臺灣榮總腦中風實作指引（TW VGH Stroke IG）
0.1.0 - ci-build

臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

Example Bundle: 腦中風 EVT 登錄個案資料包範例

Bundle stroke-bundle-evt-example of type collection

Entry 1 - fullUrl = http://vgh-stroke-ig.fhir.tw/Patient/stroke-patient-example

Resource Patient:

Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

Active:true
Links:

Entry 2 - fullUrl = http://vgh-stroke-ig.fhir.tw/Organization/stroke-organization-vghks

Resource Organization:

高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))

Active:true
Type:Healthcare Provider

Entry 3 - fullUrl = http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-other-er-example

Resource Encounter:

status: completed

class: emergency

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

serviceProvider: 他院（院所未建立）

Entry 4 - fullUrl = http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-er-example

Resource Encounter:

status: completed

class: emergency

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))

Entry 5 - fullUrl = http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-example

Resource Encounter:

status: completed

class: inpatient encounter

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))

Entry 6 - fullUrl = http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-evt-main-example

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
stroke-registry-response-evt-main-exampleQuestionnaire:腦中風登錄表單
stroke-registry-response-evt-main-example / demographics.consent研究同意書簽署狀態true
stroke-registry-response-evt-main-example / demographics.consentDate研究同意書簽署日期2025-01-16
stroke-registry-response-evt-main-example / preEvt.beforeEvtIvtpaEVT 前 IV-tPA 施打院所腦中風－EVT 前 IV-tPA 施打院所代碼: 1 (本院施打)
stroke-registry-response-evt-main-example / discharge.leavePlaceHospital離院轉入醫院範例復健醫院
stroke-registry-response-evt-main-example / raw.evtEVT 登錄原始值
stroke-registry-response-evt-main-example / raw.evt / raw.evt.caseIdEVT 登錄個案識別碼EVT-EXAMPLE-0001
stroke-registry-response-evt-main-example / raw.evt / raw.evt.administration資料管理
stroke-registry-response-evt-main-example / raw.evt / raw.evt.administration / raw.evt.administration.registrar登錄經手人員李小華
stroke-registry-response-evt-main-example / raw.evt / raw.evt.administration / raw.evt.administration.edit主表登錄狀態2
stroke-registry-response-evt-main-example / raw.evt / raw.evt.administration / raw.evt.administration.keyinDate資料登錄日期時間2025-03-20 14:30:00

doco Documentation for this format

Entry 7 - fullUrl = http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-evt-follow-up-example

Resource QuestionnaireResponse:

LinkIDTextDefinitionAnswerdoco
stroke-registry-response-evt-follow-up-exampleQuestionnaire:腦中風登錄表單
stroke-registry-response-evt-follow-up-example / raw.evtEVT 登錄原始值
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.caseIdEVT 登錄個案識別碼EVT-EXAMPLE-0001
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.administration資料管理
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.administration / raw.evt.administration.traceEdit追蹤表登錄狀態1
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.followUp3Month中風後 3 個月追蹤
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.followUp3Month / raw.evt.followUp3Month.traceThreeDate中風後 3 個月追蹤日期2025-04-15
stroke-registry-response-evt-follow-up-example / raw.evt / raw.evt.followUp3Month / raw.evt.followUp3Month.traceThreePlace中風後 3 個月所在處所1

doco Documentation for this format

Entry 8 - fullUrl = http://vgh-stroke-ig.fhir.tw/Consent/stroke-consent-example

Resource Consent:

Participants

RoleDetails
PatientAnonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
GranteeAnonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Manager高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))

Entry 9 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-arrival-mode-example

Resource Observation:

腦中風－評估時點: admission

status: Final

category: Survey

code: 到院方式

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 緊急醫療救護（EMS）

Entry 10 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-last-known-well-example

Resource Observation:

腦中風－評估時點: admission

status: Final

category: Survey

code: 最後正常時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 2025-01-14 22:30:00+0800

Entry 11 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-onset-time-only-example

Resource Observation:

status: Final

category: Survey

code: 中風發病時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 腦中風－來源事件時間: 06:40:00

Entry 12 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-wake-up-stroke-example

Resource Observation:

status: Final

category: Survey

code: 醒後中風

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

Entry 13 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-hypertension-history-example

Resource Observation:

腦中風－評估時點: admission

status: Final

category: Survey

code: 高血壓病史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

Entry 14 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-diabetes-history-unknown-example

Resource Observation:

status: Final

category: Survey

code: 糖尿病病史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

dataAbsentReason: Unknown

Entry 15 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-cigarettes-per-day-example

Resource Observation:

status: Final

category: Survey

code: 每日吸菸量

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 20 {cigarette}/d (Details: UCUM code{cigarette}/d = '{cigarette}/d')

Entry 16 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-cancer-name-example

Resource Observation:

status: Final

category: Survey

code: 癌症名稱

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 大腸癌

Entry 17 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-toast-classification-example

