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－影像判讀結果項目值集 - XML Representation

Draft as of 2026-10-07

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="stroke-imaging-result-code"/>
  <text>
    <status value="extensions"/>
    <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>
  </text>
  <url
       value="http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-imaging-result-code"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.25.166739765409374296899348603165304827868"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="StrokeImagingResultCodeVS"/>
  <title value="腦中風－影像判讀結果項目值集"/>
  <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－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 &gt; 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
              value="http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation"/>
      <concept>
        <code value="aspects-score"/>
      </concept>
      <concept>
        <code value="perfusion-mismatch-ratio"/>
      </concept>
      <concept>
        <code value="perfusion-core-volume"/>
      </concept>
      <concept>
        <code value="perfusion-mismatch-volume"/>
      </concept>
      <concept>
        <code value="mcta-collateral-grade"/>
      </concept>
      <concept>
        <code value="aspects-affected-side"/>
      </concept>
      <concept>
        <code value="cta-affected-side"/>
      </concept>
      <concept>
        <code value="tmax-over-6s-volume"/>
      </concept>
      <concept>
        <code value="hypoperfusion-intensity-ratio"/>
      </concept>
    </include>
  </compose>
</ValueSet>