FHIR IG analytics| Package | fhir.rehabig |
| Resource Type | Questionnaire |
| Id | Questionnaire-MMSEQuestionnaireInstance.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Kimsber/Rehab-IG/Questionnaire-MMSEQuestionnaireInstance.html |
| URL | https://build.fhir.org/ig/Kimsber/Rehab-IG/Questionnaire/MMSEQuestionnaireInstance |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-01-08T02:54:12+00:00 |
| Title | MMSE評估量表 |
| Realm | us |
| Authority | hl7 |
| Description | 簡易心智狀況檢查表 (Mini-Mental State Examination, MMSE) |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire MMSEQuestionnaireInstance
Profile: 評估問卷
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | 簡易心智狀況檢查表 (Mini-Mental State Examination, MMSE) | Questionnaire | https://build.fhir.org/ig/Kimsber/Rehab-IG/Questionnaire/MMSEQuestionnaireInstance#0.1.0 | ||
  section-a-time | 一、定向感-時間(5分) | 0..1 | group | ||
  a-1-year | 現在是：民國幾年？ | 0..1 | integer | ||
 a-1-year-score | 得分 | 0..1 | choice | Options: 2 options | |
| a-2-month | 現在是：幾月？ | 0..1 | integer | ||
| a-2-month-score | 得分 | 0..1 | choice | Options: 2 options | |
| a-3-date | 現在是：幾號？ | 0..1 | integer | ||
| a-3-date-score | 得分 | 0..1 | choice | Options: 2 options | |
 a-4-week | 現在是：星期幾？ | 0..1 | string | ||
| a-4-week-score | 得分 | 0..1 | choice | Options: 2 options | |
| a-5-season | 現在是：甚麼季節？ | 0..1 | string | ||
 a-5-season-score | 得分 | 0..1 | choice | Options: 2 options | |
| section-b-place | 二、定向感-地方(5分) | 0..1 | group | ||
| b-1-city | 這裡是:甚麼縣市？ | 0..1 | string | ||
| b-1-city-score | 得分 | 0..1 | choice | Options: 2 options | |
| b-2-loc | 這裡是：在台灣的東部、西部、中部、南部或北部？ | 0..1 | string | ||
| b-2-loc-score | 得分 | 0..1 | choice | Options: 2 options | |
| b-3-hos | 這裡是：什麼醫院？ | 0..1 | string | ||
| b-3-hos-score | 得分 | 0..1 | choice | Options: 2 options | |
| b-4-floor | 這裡是：幾樓？ | 0..1 | string | ||
| b-4-floor-score | 得分 | 0..1 | choice | Options: 2 options | |
| b-5-number | 這裡是：您住在哪一個病房？ | 0..1 | string | ||
| b-5-number-score | 得分 | 0..1 | choice | Options: 2 options | |
| section-c-memory | 三、記憶力(5分) | 0..1 | group | ||
| c-item | 告訴病人三種東西(香蕉、桌子、火車)(一次唸完)並請他重複這三種東西的名字，每說出一個算一分，共三分。重複___次記住 | 0..1 | integer | ||
| c-item-score | 得分 | 0..1 | choice | Options: 4 options | |
| section-d-language | 四、語言(5分) | 0..1 | group | ||
 d-cal | 連續從100 減7，再由所回答數字減7；直到有五個答案為止，每算對一個給一分，共五分。 或將 3 、9、2、7、5 順序倒過來唸，每排對一個給一分(用於原本不擅計算者)。 | 0..1 | display | ||
| d-cal-score | 得分 | 0..1 | choice | Options: 6 options | |
| section-e-oral | 五、口語理解及行為能力(10分) | 0..1 | group | ||
| e-1-rep | 要求他將第三題之三種東西再說一次(自己不先重複)。 | 0..1 | display | ||
| e-1-rep-score | 得分 | 0..1 | choice | Options: 4 options | |
| e-2-stuff | 指著鉛筆和手錶問病人：這是什麼東西？(答對一個一分) | 0..1 | display | ||
| e-2-stuff-score | 得分 | 0..1 | choice | Options: 3 options | |
| e-3-phrase | 請病人重複以下這句話『種瓜得瓜、種豆得豆』(國語)。 『人死留名、虎死留皮』(閩南語)。 | 0..1 | display | ||
| e-3-phrase-score | 得分 | 0..1 | choice | Options: 2 options | |
