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
| Active as of 2026-06-25 |
JSON representation of the TWDentalOHAT logical model.
{
"resourceType" : "StructureDefinition",
"id" : "TWDentalOHAT",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition TWDentalOHAT</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT\" title=\"口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。\">TWDentalOHAT</a><a name=\"TWDentalOHAT\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><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 ( ohat-total-score )\">C</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型<br class=\"constraint\"/><span title=\"null\" class=\"constraint\">Constraints: </span><span style=\"font-weight:bold\" title=\"若有填寫總得分，總得分應等於八項評分之總和。\" class=\"constraint\">ohat-total-score</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.identifier\" title=\"評估紀錄的唯一識別碼。\">identifier</a><a name=\"TWDentalOHAT.identifier\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">評估紀錄識別碼<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.subject\" title=\"接受口腔健康評估的病人。\">subject</a><a name=\"TWDentalOHAT.subject\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>()</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">受評估對象（病人）</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.assessmentDate\" title=\"進行口腔健康評估的日期。\">assessmentDate</a><a name=\"TWDentalOHAT.assessmentDate\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">評估日期</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.assessor\" title=\"執行此口腔健康評估的醫事人員或照護人員。\">assessor</a><a name=\"TWDentalOHAT.assessor\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>()</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">評估者</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.lips\" title=\"嘴唇狀況評分（0=平滑、粉紅、濕潤; 1=乾裂、嘴角紅; 2=潰瘍、出血）。\">lips</a><a name=\"TWDentalOHAT.lips\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">嘴唇</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.tongue\" title=\"舌頭狀況評分（0=粉紅、濕潤可見乳突; 1=發紅、發紫、蒼白、乾裂或舌苔覆蓋; 2=非常紅或白斑、潰瘍）。\">tongue</a><a name=\"TWDentalOHAT.tongue\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">舌頭</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.gums\" title=\"牙齦組織狀況評分（0=粉紅、結實、濕潤; 1=乾燥浮腫、有1個白斑; 2=潰瘍、出血、多於1個白斑）。\">gums</a><a name=\"TWDentalOHAT.gums\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">牙齦組織</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.saliva\" title=\"唾液狀況評分（0=容易吐出、唾液呈水狀; 1=不易吐出、唾液少且黏稠; 2=無法吐出、唾液很少且非常黏稠）。\">saliva</a><a name=\"TWDentalOHAT.saliva\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">唾液</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.naturalTeeth\" title=\"自然牙狀況評分（0=沒有齲齒或斷牙; 1=1–3顆齲齒或斷牙; 2=4顆以上齲齒、斷牙或牙齒少於4顆無假牙）。\">naturalTeeth</a><a name=\"TWDentalOHAT.naturalTeeth\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">自然牙</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.dentures\" title=\"假牙狀況評分（0=沒損壞且有規律配戴或無假牙; 1=1處損壞、每天戴1–2小時; 2=多於1處損壞、沒有戴或假牙處黏合）。\">dentures</a><a name=\"TWDentalOHAT.dentures\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">假牙</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.oralCleanliness\" title=\"口腔清潔狀況評分（0=清潔且沒有食物殘渣; 1=局部牙菌斑或食物殘渣; 2=多處牙菌斑或食物殘渣）。\">oralCleanliness</a><a name=\"TWDentalOHAT.oralCleanliness\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">口腔清潔</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.dentalPain\" title=\"牙齒疼痛表現評分（0=沒有行為、言語或生理現象表示; 1=有行為或言語現象表示，如拉臉、咬唇或不吃東西; 2=有生理現象表示，如臉腫、大片潰瘍）。\">dentalPain</a><a name=\"TWDentalOHAT.dentalPain\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">牙齒疼痛</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-TWDentalOHAT-definitions.html#TWDentalOHAT.totalScore\" title=\"八項評估項目之總得分（0–16分），分數越高代表口腔狀況越差。\">totalScore</a><a name=\"TWDentalOHAT.totalScore\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">總得分</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT",
"version" : "0.0.1",
"name" : "TWDentalOHATModel",
"title" : "牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型",
"status" : "active",
"date" : "2026-06-25T00:51:39+00:00",
"publisher" : "金屬工業研究發展中心",
"contact" : [
{
"name" : "金屬工業研究發展中心",
"telecom" : [
{
"system" : "url",
"value" : "https://www.mirdc.org.tw/"
}
]
},
{
"name" : "黃怡文",
"telecom" : [
{
"system" : "email",
"value" : "lisaiwh@mail.mirdc.org.tw",
"use" : "work"
}
]
},
{
"name" : "莊世任",
"telecom" : [
{
"system" : "email",
"value" : "renjuang@mail.mirdc.org.tw",
"use" : "work"
}
]
}
],
"description" : "口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"uri" : "https://dental-ig.fhir.tw",
