<status value="active"/> <date value="2026-06-25T00:51:39+00:00"/> <publisher value="金屬工業研究發展中心"/> <contact> <name value="金屬工業研究發展中心"/> <telecom> <system value="url"/> <value value="https://www.mirdc.org.tw/"/> </telecom> </contact> <contact> <name value="黃怡文"/> <telecom> <system value="email"/> <value value="lisaiwh@mail.mirdc.org.tw"/> <use value="work"/> </telecom> </contact> <contact> <name value="莊世任"/> <telecom> <system value="email"/> <value value="renjuang@mail.mirdc.org.tw"/> <use value="work"/> </telecom> </contact> <description value="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。"/> <fhirVersion value="4.0.1"/> <mapping> <identity value="TWDentalOralCareAssessment"/> <uri value="https://dental-ig.fhir.tw"/> <name value="TW Dental IG"/> </mapping> <kind value="logical"/> <abstract value="false"/> <type value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="TWDentalOralCareAssessment"> <path value="TWDentalOralCareAssessment"/> <short value="牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="DentalOralCareAssessment"/> </mapping> </element> <element id="TWDentalOralCareAssessment.identifier"> <path value="TWDentalOralCareAssessment.identifier"/> <short value="評估紀錄識別碼"/> <definition value="評估紀錄的唯一識別碼。"/> <min value="0"/> <max value="*"/> <base> <path value="TWDentalOralCareAssessment.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估紀錄識別碼: DentalOralCareAssessment.identifier"/> </mapping> </element> <element id="TWDentalOralCareAssessment.subject"> <path value="TWDentalOralCareAssessment.subject"/> <short value="受評估對象（病人）"/> <definition value="接受口腔照護評估的病人。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="受評估病人: DentalOralCareAssessment.subject"/> </mapping> </element> <element id="TWDentalOralCareAssessment.medicalRecordNumber"> <path value="TWDentalOralCareAssessment.medicalRecordNumber"/> <short value="病歷號"/> <definition value="病人的病歷號碼。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.medicalRecordNumber"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="病歷號: DentalOralCareAssessment.identifier"/> </mapping> </element> <element id="TWDentalOralCareAssessment.ward"> <path value="TWDentalOralCareAssessment.ward"/> <short value="床號"/> <definition value="病人的床號或病房資訊。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.ward"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="床號: DentalOralCareAssessment.note"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentDate"> <path value="TWDentalOralCareAssessment.assessmentDate"/> <short value="評估日期"/> <definition value="進行評估的日期。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.assessmentDate"/> <min value="1"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估日期: DentalOralCareAssessment.effectiveDateTime"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessor"> <path value="TWDentalOralCareAssessment.assessor"/> <short value="評估人員"/> <definition value="執行口腔照護評估的醫事人員或照護人員。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.assessor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估人員: DentalOralCareAssessment.performer"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentType"> <path value="TWDentalOralCareAssessment.assessmentType"/> <short value="評估類型"/> <definition value="本次評估的類型（initial=初評; follow-up=定期追蹤）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.assessmentType"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估類型: DentalOralCareAssessment.category"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentSequence"> <path value="TWDentalOralCareAssessment.assessmentSequence"/> <short value="追蹤次數"/> <definition value="若評估類型為定期追蹤，記錄本次為第幾次。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.assessmentSequence"/> <min value="0"/> <max value="1"/> </base> <type> <code value="positiveInt"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="追蹤次數: DentalOralCareAssessment.note"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne"> <path value="TWDentalOralCareAssessment.domainOne"/> <short value="構面一：口腔基本狀況"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne"/> <min value="1"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面一：口腔基本狀況: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.id"> <path value="TWDentalOralCareAssessment.domainOne.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.extension"> <path value="TWDentalOralCareAssessment.domainOne.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.modifierExtension"> <path value="TWDentalOralCareAssessment.domainOne.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.lips"> <path value="TWDentalOralCareAssessment.domainOne.lips"/> <short value="雙唇 (Lips)"/> <definition value="雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.lips"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="雙唇評估: DentalOralCareAssessment.component[lips].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.tongue"> <path value="TWDentalOralCareAssessment.domainOne.tongue"/> <short value="舌頭"/> <definition value="舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.tongue"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="舌頭評估: DentalOralCareAssessment.component[tongue].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.mucosa"> <path value="TWDentalOralCareAssessment.domainOne.mucosa"/> <short value="黏膜"/> <definition value="口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.mucosa"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="黏膜評估: DentalOralCareAssessment.component[mucosa].