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
Example Bundle: 腦中風個管系統個案資料包範例
Profile: 腦中風－個管系統個案資料包
Bundle stroke-bundle-ncva-example of type collection
Entry 1 - fullUrl = http://vgh-stroke-ig.fhir.tw/Patient/stroke-patient-example
Resource Patient:
Profile: 腦中風－病人基本資料
Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Active: true Links:
- Managing Organization: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))
Entry 2 - fullUrl = http://vgh-stroke-ig.fhir.tw/Organization/stroke-organization-vghks
Resource Organization:
Profile: 腦中風－醫療院所
高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))
Active: true Type: Healthcare Provider
Entry 3 - fullUrl = http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-er-example
Resource Encounter:
Profile: 腦中風－就醫事件
status: completed
class: emergency
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))
Entry 4 - fullUrl = http://vgh-stroke-ig.fhir.tw/Encounter/stroke-encounter-example
Resource Encounter:
Profile: 腦中風－就醫事件
status: completed
class: inpatient encounter
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
serviceProvider: 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual))
Entry 5 - fullUrl = http://vgh-stroke-ig.fhir.tw/QuestionnaireResponse/stroke-registry-response-ncva-example
Resource QuestionnaireResponse:
Profile: 腦中風－登錄表單回覆
LinkID Text Definition Answer stroke-registry-response-ncva-example
Questionnaire:腦中風登錄表單 inpatientTreatment.tre09
住院期間簽署 DNR false raw.ncva
個管系統原始值 病歷號 EX00000001 個管流水序號 CM-EXAMPLE-0001 Documentation for this format
Entry 6 - fullUrl = http://vgh-stroke-ig.fhir.tw/Provenance/stroke-provenance-example
Resource Provenance:
Profile: 腦中風－資料來源追溯
Provenance for:
- Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
- Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28
- Condition 腦梗塞
Summary
Occurrence 2025-01-16 14:30:00+0800 Recorded 2025-02-01 10:00:00+0800 Agents
Type who Enterer 李小華 Author 高雄榮民總醫院 (Healthcare Provider) (Organization identifier: 1A0 (use: usual)) Entities
Role What Source 腦中風登錄來源紀錄（範例） (Identifier: http://www.vghks.gov.tw/stroke-registry-record/EX-REC-0001)
Entry 7 - fullUrl = http://vgh-stroke-ig.fhir.tw/Condition/stroke-condition-example
Resource Condition:
Profile: 腦中風－中風診斷
clinicalStatus: Active
category: Encounter Diagnosis
code: 腦梗塞
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Entry 8 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-arrival-mode-example
Resource Observation:
Profile: 腦中風－就醫背景
腦中風－評估時點: admission
status: Final
category: Survey
code: 到院方式
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: 緊急醫療救護（EMS）
Entry 9 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-patient-age-example
Resource Observation:
Profile: 腦中風－就醫背景
腦中風－評估時點: admission
status: Final
category: Survey
code: 病人年齡
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: 72 歲 (Details: UCUM codea = 'a')
Entry 10 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-education-level-example
Resource Observation:
Profile: 腦中風－就醫背景
status: Final
category: Survey
code: 教育程度
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: 高中職
Entry 11 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-onset-time-only-example
Resource Observation:
Profile: 腦中風－發病時間
status: Final
category: Survey
code: 中風發病時間
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
value:
腦中風－來源事件時間:06:40:00
Entry 12 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-hypertension-history-example
Resource Observation:
Profile: 腦中風－危險因子與病史
腦中風－評估時點: admission
status: Final
category: Survey
code: 高血壓病史
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: true
Entry 13 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-diabetes-history-unknown-example
Resource Observation:
Profile: 腦中風－危險因子與病史
status: Final
category: Survey
code: 糖尿病病史
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
dataAbsentReason: Unknown
Entry 14 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-family-history-stroke-example
Resource Observation:
Profile: 腦中風－危險因子與病史
status: Final
category: Survey
code: 中風或短暫性腦缺血家族史
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: false
Entry 15 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-cigarettes-per-day-example
Resource Observation:
Profile: 腦中風－危險因子與病史
status: Final
category: Survey
code: 每日吸菸量
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: 20 {cigarette}/d (Details: UCUM code{cigarette}/d = '{cigarette}/d')
Entry 16 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-toast-classification-example
Resource Observation:
Profile: 腦中風－中風分類評估
status: Final
category: Survey
