Generated Narrative: StructureDefinition TWDentalOralCarePlan Name Flags Card. Type Description & Constraints TWDentalOralCarePlan 0..* Base 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型 #xD; identifier 0..* Identifier 照護計畫識別碼 #xD; subject 1..1 Reference() 照護對象（病人） #xD; basedOnAssessment 0..1 Reference() 依據評估 #xD; planDate 1..1 date 計畫制定日期 #xD; author 0..1 Reference() 計畫制定人員 #xD; nextAssessmentDate 0..1 date 下次評估日期 #xD; careMode 1..1 BackboneElement 照護模式 #xD; selfCare 0..1 boolean 自主清潔維持 #xD; partialAssistance 0..1 boolean 部分協助模式 #xD; fullAssistance 0..1 boolean 完全協助模式 #xD; enhancedActivities 1..1 BackboneElement 加強照護項目 #xD; intensifiedCleaning 0..1 boolean 加強清潔強度 #xD; interdentalToolUse 0..1 boolean 牙縫清潔工具使用 #xD; dentureCleaningInstruction 0..1 boolean 假牙清潔指導 #xD; oralMotorExercise 0..1 boolean 口腔機能訓練 #xD; referrals 1..1 BackboneElement 轉介項目 #xD; toDentist 0..1 boolean 轉介牙醫 #xD; toSpeechTherapist 0..1 boolean 轉介語言治療 #xD; toDietitian 0..1 boolean 轉介營養師 #xD; note 0..1 string 備註 #xD; Documentation for this format
牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
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。
本照護計畫所依據的口腔照護評估紀錄。
制定此照護計畫的醫事人員或照護人員。
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）。
依照潔牙依賴程度所選定的照護協助模式（三擇一）。
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
是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status
是否採用部分協助模式（需部分人員協助進行口腔清潔）。
部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status
是否採用完全協助模式（需完全由人員代為執行口腔清潔）。
完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status
需加強執行的口腔照護項目（可複選）。
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。
加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status
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。
牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status
是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status
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。
口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status
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。
轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference
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）。
轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference
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。
轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference
照護計畫的補充說明或其他備註事項。