Generated Narrative: StructureDefinition LTCQuestionnaireResponseCMSSpecialCare Name Flags Card. Type Description & Constraints QuestionnaireResponse LTCQuestionnaireResponse #xD; Slices for item 19..30 BackboneElement 特殊複雜照護需要 Slice: Unordered, Open by value:linkId #xD; item:item-G1 S 1..1 BackboneElement G1. 疼痛狀況 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G1 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 疼痛狀況 #xD; answer 1..1 BackboneElement 疼痛狀況的回覆 #xD; value[x] 1..1 string 疼痛狀況的回覆。[應填入以下字串之一：個案本人回答 | 由主要照顧者代答] #xD; item:item-G1a S 1..1 BackboneElement G1a. 過去 1 個月中，個案身體疼痛的程度？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G1a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 過去 1 個月中，個案身體疼痛的程度？ #xD; answer 1..1 BackboneElement 疼痛程度 #xD; value[x] 1..1 string 疼痛程度。[應填入以下字串之一：完全無疼痛 | 輕微的疼痛 | 中度疼痛 | 較嚴重的疼痛（尚可忍受的程度） | 非常嚴重的疼痛（無法忍受的程度） | 有疼痛狀況，無法判斷疼痛程度 | 不知道或無法判斷] #xD; item:item-G1b S 0..1 BackboneElement G1b. 疼痛的頻率為： #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G1b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 疼痛的頻率為： #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 疼痛的頻率。[應填入以下字串之一：一個月數次 | 一週數次 | 每天疼痛 | 不知道或無法判斷] #xD; item:item-G2a S 1..1 BackboneElement G2a. 請問個案現在的皮膚狀況？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問個案現在的皮膚狀況？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 皮膚狀況。[應填入以下字串之一：正常 | 異常] #xD; item:item-G2b S 0..1 BackboneElement G2b. 皮膚暴露於潮溼環境的程度 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 皮膚暴露於潮溼環境的程度 #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 皮膚暴露於潮溼環境的程度。[應填入以下字串之一：皮膚總是潮溼或整天包尿布 | 皮膚常常潮溼或半天包尿布 | 皮膚偶而潮溼或需要時才包尿布 | 乾燥、乾淨] #xD; item:item-G2c S 1..1 BackboneElement G2c. 請問皮膚異常的狀況為何？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2c #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問皮膚異常的狀況為何？ #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 皮膚異常的狀況。[應填入以下字串之一：乾燥有皮屑 | 瘀青 | 丘疹 | 傷口 | 疥瘡] #xD; item:item-G2d S 0..1 BackboneElement G2d. 傷口情形 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2d #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 傷口情形 #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 傷口情形。[應填入以下字串之一：擦傷、割傷 | 壓傷 | 燒燙傷 | 術後傷口 | 延遲癒合之手術傷口 | 糖尿病足潰瘍 | 血管性潰瘍（動脈或靜脈；含足部以外的糖尿病潰瘍） | 其他] #xD; item:item-G2d1 S 0..1 BackboneElement G2d1. 壓傷等級 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2d1 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 壓傷等級 #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 壓傷等級。[應填入以下字串之一：第一級 | 第二級 | 第三級 | 第四級 | 無法分級 | 深層組織損傷] #xD; item:item-G2d2 S 0..1 BackboneElement G2d2. 何者有壓傷或傷口 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G2d2 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 何者有壓傷或傷口 #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 何者有壓傷或傷口。[應填入以下字串之一：右髖部皮膚不完整 | 左髖部皮膚不完整 | 背/臀部皮膚不完整 | 其他 | 其他接觸面皮膚不完整] #xD; item:item-G3a S 1..1 BackboneElement G3a. 請問個案是否會因關節僵硬受限制，以致影響日常生活功能或造成照顧困難？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G3a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問個案是否會因關節僵硬受限制，以致影響日常生活功能或造成照顧困難？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 關節僵硬受限制的影響。[應填入以下字串之一：是，有影響日常生活功能 | 否，沒有影響日常生活功能 | 無法評估] #xD; item:item-G3b S 0..1 BackboneElement G3b. 受限制的位置 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G3b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 受限制的位置 #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 受限制的位置。