復健訓練量表實作指引 (Rehabilitation Training Scale Implementation Guide), published by Kimsber. This guide is not an authorized publication; it is the continuous build for version 0.2.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Rehabotics-Medical-Techology-Co/RTS-IG/ and changes regularly. See the Directory of published versions
Profile: Bundle-評估資料回傳
Bundle ReponseBundleExample of type transaction
Entry 1 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/Patient/stroke-patient-001
Resource Patient:
Profile: 根據醫院實際病人範例進行資料定義
先生 張 (official) Male, DoB: 1965-03-15 ( National Person Identifier where the xxx is the ISO table 3166 3-character (alphabetic) country code: TaiwanNationalIdNamingSystem#A123456789)
Active: true Contact Detail 永綏街 臺北市 null 臺灣(TW)
Request:
PUT Patient/stroke-patient-001
Entry 2 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/Condition/ConditionExample01
Resource Condition:
臨床觀察
個案在案父母陪同下,可進入治療室接受指令完成評估 ()。評估過程較沒自信,每個動作揭已眼神向父母或治療師確認自己是否答對,全身肌肉低張力影響握筆姿勢、運筆及精細操作穩定度。
個案父母表示家中上有兩個哥哥,在家和案兄互動沒有困難,案母為中國籍,之前曾帶個案回中國就讀幼兒園約3個月,而後返回臺灣就讀中班,在學校中較我行我素少和同儕互動,學東西較慢,由老師建議就診早療。
Request:
PUT Condition/ConditionExample01
Entry 3 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/Organization/OrganizationExample
Resource Organization:
醫療機構
機構名稱: "台灣健康醫院"
機構代碼: "XYZ54321"
聯絡電話: "02-22765566"
Request:
PUT Organization/OrganizationExample
Entry 4 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/Practitioner/ot-therapist-001
Resource Practitioner:
醫療提供者
姓名: "李小姐"
專科: "職能治療師"
執照編號: "ABC12345"
Request:
PUT Practitioner/ot-therapist-001
Entry 5 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/PractitionerRole/PractitionerRoleExample
Resource PractitionerRole:
Profile: PractitionerRole
小姐 李 (official) (https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/sid/example-practitioner-id#ExamplePractitionerIdNamingSystem#ABC12345): Primary Care Provider at 台灣健康醫院 (https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/sid/example-organization-id#ExampleOrganizationIdNamingSystem#XYZ54321)
Active: true Practitioner: 小姐 李 (official) (https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/sid/example-practitioner-id#ExamplePractitionerIdNamingSystem#ABC12345) Organization: 台灣健康醫院 (https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/sid/example-organization-id#ExampleOrganizationIdNamingSystem#XYZ54321) Role: Primary Care Provider Specialty: 不分科
Request:
PUT PractitionerRole/PractitionerRoleExample
Entry 6 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/FMAUEMotorQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: FMAUE動作評估問卷回覆
LinkID Text Definition Answer FMAUEMotorQuestionnaireResponseExample
Questionnaire:Fugl-Meyer上肢動作評估問卷 assessment-phase-fmaue-motion
請選擇評估階段 初評 assessment-side-fmaue-motion
請選擇評估側 SNOMED CT: 7771000 (Left) A-shoulder-elbow-forearm
A.肩部/肘部/前臂 A-I-FMAUEMotion
I.反射反應 A-I-a-flexors
二頭肌或手指屈肌 2 A-I-a-extensors
三頭肌 0 A-II-a-FMAUEMotion
II.a.屈肌協同動作 A-II-a-shoulder-retraction
肩部回縮 2 A-II-a-shoulder-elevation
肩部抬高 1 A-II-a-shoulder-abduction
肩外展 2 A-II-a-shoulder-outwards-rotation
肩膀外旋 1 A-II-a-elbow-flexion
