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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/stroke-medication> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "stroke-medication"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem stroke-medication</b></p><a name=\"stroke-medication\"> </a><a name=\"hcstroke-medication\"> </a><p>This case-sensitive code system <code>http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">anticoagulant<a name=\"stroke-medication-anticoagulant\"> </a></td><td>抗凝血藥</td><td>抗凝血藥物類別，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">vka<a name=\"stroke-medication-vka\"> </a></td><td>維生素 K 拮抗劑（VKA）</td><td>維生素 K 拮抗劑類口服抗凝血藥，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">noac<a name=\"stroke-medication-noac\"> </a></td><td>非維生素 K 口服抗凝血藥（NOAC）</td><td>非維生素 K 拮抗劑的口服抗凝血藥類別。品項不明時使用，已知品項時改用 dabigatran、rivaroxaban、apixaban 或 edoxaban。</td></tr><tr><td style=\"white-space:nowrap\">other-anticoagulant<a name=\"stroke-medication-other-anticoagulant\"> </a></td><td>其他抗凝血藥</td><td>維生素 K 拮抗劑與 NOAC 以外的抗凝血藥，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">antiplatelet<a name=\"stroke-medication-antiplatelet\"> </a></td><td>抗血小板藥</td><td>抗血小板藥物類別，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">antihypertensive<a name=\"stroke-medication-antihypertensive\"> </a></td><td>降血壓藥</td><td>降血壓藥物類別，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">antiarrhythmic<a name=\"stroke-medication-antiarrhythmic\"> </a></td><td>抗心律不整藥</td><td>抗心律不整藥物類別，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">diabetes-medication<a name=\"stroke-medication-diabetes-medication\"> </a></td><td>糖尿病藥</td><td>治療糖尿病的藥物類別，未區分口服降血糖藥或胰島素，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">lipid-lowering<a name=\"stroke-medication-lipid-lowering\"> </a></td><td>降血脂藥</td><td>降血脂藥物類別，未區分 statin 或非 statin 類，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">statin<a name=\"stroke-medication-statin\"> </a></td><td>statin 類降血脂藥</td><td>statin 類降血脂藥，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">non-statin-lipid-lowering<a name=\"stroke-medication-non-statin-lipid-lowering\"> </a></td><td>非 statin 類降血脂藥</td><td>statin 以外的降血脂藥，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">aggrenox<a name=\"stroke-medication-aggrenox\"> </a></td><td>Aggrenox（aspirin／dipyridamole）</td><td>含 aspirin 與 dipyridamole 的複方抗血小板藥，商品名 Aggrenox。</td></tr><tr><td style=\"white-space:nowrap\">aspirin<a name=\"stroke-medication-aspirin\"> </a></td><td>Aspirin</td><td>Aspirin，抗血小板藥。</td></tr><tr><td style=\"white-space:nowrap\">ticlopidine<a name=\"stroke-medication-ticlopidine\"> </a></td><td>Ticlopidine</td><td>Ticlopidine，抗血小板藥。</td></tr><tr><td style=\"white-space:nowrap\">warfarin<a name=\"stroke-medication-warfarin\"> </a></td><td>Warfarin</td><td>Warfarin，維生素 K 拮抗劑類口服抗凝血藥。此代碼只代表 warfarin 單一藥品。</td></tr><tr><td style=\"white-space:nowrap\">clopidogrel<a name=\"stroke-medication-clopidogrel\"> </a></td><td>Clopidogrel</td><td>Clopidogrel，抗血小板藥。</td></tr><tr><td style=\"white-space:nowrap\">cilostazol-brand<a name=\"stroke-medication-cilostazol-brand\"> </a></td><td>Pletaal（cilostazol）</td><td>Cilostazol，抗血小板藥，商品名 Pletaal。</td></tr><tr><td style=\"white-space:nowrap\">lmw-heparin<a name=\"stroke-medication-lmw-heparin\"> </a></td><td>低分子量肝素（LMWH）</td><td>低分子量肝素類抗凝血藥，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">apixaban<a name=\"stroke-medication-apixaban\"> </a></td><td>Apixaban</td><td>Apixaban，非維生素 K 口服抗凝血藥（NOAC）。