TWDentalOralCareAssessment
type: StructureDefinition
node role: treeRoot
id:
  v: TWDentalOralCareAssessment
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition TWDentalOralCareAssessment Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> TWDentalOralCareAssessment 0..* Base 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型 #xD; identifier 0..* Identifier 評估紀錄識別碼 #xD; subject 1..1 Reference() 受評估對象（病人） #xD; medicalRecordNumber 0..1 Identifier 病歷號 #xD; ward 0..1 string 床號 #xD; assessmentDate 1..1 date 評估日期 #xD; assessor 1..1 Reference() 評估人員 #xD; assessmentType 1..1 code 評估類型 #xD; assessmentSequence 0..1 positiveInt 追蹤次數 #xD; domainOne 1..1 BackboneElement 構面一：口腔基本狀況 #xD; lips 1..1 code 雙唇 (Lips) #xD; tongue 1..1 code 舌頭 #xD; mucosa 1..1 code 黏膜 #xD; gingiva 1..1 code 牙齦 #xD; saliva 1..1 code 唾液狀況 #xD; halitosis 1..1 code 口臭 (Halitosis) #xD; toothSurfaceCleanliness 1..1 code 牙面清潔 #xD; interdentalCleanliness 1..1 code 牙縫清潔 #xD; riskLevel 1..1 code 構面一風險等級 #xD; domainTwo 1..1 BackboneElement 構面二：口腔清潔能力與依賴程度 #xD; brushingAbility 1..1 code 刷牙能力 #xD; interdentalCleaningAbility 1..1 code 牙縫清潔能力 #xD; rinsingAbility 1..1 code 漱口能力 #xD; compliance 1..1 code 清潔配合度／認知配合 #xD; dependencyLevel 1..1 code 潔牙依賴程度 #xD; domainThree 1..1 BackboneElement 構面三：咀嚼能力 #xD; occlusionPairs 1..1 code 對咬牙組數 #xD; dietType 1..1 code 飲食型態 #xD; chewingDifficulty 1..1 code 咀嚼困難 #xD; riskLevel 1..1 code 構面三風險等級 #xD; domainFour 1..1 BackboneElement 構面四：口腔機能與吞嚥功能 #xD; lipClosure 1..1 code 唇閉合 #xD; tongueMovement 1..1 code 舌頭活動 #xD; ddkTest 1..1 code DDK Test（交替運動速率測試） #xD; choking 1..1 code 嗆咳 #xD; wetVoice 1..1 code 聲音濕濁 #xD; rsstTest 1..1 code RSST Test（反覆唾液吞嚥測試） #xD; riskLevel 1..1 code 構面四風險等級 #xD; domainFive 0..1 BackboneElement 構面五：假牙功能 (Domain 5: Prosthesis Condition) #xD; fullDenture 0..1 BackboneElement 全口活動假牙 #xD; maxillary 0..1 boolean 上顎全口假牙 #xD; maxillaryCondition 0..1 code 上顎全口假牙狀態 #xD; mandibular 0..1 boolean 下顎全口假牙 #xD; mandibularCondition 0..1 code 下顎全口假牙狀態 #xD; partialDenture 0..1 BackboneElement 部分活動假牙 #xD; maxillary 0..1 boolean 上顎部分假牙 #xD; …
url:
  v: http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment
version:
  v: 0.0.1
name:
  v: TWDentalOralCareAssessmentModel
title:
  v: 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
status:
  v: active
date:
  v: 2026-06-25T00:51:39+00:00
publisher:
  v: 金屬工業研究發展中心
contact:
  name:
    v: 金屬工業研究發展中心
  telecom:
    system:
      v: url
    value:
      v: https://www.mirdc.org.tw/
contact:
  name:
    v: 黃怡文
  telecom:
    system:
      v: email
    use:
      v: work
contact:
  name:
    v: 莊世任
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: 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。
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: TWDentalOralCareAssessment
  uri:
    v: https://dental-ig.fhir.tw
  name:
    v: TW Dental IG
kind:
  v: logical
abstract:
  v: false
type:
  v: http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  link: http://hl7.org/fhir/StructureDefinition/Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: TWDentalOralCareAssessment
    path:
      v: TWDentalOralCareAssessment
    short:
      v: 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
    definition:
      v: 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。
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: TWDentalOralCareAssessment
      map:
        v: DentalOralCareAssessment
  element:
    id:
      v: TWDentalOralCareAssessment.identifier
    path:
      v: TWDentalOralCareAssessment.identifier
    short:
      v: 評估紀錄識別碼
    definition:
      v: 評估紀錄的唯一識別碼。
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: TWDentalOralCareAssessment.identifier
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Identifier
    mapping:
      identity:
        v: TWDentalOralCareAssessment
      map:
        v: 評估紀錄識別碼: DentalOralCareAssessment.identifier
  element:
    id:
      v: TWDentalOralCareAssessment.subject
    path:
      v: TWDentalOralCareAssessment.subject
    short:
      v: 受評估對象（病人）
    definition:
      v: 接受口腔照護評估的病人。
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCareAssessment.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Reference
    mapping:
      identity:
        v: TWDentalOralCareAssessment
      map:
        v: 受評估病人: DentalOralCareAssessment.subject
  element:
    id:
      v: TWDentalOralCareAssessment.medicalRecordNumber
    path:
      v: TWDentalOralCareAssessment.medicalRecordNumber
    short:
      v: 病歷號
    definition:
      v: 病人的病歷號碼。
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCareAssessment.medicalRecordNumber
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: Identifier
    mapping:
      identity:
        v: TWDentalOralCareAssessment
      map:
        v: 病歷號: DentalOralCareAssessment.identifier
  element:
    id:
      v: TWDentalOralCareAssessment.ward
    path:
      v: TWDentalOralCareAssessment.ward
    short:
      v: 床號
    definition:
      v: 病人的床號或病房資訊。
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCareAssessment.ward
      min:
        v: 0

