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

## : 日常生活能力評估問卷範例 - XML Representation

Active as of 2026-03-01

Raw xml | Download

    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="ltc-questionnaire-adl-assessment-example"/>
      <meta>
        <profile
                 value="http://ltc-ig.fhir.tw/StructureDefinition/LTCQuestionnaire"/>
      </meta>
      <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 &amp; 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, " 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, " 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>