FHIR IG analytics| Package | tw.vgh.stroke |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-StrokeRapidLM.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/SitatechCo/TWVGHStroke_IG_Build/StructureDefinition-StrokeRapidLM.html |
| URL | http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidLM |
| Version | 0.1.0 |
| Status | draft |
| Date | 2026-10-07T16:40:32+00:00 |
| Name | StrokeRapidLM |
| Title | RAPID 影像分析資料邏輯模型 |
| Realm | tw |
| Description | RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。 |
| Type | http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidLM |
| Kind | logical |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition StrokeRapidLM
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  StrokeRapidLM | 0..* | Base | RAPID 影像分析資料邏輯模型 | |
  hisnummark | 1..1 | Identifier | 病歷號 | |
| rpreqno | 1..1 | Identifier | 申請序號 | |
 scantype | 1..1 | code | 掃描類型 | |
| latestseriesdate | 0..1 | date | 最近一次掃描 series 日期 | |
| aspectsAffectedside | 0..1 | code | ASPECTS 影響側 | |
| aspects | 0..1 | integer | ASPECTS 分數 | |
| ctaAffectedside | 0..1 | code | CTA 影響側 | |
| cbfVolume | 0..1 | Quantity | CBF<30% 體積 | |
| tmaxVolume | 0..1 | Quantity | Tmax>6 秒體積 | |
| mismatchVolume | 0..1 | Quantity | 不一致體積 | |
| mismatchRatio | 0..1 | decimal | 不一致比率 | |
| hypoperfusionIntensityRatio | 0..1 | decimal | 低灌注強度比值 | |
| hid | 1..1 | Identifier | 醫院代號 | |
| zrapid | 0..1 | dateTime | 日期時戳 | |
| mtqualified | 0..1 | string | MTQUALIFIED | |
| mtqualified16hDefuse3 | 0..1 | string | MTQUALIFIED_16H_DEFUSE3 | |
| mtqualified6hExtendia | 0..1 | string | MTQUALIFIED_6H_EXTENDIA | |
 mtqualified6hSwiftprime | 0..1 | string | MTQUALIFIED_6H_SWIFTPRIME | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "StrokeRapidLM",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeRapidLM",
"version": "0.1.0",
"name": "StrokeRapidLM",
"title": "RAPID 影像分析資料邏輯模型",
"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": "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "rapid-source",
"uri": "urn:vgh-stroke:source:rapid",
"name": "RAPID 原始欄位對照",
"comment": "對照 RAPID 譯碼簿（NCVA.RAPID）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/StrokeRapidLM",
"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": "StrokeRapidLM",
"path": "StrokeRapidLM",
"short": "RAPID 影像分析資料邏輯模型",
"definition": "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID"
},
{
"identity": "fhir",
"map": "StrokeRapidBundle：Bundle",
"comment": "一次 RAPID 掃描的完整資料以一個 StrokeRapidBundle 傳送"
}
]
},
{
"id": "StrokeRapidLM.hisnummark",
"path": "StrokeRapidLM.hisnummark",
"short": "病歷號",
"definition": "病人在本院的病歷號。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeRapidLM.hisnummark",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HISNUMMARK"
},
{
"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": "StrokeRapidLM.rpreqno",
"path": "StrokeRapidLM.rpreqno",
"short": "申請序號",
"definition": "影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeRapidLM.rpreqno",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.RPREQNO"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rapidRequestNo.answer.valueString",
"comment": "linkId 填 rapid.rpreqno，原樣保存。確認語意前不寫入 ImagingStudy／ServiceRequest identifier。"
}
]
},
{
"id": "StrokeRapidLM.scantype",
"path": "StrokeRapidLM.scantype",
"short": "掃描類型",
"definition": "影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeRapidLM.scantype",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.SCANTYPE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.procedureCode.coding:rapidScanType",
"comment": "StrokeRapidScanTypeCS 原碼填 CTP／CTA／NCCT（去除尾端空白）；modality 另填 DCM#CT。申請序號（RPREQNO）不是 DICOM UID，不建立 series。"
}
]
},
{
"id": "StrokeRapidLM.latestseriesdate",
"path": "StrokeRapidLM.latestseriesdate",
"short": "最近一次掃描 series 日期",
"definition": "最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.latestseriesdate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.LATESTSERIESDATE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.effectiveDateTime",
"comment": "確認結果取自該最近掃描序列時，才作為該筆影像判讀結果的 effectiveDateTime（只填 YYYY-MM-DD）；未確認配對時原日期存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeRapidLM.aspectsAffectedside",
"path": "StrokeRapidLM.aspectsAffectedside",
"short": "ASPECTS 影響側",