Resource Observation:

status: Final

category: Survey

code: TOAST 分類

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 心因性栓塞

Entry 18 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-pre-stroke-independent-example

Resource Observation:

腦中風－評估時點: pre-stroke

status: Final

category: Survey

code: 中風前可獨立生活

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

Entry 19 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-admission-example

Resource Observation:

腦中風－評估時點: admission

腦中風－評估序號: 1

status: Final

category: Survey

code: Total score [NIH Stroke Scale]

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 10:30:00+0800

value: 12

component

code: Level of consciousness [NIH Stroke Scale]

value: 0

component

code: LOC questions [NIH Stroke Scale]

value: 1

component

code: LOC commands [NIH Stroke Scale]

value: 0

component

code: Best gaze [NIH Stroke Scale]

value: 1

component

code: Visual [NIH Stroke Scale]

value: 0

component

code: Facial palsy [NIH Stroke Scale]

value: 2

component

code: Motor arm Left arm [NIH Stroke Scale]

value: 0

component

code: Motor arm Right arm [NIH Stroke Scale]

value: 3

component

code: Motor leg Leg - left [NIH Stroke Scale]

value: 0

component

code: Motor leg Leg - right [NIH Stroke Scale]

value: 2

component

code: Limb ataxia [NIH Stroke Scale]

value: 0

component

code: Sensory [NIH Stroke Scale]

value: 1

component

code: Best language [NIH Stroke Scale]

value: 1

component

code: Dysarthria [NIH Stroke Scale]

value: 1

component

code: Extinction and inattention [NIH Stroke Scale]

value: 0

Entry 20 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-24h-example

Resource Observation:

腦中風－評估時點: 24h

status: Final

category: Survey

code: Total score [NIH Stroke Scale]

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-16 11:00:00+0800

value: 6

component

code: Level of consciousness [NIH Stroke Scale]

value: 0

component

code: LOC questions [NIH Stroke Scale]

value: 0

component

code: LOC commands [NIH Stroke Scale]

value: 0

component

code: Best gaze [NIH Stroke Scale]

value: 0

component

code: Visual [NIH Stroke Scale]

value: 0

component

code: Facial palsy [NIH Stroke Scale]

value: 1

component

code: Motor arm Left arm [NIH Stroke Scale]

value: 0

component

code: Motor arm Right arm [NIH Stroke Scale]

value: 2

component

code: Motor leg Leg - left [NIH Stroke Scale]

value: 0

component

code: Motor leg Leg - right [NIH Stroke Scale]

value: 1

component

code: Limb ataxia [NIH Stroke Scale]

value: 0

component

code: Sensory [NIH Stroke Scale]

value: 1

component

code: Best language [NIH Stroke Scale]

value: 1

component

code: Dysarthria [NIH Stroke Scale]

value: X

component

code: Extinction and inattention [NIH Stroke Scale]

value: 0

Entry 21 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-pre-stroke-example

Resource Observation:

腦中風－評估時點: pre-stroke

status: Final

category: Survey

code: Modified rankin scale

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 0

Entry 22 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-discharge-example

Resource Observation:

腦中風－評估時點: discharge

status: Final

category: Survey

code: Modified rankin scale

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-28

value: 3

Entry 23 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-gcs-example

Resource Observation:

腦中風－評估時點: admission

status: Final

category: Survey

code: Glasgow coma score total

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

component

code: Glasgow coma score eye opening

value: 3

component

code: Glasgow coma score verbal

value: 4

component

code: Glasgow coma score motor

value: 6

Entry 24 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-height-example

Resource Observation:

status: Final

category: Vital Signs

code: Body height

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:40:00+0800

value: 165.5 cm (Details: UCUM codecm = 'cm')

Entry 25 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-weight-example

Resource Observation:

status: Final

category: Vital Signs

code: Body weight

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:40:00+0800

value: 62.3 kg (Details: UCUM codekg = 'kg')

Entry 26 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-temperature-example

Resource Observation:

status: Final

category: Vital Signs

code: Body temperature

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 36.8 °C (Details: UCUM codeCel = 'Cel')

Entry 27 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-heart-rate-example

Resource Observation:

status: Final

category: Vital Signs

code: Heart rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 88 /min (Details: UCUM code/min = '/min')

Entry 28 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-respiratory-rate-example

Resource Observation:

status: Final

category: Vital Signs

code: Respiratory rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

value: 18 /min (Details: UCUM code/min = '/min')

Entry 29 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-blood-pressure-example

Resource Observation:

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 08:35:00+0800

component

code: Systolic blood pressure

value: 168 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 95 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 30 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-smoking-status-example

Resource Observation:

status: Final

category: Social History

code: Tobacco smoking status

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: Ex-smoker

Entry 31 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-hemoglobin-example

Resource Observation:

status: Final

category: Laboratory

code: 血紅素（Hb）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 09:50:00+0800

value: 13.2

Entry 32 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-inr-not-available-example