手肘屈曲 2 A-II-a-forearm-supination
前臂旋後 1 A-II-b-FMAUEMotion
II.b.伸肌協同動作 A-II-b-shoulder-add-inward-rotation
肩部內旋/外旋 1 A-II-b-elbow-extension
手肘伸展 0 A-II-b-forearm-pronation
前臂旋前 1 A-III-FMAUEMotion
III.部份協同動作(不可代償) A-III-hand-to-lumbar-spine
手到腰椎 1 A-III-shoulder-flexion-0-90
肩部屈曲0° - 90° 2 A-III-elbow-pro-supination
手肘 90° 前傾/旋後 1 A-IV-FMAUEMotion
IV.自主運動 A-IV-shoulder-abduction-0-90
肩外展 0° - 90° 1 A-IV-shoulder-flexion-90-180
肩部屈曲90°-180° 0 A-IV-elbow-0-pronation-supination
手肘 0° 前傾/旋後 0 A-V-FMAUEMotion
V.反射強度 A-V-normal-reflex-activity
正常反射活動(屈肌/伸肌) 0 B-wrist-hand
B.手腕/手部 B-I-FMAUEMotion
I.手腕穩定度 B-I-elbow-90-wrist-stability
手肘 90° 腕部穩定性 1 B-I-elbow-90-wrist-flex-extension
手肘 90° 腕關節屈曲/伸展 0 B-I-elbow-0-wrist-stability
手肘 0° 腕部穩定性 0 B-I-elbow-0-wrist-flex-extension
手肘 0° 腕部屈曲/伸展 0 B-I-wrist-circumduction
腕部旋轉 1 B-II-FMAUEMotion
II.手指伸屈 B-II-fingers-mass-flexion
手指屈曲 1 B-II-fingers-mass-extension
手指伸展 1 B-III-FMAUEMotion
III.抓握功能 B-III-grasp-a
a. MP 關節伸展,PIP 和 DIP 彎曲;測試抓握力是否抵抗阻力 0 B-III-grasp-b
b. 指導患者將拇指內收,其他關節在 0° 位置 1 B-III-grasp-c
c. 食指拇指肚對著,中間插一支鉛筆 0 B-III-grasp-d
d. 患者用食指和中指的掌側表面互相抵住,抓住一個圓柱形物體(小罐子)。 0 B-III-grasp-e
e. 球形抓握;病人抓住一個網球 0 C-coordination-speed
C.協調性/速度 C-I-FMAUEMotion
I.協調性/速度 C-I-finger-to-nose-tremor
手指觸碰鼻子:顫抖 1 C-I-finger-to-nose-dysmetria
手指觸鼻:辨距不良 1 C-I-finger-to-nose-time
手指到鼻子:時間 1 D-total-score-FMAUEMotion
D.FMAUE動作總分 26 Documentation for this format
Request:
PUT QuestionnaireResponse/FMAUEMotorQuestionnaireResponseExample
Entry 7 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/FMAUESensoryQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: FMAUE感覺評估問卷回覆
LinkID Text Definition Answer FMAUESensoryQuestionnaireResponseExample
Questionnaire:Fugl-Meyer上肢感覺評估問卷 assessment-phase-fmaue-sensory
請選擇評估階段 期中 assessment-side-fmaue-sensory
請選擇評估側 SNOMED CT: 7771000 (Left) A-light-touch
A.輕觸覺檢測 A-I-upper-arm
2 A-I-forearm
前臂輕觸覺 2 A-I-hand
手部輕觸覺 1 B-temperature
B.溫度覺檢測 B-I-upper-arm
上臂溫度覺 2 B-I-forearm
前臂溫度覺 2 B-I-hand
手部溫度覺 1 C-tactile-localization
C.觸覺定位檢測 C-I-upper-arm
上臂觸覺定位 2 C-I-forearm
前臂觸覺定位 1 C-I-hand
手部觸覺定位 1 D-position-sense
D.位置覺檢測 D-I-shoulder
肩關節位置覺 2 D-I-elbow
肘關節位置覺 2 D-I-wrist
腕關節位置覺 1 D-I-thumb
拇指位置覺 1 E-total-score-FMAUESensory
E.FMAUE感覺總分 18 Documentation for this format
Request:
PUT QuestionnaireResponse/FMAUESensoryQuestionnaireResponseExample
Entry 8 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/arat-response-example-001
Resource QuestionnaireResponse:
Profile: ARAT上肢功能評估問卷回覆
LinkID Text Definition Answer arat-response-example-001
Questionnaire:ARAT上肢功能評評估問卷 assessment-side-arat
請選擇評估側 SNOMED CT: 24028007 (Right) assessment-side-affected-arat
評估側是否為患側 true A-grasp-subscale
A.抓力分量表 A-I-block-10cm3
3 A-I-block-2.5cm3
方塊積木, 2.5 立方公分 2 A-I-block-5cm3
方塊積木, 5 立方公分 3 A-I-block-7.5cm3
方塊積木, 7.5 立方公分 2 A-I-cricket-ball
板球 1 A-I-sharpening-stone
磨刀石 1 A-grasp-subscale-subscore
A.抓力分數 12 B-grip-subscale
B.握力分量表 B-I-pour-water-from-one-glass-to-another
將水從一個杯子倒到另一個杯子 2 B-I-displace-2.25-cm-alloy-tube-from-one-side-oftable-to-the-other
將 2.25 公分合金管從桌子的一側移到另一側 3 B-I-displace-1-cm-alloy-tube-from-one-side-of-table-to-the-other
