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-evt-outcome-code",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-evt-outcome-code</b></p><a name=\"stroke-evt-outcome-code\"> </a><a name=\"hcstroke-evt-outcome-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-final-tici-grade\">final-tici-grade</a></td><td style=\"color: #cccccc\">最終 TICI 分級</td><td>EVT 結束時的再灌流程度，以 TICI 分級表示。valueCodeableConcept：0、1、2a、2b、2c、3，等級越高代表再灌流越完整。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-rethrombosis-within-10-minutes\">rethrombosis-within-10-minutes</a></td><td style=\"color: #cccccc\">5–10 分鐘內再血栓</td><td>血管再通後 5 至 10 分鐘內是否再形成血栓。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-new-territory-embolism\">new-territory-embolism</a></td><td style=\"color: #cccccc\">新血管區域栓塞</td><td>EVT 後是否在原本未受影響的血管區域發生栓塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-new-territory-embolism-detail\">new-territory-embolism-detail</a></td><td style=\"color: #cccccc\">新血管區域栓塞說明</td><td>新血管區域栓塞的位置或細節。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-post-evt-bp-target\">post-evt-bp-target</a></td><td style=\"color: #cccccc\">EVT 後血壓控制目標</td><td>EVT 後的血壓控制目標上限。valueCodeableConcept：1＝< 180 mmHg，2＝< 160 mmHg，3＝< 140 mmHg，4＝< 120 mmHg。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-no-evt-complication\">no-evt-complication</a></td><td style=\"color: #cccccc\">無 EVT 相關併發症</td><td>EVT 未發生相關併發症。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-evt-arterial-dissection\">evt-arterial-dissection</a></td><td style=\"color: #cccccc\">EVT 血管剝離</td><td>EVT 是否造成血管剝離。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-evt-puncture-site-hematoma\">evt-puncture-site-hematoma</a></td><td style=\"color: #cccccc\">EVT 穿刺處血腫</td><td>EVT 後穿刺部位是否發生血腫。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-evt-other-complication\">evt-other-complication</a></td><td style=\"color: #cccccc\">其他 EVT 相關併發症</td><td>是否發生其他 EVT 相關併發症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-no-follow-up-imaging\">no-follow-up-imaging</a></td><td style=\"color: #cccccc\">無追蹤影像</td><td>EVT 後未執行追蹤影像。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-follow-up-ct-performed\">follow-up-ct-performed</a></td><td style=\"color: #cccccc\">執行追蹤 CT</td><td>EVT 後是否執行追蹤 CT。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-follow-up-mri-performed\">follow-up-mri-performed</a></td><td style=\"color: #cccccc\">執行追蹤 MRI</td><td>EVT 後是否執行追蹤 MRI。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-follow-up-imaging-ich\">follow-up-imaging-ich</a></td><td style=\"color: #cccccc\">追蹤影像顯示顱內出血</td><td>EVT 後追蹤影像是否顯示顱內出血。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-follow-up-ich-symptom-type\">follow-up-ich-symptom-type</a></td><td style=\"color: #cccccc\">追蹤影像顱內出血症狀分類</td><td>追蹤影像發現顱內出血時的症狀分類。valueCodeableConcept：1＝有症狀（36 小時內 NIHSS 增加 4 分），2＝無症狀。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-follow-up-imaging-infarct\">follow-up-imaging-infarct</a></td><td style=\"color: #cccccc\">追蹤影像顯示梗塞</td><td>EVT 後追蹤影像是否顯示梗塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-follow-up-imaging-other-finding\">follow-up-imaging-other-finding</a></td><td style=\"color: #cccccc\">追蹤影像其他發現</td><td>EVT 後追蹤影像是否有其他發現。valueBoolean：true＝有，false＝沒有。</td></tr></table></li></ul></div>"
},
"url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-evt-outcome-code",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.25.185858214981525224469175458724132790451"
}
],
"version" : "0.1.0",
"name" : "StrokeEvtOutcomeCodeVS",
"title" : "腦中風－EVT 術後結果項目值集",
"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－EVT 術後結果」（StrokeEvtOutcome）Observation.code 可用的項目代碼，包括最終 TICI 分級、再血栓、新血管區域栓塞、術後血壓控制目標、EVT 相關併發症與追蹤影像結果。共 16 個代碼，皆來自 StrokeObservationCS。",
"compose" : {
"include" : [
{
"system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
"concept" : [
{
"code" : "final-tici-grade"
},
{
"code" : "rethrombosis-within-10-minutes"
},
{
"code" : "new-territory-embolism"
},
{
"code" : "new-territory-embolism-detail"
},
{
"code" : "post-evt-bp-target"
},
{
"code" : "no-evt-complication"
},
{
"code" : "evt-arterial-dissection"
},
{
"code" : "evt-puncture-site-hematoma"
},
{
"code" : "evt-other-complication"
},
{
"code" : "no-follow-up-imaging"
},
{
"code" : "follow-up-ct-performed"
},
{
"code" : "follow-up-mri-performed"
},
{
"code" : "follow-up-imaging-ich"
},
{
"code" : "follow-up-ich-symptom-type"
},
{
"code" : "follow-up-imaging-infarct"
},
{
"code" : "follow-up-imaging-other-finding"
}
]
}
]
}
}