FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | Questionnaire |
| Id | Questionnaire-hn-basedata.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-hn-basedata.html |
| URL | http://ltc-ig.fhir.tw/Questionnaire/hn-basedata |
| Version | 1.1.0 |
| Status | draft |
| Date | 2025-12-08 |
| Name | HNBaseDataQuestionnaire |
| Title | 居家護理－個案基本資料 |
| Realm | tw |
| Description | V5.0.16 個案基本資料的問題結構與輸入型態。 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire hn-basedata
Profile: 長期照顧－問卷
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  HNBaseDataQuestionnaire | V5.0.16 個案基本資料的問題結構與輸入型態。 | Questionnaire | http://ltc-ig.fhir.tw/Questionnaire/hn-basedata#1.1.0 | |
  CaseID | 個案身分證字號 | 1..1 | string | Max Length: 10 |
 EndDate | 收案日期 | 1..1 | date | |
 CaseSource | 收案來源 | 1..1 | group | |
  CaseSource.Value | 選項 | 1..1 | choice | Value Set: 居家護理－收案來源選項 |
 CaseSource.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| CaseName | 個案姓名 | 1..1 | string | Max Length: 50 |
| Sex | 性別 | 1..1 | group | |
| Sex.Value | 選項 | 1..1 | choice | Value Set: 居家護理－性別選項 |
| Sex.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| CaseType | 個案類型 | 1..1 | choice | Value Set: 居家護理－個案類型選項 |
| Birthdate | 出生日期 | 1..1 | date | |
| PhoneNumber | 聯絡電話 | 1..1 | string | Max Length: 30 |
| Address | 居住地址 | 1..1 | group | |
| Address.City | 縣市 | 1..1 | string | Max Length: 100 |
| Address.Area | 鄉鎮市區 | 1..1 | string | Max Length: 100 |
| Address.Lane | 街路門牌 | 1..1 | string | Max Length: 100 |
| Education | 教育程度 | 1..1 | group | |
| Education.Value | 選項 | 1..1 | choice | Value Set: 居家護理－教育程度選項 |
| Education.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Marriage | 婚姻狀況 | 1..1 | group | |
| Marriage.Value | 選項 | 1..1 | choice | Value Set: 居家護理－婚姻狀況選項 |
| Marriage.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Religion | 宗教信仰 | 1..1 | group | |
| Religion.Value | 選項 | 1..1 | choice | Value Set: 居家護理－宗教信仰選項 |
| Religion.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| ExJob | 主要職業 | 1..1 | group | |
| ExJob.Value | 選項 | 1..1 | choice | Value Set: 居家護理－主要職業選項 |
| ExJob.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Economic | 家庭經濟狀況 | 1..1 | group | |
| Economic.Value | 選項 | 1..1 | choice | Value Set: 居家護理－家庭經濟狀況選項 |
| Economic.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| HasWelfare | 是否有福利 | 1..1 | choice | Value Set: 居家護理－有無選項 |
| Welfare | 福利種類 | 0..1 | group | |
| Welfare.Values | 選項 | 0..* | choice | Value Set: 居家護理－福利種類多選選項 |
| Welfare.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Welfare.DisabilityType | 身障類別 | 0..1 | choice | Value Set: 居家護理－身障類別 |
| CaregiverID | 主要照顧者關係 | 1..1 | choice | Value Set: 居家護理－主要照顧者關係選項 |
| CaregiverName | 主要照顧者姓名 | 1..1 | string | Max Length: 50 |
| CaregiverAddress | 主要照顧者地址 | 1..1 | group | |
| CaregiverAddress.City | 縣市 | 1..1 | string | Max Length: 100 |
| CaregiverAddress.Area | 鄉鎮市區 | 1..1 | string | Max Length: 100 |
| CaregiverAddress.Lane | 街路門牌 | 1..1 | string | Max Length: 100 |
| CaregiverTel | 主要照顧者電話 | 1..1 | string | Max Length: 20 |
| EgyContactRelation | 緊急聯絡人關係 | 1..1 | choice | Value Set: 居家護理－緊急聯絡人關係選項 |
| EgyContactName | 緊急聯絡人姓名 | 1..1 | string | Max Length: 50 |
| EgyContactTel1 | 緊急聯絡電話一 | 1..1 | string | Max Length: 30 |
| EgyContactTel2 | 緊急聯絡電話二 | 0..1 | string | Max Length: 30 |
| NurseID | 主責護理人員身分證字號 | 1..1 | string | Max Length: 10 |
| DecisionMakerRelation | 主要醫療決定者關係 | 1..1 | group | |
| DecisionMakerRelation.Value | 選項 | 1..1 | choice | Value Set: 居家護理－主要醫療決定者關係選項 |
| DecisionMakerRelation.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| MEvent | 一年內是否發生重大事件 | 1..1 | choice | Value Set: 居家護理－有無選項 |
| MEventItem | 重大事件項目 | 0..1 | group | |
| MEventItem.Values | 選項 | 0..* | choice | Value Set: 居家護理－重大事件項目多選選項 |
| MEventItem.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| CaseDesc | 個案描述 | 0..1 | string | Max Length: 1000 |
| CreateID | 建立機構代碼 | 1..1 | string | Max Length: 10 |
| Medicals | 共照醫事人員 | 0..* | group | |
| Medicals.Name | 成員姓名 | 1..1 | string | Max Length: 50 |
| Medicals.CareDate | 加入日期 | 0..1 | date | |
| Medicals.IdNo | 成員身分證字號 | 0..1 | string | Max Length: 10 |
| Medicals.JobTitle | 成員職稱 | 1..1 | group | |
| Medicals.JobTitle.Value | 選項 | 1..1 | choice | Value Set: 居家護理－成員職稱選項 |
| Medicals.JobTitle.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Medicals.Tel | 電話 | 1..1 | string | Max Length: 30 |
| Medicals.CareRemark | 照護備註 | 0..1 | string | Max Length: 1000 |
| Relatives | 共照親友 | 0..* | group | |
 Relatives.Name | 成員姓名 | 1..1 | string | Max Length: 50 |
| Relatives.Relationship | 關係 | 1..1 | group | |
| Relatives.Relationship.Value | 選項 | 1..1 | choice | Value Set: 居家護理－關係選項 |
