FHIR IG analytics| Package | tw.vgh.stroke |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-StrokeCaseManagementLM.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-StrokeCaseManagementLM.html |
| URL | http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCaseManagementLM |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-10-07T16:40:32+00:00 |
| Name | StrokeCaseManagementLM |
| Title | 腦中風個管系統資料邏輯模型 |
| Realm | tw |
| Description | 高雄榮總腦中風個管系統（NCVA）資料交換邏輯模型。依交換譯碼簿整理 14 個資料表。每個個案以病歷號（HISNUMMARK）加個管流水序號（CMSEQNO）識別，各資料表以這兩欄串接。 |
| Type | http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCaseManagementLM |
| Kind | logical |
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Generated Narrative: StructureDefinition StrokeCaseManagementLM
FHIR
FHIRsmith
{
"resourceType": "StructureDefinition",
"id": "StrokeCaseManagementLM",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCaseManagementLM",
"version": "0.1.0",
"name": "StrokeCaseManagementLM",
"title": "腦中風個管系統資料邏輯模型",
"status": "draft",
"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": "高雄榮總腦中風個管系統（NCVA）資料交換邏輯模型。依交換譯碼簿整理 14 個資料表。每個個案以病歷號（HISNUMMARK）加個管流水序號（CMSEQNO）識別，各資料表以這兩欄串接。",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "ncva-source",
"uri": "urn:vgh-stroke:source:ncva",
"name": "個管系統原始欄位對照",
"comment": "對照 NCVA 腦中風個管系統交換譯碼簿的原始欄位。"
},
{
"identity": "fhir",
"uri": "urn:vgh-stroke:fhir-profiles",
"name": "FHIR 路徑對應",
"comment": "各元素對應的 FHIR Profile 與元素路徑。沒有臨床資源對應的元素，原值保存在 StrokeRegistryResponse 的 raw 題目。"
}
],
"kind": "logical",
"abstract": false,
"type": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeCaseManagementLM",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Base",
"derivation": "specialization",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"element": [
{
"id": "StrokeCaseManagementLM",
"path": "StrokeCaseManagementLM",
"short": "腦中風個管系統資料邏輯模型",
"definition": "高雄榮總腦中風個管系統（NCVA）資料交換邏輯模型。依交換譯碼簿整理 14 個資料表。每個個案以病歷號（HISNUMMARK）加個管流水序號（CMSEQNO）識別，各資料表以這兩欄串接。",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA"
},
{
"identity": "fhir",
"map": "StrokeCaseManagementBundle：Bundle",
"comment": "一個個管事件的完整資料以一個 StrokeCaseManagementBundle 傳送"
}
]
},
{
"id": "StrokeCaseManagementLM.hisnummark",
"path": "StrokeCaseManagementLM.hisnummark",
"short": "病歷號",
"definition": "病人在本院的病歷號。分析樣本已去識別化，正式環境為可識別的病歷號。病人與個管事件分開識別。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.hisnummark",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.*.HISNUMMARK",
"comment": "各資料表皆有此欄"
},
{
"identity": "fhir",
"map": "StrokePatient：Patient.identifier:medicalRecord.value",
"comment": "病歷號原樣保留，不作為 Patient.id。type 固定 v2-0203 MR，system 用院方核定的網址（範例 http://www.vghks.gov.tw/patient-id）。每個院所+病歷號建一筆 Patient。"
}
]
},
{
"id": "StrokeCaseManagementLM.cmseqno",
"path": "StrokeCaseManagementLM.cmseqno",
"short": "個管流水序號",
"definition": "個管事件流水序號。同一病人可有多個個管事件，需與病歷號搭配使用。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.cmseqno",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.*.CMSEQNO",
"comment": "各資料表皆有此欄"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.identifier.value",
"comment": "個管系統回覆的識別碼；identifier.system 用個管流水序號專用網址（範例 http://www.vghks.gov.tw/stroke-case-management-serial）。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain",
"path": "StrokeCaseManagementLM.caseMain",
"short": "腦中風個案主檔",
"definition": "個案基本資料、發病、到院與離院資訊，每個個案一筆。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain",
"min": 1,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.id",
"path": "StrokeCaseManagementLM.caseMain.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": "StrokeCaseManagementLM.caseMain.extension",
"path": "StrokeCaseManagementLM.caseMain.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.modifierExtension",
"path": "StrokeCaseManagementLM.caseMain.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.occdate",
"path": "StrokeCaseManagementLM.caseMain.occdate",
"short": "發病日期",
"definition": "發病日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.occdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCCDATE"
},
{
"identity": "fhir",
"map": "StrokeOnsetTime：Observation.valueDateTime",
"comment": "code = stroke-observation#stroke-onset-time；與發病時間合併為同一筆 valueDateTime（YYYY-MM-DD 或 YYYY-MM）。時區確認前只填日期（YYYY-MM-DD），時間原值用 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.occtime",
"path": "StrokeCaseManagementLM.caseMain.occtime",
"short": "發生時間",
"definition": "發生時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.occtime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCCTIME"
},
{
"identity": "fhir",
"map": "StrokeOnsetTime：Observation.valueDateTime",
"comment": "code = stroke-observation#stroke-onset-time；與發病日期合併為同一筆 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值用 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有時間無日期，填入 Observation.value[x]:valueDateTime.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.arrdate",
"path": "StrokeCaseManagementLM.caseMain.arrdate",
"short": "到院日期",
"definition": "到院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.arrdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.ARRDATE"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "到院日期只用於經本院急診到院的事件：填急診 Encounter（class EMER）的 period.start，並與到院時間合併。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。無法確認經急診到院時，不建立急診 Encounter，原值只存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.arrtime",
"path": "StrokeCaseManagementLM.caseMain.arrtime",
"short": "到院時間",
"definition": "到院時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.arrtime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.ARRTIME"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "到院時間只用於經本院急診到院的事件：與到院日期合併填入 period.start。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。無日期時改填 Encounter.period.start.extension:eventTimeOnly.valueTime。無法確認經急診到院時，原值只存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.hdisdt",
"path": "StrokeCaseManagementLM.caseMain.hdisdt",
"short": "病患離院日期",
"definition": "病患離院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.hdisdt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HDISDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.end",
"comment": "住院 Encounter（class IMP）填離院日期；兩來源不一致時須人工核對；只有時間時改填 Encounter.period.end.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.psex",
"path": "StrokeCaseManagementLM.caseMain.psex",
"short": "病患性別",
"definition": "病患性別：M＝男性；F＝女性。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.psex",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.PSEX"
},
{
"identity": "fhir",
"map": "StrokePatient：Patient.gender",
"comment": "F→female、M→male；其他值→unknown，原值存入原始值群組；缺值時用 data-absent-reason 擴充。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.hage",
"path": "StrokeCaseManagementLM.caseMain.hage",
"short": "病患年齡",
"definition": "病患年齡，單位為歲。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.hage",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HAGE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueQuantity",
"comment": "code = stroke-observation#patient-age；填入 valueQuantity，單位用 UCUM a。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.height",
"path": "StrokeCaseManagementLM.caseMain.height",
"short": "病患身高",
"definition": "病患身高，單位為 cm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.height",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HEIGHT"
},
{
"identity": "fhir",
"map": "StrokeBodyHeight：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8302-2；身高數值填 valueQuantity.value，單位用 UCUM cm。值為 0 時在確認意義前不建立，只保留原始值；有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.weight",
"path": "StrokeCaseManagementLM.caseMain.weight",
"short": "病患體重",
"definition": "病患體重，單位為 kg。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.weight",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.WEIGHT"
},
{
"identity": "fhir",
"map": "StrokeBodyWeight：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#29463-7；體重數值填 valueQuantity.value，單位用 UCUM kg。值為 0 時在確認意義前不建立，只保留原始值；有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.edulevelcode",
"path": "StrokeCaseManagementLM.caseMain.edulevelcode",
"short": "病患教育程度代碼",
"definition": "病患教育程度代碼：EDU00＝無；EDU01＝小學；EDU02＝國中；EDU03＝高中職；EDU04＝大專；EDU05＝研究所；EDU99＝不詳。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.edulevelcode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.EDULEVELCODE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#education-level；代碼填入 StrokeEducationLevelCS；EDU99 保留為原代碼。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.ocpcode",
"path": "StrokeCaseManagementLM.caseMain.ocpcode",
"short": "職業選項代碼",
"definition": "職業選項代碼：OCP00＝無；OCP01＝軍；OCP02＝公；OCP03＝教；OCP04＝工；OCP05＝農；OCP06＝商；OCP07＝服務業；OCP08＝學生；OCP09＝退休；OCP99＝其他。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.ocpcode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCPCODE"
},
{
"identity": "fhir",
"map": "StrokeOccupation：Observation.valueCodeableConcept.coding:occupationCategory",
"comment": "code = http://loinc.org#11341-5；原碼 OCP00–OCP09、OCP99 填 StrokeOccupationCategoryCS，OCP99 為「其他」，空值或無法辨識代碼不建立。每個來源、病人與個管事件（評估時點，以 encounter 區分）各建一筆，只對同一事件的重複資料去重，保留跨事件的職業歷史。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.patfrom",
"path": "StrokeCaseManagementLM.caseMain.patfrom",
"short": "入院方式",
"definition": "入院方式：A＝住院；E＝急診；O＝門診。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.patfrom",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.PATFROM"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#admission-source；入院方式原碼 A（住院）、E（急診）、O（門診）直接填入 StrokeAdmissionSourceCS，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.reachwaycode",
"path": "StrokeCaseManagementLM.caseMain.reachwaycode",
"short": "到院方式代碼",
"definition": "到院方式代碼：SELF＝自行前往；EMG＝使用消防局緊急醫療系統；TRAN＝他院轉入；NONE＝無。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.reachwaycode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.REACHWAYCODE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#arrival-mode；代碼請對應轉換：EMG 填 1、SELF 填 2、TRAN 填 3；NONE 保留代碼 NONE。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.levoption",
"path": "StrokeCaseManagementLM.caseMain.levoption",
"short": "離院情形代碼",
"definition": "離院情形代碼：LEV01＝病危自動出院；LEV02＝死亡；LEV03＝出院；LEV05＝轉 PAC。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.caseMain.levoption",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.LEVOPTION"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.hospitalization.dischargeDisposition",
"comment": "LEV01→1、LEV02→2、LEV03→3；LEV05（轉 PAC）保留原碼。只用於住院 Encounter。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale",
"path": "StrokeCaseManagementLM.comaScale",
"short": "昏迷指數與生命徵象",
"definition": "到院時的 GCS、生命徵象與中風診斷分類，每個個案一筆。實際檔案比譯碼簿多一欄。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.id",
"path": "StrokeCaseManagementLM.comaScale.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": "StrokeCaseManagementLM.comaScale.extension",
"path": "StrokeCaseManagementLM.comaScale.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.modifierExtension",
"path": "StrokeCaseManagementLM.comaScale.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsM",
"path": "StrokeCaseManagementLM.comaScale.gcsM",
"short": "GCS 動作反應",
"definition": "GCS 動作反應分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.gcsM",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_M"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:motor.valueInteger",
"comment": "code = http://loinc.org#9268-4；Observation.code = LOINC 9269-2。M 分數填 1–6；缺值處理同 E。來源無 GCS 總分，valueInteger 不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsE",
"path": "StrokeCaseManagementLM.comaScale.gcsE",
"short": "GCS 睜眼反應",
"definition": "GCS 睜眼反應分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.gcsE",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_E"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:eye.valueInteger",
"comment": "code = http://loinc.org#9267-6；Observation.code = LOINC 9269-2。E 分數填 1–4；空白、非數值或超出範圍時不填 value，component 改填 dataAbsentReason（只知缺值用 unknown）；到院的 assessmentPhase 填 admission。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsV",
"path": "StrokeCaseManagementLM.comaScale.gcsV",
"short": "GCS 語言反應",
"definition": "GCS 語言反應分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.gcsV",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_V"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:verbal.valueInteger",
"comment": "code = http://loinc.org#9270-0；Observation.code = LOINC 9269-2。V 分數填 1–5；缺值處理同 E。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.sbp",
"path": "StrokeCaseManagementLM.comaScale.sbp",
"short": "收縮壓",
"definition": "收縮壓，單位為 mmHg。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.sbp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.SBP"
},
{
"identity": "fhir",
"map": "StrokeBloodPressure：Observation.component:SystolicBP.valueQuantity.value",
"comment": "code = http://loinc.org#8480-6；Observation.code = LOINC 85354-9，單位填 mm[Hg]。只有舒張壓時，本 component 保留 code 並填 dataAbsentReason = unknown；兩者皆缺不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.dbp",
"path": "StrokeCaseManagementLM.comaScale.dbp",
"short": "舒張壓",
"definition": "舒張壓，單位為 mmHg。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.dbp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.DBP"
},
{
"identity": "fhir",
"map": "StrokeBloodPressure：Observation.component:DiastolicBP.valueQuantity.value",
"comment": "code = http://loinc.org#8462-4；Observation.code = LOINC 85354-9，單位填 mm[Hg]。只有收縮壓時，本 component 保留 code 並填 dataAbsentReason = unknown；兩者皆缺不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.bt",
"path": "StrokeCaseManagementLM.comaScale.bt",
"short": "體溫",
"definition": "體溫，單位為 °C。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.bt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.BT"
},
{
"identity": "fhir",
"map": "StrokeBodyTemperature：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8310-5；數值填 valueQuantity.value，單位固定填 UCUM Cel。確認來源單位且有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.hr",
"path": "StrokeCaseManagementLM.comaScale.hr",
"short": "心跳",
"definition": "心跳，單位為次／分。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.hr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.HR"
},
{
"identity": "fhir",
"map": "StrokeHeartRate：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8867-4；數值填 valueQuantity.value，單位填 /min（TW Core 固定）。有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.rr",
"path": "StrokeCaseManagementLM.comaScale.rr",
"short": "呼吸",
"definition": "呼吸，單位為次／分。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.rr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.RR"
},
{
"identity": "fhir",
"map": "StrokeRespiratoryRate：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#9279-1；數值填 valueQuantity.value，單位填 /min（TW Core 固定）。有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.icd10",
"path": "StrokeCaseManagementLM.comaScale.icd10",
"short": "ICD-10 診斷碼",
"definition": "中風診斷的 ICD-10 代碼。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.icd10",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.ICD10"
},
{
"identity": "fhir",
"map": "StrokeCondition：Condition.code.coding:icd10cm.code",
"comment": "ICD-10-CM 原碼放 icd10cm Slice（system http://hl7.org/fhir/sid/icd-10-cm），版本確認前先只填 code.text。clinicalStatus、category 由診斷來源取得；兩者齊全才建立 Condition，否則原值存入 StrokeRegistryResponse 原始值備份。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.infarct",
"path": "StrokeCaseManagementLM.comaScale.infarct",
"short": "腦梗塞",
"definition": "是否為腦梗塞，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.infarct",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.Infarct"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#stroke-type-infarction；valueString 保留原值填入。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption1",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption1",
"short": "TOAST 分類",
"definition": "缺血性中風 TOAST 分類，以文字儲存。可填：Large artery atherosclerosis；Small vessel occlusion；Cardioembolism；Specific etiology；Undertermined etiology。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption1",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION1"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#toast-classification；分類文字請對應轉碼：Large artery atherosclerosis 轉 1、Cardioembolism 轉 3、Specific etiology 轉 4、Undertermined etiology（來源拼法，Undetermined etiology 亦同）轉 5、Small vessel occlusion 轉 svo；其他文字只存原始值。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption2",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption2",
"short": "TOAST 次分類",
"definition": "TOAST 次分類，以文字儲存。可填：Extra；Intra；Cerebral venous thrombosis；Moyamoya Synd；Radiation；Dissection；Migraine；Antiphospholipid Ab Synd；Autoummune disease；Hyperfibrinogenemia；Prot C/Prot S deficiency；Antithrombin III deficiency；Homocystinuria；Hypercoagulable state；Cancer；其他；Incomplete Study；Conflict data；Complete Study。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption2",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION2"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#toast-laa-extracranial；來源為 TOAST 次分類文字欄，請依條件拆分：值為 Extra 時建立本項且 valueBoolean = true。其他值不建立本項：Intra 改建 toast-laa-intracranial；其他病因文字改建 toast-specific-etiology；Incomplete Study、Conflict data、Complete Study 僅存原始值，不建立 Observation。空白不建立。"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#toast-laa-intracranial；來源為 TOAST 次分類文字欄，請依條件拆分：值為 Intra 時建立本項且 valueBoolean = true。其他值不建立本項：Extra 改建 toast-laa-extracranial；其他病因文字改建 toast-specific-etiology；Incomplete Study、Conflict data、Complete Study 僅存原始值，不建立 Observation。空白不建立。"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#toast-specific-etiology；來源為 TOAST 次分類文字欄，請依條件拆分：值為特定病因文字（Cerebral venous thrombosis、Moyamoya Synd、Radiation、Dissection、Migraine、Antiphospholipid Ab Synd、Autoummune disease、Hyperfibrinogenemia、Prot C/Prot S deficiency、Antithrombin III deficiency、Homocystinuria、Hypercoagulable state、Cancer、其他）時建立本項，valueString 原樣保留。Extra、Intra 改建 toast-laa-extracranial 與 toast-laa-intracranial。Incomplete Study、Conflict data、Complete Study 只存原始值，不建立 Observation。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.tia",
"path": "StrokeCaseManagementLM.comaScale.tia",
"short": "短暫性腦缺血",
"definition": "短暫性腦缺血：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.tia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.TIA"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-tia；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.ich",
"path": "StrokeCaseManagementLM.comaScale.ich",
"short": "腦出血",
"definition": "腦出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.ich",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.ICH"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-ich；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.sah",
"path": "StrokeCaseManagementLM.comaScale.sah",
"short": "蜘蛛網膜下腔出血",
"definition": "蜘蛛網膜下腔出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.sah",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.SAH"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-sah；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption3",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption3",
"short": "TIA／ICH／SAH 次分類",
"definition": "TIA、ICH 或 SAH 的次分類，以文字儲存。可填：Carotid；VB；Hypertensive；Non-Hypertensive；aneurysm；Angio negative；未做 Angio；其他。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption3",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION3"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#stroke-subtype-tia-ich-sah；valueString 保留原值填入。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.unnamedCol19",
"path": "StrokeCaseManagementLM.comaScale.unnamedCol19",
"short": "未命名欄位（第 19 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.comaScale.unnamedCol19",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.UNNAMED_COL_19"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.COMASCALE.UNNAMED_COL_19，保存原始字串。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss",
