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

ValueSet: 腦中風-EVT 處置細節答案值集

Official URL: http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-evt-procedure-detail-answer Version: 0.1.0
Draft as of 2026-10-07 Computable Name: StrokeEvtProcedureDetailAnswerVS
Other Identifiers: OID:2.25.44999852043401334926409052700533166808

此 ValueSet 整合 StrokeEvtProcedureDetail 各項目的答案代碼,綁定至該 Profile 的 valueCodeableConcept(required)。主動脈弓分型(aortic-arch-type)填 StrokeAorticArchTypeCS;各血管狹窄程度(right-cca-stenosis、left-cca-stenosis、right-ica-stenosis、left-ica-stenosis、right-vertebral-artery-stenosis、left-vertebral-artery-stenosis)填 StrokeStenosisGradeCS;抽吸取栓策略(aspiration-strategy,代碼 1 至 3)與補充選項(aspiration-strategy-supplement,代碼 4)填 StrokeAspirationStrategyCS;抽吸失敗後救援策略(aspiration-rescue-strategy,限 StrokeAspirationRescueVS 的代碼)與支架取栓後救援策略(stent-retriever-rescue-strategy,限 StrokeStentRetrieverRescueVS 的代碼)填 StrokeRescueStrategyCS;兩者代碼限制由 StrokeEvtProcedureDetail 的 Invariant 檢查。

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 15 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://vgh-stroke-ig.fhir.tw/CodeSystem/aortic-arch-type  1第 I 型第 I 型主動脈弓:頭臂動脈起點與主動脈弓外緣大致同高。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aortic-arch-type  2第 II 型第 II 型主動脈弓:頭臂動脈起點介於主動脈弓外緣與內緣之間。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aortic-arch-type  3第 III 型第 III 型主動脈弓:頭臂動脈起點低於主動脈弓內緣。
http://vgh-stroke-ig.fhir.tw/CodeSystem/stenosis-grade  1狹窄小於 50%血管管徑狹窄小於 50%。
http://vgh-stroke-ig.fhir.tw/CodeSystem/stenosis-grade  2狹窄 50–99%血管管徑狹窄 50% 至 99%。
http://vgh-stroke-ig.fhir.tw/CodeSystem/stenosis-grade  3完全阻塞(100%)血管完全阻塞。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aspiration-strategy  1只用抽吸導管僅使用抽吸導管取栓(Aspiration catheter only)。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aspiration-strategy  2Solumbra(支架取栓器合併抽吸)同時使用支架取栓器與抽吸導管取栓(Solumbra 技術)。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aspiration-strategy  3混合使用混合使用不同取栓方式。
http://vgh-stroke-ig.fhir.tw/CodeSystem/aspiration-strategy  4先抽吸再救援先抽吸取栓,再接續救援治療;此選項與代碼 1 至 3 分開記錄。
http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy  rescue-sr支架取栓器救援抽吸未成功改用支架取栓器救援,對應抽吸救援原始選項 1。
http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy  rescue-aspiration抽吸救援支架取栓未成功改用抽吸救援,對應支架取栓救援原始選項 1。
http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy  rescue-angioplasty血管成形術救援以血管成形術救援。抽吸救援與支架取栓救援原始選項皆為 2。
http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy  rescue-thrombolysis血栓溶解救援以血栓溶解治療救援。抽吸救援與支架取栓救援原始選項皆為 3。
http://vgh-stroke-ig.fhir.tw/CodeSystem/rescue-strategy  rescue-other其他救援方式非上述救援方式,詳細內容另以文字記錄。抽吸救援與支架取栓救援原始選項皆為 4。

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code