</td></tr><tr><td style=\"white-space:nowrap\">dabigatran<a name=\"stroke-medication-dabigatran\"> </a></td><td>Dabigatran</td><td>Dabigatran，非維生素 K 口服抗凝血藥（NOAC）。</td></tr><tr><td style=\"white-space:nowrap\">edoxaban<a name=\"stroke-medication-edoxaban\"> </a></td><td>Edoxaban</td><td>Edoxaban，非維生素 K 口服抗凝血藥（NOAC）。</td></tr><tr><td style=\"white-space:nowrap\">rivaroxaban<a name=\"stroke-medication-rivaroxaban\"> </a></td><td>Rivaroxaban</td><td>Rivaroxaban，非維生素 K 口服抗凝血藥（NOAC）。</td></tr><tr><td style=\"white-space:nowrap\">ticagrelor<a name=\"stroke-medication-ticagrelor\"> </a></td><td>Ticagrelor</td><td>Ticagrelor，抗血小板藥。</td></tr><tr><td style=\"white-space:nowrap\">inhibitor-unspecified<a name=\"stroke-medication-inhibitor-unspecified\"> </a></td><td>Inhibitor 使用註記（類別未明）</td><td>只知道曾使用 inhibitor，未說明是哪一類抑制劑。</td></tr><tr><td style=\"white-space:nowrap\">dapt<a name=\"stroke-medication-dapt\"> </a></td><td>雙重抗血小板治療（DAPT）</td><td>同時使用兩種抗血小板藥的治療方式，未指明藥品組合。</td></tr><tr><td style=\"white-space:nowrap\">sapt<a name=\"stroke-medication-sapt\"> </a></td><td>單一抗血小板治療（SAPT）</td><td>只使用一種抗血小板藥的治療方式，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">oral-hypoglycemic<a name=\"stroke-medication-oral-hypoglycemic\"> </a></td><td>口服降血糖藥（OHA）</td><td>口服降血糖藥物類別，未指明品項。</td></tr><tr><td style=\"white-space:nowrap\">insulin<a name=\"stroke-medication-insulin\"> </a></td><td>胰島素</td><td>胰島素類降血糖藥，未指明品項與劑型。</td></tr><tr><td style=\"white-space:nowrap\">iv-tpa-unspecified<a name=\"stroke-medication-iv-tpa-unspecified\"> </a></td><td>靜脈血栓溶解劑 IV-tPA（品項未明）</td><td>經靜脈給予的血栓溶解劑（tPA）。只知道是 IV-tPA、未指明為 alteplase 或 tenecteplase 時使用。</td></tr><tr><td style=\"white-space:nowrap\">heparin<a name=\"stroke-medication-heparin\"> </a></td><td>Heparin（肝素）</td><td>Heparin 抗凝血藥，未指明製劑。</td></tr></table></div>"
] ;
fhir:CodeSystem.url [ fhir:value "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication"] ;
fhir:CodeSystem.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:2.25.264839284167749472549460884988440265748" ]
] ;
fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
fhir:CodeSystem.name [ fhir:value "StrokeMedicationCS"] ;
fhir:CodeSystem.title [ fhir:value "腦中風－藥品與藥物類別代碼"] ;
fhir:CodeSystem.status [ fhir:value "draft"] ;
fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:CodeSystem.date [ fhir:value "2026-10-07T16:40:32+00:00"^^xsd:dateTime] ;
fhir:CodeSystem.publisher [ fhir:value "高雄榮民總醫院 (VGHKS)"] ;
fhir:CodeSystem.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "高雄榮民總醫院 (VGHKS)" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "https://www.vghks.gov.tw/" ]
]
] ;
fhir:CodeSystem.description [ fhir:value "此 CodeSystem 定義本 IG 記錄腦中風用藥的本地代碼，涵蓋藥物類別（如抗凝血藥、抗血小板藥、降血脂藥）、個別藥品（如 aspirin、warfarin、各類 NOAC）與治療方式（如雙重抗血小板治療）。代碼僅代表藥名或藥物類別。"] ;
fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
fhir:CodeSystem.content [ fhir:value "complete"] ;
fhir:CodeSystem.count [ fhir:value "30"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index 0 ;
fhir:CodeSystem.concept.code [ fhir:value "anticoagulant" ] ;
fhir:CodeSystem.concept.display [ fhir:value "抗凝血藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "抗凝血藥物類別，未指明品項。" ]
], [
fhir:index 1 ;
fhir:CodeSystem.concept.code [ fhir:value "vka" ] ;
