Generated Narrative: StructureDefinition TWDentalOralCareAudit Name Flags Card. Type Description & Constraints TWDentalOralCareAudit 0..* Base 牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 之資料模型 #xD; identifier 0..* Identifier 稽核紀錄識別碼 #xD; organizationName 0..1 string 機構名稱 #xD; auditDate 1..1 date 日期 #xD; auditor 1..1 Reference() 評核者 #xD; staff 0..1 Reference() 受稽核工作人員 #xD; staffName 0..1 string 工作人員姓名 #xD; resident 1..1 Reference() 住民（病人） #xD; residentBed 0..1 string 住民床號 #xD; residentName 0..1 string 住民姓名 #xD; cleaningAbilityCategory 1..1 code 潔牙能力分類 Binding: 口腔照護潔牙能力分類值集 (required) #xD; supervisionAudit 0..1 BackboneElement （A）督導能力稽核 #xD; observation 1..1 integer 觀察能力 #xD; bassInstruction 1..1 integer 貝氏刷牙指導 #xD; interproximalReminder 1..1 integer 鄰接面清潔 #xD; cleaningCompleteness 1..1 integer 清潔完整性 #xD; behaviorGuidance 1..1 integer 行為引導 #xD; subtotal 0..1 integer 督導能力小計 #xD; bonus 0..1 BackboneElement 加分項目 #xD; demonstration 0..1 boolean 示範刷牙 #xD; deadSpots 0..1 boolean 指出死角 #xD; education 0..1 boolean 衛教互動 #xD; assistiveDevice 0..1 boolean 輔具 #xD; individualizedCare 0..1 boolean 個別化照護 #xD; operationAudit 0..1 BackboneElement （B）操作技術稽核 #xD; postureSafety 1..1 integer 姿勢安全 #xD; desensitization 1..1 integer 減敏操作 #xD; cleaningSequence 1..1 integer 清潔順序 #xD; bassPrinciple 1..1 integer 貝氏刷牙原則 #xD; interproximalCleaning 1..1 integer 鄰接面清潔 #xD; mucosaCleaning 1..1 integer 黏膜清潔 #xD; dentureHandling 1..1 integer 假牙處理 #xD; chokingPrevention 1..1 integer 嗆咳預防 #xD; subtotal 0..1 integer 操作技術小計 #xD; bonus 0..1 BackboneElement 加分項目 #xD; demonstration 0..1 boolean 示範刷牙 #xD; deadSpots 0..1 boolean 指出死角 #xD; education 0..1 boolean 衛教互動 #xD; assistiveDevice 0..1 boolean 輔具 #xD; individualizedCare 0..1 boolean 個別化照護 #xD; keyTechniqueAudit 0..1 BackboneElement 關鍵技術稽核 #xD; bassMethod 0..1 BackboneElement 貝氏刷牙法 #xD; bristleAngle 0..1 boolean 刷毛涵蓋牙齦45–60度 #xD; smallVibration 0..1 boolean 小幅震動 #xD; sulcusBrushing 0..1 boolean 有刷牙齦溝 #xD; systematicOrder 0..1 boolean 有系統順序 #xD; specialNeeds 0..1 BackboneElement 特殊需求潔牙技巧 #xD; postureAndToolPrep 0..1 boolean 姿勢安全操作及潔牙工具準備 #xD; desensitizationPositioning 0..1 boolean 減敏處理及潔牙擺位 #xD; handGestureSpace 0..1 boolean 潔牙手勢及空間製造 #xD; zonedSystematicCleaning 0..1 boolean 分區並有系統順序清潔 #xD; techniqueMet 0..1 boolean 關鍵技術是否達標 #xD; processAudit 0..1 BackboneElement 流程稽核 #xD; preparation 0..1 BackboneElement 事前準備 #xD; handHygiene 0..1 boolean 手部清潔 #xD; equipmentPrep 0..1 boolean 器具準備 #xD; rapportBuilding 0..1 boolean 建立關係 #xD; process 0..1 BackboneElement 操作過程 #xD; interproximalCleaning 0..1 boolean 鄰接面清潔 #xD; toothSurfaceCleaning 0..1 boolean 牙面清潔 #xD; mucosaCleaning 0..1 boolean 黏膜清潔 #xD; safetyControl 0..1 boolean 安全控制 #xD; cleanup 0..1 BackboneElement 事後整理 #xD; equipmentCleaning 0..1 boolean 器具清潔 #xD; environmentCleaning 0..1 boolean 環境清潔 #xD; continuousCare 0..1 boolean 持續關懷互動 #xD; score 0..1 integer 流程稽核分數 #xD; plaqueControl 0..1 BackboneElement 口腔清潔結果評估－牙菌斑控制 #xD; beforePhoto 0..1 Attachment 潔牙前照片 #xD; afterPhoto 0..1 Attachment 潔牙後照片 #xD; score 1..1 integer 牙菌斑控制評分 #xD; scoring 0..1 BackboneElement 評分結果 #xD; operationSupervisionScore 0..1 decimal 操作／督導分數（佔60%） #xD; processScore 0..1 decimal 流程稽核分數（佔20%） #xD; plaqueControlScore 0..1 decimal 牙菌斑控制分數（佔20%） #xD; rawTotal 0..1 decimal 原始總分 #xD; bonus 0..1 decimal 加分 #xD; actualTotal 0..1 decimal 實際總分 #xD; <a href="StructureDefinition-TWDentalOralCareAudit-definitions.html#TWDentalOralCareAudit.scoring.finalGrade" title="最終稽核等級（A=≥90優良; B=70–89合格; C=50–69需改善; D=<50不合格）。">finalGrade 0..1 code 最終稽核等級 Binding: 口腔照護稽核最終等級值集 (required) #xD; deficiencyRecommendation 0..1 string 缺失與建議 #xD; Documentation for this format
牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 之資料模型
機構口腔照護稽核表之資料模型，依住民潔牙能力分為（1）完全自理－評估照護員「督導與指導能力」及（2）部分／完全協助－評估照護員「實際操作技術」。涵蓋督導能力稽核、操作技術稽核、關鍵技術稽核、流程稽核、牙菌斑控制結果評估及評分結果與稽核等級。
日期: DentalOralCareAudit.effectiveDateTime
依住民潔牙能力分類（self-care=完全自理，評估督導與指導能力; partial-full-assist=部分／完全協助，評估實際操作技術）。
自理者之督導能力稽核（共5題，每題最高2分，滿分10分）。
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
Extensions that cannot be ignored even if unrecognized
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
部分／完全協助之操作技術稽核（共8題，每題最高2分，滿分16分）。
殘渣→鄰接面清潔→牙面清潔（外側–舌側–咬合面）→黏膜（0–2分）。
關鍵技術稽核，任一項目未達即判定技術未達標。
特殊需求潔牙技巧之關鍵技術項目。
個案姿勢安全操作及潔牙工具準備。
關鍵技術整體判定（true=全部達標; false=任一未達，技術未達標）。
以潔牙前後照片評估牙菌斑控制結果。
綜合各稽核面向之評分結果與最終等級。
最終稽核等級: DentalOralCareAudit.interpretation