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: TWDentalOralCareAssessmentModel - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalOralCareAssessment logical model.

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

0. TWDentalOralCareAssessment
Definition

機構人員進行口腔照護評估之資料模型,涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能,以及假牙功能等五大構面之評估結果,由社團法人台灣口腔照護協會制定。

Short牙醫-口腔照護評估 (TW Dental Oral Care Assessment) 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. TWDentalOralCareAssessment.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. TWDentalOralCareAssessment.subject
Definition

接受口腔照護評估的病人。

Short受評估對象(病人)
Control1..1
TypeReference
6. TWDentalOralCareAssessment.medicalRecordNumber
Definition

病人的病歷號碼。

Short病歷號
Control0..1
TypeIdentifier
8. TWDentalOralCareAssessment.ward
Definition

病人的床號或病房資訊。

Short床號
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCareAssessment.assessmentDate
Definition

進行評估的日期。

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

執行口腔照護評估的醫事人員或照護人員。

Short評估人員
Control1..1
TypeReference
14. TWDentalOralCareAssessment.assessmentType
Definition

本次評估的類型(initial=初評; follow-up=定期追蹤)。

Short評估類型
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
16. TWDentalOralCareAssessment.assessmentSequence
Definition

若評估類型為定期追蹤,記錄本次為第幾次。

Short追蹤次數
Control0..1
TypepositiveInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. TWDentalOralCareAssessment.domainOne
Definition

評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。

Short構面一:口腔基本狀況
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. TWDentalOralCareAssessment.domainOne.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
22. TWDentalOralCareAssessment.domainOne.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 TWDentalOralCareAssessment.domainOne.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 24. TWDentalOralCareAssessment.domainOne.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())
    26. TWDentalOralCareAssessment.domainOne.lips
    Definition

    雙唇狀況(0=正常; 1=輕微乾裂; 2=出血或明顯破裂)。

    Short雙唇 (Lips)
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. TWDentalOralCareAssessment.domainOne.tongue
    Definition

    舌頭狀況(0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍)。

    Short舌頭
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    30. TWDentalOralCareAssessment.domainOne.mucosa
    Definition

    口腔黏膜狀況(0=正常; 1=輕微紅點; 2=潰瘍或白斑)。

    Short黏膜
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    32. TWDentalOralCareAssessment.domainOne.gingiva
    Definition

    牙齦狀況(0=無出血; 1=刷牙出血; 2=腫脹或膿包)。

    Short牙齦
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    34. TWDentalOralCareAssessment.domainOne.saliva
    Definition

    唾液濕潤程度(0=濕潤; 1=偏乾; 2=明顯乾燥)。

    Short唾液狀況
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    36. TWDentalOralCareAssessment.domainOne.halitosis
    Definition

    口臭程度(0=無; 1=近距離可聞; 2=明顯異味)。

    Short口臭 (Halitosis)
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    38. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
    Definition

    牙面清潔狀況(0=無殘渣; 1=局部菌斑; 2=多處堆積)。

    Short牙面清潔
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    40. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
    Definition

    牙縫清潔狀況(0=無殘渣; 1=局部殘渣; 2=多處堆積)。

    Short牙縫清潔
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    42. TWDentalOralCareAssessment.domainOne.riskLevel
    Definition

    口腔基本狀況之整體風險評估(low=低; medium=中; high=高)。

    Short構面一風險等級
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    44. TWDentalOralCareAssessment.domainTwo
    Definition

    評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度,以及整體潔牙依賴程度。

    Short構面二:口腔清潔能力與依賴程度
    Control1..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. TWDentalOralCareAssessment.domainTwo.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
    48. TWDentalOralCareAssessment.domainTwo.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 TWDentalOralCareAssessment.domainTwo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 50. TWDentalOralCareAssessment.domainTwo.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())
      52. TWDentalOralCareAssessment.domainTwo.brushingAbility
      Definition

      刷牙自主能力(0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙)。

      Short刷牙能力
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      54. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
      Definition

      牙縫清潔工具使用能力(0=可自行使用; 1=需協助或偶爾使用; 2=無法使用)。

      Short牙縫清潔能力
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      56. TWDentalOralCareAssessment.domainTwo.rinsingAbility
      Definition

