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
| Draft as of 2026-10-07 |
@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://hl7.org/fhir/ValueSet/stroke-complication-code> a fhir:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "stroke-complication-code"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-complication-code</b></p><a name=\"stroke-complication-code\"> </a><a name=\"hcstroke-complication-code\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-stroke-observation.html\"><code>http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version ?0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-no-complication\">no-complication</a></td><td style=\"color: #cccccc\">無住院併發症</td><td>住院期間未發生併發症。勾選時填 valueBoolean = true；未勾選不建立此項。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-pneumonia\">complication-pneumonia</a></td><td style=\"color: #cccccc\">住院併發症：肺炎</td><td>住院期間是否發生肺炎。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-sepsis\">complication-sepsis</a></td><td style=\"color: #cccccc\">住院併發症：敗血症</td><td>住院期間是否發生敗血症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-urinary-tract-infection\">complication-urinary-tract-infection</a></td><td style=\"color: #cccccc\">住院併發症：泌尿道感染</td><td>住院期間是否發生泌尿道感染。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-acute-coronary-syndrome\">complication-acute-coronary-syndrome</a></td><td style=\"color: #cccccc\">住院併發症：急性冠心症</td><td>住院期間是否發生急性冠心症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-upper-gi-bleeding\">complication-upper-gi-bleeding</a></td><td style=\"color: #cccccc\">住院併發症：上消化道出血</td><td>住院期間是否發生上消化道出血。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-seizure\">complication-seizure</a></td><td style=\"color: #cccccc\">住院併發症：癲癇發作</td><td>住院期間是否發生癲癇發作。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-renal-failure\">complication-renal-failure</a></td><td style=\"color: #cccccc\">住院併發症：腎衰竭</td><td>住院期間是否發生腎衰竭。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-deep-vein-thrombosis\">complication-deep-vein-thrombosis</a></td><td style=\"color: #cccccc\">住院併發症：深部靜脈栓塞</td><td>住院期間是否發生深部靜脈栓塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-neurologic-deterioration-nihss-2-or-more\">neurologic-deterioration-nihss-2-or-more</a></td><td style=\"color: #cccccc\">中風惡化（NIHSS 增加至少 2 分）</td><td>住院期間是否發生中風惡化，以 NIHSS 至少增加 2 分為判定標準。valueBoolean：true＝有，false＝沒有。與 neurologic-deterioration-criteria-unspecified 的判定標準不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-neurologic-deterioration-criteria-unspecified\">neurologic-deterioration-criteria-unspecified</a></td><td style=\"color: #cccccc\">中風惡化（判定標準未定）</td><td>住院期間是否發生中風惡化，未指明判定標準與計算區間。valueBoolean：true＝有，false＝沒有。與 neurologic-deterioration-nihss-2-or-more 的判定標準不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-other\">complication-other</a></td><td style=\"color: #cccccc\">住院併發症：其他</td><td>住院期間是否發生其他併發症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-other-name\">complication-other-name</a></td><td style=\"color: #cccccc\">其他住院併發症名稱</td><td>其他住院併發症的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-herniation\">deterioration-cause-herniation</a></td><td style=\"color: #cccccc\">惡化原因：腦疝脫</td><td>住院期間神經學惡化的原因是否為腦疝脫。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-hemorrhagic-infarct-36h\">deterioration-cause-hemorrhagic-infarct-36h</a></td><td style=\"color: #cccccc\">惡化原因：36 小時內出血性梗塞</td><td>住院期間神經學惡化的原因是否為 36 小時內出血性梗塞。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-hematoma-expansion\">deterioration-cause-hematoma-expansion</a></td><td style=\"color: #cccccc\">惡化原因：血腫擴大</td><td>住院期間神經學惡化的原因是否為血腫擴大（腦出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-vasospasm\">deterioration-cause-vasospasm</a></td><td style=\"color: #cccccc\">惡化原因：血管痙攣</td><td>住院期間神經學惡化的原因是否為血管痙攣（蜘蛛網膜下腔出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-rebleeding\">deterioration-cause-rebleeding</a></td><td style=\"color: #cccccc\">惡化原因：再出血</td><td>住院期間神經學惡化的原因是否為再出血（蜘蛛網膜下腔出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-medical-problem\">deterioration-cause-medical-problem</a></td><td style=\"color: #cccccc\">惡化原因：內科問題</td><td>住院期間神經學惡化的原因是否為內科問題。valueBoolean：true＝是，false＝否。</td></tr></table></li></ul></div>"
] ;
fhir:ValueSet.url [ fhir:value "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-complication-code"] ;
fhir:ValueSet.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:2.25.184625902385695808469097773641368958893" ]
] ;
fhir:ValueSet.version [ fhir:value "0.1.0"] ;
fhir:ValueSet.name [ fhir:value "StrokeComplicationCodeVS"] ;
fhir:ValueSet.title [ fhir:value "腦中風－住院併發症與惡化項目值集"] ;
fhir:ValueSet.status [ fhir:value "draft"] ;
fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:ValueSet.date [ fhir:value "2026-10-07T16:40:32+00:00"^^xsd:dateTime] ;
fhir:ValueSet.publisher [ fhir:value "高雄榮民總醫院 (VGHKS)"] ;
fhir:ValueSet.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:ValueSet.description [ fhir:value "此 ValueSet 列出「腦中風－住院併發症與惡化」（StrokeComplication）Observation.code 可用的項目代碼，包括住院併發症、中風惡化與神經學惡化原因。共 19 個代碼，皆來自 StrokeObservationCS。"] ;
fhir:ValueSet.compose [
fhir:ValueSet.compose.include [
fhir:index 0 ;
fhir:ValueSet.compose.include.system [ fhir:value "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation" ] ;
fhir:ValueSet.compose.include.concept [
fhir:index 0 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "no-complication" ]
], [
fhir:index 1 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-pneumonia" ]
], [
fhir:index 2 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-sepsis" ]
], [
fhir:index 3 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-urinary-tract-infection" ]
], [
fhir:index 4 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-acute-coronary-syndrome" ]
], [
fhir:index 5 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-upper-gi-bleeding" ]
], [
fhir:index 6 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-seizure" ]
], [
fhir:index 7 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-renal-failure" ]
], [
fhir:index 8 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-deep-vein-thrombosis" ]
], [
fhir:index 9 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "neurologic-deterioration-nihss-2-or-more" ]
], [
fhir:index 10 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "neurologic-deterioration-criteria-unspecified" ]
], [
fhir:index 11 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-other" ]
], [
fhir:index 12 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "complication-other-name" ]
], [
fhir:index 13 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-herniation" ]
], [
fhir:index 14 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-hemorrhagic-infarct-36h" ]
], [
fhir:index 15 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-hematoma-expansion" ]
], [
fhir:index 16 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-vasospasm" ]
], [
fhir:index 17 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-rebleeding" ]
], [
fhir:index 18 ;
fhir:ValueSet.compose.include.concept.code [ fhir:value "deterioration-cause-medical-problem" ]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ValueSet/stroke-complication-code.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ValueSet/stroke-complication-code.ttl> .
IG © 2026+ 高雄榮民總醫院 (VGHKS). Package tw.vgh.stroke#0.1.0 based on FHIR 4.0.1. Generated 2026-10-07
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