| Relatives.Relationship.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Relatives.CareTime | 主要照顧時間 | 1..1 | group | |
| Relatives.CareTime.Value | 選項 | 1..1 | choice | Value Set: 居家護理－主要照顧時間選項 |
| Relatives.CareTime.Other | 補充說明 | 0..1 | string | Max Length: 100 |
| Relatives.Tel1 | 電話1 | 1..1 | group | |
| Relatives.Tel1.Value | 電話號碼 | 1..1 | string | Max Length: 30 |
| Relatives.Tel1.Remark | 聯絡時間與說明 | 0..1 | string | Max Length: 100 |
| Relatives.Tel2 | 電話2 | 0..1 | group | |
| Relatives.Tel2.Value | 電話號碼 | 1..1 | string | Max Length: 30 |
| Relatives.Tel2.Remark | 聯絡時間與說明 | 0..1 | string | Max Length: 100 |
| Relatives.Tel3 | 電話3 | 0..1 | group | |
| Relatives.Tel3.Value | 電話號碼 | 1..1 | string | Max Length: 30 |
| Relatives.Tel3.Remark | 聯絡時間與說明 | 0..1 | string | Max Length: 100 |
| Relatives.CareRemark | 照護備註 | 0..1 | string | Max Length: 1000 |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "hn-basedata",
"meta": {
"profile": [
"http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://ltc-ig.fhir.tw/Questionnaire/hn-basedata",
"version": "1.1.0",
"name": "HNBaseDataQuestionnaire",
"title": "居家護理－個案基本資料",
"status": "draft",
"experimental": false,
"date": "2025-12-08",
"publisher": "經濟部產業發展署",
"contact": [
{
"name": "經濟部產業發展署",
"telecom": [
{
"system": "url",
"value": "https://www.ida.gov.tw/"
}
]
}
],
"description": "V5.0.16 個案基本資料的問題結構與輸入型態。",
"item": [
{
"linkId": "CaseID",
"text": "個案身分證字號",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 10
},
{
"linkId": "EndDate",
"text": "收案日期",
"type": "date",
"required": true,
"repeats": false
},
{
"linkId": "CaseSource",
"text": "收案來源",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "CaseSource.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-ef3233b113ad"
},
{
"linkId": "CaseSource.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "CaseName",
"text": "個案姓名",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 50
},
{
"linkId": "Sex",
"text": "性別",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Sex.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-c8f650cb37b1"
},
{
"linkId": "Sex.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "CaseType",
"text": "個案類型",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-082869c8d896"
},
{
"linkId": "Birthdate",
"text": "出生日期",
"type": "date",
"required": true,
"repeats": false
},
{
"linkId": "PhoneNumber",
"text": "聯絡電話",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "Address",
"text": "居住地址",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Address.City",
"text": "縣市",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
},
{
"linkId": "Address.Area",
"text": "鄉鎮市區",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
},
{
"linkId": "Address.Lane",
"text": "街路門牌",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Education",
"text": "教育程度",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Education.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-8bcd09f153b7"
},
{
"linkId": "Education.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Marriage",
"text": "婚姻狀況",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Marriage.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-924b837448d2"
},
{
"linkId": "Marriage.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Religion",
"text": "宗教信仰",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Religion.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-f6130a2de850"
},
{
"linkId": "Religion.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "ExJob",
"text": "主要職業",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "ExJob.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-9bf58092b1d4"
},
{
"linkId": "ExJob.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Economic",
"text": "家庭經濟狀況",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Economic.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-4a8dcdb04d9b"
},
{
"linkId": "Economic.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "HasWelfare",
"text": "是否有福利",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-49fe20230ec3"
},
{
"linkId": "Welfare",
"text": "福利種類",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "Welfare.Values",
"text": "選項",
"type": "choice",
"required": false,
"repeats": true,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-40193bb109d6"
},
{
"linkId": "Welfare.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
},
{
"linkId": "Welfare.DisabilityType",
"text": "身障類別",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-disability-type"
}
]
},
{
"linkId": "CaregiverID",
"text": "主要照顧者關係",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-738f974cf008"
},
{
"linkId": "CaregiverName",
