{ "resourceType" : "Bundle", "id" : "stroke-bundle-evt-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtRegistryBundle"] }, "identifier" : { "system" : "http://www.vghks.gov.tw/evt-registry-id", "value" : "EVT-EXAMPLE-0001" }, "type" : "collection", "timestamp" : "2025-04-20T10:00:00+08:00", "entry" : [{ "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Patient/stroke-patient-example", "resource" : { "resourceType" : "Patient", "id" : "stroke-patient-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient stroke-patient-example

Profile: 腦中風－病人基本資料

Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

Active:true
Links:
" }, "identifier" : [{ "use" : "official", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical record number" }] }, "system" : "http://www.vghks.gov.tw/patient-id", "value" : "EX00000001", "assigner" : { "reference" : "Organization/stroke-organization-vghks" } }], "active" : true, "gender" : "male", "birthDate" : "1950-01", "managingOrganization" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Organization/stroke-organization-vghks", "resource" : { "resourceType" : "Organization", "id" : "stroke-organization-vghks", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization stroke-organization-vghks

Profile: 腦中風－醫療院所

高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

Active:true
Type:Healthcare Provider
" }, "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "XX", "display" : "Organization identifier" }] }, "system" : "http://www.vghks.gov.tw/stroke-hospital-code", "value" : "1A0" }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "高雄榮民總醫院" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-other-er-example", "resource" : { "resourceType" : "Encounter", "id" : "stroke-encounter-other-er-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter stroke-encounter-other-er-example

Profile: 腦中風－就醫事件

status: Finished

class: ActCode: EMER (emergency)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

period: --> (ongoing)

serviceProvider: 他院（院所未建立）

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EMER", "display" : "emergency" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "period" : { "_start" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "07:10:00" }] } }, "serviceProvider" : { "display" : "他院（院所未建立）" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-er-example", "resource" : { "resourceType" : "Encounter", "id" : "stroke-encounter-er-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter stroke-encounter-er-example

Profile: 腦中風－就醫事件

status: Finished

class: ActCode: EMER (emergency)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

period: 2025-01-15 08:30:00+0800 --> (ongoing)

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "EMER", "display" : "emergency" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "period" : { "start" : "2025-01-15T08:30:00+08:00" }, "serviceProvider" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-example", "resource" : { "resourceType" : "Encounter", "id" : "stroke-encounter-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Encounter stroke-encounter-example

Profile: 腦中風－就醫事件

status: Finished

class: ActCode: IMP (inpatient encounter)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

period: 2025-01-15 --> 2025-01-28

Hospitalizations

-AdmitSourceDischargeDisposition
*From accident/emergency department出院

serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

" }, "status" : "finished", "class" : { "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "IMP", "display" : "inpatient encounter" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "period" : { "start" : "2025-01-15", "end" : "2025-01-28" }, "hospitalization" : { "admitSource" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/admit-source", "code" : "emd", "display" : "From accident/emergency department" }] }, "dischargeDisposition" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/discharge-status", "code" : "3", "display" : "出院" }] } }, "serviceProvider" : { "reference" : "Organization/stroke-organization-vghks" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-evt-main-example", "resource" : { "resourceType" : "QuestionnaireResponse", "id" : "stroke-registry-response-evt-main-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse stroke-registry-response-evt-main-example

