Generated Narrative: StructureDefinition TWDentalOF5 Name Flags Card. Type Description & Constraints TWDentalOF5 0..* Base 牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型 #xD; identifier 0..* Identifier 評估紀錄識別碼 #xD; subject 1..1 Reference() 受評估對象（病人） #xD; assessmentDate 1..1 date 評估日期 #xD; assessor 0..1 Reference() 評估者 #xD; toothReduction 1..1 BackboneElement 牙齒減少 #xD; remainingTeeth 0..1 integer 天然牙齒剩餘顆數 #xD; applicable 1..1 boolean 牙齒減少是否適用 #xD; chewingDifficulty 1..1 boolean 咀嚼困難 #xD; swallowingDifficulty 1..1 boolean 吞嚥困難 #xD; dryMouth 1..1 boolean 口乾 #xD; oralMotorSpeech <a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( of5-method-result )">C 1..1 BackboneElement 口腔運動發音技能低下 Constraints: of5-method-result #xD; method 1..1 code 評估方式 Binding: OF-5 口腔運動發音技能評估方式值集 (required) #xD; articulationDifficulty 0..1 boolean A. 發音清晰度困難 #xD; <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralMotorSpeech.ddkRateApplicable" title="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）。">ddkRateApplicable 0..1 boolean B. 口腔輪替運動是否適用 #xD; positiveItemCount 0..1 integer 符合項數 #xD; oralFrailty 0..1 boolean 口腔衰弱判定 (Oral frailty) #xD; Documentation for this format
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。
執行此評估的醫事人員或照護人員。
您的天然牙齒還剩下多少顆？（0–19顆＝適用; ≥20顆＝不適用）。
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
牙齒減少: DentalOF5.component[toothReduction]
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
天然牙齒剩餘顆數: DentalOF5.component[remainingTeeth].valueInteger
是否符合牙齒減少（true=0–19顆，適用; false=≥20顆，不適用）。
牙齒減少適用: DentalOF5.component[toothReduction].valueBoolean
與6個月前相比，您吃硬的食物是否有困難？（true=是; false=否）。
咀嚼困難: DentalOF5.component[chewingDifficulty].valueBoolean
吞嚥困難: DentalOF5.component[swallowingDifficulty].valueBoolean
口乾: DentalOF5.component[dryMouth].valueBoolean
A 或 B 二擇一評估口腔運動與發音技能。
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())
口腔運動發音技能低下: DentalOF5.component[oralMotorSpeech]
採用之評估方式（A=發音清晰度; B=口腔輪替運動）。
評估方式: DentalOF5.component[oralMotorSpeech].valueCode
您最近在發音清晰度方面是否感到困難？（true=是; false=否）。
發音清晰度困難: DentalOF5.component[articulation].valueBoolean
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）。
口腔輪替運動適用: DentalOF5.component[ddkRate].valueBoolean
符合項數: DentalOF5.component[positiveCount].valueInteger
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）。