FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | Questionnaire |
| Id | Questionnaire-ltc-questionnaire-mmse.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Lorex/TWLongTermCare_IG_Build/Questionnaire-ltc-questionnaire-mmse.html |
| URL | http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-mmse |
| Version | 1.0.0 |
| Status | active |
| Date | 2026-04-03T13:32:05+00:00 |
| Name | MMSE |
| Title | 簡易智能狀態測驗 |
| Realm | tw |
| Description | Mini-Mental State Examination [MMSE] - 簡易智能狀態測驗 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire ltc-questionnaire-mmse
Profile: 長期照顧－問卷
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  MMSE | Mini-Mental State Examination [MMSE] - 簡易智能狀態測驗 | Questionnaire | http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-mmse#1.0.0 | |
  MMSE-1 | 1.. 今年是那一年? | 1..1 | choice | Options: 3 options |
| MMSE-2 | 2.. 現在是什麼季節? | 1..1 | choice | Options: 3 options |
| MMSE-3 | 3.. 今天是幾號? | 1..1 | choice | Options: 3 options |
| MMSE-4 | 4.. 今天是禮拜幾? | 1..1 | choice | Options: 3 options |
| MMSE-5 | 5.. 現在是那一個月份? | 1..1 | choice | Options: 3 options |
| MMSE-6 | 6.. 我們現在是在那一個省? | 1..1 | choice | Options: 3 options |
| MMSE-7 | 7.. 我們現在是在那一個縣、市? | 1..1 | choice | Options: 3 options |
| MMSE-8 | 8.. 這裡屬於哪一個區或是鄉鎮? | 1..1 | choice | Options: 3 options |
| MMSE-9 | 9.. 這個社區單位(醫院、診所)的名稱? | 1..1 | choice | Options: 3 options |
| MMSE-10 | 10.. 現在我們是在幾樓? | 1..1 | choice | Options: 3 options |
| MMSE-11 | 11.. 請重複這三個名稱,按第一次複述結果計分 | 1..1 | choice | Options: 4 options |
 MMSE-12 | 12.. 請從100開始連續減7,一直減7直到我說停為止。(每減對一次得一分) | 1..1 | integer | Max Length: 2 |
| MMSE-13 | 13.. 藍色 | 1..1 | choice | Options: 2 options |
| MMSE-14 | 14.. 悲傷 | 1..1 | choice | Options: 2 options |
| MMSE-15 | 15.. 火車 | 1..1 | choice | Options: 2 options |
| MMSE-16 | 16.. (拿出手錶)這是什麼? | 1..1 | choice | Options: 2 options |
| MMSE-17 | 17.. (拿出鉛筆)這是什麼? | 1..1 | choice | Options: 2 options |
| MMSE-18 | 18.. 請跟我唸一句話『白紙真正寫黑字』 | 1..1 | choice | Options: 2 options |
| MMSE-19 | 19.. 請唸一遍並做做看『請閉上眼睛』 | 1..1 | choice | Options: 2 options |
| MMSE-20 | 20.. 請用左/右手(非利手)拿這張紙(三步驟指令,每對一步驟得一分) | 1..1 | choice | Options: 4 options |
| MMSE-21 | 21.. 請在紙上寫一句語意完整的句子。(含主詞動詞且語意完整的句子) | 1..1 | choice | Options: 2 options |
 MMSE-22 | 22.. 這裡有一個圖形,請在旁邊畫出一個相同的圖形。(兩五邊形,交一四邊形,有兩交點,則給分) | 1..1 | choice | Options: 2 options |
| Documentation for this format | ||||
Options Sets
Answer options for MMSE-1
Answer options for MMSE-2
Answer options for MMSE-3
Answer options for MMSE-4
Answer options for MMSE-5
Answer options for MMSE-6
Answer options for MMSE-7
Answer options for MMSE-8
Answer options for MMSE-9
Answer options for MMSE-10
Answer options for MMSE-11
Answer options for MMSE-13
Answer options for MMSE-14
Answer options for MMSE-15
Answer options for MMSE-16
Answer options for MMSE-17
Answer options for MMSE-18
Answer options for MMSE-19
Answer options for MMSE-20
Answer options for MMSE-21
Answer options for MMSE-22
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "ltc-questionnaire-mmse",
"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-mmse",
"identifier": [
{
"use": "official",
"system": "http://ltc-ig.fhir.tw/questionnaire-id",
"value": "MMSE-001"
}
],
"version": "1.0.0",
"name": "MMSE",
"title": "簡易智能狀態測驗",
"status": "active",
"subjectType": [
"Patient"
],
"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/"
}
]
}
],
"description": "Mini-Mental State Examination [MMSE] - 簡易智能狀態測驗",
"code": [
{
"system": "http://loinc.org",
"code": "72107-6",
"display": "Mini-Mental State Examination [MMSE]"
}
],
"item": [
{
"linkId": "MMSE-1",
"prefix": "1.",
"text": "今年是那一年?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-2",
"prefix": "2.",
"text": "現在是什麼季節?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-3",
"prefix": "3.",
"text": "今天是幾號?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-4",
"prefix": "4.",
"text": "今天是禮拜幾?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-5",
"prefix": "5.",
"text": "現在是那一個月份?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-6",
"prefix": "6.",
"text": "我們現在是在那一個省?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-7",
"prefix": "7.",
"text": "我們現在是在那一個縣、市?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-8",
"prefix": "8.",
"text": "這裡屬於哪一個區或是鄉鎮?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-9",
"prefix": "9.",
"text": "這個社區單位(醫院、診所)的名稱?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-10",
"prefix": "10.",
"text": "現在我們是在幾樓?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "不明"
}
],
"valueInteger": 9
}
]
},
{
"linkId": "MMSE-11",
"prefix": "11.",
"text": "請重複這三個名稱,按第一次複述結果計分",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "三個都對"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "二個對"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "一個對"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "都不對"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-12",
"prefix": "12.",
"text": "請從100開始連續減7,一直減7直到我說停為止。(每減對一次得一分)",
"type": "integer",
"required": true,
"maxLength": 2
},
{
"linkId": "MMSE-13",
"prefix": "13.",
"text": "藍色",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-14",
"prefix": "14.",
"text": "悲傷",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-15",
"prefix": "15.",
"text": "火車",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-16",
"prefix": "16.",
"text": "(拿出手錶)這是什麼?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-17",
"prefix": "17.",
"text": "(拿出鉛筆)這是什麼?",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-18",
"prefix": "18.",
"text": "請跟我唸一句話『白紙真正寫黑字』",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-19",
"prefix": "19.",
"text": "請唸一遍並做做看『請閉上眼睛』",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-20",
"prefix": "20.",
"text": "請用左/右手(非利手)拿這張紙(三步驟指令,每對一步驟得一分)",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "三個步驟都對"
}
],
"valueInteger": 3
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "二個步驟對"
}
],
"valueInteger": 2
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "一個步驟對"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "都不對"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-21",
"prefix": "21.",
"text": "請在紙上寫一句語意完整的句子。(含主詞動詞且語意完整的句子)",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
},
{
"linkId": "MMSE-22",
"prefix": "22.",
"text": "這裡有一個圖形,請在旁邊畫出一個相同的圖形。(兩五邊形,交一四邊形,有兩交點,則給分)",
"type": "choice",
"required": true,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "正確"
}
],
"valueInteger": 1
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/rendering-style",
"valueString": "錯誤"
}
],
"valueInteger": 0
}
]
}
]
}