Bộ Hướng dẫn Triển khai Core FHIR cho Việt Nam - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Ví dụ: ALT (SGPT) — Chức năng gan bình thường

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{
  "resourceType" : "Observation",
  "id" : "ExampleObservationLabALT",
  "meta" : {
    "profile" : [
      🔗 "http://fhir.hl7.org.vn/core/StructureDefinition/vn-core-observation-lab"
    ]
  },
  "language" : "vi",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"vi\" lang=\"vi\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExampleObservationLabALT</b></p><a name=\"ExampleObservationLabALT\"> </a><a name=\"hcExampleObservationLabALT\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: vi</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vn-core-observation-lab.html\">Xét nghiệm VN Core — VN Core Observation Laboratory Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 1742-6}\">ALT (SGPT) — chức năng gan</span></p><p><b>subject</b>: <a href=\"Patient-ExamplePatientNguyenVanAn.html\">Nguyễn Văn An</a></p><p><b>encounter</b>: <a href=\"Encounter-ExampleEncounterOutpatient.html\">Encounter: extension = Khám chữa bệnh ban đầu; status = finished; class = ambulatory (ActCode#AMB); period = 2026-03-19 08:30:00+0700 --&gt; 2026-03-19 11:00:00+0700; reasonCode = </a></p><p><b>effective</b>: 2026-04-20 08:30:00+0700</p><p><b>performer</b>: <a href=\"Practitioner-ExamplePractitionerBSCKII.html\">BS CKII Nguyễn Thị Lan</a></p><p><b>value</b>: 28 U/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU/L = 'U/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>note</b>: </p><blockquote><div><p>ALT 28 U/L — trong giới hạn bình thường. Chức năng gan bình thường. Phù hợp để tiếp tục phác đồ thuốc hiện tại. Nếu chỉ định thêm statin (phòng ngừa tim mạch), theo dõi lại ALT sau 4–8 tuần.</p>\n</div></blockquote><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>7 U/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU/L = 'U/L')</span></td><td>56 U/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU/L = 'U/L')</span></td><td>7 – 56 U/L</td></tr></table></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "1742-6",
        "display" : "Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma"
      }
    ],
    "text" : "ALT (SGPT) — chức năng gan"
  },
  "subject" : {
    🔗 "reference" : "Patient/ExamplePatientNguyenVanAn",
    "display" : "Nguyễn Văn An"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/ExampleEncounterOutpatient"
  },
  "effectiveDateTime" : "2026-04-20T08:30:00+07:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/ExamplePractitionerBSCKII",
      "display" : "BS CKII Nguyễn Thị Lan"
    }
  ],
  "valueQuantity" : {
    "value" : 28,
    "unit" : "U/L",
    "system" : "http://unitsofmeasure.org",
    "code" : "U/L"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }
      ]
    }
  ],
  "note" : [
    {
      "text" : "ALT 28 U/L — trong giới hạn bình thường. Chức năng gan bình thường. Phù hợp để tiếp tục phác đồ thuốc hiện tại. Nếu chỉ định thêm statin (phòng ngừa tim mạch), theo dõi lại ALT sau 4–8 tuần."
    }
  ],
  "referenceRange" : [
    {
      "low" : {
        "value" : 7,
        "unit" : "U/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "U/L"
      },
      "high" : {
        "value" : 56,
        "unit" : "U/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "U/L"
      },
      "text" : "7 – 56 U/L"
    }
  ]
}