là đúng. Đánh giá tính đúng đắn thuộc quy trình kiến nghị và cơ quan có thẩm quyền. |
| Short | Bằng chứng pháp lý của kết quả giám định — Adjudication Legal Evidence |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Is Modifier | false |
| Invariants | ele-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()) |
| 2. Extension.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 4. Extension.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 2..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. Extension.extension:legalBasis | |
| Slice Name | legalBasis |
| Definition | An Extension |
| Short | Văn bản làm căn cứ (mã trong VNLegalDocumentRefCS) |
| Control | 1..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 8. Extension.extension:legalBasis.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 10. Extension.extension:legalBasis.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. Extension.extension:legalBasis.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | legalBasis |
| 14. Extension.extension:legalBasis.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 1..1 |
| Binding | The codes SHALL be taken from Văn bản pháp lý VN — Vietnam Legal Document Reference VS (required to http://fhir.hl7.org.vn/core/ValueSet/vn-legal-document-ref-vs) |
| Type | Coding |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. Extension.extension:locator | |
| Slice Name | locator |
| Definition | Bắt buộc vì chỉ nêu tên văn bản chưa phải là |
| Short | Điều/khoản/điểm cụ thể được viện dẫn |
| Control | 1..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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. Extension.extension:locator.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 20. Extension.extension:locator.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. Extension.extension:locator.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | locator |
| 24. Extension.extension:locator.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 1..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. Extension.extension:evidenceDocument | |
| Slice Name | evidenceDocument |
| Definition | Tham chiếu tới biên bản giám định (từ chối trước thanh toán, NĐ 188/2025/NĐ-CP Điều 51) hoặc văn bản thu hồi (sau thanh toán, Điều 52). Cardinality 0..1 chứ không 1..1 vì tại thời điểm trả kết quả trên môi trường điện tử, biên bản giấy có chữ ký hai bên có thể chưa được lập — chính khoản 2 cho thấy hai việc này tách nhau về thời điểm. |
| Short | Biên bản giám định hoặc văn bản thu hồi đính kèm |
| Control | 0..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 28. Extension.extension:evidenceDocument.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 30. Extension.extension:evidenceDocument.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 32. Extension.extension:evidenceDocument.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | evidenceDocument |
| 34. Extension.extension:evidenceDocument.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 1..1 |
| Type | Reference(DocumentReference) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 36. Extension.extension:excerpt | |
| Slice Name | excerpt |
| Definition | An Extension |
| Short | Trích đoạn quy định được viện dẫn |
| Control | 0..1 |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-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()) |
| 38. Extension.extension:excerpt.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Short | Unique id for inter-element referencing |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 40. Extension.extension:excerpt.extension | |
| Definition | An Extension |
| Short | Extension |
| Control | 0..0 |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-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()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. Extension.extension:excerpt.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | excerpt |
| 44. Extension.extension:excerpt.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 1..1 |
| Type | string |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 46. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | http://fhir.hl7.org.vn/core/StructureDefinition/vn-ext-adjudication-legal-evidence |
| 48. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..0 |
| Type | Choice 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 |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