"path": "StrokeCaseManagementLM.nihss",
"short": "NIHSS 評估",
"definition": "NIHSS 各項分數，每次評估一筆，以 freqno 區分入院或出院。",
"min": 0,
"max": "*",
"base": {
"path": "StrokeCaseManagementLM.nihss",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.id",
"path": "StrokeCaseManagementLM.nihss.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": "StrokeCaseManagementLM.nihss.extension",
"path": "StrokeCaseManagementLM.nihss.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.modifierExtension",
"path": "StrokeCaseManagementLM.nihss.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.freqno",
"path": "StrokeCaseManagementLM.nihss.freqno",
"short": "評估次數",
"definition": "評估次數：1＝入院；2＝出院。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.freqno",
"min": 1,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FREQNO"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.extension:assessmentSequence.valuePositiveInt",
"comment": "code = http://loinc.org#72089-6；來源評估序號原樣保留。序號 1 另填 assessmentPhase=admission、2 填 discharge，各建一筆。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneA",
"path": "StrokeCaseManagementLM.nihss.oneA",
"short": "1a 意識程度",
"definition": "NIHSS 1a 意識程度分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.oneA",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_A"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:levelOfConsciousness.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70184-7。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:levelOfConsciousness.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70184-7。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneB",
"path": "StrokeCaseManagementLM.nihss.oneB",
"short": "1b 意識提問",
"definition": "NIHSS 1b 意識提問分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.oneB",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_B"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locQuestions.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70185-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locQuestions.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70185-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneC",
"path": "StrokeCaseManagementLM.nihss.oneC",
"short": "1c 意識指令",
"definition": "NIHSS 1c 意識指令分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.oneC",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_C"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locCommands.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70186-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locCommands.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70186-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.two",
"path": "StrokeCaseManagementLM.nihss.two",
"short": "2 眼球運動",
"definition": "NIHSS 2 眼球運動分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.two",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TWO"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestGaze.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70187-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestGaze.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70187-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.three",
"path": "StrokeCaseManagementLM.nihss.three",
"short": "3 視野",
"definition": "NIHSS 3 視野分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.three",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.THREE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:visual.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70188-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:visual.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70188-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.four",
"path": "StrokeCaseManagementLM.nihss.four",
"short": "4 顏面麻痺",
"definition": "NIHSS 4 顏面麻痺分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.four",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FOUR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:facialPalsy.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70189-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:facialPalsy.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70189-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.fiveAl",
"path": "StrokeCaseManagementLM.nihss.fiveAl",
"short": "5a 左上肢運動",
"definition": "NIHSS 5a 左上肢運動分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.fiveAl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FIVE_AL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70190-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70190-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.fiveBr",
"path": "StrokeCaseManagementLM.nihss.fiveBr",
"short": "5b 右上肢運動",
"definition": "NIHSS 5b 右上肢運動分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.fiveBr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FIVE_BR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70967-5。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70967-5。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.sixAl",
"path": "StrokeCaseManagementLM.nihss.sixAl",
"short": "6a 左下肢運動",
"definition": "NIHSS 6a 左下肢運動分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.sixAl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SIX_AL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70191-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70191-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.sixBr",
"path": "StrokeCaseManagementLM.nihss.sixBr",
"short": "6b 右下肢運動",
"definition": "NIHSS 6b 右下肢運動分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.sixBr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SIX_BR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70968-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70968-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.seven",
"path": "StrokeCaseManagementLM.nihss.seven",
"short": "7 肢體運動失調",
"definition": "NIHSS 7 肢體運動失調分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.seven",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SEVEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:limbAtaxia.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70192-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:limbAtaxia.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70192-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.eight",
"path": "StrokeCaseManagementLM.nihss.eight",
"short": "8 感覺",
"definition": "NIHSS 8 感覺分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.eight",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.EIGHT"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:sensory.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70193-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:sensory.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70193-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.nine",
"path": "StrokeCaseManagementLM.nihss.nine",
"short": "9 語言",
"definition": "NIHSS 9 語言分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.nine",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.NINE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestLanguage.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70194-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestLanguage.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70194-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.ten",
"path": "StrokeCaseManagementLM.nihss.ten",
"short": "10 構音障礙",
"definition": "NIHSS 10 構音障礙分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.ten",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:dysarthria.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70195-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:dysarthria.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70195-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.eleven",
"path": "StrokeCaseManagementLM.nihss.eleven",
"short": "11 忽略",
"definition": "NIHSS 11 忽略分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.eleven",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ELEVEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:extinctionInattention.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70196-1。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:extinctionInattention.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70196-1。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.total",
"path": "StrokeCaseManagementLM.nihss.total",
"short": "NIHSS 總分",
"definition": "NIHSS 總分，為 1a 至 11 各項加總。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.total",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TOTAL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。有效整數 0–42 填 valueInteger，X、7+X 等非數值改填 valueString；空白不填。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。有效整數 0–42 填 valueInteger，X、7+X 等非數值改填 valueString；空白不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.inpdate",
"path": "StrokeCaseManagementLM.nihss.inpdate",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.inpdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.INPDATE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.inptime",
"path": "StrokeCaseManagementLM.nihss.inptime",
"short": "評估時間",
"definition": "評估時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.inptime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.INPTIME"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.arrdate",
"path": "StrokeCaseManagementLM.nihss.arrdate",
"short": "入院日期",
"definition": "入院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.arrdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ARRDATE"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "住院 Encounter（class IMP）的入院日期，與「住院日期」欄位填同一元素；只有時間時改填 Encounter.period.start.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.hdisdt",
"path": "StrokeCaseManagementLM.nihss.hdisdt",
"short": "離院日期",
"definition": "離院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.nihss.hdisdt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.HDISDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.end",
"comment": "住院 Encounter（class IMP）的離院日期，與另一個「離院日期」欄位填同一元素；兩者不一致時須人工核對。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs",
"path": "StrokeCaseManagementLM.mrs",
"short": "mRS 評估",
"definition": "mRS 分數，每次評估一筆，以 freqno 區分評估次數。實際檔案比譯碼簿多兩欄。",
"min": 0,
"max": "*",
"base": {
"path": "StrokeCaseManagementLM.mrs",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.id",
"path": "StrokeCaseManagementLM.mrs.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": "StrokeCaseManagementLM.mrs.extension",
"path": "StrokeCaseManagementLM.mrs.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.modifierExtension",
"path": "StrokeCaseManagementLM.mrs.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.freqno",
"path": "StrokeCaseManagementLM.mrs.freqno",
"short": "評估次數",
"definition": "評估次數。譯碼簿定義 1＝出院；2＝發病後 3 個月。實際資料有 1 至 9。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.mrs.freqno",
"min": 1,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.FREQNO"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.extension:assessmentSequence.valuePositiveInt",
"comment": "code = http://loinc.org#75859-9；序號 1–9 原樣保留。序號意義確認前，assessmentPhase=unclassified。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.mrsrate",
"path": "StrokeCaseManagementLM.mrs.mrsrate",
"short": "mRS 分數",
"definition": "mRS 分數。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.mrs.mrsrate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.MRSRATE"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.valueInteger",
"comment": "code = http://loinc.org#75859-9；評估次數意義確認前，填 assessmentPhase = unclassified；分數 0–6 填原值。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.inpdate",
"path": "StrokeCaseManagementLM.mrs.inpdate",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。譯碼簿取值規則：出院評估取出院日前後 3 天內，3 個月評估取發病日起第 76 至 104 天內；區間內有多筆時取最後一筆。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.mrs.inpdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.INPDATE"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；序號意義確認前，assessmentPhase=unclassified。只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；填原始各次評估日期，assessmentPhase=unclassified；不足完整日期就不填。"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；評估日期：評估次數意義確認前，填 assessmentPhase = unclassified；不足完整日期時不填，原值存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.unnamedCol06",
"path": "StrokeCaseManagementLM.mrs.unnamedCol06",
"short": "未命名欄位（第 6 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.mrs.unnamedCol06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.UNNAMED_COL_06"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedMrsCol06.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.mRS.UNNAMED_COL_06。answer 為 1..*，每筆 mRS 列一個值，列對應以 raw.ncva.mrs 群組為準。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.unnamedCol07",
"path": "StrokeCaseManagementLM.mrs.unnamedCol07",
"short": "未命名欄位（第 7 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.mrs.unnamedCol07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.UNNAMED_COL_07"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedMrsCol07.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.mRS.UNNAMED_COL_07。answer 為 1..*，每筆 mRS 列一個值，列對應以 raw.ncva.mrs 群組為準。"
}
]
},
{
"id": "StrokeCaseManagementLM.ich",
"path": "StrokeCaseManagementLM.ich",
"short": "ICH 分數",
"definition": "腦出血個案的 ICH 分數，每個個案一筆。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.ich",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.id",
"path": "StrokeCaseManagementLM.ich.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": "StrokeCaseManagementLM.ich.extension",
"path": "StrokeCaseManagementLM.ich.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.modifierExtension",
"path": "StrokeCaseManagementLM.ich.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.ichScore",
"path": "StrokeCaseManagementLM.ich.ichScore",
"short": "ICH 分數",
"definition": "ICH 分數，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.ich.ichScore",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH.ichScore"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#ich-score；valueString 保留來源分數原值填入；評估日期填入同筆 effectiveDateTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.formdt",
"path": "StrokeCaseManagementLM.ich.formdt",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.ich.formdt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH.FORMDT"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.effectiveDateTime",
"comment": "code = stroke-observation#ich-score；填入 ich-score 該筆的 effectiveDateTime；格式至少需有 YYYY-MM-DD，若只有年月或只有時間則不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs",
"path": "StrokeCaseManagementLM.hhs",
"short": "Hunt and Hess 分級",
"definition": "蜘蛛網膜下腔出血個案的 Hunt and Hess 分級，每個個案一筆。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.hhs",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.id",
"path": "StrokeCaseManagementLM.hhs.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": "StrokeCaseManagementLM.hhs.extension",
"path": "StrokeCaseManagementLM.hhs.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.modifierExtension",
"path": "StrokeCaseManagementLM.hhs.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.hlsGrade",
"path": "StrokeCaseManagementLM.hhs.hlsGrade",
"short": "Hunt and Hess 分級",
"definition": "Hunt and Hess 分級，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.hhs.hlsGrade",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS.hlsGrade"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#hunt-hess-grade；valueString 保留來源分級原值填入；評估日期填入同筆 effectiveDateTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.formdt",
"path": "StrokeCaseManagementLM.hhs.formdt",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.hhs.formdt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS.FORMDT"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.effectiveDateTime",
"comment": "code = stroke-observation#hunt-hess-grade；填 hunt-hess-grade 的 effectiveDateTime；至少要有 YYYY-MM-DD，只有年月或只有時間時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease",
"path": "StrokeCaseManagementLM.heartDisease",
"short": "心臟疾病",
"definition": "個案的心臟疾病史，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.id",
"path": "StrokeCaseManagementLM.heartDisease.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": "StrokeCaseManagementLM.heartDisease.extension",
"path": "StrokeCaseManagementLM.heartDisease.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.modifierExtension",
"path": "StrokeCaseManagementLM.heartDisease.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd01",
"path": "StrokeCaseManagementLM.heartDisease.thd01",
"short": "心房顫動",
"definition": "是否有心房顫動：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD01"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#atrial-fibrillation-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd02",
"path": "StrokeCaseManagementLM.heartDisease.thd02",
"short": "其他缺血性心臟病",
"definition": "是否有其他缺血性心臟病（含 CAD 及陳舊性心肌梗塞）：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD02"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#ischemic-heart-disease-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd03",
"path": "StrokeCaseManagementLM.heartDisease.thd03",
"short": "瓣膜置換",
"definition": "是否有瓣膜置換：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD03"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#valve-replacement-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd04",
"path": "StrokeCaseManagementLM.heartDisease.thd04",
"short": "心內膜炎",
"definition": "是否有心內膜炎：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd04",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD04"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#endocarditis-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd05",
"path": "StrokeCaseManagementLM.heartDisease.thd05",
"short": "心臟黏液瘤",
"definition": "是否有心臟黏液瘤：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd05",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD05"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#cardiac-myxoma-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd06",
"path": "StrokeCaseManagementLM.heartDisease.thd06",
"short": "心衰竭",
"definition": "是否有心衰竭：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD06"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#heart-failure-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd07",
"path": "StrokeCaseManagementLM.heartDisease.thd07",
"short": "4 週內急性心肌梗塞",
"definition": "是否有 4 週內急性心肌梗塞：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD07"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#acute-mi-within-4-weeks / stroke-observation#acute-mi-history；來源限定 4 週內急性心肌梗塞時，code 填 acute-mi-within-4-weeks。0 填 false、1 填 true；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd08",
"path": "StrokeCaseManagementLM.heartDisease.thd08",
"short": "風濕性心臟病",
"definition": "是否有風濕性心臟病：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd08",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD08"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#rheumatic-heart-disease-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd09",
"path": "StrokeCaseManagementLM.heartDisease.thd09",
"short": "開放性卵圓孔",
"definition": "是否有開放性卵圓孔：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.heartDisease.thd09",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD09"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#patent-foramen-ovale；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment",
"path": "StrokeCaseManagementLM.treatment",
"short": "住院治療",
"definition": "住院期間的用藥與處置，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.id",
"path": "StrokeCaseManagementLM.treatment.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": "StrokeCaseManagementLM.treatment.extension",
