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
Questionnaire: 照顧計畫擬訂與服務連結問卷 (AA01)
| Official URL: http://ltc-ig.fhir.tw/Questionnaire/questionnaire-aa01-example | Version: 1.0.0 | |||
| Active as of 2026-03-01 | Computable Name: AA01 | |||
| Other Identifiers: http://ltc-ig.fhir.tw/questionnaire-id#AA01 | ||||
AA01照顧計畫擬訂與服務連結問卷，用於個案管理師擬定個人化照顧計畫
Profile: 長期照顧－問卷
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  AA01 | AA01照顧計畫擬訂與服務連結問卷，用於個案管理師擬定個人化照顧計畫 | Questionnaire | http://ltc-ig.fhir.tw/Questionnaire/questionnaire-aa01-example#1.0.0 | |
  planTarget | 計畫目標 | 1..1 | group | |
   phoneContactDate | 電聯日期 | 1..1 | dateTime | |
| homeVisitDate | 家訪日期 | 1..1 | dateTime | |
| dischargeDate | 出院日期 | 0..1 | dateTime | |
 coVisitors | 偕同訪視者 | 0..* | string | |
| caseOverview | 個案概況 | 1..1 | group | |
 physicalMentalCondition | 身心概況 | 1..1 | text | |
| economicIncome | 經濟收入 | 1..1 | text | |
| livingEnvironment | 居住環境 | 1..1 | text | |
| socialSupport | 社會支持 | 1..1 | text | |
| other | 其他 | 0..1 | text | |
 reassessmentValue | 複評評值 | 1..1 | text | |
| careGoals | 照顧目標 | 1..1 | text | |
| discrepancyExplanation | 與照專建議服務項目、問題清單不一致原因說明及未來規劃、後續追蹤計劃等 | 0..1 | text | |
| executionPlan | 計畫執行規劃 | 1..1 | group | |
| approvedServices | 長照服務核定項目、頻率 | 1..1 | group | |
| bCodeServices | B碼(輪派/指定○○○單位) | 0..* | text | |
| cCodeServices | C碼:(輪派/指定○○○單位) | 0..* | text | |
| dCodeServices | D碼 | 0..* | text | |
| eFCodeServices | E.F碼 | 0..* | text | |
| gCodeServices | G碼 | 0..* | text | |
| scCodeServices | SC碼 | 0..* | text | |
| mealServices | 營養餐飲服務: 1日核定○○餐(午/晚餐) | 0..1 | string | |
| emergencyServices | 緊急救援服務 | 0..* | text | |
| otherServices | 轉介其他服務資源 | 0..* | text | |
| otherNotes | 其他備註 | 0..1 | text | |
| Documentation for this format | ||||