臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ci-build

臺灣牙醫實作指引 (Taiwan Dental Implementation Guide), published by 金屬工業研究發展中心. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWDental_IG_Build/ and changes regularly. See the Directory of published versions

Logical Model: TWDentalOF5Model - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalOF5 logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. TWDentalOF5
Definition

口腔衰弱五項量表(Oral Frailty Five-item, OF-5)之資料模型,包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目;五項中有兩項以上為「是/適用」即表示有口腔衰弱的表現。

Short牙醫-口腔衰弱五項量表 (TW Dental OF-5) 之資料模型
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. TWDentalOF5.identifier
Definition

評估紀錄的唯一識別碼。

Short評估紀錄識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. TWDentalOF5.subject
Definition

接受口腔衰弱評估的病人。

Short受評估對象(病人)
Control1..1
TypeReference
6. TWDentalOF5.assessmentDate
Definition

進行口腔衰弱評估的日期。

Short評估日期
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
8. TWDentalOF5.assessor
Definition

執行此評估的醫事人員或照護人員。

Short評估者
Control0..1
TypeReference
10. TWDentalOF5.toothReduction
Definition

您的天然牙齒還剩下多少顆?(0–19顆=適用; ≥20顆=不適用)。

Short牙齒減少
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. TWDentalOF5.toothReduction.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
14. TWDentalOF5.toothReduction.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on TWDentalOF5.toothReduction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 16. TWDentalOF5.toothReduction.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. TWDentalOF5.toothReduction.remainingTeeth
    Definition

    目前天然牙齒剩餘的顆數。

    Short天然牙齒剩餘顆數
    Control0..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Min Value0
    Max Value32
    20. TWDentalOF5.toothReduction.applicable
    Definition

    是否符合牙齒減少(true=0–19顆,適用; false=≥20顆,不適用)。

    Short牙齒減少是否適用
    Control1..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    22. TWDentalOF5.chewingDifficulty
    Definition

    與6個月前相比,您吃硬的食物是否有困難?(true=是; false=否)。

    Short咀嚼困難
    Control1..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    24. TWDentalOF5.swallowingDifficulty
    Definition

    您最近是否被茶或湯嗆到?(true=是; false=否)。

    Short吞嚥困難
    Control1..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. TWDentalOF5.dryMouth
    Definition

    您是否經常感到口乾?(true=是; false=否)。

    Short口乾
    Control1..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. TWDentalOF5.oralMotorSpeech
    Definition

    A 或 B 二擇一評估口腔運動與發音技能。

    Short口腔運動發音技能低下
    Control1..1
    TypeBackboneElement
    Invariantsof5-method-result: 項目五應依所選評估方式(A 或 B)填寫對應之結果欄位。 ((method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. TWDentalOF5.oralMotorSpeech.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    32. TWDentalOF5.oralMotorSpeech.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on TWDentalOF5.oralMotorSpeech.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 34. TWDentalOF5.oralMotorSpeech.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. TWDentalOF5.oralMotorSpeech.method
      Definition

      採用之評估方式(A=發音清晰度; B=口腔輪替運動)。

      Short評估方式
      Control1..1
      BindingThe codes SHALL be taken from OF-5 口腔運動發音技能評估方式值集
      (required to http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental)
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      38. TWDentalOF5.oralMotorSpeech.articulationDifficulty
      Definition

      您最近在發音清晰度方面是否感到困難?(true=是; false=否)。

      ShortA. 發音清晰度困難
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      40. TWDentalOF5.oralMotorSpeech.ddkRateApplicable
      Definition

      口腔輪替運動(每秒發「ta」音的速度)是否低於標準(true=<6.0次/秒,適用; false=≥6.0次/秒,不適用)。

      ShortB. 口腔輪替運動是否適用
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      42. TWDentalOF5.positiveItemCount
      Definition

      五項中判定為「是/適用」的項目數量。

      Short符合項數
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Min Value0
      Max Value5
      44. TWDentalOF5.oralFrailty
      Definition

