{ "resourceType" : "Questionnaire", "id" : "hn-basedata", "meta" : { "profile" : ["http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire hn-basedata

Profile: 長期照顧－問卷

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" 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
\".\"\".\"\".\" EndDate收案日期1..1date
\".\"\".\"\".\" CaseSource收案來源1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" CaseName個案姓名1..1stringMax Length: 50
\".\"\".\"\".\" Sex性別1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" CaseType個案類型1..1choiceValue Set: 居家護理－個案類型選項
\".\"\".\"\".\" Birthdate出生日期1..1date
\".\"\".\"\".\" PhoneNumber聯絡電話1..1stringMax Length: 30
\".\"\".\"\".\" Address居住地址1..1group
\".\"\".\"\".\"\".\" Address.City縣市1..1stringMax Length: 100
\".\"\".\"\".\"\".\" Address.Area鄉鎮市區1..1stringMax Length: 100
\".\"\".\"\".\"\".\" Address.Lane街路門牌1..1stringMax Length: 100
\".\"\".\"\".\" Education教育程度1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" Marriage婚姻狀況1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" Religion宗教信仰1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" ExJob主要職業1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" Economic家庭經濟狀況1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" HasWelfare是否有福利1..1choiceValue Set: 居家護理－有無選項
\".\"\".\"\".\" Welfare福利種類0..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" CaregiverAddress主要照顧者地址1..1group
\".\"\".\"\".\"\".\" CaregiverAddress.City縣市1..1stringMax Length: 100
\".\"\".\"\".\"\".\" CaregiverAddress.Area鄉鎮市區1..1stringMax Length: 100
\".\"\".\"\".\"\".\" CaregiverAddress.Lane街路門牌1..1stringMax Length: 100
\".\"\".\"\".\" CaregiverTel主要照顧者電話1..1stringMax Length: 20
\".\"\".\"\".\" 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
\".\"\".\"\".\" EgyContactTel1緊急聯絡電話一1..1stringMax Length: 30
\".\"\".\"\".\" EgyContactTel2緊急聯絡電話二0..1stringMax Length: 30
\".\"\".\"\".\" NurseID主責護理人員身分證字號1..1stringMax Length: 10
\".\"\".\"\".\" DecisionMakerRelation主要醫療決定者關係1..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" 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..1group
\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\" CaseDesc個案描述0..1stringMax Length: 1000
\".\"\".\"\".\" CreateID建立機構代碼1..1stringMax Length: 10
\".\"\".\"\".\" Medicals共照醫事人員0..*group
\".\"\".\"\".\"\".\" Medicals.Name成員姓名1..1stringMax Length: 50
\".\"\".\"\".\"\".\" Medicals.CareDate加入日期0..1date
\".\"\".\"\".\"\".\" Medicals.IdNo成員身分證字號0..1stringMax Length: 10
\".\"\".\"\".\"\".\" Medicals.JobTitle成員職稱1..1group
\".\"\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\"\".\" Medicals.Tel電話1..1stringMax Length: 30
\".\"\".\"\".\"\".\" Medicals.CareRemark照護備註0..1stringMax Length: 1000
\".\"\".\"\".\" Relatives共照親友0..*group
\".\"\".\"\".\"\".\" Relatives.Name成員姓名1..1stringMax Length: 50
\".\"\".\"\".\"\".\" Relatives.Relationship關係1..1group
\".\"\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\"\".\" Relatives.CareTime主要照顧時間1..1group
\".\"\".\"\".\"\".\"\".\" 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
\".\"\".\"\".\"\".\" Relatives.Tel1電話11..1group
\".\"\".\"\".\"\".\"\".\" Relatives.Tel1.Value電話號碼1..1stringMax Length: 30
\".\"\".\"\".\"\".\"\".\" Relatives.Tel1.Remark聯絡時間與說明0..1stringMax Length: 100
\".\"\".\"\".\"\".\" Relatives.Tel2電話20..1group
\".\"\".\"\".\"\".\"\".\" Relatives.Tel2.Value電話號碼1..1stringMax Length: 30
\".\"\".\"\".\"\".\"\".\" Relatives.Tel2.Remark聯絡時間與說明0..1stringMax Length: 100
\".\"\".\"\".\"\".\" Relatives.Tel3電話30..1group
\".\"\".\"\".\"\".\"\".\" Relatives.Tel3.Value電話號碼1..1stringMax Length: 30
\".\"\".\"\".\"\".\"\".\" Relatives.Tel3.Remark聯絡時間與說明0..1stringMax Length: 100
\".\"\".\"\".\"\".\" Relatives.CareRemark照護備註0..1stringMax Length: 1000

