Miễn điều kiện giấy phép hành nghề tại cơ sở — Practice Licence Exemption (Role) - Hướng dẫn triển khai FHIR cốt lõi Việt Nam — VN Core FHIR Implementation Guide v0.10.0

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

Phần mở rộng: Miễn điều kiện giấy phép hành nghề tại cơ sở — Practice Licence Exemption (Role) - Mô tả chi tiết

Draft tại thời điểm 2026-08-12

Các định nghĩa cho vn-ext-practice-license-exemption-role phần mở rộng

Bảng phần tử chính
Bảng Differential
Bảng Snapshot

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

0. Extension
Definition	Khai căn cứ pháp lý khiến nghĩa vụ có giấy phép hành nghề KHÔNG áp dụng cho người này TRONG PHẠM VI vai trò hành nghề tại một cơ sở, theo Luật 15/2023/QH15 Điều 19 khoản 2, 3, 4. Vì sao ở PractitionerRole. Miễn trừ luôn hữu hạn theo tổ hợp (cơ sở, thời gian, phạm vi, người giám sát): học viên thực hành TẠI cơ sở hướng dẫn dưới người hướng dẫn; đợt KCB nhân đạo theo văn bản cho phép của đợt; huy động khẩn cấp theo quyết định huy động. Các chiều đó là element NATIVE của role — `organization` (cơ sở), `period` (thời hạn), `location`, `code`/`specialty`/`healthcareService` (phạm vi) — extension này không lặp lại chúng mà chỉ mang phần FHIR không có sẵn: căn cứ, người giám sát và bằng chứng. Đây không phải cửa thoát cho dữ liệu thiếu. Invariant `vn-role-exemption-bounded` buộc role mang miễn trừ phải có cơ sở + thời hạn hữu hạn; `vn-role-exemption-trainee-supervised` buộc nhóm học viên/thực hành có người giám sát xác định được. Bằng chứng (`evidence`) nhận `Reference(DocumentReference)` khi văn bản đã số hoá HOẶC `Identifier` (số quyết định huy động/văn bản cho phép) khi thực địa chỉ có số hiệu giấy — không chấp nhận tuyên bố suông. Optional Extension Element - found in all resources.
Short	Miễn điều kiện giấy phép hành nghề tại cơ sở — Practice Licence Exemption (Role)Optional 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: value @ url
4. Extension.extension:basis
Slice Name	basis
Definition	An Extension
Short	Căn cứ miễn trừ theo Luật 15/2023/QH15 Điều 19Additional 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:basis.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: value @ url
8. Extension.extension:basis.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	`basis`
10. Extension.extension:basis.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 Căn cứ miễn điều kiện giấy phép hành nghề — Practice Licence Exemption Basis ValueSet (required to `http://fhir.hl7.org.vn/core/ValueSet/vn-practice-license-exemption-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:supervisor
Slice Name	supervisor
Definition	Vai trò hành nghề của người giám sát TẠI CÙNG cơ sở (Luật 15/2023/QH15 Điều 19 khoản 2 điểm a: thực hành dưới sự giám sát của người hành nghề). Trỏ PractitionerRole (không trỏ Practitioner trần) để ràng người giám sát vào đúng cơ sở và thời kỳ; đối chiếu giám-sát-viên-có-GPHN-hợp-lệ-cùng-nơi-cùng-kỳ thuộc graph validator, không phải invariant đơn-resource.
Short	Người hành nghề giám sát/hướng dẫn — bắt buộc với nhóm học viên/thực hànhAdditional content defined by implementations
Control	0..*
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:supervisor.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: value @ url
16. Extension.extension:supervisor.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	`supervisor`
18. Extension.extension:supervisor.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(Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile), 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()))
20. Extension.extension:evidence
Slice Name	evidence
Definition	Bằng chứng kiểm chứng được của miễn trừ: `valueReference` tới DocumentReference (quyết định huy động, văn bản cho phép đợt KCB nhân đạo, xác nhận chương trình thực hành… đã số hoá) hoặc `valueIdentifier` mang số hiệu văn bản khi chỉ có bản giấy tại thực địa (đợt huy động thiên tai/dịch bệnh). Identifier phải có cả system lẫn value.
Short	Bằng chứng miễn trừ: văn bản số hoá hoặc số hiệu quyết địnhAdditional content defined by implementations
Control	10..*
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:evidence.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: value @ url
24. Extension.extension:evidence.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	`evidence`
