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 |
{
"resourceType" : "CodeSystem",
"id" : "stroke-procedure",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem stroke-procedure</b></p><a name=\"stroke-procedure\"> </a><a name=\"hcstroke-procedure\"> </a><p>This case-sensitive code system <code>http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure</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\">evt<a name=\"stroke-procedure-evt\"> </a></td><td>動脈內血栓移除術（EVT）</td><td>急性缺血性腦中風血管內血栓移除治療主處置。動脈穿刺、支架取栓、抽吸取栓、置放支架等子處置，以 partOf 參照此處置。</td></tr><tr><td style=\"white-space:nowrap\">ia-thrombectomy<a name=\"stroke-procedure-ia-thrombectomy\"> </a></td><td>動脈內取栓</td><td>住院期間執行的動脈內取栓治療，只記錄是否執行，不含術中細節。</td></tr><tr><td style=\"white-space:nowrap\">urinary-catheter-insertion<a name=\"stroke-procedure-urinary-catheter-insertion\"> </a></td><td>留置導尿管</td><td>住院期間留置導尿管（Foley）。</td></tr><tr><td style=\"white-space:nowrap\">rehabilitation<a name=\"stroke-procedure-rehabilitation\"> </a></td><td>復健治療</td><td>住院期間接受復健治療。</td></tr><tr><td style=\"white-space:nowrap\">mechanical-ventilation<a name=\"stroke-procedure-mechanical-ventilation\"> </a></td><td>使用呼吸器</td><td>住院期間使用呼吸器（機械通氣）。</td></tr><tr><td style=\"white-space:nowrap\">nasogastric-tube-insertion<a name=\"stroke-procedure-nasogastric-tube-insertion\"> </a></td><td>留置鼻胃管</td><td>住院期間留置鼻胃管。</td></tr><tr><td style=\"white-space:nowrap\">dysphagia-screening<a name=\"stroke-procedure-dysphagia-screening\"> </a></td><td>吞嚥篩檢</td><td>住院期間執行吞嚥功能篩檢。</td></tr><tr><td style=\"white-space:nowrap\">smoking-cessation-counseling<a name=\"stroke-procedure-smoking-cessation-counseling\"> </a></td><td>戒菸衛教</td><td>住院期間對病人進行戒菸衛教。</td></tr><tr><td style=\"white-space:nowrap\">stroke-education<a name=\"stroke-procedure-stroke-education\"> </a></td><td>中風衛教</td><td>住院期間對病人或家屬進行中風衛教。</td></tr><tr><td style=\"white-space:nowrap\">surgical-treatment<a name=\"stroke-procedure-surgical-treatment\"> </a></td><td>手術治療（未指明術式）</td><td>住院期間接受手術，未指明術式。</td></tr><tr><td style=\"white-space:nowrap\">evt-puncture<a name=\"stroke-procedure-evt-puncture\"> </a></td><td>EVT 動脈穿刺</td><td>EVT 建立血管通路的動脈穿刺。穿刺時間填 performedDateTime，穿刺部位填 bodySite。</td></tr><tr><td style=\"white-space:nowrap\">stent-placement<a name=\"stroke-procedure-stent-placement\"> </a></td><td>置放支架</td><td>EVT 過程中置放血管支架。</td></tr><tr><td style=\"white-space:nowrap\">aspiration-thrombectomy<a name=\"stroke-procedure-aspiration-thrombectomy\"> </a></td><td>抽吸取栓</td><td>EVT 過程中以抽吸導管移除血栓。</td></tr><tr><td style=\"white-space:nowrap\">intra-arterial-drug-therapy<a name=\"stroke-procedure-intra-arterial-drug-therapy\"> </a></td><td>動脈內藥物治療</td><td>EVT 過程中經動脈給藥（例如血栓溶解劑），藥品與劑量填在給藥紀錄。</td></tr><tr><td style=\"white-space:nowrap\">stent-retriever-thrombectomy<a name=\"stroke-procedure-stent-retriever-thrombectomy\"> </a></td><td>支架取栓</td><td>EVT 過程中以支架取栓器移除血栓。</td></tr><tr><td style=\"white-space:nowrap\">balloon-angioplasty<a name=\"stroke-procedure-balloon-angioplasty\"> </a></td><td>球囊血管成形術</td><td>EVT 過程中以球囊擴張狹窄血管。</td></tr><tr><td style=\"white-space:nowrap\">decompressive-craniectomy<a name=\"stroke-procedure-decompressive-craniectomy\"> </a></td><td>減壓性顱骨切除術</td><td>切除部分顱骨以降低顱內壓的手術。