[應填入以下字串之一：肩關節 | 肘關節 | 腕指關節 | 髖關節 | 膝關節 | 踝關節 | 頸關節 | 全身關節] #xD; item:item-G4a S 1..1 BackboneElement G4a. 個案過去 3 個月體重是否減輕？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案過去 3 個月體重是否減輕？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案過去 3 個月體重是否減輕？[應填入以下字串之一：非計畫性體重減輕超過 3 公斤 | 非計畫性體重減輕 1～3 公斤 | 體重無變化 | 不知道 | 其他] #xD; item:item-G4b S 1..1 BackboneElement G4b. 個案身體質量指數（BMI） #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案身體質量指數（BMI） #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 請依照顧管理評估量表 G4b.個案身體質量指數（BMI）之欄位填答。 #xD; item:item-G4c S 1..1 BackboneElement G4c. 個案一般的飲食狀況，以週為單位 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4c #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案一般的飲食狀況，以週為單位 #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案一般的飲食狀況，以週為單位。[應填入以下字串之一：未吃完，每餐進食量不超過整餐的 1/3，或除正餐外沒有補充任何點心，或被禁食（或採清流質或靜脈輸液超過 5 天），或灌食自製管灌飲食小於 1600c.c./日，或攝取的管灌飲食小於 800 大卡/日 | 未吃完，每餐進食量不超過整餐的 1/2，或偶爾吃點心，或灌食自製管灌飲食小於 2000c.c./日，或攝取的管灌飲食小於 1000 大卡/日 | 未吃完，每餐進食量超過整餐的 1/2，或有時拒絕用餐但會吃點心，或灌食自製管灌飲食小於 2400c.c./日，或攝取的管灌飲食小於 1200 大卡/日 | 每餐吃完，從不拒絕用餐，或不需任何補充食物，或灌食自製管灌飲食大於 2400c.c./日，或採用管灌飲食（或靜脈營養）大於 1200 大卡/日] #xD; item:item-G4d1 S 1..1 BackboneElement G4d1. 過去一年中體重減少了 5% 以上？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4d1 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 過去一年中體重減少了 5% 以上？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 過去一年中體重減少了 5% 以上？[應填入以下字串之一：是 | 否 | 其他：（請說明）] #xD; item:item-G4d2 S 1..1 BackboneElement G4d2. 可以在不用手支撐的狀況下，從椅子上站起來 5 次？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4d2 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 可以在不用手支撐的狀況下，從椅子上站起來 5 次？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 可以在不用手支撐的狀況下，從椅子上站起來 5 次？[應填入以下字串之一：是 | 否 | 其他：（請說明）] #xD; item:item-G4d3 S 1..1 BackboneElement G4d3. 經常有提不起勁來做事的感覺？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4d3 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 經常有提不起勁來做事的感覺？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 經常有提不起勁來做事的感覺？[應填入以下字串之一：是 | 否 | 其他：（請說明）] #xD; item:item-G4e S 0..1 BackboneElement G4e. 請問個案是否有經醫師診斷，且目前（6 個月內）仍存在的疾病 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4e #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問個案是否有經醫師診斷，且目前（6 個月內）仍存在的疾病 #xD; answer 1..* BackboneElement 問題或量表項目的回覆 Example Value: 否 | 是，高血壓，目前正在治療、目前使用藥物 #xD; value[x] 1..1 string 回覆的內容。[應填入回覆的內容] #xD; item:item-G4f S 1..1 BackboneElement G4f. 個案尋求必要醫療時，是否需要服務介入協助？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G4f #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案尋求必要醫療時，是否需要服務介入協助？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案尋求必要醫療時，是否需要服務介入協助？[應填入以下字串之一：不需要協助 | 需協助] #xD; item:item-G5a S 1..1 BackboneElement G5a. 個案目前是否接受進階照顧？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G5a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案目前是否接受進階照顧？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案目前是否接受進階照顧？[應填入以下字串之一：無 | 有] #xD; item:item-G5a1 S 0..1 BackboneElement G5a1. 進階照顧的內容 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G5a1 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 進階照顧的內容 #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 進階照顧的內容。