Generated Narrative: StructureDefinition TWDentalOHST Name Flags Card. Type Description & Constraints TWDentalOHST 0..* Base 牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型 #xD; identifier 0..* Identifier 篩檢紀錄識別碼 #xD; subject 1..1 Reference() 受檢對象（病人） #xD; medicalRecordNumber 0..1 Identifier 病歷號 (Patient ID) #xD; screeningDate 1..1 date 篩檢日期 (Date) #xD; performer 1..1 Reference() 執行牙醫師 #xD; vitals 0..1 BackboneElement 生命徵象與體位 #xD; height 0..1 decimal 身高 BH (cm) #xD; weight 0..1 decimal 體重 BW (kg) #xD; bloodPressureSystolic 0..1 integer 收縮壓 (mmHg) #xD; bloodPressureDiastolic 0..1 integer 舒張壓 (mmHg) #xD; pulseRate 0..1 integer 脈搏 PR (bpm) #xD; allergy 0..1 BackboneElement 藥物過敏 (Allergy) #xD; hasAllergy 1..1 boolean 是否有藥物過敏 #xD; drugAllergyDetail 0..1 string 過敏藥物名稱 (Drug Allergy) #xD; medicalHistory 0..1 BackboneElement 疾病史 (Past Medical History) #xD; noHistory 0..1 boolean 無疾病史 #xD; hypertension 0..1 boolean 高血壓 (Hypertension) #xD; diabetes 0..1 boolean 糖尿病 (Diabetes) #xD; heartDisease 0..1 boolean 心臟病 (Heart Disease) #xD; stroke 0..1 boolean 中風 (Stroke) #xD; asthma 0..1 boolean 氣喘 (Asthma) #xD; hepatitis 0..1 BackboneElement 肝病 (Hepatitis) #xD; typeB 0..1 boolean B型肝炎 (Hepatitis B) #xD; typeC 0..1 boolean C型肝炎 (Hepatitis C) #xD; cirrhosis 0..1 boolean 肝硬化 (Cirrhosis) #xD; ckd 0..1 boolean 腎病 (CKD) #xD; bleedingDisorder 0..1 boolean 出血異常 (Bleeding Disorder) #xD; pregnancy 0..1 boolean 懷孕 (Pregnancy) #xD; other 0..1 string 其他 (Others) #xD; currentMedication 0..1 string 目前用藥 (Current Medication) #xD; toothStatus 0..* BackboneElement 牙位狀態評估 (Tooth Status) #xD; toothNumber 1..1 code 牙位編號 (FDI Tooth Number) #xD; status 1..1 code 牙齒狀態代碼 (Status Code) #xD; missingReason 0..1 code 缺牙原因 (Missing Reason) #xD; dentureAssessment 0..1 BackboneElement 假牙評估 (Denture Assessment) #xD; fit 1..1 code 假牙合適度 (Fit) #xD; hygiene 1..1 code 假牙清潔 (Hygiene Cleanliness) #xD; oralIndex 1..1 BackboneElement 口腔指數篩檢 (Index Oral Screening) #xD; site 0..* BackboneElement 指數評估牙位 (Index Site) #xD; toothCode 1..1 string 牙位代碼（乳牙/恆牙） #xD; plaqueIndex 1..1 integer 牙菌斑指數 (Plaque Index) #xD; gingivalIndex 1..1 integer 牙齦指數 (Gingival Index) #xD; calculusIndex 1..1 integer 牙結石指數 (Calculus Index) #xD; score 0..1 decimal 各牙位分數 (Score) #xD; totalScore 0..1 decimal 指數總分 (Index Total Score) #xD; overallOralHygieneLevel 1..1 code 整體口腔衛生等級 (Oral Hygiene Level) #xD; intervention 1..1 BackboneElement 處置建議 (Intervention) #xD; ohi 0..1 boolean 口腔衛教 (OHI) #xD; followUp 0..1 boolean 需追蹤 (Follow-up) #xD; referral 0..1 boolean 轉介 (Referral) #xD; treatment 0..1 BackboneElement 治療 (Treatment) #xD; planned 0..1 BackboneElement 治療計畫 (Plan) #xD; scaling 0..1 boolean 洗牙計畫 (Scaling) #xD; filling 0..1 boolean 補牙計畫 (Filling) #xD; extraction 0..1 boolean 拔牙計畫 (Extraction) #xD; sealant 0..1 boolean 窩溝封填計畫 (Sealant) #xD; fluoride 0..1 boolean 塗氟計畫 (Fluoride) #xD; sign 0..1 string 計畫確認簽名 (Sign) #xD; completed 0..1 BackboneElement 治療完成 (Done) #xD; scaling 0..1 boolean 洗牙完成 (Scaling) #xD; filling 0..1 boolean 補牙完成 (Filling) #xD; extraction 0..1 boolean 拔牙完成 (Extraction) #xD; sealant 0..1 boolean 窩溝封填完成 (Sealant) #xD; fluoride 0..1 boolean 塗氟完成 (Fluoride) #xD; sign 0..1 string 完成確認簽名 (Sign) #xD; clinicalNote 0..1 string 臨床紀錄 (Clinical Note) #xD; Documentation for this format
牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型
牙醫師執行口腔健康篩檢之資料模型（OHST），涵蓋病人基本資料、生命徵象、疾病史、牙位狀態評估（FDI系統）、假牙評估、口腔指數篩檢（牙菌斑／牙齦／牙結石）、整體口腔衛生等級、處置建議及治療計畫與紀錄。
篩檢當日量測的生命徵象及身體測量資料。
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
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
身高: DentalOHST.component[height].valueQuantity
體重: DentalOHST.component[weight].valueQuantity
收縮壓: DentalOHST.component[systolicBP].valueQuantity
舒張壓: DentalOHST.component[diastolicBP].valueQuantity
脈搏: DentalOHST.component[pulseRate].valueQuantity
是否有過敏: DentalOHST.AllergyIntolerance.clinicalStatus
若有藥物過敏，記錄過敏藥物的名稱或類別。
過敏藥物: DentalOHST.AllergyIntolerance.code
病人過去及現有疾病史紀錄（可複選）。
出血異常: DentalOHST.Condition[bleedingDisorder]
牙位評估: DentalOHST.Observation[toothStatus]
FDI 二位數牙位編號（如：11=右上中切牙; 36=左下第一大臼齒; 55=右上第二乳臼齒等）。
牙位編號: DentalOHST.Observation[toothStatus].bodySite
牙齒狀態（0=健康Sound; 1=齲齒Decay; 2=缺牙Missing; 3=已填補Filled; 4=活動假牙Removable denture; 5=牙冠Crown或牙橋支台Bridge abutment; 6=殘根Retained root; 7=外傷Trauma; 8=未萌出Un-erupted; 9=未記錄Not recorded）。
牙齒狀態: DentalOHST.Observation[toothStatus].valueCode
僅當牙齒狀態為缺牙（Status=2）時填寫（A=齲齒Caries; B=乳牙自然脫落Exfoliated; C=非齲齒non-caries; D=外傷Trauma; E=先天缺牙Congenital; F=不明Unknown）。
缺牙原因: DentalOHST.Observation[toothStatus].component[missingReason].valueCode
現有假牙的合適度與清潔狀況評估（適用於有假牙之個案）。
假牙合適度評估（good=合適; needs-adjustment=需調整; poor=不合適建議轉介重作）。
假牙合適度: DentalOHST.Observation[denture].component[fit].valueCode
假牙清潔狀況（good=良好; fair=普通需加強; poor=不佳高風險）。
假牙清潔: DentalOHST.Observation[denture].component[hygiene].valueCode
針對六個代表牙位進行牙菌斑、牙齦及牙結石指數評估。
口腔指數篩檢: DentalOHST.Observation[oralIndex]
各代表牙位之口腔指數評估。標準評估牙位為：55/16（右上第二乳臼齒／第一大臼齒）、51/11（右上乳中切牙／中切牙）、65/26（左上第二乳臼齒／第一大臼齒）、75/36（左下第二乳臼齒／第一大臼齒）、71/31（左下乳中切牙／中切牙）、85/46（右下第二乳臼齒／第一大臼齒）。
評估牙位: DentalOHST.Observation[oralIndex].component
牙位代碼: DentalOHST.Observation[oralIndex].component.code
牙菌斑指數: DentalOHST.Observation[oralIndex].component[plaque].valueInteger
牙齦指數評分（0=健康; 1=輕度發炎; 2=中度發炎; 3=重度發炎）。
牙齦指數: DentalOHST.Observation[oralIndex].component[gingival].valueInteger
牙結石指數: DentalOHST.Observation[oralIndex].component[calculus].valueInteger
該牙位三項指數的合計或加權計算分數。
牙位分數: DentalOHST.Observation[oralIndex].component[score].valueDecimal
指數總分: DentalOHST.Observation[oralIndex].valueDecimal
依指數總分評定的整體口腔衛生等級（0=健康Healthy; 1=輕度Mild; 2=中度Moderate; 3=重度Severe）。
整體口腔衛生等級: DentalOHST.Observation[oralIndex].interpretation
依篩檢結果提出的處置建議（可複選）。
需追蹤: DentalOHST.ServiceRequest[followUp]
洗牙計畫: DentalOHST.CarePlan.activity[scaling].detail.status
補牙計畫: DentalOHST.CarePlan.activity[filling].detail.status
拔牙計畫: DentalOHST.CarePlan.activity[extraction].detail.status
窩溝封填計畫: DentalOHST.CarePlan.activity[sealant].detail.status
塗氟計畫: DentalOHST.CarePlan.activity[fluoride].detail.status
洗牙完成: DentalOHST.Procedure[scaling].status
補牙完成: DentalOHST.Procedure[filling].status
拔牙完成: DentalOHST.Procedure[extraction].status
窩溝封填完成: DentalOHST.Procedure[sealant].status
塗氟完成: DentalOHST.Procedure[fluoride].status
牙醫師記錄的其他臨床觀察、說明或附記。
臨床紀錄: DentalOHST.ClinicalImpression.note