臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

臺灣長期照顧實作指引(TW LTC IG) - Local Development build (v1.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: 居家護理－個案基本資料問卷

Official URL: http://ltc-ig.fhir.tw/Questionnaire/hn-basedata Version: 1.1.0
Draft as of 2025-12-08 Computable Name: HNBaseDataQuestionnaire

V5.0.16 個案基本資料的問題結構與輸入型態。

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. HNBaseDataQuestionnaireV5.0.16 個案基本資料的問題結構與輸入型態。Questionnairehttp://ltc-ig.fhir.tw/Questionnaire/hn-basedata#1.1.0
... CaseID個案身分證字號1..1stringMax Length: 10
Value Set:
... EndDate收案日期1..1dateValue Set:
... CaseSource收案來源1..1groupValue Set:
.... CaseSource.Value選項1..1choiceValue Set: 居家護理－收案來源選項
.... CaseSource.Other補充說明0..1stringMax Length: 100
Value Set:
... CaseName個案姓名1..1stringMax Length: 50
Value Set:
... Sex性別1..1groupValue Set:
.... Sex.Value選項1..1choiceValue Set: 居家護理－性別選項
.... Sex.Other補充說明0..1stringMax Length: 100
Value Set:
... CaseType個案類型1..1choiceValue Set: 居家護理－個案類型選項
... Birthdate出生日期1..1dateValue Set:
... PhoneNumber聯絡電話1..1stringMax Length: 30
Value Set:
... Address居住地址1..1groupValue Set:
.... Address.City縣市1..1stringMax Length: 100
Value Set:
.... Address.Area鄉鎮市區1..1stringMax Length: 100
Value Set:
.... Address.Lane街路門牌1..1stringMax Length: 100
Value Set:
... Education教育程度1..1groupValue Set:
.... Education.Value選項1..1choiceValue Set: 居家護理－教育程度選項
.... Education.Other補充說明0..1stringMax Length: 100
Value Set:
... Marriage婚姻狀況1..1groupValue Set:
.... Marriage.Value選項1..1choiceValue Set: 居家護理－婚姻狀況選項
.... Marriage.Other補充說明0..1stringMax Length: 100
Value Set:
... Religion宗教信仰1..1groupValue Set:
.... Religion.Value選項1..1choiceValue Set: 居家護理－宗教信仰選項
.... Religion.Other補充說明0..1stringMax Length: 100
Value Set:
... ExJob主要職業1..1groupValue Set:
.... ExJob.Value選項1..1choiceValue Set: 居家護理－主要職業選項
.... ExJob.Other補充說明0..1stringMax Length: 100
Value Set:
... Economic家庭經濟狀況1..1groupValue Set:
.... Economic.Value選項1..1choiceValue Set: 居家護理－家庭經濟狀況選項
.... Economic.Other補充說明0..1stringMax Length: 100
Value Set:
... HasWelfare是否有福利1..1choiceValue Set: 居家護理－有無選項
... Welfare福利種類0..1groupValue Set:
.... Welfare.Values選項0..*choiceValue Set: 居家護理－福利種類多選選項
.... Welfare.Other補充說明0..1stringMax Length: 100
Value Set:
.... Welfare.DisabilityType身障類別0..1choiceValue Set: 居家護理－身障類別
... CaregiverID主要照顧者關係1..1choiceValue Set: 居家護理－主要照顧者關係選項
... CaregiverName主要照顧者姓名1..1stringMax Length: 50
Value Set:
... CaregiverAddress主要照顧者地址1..1groupValue Set:
.... CaregiverAddress.City縣市1..1stringMax Length: 100
Value Set:
.... CaregiverAddress.Area鄉鎮市區1..1stringMax Length: 100
Value Set:
.... CaregiverAddress.Lane街路門牌1..1stringMax Length: 100
Value Set:
... CaregiverTel主要照顧者電話1..1stringMax Length: 20
Value Set:
... EgyContactRelation緊急聯絡人關係1..1choiceValue Set: 居家護理－緊急聯絡人關係選項
... EgyContactName緊急聯絡人姓名1..1stringMax Length: 50
Value Set:
... EgyContactTel1緊急聯絡電話一1..1stringMax Length: 30
Value Set:
... EgyContactTel2緊急聯絡電話二0..1stringMax Length: 30
Value Set:
... NurseID主責護理人員身分證字號1..1stringMax Length: 10
Value Set:
... DecisionMakerRelation主要醫療決定者關係1..1groupValue Set:
.... DecisionMakerRelation.Value選項1..1choiceValue Set: 居家護理－主要醫療決定者關係選項
.... DecisionMakerRelation.Other補充說明0..1stringMax Length: 100
Value Set:
... MEvent一年內是否發生重大事件1..1choiceValue Set: 居家護理－有無選項
... MEventItem重大事件項目0..1groupValue Set:
.... MEventItem.Values選項0..*choiceValue Set: 居家護理－重大事件項目多選選項
.... MEventItem.Other補充說明0..1stringMax Length: 100
Value Set:
... CaseDesc個案描述0..1stringMax Length: 1000
Value Set:
... CreateID建立機構代碼1..1stringMax Length: 10
Value Set:
... Medicals共照醫事人員0..*groupValue Set:
.... Medicals.Name成員姓名1..1stringMax Length: 50
Value Set:
.... Medicals.CareDate加入日期0..1dateValue Set:
.... Medicals.IdNo成員身分證字號0..1stringMax Length: 10
Value Set:
.... Medicals.JobTitle成員職稱1..1groupValue Set:
..... Medicals.JobTitle.Value選項1..1choiceValue Set: 居家護理－成員職稱選項
..... Medicals.JobTitle.Other補充說明0..1stringMax Length: 100
Value Set:
.... Medicals.Tel電話1..1stringMax Length: 30
Value Set:
.... Medicals.CareRemark照護備註0..1stringMax Length: 1000
Value Set:
... Relatives共照親友0..*groupValue Set:
.... Relatives.Name成員姓名1..1stringMax Length: 50
Value Set:
.... Relatives.Relationship關係1..1groupValue Set:
..... Relatives.Relationship.Value選項1..1choiceValue Set: 居家護理－關係選項
..... Relatives.Relationship.Other補充說明0..1stringMax Length: 100
Value Set:
.... Relatives.CareTime主要照顧時間1..1groupValue Set:
..... Relatives.CareTime.Value選項1..1choiceValue Set: 居家護理－主要照顧時間選項
..... Relatives.CareTime.Other補充說明0..1stringMax Length: 100
Value Set:
.... Relatives.Tel1電話11..1groupValue Set:
..... Relatives.Tel1.Value電話號碼1..1stringMax Length: 30
Value Set:
..... Relatives.Tel1.Remark聯絡時間與說明0..1stringMax Length: 100
Value Set:
.... Relatives.Tel2電話20..1groupValue Set:
..... Relatives.Tel2.Value電話號碼1..1stringMax Length: 30
Value Set:
..... Relatives.Tel2.Remark聯絡時間與說明0..1stringMax Length: 100
Value Set:
.... Relatives.Tel3電話30..1groupValue Set:
..... Relatives.Tel3.Value電話號碼1..1stringMax Length: 30
Value Set:
..... Relatives.Tel3.Remark聯絡時間與說明0..1stringMax Length: 100
Value Set:
.... Relatives.CareRemark照護備註0..1stringMax Length: 1000
Value Set:

doco Documentation for this format