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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="stroke-risk-factor-code"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet stroke-risk-factor-code</b></p><a name="stroke-risk-factor-code"> </a><a name="hcstroke-risk-factor-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-hypertension-history">hypertension-history</a></td><td style="color: #cccccc">高血壓病史</td><td>是否有高血壓病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-hypertension-newly-diagnosed">hypertension-newly-diagnosed</a></td><td style="color: #cccccc">高血壓為本次新診斷</td><td>高血壓是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-diabetes-history">diabetes-history</a></td><td style="color: #cccccc">糖尿病病史</td><td>是否有糖尿病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-diabetes-newly-diagnosed">diabetes-newly-diagnosed</a></td><td style="color: #cccccc">糖尿病為本次新診斷</td><td>糖尿病是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-prior-stroke-history">prior-stroke-history</a></td><td style="color: #cccccc">既往腦中風病史</td><td>本次中風前是否曾發生腦中風。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-prior-cerebral-infarction-history">prior-cerebral-infarction-history</a></td><td style="color: #cccccc">既往腦梗塞病史</td><td>本次中風前是否曾發生腦梗塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-prior-cerebral-hemorrhage-history">prior-cerebral-hemorrhage-history</a></td><td style="color: #cccccc">既往腦出血病史</td><td>本次中風前是否曾發生腦出血。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-prior-tia-history">prior-tia-history</a></td><td style="color: #cccccc">既往短暫性腦缺血病史</td><td>本次中風前是否曾發生短暫性腦缺血（TIA）。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-heart-disease-history">heart-disease-history</a></td><td style="color: #cccccc">心臟病病史</td><td>是否有心臟病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-chronic-kidney-disease-history">chronic-kidney-disease-history</a></td><td style="color: #cccccc">慢性腎臟病病史</td><td>是否有慢性腎臟病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-dialysis-treatment">dialysis-treatment</a></td><td style="color: #cccccc">透析治療</td><td>是否接受透析治療。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-peripheral-artery-disease-history">peripheral-artery-disease-history</a></td><td style="color: #cccccc">周邊動脈疾病病史</td><td>是否有周邊動脈疾病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-dyslipidemia-history">dyslipidemia-history</a></td><td style="color: #cccccc">血脂異常病史</td><td>是否有血脂異常病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-hypertriglyceridemia-history">hypertriglyceridemia-history</a></td><td style="color: #cccccc">高三酸甘油脂血症病史</td><td>是否有高三酸甘油脂血症病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-hypercholesterolemia-history">hypercholesterolemia-history</a></td><td style="color: #cccccc">高膽固醇血症病史</td><td>是否有高膽固醇血症病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-smoking-history">smoking-history</a></td><td style="color: #cccccc">吸菸史</td><td>是否有吸菸史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-cigarettes-per-day">cigarettes-per-day</a></td><td style="color: #cccccc">每日吸菸量</td><td>平均每天吸菸支數，填 valueQuantity，單位 {cigarette}/d（支／天）。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-smoking-duration">smoking-duration</a></td><td style="color: #cccccc">吸菸年數</td><td>累計吸菸年數，填 valueQuantity，單位 a（年）。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-alcohol-use-history">alcohol-use-history</a></td><td style="color: #cccccc">飲酒史</td><td>是否有飲酒史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-cancer-history">cancer-history</a></td><td style="color: #cccccc">癌症病史</td><td>是否有癌症病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-cancer-name">cancer-name</a></td><td style="color: #cccccc">癌症名稱</td><td>癌症病史的癌症名稱。valueString，原樣填入文字。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-other-risk-factor">other-risk-factor</a></td><td style="color: #cccccc">其他危險因子</td><td>是否有其他中風危險因子。