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.gingiva"> <path value="TWDentalOralCareAssessment.domainOne.gingiva"/> <short value="牙齦"/> <definition value="牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.gingiva"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙齦評估: DentalOralCareAssessment.component[gingiva].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.saliva"> <path value="TWDentalOralCareAssessment.domainOne.saliva"/> <short value="唾液狀況"/> <definition value="唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.saliva"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="唾液評估: DentalOralCareAssessment.component[saliva].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.halitosis"> <path value="TWDentalOralCareAssessment.domainOne.halitosis"/> <short value="口臭 (Halitosis)"/> <definition value="口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.halitosis"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="口臭評估: DentalOralCareAssessment.component[halitosis].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness"> <path value="TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness"/> <short value="牙面清潔"/> <definition value="牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙面清潔評估: DentalOralCareAssessment.component[toothSurface].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.interdentalCleanliness"> <path value="TWDentalOralCareAssessment.domainOne.interdentalCleanliness"/> <short value="牙縫清潔"/> <definition value="牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.interdentalCleanliness"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙縫清潔評估: DentalOralCareAssessment.component[interdental].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.riskLevel"> <path value="TWDentalOralCareAssessment.domainOne.riskLevel"/> <short value="構面一風險等級"/> <definition value="口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainOne.riskLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面一風險: DentalOralCareAssessment.component[domain1Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo"> <path value="TWDentalOralCareAssessment.domainTwo"/> <short value="構面二：口腔清潔能力與依賴程度"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo"/> <min value="1"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面二：口腔清潔能力: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.id"> <path value="TWDentalOralCareAssessment.domainTwo.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.extension"> <path value="TWDentalOralCareAssessment.domainTwo.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.modifierExtension"> <path value="TWDentalOralCareAssessment.domainTwo.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.brushingAbility"> <path value="TWDentalOralCareAssessment.domainTwo.brushingAbility"/> <short value="刷牙能力"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo.brushingAbility"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="刷牙能力: DentalOralCareAssessment.component[brushing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility"> <path value="TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility"/> <short value="牙縫清潔能力"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙縫清潔能力: DentalOralCareAssessment.component[interdentalCleaning].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.rinsingAbility"> <path value="TWDentalOralCareAssessment.domainTwo.rinsingAbility"/> <short value="漱口能力"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo.rinsingAbility"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="漱口能力: DentalOralCareAssessment.component[rinsing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.compliance"> <path value="TWDentalOralCareAssessment.domainTwo.compliance"/> <short value="清潔配合度／認知配合"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo.compliance"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="清潔配合度: DentalOralCareAssessment.component[compliance].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.dependencyLevel"> <path value="TWDentalOralCareAssessment.domainTwo.dependencyLevel"/> <short value="潔牙依賴程度"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainTwo.dependencyLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="潔牙依賴程度: DentalOralCareAssessment.component[dependency].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree"> <path value="TWDentalOralCareAssessment.domainThree"/> <short value="構面三：咀嚼能力"/> <definition value="評估對咬牙組數、飲食型態及咀嚼困難程度。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainThree"/> <min value="1"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面三：咀嚼能力: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.id"> <path value="TWDentalOralCareAssessment.domainThree.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.extension"> <path value="TWDentalOralCareAssessment.domainThree.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.modifierExtension"> <path value="TWDentalOralCareAssessment.domainThree.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.occlusionPairs"> <path value="TWDentalOralCareAssessment.domainThree.occlusionPairs"/> <short value="對咬牙組數"/> <definition value="對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainThree.occlusionPairs"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="對咬牙組數: DentalOralCareAssessment.component[occlusionPairs].