@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "stroke-procedure"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem stroke-procedure</b></p><a name=\"stroke-procedure\"> </a><a name=\"hcstroke-procedure\"> </a><p>This case-sensitive code system <code>http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">evt<a name=\"stroke-procedure-evt\"> </a></td><td>動脈內血栓移除術（EVT）</td><td>急性缺血性腦中風血管內血栓移除治療主處置。動脈穿刺、支架取栓、抽吸取栓、置放支架等子處置，以 partOf 參照此處置。</td></tr><tr><td style=\"white-space:nowrap\">ia-thrombectomy<a name=\"stroke-procedure-ia-thrombectomy\"> </a></td><td>動脈內取栓</td><td>住院期間執行的動脈內取栓治療，只記錄是否執行，不含術中細節。</td></tr><tr><td style=\"white-space:nowrap\">urinary-catheter-insertion<a name=\"stroke-procedure-urinary-catheter-insertion\"> </a></td><td>留置導尿管</td><td>住院期間留置導尿管（Foley）。</td></tr><tr><td style=\"white-space:nowrap\">rehabilitation<a name=\"stroke-procedure-rehabilitation\"> </a></td><td>復健治療</td><td>住院期間接受復健治療。</td></tr><tr><td style=\"white-space:nowrap\">mechanical-ventilation<a name=\"stroke-procedure-mechanical-ventilation\"> </a></td><td>使用呼吸器</td><td>住院期間使用呼吸器（機械通氣）。</td></tr><tr><td style=\"white-space:nowrap\">nasogastric-tube-insertion<a name=\"stroke-procedure-nasogastric-tube-insertion\"> </a></td><td>留置鼻胃管</td><td>住院期間留置鼻胃管。</td></tr><tr><td style=\"white-space:nowrap\">dysphagia-screening<a name=\"stroke-procedure-dysphagia-screening\"> </a></td><td>吞嚥篩檢</td><td>住院期間執行吞嚥功能篩檢。</td></tr><tr><td style=\"white-space:nowrap\">smoking-cessation-counseling<a name=\"stroke-procedure-smoking-cessation-counseling\"> </a></td><td>戒菸衛教</td><td>住院期間對病人進行戒菸衛教。</td></tr><tr><td style=\"white-space:nowrap\">stroke-education<a name=\"stroke-procedure-stroke-education\"> </a></td><td>中風衛教</td><td>住院期間對病人或家屬進行中風衛教。</td></tr><tr><td style=\"white-space:nowrap\">surgical-treatment<a name=\"stroke-procedure-surgical-treatment\"> </a></td><td>手術治療（未指明術式）</td><td>住院期間接受手術，未指明術式。</td></tr><tr><td style=\"white-space:nowrap\">evt-puncture<a name=\"stroke-procedure-evt-puncture\"> </a></td><td>EVT 動脈穿刺</td><td>EVT 建立血管通路的動脈穿刺。穿刺時間填 performedDateTime，穿刺部位填 bodySite。</td></tr><tr><td style=\"white-space:nowrap\">stent-placement<a name=\"stroke-procedure-stent-placement\"> </a></td><td>置放支架</td><td>EVT 過程中置放血管支架。</td></tr><tr><td style=\"white-space:nowrap\">aspiration-thrombectomy<a name=\"stroke-procedure-aspiration-thrombectomy\"> </a></td><td>抽吸取栓</td><td>EVT 過程中以抽吸導管移除血栓。</td></tr><tr><td style=\"white-space:nowrap\">intra-arterial-drug-therapy<a name=\"stroke-procedure-intra-arterial-drug-therapy\"> </a></td><td>動脈內藥物治療</td><td>EVT 過程中經動脈給藥（例如血栓溶解劑），藥品與劑量填在給藥紀錄。</td></tr><tr><td style=\"white-space:nowrap\">stent-retriever-thrombectomy<a name=\"stroke-procedure-stent-retriever-thrombectomy\"> </a></td><td>支架取栓</td><td>EVT 過程中以支架取栓器移除血栓。</td></tr><tr><td style=\"white-space:nowrap\">balloon-angioplasty<a name=\"stroke-procedure-balloon-angioplasty\"> </a></td><td>球囊血管成形術</td><td>EVT 過程中以球囊擴張狹窄血管。</td></tr><tr><td style=\"white-space:nowrap\">decompressive-craniectomy<a name=\"stroke-procedure-decompressive-craniectomy\"> </a></td><td>減壓性顱骨切除術</td><td>切除部分顱骨以降低顱內壓的手術。</td></tr><tr><td style=\"white-space:nowrap\">hematoma-evacuation<a name=\"stroke-procedure-hematoma-evacuation\"> </a></td><td>血腫清除術</td><td>以手術清除顱內血腫。</td></tr><tr><td style=\"white-space:nowrap\">external-ventricular-drainage<a name=\"stroke-procedure-external-ventricular-drainage\"> </a></td><td>腦室外引流術（EVD）</td><td>放置腦室外引流管，將腦脊髓液引流至體外。</td></tr><tr><td style=\"white-space:nowrap\">ventriculoperitoneal-shunt<a name=\"stroke-procedure-ventriculoperitoneal-shunt\"> </a></td><td>腦室腹腔分流術（VP shunt）</td><td>放置分流管，將腦脊髓液由腦室引流至腹腔。</td></tr><tr><td style=\"white-space:nowrap\">other-surgery<a name=\"stroke-procedure-other-surgery\"> </a></td><td>其他手術</td><td>住院期間接受的其他手術，術式名稱填在 Procedure.code.text。</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure"] ;
  fhir:CodeSystem.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.25.56596865537018584225811559403070491633" ]
  ] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "StrokeProcedureCS"] ;