[應填入以下字串之一：插入（更換）鼻胃管或胃造口管護理 | 管灌餵食 | 氣切護理（更換氣切造口管、氣切造廔口處理） | 呼吸器 | 抽痰(含蒸氣吸入) | 氧氣治療 | 血氧濃度測量 | 中心靜脈營養導管護理 | 靜脈注射、肌肉注射、皮內注射、皮下注射、點滴加藥 | 更換腎臟引流或膀胱引流管 | 更換膀胱造口管(含膀胱造口管護理) | 留置導尿管護理（含尿袋、小腿袋使用） | 一般導尿(單次導尿) | 糞嵌塞清除、大小量灌腸、留置性灌腸 | 腸道造口護理（含造口灌洗） | 引流管灌洗 | 傷口護理、換藥（不包括三、四級壓傷傷口處理） | 壓傷處理 | 疼痛處置 | 血液透析 | 腹膜透析] #xD; item:item-G6a S 0..1 BackboneElement G6a. 個案是否有任何關於吞嚥困難的情形或症狀？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G6a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案是否有任何關於吞嚥困難的情形或症狀？ #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案是否有任何關於吞嚥困難的情形或症狀？[應填入以下字串之一：無吞嚥困難 | 抱怨吞嚥困難或吞嚥時會疼痛 | 吃東西或喝水的時候出現咳嗽或嗆咳 | 用餐後嘴中仍含著食物或留有殘餘食物 | 當喝或吃流質或固質的食物時，食物會從嘴角邊流失 | 有流口水之情形 | 無法評估] #xD; item:item-G6b S 0..1 BackboneElement G6b. 個案有無接受過吞嚥訓練？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G6b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案有無接受過吞嚥訓練？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 boolean 個案有無接受過吞嚥訓練？ #xD; item:item-G7 S 1..1 BackboneElement G7. 個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G7 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？ #xD; answer 1..* BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？[應填入以下字串之一：未接受過教導 | 維持認知功能 | 行為管理技巧 | 日常生活安排 | 安全與保護] #xD; item:item-G8a S 1..1 BackboneElement G8a. 請問個案是否能維持坐姿的平衡？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8a #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問個案是否能維持坐姿的平衡？（在沒有靠背支撐的狀況下） #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 請問個案是否能維持坐姿的平衡？[應填入以下字串之一：正常，不靠扶持能坐著達一分鐘以上 | 較差，不靠扶持只能坐著十秒鐘至一分鐘 | 極差，不靠扶持只能坐著少於十秒鐘（包括完全無法坐）] #xD; item:item-G8b S 1..1 BackboneElement G8b. 請問個案是否能維持站立的平衡？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8b #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 請問個案是否能維持站立的平衡？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 請問個案是否能維持站立的平衡？[應填入以下字串之一：正常，不靠扶持能站立達一分鐘以上 | 較差，不靠扶持只能站立十秒鐘至一分鐘 | 極差，不靠扶持只能站立少於十秒鐘（包括完全無法站）] #xD; item:item-G8c S 1..1 BackboneElement G8c. 在過去 12 個月中，個案有沒有跌倒或摔倒過？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8c #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 在過去 12 個月中，個案有沒有跌倒或摔倒過？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 在過去 12 個月中，個案有沒有跌倒或摔倒過？[應填入以下字串之一：沒有跌倒或摔倒過【跳答 G8d】 | 跌倒或摔倒 1 次【續答 G8c1】 | 跌倒或摔倒 2 次以上（含 2 次）【續答 G8c1】] #xD; item:item-G8c1 S 0..1 BackboneElement G8c1. 現在移位或走路時是否異常 #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8c1 #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 現在移位或走路時是否異常（指是否有困難）例如：頭暈、不穩或不安全 #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 boolean 現在移位或走路時是否異常 #xD; item:item-G8d S 1..1 BackboneElement G8d. 你的日常活動是否因擔心跌倒而不做？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8d #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 你的日常活動是否因擔心跌倒而不做？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 你的日常活動是否因擔心跌倒而不做？[應填入以下字串之一：不會擔心 | 會擔心 | 不適用（坐輪椅者、臥床者）] #xD; item:item-G8e S 1..1 BackboneElement G8e. 個案對於危險的認知？ #xD; linkId 1..1 string 問題或量表項目的唯一識別碼。[應填入獨立的編號] Required Pattern: G8e #xD; text 1..1 string 問題或量表項目的內容描述。[應填入問題或量表項目的內容] Required Pattern: 個案對於危險的認知？ #xD; answer 1..1 BackboneElement 問題或量表項目的回覆 #xD; value[x] 1..1 string 個案對於危險的認知？[應填入以下字串之一：有能力：可以認識日常生活危險來源 | 大部分有能力：可以認識大部分於日常生活中的危險來源 | 小範圍有能力：對於常會碰到的危險（尤其是住家環境中會出現的危險），卻常不認為那是危險 | 無能力：完全不自知有危險] #xD; Documentation for this format
照顧管理評估量表－特殊複雜照護需要問卷回覆
此 Profile 說明本 IG 如何進一步定義 FHIR 的 QuestionnaireResponse Resource，以呈現照顧管理評估量表－特殊複雜照護需要問卷的回覆資料。
A structured set of questions and their answers
A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.
