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Packagetw.iii.ltc
Resource TypeQuestionnaireResponse
IdQuestionnaireResponse-ltc-questionnaire-response-aa12-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-aa12-example

LinkIDTextDefinitionAnswerdoco
.. ltc-questionnaire-response-aa12-exampleQuestionnaire:長期照護醫師意見書 (AA12)
... applicant-reference申請者(Patient Resource ID)陳明慧 Female, DoB: 1945-03-15 ( National Person Identifier (TWN): A123456789 (use: official, ))
... physician-reference開立醫師(PractitionerRole Resource ID)Practitioner 王醫師
... institution-reference醫療機構(Organization Resource ID)Organization 台北市立聯合醫院
... last-consultation-date最近一次診察日期2024-01-10
... opinion-count製作意見書次數初次
... previous-opinion-date前次意見書日期
... consultation-departments目前診察科別SNOMED CT: 419192003 (Internal medicine)
... disease-name診斷疾病名稱
... disease-icdICD代碼
... disease-onset發病日期
... condition-status病情狀態Condition Clinical Status Codes: active (Active)
... unstable-reason不穩定狀態說明
... recent-treatment過去7日內接受的治療
... other-treatment其他重要治療
... care-precautions照顧應注意事項及處置方法
... other-precautions其他注意事項
... treatment-suggestions處置建議定期監測血糖和血壓,維持健康飲食
... recommended-services建議介入之醫事照護服務ADLs復能照護一居家
... other-services其他醫事照護服務
... six-month-impact最近六個月內可能影響長照服務使用狀況及如何照顧特殊疾病的方法需要定期醫療追蹤和血糖監測
... infectious-disease罹患感染症
... infectious-disease-name感染症病名
... isolation-required是否需要隔離false
... isolation-type隔離類型
... physical-mental-status身心狀態或特殊需要註記事項患者意識清楚,配合度高,需要協助日常生活活動

doco Documentation for this format

Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "ltc-questionnaire-response-aa12-example",
  "meta": {
    "profile": [
      "http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaireResponseAA12"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "questionnaire": "http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-aa12-example",
  "status": "completed",
  "subject": {
    "reference": "Patient/ltc-patient-chen-ming-hui"
  },
  "authored": "2024-01-15T10:30:00+08:00",
  "author": {
    "reference": "Practitioner/ltc-practitioner-physician-aa12-example"
  },
  "item": [
    {
      "linkId": "applicant-reference",
      "text": "申請者(Patient Resource ID)",
      "answer": [
        {
          "valueReference": {
            "reference": "Patient/ltc-patient-chen-ming-hui"
          }
        }
      ]
    },
    {
      "linkId": "physician-reference",
      "text": "開立醫師(PractitionerRole Resource ID)",
      "answer": [
        {
          "valueReference": {
            "reference": "Practitioner/ltc-practitioner-physician-aa12-example"
          }
        }
      ]
    },
    {
      "linkId": "institution-reference",
      "text": "醫療機構(Organization Resource ID)",
      "answer": [
        {
          "valueReference": {
            "reference": "Organization/twcore-organization-hospital-aa12-example"
          }
        }
      ]
    },
    {
      "linkId": "last-consultation-date",
      "text": "最近一次診察日期",
      "answer": [
        {
          "valueDate": "2024-01-10"
        }
      ]
    },
    {
      "linkId": "opinion-count",
      "text": "製作意見書次數",
      "answer": [
        {
          "valueString": "初次"
        }
      ]
    },
    {
      "linkId": "previous-opinion-date",
      "text": "前次意見書日期"
    },
    {
      "linkId": "consultation-departments",
      "text": "目前診察科別",
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "419192003",
            "display": "Internal medicine"
          }
        }
      ]
    },
    {
      "linkId": "disease-name",
      "text": "診斷疾病名稱",
      "answer": [
        {
          "valueString": "糖尿病"
        },
        {
          "valueString": "高血壓"
        }
      ]
    },
    {
      "linkId": "disease-icd",
      "text": "ICD代碼",
      "answer": [
        {
          "valueString": "E11.9"
        },
        {
          "valueString": "I10"
        }
      ]
    },
    {
      "linkId": "disease-onset",
      "text": "發病日期",
      "answer": [
        {
          "valueDate": "2020-03-15"
        },
        {
          "valueDate": "2018-07-20"
        }
      ]
    },
    {
      "linkId": "condition-status",
      "text": "病情狀態",
      "answer": [
        {
          "valueCoding": {
            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code": "active",
            "display": "Active"
          }
        }
      ]
    },
    {
      "linkId": "unstable-reason",
      "text": "不穩定狀態說明"
    },
    {
      "linkId": "recent-treatment",
      "text": "過去7日內接受的治療",
      "answer": [
        {
          "valueString": "監測器"
        },
        {
          "valueString": "物理治療"
        }
      ]
    },
    {
      "linkId": "other-treatment",
      "text": "其他重要治療"
    },
    {
      "linkId": "care-precautions",
      "text": "照顧應注意事項及處置方法",
      "answer": [
        {
          "valueString": "尿失禁"
        },
        {
          "valueString": "跌倒•骨折"
        }
      ]
    },
    {
      "linkId": "other-precautions",
      "text": "其他注意事項"
    },
    {
      "linkId": "treatment-suggestions",
      "text": "處置建議",
      "answer": [
        {
          "valueString": "定期監測血糖和血壓,維持健康飲食"
        }
      ]
    },
    {
      "linkId": "recommended-services",
      "text": "建議介入之醫事照護服務",
      "answer": [
        {
          "valueString": "ADLs復能照護一居家"
        }
      ]
    },
    {
      "linkId": "other-services",
      "text": "其他醫事照護服務"
    },
    {
      "linkId": "six-month-impact",
      "text": "最近六個月內可能影響長照服務使用狀況及如何照顧特殊疾病的方法",
      "answer": [
        {
          "valueString": "需要定期醫療追蹤和血糖監測"
        }
      ]
    },
    {
      "linkId": "infectious-disease",
      "text": "罹患感染症",
      "answer": [
        {
          "valueString": "無"
        }
      ]
    },
    {
      "linkId": "infectious-disease-name",
      "text": "感染症病名"
    },
    {
      "linkId": "isolation-required",
      "text": "是否需要隔離",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "isolation-type",
      "text": "隔離類型"
    },
    {
      "linkId": "physical-mental-status",
      "text": "身心狀態或特殊需要註記事項",
      "answer": [
        {
          "valueString": "患者意識清楚,配合度高,需要協助日常生活活動"
        }
      ]
    }
  ]
}