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.dietType"> <path value="TWDentalOralCareAssessment.domainThree.dietType"/> <short value="飲食型態"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainThree.dietType"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="飲食型態: DentalOralCareAssessment.component[dietType].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.chewingDifficulty"> <path value="TWDentalOralCareAssessment.domainThree.chewingDifficulty"/> <short value="咀嚼困難"/> <definition value="咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainThree.chewingDifficulty"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="咀嚼困難: DentalOralCareAssessment.component[chewingDifficulty].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.riskLevel"> <path value="TWDentalOralCareAssessment.domainThree.riskLevel"/> <short value="構面三風險等級"/> <definition value="咀嚼能力之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainThree.riskLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面三風險: DentalOralCareAssessment.component[domain3Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour"> <path value="TWDentalOralCareAssessment.domainFour"/> <short value="構面四：口腔機能與吞嚥功能"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour"/> <min value="1"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面四：口腔機能與吞嚥功能: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.id"> <path value="TWDentalOralCareAssessment.domainFour.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.extension"> <path value="TWDentalOralCareAssessment.domainFour.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.modifierExtension"> <path value="TWDentalOralCareAssessment.domainFour.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.lipClosure"> <path value="TWDentalOralCareAssessment.domainFour.lipClosure"/> <short value="唇閉合"/> <definition value="唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.lipClosure"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="唇閉合: DentalOralCareAssessment.component[lipClosure].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.tongueMovement"> <path value="TWDentalOralCareAssessment.domainFour.tongueMovement"/> <short value="舌頭活動"/> <definition value="舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.tongueMovement"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="舌頭活動: DentalOralCareAssessment.component[tongueMovement].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.ddkTest"> <path value="TWDentalOralCareAssessment.domainFour.ddkTest"/> <short value="DDK Test（交替運動速率測試）"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.ddkTest"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="DDK Test: DentalOralCareAssessment.component[ddkTest].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.choking"> <path value="TWDentalOralCareAssessment.domainFour.choking"/> <short value="嗆咳"/> <definition value="進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.choking"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="嗆咳: DentalOralCareAssessment.component[choking].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.wetVoice"> <path value="TWDentalOralCareAssessment.domainFour.wetVoice"/> <short value="聲音濕濁"/> <definition value="進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.wetVoice"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="聲音濕濁: DentalOralCareAssessment.component[wetVoice].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.rsstTest"> <path value="TWDentalOralCareAssessment.domainFour.rsstTest"/> <short value="RSST Test（反覆唾液吞嚥測試）"/> <definition value="反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.rsstTest"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="RSST Test: DentalOralCareAssessment.component[rsstTest].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.riskLevel"> <path value="TWDentalOralCareAssessment.domainFour.riskLevel"/> <short value="構面四風險等級"/> <definition value="口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFour.riskLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面四風險: DentalOralCareAssessment.component[domain4Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive"> <path value="TWDentalOralCareAssessment.domainFive"/> <short value="構面五：假牙功能 (Domain 5: Prosthesis Condition)"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面五：假牙功能: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.id"> <path value="TWDentalOralCareAssessment.domainFive.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.extension"> <path value="TWDentalOralCareAssessment.domainFive.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.modifierExtension"> <path value="TWDentalOralCareAssessment.domainFive.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture"/> <short value="全口活動假牙"/> <definition value="全口活動假牙相關資訊。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.fullDenture"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="全口活動假牙: DentalOralCareAssessment.component[fullDenture]"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.id"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.extension"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.modifierExtension"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.maxillary"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillary"/> <short value="上顎全口假牙"/> <definition value="是否有上顎全口活動假牙。