The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on. I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
A set of rules under which this content was created
A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
The base language in which the resource is written.
Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Text summary of the resource, for human interpretation
A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
A business identifier assigned to a particular completed (or partially completed) questionnaire.
Used for tracking, registration and other business purposes.
Request fulfilled by this QuestionnaireResponse
The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse. For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.
Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.
A procedure or observation that this questionnaire was performed as part of the execution of. For example, the surgery a checklist was executed as part of.
Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire. For relationships to referrals, and other types of requests, use basedOn.
這個問卷回覆所回答的問卷。[應填入問卷的 URL]
The Questionnaire that defines and organizes the questions for which answers are being provided.
If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).
Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.
./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]
問卷回覆的狀態。[應填入 in-progress / completed / amended / entered-in-error / stopped]
The position of the questionnaire response within its overall lifecycle.
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
The information on Questionnaire resources may possibly be gathered during multiple sessions and altered after considered being finished.
This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Lifecycle status of the questionnaire response.
.statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish "in-progress" from "published)
The subject of the questionnaire response. This could be a patient, organization, practitioner, device, etc. This is who/what the answers apply to, but is not necessarily the source of information.
If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.
Allows linking the answers to the individual the answers describe. May also affect access control.
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Type the reference refers to (e.g. "Patient")
The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Aa resource (or, for logical models, the URI of the logical model).
Logical reference, when literal reference is not known
An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Plain text narrative that identifies the resource in addition to the resource reference.
This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated.
This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.
Provides context for the information that was captured. May also affect access control.
.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
The date and/or time that this set of answers were last changed.
May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured. This element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.
Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.
Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.
Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation. Authoring by device would indicate that some portion of the questionnaire had been auto-populated.
Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.
問卷回覆的填寫者。[應輸入 Practitioner / RelatedPerson / Patient / PractitionerRole Resource ID]
誰提供了問卷回覆的資料，意即誰回答了這份問卷
The person who answered the questions about the subject.
If not specified, no inference can be made about who provided the data.
When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.
誰提供了問卷回覆的資料。[應輸入 Practitioner / RelatedPerson / Patient / PractitionerRole Resource ID]
A group or question item from the original questionnaire for which answers are provided.
Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).
Nested item can't be beneath both item and answer
(answer.exists() and item.exists()).not()
not(exists(f:answer) and exists(f:item))
.outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
問題或量表項目的唯一識別碼。[應填入獨立的編號]
The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.
Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.
.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id
ElementDefinition - details for the item
A reference to an [ElementDefinition](http://hl7.org/fhir/R4/elementdefinition.html) that provides the details for the item.
The ElementDefinition must be in a [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. There is no need for this element if the item pointed to by the linkId has a definition listed.
A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.
.outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code
問題或量表項目的內容描述。[應填入問題或量表項目的內容]
Text that is displayed above the contents of the group or as the text of the question being answered.
Allows the questionnaire response to be read without access to the questionnaire.
The respondent's answer(s) to the question.
The value is nested because we cannot have a repeating structure that has variable type.
The answer (or one of the answers) provided by the respondent to the question.
More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type. Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.
Ability to retain a single-valued answer to a question.
Code indicating the response provided for a question.
Nested groups and/or questions found within this particular answer.
It is useful to have "sub-questions", questions which normally appear when certain answers are given and which collect additional details.