"definition": "ASPECTS 評估的影響側：L＝左腦；R＝右腦。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.aspectsAffectedside",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ASPECTS_AFFECTEDSIDE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#aspects-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.aspects",
"path": "StrokeRapidLM.aspects",
"short": "ASPECTS 分數",
"definition": "ASPECTS 分數，範圍 0 至 10。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.aspects",
"min": 0,
"max": "1"
},
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ASPECTS"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueInteger",
"comment": "code = stroke-observation#aspects-score；項目代碼填 Observation.code.coding:strokeObservation。ASPECTS 填 0–10 原值。EVT 與 RAPID 來源在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.ctaAffectedside",
"path": "StrokeRapidLM.ctaAffectedside",
"short": "CTA 影響側",
"definition": "電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.ctaAffectedside",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.CTA_AFFECTEDSIDE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#cta-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.cbfVolume",
"path": "StrokeRapidLM.cbfVolume",
"short": "CBF<30% 體積",
"definition": "腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.cbfVolume",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.CBF_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-core-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.tmaxVolume",
"path": "StrokeRapidLM.tmaxVolume",
"short": "Tmax>6 秒體積",
"definition": "Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.tmaxVolume",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.TMAX_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#tmax-over-6s-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入 Tmax > 6 秒體積。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.mismatchVolume",
"path": "StrokeRapidLM.mismatchVolume",
"short": "不一致體積",
"definition": "不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mismatchVolume",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MISMATCH_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-mismatch-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.mismatchRatio",
"path": "StrokeRapidLM.mismatchRatio",
"short": "不一致比率",
"definition": "不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mismatchRatio",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MISMATCH_RATIO"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-mismatch-ratio；比值原值（廠商公式算出）填入 valueQuantity，單位填 UCUM 1；只有 CTP 影像才有值。若為 9999 表示無法計算，不填 valueQuantity，改填 dataAbsentReason = unknown，且 dataAbsentReason.text 填「來源 9999：無法計算」；空白同樣填 unknown。真實 0 保留。"
}
]
},
{
"id": "StrokeRapidLM.hypoperfusionIntensityRatio",
"path": "StrokeRapidLM.hypoperfusionIntensityRatio",
"short": "低灌注強度比值",
"definition": "低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.hypoperfusionIntensityRatio",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HYPOPERFUSION_INTENSITY_RATIO"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#hypoperfusion-intensity-ratio；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM 1（無單位比值）。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.hid",
"path": "StrokeRapidLM.hid",
"short": "醫院代號",
"definition": "院所代號，例如 1A0＝高雄榮總。",
"min": 1,
"max": "1",
"base": {
"path": "StrokeRapidLM.hid",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HID"
},
{
"identity": "fhir",
"map": "StrokeOrganization：Organization.identifier.value",
"comment": "院所代號（例 1A0）原樣填入 identifier.value。"
}
]
},
{
"id": "StrokeRapidLM.zrapid",
"path": "StrokeRapidLM.zrapid",
"short": "日期時戳",
"definition": "資料時戳，格式為 YYYY-MM-DD hh:mm:ss。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.zrapid",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ZRAPID"
},
{
"identity": "fhir",
"map": "StrokeProvenance：Provenance.occurredDateTime",
"comment": "來源資料時戳：語意確認前不填 occurredDateTime，只保留原值；語意已確認、時區未確認時，只填日期（YYYY-MM-DD），時間以 StrokeEventTimeOnly 擴充附在該元素上，原值同時保存在原始值題目；語意與時區都確認後，填帶已確認時區的完整日期時間。"
}
]
},
{
"id": "StrokeRapidLM.mtqualified",
"path": "StrokeRapidLM.mtqualified",
"short": "MTQUALIFIED",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mtqualified",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified16hDefuse3",
