{ "resourceType" : "Bundle", "id" : "stroke-bundle-rapid-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidBundle"] }, "identifier" : { "system" : "http://www.vghks.gov.tw/rapid-record-key", "value" : "1A0|EX00000001|REQ-EXAMPLE-0001|CTP" }, "type" : "collection", "timestamp" : "2025-01-15T10:30:00+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/QuestionnaireResponse/stroke-registry-response-rapid-example", "resource" : { "resourceType" : "QuestionnaireResponse", "id" : "stroke-registry-response-rapid-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRegistryResponse"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: QuestionnaireResponse stroke-registry-response-rapid-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
LinkIDTextDefinitionAnswer\"doco\"
\"\"\"\" stroke-registry-response-rapid-exampleQuestionnaire:腦中風登錄表單
\"\"\"\"\"\" stroke-registry-response-rapid-example / rapid.rpreqnoRAPID 影像申請序號REQ-EXAMPLE-0001
\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapidRAPID 原始值
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.rpreqno申請序號REQ-EXAMPLE-0001
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.scantype掃描類型CTP
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.aspectsASPECTS 分數8
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.cbfVolumeCBF<30% 體積0
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.tmaxVolumeTmax>6 秒體積85
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.mismatchRatio不一致比率9999
\"\"\"\"\"\"\"\" stroke-registry-response-rapid-example / raw.rapid / raw.rapid.hid醫院代號1A0

\"doco\" Documentation for this format
" }, "questionnaire" : "http://vgh-stroke-ig.fhir.tw/Questionnaire/stroke-registry|0.1.0", "status" : "in-progress", "subject" : { "reference" : "Patient/stroke-patient-example" }, "_authored" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }] }, "item" : [{ "linkId" : "rapid.rpreqno", "text" : "RAPID 影像申請序號", "answer" : [{ "valueString" : "REQ-EXAMPLE-0001" }] }, { "linkId" : "raw.rapid", "text" : "RAPID 原始值", "item" : [{ "linkId" : "raw.rapid.rpreqno", "text" : "申請序號", "answer" : [{ "valueString" : "REQ-EXAMPLE-0001" }] }, { "linkId" : "raw.rapid.scantype", "text" : "掃描類型", "answer" : [{ "valueString" : "CTP" }] }, { "linkId" : "raw.rapid.aspects", "text" : "ASPECTS 分數", "answer" : [{ "valueString" : "8" }] }, { "linkId" : "raw.rapid.cbfVolume", "text" : "CBF<30% 體積", "answer" : [{ "valueString" : "0" }] }, { "linkId" : "raw.rapid.tmaxVolume", "text" : "Tmax>6 秒體積", "answer" : [{ "valueString" : "85" }] }, { "linkId" : "raw.rapid.mismatchRatio", "text" : "不一致比率", "answer" : [{ "valueString" : "9999" }] }, { "linkId" : "raw.rapid.hid", "text" : "醫院代號", "answer" : [{ "valueString" : "1A0" }] }] }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Provenance/stroke-rapid-provenance-example", "resource" : { "resourceType" : "Provenance", "id" : "stroke-rapid-provenance-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeProvenance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Provenance stroke-rapid-provenance-example

Profile: 腦中風－資料來源追溯

Provenance for:

Summary

Recorded2025-01-15 10:30:00+0800

Agents

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

Entities

RoleWhat
SourceRAPID 影像分析紀錄（範例）
" }, "target" : [{ "reference" : "QuestionnaireResponse/stroke-registry-response-rapid-example" }, { "reference" : "ImagingStudy/stroke-rapid-imagingstudy-example" }, { "reference" : "Observation/stroke-rapid-aspects-example" }, { "reference" : "Observation/stroke-rapid-core-volume-example" }, { "reference" : "Observation/stroke-rapid-tmax-volume-example" }, { "reference" : "Observation/stroke-rapid-mismatch-ratio-example" }], "recorded" : "2025-01-15T10:30:00+08:00", "agent" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code" : "author", "display" : "Author" }] }, "who" : { "reference" : "Organization/stroke-organization-vghks" } }], "entity" : [{ "role" : "source", "what" : { "display" : "RAPID 影像分析紀錄（範例）" } }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/ImagingStudy/stroke-rapid-imagingstudy-example", "resource" : { "resourceType" : "ImagingStudy", "id" : "stroke-rapid-imagingstudy-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingStudy"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: ImagingStudy stroke-rapid-imagingstudy-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))

