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Packagetw.iii.ltc
Resource TypeQuestionnaire
IdQuestionnaire-hn-mnasfs.json
FHIR VersionR4
Sourcehttps://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-hn-mnasfs.html
URLhttp://ltc-ig.fhir.tw/Questionnaire/hn-mnasfs
Version1.1.0
Statusdraft
Date2025-12-08
NameHNMNASFsQuestionnaire
Title居家護理-簡易營養評估
Realmtw
DescriptionV5.0.16 簡易營養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-mnasfs

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HNMNASFsQuestionnaireV5.0.16 簡易營養評估的問題結構與輸入型態。Questionnairehttp://ltc-ig.fhir.tw/Questionnaire/hn-mnasfs#1.1.0
... Date紀錄日期1..1date
... NurseID護理人員身分證字號1..1stringMax Length: 10
... Questions評估項目1..1group
.... Questions.q9eab1f0b過去三個月之中,是否因食慾不佳、消化問題、咀嚼或吞嚥困難,以致進食量減少?1..1group
..... Questions.q9eab1f0b.Answer評估答案0..1choiceValue Set: 居家護理-過去三個月之中,是否因食慾不佳、消化問題、咀嚼或吞嚥困難,以致進食量減少?選項
.... Questions.qc9c61c04近三個月體重變化1..1group
..... Questions.qc9c61c04.Answer評估答案0..1choiceValue Set: 居家護理-近三個月體重變化選項
.... Questions.qb3e55f55行動力1..1group
..... Questions.qb3e55f55.Answer評估答案0..1choiceValue Set: 居家護理-行動力選項
.... Questions.q99f746cb過去三個月內曾有精神性壓力或急性疾病發作?1..1group
..... Questions.q99f746cb.Answer評估答案0..1choiceValue Set: 居家護理-是否選項
.... Questions.qa4ab5839神經精神問題1..1group
..... Questions.qa4ab5839.Answer評估答案0..1choiceValue Set: 居家護理-神經精神問題選項
.... Questions.q6073598b身體質量指數(BMI)=體重(公斤)/身高(公尺)21..1group
..... Questions.q6073598b.Answer評估答案0..1choiceValue Set: 居家護理-身體質量指數(BMI)=體重(公斤)/身高(公尺)2選項
.... Questions.qd38a556c若BMI 無法取得,用小腿圍或臂中圍代替(公分)1..1group
..... Questions.qd38a556c.Answer評估答案0..1choiceValue Set: 居家護理-若BMI 無法取得,用小腿圍或臂中圍代替(公分)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-mnasfs",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ltc-ig.fhir.tw/Questionnaire/hn-mnasfs",
  "version": "1.1.0",
  "name": "HNMNASFsQuestionnaire",
  "title": "居家護理-簡易營養評估",
  "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 簡易營養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.q9eab1f0b",
          "text": "過去三個月之中,是否因食慾不佳、消化問題、咀嚼或吞嚥困難,以致進食量減少?",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q9eab1f0b.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-cfb0b454818b"
            }
          ]
        },
        {
          "linkId": "Questions.qc9c61c04",
          "text": "近三個月體重變化",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qc9c61c04.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-bff7df80c996"
            }
          ]
        },
        {
          "linkId": "Questions.qb3e55f55",
          "text": "行動力",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qb3e55f55.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-3baefb430e5b"
            }
          ]
        },
        {
          "linkId": "Questions.q99f746cb",
          "text": "過去三個月內曾有精神性壓力或急性疾病發作?",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q99f746cb.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
            }
          ]
        },
        {
          "linkId": "Questions.qa4ab5839",
          "text": "神經精神問題",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qa4ab5839.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-5f4a5d3ebea4"
            }
          ]
        },
        {
          "linkId": "Questions.q6073598b",
          "text": "身體質量指數(BMI)=體重(公斤)/身高(公尺)2",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.q6073598b.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-b8e0b67e2012"
            }
          ]
        },
        {
          "linkId": "Questions.qd38a556c",
          "text": "若BMI 無法取得,用小腿圍或臂中圍代替(公分)",
          "type": "group",
          "required": true,
          "repeats": false,
          "item": [
            {
              "linkId": "Questions.qd38a556c.Answer",
              "text": "評估答案",
              "type": "choice",
              "required": false,
              "repeats": false,
              "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-5d29c89b2d60"
            }
          ]
        }
      ]
    },
    {
      "linkId": "IsTemporary",
      "text": "是否暫存",
      "type": "choice",
      "required": false,
      "repeats": false,
      "answerValueSet": "http://ltc-ig.fhir.tw/ValueSet/hn-vs-58e4d598f859"
    }
  ]
}