26. Extension.extension:evidence.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	Choice of: Identifier, Reference(DocumentReference), date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, 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:note
Slice Name	note
Definition	An Extension
Short	Ghi chú bổ sung (không thay thế evidence)Additional 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:note.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: value @ url
32. Extension.extension:note.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	`note`
34. Extension.extension:note.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-practice-license-exemption-role`
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	Khai căn cứ pháp lý khiến nghĩa vụ có giấy phép hành nghề KHÔNG áp dụng cho người này TRONG PHẠM VI vai trò hành nghề tại một cơ sở, theo Luật 15/2023/QH15 Điều 19 khoản 2, 3, 4. Vì sao ở PractitionerRole. Miễn trừ luôn hữu hạn theo tổ hợp (cơ sở, thời gian, phạm vi, người giám sát): học viên thực hành TẠI cơ sở hướng dẫn dưới người hướng dẫn; đợt KCB nhân đạo theo văn bản cho phép của đợt; huy động khẩn cấp theo quyết định huy động. Các chiều đó là element NATIVE của role — `organization` (cơ sở), `period` (thời hạn), `location`, `code`/`specialty`/`healthcareService` (phạm vi) — extension này không lặp lại chúng mà chỉ mang phần FHIR không có sẵn: căn cứ, người giám sát và bằng chứng. Đây không phải cửa thoát cho dữ liệu thiếu. Invariant `vn-role-exemption-bounded` buộc role mang miễn trừ phải có cơ sở + thời hạn hữu hạn; `vn-role-exemption-trainee-supervised` buộc nhóm học viên/thực hành có người giám sát xác định được. Bằng chứng (`evidence`) nhận `Reference(DocumentReference)` khi văn bản đã số hoá HOẶC `Identifier` (số quyết định huy động/văn bản cho phép) khi thực địa chỉ có số hiệu giấy — không chấp nhận tuyên bố suông.
Short	Miễn điều kiện giấy phép hành nghề tại cơ sở — Practice Licence Exemption (Role)
2. Extension.extension
Control	2..?
4. Extension.extension:basis
Slice Name	basis
Short	Căn cứ miễn trừ theo Luật 15/2023/QH15 Điều 19
Control	1..1
Must Support	true
6. Extension.extension:basis.extension
Control	0..0
8. Extension.extension:basis.url
Fixed Value	`basis`
10. Extension.extension:basis.value[x]
Control	1..?
Binding	The codes SHALL be taken from Căn cứ miễn điều kiện giấy phép hành nghề — Practice Licence Exemption Basis ValueSet (required to `http://fhir.hl7.org.vn/core/ValueSet/vn-practice-license-exemption-vs`)
Type	Coding
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
12. Extension.extension:supervisor
Slice Name	supervisor
Definition	Vai trò hành nghề của người giám sát TẠI CÙNG cơ sở (Luật 15/2023/QH15 Điều 19 khoản 2 điểm a: thực hành dưới sự giám sát của người hành nghề). Trỏ PractitionerRole (không trỏ Practitioner trần) để ràng người giám sát vào đúng cơ sở và thời kỳ; đối chiếu giám-sát-viên-có-GPHN-hợp-lệ-cùng-nơi-cùng-kỳ thuộc graph validator, không phải invariant đơn-resource.
Short	Người hành nghề giám sát/hướng dẫn — bắt buộc với nhóm học viên/thực hành
Control	0..*
Must Support	true
14. Extension.extension:supervisor.extension
Control	0..0
16. Extension.extension:supervisor.url
Fixed Value	`supervisor`
18. Extension.extension:supervisor.value[x]
Control	1..?
Type	Reference(Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
20. Extension.extension:evidence
Slice Name	evidence
Definition	Bằng chứng kiểm chứng được của miễn trừ: `valueReference` tới DocumentReference (quyết định huy động, văn bản cho phép đợt KCB nhân đạo, xác nhận chương trình thực hành… đã số hoá) hoặc `valueIdentifier` mang số hiệu văn bản khi chỉ có bản giấy tại thực địa (đợt huy động thiên tai/dịch bệnh). Identifier phải có cả system lẫn value.
Short	Bằng chứng miễn trừ: văn bản số hoá hoặc số hiệu quyết định
Control	1..*
Must Support	true
22. Extension.extension:evidence.extension
Control	0..0
24. Extension.extension:evidence.url
Fixed Value	`evidence`
26. Extension.extension:evidence.value[x]
Control	1..?
Type	Choice of: Identifier, Reference(DocumentReference)
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
28. Extension.extension:note
Slice Name	note
Short	Ghi chú bổ sung (không thay thế evidence)
Control	0..1
Must Support	true
30. Extension.extension:note.extension
Control	0..0
32. Extension.extension:note.url
Fixed Value	`note`
34. Extension.extension:note.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-practice-license-exemption-role`
38. Extension.value[x]
Control	0..0