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-other-risk-factor-name">other-risk-factor-name</a></td><td style="color: #cccccc">其他危險因子名稱</td><td>其他中風危險因子的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-polycythemia-history">polycythemia-history</a></td><td style="color: #cccccc">紅血球增多症病史</td><td>是否有紅血球增多症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-uremia-history">uremia-history</a></td><td style="color: #cccccc">尿毒症病史</td><td>是否有尿毒症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-family-history-hypertension">family-history-hypertension</a></td><td style="color: #cccccc">高血壓家族史</td><td>家族中是否有人患高血壓。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-family-history-diabetes">family-history-diabetes</a></td><td style="color: #cccccc">糖尿病家族史</td><td>家族中是否有人患糖尿病。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-family-history-ischemic-heart-disease">family-history-ischemic-heart-disease</a></td><td style="color: #cccccc">缺血性心臟病家族史</td><td>家族中是否有人患缺血性心臟病。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-family-history-stroke-or-tia">family-history-stroke-or-tia</a></td><td style="color: #cccccc">中風或短暫性腦缺血家族史</td><td>家族中是否有人發生腦中風或短暫性腦缺血。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-no-heart-disease">no-heart-disease</a></td><td style="color: #cccccc">無心臟病</td><td>病人無任何心臟病。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-atrial-fibrillation-history">atrial-fibrillation-history</a></td><td style="color: #cccccc">心房顫動病史</td><td>是否有心房顫動病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-atrial-fibrillation-newly-diagnosed">atrial-fibrillation-newly-diagnosed</a></td><td style="color: #cccccc">心房顫動為本次新診斷</td><td>心房顫動是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-ischemic-heart-disease-history">ischemic-heart-disease-history</a></td><td style="color: #cccccc">缺血性心臟病病史</td><td>是否有缺血性心臟病病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-acute-mi-within-4-weeks">acute-mi-within-4-weeks</a></td><td style="color: #cccccc">4 週內急性心肌梗塞</td><td>本次中風前 4 週內是否發生急性心肌梗塞。valueBoolean：true＝有，false＝沒有。與 acute-mi-history 的期間定義不同。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-acute-mi-history">acute-mi-history</a></td><td style="color: #cccccc">急性心肌梗塞病史（期間未定）</td><td>是否有急性心肌梗塞病史，不限發生期間。valueBoolean：true＝有，false＝沒有。與 acute-mi-within-4-weeks 的定義不同。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-valvular-heart-disease-history">valvular-heart-disease-history</a></td><td style="color: #cccccc">心瓣膜疾病病史</td><td>是否有心瓣膜疾病。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-valvular-heart-disease-name">valvular-heart-disease-name</a></td><td style="color: #cccccc">心瓣膜疾病名稱</td><td>心瓣膜疾病的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-heart-failure-history">heart-failure-history</a></td><td style="color: #cccccc">心衰竭病史</td><td>是否有心衰竭病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-valve-replacement-history">valve-replacement-history</a></td><td style="color: #cccccc">瓣膜置換病史</td><td>是否曾接受心臟瓣膜置換。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-mechanical-heart-valve">mechanical-heart-valve</a></td><td style="color: #cccccc">機械瓣膜</td><td>是否裝有機械心臟瓣膜。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-prosthetic-heart-valve">prosthetic-heart-valve</a></td><td style="color: #cccccc">人工瓣膜</td><td>是否裝有人工心臟瓣膜（prosthetic valve）。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-other-heart-disease">other-heart-disease</a></td><td style="color: #cccccc">其他心臟病</td><td>其他心臟病的註記內容。valueString，原樣填入文字。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-other-heart-disease-name">other-heart-disease-name</a></td><td style="color: #cccccc">其他心臟病名稱</td><td>其他心臟病的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-endocarditis-history">endocarditis-history</a></td><td style="color: #cccccc">心內膜炎病史</td><td>是否有心內膜炎。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-cardiac-myxoma-history">cardiac-myxoma-history</a></td><td style="color: #cccccc">心臟黏液瘤病史</td><td>是否有心臟黏液瘤。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-rheumatic-heart-disease-history">rheumatic-heart-disease-history</a></td><td style="color: #cccccc">風濕性心臟病病史</td><td>是否有風濕性心臟病。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href="CodeSystem-stroke-observation.html#stroke-observation-patent-foramen-ovale">patent-foramen-ovale</a></td><td style="color: #cccccc">開放性卵圓孔</td><td>是否有開放性卵圓孔（PFO）。valueBoolean：true＝有，false＝沒有。</td></tr></table></li></ul></div>