Profile: 腦中風－登錄表單回覆

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\"\"\"\" 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
" }, "identifier" : { "system" : "http://www.vghks.gov.tw/evt-registry-id", "value" : "EVT-EXAMPLE-0001" }, "questionnaire" : "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0", "status" : "completed", "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "authored" : "2025-03-20T14:30:00+08:00", "author" : { "display" : "李小華" }, "item" : [{ "linkId" : "demographics.consent", "text" : "研究同意書簽署狀態", "answer" : [{ "valueBoolean" : true }] }, { "linkId" : "demographics.consentDate", "text" : "研究同意書簽署日期", "answer" : [{ "valueDate" : "2025-01-16" }] }, { "linkId" : "preEvt.beforeEvtIvtpa", "text" : "EVT 前 IV-tPA 施打院所", "answer" : [{ "valueCoding" : { "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/pre-evt-ivtpa-site", "code" : "1", "display" : "本院施打" } }] }, { "linkId" : "discharge.leavePlaceHospital", "text" : "離院轉入醫院", "answer" : [{ "valueString" : "範例復健醫院" }] }, { "linkId" : "raw.evt", "text" : "EVT 登錄原始值", "item" : [{ "linkId" : "raw.evt.caseId", "text" : "EVT 登錄個案識別碼", "answer" : [{ "valueString" : "EVT-EXAMPLE-0001" }] }, { "linkId" : "raw.evt.administration", "text" : "資料管理", "item" : [{ "linkId" : "raw.evt.administration.registrar", "text" : "登錄經手人員", "answer" : [{ "valueString" : "李小華" }] }, { "linkId" : "raw.evt.administration.edit", "text" : "主表登錄狀態", "answer" : [{ "valueString" : "2" }] }, { "linkId" : "raw.evt.administration.keyinDate", "text" : "資料登錄日期時間", "answer" : [{ "valueString" : "2025-03-20 14:30:00" }] }] }] }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-evt-follow-up-example", "resource" : { "resourceType" : "QuestionnaireResponse", "id" : "stroke-registry-response-evt-follow-up-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse stroke-registry-response-evt-follow-up-example

Profile: 腦中風－登錄表單回覆

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextDefinitionAnswer\"doco\"
\"\"\"\" 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
" }, "identifier" : { "system" : "http://www.vghks.gov.tw/evt-registry-id", "value" : "EVT-EXAMPLE-0001" }, "questionnaire" : "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0", "status" : "in-progress", "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_authored" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] }, "item" : [{ "linkId" : "raw.evt", "text" : "EVT 登錄原始值", "item" : [{ "linkId" : "raw.evt.caseId", "text" : "EVT 登錄個案識別碼", "answer" : [{ "valueString" : "EVT-EXAMPLE-0001" }] }, { "linkId" : "raw.evt.administration", "text" : "資料管理", "item" : [{ "linkId" : "raw.evt.administration.traceEdit", "text" : "追蹤表登錄狀態", "answer" : [{ "valueString" : "1" }] }] }, { "linkId" : "raw.evt.followUp3Month", "text" : "中風後 3 個月追蹤", "item" : [{ "linkId" : "raw.evt.followUp3Month.traceThreeDate", "text" : "中風後 3 個月追蹤日期", "answer" : [{ "valueString" : "2025-04-15" }] }, { "linkId" : "raw.evt.followUp3Month.traceThreePlace", "text" : "中風後 3 個月所在處所", "answer" : [{ "valueString" : "1" }] }] }] }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Consent/stroke-consent-example", "resource" : { "resourceType" : "Consent", "id" : "stroke-consent-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeConsent"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Consent stroke-consent-example

Profile: 腦中風－研究同意

Participants

RoleDetails
PatientAnonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))
PartyAnonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))
Manager高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0\u00a0(use:\u00a0usual))

This consent is made under the policy http://www.vghks.gov.tw/stroke-registry/consent-policy .