| e-4-fold | 連續給病人三個口令：用右或左(好)手拿紙、將紙對摺成一半、再將紙放到桌上(命令全說完後再讓他做，每完成一個給一分)。 | 0..1 | display | ||
| e-4-fold-score | 得分 | 0..1 | choice | Options: 4 options | |
| e-5-sen | 請您隨意寫一個句子(用另一張空白的紙)或說一句話(用於不識字者)。 | 0..1 | display | ||
| e-5-sen-score | 得分 | 0..1 | choice | Options: 2 options | |
| section-f-build | 六、建構力(2分) | 0..1 | group | ||
| f-1-paper | 讓病人讀而且按照下列的指式做動作(印於另一張紙)。 | 0..1 | display | ||
| f-1-paper-score | 得分 | 0..1 | choice | Options: 2 options | |
| f-2-draw | 請病人把下面的圖形(印於另一張紙)再畫一次(用另一張空白的紙)。 | 0..1 | display | ||
| f-2-draw-score | 得分 | 0..1 | choice | Options: 2 options | |
| total-score-mmse | 總分（自動計算) | 0..1 | integer |  | |
| Documentation for this format | |||||
Options Sets
Answer options for a-1-year-score
Answer options for a-2-month-score
Answer options for a-3-date-score
Answer options for a-4-week-score
Answer options for a-5-season-score
Answer options for b-1-city-score
Answer options for b-2-loc-score
Answer options for b-3-hos-score
Answer options for b-4-floor-score
Answer options for b-5-number-score
Answer options for c-item-score
Answer options for d-cal-score
Answer options for e-1-rep-score
Answer options for e-2-stuff-score
Answer options for e-3-phrase-score
Answer options for e-4-fold-score
Answer options for e-5-sen-score
Answer options for f-1-paper-score
Answer options for f-2-draw-score
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "MMSEQuestionnaireInstance",
"meta": {
"profile": [
"https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/SPACQuestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://build.fhir.org/ig/Kimsber/Rehab-IG/Questionnaire/MMSEQuestionnaireInstance",
"version": "0.1.0",
"title": "MMSE評估量表",
"status": "active",
"date": "2026-01-08T02:54:12+00:00",
"publisher": "Kimsber",
"contact": [
{
"name": "Kimsber",
"telecom": [
{
"system": "url",
"value": "https://github.com/Kimsber"
}
]
}
],
"description": "簡易心智狀況檢查表 (Mini-Mental State Examination, MMSE)",
"item": [
{
"linkId": "section-a-time",
"text": "一、定向感-時間(5分)",
"type": "group",
"item": [
{
"linkId": "a-1-year",
"text": "現在是：民國幾年？",
"type": "integer"
},
{
"linkId": "a-1-year-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "a-2-month",
"text": "現在是：幾月？",
"type": "integer"
},
{
"linkId": "a-2-month-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "a-3-date",
"text": "現在是：幾號？",
"type": "integer"
},
{
"linkId": "a-3-date-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "a-4-week",
"text": "現在是：星期幾？",
"type": "string"
},
{
"linkId": "a-4-week-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "a-5-season",
"text": "現在是：甚麼季節？",
"type": "string"
},
{
"linkId": "a-5-season-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
}
]
},
{
"linkId": "section-b-place",
"text": "二、定向感-地方(5分)",
"type": "group",
"item": [
{
"linkId": "b-1-city",
"text": "這裡是:甚麼縣市？",
"type": "string"
},
{
"linkId": "b-1-city-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "b-2-loc",
"text": "這裡是：在台灣的東部、西部、中部、南部或北部？",
"type": "string"
},
{
