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" : "ValueSet",
"id" : "stroke-clinical-assessment-code",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-clinical-assessment-code</b></p><a name=\"stroke-clinical-assessment-code\"> </a><a name=\"hcstroke-clinical-assessment-code\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-stroke-observation.html\"><code>http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version 📦0.1.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stroke-type-infarction\">stroke-type-infarction</a></td><td style=\"color: #cccccc\">中風類型：腦梗塞</td><td>本次中風是否為腦梗塞。valueString，原樣填入來源內容。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stroke-type-tia\">stroke-type-tia</a></td><td style=\"color: #cccccc\">中風類型：短暫性腦缺血</td><td>本次是否為短暫性腦缺血（TIA）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stroke-type-ich\">stroke-type-ich</a></td><td style=\"color: #cccccc\">中風類型：腦出血</td><td>本次中風是否為腦出血（ICH）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stroke-type-sah\">stroke-type-sah</a></td><td style=\"color: #cccccc\">中風類型：蜘蛛網膜下腔出血</td><td>本次中風是否為蜘蛛網膜下腔出血（SAH）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stroke-subtype-tia-ich-sah\">stroke-subtype-tia-ich-sah</a></td><td style=\"color: #cccccc\">TIA／ICH／SAH 次分類</td><td>短暫性腦缺血、腦出血或蜘蛛網膜下腔出血的次分類。valueString，原樣填入文字。常見內容如 Carotid、VB、Hypertensive、Non-Hypertensive、aneurysm、Angio negative。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-toast-classification\">toast-classification</a></td><td style=\"color: #cccccc\">TOAST 分類</td><td>缺血性中風的 TOAST 病因分類。valueCodeableConcept：1＝大動脈粥狀硬化，3＝心因性栓塞，4＝其他特定病因，5＝病因不明，svo＝小血管阻塞。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-toast-laa-extracranial\">toast-laa-extracranial</a></td><td style=\"color: #cccccc\">TOAST 大動脈粥狀硬化：顱外</td><td>大動脈粥狀硬化病灶是否位於顱外。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-toast-laa-intracranial\">toast-laa-intracranial</a></td><td style=\"color: #cccccc\">TOAST 大動脈粥狀硬化：顱內</td><td>大動脈粥狀硬化病灶是否位於顱內。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-toast-specific-etiology\">toast-specific-etiology</a></td><td style=\"color: #cccccc\">TOAST 其他特定病因說明</td><td>TOAST 分類為其他特定病因時的病因說明。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-ecg-atrial-fibrillation\">ecg-atrial-fibrillation</a></td><td style=\"color: #cccccc\">心電圖心房顫動</td><td>本次心電圖是否顯示心房顫動。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-ich-score\">ich-score</a></td><td style=\"color: #cccccc\">ICH 分數</td><td>腦出血病人的 ICH 嚴重度分數（通常為 0–6 分）。valueString，原樣填入來源分數。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-hunt-hess-grade\">hunt-hess-grade</a></td><td style=\"color: #cccccc\">Hunt and Hess 分級</td><td>蜘蛛網膜下腔出血病人的 Hunt and Hess 臨床分級（通常為 1–5 級）。valueString，原樣填入來源分級。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-pre-stroke-independent\">pre-stroke-independent</a></td><td style=\"color: #cccccc\">中風前可獨立生活</td><td>本次中風前是否能獨立生活。valueBoolean：true＝是，false＝否。</td></tr></table></li></ul></div>"
},
"url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-clinical-assessment-code",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.25.200417545706838823599652533726601827116"
}
],
"version" : "0.1.0",
"name" : "StrokeClinicalAssessmentCodeVS",
"title" : "腦中風－中風分類評估項目值集",
"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 ValueSet 列出「腦中風－中風分類評估」（StrokeClinicalAssessment）Observation.code 可用的項目代碼，包括中風類型、TOAST 分類、ICH 分數、Hunt and Hess 分級、心電圖心房顫動與中風前可否獨立生活。共 13 個代碼，皆來自 StrokeObservationCS。",
"compose" : {
"include" : [
{
"system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
"concept" : [
{
"code" : "stroke-type-infarction"
},
{
"code" : "stroke-type-tia"
},
{
"code" : "stroke-type-ich"
},
{
"code" : "stroke-type-sah"
},
{
"code" : "stroke-subtype-tia-ich-sah"
},
{
"code" : "toast-classification"
},
{
"code" : "toast-laa-extracranial"
},
{
"code" : "toast-laa-intracranial"
},
{
"code" : "toast-specific-etiology"
},
{
"code" : "ecg-atrial-fibrillation"
},
{
"code" : "ich-score"
},
{
"code" : "hunt-hess-grade"
},
{
"code" : "pre-stroke-independent"
}
]
}
]
}
}