{ "resourceType" : "StructureDefinition", "id" : "TWDentalOralCarePlan", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition TWDentalOralCarePlan

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" TWDentalOralCarePlan 0..*Base牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
\".\"\".\"\".\" identifier 0..*Identifier照護計畫識別碼
\".\"\".\"\".\" subject 1..1Reference()照護對象（病人）
\".\"\".\"\".\" basedOnAssessment 0..1Reference()依據評估
\".\"\".\"\".\" planDate 1..1date計畫制定日期
\".\"\".\"\".\" author 0..1Reference()計畫制定人員
\".\"\".\"\".\" nextAssessmentDate 0..1date下次評估日期
\".\"\".\"\".\" careMode 1..1BackboneElement照護模式
\".\"\".\"\".\"\".\" selfCare 0..1boolean自主清潔維持
\".\"\".\"\".\"\".\" partialAssistance 0..1boolean部分協助模式
\".\"\".\"\".\"\".\" fullAssistance 0..1boolean完全協助模式
\".\"\".\"\".\" enhancedActivities 1..1BackboneElement加強照護項目
\".\"\".\"\".\"\".\" intensifiedCleaning 0..1boolean加強清潔強度
\".\"\".\"\".\"\".\" interdentalToolUse 0..1boolean牙縫清潔工具使用
\".\"\".\"\".\"\".\" dentureCleaningInstruction 0..1boolean假牙清潔指導
\".\"\".\"\".\"\".\" oralMotorExercise 0..1boolean口腔機能訓練
\".\"\".\"\".\" referrals 1..1BackboneElement轉介項目
\".\"\".\"\".\"\".\" toDentist 0..1boolean轉介牙醫
\".\"\".\"\".\"\".\" toSpeechTherapist 0..1boolean轉介語言治療
\".\"\".\"\".\"\".\" toDietitian 0..1boolean轉介營養師
\".\"\".\"\".\" note 0..1string備註

\"doco\" Documentation for this format
" }, "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan", "version" : "0.0.1", "name" : "TWDentalOralCarePlanModel", "title" : "牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型", "status" : "active", "date" : "2026-06-25T00:51:39+00:00", "publisher" : "金屬工業研究發展中心", "contact" : [{ "name" : "金屬工業研究發展中心", "telecom" : [{ "system" : "url", "value" : "https://www.mirdc.org.tw/" }] }, { "name" : "黃怡文", "telecom" : [{ "system" : "email", "value" : "lisaiwh@mail.mirdc.org.tw", "use" : "work" }] }, { "name" : "莊世任", "telecom" : [{ "system" : "email", "value" : "renjuang@mail.mirdc.org.tw", "use" : "work" }] }], "description" : "根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。", "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "TWDentalOralCarePlan", "uri" : "https://dental-ig.fhir.tw", "name" : "TW Dental IG" }], "kind" : "logical", "abstract" : false, "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base", "derivation" : "specialization", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "TWDentalOralCarePlan", "path" : "TWDentalOralCarePlan", "short" : "牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型", "definition" : "根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。", "min" : 0, "max" : "*", "base" : { "path" : "Base", "min" : 0, "max" : "*" }, "isModifier" : false, "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "DentalOralCarePlan" }] }, { "id" : "TWDentalOralCarePlan.identifier", "path" : "TWDentalOralCarePlan.identifier", "short" : "照護計畫識別碼", "definition" : "照護計畫的唯一識別碼。", "min" : 0, "max" : "*", "base" : { "path" : "TWDentalOralCarePlan.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護計畫識別碼: DentalOralCarePlan.identifier" }] }, { "id" : "TWDentalOralCarePlan.subject", "path" : "TWDentalOralCarePlan.subject", "short" : "照護對象（病人）", "definition" : "接受照護計畫的病人。", "min" : 1, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.subject", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護對象: DentalOralCarePlan.subject" }] }, { "id" : "TWDentalOralCarePlan.basedOnAssessment", "path" : "TWDentalOralCarePlan.basedOnAssessment", "short" : "依據評估", "definition" : "本照護計畫所依據的口腔照護評估紀錄。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.basedOnAssessment", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "依據評估: DentalOralCarePlan.basedOn" }] }, { "id" : "TWDentalOralCarePlan.planDate", "path" : "TWDentalOralCarePlan.planDate", "short" : "計畫制定日期", "definition" : "照護計畫制定的日期。", "min" : 1, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.planDate", "min" : 1, "max" : "1" }, "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "計畫制定日期: DentalOralCarePlan.created" }] }, { "id" : "TWDentalOralCarePlan.author", "path" : "TWDentalOralCarePlan.author", "short" : "計畫制定人員", "definition" : "制定此照護計畫的醫事人員或照護人員。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.author", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "計畫制定人員: DentalOralCarePlan.author" }] }, { "id" : "TWDentalOralCarePlan.nextAssessmentDate", "path" : "TWDentalOralCarePlan.nextAssessmentDate", "short" : "下次評估日期", "definition" : "預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.nextAssessmentDate", "min" : 0, "max" : "1" }, "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "下次評估日期: DentalOralCarePlan.period.end" }] }, { "id" : "TWDentalOralCarePlan.careMode", "path" : "TWDentalOralCarePlan.careMode", "short" : "照護模式", "definition" : "依照潔牙依賴程度所選定的照護協助模式（三擇一）。", "min" : 1, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.careMode", "min" : 1, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護模式: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.careMode.id", "path" : "TWDentalOralCarePlan.careMode.