      漱口能力(0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳)。

      Short漱口能力
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      58. TWDentalOralCareAssessment.domainTwo.compliance
      Definition

      清潔配合度與認知配合程度(0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合)。

      Short清潔配合度/認知配合
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      60. TWDentalOralCareAssessment.domainTwo.dependencyLevel
      Definition

      整體潔牙依賴程度(independent=完全自理; partial=部分協助; full=完全需協助)。

      Short潔牙依賴程度
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      62. TWDentalOralCareAssessment.domainThree
      Definition

      評估對咬牙組數、飲食型態及咀嚼困難程度。

      Short構面三:咀嚼能力
      Control1..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. TWDentalOralCareAssessment.domainThree.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
      66. TWDentalOralCareAssessment.domainThree.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 TWDentalOralCareAssessment.domainThree.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 68. TWDentalOralCareAssessment.domainThree.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())
        70. TWDentalOralCareAssessment.domainThree.occlusionPairs
        Definition

        對咬牙組數(6plus=≥6組; 1to5=1–5組; zero=0組)。

        Short對咬牙組數
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        72. TWDentalOralCareAssessment.domainThree.dietType
        Definition

        目前飲食型態(normal=普通; minced-soft-semi=剁碎/軟食/半流質; liquid-tube=流質/管灌)。

        Short飲食型態
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        74. TWDentalOralCareAssessment.domainThree.chewingDifficulty
        Definition

        咀嚼困難程度(none=無; occasional=偶爾; frequent=經常)。

        Short咀嚼困難
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        76. TWDentalOralCareAssessment.domainThree.riskLevel
        Definition

        咀嚼能力之整體風險評估(low=低; medium=中; high=高)。

        Short構面三風險等級
        Control1..1
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        78. TWDentalOralCareAssessment.domainFour
        Definition

        A. 口腔肌肉功能(唇閉合、舌頭活動、DDK Test);B. 吞嚥功能(嗆咳、聲音濕濁、RSST Test)。

        Short構面四:口腔機能與吞嚥功能
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. TWDentalOralCareAssessment.domainFour.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
        82. TWDentalOralCareAssessment.domainFour.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 TWDentalOralCareAssessment.domainFour.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 84. TWDentalOralCareAssessment.domainFour.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())
          86. TWDentalOralCareAssessment.domainFour.lipClosure
          Definition

          唇閉合能力(0=可維持5秒; 1=無法維持; 2=有口水外流)。

          Short唇閉合
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          88. TWDentalOralCareAssessment.domainFour.tongueMovement
          Definition

          舌頭活動能力(0=可左右移動; 1=緩慢或困難; 2=幾乎無法)。

          Short舌頭活動
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          90. TWDentalOralCareAssessment.domainFour.ddkTest
          Definition

          交替運動速率測試結果(0=清楚且連續; 1=發音模糊; 2=無法完成)。

          ShortDDK Test(交替運動速率測試)
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          92. TWDentalOralCareAssessment.domainFour.choking
          Definition

          進食時嗆咳頻率(0=無; 1=偶爾; 2=每餐皆發生)。

          Short嗆咳
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          94. TWDentalOralCareAssessment.domainFour.wetVoice
          Definition

          進食後聲音濕濁程度(0=清晰; 1=偶爾濕濁; 2=持續濕濁)。

          Short聲音濕濁
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          96. TWDentalOralCareAssessment.domainFour.rsstTest
          Definition

          反覆唾液吞嚥測試結果(0=≥3次; 1=1–2次; 2=0次)。

          ShortRSST Test(反覆唾液吞嚥測試)
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          98. TWDentalOralCareAssessment.domainFour.riskLevel
          Definition

          口腔機能與吞嚥功能之整體風險評估(low=低; medium=中; high=高)。

          Short構面四風險等級
          Control1..1
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          100. TWDentalOralCareAssessment.domainFive
          Definition