"linkId": "b-2-loc-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "b-3-hos",
"text": "這裡是：什麼醫院？",
"type": "string"
},
{
"linkId": "b-3-hos-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "b-4-floor",
"text": "這裡是：幾樓？",
"type": "string"
},
{
"linkId": "b-4-floor-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
},
{
"linkId": "b-5-number",
"text": "這裡是：您住在哪一個病房？",
"type": "string"
},
{
"linkId": "b-5-number-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 1
},
{
"valueInteger": 0
}
]
}
]
},
{
"linkId": "section-c-memory",
"text": "三、記憶力(5分)",
"type": "group",
"item": [
{
"linkId": "c-item",
"text": "告訴病人三種東西(香蕉、桌子、火車)(一次唸完)並請他重複這三種東西的名字，每說出一個算一分，共三分。重複___次記住",
"type": "integer"
},
{
"linkId": "c-item-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
},
{
"valueInteger": 2
},
{
"valueInteger": 3
}
]
}
]
},
{
"linkId": "section-d-language",
"text": "四、語言(5分)",
"type": "group",
"item": [
{
"linkId": "d-cal",
"text": "連續從100 減7，再由所回答數字減7；直到有五個答案為止，每算對一個給一分，共五分。 或將 3 、9、2、7、5 順序倒過來唸，每排對一個給一分(用於原本不擅計算者)。",
"type": "display"
},
{
"linkId": "d-cal-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
},
{
"valueInteger": 2
},
{
"valueInteger": 3
},
{
"valueInteger": 4
},
{
"valueInteger": 5
}
]
}
]
},
{
"linkId": "section-e-oral",
"text": "五、口語理解及行為能力(10分)",
"type": "group",
"item": [
{
"linkId": "e-1-rep",
"text": "要求他將第三題之三種東西再說一次(自己不先重複)。",
"type": "display"
},
{
"linkId": "e-1-rep-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
},
{
"valueInteger": 2
},
{
"valueInteger": 3
}
]
},
{
"linkId": "e-2-stuff",
"text": "指著鉛筆和手錶問病人：這是什麼東西？(答對一個一分)",
"type": "display"
},
{
"linkId": "e-2-stuff-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
},
{
"valueInteger": 2
}
]
},
{
"linkId": "e-3-phrase",
"text": "請病人重複以下這句話『種瓜得瓜、種豆得豆』(國語)。 『人死留名、虎死留皮』(閩南語)。",
"type": "display"
},
{
"linkId": "e-3-phrase-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
}
]
},
{
"linkId": "e-4-fold",
"text": "連續給病人三個口令：用右或左(好)手拿紙、將紙對摺成一半、再將紙放到桌上(命令全說完後再讓他做，每完成一個給一分)。",
"type": "display"
},
{
"linkId": "e-4-fold-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
},
{
"valueInteger": 2
},
{
"valueInteger": 3
}
]
},
{
"linkId": "e-5-sen",
"text": "請您隨意寫一個句子(用另一張空白的紙)或說一句話(用於不識字者)。",
"type": "display"
},
{
"linkId": "e-5-sen-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
}
]
}
]
},
{
"linkId": "section-f-build",
"text": "六、建構力(2分)",
"type": "group",
"item": [
{
"linkId": "f-1-paper",
"text": "讓病人讀而且按照下列的指式做動作(印於另一張紙)。",
"type": "display"
},
{
"linkId": "f-1-paper-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
}
]
},
{
"linkId": "f-2-draw",
"text": "請病人把下面的圖形(印於另一張紙)再畫一次(用另一張空白的紙)。",
"type": "display"
},
{
"linkId": "f-2-draw-score",
"text": "得分",
"type": "choice",
"answerOption": [
{
"valueInteger": 0
},
{
"valueInteger": 1
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract",
"valueBoolean": true
}
],
"linkId": "total-score-mmse",
"text": "總分（自動計算)",
"type": "integer",
"readOnly": true
}
]
}