\r\n\r\n
RuleTime Period\"doco\"
\"\"\"\" permit
\"\"\"\"\"\" permit / permit
  • Period: 2025-01-16 --> (ongoing)

\"doco\" Documentation for this format
" }, "status" : "active", "scope" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "research", "display" : "Research" }] }, "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "code" : "research", "display" : "Research Information Access" }] }], "patient" : { "reference" : "Patient/stroke-patient-example" }, "dateTime" : "2025-01-16", "performer" : [{ "reference" : "Patient/stroke-patient-example" }], "organization" : [{ "reference" : "Organization/stroke-organization-vghks" }], "sourceAttachment" : { "contentType" : "application/pdf", "title" : "腦中風登錄研究同意書（範例）", "creation" : "2025-01-16" }, "policy" : [{ "uri" : "http://www.vghks.gov.tw/stroke-registry/consent-policy" }], "provision" : { "type" : "permit", "period" : { "start" : "2025-01-16" } } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-arrival-mode-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-arrival-mode-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeAdmissionContext"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-arrival-mode-example

Profile: 腦中風－就醫背景

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\u00a0(use:\u00a0official))

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）

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "arrival-mode", "display" : "到院方式" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/arrival-mode", "code" : "1", "display" : "緊急醫療救護（EMS）" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-last-known-well-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-last-known-well-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOnsetTime"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-last-known-well-example

Profile: 腦中風－發病時間

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\u00a0(use:\u00a0official))

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

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "last-known-well", "display" : "最後正常時間" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueDateTime" : "2025-01-14T22:30:00+08:00" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-onset-time-only-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-onset-time-only-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOnsetTime"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-onset-time-only-example

Profile: 腦中風－發病時間

status: Final

category: Survey

code: 中風發病時間

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "stroke-onset-time", "display" : "中風發病時間" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_valueDateTime" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "06:40:00" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-wake-up-stroke-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-wake-up-stroke-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOnsetTime"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-wake-up-stroke-example

Profile: 腦中風－發病時間

status: Final

category: Survey

code: 醒後中風

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: true

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "wake-up-stroke", "display" : "醒後中風" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-hypertension-history-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-hypertension-history-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-hypertension-history-example

Profile: 腦中風－危險因子與病史

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: true

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "hypertension-history", "display" : "高血壓病史" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-diabetes-history-unknown-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-diabetes-history-unknown-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-diabetes-history-unknown-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 糖尿病病史

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15

dataAbsentReason: Unknown

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "diabetes-history", "display" : "糖尿病病史" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "dataAbsentReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-cigarettes-per-day-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-cigarettes-per-day-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-cigarettes-per-day-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 每日吸菸量

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "cigarettes-per-day", "display" : "每日吸菸量" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueQuantity" : { "value" : 20, "unit" : "{cigarette}/d", "system" : "http://unitsofmeasure.org", "code" : "{cigarette}/d" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-cancer-name-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-cancer-name-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRiskFactor"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-cancer-name-example

Profile: 腦中風－危險因子與病史

status: Final

category: Survey

code: 癌症名稱

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: 大腸癌

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "cancer-name", "display" : "癌症名稱" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueString" : "大腸癌" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-toast-classification-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-toast-classification-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeClinicalAssessment"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-toast-classification-example

Profile: 腦中風－中風分類評估

status: Final

category: Survey

code: TOAST 分類

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "toast-classification", "display" : "TOAST 分類" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/toast-classification", "code" : "3", "display" : "心因性栓塞" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-pre-stroke-independent-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-pre-stroke-independent-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeClinicalAssessment"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-pre-stroke-independent-example

Profile: 腦中風－中風分類評估

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: true

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "pre-stroke" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "pre-stroke-independent", "display" : "中風前可獨立生活" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-admission-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-nihss-admission-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-nihss-admission-example

Profile: 腦中風－NIHSS 評估

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\u00a0(use:\u00a0official))