fhir:CodeSystem.concept.display [ fhir:value "維生素 K 拮抗劑（VKA）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "維生素 K 拮抗劑類口服抗凝血藥，未指明品項。" ]
], [
fhir:index 2 ;
fhir:CodeSystem.concept.code [ fhir:value "noac" ] ;
fhir:CodeSystem.concept.display [ fhir:value "非維生素 K 口服抗凝血藥（NOAC）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "非維生素 K 拮抗劑的口服抗凝血藥類別。品項不明時使用，已知品項時改用 dabigatran、rivaroxaban、apixaban 或 edoxaban。" ]
], [
fhir:index 3 ;
fhir:CodeSystem.concept.code [ fhir:value "other-anticoagulant" ] ;
fhir:CodeSystem.concept.display [ fhir:value "其他抗凝血藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "維生素 K 拮抗劑與 NOAC 以外的抗凝血藥，未指明品項。" ]
], [
fhir:index 4 ;
fhir:CodeSystem.concept.code [ fhir:value "antiplatelet" ] ;
fhir:CodeSystem.concept.display [ fhir:value "抗血小板藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "抗血小板藥物類別，未指明品項。" ]
], [
fhir:index 5 ;
fhir:CodeSystem.concept.code [ fhir:value "antihypertensive" ] ;
fhir:CodeSystem.concept.display [ fhir:value "降血壓藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "降血壓藥物類別，未指明品項。" ]
], [
fhir:index 6 ;
fhir:CodeSystem.concept.code [ fhir:value "antiarrhythmic" ] ;
fhir:CodeSystem.concept.display [ fhir:value "抗心律不整藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "抗心律不整藥物類別，未指明品項。" ]
], [
fhir:index 7 ;
fhir:CodeSystem.concept.code [ fhir:value "diabetes-medication" ] ;
fhir:CodeSystem.concept.display [ fhir:value "糖尿病藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "治療糖尿病的藥物類別，未區分口服降血糖藥或胰島素，未指明品項。" ]
], [
fhir:index 8 ;
fhir:CodeSystem.concept.code [ fhir:value "lipid-lowering" ] ;
fhir:CodeSystem.concept.display [ fhir:value "降血脂藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "降血脂藥物類別，未區分 statin 或非 statin 類，未指明品項。" ]
], [
fhir:index 9 ;
fhir:CodeSystem.concept.code [ fhir:value "statin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "statin 類降血脂藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "statin 類降血脂藥，未指明品項。" ]
], [
fhir:index 10 ;
fhir:CodeSystem.concept.code [ fhir:value "non-statin-lipid-lowering" ] ;
fhir:CodeSystem.concept.display [ fhir:value "非 statin 類降血脂藥" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "statin 以外的降血脂藥，未指明品項。" ]
], [
fhir:index 11 ;
fhir:CodeSystem.concept.code [ fhir:value "aggrenox" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Aggrenox（aspirin／dipyridamole）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "含 aspirin 與 dipyridamole 的複方抗血小板藥，商品名 Aggrenox。" ]
], [
fhir:index 12 ;
fhir:CodeSystem.concept.code [ fhir:value "aspirin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Aspirin" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Aspirin，抗血小板藥。" ]
], [
fhir:index 13 ;
fhir:CodeSystem.concept.code [ fhir:value "ticlopidine" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Ticlopidine" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Ticlopidine，抗血小板藥。" ]
], [
fhir:index 14 ;
fhir:CodeSystem.concept.code [ fhir:value "warfarin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Warfarin" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Warfarin，維生素 K 拮抗劑類口服抗凝血藥。此代碼只代表 warfarin 單一藥品。" ]
], [
fhir:index 15 ;
fhir:CodeSystem.concept.code [ fhir:value "clopidogrel" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Clopidogrel" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Clopidogrel，抗血小板藥。" ]
], [
fhir:index 16 ;
