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

: 腦中風－影像判讀結果項目值集 - JSON Representation

Draft as of 2026-10-07

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{
  "resourceType" : "ValueSet",
  "id" : "stroke-imaging-result-code",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-imaging-result-code</b></p><a name=\"stroke-imaging-result-code\"> </a><a name=\"hcstroke-imaging-result-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-aspects-score\">aspects-score</a></td><td style=\"color: #cccccc\">ASPECTS 分數</td><td>EVT 前影像的 Alberta 中風早期 CT 分數（ASPECTS），用來評估中大腦動脈供血區的早期缺血變化。填 valueInteger，範圍 0–10，分數越低代表缺血範圍越大。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-perfusion-mismatch-ratio\">perfusion-mismatch-ratio</a></td><td style=\"color: #cccccc\">灌流 mismatch 比值</td><td>灌流影像低灌流體積與核心梗塞體積的比值，依影像分析軟體輸出的原值填 valueQuantity，單位 1（無單位比值）。無法計算時不填值，改填 dataAbsentReason = unknown；實際為 0 時照填 0。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-perfusion-core-volume\">perfusion-core-volume</a></td><td style=\"color: #cccccc\">灌流核心梗塞體積</td><td>灌流影像判定的核心梗塞體積（CBF &lt; 30% 區域），填 valueQuantity，單位 mL。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-perfusion-mismatch-volume\">perfusion-mismatch-volume</a></td><td style=\"color: #cccccc\">灌流 mismatch 體積</td><td>灌流影像低灌流區與核心梗塞區的體積差，依影像分析軟體輸出的原值填 valueQuantity，單位 mL。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-mcta-collateral-grade\">mcta-collateral-grade</a></td><td style=\"color: #cccccc\">多期 CTA 側枝循環分級</td><td>多期電腦斷層血管攝影（mCTA）的側枝循環分組。valueCodeableConcept：1＝0–2 分，2＝3–4 分，3＝5 分。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aspects-affected-side\">aspects-affected-side</a></td><td style=\"color: #cccccc\">ASPECTS 影響側</td><td>ASPECTS 評估的受影響腦側。valueCodeableConcept：L＝左腦，R＝右腦。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-cta-affected-side\">cta-affected-side</a></td><td style=\"color: #cccccc\">CTA 影響側</td><td>電腦斷層血管攝影（CTA）判讀的受影響腦側。valueCodeableConcept：L＝左腦，R＝右腦。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-tmax-over-6s-volume\">tmax-over-6s-volume</a></td><td style=\"color: #cccccc\">Tmax &gt; 6 秒體積</td><td>灌流影像中 Tmax 大於 6 秒的低灌流體積，填 valueQuantity，單位 mL。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-hypoperfusion-intensity-ratio\">hypoperfusion-intensity-ratio</a></td><td style=\"color: #cccccc\">低灌流強度比值（HIR）</td><td>Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積的比值，填 valueQuantity，單位 1（無單位比值），數值介於 0 至 1。</td></tr></table></li></ul></div>"
  },
  "url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-imaging-result-code",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.25.166739765409374296899348603165304827868"
    }
  ],
  "version" : "0.1.0",
  "name" : "StrokeImagingResultCodeVS",
  "title" : "腦中風－影像判讀結果項目值集",
  "status" : "draft",
  "experimental" : false,
  "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" : "此 ValueSet 列出「腦中風－影像判讀結果」（StrokeImagingResult）Observation.code.coding 中 strokeObservation Slice 可用的本地項目代碼，包括 ASPECTS、灌流核心梗塞與 mismatch 體積、mismatch 比值、Tmax > 6 秒體積、低灌流強度比值、影響側與多期 CTA 側枝循環。共 9 個代碼，皆來自 StrokeObservationCS。",
  "compose" : {
    "include" : [
      {
        "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
        "concept" : [
          {
            "code" : "aspects-score"
          },
          {
            "code" : "perfusion-mismatch-ratio"
          },
          {
            "code" : "perfusion-core-volume"
          },
          {
            "code" : "perfusion-mismatch-volume"
          },
          {
            "code" : "mcta-collateral-grade"
          },
          {
            "code" : "aspects-affected-side"
          },
          {
            "code" : "cta-affected-side"
          },
          {
            "code" : "tmax-over-6s-volume"
          },
          {
            "code" : "hypoperfusion-intensity-ratio"
          }
        ]
      }
    ]
  }
}