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

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }, { "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-sequence", "valuePositiveInt" : 1 }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72089-6", "display" : "Total score [NIH Stroke Scale]" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T10:30:00+08:00", "valueInteger" : 12, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70184-7", "display" : "Level of consciousness [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70185-4", "display" : "LOC questions [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70186-2", "display" : "LOC commands [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70187-0", "display" : "Best gaze [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70188-8", "display" : "Visual [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70189-6", "display" : "Facial palsy [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70190-4", "display" : "Motor arm Left arm [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70967-5", "display" : "Motor arm Right arm [NIH Stroke Scale]" }] }, "valueInteger" : 3 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70191-2", "display" : "Motor leg Leg - left [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70968-3", "display" : "Motor leg Leg - right [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70192-0", "display" : "Limb ataxia [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70193-8", "display" : "Sensory [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70194-6", "display" : "Best language [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70195-3", "display" : "Dysarthria [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70196-1", "display" : "Extinction and inattention [NIH Stroke Scale]" }] }, "valueInteger" : 0 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-24h-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-nihss-24h-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-nihss-24h-example

Profile: 腦中風－NIHSS 評估

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\u00a0(use:\u00a0official))

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

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "24h" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72089-6", "display" : "Total score [NIH Stroke Scale]" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-16T11:00:00+08:00", "valueInteger" : 6, "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70184-7", "display" : "Level of consciousness [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70185-4", "display" : "LOC questions [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70186-2", "display" : "LOC commands [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70187-0", "display" : "Best gaze [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70188-8", "display" : "Visual [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70189-6", "display" : "Facial palsy [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70190-4", "display" : "Motor arm Left arm [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70967-5", "display" : "Motor arm Right arm [NIH Stroke Scale]" }] }, "valueInteger" : 2 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70191-2", "display" : "Motor leg Leg - left [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70968-3", "display" : "Motor leg Leg - right [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70192-0", "display" : "Limb ataxia [NIH Stroke Scale]" }] }, "valueInteger" : 0 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70193-8", "display" : "Sensory [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70194-6", "display" : "Best language [NIH Stroke Scale]" }] }, "valueInteger" : 1 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70195-3", "display" : "Dysarthria [NIH Stroke Scale]" }] }, "valueString" : "X" }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "70196-1", "display" : "Extinction and inattention [NIH Stroke Scale]" }] }, "valueInteger" : 0 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-pre-stroke-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-mrs-pre-stroke-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMRS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-mrs-pre-stroke-example

Profile: 腦中風－mRS 評估

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\u00a0(use:\u00a0official))

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

value: 0

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "pre-stroke" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "75859-9", "display" : "Modified rankin scale" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueInteger" : 0 } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-discharge-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-mrs-discharge-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMRS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-mrs-discharge-example

Profile: 腦中風－mRS 評估

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\u00a0(use:\u00a0official))

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

effective: 2025-01-28

value: 3

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "discharge" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "75859-9", "display" : "Modified rankin scale" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-28", "valueInteger" : 3 } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-gcs-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-gcs-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeGCS"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-gcs-example

Profile: 腦中風－昏迷指數

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\u00a0(use:\u00a0official))

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

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "admission" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9269-2", "display" : "Glasgow coma score total" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9267-6", "display" : "Glasgow coma score eye opening" }] }, "valueInteger" : 3 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9270-0", "display" : "Glasgow coma score verbal" }] }, "valueInteger" : 4 }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9268-4", "display" : "Glasgow coma score motor" }] }, "valueInteger" : 6 }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-height-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-height-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyHeight"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-height-example

Profile: 腦中風－身高

status: Final

category: Vital Signs

code: Body height

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8302-2", "display" : "Body height" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:40:00+08:00", "valueQuantity" : { "value" : 165.5, "unit" : "cm", "system" : "http://unitsofmeasure.org", "code" : "cm" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-weight-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-weight-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyWeight"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-weight-example

Profile: 腦中風－體重

status: Final

category: Vital Signs

code: Body weight

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "29463-7", "display" : "Body weight" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:40:00+08:00", "valueQuantity" : { "value" : 62.3, "unit" : "kg", "system" : "http://unitsofmeasure.org", "code" : "kg" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-temperature-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-body-temperature-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyTemperature"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-body-temperature-example