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎全口假牙: DentalOralCareAssessment.component[fullDentureMaxillary].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition"/> <short value="上顎全口假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMaxillaryCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.mandibular"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibular"/> <short value="下顎全口假牙"/> <definition value="是否有下顎全口活動假牙。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibular"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎全口假牙: DentalOralCareAssessment.component[fullDentureMandibular].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition"/> <short value="下顎全口假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMandibularCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture"/> <short value="部分活動假牙"/> <definition value="部分活動假牙相關資訊。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.partialDenture"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="部分活動假牙: DentalOralCareAssessment.component[partialDenture]"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.id"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.extension"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="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 value="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 value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.modifierExtension"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 value="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 value="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 value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.maxillary"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillary"/> <short value="上顎部分假牙"/> <definition value="是否有上顎部分活動假牙。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillary"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎部分假牙: DentalOralCareAssessment.component[partialDentureMaxillary].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition"/> <short value="上顎部分假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMaxillaryCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.mandibular"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibular"/> <short value="下顎部分假牙"/> <definition value="是否有下顎部分活動假牙。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibular"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎部分假牙: DentalOralCareAssessment.component[partialDentureMandibular].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition"/> <short value="下顎部分假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMandibularCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.wearing"> <path value="TWDentalOralCareAssessment.domainFive.wearing"/> <short value="是否配戴"/> <definition value="假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.wearing"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙配戴頻率: DentalOralCareAssessment.component[dentureWearing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.stability"> <path value="TWDentalOralCareAssessment.domainFive.stability"/> <short value="穩定度"/> <definition value="假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.stability"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙穩定度: DentalOralCareAssessment.component[dentureStability].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.cleanliness"> <path value="TWDentalOralCareAssessment.domainFive.cleanliness"/> <short value="清潔"/> <definition value="假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.cleanliness"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙清潔: DentalOralCareAssessment.component[dentureCleanliness].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.riskLevel"> <path value="TWDentalOralCareAssessment.domainFive.riskLevel"/> <short value="構面五風險等級"/> <definition value="假牙功能之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.domainFive.riskLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面五風險: DentalOralCareAssessment.component[domain5Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.overallRiskLevel"> <path value="TWDentalOralCareAssessment.overallRiskLevel"/> <short value="整體風險"/> <definition value="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 value="1"/> <max value="1"/> <base> <path value="TWDentalOralCareAssessment.overallRiskLevel"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="整體風險: DentalOralCareAssessment.interpretation"/> </mapping> </element> </snapshot> <differential> <element id="TWDentalOralCareAssessment"> <path value="TWDentalOralCareAssessment"/> <short value="牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型"/> <definition value="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 value="TWDentalOralCareAssessment"/> <map value="DentalOralCareAssessment"/> </mapping> </element> <element id="TWDentalOralCareAssessment.identifier"> <path value="TWDentalOralCareAssessment.identifier"/> <short value="評估紀錄識別碼"/> <definition value="評估紀錄的唯一識別碼。"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估紀錄識別碼: DentalOralCareAssessment.identifier"/> </mapping> </element> <element id="TWDentalOralCareAssessment.subject"> <path value="TWDentalOralCareAssessment.subject"/> <short value="受評估對象（病人）"/> <definition value="接受口腔照護評估的病人。"