      整體判定是否有口腔衰弱表現(true=兩項以上為是/適用; false=未達)。

      Short口腔衰弱判定 (Oral frailty)
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

      Guidance on how to interpret the contents of this table can be foundhere

      0. TWDentalOF5
      Definition

      口腔衰弱五項量表(Oral Frailty Five-item, OF-5)之資料模型,包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目;五項中有兩項以上為「是/適用」即表示有口腔衰弱的表現。

      Short牙醫-口腔衰弱五項量表 (TW Dental OF-5) 之資料模型
      Logical ModelInstances of this logical model are not marked to be the target of a Reference
      2. TWDentalOF5.identifier
      Definition

      評估紀錄的唯一識別碼。

      Short評估紀錄識別碼
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      4. TWDentalOF5.subject
      Definition

      接受口腔衰弱評估的病人。

      Short受評估對象(病人)
      Control1..1
      TypeReference
      6. TWDentalOF5.assessmentDate
      Definition

      進行口腔衰弱評估的日期。

      Short評估日期
      Control1..1
      Typedate
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      8. TWDentalOF5.assessor
      Definition

      執行此評估的醫事人員或照護人員。

      Short評估者
      Control0..1
      TypeReference
      10. TWDentalOF5.toothReduction
      Definition

      您的天然牙齒還剩下多少顆?(0–19顆=適用; ≥20顆=不適用)。

      Short牙齒減少
      Control1..1
      TypeBackboneElement
      12. TWDentalOF5.toothReduction.remainingTeeth
      Definition

      目前天然牙齒剩餘的顆數。

      Short天然牙齒剩餘顆數
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Min Value0
      Max Value32
      14. TWDentalOF5.toothReduction.applicable
      Definition

      是否符合牙齒減少(true=0–19顆,適用; false=≥20顆,不適用)。

      Short牙齒減少是否適用
      Control1..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      16. TWDentalOF5.chewingDifficulty
      Definition

      與6個月前相比,您吃硬的食物是否有困難?(true=是; false=否)。

      Short咀嚼困難
      Control1..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      18. TWDentalOF5.swallowingDifficulty
      Definition

      您最近是否被茶或湯嗆到?(true=是; false=否)。

      Short吞嚥困難
      Control1..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      20. TWDentalOF5.dryMouth
      Definition

      您是否經常感到口乾?(true=是; false=否)。

      Short口乾
      Control1..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      22. TWDentalOF5.oralMotorSpeech
      Definition

      A 或 B 二擇一評估口腔運動與發音技能。

      Short口腔運動發音技能低下
      Control1..1
      TypeBackboneElement
      Invariantsof5-method-result: 項目五應依所選評估方式(A 或 B)填寫對應之結果欄位。 ((method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists()))
      24. TWDentalOF5.oralMotorSpeech.method
      Definition

      採用之評估方式(A=發音清晰度; B=口腔輪替運動)。

      Short評估方式
      Control1..1
      BindingThe codes SHALL be taken from OF-5 口腔運動發音技能評估方式值集
      (required to http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental)
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      26. TWDentalOF5.oralMotorSpeech.articulationDifficulty
      Definition

      您最近在發音清晰度方面是否感到困難?(true=是; false=否)。

      ShortA. 發音清晰度困難
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      28. TWDentalOF5.oralMotorSpeech.ddkRateApplicable
      Definition

      口腔輪替運動(每秒發「ta」音的速度)是否低於標準(true=<6.0次/秒,適用; false=≥6.0次/秒,不適用)。

      ShortB. 口腔輪替運動是否適用
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      30. TWDentalOF5.positiveItemCount
      Definition

      五項中判定為「是/適用」的項目數量。

      Short符合項數
      Control0..1
      Typeinteger
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Min Value0
      Max Value5
      32. TWDentalOF5.oralFrailty
      Definition

      整體判定是否有口腔衰弱表現(true=兩項以上為是/適用; false=未達)。

      Short口腔衰弱判定 (Oral frailty)
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

      Guidance on how to interpret the contents of this table can be foundhere

      0. TWDentalOF5
      Definition

      口腔衰弱五項量表(Oral Frailty Five-item, OF-5)之資料模型,包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目;五項中有兩項以上為「是/適用」即表示有口腔衰弱的表現。