Profile: 腦中風－體溫

status: Final

category: Vital Signs

code: Body temperature

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8310-5", "display" : "Body temperature" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 36.8, "unit" : "°C", "system" : "http://unitsofmeasure.org", "code" : "Cel" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-heart-rate-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-heart-rate-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeHeartRate"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-heart-rate-example

Profile: 腦中風－心率

status: Final

category: Vital Signs

code: Heart rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8867-4", "display" : "Heart rate" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 88, "unit" : "/min", "system" : "http://unitsofmeasure.org", "code" : "/min" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-respiratory-rate-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-respiratory-rate-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRespiratoryRate"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-respiratory-rate-example

Profile: 腦中風－呼吸速率

status: Final

category: Vital Signs

code: Respiratory rate

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "9279-1", "display" : "Respiratory rate" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "valueQuantity" : { "value" : 18, "unit" : "/min", "system" : "http://unitsofmeasure.org", "code" : "/min" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-blood-pressure-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-blood-pressure-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBloodPressure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-blood-pressure-example

Profile: 腦中風－血壓

status: Final

category: Vital Signs

code: Blood pressure panel with all children optional

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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]')

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "vital-signs", "display" : "Vital Signs" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "85354-9", "display" : "Blood pressure panel with all children optional" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T08:35:00+08:00", "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8480-6", "display" : "Systolic blood pressure" }] }, "valueQuantity" : { "value" : 168, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }, { "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "8462-4", "display" : "Diastolic blood pressure" }] }, "valueQuantity" : { "value" : 95, "unit" : "mmHg", "system" : "http://unitsofmeasure.org", "code" : "mm[Hg]" } }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-smoking-status-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-smoking-status-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeSmokingStatus"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-smoking-status-example

Profile: 腦中風－吸菸狀態

status: Final

category: Social History

code: Tobacco smoking status

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: Ex-smoker

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "social-history", "display" : "Social History" }] }], "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "72166-2", "display" : "Tobacco smoking status" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "8517006", "display" : "Ex-smoker" }, { "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/smoking-status-detail", "code" : "2", "display" : "已戒菸（2 年或以下）" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-hemoglobin-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-lab-hemoglobin-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeLaboratory"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-lab-hemoglobin-example

Profile: 腦中風－檢驗結果

status: Final

category: Laboratory

code: 血紅素（Hb）

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "hemoglobin", "display" : "血紅素（Hb）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T09:50:00+08:00", "valueQuantity" : { "value" : 13.2 } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-inr-not-available-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-lab-inr-not-available-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeLaboratory"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-lab-inr-not-available-example

Profile: 腦中風－檢驗結果

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\u00a0(use:\u00a0official))

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

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory", "display" : "Laboratory" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "pt-inr", "display" : "凝血酶原時間國際標準化比值（INR）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T09:50:00+08:00", "dataAbsentReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-statin-pre-admission-example", "resource" : { "resourceType" : "MedicationStatement", "id" : "stroke-medstatement-statin-pre-admission-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationStatement"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationStatement stroke-medstatement-statin-pre-admission-example

Profile: 腦中風－用藥紀錄

腦中風－用藥紀錄時窗: pre-admission

status: Not Taken

medication: statin 類降血脂藥

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/medication-recording-context", "valueCode" : "pre-admission" }], "status" : "not-taken", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "statin", "display" : "statin 類降血脂藥" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-ivtpa-example", "resource" : { "resourceType" : "MedicationAdministration", "id" : "stroke-medadmin-ivtpa-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationAdministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration stroke-medadmin-ivtpa-example

Profile: 腦中風－給藥紀錄

status: Completed

medication: IV-tPA

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

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

Dosages

-TextDose
*45 mg45 mg (Details: UCUM codemg = 'mg')
" }, "status" : "completed", "medicationCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication", "code" : "iv-tpa-unspecified", "display" : "靜脈血栓溶解劑 IV-tPA（品項未明）" }], "text" : "IV-tPA" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T10:15:00+08:00", "dosage" : { "text" : "45 mg", "dose" : { "value" : 45, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-sedation-example", "resource" : { "resourceType" : "MedicationAdministration", "id" : "stroke-medadmin-sedation-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationAdministration"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationAdministration stroke-medadmin-sedation-example