v: 1

code:
  v: string

identity:
  v: TWDentalOralCareAssessment
map:
  v: 床號: DentalOralCareAssessment.note

id:
  v: TWDentalOralCareAssessment.assessmentDate
path:
  v: TWDentalOralCareAssessment.assessmentDate
short:
  v: 評估日期
definition:
  v: 進行評估的日期。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.assessmentDate
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: date
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 評估日期: DentalOralCareAssessment.effectiveDateTime

id:
  v: TWDentalOralCareAssessment.assessor
path:
  v: TWDentalOralCareAssessment.assessor
short:
  v: 評估人員
definition:
  v: 執行口腔照護評估的醫事人員或照護人員。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.assessor
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 評估人員: DentalOralCareAssessment.performer

id:
  v: TWDentalOralCareAssessment.assessmentType
path:
  v: TWDentalOralCareAssessment.assessmentType
short:
  v: 評估類型
definition:
  v: 本次評估的類型（initial=初評; follow-up=定期追蹤）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.assessmentType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 評估類型: DentalOralCareAssessment.category

id:
  v: TWDentalOralCareAssessment.assessmentSequence
path:
  v: TWDentalOralCareAssessment.assessmentSequence
short:
  v: 追蹤次數
definition:
  v: 若評估類型為定期追蹤，記錄本次為第幾次。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.assessmentSequence
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 追蹤次數: DentalOralCareAssessment.note