      Short牙醫-口腔衰弱五項量表 (TW Dental OF-5) 之資料模型
      Control0..*
      Is Modifierfalse
      Logical ModelInstances of this logical model are not marked to be the target of a Reference
      2. TWDentalOF5.identifier
      Definition

      評估紀錄的唯一識別碼。

      Short評估紀錄識別碼
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      4. TWDentalOF5.subject
      Definition

      接受口腔衰弱評估的病人。

      Short受評估對象(病人)
      Control1..1
      TypeReference
      6. TWDentalOF5.assessmentDate
      Definition

      進行口腔衰弱評估的日期。

      Short評估日期
      Control1..1
      Typedate
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      8. TWDentalOF5.assessor
      Definition

      執行此評估的醫事人員或照護人員。

      Short評估者
      Control0..1
      TypeReference
      10. TWDentalOF5.toothReduction
      Definition

      您的天然牙齒還剩下多少顆?(0–19顆=適用; ≥20顆=不適用)。

      Short牙齒減少
      Control1..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. TWDentalOF5.toothReduction.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      14. TWDentalOF5.toothReduction.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on TWDentalOF5.toothReduction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 16. TWDentalOF5.toothReduction.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        18. TWDentalOF5.toothReduction.remainingTeeth
        Definition

        目前天然牙齒剩餘的顆數。

        Short天然牙齒剩餘顆數
        Control0..1
        Typeinteger
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Min Value0
        Max Value32
        20. TWDentalOF5.toothReduction.applicable
        Definition

        是否符合牙齒減少(true=0–19顆,適用; false=≥20顆,不適用)。

        Short牙齒減少是否適用
        Control1..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        22. TWDentalOF5.chewingDifficulty
        Definition

        與6個月前相比,您吃硬的食物是否有困難?(true=是; false=否)。

        Short咀嚼困難
        Control1..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        24. TWDentalOF5.swallowingDifficulty
        Definition

        您最近是否被茶或湯嗆到?(true=是; false=否)。

        Short吞嚥困難
        Control1..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        26. TWDentalOF5.dryMouth
        Definition

        您是否經常感到口乾?(true=是; false=否)。

        Short口乾
        Control1..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        28. TWDentalOF5.oralMotorSpeech
        Definition

        A 或 B 二擇一評估口腔運動與發音技能。

        Short口腔運動發音技能低下
        Control1..1
        TypeBackboneElement
        Invariantsof5-method-result: 項目五應依所選評估方式(A 或 B)填寫對應之結果欄位。 ((method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists()))
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. TWDentalOF5.oralMotorSpeech.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        32. TWDentalOF5.oralMotorSpeech.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on TWDentalOF5.oralMotorSpeech.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 34. TWDentalOF5.oralMotorSpeech.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          36. TWDentalOF5.oralMotorSpeech.method
          Definition

          採用之評估方式(A=發音清晰度; B=口腔輪替運動)。

          Short評估方式
          Control1..1
          BindingThe codes SHALL be taken from OF-5 口腔運動發音技能評估方式值集
          (required to http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental)
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          38. TWDentalOF5.oralMotorSpeech.articulationDifficulty
          Definition

          您最近在發音清晰度方面是否感到困難?(true=是; false=否)。

          ShortA. 發音清晰度困難
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          40. TWDentalOF5.oralMotorSpeech.ddkRateApplicable
          Definition

          口腔輪替運動(每秒發「ta」音的速度)是否低於標準(true=<6.0次/秒,適用; false=≥6.0次/秒,不適用)。

          ShortB. 口腔輪替運動是否適用
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          42. TWDentalOF5.positiveItemCount
          Definition

          五項中判定為「是/適用」的項目數量。

          Short符合項數
          Control0..1
          Typeinteger
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Min Value0
          Max Value5
          44. TWDentalOF5.oralFrailty
          Definition

          整體判定是否有口腔衰弱表現(true=兩項以上為是/適用; false=未達)。

          Short口腔衰弱判定 (Oral frailty)
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension