TWDentalOralCarePlan
type: StructureDefinition
node role: treeRoot
id:
  v: TWDentalOralCarePlan
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition TWDentalOralCarePlan Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> 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; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
url:
  v: http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan
version:
  v: 0.0.1
name:
  v: TWDentalOralCarePlanModel
title:
  v: 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
status:
  v: active
date:
  v: 2026-06-25T00:51:39+00:00
publisher:
  v: 金屬工業研究發展中心
contact:
  name:
    v: 金屬工業研究發展中心
  telecom:
    system:
      v: url
    value:
      v: https://www.mirdc.org.tw/
contact:
  name:
    v: 黃怡文
  telecom:
    system:
      v: email
    use:
      v: work
contact:
  name:
    v: 莊世任
  telecom:
    system:
      v: email
    use:
      v: work
description:
  v: 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。
fhir version:
  v: 4.0.1
mapping:
  identity:
    v: TWDentalOralCarePlan
  uri:
    v: https://dental-ig.fhir.tw
  name:
    v: TW Dental IG
kind:
  v: logical
abstract:
  v: false
type:
  v: http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan
base definition:
  v: http://hl7.org/fhir/StructureDefinition/Base
  link: http://hl7.org/fhir/StructureDefinition/Base
derivation:
  v: specialization
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 4.0.1
  element:
    id:
      v: TWDentalOralCarePlan
    path:
      v: TWDentalOralCarePlan
    short:
      v: 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
    definition:
      v: 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:
      v: 0
    max:
      v: *
    base:
      path:
        v: Base
      min:
        v: 0
      max:
        v: *
    is modifier:
      v: false
    mapping:
      identity:
        v: TWDentalOralCarePlan
      map:
        v: DentalOralCarePlan
  element:
    id:
      v: TWDentalOralCarePlan.identifier
    path:
      v: TWDentalOralCarePlan.identifier
    short:
      v: 照護計畫識別碼
    definition:
      v: 照護計畫的唯一識別碼。
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: TWDentalOralCarePlan.identifier
      min:
        v: 0
      max:
        v: *
    type:
      code:
        v: Identifier
    mapping:
      identity:
        v: TWDentalOralCarePlan
      map:
        v: 照護計畫識別碼: DentalOralCarePlan.identifier
  element:
    id:
      v: TWDentalOralCarePlan.subject
    path:
      v: TWDentalOralCarePlan.subject
    short:
      v: 照護對象（病人）
    definition:
      v: 接受照護計畫的病人。
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCarePlan.subject
      min:
        v: 1
      max:
        v: 1
    type:
      code:
        v: Reference
    mapping:
      identity:
        v: TWDentalOralCarePlan
      map:
        v: 照護對象: DentalOralCarePlan.subject
  element:
    id:
      v: TWDentalOralCarePlan.basedOnAssessment
    path:
      v: TWDentalOralCarePlan.basedOnAssessment
    short:
      v: 依據評估
    definition:
      v: 本照護計畫所依據的口腔照護評估紀錄。
    min:
      v: 0
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCarePlan.basedOnAssessment
      min:
        v: 0
      max:
        v: 1
    type:
      code:
        v: Reference
    mapping:
      identity:
        v: TWDentalOralCarePlan
      map:
        v: 依據評估: DentalOralCarePlan.basedOn
  element:
    id:
      v: TWDentalOralCarePlan.planDate
    path:
      v: TWDentalOralCarePlan.planDate
    short:
      v: 計畫制定日期
    definition:
      v: 照護計畫制定的日期。
    min:
      v: 1
    max:
      v: 1
    base:
      path:
        v: TWDentalOralCarePlan.planDate
      min:
        v: 1

v: 1

code:
  v: date

identity:
  v: TWDentalOralCarePlan
map:
  v: 計畫制定日期: DentalOralCarePlan.created

id:
  v: TWDentalOralCarePlan.author
path:
  v: TWDentalOralCarePlan.author
short:
  v: 計畫制定人員
definition:
  v: 制定此照護計畫的醫事人員或照護人員。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.author
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 計畫制定人員: DentalOralCarePlan.author