          評估假牙類型、配戴頻率、穩定度及清潔狀況(適用於有假牙之個案)。

          Short構面五:假牙功能 (Domain 5: Prosthesis Condition)
          Control0..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. TWDentalOralCareAssessment.domainFive.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
          104. TWDentalOralCareAssessment.domainFive.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 TWDentalOralCareAssessment.domainFive.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 106. TWDentalOralCareAssessment.domainFive.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())
            108. TWDentalOralCareAssessment.domainFive.fullDenture
            Definition

            全口活動假牙相關資訊。

            Short全口活動假牙
            Control0..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            110. TWDentalOralCareAssessment.domainFive.fullDenture.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
            112. TWDentalOralCareAssessment.domainFive.fullDenture.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 TWDentalOralCareAssessment.domainFive.fullDenture.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 114. TWDentalOralCareAssessment.domainFive.fullDenture.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())
              116. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
              Definition

              是否有上顎全口活動假牙。

              Short上顎全口假牙
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              118. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
              Definition

              上顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

              Short上顎全口假牙狀態
              Control0..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              120. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
              Definition

              是否有下顎全口活動假牙。

              Short下顎全口假牙
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              122. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
              Definition

              下顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

              Short下顎全口假牙狀態
              Control0..1
              Typecode
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              124. TWDentalOralCareAssessment.domainFive.partialDenture
              Definition

              部分活動假牙相關資訊。

              Short部分活動假牙
              Control0..1
              TypeBackboneElement
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              126. TWDentalOralCareAssessment.domainFive.partialDenture.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
              128. TWDentalOralCareAssessment.domainFive.partialDenture.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 TWDentalOralCareAssessment.domainFive.partialDenture.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 130. TWDentalOralCareAssessment.domainFive.partialDenture.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())
                132. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
                Definition

                是否有上顎部分活動假牙。

                Short上顎部分假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                134. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
                Definition

                上顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short上顎部分假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                136. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
                Definition

                是否有下顎部分活動假牙。

                Short下顎部分假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                138. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
                Definition

                下顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short下顎部分假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                140. TWDentalOralCareAssessment.domainFive.wearing
                Definition

                假牙配戴頻率(daily=每日規律; occasional=偶爾; not-worn=未配戴)。

                Short是否配戴
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                142. TWDentalOralCareAssessment.domainFive.stability
                Definition

                假牙整體穩定度(stable=穩定; loose=鬆動; damaged=破損)。

                Short穩定度
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                144. TWDentalOralCareAssessment.domainFive.cleanliness
                Definition

                假牙清潔狀況(clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積)。

                Short清潔
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                146. TWDentalOralCareAssessment.domainFive.riskLevel
                Definition

                假牙功能之整體風險評估(low=低; medium=中; high=高)。

                Short構面五風險等級
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                148. TWDentalOralCareAssessment.overallRiskLevel
                Definition

                綜合五大構面的整體風險評估(low=低風險(其餘); medium=中風險(≥2個構面為中); high=高風險(任一構面紅旗、構面四高、≥2構面高))。

                Short整體風險
                Control1..1
                Typecode
                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. TWDentalOralCareAssessment
                Definition

                機構人員進行口腔照護評估之資料模型,涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能,以及假牙功能等五大構面之評估結果,由社團法人台灣口腔照護協會制定。

                Short牙醫-口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
                Logical ModelInstances of this logical model are not marked to be the target of a Reference
                2. TWDentalOralCareAssessment.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. TWDentalOralCareAssessment.subject
                Definition

                接受口腔照護評估的病人。

                Short受評估對象(病人)
                Control1..1
                TypeReference
                6. TWDentalOralCareAssessment.medicalRecordNumber
                Definition

                病人的病歷號碼。

                Short病歷號
                Control0..1
                TypeIdentifier
                8. TWDentalOralCareAssessment.ward
                Definition

                病人的床號或病房資訊。

                Short床號
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                10. TWDentalOralCareAssessment.assessmentDate
                Definition

                進行評估的日期。

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

                執行口腔照護評估的醫事人員或照護人員。

                Short評估人員
                Control1..1
                TypeReference
                14. TWDentalOralCareAssessment.assessmentType
                Definition

                本次評估的類型(initial=初評; follow-up=定期追蹤)。

                Short評估類型
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. TWDentalOralCareAssessment.assessmentSequence
                Definition

