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－危險因子與病史項目值集 - JSON Representation

Draft as of 2026-10-07

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{
  "resourceType" : "ValueSet",
  "id" : "stroke-risk-factor-code",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet stroke-risk-factor-code</b></p><a name=\"stroke-risk-factor-code\"> </a><a name=\"hcstroke-risk-factor-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-hypertension-history\">hypertension-history</a></td><td style=\"color: #cccccc\">高血壓病史</td><td>是否有高血壓病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-hypertension-newly-diagnosed\">hypertension-newly-diagnosed</a></td><td style=\"color: #cccccc\">高血壓為本次新診斷</td><td>高血壓是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-diabetes-history\">diabetes-history</a></td><td style=\"color: #cccccc\">糖尿病病史</td><td>是否有糖尿病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-diabetes-newly-diagnosed\">diabetes-newly-diagnosed</a></td><td style=\"color: #cccccc\">糖尿病為本次新診斷</td><td>糖尿病是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-prior-stroke-history\">prior-stroke-history</a></td><td style=\"color: #cccccc\">既往腦中風病史</td><td>本次中風前是否曾發生腦中風。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-prior-cerebral-infarction-history\">prior-cerebral-infarction-history</a></td><td style=\"color: #cccccc\">既往腦梗塞病史</td><td>本次中風前是否曾發生腦梗塞。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-prior-cerebral-hemorrhage-history\">prior-cerebral-hemorrhage-history</a></td><td style=\"color: #cccccc\">既往腦出血病史</td><td>本次中風前是否曾發生腦出血。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-prior-tia-history\">prior-tia-history</a></td><td style=\"color: #cccccc\">既往短暫性腦缺血病史</td><td>本次中風前是否曾發生短暫性腦缺血（TIA）。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-heart-disease-history\">heart-disease-history</a></td><td style=\"color: #cccccc\">心臟病病史</td><td>是否有心臟病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-chronic-kidney-disease-history\">chronic-kidney-disease-history</a></td><td style=\"color: #cccccc\">慢性腎臟病病史</td><td>是否有慢性腎臟病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-dialysis-treatment\">dialysis-treatment</a></td><td style=\"color: #cccccc\">透析治療</td><td>是否接受透析治療。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-peripheral-artery-disease-history\">peripheral-artery-disease-history</a></td><td style=\"color: #cccccc\">周邊動脈疾病病史</td><td>是否有周邊動脈疾病病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-dyslipidemia-history\">dyslipidemia-history</a></td><td style=\"color: #cccccc\">血脂異常病史</td><td>是否有血脂異常病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-hypertriglyceridemia-history\">hypertriglyceridemia-history</a></td><td style=\"color: #cccccc\">高三酸甘油脂血症病史</td><td>是否有高三酸甘油脂血症病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-hypercholesterolemia-history\">hypercholesterolemia-history</a></td><td style=\"color: #cccccc\">高膽固醇血症病史</td><td>是否有高膽固醇血症病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-smoking-history\">smoking-history</a></td><td style=\"color: #cccccc\">吸菸史</td><td>是否有吸菸史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-cigarettes-per-day\">cigarettes-per-day</a></td><td style=\"color: #cccccc\">每日吸菸量</td><td>平均每天吸菸支數，填 valueQuantity，單位 {cigarette}/d（支／天）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-smoking-duration\">smoking-duration</a></td><td style=\"color: #cccccc\">吸菸年數</td><td>累計吸菸年數，填 valueQuantity，單位 a（年）。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-alcohol-use-history\">alcohol-use-history</a></td><td style=\"color: #cccccc\">飲酒史</td><td>是否有飲酒史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-cancer-history\">cancer-history</a></td><td style=\"color: #cccccc\">癌症病史</td><td>是否有癌症病史。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-cancer-name\">cancer-name</a></td><td style=\"color: #cccccc\">癌症名稱</td><td>癌症病史的癌症名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-other-risk-factor\">other-risk-factor</a></td><td style=\"color: #cccccc\">其他危險因子</td><td>是否有其他中風危險因子。valueBoolean：true＝有，false＝沒有。資料為「不確定」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-other-risk-factor-name\">other-risk-factor-name</a></td><td style=\"color: #cccccc\">其他危險因子名稱</td><td>其他中風危險因子的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-polycythemia-history\">polycythemia-history</a></td><td style=\"color: #cccccc\">紅血球增多症病史</td><td>是否有紅血球增多症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-uremia-history\">uremia-history</a></td><td style=\"color: #cccccc\">尿毒症病史</td><td>是否有尿毒症。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-family-history-hypertension\">family-history-hypertension</a></td><td style=\"color: #cccccc\">高血壓家族史</td><td>家族中是否有人患高血壓。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-family-history-diabetes\">family-history-diabetes</a></td><td style=\"color: #cccccc\">糖尿病家族史</td><td>家族中是否有人患糖尿病。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-family-history-ischemic-heart-disease\">family-history-ischemic-heart-disease</a></td><td style=\"color: #cccccc\">缺血性心臟病家族史</td><td>家族中是否有人患缺血性心臟病。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-family-history-stroke-or-tia\">family-history-stroke-or-tia</a></td><td style=\"color: #cccccc\">中風或短暫性腦缺血家族史</td><td>家族中是否有人發生腦中風或短暫性腦缺血。valueBoolean：true＝有，false＝沒有。資料為「不知道」時不填值，改填 dataAbsentReason = unknown。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-no-heart-disease\">no-heart-disease</a></td><td style=\"color: #cccccc\">無心臟病</td><td>病人無任何心臟病。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-atrial-fibrillation-history\">atrial-fibrillation-history</a></td><td style=\"color: #cccccc\">心房顫動病史</td><td>是否有心房顫動病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-atrial-fibrillation-newly-diagnosed\">atrial-fibrillation-newly-diagnosed</a></td><td style=\"color: #cccccc\">心房顫動為本次新診斷</td><td>心房顫動是否在本次就醫時才診斷出來。valueBoolean：true＝是，false＝否。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-ischemic-heart-disease-history\">ischemic-heart-disease-history</a></td><td style=\"color: #cccccc\">缺血性心臟病病史</td><td>是否有缺血性心臟病病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-acute-mi-within-4-weeks\">acute-mi-within-4-weeks</a></td><td style=\"color: #cccccc\">4 週內急性心肌梗塞</td><td>本次中風前 4 週內是否發生急性心肌梗塞。valueBoolean：true＝有，false＝沒有。與 acute-mi-history 的期間定義不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-acute-mi-history\">acute-mi-history</a></td><td style=\"color: #cccccc\">急性心肌梗塞病史（期間未定）</td><td>是否有急性心肌梗塞病史，不限發生期間。valueBoolean：true＝有，false＝沒有。與 acute-mi-within-4-weeks 的定義不同。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-valvular-heart-disease-history\">valvular-heart-disease-history</a></td><td style=\"color: #cccccc\">心瓣膜疾病病史</td><td>是否有心瓣膜疾病。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-valvular-heart-disease-name\">valvular-heart-disease-name</a></td><td style=\"color: #cccccc\">心瓣膜疾病名稱</td><td>心瓣膜疾病的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-heart-failure-history\">heart-failure-history</a></td><td style=\"color: #cccccc\">心衰竭病史</td><td>是否有心衰竭病史。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-valve-replacement-history\">valve-replacement-history</a></td><td style=\"color: #cccccc\">瓣膜置換病史</td><td>是否曾接受心臟瓣膜置換。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-mechanical-heart-valve\">mechanical-heart-valve</a></td><td style=\"color: #cccccc\">機械瓣膜</td><td>是否裝有機械心臟瓣膜。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-prosthetic-heart-valve\">prosthetic-heart-valve</a></td><td style=\"color: #cccccc\">人工瓣膜</td><td>是否裝有人工心臟瓣膜（prosthetic valve）。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-other-heart-disease\">other-heart-disease</a></td><td style=\"color: #cccccc\">其他心臟病</td><td>其他心臟病的註記內容。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-other-heart-disease-name\">other-heart-disease-name</a></td><td style=\"color: #cccccc\">其他心臟病名稱</td><td>其他心臟病的名稱。valueString，原樣填入文字。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-endocarditis-history\">endocarditis-history</a></td><td style=\"color: #cccccc\">心內膜炎病史</td><td>是否有心內膜炎。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-cardiac-myxoma-history\">cardiac-myxoma-history</a></td><td style=\"color: #cccccc\">心臟黏液瘤病史</td><td>是否有心臟黏液瘤。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-rheumatic-heart-disease-history\">rheumatic-heart-disease-history</a></td><td style=\"color: #cccccc\">風濕性心臟病病史</td><td>是否有風濕性心臟病。valueBoolean：true＝有，false＝沒有。</td></tr><tr><td><a href=\"CodeSystem-stroke-observation.html#stroke-observation-patent-foramen-ovale\">patent-foramen-ovale</a></td><td style=\"color: #cccccc\">開放性卵圓孔</td><td>是否有開放性卵圓孔（PFO）。valueBoolean：true＝有，false＝沒有。</td></tr></table></li></ul></div>"
