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

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: 腦中風－住院併發症與惡化項目值集 - JSON Representation

Draft as of 2026-10-07

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{
  "resourceType" : "ValueSet",
  "id" : "stroke-complication-code",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-complication-code</b></p><a name=\"stroke-complication-code\"> </a><a name=\"hcstroke-complication-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 &#x1F4E6;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-no-complication\">no-complication</a></td><td style=\"color: #cccccc\">無住院併發症</td><td>住院期間未發生併發症。勾選時填 valueBoolean = true；未勾選不建立此項。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-pneumonia\">complication-pneumonia</a></td><td style=\"color: #cccccc\">住院併發症：肺炎</td><td>住院期間是否發生肺炎。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-sepsis\">complication-sepsis</a></td><td style=\"color: #cccccc\">住院併發症：敗血症</td><td>住院期間是否發生敗血症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-urinary-tract-infection\">complication-urinary-tract-infection</a></td><td style=\"color: #cccccc\">住院併發症：泌尿道感染</td><td>住院期間是否發生泌尿道感染。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-acute-coronary-syndrome\">complication-acute-coronary-syndrome</a></td><td style=\"color: #cccccc\">住院併發症：急性冠心症</td><td>住院期間是否發生急性冠心症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-upper-gi-bleeding\">complication-upper-gi-bleeding</a></td><td style=\"color: #cccccc\">住院併發症：上消化道出血</td><td>住院期間是否發生上消化道出血。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-seizure\">complication-seizure</a></td><td style=\"color: #cccccc\">住院併發症：癲癇發作</td><td>住院期間是否發生癲癇發作。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-renal-failure\">complication-renal-failure</a></td><td style=\"color: #cccccc\">住院併發症：腎衰竭</td><td>住院期間是否發生腎衰竭。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-deep-vein-thrombosis\">complication-deep-vein-thrombosis</a></td><td style=\"color: #cccccc\">住院併發症：深部靜脈栓塞</td><td>住院期間是否發生深部靜脈栓塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-neurologic-deterioration-nihss-2-or-more\">neurologic-deterioration-nihss-2-or-more</a></td><td style=\"color: #cccccc\">中風惡化（NIHSS 增加至少 2 分）</td><td>住院期間是否發生中風惡化，以 NIHSS 至少增加 2 分為判定標準。valueBoolean：true＝有，false＝沒有。與 neurologic-deterioration-criteria-unspecified 的判定標準不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-neurologic-deterioration-criteria-unspecified\">neurologic-deterioration-criteria-unspecified</a></td><td style=\"color: #cccccc\">中風惡化（判定標準未定）</td><td>住院期間是否發生中風惡化，未指明判定標準與計算區間。valueBoolean：true＝有，false＝沒有。與 neurologic-deterioration-nihss-2-or-more 的判定標準不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-other\">complication-other</a></td><td style=\"color: #cccccc\">住院併發症：其他</td><td>住院期間是否發生其他併發症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-complication-other-name\">complication-other-name</a></td><td style=\"color: #cccccc\">其他住院併發症名稱</td><td>其他住院併發症的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-herniation\">deterioration-cause-herniation</a></td><td style=\"color: #cccccc\">惡化原因：腦疝脫</td><td>住院期間神經學惡化的原因是否為腦疝脫。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-hemorrhagic-infarct-36h\">deterioration-cause-hemorrhagic-infarct-36h</a></td><td style=\"color: #cccccc\">惡化原因：36 小時內出血性梗塞</td><td>住院期間神經學惡化的原因是否為 36 小時內出血性梗塞。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-hematoma-expansion\">deterioration-cause-hematoma-expansion</a></td><td style=\"color: #cccccc\">惡化原因：血腫擴大</td><td>住院期間神經學惡化的原因是否為血腫擴大（腦出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-vasospasm\">deterioration-cause-vasospasm</a></td><td style=\"color: #cccccc\">惡化原因：血管痙攣</td><td>住院期間神經學惡化的原因是否為血管痙攣（蜘蛛網膜下腔出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-rebleeding\">deterioration-cause-rebleeding</a></td><td style=\"color: #cccccc\">惡化原因：再出血</td><td>住院期間神經學惡化的原因是否為再出血（蜘蛛網膜下腔出血）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-deterioration-cause-medical-problem\">deterioration-cause-medical-problem</a></td><td style=\"color: #cccccc\">惡化原因：內科問題</td><td>住院期間神經學惡化的原因是否為內科問題。valueBoolean：true＝是，false＝否。</td></tr></table></li></ul></div>"
  },
  "url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-complication-code",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.25.184625902385695808469097773641368958893"
    }
  ],
  "version" : "0.1.0",
  "name" : "StrokeComplicationCodeVS",
  "title" : "腦中風－住院併發症與惡化項目值集",
  "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－住院併發症與惡化」（StrokeComplication）Observation.code 可用的項目代碼，包括住院併發症、中風惡化與神經學惡化原因。共 19 個代碼，皆來自 StrokeObservationCS。",
  "compose" : {
    "include" : [
      {
        "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
        "concept" : [
          {
            "code" : "no-complication"
          },
          {
            "code" : "complication-pneumonia"
          },
          {
            "code" : "complication-sepsis"
          },
          {
            "code" : "complication-urinary-tract-infection"
          },
          {
            "code" : "complication-acute-coronary-syndrome"
          },
          {
            "code" : "complication-upper-gi-bleeding"
          },
          {
            "code" : "complication-seizure"
          },
          {
            "code" : "complication-renal-failure"
          },
          {
            "code" : "complication-deep-vein-thrombosis"
          },
          {
            "code" : "neurologic-deterioration-nihss-2-or-more"
          },
          {
            "code" : "neurologic-deterioration-criteria-unspecified"
          },
          {
            "code" : "complication-other"
          },
          {
            "code" : "complication-other-name"
          },
          {
            "code" : "deterioration-cause-herniation"
          },
          {
            "code" : "deterioration-cause-hemorrhagic-infarct-36h"
          },
          {
            "code" : "deterioration-cause-hematoma-expansion"
          },
          {
            "code" : "deterioration-cause-vasospasm"
          },
          {
            "code" : "deterioration-cause-rebleeding"
          },
          {
            "code" : "deterioration-cause-medical-problem"
          }
        ]
      }
    ]
  }
}