                若評估類型為定期追蹤,記錄本次為第幾次。

                Short追蹤次數
                Control0..1
                TypepositiveInt
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                18. TWDentalOralCareAssessment.domainOne
                Definition

                評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。

                Short構面一:口腔基本狀況
                Control1..1
                TypeBackboneElement
                20. TWDentalOralCareAssessment.domainOne.lips
                Definition

                雙唇狀況(0=正常; 1=輕微乾裂; 2=出血或明顯破裂)。

                Short雙唇 (Lips)
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                22. TWDentalOralCareAssessment.domainOne.tongue
                Definition

                舌頭狀況(0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍)。

                Short舌頭
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                24. TWDentalOralCareAssessment.domainOne.mucosa
                Definition

                口腔黏膜狀況(0=正常; 1=輕微紅點; 2=潰瘍或白斑)。

                Short黏膜
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                26. TWDentalOralCareAssessment.domainOne.gingiva
                Definition

                牙齦狀況(0=無出血; 1=刷牙出血; 2=腫脹或膿包)。

                Short牙齦
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                28. TWDentalOralCareAssessment.domainOne.saliva
                Definition

                唾液濕潤程度(0=濕潤; 1=偏乾; 2=明顯乾燥)。

                Short唾液狀況
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                30. TWDentalOralCareAssessment.domainOne.halitosis
                Definition

                口臭程度(0=無; 1=近距離可聞; 2=明顯異味)。

                Short口臭 (Halitosis)
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                32. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
                Definition

                牙面清潔狀況(0=無殘渣; 1=局部菌斑; 2=多處堆積)。

                Short牙面清潔
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                34. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
                Definition

                牙縫清潔狀況(0=無殘渣; 1=局部殘渣; 2=多處堆積)。

                Short牙縫清潔
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                36. TWDentalOralCareAssessment.domainOne.riskLevel
                Definition

                口腔基本狀況之整體風險評估(low=低; medium=中; high=高)。

                Short構面一風險等級
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                38. TWDentalOralCareAssessment.domainTwo
                Definition

                評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度,以及整體潔牙依賴程度。

                Short構面二:口腔清潔能力與依賴程度
                Control1..1
                TypeBackboneElement
                40. TWDentalOralCareAssessment.domainTwo.brushingAbility
                Definition

                刷牙自主能力(0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙)。

                Short刷牙能力
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                42. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
                Definition

                牙縫清潔工具使用能力(0=可自行使用; 1=需協助或偶爾使用; 2=無法使用)。

                Short牙縫清潔能力
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                44. TWDentalOralCareAssessment.domainTwo.rinsingAbility
                Definition

                漱口能力(0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳)。

                Short漱口能力
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                46. TWDentalOralCareAssessment.domainTwo.compliance
                Definition

                清潔配合度與認知配合程度(0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合)。

                Short清潔配合度/認知配合
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                48. TWDentalOralCareAssessment.domainTwo.dependencyLevel
                Definition

                整體潔牙依賴程度(independent=完全自理; partial=部分協助; full=完全需協助)。

                Short潔牙依賴程度
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                50. TWDentalOralCareAssessment.domainThree
                Definition

                評估對咬牙組數、飲食型態及咀嚼困難程度。

                Short構面三:咀嚼能力
                Control1..1
                TypeBackboneElement
                52. TWDentalOralCareAssessment.domainThree.occlusionPairs
                Definition

                對咬牙組數(6plus=≥6組; 1to5=1–5組; zero=0組)。

                Short對咬牙組數
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                54. TWDentalOralCareAssessment.domainThree.dietType
                Definition

                目前飲食型態(normal=普通; minced-soft-semi=剁碎/軟食/半流質; liquid-tube=流質/管灌)。

                Short飲食型態
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                56. TWDentalOralCareAssessment.domainThree.chewingDifficulty
                Definition

                咀嚼困難程度(none=無; occasional=偶爾; frequent=經常)。

                Short咀嚼困難
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                58. TWDentalOralCareAssessment.domainThree.riskLevel
                Definition

                咀嚼能力之整體風險評估(low=低; medium=中; high=高)。

                Short構面三風險等級
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                60. TWDentalOralCareAssessment.domainFour
                Definition