問卷的問題或量表項目（用於巢狀問卷）
Questions or sub-groups nested beneath a question or group.
Reports can consist of complex nested groups.
疼痛狀況的回覆。[應填入以下字串之一：個案本人回答 | 由主要照顧者代答]
疼痛程度。[應填入以下字串之一：完全無疼痛 | 輕微的疼痛 | 中度疼痛 | 較嚴重的疼痛（尚可忍受的程度） | 非常嚴重的疼痛（無法忍受的程度） | 有疼痛狀況，無法判斷疼痛程度 | 不知道或無法判斷]
疼痛的頻率。[應填入以下字串之一：一個月數次 | 一週數次 | 每天疼痛 | 不知道或無法判斷]
皮膚狀況。[應填入以下字串之一：正常 | 異常]
皮膚暴露於潮溼環境的程度。[應填入以下字串之一：皮膚總是潮溼或整天包尿布 | 皮膚常常潮溼或半天包尿布 | 皮膚偶而潮溼或需要時才包尿布 | 乾燥、乾淨]
皮膚異常的狀況。[應填入以下字串之一：乾燥有皮屑 | 瘀青 | 丘疹 | 傷口 | 疥瘡]
傷口情形。[應填入以下字串之一：擦傷、割傷 | 壓傷 | 燒燙傷 | 術後傷口 | 延遲癒合之手術傷口 | 糖尿病足潰瘍 | 血管性潰瘍（動脈或靜脈；含足部以外的糖尿病潰瘍） | 其他]
壓傷等級。[應填入以下字串之一：第一級 | 第二級 | 第三級 | 第四級 | 無法分級 | 深層組織損傷]
何者有壓傷或傷口。[應填入以下字串之一：右髖部皮膚不完整 | 左髖部皮膚不完整 | 背/臀部皮膚不完整 | 其他 | 其他接觸面皮膚不完整]
G3a. 請問個案是否會因關節僵硬受限制，以致影響日常生活功能或造成照顧困難？
請問個案是否會因關節僵硬受限制，以致影響日常生活功能或造成照顧困難？
關節僵硬受限制的影響。[應填入以下字串之一：是，有影響日常生活功能 | 否，沒有影響日常生活功能 | 無法評估]
受限制的位置。[應填入以下字串之一：肩關節 | 肘關節 | 腕指關節 | 髖關節 | 膝關節 | 踝關節 | 頸關節 | 全身關節]
個案過去 3 個月體重是否減輕？[應填入以下字串之一：非計畫性體重減輕超過 3 公斤 | 非計畫性體重減輕 1～3 公斤 | 體重無變化 | 不知道 | 其他]
請依照顧管理評估量表 G4b.個案身體質量指數（BMI）之欄位填答。
個案一般的飲食狀況，以週為單位。[應填入以下字串之一：未吃完，每餐進食量不超過整餐的 1/3，或除正餐外沒有補充任何點心，或被禁食（或採清流質或靜脈輸液超過 5 天），或灌食自製管灌飲食小於 1600c.c./日，或攝取的管灌飲食小於 800 大卡/日 | 未吃完，每餐進食量不超過整餐的 1/2，或偶爾吃點心，或灌食自製管灌飲食小於 2000c.c./日，或攝取的管灌飲食小於 1000 大卡/日 | 未吃完，每餐進食量超過整餐的 1/2，或有時拒絕用餐但會吃點心，或灌食自製管灌飲食小於 2400c.c./日，或攝取的管灌飲食小於 1200 大卡/日 | 每餐吃完，從不拒絕用餐，或不需任何補充食物，或灌食自製管灌飲食大於 2400c.c./日，或採用管灌飲食（或靜脈營養）大於 1200 大卡/日]
過去一年中體重減少了 5% 以上？[應填入以下字串之一：是 | 否 | 其他：（請說明）]
G4d2. 可以在不用手支撐的狀況下，從椅子上站起來 5 次？
可以在不用手支撐的狀況下，從椅子上站起來 5 次？
可以在不用手支撐的狀況下，從椅子上站起來 5 次？[應填入以下字串之一：是 | 否 | 其他：（請說明）]
經常有提不起勁來做事的感覺？[應填入以下字串之一：是 | 否 | 其他：（請說明）]
