{ "resourceType" : "StructureDefinition", "id" : "StrokeRapidLM", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition StrokeRapidLM

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\"\"\"\" StrokeRapidLM 0..*BaseRAPID 影像分析資料邏輯模型
\"\"\"\"\"\" StrokeRapidLM.hisnummark 1..1Identifier病歷號
\"\"\"\"\"\" StrokeRapidLM.rpreqno 1..1Identifier申請序號
\"\"\"\"\"\" StrokeRapidLM.scantype 1..1code掃描類型
\"\"\"\"\"\" StrokeRapidLM.latestseriesdate 0..1date最近一次掃描 series 日期
\"\"\"\"\"\" StrokeRapidLM.aspectsAffectedside 0..1codeASPECTS 影響側
\"\"\"\"\"\" StrokeRapidLM.aspects 0..1integerASPECTS 分數
\"\"\"\"\"\" StrokeRapidLM.ctaAffectedside 0..1codeCTA 影響側
\"\"\"\"\"\" StrokeRapidLM.cbfVolume 0..1QuantityCBF<30% 體積
\"\"\"\"\"\" StrokeRapidLM.tmaxVolume 0..1QuantityTmax>6 秒體積
\"\"\"\"\"\" StrokeRapidLM.mismatchVolume 0..1Quantity不一致體積
\"\"\"\"\"\" StrokeRapidLM.mismatchRatio 0..1decimal不一致比率
\"\"\"\"\"\" StrokeRapidLM.hypoperfusionIntensityRatio 0..1decimal低灌注強度比值
\"\"\"\"\"\" StrokeRapidLM.hid 1..1Identifier醫院代號
\"\"\"\"\"\" StrokeRapidLM.zrapid 0..1dateTime日期時戳
\"\"\"\"\"\" StrokeRapidLM.mtqualified 0..1stringMTQUALIFIED
\"\"\"\"\"\" StrokeRapidLM.mtqualified16hDefuse3 0..1stringMTQUALIFIED_16H_DEFUSE3
\"\"\"\"\"\" StrokeRapidLM.mtqualified6hExtendia 0..1stringMTQUALIFIED_6H_EXTENDIA
\"\"\"\"\"\" StrokeRapidLM.mtqualified6hSwiftprime 0..1stringMTQUALIFIED_6H_SWIFTPRIME

\"doco\" Documentation for this format
" }, "url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidLM", "version" : "0.1.0", "name" : "StrokeRapidLM", "title" : "RAPID 影像分析資料邏輯模型", "status" : "draft", "date" : "2026-10-07T16:40:32+00:00", "publisher" : "高雄榮民總醫院 (VGHKS)", "contact" : [{ "name" : "高雄榮民總醫院 (VGHKS)", "telecom" : [{ "system" : "url", "value" : "https://www.vghks.gov.tw/" }] }], "description" : "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。", "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "rapid-source", "uri" : "urn:vgh-stroke:source:rapid", "name" : "RAPID 原始欄位對照", "comment" : "對照 RAPID 譯碼簿（NCVA.RAPID）的原始欄位。" }, { "identity" : "fhir", "uri" : "urn:vgh-stroke:fhir-profiles", "name" : "FHIR 路徑對應", "comment" : "各元素對應的 FHIR Profile 與元素路徑。沒有臨床資源對應的元素，原值保存在 StrokeRegistryResponse 的 raw 題目。" }], "kind" : "logical", "abstract" : false, "type" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidLM", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base", "derivation" : "specialization", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "StrokeRapidLM", "path" : "StrokeRapidLM", "short" : "RAPID 影像分析資料邏輯模型", "definition" : "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。", "min" : 0, "max" : "*", "base" : { "path" : "Base", "min" : 0, "max" : "*" }, "isModifier" : false, "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID" }, { "identity" : "fhir", "map" : "StrokeRapidBundle：Bundle", "comment" : "一次 RAPID 掃描的完整資料以一個 StrokeRapidBundle 傳送" }] }, { "id" : "StrokeRapidLM.hisnummark", "path" : "StrokeRapidLM.hisnummark", "short" : "病歷號", "definition" : "病人在本院的病歷號。", "min" : 1, "max" : "1", "base" : { "path" : "StrokeRapidLM.hisnummark", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HISNUMMARK" }, { "identity" : "fhir", "map" : "StrokePatient：Patient.identifier:medicalRecord.value", "comment" : "病歷號原樣保留，不作為 Patient.id。type 固定 v2-0203 MR，system 用院方核定的網址（範例 http://www.vghks.gov.tw/patient-id）。每個院所+病歷號建一筆 Patient。" }] }, { "id" : "StrokeRapidLM.rpreqno", "path" : "StrokeRapidLM.rpreqno", "short" : "申請序號", "definition" : "影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。", "min" : 1, "max" : "1", "base" : { "path" : "StrokeRapidLM.rpreqno", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.RPREQNO" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rapidRequestNo.answer.valueString", "comment" : "linkId 填 rapid.rpreqno，原樣保存。確認語意前不寫入 ImagingStudy／ServiceRequest identifier。" }] }, { "id" : "StrokeRapidLM.scantype", "path" : "StrokeRapidLM.scantype", "short" : "掃描類型", "definition" : "影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。", "min" : 1, "max" : "1", "base" : { "path" : "StrokeRapidLM.scantype", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.SCANTYPE" }, { "identity" : "fhir", "map" : "StrokeImagingStudy：ImagingStudy.procedureCode.coding:rapidScanType", "comment" : "StrokeRapidScanTypeCS 原碼填 CTP／CTA／NCCT（去除尾端空白）；modality 另填 DCM#CT。