身心障礙者鑑定作業辦法修正條文 - nhcue.edu.tspec/1010618.pdf · 行政院公報...

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行政院公報 018 114 20120618 衛生勞動篇 行政院衛生署令 中華民國 101 6 18 衛署照字第 1012862794 修正「身心障礙者鑑定作業辦法」。 附修正「身心障礙者鑑定作業辦法」 邱文達 身心障礙者鑑定作業辦法修正條文 本辦法依身心障礙者權益保障法(以下簡稱本法)第六條第三項規定訂定之。 本辦法所稱衛生主管機關:在中央為行政院衛生署;在直轄市為直轄市政府;在 縣(市)為縣(市)政府。 直轄市、縣(市)衛生主管機關得設身心障礙者鑑定審議諮詢小組,辦理下列事 項: 一、身心障礙鑑定機構(以下稱鑑定機構)或專業人員之指定。 二、身心障礙需重新鑑定之指定。 三、鑑定結果爭議及複檢之處理。 四、其他相關身心障礙鑑定之審議或諮詢。 前項小組之委員,由下列人員組成: 一、衛生局代表。 二、社會科(局)代表。 三、教育局代表。 四、醫事人員。 五、身心障礙者團體代表。 六、地方人士。 受指定之鑑定機構,應具備適當之鑑定設備及空間,並具有本辦法所訂定之各類 別合格鑑定人員。 前項各類別合格人員之資格條件、鑑定方法及鑑定工具,規定如附表一。 身心障礙鑑定報告(以下簡稱鑑定報告),應依據附表二身心障礙鑑定類別、鑑 定向度、程度分級及其基準判定後核發之。 未滿六歲兒童,申請身心障礙鑑定,無法以附表二明確判定其身心障礙類別及程 度分級者,依下列規定為之: 一、可明確鑑定其身體系統構造或功能永久性缺陷之兒童。而無法區分其程度分 級者,得暫判定為重度等級。

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  • 018 114 20120618

    101 6 18

    1012862794

  • 018 114 20120618

  • 018 114 20120618

  • 018 114 20120618

    Glasgow

    1. 2. 3. 4.

    1.

    2.

    1. 2. 3. 4.

    1. social reciprocity

    joint attentiontheory of mind

    2. 3.

    1. 2. 3. 4.

    1. 2. 3. 4.

    SNAP- IV

    Conners Rating Scale

    ADHD

    Continuance Performance TestGordon Diagnostic System; GDS

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    1. 2. 3.

    MMSECASI

    1.

    Wechsler Memory Scale-III Continuous Visual Memory TestReyRey Complex Figure Testautobiographical memory

    2.

    1. 2. 3. 4.

    1.

    2. 3.

    1. 2. 3. 4.

    1.

    2. 3.

    1. 2. 3. 4.

    1.

    2. 3.

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    1. 2. 3. 4.

    1.

    Wisconsin Card Sorting TestCategory TestTower TestsMaze testsFluency TestsStroop TestColor Trail Test

    2.

    1. 2. 3. 4.

    1. 2.

    Assessment of Intelligibility of Dysarthric Speech

    3. Assessment of Language-Related Functional Activities; ALFA

    4. Boston Diagnostic Aphasia Examination; BDAE-3

    5. Expressive One-Word Picture Vocabulary Test; EOWPVT

    6. Functional Assessment of Communication Skills for Adults; FACS Porch Index of Communicative Ability; PICA

    7. 8.

    1. 2. 3. 4. 5. 6.

    1. 2. A 3. B 4. 5. 6. ERG7. EOG 8.

    VEP 9.

    1. 2. 3. 4. 5. 6. 7. 8. ERGEOGVEP

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    1.

    2. SRT

    3. Tympanometry

    1.

    SRT2. 3.

    ABR4.

    ASSR

    1. 2. 3.

    1. 2.

    1.

    2.

    3.

    1. Auditory Brainstem Response, ABR

    2. Electronystagmography

    3. Bithermal caloric test 4. Rotary chair test 5. Vestibular Evoked Myogenic

    Potential test 6. 7. 8.

    1.

    2.

    1. 2.

    3. 4.

    1. X 2. 3. 4.

    1.

    2. 3. MRI 4.

    1. X 2. 3. 4. 5. 6. X 7. MRI

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    2. 3. 4. 5.

    1. 2.

    1. 2.

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    1. 2.

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    X 4.

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    1.

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    ()

    1 2 3 4

    ()

    1

    ()

    ()

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    0 1

    4

    0 1 69 55 mental quotient 69 55

    2 54 40 mental quotient 54 40

    3 39 25 mental quotient 39 25

    4 24 mental quotient 24

    0 1 3 4 41 60 2 5 31 40 3 6 21 30 4 7 20

    0 1

    0 1

    2

    4

    0

    1

    2

    4

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    0 1 3 4 41 60 2 5 31 40 3 6 21 30 4 7 20

    0 1 3 4 41 60 2 5 31 40 3 6 21 30 4 7 20

    0 1 3 4 41 60 2 5 31 40 3 6 21 30 4 7 20

    0 1

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    0 1 1. 0.3 0.3 0.1

    0.4 0.05 2. 20 3. 30 10dB

    2 1. 0.1 0.1 0.052. 30 15dB

    3 1. 0.01 50 2. 30 20dB

    0 1 50% 70%ABR

    55 69 2 71% 90%ABR

    70 90 3 90%ABR

    90 0

    1 2 3

    0 1

    4

    0 1 4

    0 1 4

    0 1 25 mm

    14 2 15 mm

    6 3 5 mm

    0

    1 25% 49% 2 50% 95% 4 96% 100%

    0 1 25% 49% 2 50% 96% 4

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    0 1 1.