procedureCode: CT 灌流攝影

description: RAPID 影像分析（CTP）

" }, "status" : "available", "modality" : [{ "system" : "http://dicom.nema.org/resources/ontology/DCM", "code" : "CT", "display" : "Computed Tomography" }], "subject" : { "reference" : "Patient/stroke-patient-example" }, "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" : "RAPID 影像分析（CTP）" } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-rapid-aspects-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-rapid-aspects-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-rapid-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))

value: 8

derivedFrom: ImagingStudy: status = available; modality = Computed Tomography (DICOM#CT); procedureCode = CT 灌流攝影; description = RAPID 影像分析（CTP）

" }, "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" }, "valueInteger" : 8, "derivedFrom" : [{ "reference" : "ImagingStudy/stroke-rapid-imagingstudy-example" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-rapid-core-volume-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-rapid-core-volume-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-rapid-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))

value: 0 mL (Details: UCUM codemL = 'mL')

derivedFrom: ImagingStudy: status = available; modality = Computed Tomography (DICOM#CT); procedureCode = CT 灌流攝影; description = RAPID 影像分析（CTP）

" }, "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" }, "valueQuantity" : { "value" : 0, "unit" : "mL", "system" : "http://unitsofmeasure.org", "code" : "mL" }, "derivedFrom" : [{ "reference" : "ImagingStudy/stroke-rapid-imagingstudy-example" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-rapid-tmax-volume-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-rapid-tmax-volume-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-rapid-tmax-volume-example

Profile: 腦中風－影像判讀結果

status: Final

category: Imaging

code: Tmax > 6 秒體積

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

value: 85 mL (Details: UCUM codemL = 'mL')

derivedFrom: ImagingStudy: status = available; modality = Computed Tomography (DICOM#CT); procedureCode = CT 灌流攝影; description = RAPID 影像分析（CTP）

" }, "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" : "tmax-over-6s-volume", "display" : "Tmax > 6 秒體積" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "valueQuantity" : { "value" : 85, "unit" : "mL", "system" : "http://unitsofmeasure.org", "code" : "mL" }, "derivedFrom" : [{ "reference" : "ImagingStudy/stroke-rapid-imagingstudy-example" }] } }, { "fullUrl" : "http://vgh-stroke-ig.fhir.tw/Observation/stroke-rapid-mismatch-ratio-example", "resource" : { "resourceType" : "Observation", "id" : "stroke-rapid-mismatch-ratio-example", "meta" : { "profile" : ["http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeImagingResult"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Observation stroke-rapid-mismatch-ratio-example

Profile: 腦中風－影像判讀結果

status: Final

category: Imaging

code: 灌流 mismatch 比值

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

dataAbsentReason: 來源 9999：無法計算

derivedFrom: ImagingStudy: status = available; modality = Computed Tomography (DICOM#CT); procedureCode = CT 灌流攝影; description = RAPID 影像分析（CTP）

" }, "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-mismatch-ratio", "display" : "灌流 mismatch 比值" }] }, "subject" : { "reference" : "Patient/stroke-patient-example" }, "dataAbsentReason" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code" : "unknown", "display" : "Unknown" }], "text" : "來源 9999：無法計算" }, "derivedFrom" : [{ "reference" : "ImagingStudy/stroke-rapid-imagingstudy-example" }] } }] }