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 |
Definitions for the StrokeRapidLM logical model.
See the documentation on how to interpret the contents of this table
| 0. StrokeRapidLM | |
| Definition | RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。 |
| Short | RAPID 影像分析資料邏輯模型 |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. StrokeRapidLM.hisnummark | |
| Definition | 病人在本院的病歷號。 |
| Short | 病歷號 |
| Control | 1..1 |
| Type | Identifier |
| 4. StrokeRapidLM.rpreqno | |
| Definition | 影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。 |
| Short | 申請序號 |
| Control | 1..1 |
| Type | Identifier |
| 6. StrokeRapidLM.scantype | |
| Definition | 影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。 |
| Short | 掃描類型 |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. StrokeRapidLM.latestseriesdate | |
| Definition | 最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。 |
| Short | 最近一次掃描 series 日期 |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. StrokeRapidLM.aspectsAffectedside | |
| Definition | ASPECTS 評估的影響側：L＝左腦；R＝右腦。 |
| Short | ASPECTS 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. StrokeRapidLM.aspects | |
| Definition | ASPECTS 分數，範圍 0 至 10。 |
| Short | ASPECTS 分數 |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. StrokeRapidLM.ctaAffectedside | |
| Definition | 電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。 |
| Short | CTA 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. StrokeRapidLM.cbfVolume | |
| Definition | 腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | CBF<30% 體積 |
| Control | 0..1 |
| Type | Quantity |
| 18. StrokeRapidLM.tmaxVolume | |
| Definition | Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | Tmax>6 秒體積 |
| Control | 0..1 |
| Type | Quantity |
| 20. StrokeRapidLM.mismatchVolume | |
| Definition | 不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | 不一致體積 |
| Control | 0..1 |
| Type | Quantity |
| 22. StrokeRapidLM.mismatchRatio | |
| Definition | 不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。 |
| Short | 不一致比率 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. StrokeRapidLM.hypoperfusionIntensityRatio | |
| Definition | 低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。 |
| Short | 低灌注強度比值 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. StrokeRapidLM.hid | |
| Definition | 院所代號，例如 1A0＝高雄榮總。 |
| Short | 醫院代號 |
| Control | 1..1 |
| Type | Identifier |
| 28. StrokeRapidLM.zrapid | |
| Definition | 資料時戳，格式為 YYYY-MM-DD hh:mm:ss。 |
| Short | 日期時戳 |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 30. StrokeRapidLM.mtqualified | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. StrokeRapidLM.mtqualified16hDefuse3 | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_16H_DEFUSE3 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. StrokeRapidLM.mtqualified6hExtendia | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_EXTENDIA |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. StrokeRapidLM.mtqualified6hSwiftprime | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_SWIFTPRIME |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
See the documentation on how to interpret the contents of this table
| 0. StrokeRapidLM | |
| Definition | RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。 |
| Short | RAPID 影像分析資料邏輯模型 |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. StrokeRapidLM.hisnummark | |
| Definition | 病人在本院的病歷號。 |
| Short | 病歷號 |
| Control | 1..1 |
| Type | Identifier |
| 4. StrokeRapidLM.rpreqno | |
| Definition | 影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。 |
| Short | 申請序號 |
| Control | 1..1 |
| Type | Identifier |
| 6. StrokeRapidLM.scantype | |
| Definition | 影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。 |
| Short | 掃描類型 |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. StrokeRapidLM.latestseriesdate | |
| Definition | 最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。 |
| Short | 最近一次掃描 series 日期 |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. StrokeRapidLM.aspectsAffectedside | |
| Definition | ASPECTS 評估的影響側：L＝左腦；R＝右腦。 |
| Short | ASPECTS 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. StrokeRapidLM.aspects | |
| Definition | ASPECTS 分數，範圍 0 至 10。 |
| Short | ASPECTS 分數 |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. StrokeRapidLM.ctaAffectedside | |
| Definition | 電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。 |
| Short | CTA 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. StrokeRapidLM.cbfVolume | |
| Definition | 腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | CBF<30% 體積 |
| Control | 0..1 |
| Type | Quantity |
| 18. StrokeRapidLM.tmaxVolume | |
| Definition | Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | Tmax>6 秒體積 |
| Control | 0..1 |
| Type | Quantity |