\"doco\" Documentation for this format
" }, "url" : "http://ltc-ig.fhir.tw/Questionnaire/hn-basedata", "version" : "1.1.0", "name" : "HNBaseDataQuestionnaire", "title" : "居家護理－個案基本資料", "status" : "draft", "experimental" : false, "date" : "2025-12-08", "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" : "V5.0.16 個案基本資料的問題結構與輸入型態。", "item" : [{ "linkId" : "CaseID", "text" : "個案身分證字號", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 10 }, { "linkId" : "EndDate", "text" : "收案日期", "type" : "date", "required" : true, "repeats" : false }, { "linkId" : "CaseSource", "text" : "收案來源", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "CaseSource.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-ef3233b113ad" }, { "linkId" : "CaseSource.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "CaseName", "text" : "個案姓名", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 50 }, { "linkId" : "Sex", "text" : "性別", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Sex.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-c8f650cb37b1" }, { "linkId" : "Sex.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "CaseType", "text" : "個案類型", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-082869c8d896" }, { "linkId" : "Birthdate", "text" : "出生日期", "type" : "date", "required" : true, "repeats" : false }, { "linkId" : "PhoneNumber", "text" : "聯絡電話", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "Address", "text" : "居住地址", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Address.City", "text" : "縣市", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }, { "linkId" : "Address.Area", "text" : "鄉鎮市區", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }, { "linkId" : "Address.Lane", "text" : "街路門牌", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Education", "text" : "教育程度", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Education.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-8bcd09f153b7" }, { "linkId" : "Education.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Marriage", "text" : "婚姻狀況", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Marriage.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-924b837448d2" }, { "linkId" : "Marriage.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Religion", "text" : "宗教信仰", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Religion.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-f6130a2de850" }, { "linkId" : "Religion.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "ExJob", "text" : "主要職業", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "ExJob.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-9bf58092b1d4" }, { "linkId" : "ExJob.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Economic", "text" : "家庭經濟狀況", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Economic.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-4a8dcdb04d9b" }, { "linkId" : "Economic.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "HasWelfare", "text" : "是否有福利", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-49fe20230ec3" }, { "linkId" : "Welfare", "text" : "福利種類", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "Welfare.Values", "text" : "選項", "type" : "choice", "required" : false, "repeats" : true, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-40193bb109d6" }, { "linkId" : "Welfare.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }, { "linkId" : "Welfare.DisabilityType", "text" : "身障類別", "type" : "choice", "required" : false, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-disability-type" }] }, { "linkId" : "CaregiverID", "text" : "主要照顧者關係", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-738f974cf008" }, { "linkId" : "CaregiverName", "text" : "主要照顧者姓名", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 50 }, { "linkId" : "CaregiverAddress", "text" : "主要照顧者地址", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "CaregiverAddress.City", "text" : "縣市", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }, { "linkId" : "CaregiverAddress.Area", "text" : "鄉鎮市區", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }, { "linkId" : "CaregiverAddress.Lane", "text" : "街路門牌", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "CaregiverTel", "text" : "主要照顧者電話", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 20 }, { "linkId" : "EgyContactRelation", "text" : "緊急聯絡人關係", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-2029890a4c12" }, { "linkId" : "EgyContactName", "text" : "緊急聯絡人姓名", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 50 }, { "linkId" : "EgyContactTel1", "text" : "緊急聯絡電話一", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "EgyContactTel2", "text" : "緊急聯絡電話二", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 30 }, { "linkId" : "NurseID", "text" : "主責護理人員身分證字號", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 10 }, { "linkId" : "DecisionMakerRelation", "text" : "主要醫療決定者關係", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "DecisionMakerRelation.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-b63e1293c409" }, { "linkId" : "DecisionMakerRelation.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "MEvent", "text" : "一年內是否發生重大事件", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-49fe20230ec3" }, { "linkId" : "MEventItem", "text" : "重大事件項目", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "MEventItem.Values", "text" : "選項", "type" : "choice", "required" : false, "repeats" : true, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-fe3736bbd09e" }, { "linkId" : "MEventItem.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "CaseDesc", "text" : "個案描述", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 1000 }, { "linkId" : "CreateID", "text" : "建立機構代碼", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 10 }, { "linkId" : "Medicals", "text" : "共照醫事人員", "type" : "group", "required" : false, "repeats" : true, "item" : [{ "linkId" : "Medicals.Name", "text" : "成員姓名", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 50 }, { "linkId" : "Medicals.CareDate", "text" : "加入日期", "type" : "date", "required" : false, "repeats" : false }, { "linkId" : "Medicals.IdNo", "text" : "成員身分證字號", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 10 }, { "linkId" : "Medicals.JobTitle", "text" : "成員職稱", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Medicals.JobTitle.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-94d2d2fdf018" }, { "linkId" : "Medicals.JobTitle.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Medicals.Tel", "text" : "電話", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "Medicals.CareRemark", "text" : "照護備註", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 1000 }] }, { "linkId" : "Relatives", "text" : "共照親友", "type" : "group", "required" : false, "repeats" : true, "item" : [{ "linkId" : "Relatives.Name", "text" : "成員姓名", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 50 }, { "linkId" : "Relatives.Relationship", "text" : "關係", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Relatives.Relationship.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-9570830f5a60" }, { "linkId" : "Relatives.Relationship.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Relatives.CareTime", "text" : "主要照顧時間", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Relatives.CareTime.Value", "text" : "選項", "type" : "choice", "required" : true, "repeats" : false, "answerValueSet" : "http://ltc-ig.fhir.tw/ValueSet/hn-vs-a946985c2125" }, { "linkId" : "Relatives.CareTime.Other", "text" : "補充說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Relatives.Tel1", "text" : "電話1", "type" : "group", "required" : true, "repeats" : false, "item" : [{ "linkId" : "Relatives.Tel1.Value", "text" : "電話號碼", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "Relatives.Tel1.Remark", "text" : "聯絡時間與說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Relatives.Tel2", "text" : "電話2", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "Relatives.Tel2.Value", "text" : "電話號碼", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "Relatives.Tel2.Remark", "text" : "聯絡時間與說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Relatives.Tel3", "text" : "電話3", "type" : "group", "required" : false, "repeats" : false, "item" : [{ "linkId" : "Relatives.Tel3.Value", "text" : "電話號碼", "type" : "string", "required" : true, "repeats" : false, "maxLength" : 30 }, { "linkId" : "Relatives.Tel3.Remark", "text" : "聯絡時間與說明", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 100 }] }, { "linkId" : "Relatives.CareRemark", "text" : "照護備註", "type" : "string", "required" : false, "repeats" : false, "maxLength" : 1000 }] }] }