id:
  v: TWDentalOralCareAssessment.domainOne
path:
  v: TWDentalOralCareAssessment.domainOne
short:
  v: 構面一：口腔基本狀況
definition:
  v: 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。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面一：口腔基本狀況: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainOne.id
path:
  v: TWDentalOralCareAssessment.domainOne.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainOne.extension
path:
  v: TWDentalOralCareAssessment.domainOne.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainOne.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainOne.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainOne.lips
path:
  v: TWDentalOralCareAssessment.domainOne.lips
short:
  v: 雙唇 (Lips)
definition:
  v: 雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.lips
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 雙唇評估: DentalOralCareAssessment.component[lips].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.tongue
path:
  v: TWDentalOralCareAssessment.domainOne.tongue
short:
  v: 舌頭
definition:
  v: 舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.tongue
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 舌頭評估: DentalOralCareAssessment.component[tongue].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.mucosa
path:
  v: TWDentalOralCareAssessment.domainOne.mucosa
short:
  v: 黏膜
definition:
  v: 口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.mucosa
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 黏膜評估: DentalOralCareAssessment.component[mucosa].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.gingiva
path:
  v: TWDentalOralCareAssessment.domainOne.gingiva
short:
  v: 牙齦
definition:
  v: 牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.gingiva
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙齦評估: DentalOralCareAssessment.component[gingiva].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.saliva
path:
  v: TWDentalOralCareAssessment.domainOne.saliva
short:
  v: 唾液狀況
definition:
  v: 唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.saliva
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 唾液評估: DentalOralCareAssessment.component[saliva].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.halitosis
path:
  v: TWDentalOralCareAssessment.domainOne.halitosis
short:
  v: 口臭 (Halitosis)
definition:
  v: 口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.halitosis
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 口臭評估: DentalOralCareAssessment.component[halitosis].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
path:
  v: TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
short:
  v: 牙面清潔
definition:
  v: 牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙面清潔評估: DentalOralCareAssessment.component[toothSurface].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.interdentalCleanliness
path:
  v: TWDentalOralCareAssessment.domainOne.interdentalCleanliness
short:
  v: 牙縫清潔
definition:
  v: 牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.interdentalCleanliness
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙縫清潔評估: DentalOralCareAssessment.component[interdental].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.riskLevel
path:
  v: TWDentalOralCareAssessment.domainOne.riskLevel
short:
  v: 構面一風險等級
definition:
  v: 口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainOne.riskLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面一風險: DentalOralCareAssessment.component[domain1Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo
path:
  v: TWDentalOralCareAssessment.domainTwo
short:
  v: 構面二：口腔清潔能力與依賴程度
definition:
  v: 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。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面二：口腔清潔能力: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainTwo.id
path:
  v: TWDentalOralCareAssessment.domainTwo.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainTwo.extension
path:
  v: TWDentalOralCareAssessment.domainTwo.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainTwo.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainTwo.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainTwo.brushingAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.brushingAbility
short:
  v: 刷牙能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo.brushingAbility
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 刷牙能力: DentalOralCareAssessment.component[brushing].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
short:
  v: 牙縫清潔能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙縫清潔能力: DentalOralCareAssessment.component[interdentalCleaning].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.rinsingAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.rinsingAbility
short:
  v: 漱口能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo.rinsingAbility
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 漱口能力: DentalOralCareAssessment.component[rinsing].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.compliance
path:
  v: TWDentalOralCareAssessment.domainTwo.compliance
short:
  v: 清潔配合度／認知配合
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo.compliance
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 清潔配合度: DentalOralCareAssessment.component[compliance].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.dependencyLevel
path:
  v: TWDentalOralCareAssessment.domainTwo.dependencyLevel
short:
  v: 潔牙依賴程度
definition:
  v: 整體潔牙依賴程度（independent=完全自理; partial=部分協助; full=完全需協助）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainTwo.dependencyLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 潔牙依賴程度: DentalOralCareAssessment.component[dependency].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree
path:
  v: TWDentalOralCareAssessment.domainThree
short:
  v: 構面三：咀嚼能力
definition:
  v: 評估對咬牙組數、飲食型態及咀嚼困難程度。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainThree
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面三：咀嚼能力: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainThree.id
path:
  v: TWDentalOralCareAssessment.domainThree.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainThree.extension
path:
  v: TWDentalOralCareAssessment.domainThree.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainThree.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainThree.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainThree.occlusionPairs
path:
  v: TWDentalOralCareAssessment.domainThree.occlusionPairs
short:
  v: 對咬牙組數
definition:
  v: 對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainThree.occlusionPairs
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 對咬牙組數: DentalOralCareAssessment.component[occlusionPairs].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.dietType
path:
  v: TWDentalOralCareAssessment.domainThree.dietType
short:
  v: 飲食型態
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainThree.dietType
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 飲食型態: DentalOralCareAssessment.component[dietType].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.chewingDifficulty
path:
  v: TWDentalOralCareAssessment.domainThree.chewingDifficulty
short:
  v: 咀嚼困難
definition:
  v: 咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainThree.chewingDifficulty
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 咀嚼困難: DentalOralCareAssessment.component[chewingDifficulty].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.riskLevel
path:
  v: TWDentalOralCareAssessment.domainThree.riskLevel
short:
  v: 構面三風險等級
definition:
  v: 咀嚼能力之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainThree.riskLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面三風險: DentalOralCareAssessment.component[domain3Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour
path:
  v: TWDentalOralCareAssessment.domainFour
short:
  v: 構面四：口腔機能與吞嚥功能
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面四：口腔機能與吞嚥功能: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainFour.id
path:
  v: TWDentalOralCareAssessment.domainFour.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFour.extension
path:
  v: TWDentalOralCareAssessment.domainFour.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFour.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainFour.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainFour.lipClosure
path:
  v: TWDentalOralCareAssessment.domainFour.lipClosure
short:
  v: 唇閉合
definition:
  v: 唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.lipClosure
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 唇閉合: DentalOralCareAssessment.component[lipClosure].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.tongueMovement
path:
  v: TWDentalOralCareAssessment.domainFour.tongueMovement
short:
  v: 舌頭活動
definition:
  v: 舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.tongueMovement
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 舌頭活動: DentalOralCareAssessment.component[tongueMovement].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.ddkTest
path:
  v: TWDentalOralCareAssessment.domainFour.ddkTest
short:
  v: DDK Test（交替運動速率測試）
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.ddkTest
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: DDK Test: DentalOralCareAssessment.component[ddkTest].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.choking
path:
  v: TWDentalOralCareAssessment.domainFour.choking
short:
  v: 嗆咳
definition:
  v: 進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.choking
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 嗆咳: DentalOralCareAssessment.component[choking].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.wetVoice
path:
  v: TWDentalOralCareAssessment.domainFour.wetVoice
short:
  v: 聲音濕濁
definition:
  v: 進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.wetVoice
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 聲音濕濁: DentalOralCareAssessment.component[wetVoice].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.rsstTest
path:
  v: TWDentalOralCareAssessment.domainFour.rsstTest
short:
  v: RSST Test（反覆唾液吞嚥測試）
definition:
  v: 反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.rsstTest
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: RSST Test: DentalOralCareAssessment.component[rsstTest].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.riskLevel
path:
  v: TWDentalOralCareAssessment.domainFour.riskLevel
short:
  v: 構面四風險等級
definition:
  v: 口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFour.riskLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面四風險: DentalOralCareAssessment.component[domain4Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive
path:
  v: TWDentalOralCareAssessment.domainFive
short:
  v: 構面五：假牙功能 (Domain 5: Prosthesis Condition)
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面五：假牙功能: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainFive.id
path:
  v: TWDentalOralCareAssessment.domainFive.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.extension
path:
  v: TWDentalOralCareAssessment.domainFive.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
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  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainFive.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture
short:
  v: 全口活動假牙
definition:
  v: 全口活動假牙相關資訊。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.fullDenture
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 全口活動假牙: DentalOralCareAssessment.component[fullDenture]