| 20. StrokeRapidLM.mismatchVolume | |
| Definition | 不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | 不一致體積 |
| Control | 0..1 |
| Type | Quantity |
| 22. StrokeRapidLM.mismatchRatio | |
| Definition | 不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。 |
| Short | 不一致比率 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. StrokeRapidLM.hypoperfusionIntensityRatio | |
| Definition | 低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。 |
| Short | 低灌注強度比值 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. StrokeRapidLM.hid | |
| Definition | 院所代號，例如 1A0＝高雄榮總。 |
| Short | 醫院代號 |
| Control | 1..1 |
| Type | Identifier |
| 28. StrokeRapidLM.zrapid | |
| Definition | 資料時戳，格式為 YYYY-MM-DD hh:mm:ss。 |
| Short | 日期時戳 |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 30. StrokeRapidLM.mtqualified | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. StrokeRapidLM.mtqualified16hDefuse3 | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_16H_DEFUSE3 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. StrokeRapidLM.mtqualified6hExtendia | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_EXTENDIA |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. StrokeRapidLM.mtqualified6hSwiftprime | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_SWIFTPRIME |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
See the documentation on how to interpret the contents of this table
| 0. StrokeRapidLM | |
| Definition | RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。 |
| Short | RAPID 影像分析資料邏輯模型 |
| Control | 0..* |
| Is Modifier | false |
| Logical Model | Instances of this logical model are not marked to be the target of a Reference |
| 2. StrokeRapidLM.hisnummark | |
| Definition | 病人在本院的病歷號。 |
| Short | 病歷號 |
| Control | 1..1 |
| Type | Identifier |
| 4. StrokeRapidLM.rpreqno | |
| Definition | 影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。 |
| Short | 申請序號 |
| Control | 1..1 |
| Type | Identifier |
| 6. StrokeRapidLM.scantype | |
| Definition | 影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。 |
| Short | 掃描類型 |
| Control | 1..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 8. StrokeRapidLM.latestseriesdate | |
| Definition | 最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。 |
| Short | 最近一次掃描 series 日期 |
| Control | 0..1 |
| Type | date |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 10. StrokeRapidLM.aspectsAffectedside | |
| Definition | ASPECTS 評估的影響側：L＝左腦；R＝右腦。 |
| Short | ASPECTS 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 12. StrokeRapidLM.aspects | |
| Definition | ASPECTS 分數，範圍 0 至 10。 |
| Short | ASPECTS 分數 |
| Control | 0..1 |
| Type | integer |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 14. StrokeRapidLM.ctaAffectedside | |
| Definition | 電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。 |
| Short | CTA 影響側 |
| Control | 0..1 |
| Type | code |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 16. StrokeRapidLM.cbfVolume | |
| Definition | 腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | CBF<30% 體積 |
| Control | 0..1 |
| Type | Quantity |
| 18. StrokeRapidLM.tmaxVolume | |
| Definition | Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | Tmax>6 秒體積 |
| Control | 0..1 |
| Type | Quantity |
| 20. StrokeRapidLM.mismatchVolume | |
| Definition | 不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。 |
| Short | 不一致體積 |
| Control | 0..1 |
| Type | Quantity |
| 22. StrokeRapidLM.mismatchRatio | |
| Definition | 不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。 |
| Short | 不一致比率 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 24. StrokeRapidLM.hypoperfusionIntensityRatio | |
| Definition | 低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。 |
| Short | 低灌注強度比值 |
| Control | 0..1 |
| Type | decimal |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 26. StrokeRapidLM.hid | |
| Definition | 院所代號，例如 1A0＝高雄榮總。 |
| Short | 醫院代號 |
| Control | 1..1 |
| Type | Identifier |
| 28. StrokeRapidLM.zrapid | |
| Definition | 資料時戳，格式為 YYYY-MM-DD hh:mm:ss。 |
| Short | 日期時戳 |
| Control | 0..1 |
| Type | dateTime |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 30. StrokeRapidLM.mtqualified | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 32. StrokeRapidLM.mtqualified16hDefuse3 | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_16H_DEFUSE3 |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 34. StrokeRapidLM.mtqualified6hExtendia | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_EXTENDIA |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| 36. StrokeRapidLM.mtqualified6hSwiftprime | |
| Definition | JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。 |
| Short | MTQUALIFIED_6H_SWIFTPRIME |
| Control | 0..1 |
| Type | string |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |