<?xml version="1.0" encoding="UTF-8"?>

<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="adl-questionnaire-response-min"/>
  <meta>
    <profile value="https://sfaa.gov.tw/base/StructureDefinition/QuestionnaireResponse-twss-base"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><h3><b>日常生活功能（ADL）評估回覆</b></h3><p><b>個案</b>：<a href="Patient-pat-min.html">Patient/pat-min</a> &quot;王小明&quot;</p><p><b>依據通報</b>：<a href="ServiceRequest-case-report-min.html">ServiceRequest/case-report-min</a></p><p><b>評估接觸</b>：<a href="Encounter-assessment-service-min.html">Encounter/assessment-service-min</a></p><p><b>生活自理</b>：2級（中度問題）</p><p><b>肢體行動</b>：1級（輕度問題）</p><p><b>四處走動</b>：2級（中度問題）</p><p><b>居家活動</b>：3級（重度問題）</p></div>
  </text>
  <basedOn>
    <reference value="ServiceRequest/case-report-min"/>
  </basedOn>
  <questionnaire value="https://sfaa.gov.tw/base/Questionnaire/twss-adl-assessment"/>
  <status value="completed"/>
  <subject>
    <reference value="Patient/pat-min"/>
  </subject>
  <encounter>
    <reference value="Encounter/assessment-service-min"/>
  </encounter>
  <authored value="2026-08-08T09:00:00+08:00"/>
  <author>
    <reference value="Practitioner/prac-min"/>
  </author>
  <item>
    <linkId value="9"/>
    <text value="日常生活功能（ADL）"/>
    <item>
      <linkId value="9.1"/>
      <text value="生活自理"/>
      <answer>
        <valueCoding>
          <system value="https://sfaa.gov.tw/base/CodeSystem/twss-adl-level"/>
          <code value="C"/>
          <display value="2級（中度問題）"/>
        </valueCoding>
      </answer>
    </item>
    <item>
      <linkId value="9.2"/>
      <text value="肢體行動"/>
      <answer>
        <valueCoding>
          <system value="https://sfaa.gov.tw/base/CodeSystem/twss-adl-level"/>
          <code value="B"/>
          <display value="1級（輕度問題）"/>
        </valueCoding>
      </answer>
    </item>
    <item>
      <linkId value="9.3"/>
      <text value="四處走動"/>
      <answer>
        <valueCoding>
          <system value="https://sfaa.gov.tw/base/CodeSystem/twss-adl-level"/>
          <code value="C"/>
          <display value="2級（中度問題）"/>
        </valueCoding>
      </answer>
    </item>
    <item>
      <linkId value="9.4"/>
      <text value="居家活動"/>
      <answer>
        <valueCoding>
          <system value="https://sfaa.gov.tw/base/CodeSystem/twss-adl-level"/>
          <code value="D"/>
          <display value="3級（重度問題）"/>
        </valueCoding>
      </answer>
    </item>
  </item>
</QuestionnaireResponse>