將 1 公分合金管從桌子的一側移到另一側 2 B-I-put-washer-over-bolt
將墊圈放在螺栓上 1 B-grip-subscale-subscore
B.握力分數 8 C-pinch-subscale
C.捏取分量表 C-I-ball-bearing-held-between-ring-finger-and-thumb
滾珠軸承,握在無名指與大拇指之間 1 C-I-marble-held-between-index-finger-and-thumb
大理石,握在食指與大拇指之間 2 C-I-ball-bearing-held-between-middle-finger-and-thumb
滾珠軸承,握在中指與拇指之間 2 C-I-ball-bearing-held-between-index-finger-and-thumb
滾珠軸承,握在食指與拇指之間 3 C-I-marble-held-between-ring-finger-and-thumb
大理石,握在無名指和大拇指之間 1 C-I-marble-held-between-middle-finger-and-thumb
大理石,握在中指與大拇指之間 2 C-pinch-subscale-subscore
C.捏取分數 11 D-gross-movement-subscale
D.粗大動作分量表 D-I-hand-to-behind-the-head
手放在腦後 2 D-I-hand-to-top-of-head
手放在頭頂 3 D-I-hand-to-mouth
手到嘴 3 D-gross-movement-subscale-subscore
D.粗大動作分數 8 E-total-score-ARAT
E.ARAT總分計算 39 Documentation for this format
Request:
PUT QuestionnaireResponse/arat-response-example-001
Entry 9 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/WMFTQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: WMFT上肢功能評估問卷回覆
LinkID Text Definition Answer WMFTQuestionnaireResponseExample
Questionnaire:WMFT上肢功能評評估問卷 assessment-side-wmft
請選擇評估側 SNOMED CT: 24028007 (Right) A-timed-joint-segment-movements
A-I-forearm-to-table-side
4 A-I-forearm-to-box-side
3 A-I-extended-elbow-side
4 A-I-extended-elbow-to-the-side-with-1lb-weight
2 A-I-hand-to-table-front
5 A-I-hand-to-box-front
5 A-timed-joint-segment-movements-subscore
21 B-timed-integrative-functional-movements
B-I-reach-and-retrieve-front
3 B-I-lift-can-front
2 B-I-lift-pencil-front
2 B-I-pick-up-paper-clip-front
1 B-I-stack-checkers-front
2 B-I-flip-3-cards-front
2 B-I-turning-the-key-in-lock-front
1 B-I-fold-towel-front
3 B-I-lift-basket-standing
4 B-timed-integrative-functional-movements-subscore
21 C-total-score-WMFT
39 Documentation for this format
Request:
PUT QuestionnaireResponse/WMFTQuestionnaireResponseExample
Entry 10 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/IDALQuestionnaireResponseInstance
Resource QuestionnaireResponse:
Profile: IADL評估問卷回覆
LinkID Text Definition Answer IDALQuestionnaireResponseInstance
Questionnaire:IDAL評估問卷 A-telephone
A.使用電話 3 B-shopping
B.購物 3 C-food-preparation
C.備餐 3 D-housekeeping
D.處理家務 4 E-laundry
E.洗衣服 3 F-transportation
F.外出 4 G-medications
G.服用藥物 3 H-finances
H.處理財務的能力 3 I-total-score-IADL
I.IADL總分計算 26 Documentation for this format
Request:
PUT QuestionnaireResponse/IDALQuestionnaireResponseInstance
Entry 11 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/MASQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: MAS 量表問卷回覆
LinkID Text Definition Answer MASQuestionnaireResponseExample
Questionnaire:修正式艾許瓦式量表(MAS) assessment-side-mas
患側手 SNOMED CT: 24028007 (Right) mas
修正式艾許瓦式量表(MAS) mas-shoulder-f
肩-F MAS分數代碼系統: 1 (輕微增加肌張力,當受測的肢體在彎曲或伸展時,在活動範圍的最末段會呈現如卡住般 (catch)些微的張力) mas-shoulder-ab
肩-AB MAS分數代碼系統: 1+ (輕微增加肌張力,當受測的肢體在彎曲或伸展時,會先呈現如卡住般些微的張力,並接 續著輕微的張力直到活動範圍結束,出現張力的比例小於50%的活動範圍) mas-shoulder-er
肩-ER MAS分數代碼系統: 2 (大部分的活動範圍都呈現張力,但受影響的肢體是可以輕易活動的) mas-shoulder-ir
肩-IR MAS分數代碼系統: 2 (大部分的活動範圍都呈現張力,但受影響的肢體是可以輕易活動的) mas-elbow-f
肘-F MAS分數代碼系統: 3 (大部分的活動範圍都呈現大幅增加的張力,受影響的肢體的被動活動是困難的) mas-elbow-e