"path": "StrokeCaseManagementLM.treatment.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.modifierExtension",
"path": "StrokeCaseManagementLM.treatment.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre01",
"path": "StrokeCaseManagementLM.treatment.tre01",
"short": "Aggrenox",
"definition": "住院期間是否使用 Aggrenox：0＝無；1＝有。藥物有多個時間點時，以住院期間為準。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aggrenox，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre02",
"path": "StrokeCaseManagementLM.treatment.tre02",
"short": "Aspirin",
"definition": "住院期間是否使用 Aspirin：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aspirin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre03",
"path": "StrokeCaseManagementLM.treatment.tre03",
"short": "Ticlopidine",
"definition": "住院期間是否使用 Ticlopidine：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticlopidine，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre05",
"path": "StrokeCaseManagementLM.treatment.tre05",
"short": "Warfarin",
"definition": "住院期間是否使用 Warfarin：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre05",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE05"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#warfarin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre06",
"path": "StrokeCaseManagementLM.treatment.tre06",
"short": "動脈內取栓",
"definition": "住院期間是否執行動脈內取栓：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE06"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#ia-thrombectomy，並加填 SNOMED CT 439541007（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre07",
"path": "StrokeCaseManagementLM.treatment.tre07",
"short": "導尿管",
"definition": "住院期間是否留置導尿管：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE07"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#urinary-catheter-insertion，並加填 SNOMED CT 446583004（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre09",
"path": "StrokeCaseManagementLM.treatment.tre09",
"short": "簽署 DNR",
"definition": "住院期間是否簽署 DNR：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre09",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE09"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:signDnr.answer.valueBoolean",
"comment": "linkId 填 inpatientTreatment.tre09，1→true、0→false。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre10",
"path": "StrokeCaseManagementLM.treatment.tre10",
"short": "復健",
"definition": "住院期間是否接受復健：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre10",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE10"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#rehabilitation，並加填 SNOMED CT 2517002（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre13",
"path": "StrokeCaseManagementLM.treatment.tre13",
"short": "Clopidogrel",
"definition": "住院期間是否使用 Clopidogrel：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre13",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE13"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#clopidogrel，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre14",
"path": "StrokeCaseManagementLM.treatment.tre14",
"short": "Pletaal",
"definition": "住院期間是否使用 Pletaal：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre14",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE14"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#cilostazol-brand，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre15",
"path": "StrokeCaseManagementLM.treatment.tre15",
"short": "低分子量肝素",
"definition": "住院期間是否使用低分子量肝素：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre15",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE15"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#lmw-heparin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre16",
"path": "StrokeCaseManagementLM.treatment.tre16",
"short": "靜脈 t-PA",
"definition": "住院期間是否使用靜脈 t-PA：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre16",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE16"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#iv-tpa-unspecified。1→completed、0→not-done；有給藥日期或時間（effective）才建立，否則只存登錄表單；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre17",
"path": "StrokeCaseManagementLM.treatment.tre17",
"short": "呼吸器",
"definition": "住院期間是否使用呼吸器：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre17",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE17"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#mechanical-ventilation，並加填 SNOMED CT 40617009（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre18",
"path": "StrokeCaseManagementLM.treatment.tre18",
"short": "鼻胃管",
"definition": "住院期間是否留置鼻胃管：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre18",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE18"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#nasogastric-tube-insertion，並加填 SNOMED CT 87750000（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre19",
"path": "StrokeCaseManagementLM.treatment.tre19",
"short": "吞嚥篩檢",
"definition": "住院期間是否執行吞嚥篩檢：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre19",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE19"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#dysphagia-screening，並加填 SNOMED CT 431765005（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre20",
"path": "StrokeCaseManagementLM.treatment.tre20",
"short": "入住加護病房",
"definition": "住院期間是否入住加護病房：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre20",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE20"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#icu-admission；0→false、1→true，只記錄是否入住 ICU；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre21",
"path": "StrokeCaseManagementLM.treatment.tre21",
"short": "戒菸衛教",
"definition": "住院期間是否接受戒菸衛教：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre21",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE21"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#smoking-cessation-counseling。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre22",
"path": "StrokeCaseManagementLM.treatment.tre22",
"short": "中風衛教",
"definition": "住院期間是否接受中風衛教：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre22",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE22"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#stroke-education，並加填 SNOMED CT 720849008（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre23",
"path": "StrokeCaseManagementLM.treatment.tre23",
"short": "手術治療",
"definition": "住院期間是否接受手術治療：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre23",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE23"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#surgical-treatment。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre27",
"path": "StrokeCaseManagementLM.treatment.tre27",
"short": "Apixaban",
"definition": "住院期間是否使用 Apixaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre27",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE27"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#apixaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre28",
"path": "StrokeCaseManagementLM.treatment.tre28",
"short": "Dabigatran",
"definition": "住院期間是否使用 Dabigatran：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre28",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE28"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#dabigatran，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre29",
"path": "StrokeCaseManagementLM.treatment.tre29",
"short": "Edoxaban",
"definition": "住院期間是否使用 Edoxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre29",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE29"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#edoxaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre30",
"path": "StrokeCaseManagementLM.treatment.tre30",
"short": "Rivaroxaban",
"definition": "住院期間是否使用 Rivaroxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre30",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE30"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#rivaroxaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre31",
"path": "StrokeCaseManagementLM.treatment.tre31",
"short": "Ticagrelor",
"definition": "住院期間是否使用 Ticagrelor：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.treatment.tre31",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE31"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticagrelor，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug",
"path": "StrokeCaseManagementLM.dischargeDrug",
"short": "出院帶藥",
"definition": "出院時的用藥，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.id",
"path": "StrokeCaseManagementLM.dischargeDrug.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": "StrokeCaseManagementLM.dischargeDrug.extension",
"path": "StrokeCaseManagementLM.dischargeDrug.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.modifierExtension",
"path": "StrokeCaseManagementLM.dischargeDrug.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg01",
"path": "StrokeCaseManagementLM.dischargeDrug.drg01",
"short": "Aspirin",
"definition": "出院時是否使用 Aspirin：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aspirin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg02",
"path": "StrokeCaseManagementLM.dischargeDrug.drg02",
"short": "Aggrenox",
"definition": "出院時是否使用 Aggrenox：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aggrenox，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg03",
"path": "StrokeCaseManagementLM.dischargeDrug.drg03",
"short": "Ticlopidine",
"definition": "出院時是否使用 Ticlopidine：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticlopidine，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg04",
"path": "StrokeCaseManagementLM.dischargeDrug.drg04",
"short": "Clopidogrel",
"definition": "出院時是否使用 Clopidogrel：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg04",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG04"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#clopidogrel，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg05",
"path": "StrokeCaseManagementLM.dischargeDrug.drg05",
"short": "Pletaal",
"definition": "出院時是否使用 Pletaal：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg05",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG05"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#cilostazol-brand，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg06",
"path": "StrokeCaseManagementLM.dischargeDrug.drg06",
"short": "降血壓藥",
"definition": "出院時是否使用降血壓藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG06"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#antihypertensive，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg07",
"path": "StrokeCaseManagementLM.dischargeDrug.drg07",
"short": "Warfarin",
"definition": "出院時是否使用 Warfarin：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG07"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "來源為 Warfarin 欄時，coding:strokeMedication 用 warfarin。狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg08",
"path": "StrokeCaseManagementLM.dischargeDrug.drg08",
"short": "糖尿病藥",
"definition": "出院時是否使用糖尿病藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg08",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG08"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#diabetes-medication，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub01",
"path": "StrokeCaseManagementLM.dischargeDrug.sub01",
"short": "口服降血糖藥",
"definition": "出院時是否使用口服降血糖藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.sub01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#oral-hypoglycemic，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub02",
"path": "StrokeCaseManagementLM.dischargeDrug.sub02",
"short": "胰島素",
"definition": "出院時是否使用胰島素：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.sub02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#insulin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub03",
"path": "StrokeCaseManagementLM.dischargeDrug.sub03",
"short": "statin 類降血脂藥",
"definition": "出院時是否使用 statin 類降血脂藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.sub03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#statin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub04",
"path": "StrokeCaseManagementLM.dischargeDrug.sub04",
"short": "非 statin 類降血脂藥",
"definition": "出院時是否使用非 statin 類降血脂藥：0＝無；1＝有。部分院所以 FIBRATE 欄記錄，1＝有，空白＝沒有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.sub04",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB04"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#non-statin-lipid-lowering，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg12",
"path": "StrokeCaseManagementLM.dischargeDrug.drg12",
"short": "Apixaban",
"definition": "出院時是否使用 Apixaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg12",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG12"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg13",
"path": "StrokeCaseManagementLM.dischargeDrug.drg13",
"short": "Dabigatran",
"definition": "出院時是否使用 Dabigatran：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg13",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG13"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg14",
"path": "StrokeCaseManagementLM.dischargeDrug.drg14",
"short": "Edoxaban",
"definition": "出院時是否使用 Edoxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg14",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG14"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg15",
"path": "StrokeCaseManagementLM.dischargeDrug.drg15",
"short": "Rivaroxaban",
"definition": "出院時是否使用 Rivaroxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg15",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG15"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg16",
"path": "StrokeCaseManagementLM.dischargeDrug.drg16",
"short": "Ticagrelor",
"definition": "出院時是否使用 Ticagrelor：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.dischargeDrug.drg16",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG16"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticagrelor，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration",
"path": "StrokeCaseManagementLM.deterioration",
"short": "惡化原因",
"definition": "住院期間的神經學惡化原因，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.id",
"path": "StrokeCaseManagementLM.deterioration.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": "StrokeCaseManagementLM.deterioration.extension",
"path": "StrokeCaseManagementLM.deterioration.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.modifierExtension",
"path": "StrokeCaseManagementLM.deterioration.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det01",
"path": "StrokeCaseManagementLM.deterioration.det01",
"short": "中風惡化",
"definition": "惡化原因是否為中風惡化：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET01"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#neurologic-deterioration-nihss-2-or-more | stroke-observation#neurologic-deterioration-criteria-unspecified；code 用 neurologic-deterioration-nihss-2-or-more（NIHSS 增加至少 2 分）。0 填 false、1 填 true，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det02",
"path": "StrokeCaseManagementLM.deterioration.det02",
"short": "腦疝脫",
"definition": "惡化原因是否為腦疝脫：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET02"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-herniation；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det03",
"path": "StrokeCaseManagementLM.deterioration.det03",
"short": "36 小時內出血性梗塞",
"definition": "惡化原因是否為 36 小時內出血性梗塞：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET03"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-hemorrhagic-infarct-36h；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det04",
"path": "StrokeCaseManagementLM.deterioration.det04",
"short": "血腫擴大",
"definition": "惡化原因是否為血腫擴大：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det04",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET04"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-hematoma-expansion；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det05",
"path": "StrokeCaseManagementLM.deterioration.det05",
"short": "血管痙攣",
"definition": "惡化原因是否為血管痙攣：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det05",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET05"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-vasospasm；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det06",
"path": "StrokeCaseManagementLM.deterioration.det06",
"short": "再出血",
"definition": "惡化原因是否為再出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET06"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-rebleeding；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det07",
"path": "StrokeCaseManagementLM.deterioration.det07",
"short": "內科問題",
"definition": "惡化原因是否為內科問題：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.deterioration.det07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET07"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-medical-problem；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor",
"path": "StrokeCaseManagementLM.riskFactor",
"short": "危險因子",
"definition": "個案的中風危險因子，每個個案一筆。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.id",
"path": "StrokeCaseManagementLM.riskFactor.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": "StrokeCaseManagementLM.riskFactor.extension",
"path": "StrokeCaseManagementLM.riskFactor.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.modifierExtension",
"path": "StrokeCaseManagementLM.riskFactor.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.ht",
"path": "StrokeCaseManagementLM.riskFactor.ht",
"short": "高血壓",
"definition": "是否有高血壓危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.ht",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertension-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.htcurrent",
"path": "StrokeCaseManagementLM.riskFactor.htcurrent",
"short": "本次新診斷高血壓",
"definition": "高血壓是否為本次住院才診斷：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.htcurrent",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HTCURRENT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertension-newly-diagnosed；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previoustia",
"path": "StrokeCaseManagementLM.riskFactor.previoustia",
"short": "既往短暫性腦缺血",
"definition": "是否有既往短暫性腦缺血危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.previoustia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSTIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-tia-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.cancer",
"path": "StrokeCaseManagementLM.riskFactor.cancer",
"short": "癌症",
"definition": "是否有癌症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.cancer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.CANCER"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#cancer-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.hypercholesterolemia",
"path": "StrokeCaseManagementLM.riskFactor.hypercholesterolemia",
"short": "高膽固醇",
"definition": "是否有高膽固醇危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.hypercholesterolemia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HYPERCHOLESTEROLEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypercholesterolemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smoking",
"path": "StrokeCaseManagementLM.riskFactor.smoking",
"short": "吸菸",
"definition": "是否有吸菸危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.smoking",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKING"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#smoking-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingtiming",
"path": "StrokeCaseManagementLM.riskFactor.smokingtiming",
"short": "吸菸狀態",
"definition": "吸菸狀態：Past＝過去吸菸；Current＝目前吸菸。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.smokingtiming",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGTIMING"
},
{
"identity": "fhir",
