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

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: 腦中風－住院併發症與惡化項目值集 - XML Representation

Draft as of 2026-10-07

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="stroke-complication-code"/>
  <text>
    <status value="extensions"/>
    <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 &#x1F4E6;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>
  </text>
  <url
       value="http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-complication-code"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.25.184625902385695808469097773641368958893"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="StrokeComplicationCodeVS"/>
  <title value="腦中風－住院併發症與惡化項目值集"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2026-10-07T16:40:32+00:00"/>
  <publisher value="高雄榮民總醫院 (VGHKS)"/>
  <contact>
    <name value="高雄榮民總醫院 (VGHKS)"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.vghks.gov.tw/"/>
    </telecom>
  </contact>
  <description
               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。"/>
  <compose>
    <include>
      <system
              value="http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation"/>
      <concept>
        <code value="no-complication"/>
      </concept>
      <concept>
        <code value="complication-pneumonia"/>
      </concept>
      <concept>
        <code value="complication-sepsis"/>
      </concept>
      <concept>
        <code value="complication-urinary-tract-infection"/>
      </concept>
      <concept>
        <code value="complication-acute-coronary-syndrome"/>
      </concept>
      <concept>
        <code value="complication-upper-gi-bleeding"/>
      </concept>
      <concept>
        <code value="complication-seizure"/>
      </concept>
      <concept>
        <code value="complication-renal-failure"/>
      </concept>
      <concept>
        <code value="complication-deep-vein-thrombosis"/>
      </concept>
      <concept>
        <code value="neurologic-deterioration-nihss-2-or-more"/>
      </concept>
      <concept>
        <code value="neurologic-deterioration-criteria-unspecified"/>
      </concept>
      <concept>
        <code value="complication-other"/>
      </concept>
      <concept>
        <code value="complication-other-name"/>
      </concept>
      <concept>
        <code value="deterioration-cause-herniation"/>
      </concept>
      <concept>
        <code value="deterioration-cause-hemorrhagic-infarct-36h"/>
      </concept>
      <concept>
        <code value="deterioration-cause-hematoma-expansion"/>
      </concept>
      <concept>
        <code value="deterioration-cause-vasospasm"/>
      </concept>
      <concept>
        <code value="deterioration-cause-rebleeding"/>
      </concept>
      <concept>
        <code value="deterioration-cause-medical-problem"/>
      </concept>
    </include>
  </compose>
</ValueSet>