申請序號（RPREQNO）不是 DICOM UID，不建立 series。" }] }, { "id" : "StrokeRapidLM.latestseriesdate", "path" : "StrokeRapidLM.latestseriesdate", "short" : "最近一次掃描 series 日期", "definition" : "最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.latestseriesdate", "min" : 0, "max" : "1" }, "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.LATESTSERIESDATE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.effectiveDateTime", "comment" : "確認結果取自該最近掃描序列時，才作為該筆影像判讀結果的 effectiveDateTime（只填 YYYY-MM-DD）；未確認配對時原日期存入 StrokeRegistryResponse。" }] }, { "id" : "StrokeRapidLM.aspectsAffectedside", "path" : "StrokeRapidLM.aspectsAffectedside", "short" : "ASPECTS 影響側", "definition" : "ASPECTS 評估的影響側：L＝左腦；R＝右腦。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.aspectsAffectedside", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ASPECTS_AFFECTEDSIDE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueCodeableConcept", "comment" : "code = stroke-observation#aspects-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.aspects", "path" : "StrokeRapidLM.aspects", "short" : "ASPECTS 分數", "definition" : "ASPECTS 分數，範圍 0 至 10。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.aspects", "min" : 0, "max" : "1" }, "type" : [{ "code" : "integer" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ASPECTS" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueInteger", "comment" : "code = stroke-observation#aspects-score；項目代碼填 Observation.code.coding:strokeObservation。ASPECTS 填 0–10 原值。EVT 與 RAPID 來源在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.ctaAffectedside", "path" : "StrokeRapidLM.ctaAffectedside", "short" : "CTA 影響側", "definition" : "電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.ctaAffectedside", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.CTA_AFFECTEDSIDE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueCodeableConcept", "comment" : "code = stroke-observation#cta-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.cbfVolume", "path" : "StrokeRapidLM.cbfVolume", "short" : "CBF<30% 體積", "definition" : "腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.cbfVolume", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.CBF_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-core-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.tmaxVolume", "path" : "StrokeRapidLM.tmaxVolume", "short" : "Tmax>6 秒體積", "definition" : "Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.tmaxVolume", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.TMAX_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#tmax-over-6s-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入 Tmax > 6 秒體積。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.mismatchVolume", "path" : "StrokeRapidLM.mismatchVolume", "short" : "不一致體積", "definition" : "不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mismatchVolume", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MISMATCH_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-mismatch-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.mismatchRatio", "path" : "StrokeRapidLM.mismatchRatio", "short" : "不一致比率", "definition" : "不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mismatchRatio", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MISMATCH_RATIO" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-mismatch-ratio；比值原值（廠商公式算出）填入 valueQuantity，單位填 UCUM 1；只有 CTP 影像才有值。若為 9999 表示無法計算，不填 valueQuantity，改填 dataAbsentReason = unknown，且 dataAbsentReason.text 填「來源 9999：無法計算」；空白同樣填 unknown。真實 0 保留。" }] }, { "id" : "StrokeRapidLM.hypoperfusionIntensityRatio", "path" : "StrokeRapidLM.hypoperfusionIntensityRatio", "short" : "低灌注強度比值", "definition" : "低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.hypoperfusionIntensityRatio", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HYPOPERFUSION_INTENSITY_RATIO" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#hypoperfusion-intensity-ratio；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM 1（無單位比值）。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.hid", "path" : "StrokeRapidLM.hid", "short" : "醫院代號", "definition" : "院所代號，例如 1A0＝高雄榮總。", "min" : 1, "max" : "1", "base" : { "path" : "StrokeRapidLM.hid", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HID" }, { "identity" : "fhir", "map" : "StrokeOrganization：Organization.identifier.value", "comment" : "院所代號（例 1A0）原樣填入 identifier.value。" }] }, { "id" : "StrokeRapidLM.zrapid", "path" : "StrokeRapidLM.zrapid", "short" : "日期時戳", "definition" : "資料時戳，格式為 YYYY-MM-DD hh:mm:ss。