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
{
"resourceType" : "Observation",
"id" : "stroke-nihss-24h-example",
"meta" : {
"profile" : [
🔗 "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation stroke-nihss-24h-example</b></p><a name=\"stroke-nihss-24h-example\"> </a><a name=\"hcstroke-nihss-24h-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-StrokeNIHSS.html\">腦中風-NIHSS 評估</a></p></div><p><b>腦中風-評估時點</b>: 24h</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 72089-6}\">Total score [NIH Stroke Scale]</span></p><p><b>subject</b>: <a href=\"Patient-stroke-patient-example.html\">Anonymous Patient Male, DoB: 1950-01 ( Medical record number: EX00000001\u00a0(use:\u00a0official))</a></p><p><b>encounter</b>: <a href=\"Encounter-stroke-encounter-example.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); period = 2025-01-15 --> 2025-01-28</a></p><p><b>effective</b>: 2025-01-16 11:00:00+0800</p><p><b>value</b>: 6</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70184-7}\">Level of consciousness [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70185-4}\">LOC questions [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70186-2}\">LOC commands [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70187-0}\">Best gaze [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70188-8}\">Visual [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70189-6}\">Facial palsy [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70190-4}\">Motor arm Left arm [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70967-5}\">Motor arm Right arm [NIH Stroke Scale]</span></p><p><b>value</b>: 2</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70191-2}\">Motor leg Leg - left [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70968-3}\">Motor leg Leg - right [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70192-0}\">Limb ataxia [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70193-8}\">Sensory [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70194-6}\">Best language [NIH Stroke Scale]</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70195-3}\">Dysarthria [NIH Stroke Scale]</span></p><p><b>value</b>: X</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 70196-1}\">Extinction and inattention [NIH Stroke Scale]</span></p><p><b>value</b>: 0</p></blockquote></div>"
},
"extension" : [
{
"url" : "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase",
"valueCode" : "24h"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey",
"display" : "Survey"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72089-6",
"display" : "Total score [NIH Stroke Scale]"
}
]
},
"subject" : {
🔗 "reference" : "Patient/stroke-patient-example"
},
"encounter" : {
🔗 "reference" : "Encounter/stroke-encounter-example"
},
"effectiveDateTime" : "2025-01-16T11:00:00+08:00",
"valueInteger" : 6,
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70184-7",
"display" : "Level of consciousness [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70185-4",
"display" : "LOC questions [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70186-2",
"display" : "LOC commands [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70187-0",
"display" : "Best gaze [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70188-8",
"display" : "Visual [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70189-6",
"display" : "Facial palsy [NIH Stroke Scale]"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70190-4",
"display" : "Motor arm Left arm [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70967-5",
"display" : "Motor arm Right arm [NIH Stroke Scale]"
}
]
},
"valueInteger" : 2
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70191-2",
"display" : "Motor leg Leg - left [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70968-3",
"display" : "Motor leg Leg - right [NIH Stroke Scale]"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70192-0",
"display" : "Limb ataxia [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70193-8",
"display" : "Sensory [NIH Stroke Scale]"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70194-6",
"display" : "Best language [NIH Stroke Scale]"
}
]
},
"valueInteger" : 1
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70195-3",
"display" : "Dysarthria [NIH Stroke Scale]"
}
]
},
"valueString" : "X"
},
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "70196-1",
"display" : "Extinction and inattention [NIH Stroke Scale]"
}
]
},
"valueInteger" : 0
}
]
}