                A. 口腔肌肉功能(唇閉合、舌頭活動、DDK Test);B. 吞嚥功能(嗆咳、聲音濕濁、RSST Test)。

                Short構面四:口腔機能與吞嚥功能
                Control1..1
                TypeBackboneElement
                62. TWDentalOralCareAssessment.domainFour.lipClosure
                Definition

                唇閉合能力(0=可維持5秒; 1=無法維持; 2=有口水外流)。

                Short唇閉合
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                64. TWDentalOralCareAssessment.domainFour.tongueMovement
                Definition

                舌頭活動能力(0=可左右移動; 1=緩慢或困難; 2=幾乎無法)。

                Short舌頭活動
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                66. TWDentalOralCareAssessment.domainFour.ddkTest
                Definition

                交替運動速率測試結果(0=清楚且連續; 1=發音模糊; 2=無法完成)。

                ShortDDK Test(交替運動速率測試)
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                68. TWDentalOralCareAssessment.domainFour.choking
                Definition

                進食時嗆咳頻率(0=無; 1=偶爾; 2=每餐皆發生)。

                Short嗆咳
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                70. TWDentalOralCareAssessment.domainFour.wetVoice
                Definition

                進食後聲音濕濁程度(0=清晰; 1=偶爾濕濁; 2=持續濕濁)。

                Short聲音濕濁
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                72. TWDentalOralCareAssessment.domainFour.rsstTest
                Definition

                反覆唾液吞嚥測試結果(0=≥3次; 1=1–2次; 2=0次)。

                ShortRSST Test(反覆唾液吞嚥測試)
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                74. TWDentalOralCareAssessment.domainFour.riskLevel
                Definition

                口腔機能與吞嚥功能之整體風險評估(low=低; medium=中; high=高)。

                Short構面四風險等級
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                76. TWDentalOralCareAssessment.domainFive
                Definition

                評估假牙類型、配戴頻率、穩定度及清潔狀況(適用於有假牙之個案)。

                Short構面五:假牙功能 (Domain 5: Prosthesis Condition)
                Control0..1
                TypeBackboneElement
                78. TWDentalOralCareAssessment.domainFive.fullDenture
                Definition

                全口活動假牙相關資訊。

                Short全口活動假牙
                Control0..1
                TypeBackboneElement
                80. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
                Definition

                是否有上顎全口活動假牙。

                Short上顎全口假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                82. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
                Definition

                上顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short上顎全口假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                84. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
                Definition

                是否有下顎全口活動假牙。

                Short下顎全口假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                86. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
                Definition

                下顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short下顎全口假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                88. TWDentalOralCareAssessment.domainFive.partialDenture
                Definition

                部分活動假牙相關資訊。

                Short部分活動假牙
                Control0..1
                TypeBackboneElement
                90. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
                Definition

                是否有上顎部分活動假牙。

                Short上顎部分假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                92. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
                Definition

                上顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short上顎部分假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                94. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
                Definition

                是否有下顎部分活動假牙。

                Short下顎部分假牙
                Control0..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                96. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
                Definition

                下顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                Short下顎部分假牙狀態
                Control0..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                98. TWDentalOralCareAssessment.domainFive.wearing
                Definition

                假牙配戴頻率(daily=每日規律; occasional=偶爾; not-worn=未配戴)。

                Short是否配戴
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                100. TWDentalOralCareAssessment.domainFive.stability
                Definition

                假牙整體穩定度(stable=穩定; loose=鬆動; damaged=破損)。

                Short穩定度
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                102. TWDentalOralCareAssessment.domainFive.cleanliness
                Definition

                假牙清潔狀況(clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積)。

                Short清潔
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                104. TWDentalOralCareAssessment.domainFive.riskLevel
                Definition

                假牙功能之整體風險評估(low=低; medium=中; high=高)。

                Short構面五風險等級
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                106. TWDentalOralCareAssessment.overallRiskLevel
                Definition

                綜合五大構面的整體風險評估(low=低風險(其餘); medium=中風險(≥2個構面為中); high=高風險(任一構面紅旗、構面四高、≥2構面高))。

                Short整體風險
                Control1..1
                Typecode
                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. TWDentalOralCareAssessment
                Definition

