腦中風 NIHSS 治療後 24 小時評估範例 - TTL Representation - 臺灣榮總腦中風實作指引（TW VGH Stroke IG） v0.1.0

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
: 腦中風 NIHSS 治療後 24 小時評估範例 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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/Observation/stroke-nihss-24h-example> a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "stroke-nihss-24h-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS" ;
       fhir:index 0 ;
       fhir:link <http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeNIHSS>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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 (use: official))</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 --&gt; 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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase" ] ;
     fhir:Extension.valueCode [ fhir:value "24h" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "survey" ] ;
       fhir:Coding.display [ fhir:value "Survey" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a loinc:72089-6 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "72089-6" ] ;
       fhir:Coding.display [ fhir:value "Total score [NIH Stroke Scale]" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:link <http://hl7.org/fhir/Patient/stroke-patient-example> ;
     fhir:Reference.reference [ fhir:value "Patient/stroke-patient-example" ]
  ] ;
  fhir:Observation.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/stroke-encounter-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/stroke-encounter-example" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2025-01-16T11:00:00+08:00"^^xsd:dateTime] ;
  fhir:Observation.valueInteger [ fhir:value "6"^^xsd:integer] ;
  fhir:Observation.component [
     fhir:index 0 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70184-7 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70184-7" ] ;
         fhir:Coding.display [ fhir:value "Level of consciousness [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 1 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70185-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70185-4" ] ;
         fhir:Coding.display [ fhir:value "LOC questions [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 2 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70186-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70186-2" ] ;
         fhir:Coding.display [ fhir:value "LOC commands [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 3 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70187-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70187-0" ] ;
         fhir:Coding.display [ fhir:value "Best gaze [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 4 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70188-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70188-8" ] ;
         fhir:Coding.display [ fhir:value "Visual [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 5 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70189-6 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70189-6" ] ;
         fhir:Coding.display [ fhir:value "Facial palsy [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "1"^^xsd:integer ]
  ], [
     fhir:index 6 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70190-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70190-4" ] ;
         fhir:Coding.display [ fhir:value "Motor arm Left arm [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 7 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70967-5 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70967-5" ] ;
         fhir:Coding.display [ fhir:value "Motor arm Right arm [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "2"^^xsd:integer ]
  ], [
     fhir:index 8 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70191-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70191-2" ] ;
         fhir:Coding.display [ fhir:value "Motor leg Leg - left [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 9 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70968-3 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70968-3" ] ;
         fhir:Coding.display [ fhir:value "Motor leg Leg - right [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "1"^^xsd:integer ]
  ], [
     fhir:index 10 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70192-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70192-0" ] ;
         fhir:Coding.display [ fhir:value "Limb ataxia [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index 11 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70193-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70193-8" ] ;
         fhir:Coding.display [ fhir:value "Sensory [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "1"^^xsd:integer ]
  ], [
     fhir:index 12 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70194-6 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70194-6" ] ;
         fhir:Coding.display [ fhir:value "Best language [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "1"^^xsd:integer ]
  ], [
     fhir:index 13 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70195-3 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70195-3" ] ;
         fhir:Coding.display [ fhir:value "Dysarthria [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueString [ fhir:value "X" ]
  ], [
     fhir:index 14 ;
     fhir:Observation.component.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a loinc:70196-1 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "70196-1" ] ;
         fhir:Coding.display [ fhir:value "Extinction and inattention [NIH Stroke Scale]" ]
       ]
     ] ;
     fhir:Observation.component.valueInteger [ fhir:value "0"^^xsd:integer ]
  ] .

<http://hl7.org/fhir/Patient/stroke-patient-example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/stroke-encounter-example> a fhir:Encounter .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Observation/stroke-nihss-24h-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Observation/stroke-nihss-24h-example.ttl> .