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-procedure-detail-code",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-evt-procedure-detail-code</b></p><a name=\"stroke-evt-procedure-detail-code\"> </a><a name=\"hcstroke-evt-procedure-detail-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-no-perfusion-imaging\">no-perfusion-imaging</a></td><td style=\"color: #cccccc\">未執行灌流影像</td><td>EVT 前未執行 CT 灌流或 MR 灌流影像。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-ct-perfusion-performed\">ct-perfusion-performed</a></td><td style=\"color: #cccccc\">執行 CT 灌流影像</td><td>EVT 前是否執行 CT 灌流影像（CTP）。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-mr-perfusion-performed\">mr-perfusion-performed</a></td><td style=\"color: #cccccc\">執行 MR 灌流影像</td><td>EVT 前是否執行 MR 灌流影像（MRP）。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-perfusion-analysis-rapid\">perfusion-analysis-rapid</a></td><td style=\"color: #cccccc\">以 RAPID 軟體分析灌流影像</td><td>灌流影像是否以 RAPID 軟體分析。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-perfusion-analysis-other-software\">perfusion-analysis-other-software</a></td><td style=\"color: #cccccc\">以其他軟體分析灌流影像</td><td>灌流影像是否以 RAPID 以外的軟體分析。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aortic-arch-type\">aortic-arch-type</a></td><td style=\"color: #cccccc\">主動脈弓分型</td><td>主動脈弓分型。valueCodeableConcept：1＝第 I 型，2＝第 II 型，3＝第 III 型。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-right-cca-stenosis\">right-cca-stenosis</a></td><td style=\"color: #cccccc\">右總頸動脈狹窄程度</td><td>右側總頸動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-left-cca-stenosis\">left-cca-stenosis</a></td><td style=\"color: #cccccc\">左總頸動脈狹窄程度</td><td>左側總頸動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-right-vertebral-artery-stenosis\">right-vertebral-artery-stenosis</a></td><td style=\"color: #cccccc\">右椎動脈狹窄程度</td><td>右側椎動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-left-vertebral-artery-stenosis\">left-vertebral-artery-stenosis</a></td><td style=\"color: #cccccc\">左椎動脈狹窄程度</td><td>左側椎動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-right-ica-stenosis\">right-ica-stenosis</a></td><td style=\"color: #cccccc\">右內頸動脈狹窄程度</td><td>右側內頸動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-left-ica-stenosis\">left-ica-stenosis</a></td><td style=\"color: #cccccc\">左內頸動脈狹窄程度</td><td>左側內頸動脈的狹窄程度分組。valueCodeableConcept：1＝< 50%，2＝50–99%，3＝100%（完全阻塞）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-cervical-ica\">target-vessel-cervical-ica</a></td><td style=\"color: #cccccc\">目標血管：頸段內頸動脈</td><td>EVT 的目標血管是否包含頸段內頸動脈（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-cervical-ica-right\">target-vessel-cervical-ica-right</a></td><td style=\"color: #cccccc\">目標血管：右側頸段內頸動脈</td><td>EVT 的目標血管是否包含右側頸段內頸動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-cervical-ica-left\">target-vessel-cervical-ica-left</a></td><td style=\"color: #cccccc\">目標血管：左側頸段內頸動脈</td><td>EVT 的目標血管是否包含左側頸段內頸動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-ica-terminus\">target-vessel-ica-terminus</a></td><td style=\"color: #cccccc\">目標血管：內頸動脈末端</td><td>EVT 的目標血管是否包含內頸動脈末端（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-ica-terminus-right\">target-vessel-ica-terminus-right</a></td><td style=\"color: #cccccc\">目標血管：右側內頸動脈末端</td><td>EVT 的目標血管是否包含右側內頸動脈末端。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-ica-terminus-left\">target-vessel-ica-terminus-left</a></td><td style=\"color: #cccccc\">目標血管：左側內頸動脈末端</td><td>EVT 的目標血管是否包含左側內頸動脈末端。