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.id
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.extension
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
short:
  v: 上顎全口假牙
definition:
  v: 是否有上顎全口活動假牙。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎全口假牙: DentalOralCareAssessment.component[fullDentureMaxillary].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
short:
  v: 上顎全口假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMaxillaryCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
short:
  v: 下顎全口假牙
definition:
  v: 是否有下顎全口活動假牙。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎全口假牙: DentalOralCareAssessment.component[fullDentureMandibular].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
short:
  v: 下顎全口假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMandibularCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture
short:
  v: 部分活動假牙
definition:
  v: 部分活動假牙相關資訊。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.partialDenture
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 部分活動假牙: DentalOralCareAssessment.component[partialDenture]

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.id
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.extension
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.modifierExtension
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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).
comment:
  v: 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.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
short:
  v: 上顎部分假牙
definition:
  v: 是否有上顎部分活動假牙。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎部分假牙: DentalOralCareAssessment.component[partialDentureMaxillary].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
short:
  v: 上顎部分假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMaxillaryCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
short:
  v: 下顎部分假牙
definition:
  v: 是否有下顎部分活動假牙。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎部分假牙: DentalOralCareAssessment.component[partialDentureMandibular].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
short:
  v: 下顎部分假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMandibularCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.wearing
path:
  v: TWDentalOralCareAssessment.domainFive.wearing
short:
  v: 是否配戴
definition:
  v: 假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.wearing
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙配戴頻率: DentalOralCareAssessment.component[dentureWearing].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.stability
path:
  v: TWDentalOralCareAssessment.domainFive.stability
short:
  v: 穩定度
definition:
  v: 假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.stability
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙穩定度: DentalOralCareAssessment.component[dentureStability].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.cleanliness
path:
  v: TWDentalOralCareAssessment.domainFive.cleanliness
short:
  v: 清潔
definition:
  v: 假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.cleanliness
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙清潔: DentalOralCareAssessment.component[dentureCleanliness].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.riskLevel
path:
  v: TWDentalOralCareAssessment.domainFive.riskLevel
short:
  v: 構面五風險等級
definition:
  v: 假牙功能之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.domainFive.riskLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面五風險: DentalOralCareAssessment.component[domain5Risk].valueCode