Resource Observation:

status: Final

category: Laboratory

code: 凝血酶原時間國際標準化比值（INR）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15 09:50:00+0800

dataAbsentReason: Unknown

Entry 33 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-statin-pre-admission-example

Resource MedicationStatement:

腦中風－用藥紀錄時窗: pre-admission

status: not-taken

status: recorded

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

Entry 34 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-ivtpa-example

Resource MedicationAdministration:

status: completed

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

Dosages

-TextDose
*45 mg45 mg (Details: UCUM codemg = 'mg')

Entry 35 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-sedation-example

Resource MedicationAdministration:

partOf: Procedure 動脈內血栓移除術

status: completed

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

Dosages

-TextDose
*Fentanyl 50 mcg IV50 mcg (Details: UCUM codeug = 'ug')

Entry 36 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-intra-arterial-example

Resource MedicationAdministration:

partOf: Procedure 動脈內血栓移除術

status: completed

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

note:

劑量原文：20 萬單位，分次給予

Entry 37 - fullUrl = http://vgh-stroke-ig.fhir.tw/ImagingStudy/stroke-imagingstudy-ctp-example

Resource ImagingStudy:

status: Available

modality: Computed Tomography

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

started: 2025-01-15 09:55:00+0800

description: EVT 前 CT 灌流（RAPID 影像分析）

Entry 38 - fullUrl = http://vgh-stroke-ig.fhir.tw/ImagingStudy/stroke-imagingstudy-follow-up-mr-example

Resource ImagingStudy:

status: Available

modality: Magnetic Resonance

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

started: 腦中風－來源事件時間: 08:30:00

description: 追蹤 MR

Entry 39 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-imaging-aspects-example

Resource Observation:

status: Final

category: Imaging

code: ASPECTS 分數

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 8

Entry 40 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-imaging-core-volume-example

Resource Observation:

status: Final

category: Imaging

code: 灌流核心梗塞體積

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 12 mL (Details: UCUM codemL = 'mL')

derivedFrom: ImagingStudy: status = available; modality = Computed Tomography (DICOM#CT); started = 2025-01-15 09:55:00+0800; procedureCode = CT 灌流攝影; description = EVT 前 CT 灌流（RAPID 影像分析）

Entry 41 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-example

Resource Procedure:

status: Completed

code: 動脈內血栓移除術

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

Entry 42 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-puncture-example

Resource Procedure:

partOf: Procedure 動脈內血栓移除術

status: Completed

code: EVT 動脈穿刺

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

Entry 43 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-stent-retriever-example

Resource Procedure:

partOf: Procedure 動脈內血栓移除術

status: Completed

code: 支架取栓

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

Entry 44 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-target-vessel-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 目標血管：右側中大腦動脈 M1 段

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: true

Entry 45 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-aortic-arch-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 主動脈弓分型

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 第 II 型

Entry 46 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-aspiration-rescue-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 抽吸失敗後救援策略

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 支架取栓器救援

Entry 47 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-stent-retriever-pass-count-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 支架取栓次數

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: 2

Entry 48 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-first-recanalization-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Procedure

code: 首次血管再通時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 2025-01-15 11:42:00+0800

Entry 49 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-final-tici-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 最終 TICI 分級

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-15

value: TICI 2b 級

Entry 50 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-post-bp-target-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: EVT 後血壓控制目標

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 低於 160 mmHg

Entry 51 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-no-complication-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 無 EVT 相關併發症

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: true

Entry 52 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-follow-up-imaging-ich-example

Resource Observation:

partOf: Procedure 動脈內血栓移除術

status: Final

category: Survey

code: 追蹤影像顯示顱內出血

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-16 09:30:00+0800

value: true

Entry 53 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-complication-pneumonia-example

Resource Observation:

status: Final

category: Survey

code: 住院併發症：肺炎

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: true

Entry 54 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-complication-other-name-example

Resource Observation:

status: Final

category: Survey

code: 其他住院併發症名稱

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 壓力性損傷

Entry 55 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-neurologic-deterioration-example

Resource Observation:

status: Final

category: Survey

code: 中風惡化（NIHSS 增加至少 2 分）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: false

Entry 56 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-discharge-destination-example

Resource Observation:

腦中風－評估時點: discharge

status: Final

category: Survey

code: 離院去向

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-01-28

value: 轉院

Entry 57 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-three-month-residence-example

Resource Observation:

腦中風－評估時點: 3-month

status: Final

category: Survey

code: 中風後 3 個月所在處所

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

effective: 2025-04-15

value: 住家

Entry 58 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-recurrent-stroke-example

Resource Observation:

腦中風－評估時點: unclassified

status: Final

category: Survey

code: 追蹤期間再中風

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: true

Entry 59 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-recurrent-stroke-date-example

Resource Observation:

腦中風－評估時點: unclassified

status: Final

category: Survey

code: 再中風日期

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))

encounter: Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28

value: 2025-04-02