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m1\">target-vessel-m1</a></td><td style=\"color: #cccccc\">目標血管：中大腦動脈 M1 段</td><td>EVT 的目標血管是否包含中大腦動脈 M1 段（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m1-right\">target-vessel-m1-right</a></td><td style=\"color: #cccccc\">目標血管：右側中大腦動脈 M1 段</td><td>EVT 的目標血管是否包含右側中大腦動脈 M1 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m1-left\">target-vessel-m1-left</a></td><td style=\"color: #cccccc\">目標血管：左側中大腦動脈 M1 段</td><td>EVT 的目標血管是否包含左側中大腦動脈 M1 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m2\">target-vessel-m2</a></td><td style=\"color: #cccccc\">目標血管：中大腦動脈 M2 段</td><td>EVT 的目標血管是否包含中大腦動脈 M2 段（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m2-right\">target-vessel-m2-right</a></td><td style=\"color: #cccccc\">目標血管：右側中大腦動脈 M2 段</td><td>EVT 的目標血管是否包含右側中大腦動脈 M2 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m2-left\">target-vessel-m2-left</a></td><td style=\"color: #cccccc\">目標血管：左側中大腦動脈 M2 段</td><td>EVT 的目標血管是否包含左側中大腦動脈 M2 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m3\">target-vessel-m3</a></td><td style=\"color: #cccccc\">目標血管：中大腦動脈 M3 段</td><td>EVT 的目標血管是否包含中大腦動脈 M3 段（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m3-right\">target-vessel-m3-right</a></td><td style=\"color: #cccccc\">目標血管：右側中大腦動脈 M3 段</td><td>EVT 的目標血管是否包含右側中大腦動脈 M3 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-m3-left\">target-vessel-m3-left</a></td><td style=\"color: #cccccc\">目標血管：左側中大腦動脈 M3 段</td><td>EVT 的目標血管是否包含左側中大腦動脈 M3 段。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-aca\">target-vessel-aca</a></td><td style=\"color: #cccccc\">目標血管：前大腦動脈</td><td>EVT 的目標血管是否包含前大腦動脈（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-aca-right\">target-vessel-aca-right</a></td><td style=\"color: #cccccc\">目標血管：右側前大腦動脈</td><td>EVT 的目標血管是否包含右側前大腦動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-aca-left\">target-vessel-aca-left</a></td><td style=\"color: #cccccc\">目標血管：左側前大腦動脈</td><td>EVT 的目標血管是否包含左側前大腦動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-pca\">target-vessel-pca</a></td><td style=\"color: #cccccc\">目標血管：後大腦動脈</td><td>EVT 的目標血管是否包含後大腦動脈（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-pca-right\">target-vessel-pca-right</a></td><td style=\"color: #cccccc\">目標血管：右側後大腦動脈</td><td>EVT 的目標血管是否包含右側後大腦動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-pca-left\">target-vessel-pca-left</a></td><td style=\"color: #cccccc\">目標血管：左側後大腦動脈</td><td>EVT 的目標血管是否包含左側後大腦動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-basilar-artery\">target-vessel-basilar-artery</a></td><td style=\"color: #cccccc\">目標血管：基底動脈</td><td>EVT 的目標血管是否包含基底動脈（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-vertebral-artery\">target-vessel-vertebral-artery</a></td><td style=\"color: #cccccc\">目標血管：椎動脈</td><td>EVT 的目標血管是否包含椎動脈（未區分側別）。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-vertebral-artery-right\">target-vessel-vertebral-artery-right</a></td><td style=\"color: #cccccc\">目標血管：右側椎動脈</td><td>EVT 的目標血管是否包含右側椎動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-target-vessel-vertebral-artery-left\">target-vessel-vertebral-artery-left</a></td><td style=\"color: #cccccc\">目標血管：左側椎動脈</td><td>EVT 的目標血管是否包含左側椎動脈。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-general-anesthesia\">general-anesthesia</a></td><td style=\"color: #cccccc\">全身麻醉</td><td>EVT 時是否採全身麻醉。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-procedural-sedation\">procedural-sedation</a></td><td style=\"color: #cccccc\">鎮靜</td><td>EVT 時是否使用鎮靜。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-no-evt-treatment-technique\">no-evt-treatment-technique</a></td><td style=\"color: #cccccc\">未使用 EVT 治療技術</td><td>EVT 過程未使用任何列出的治療技術（例如支架取栓、抽吸取栓、置放支架）。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-balloon-guide-catheter\">balloon-guide-catheter</a></td><td style=\"color: #cccccc\">使用球囊導引導管</td><td>EVT 是否使用球囊導引導管（BGC）。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aspiration-strategy\">aspiration-strategy</a></td><td style=\"color: #cccccc\">抽吸取栓策略</td><td>抽吸取栓採用的策略。valueCodeableConcept：1＝只用抽吸導管，2＝Solumbra（支架取栓器合併抽吸），3＝混合使用。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stent-retriever-pass-count\">stent-retriever-pass-count</a></td><td style=\"color: #cccccc\">支架取栓次數</td><td>支架取栓器的取栓次數（pass 數）。valueString，原樣填入來源內容。