                機構人員進行口腔照護評估之資料模型,涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能,以及假牙功能等五大構面之評估結果,由社團法人台灣口腔照護協會制定。

                Short牙醫-口腔照護評估 (TW Dental Oral Care Assessment) 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. TWDentalOralCareAssessment.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. TWDentalOralCareAssessment.subject
                Definition

                接受口腔照護評估的病人。

                Short受評估對象(病人)
                Control1..1
                TypeReference
                6. TWDentalOralCareAssessment.medicalRecordNumber
                Definition

                病人的病歷號碼。

                Short病歷號
                Control0..1
                TypeIdentifier
                8. TWDentalOralCareAssessment.ward
                Definition

                病人的床號或病房資訊。

                Short床號
                Control0..1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                10. TWDentalOralCareAssessment.assessmentDate
                Definition

                進行評估的日期。

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

                執行口腔照護評估的醫事人員或照護人員。

                Short評估人員
                Control1..1
                TypeReference
                14. TWDentalOralCareAssessment.assessmentType
                Definition

                本次評估的類型(initial=初評; follow-up=定期追蹤)。

                Short評估類型
                Control1..1
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                16. TWDentalOralCareAssessment.assessmentSequence
                Definition

                若評估類型為定期追蹤,記錄本次為第幾次。

                Short追蹤次數
                Control0..1
                TypepositiveInt
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                18. TWDentalOralCareAssessment.domainOne
                Definition

                評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。

                Short構面一:口腔基本狀況
                Control1..1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                20. TWDentalOralCareAssessment.domainOne.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
                22. TWDentalOralCareAssessment.domainOne.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 TWDentalOralCareAssessment.domainOne.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 24. TWDentalOralCareAssessment.domainOne.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())
                  26. TWDentalOralCareAssessment.domainOne.lips
                  Definition

                  雙唇狀況(0=正常; 1=輕微乾裂; 2=出血或明顯破裂)。

                  Short雙唇 (Lips)
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  28. TWDentalOralCareAssessment.domainOne.tongue
                  Definition

                  舌頭狀況(0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍)。

                  Short舌頭
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  30. TWDentalOralCareAssessment.domainOne.mucosa
                  Definition

                  口腔黏膜狀況(0=正常; 1=輕微紅點; 2=潰瘍或白斑)。

                  Short黏膜
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  32. TWDentalOralCareAssessment.domainOne.gingiva
                  Definition

                  牙齦狀況(0=無出血; 1=刷牙出血; 2=腫脹或膿包)。

                  Short牙齦
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  34. TWDentalOralCareAssessment.domainOne.saliva
                  Definition

                  唾液濕潤程度(0=濕潤; 1=偏乾; 2=明顯乾燥)。

                  Short唾液狀況
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  36. TWDentalOralCareAssessment.domainOne.halitosis
                  Definition

                  口臭程度(0=無; 1=近距離可聞; 2=明顯異味)。

                  Short口臭 (Halitosis)
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  38. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
                  Definition

                  牙面清潔狀況(0=無殘渣; 1=局部菌斑; 2=多處堆積)。

                  Short牙面清潔
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  40. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
                  Definition

                  牙縫清潔狀況(0=無殘渣; 1=局部殘渣; 2=多處堆積)。

                  Short牙縫清潔
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  42. TWDentalOralCareAssessment.domainOne.riskLevel
                  Definition

                  口腔基本狀況之整體風險評估(low=低; medium=中; high=高)。

                  Short構面一風險等級
                  Control1..1
                  Typecode
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  44. TWDentalOralCareAssessment.domainTwo
                  Definition

                  評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度,以及整體潔牙依賴程度。

                  Short構面二:口腔清潔能力與依賴程度
                  Control1..1
                  TypeBackboneElement
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  46. TWDentalOralCareAssessment.domainTwo.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
                  48. TWDentalOralCareAssessment.domainTwo.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 TWDentalOralCareAssessment.domainTwo.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 50. TWDentalOralCareAssessment.domainTwo.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())
                    52. TWDentalOralCareAssessment.domainTwo.brushingAbility
                    Definition

