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Packagetw.iii.ltc
Resource TypeQuestionnaire
IdQuestionnaire-hn-dementias.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-hn-dementias.html
URLhttp://ltc-ig.fhir.tw/Questionnaire/hn-dementias
Version1.1.0
Statusdraft
Date2025-12-08
NameHNDementiasQuestionnaire
Title居家護理-認知功能評估
Realmtw
DescriptionV5.0.16 認知功能評估的問題結構與輸入型態。

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Narrative

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

Generated Narrative: Questionnaire hn-dementias

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HNDementiasQuestionnaireV5.0.16 認知功能評估的問題結構與輸入型態。Questionnairehttp://ltc-ig.fhir.tw/Questionnaire/hn-dementias#1.1.0
... Date紀錄日期1..1date
... NurseID護理人員身分證字號1..1stringMax Length: 10
... Statement無法評估原因或備註0..1stringMax Length: 500
... Questions評估項目0..1group
.... Questions.q48174716今天是幾年幾月幾日?__年__月__日0..1group
..... Questions.q48174716.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.qe97f506c今天是星期幾?0..1group
..... Questions.qe97f506c.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q6128d754這裡是什麼地方?0..1group
..... Questions.q6128d754.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.qe0801d08你的電話號碼是幾號?0..1group
..... Questions.qe0801d08.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.qd40595f2你住在什麼地方?0..1group
..... Questions.qd40595f2.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q1ddb5b1c你幾歲了?0..1group
..... Questions.q1ddb5b1c.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q995c979b你的生日是哪一天?0..1group
..... Questions.q995c979b.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q6df0269a現任總統是誰?0..1group
..... Questions.q6df0269a.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q8a8a8021前任總統是誰?0..1group
..... Questions.q8a8a8021.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.qb719d7b7你媽媽叫什麼名字?0..1group
..... Questions.qb719d7b7.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
.... Questions.q295d5a12從20 減3 開始算,一直減3 減下去。0..1group
..... Questions.q295d5a12.Answer評估答案0..1choiceValue Set: 居家護理-今天是幾年幾月幾日?__年__月__日選項
... IsTemporary是否暫存0..1choiceValue Set: 居家護理-是否選項

doco Documentation for this format

Source1

{
  "resourceType": "Questionnaire",
  "id": "hn-dementias",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ltc-ig.fhir.tw/Questionnaire/hn-dementias",
  "version": "1.1.0",
  "name": "HNDementiasQuestionnaire",
  "title": "居家護理-認知功能評估",
  "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 認知功能評估的問題結構與輸入型態。",
  "item": [
    {
      "linkId": "Date",
      "text": "紀錄日期",
      "type": "date",
      "required": true,
      "repeats": false
    },
    {
      "linkId": "NurseID",
      "text": "護理人員身分證字號",
      "type": "string",
      "required": true,
      "repeats": false,
      "maxLength": 10
    },
    {
      "linkId": "Statement",
      "text": "無法評估原因或備註",
      "type": "string",
      "required": false,
      "repeats": false,
      "maxLength": 500
    },
    {
      "linkId": "Questions",
      "text": "評估項目",
      "type": "group",
      "required": false,
      "repeats": false,
      "item": [
        {
          "linkId": "Questions.q48174716",
          "text": "今天是幾年幾月幾日?__年__月__日",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q48174716.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.qe97f506c",
          "text": "今天是星期幾?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qe97f506c.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q6128d754",
          "text": "這裡是什麼地方?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q6128d754.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.qe0801d08",
          "text": "你的電話號碼是幾號?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qe0801d08.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.qd40595f2",
          "text": "你住在什麼地方?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qd40595f2.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q1ddb5b1c",
          "text": "你幾歲了?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q1ddb5b1c.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q995c979b",
          "text": "你的生日是哪一天?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q995c979b.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q6df0269a",
          "text": "現任總統是誰?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q6df0269a.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q8a8a8021",
          "text": "前任總統是誰?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q8a8a8021.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.qb719d7b7",
          "text": "你媽媽叫什麼名字?",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qb719d7b7.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        },
        {
          "linkId": "Questions.q295d5a12",
          "text": "從20 減3 開始算,一直減3 減下去。",
          "type": "group",
          "required": false,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q295d5a12.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2a3bd76ba6eb"
            }
          ]
        }
      ]
    },
    {
      "linkId": "IsTemporary",
      "text": "是否暫存",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
    }
  ]
}