</td></tr><tr><td style=\"white-space:nowrap\">hematoma-evacuation<a name=\"stroke-procedure-hematoma-evacuation\"> </a></td><td>血腫清除術</td><td>以手術清除顱內血腫。</td></tr><tr><td style=\"white-space:nowrap\">external-ventricular-drainage<a name=\"stroke-procedure-external-ventricular-drainage\"> </a></td><td>腦室外引流術（EVD）</td><td>放置腦室外引流管，將腦脊髓液引流至體外。</td></tr><tr><td style=\"white-space:nowrap\">ventriculoperitoneal-shunt<a name=\"stroke-procedure-ventriculoperitoneal-shunt\"> </a></td><td>腦室腹腔分流術（VP shunt）</td><td>放置分流管，將腦脊髓液由腦室引流至腹腔。</td></tr><tr><td style=\"white-space:nowrap\">other-surgery<a name=\"stroke-procedure-other-surgery\"> </a></td><td>其他手術</td><td>住院期間接受的其他手術，術式名稱填在 Procedure.code.text。</td></tr></table></div>"
},
"url" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.25.56596865537018584225811559403070491633"
}
],
"version" : "0.1.0",
"name" : "StrokeProcedureCS",
"title" : "腦中風－醫療處置代碼",
"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 CodeSystem 定義本 IG 用於 Procedure.code 的本地處置代碼，包含 EVT 主處置與其子處置（動脈穿刺、支架取栓、抽吸取栓、置放支架等）、腦部手術，以及住院期間的處置與衛教。若有對應的 SNOMED CT 代碼，可在 Procedure.code 同時填入。",
"caseSensitive" : true,
"content" : "complete",
"count" : 21,
"concept" : [
{
"code" : "evt",
"display" : "動脈內血栓移除術（EVT）",
"definition" : "急性缺血性腦中風血管內血栓移除治療主處置。動脈穿刺、支架取栓、抽吸取栓、置放支架等子處置，以 partOf 參照此處置。"
},
{
"code" : "ia-thrombectomy",
"display" : "動脈內取栓",
"definition" : "住院期間執行的動脈內取栓治療，只記錄是否執行，不含術中細節。"
},
{
"code" : "urinary-catheter-insertion",
"display" : "留置導尿管",
"definition" : "住院期間留置導尿管（Foley）。"
},
{
"code" : "rehabilitation",
"display" : "復健治療",
"definition" : "住院期間接受復健治療。"
},
{
"code" : "mechanical-ventilation",
"display" : "使用呼吸器",
"definition" : "住院期間使用呼吸器（機械通氣）。"
},
{
"code" : "nasogastric-tube-insertion",
"display" : "留置鼻胃管",
"definition" : "住院期間留置鼻胃管。"
},
{
"code" : "dysphagia-screening",
"display" : "吞嚥篩檢",
"definition" : "住院期間執行吞嚥功能篩檢。"
},
{
"code" : "smoking-cessation-counseling",
"display" : "戒菸衛教",
"definition" : "住院期間對病人進行戒菸衛教。"
},
{
"code" : "stroke-education",
"display" : "中風衛教",
"definition" : "住院期間對病人或家屬進行中風衛教。"
},
{
"code" : "surgical-treatment",
"display" : "手術治療（未指明術式）",
"definition" : "住院期間接受手術，未指明術式。"
},
{
"code" : "evt-puncture",
"display" : "EVT 動脈穿刺",
"definition" : "EVT 建立血管通路的動脈穿刺。穿刺時間填 performedDateTime，穿刺部位填 bodySite。"
},
{
"code" : "stent-placement",
"display" : "置放支架",
"definition" : "EVT 過程中置放血管支架。"
},
{
"code" : "aspiration-thrombectomy",
"display" : "抽吸取栓",
"definition" : "EVT 過程中以抽吸導管移除血栓。"
},
{
"code" : "intra-arterial-drug-therapy",
"display" : "動脈內藥物治療",
"definition" : "EVT 過程中經動脈給藥（例如血栓溶解劑），藥品與劑量填在給藥紀錄。"
},
{
"code" : "stent-retriever-thrombectomy",
"display" : "支架取栓",
"definition" : "EVT 過程中以支架取栓器移除血栓。"
},
{
"code" : "balloon-angioplasty",
"display" : "球囊血管成形術",
"definition" : "EVT 過程中以球囊擴張狹窄血管。"
},
{
"code" : "decompressive-craniectomy",
"display" : "減壓性顱骨切除術",
"definition" : "切除部分顱骨以降低顱內壓的手術。"
},
{
"code" : "hematoma-evacuation",
"display" : "血腫清除術",
"definition" : "以手術清除顱內血腫。"
},
{
"code" : "external-ventricular-drainage",
"display" : "腦室外引流術（EVD）",
"definition" : "放置腦室外引流管，將腦脊髓液引流至體外。"
},
{
"code" : "ventriculoperitoneal-shunt",
"display" : "腦室腹腔分流術（VP shunt）",
"definition" : "放置分流管，將腦脊髓液由腦室引流至腹腔。"
},
{
"code" : "other-surgery",
"display" : "其他手術",
"definition" : "住院期間接受的其他手術，術式名稱填在 Procedure.code.text。"
}
]
}