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

• Narrative Content
• XML
• JSON
• TTL

: 腦中風－中風分類評估項目值集 - TTL Representation

Draft as of 2026-10-07

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@prefix fhir: <http://hl7.org/fhir/> .
@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/ValueSet/stroke-clinical-assessment-code> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "stroke-clinical-assessment-code"] ;
  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: 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>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-clinical-assessment-code"] ;
  fhir:ValueSet.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.25.200417545706838823599652533726601827116" ]
  ] ;
  fhir:ValueSet.version [ fhir:value "0.1.0"] ;
  fhir:ValueSet.name [ fhir:value "StrokeClinicalAssessmentCodeVS"] ;
  fhir:ValueSet.title [ fhir:value "腦中風－中風分類評估項目值集"] ;
  fhir:ValueSet.status [ fhir:value "draft"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-10-07T16:40:32+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "高雄榮民總醫院 (VGHKS)"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "高雄榮民總醫院 (VGHKS)" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.vghks.gov.tw/" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "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。"] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "stroke-type-infarction" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "stroke-type-tia" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "stroke-type-ich" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "stroke-type-sah" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "stroke-subtype-tia-ich-sah" ]
       ], [
         fhir:index 5 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "toast-classification" ]
       ], [
         fhir:index 6 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "toast-laa-extracranial" ]
       ], [
         fhir:index 7 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "toast-laa-intracranial" ]
       ], [
         fhir:index 8 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "toast-specific-etiology" ]
       ], [
         fhir:index 9 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ecg-atrial-fibrillation" ]
       ], [
         fhir:index 10 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ich-score" ]
       ], [
         fhir:index 11 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "hunt-hess-grade" ]
       ], [
         fhir:index 12 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "pre-stroke-independent" ]
       ]
     ]
  ] .

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

<http://hl7.org/fhir/ValueSet/stroke-clinical-assessment-code.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/stroke-clinical-assessment-code.ttl> .