                    刷牙自主能力(0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙)。

                    Short刷牙能力
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    54. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
                    Definition

                    牙縫清潔工具使用能力(0=可自行使用; 1=需協助或偶爾使用; 2=無法使用)。

                    Short牙縫清潔能力
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    56. TWDentalOralCareAssessment.domainTwo.rinsingAbility
                    Definition

                    漱口能力(0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳)。

                    Short漱口能力
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    58. TWDentalOralCareAssessment.domainTwo.compliance
                    Definition

                    清潔配合度與認知配合程度(0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合)。

                    Short清潔配合度/認知配合
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    60. TWDentalOralCareAssessment.domainTwo.dependencyLevel
                    Definition

                    整體潔牙依賴程度(independent=完全自理; partial=部分協助; full=完全需協助)。

                    Short潔牙依賴程度
                    Control1..1
                    Typecode
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    62. TWDentalOralCareAssessment.domainThree
                    Definition

                    評估對咬牙組數、飲食型態及咀嚼困難程度。

                    Short構面三:咀嚼能力
                    Control1..1
                    TypeBackboneElement
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    64. TWDentalOralCareAssessment.domainThree.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
                    66. TWDentalOralCareAssessment.domainThree.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 TWDentalOralCareAssessment.domainThree.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 68. TWDentalOralCareAssessment.domainThree.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())
                      70. TWDentalOralCareAssessment.domainThree.occlusionPairs
                      Definition

                      對咬牙組數(6plus=≥6組; 1to5=1–5組; zero=0組)。

                      Short對咬牙組數
                      Control1..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      72. TWDentalOralCareAssessment.domainThree.dietType
                      Definition

                      目前飲食型態(normal=普通; minced-soft-semi=剁碎/軟食/半流質; liquid-tube=流質/管灌)。

                      Short飲食型態
                      Control1..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      74. TWDentalOralCareAssessment.domainThree.chewingDifficulty
                      Definition

                      咀嚼困難程度(none=無; occasional=偶爾; frequent=經常)。

                      Short咀嚼困難
                      Control1..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      76. TWDentalOralCareAssessment.domainThree.riskLevel
                      Definition

                      咀嚼能力之整體風險評估(low=低; medium=中; high=高)。

                      Short構面三風險等級
                      Control1..1
                      Typecode
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      78. TWDentalOralCareAssessment.domainFour
                      Definition

                      A. 口腔肌肉功能(唇閉合、舌頭活動、DDK Test);B. 吞嚥功能(嗆咳、聲音濕濁、RSST Test)。

                      Short構面四:口腔機能與吞嚥功能
                      Control1..1
                      TypeBackboneElement
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. TWDentalOralCareAssessment.domainFour.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
                      82. TWDentalOralCareAssessment.domainFour.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 TWDentalOralCareAssessment.domainFour.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 84. TWDentalOralCareAssessment.domainFour.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())
                        86. TWDentalOralCareAssessment.domainFour.lipClosure
                        Definition

                        唇閉合能力(0=可維持5秒; 1=無法維持; 2=有口水外流)。

                        Short唇閉合
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        88. TWDentalOralCareAssessment.domainFour.tongueMovement
                        Definition

                        舌頭活動能力(0=可左右移動; 1=緩慢或困難; 2=幾乎無法)。

                        Short舌頭活動
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        90. TWDentalOralCareAssessment.domainFour.ddkTest
                        Definition

                        交替運動速率測試結果(0=清楚且連續; 1=發音模糊; 2=無法完成)。

                        ShortDDK Test(交替運動速率測試)
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        92. TWDentalOralCareAssessment.domainFour.choking
                        Definition

                        進食時嗆咳頻率(0=無; 1=偶爾; 2=每餐皆發生)。

                        Short嗆咳
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        94. TWDentalOralCareAssessment.domainFour.wetVoice
                        Definition

                        進食後聲音濕濁程度(0=清晰; 1=偶爾濕濁; 2=持續濕濁)。

                        Short聲音濕濁
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        96. TWDentalOralCareAssessment.domainFour.rsstTest
                        Definition

