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

## : 工具性日常活動功能問卷 - XML Representation

Active as of 2026-03-01

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    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="ltc-questionnaire-iadl"/>
      <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-iadl</b></p><a name="ltc-questionnaire-iadl"> </a><a name="hcltc-questionnaire-iadl"> </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"/> LTCQuestionnaireIADL</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-iadl#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.F1" 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"/> F1</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">使用電話</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">0..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.F1">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.F2" 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"/> F2</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">購物</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">0..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.F2">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.F3" 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"/> F3</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">備餐</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">0..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.F3">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.F4" 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"/> F4</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">處理家務</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">0..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.F4">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.F5" 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"/> F5</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">洗衣服</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">0..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.F5">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.F6" 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"/> F6</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">外出</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">0..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.F6">5 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.F7" 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"/> F7</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">服用藥物</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">0..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.F7">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_bck00.png)" id="item.F8" 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: white; background-color: inherit" title="coding" class="hierarchy"/> F8</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">處理財務的能力</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">0..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.F8">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.F1"> </a><p><b>Answer options for F1 </b></p><ul><li style="font-size: 11px">4</li><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F2"> </a><p><b>Answer options for F2 </b></p><ul><li style="font-size: 11px">4</li><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F3"> </a><p><b>Answer options for F3 </b></p><ul><li style="font-size: 11px">4</li><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F4"> </a><p><b>Answer options for F4 </b></p><ul><li style="font-size: 11px">4</li><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F5"> </a><p><b>Answer options for F5 </b></p><ul><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F6"> </a><p><b>Answer options for F6 </b></p><ul><li style="font-size: 11px">5</li><li style="font-size: 11px">4</li><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F7"> </a><p><b>Answer options for F7 </b></p><ul><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul><a name="opt-item.F8"> </a><p><b>Answer options for F8 </b></p><ul><li style="font-size: 11px">3</li><li style="font-size: 11px">2</li><li style="font-size: 11px">1</li></ul></div>
      </text>
      <url value="http://ltc-ig.fhir.tw/Questionnaire/ltc-questionnaire-iadl"/>
      <version value="1.0.0"/>
      <name value="LTCQuestionnaireIADL"/>
      <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="F1"/>
        <text value="使用電話"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能獨立使用電話，含查電話簿、撥號等"/>
          </extension>
          <valueInteger value="4"/>
          <initialSelected value="true"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="僅能撥熟悉的電話號碼"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="僅能接電話，但不能撥電話"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="完全不能使用電話"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F2"/>
        <text value="購物"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能獨立完成所有購物需求"/>
          </extension>
          <valueInteger value="4"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="只能獨立購買日常生活用品"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="每一次購物都需要有人陪"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="完全不能獨自購物"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F3"/>
        <text value="備餐"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能獨立計畫、準備食材及佐料、烹煮和擺設一頓飯菜"/>
          </extension>
          <valueInteger value="4"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="如果準備好一切食材及佐料，能做一頓飯菜"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能將已做好的飯菜加熱"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="需要別人把飯菜煮好、擺好"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F4"/>
        <text value="處理家務"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能單獨處理家事，或偶爾需要協助較繁重的家事"/>
          </extension>
          <valueInteger value="4"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能做較簡單的家事，如洗碗、擦桌子"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能做較簡單的家事，但不能達到可接受的清潔程度"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="所有的家事都需要別人協助方能完成"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F5"/>
        <text value="洗衣服"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="自己清洗所有衣物"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="需部份協助"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="需完全協助"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F6"/>
        <text value="外出"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能夠自己開車、騎車或自己搭乘大眾運輸工具"/>
          </extension>
          <valueInteger value="5"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能夠自己搭乘計程車，但不能搭乘大眾運輸工具"/>
          </extension>
          <valueInteger value="4"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="當有人陪同時，可搭乘大眾運輸工具"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="只能在有人協助或陪同時，可搭乘計程車或自用車"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="完全不能出門"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F7"/>
        <text value="服用藥物"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="能自己負責在正確的時間用正確的藥物"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="如果事先準備好服用的藥物份量，可自行服用"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="完全不能自己服用藥物"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
      <item>
        <linkId value="F8"/>
        <text value="處理財務的能力"/>
        <type value="choice"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="可以獨立處理財務"/>
          </extension>
          <valueInteger value="3"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="可以處理日常的購買，但需別人協助與銀行往來或大宗買賣"/>
          </extension>
          <valueInteger value="2"/>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/rendering-style">
            <valueString value="完全不能處理錢財"/>
          </extension>
          <valueInteger value="1"/>
        </answerOption>
      </item>
    </Questionnaire>