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="受評估病人: DentalOralCareAssessment.subject"/> </mapping> </element> <element id="TWDentalOralCareAssessment.medicalRecordNumber"> <path value="TWDentalOralCareAssessment.medicalRecordNumber"/> <short value="病歷號"/> <definition value="病人的病歷號碼。"/> <min value="0"/> <max value="1"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="病歷號: DentalOralCareAssessment.identifier"/> </mapping> </element> <element id="TWDentalOralCareAssessment.ward"> <path value="TWDentalOralCareAssessment.ward"/> <short value="床號"/> <definition value="病人的床號或病房資訊。"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="床號: DentalOralCareAssessment.note"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentDate"> <path value="TWDentalOralCareAssessment.assessmentDate"/> <short value="評估日期"/> <definition value="進行評估的日期。"/> <min value="1"/> <max value="1"/> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估日期: DentalOralCareAssessment.effectiveDateTime"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessor"> <path value="TWDentalOralCareAssessment.assessor"/> <short value="評估人員"/> <definition value="執行口腔照護評估的醫事人員或照護人員。"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估人員: DentalOralCareAssessment.performer"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentType"> <path value="TWDentalOralCareAssessment.assessmentType"/> <short value="評估類型"/> <definition value="本次評估的類型（initial=初評; follow-up=定期追蹤）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="評估類型: DentalOralCareAssessment.category"/> </mapping> </element> <element id="TWDentalOralCareAssessment.assessmentSequence"> <path value="TWDentalOralCareAssessment.assessmentSequence"/> <short value="追蹤次數"/> <definition value="若評估類型為定期追蹤，記錄本次為第幾次。"/> <min value="0"/> <max value="1"/> <type> <code value="positiveInt"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="追蹤次數: DentalOralCareAssessment.note"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne"> <path value="TWDentalOralCareAssessment.domainOne"/> <short value="構面一：口腔基本狀況"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面一：口腔基本狀況: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.lips"> <path value="TWDentalOralCareAssessment.domainOne.lips"/> <short value="雙唇 (Lips)"/> <definition value="雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="雙唇評估: DentalOralCareAssessment.component[lips].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.tongue"> <path value="TWDentalOralCareAssessment.domainOne.tongue"/> <short value="舌頭"/> <definition value="舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="舌頭評估: DentalOralCareAssessment.component[tongue].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.mucosa"> <path value="TWDentalOralCareAssessment.domainOne.mucosa"/> <short value="黏膜"/> <definition value="口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="黏膜評估: DentalOralCareAssessment.component[mucosa].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.gingiva"> <path value="TWDentalOralCareAssessment.domainOne.gingiva"/> <short value="牙齦"/> <definition value="牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙齦評估: DentalOralCareAssessment.component[gingiva].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.saliva"> <path value="TWDentalOralCareAssessment.domainOne.saliva"/> <short value="唾液狀況"/> <definition value="唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="唾液評估: DentalOralCareAssessment.component[saliva].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.halitosis"> <path value="TWDentalOralCareAssessment.domainOne.halitosis"/> <short value="口臭 (Halitosis)"/> <definition value="口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="口臭評估: DentalOralCareAssessment.component[halitosis].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness"> <path value="TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness"/> <short value="牙面清潔"/> <definition value="牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙面清潔評估: DentalOralCareAssessment.component[toothSurface].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.interdentalCleanliness"> <path value="TWDentalOralCareAssessment.domainOne.interdentalCleanliness"/> <short value="牙縫清潔"/> <definition value="牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙縫清潔評估: DentalOralCareAssessment.component[interdental].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainOne.riskLevel"> <path value="TWDentalOralCareAssessment.domainOne.riskLevel"/> <short value="構面一風險等級"/> <definition value="口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面一風險: DentalOralCareAssessment.component[domain1Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo"> <path value="TWDentalOralCareAssessment.domainTwo"/> <short value="構面二：口腔清潔能力與依賴程度"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面二：口腔清潔能力: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.brushingAbility"> <path value="TWDentalOralCareAssessment.domainTwo.brushingAbility"/> <short value="刷牙能力"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="刷牙能力: DentalOralCareAssessment.component[brushing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility"> <path value="TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility"/> <short value="牙縫清潔能力"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="牙縫清潔能力: DentalOralCareAssessment.component[interdentalCleaning].