FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | Questionnaire |
| Id | Questionnaire-hn-fallrisks.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-hn-fallrisks.html |
| URL | http://ltc-ig.fhir.tw/Questionnaire/hn-fallrisks |
| Version | 1.1.0 |
| Status | draft |
| Date | 2025-12-08 |
| Name | HNFallRisksQuestionnaire |
| Title | 居家護理－跌倒危險性評估 |
| Realm | tw |
| Description | V5.0.16 跌倒危險性評估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-fallrisks
Profile: 長期照顧－問卷
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  HNFallRisksQuestionnaire | V5.0.16 跌倒危險性評估的問題結構與輸入型態。 | Questionnaire | http://ltc-ig.fhir.tw/Questionnaire/hn-fallrisks#1.1.0 | |
  Date | 紀錄日期 | 1..1 | date | |
 NurseID | 護理人員身分證字號 | 1..1 | string | Max Length: 10 |
 Questions | 評估項目 | 1..1 | group | |
 Questions.q2f552b4a | 年紀65歲以上 | 1..1 | group | |
 Questions.q2f552b4a.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.q2f552b4a.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
 Questions.q2f552b4a.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.q463dc41d | 過去一年內曾跌倒 | 1..1 | group | |
| Questions.q463dc41d.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.q463dc41d.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.q463dc41d.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.qd680c277 | 最近意識/認知出現異常 | 1..1 | group | |
| Questions.qd680c277.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.qd680c277.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.qd680c277.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.qc1c1fb2c | 活動功能異常 | 1..1 | group | |
| Questions.qc1c1fb2c.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.qc1c1fb2c.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.qc1c1fb2c.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.q603c2de9 | 體能虛弱 | 1..1 | group | |
| Questions.q603c2de9.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.q603c2de9.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.q603c2de9.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.qbf720dbc | 知覺障礙 | 1..1 | group | |
| Questions.qbf720dbc.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.qbf720dbc.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.qbf720dbc.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.q6fa60520 | 暈眩/低血壓 | 1..1 | group | |
| Questions.q6fa60520.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.q6fa60520.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.q6fa60520.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| Questions.qe6e35ded | 使用藥物 | 1..1 | group | |
 Questions.qe6e35ded.Answer | 評估答案 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Questions.qe6e35ded.Options | 多選答案 | 0..1 | string | Max Length: 1000 |
| Questions.qe6e35ded.Other | 其他用藥說明 | 0..1 | string | Max Length: 100 |
| IsTemporary | 是否暫存 | 0..1 | choice | Value Set: 居家護理－是否選項 |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "hn-fallrisks",
"meta": {
"profile": [
"http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://ltc-ig.fhir.tw/Questionnaire/hn-fallrisks",
"version": "1.1.0",
"name": "HNFallRisksQuestionnaire",
"title": "居家護理－跌倒危險性評估",
"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 跌倒危險性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": "Questions",
"text": "評估項目",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.q2f552b4a",
"text": "年紀65歲以上",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.q2f552b4a.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.q2f552b4a.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.q2f552b4a.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.q463dc41d",
"text": "過去一年內曾跌倒",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.q463dc41d.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.q463dc41d.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.q463dc41d.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.qd680c277",
"text": "最近意識/認知出現異常",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.qd680c277.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.qd680c277.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.qd680c277.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.qc1c1fb2c",
"text": "活動功能異常",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.qc1c1fb2c.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.qc1c1fb2c.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.qc1c1fb2c.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.q603c2de9",
"text": "體能虛弱",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.q603c2de9.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.q603c2de9.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.q603c2de9.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.qbf720dbc",
"text": "知覺障礙",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.qbf720dbc.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.qbf720dbc.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.qbf720dbc.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.q6fa60520",
"text": "暈眩/低血壓",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.q6fa60520.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.q6fa60520.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.q6fa60520.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
},
{
"linkId": "Questions.qe6e35ded",
"text": "使用藥物",
"type": "group",
"required": true,
"repeats": false,
"item": [
{
"linkId": "Questions.qe6e35ded.Answer",
"text": "評估答案",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
},
{
"linkId": "Questions.qe6e35ded.Options",
"text": "多選答案",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 1000
},
{
"linkId": "Questions.qe6e35ded.Other",
"text": "其他用藥說明",
"type": "string",
"required": false,
"repeats": false,
"maxLength": 100
}
]
}
]
},
{
"linkId": "IsTemporary",
"text": "是否暫存",
"type": "choice",
"required": false,
"repeats": false,
"answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
}
]
}