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.zrapid", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ZRAPID" }, { "identity" : "fhir", "map" : "StrokeProvenance：Provenance.occurredDateTime", "comment" : "來源資料時戳：語意確認前不填 occurredDateTime，只保留原值；語意已確認、時區未確認時，只填日期（YYYY-MM-DD），時間以 StrokeEventTimeOnly 擴充附在該元素上，原值同時保存在原始值題目；語意與時區都確認後，填帶已確認時區的完整日期時間。" }] }, { "id" : "StrokeRapidLM.mtqualified", "path" : "StrokeRapidLM.mtqualified", "short" : "MTQUALIFIED", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mtqualified", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified16hDefuse3", "path" : "StrokeRapidLM.mtqualified16hDefuse3", "short" : "MTQUALIFIED_16H_DEFUSE3", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mtqualified16hDefuse3", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_16H_DEFUSE3" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified16hDefuse3).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified6hExtendia", "path" : "StrokeRapidLM.mtqualified6hExtendia", "short" : "MTQUALIFIED_6H_EXTENDIA", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mtqualified6hExtendia", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_6H_EXTENDIA" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hExtendia).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified6hSwiftprime", "path" : "StrokeRapidLM.mtqualified6hSwiftprime", "short" : "MTQUALIFIED_6H_SWIFTPRIME", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "base" : { "path" : "StrokeRapidLM.mtqualified6hSwiftprime", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_6H_SWIFTPRIME" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hSwiftprime).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }] }, "differential" : { "element" : [{ "id" : "StrokeRapidLM", "path" : "StrokeRapidLM", "short" : "RAPID 影像分析資料邏輯模型", "definition" : "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。", "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID" }, { "identity" : "fhir", "map" : "StrokeRapidBundle：Bundle", "comment" : "一次 RAPID 掃描的完整資料以一個 StrokeRapidBundle 傳送" }] }, { "id" : "StrokeRapidLM.hisnummark", "path" : "StrokeRapidLM.hisnummark", "short" : "病歷號", "definition" : "病人在本院的病歷號。", "min" : 1, "max" : "1", "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HISNUMMARK" }, { "identity" : "fhir", "map" : "StrokePatient：Patient.identifier:medicalRecord.value", "comment" : "病歷號原樣保留，不作為 Patient.id。type 固定 v2-0203 MR，system 用院方核定的網址（範例 http://www.vghks.gov.tw/patient-id）。每個院所+病歷號建一筆 Patient。" }] }, { "id" : "StrokeRapidLM.rpreqno", "path" : "StrokeRapidLM.rpreqno", "short" : "申請序號", "definition" : "影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。", "min" : 1, "max" : "1", "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.RPREQNO" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rapidRequestNo.answer.valueString", "comment" : "linkId 填 rapid.rpreqno，原樣保存。確認語意前不寫入 ImagingStudy／ServiceRequest identifier。" }] }, { "id" : "StrokeRapidLM.scantype", "path" : "StrokeRapidLM.scantype", "short" : "掃描類型", "definition" : "影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。", "min" : 1, "max" : "1", "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.SCANTYPE" }, { "identity" : "fhir", "map" : "StrokeImagingStudy：ImagingStudy.procedureCode.coding:rapidScanType", "comment" : "StrokeRapidScanTypeCS 原碼填 CTP／CTA／NCCT（去除尾端空白）；modality 另填 DCM#CT。申請序號（RPREQNO）不是 DICOM UID，不建立 series。" }] }, { "id" : "StrokeRapidLM.latestseriesdate", "path" : "StrokeRapidLM.latestseriesdate", "short" : "最近一次掃描 series 日期", "definition" : "最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。", "min" : 0, "max" : "1", "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.LATESTSERIESDATE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.effectiveDateTime", "comment" : "確認結果取自該最近掃描序列時，才作為該筆影像判讀結果的 effectiveDateTime（只填 YYYY-MM-DD）；未確認配對時原日期存入 StrokeRegistryResponse。" }] }, { "id" : "StrokeRapidLM.aspectsAffectedside", "path" : "StrokeRapidLM.aspectsAffectedside", "short" : "ASPECTS 影響側", "definition" : "ASPECTS 評估的影響側：L＝左腦；R＝右腦。", "min" : 0, "max" : "1", "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ASPECTS_AFFECTEDSIDE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueCodeableConcept", "comment" : "code = stroke-observation#aspects-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.aspects", "path" : "StrokeRapidLM.aspects", "short" : "ASPECTS 分數", "definition" : "ASPECTS 分數，範圍 0 至 10。", "min" : 0, "max" : "1", "type" : [{ "code" : "integer" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ASPECTS" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueInteger", "comment" : "code = stroke-observation#aspects-score；項目代碼填 Observation.code.coding:strokeObservation。ASPECTS 填 0–10 原值。