"text": "主要照顧者姓名",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 50
},
{
"linkId": "CaregiverAddress",
"text": "主要照顧者地址",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "CaregiverAddress.City",
"text": "縣市",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
},
{
"linkId": "CaregiverAddress.Area",
"text": "鄉鎮市區",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
},
{
"linkId": "CaregiverAddress.Lane",
"text": "街路門牌",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "CaregiverTel",
"text": "主要照顧者電話",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 20
},
{
"linkId": "EgyContactRelation",
"text": "緊急聯絡人關係",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2029890a4c12"
},
{
"linkId": "EgyContactName",
"text": "緊急聯絡人姓名",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 50
},
{
"linkId": "EgyContactTel1",
"text": "緊急聯絡電話一",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "EgyContactTel2",
"text": "緊急聯絡電話二",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 30
},
{
"linkId": "NurseID",
"text": "主責護理人員身分證字號",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 10
},
{
"linkId": "DecisionMakerRelation",
"text": "主要醫療決定者關係",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "DecisionMakerRelation.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-b63e1293c409"
},
{
"linkId": "DecisionMakerRelation.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "MEvent",
"text": "一年內是否發生重大事件",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-49fe20230ec3"
},
{
"linkId": "MEventItem",
"text": "重大事件項目",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "MEventItem.Values",
"text": "選項",
"type": "choice",
"required": false,
"repeats": true,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-fe3736bbd09e"
},
{
"linkId": "MEventItem.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "CaseDesc",
"text": "個案描述",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "CreateID",
"text": "建立機構代碼",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 10
},
{
"linkId": "Medicals",
"text": "共照醫事人員",
"type": "group",
"required": false,
"repeats": true,
"item": [
{
"linkId": "Medicals.Name",
"text": "成員姓名",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 50
},
{
"linkId": "Medicals.CareDate",
"text": "加入日期",
"type": "date",
"required": false,
"repeats": false
},
{
"linkId": "Medicals.IdNo",
"text": "成員身分證字號",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 10
},
{
"linkId": "Medicals.JobTitle",
"text": "成員職稱",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Medicals.JobTitle.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-94d2d2fdf018"
},
{
"linkId": "Medicals.JobTitle.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Medicals.Tel",
"text": "電話",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "Medicals.CareRemark",
"text": "照護備註",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
}
]
},
{
"linkId": "Relatives",
"text": "共照親友",
"type": "group",
"required": false,
"repeats": true,
"item": [
{
"linkId": "Relatives.Name",
"text": "成員姓名",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 50
},
{
"linkId": "Relatives.Relationship",
"text": "關係",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Relatives.Relationship.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-9570830f5a60"
},
{
"linkId": "Relatives.Relationship.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Relatives.CareTime",
"text": "主要照顧時間",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Relatives.CareTime.Value",
"text": "選項",
"type": "choice",
"required": true,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-a946985c2125"
},
{
"linkId": "Relatives.CareTime.Other",
"text": "補充說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Relatives.Tel1",
"text": "電話1",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Relatives.Tel1.Value",
"text": "電話號碼",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "Relatives.Tel1.Remark",
"text": "聯絡時間與說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Relatives.Tel2",
"text": "電話2",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "Relatives.Tel2.Value",
"text": "電話號碼",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "Relatives.Tel2.Remark",
"text": "聯絡時間與說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Relatives.Tel3",
"text": "電話3",
"type": "group",
"required": false,
"repeats": false,
"item": [
{
"linkId": "Relatives.Tel3.Value",
"text": "電話號碼",
"type": "string",
"required": true,
"repeats": false,
"maxLength": 30
},
{
"linkId": "Relatives.Tel3.Remark",
"text": "聯絡時間與說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Relatives.CareRemark",
"text": "照護備註",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
}
]
}
]
}