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.rinsingAbility"> <path value="TWDentalOralCareAssessment.domainTwo.rinsingAbility"/> <short value="漱口能力"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="漱口能力: DentalOralCareAssessment.component[rinsing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.compliance"> <path value="TWDentalOralCareAssessment.domainTwo.compliance"/> <short value="清潔配合度／認知配合"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="清潔配合度: DentalOralCareAssessment.component[compliance].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainTwo.dependencyLevel"> <path value="TWDentalOralCareAssessment.domainTwo.dependencyLevel"/> <short value="潔牙依賴程度"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="潔牙依賴程度: DentalOralCareAssessment.component[dependency].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree"> <path value="TWDentalOralCareAssessment.domainThree"/> <short value="構面三：咀嚼能力"/> <definition value="評估對咬牙組數、飲食型態及咀嚼困難程度。"/> <min value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面三：咀嚼能力: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.occlusionPairs"> <path value="TWDentalOralCareAssessment.domainThree.occlusionPairs"/> <short value="對咬牙組數"/> <definition value="對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="對咬牙組數: DentalOralCareAssessment.component[occlusionPairs].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.dietType"> <path value="TWDentalOralCareAssessment.domainThree.dietType"/> <short value="飲食型態"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="飲食型態: DentalOralCareAssessment.component[dietType].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.chewingDifficulty"> <path value="TWDentalOralCareAssessment.domainThree.chewingDifficulty"/> <short value="咀嚼困難"/> <definition value="咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="咀嚼困難: DentalOralCareAssessment.component[chewingDifficulty].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainThree.riskLevel"> <path value="TWDentalOralCareAssessment.domainThree.riskLevel"/> <short value="構面三風險等級"/> <definition value="咀嚼能力之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面三風險: DentalOralCareAssessment.component[domain3Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour"> <path value="TWDentalOralCareAssessment.domainFour"/> <short value="構面四：口腔機能與吞嚥功能"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面四：口腔機能與吞嚥功能: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.lipClosure"> <path value="TWDentalOralCareAssessment.domainFour.lipClosure"/> <short value="唇閉合"/> <definition value="唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="唇閉合: DentalOralCareAssessment.component[lipClosure].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.tongueMovement"> <path value="TWDentalOralCareAssessment.domainFour.tongueMovement"/> <short value="舌頭活動"/> <definition value="舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="舌頭活動: DentalOralCareAssessment.component[tongueMovement].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.ddkTest"> <path value="TWDentalOralCareAssessment.domainFour.ddkTest"/> <short value="DDK Test（交替運動速率測試）"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="DDK Test: DentalOralCareAssessment.component[ddkTest].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.choking"> <path value="TWDentalOralCareAssessment.domainFour.choking"/> <short value="嗆咳"/> <definition value="進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="嗆咳: DentalOralCareAssessment.component[choking].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.wetVoice"> <path value="TWDentalOralCareAssessment.domainFour.wetVoice"/> <short value="聲音濕濁"/> <definition value="進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="聲音濕濁: DentalOralCareAssessment.component[wetVoice].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.rsstTest"> <path value="TWDentalOralCareAssessment.domainFour.rsstTest"/> <short value="RSST Test（反覆唾液吞嚥測試）"/> <definition value="反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="RSST Test: DentalOralCareAssessment.component[rsstTest].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFour.riskLevel"> <path value="TWDentalOralCareAssessment.domainFour.riskLevel"/> <short value="構面四風險等級"/> <definition value="口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面四風險: DentalOralCareAssessment.component[domain4Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive"> <path value="TWDentalOralCareAssessment.domainFive"/> <short value="構面五：假牙功能 (Domain 5: Prosthesis Condition)"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面五：假牙功能: DentalOralCareAssessment.component"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture"/> <short value="全口活動假牙"/> <definition value="全口活動假牙相關資訊。"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="全口活動假牙: DentalOralCareAssessment.component[fullDenture]"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.maxillary"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillary"/> <short value="上顎全口假牙"/> <definition value="是否有上顎全口活動假牙。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎全口假牙: DentalOralCareAssessment.component[fullDentureMaxillary].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition"/> <short value="上顎全口假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMaxillaryCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.mandibular"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibular"/> <short value="下顎全口假牙"/> <definition value="是否有下顎全口活動假牙。