"name" : "TW Dental IG"
}
],
"kind" : "logical",
"abstract" : false,
"type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString" : "4.0.1"
}
],
"element" : [
{
"id" : "TWDentalOHAT",
"path" : "TWDentalOHAT",
"short" : "牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型",
"definition" : "口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "ohat-total-score",
"severity" : "warning",
"human" : "若有填寫總得分，總得分應等於八項評分之總和。",
"expression" : "totalScore.empty() or totalScore = lips + tongue + gums + saliva + naturalTeeth + dentures + oralCleanliness + dentalPain",
"source" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT"
}
],
"isModifier" : false,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "DentalOHAT"
}
]
},
{
"id" : "TWDentalOHAT.identifier",
"path" : "TWDentalOHAT.identifier",
"short" : "評估紀錄識別碼",
"definition" : "評估紀錄的唯一識別碼。",
"min" : 0,
"max" : "*",
"base" : {
"path" : "TWDentalOHAT.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估紀錄識別碼: DentalOHAT.identifier"
}
]
},
{
"id" : "TWDentalOHAT.subject",
"path" : "TWDentalOHAT.subject",
"short" : "受評估對象（病人）",
"definition" : "接受口腔健康評估的病人。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.subject",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "受評估病人: DentalOHAT.subject"
}
]
},
{
"id" : "TWDentalOHAT.assessmentDate",
"path" : "TWDentalOHAT.assessmentDate",
"short" : "評估日期",
"definition" : "進行口腔健康評估的日期。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.assessmentDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估日期: DentalOHAT.effectiveDateTime"
}
]
},
{
"id" : "TWDentalOHAT.assessor",
"path" : "TWDentalOHAT.assessor",
"short" : "評估者",
"definition" : "執行此口腔健康評估的醫事人員或照護人員。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.assessor",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Reference"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估者: DentalOHAT.performer"
}
]
},
{
"id" : "TWDentalOHAT.lips",
"path" : "TWDentalOHAT.lips",
"short" : "嘴唇",
"definition" : "嘴唇狀況評分（0=平滑、粉紅、濕潤; 1=乾裂、嘴角紅; 2=潰瘍、出血）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.lips",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "嘴唇: DentalOHAT.component[lips].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.tongue",
"path" : "TWDentalOHAT.tongue",
"short" : "舌頭",
"definition" : "舌頭狀況評分（0=粉紅、濕潤可見乳突; 1=發紅、發紫、蒼白、乾裂或舌苔覆蓋; 2=非常紅或白斑、潰瘍）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.tongue",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "舌頭: DentalOHAT.component[tongue].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.gums",
"path" : "TWDentalOHAT.gums",
"short" : "牙齦組織",
"definition" : "牙齦組織狀況評分（0=粉紅、結實、濕潤; 1=乾燥浮腫、有1個白斑; 2=潰瘍、出血、多於1個白斑）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.gums",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "牙齦組織: DentalOHAT.component[gums].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.saliva",
"path" : "TWDentalOHAT.saliva",
"short" : "唾液",
"definition" : "唾液狀況評分（0=容易吐出、唾液呈水狀; 1=不易吐出、唾液少且黏稠; 2=無法吐出、唾液很少且非常黏稠）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.saliva",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "唾液: DentalOHAT.component[saliva].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.naturalTeeth",
"path" : "TWDentalOHAT.naturalTeeth",
"short" : "自然牙",
"definition" : "自然牙狀況評分（0=沒有齲齒或斷牙; 1=1–3顆齲齒或斷牙; 2=4顆以上齲齒、斷牙或牙齒少於4顆無假牙）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.naturalTeeth",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "自然牙: DentalOHAT.component[naturalTeeth].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.dentures",
"path" : "TWDentalOHAT.dentures",
"short" : "假牙",
"definition" : "假牙狀況評分（0=沒損壞且有規律配戴或無假牙; 1=1處損壞、每天戴1–2小時; 2=多於1處損壞、沒有戴或假牙處黏合）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.dentures",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "假牙: DentalOHAT.component[dentures].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.oralCleanliness",
"path" : "TWDentalOHAT.oralCleanliness",
"short" : "口腔清潔",
"definition" : "口腔清潔狀況評分（0=清潔且沒有食物殘渣; 1=局部牙菌斑或食物殘渣; 2=多處牙菌斑或食物殘渣）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.oralCleanliness",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "口腔清潔: DentalOHAT.component[oralCleanliness].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.dentalPain",
"path" : "TWDentalOHAT.dentalPain",
"short" : "牙齒疼痛",
"definition" : "牙齒疼痛表現評分（0=沒有行為、言語或生理現象表示; 1=有行為或言語現象表示，如拉臉、咬唇或不吃東西; 2=有生理現象表示，如臉腫、大片潰瘍）。",
"min" : 1,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.dentalPain",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "牙齒疼痛: DentalOHAT.component[dentalPain].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.totalScore",