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.careMode.extension", "path" : "TWDentalOralCarePlan.careMode.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.careMode.modifierExtension", "path" : "TWDentalOralCarePlan.careMode.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "TWDentalOralCarePlan.careMode.selfCare", "path" : "TWDentalOralCarePlan.careMode.selfCare", "short" : "自主清潔維持", "definition" : "是否採用自主清潔維持模式（病人可自主進行口腔清潔）。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.careMode.selfCare", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status" }] }, { "id" : "TWDentalOralCarePlan.careMode.partialAssistance", "path" : "TWDentalOralCarePlan.careMode.partialAssistance", "short" : "部分協助模式", "definition" : "是否採用部分協助模式（需部分人員協助進行口腔清潔）。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.careMode.partialAssistance", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status" }] }, { "id" : "TWDentalOralCarePlan.careMode.fullAssistance", "path" : "TWDentalOralCarePlan.careMode.fullAssistance", "short" : "完全協助模式", "definition" : "是否採用完全協助模式（需完全由人員代為執行口腔清潔）。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.careMode.fullAssistance", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities", "path" : "TWDentalOralCarePlan.enhancedActivities", "short" : "加強照護項目", "definition" : "需加強執行的口腔照護項目（可複選）。", "min" : 1, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.enhancedActivities", "min" : 1, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "加強照護項目: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.id", "path" : "TWDentalOralCarePlan.enhancedActivities.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.extension", "path" : "TWDentalOralCarePlan.enhancedActivities.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.modifierExtension", "path" : "TWDentalOralCarePlan.enhancedActivities.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning", "path" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning", "short" : "加強清潔強度", "definition" : "是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse", "path" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse", "short" : "牙縫清潔工具使用", "definition" : "是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction", "path" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction", "short" : "假牙清潔指導", "definition" : "是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise", "path" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise", "short" : "口腔機能訓練", "definition" : "是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status" }] }, { "id" : "TWDentalOralCarePlan.referrals", "path" : "TWDentalOralCarePlan.referrals", "short" : "轉介項目", "definition" : "需轉介的醫療或照護服務（可複選）。", "min" : 1, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.referrals", "min" : 1, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介項目: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.referrals.id", "path" : "TWDentalOralCarePlan.referrals.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.referrals.extension", "path" : "TWDentalOralCarePlan.referrals.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "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" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "TWDentalOralCarePlan.referrals.modifierExtension", "path" : "TWDentalOralCarePlan.referrals.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "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" : "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" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "TWDentalOralCarePlan.referrals.toDentist", "path" : "TWDentalOralCarePlan.referrals.toDentist", "short" : "轉介牙醫", "definition" : "是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.referrals.toDentist", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference" }] }, { "id" : "TWDentalOralCarePlan.referrals.toSpeechTherapist", "path" : "TWDentalOralCarePlan.referrals.toSpeechTherapist", "short" : "轉介語言治療", "definition" : "是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.referrals.toSpeechTherapist", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference" }] }, { "id" : "TWDentalOralCarePlan.referrals.toDietitian", "path" : "TWDentalOralCarePlan.referrals.toDietitian", "short" : "轉介營養師", "definition" : "是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.referrals.toDietitian", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference" }] }, { "id" : "TWDentalOralCarePlan.note", "path" : "TWDentalOralCarePlan.note", "short" : "備註", "definition" : "照護計畫的補充說明或其他備註事項。", "min" : 0, "max" : "1", "base" : { "path" : "TWDentalOralCarePlan.note", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "備註: DentalOralCarePlan.note" }] }] }, "differential" : { "element" : [{ "id" : "TWDentalOralCarePlan", "path" : "TWDentalOralCarePlan", "short" : "牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型", "definition" : "根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。", "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "DentalOralCarePlan" }] }, { "id" : "TWDentalOralCarePlan.identifier", "path" : "TWDentalOralCarePlan.identifier", "short" : "照護計畫識別碼", "definition" : "照護計畫的唯一識別碼。", "min" : 0, "max" : "*", "type" : [{ "code" : "Identifier" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護計畫識別碼: DentalOralCarePlan.identifier" }] }, { "id" : "TWDentalOralCarePlan.subject", "path" : "TWDentalOralCarePlan.subject", "short" : "照護對象（病人）", "definition" : "接受照護計畫的病人。", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護對象: DentalOralCarePlan.subject" }] }, { "id" : "TWDentalOralCarePlan.basedOnAssessment", "path" : "TWDentalOralCarePlan.basedOnAssessment", "short" : "依據評估", "definition" : "本照護計畫所依據的口腔照護評估紀錄。", "min" : 0, "max" : "1", "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "依據評估: DentalOralCarePlan.basedOn" }] }, { "id" : "TWDentalOralCarePlan.planDate", "path" : "TWDentalOralCarePlan.planDate", "short" : "計畫制定日期", "definition" : "照護計畫制定的日期。", "min" : 1, "max" : "1", "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "計畫制定日期: DentalOralCarePlan.created" }] }, { "id" : "TWDentalOralCarePlan.author", "path" : "TWDentalOralCarePlan.author", "short" : "計畫制定人員", "definition" : "制定此照護計畫的醫事人員或照護人員。", "min" : 0, "max" : "1", "type" : [{ "code" : "Reference" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "計畫制定人員: DentalOralCarePlan.author" }] }, { "id" : "TWDentalOralCarePlan.nextAssessmentDate", "path" : "TWDentalOralCarePlan.nextAssessmentDate", "short" : "下次評估日期", "definition" : "預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。", "min" : 0, "max" : "1", "type" : [{ "code" : "date" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "下次評估日期: DentalOralCarePlan.period.end" }] }, { "id" : "TWDentalOralCarePlan.careMode", "path" : "TWDentalOralCarePlan.careMode", "short" : "照護模式", "definition" : "依照潔牙依賴程度所選定的照護協助模式（三擇一）。", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "照護模式: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.careMode.selfCare", "path" : "TWDentalOralCarePlan.careMode.selfCare", "short" : "自主清潔維持", "definition" : "是否採用自主清潔維持模式（病人可自主進行口腔清潔）。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status" }] }, { "id" : "TWDentalOralCarePlan.careMode.partialAssistance", "path" : "TWDentalOralCarePlan.careMode.partialAssistance", "short" : "部分協助模式", "definition" : "是否採用部分協助模式（需部分人員協助進行口腔清潔）。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status" }] }, { "id" : "TWDentalOralCarePlan.careMode.fullAssistance", "path" : "TWDentalOralCarePlan.careMode.fullAssistance", "short" : "完全協助模式", "definition" : "是否採用完全協助模式（需完全由人員代為執行口腔清潔）。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities", "path" : "TWDentalOralCarePlan.enhancedActivities", "short" : "加強照護項目", "definition" : "需加強執行的口腔照護項目（可複選）。", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "加強照護項目: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning", "path" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning", "short" : "加強清潔強度", "definition" : "是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse", "path" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse", "short" : "牙縫清潔工具使用", "definition" : "是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction", "path" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction", "short" : "假牙清潔指導", "definition" : "是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status" }] }, { "id" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise", "path" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise", "short" : "口腔機能訓練", "definition" : "是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status" }] }, { "id" : "TWDentalOralCarePlan.referrals", "path" : "TWDentalOralCarePlan.referrals", "short" : "轉介項目", "definition" : "需轉介的醫療或照護服務（可複選）。", "min" : 1, "max" : "1", "type" : [{ "code" : "BackboneElement" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介項目: DentalOralCarePlan.activity" }] }, { "id" : "TWDentalOralCarePlan.referrals.toDentist", "path" : "TWDentalOralCarePlan.referrals.toDentist", "short" : "轉介牙醫", "definition" : "是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference" }] }, { "id" : "TWDentalOralCarePlan.referrals.toSpeechTherapist", "path" : "TWDentalOralCarePlan.referrals.toSpeechTherapist", "short" : "轉介語言治療", "definition" : "是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference" }] }, { "id" : "TWDentalOralCarePlan.referrals.toDietitian", "path" : "TWDentalOralCarePlan.referrals.toDietitian", "short" : "轉介營養師", "definition" : "是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。", "min" : 0, "max" : "1", "type" : [{ "code" : "boolean" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference" }] }, { "id" : "TWDentalOralCarePlan.note", "path" : "TWDentalOralCarePlan.note", "short" : "備註", "definition" : "照護計畫的補充說明或其他備註事項。", "min" : 0, "max" : "1", "type" : [{ "code" : "string" }], "mapping" : [{ "identity" : "TWDentalOralCarePlan", "map" : "備註: DentalOralCarePlan.note" }] }] } }