"path": "StrokeRapidLM.mtqualified16hDefuse3",
"short": "MTQUALIFIED_16H_DEFUSE3",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mtqualified16hDefuse3",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_16H_DEFUSE3"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified16hDefuse3).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified6hExtendia",
"path": "StrokeRapidLM.mtqualified6hExtendia",
"short": "MTQUALIFIED_6H_EXTENDIA",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mtqualified6hExtendia",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_6H_EXTENDIA"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hExtendia).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified6hSwiftprime",
"path": "StrokeRapidLM.mtqualified6hSwiftprime",
"short": "MTQUALIFIED_6H_SWIFTPRIME",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"base": {
"path": "StrokeRapidLM.mtqualified6hSwiftprime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_6H_SWIFTPRIME"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hSwiftprime).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
}
]
},
"differential": {
"element": [
{
"id": "StrokeRapidLM",
"path": "StrokeRapidLM",
"short": "RAPID 影像分析資料邏輯模型",
"definition": "RAPID 腦部影像分析結果（NCVA.RAPID）邏輯模型。每次掃描一筆，以病歷號、申請序號、掃描類型與醫院代號識別；數值欄缺值時直接留空。",
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID"
},
{
"identity": "fhir",
"map": "StrokeRapidBundle：Bundle",
"comment": "一次 RAPID 掃描的完整資料以一個 StrokeRapidBundle 傳送"
}
]
},
{
"id": "StrokeRapidLM.hisnummark",
"path": "StrokeRapidLM.hisnummark",
"short": "病歷號",
"definition": "病人在本院的病歷號。",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HISNUMMARK"
},
{
"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": "StrokeRapidLM.rpreqno",
"path": "StrokeRapidLM.rpreqno",
"short": "申請序號",
"definition": "影像申請序號，院方說明為醫師開立的醫令碼。語意確認前不寫入 ImagingStudy／ServiceRequest 的 identifier，原值保存在登錄表單回覆，並作為 RAPID 資料包紀錄鍵的一部分。",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.RPREQNO"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rapidRequestNo.answer.valueString",
"comment": "linkId 填 rapid.rpreqno，原樣保存。確認語意前不寫入 ImagingStudy／ServiceRequest identifier。"
}
]
},
{
"id": "StrokeRapidLM.scantype",
"path": "StrokeRapidLM.scantype",
"short": "掃描類型",
"definition": "影像掃描類型，可填 CTP、CTA、NCCT；來源值有時帶尾端空白。",
"min": 1,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.SCANTYPE"
},
{
"identity": "fhir",
"map": "StrokeImagingStudy：ImagingStudy.procedureCode.coding:rapidScanType",
"comment": "StrokeRapidScanTypeCS 原碼填 CTP／CTA／NCCT（去除尾端空白）；modality 另填 DCM#CT。申請序號（RPREQNO）不是 DICOM UID，不建立 series。"
}
]
},
{
"id": "StrokeRapidLM.latestseriesdate",
"path": "StrokeRapidLM.latestseriesdate",
"short": "最近一次掃描 series 日期",
"definition": "最近一次掃描 series 的日期，格式為 YYYY-MM-DD；正式介面只有日期。",
"min": 0,
"max": "1",
"type": [
{
"code": "date"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.LATESTSERIESDATE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.effectiveDateTime",
"comment": "確認結果取自該最近掃描序列時，才作為該筆影像判讀結果的 effectiveDateTime（只填 YYYY-MM-DD）；未確認配對時原日期存入 StrokeRegistryResponse。"
}
]
},
{
"id": "StrokeRapidLM.aspectsAffectedside",
"path": "StrokeRapidLM.aspectsAffectedside",
"short": "ASPECTS 影響側",
"definition": "ASPECTS 評估的影響側：L＝左腦；R＝右腦。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ASPECTS_AFFECTEDSIDE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#aspects-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.aspects",
"path": "StrokeRapidLM.aspects",
"short": "ASPECTS 分數",
"definition": "ASPECTS 分數，範圍 0 至 10。",
"min": 0,
"max": "1",
"type": [
{
"code": "integer"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ASPECTS"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueInteger",
"comment": "code = stroke-observation#aspects-score；項目代碼填 Observation.code.coding:strokeObservation。ASPECTS 填 0–10 原值。EVT 與 RAPID 來源在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.ctaAffectedside",
"path": "StrokeRapidLM.ctaAffectedside",
"short": "CTA 影響側",
"definition": "電腦斷層血管攝影的影響側：L＝左腦；R＝右腦。",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.CTA_AFFECTEDSIDE"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueCodeableConcept",
