入院護理評估

{
  "clientRequestId": "REQ-ADMISSION-DEMO-001",
  "patientId": "P-DEMO-001",
  "encounterId": "V-DEMO-001",
  "assessedAt": "2026-09-23T09:20:00+08:00",
  "assessment": {
    "basic": {
      "education": "senior_high",
      "languages": [
        "mandarin",
        "taiwanese_hokkien"
      ],
      "religions": [
        "none"
      ]
    },
    "alerts": {
      "antithromboticUse": "none",
      "drugAllergy": "yes",
      "drugAllergyNote": "合成案例：曾使用盤尼西林後出現皮疹。",
      "drugAllergens": [
        "penicillin"
      ],
      "foodAllergy": "none",
      "transfusionReaction": "unknown",
      "bloodType": "o_positive",
      "recentForeignTravel": "none",
      "treatmentRestrictions": [
        "none"
      ],
      "tubes": [
        "none"
      ],
      "rapidTestDate": {
        "year": 2026,
        "month": 9,
        "day": 23
      },
      "rapidTestResult": "negative",
      "pcrDate": {
        "month": 9,
        "day": 22
      },
      "pcrResult": "negative"
    },
    "health": {
      "familyHistoryStatus": "yes",
      "familyHistory": [
        {
          "relation": "father",
          "diseases": [
            "hypertension"
          ]
        }
      ],
      "maritalStatus": "married",
      "livingStatus": "with_family",
      "familyInteraction": "caring",
      "primaryCaregivers": [
        "spouse"
      ],
      "occupation": "commerce",
      "financialStatus": "comfortable",
      "smokingStatus": "none",
      "alcoholUse": "occasional",
      "betelNutStatus": "none",
      "medicalHistory": [
        "hypertension"
      ],
      "surgeryExperience": "none",
      "recentEmergencyOrAdmissionCount": "none",
      "currentMedications": [
        "antihypertensive"
      ]
    },
    "nutrition": {
      "heightCm": 168,
      "weightKg": 65,
      "edemaStatus": "none",
      "feedingRoutes": [
        "oral"
      ],
      "feedingStatus": [
        "normal"
      ],
      "oralConditions": [
        "normal"
      ],
      "dentures": [
        "none"
      ],
      "dietTypes": [
        "regular"
      ],
      "foodRestriction": "none",
      "otherSymptoms": [
        "none"
      ]
    },
    "sleep": {
      "conditions": [
        "normal"
      ],
      "usualHours": 7
    },
    "activity": {
      "mobility": "walks_with_person_assistance",
      "needsMobilityAid": true,
      "mobilityAids": [
        "walker"
      ],
      "leftUpperMuscleStrength": "5",
      "rightUpperMuscleStrength": "5",
      "leftLowerMuscleStrength": "5",
      "rightLowerMuscleStrength": "4",
      "limbAppearance": "normal",
      "gait": "stable",
      "selfCareAbility": "independent",
      "fallInPastYear": "no"
    },
    "respiratory": {
      "chestSymmetry": "normal",
      "patterns": [
        "normal"
      ],
      "coughFrequency": "none",
      "sputumClearance": "normal",
      "sputumStatus": "none",
      "breathSounds": [
        "normal"
      ],
      "oxygenTherapies": [
        "none"
      ]
    },
    "circulation": {
      "implantStatus": "none",
      "peripheralCirculation": "warm",
      "symptoms": [
        "none"
      ]
    },
    "cognition": {
      "leftVision": [
        "clear"
      ],
      "rightVision": [
        "clear"
      ],
      "leftHearing": [
        "clear"
      ],
      "rightHearing": [
        "clear"
      ],
      "orientation": "fully_oriented",
      "behaviors": [
        "appropriate"
      ],
      "painStatus": "present",
      "painFindings": [
        {
          "site": "lower_limb",
          "score": "4"
        }
      ],
      "speech": "normal",
      "skinAppearance": "normal"
    },
    "elimination": {
      "stoolConditions": [
        "normal"
      ],
      "stoolColor": "normal",
      "urinationConditions": [
        "normal"
      ],
      "urineColor": "normal"
    },
    "reproduction": {
      "maleGenitalAppearance": [
        "normal"
      ]
    },
    "contacts": {
      "decisionMakerName": "測試病人",
      "decisionMakerPhone": "0000000000",
      "decisionMakerRelation": "本人",
      "informationProviderName": "測試病人",
      "informationProviderPhone": "0000000000",
      "informationProviderRelation": "本人",
      "contactName": "測試配偶",
      "contactPhone": "0000000000",
      "contactRelation": "配偶"
    },
    "admission": {
      "wardDate": "2026-09-23",
      "wardTime": "09:00",
      "reason": "合成案例：因右膝疼痛住院，預計接受進一步檢查。"
    },
    "family": {
      "members": [
        {
          "role": "self",
          "sex": "male",
          "age": 62,
          "maritalStatus": "married",
          "isDecisionMaker": "yes",
          "familyHistory": [
            "hypertension"
          ]
        },
        {
          "role": "spouse",
          "sex": "female",
          "age": 60,
          "aliveStatus": "alive",
          "livesTogether": "yes",
          "familyHistory": [
            "none"
          ]
        }
      ]
    }
  }
}