id:
  v: TWDentalOralCareAssessment.overallRiskLevel
path:
  v: TWDentalOralCareAssessment.overallRiskLevel
short:
  v: 整體風險
definition:
  v: 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））。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCareAssessment.overallRiskLevel
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 整體風險: DentalOralCareAssessment.interpretation

element:
  id:
    v: TWDentalOralCareAssessment
  path:
    v: TWDentalOralCareAssessment
  short:
    v: 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
  definition:
    v: 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。
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: DentalOralCareAssessment
element:
  id:
    v: TWDentalOralCareAssessment.identifier
  path:
    v: TWDentalOralCareAssessment.identifier
  short:
    v: 評估紀錄識別碼
  definition:
    v: 評估紀錄的唯一識別碼。
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Identifier
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 評估紀錄識別碼: DentalOralCareAssessment.identifier
element:
  id:
    v: TWDentalOralCareAssessment.subject
  path:
    v: TWDentalOralCareAssessment.subject
  short:
    v: 受評估對象（病人）
  definition:
    v: 接受口腔照護評估的病人。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 受評估病人: DentalOralCareAssessment.subject
element:
  id:
    v: TWDentalOralCareAssessment.medicalRecordNumber
  path:
    v: TWDentalOralCareAssessment.medicalRecordNumber
  short:
    v: 病歷號
  definition:
    v: 病人的病歷號碼。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Identifier
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 病歷號: DentalOralCareAssessment.identifier
element:
  id:
    v: TWDentalOralCareAssessment.ward
  path:
    v: TWDentalOralCareAssessment.ward
  short:
    v: 床號
  definition:
    v: 病人的床號或病房資訊。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: string
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 床號: DentalOralCareAssessment.note
element:
  id:
    v: TWDentalOralCareAssessment.assessmentDate
  path:
    v: TWDentalOralCareAssessment.assessmentDate
  short:
    v: 評估日期
  definition:
    v: 進行評估的日期。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: date
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 評估日期: DentalOralCareAssessment.effectiveDateTime
element:
  id:
    v: TWDentalOralCareAssessment.assessor
  path:
    v: TWDentalOralCareAssessment.assessor
  short:
    v: 評估人員
  definition:
    v: 執行口腔照護評估的醫事人員或照護人員。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 評估人員: DentalOralCareAssessment.performer
element:
  id:
    v: TWDentalOralCareAssessment.assessmentType
  path:
    v: TWDentalOralCareAssessment.assessmentType
  short:
    v: 評估類型
  definition:
    v: 本次評估的類型（initial=初評; follow-up=定期追蹤）。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: code
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 評估類型: DentalOralCareAssessment.category
element:
  id:
    v: TWDentalOralCareAssessment.assessmentSequence
  path:
    v: TWDentalOralCareAssessment.assessmentSequence
  short:
    v: 追蹤次數
  definition:
    v: 若評估類型為定期追蹤，記錄本次為第幾次。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: positiveInt
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 追蹤次數: DentalOralCareAssessment.note
element:
  id:
    v: TWDentalOralCareAssessment.domainOne
  path:
    v: TWDentalOralCareAssessment.domainOne
  short:
    v: 構面一：口腔基本狀況
  definition:
    v: 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。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: BackboneElement
  mapping:
    identity:
      v: TWDentalOralCareAssessment
    map:
      v: 構面一：口腔基本狀況: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainOne.lips
path:
  v: TWDentalOralCareAssessment.domainOne.lips
short:
  v: 雙唇 (Lips)
definition:
  v: 雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 雙唇評估: DentalOralCareAssessment.component[lips].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.tongue
path:
  v: TWDentalOralCareAssessment.domainOne.tongue
short:
  v: 舌頭
definition:
  v: 舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 舌頭評估: DentalOralCareAssessment.component[tongue].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.mucosa
path:
  v: TWDentalOralCareAssessment.domainOne.mucosa
short:
  v: 黏膜
definition:
  v: 口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 黏膜評估: DentalOralCareAssessment.component[mucosa].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.gingiva
path:
  v: TWDentalOralCareAssessment.domainOne.gingiva
short:
  v: 牙齦
definition:
  v: 牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙齦評估: DentalOralCareAssessment.component[gingiva].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.saliva
path:
  v: TWDentalOralCareAssessment.domainOne.saliva
short:
  v: 唾液狀況
definition:
  v: 唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 唾液評估: DentalOralCareAssessment.component[saliva].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.halitosis
path:
  v: TWDentalOralCareAssessment.domainOne.halitosis
short:
  v: 口臭 (Halitosis)
definition:
  v: 口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 口臭評估: DentalOralCareAssessment.component[halitosis].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
path:
  v: TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
short:
  v: 牙面清潔
definition:
  v: 牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙面清潔評估: DentalOralCareAssessment.component[toothSurface].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.interdentalCleanliness
path:
  v: TWDentalOralCareAssessment.domainOne.interdentalCleanliness
short:
  v: 牙縫清潔
definition:
  v: 牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙縫清潔評估: DentalOralCareAssessment.component[interdental].valueCode

