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Packagetw.iii.ltc
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-ltc-questionnaire-response-aa02-example.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: QuestionnaireResponse ltc-questionnaire-response-aa02-example

LinkIDTextDefinitionAnswerdoco
.. ltc-questionnaire-response-aa02-exampleQuestionnaire:照顧管理問卷 (AA02)
... serviceAdaptation追蹤服務適應與介入情形
.... contactTime聯繫時間2024-04-05T10:00:00+08:00
.... contactTarget電訪對象
... approvedServices核定服務類別及頻率(填入最新一筆計劃核定碼別及各碼別適應情形)
.... homeServicePlan居家服務(應填寫碼別與服務單位)BA01×31;每週3次,每次120分鐘,輪派單位○○社區居服
.... transportationPlan交通服務(金額/頻率/使用規劃)每月1,840元,預計每三個月回診2趟
.... professionalServicePlan專業服務(代碼/目標/對象/時間)CA07×1;目標:提升移位能力;對象:個案及居服員;時間:每週一次共四週
.... respitePlan喘息服務GA09×42,區間4/01–4/30,單位:○○喘息服務中心
.... assistiveDevicesPlan輔具服務(購置/租賃/品項)EA01-2便盆椅、EA01-3沐浴椅
.... otherReferralPlan其他轉介資源、服務(無論有無轉介皆須說明)轉介家庭照顧者支持服務,安排喘息與照顧技巧課程
.... closeCaseNote複評後無失能欲結案,已提供相對應之資源訊息
... serviceUsageTracking各項服務目標及整體計畫目標達成情形
.... homeServiceTarget長照服務使用情形追蹤
..... homeServiceStatus居家服務4/10 啟動服務,狀況良好
..... professionalServiceStatus專業服務已完成3次家訪指導,學習情形佳
..... transportationServiceStatus交通服務本月使用2趟送醫
..... respiteServiceStatus喘息服務已完成申請,單位待安排
..... assistiveDevicesStatus輔具服務已購買便盆椅與沐浴椅,無其他問題
..... referralProgress轉介家照服務資源4/03 轉介○○社工,4/06 完成連結並安排4/20 家訪
... planSuitabilityChange整體計畫的適切性及需求異動符合,家屬配合度高,無異動
... otherHandling其他處理事項(服務諮詢、申訴處理)

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "ltc-questionnaire-response-aa02-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaireResponseAA02"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://ltc-ig.fhir.tw/Questionnaire/questionnaire-aa02-example",
  "status": "completed",
  "subject": {
    "reference": "Patient/ltc-patient-chen-ming-hui"
  },
  "authored": "2024-04-05T10:00:00+08:00",
  "author": {
    "reference": "PractitionerRole/ltc-practitioner-role-nurse-example"
  },
  "item": [
    {
      "linkId": "serviceAdaptation",
      "text": "追蹤服務適應與介入情形",
      "item": [
        {
          "linkId": "contactTime",
          "text": "聯繫時間",
          "answer": [
            {
              "valueDateTime": "2024-04-05T10:00:00+08:00"
            }
          ]
        },
        {
          "linkId": "contactTarget",
          "text": "電訪對象",
          "answer": [
            {
              "valueString": "個案"
            },
            {
              "valueString": "女兒(主要照顧者)"
            }
          ]
        }
      ]
    },
    {
      "linkId": "approvedServices",
      "text": "核定服務類別及頻率(填入最新一筆計劃核定碼別及各碼別適應情形)",
      "item": [
        {
          "linkId": "homeServicePlan",
          "text": "居家服務(應填寫碼別與服務單位)",
          "answer": [
            {
              "valueString": "BA01×31;每週3次,每次120分鐘,輪派單位○○社區居服"
            }
          ]
        },
        {
          "linkId": "transportationPlan",
          "text": "交通服務(金額/頻率/使用規劃)",
          "answer": [
            {
              "valueString": "每月1,840元,預計每三個月回診2趟"
            }
          ]
        },
        {
          "linkId": "professionalServicePlan",
          "text": "專業服務(代碼/目標/對象/時間)",
          "answer": [
            {
              "valueString": "CA07×1;目標:提升移位能力;對象:個案及居服員;時間:每週一次共四週"
            }
          ]
        },
        {
          "linkId": "respitePlan",
          "text": "喘息服務",
          "answer": [
            {
              "valueString": "GA09×42,區間4/01–4/30,單位:○○喘息服務中心"
            }
          ]
        },
        {
          "linkId": "assistiveDevicesPlan",
          "text": "輔具服務(購置/租賃/品項)",
          "answer": [
            {
              "valueString": "EA01-2便盆椅、EA01-3沐浴椅"
            }
          ]
        },
        {
          "linkId": "otherReferralPlan",
          "text": "其他轉介資源、服務(無論有無轉介皆須說明)",
          "answer": [
            {
              "valueString": "轉介家庭照顧者支持服務,安排喘息與照顧技巧課程"
            }
          ]
        },
        {
          "linkId": "closeCaseNote",
          "text": "複評後無失能欲結案,已提供相對應之資源訊息",
          "answer": [
            {
              "valueString": "無"
            }
          ]
        }
      ]
    },
    {
      "linkId": "serviceUsageTracking",
      "text": "各項服務目標及整體計畫目標達成情形",
      "item": [
        {
          "linkId": "homeServiceTarget",
          "text": "長照服務使用情形追蹤",
          "item": [
            {
              "linkId": "homeServiceStatus",
              "text": "居家服務",
              "answer": [
                {
                  "valueString": "4/10 啟動服務,狀況良好"
                }
              ]
            },
            {
              "linkId": "professionalServiceStatus",
              "text": "專業服務",
              "answer": [
                {
                  "valueString": "已完成3次家訪指導,學習情形佳"
                }
              ]
            },
            {
              "linkId": "transportationServiceStatus",
              "text": "交通服務",
              "answer": [
                {
                  "valueString": "本月使用2趟送醫"
                }
              ]
            },
            {
              "linkId": "respiteServiceStatus",
              "text": "喘息服務",
              "answer": [
                {
                  "valueString": "已完成申請,單位待安排"
                }
              ]
            },
            {
              "linkId": "assistiveDevicesStatus",
              "text": "輔具服務",
              "answer": [
                {
                  "valueString": "已購買便盆椅與沐浴椅,無其他問題"
                }
              ]
            },
            {
              "linkId": "referralProgress",
              "text": "轉介家照服務資源",
              "answer": [
                {
                  "valueString": "4/03 轉介○○社工,4/06 完成連結並安排4/20 家訪"
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "linkId": "planSuitabilityChange",
      "text": "整體計畫的適切性及需求異動",
      "answer": [
        {
          "valueString": "符合,家屬配合度高,無異動"
        }
      ]
    },
    {
      "linkId": "otherHandling",
      "text": "其他處理事項(服務諮詢、申訴處理)",
      "answer": [
        {
          "valueString": "無"
        }
      ]
    }
  ]
}