</text>
<url value="http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-risk-factor-code"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.25.10367967418994035534181687308119628574"/>
</identifier>
<version value="0.1.0"/>
<name value="StrokeRiskFactorCodeVS"/>
<title value="腦中風－危險因子與病史項目值集"/>
<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－危險因子與病史」（StrokeRiskFactor）Observation.code 可用的項目代碼，包括高血壓、糖尿病、既往中風、心臟病等病史、家族史，以及吸菸量與吸菸年數。共 47 個代碼，皆來自 StrokeObservationCS。"/>
<compose>
<include>
<system
value="http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation"/>
<concept>
<code value="hypertension-history"/>
</concept>
<concept>
<code value="hypertension-newly-diagnosed"/>
</concept>
<concept>
<code value="diabetes-history"/>
</concept>
<concept>
<code value="diabetes-newly-diagnosed"/>
</concept>
<concept>
<code value="prior-stroke-history"/>
</concept>
<concept>
<code value="prior-cerebral-infarction-history"/>
</concept>
<concept>
<code value="prior-cerebral-hemorrhage-history"/>
</concept>
<concept>
<code value="prior-tia-history"/>
</concept>
<concept>
<code value="heart-disease-history"/>
</concept>
<concept>
<code value="chronic-kidney-disease-history"/>
</concept>
<concept>
<code value="dialysis-treatment"/>
</concept>
<concept>
<code value="peripheral-artery-disease-history"/>
</concept>
<concept>
<code value="dyslipidemia-history"/>
</concept>
<concept>
<code value="hypertriglyceridemia-history"/>
</concept>
<concept>
<code value="hypercholesterolemia-history"/>
</concept>
<concept>
<code value="smoking-history"/>
</concept>
<concept>
<code value="cigarettes-per-day"/>
</concept>
<concept>
<code value="smoking-duration"/>
</concept>
<concept>
<code value="alcohol-use-history"/>
</concept>
<concept>
<code value="cancer-history"/>
</concept>
<concept>
<code value="cancer-name"/>
</concept>
<concept>
<code value="other-risk-factor"/>
</concept>
<concept>
<code value="other-risk-factor-name"/>
</concept>
<concept>
<code value="polycythemia-history"/>
</concept>
<concept>
<code value="uremia-history"/>
</concept>
<concept>
<code value="family-history-hypertension"/>
</concept>
<concept>
<code value="family-history-diabetes"/>
</concept>
<concept>
<code value="family-history-ischemic-heart-disease"/>
</concept>
<concept>
<code value="family-history-stroke-or-tia"/>
</concept>
<concept>
<code value="no-heart-disease"/>
</concept>
<concept>
<code value="atrial-fibrillation-history"/>
</concept>
<concept>
<code value="atrial-fibrillation-newly-diagnosed"/>
</concept>
<concept>
<code value="ischemic-heart-disease-history"/>
</concept>
<concept>
<code value="acute-mi-within-4-weeks"/>
</concept>
<concept>
<code value="acute-mi-history"/>
</concept>
<concept>
<code value="valvular-heart-disease-history"/>
</concept>
<concept>
<code value="valvular-heart-disease-name"/>
</concept>
<concept>
<code value="heart-failure-history"/>
</concept>
<concept>
<code value="valve-replacement-history"/>
</concept>
<concept>
<code value="mechanical-heart-valve"/>
</concept>
<concept>
<code value="prosthetic-heart-valve"/>
</concept>
<concept>
<code value="other-heart-disease"/>
</concept>
<concept>
<code value="other-heart-disease-name"/>
</concept>
<concept>
<code value="endocarditis-history"/>
</concept>
<concept>
<code value="cardiac-myxoma-history"/>
</concept>
<concept>
<code value="rheumatic-heart-disease-history"/>
</concept>
<concept>
<code value="patent-foramen-ovale"/>
</concept>
</include>
</compose>
</ValueSet>