# ARAT上肢功能評估問卷回覆 - 復健訓練評估量表實作指引(Rehabilitation Training Scale Implementation Guide) v0.1.0



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "ARATQuestionnaireResponse",
  "url" : "https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/ARATQuestionnaireResponse",
  "version" : "0.1.0",
  "name" : "ARATQuestionnaireResponse",
  "title" : "ARAT上肢功能評估問卷回覆",
  "status" : "draft",
  "date" : "2026-04-27T02:44:14+00:00",
  "publisher" : "Kimsber",
  "contact" : [{
    "name" : "Kimsber",
    "telecom" : [{
      "system" : "url",
      "value" : "https://github.com/Kimsber"
    }]
  }],
  "description" : "針對ARAT上肢功能評估問卷的QuestionnaireResponse Profile，強制回傳格式符合問卷結構",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "QuestionnaireResponse",
  "baseDefinition" : "https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/SPACQuestionnaireResponse",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "QuestionnaireResponse",
      "path" : "QuestionnaireResponse"
    },
    {
      "id" : "QuestionnaireResponse.questionnaire",
      "path" : "QuestionnaireResponse.questionnaire",
      "fixedCanonical" : "https://build.fhir.org/ig/Kimsber/Rehab-IG/Questionnaire/ARATQuestionnaireInstance"
    },
    {
      "id" : "QuestionnaireResponse.status",
      "path" : "QuestionnaireResponse.status",
      "patternCode" : "completed"
    },
    {
      "id" : "QuestionnaireResponse.subject",
      "path" : "QuestionnaireResponse.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://build.fhir.org/ig/Kimsber/Rehab-IG/StructureDefinition/Patient"]
      }]
    },
    {
      "id" : "QuestionnaireResponse.item",
      "path" : "QuestionnaireResponse.item",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "linkId"
        }],
        "description" : "根據linkId區分ARAT問卷的主要區塊",
        "ordered" : false,
        "rules" : "closed"
      },
      "min" : 6
    },
    {
      "id" : "QuestionnaireResponse.item:assessmentSide",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "assessmentSide",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:assessmentSide.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "fixedString" : "assessment-side-arat"
    },
    {
      "id" : "QuestionnaireResponse.item:assessmentSide.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "請選擇評估側"
    },
    {
      "id" : "QuestionnaireResponse.item:assessmentSide.answer",
      "path" : "QuestionnaireResponse.item.answer",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "QuestionnaireResponse.item:assessmentSide.answer.value[x]",
      "path" : "QuestionnaireResponse.item.answer.value[x]",
      "type" : [{
        "code" : "Coding"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://build.fhir.org/ig/Kimsber/Rehab-IG/ValueSet/assessment-side-valueset"
      }
    },
    {
      "id" : "QuestionnaireResponse.item:graspSubscale",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "graspSubscale",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:graspSubscale.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "patternString" : "A-grasp-subscale"
    },
    {
      "id" : "QuestionnaireResponse.item:graspSubscale.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "A.抓力分量表"
    },
    {
      "id" : "QuestionnaireResponse.item:graspSubscale.item",
      "path" : "QuestionnaireResponse.item.item",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:graspSubscale.item.answer.value[x]",
      "path" : "QuestionnaireResponse.item.item.answer.value[x]",
      "type" : [{
        "code" : "integer"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:gripSubscale",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "gripSubscale",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:gripSubscale.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "patternString" : "B-grip-subscale"
    },
    {
      "id" : "QuestionnaireResponse.item:gripSubscale.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "B.握力分量表"
    },
    {
      "id" : "QuestionnaireResponse.item:gripSubscale.item",
      "path" : "QuestionnaireResponse.item.item",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:gripSubscale.item.answer.value[x]",
      "path" : "QuestionnaireResponse.item.item.answer.value[x]",
      "type" : [{
        "code" : "integer"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:pinchSubscale",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "pinchSubscale",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:pinchSubscale.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "patternString" : "C-pinch-subscale"
    },
    {
      "id" : "QuestionnaireResponse.item:pinchSubscale.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "C.捏取分量表"
    },
    {
      "id" : "QuestionnaireResponse.item:pinchSubscale.item",
      "path" : "QuestionnaireResponse.item.item",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:pinchSubscale.item.answer.value[x]",
      "path" : "QuestionnaireResponse.item.item.answer.value[x]",
      "type" : [{
        "code" : "integer"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:grossMovementSubscale",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "grossMovementSubscale",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:grossMovementSubscale.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "patternString" : "D-gross-movement-subscale"
    },
    {
      "id" : "QuestionnaireResponse.item:grossMovementSubscale.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "D.粗大動作分量表"
    },
    {
      "id" : "QuestionnaireResponse.item:grossMovementSubscale.item",
      "path" : "QuestionnaireResponse.item.item",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:grossMovementSubscale.item.answer.value[x]",
      "path" : "QuestionnaireResponse.item.item.answer.value[x]",
      "type" : [{
        "code" : "integer"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:totalScoreSection",
      "path" : "QuestionnaireResponse.item",
      "sliceName" : "totalScoreSection",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "QuestionnaireResponse.item:totalScoreSection.linkId",
      "path" : "QuestionnaireResponse.item.linkId",
      "fixedString" : "E-total-score-ARAT"
    },
    {
      "id" : "QuestionnaireResponse.item:totalScoreSection.text",
      "path" : "QuestionnaireResponse.item.text",
      "patternString" : "E.ARAT總分計算"
    },
    {
      "id" : "QuestionnaireResponse.item:totalScoreSection.item",
      "path" : "QuestionnaireResponse.item.item",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "QuestionnaireResponse.item:totalScoreSection.item.answer.value[x]",
      "path" : "QuestionnaireResponse.item.item.answer.value[x]",
      "type" : [{
        "code" : "integer"
      }]
    }]
  }
}

```