                        反覆唾液吞嚥測試結果(0=≥3次; 1=1–2次; 2=0次)。

                        ShortRSST Test(反覆唾液吞嚥測試)
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        98. TWDentalOralCareAssessment.domainFour.riskLevel
                        Definition

                        口腔機能與吞嚥功能之整體風險評估(low=低; medium=中; high=高)。

                        Short構面四風險等級
                        Control1..1
                        Typecode
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        100. TWDentalOralCareAssessment.domainFive
                        Definition

                        評估假牙類型、配戴頻率、穩定度及清潔狀況(適用於有假牙之個案)。

                        Short構面五:假牙功能 (Domain 5: Prosthesis Condition)
                        Control0..1
                        TypeBackboneElement
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        102. TWDentalOralCareAssessment.domainFive.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
                        104. TWDentalOralCareAssessment.domainFive.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 TWDentalOralCareAssessment.domainFive.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 106. TWDentalOralCareAssessment.domainFive.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())
                          108. TWDentalOralCareAssessment.domainFive.fullDenture
                          Definition

                          全口活動假牙相關資訊。

                          Short全口活動假牙
                          Control0..1
                          TypeBackboneElement
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          110. TWDentalOralCareAssessment.domainFive.fullDenture.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
                          112. TWDentalOralCareAssessment.domainFive.fullDenture.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 TWDentalOralCareAssessment.domainFive.fullDenture.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 114. TWDentalOralCareAssessment.domainFive.fullDenture.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())
                            116. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
                            Definition

                            是否有上顎全口活動假牙。

                            Short上顎全口假牙
                            Control0..1
                            Typeboolean
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            118. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
                            Definition

                            上顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                            Short上顎全口假牙狀態
                            Control0..1
                            Typecode
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            120. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
                            Definition

                            是否有下顎全口活動假牙。

                            Short下顎全口假牙
                            Control0..1
                            Typeboolean
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            122. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
                            Definition

                            下顎全口假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                            Short下顎全口假牙狀態
                            Control0..1
                            Typecode
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            124. TWDentalOralCareAssessment.domainFive.partialDenture
                            Definition

                            部分活動假牙相關資訊。

                            Short部分活動假牙
                            Control0..1
                            TypeBackboneElement
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            126. TWDentalOralCareAssessment.domainFive.partialDenture.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
                            128. TWDentalOralCareAssessment.domainFive.partialDenture.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 TWDentalOralCareAssessment.domainFive.partialDenture.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 130. TWDentalOralCareAssessment.domainFive.partialDenture.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())
                              132. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
                              Definition

                              是否有上顎部分活動假牙。

                              Short上顎部分假牙
                              Control0..1
                              Typeboolean
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              134. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
                              Definition

                              上顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                              Short上顎部分假牙狀態
                              Control0..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              136. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
                              Definition

                              是否有下顎部分活動假牙。

                              Short下顎部分假牙
                              Control0..1
                              Typeboolean
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              138. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
                              Definition

                              下顎部分假牙完整度(intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑)。

                              Short下顎部分假牙狀態
                              Control0..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              140. TWDentalOralCareAssessment.domainFive.wearing
                              Definition

                              假牙配戴頻率(daily=每日規律; occasional=偶爾; not-worn=未配戴)。

                              Short是否配戴
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              142. TWDentalOralCareAssessment.domainFive.stability
                              Definition

                              假牙整體穩定度(stable=穩定; loose=鬆動; damaged=破損)。

                              Short穩定度
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              144. TWDentalOralCareAssessment.domainFive.cleanliness
                              Definition

                              假牙清潔狀況(clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積)。

                              Short清潔
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              146. TWDentalOralCareAssessment.domainFive.riskLevel
                              Definition

                              假牙功能之整體風險評估(low=低; medium=中; high=高)。

                              Short構面五風險等級
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              148. TWDentalOralCareAssessment.overallRiskLevel
                              Definition

                              綜合五大構面的整體風險評估(low=低風險(其餘); medium=中風險(≥2個構面為中); high=高風險(任一構面紅旗、構面四高、≥2構面高))。

                              Short整體風險
                              Control1..1
                              Typecode
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension