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Packagetw.vgh.stroke
Resource TypeStructureDefinition
IdStructureDefinition-assessment-phase.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-assessment-phase.html
URLhttp://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase
Version0.1.0
Statusdraft
Date2026-10-07T16:40:32+00:00
NameStrokeAssessmentPhase
Title腦中風-評估時點
Realmtw
Description此 Extension 記錄 Observation 評估所屬的臨床時點,例如入院、出院、施針前、治療後 24 小時、中風前或 3 個月追蹤。評估時點與來源評估序號分開記錄。
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
tw.vgh.stroke#currentStrokeAdmissionContext腦中風-就醫背景
tw.vgh.stroke#currentStrokeCareProcess腦中風-照護流程紀錄
tw.vgh.stroke#currentStrokeClinicalAssessment腦中風-中風分類評估
tw.vgh.stroke#currentStrokeComplication腦中風-住院併發症與惡化
tw.vgh.stroke#currentStrokeEvtOutcome腦中風-EVT 術後結果
tw.vgh.stroke#currentStrokeEvtProcedureDetail腦中風-EVT 處置細節
tw.vgh.stroke#currentStrokeGCS腦中風-昏迷指數
tw.vgh.stroke#currentStrokeMRS腦中風-mRS 評估
tw.vgh.stroke#currentStrokeNIHSS腦中風-NIHSS 評估
tw.vgh.stroke#currentStrokeOnsetTime腦中風-發病時間
tw.vgh.stroke#currentStrokeOutcome腦中風-離院與追蹤結果
tw.vgh.stroke#currentStrokeRiskFactor腦中風-危險因子與病史

Resources that this resource uses

ValueSet
tw.vgh.stroke#currentassessment-phase腦中風-評估時點值集

Examples of Use for Extension

ResourceVersion
tw.vgh.stroke#current:Bundle/stroke-bundle-evt-exampleR4
tw.vgh.stroke#current:Bundle/stroke-bundle-ncva-exampleR4
tw.vgh.stroke#current:Observation/stroke-arrival-mode-exampleR4
tw.vgh.stroke#current:Observation/stroke-discharge-destination-exampleR4
tw.vgh.stroke#current:Observation/stroke-gcs-exampleR4
tw.vgh.stroke#current:Observation/stroke-hypertension-history-exampleR4
tw.vgh.stroke#current:Observation/stroke-last-known-well-exampleR4
tw.vgh.stroke#current:Observation/stroke-mrs-discharge-exampleR4
tw.vgh.stroke#current:Observation/stroke-mrs-pre-stroke-exampleR4
tw.vgh.stroke#current:Observation/stroke-mrs-unclassified-exampleR4
tw.vgh.stroke#current:Observation/stroke-nihss-24h-exampleR4
tw.vgh.stroke#current:Observation/stroke-nihss-admission-exampleR4
tw.vgh.stroke#current:Observation/stroke-patient-age-exampleR4
tw.vgh.stroke#current:Observation/stroke-pre-stroke-independent-exampleR4
tw.vgh.stroke#current:Observation/stroke-recurrent-stroke-date-exampleR4
tw.vgh.stroke#current:Observation/stroke-recurrent-stroke-exampleR4
tw.vgh.stroke#current:Observation/stroke-three-month-residence-exampleR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition assessment-phase

NameFlagsCard.TypeDescription & Constraintsdoco
Extension 0..*Extension評估時點
Extension.extension 0..0Extension
Extension.url 1..1uri"http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase"
Extension.value[x] S This element must be supported. 1..1code評估時點代碼。[應填入 StrokeAssessmentPhaseVS 的代碼]
Binding: 腦中風-評估時點值集 (required)

doco Documentation for this format

Source1

{
  "resourceType": "StructureDefinition",
  "id": "assessment-phase",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase",
  "version": "0.1.0",
  "name": "StrokeAssessmentPhase",
  "title": "腦中風-評估時點",
  "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 Extension 記錄 Observation 評估所屬的臨床時點,例如入院、出院、施針前、治療後 24 小時、中風前或 3 個月追蹤。評估時點與來源評估序號分開記錄。",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Observation"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
        "valueString": "4.0.1"
      }
    ],
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "評估時點",
        "definition": "評估所屬的臨床時點。同一量表在不同時點各建一筆 Observation,並以本 Extension 區分。",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Extension",
        "definition": "An Extension",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "評估時點代碼。[應填入 StrokeAssessmentPhaseVS 的代碼]",
        "definition": "可填 admission(入院)、discharge(出院)、pre-needle(施針前)、24h(治療後 24 小時)、pre-stroke(中風前)、3-month(3 個月追蹤)、unclassified(尚未分類)。時點無法確認時(例如只有意義未確認的評估序號),填 unclassified。",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/assessment-phase"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "評估時點",
        "definition": "評估所屬的臨床時點。同一量表在不同時點各建一筆 Observation,並以本 Extension 區分。"
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "max": "0"
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "fixedUri": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "評估時點代碼。[應填入 StrokeAssessmentPhaseVS 的代碼]",
        "definition": "可填 admission(入院)、discharge(出院)、pre-needle(施針前)、24h(治療後 24 小時)、pre-stroke(中風前)、3-month(3 個月追蹤)、unclassified(尚未分類)。時點無法確認時(例如只有意義未確認的評估序號),填 unclassified。",
        "min": 1,
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://vgh-stroke-ig.fhir.tw/ValueSet/assessment-phase"
        }
      }
    ]
  }
}