id:
  v: TWDentalOralCareAssessment.domainOne.riskLevel
path:
  v: TWDentalOralCareAssessment.domainOne.riskLevel
short:
  v: 構面一風險等級
definition:
  v: 口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面一風險: DentalOralCareAssessment.component[domain1Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo
path:
  v: TWDentalOralCareAssessment.domainTwo
short:
  v: 構面二：口腔清潔能力與依賴程度
definition:
  v: 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。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面二：口腔清潔能力: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainTwo.brushingAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.brushingAbility
short:
  v: 刷牙能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 刷牙能力: DentalOralCareAssessment.component[brushing].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
short:
  v: 牙縫清潔能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 牙縫清潔能力: DentalOralCareAssessment.component[interdentalCleaning].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.rinsingAbility
path:
  v: TWDentalOralCareAssessment.domainTwo.rinsingAbility
short:
  v: 漱口能力
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 漱口能力: DentalOralCareAssessment.component[rinsing].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.compliance
path:
  v: TWDentalOralCareAssessment.domainTwo.compliance
short:
  v: 清潔配合度／認知配合
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 清潔配合度: DentalOralCareAssessment.component[compliance].valueCode

id:
  v: TWDentalOralCareAssessment.domainTwo.dependencyLevel
path:
  v: TWDentalOralCareAssessment.domainTwo.dependencyLevel
short:
  v: 潔牙依賴程度
definition:
  v: 整體潔牙依賴程度（independent=完全自理; partial=部分協助; full=完全需協助）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 潔牙依賴程度: DentalOralCareAssessment.component[dependency].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree
path:
  v: TWDentalOralCareAssessment.domainThree
short:
  v: 構面三：咀嚼能力
definition:
  v: 評估對咬牙組數、飲食型態及咀嚼困難程度。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面三：咀嚼能力: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainThree.occlusionPairs
path:
  v: TWDentalOralCareAssessment.domainThree.occlusionPairs
short:
  v: 對咬牙組數
definition:
  v: 對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 對咬牙組數: DentalOralCareAssessment.component[occlusionPairs].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.dietType
path:
  v: TWDentalOralCareAssessment.domainThree.dietType
short:
  v: 飲食型態
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 飲食型態: DentalOralCareAssessment.component[dietType].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.chewingDifficulty
path:
  v: TWDentalOralCareAssessment.domainThree.chewingDifficulty
short:
  v: 咀嚼困難
definition:
  v: 咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 咀嚼困難: DentalOralCareAssessment.component[chewingDifficulty].valueCode

