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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="stroke-clinical-assessment-code"/>
<text>
<status value="extensions"/>
<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>
</text>
<url
value="http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-clinical-assessment-code"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.25.200417545706838823599652533726601827116"/>
</identifier>
<version value="0.1.0"/>
<name value="StrokeClinicalAssessmentCodeVS"/>
<title value="腦中風－中風分類評估項目值集"/>
<status value="draft"/>
<experimental value="false"/>
<date value="2026-10-07T16:40:32+00:00"/>
<publisher value="高雄榮民總醫院 (VGHKS)"/>
<contact>
<name value="高雄榮民總醫院 (VGHKS)"/>
<telecom>
<system value="url"/>
<value value="https://www.vghks.gov.tw/"/>
</telecom>
</contact>
<description
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。"/>
<compose>
<include>
<system
value="http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation"/>
<concept>
<code value="stroke-type-infarction"/>
</concept>
<concept>
<code value="stroke-type-tia"/>
</concept>
<concept>
<code value="stroke-type-ich"/>
</concept>
<concept>
<code value="stroke-type-sah"/>
</concept>
<concept>
<code value="stroke-subtype-tia-ich-sah"/>
</concept>
<concept>
<code value="toast-classification"/>
</concept>
<concept>
<code value="toast-laa-extracranial"/>
</concept>
<concept>
<code value="toast-laa-intracranial"/>
</concept>
<concept>
<code value="toast-specific-etiology"/>
</concept>
<concept>
<code value="ecg-atrial-fibrillation"/>
</concept>
<concept>
<code value="ich-score"/>
</concept>
<concept>
<code value="hunt-hess-grade"/>
</concept>
<concept>
<code value="pre-stroke-independent"/>
</concept>
</include>
</compose>
</ValueSet>