"comment": "code = stroke-observation#cta-affected-side；項目代碼填 Observation.code.coding:strokeObservation。代碼系統填 http://vgh-stroke-ig.fhir.tw/CodeSystem/affected-side（L 左腦、R 右腦），text 填左腦／右腦。可獨立建一筆 Observation，或在已配對的 ASPECTS／CTA 結果改用 bodySite.text，兩者擇一。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.cbfVolume",
"path": "StrokeRapidLM.cbfVolume",
"short": "CBF<30% 體積",
"definition": "腦血流量小於 30% 的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.CBF_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-core-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.tmaxVolume",
"path": "StrokeRapidLM.tmaxVolume",
"short": "Tmax>6 秒體積",
"definition": "Tmax 大於 6 秒的體積，單位為 mL。填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.TMAX_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#tmax-over-6s-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入 Tmax > 6 秒體積。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.mismatchVolume",
"path": "StrokeRapidLM.mismatchVolume",
"short": "不一致體積",
"definition": "不一致體積，單位為 mL。譯碼簿公式：Tmax 小於 6 秒體積減去 CBF 小於 30% 體積；數值採來源原值，填 0 至 3 位整數，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MISMATCH_VOLUME"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-mismatch-volume；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM mL，填入原值。EVT 與 RAPID 在配對核定前各自建立。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.mismatchRatio",
"path": "StrokeRapidLM.mismatchRatio",
"short": "不一致比率",
"definition": "不一致比率。譯碼簿公式：Tmax 小於 6 秒體積除以 CBF 小於 30% 體積。格式為 XX.X，僅 CTP 影像有此值；9999 表示無法計算，視同缺值，真實的 0 要保留。",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MISMATCH_RATIO"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#perfusion-mismatch-ratio；比值原值（廠商公式算出）填入 valueQuantity，單位填 UCUM 1；只有 CTP 影像才有值。若為 9999 表示無法計算，不填 valueQuantity，改填 dataAbsentReason = unknown，且 dataAbsentReason.text 填「來源 9999：無法計算」；空白同樣填 unknown。真實 0 保留。"
}
]
},
{
"id": "StrokeRapidLM.hypoperfusionIntensityRatio",
"path": "StrokeRapidLM.hypoperfusionIntensityRatio",
"short": "低灌注強度比值",
"definition": "低灌注強度比值，為 Tmax 大於 10 秒體積除以 Tmax 大於 6 秒體積。數值介於 0 至 0.X，僅 CTP 影像有此值。",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HYPOPERFUSION_INTENSITY_RATIO"
},
{
"identity": "fhir",
"map": "StrokeImagingResult：Observation.valueQuantity",
"comment": "code = stroke-observation#hypoperfusion-intensity-ratio；項目代碼填 Observation.code.coding:strokeObservation。單位填 UCUM 1（無單位比值）。院方核定 LOINC 後，在同一 code 另加 coding（依父層 code 綁定）。"
}
]
},
{
"id": "StrokeRapidLM.hid",
"path": "StrokeRapidLM.hid",
"short": "醫院代號",
"definition": "院所代號，例如 1A0＝高雄榮總。",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.HID"
},
{
"identity": "fhir",
"map": "StrokeOrganization：Organization.identifier.value",
"comment": "院所代號（例 1A0）原樣填入 identifier.value。"
}
]
},
{
"id": "StrokeRapidLM.zrapid",
"path": "StrokeRapidLM.zrapid",
"short": "日期時戳",
"definition": "資料時戳，格式為 YYYY-MM-DD hh:mm:ss。",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.ZRAPID"
},
{
"identity": "fhir",
"map": "StrokeProvenance：Provenance.occurredDateTime",
"comment": "來源資料時戳：語意確認前不填 occurredDateTime，只保留原值；語意已確認、時區未確認時，只填日期（YYYY-MM-DD），時間以 StrokeEventTimeOnly 擴充附在該元素上，原值同時保存在原始值題目；語意與時區都確認後，填帶已確認時區的完整日期時間。"
}
]
},
{
"id": "StrokeRapidLM.mtqualified",
"path": "StrokeRapidLM.mtqualified",
"short": "MTQUALIFIED",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified16hDefuse3",
"path": "StrokeRapidLM.mtqualified16hDefuse3",
"short": "MTQUALIFIED_16H_DEFUSE3",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_16H_DEFUSE3"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified16hDefuse3).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified6hExtendia",
"path": "StrokeRapidLM.mtqualified6hExtendia",
"short": "MTQUALIFIED_6H_EXTENDIA",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_6H_EXTENDIA"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hExtendia).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
},
{
"id": "StrokeRapidLM.mtqualified6hSwiftprime",
"path": "StrokeRapidLM.mtqualified6hSwiftprime",
"short": "MTQUALIFIED_6H_SWIFTPRIME",
"definition": "JSON 樣本有此欄位，但譯碼簿未定義，樣本皆為空值。",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rapid-source",
"map": "NCVA.RAPID.MTQUALIFIED_6H_SWIFTPRIME"
},
{
"identity": "fhir",
"map": "StrokeRegistryResponse：QuestionnaireResponse.item:rawRapid.item(linkId = raw.rapid.mtqualified6hSwiftprime).answer.valueString",
"comment": "尚無臨床資源對應，只保存原值"
}
]
}
]
}
}