"path" : "TWDentalOHAT.totalScore",
"short" : "總得分",
"definition" : "八項評估項目之總得分（0–16分），分數越高代表口腔狀況越差。",
"min" : 0,
"max" : "1",
"base" : {
"path" : "TWDentalOHAT.totalScore",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 16,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "總得分: DentalOHAT.valueInteger"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "TWDentalOHAT",
"path" : "TWDentalOHAT",
"short" : "牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型",
"definition" : "口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。",
"constraint" : [
{
"key" : "ohat-total-score",
"severity" : "warning",
"human" : "若有填寫總得分，總得分應等於八項評分之總和。",
"expression" : "totalScore.empty() or totalScore = lips + tongue + gums + saliva + naturalTeeth + dentures + oralCleanliness + dentalPain",
"source" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "DentalOHAT"
}
]
},
{
"id" : "TWDentalOHAT.identifier",
"path" : "TWDentalOHAT.identifier",
"short" : "評估紀錄識別碼",
"definition" : "評估紀錄的唯一識別碼。",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Identifier"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估紀錄識別碼: DentalOHAT.identifier"
}
]
},
{
"id" : "TWDentalOHAT.subject",
"path" : "TWDentalOHAT.subject",
"short" : "受評估對象（病人）",
"definition" : "接受口腔健康評估的病人。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Reference"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "受評估病人: DentalOHAT.subject"
}
]
},
{
"id" : "TWDentalOHAT.assessmentDate",
"path" : "TWDentalOHAT.assessmentDate",
"short" : "評估日期",
"definition" : "進行口腔健康評估的日期。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估日期: DentalOHAT.effectiveDateTime"
}
]
},
{
"id" : "TWDentalOHAT.assessor",
"path" : "TWDentalOHAT.assessor",
"short" : "評估者",
"definition" : "執行此口腔健康評估的醫事人員或照護人員。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Reference"
}
],
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "評估者: DentalOHAT.performer"
}
]
},
{
"id" : "TWDentalOHAT.lips",
"path" : "TWDentalOHAT.lips",
"short" : "嘴唇",
"definition" : "嘴唇狀況評分（0=平滑、粉紅、濕潤; 1=乾裂、嘴角紅; 2=潰瘍、出血）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "嘴唇: DentalOHAT.component[lips].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.tongue",
"path" : "TWDentalOHAT.tongue",
"short" : "舌頭",
"definition" : "舌頭狀況評分（0=粉紅、濕潤可見乳突; 1=發紅、發紫、蒼白、乾裂或舌苔覆蓋; 2=非常紅或白斑、潰瘍）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "舌頭: DentalOHAT.component[tongue].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.gums",
"path" : "TWDentalOHAT.gums",
"short" : "牙齦組織",
"definition" : "牙齦組織狀況評分（0=粉紅、結實、濕潤; 1=乾燥浮腫、有1個白斑; 2=潰瘍、出血、多於1個白斑）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "牙齦組織: DentalOHAT.component[gums].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.saliva",
"path" : "TWDentalOHAT.saliva",
"short" : "唾液",
"definition" : "唾液狀況評分（0=容易吐出、唾液呈水狀; 1=不易吐出、唾液少且黏稠; 2=無法吐出、唾液很少且非常黏稠）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "唾液: DentalOHAT.component[saliva].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.naturalTeeth",
"path" : "TWDentalOHAT.naturalTeeth",
"short" : "自然牙",
"definition" : "自然牙狀況評分（0=沒有齲齒或斷牙; 1=1–3顆齲齒或斷牙; 2=4顆以上齲齒、斷牙或牙齒少於4顆無假牙）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "自然牙: DentalOHAT.component[naturalTeeth].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.dentures",
"path" : "TWDentalOHAT.dentures",
"short" : "假牙",
"definition" : "假牙狀況評分（0=沒損壞且有規律配戴或無假牙; 1=1處損壞、每天戴1–2小時; 2=多於1處損壞、沒有戴或假牙處黏合）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "假牙: DentalOHAT.component[dentures].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.oralCleanliness",
"path" : "TWDentalOHAT.oralCleanliness",
"short" : "口腔清潔",
"definition" : "口腔清潔狀況評分（0=清潔且沒有食物殘渣; 1=局部牙菌斑或食物殘渣; 2=多處牙菌斑或食物殘渣）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "口腔清潔: DentalOHAT.component[oralCleanliness].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.dentalPain",
"path" : "TWDentalOHAT.dentalPain",
"short" : "牙齒疼痛",
"definition" : "牙齒疼痛表現評分（0=沒有行為、言語或生理現象表示; 1=有行為或言語現象表示，如拉臉、咬唇或不吃東西; 2=有生理現象表示，如臉腫、大片潰瘍）。",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 2,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "牙齒疼痛: DentalOHAT.component[dentalPain].valueInteger"
}
]
},
{
"id" : "TWDentalOHAT.totalScore",
"path" : "TWDentalOHAT.totalScore",
"short" : "總得分",
"definition" : "八項評估項目之總得分（0–16分），分數越高代表口腔狀況越差。",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 16,
"mapping" : [
{
"identity" : "TWDentalOHAT-mapping",
"map" : "總得分: DentalOHAT.valueInteger"
}
]
}
]
}
}