EVT 與 RAPID 來源在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.ctaAffectedside", "path" : "StrokeRapidLM.ctaAffectedside", "short" : "CTA 影響側", "definition" : "電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。", "min" : 0, "max" : "1", "type" : [{ "code" : "code" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.CTA_AFFECTEDSIDE" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueCodeableConcept", "comment" : "code = stroke-observation#cta-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.cbfVolume", "path" : "StrokeRapidLM.cbfVolume", "short" : "CBF<30% 體積", "definition" : "腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.CBF_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-core-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.tmaxVolume", "path" : "StrokeRapidLM.tmaxVolume", "short" : "Tmax>6 秒體積", "definition" : "Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.TMAX_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#tmax-over-6s-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入 Tmax > 6 秒體積。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.mismatchVolume", "path" : "StrokeRapidLM.mismatchVolume", "short" : "不一致體積", "definition" : "不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "type" : [{ "code" : "Quantity" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MISMATCH_VOLUME" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-mismatch-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.mismatchRatio", "path" : "StrokeRapidLM.mismatchRatio", "short" : "不一致比率", "definition" : "不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。", "min" : 0, "max" : "1", "type" : [{ "code" : "decimal" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MISMATCH_RATIO" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#perfusion-mismatch-ratio；比值原值（廠商公式算出）填入 valueQuantity，單位填 UCUM 1；只有 CTP 影像才有值。若為 9999 表示無法計算，不填 valueQuantity，改填 dataAbsentReason = unknown，且 dataAbsentReason.text 填「來源 9999：無法計算」；空白同樣填 unknown。真實 0 保留。" }] }, { "id" : "StrokeRapidLM.hypoperfusionIntensityRatio", "path" : "StrokeRapidLM.hypoperfusionIntensityRatio", "short" : "低灌注強度比值", "definition" : "低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。", "min" : 0, "max" : "1", "type" : [{ "code" : "decimal" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HYPOPERFUSION_INTENSITY_RATIO" }, { "identity" : "fhir", "map" : "StrokeImagingResult：Observation.valueQuantity", "comment" : "code = stroke-observation#hypoperfusion-intensity-ratio；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM 1（無單位比值）。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。" }] }, { "id" : "StrokeRapidLM.hid", "path" : "StrokeRapidLM.hid", "short" : "醫院代號", "definition" : "院所代號，例如 1A0＝高雄榮總。", "min" : 1, "max" : "1", "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.HID" }, { "identity" : "fhir", "map" : "StrokeOrganization：Organization.identifier.value", "comment" : "院所代號（例 1A0）原樣填入 identifier.value。" }] }, { "id" : "StrokeRapidLM.zrapid", "path" : "StrokeRapidLM.zrapid", "short" : "日期時戳", "definition" : "資料時戳，格式為 YYYY-MM-DD hh:mm:ss。", "min" : 0, "max" : "1", "type" : [{ "code" : "dateTime" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.ZRAPID" }, { "identity" : "fhir", "map" : "StrokeProvenance：Provenance.occurredDateTime", "comment" : "來源資料時戳：語意確認前不填 occurredDateTime，只保留原值；語意已確認、時區未確認時，只填日期（YYYY-MM-DD），時間以 StrokeEventTimeOnly 擴充附在該元素上，原值同時保存在原始值題目；語意與時區都確認後，填帶已確認時區的完整日期時間。" }] }, { "id" : "StrokeRapidLM.mtqualified", "path" : "StrokeRapidLM.mtqualified", "short" : "MTQUALIFIED", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified16hDefuse3", "path" : "StrokeRapidLM.mtqualified16hDefuse3", "short" : "MTQUALIFIED_16H_DEFUSE3", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_16H_DEFUSE3" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified16hDefuse3).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified6hExtendia", "path" : "StrokeRapidLM.mtqualified6hExtendia", "short" : "MTQUALIFIED_6H_EXTENDIA", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_6H_EXTENDIA" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hExtendia).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }, { "id" : "StrokeRapidLM.mtqualified6hSwiftprime", "path" : "StrokeRapidLM.mtqualified6hSwiftprime", "short" : "MTQUALIFIED_6H_SWIFTPRIME", "definition" : "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。", "min" : 0, "max" : "1", "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "rapid-source", "map" : "NCVA.RAPID.MTQUALIFIED_6H_SWIFTPRIME" }, { "identity" : "fhir", "map" : "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hSwiftprime).answer.valueString", "comment" : "尚無臨床資源對應，只保存原值" }] }] } }