  fhir:CodeSystem.title [ fhir:value "腦中風－醫療處置代碼"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-07T16:40:32+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "高雄榮民總醫院 (VGHKS)"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "高雄榮民總醫院 (VGHKS)" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.vghks.gov.tw/" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "此 CodeSystem 定義本 IG 用於 Procedure.code 的本地處置代碼，包含 EVT 主處置與其子處置（動脈穿刺、支架取栓、抽吸取栓、置放支架等）、腦部手術，以及住院期間的處置與衛教。若有對應的 SNOMED CT 代碼，可在 Procedure.code 同時填入。"] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "21"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "evt" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "動脈內血栓移除術（EVT）" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "急性缺血性腦中風血管內血栓移除治療主處置。動脈穿刺、支架取栓、抽吸取栓、置放支架等子處置，以 partOf 參照此處置。" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "ia-thrombectomy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "動脈內取栓" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間執行的動脈內取栓治療，只記錄是否執行，不含術中細節。" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "urinary-catheter-insertion" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "留置導尿管" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間留置導尿管（Foley）。" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "rehabilitation" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "復健治療" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間接受復健治療。" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "mechanical-ventilation" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "使用呼吸器" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間使用呼吸器（機械通氣）。" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "nasogastric-tube-insertion" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "留置鼻胃管" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間留置鼻胃管。" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "dysphagia-screening" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "吞嚥篩檢" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間執行吞嚥功能篩檢。" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "smoking-cessation-counseling" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "戒菸衛教" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間對病人進行戒菸衛教。" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "stroke-education" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "中風衛教" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間對病人或家屬進行中風衛教。" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "surgical-treatment" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "手術治療（未指明術式）" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間接受手術，未指明術式。" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "evt-puncture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "EVT 動脈穿刺" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 建立血管通路的動脈穿刺。穿刺時間填 performedDateTime，穿刺部位填 bodySite。" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "stent-placement" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "置放支架" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 過程中置放血管支架。" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "aspiration-thrombectomy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "抽吸取栓" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 過程中以抽吸導管移除血栓。" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "intra-arterial-drug-therapy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "動脈內藥物治療" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 過程中經動脈給藥（例如血栓溶解劑），藥品與劑量填在給藥紀錄。" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "stent-retriever-thrombectomy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "支架取栓" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 過程中以支架取栓器移除血栓。" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "balloon-angioplasty" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "球囊血管成形術" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EVT 過程中以球囊擴張狹窄血管。" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "decompressive-craniectomy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "減壓性顱骨切除術" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "切除部分顱骨以降低顱內壓的手術。" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "hematoma-evacuation" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "血腫清除術" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "以手術清除顱內血腫。" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "external-ventricular-drainage" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "腦室外引流術（EVD）" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "放置腦室外引流管，將腦脊髓液引流至體外。" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "ventriculoperitoneal-shunt" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "腦室腹腔分流術（VP shunt）" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "放置分流管，將腦脊髓液由腦室引流至腹腔。" ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "other-surgery" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "其他手術" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "住院期間接受的其他手術，術式名稱填在 Procedure.code.text。" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------