臺灣長期照顧實作指引(TW LTC IG)
1.0.0 - STU 1.0.0
臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions
| Active as of 2026-03-01 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="ltc-questionnaire-adl-assessment-example"/>
<meta>
<profile
value="http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire ltc-questionnaire-adl-assessment-example</b></p><a name="ltc-questionnaire-adl-assessment-example"> </a><a name="hcltc-questionnaire-adl-assessment-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-LTCQuestionnaire.html">長期照顧－問卷</a></p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> ADLAssessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-adl-assessment-example#1.0.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1.. 吃飯</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E1">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> E2</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2.. 洗澡</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E2">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E3</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">3.. 穿脫衣物</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E3">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> E4</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">4.. 個人修飾</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E4">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E5</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">5.. 大便控制</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E5">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> E6</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">6.. 小便控制</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E6">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E7</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">7.. 上廁所</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E7">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> E8</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8.. 移位</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E8">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E9</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">9.. 走路</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E9">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.E10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> E10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">10.. 上下樓梯</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E10">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.E11" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> E11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">11.. 床椅移位</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.E11">3 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.E1"> </a><p><b>Answer options for E1 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E2"> </a><p><b>Answer options for E2 </b></p><ul><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E3"> </a><p><b>Answer options for E3 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E4"> </a><p><b>Answer options for E4 </b></p><ul><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E5"> </a><p><b>Answer options for E5 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E6"> </a><p><b>Answer options for E6 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E7"> </a><p><b>Answer options for E7 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E8"> </a><p><b>Answer options for E8 </b></p><ul><li style="font-size: 11px">15</li><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E9"> </a><p><b>Answer options for E9 </b></p><ul><li style="font-size: 11px">15</li><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E10"> </a><p><b>Answer options for E10 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul><a name="opt-item.E11"> </a><p><b>Answer options for E11 </b></p><ul><li style="font-size: 11px">10</li><li style="font-size: 11px">5</li><li style="font-size: 11px">0</li></ul></div>
</text>
<url
value="http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-adl-assessment-example"/>
<identifier>
<use value="official"/>
<system value="http://ltc-ig.fhir.tw/questionnaire-id"/>
<value value="ADL-001"/>
</identifier>
<version value="1.0.0"/>
<name value="ADLAssessment"/>
<title value="日常生活能力評估量表"/>
<status value="active"/>
<date value="2026-03-01T18:36:01+00:00"/>
<publisher value="經濟部產業發展署"/>
<contact>
<name value="經濟部產業發展署"/>
<telecom>
<system value="url"/>
<value value="https://www.ida.gov.tw/"/>
</telecom>
</contact>
<item>
<linkId value="E1"/>
<prefix value="1."/>
<text value="吃飯"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="自已在合理時間內可用筷子取食或需用輔具時應自行穿脫"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="偶爾需他人在旁協助或口頭提醒"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="無法自行取食或需他人餵食"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E2"/>
<prefix value="2."/>
<text value="洗澡"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可獨立完成，不需他人在旁"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需他人協助"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E3"/>
<prefix value="3."/>
<text value="穿脫衣物"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可自行穿脫衣褲及鞋襪等"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="在別人協助下可自行完成一半"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需別人協助"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E4"/>
<prefix value="4."/>
<text value="個人修飾"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可自行洗臉、洗手、刷牙及梳頭等"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需別人協助"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E5"/>
<prefix value="5."/>
<text value="大便控制"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="不會失禁，並可自行使用塞劑"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="偶而會失禁或需協助使用塞劑"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="完全依賴"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E6"/>
<prefix value="6."/>
<text value="小便控制"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="無失禁（控）"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="偶爾失禁（控）"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="完全依賴"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E7"/>
<prefix value="7."/>
<text value="上廁所"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可自行上下馬桶並整理衣物等"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需部分協助或提醒"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="完全依賴"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E8"/>
<prefix value="8."/>
<text value="移位"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可獨立完成含輪椅之基本移轉"/>
</extension>
<valueInteger value="15"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需少部分協助"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需大部分協助"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="完全依賴"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E9"/>
<prefix value="9."/>
<text value="走路"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="使用或不使用輔具可行走≥50公尺"/>
</extension>
<valueInteger value="15"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需扶持可行走≥50公尺"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可操縱輪椅50公尺"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="無法步行且無法操縱輪椅"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E10"/>
<prefix value="10."/>
<text value="上下樓梯"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可安全上下樓梯"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需協助或監督"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="無法上下樓"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
<item>
<linkId value="E11"/>
<prefix value="11."/>
<text value="床椅移位"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="可自行由床至椅或相反方向移位"/>
</extension>
<valueInteger value="10"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="需部分協助"/>
</extension>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<extension
url="http://hl7.org/fhir/StructureDefinition/rendering-style">
<valueString value="完全依賴"/>
</extension>
<valueInteger value="0"/>
</answerOption>
</item>
</Questionnaire>