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Packagetw.iii.ltc
Resource TypeQuestionnaire
IdQuestionnaire-hn-healthyhabits.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-hn-healthyhabits.html
URLhttp://ltc-ig.fhir.tw/Questionnaire/hn-healthyhabits
Version1.1.0
Statusdraft
Date2025-12-08
NameHNHealthyHabitsQuestionnaire
Title居家護理-健康紀錄評估
Realmtw
DescriptionV5.0.16 健康紀錄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-healthyhabits

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HNHealthyHabitsQuestionnaireV5.0.16 健康紀錄評估的問題結構與輸入型態。Questionnairehttp://ltc-ig.fhir.tw/Questionnaire/hn-healthyhabits#1.1.0
... Date紀錄日期1..1date
... NurseID護理人員身分證字號1..1stringMax Length: 10
... IsSmoking吸菸狀態1..1choiceValue Set: 居家護理-吸菸狀態選項
... IsAlcohol飲酒狀態1..1choiceValue Set: 居家護理-飲酒狀態選項
... IsBetelNut嚼食檳榔狀態1..1choiceValue Set: 居家護理-嚼食檳榔狀態選項
... QuitSmoking戒菸年數0..1decimal
... BeforeSmoking戒菸前吸菸年數0..1decimal
... SmokingYear吸菸年數0..1decimal
... QuitAlcohol戒酒年數0..1decimal
... BeforequitAlcohol戒酒前飲酒年數0..1decimal
... AlcoholYear飲酒年數0..1decimal
... QuitBetelNut戒檳榔年數0..1decimal
... BeforequitBetelNut戒除前嚼食檳榔年數0..1decimal
... BetelNutYear嚼食檳榔年數0..1decimal
... IsAllergy食物過敏1..1choiceValue Set: 居家護理-有無與未知選項
... Allergy_Desc食物過敏說明0..1stringMax Length: 500
... IsAllergyDrug藥物過敏1..1choiceValue Set: 居家護理-有無與未知選項
... AllergyDrug_Desc藥物過敏說明0..1stringMax Length: 500
... Vaccination疫苗紀錄1..1group
.... Vaccination.Answer是否接種1..1choiceValue Set: 居家護理-有無與未知選項
.... Vaccination.MultipleAnswer疫苗種類0..1stringMax Length: 1000
.... Vaccination.Other接種年份0..1stringMax Length: 100
... 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-healthyhabits",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ltc-ig.fhir.tw/Questionnaire/hn-healthyhabits",
  "version": "1.1.0",
  "name": "HNHealthyHabitsQuestionnaire",
  "title": "居家護理-健康紀錄評估",
  "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 健康紀錄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": "IsSmoking",
      "text": "吸菸狀態",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-85c814c9b8ba"
    },
    {
      "linkId": "IsAlcohol",
      "text": "飲酒狀態",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-5f96e05811ec"
    },
    {
      "linkId": "IsBetelNut",
      "text": "嚼食檳榔狀態",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-a5f17d46becb"
    },
    {
      "linkId": "QuitSmoking",
      "text": "戒菸年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "BeforeSmoking",
      "text": "戒菸前吸菸年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "SmokingYear",
      "text": "吸菸年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "QuitAlcohol",
      "text": "戒酒年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "BeforequitAlcohol",
      "text": "戒酒前飲酒年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "AlcoholYear",
      "text": "飲酒年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "QuitBetelNut",
      "text": "戒檳榔年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "BeforequitBetelNut",
      "text": "戒除前嚼食檳榔年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "BetelNutYear",
      "text": "嚼食檳榔年數",
      "type": "decimal",
      "required": false,
      "repeats": false
    },
    {
      "linkId": "IsAllergy",
      "text": "食物過敏",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-19264db8df7b"
    },
    {
      "linkId": "Allergy_Desc",
      "text": "食物過敏說明",
      "type": "string",
      "required": false,
      "repeats": false,
      "maxLength": 500
    },
    {
      "linkId": "IsAllergyDrug",
      "text": "藥物過敏",
      "type": "choice",
      "required": true,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-19264db8df7b"
    },
    {
      "linkId": "AllergyDrug_Desc",
      "text": "藥物過敏說明",
      "type": "string",
      "required": false,
      "repeats": false,
      "maxLength": 500
    },
    {
      "linkId": "Vaccination",
      "text": "疫苗紀錄",
      "type": "group",
      "required": true,
      "repeats": false,
      "item": [
        {
          "linkId": "Vaccination.Answer",
          "text": "是否接種",
          "type": "choice",
          "required": true,
          "repeats": false,
          "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-19264db8df7b"
        },
        {
          "linkId": "Vaccination.MultipleAnswer",
          "text": "疫苗種類",
          "type": "string",
          "required": false,
          "repeats": false,
          "maxLength": 1000
        },
        {
          "linkId": "Vaccination.Other",
          "text": "接種年份",
          "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"
    }
  ]
}