"map": "StrokeSmokingStatus：Observation.valueCodeableConcept",
"comment": "code = http://loinc.org#72166-2；Current→coding:snomedSmokingStatus 77176002；Past→8517006。coding:smokingStatusDetail 保留原碼 Current 或 Past。空白不建立；有實際調查時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingquantity",
"path": "StrokeCaseManagementLM.riskFactor.smokingquantity",
"short": "每日吸菸量",
"definition": "每日吸菸量，單位為支。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.smokingquantity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGQUANTITY"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueQuantity",
"comment": "code = stroke-observation#cigarettes-per-day；填入 valueQuantity，單位填 {cigarette}/d；等單位核定後才填 system/code。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingyears",
"path": "StrokeCaseManagementLM.riskFactor.smokingyears",
"short": "吸菸年數",
"definition": "吸菸年數，單位為年。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.smokingyears",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGYEARS"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueQuantity",
"comment": "code = stroke-observation#smoking-duration；填入 valueQuantity，單位填 a；等單位核定後才填 system/code。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.heartdisease",
"path": "StrokeCaseManagementLM.riskFactor.heartdisease",
"short": "心臟病",
"definition": "是否有心臟病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.heartdisease",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HEARTDISEASE"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#heart-disease-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.pad",
"path": "StrokeCaseManagementLM.riskFactor.pad",
"short": "周邊動脈疾病",
"definition": "是否有周邊動脈疾病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.pad",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PAD"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#peripheral-artery-disease-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.dm",
"path": "StrokeCaseManagementLM.riskFactor.dm",
"short": "糖尿病",
"definition": "是否有糖尿病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.dm",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.DM"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#diabetes-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.dmcurrent",
"path": "StrokeCaseManagementLM.riskFactor.dmcurrent",
"short": "本次新診斷糖尿病",
"definition": "糖尿病是否為本次住院才診斷：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.dmcurrent",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.DMCURRENT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#diabetes-newly-diagnosed；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.alcohol",
"path": "StrokeCaseManagementLM.riskFactor.alcohol",
"short": "飲酒",
"definition": "是否有飲酒危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.alcohol",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.ALCOHOL"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#alcohol-use-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.hypertriglyceridemia",
"path": "StrokeCaseManagementLM.riskFactor.hypertriglyceridemia",
"short": "高三酸甘油脂",
"definition": "是否有高三酸甘油脂危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.hypertriglyceridemia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HYPERTRIGLYCERIDEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertriglyceridemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.polycythemia",
"path": "StrokeCaseManagementLM.riskFactor.polycythemia",
"short": "紅血球增多症",
"definition": "是否有紅血球增多症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.polycythemia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.POLYCYTHEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#polycythemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.uremia",
"path": "StrokeCaseManagementLM.riskFactor.uremia",
"short": "尿毒症",
"definition": "是否有尿毒症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.uremia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.UREMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#uremia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previousci",
"path": "StrokeCaseManagementLM.riskFactor.previousci",
"short": "既往腦梗塞",
"definition": "是否有既往腦梗塞危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.previousci",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSCI"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-cerebral-infarction-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previousch",
"path": "StrokeCaseManagementLM.riskFactor.previousch",
"short": "既往腦出血",
"definition": "是否有既往腦出血危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.riskFactor.previousch",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSCH"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-cerebral-hemorrhage-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory",
"path": "StrokeCaseManagementLM.familyHistory",
"short": "家族病史",
"definition": "個案的家族病史，每個個案一筆。各項填 0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.familyHistory",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.id",
"path": "StrokeCaseManagementLM.familyHistory.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": "StrokeCaseManagementLM.familyHistory.extension",
"path": "StrokeCaseManagementLM.familyHistory.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.modifierExtension",
"path": "StrokeCaseManagementLM.familyHistory.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isHbr",
"path": "StrokeCaseManagementLM.familyHistory.isHbr",
"short": "高血壓家族史",
"definition": "家族是否有高血壓：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.familyHistory.isHbr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_HBR"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-hypertension；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isDm",
"path": "StrokeCaseManagementLM.familyHistory.isDm",
"short": "糖尿病家族史",
"definition": "家族是否有糖尿病：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.familyHistory.isDm",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_DM"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-diabetes；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isIhd",
"path": "StrokeCaseManagementLM.familyHistory.isIhd",
"short": "缺血性心臟病家族史",
"definition": "家族是否有缺血性心臟病：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.familyHistory.isIhd",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_IHD"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-ischemic-heart-disease；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isTia",
"path": "StrokeCaseManagementLM.familyHistory.isTia",
"short": "中風或短暫性腦缺血家族史",
"definition": "家族是否有中風或短暫性腦缺血：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.familyHistory.isTia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_TIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-stroke-or-tia；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult",
"path": "StrokeCaseManagementLM.examResult",
"short": "檢驗結果",
"definition": "心電圖與抽血檢驗結果，每個個案一筆。譯碼簿未列檢驗單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.id",
"path": "StrokeCaseManagementLM.examResult.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": "StrokeCaseManagementLM.examResult.extension",
"path": "StrokeCaseManagementLM.examResult.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.modifierExtension",
"path": "StrokeCaseManagementLM.examResult.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ecgOption",
"path": "StrokeCaseManagementLM.examResult.ecgOption",
"short": "心電圖心房顫動",
"definition": "心電圖是否為心房顫動：0＝不是 Af；1＝Af。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.ecgOption",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.ECG_OPTION"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#ecg-atrial-fibrillation；0（不是 Af）填 false、1（Af）填 true；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hb",
"path": "StrokeCaseManagementLM.examResult.hb",
"short": "血紅素",
"definition": "血紅素檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.hb",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HB"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hemoglobin；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hct",
"path": "StrokeCaseManagementLM.examResult.hct",
"short": "血比容",
"definition": "血比容檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.hct",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HCT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hematocrit；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.platelet",
"path": "StrokeCaseManagementLM.examResult.platelet",
"short": "血小板",
"definition": "血小板檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.platelet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PLATELET"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#platelet-count；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.wbc",
"path": "StrokeCaseManagementLM.examResult.wbc",
"short": "白血球",
"definition": "白血球檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.wbc",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.WBC"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#wbc-count；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ptt",
"path": "StrokeCaseManagementLM.examResult.ptt",
"short": "部分凝血活酶時間",
"definition": "部分凝血活酶時間檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.ptt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PTT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ptt；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.pttControl",
"path": "StrokeCaseManagementLM.examResult.pttControl",
"short": "PTT 對照值",
"definition": "PTT 對照值檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.pttControl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PTT_CONTROL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ptt-control；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ptInr",
"path": "StrokeCaseManagementLM.examResult.ptInr",
"short": "凝血酶原時間 INR",
"definition": "凝血酶原時間 INR 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.ptInr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PT_INR"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#pt-inr；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.glucoseEr",
"path": "StrokeCaseManagementLM.examResult.glucoseEr",
"short": "急診血糖",
"definition": "急診血糖檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.glucoseEr",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GLUCOSE_ER"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#glucose-at-emergency；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.bun",
"path": "StrokeCaseManagementLM.examResult.bun",
"short": "血中尿素氮",
"definition": "血中尿素氮檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.bun",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.BUN"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#bun；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.creatinine",
"path": "StrokeCaseManagementLM.examResult.creatinine",
"short": "肌酸酐",
"definition": "肌酸酐檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.creatinine",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.CREATININE"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#creatinine；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.albumin",
"path": "StrokeCaseManagementLM.examResult.albumin",
"short": "白蛋白",
"definition": "白蛋白檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.albumin",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.ALBUMIN"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#albumin；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.crp",
"path": "StrokeCaseManagementLM.examResult.crp",
"short": "C 反應蛋白",
"definition": "C 反應蛋白檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.crp",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.CRP"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#crp；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hba1c",
"path": "StrokeCaseManagementLM.examResult.hba1c",
"short": "糖化血色素",
"definition": "糖化血色素檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.hba1c",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HBA1C"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hba1c；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.gluAc",
"path": "StrokeCaseManagementLM.examResult.gluAc",
"short": "空腹血糖",
"definition": "空腹血糖檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.gluAc",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GLU_AC"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#fasting-glucose-first；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ua",
"path": "StrokeCaseManagementLM.examResult.ua",
"short": "UA",
"definition": "UA 檢驗值，譯碼簿未說明是尿酸還是尿液檢查。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.ua",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.UA"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ua-unspecified；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。確認是尿酸或尿液檢查前，只用 ua-unspecified。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.tCho",
"path": "StrokeCaseManagementLM.examResult.tCho",
"short": "總膽固醇",
"definition": "總膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.tCho",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.T_CHO"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#total-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.tg",
"path": "StrokeCaseManagementLM.examResult.tg",
"short": "三酸甘油脂",
"definition": "三酸甘油脂檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.tg",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.TG"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#triglyceride；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hdl",
"path": "StrokeCaseManagementLM.examResult.hdl",
"short": "高密度脂蛋白膽固醇",
"definition": "高密度脂蛋白膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.hdl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HDL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hdl-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ldl",
"path": "StrokeCaseManagementLM.examResult.ldl",
"short": "低密度脂蛋白膽固醇",
"definition": "低密度脂蛋白膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.ldl",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.LDL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ldl-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.got",
"path": "StrokeCaseManagementLM.examResult.got",
"short": "AST／GOT",
"definition": "AST／GOT 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.got",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GOT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ast；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.gpt",
"path": "StrokeCaseManagementLM.examResult.gpt",
"short": "ALT／GPT",
"definition": "ALT／GPT 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.examResult.gpt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GPT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#alt；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet",
"path": "StrokeCaseManagementLM.timesheet",
"short": "腦中風個管時間表",
"definition": "影像、靜脈血栓溶解、轉住院、動脈穿刺與再灌流的時間點，每個個案一筆。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"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"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.id",
"path": "StrokeCaseManagementLM.timesheet.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": "StrokeCaseManagementLM.timesheet.extension",
"path": "StrokeCaseManagementLM.timesheet.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"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,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.modifierExtension",
"path": "StrokeCaseManagementLM.timesheet.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"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": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctmridate",
"path": "StrokeCaseManagementLM.timesheet.ctmridate",
"short": "第一次 CT/MRI 日期",
"definition": "第一次 CT/MRI 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ctmridate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTMRIDATE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「首次 CT/MRI」，modality 無法確認 CT 或 MR 時不填。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctmritime",
"path": "StrokeCaseManagementLM.timesheet.ctmritime",
"short": "第一次 CT/MRI 時間",
"definition": "第一次 CT/MRI 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ctmritime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTMRITIME"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「首次 CT/MRI」，modality 無法確認 CT 或 MR 時不填。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.isctmrifromoutside",
"path": "StrokeCaseManagementLM.timesheet.isctmrifromoutside",
"short": "CT/MRI 是否為外片",
"definition": "第一次 CT／MRI 是否為外院影像：0＝無；1＝有。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.isctmrifromoutside",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.ISCTMRIFROMOUTSIDE"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#first-ct-mri-from-outside-hospital；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpadate",
"path": "StrokeCaseManagementLM.timesheet.ivtpadate",
"short": "執行 IVtPA 日期",
"definition": "執行 IVtPA 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpadate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPADATE"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.effectiveDateTime",
"comment": "EVT 前 IV-tPA 的日期與時間合併填入 effectiveDateTime，medication 填 iv-tpa-unspecified。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 effectiveDateTime.extension:eventTimeOnly.valueTime；兩者皆無時不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpatime",
"path": "StrokeCaseManagementLM.timesheet.ivtpatime",
"short": "執行 IVtPA 時間",
"definition": "執行 IVtPA 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpatime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPATIME"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.effectiveDateTime",
"comment": "EVT 前 IV-tPA 的日期與時間合併填入 effectiveDateTime，medication 填 iv-tpa-unspecified。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 effectiveDateTime.extension:eventTimeOnly.valueTime；兩者皆無時不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpareason",
"path": "StrokeCaseManagementLM.timesheet.ivtpareason",
"short": "未執行 IVtPA 主要原因",
"definition": "未執行靜脈血栓溶解的主要原因：REA01＝輸注本藥前，急性缺血性中風發作時間已超過 3 小時，或症狀發作時間不明；REA02＝發作至到院 2 小時內，但不符合施打條件；REA03＝發作至到院 2 至 3 小時內，但不符合施打條件。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpareason",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPAREASON"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#ivtpa-not-given-main-reason；答案填 StrokeIvtpaNotGivenReasonCS（REA01–REA03）並保留原碼，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub01",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub01",
"short": "未執行 IVtPA 次要原因 1",
"definition": "未執行 IVtPA 次要原因 1：0＝無；1＝輸注本藥前，缺血性腦中風發作的時間已經超過 3 小時。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub01",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB01"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-onset-over-3h；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub02",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub02",
"short": "未執行 IVtPA 次要原因 2",
"definition": "未執行 IVtPA 次要原因 2：0＝無；1＝輸注本藥前，急性缺血性腦中風的症狀已迅速改善或症狀輕微(如 NIHSS<4)。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub02",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB02"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-mild-or-improving；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub03",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub03",
"short": "未執行 IVtPA 次要原因 3",
"definition": "未執行 IVtPA 次要原因 3：0＝無；1＝臨床或影像判定為嚴重之中風(如 NIHSS > 25)。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub03",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB03"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-severe-stroke；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub04",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub04",
"short": "未執行 IVtPA 次要原因 4",
"definition": "未執行 IVtPA 次要原因 4：0＝無；1＝年齡在 18 歲以下，或 80 歲以上。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub04",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB04"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-age-out-of-range；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub05",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub05",
"short": "未執行 IVtPA 次要原因 5",
"definition": "未執行 IVtPA 次要原因 5：0＝無；1＝過去曾中風且合併糖尿病。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub05",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB05"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-prior-stroke-with-diabetes；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub06",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub06",
"short": "未執行 IVtPA 次要原因 6",
"definition": "未執行 IVtPA 次要原因 6：0＝無；1＝收縮壓>185mmHg 或舒張壓>110mmHg。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub06",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB06"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-high-blood-pressure；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub07",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub07",
"short": "未執行 IVtPA 次要原因 7",
"definition": "未執行 IVtPA 次要原因 7：0＝無；1＝最近 3 個月內有中風病史或有嚴重性頭部創傷。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub07",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB07"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-recent-stroke-or-head-trauma；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub08",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub08",
"short": "未執行 IVtPA 次要原因 8",
"definition": "未執行 IVtPA 次要原因 8：0＝無；1＝中風發作時併發癲癇。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub08",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB08"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-seizure-at-onset；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub09",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub09",
"short": "未執行 IVtPA 次要原因 9",
"definition": "未執行 IVtPA 次要原因 9：0＝無；1＝病人正接受口服抗凝血劑，如 warfarin sodium(INR>1.3)。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub09",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB09"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-oral-anticoagulant；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub10",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub10",
"short": "未執行 IVtPA 次要原因 10",
"definition": "未執行 IVtPA 次要原因 10：0＝無；1＝家屬拒絕。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpasub10",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB10"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-family-refusal；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpadoze",
"path": "StrokeCaseManagementLM.timesheet.ivtpadoze",
"short": "IV-tPA 劑量",
"definition": "IV-tPA 劑量，譯碼簿未列單位。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ivtpadoze",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPADOZE"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.dosage.dose.value",
"comment": "譯碼簿未列劑量單位。單位確認前，原文填 note.text，不填 dosage.dose。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.hadmdt",
"path": "StrokeCaseManagementLM.timesheet.hadmdt",
"short": "轉住院日期",
"definition": "轉住院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.hadmdt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.HADMDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "住院 Encounter（class IMP）填住院日期；只有時間沒有日期時，改填 Encounter.period.start.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctadate",
"path": "StrokeCaseManagementLM.timesheet.ctadate",
"short": "CTA 日期",
"definition": "CTA 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ctadate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTADATE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「EVT 前 CTA」，modality 填 DCM#CT，procedureCode.coding:rapidScanType 可填 CTA。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctatime",
"path": "StrokeCaseManagementLM.timesheet.ctatime",
"short": "CTA 時間",
"definition": "CTA 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.ctatime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTATIME"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「EVT 前 CTA」，modality 填 DCM#CT，procedureCode.coding:rapidScanType 可填 CTA。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.puncturedt",
"path": "StrokeCaseManagementLM.timesheet.puncturedt",
"short": "動脈穿刺日期",
"definition": "動脈穿刺日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.puncturedt",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PUNCTUREDT"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.performedDateTime",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#evt-puncture，以 partOf 參照同次 EVT 主處置（evt）。穿刺日期與時間合併填 performedDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認時區（例如 +08:00）。只有時間時填 performedDateTime.extension:eventTimeOnly.valueTime；日期與時間皆無時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.puncturetm",
"path": "StrokeCaseManagementLM.timesheet.puncturetm",
"short": "動脈穿刺時間",
"definition": "動脈穿刺時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.puncturetm",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PUNCTURETM"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.performedDateTime",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#evt-puncture，以 partOf 參照同次 EVT 主處置（evt）。穿刺日期與時間合併填 performedDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認時區（例如 +08:00）。只有時間時填 performedDateTime.extension:eventTimeOnly.valueTime；日期與時間皆無時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.perfusiondta",
"path": "StrokeCaseManagementLM.timesheet.perfusiondta",
"short": "再灌流日期",
"definition": "再灌流日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.perfusiondta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PERFUSIONDTA"
},
{
"identity": "fhir",
"map": "StrokeProcedureResult：Observation.valueDateTime",
"comment": "code = stroke-observation#reperfusion-time；項目代碼填 Observation.code.coding:strokeObservation。日期與同事件時間合併填入 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。只有日期填 YYYY-MM-DD，只有年月填 YYYY-MM；只有時間時 valueDateTime 不填值，改填 Observation.valueDateTime.extension:eventTimeOnly.valueTime。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。首次再通、最終再通與再灌流時間只記錄在 StrokeProcedureResult；EVT 主處置的 performed 依來源的處置時間填寫。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.perfusiontma",
"path": "StrokeCaseManagementLM.timesheet.perfusiontma",
"short": "再灌流時間",
"definition": "再灌流時間，格式 hh:mm。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeCaseManagementLM.timesheet.perfusiontma",
"min": 0,
"max": "1"
},
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PERFUSIONTMA"
},
{
"identity": "fhir",
"map": "StrokeProcedureResult：Observation.valueDateTime",
"comment": "code = stroke-observation#reperfusion-time；項目代碼填 Observation.code.coding:strokeObservation。日期與同事件時間合併填入 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。只有日期填 YYYY-MM-DD，只有年月填 YYYY-MM；只有時間時 valueDateTime 不填值，改填 Observation.valueDateTime.extension:eventTimeOnly.valueTime。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。首次再通、最終再通與再灌流時間只記錄在 StrokeProcedureResult；EVT 主處置的 performed 依來源的處置時間填寫。"
}
]
}
]
},
"differential": {
"element": [
{
"id": "StrokeCaseManagementLM",
"path": "StrokeCaseManagementLM",
"short": "腦中風個管系統資料邏輯模型",
"definition": "高雄榮總腦中風個管系統（NCVA）資料交換邏輯模型。依交換譯碼簿整理 14 個資料表。每個個案以病歷號（HISNUMMARK）加個管流水序號（CMSEQNO）識別，各資料表以這兩欄串接。",
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA"
},
{
"identity": "fhir",
"map": "StrokeCaseManagementBundle：Bundle",
"comment": "一個個管事件的完整資料以一個 StrokeCaseManagementBundle 傳送"
}
]
},
{
"id": "StrokeCaseManagementLM.hisnummark",
"path": "StrokeCaseManagementLM.hisnummark",
"short": "病歷號",
"definition": "病人在本院的病歷號。分析樣本已去識別化，正式環境為可識別的病歷號。病人與個管事件分開識別。",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.*.HISNUMMARK",
"comment": "各資料表皆有此欄"
},
{
"identity": "fhir",
"map": "StrokePatient：Patient.identifier:medicalRecord.value",
"comment": "病歷號原樣保留，不作為 Patient.id。type 固定 v2-0203 MR，system 用院方核定的網址（範例 http://www.vghks.gov.tw/patient-id）。每個院所+病歷號建一筆 Patient。"
}
]
},
{
"id": "StrokeCaseManagementLM.cmseqno",
"path": "StrokeCaseManagementLM.cmseqno",
"short": "個管流水序號",
"definition": "個管事件流水序號。同一病人可有多個個管事件，需與病歷號搭配使用。",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.*.CMSEQNO",
"comment": "各資料表皆有此欄"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.identifier.value",
"comment": "個管系統回覆的識別碼；identifier.system 用個管流水序號專用網址（範例 http://www.vghks.gov.tw/stroke-case-management-serial）。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain",
"path": "StrokeCaseManagementLM.caseMain",
"short": "腦中風個案主檔",
"definition": "個案基本資料、發病、到院與離院資訊，每個個案一筆。",
"min": 1,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.occdate",
"path": "StrokeCaseManagementLM.caseMain.occdate",
"short": "發病日期",
"definition": "發病日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCCDATE"
},
{
"identity": "fhir",
"map": "StrokeOnsetTime：Observation.valueDateTime",
"comment": "code = stroke-observation#stroke-onset-time；與發病時間合併為同一筆 valueDateTime（YYYY-MM-DD 或 YYYY-MM）。時區確認前只填日期（YYYY-MM-DD），時間原值用 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.occtime",
"path": "StrokeCaseManagementLM.caseMain.occtime",
"short": "發生時間",
"definition": "發生時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCCTIME"
},
{
"identity": "fhir",
"map": "StrokeOnsetTime：Observation.valueDateTime",
"comment": "code = stroke-observation#stroke-onset-time；與發病日期合併為同一筆 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值用 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有時間無日期，填入 Observation.value[x]:valueDateTime.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.arrdate",
"path": "StrokeCaseManagementLM.caseMain.arrdate",
"short": "到院日期",
"definition": "到院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.ARRDATE"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "到院日期只用於經本院急診到院的事件：填急診 Encounter（class EMER）的 period.start，並與到院時間合併。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。無法確認經急診到院時，不建立急診 Encounter，原值只存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.arrtime",
"path": "StrokeCaseManagementLM.caseMain.arrtime",
"short": "到院時間",
"definition": "到院時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.ARRTIME"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "到院時間只用於經本院急診到院的事件：與到院日期合併填入 period.start。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。無日期時改填 Encounter.period.start.extension:eventTimeOnly.valueTime。無法確認經急診到院時，原值只存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.hdisdt",
"path": "StrokeCaseManagementLM.caseMain.hdisdt",
"short": "病患離院日期",
"definition": "病患離院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HDISDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.end",
"comment": "住院 Encounter（class IMP）填離院日期；兩來源不一致時須人工核對；只有時間時改填 Encounter.period.end.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.psex",
"path": "StrokeCaseManagementLM.caseMain.psex",
"short": "病患性別",
"definition": "病患性別：M＝男性；F＝女性。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.PSEX"
},
{
"identity": "fhir",
"map": "StrokePatient：Patient.gender",
"comment": "F→female、M→male；其他值→unknown，原值存入原始值群組；缺值時用 data-absent-reason 擴充。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.hage",
"path": "StrokeCaseManagementLM.caseMain.hage",
"short": "病患年齡",
"definition": "病患年齡，單位為歲。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HAGE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueQuantity",
"comment": "code = stroke-observation#patient-age；填入 valueQuantity，單位用 UCUM a。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.height",
"path": "StrokeCaseManagementLM.caseMain.height",
"short": "病患身高",
"definition": "病患身高，單位為 cm。",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.HEIGHT"
},
{
"identity": "fhir",
"map": "StrokeBodyHeight：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8302-2；身高數值填 valueQuantity.value，單位用 UCUM cm。值為 0 時在確認意義前不建立，只保留原始值；有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.weight",
"path": "StrokeCaseManagementLM.caseMain.weight",
"short": "病患體重",
"definition": "病患體重，單位為 kg。",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.WEIGHT"
},
{
"identity": "fhir",
"map": "StrokeBodyWeight：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#29463-7；體重數值填 valueQuantity.value，單位用 UCUM kg。值為 0 時在確認意義前不建立，只保留原始值；有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.edulevelcode",
"path": "StrokeCaseManagementLM.caseMain.edulevelcode",
"short": "病患教育程度代碼",
"definition": "病患教育程度代碼：EDU00＝無；EDU01＝小學；EDU02＝國中；EDU03＝高中職；EDU04＝大專；EDU05＝研究所；EDU99＝不詳。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.EDULEVELCODE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#education-level；代碼填入 StrokeEducationLevelCS；EDU99 保留為原代碼。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.ocpcode",
"path": "StrokeCaseManagementLM.caseMain.ocpcode",
"short": "職業選項代碼",
"definition": "職業選項代碼：OCP00＝無；OCP01＝軍；OCP02＝公；OCP03＝教；OCP04＝工；OCP05＝農；OCP06＝商；OCP07＝服務業；OCP08＝學生；OCP09＝退休；OCP99＝其他。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.OCPCODE"
},
{
"identity": "fhir",
"map": "StrokeOccupation：Observation.valueCodeableConcept.coding:occupationCategory",
"comment": "code = http://loinc.org#11341-5；原碼 OCP00–OCP09、OCP99 填 StrokeOccupationCategoryCS，OCP99 為「其他」，空值或無法辨識代碼不建立。每個來源、病人與個管事件（評估時點，以 encounter 區分）各建一筆，只對同一事件的重複資料去重，保留跨事件的職業歷史。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.patfrom",
"path": "StrokeCaseManagementLM.caseMain.patfrom",
"short": "入院方式",
"definition": "入院方式：A＝住院；E＝急診；O＝門診。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.PATFROM"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#admission-source；入院方式原碼 A（住院）、E（急診）、O（門診）直接填入 StrokeAdmissionSourceCS，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.reachwaycode",
"path": "StrokeCaseManagementLM.caseMain.reachwaycode",
"short": "到院方式代碼",
"definition": "到院方式代碼：SELF＝自行前往；EMG＝使用消防局緊急醫療系統；TRAN＝他院轉入；NONE＝無。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.REACHWAYCODE"
},
{
"identity": "fhir",
"map": "StrokeAdmissionContext：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#arrival-mode；代碼請對應轉換：EMG 填 1、SELF 填 2、TRAN 填 3；NONE 保留代碼 NONE。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.caseMain.levoption",
"path": "StrokeCaseManagementLM.caseMain.levoption",
"short": "離院情形代碼",
"definition": "離院情形代碼：LEV01＝病危自動出院；LEV02＝死亡；LEV03＝出院；LEV05＝轉 PAC。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.CASEMAIN.LEVOPTION"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.hospitalization.dischargeDisposition",
"comment": "LEV01→1、LEV02→2、LEV03→3；LEV05（轉 PAC）保留原碼。只用於住院 Encounter。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale",
"path": "StrokeCaseManagementLM.comaScale",
"short": "昏迷指數與生命徵象",
"definition": "到院時的 GCS、生命徵象與中風診斷分類，每個個案一筆。實際檔案比譯碼簿多一欄。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsM",
"path": "StrokeCaseManagementLM.comaScale.gcsM",
"short": "GCS 動作反應",
"definition": "GCS 動作反應分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_M"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:motor.valueInteger",
"comment": "code = http://loinc.org#9268-4；Observation.code = LOINC 9269-2。M 分數填 1–6；缺值處理同 E。來源無 GCS 總分，valueInteger 不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsE",
"path": "StrokeCaseManagementLM.comaScale.gcsE",
"short": "GCS 睜眼反應",
"definition": "GCS 睜眼反應分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_E"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:eye.valueInteger",
"comment": "code = http://loinc.org#9267-6；Observation.code = LOINC 9269-2。E 分數填 1–4；空白、非數值或超出範圍時不填 value，component 改填 dataAbsentReason（只知缺值用 unknown）；到院的 assessmentPhase 填 admission。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.gcsV",
"path": "StrokeCaseManagementLM.comaScale.gcsV",
"short": "GCS 語言反應",
"definition": "GCS 語言反應分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.GCS_V"
},
{
"identity": "fhir",
"map": "StrokeGCS：Observation.component:verbal.valueInteger",
"comment": "code = http://loinc.org#9270-0；Observation.code = LOINC 9269-2。V 分數填 1–5；缺值處理同 E。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.sbp",
"path": "StrokeCaseManagementLM.comaScale.sbp",
"short": "收縮壓",
"definition": "收縮壓，單位為 mmHg。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.SBP"
},
{
"identity": "fhir",
"map": "StrokeBloodPressure：Observation.component:SystolicBP.valueQuantity.value",
"comment": "code = http://loinc.org#8480-6；Observation.code = LOINC 85354-9，單位填 mm[Hg]。只有舒張壓時，本 component 保留 code 並填 dataAbsentReason = unknown；兩者皆缺不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.dbp",
"path": "StrokeCaseManagementLM.comaScale.dbp",
"short": "舒張壓",
"definition": "舒張壓，單位為 mmHg。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.DBP"
},
{
"identity": "fhir",
"map": "StrokeBloodPressure：Observation.component:DiastolicBP.valueQuantity.value",
"comment": "code = http://loinc.org#8462-4；Observation.code = LOINC 85354-9，單位填 mm[Hg]。只有收縮壓時，本 component 保留 code 並填 dataAbsentReason = unknown；兩者皆缺不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.bt",
"path": "StrokeCaseManagementLM.comaScale.bt",
"short": "體溫",
"definition": "體溫，單位為 °C。",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.BT"
},
{
"identity": "fhir",
"map": "StrokeBodyTemperature：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8310-5；數值填 valueQuantity.value，單位固定填 UCUM Cel。確認來源單位且有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.hr",
"path": "StrokeCaseManagementLM.comaScale.hr",
"short": "心跳",
"definition": "心跳，單位為次／分。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.HR"
},
{
"identity": "fhir",
"map": "StrokeHeartRate：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#8867-4；數值填 valueQuantity.value，單位填 /min（TW Core 固定）。有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.rr",
"path": "StrokeCaseManagementLM.comaScale.rr",
"short": "呼吸",
"definition": "呼吸，單位為次／分。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.RR"
},
{
"identity": "fhir",
"map": "StrokeRespiratoryRate：Observation.valueQuantity.value",
"comment": "code = http://loinc.org#9279-1；數值填 valueQuantity.value，單位填 /min（TW Core 固定）。有實際測量時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.icd10",
"path": "StrokeCaseManagementLM.comaScale.icd10",
"short": "ICD-10 診斷碼",
"definition": "中風診斷的 ICD-10 代碼。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.ICD10"
},
{
"identity": "fhir",
"map": "StrokeCondition：Condition.code.coding:icd10cm.code",
"comment": "ICD-10-CM 原碼放 icd10cm Slice（system http://hl7.org/fhir/sid/icd-10-cm），版本確認前先只填 code.text。clinicalStatus、category 由診斷來源取得；兩者齊全才建立 Condition，否則原值存入 StrokeRegistryResponse 原始值備份。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.infarct",
"path": "StrokeCaseManagementLM.comaScale.infarct",
"short": "腦梗塞",
"definition": "是否為腦梗塞，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.Infarct"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#stroke-type-infarction；valueString 保留原值填入。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption1",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption1",
"short": "TOAST 分類",
"definition": "缺血性中風 TOAST 分類，以文字儲存。可填：Large artery atherosclerosis；Small vessel occlusion；Cardioembolism；Specific etiology；Undertermined etiology。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION1"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#toast-classification；分類文字請對應轉碼：Large artery atherosclerosis 轉 1、Cardioembolism 轉 3、Specific etiology 轉 4、Undertermined etiology（來源拼法，Undetermined etiology 亦同）轉 5、Small vessel occlusion 轉 svo；其他文字只存原始值。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption2",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption2",
"short": "TOAST 次分類",