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

0. Extension
Definition	Khai căn cứ pháp lý khiến nghĩa vụ có giấy phép hành nghề KHÔNG áp dụng cho người này TRONG PHẠM VI vai trò hành nghề tại một cơ sở, theo Luật 15/2023/QH15 Điều 19 khoản 2, 3, 4. Vì sao ở PractitionerRole. Miễn trừ luôn hữu hạn theo tổ hợp (cơ sở, thời gian, phạm vi, người giám sát): học viên thực hành TẠI cơ sở hướng dẫn dưới người hướng dẫn; đợt KCB nhân đạo theo văn bản cho phép của đợt; huy động khẩn cấp theo quyết định huy động. Các chiều đó là element NATIVE của role — `organization` (cơ sở), `period` (thời hạn), `location`, `code`/`specialty`/`healthcareService` (phạm vi) — extension này không lặp lại chúng mà chỉ mang phần FHIR không có sẵn: căn cứ, người giám sát và bằng chứng. Đây không phải cửa thoát cho dữ liệu thiếu. Invariant `vn-role-exemption-bounded` buộc role mang miễn trừ phải có cơ sở + thời hạn hữu hạn; `vn-role-exemption-trainee-supervised` buộc nhóm học viên/thực hành có người giám sát xác định được. Bằng chứng (`evidence`) nhận `Reference(DocumentReference)` khi văn bản đã số hoá HOẶC `Identifier` (số quyết định huy động/văn bản cho phép) khi thực địa chỉ có số hiệu giấy — không chấp nhận tuyên bố suông.
Short	Miễn điều kiện giấy phép hành nghề tại cơ sở — Practice Licence Exemption (Role)
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: value @ url
6. Extension.extension:basis
Slice Name	basis
Definition	An Extension
Short	Căn cứ miễn trừ theo Luật 15/2023/QH15 Điều 19
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:basis.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:basis.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: value @ url
12. Extension.extension:basis.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	`basis`
14. Extension.extension:basis.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 Căn cứ miễn điều kiện giấy phép hành nghề — Practice Licence Exemption Basis ValueSet (required to `http://fhir.hl7.org.vn/core/ValueSet/vn-practice-license-exemption-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:supervisor
Slice Name	supervisor
Definition	Vai trò hành nghề của người giám sát TẠI CÙNG cơ sở (Luật 15/2023/QH15 Điều 19 khoản 2 điểm a: thực hành dưới sự giám sát của người hành nghề). Trỏ PractitionerRole (không trỏ Practitioner trần) để ràng người giám sát vào đúng cơ sở và thời kỳ; đối chiếu giám-sát-viên-có-GPHN-hợp-lệ-cùng-nơi-cùng-kỳ thuộc graph validator, không phải invariant đơn-resource.
Short	Người hành nghề giám sát/hướng dẫn — bắt buộc với nhóm học viên/thực hành
Control	0..*
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:supervisor.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:supervisor.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: value @ url
22. Extension.extension:supervisor.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	`supervisor`
24. Extension.extension:supervisor.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(Vai trò nhân viên y tế VN Core — VN Core PractitionerRole Profile)
[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())`)
26. Extension.extension:evidence
Slice Name	evidence
Definition	Bằng chứng kiểm chứng được của miễn trừ: `valueReference` tới DocumentReference (quyết định huy động, văn bản cho phép đợt KCB nhân đạo, xác nhận chương trình thực hành… đã số hoá) hoặc `valueIdentifier` mang số hiệu văn bản khi chỉ có bản giấy tại thực địa (đợt huy động thiên tai/dịch bệnh). Identifier phải có cả system lẫn value.
Short	Bằng chứng miễn trừ: văn bản số hoá hoặc số hiệu quyết định
Control	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:evidence.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:evidence.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: value @ url
32. Extension.extension:evidence.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	`evidence`
34. Extension.extension:evidence.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	Choice of: Identifier, 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:note
Slice Name	note
Definition	An Extension
Short	Ghi chú bổ sung (không thay thế evidence)
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:note.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:note.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: value @ url
42. Extension.extension:note.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	`note`
44. Extension.extension:note.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-practice-license-exemption-role`
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())`)