Profile: 腦中風－給藥紀錄

partOf: Procedure 動脈內血栓移除術

status: Completed

medication: Fentanyl

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15 11:02:00+0800

Dosages

-TextDose
*Fentanyl 50 mcg IV50 mcg (Details: UCUM codeug = 'ug')
" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "completed", "medicationCodeableConcept" : { "text" : "Fentanyl" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15T11:02:00+08:00", "dosage" : { "text" : "Fentanyl 50 mcg IV", "dose" : { "value" : 50, "unit" : "mcg", "system" : "http://unitsofmeasure.org", "code" : "ug" } } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-intra-arterial-example", "resource" : { "resourceType" : "MedicationAdministration", "id" : "stroke-medadmin-intra-arterial-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeMedicationAdministration"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationAdministration stroke-medadmin-intra-arterial-example

Profile: 腦中風－給藥紀錄

partOf: Procedure 動脈內血栓移除術

status: Completed

medication: Urokinase

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 腦中風－來源事件時間: 11:20:00

note:

劑量原文：20 萬單位，分次給予

\n
" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "completed", "medicationCodeableConcept" : { "text" : "Urokinase" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "context" : { "reference" : "Encounter/stroke-encounter-example" }, "_effectiveDateTime" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "11:20:00" }] }, "note" : [{ "text" : "劑量原文：20 萬單位，分次給予" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/ImagingStudy/stroke-imagingstudy-ctp-example", "resource" : { "resourceType" : "ImagingStudy", "id" : "stroke-imagingstudy-ctp-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ImagingStudy stroke-imagingstudy-ctp-example

Profile: 腦中風－影像檢查

status: Available

modality: DICOM: CT (Computed Tomography)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

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）

" }, "status" : "available", "modality" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "CT", "display" : "Computed Tomography" }], "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "started" : "2025-01-15T09:55:00+08:00", "procedureCode" : [{ "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/rapid-scan-type", "code" : "CTP", "display" : "CT 灌流" }], "text" : "CT 灌流攝影" }], "description" : "EVT 前 CT 灌流（RAPID 影像分析）" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/ImagingStudy/stroke-imagingstudy-follow-up-mr-example", "resource" : { "resourceType" : "ImagingStudy", "id" : "stroke-imagingstudy-follow-up-mr-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: ImagingStudy stroke-imagingstudy-follow-up-mr-example

Profile: 腦中風－影像檢查

status: Available

modality: DICOM: MR (Magnetic Resonance)

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

procedureCode: 腦部 MR

description: 追蹤 MR

" }, "status" : "available", "modality" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "MR", "display" : "Magnetic Resonance" }], "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_started" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "08:30:00" }] }, "procedureCode" : [{ "text" : "腦部 MR" }], "description" : "追蹤 MR" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-imaging-aspects-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-imaging-aspects-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-imaging-aspects-example

Profile: 腦中風－影像判讀結果

status: Final

category: Imaging

code: ASPECTS 分數

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: 8

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "imaging", "display" : "Imaging" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "aspects-score", "display" : "ASPECTS 分數" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueInteger" : 8 } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-imaging-core-volume-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-imaging-core-volume-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-imaging-core-volume-example

Profile: 腦中風－影像判讀結果

status: Final

category: Imaging

code: 灌流核心梗塞體積

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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）

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "imaging", "display" : "Imaging" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "perfusion-core-volume", "display" : "灌流核心梗塞體積" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueQuantity" : { "value" : 12, "unit" : "mL", "system" : "http://unitsofmeasure.org", "code" : "mL" }, "derivedFrom" : [{ "reference" : "ImagingStudy/stroke-imagingstudy-ctp-example" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-evt-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure stroke-procedure-evt-example