"definition": "TOAST 次分類，以文字儲存。可填：Extra；Intra；Cerebral venous thrombosis；Moyamoya Synd；Radiation；Dissection；Migraine；Antiphospholipid Ab Synd；Autoummune disease；Hyperfibrinogenemia；Prot C/Prot S deficiency；Antithrombin III deficiency；Homocystinuria；Hypercoagulable state；Cancer；其他；Incomplete Study；Conflict data；Complete Study。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION2"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#toast-laa-extracranial；來源為 TOAST 次分類文字欄，請依條件拆分：值為 Extra 時建立本項且 valueBoolean = true。其他值不建立本項：Intra 改建 toast-laa-intracranial；其他病因文字改建 toast-specific-etiology；Incomplete Study、Conflict data、Complete Study 僅存原始值，不建立 Observation。空白不建立。"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#toast-laa-intracranial；來源為 TOAST 次分類文字欄，請依條件拆分：值為 Intra 時建立本項且 valueBoolean = true。其他值不建立本項：Extra 改建 toast-laa-extracranial；其他病因文字改建 toast-specific-etiology；Incomplete Study、Conflict data、Complete Study 僅存原始值，不建立 Observation。空白不建立。"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#toast-specific-etiology；來源為 TOAST 次分類文字欄，請依條件拆分：值為特定病因文字（Cerebral venous thrombosis、Moyamoya Synd、Radiation、Dissection、Migraine、Antiphospholipid Ab Synd、Autoummune disease、Hyperfibrinogenemia、Prot C/Prot S deficiency、Antithrombin III deficiency、Homocystinuria、Hypercoagulable state、Cancer、其他）時建立本項，valueString 原樣保留。Extra、Intra 改建 toast-laa-extracranial 與 toast-laa-intracranial。Incomplete Study、Conflict data、Complete Study 只存原始值，不建立 Observation。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.tia",
"path": "StrokeCaseManagementLM.comaScale.tia",
"short": "短暫性腦缺血",
"definition": "短暫性腦缺血：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.TIA"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-tia；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.ich",
"path": "StrokeCaseManagementLM.comaScale.ich",
"short": "腦出血",
"definition": "腦出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.ICH"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-ich；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.sah",
"path": "StrokeCaseManagementLM.comaScale.sah",
"short": "蜘蛛網膜下腔出血",
"definition": "蜘蛛網膜下腔出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.SAH"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#stroke-type-sah；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption3",
"path": "StrokeCaseManagementLM.comaScale.stkdiagnosisoption3",
"short": "TIA／ICH／SAH 次分類",
"definition": "TIA、ICH 或 SAH 的次分類，以文字儲存。可填：Carotid；VB；Hypertensive；Non-Hypertensive；aneurysm；Angio negative；未做 Angio；其他。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.STKDIAGNOSISOPTION3"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#stroke-subtype-tia-ich-sah；valueString 保留原值填入。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.comaScale.unnamedCol19",
"path": "StrokeCaseManagementLM.comaScale.unnamedCol19",
"short": "未命名欄位（第 19 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.COMASCALE.UNNAMED_COL_19"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedComaScaleCol19.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.COMASCALE.UNNAMED_COL_19，保存原始字串。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss",
"path": "StrokeCaseManagementLM.nihss",
"short": "NIHSS 評估",
"definition": "NIHSS 各項分數，每次評估一筆，以 freqno 區分入院或出院。",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.freqno",
"path": "StrokeCaseManagementLM.nihss.freqno",
"short": "評估次數",
"definition": "評估次數：1＝入院；2＝出院。",
"min": 1,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FREQNO"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.extension:assessmentSequence.valuePositiveInt",
"comment": "code = http://loinc.org#72089-6；來源評估序號原樣保留。序號 1 另填 assessmentPhase=admission、2 填 discharge，各建一筆。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneA",
"path": "StrokeCaseManagementLM.nihss.oneA",
"short": "1a 意識程度",
"definition": "NIHSS 1a 意識程度分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_A"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:levelOfConsciousness.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70184-7。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:levelOfConsciousness.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70184-7。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneB",
"path": "StrokeCaseManagementLM.nihss.oneB",
"short": "1b 意識提問",
"definition": "NIHSS 1b 意識提問分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_B"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locQuestions.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70185-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locQuestions.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70185-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.oneC",
"path": "StrokeCaseManagementLM.nihss.oneC",
"short": "1c 意識指令",
"definition": "NIHSS 1c 意識指令分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ONE_C"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locCommands.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70186-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:locCommands.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70186-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.two",
"path": "StrokeCaseManagementLM.nihss.two",
"short": "2 眼球運動",
"definition": "NIHSS 2 眼球運動分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TWO"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestGaze.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70187-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestGaze.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70187-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.three",
"path": "StrokeCaseManagementLM.nihss.three",
"short": "3 視野",
"definition": "NIHSS 3 視野分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.THREE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:visual.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70188-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:visual.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70188-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.four",
"path": "StrokeCaseManagementLM.nihss.four",
"short": "4 顏面麻痺",
"definition": "NIHSS 4 顏面麻痺分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FOUR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:facialPalsy.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70189-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:facialPalsy.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70189-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.fiveAl",
"path": "StrokeCaseManagementLM.nihss.fiveAl",
"short": "5a 左上肢運動",
"definition": "NIHSS 5a 左上肢運動分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FIVE_AL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70190-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70190-4。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.fiveBr",
"path": "StrokeCaseManagementLM.nihss.fiveBr",
"short": "5b 右上肢運動",
"definition": "NIHSS 5b 右上肢運動分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.FIVE_BR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70967-5。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorArmRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70967-5。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.sixAl",
"path": "StrokeCaseManagementLM.nihss.sixAl",
"short": "6a 左下肢運動",
"definition": "NIHSS 6a 左下肢運動分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SIX_AL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70191-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegLeft.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70191-2。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.sixBr",
"path": "StrokeCaseManagementLM.nihss.sixBr",
"short": "6b 右下肢運動",
"definition": "NIHSS 6b 右下肢運動分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SIX_BR"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70968-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:motorLegRight.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70968-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.seven",
"path": "StrokeCaseManagementLM.nihss.seven",
"short": "7 肢體運動失調",
"definition": "NIHSS 7 肢體運動失調分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.SEVEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:limbAtaxia.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70192-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:limbAtaxia.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70192-0。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.eight",
"path": "StrokeCaseManagementLM.nihss.eight",
"short": "8 感覺",
"definition": "NIHSS 8 感覺分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.EIGHT"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:sensory.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70193-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:sensory.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70193-8。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.nine",
"path": "StrokeCaseManagementLM.nihss.nine",
"short": "9 語言",
"definition": "NIHSS 9 語言分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.NINE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestLanguage.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70194-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:bestLanguage.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70194-6。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.ten",
"path": "StrokeCaseManagementLM.nihss.ten",
"short": "10 構音障礙",
"definition": "NIHSS 10 構音障礙分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:dysarthria.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70195-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:dysarthria.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70195-3。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.eleven",
"path": "StrokeCaseManagementLM.nihss.eleven",
"short": "11 忽略",
"definition": "NIHSS 11 忽略分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ELEVEN"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:extinctionInattention.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission；component.code=http://loinc.org#70196-1。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.component:extinctionInattention.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge；component.code=http://loinc.org#70196-1。有效整數填 valueInteger，X 等非數值或超出範圍改填 valueString 原樣保留；空白不建 component。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.total",
"path": "StrokeCaseManagementLM.nihss.total",
"short": "NIHSS 總分",
"definition": "NIHSS 總分，為 1a 至 11 各項加總。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.TOTAL"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。有效整數 0–42 填 valueInteger，X、7+X 等非數值改填 valueString；空白不填。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.valueInteger",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。有效整數 0–42 填 valueInteger，X、7+X 等非數值改填 valueString；空白不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.inpdate",
"path": "StrokeCaseManagementLM.nihss.inpdate",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.INPDATE"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.inptime",
"path": "StrokeCaseManagementLM.nihss.inptime",
"short": "評估時間",
"definition": "評估時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.INPTIME"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=admission。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeNIHSS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#72089-6；assessmentPhase=discharge。日期與同次評估時間合併填入 effectiveDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。若只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.arrdate",
"path": "StrokeCaseManagementLM.nihss.arrdate",
"short": "入院日期",
"definition": "入院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.ARRDATE"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "住院 Encounter（class IMP）的入院日期，與「住院日期」欄位填同一元素；只有時間時改填 Encounter.period.start.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.nihss.hdisdt",
"path": "StrokeCaseManagementLM.nihss.hdisdt",
"short": "離院日期",
"definition": "離院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.NIHSS.HDISDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.end",
"comment": "住院 Encounter（class IMP）的離院日期，與另一個「離院日期」欄位填同一元素；兩者不一致時須人工核對。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs",
"path": "StrokeCaseManagementLM.mrs",
"short": "mRS 評估",
"definition": "mRS 分數，每次評估一筆，以 freqno 區分評估次數。實際檔案比譯碼簿多兩欄。",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.freqno",
"path": "StrokeCaseManagementLM.mrs.freqno",
"short": "評估次數",
"definition": "評估次數。譯碼簿定義 1＝出院；2＝發病後 3 個月。實際資料有 1 至 9。",
"min": 1,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.FREQNO"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.extension:assessmentSequence.valuePositiveInt",
"comment": "code = http://loinc.org#75859-9；序號 1–9 原樣保留。序號意義確認前，assessmentPhase=unclassified。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.mrsrate",
"path": "StrokeCaseManagementLM.mrs.mrsrate",
"short": "mRS 分數",
"definition": "mRS 分數。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.MRSRATE"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.valueInteger",
"comment": "code = http://loinc.org#75859-9；評估次數意義確認前，填 assessmentPhase = unclassified；分數 0–6 填原值。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.inpdate",
"path": "StrokeCaseManagementLM.mrs.inpdate",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。譯碼簿取值規則：出院評估取出院日前後 3 天內，3 個月評估取發病日起第 76 至 104 天內；區間內有多筆時取最後一筆。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.INPDATE"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；序號意義確認前，assessmentPhase=unclassified。只有年月或只有時間就不填，原值存 StrokeRegistryResponse。"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；填原始各次評估日期，assessmentPhase=unclassified；不足完整日期就不填。"
},
{
"identity": "fhir",
"map": "StrokeMRS：Observation.effectiveDateTime",
"comment": "code = http://loinc.org#75859-9；評估日期：評估次數意義確認前，填 assessmentPhase = unclassified；不足完整日期時不填，原值存原始值群組。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.unnamedCol06",
"path": "StrokeCaseManagementLM.mrs.unnamedCol06",
"short": "未命名欄位（第 6 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.UNNAMED_COL_06"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedMrsCol06.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.mRS.UNNAMED_COL_06。answer 為 1..*，每筆 mRS 列一個值，列對應以 raw.ncva.mrs 群組為準。"
}
]
},
{
"id": "StrokeCaseManagementLM.mrs.unnamedCol07",
"path": "StrokeCaseManagementLM.mrs.unnamedCol07",
"short": "未命名欄位（第 7 欄）",
"definition": "實際檔案多出的欄位，譯碼簿沒有對應欄序，原值照存。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.mRS.UNNAMED_COL_07"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:unresolvedMrsCol07.answer.valueString",
"comment": "linkId 填 unresolved.NCVA.mRS.UNNAMED_COL_07。answer 為 1..*，每筆 mRS 列一個值，列對應以 raw.ncva.mrs 群組為準。"
}
]
},
{
"id": "StrokeCaseManagementLM.ich",
"path": "StrokeCaseManagementLM.ich",
"short": "ICH 分數",
"definition": "腦出血個案的 ICH 分數，每個個案一筆。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.ichScore",
"path": "StrokeCaseManagementLM.ich.ichScore",
"short": "ICH 分數",
"definition": "ICH 分數，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH.ichScore"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#ich-score；valueString 保留來源分數原值填入；評估日期填入同筆 effectiveDateTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.ich.formdt",
"path": "StrokeCaseManagementLM.ich.formdt",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.ICH.FORMDT"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.effectiveDateTime",
"comment": "code = stroke-observation#ich-score；填入 ich-score 該筆的 effectiveDateTime；格式至少需有 YYYY-MM-DD，若只有年月或只有時間則不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs",
"path": "StrokeCaseManagementLM.hhs",
"short": "Hunt and Hess 分級",
"definition": "蜘蛛網膜下腔出血個案的 Hunt and Hess 分級，每個個案一筆。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.hlsGrade",
"path": "StrokeCaseManagementLM.hhs.hlsGrade",
"short": "Hunt and Hess 分級",
"definition": "Hunt and Hess 分級，譯碼簿未定義值域。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS.hlsGrade"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueString",
"comment": "code = stroke-observation#hunt-hess-grade；valueString 保留來源分級原值填入；評估日期填入同筆 effectiveDateTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.hhs.formdt",
"path": "StrokeCaseManagementLM.hhs.formdt",
"short": "評估日期",
"definition": "評估日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HHS.FORMDT"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.effectiveDateTime",
"comment": "code = stroke-observation#hunt-hess-grade；填 hunt-hess-grade 的 effectiveDateTime；至少要有 YYYY-MM-DD，只有年月或只有時間時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease",
"path": "StrokeCaseManagementLM.heartDisease",
"short": "心臟疾病",
"definition": "個案的心臟疾病史，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd01",
"path": "StrokeCaseManagementLM.heartDisease.thd01",
"short": "心房顫動",
"definition": "是否有心房顫動：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD01"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#atrial-fibrillation-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd02",
"path": "StrokeCaseManagementLM.heartDisease.thd02",
"short": "其他缺血性心臟病",
"definition": "是否有其他缺血性心臟病（含 CAD 及陳舊性心肌梗塞）：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD02"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#ischemic-heart-disease-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd03",
"path": "StrokeCaseManagementLM.heartDisease.thd03",
"short": "瓣膜置換",
"definition": "是否有瓣膜置換：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD03"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#valve-replacement-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd04",
"path": "StrokeCaseManagementLM.heartDisease.thd04",
"short": "心內膜炎",
"definition": "是否有心內膜炎：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD04"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#endocarditis-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd05",
"path": "StrokeCaseManagementLM.heartDisease.thd05",
"short": "心臟黏液瘤",
"definition": "是否有心臟黏液瘤：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD05"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#cardiac-myxoma-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd06",
"path": "StrokeCaseManagementLM.heartDisease.thd06",
"short": "心衰竭",
"definition": "是否有心衰竭：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD06"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#heart-failure-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd07",
"path": "StrokeCaseManagementLM.heartDisease.thd07",
"short": "4 週內急性心肌梗塞",
"definition": "是否有 4 週內急性心肌梗塞：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD07"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#acute-mi-within-4-weeks / stroke-observation#acute-mi-history；來源限定 4 週內急性心肌梗塞時，code 填 acute-mi-within-4-weeks。0 填 false、1 填 true；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd08",
"path": "StrokeCaseManagementLM.heartDisease.thd08",
"short": "風濕性心臟病",
"definition": "是否有風濕性心臟病：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD08"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#rheumatic-heart-disease-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.heartDisease.thd09",
"path": "StrokeCaseManagementLM.heartDisease.thd09",
"short": "開放性卵圓孔",
"definition": "是否有開放性卵圓孔：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.HEARTDIS.THD09"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#patent-foramen-ovale；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment",
"path": "StrokeCaseManagementLM.treatment",
"short": "住院治療",
"definition": "住院期間的用藥與處置，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre01",
"path": "StrokeCaseManagementLM.treatment.tre01",
"short": "Aggrenox",
"definition": "住院期間是否使用 Aggrenox：0＝無；1＝有。藥物有多個時間點時，以住院期間為準。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aggrenox，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre02",
