FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | Questionnaire |
| Id | Questionnaire-ltc-questionnaire-iadl.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-ltc-questionnaire-iadl.html |
| URL | http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-iadl |
| Version | 1.0.0 |
| Status | active |
| Date | 2026-04-03T13:32:05+00:00 |
| Name | LTCQuestionnaireIADL |
| Realm | tw |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ltc-questionnaire-iadl
Profile: 長期照顧－問卷
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  LTCQuestionnaireIADL | Questionnaire | http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-iadl#1.0.0 | ||
  F1 | 使用電話 | 0..1 | choice | Options: 4 options |
| F2 | 購物 | 0..1 | choice | Options: 4 options |
| F3 | 備餐 | 0..1 | choice | Options: 4 options |
| F4 | 處理家務 | 0..1 | choice | Options: 4 options |
| F5 | 洗衣服 | 0..1 | choice | Options: 3 options |
| F6 | 外出 | 0..1 | choice | Options: 5 options |
| F7 | 服用藥物 | 0..1 | choice | Options: 3 options |
 F8 | 處理財務的能力 | 0..1 | choice | Options: 3 options |
| Documentation for this format | ||||
Options Sets
Answer options for F1
Answer options for F2
Answer options for F3
Answer options for F4
Answer options for F5
Answer options for F6
Answer options for F7
Answer options for F8
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "ltc-questionnaire-iadl",
"meta": {
"profile": [
"http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-iadl",
"version": "1.0.0",
"name": "LTCQuestionnaireIADL",
"status": "active",
"date": "2026-04-03T13:32:05+00:00",
"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/"
}
]
}
],
"item": [
{
"linkId": "F1",
"text": "使用電話",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能獨立使用電話，含查電話簿、撥號等"
}
],
"valueInteger": 4,
"initialSelected": true
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "僅能撥熟悉的電話號碼"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "僅能接電話，但不能撥電話"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "完全不能使用電話"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F2",
"text": "購物",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能獨立完成所有購物需求"
}
],
"valueInteger": 4
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "只能獨立購買日常生活用品"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "每一次購物都需要有人陪"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "完全不能獨自購物"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F3",
"text": "備餐",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能獨立計畫、準備食材及佐料、烹煮和擺設一頓飯菜"
}
],
"valueInteger": 4
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "如果準備好一切食材及佐料，能做一頓飯菜"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能將已做好的飯菜加熱"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "需要別人把飯菜煮好、擺好"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F4",
"text": "處理家務",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能單獨處理家事，或偶爾需要協助較繁重的家事"
}
],
"valueInteger": 4
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能做較簡單的家事，如洗碗、擦桌子"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能做較簡單的家事，但不能達到可接受的清潔程度"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "所有的家事都需要別人協助方能完成"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F5",
"text": "洗衣服",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "自己清洗所有衣物"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "需部份協助"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "需完全協助"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F6",
"text": "外出",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能夠自己開車、騎車或自己搭乘大眾運輸工具"
}
],
"valueInteger": 5
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能夠自己搭乘計程車，但不能搭乘大眾運輸工具"
}
],
"valueInteger": 4
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "當有人陪同時，可搭乘大眾運輸工具"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "只能在有人協助或陪同時，可搭乘計程車或自用車"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "完全不能出門"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F7",
"text": "服用藥物",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "能自己負責在正確的時間用正確的藥物"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "如果事先準備好服用的藥物份量，可自行服用"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "完全不能自己服用藥物"
}
],
"valueInteger": 1
}
]
},
{
"linkId": "F8",
"text": "處理財務的能力",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "可以獨立處理財務"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "可以處理日常的購買，但需別人協助與銀行往來或大宗買賣"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "完全不能處理錢財"
}
],
"valueInteger": 1
}
]
}
]
}