code: TOAST 分類
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: 心因性栓塞
Entry 17 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-ecg-atrial-fibrillation-example
Resource Observation:
Profile: 腦中風－中風分類評估
status: Final
category: Survey
code: 心電圖心房顫動
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: true
Entry 18 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-icu-admission-example
Resource Observation:
Profile: 腦中風－照護流程紀錄
status: Final
category: Survey
code: 入住加護病房
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: true
Entry 19 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-neurologic-deterioration-example
Resource Observation:
Profile: 腦中風－住院併發症與惡化
status: Final
category: Survey
code: 中風惡化（NIHSS 增加至少 2 分）
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
value: false
Entry 20 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-admission-example
Resource Observation:
Profile: 腦中風－NIHSS 評估
腦中風－評估時點: admission
腦中風－評估序號: 1
status: Final
category: Survey
code: Total score [NIH Stroke Scale]
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 10:30:00+0800
value: 12
component
code: Level of consciousness [NIH Stroke Scale]
value: 0
component
code: LOC questions [NIH Stroke Scale]
value: 1
component
code: LOC commands [NIH Stroke Scale]
value: 0
component
code: Best gaze [NIH Stroke Scale]
value: 1
component
code: Visual [NIH Stroke Scale]
value: 0
component
code: Facial palsy [NIH Stroke Scale]
value: 2
component
code: Motor arm Left arm [NIH Stroke Scale]
value: 0
component
code: Motor arm Right arm [NIH Stroke Scale]
value: 3
component
code: Motor leg Leg - left [NIH Stroke Scale]
value: 0
component
code: Motor leg Leg - right [NIH Stroke Scale]
value: 2
component
code: Limb ataxia [NIH Stroke Scale]
value: 0
component
code: Sensory [NIH Stroke Scale]
value: 1
component
code: Best language [NIH Stroke Scale]
value: 1
component
code: Dysarthria [NIH Stroke Scale]
value: 1
component
code: Extinction and inattention [NIH Stroke Scale]
value: 0
Entry 21 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-nihss-24h-example
Resource Observation:
Profile: 腦中風－NIHSS 評估
腦中風－評估時點: 24h
status: Final
category: Survey
code: Total score [NIH Stroke Scale]
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-16 11:00:00+0800
value: 6
component
code: Level of consciousness [NIH Stroke Scale]
value: 0
component
code: LOC questions [NIH Stroke Scale]
value: 0
component
code: LOC commands [NIH Stroke Scale]
value: 0
component
code: Best gaze [NIH Stroke Scale]
value: 0
component
code: Visual [NIH Stroke Scale]
value: 0
component
code: Facial palsy [NIH Stroke Scale]
value: 1
component
code: Motor arm Left arm [NIH Stroke Scale]
value: 0
component
code: Motor arm Right arm [NIH Stroke Scale]
value: 2
component
code: Motor leg Leg - left [NIH Stroke Scale]
value: 0
component
code: Motor leg Leg - right [NIH Stroke Scale]
value: 1
component
code: Limb ataxia [NIH Stroke Scale]
value: 0
component
code: Sensory [NIH Stroke Scale]
value: 1
component
code: Best language [NIH Stroke Scale]
value: 1
component
code: Dysarthria [NIH Stroke Scale]
value: X
component
code: Extinction and inattention [NIH Stroke Scale]
value: 0
Entry 22 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-discharge-example
Resource Observation:
Profile: 腦中風－mRS 評估
腦中風－評估時點: discharge
status: Final
category: Survey
code: Modified rankin scale
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-28
value: 3
Entry 23 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-mrs-unclassified-example
Resource Observation:
Profile: 腦中風－mRS 評估
腦中風－評估時點: unclassified
腦中風－評估序號: 4
status: Final
category: Survey
code: Modified rankin scale
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-04-20
value: 2
Entry 24 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-gcs-example
Resource Observation:
Profile: 腦中風－昏迷指數
腦中風－評估時點: admission
status: Final
category: Survey
code: Glasgow coma score total
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:35:00+0800
component
code: Glasgow coma score eye opening
value: 3
component
code: Glasgow coma score verbal
value: 4
component
code: Glasgow coma score motor
value: 6
Entry 25 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-height-example
Resource Observation:
Profile: 腦中風－身高
status: Final
category: Vital Signs
code: Body height
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:40:00+0800
value: 165.5 cm (Details: UCUM codecm = 'cm')
Entry 26 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-weight-example
Resource Observation:
Profile: 腦中風－體重
status: Final