"path": "StrokeCaseManagementLM.treatment.tre02",
"short": "Aspirin",
"definition": "住院期間是否使用 Aspirin：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aspirin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre03",
"path": "StrokeCaseManagementLM.treatment.tre03",
"short": "Ticlopidine",
"definition": "住院期間是否使用 Ticlopidine：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticlopidine，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre05",
"path": "StrokeCaseManagementLM.treatment.tre05",
"short": "Warfarin",
"definition": "住院期間是否使用 Warfarin：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE05"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#warfarin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre06",
"path": "StrokeCaseManagementLM.treatment.tre06",
"short": "動脈內取栓",
"definition": "住院期間是否執行動脈內取栓：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE06"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#ia-thrombectomy，並加填 SNOMED CT 439541007（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre07",
"path": "StrokeCaseManagementLM.treatment.tre07",
"short": "導尿管",
"definition": "住院期間是否留置導尿管：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE07"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#urinary-catheter-insertion，並加填 SNOMED CT 446583004（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre09",
"path": "StrokeCaseManagementLM.treatment.tre09",
"short": "簽署 DNR",
"definition": "住院期間是否簽署 DNR：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE09"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:signDnr.answer.valueBoolean",
"comment": "linkId 填 inpatientTreatment.tre09，1→true、0→false。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre10",
"path": "StrokeCaseManagementLM.treatment.tre10",
"short": "復健",
"definition": "住院期間是否接受復健：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE10"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#rehabilitation，並加填 SNOMED CT 2517002（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre13",
"path": "StrokeCaseManagementLM.treatment.tre13",
"short": "Clopidogrel",
"definition": "住院期間是否使用 Clopidogrel：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE13"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#clopidogrel，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre14",
"path": "StrokeCaseManagementLM.treatment.tre14",
"short": "Pletaal",
"definition": "住院期間是否使用 Pletaal：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE14"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#cilostazol-brand，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre15",
"path": "StrokeCaseManagementLM.treatment.tre15",
"short": "低分子量肝素",
"definition": "住院期間是否使用低分子量肝素：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE15"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#lmw-heparin，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre16",
"path": "StrokeCaseManagementLM.treatment.tre16",
"short": "靜脈 t-PA",
"definition": "住院期間是否使用靜脈 t-PA：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE16"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#iv-tpa-unspecified。1→completed、0→not-done；有給藥日期或時間（effective）才建立，否則只存登錄表單；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre17",
"path": "StrokeCaseManagementLM.treatment.tre17",
"short": "呼吸器",
"definition": "住院期間是否使用呼吸器：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE17"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#mechanical-ventilation，並加填 SNOMED CT 40617009（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre18",
"path": "StrokeCaseManagementLM.treatment.tre18",
"short": "鼻胃管",
"definition": "住院期間是否留置鼻胃管：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE18"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#nasogastric-tube-insertion，並加填 SNOMED CT 87750000（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre19",
"path": "StrokeCaseManagementLM.treatment.tre19",
"short": "吞嚥篩檢",
"definition": "住院期間是否執行吞嚥篩檢：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE19"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#dysphagia-screening，並加填 SNOMED CT 431765005（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre20",
"path": "StrokeCaseManagementLM.treatment.tre20",
"short": "入住加護病房",
"definition": "住院期間是否入住加護病房：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE20"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#icu-admission；0→false、1→true，只記錄是否入住 ICU；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre21",
"path": "StrokeCaseManagementLM.treatment.tre21",
"short": "戒菸衛教",
"definition": "住院期間是否接受戒菸衛教：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE21"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#smoking-cessation-counseling。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre22",
"path": "StrokeCaseManagementLM.treatment.tre22",
"short": "中風衛教",
"definition": "住院期間是否接受中風衛教：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE22"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#stroke-education，並加填 SNOMED CT 720849008（code.coding:sct-procedures）。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre23",
"path": "StrokeCaseManagementLM.treatment.tre23",
"short": "手術治療",
"definition": "住院期間是否接受手術治療：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE23"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.status",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#surgical-treatment。1→completed、0→not-done；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre27",
"path": "StrokeCaseManagementLM.treatment.tre27",
"short": "Apixaban",
"definition": "住院期間是否使用 Apixaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE27"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#apixaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre28",
"path": "StrokeCaseManagementLM.treatment.tre28",
"short": "Dabigatran",
"definition": "住院期間是否使用 Dabigatran：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE28"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#dabigatran，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre29",
"path": "StrokeCaseManagementLM.treatment.tre29",
"short": "Edoxaban",
"definition": "住院期間是否使用 Edoxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE29"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#edoxaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre30",
"path": "StrokeCaseManagementLM.treatment.tre30",
"short": "Rivaroxaban",
"definition": "住院期間是否使用 Rivaroxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE30"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#rivaroxaban，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.treatment.tre31",
"path": "StrokeCaseManagementLM.treatment.tre31",
"short": "Ticagrelor",
"definition": "住院期間是否使用 Ticagrelor：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TREATMENT.TRE31"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticagrelor，extension:recordingContext 填 inpatient。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug",
"path": "StrokeCaseManagementLM.dischargeDrug",
"short": "出院帶藥",
"definition": "出院時的用藥，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg01",
"path": "StrokeCaseManagementLM.dischargeDrug.drg01",
"short": "Aspirin",
"definition": "出院時是否使用 Aspirin：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aspirin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg02",
"path": "StrokeCaseManagementLM.dischargeDrug.drg02",
"short": "Aggrenox",
"definition": "出院時是否使用 Aggrenox：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#aggrenox，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg03",
"path": "StrokeCaseManagementLM.dischargeDrug.drg03",
"short": "Ticlopidine",
"definition": "出院時是否使用 Ticlopidine：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticlopidine，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg04",
"path": "StrokeCaseManagementLM.dischargeDrug.drg04",
"short": "Clopidogrel",
"definition": "出院時是否使用 Clopidogrel：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG04"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#clopidogrel，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg05",
"path": "StrokeCaseManagementLM.dischargeDrug.drg05",
"short": "Pletaal",
"definition": "出院時是否使用 Pletaal：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG05"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#cilostazol-brand，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg06",
"path": "StrokeCaseManagementLM.dischargeDrug.drg06",
"short": "降血壓藥",
"definition": "出院時是否使用降血壓藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG06"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#antihypertensive，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg07",
"path": "StrokeCaseManagementLM.dischargeDrug.drg07",
"short": "Warfarin",
"definition": "出院時是否使用 Warfarin：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG07"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "來源為 Warfarin 欄時，coding:strokeMedication 用 warfarin。狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg08",
"path": "StrokeCaseManagementLM.dischargeDrug.drg08",
"short": "糖尿病藥",
"definition": "出院時是否使用糖尿病藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG08"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#diabetes-medication，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub01",
"path": "StrokeCaseManagementLM.dischargeDrug.sub01",
"short": "口服降血糖藥",
"definition": "出院時是否使用口服降血糖藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB01"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#oral-hypoglycemic，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub02",
"path": "StrokeCaseManagementLM.dischargeDrug.sub02",
"short": "胰島素",
"definition": "出院時是否使用胰島素：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB02"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#insulin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub03",
"path": "StrokeCaseManagementLM.dischargeDrug.sub03",
"short": "statin 類降血脂藥",
"definition": "出院時是否使用 statin 類降血脂藥：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB03"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#statin，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.sub04",
"path": "StrokeCaseManagementLM.dischargeDrug.sub04",
"short": "非 statin 類降血脂藥",
"definition": "出院時是否使用非 statin 類降血脂藥：0＝無；1＝有。部分院所以 FIBRATE 欄記錄，1＝有，空白＝沒有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.SUB04"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#non-statin-lipid-lowering，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg12",
"path": "StrokeCaseManagementLM.dischargeDrug.drg12",
"short": "Apixaban",
"definition": "出院時是否使用 Apixaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG12"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg13",
"path": "StrokeCaseManagementLM.dischargeDrug.drg13",
"short": "Dabigatran",
"definition": "出院時是否使用 Dabigatran：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG13"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg14",
"path": "StrokeCaseManagementLM.dischargeDrug.drg14",
"short": "Edoxaban",
"definition": "出院時是否使用 Edoxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG14"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg15",
"path": "StrokeCaseManagementLM.dischargeDrug.drg15",
"short": "Rivaroxaban",
"definition": "出院時是否使用 Rivaroxaban：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG15"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.medicationCodeableConcept.coding:strokeMedication",
"comment": "四個藥品欄各建一筆：DRG12→apixaban、DRG13→dabigatran、DRG14→edoxaban、DRG15→rivaroxaban。每欄狀態填寫：0→not-taken；1→unknown 且 note.text 填「來源記錄有使用」；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.dischargeDrug.drg16",
"path": "StrokeCaseManagementLM.dischargeDrug.drg16",
"short": "Ticagrelor",
"definition": "出院時是否使用 Ticagrelor：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DISCHG_DRUG.DRG16"
},
{
"identity": "fhir",
"map": "StrokeMedicationStatement：MedicationStatement.status",
"comment": "medicationCodeableConcept.coding:strokeMedication 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-medication#ticagrelor，extension:recordingContext 填 discharge。0→not-taken；1→unknown，note.text 填「來源記錄有使用」；狀態確認後改填 active／completed；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration",
"path": "StrokeCaseManagementLM.deterioration",
"short": "惡化原因",
"definition": "住院期間的神經學惡化原因，每個個案一筆。各項填 0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det01",
"path": "StrokeCaseManagementLM.deterioration.det01",
"short": "中風惡化",
"definition": "惡化原因是否為中風惡化：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET01"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#neurologic-deterioration-nihss-2-or-more | stroke-observation#neurologic-deterioration-criteria-unspecified；code 用 neurologic-deterioration-nihss-2-or-more（NIHSS 增加至少 2 分）。0 填 false、1 填 true，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det02",
"path": "StrokeCaseManagementLM.deterioration.det02",
"short": "腦疝脫",
"definition": "惡化原因是否為腦疝脫：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET02"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-herniation；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det03",
"path": "StrokeCaseManagementLM.deterioration.det03",
"short": "36 小時內出血性梗塞",
"definition": "惡化原因是否為 36 小時內出血性梗塞：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET03"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-hemorrhagic-infarct-36h；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det04",
"path": "StrokeCaseManagementLM.deterioration.det04",
"short": "血腫擴大",
"definition": "惡化原因是否為血腫擴大：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET04"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-hematoma-expansion；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det05",
"path": "StrokeCaseManagementLM.deterioration.det05",
"short": "血管痙攣",
"definition": "惡化原因是否為血管痙攣：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET05"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-vasospasm；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det06",
"path": "StrokeCaseManagementLM.deterioration.det06",
"short": "再出血",
"definition": "惡化原因是否為再出血：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET06"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-rebleeding；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.deterioration.det07",
"path": "StrokeCaseManagementLM.deterioration.det07",
"short": "內科問題",
"definition": "惡化原因是否為內科問題：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DETERIORATION.DET07"
},
{
"identity": "fhir",
"map": "StrokeComplication：Observation.valueBoolean",
"comment": "code = stroke-observation#deterioration-cause-medical-problem；0→false、1→true，空白不建立；其他代碼以原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor",
"path": "StrokeCaseManagementLM.riskFactor",
"short": "危險因子",
"definition": "個案的中風危險因子，每個個案一筆。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.ht",
"path": "StrokeCaseManagementLM.riskFactor.ht",
"short": "高血壓",
"definition": "是否有高血壓危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertension-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.htcurrent",
"path": "StrokeCaseManagementLM.riskFactor.htcurrent",
"short": "本次新診斷高血壓",
"definition": "高血壓是否為本次住院才診斷：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HTCURRENT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertension-newly-diagnosed；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previoustia",
"path": "StrokeCaseManagementLM.riskFactor.previoustia",
"short": "既往短暫性腦缺血",
"definition": "是否有既往短暫性腦缺血危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSTIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-tia-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.cancer",
"path": "StrokeCaseManagementLM.riskFactor.cancer",
"short": "癌症",
"definition": "是否有癌症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.CANCER"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#cancer-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.hypercholesterolemia",
"path": "StrokeCaseManagementLM.riskFactor.hypercholesterolemia",
"short": "高膽固醇",
"definition": "是否有高膽固醇危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HYPERCHOLESTEROLEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypercholesterolemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smoking",
"path": "StrokeCaseManagementLM.riskFactor.smoking",
"short": "吸菸",
"definition": "是否有吸菸危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKING"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#smoking-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingtiming",
"path": "StrokeCaseManagementLM.riskFactor.smokingtiming",
"short": "吸菸狀態",
"definition": "吸菸狀態：Past＝過去吸菸；Current＝目前吸菸。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGTIMING"
},
{
"identity": "fhir",
"map": "StrokeSmokingStatus：Observation.valueCodeableConcept",
"comment": "code = http://loinc.org#72166-2；Current→coding:snomedSmokingStatus 77176002；Past→8517006。coding:smokingStatusDetail 保留原碼 Current 或 Past。空白不建立；有實際調查時間才建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingquantity",
"path": "StrokeCaseManagementLM.riskFactor.smokingquantity",
"short": "每日吸菸量",
"definition": "每日吸菸量，單位為支。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGQUANTITY"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueQuantity",
"comment": "code = stroke-observation#cigarettes-per-day；填入 valueQuantity，單位填 {cigarette}/d；等單位核定後才填 system/code。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.smokingyears",
"path": "StrokeCaseManagementLM.riskFactor.smokingyears",
"short": "吸菸年數",
"definition": "吸菸年數，單位為年。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.SMOKINGYEARS"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueQuantity",
"comment": "code = stroke-observation#smoking-duration；填入 valueQuantity，單位填 a；等單位核定後才填 system/code。空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.heartdisease",
"path": "StrokeCaseManagementLM.riskFactor.heartdisease",
"short": "心臟病",
"definition": "是否有心臟病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HEARTDISEASE"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#heart-disease-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.pad",
"path": "StrokeCaseManagementLM.riskFactor.pad",
"short": "周邊動脈疾病",
"definition": "是否有周邊動脈疾病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PAD"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#peripheral-artery-disease-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.dm",
"path": "StrokeCaseManagementLM.riskFactor.dm",
"short": "糖尿病",
"definition": "是否有糖尿病危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.DM"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#diabetes-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.dmcurrent",
"path": "StrokeCaseManagementLM.riskFactor.dmcurrent",
"short": "本次新診斷糖尿病",
"definition": "糖尿病是否為本次住院才診斷：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.DMCURRENT"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#diabetes-newly-diagnosed；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.alcohol",
"path": "StrokeCaseManagementLM.riskFactor.alcohol",
"short": "飲酒",
"definition": "是否有飲酒危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.ALCOHOL"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#alcohol-use-history；0 填 false、1 填 true；空白不建立，其他值只存原始值。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.hypertriglyceridemia",
"path": "StrokeCaseManagementLM.riskFactor.hypertriglyceridemia",
"short": "高三酸甘油脂",
"definition": "是否有高三酸甘油脂危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.HYPERTRIGLYCERIDEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#hypertriglyceridemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.polycythemia",
"path": "StrokeCaseManagementLM.riskFactor.polycythemia",
"short": "紅血球增多症",
