臺灣榮總腦中風實作指引(TW VGH Stroke IG)
0.1.0 - ci-build
臺灣榮總腦中風實作指引(TW VGH Stroke IG), published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions
<Observation xmlns="http://hl7.org/fhir">
<id value="stroke-nihss-24h-example"/>
<meta>
<profile
value="http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation stroke-nihss-24h-example</b></p><a name="stroke-nihss-24h-example"> </a><a name="hcstroke-nihss-24h-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-StrokeNIHSS.html">腦中風-NIHSS 評估</a></p></div><p><b>腦中風-評估時點</b>: 24h</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 72089-6}">Total score [NIH Stroke Scale]</span></p><p><b>subject</b>: <a href="Patient-stroke-patient-example.html">Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))</a></p><p><b>encounter</b>: <a href="Encounter-stroke-encounter-example.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28</a></p><p><b>effective</b>: 2025-01-16 11:00:00+0800</p><p><b>value</b>: 6</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70184-7}">Level of consciousness [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70185-4}">LOC questions [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70186-2}">LOC commands [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70187-0}">Best gaze [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70188-8}">Visual [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70189-6}">Facial palsy [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70190-4}">Motor arm Left arm [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70967-5}">Motor arm Right arm [NIH Stroke Scale]</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70191-2}">Motor leg Leg - left [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70968-3}">Motor leg Leg - right [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70192-0}">Limb ataxia [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70193-8}">Sensory [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70194-6}">Best language [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70195-3}">Dysarthria [NIH Stroke Scale]</span></p><p><b>value</b>: X</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 70196-1}">Extinction and inattention [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote></div>
</text>
<extension
url="http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase">
<valueCode value="24h"/>
</extension>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="survey"/>
<display value="Survey"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="72089-6"/>
<display value="Total score [NIH Stroke Scale]"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/stroke-patient-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/stroke-encounter-example"/>
</encounter>
<effectiveDateTime value="2025-01-16T11:00:00+08:00"/>
<valueInteger value="6"/>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70184-7"/>
<display value="Level of consciousness [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70185-4"/>
<display value="LOC questions [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70186-2"/>
<display value="LOC commands [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70187-0"/>
<display value="Best gaze [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70188-8"/>
<display value="Visual [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70189-6"/>
<display value="Facial palsy [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70190-4"/>
<display value="Motor arm Left arm [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70967-5"/>
<display value="Motor arm Right arm [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="2"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70191-2"/>
<display value="Motor leg Leg - left [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70968-3"/>
<display value="Motor leg Leg - right [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70192-0"/>
<display value="Limb ataxia [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70193-8"/>
<display value="Sensory [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70194-6"/>
<display value="Best language [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="1"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70195-3"/>
<display value="Dysarthria [NIH Stroke Scale]"/>
</coding>
</code>
<valueString value="X"/>
</component>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="70196-1"/>
<display value="Extinction and inattention [NIH Stroke Scale]"/>
</coding>
</code>
<valueInteger value="0"/>
</component>
</Observation>