id:
  v: TWDentalOralCareAssessment.domainThree.riskLevel
path:
  v: TWDentalOralCareAssessment.domainThree.riskLevel
short:
  v: 構面三風險等級
definition:
  v: 咀嚼能力之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面三風險: DentalOralCareAssessment.component[domain3Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour
path:
  v: TWDentalOralCareAssessment.domainFour
short:
  v: 構面四：口腔機能與吞嚥功能
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面四：口腔機能與吞嚥功能: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainFour.lipClosure
path:
  v: TWDentalOralCareAssessment.domainFour.lipClosure
short:
  v: 唇閉合
definition:
  v: 唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 唇閉合: DentalOralCareAssessment.component[lipClosure].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.tongueMovement
path:
  v: TWDentalOralCareAssessment.domainFour.tongueMovement
short:
  v: 舌頭活動
definition:
  v: 舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 舌頭活動: DentalOralCareAssessment.component[tongueMovement].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.ddkTest
path:
  v: TWDentalOralCareAssessment.domainFour.ddkTest
short:
  v: DDK Test（交替運動速率測試）
definition:
  v: 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）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: DDK Test: DentalOralCareAssessment.component[ddkTest].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.choking
path:
  v: TWDentalOralCareAssessment.domainFour.choking
short:
  v: 嗆咳
definition:
  v: 進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 嗆咳: DentalOralCareAssessment.component[choking].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.wetVoice
path:
  v: TWDentalOralCareAssessment.domainFour.wetVoice
short:
  v: 聲音濕濁
definition:
  v: 進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 聲音濕濁: DentalOralCareAssessment.component[wetVoice].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.rsstTest
path:
  v: TWDentalOralCareAssessment.domainFour.rsstTest
short:
  v: RSST Test（反覆唾液吞嚥測試）
definition:
  v: 反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: RSST Test: DentalOralCareAssessment.component[rsstTest].valueCode

id:
  v: TWDentalOralCareAssessment.domainFour.riskLevel
path:
  v: TWDentalOralCareAssessment.domainFour.riskLevel
short:
  v: 構面四風險等級
definition:
  v: 口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面四風險: DentalOralCareAssessment.component[domain4Risk].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive
path:
  v: TWDentalOralCareAssessment.domainFive
short:
  v: 構面五：假牙功能 (Domain 5: Prosthesis Condition)
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面五：假牙功能: DentalOralCareAssessment.component

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture
short:
  v: 全口活動假牙
definition:
  v: 全口活動假牙相關資訊。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 全口活動假牙: DentalOralCareAssessment.component[fullDenture]

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
short:
  v: 上顎全口假牙
definition:
  v: 是否有上顎全口活動假牙。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎全口假牙: DentalOralCareAssessment.component[fullDentureMaxillary].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
short:
  v: 上顎全口假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMaxillaryCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
short:
  v: 下顎全口假牙
definition:
  v: 是否有下顎全口活動假牙。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎全口假牙: DentalOralCareAssessment.component[fullDentureMandibular].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
path:
  v: TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
short:
  v: 下顎全口假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMandibularCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture
short:
  v: 部分活動假牙
definition:
  v: 部分活動假牙相關資訊。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 部分活動假牙: DentalOralCareAssessment.component[partialDenture]

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
short:
  v: 上顎部分假牙
definition:
  v: 是否有上顎部分活動假牙。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎部分假牙: DentalOralCareAssessment.component[partialDentureMaxillary].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
short:
  v: 上顎部分假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 上顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMaxillaryCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
short:
  v: 下顎部分假牙
definition:
  v: 是否有下顎部分活動假牙。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎部分假牙: DentalOralCareAssessment.component[partialDentureMandibular].valueBoolean

id:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
path:
  v: TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
short:
  v: 下顎部分假牙狀態
definition:
  v: 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）。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 下顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMandibularCondition].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.wearing
path:
  v: TWDentalOralCareAssessment.domainFive.wearing
short:
  v: 是否配戴
definition:
  v: 假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙配戴頻率: DentalOralCareAssessment.component[dentureWearing].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.stability
path:
  v: TWDentalOralCareAssessment.domainFive.stability
short:
  v: 穩定度
definition:
  v: 假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙穩定度: DentalOralCareAssessment.component[dentureStability].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.cleanliness
path:
  v: TWDentalOralCareAssessment.domainFive.cleanliness
short:
  v: 清潔
definition:
  v: 假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 假牙清潔: DentalOralCareAssessment.component[dentureCleanliness].valueCode

id:
  v: TWDentalOralCareAssessment.domainFive.riskLevel
path:
  v: TWDentalOralCareAssessment.domainFive.riskLevel
short:
  v: 構面五風險等級
definition:
  v: 假牙功能之整體風險評估（low=低; medium=中; high=高）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 構面五風險: DentalOralCareAssessment.component[domain5Risk].valueCode

id:
  v: TWDentalOralCareAssessment.overallRiskLevel
path:
  v: TWDentalOralCareAssessment.overallRiskLevel
short:
  v: 整體風險
definition:
  v: 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））。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
mapping:
  identity:
    v: TWDentalOralCareAssessment
  map:
    v: 整體風險: DentalOralCareAssessment.interpretation