category: Vital Signs
code: Body weight
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:40:00+0800
value: 62.3 kg (Details: UCUM codekg = 'kg')
Entry 27 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-body-temperature-example
Resource Observation:
Profile: 腦中風－體溫
status: Final
category: Vital Signs
code: Body temperature
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:35:00+0800
value: 36.8 °C (Details: UCUM codeCel = 'Cel')
Entry 28 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-heart-rate-example
Resource Observation:
Profile: 腦中風－心率
status: Final
category: Vital Signs
code: Heart rate
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:35:00+0800
value: 88 /min (Details: UCUM code/min = '/min')
Entry 29 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-respiratory-rate-example
Resource Observation:
Profile: 腦中風－呼吸速率
status: Final
category: Vital Signs
code: Respiratory rate
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:35:00+0800
value: 18 /min (Details: UCUM code/min = '/min')
Entry 30 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-blood-pressure-example
Resource Observation:
Profile: 腦中風－血壓
status: Final
category: Vital Signs
code: Blood pressure panel with all children optional
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 08:35:00+0800
component
code: Systolic blood pressure
value: 168 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure
value: 95 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
Entry 31 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-occupation-example
Resource Observation:
Profile: 腦中風－職業
status: Final
category: Social History
code: History of Occupation
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
value: 退休
Entry 32 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-smoking-status-example
Resource Observation:
Profile: 腦中風－吸菸狀態
status: Final
category: Social History
code: Tobacco smoking status
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15
value: Ex-smoker
Entry 33 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-hemoglobin-example
Resource Observation:
Profile: 腦中風－檢驗結果
status: Final
category: Laboratory
code: 血紅素（Hb）
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 09:50:00+0800
value: 13.2
Entry 34 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-lab-inr-not-available-example
Resource Observation:
Profile: 腦中風－檢驗結果
status: Final
category: Laboratory
code: 凝血酶原時間國際標準化比值（INR）
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
effective: 2025-01-15 09:50:00+0800
dataAbsentReason: Unknown
Entry 35 - fullUrl = http://vgh-stroke-ig.fhir.tw/Observation/stroke-reperfusion-time-only-example
Resource Observation:
Profile: 腦中風－處置時點結果
status: Final
category: Procedure
code: 再灌流時間
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
value:
腦中風－來源事件時間:11:50:00
Entry 36 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-statin-pre-admission-example
Resource MedicationStatement:
Profile: 腦中風－用藥紀錄
腦中風－用藥紀錄時窗: pre-admission
status: not-taken
status: recorded
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Entry 37 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-aspirin-inpatient-example
Resource MedicationStatement:
Profile: 腦中風－用藥紀錄
腦中風－用藥紀錄時窗: inpatient
status: unknown
status: recorded
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
note:
來源記錄有使用
Entry 38 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationStatement/stroke-medstatement-apixaban-discharge-example
Resource MedicationStatement:
Profile: 腦中風－用藥紀錄
腦中風－用藥紀錄時窗: discharge
status: unknown
status: recorded
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
note:
來源記錄有使用
Entry 39 - fullUrl = http://vgh-stroke-ig.fhir.tw/MedicationAdministration/stroke-medadmin-ivtpa-example
Resource MedicationAdministration:
Profile: 腦中風－給藥紀錄
status: completed
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Dosages
Text Dose 45 mg 45 mg (Details: UCUM codemg = 'mg')
Entry 40 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-evt-example
Resource Procedure:
Profile: 腦中風－醫療處置
status: Completed
code: 動脈內血栓移除術
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Entry 41 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-dysphagia-screening-example
Resource Procedure:
Profile: 腦中風－醫療處置
status: Completed
code: 吞嚥篩檢
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))
Entry 42 - fullUrl = http://vgh-stroke-ig.fhir.tw/Procedure/stroke-procedure-ventilation-not-done-example
Resource Procedure:
Profile: 腦中風－醫療處置
status: Not Done
code: 使用呼吸器
subject: Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001 (use: official))