"definition": "是否有紅血球增多症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.POLYCYTHEMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#polycythemia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.uremia",
"path": "StrokeCaseManagementLM.riskFactor.uremia",
"short": "尿毒症",
"definition": "是否有尿毒症危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.UREMIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#uremia-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previousci",
"path": "StrokeCaseManagementLM.riskFactor.previousci",
"short": "既往腦梗塞",
"definition": "是否有既往腦梗塞危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSCI"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-cerebral-infarction-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.riskFactor.previousch",
"path": "StrokeCaseManagementLM.riskFactor.previousch",
"short": "既往腦出血",
"definition": "是否有既往腦出血危險因子：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.DFACTOR.PREVIOUSCH"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#prior-cerebral-hemorrhage-history；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory",
"path": "StrokeCaseManagementLM.familyHistory",
"short": "家族病史",
"definition": "個案的家族病史，每個個案一筆。各項填 0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isHbr",
"path": "StrokeCaseManagementLM.familyHistory.isHbr",
"short": "高血壓家族史",
"definition": "家族是否有高血壓：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_HBR"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-hypertension；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isDm",
"path": "StrokeCaseManagementLM.familyHistory.isDm",
"short": "糖尿病家族史",
"definition": "家族是否有糖尿病：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_DM"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-diabetes；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isIhd",
"path": "StrokeCaseManagementLM.familyHistory.isIhd",
"short": "缺血性心臟病家族史",
"definition": "家族是否有缺血性心臟病：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_IHD"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-ischemic-heart-disease；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.familyHistory.isTia",
"path": "StrokeCaseManagementLM.familyHistory.isTia",
"short": "中風或短暫性腦缺血家族史",
"definition": "家族是否有中風或短暫性腦缺血：0＝無；1＝有；2＝不知道。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.FMHISTORY.IS_TIA"
},
{
"identity": "fhir",
"map": "StrokeRiskFactor：Observation.valueBoolean",
"comment": "code = stroke-observation#family-history-stroke-or-tia；0 填 false、1 填 true；若為 2（不確定／不知道）則不填值，改填 dataAbsentReason=unknown；空白不建立。陰性不建立 Condition。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult",
"path": "StrokeCaseManagementLM.examResult",
"short": "檢驗結果",
"definition": "心電圖與抽血檢驗結果，每個個案一筆。譯碼簿未列檢驗單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ecgOption",
"path": "StrokeCaseManagementLM.examResult.ecgOption",
"short": "心電圖心房顫動",
"definition": "心電圖是否為心房顫動：0＝不是 Af；1＝Af。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.ECG_OPTION"
},
{
"identity": "fhir",
"map": "StrokeClinicalAssessment：Observation.valueBoolean",
"comment": "code = stroke-observation#ecg-atrial-fibrillation；0（不是 Af）填 false、1（Af）填 true；空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hb",
"path": "StrokeCaseManagementLM.examResult.hb",
"short": "血紅素",
"definition": "血紅素檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HB"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hemoglobin；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hct",
"path": "StrokeCaseManagementLM.examResult.hct",
"short": "血比容",
"definition": "血比容檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HCT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hematocrit；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.platelet",
"path": "StrokeCaseManagementLM.examResult.platelet",
"short": "血小板",
"definition": "血小板檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PLATELET"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#platelet-count；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.wbc",
"path": "StrokeCaseManagementLM.examResult.wbc",
"short": "白血球",
"definition": "白血球檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.WBC"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#wbc-count；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ptt",
"path": "StrokeCaseManagementLM.examResult.ptt",
"short": "部分凝血活酶時間",
"definition": "部分凝血活酶時間檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PTT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ptt；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.pttControl",
"path": "StrokeCaseManagementLM.examResult.pttControl",
"short": "PTT 對照值",
"definition": "PTT 對照值檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PTT_CONTROL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ptt-control；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ptInr",
"path": "StrokeCaseManagementLM.examResult.ptInr",
"short": "凝血酶原時間 INR",
"definition": "凝血酶原時間 INR 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.PT_INR"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#pt-inr；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.glucoseEr",
"path": "StrokeCaseManagementLM.examResult.glucoseEr",
"short": "急診血糖",
"definition": "急診血糖檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GLUCOSE_ER"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#glucose-at-emergency；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.bun",
"path": "StrokeCaseManagementLM.examResult.bun",
"short": "血中尿素氮",
"definition": "血中尿素氮檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.BUN"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#bun；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.creatinine",
"path": "StrokeCaseManagementLM.examResult.creatinine",
"short": "肌酸酐",
"definition": "肌酸酐檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.CREATININE"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#creatinine；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.albumin",
"path": "StrokeCaseManagementLM.examResult.albumin",
"short": "白蛋白",
"definition": "白蛋白檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.ALBUMIN"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#albumin；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.crp",
"path": "StrokeCaseManagementLM.examResult.crp",
"short": "C 反應蛋白",
"definition": "C 反應蛋白檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.CRP"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#crp；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hba1c",
"path": "StrokeCaseManagementLM.examResult.hba1c",
"short": "糖化血色素",
"definition": "糖化血色素檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HBA1C"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hba1c；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.gluAc",
"path": "StrokeCaseManagementLM.examResult.gluAc",
"short": "空腹血糖",
"definition": "空腹血糖檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GLU_AC"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#fasting-glucose-first；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ua",
"path": "StrokeCaseManagementLM.examResult.ua",
"short": "UA",
"definition": "UA 檢驗值，譯碼簿未說明是尿酸還是尿液檢查。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.UA"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ua-unspecified；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。確認是尿酸或尿液檢查前，只用 ua-unspecified。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.tCho",
"path": "StrokeCaseManagementLM.examResult.tCho",
"short": "總膽固醇",
"definition": "總膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.T_CHO"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#total-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.tg",
"path": "StrokeCaseManagementLM.examResult.tg",
"short": "三酸甘油脂",
"definition": "三酸甘油脂檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.TG"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#triglyceride；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.hdl",
"path": "StrokeCaseManagementLM.examResult.hdl",
"short": "高密度脂蛋白膽固醇",
"definition": "高密度脂蛋白膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.HDL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#hdl-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.ldl",
"path": "StrokeCaseManagementLM.examResult.ldl",
"short": "低密度脂蛋白膽固醇",
"definition": "低密度脂蛋白膽固醇檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.LDL"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ldl-cholesterol；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.got",
"path": "StrokeCaseManagementLM.examResult.got",
"short": "AST／GOT",
"definition": "AST／GOT 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GOT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#ast；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.examResult.gpt",
"path": "StrokeCaseManagementLM.examResult.gpt",
"short": "ALT／GPT",
"definition": "ALT／GPT 檢驗值，來源以文字儲存，未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.EXRESULT.GPT"
},
{
"identity": "fhir",
"map": "StrokeLaboratory：Observation.valueQuantity",
"comment": "code = stroke-observation#alt；項目代碼填 Observation.code.coding:strokeObservation。單位確認前只填 value（原值）；若為 NA／NAA／空白但有採檢時間，填 dataAbsentReason=unknown。有實際採檢時間才建立，否則只存 StrokeRegistryResponse。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet",
"path": "StrokeCaseManagementLM.timesheet",
"short": "腦中風個管時間表",
"definition": "影像、靜脈血栓溶解、轉住院、動脈穿刺與再灌流的時間點，每個個案一筆。",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctmridate",
"path": "StrokeCaseManagementLM.timesheet.ctmridate",
"short": "第一次 CT/MRI 日期",
"definition": "第一次 CT/MRI 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTMRIDATE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「首次 CT/MRI」，modality 無法確認 CT 或 MR 時不填。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctmritime",
"path": "StrokeCaseManagementLM.timesheet.ctmritime",
"short": "第一次 CT/MRI 時間",
"definition": "第一次 CT/MRI 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTMRITIME"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「首次 CT/MRI」，modality 無法確認 CT 或 MR 時不填。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.isctmrifromoutside",
"path": "StrokeCaseManagementLM.timesheet.isctmrifromoutside",
"short": "CT/MRI 是否為外片",
"definition": "第一次 CT／MRI 是否為外院影像：0＝無；1＝有。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.ISCTMRIFROMOUTSIDE"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#first-ct-mri-from-outside-hospital；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpadate",
"path": "StrokeCaseManagementLM.timesheet.ivtpadate",
"short": "執行 IVtPA 日期",
"definition": "執行 IVtPA 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPADATE"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.effectiveDateTime",
"comment": "EVT 前 IV-tPA 的日期與時間合併填入 effectiveDateTime，medication 填 iv-tpa-unspecified。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 effectiveDateTime.extension:eventTimeOnly.valueTime；兩者皆無時不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpatime",
"path": "StrokeCaseManagementLM.timesheet.ivtpatime",
"short": "執行 IVtPA 時間",
"definition": "執行 IVtPA 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPATIME"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.effectiveDateTime",
"comment": "EVT 前 IV-tPA 的日期與時間合併填入 effectiveDateTime，medication 填 iv-tpa-unspecified。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 effectiveDateTime.extension:eventTimeOnly.valueTime；兩者皆無時不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpareason",
"path": "StrokeCaseManagementLM.timesheet.ivtpareason",
"short": "未執行 IVtPA 主要原因",
"definition": "未執行靜脈血栓溶解的主要原因：REA01＝輸注本藥前，急性缺血性中風發作時間已超過 3 小時，或症狀發作時間不明；REA02＝發作至到院 2 小時內，但不符合施打條件；REA03＝發作至到院 2 至 3 小時內，但不符合施打條件。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPAREASON"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#ivtpa-not-given-main-reason；答案填 StrokeIvtpaNotGivenReasonCS（REA01–REA03）並保留原碼，空白不建立。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub01",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub01",
"short": "未執行 IVtPA 次要原因 1",
"definition": "未執行 IVtPA 次要原因 1：0＝無；1＝輸注本藥前，缺血性腦中風發作的時間已經超過 3 小時。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB01"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-onset-over-3h；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub02",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub02",
"short": "未執行 IVtPA 次要原因 2",
"definition": "未執行 IVtPA 次要原因 2：0＝無；1＝輸注本藥前，急性缺血性腦中風的症狀已迅速改善或症狀輕微(如 NIHSS<4)。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB02"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-mild-or-improving；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub03",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub03",
"short": "未執行 IVtPA 次要原因 3",
"definition": "未執行 IVtPA 次要原因 3：0＝無；1＝臨床或影像判定為嚴重之中風(如 NIHSS > 25)。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB03"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-severe-stroke；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub04",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub04",
"short": "未執行 IVtPA 次要原因 4",
"definition": "未執行 IVtPA 次要原因 4：0＝無；1＝年齡在 18 歲以下，或 80 歲以上。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB04"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-age-out-of-range；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub05",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub05",
"short": "未執行 IVtPA 次要原因 5",
"definition": "未執行 IVtPA 次要原因 5：0＝無；1＝過去曾中風且合併糖尿病。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB05"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-prior-stroke-with-diabetes；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub06",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub06",
"short": "未執行 IVtPA 次要原因 6",
"definition": "未執行 IVtPA 次要原因 6：0＝無；1＝收縮壓>185mmHg 或舒張壓>110mmHg。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB06"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-high-blood-pressure；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub07",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub07",
"short": "未執行 IVtPA 次要原因 7",
"definition": "未執行 IVtPA 次要原因 7：0＝無；1＝最近 3 個月內有中風病史或有嚴重性頭部創傷。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB07"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-recent-stroke-or-head-trauma；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub08",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub08",
"short": "未執行 IVtPA 次要原因 8",
"definition": "未執行 IVtPA 次要原因 8：0＝無；1＝中風發作時併發癲癇。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB08"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-seizure-at-onset；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub09",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub09",
"short": "未執行 IVtPA 次要原因 9",
"definition": "未執行 IVtPA 次要原因 9：0＝無；1＝病人正接受口服抗凝血劑，如 warfarin sodium(INR>1.3)。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB09"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-oral-anticoagulant；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpasub10",
"path": "StrokeCaseManagementLM.timesheet.ivtpasub10",
"short": "未執行 IVtPA 次要原因 10",
"definition": "未執行 IVtPA 次要原因 10：0＝無；1＝家屬拒絕。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPASUB10"
},
{
"identity": "fhir",
"map": "StrokeCareProcess：Observation.valueBoolean",
"comment": "code = stroke-observation#ivtpa-not-given-family-refusal；0 填 false、1 填 true；空白不建立，其他代碼原值存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ivtpadoze",
"path": "StrokeCaseManagementLM.timesheet.ivtpadoze",
"short": "IV-tPA 劑量",
"definition": "IV-tPA 劑量，譯碼簿未列單位。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.IVTPADOZE"
},
{
"identity": "fhir",
"map": "StrokeMedicationAdministration：MedicationAdministration.dosage.dose.value",
"comment": "譯碼簿未列劑量單位。單位確認前，原文填 note.text，不填 dosage.dose。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.hadmdt",
"path": "StrokeCaseManagementLM.timesheet.hadmdt",
"short": "轉住院日期",
"definition": "轉住院日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.HADMDT"
},
{
"identity": "fhir",
"map": "StrokeEncounter：Encounter.period.start",
"comment": "住院 Encounter（class IMP）填住院日期；只有時間沒有日期時，改填 Encounter.period.start.extension:eventTimeOnly.valueTime。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctadate",
"path": "StrokeCaseManagementLM.timesheet.ctadate",
"short": "CTA 日期",
"definition": "CTA 日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTADATE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「EVT 前 CTA」，modality 填 DCM#CT，procedureCode.coding:rapidScanType 可填 CTA。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.ctatime",
"path": "StrokeCaseManagementLM.timesheet.ctatime",
"short": "CTA 時間",
"definition": "CTA 時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.CTATIME"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.started",
"comment": "description 填「EVT 前 CTA」，modality 填 DCM#CT，procedureCode.coding:rapidScanType 可填 CTA。同一次檢查的日期與時間合併填入 started。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認的時區（例如 +08:00）。只有時間時填 started.extension:eventTimeOnly.valueTime；都沒有時不填。各檢查各自建立一筆 ImagingStudy。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.puncturedt",
"path": "StrokeCaseManagementLM.timesheet.puncturedt",
"short": "動脈穿刺日期",
"definition": "動脈穿刺日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PUNCTUREDT"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.performedDateTime",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#evt-puncture，以 partOf 參照同次 EVT 主處置（evt）。穿刺日期與時間合併填 performedDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認時區（例如 +08:00）。只有時間時填 performedDateTime.extension:eventTimeOnly.valueTime；日期與時間皆無時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.puncturetm",
"path": "StrokeCaseManagementLM.timesheet.puncturetm",
"short": "動脈穿刺時間",
"definition": "動脈穿刺時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PUNCTURETM"
},
{
"identity": "fhir",
"map": "StrokeProcedure：Procedure.performedDateTime",
"comment": "code.coding:strokeProcedure 填 http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-procedure#evt-puncture，以 partOf 參照同次 EVT 主處置（evt）。穿刺日期與時間合併填 performedDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與已確認時區（例如 +08:00）。只有時間時填 performedDateTime.extension:eventTimeOnly.valueTime；日期與時間皆無時不填。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.perfusiondta",
"path": "StrokeCaseManagementLM.timesheet.perfusiondta",
"short": "再灌流日期",
"definition": "再灌流日期，格式 YYYY-MM-DD。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PERFUSIONDTA"
},
{
"identity": "fhir",
"map": "StrokeProcedureResult：Observation.valueDateTime",
"comment": "code = stroke-observation#reperfusion-time；項目代碼填 Observation.code.coding:strokeObservation。日期與同事件時間合併填入 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。只有日期填 YYYY-MM-DD，只有年月填 YYYY-MM；只有時間時 valueDateTime 不填值，改填 Observation.valueDateTime.extension:eventTimeOnly.valueTime。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。首次再通、最終再通與再灌流時間只記錄在 StrokeProcedureResult；EVT 主處置的 performed 依來源的處置時間填寫。"
}
]
},
{
"id": "StrokeCaseManagementLM.timesheet.perfusiontma",
"path": "StrokeCaseManagementLM.timesheet.perfusiontma",
"short": "再灌流時間",
"definition": "再灌流時間，格式 hh:mm。",
"min": 0,
"max": "1",
"type": [
{
"code": "time"
}
],
"mapping": [
{
"identity": "ncva-source",
"map": "NCVA.TIMESHEET.PERFUSIONTMA"
},
{
"identity": "fhir",
"map": "StrokeProcedureResult：Observation.valueDateTime",
"comment": "code = stroke-observation#reperfusion-time；項目代碼填 Observation.code.coding:strokeObservation。日期與同事件時間合併填入 valueDateTime。時區確認前只填日期（YYYY-MM-DD），時間原值以 StrokeEventTimeOnly 擴充附在該元素上，並存入 StrokeRegistryResponse 的原始值題目；確認後填完整日期時間與時區（例如 +08:00）。只有日期填 YYYY-MM-DD，只有年月填 YYYY-MM；只有時間時 valueDateTime 不填值，改填 Observation.valueDateTime.extension:eventTimeOnly.valueTime。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。首次再通、最終再通與再灌流時間只記錄在 StrokeProcedureResult；EVT 主處置的 performed 依來源的處置時間填寫。"
}
]
}
]
}
}