G4e. 請問個案是否有經醫師診斷，且目前（6 個月內）仍存在的疾病
請問個案是否有經醫師診斷，且目前（6 個月內）仍存在的疾病
否 | 是，高血壓，目前正在治療、目前使用藥物
G4f. 個案尋求必要醫療時，是否需要服務介入協助？
個案尋求必要醫療時，是否需要服務介入協助？
個案尋求必要醫療時，是否需要服務介入協助？[應填入以下字串之一：不需要協助 | 需協助]
個案目前是否接受進階照顧？[應填入以下字串之一：無 | 有]
進階照顧的內容。[應填入以下字串之一：插入（更換）鼻胃管或胃造口管護理 | 管灌餵食 | 氣切護理（更換氣切造口管、氣切造廔口處理） | 呼吸器 | 抽痰(含蒸氣吸入) | 氧氣治療 | 血氧濃度測量 | 中心靜脈營養導管護理 | 靜脈注射、肌肉注射、皮內注射、皮下注射、點滴加藥 | 更換腎臟引流或膀胱引流管 | 更換膀胱造口管(含膀胱造口管護理) | 留置導尿管護理（含尿袋、小腿袋使用） | 一般導尿(單次導尿) | 糞嵌塞清除、大小量灌腸、留置性灌腸 | 腸道造口護理（含造口灌洗） | 引流管灌洗 | 傷口護理、換藥（不包括三、四級壓傷傷口處理） | 壓傷處理 | 疼痛處置 | 血液透析 | 腹膜透析]
G6a. 個案是否有任何關於吞嚥困難的情形或症狀？
個案是否有任何關於吞嚥困難的情形或症狀？
個案是否有任何關於吞嚥困難的情形或症狀？[應填入以下字串之一：無吞嚥困難 | 抱怨吞嚥困難或吞嚥時會疼痛 | 吃東西或喝水的時候出現咳嗽或嗆咳 | 用餐後嘴中仍含著食物或留有殘餘食物 | 當喝或吃流質或固質的食物時，食物會從嘴角邊流失 | 有流口水之情形 | 無法評估]
G7. 個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？
個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？
個案被診斷為失智症後，照顧者是否有接受護理人員或其他專業人員提供下列的教導？[應填入以下字串之一：未接受過教導 | 維持認知功能 | 行為管理技巧 | 日常生活安排 | 安全與保護]
請問個案是否能維持坐姿的平衡？（在沒有靠背支撐的狀況下）
請問個案是否能維持坐姿的平衡？[應填入以下字串之一：正常，不靠扶持能坐著達一分鐘以上 | 較差，不靠扶持只能坐著十秒鐘至一分鐘 | 極差，不靠扶持只能坐著少於十秒鐘（包括完全無法坐）]
請問個案是否能維持站立的平衡？[應填入以下字串之一：正常，不靠扶持能站立達一分鐘以上 | 較差，不靠扶持只能站立十秒鐘至一分鐘 | 極差，不靠扶持只能站立少於十秒鐘（包括完全無法站）]
G8c. 在過去 12 個月中，個案有沒有跌倒或摔倒過？
在過去 12 個月中，個案有沒有跌倒或摔倒過？
在過去 12 個月中，個案有沒有跌倒或摔倒過？[應填入以下字串之一：沒有跌倒或摔倒過【跳答 G8d】 | 跌倒或摔倒 1 次【續答 G8c1】 | 跌倒或摔倒 2 次以上（含 2 次）【續答 G8c1】]
現在移位或走路時是否異常（指是否有困難）例如：頭暈、不穩或不安全
G8d. 你的日常活動是否因擔心跌倒而不做？
你的日常活動是否因擔心跌倒而不做？
你的日常活動是否因擔心跌倒而不做？[應填入以下字串之一：不會擔心 | 會擔心 | 不適用（坐輪椅者、臥床者）]
個案對於危險的認知？[應填入以下字串之一：有能力：可以認識日常生活危險來源 | 大部分有能力：可以認識大部分於日常生活中的危險來源 | 小範圍有能力：對於常會碰到的危險（尤其是住家環境中會出現的危險），卻常不認為那是危險 | 無能力：完全不自知有危險]