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎全口假牙: DentalOralCareAssessment.component[fullDentureMandibular].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition"> <path value="TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition"/> <short value="下顎全口假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMandibularCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture"/> <short value="部分活動假牙"/> <definition value="部分活動假牙相關資訊。"/> <min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="部分活動假牙: DentalOralCareAssessment.component[partialDenture]"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.maxillary"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillary"/> <short value="上顎部分假牙"/> <definition value="是否有上顎部分活動假牙。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎部分假牙: DentalOralCareAssessment.component[partialDentureMaxillary].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition"/> <short value="上顎部分假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="上顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMaxillaryCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.mandibular"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibular"/> <short value="下顎部分假牙"/> <definition value="是否有下顎部分活動假牙。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎部分假牙: DentalOralCareAssessment.component[partialDentureMandibular].valueBoolean"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition"> <path value="TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition"/> <short value="下顎部分假牙狀態"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="下顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMandibularCondition].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.wearing"> <path value="TWDentalOralCareAssessment.domainFive.wearing"/> <short value="是否配戴"/> <definition value="假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙配戴頻率: DentalOralCareAssessment.component[dentureWearing].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.stability"> <path value="TWDentalOralCareAssessment.domainFive.stability"/> <short value="穩定度"/> <definition value="假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙穩定度: DentalOralCareAssessment.component[dentureStability].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.cleanliness"> <path value="TWDentalOralCareAssessment.domainFive.cleanliness"/> <short value="清潔"/> <definition value="假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="假牙清潔: DentalOralCareAssessment.component[dentureCleanliness].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.domainFive.riskLevel"> <path value="TWDentalOralCareAssessment.domainFive.riskLevel"/> <short value="構面五風險等級"/> <definition value="假牙功能之整體風險評估（low=低; medium=中; high=高）。"/> <min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="構面五風險: DentalOralCareAssessment.component[domain5Risk].valueCode"/> </mapping> </element> <element id="TWDentalOralCareAssessment.overallRiskLevel"> <path value="TWDentalOralCareAssessment.overallRiskLevel"/> <short value="整體風險"/> <definition value="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 value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mapping> <identity value="TWDentalOralCareAssessment"/> <map value="整體風險: DentalOralCareAssessment.interpretation"/> </mapping> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition TWDentalOralCareAssessment

Name	Card.	Type	Description & Constraints
TWDentalOralCareAssessment	0..*	Base	牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
identifier	0..*	Identifier	評估紀錄識別碼
subject	1..1	Reference()	受評估對象（病人）
medicalRecordNumber	0..1	Identifier	病歷號
ward	0..1	string	床號
assessmentDate	1..1	date	評估日期
assessor	1..1	Reference()	評估人員
assessmentType	1..1	code	評估類型
assessmentSequence	0..1	positiveInt	追蹤次數
domainOne	1..1	BackboneElement	構面一：口腔基本狀況
lips	1..1	code	雙唇 (Lips)
tongue	1..1	code	舌頭
mucosa	1..1	code	黏膜
gingiva	1..1	code	牙齦
saliva	1..1	code	唾液狀況
halitosis	1..1	code	口臭 (Halitosis)
toothSurfaceCleanliness	1..1	code	牙面清潔
interdentalCleanliness	1..1	code	牙縫清潔
riskLevel	1..1	code	構面一風險等級
domainTwo	1..1	BackboneElement	構面二：口腔清潔能力與依賴程度
brushingAbility	1..1	code	刷牙能力
interdentalCleaningAbility	1..1	code	牙縫清潔能力
rinsingAbility	1..1	code	漱口能力
compliance	1..1	code	清潔配合度／認知配合
dependencyLevel	1..1	code	潔牙依賴程度
domainThree	1..1	BackboneElement	構面三：咀嚼能力
occlusionPairs	1..1	code	對咬牙組數
dietType	1..1	code	飲食型態
chewingDifficulty	1..1	code	咀嚼困難
riskLevel	1..1	code	構面三風險等級
domainFour	1..1	BackboneElement	構面四：口腔機能與吞嚥功能
lipClosure	1..1	code	唇閉合
tongueMovement	1..1	code	舌頭活動
ddkTest	1..1	code	DDK Test（交替運動速率測試）
choking	1..1	code	嗆咳
wetVoice	1..1	code	聲音濕濁
rsstTest	1..1	code	RSST Test（反覆唾液吞嚥測試）
riskLevel	1..1	code	構面四風險等級
domainFive	0..1	BackboneElement	構面五：假牙功能 (Domain 5: Prosthesis Condition)
fullDenture	0..1	BackboneElement	全口活動假牙
maxillary	0..1	boolean	上顎全口假牙
maxillaryCondition	0..1	code	上顎全口假牙狀態
mandibular	0..1	boolean	下顎全口假牙
mandibularCondition	0..1	code	下顎全口假牙狀態
partialDenture	0..1	BackboneElement	部分活動假牙
maxillary	0..1	boolean	上顎部分假牙
maxillaryCondition	0..1	code	上顎部分假牙狀態
mandibular	0..1	boolean	下顎部分假牙
mandibularCondition	0..1	code	下顎部分假牙狀態
wearing	1..1	code	是否配戴
stability	1..1	code	穩定度
cleanliness	1..1	code	清潔
riskLevel	1..1	code	構面五風險等級
overallRiskLevel	1..1	code	整體風險
Documentation for this format