FHIR IG analytics| Package | tw.iii.ltc |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-hn-basedata-example.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse hn-basedata-example
Profile: 居家護理－個案基本資料表單
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  hn-basedata-example | Questionnaire:居家護理－個案基本資料 | ||
  CaseID | A123456789 | ||
| EndDate | 2025-12-08 | ||
 CaseSource | |||
  CaseSource.Value | 居家護理－表單選項代碼: ca3185e6b3427 (簽約醫院轉介) | ||
| CaseName | 陳明慧 | ||
| Sex | |||
| Sex.Value | 居家護理－表單選項代碼: c4e79758a9900 (男) | ||
| CaseType | 居家護理－表單選項代碼: cb31d7af8eb17 (非足部護理) | ||
| Birthdate | 1945-03-15 | ||
| PhoneNumber | 02-23456789 | ||
| Address | |||
| Address.City | 臺北市 | ||
| Address.Area | 中正區 | ||
| Address.Lane | 測試路1號 | ||
| Education | |||
| Education.Value | 居家護理－表單選項代碼: c58a2fa9a6b3c (不識字) | ||
| Marriage | |||
| Marriage.Value | 居家護理－表單選項代碼: c3c50b689dbd7 (未婚) | ||
| Religion | |||
| Religion.Value | 居家護理－表單選項代碼: cda5930e53d54 (無) | ||
| ExJob | |||
| ExJob.Value | 居家護理－表單選項代碼: cda5930e53d54 (無) | ||
| Economic | |||
| Economic.Value | 居家護理－表單選項代碼: cf97d0d5a4c90 (富裕) | ||
| HasWelfare | 居家護理－表單選項代碼: cda5930e53d54 (無) | ||
| CaregiverID | 居家護理－表單選項代碼: cfb43354d2aae (自己) | ||
| CaregiverName | 主要照顧者姓名範例 | ||
| CaregiverAddress | |||
| CaregiverAddress.City | 臺北市 | ||
| CaregiverAddress.Area | 中正區 | ||
| CaregiverAddress.Lane | 街路門牌範例 | ||
| CaregiverTel | 02-23456789 | ||
| EgyContactRelation | 居家護理－表單選項代碼: c0fd6889156f2 (配偶) | ||
| EgyContactName | 林淑芬 | ||
| EgyContactTel1 | 02-23456789 | ||
| NurseID | B123456789 | ||
| DecisionMakerRelation | |||
| DecisionMakerRelation.Value | 居家護理－表單選項代碼: cfb43354d2aae (自己) | ||
| MEvent | 居家護理－表單選項代碼: cda5930e53d54 (無) | ||
| CreateID | 3501010011 | ||
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "hn-basedata-example",
"meta": {
"profile": [
"http://ltc-ig.fhir.tw/StructureDefinition/HNBaseDataResponse"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode",
"valueReference": {
"reference": "EpisodeOfCare/hn-episode-example"
}
}
],
"questionnaire": "http://ltc-ig.fhir.tw/Questionnaire/hn-basedata",
"status": "in-progress",
"subject": {
"reference": "Patient/hn-patient-example"
},
"authored": "2025-12-08T09:00:00+08:00",
"item": [
{
"linkId": "CaseID",
"answer": [
{
"valueString": "A123456789"
}
]
},
{
"linkId": "EndDate",
"answer": [
{
"valueDate": "2025-12-08"
}
]
},
{
"linkId": "CaseSource",
"item": [
{
"linkId": "CaseSource.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "ca3185e6b3427",
"display": "簽約醫院轉介"
}
}
]
}
]
},
{
"linkId": "CaseName",
"answer": [
{
"valueString": "陳明慧"
}
]
},
{
"linkId": "Sex",
"item": [
{
"linkId": "Sex.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "c4e79758a9900",
"display": "男"
}
}
]
}
]
},
{
"linkId": "CaseType",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cb31d7af8eb17",
"display": "非足部護理"
}
}
]
},
{
"linkId": "Birthdate",
"answer": [
{
"valueDate": "1945-03-15"
}
]
},
{
"linkId": "PhoneNumber",
"answer": [
{
"valueString": "02-23456789"
}
]
},
{
"linkId": "Address",
"item": [
{
"linkId": "Address.City",
"answer": [
{
"valueString": "臺北市"
}
]
},
{
"linkId": "Address.Area",
"answer": [
{
"valueString": "中正區"
}
]
},
{
"linkId": "Address.Lane",
"answer": [
{
"valueString": "測試路1號"
}
]
}
]
},
{
"linkId": "Education",
"item": [
{
"linkId": "Education.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "c58a2fa9a6b3c",
"display": "不識字"
}
}
]
}
]
},
{
"linkId": "Marriage",
"item": [
{
"linkId": "Marriage.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "c3c50b689dbd7",
"display": "未婚"
}
}
]
}
]
},
{
"linkId": "Religion",
"item": [
{
"linkId": "Religion.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cda5930e53d54",
"display": "無"
}
}
]
}
]
},
{
"linkId": "ExJob",
"item": [
{
"linkId": "ExJob.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cda5930e53d54",
"display": "無"
}
}
]
}
]
},
{
"linkId": "Economic",
"item": [
{
"linkId": "Economic.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cf97d0d5a4c90",
"display": "富裕"
}
}
]
}
]
},
{
"linkId": "HasWelfare",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cda5930e53d54",
"display": "無"
}
}
]
},
{
"linkId": "CaregiverID",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cfb43354d2aae",
"display": "自己"
}
}
]
},
{
"linkId": "CaregiverName",
"answer": [
{
"valueString": "主要照顧者姓名範例"
}
]
},
{
"linkId": "CaregiverAddress",
"item": [
{
"linkId": "CaregiverAddress.City",
"answer": [
{
"valueString": "臺北市"
}
]
},
{
"linkId": "CaregiverAddress.Area",
"answer": [
{
"valueString": "中正區"
}
]
},
{
"linkId": "CaregiverAddress.Lane",
"answer": [
{
"valueString": "街路門牌範例"
}
]
}
]
},
{
"linkId": "CaregiverTel",
"answer": [
{
"valueString": "02-23456789"
}
]
},
{
"linkId": "EgyContactRelation",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "c0fd6889156f2",
"display": "配偶"
}
}
]
},
{
"linkId": "EgyContactName",
"answer": [
{
"valueString": "林淑芬"
}
]
},
{
"linkId": "EgyContactTel1",
"answer": [
{
"valueString": "02-23456789"
}
]
},
{
"linkId": "NurseID",
"answer": [
{
"valueString": "B123456789"
}
]
},
{
"linkId": "DecisionMakerRelation",
"item": [
{
"linkId": "DecisionMakerRelation.Value",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cfb43354d2aae",
"display": "自己"
}
}
]
}
]
},
{
"linkId": "MEvent",
"answer": [
{
"valueCoding": {
"system": "http://ltc-ig.fhir.tw/CodeSystem/hn-answer",
"code": "cda5930e53d54",
"display": "無"
}
}
]
},
{
"linkId": "CreateID",
"answer": [
{
"valueString": "3501010011"
}
]
}
]
}