Profile: 腦中風－醫療處置

status: Completed

code: 動脈內血栓移除術

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

performed: 2025-01-15 11:00:00+0800 --> 2025-01-15 12:10:00+0800

" }, "status" : "completed", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "evt", "display" : "動脈內血栓移除術（EVT）" }, { "system" : "http://snomed.info/sct", "code" : "439541007", "display" : "Percutaneous thrombectomy of cerebral artery using fluoroscopic guidance with contrast" }], "text" : "動脈內血栓移除術" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "performedPeriod" : { "start" : "2025-01-15T11:00:00+08:00", "end" : "2025-01-15T12:10:00+08:00" } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-puncture-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-evt-puncture-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Procedure stroke-procedure-evt-puncture-example

Profile: 腦中風－醫療處置

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\u00a0(use:\u00a0official))

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

performed: 2025-01-15 11:05:00+0800

bodySite: 腹股溝

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "completed", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "evt-puncture", "display" : "EVT 動脈穿刺" }], "text" : "EVT 動脈穿刺" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "performedDateTime" : "2025-01-15T11:05:00+08:00", "bodySite" : [{ "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/puncture-site", "code" : "1", "display" : "腹股溝" }, { "system" : "http://snomed.info/sct", "code" : "26893007", "display" : "Inguinal region structure" }], "text" : "腹股溝" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-stent-retriever-example", "resource" : { "resourceType" : "Procedure", "id" : "stroke-procedure-stent-retriever-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedure"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Procedure stroke-procedure-stent-retriever-example

Profile: 腦中風－醫療處置

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\u00a0(use:\u00a0official))

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

performed: 腦中風－來源事件時間: 11:30:00

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "completed", "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure", "code" : "stent-retriever-thrombectomy", "display" : "支架取栓" }], "text" : "支架取栓" }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "_performedDateTime" : { "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/event-time-only", "valueTime" : "11:30:00" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-target-vessel-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-target-vessel-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtProcedureDetail"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-target-vessel-example

Profile: 腦中風－EVT 處置細節

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: true

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "target-vessel-m1-right", "display" : "目標血管：右側中大腦動脈 M1 段" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-aortic-arch-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-aortic-arch-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtProcedureDetail"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-aortic-arch-example

Profile: 腦中風－EVT 處置細節

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: 第 II 型

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "aortic-arch-type", "display" : "主動脈弓分型" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/aortic-arch-type", "code" : "2", "display" : "第 II 型" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-aspiration-rescue-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-aspiration-rescue-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtProcedureDetail"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-aspiration-rescue-example

Profile: 腦中風－EVT 處置細節

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\u00a0(use:\u00a0official))

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

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "aspiration-rescue-strategy", "display" : "抽吸失敗後救援策略" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy", "code" : "rescue-sr", "display" : "支架取栓器救援" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-stent-retriever-pass-count-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-stent-retriever-pass-count-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtProcedureDetail"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-stent-retriever-pass-count-example

Profile: 腦中風－EVT 處置細節

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: 2

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "stent-retriever-pass-count", "display" : "支架取栓次數" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueString" : "2" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-first-recanalization-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-first-recanalization-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProcedureResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-first-recanalization-example

Profile: 腦中風－處置時點結果

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\u00a0(use:\u00a0official))

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

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

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "procedure", "display" : "Procedure" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "first-recanalization-time", "display" : "首次血管再通時間" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueDateTime" : "2025-01-15T11:42:00+08:00" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-final-tici-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-final-tici-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtOutcome"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-final-tici-example

Profile: 腦中風－EVT 術後結果

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\u00a0(use:\u00a0official))

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

effective: 2025-01-15

value: TICI 2b 級

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "final-tici-grade", "display" : "最終 TICI 分級" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/tici-grade", "code" : "2b", "display" : "TICI 2b 級" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-post-bp-target-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-post-bp-target-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtOutcome"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-post-bp-target-example