  },
  "url" : "http://vgh-stroke-ig.fhir.tw/ValueSet/stroke-risk-factor-code",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.25.10367967418994035534181687308119628574"
    }
  ],
  "version" : "0.1.0",
  "name" : "StrokeRiskFactorCodeVS",
  "title" : "腦中風－危險因子與病史項目值集",
  "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－危險因子與病史」（StrokeRiskFactor）Observation.code 可用的項目代碼，包括高血壓、糖尿病、既往中風、心臟病等病史、家族史，以及吸菸量與吸菸年數。共 47 個代碼，皆來自 StrokeObservationCS。",
  "compose" : {
    "include" : [
      {
        "system" : "http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation",
        "concept" : [
          {
            "code" : "hypertension-history"
          },
          {
            "code" : "hypertension-newly-diagnosed"
          },
          {
            "code" : "diabetes-history"
          },
          {
            "code" : "diabetes-newly-diagnosed"
          },
          {
            "code" : "prior-stroke-history"
          },
          {
            "code" : "prior-cerebral-infarction-history"
          },
          {
            "code" : "prior-cerebral-hemorrhage-history"
          },
          {
            "code" : "prior-tia-history"
          },
          {
            "code" : "heart-disease-history"
          },
          {
            "code" : "chronic-kidney-disease-history"
          },
          {
            "code" : "dialysis-treatment"
          },
          {
            "code" : "peripheral-artery-disease-history"
          },
          {
            "code" : "dyslipidemia-history"
          },
          {
            "code" : "hypertriglyceridemia-history"
          },
          {
            "code" : "hypercholesterolemia-history"
          },
          {
            "code" : "smoking-history"
          },
          {
            "code" : "cigarettes-per-day"
          },
          {
            "code" : "smoking-duration"
          },
          {
            "code" : "alcohol-use-history"
          },
          {
            "code" : "cancer-history"
          },
          {
            "code" : "cancer-name"
          },
          {
            "code" : "other-risk-factor"
          },
          {
            "code" : "other-risk-factor-name"
          },
          {
            "code" : "polycythemia-history"
          },
          {
            "code" : "uremia-history"
          },
          {
            "code" : "family-history-hypertension"
          },
          {
            "code" : "family-history-diabetes"
          },
          {
            "code" : "family-history-ischemic-heart-disease"
          },
          {
            "code" : "family-history-stroke-or-tia"
          },
          {
            "code" : "no-heart-disease"
          },
          {
            "code" : "atrial-fibrillation-history"
          },
          {
            "code" : "atrial-fibrillation-newly-diagnosed"
          },
          {
            "code" : "ischemic-heart-disease-history"
          },
          {
            "code" : "acute-mi-within-4-weeks"
          },
          {
            "code" : "acute-mi-history"
          },
          {
            "code" : "valvular-heart-disease-history"
          },
          {
            "code" : "valvular-heart-disease-name"
          },
          {
            "code" : "heart-failure-history"
          },
          {
            "code" : "valve-replacement-history"
          },
          {
            "code" : "mechanical-heart-valve"
          },
          {
            "code" : "prosthetic-heart-valve"
          },
          {
            "code" : "other-heart-disease"
          },
          {
            "code" : "other-heart-disease-name"
          },
          {
            "code" : "endocarditis-history"
          },
          {
            "code" : "cardiac-myxoma-history"
          },
          {
            "code" : "rheumatic-heart-disease-history"
          },
          {
            "code" : "patent-foramen-ovale"
          }
        ]
      }
    ]
  }
}