    2. 85 90%

    2 1.

    2. 80 84% 3.

    3 1.

    2. 70 79% 3.

    4 1. 2. 3. 4. couplets 5. 6. 7. QT 480 QT 8. 35% 9. 70% 10.

    11. 70% 12. 13.

    0 1

    2

    3

    0 1 1. 8g/dL 2000/uL 500/uL

    50,000/uL 2. 6% 30% 3. 4. vWF 35% 50% 5. Protein CProtein S anti-thrombin III 6.

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    2 1. 8g/dL 2000/uL500/uL 50,000/uL

    2. 2% 5% 3. 4. vWF 35% 5. Protein CProtein S anti-thrombin III6. 1 2

    3 1. 2. 2% 3. 4. vWF 10% 5. Protein CProtein S anti-thrombin III

    6. 3

    4 1.

    2. 1% 3. 4. Protein CProtein S anti-thrombin III

    5. 3

    0

    1 1. PO2 60 65 mmHg SpO2 93 96%

    2. FEV1 30% 35% 3. FEV1/FVC 40% 45% 4. DLco 30% 35% 5. Apnea-hypopnea indexAHI 40/hr 6. PaCO2 50 55mmHg

    2 1. PO2 55 59.9 mmHg SpO2 89 92%

    2. FEV1 25% 29.9% 3. FEV1/FVC 35% 39.9% 4. DLco 25% 29.9% 5. PaCO2 56 60mmHg

    3 1. PO2 50 54.9 mmHg SpO2 85 88%

    2. FEV1 25% 3. FEV1/FVC 35% 4. DLco 25% 5. 6 6. PaCO2 61 65mmHg

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    4 1. PO2 50 mmHg SpO2 85%

    2. Ventilator-dependent 3. PaCO2 65mmHg

    0

    1

    2 1. 2. 70%

    3

    0 1 2

    0 1 75%

    0

    1

    2 75%

    0 1 Pughs modification of Child-Turcotte

    criteria Childs class B 2 1. Pughs modification of Child-Turcotte criteria Childs class B

    2. 3.

    3 1. 2. 3. 4. 5.

    4 1. Pughs modification of Child-Turcotte criteria Childs class C 2.

    0 1 eGFR

    31 60 2

    eGFR 16 30

    3 eGFR 15

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    4

    0 2 1.

    2. 3.

    0 1 1. 70%

    2. 70% 3. 70% 4. 5. 70% 6. 7. 8. 9. 70% 10. 70% 11. 70% 12. 13. 70%

    2 1. 1 2. 3. 4. 70% 5. 6. 7. 8. 9. 70%

    3 1. 2 2. 3.

    4 3

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    0 1 1.

    2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

    2 1. 1 2. 3. 4. 5. 6. 7. 8. 9.

    3 1. 2 2. 3.

    4 3

    0 1 modified Ashworth scale

    2 modified Ashworth scale

    3 modified Ashworth scale

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    0 1 1. Modified Hoehn-Yahr Stage

    2.

    2 1. Modified Hoehn-Yahr Stage

    2.

    3 1. Modified Hoehn-Yahr Stage

    2.

    0 1 1.

    2. 3. 4.

    2 1. 2. 3.

    3 1. 2.

    0 1 1.

    2. 2 1.

    2. 3 1.

    2. 0

    1 1. X 2. X X

    Cobb 70 3. X Schober 2 4. Schober 2

    2 1. X X Cobb 70

    2. X Schober 2

    3 X X Cobb 70 X Schober 2

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    0 1

    0 1

    0 1 1.

    30% 39% 2. 31% 50%

    2 1. 40% 59%

    2. 51% 70% 3 1. 60%

    2. 71%

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    ()

    1

    D1.1 10

    0 4 0 4

    D1.2

    D1.3

    D1.4

    D1.5

    D1.6

    P1.1 0 1 2

    2

    D1.1 10

    0 4 0 4

    D1.2

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    2

    D2.1

    0 4 0 4

    D2.2

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    D2.5

    P2.1 0 1 2

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    0 4 0 4

    D2.2

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    3

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    0 4 0 4

    D3.2

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    P3.1 0 1 2

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    D3.2

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    4

    D4.1

    0 4 0 4

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    P4.1 0 1 2

    5

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    D4.2

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    5 1

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    0 4 0 4

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    P5.1 0 1 2

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    D5.2

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    D5.5-5.10 6

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    D5.8

    D5.9 0

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    D5.6

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    D6.8

    P6.1 0 1 2

    7

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    0 4 0 4

    D6.2

    D6.3

    D6.4

    D6.5

    D6.6

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    D6.8

    7

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