Profile: 腦中風－EVT 術後結果

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\u00a0(use:\u00a0official))

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

value: 低於 160 mmHg

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "post-evt-bp-target", "display" : "EVT 後血壓控制目標" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/post-evt-bp-target", "code" : "2", "display" : "低於 160 mmHg" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-no-complication-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-no-complication-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtOutcome"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-no-complication-example

Profile: 腦中風－EVT 術後結果

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\u00a0(use:\u00a0official))

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

value: true

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "no-evt-complication", "display" : "無 EVT 相關併發症" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-evt-follow-up-imaging-ich-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-evt-follow-up-imaging-ich-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEvtOutcome"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-evt-follow-up-imaging-ich-example

Profile: 腦中風－EVT 術後結果

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\u00a0(use:\u00a0official))

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

" }, "partOf" : [{ "reference" : "Procedure/stroke-procedure-evt-example" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "follow-up-imaging-ich", "display" : "追蹤影像顯示顱內出血" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-16T09:30:00+08:00", "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-complication-pneumonia-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-complication-pneumonia-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeComplication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-complication-pneumonia-example

Profile: 腦中風－住院併發症與惡化

status: Final

category: Survey

code: 住院併發症：肺炎

subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))

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

value: true

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "complication-pneumonia", "display" : "住院併發症：肺炎" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-complication-other-name-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-complication-other-name-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeComplication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-complication-other-name-example

Profile: 腦中風－住院併發症與惡化

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\u00a0(use:\u00a0official))

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

value: 壓力性損傷

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "complication-other-name", "display" : "其他住院併發症名稱" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueString" : "壓力性損傷" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-neurologic-deterioration-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-neurologic-deterioration-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeComplication"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-neurologic-deterioration-example

Profile: 腦中風－住院併發症與惡化

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\u00a0(use:\u00a0official))

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

value: false

" }, "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "neurologic-deterioration-nihss-2-or-more", "display" : "中風惡化（NIHSS 增加至少 2 分）" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueBoolean" : false } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-discharge-destination-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-discharge-destination-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOutcome"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-discharge-destination-example

Profile: 腦中風－離院與追蹤結果

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\u00a0(use:\u00a0official))

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

effective: 2025-01-28

value: 轉院

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "discharge" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "discharge-destination", "display" : "離院去向" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-01-28", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/discharge-destination", "code" : "4", "display" : "轉院" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-three-month-residence-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-three-month-residence-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOutcome"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-three-month-residence-example

Profile: 腦中風－離院與追蹤結果

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\u00a0(use:\u00a0official))

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

effective: 2025-04-15

value: 住家

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "3-month" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "three-month-residence", "display" : "中風後 3 個月所在處所" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "effectiveDateTime" : "2025-04-15", "valueCodeableConcept" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/three-month-residence", "code" : "1", "display" : "住家" }] } } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-recurrent-stroke-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-recurrent-stroke-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOutcome"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-recurrent-stroke-example

Profile: 腦中風－離院與追蹤結果

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\u00a0(use:\u00a0official))

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

value: true

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "unclassified" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "recurrent-stroke", "display" : "追蹤期間再中風" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueBoolean" : true } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-recurrent-stroke-date-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-recurrent-stroke-date-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOutcome"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation stroke-recurrent-stroke-date-example

Profile: 腦中風－離院與追蹤結果

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\u00a0(use:\u00a0official))

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

value: 2025-04-02

" }, "extension" : [{ "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase", "valueCode" : "unclassified" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "survey", "display" : "Survey" }] }], "code" : { "coding" : [{ "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation", "code" : "recurrent-stroke-date", "display" : "再中風日期" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "encounter" : { "reference" : "Encounter/stroke-encounter-example" }, "valueDateTime" : "2025-04-02" } }] }