fhir:CodeSystem.concept.code [ fhir:value "cilostazol-brand" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Pletaal（cilostazol）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Cilostazol，抗血小板藥，商品名 Pletaal。" ]
], [
fhir:index 17 ;
fhir:CodeSystem.concept.code [ fhir:value "lmw-heparin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "低分子量肝素（LMWH）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "低分子量肝素類抗凝血藥，未指明品項。" ]
], [
fhir:index 18 ;
fhir:CodeSystem.concept.code [ fhir:value "apixaban" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Apixaban" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Apixaban，非維生素 K 口服抗凝血藥（NOAC）。" ]
], [
fhir:index 19 ;
fhir:CodeSystem.concept.code [ fhir:value "dabigatran" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Dabigatran" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Dabigatran，非維生素 K 口服抗凝血藥（NOAC）。" ]
], [
fhir:index 20 ;
fhir:CodeSystem.concept.code [ fhir:value "edoxaban" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Edoxaban" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Edoxaban，非維生素 K 口服抗凝血藥（NOAC）。" ]
], [
fhir:index 21 ;
fhir:CodeSystem.concept.code [ fhir:value "rivaroxaban" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Rivaroxaban" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Rivaroxaban，非維生素 K 口服抗凝血藥（NOAC）。" ]
], [
fhir:index 22 ;
fhir:CodeSystem.concept.code [ fhir:value "ticagrelor" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Ticagrelor" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Ticagrelor，抗血小板藥。" ]
], [
fhir:index 23 ;
fhir:CodeSystem.concept.code [ fhir:value "inhibitor-unspecified" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Inhibitor 使用註記（類別未明）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "只知道曾使用 inhibitor，未說明是哪一類抑制劑。" ]
], [
fhir:index 24 ;
fhir:CodeSystem.concept.code [ fhir:value "dapt" ] ;
fhir:CodeSystem.concept.display [ fhir:value "雙重抗血小板治療（DAPT）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "同時使用兩種抗血小板藥的治療方式，未指明藥品組合。" ]
], [
fhir:index 25 ;
fhir:CodeSystem.concept.code [ fhir:value "sapt" ] ;
fhir:CodeSystem.concept.display [ fhir:value "單一抗血小板治療（SAPT）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "只使用一種抗血小板藥的治療方式，未指明品項。" ]
], [
fhir:index 26 ;
fhir:CodeSystem.concept.code [ fhir:value "oral-hypoglycemic" ] ;
fhir:CodeSystem.concept.display [ fhir:value "口服降血糖藥（OHA）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "口服降血糖藥物類別，未指明品項。" ]
], [
fhir:index 27 ;
fhir:CodeSystem.concept.code [ fhir:value "insulin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "胰島素" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "胰島素類降血糖藥，未指明品項與劑型。" ]
], [
fhir:index 28 ;
fhir:CodeSystem.concept.code [ fhir:value "iv-tpa-unspecified" ] ;
fhir:CodeSystem.concept.display [ fhir:value "靜脈血栓溶解劑 IV-tPA（品項未明）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "經靜脈給予的血栓溶解劑（tPA）。只知道是 IV-tPA、未指明為 alteplase 或 tenecteplase 時使用。" ]
], [
fhir:index 29 ;
fhir:CodeSystem.concept.code [ fhir:value "heparin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Heparin（肝素）" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Heparin 抗凝血藥，未指明製劑。" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/stroke-medication.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/stroke-medication.ttl> .
IG © 2026+ 高雄榮民總醫院 (VGHKS). Package tw.vgh.stroke#0.1.0 based on FHIR 4.0.1. Generated 2026-10-07
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