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aspiration-strategy-supplement\">aspiration-strategy-supplement</a></td><td style=\"color: #cccccc\">抽吸取栓策略（補充）</td><td>抽吸取栓策略的補充選項。valueCodeableConcept：4＝先抽吸取栓，再接續救援治療。此項與 aspiration-strategy 分開記錄。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aspiration-rescue-strategy\">aspiration-rescue-strategy</a></td><td style=\"color: #cccccc\">抽吸失敗後救援策略</td><td>抽吸取栓未成功時採用的救援治療。valueCodeableConcept：rescue-sr＝改用支架取栓器，rescue-angioplasty＝血管成形術，rescue-thrombolysis＝血栓溶解，rescue-other＝其他。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-aspiration-rescue-other\">aspiration-rescue-other</a></td><td style=\"color: #cccccc\">抽吸失敗後其他救援方式</td><td>抽吸失敗後救援策略為「其他」時的說明。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stent-retriever-rescue-performed\">stent-retriever-rescue-performed</a></td><td style=\"color: #cccccc\">支架取栓後救援治療</td><td>支架取栓後是否接續救援治療。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stent-retriever-rescue-strategy\">stent-retriever-rescue-strategy</a></td><td style=\"color: #cccccc\">支架取栓後救援策略</td><td>支架取栓後採用的救援治療。valueCodeableConcept：rescue-aspiration＝改用抽吸，rescue-angioplasty＝血管成形術，rescue-thrombolysis＝血栓溶解，rescue-other＝其他。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-stent-retriever-rescue-other\">stent-retriever-rescue-other</a></td><td style=\"color: #cccccc\">支架取栓後其他救援方式</td><td>支架取栓後救援策略為「其他」時的說明。valueString，原樣填入文字。</td></tr></table></li></ul></div>"
},
"url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-evt-procedure-detail-code",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.25.225202453006244015222777298083399193929"
}
],
"version" : "0.1.0",
"name" : "StrokeEvtProcedureDetailCodeVS",
"title" : "腦中風－EVT 處置細節項目值集",
"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 處置細節」（StrokeEvtProcedureDetail）Observation.code 可用的項目代碼，包括 EVT 前灌流影像註記、主動脈弓分型、頸部血管狹窄程度、目標血管、麻醉與鎮靜、EVT 技術與救援策略。共 49 個代碼，皆來自 StrokeObservationCS。",
"compose" : {
"include" : [
{
"system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
"concept" : [
{
"code" : "no-perfusion-imaging"
},
{
"code" : "ct-perfusion-performed"
},
{
"code" : "mr-perfusion-performed"
},
{
"code" : "perfusion-analysis-rapid"
},
{
"code" : "perfusion-analysis-other-software"
},
{
"code" : "aortic-arch-type"
},
{
"code" : "right-cca-stenosis"
},
{
"code" : "left-cca-stenosis"
},
{
"code" : "right-vertebral-artery-stenosis"
},
{
"code" : "left-vertebral-artery-stenosis"
},
{
"code" : "right-ica-stenosis"
},
{
"code" : "left-ica-stenosis"
},
{
"code" : "target-vessel-cervical-ica"
},
{
"code" : "target-vessel-cervical-ica-right"
},
{
"code" : "target-vessel-cervical-ica-left"
},
{
"code" : "target-vessel-ica-terminus"
},
{
"code" : "target-vessel-ica-terminus-right"
},
{
"code" : "target-vessel-ica-terminus-left"
},
{
"code" : "target-vessel-m1"
},
{
"code" : "target-vessel-m1-right"
},
{
"code" : "target-vessel-m1-left"
},
{
"code" : "target-vessel-m2"
},
{
"code" : "target-vessel-m2-right"
},
{
"code" : "target-vessel-m2-left"
},
{
"code" : "target-vessel-m3"
},
{
"code" : "target-vessel-m3-right"
},
{
"code" : "target-vessel-m3-left"
},
{
"code" : "target-vessel-aca"
},
{
"code" : "target-vessel-aca-right"
},
{
"code" : "target-vessel-aca-left"
},
{
"code" : "target-vessel-pca"
},
{
"code" : "target-vessel-pca-right"
},
{
"code" : "target-vessel-pca-left"
},
{
"code" : "target-vessel-basilar-artery"
},
{
"code" : "target-vessel-vertebral-artery"
},
{
"code" : "target-vessel-vertebral-artery-right"
},
{
"code" : "target-vessel-vertebral-artery-left"
},
{
"code" : "general-anesthesia"
},
{
"code" : "procedural-sedation"
},
{
"code" : "no-evt-treatment-technique"
},
{
"code" : "balloon-guide-catheter"
},
{
"code" : "aspiration-strategy"
},
{
"code" : "stent-retriever-pass-count"
},
{
"code" : "aspiration-strategy-supplement"
},
{
"code" : "aspiration-rescue-strategy"
},
{
"code" : "aspiration-rescue-other"
},
{
"code" : "stent-retriever-rescue-performed"
},
{
"code" : "stent-retriever-rescue-strategy"
},
{
"code" : "stent-retriever-rescue-other"
}
]
}
]
}
}