肘-E MAS分數代碼系統: 2 (大部分的活動範圍都呈現張力,但受影響的肢體是可以輕易活動的) mas-elbow-p
肘-P MAS分數代碼系統: 1+ (輕微增加肌張力,當受測的肢體在彎曲或伸展時,會先呈現如卡住般些微的張力,並接 續著輕微的張力直到活動範圍結束,出現張力的比例小於50%的活動範圍) mas-elbow-s
肘-S MAS分數代碼系統: 1 (輕微增加肌張力,當受測的肢體在彎曲或伸展時,在活動範圍的最末段會呈現如卡住般 (catch)些微的張力) mas-finger-f
指-F MAS分數代碼系統: 3 (大部分的活動範圍都呈現大幅增加的張力,受影響的肢體的被動活動是困難的) mas-finger-e
指-E MAS分數代碼系統: 2 (大部分的活動範圍都呈現張力,但受影響的肢體是可以輕易活動的) Documentation for this format
Request:
PUT QuestionnaireResponse/MASQuestionnaireResponseExample
Entry 12 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/MRCQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: MRCQuestionnaireResponse
LinkID Text Definition Answer MRCQuestionnaireResponseExample
Questionnaire:MRC 評估量表 abduction-arm
0 flexion-forearm
2 extension-wrist
4 mrc-total-score
MRC總分 6 Documentation for this format
Request:
PUT QuestionnaireResponse/MRCQuestionnaireResponseExample
Entry 13 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/MMSEQuestionnaireResponseExample
Resource QuestionnaireResponse:
Profile: MMSE QuestionnaireResponse (scored)
LinkID Text Definition Answer MMSEQuestionnaireResponseExample
Questionnaire:MMSE評估量表 section-a-time
a-1-year-score
0 a-2-month-score
1 a-3-date-score
1 a-4-week-score
0 a-5-season-score
1 section-b-place
b-1-city-score
0 b-2-loc-score
1 b-3-hos-score
1 b-4-floor-score
0 b-5-number-score
1 section-c-memory
c-item-score
3 section-d-language
d-cal-score
4 section-e-oral
e-1-rep-score
2 e-2-stuff-score
2 e-3-phrase-score
1 e-4-fold-score
2 e-5-sen-score
0 section-f-build
f-1-paper-score
1 f-2-draw-score
0 total-score-mmse
21 Documentation for this format
Request:
PUT QuestionnaireResponse/MMSEQuestionnaireResponseExample
Entry 14 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/BarthelIndexExample
Resource QuestionnaireResponse:
Profile: 巴氏量表問卷回覆
LinkID Text Definition Answer BarthelIndexExample
Questionnaire:巴氏量表 A-feeding
進食 (Feeding) LOINC: LA31630-9 (Needs help cutting, spreading butter, etc., or requires modified diet) B-grooming
個人衛生 (Grooming) LOINC: LA31643-2 (Needs help with personal care) C-toiletUse
上廁所 (Toilet Use) LOINC: LA31631-7 (Needs some help, but can do something alone) D-bathing
洗澡 (Bathing) LOINC: LA12304-4 (Dependent) E-dressing
穿脫衣服 (Dressing) LOINC: LA31637-4 (Needs help but can do about half unaided) F-bowels
大便控制 (Bowels) LOINC: LA31627-5 (Incontinent (or needs to be given enemas)) G-bladder
小便控制 (Bladder) LOINC: LA31626-7 (Occasional accident) H-mobility
平地行走 (Mobility) LOINC: LA31640-8 (Wheelchair independent, including corners, >50 yards) I-stairs
上下樓梯 (Stairs) LOINC: LA31629-1 (Needs help (verbal, physical, carrying aid)) J-transfer
移位(Transfer) LOINC: LA12302-8 (Independent) K-total-score-Barthel
巴氏量表總分 100 Documentation for this format
Request:
PUT QuestionnaireResponse/BarthelIndexExample
Entry 15 - fullUrl = https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/QuestionnaireResponse/BBTExample
Resource QuestionnaireResponse:
Profile: BBTQR
LinkID Text Definition Answer BBTExample
Questionnaire:BBT評估量表 left-hand
31 right-hand
63 Documentation for this format
Request:
PUT QuestionnaireResponse/BBTExample