id:
  v: TWDentalOralCarePlan.nextAssessmentDate
path:
  v: TWDentalOralCarePlan.nextAssessmentDate
short:
  v: 下次評估日期
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.nextAssessmentDate
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: date
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 下次評估日期: DentalOralCarePlan.period.end

id:
  v: TWDentalOralCarePlan.careMode
path:
  v: TWDentalOralCarePlan.careMode
short:
  v: 照護模式
definition:
  v: 依照潔牙依賴程度所選定的照護協助模式（三擇一）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.careMode
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 照護模式: DentalOralCarePlan.activity

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

id:
  v: TWDentalOralCarePlan.careMode.extension
path:
  v: TWDentalOralCarePlan.careMode.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
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type:
  code:
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constraint:
  key:
    v: ele-1
  severity:
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCarePlan.careMode.modifierExtension
path:
  v: TWDentalOralCarePlan.careMode.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
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    v: 0
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type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
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    v: All FHIR elements must have a @value or children
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    v: hasValue() or (children().count() > id.count())
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    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
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  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCarePlan.careMode.selfCare
path:
  v: TWDentalOralCarePlan.careMode.selfCare
short:
  v: 自主清潔維持
definition:
  v: 是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.careMode.selfCare
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status

id:
  v: TWDentalOralCarePlan.careMode.partialAssistance
path:
  v: TWDentalOralCarePlan.careMode.partialAssistance
short:
  v: 部分協助模式
definition:
  v: 是否採用部分協助模式（需部分人員協助進行口腔清潔）。
min:
  v: 0
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  v: 1
base:
  path:
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    v: 0
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type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status

id:
  v: TWDentalOralCarePlan.careMode.fullAssistance
path:
  v: TWDentalOralCarePlan.careMode.fullAssistance
short:
  v: 完全協助模式
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.careMode.fullAssistance
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    v: 0
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type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities
path:
  v: TWDentalOralCarePlan.enhancedActivities
short:
  v: 加強照護項目
definition:
  v: 需加強執行的口腔照護項目（可複選）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.enhancedActivities
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 加強照護項目: DentalOralCarePlan.activity

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

id:
  v: TWDentalOralCarePlan.enhancedActivities.extension
path:
  v: TWDentalOralCarePlan.enhancedActivities.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
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    v: 0
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type:
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constraint:
  key:
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  expression:
    v: hasValue() or (children().count() > id.count())
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  source:
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    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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    v: ext-1
  severity:
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  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
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    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCarePlan.enhancedActivities.modifierExtension
path:
  v: TWDentalOralCarePlan.enhancedActivities.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
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base:
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type:
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constraint:
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    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
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  human:
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  source:
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    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
path:
  v: TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
short:
  v: 加強清潔強度
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
path:
  v: TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
short:
  v: 牙縫清潔工具使用
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
path:
  v: TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
short:
  v: 假牙清潔指導
definition:
  v: 是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
path:
  v: TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
short:
  v: 口腔機能訓練
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status

id:
  v: TWDentalOralCarePlan.referrals
path:
  v: TWDentalOralCarePlan.referrals
short:
  v: 轉介項目
definition:
  v: 需轉介的醫療或照護服務（可複選）。
min:
  v: 1
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.referrals
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介項目: DentalOralCarePlan.activity

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

id:
  v: TWDentalOralCarePlan.referrals.extension
path:
  v: TWDentalOralCarePlan.referrals.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: TWDentalOralCarePlan.referrals.modifierExtension
path:
  v: TWDentalOralCarePlan.referrals.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
comment:
  v: There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
requirements:
  v: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: TWDentalOralCarePlan.referrals.toDentist
path:
  v: TWDentalOralCarePlan.referrals.toDentist
short:
  v: 轉介牙醫
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.referrals.toDentist
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference

id:
  v: TWDentalOralCarePlan.referrals.toSpeechTherapist
path:
  v: TWDentalOralCarePlan.referrals.toSpeechTherapist
short:
  v: 轉介語言治療
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.referrals.toSpeechTherapist
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference

id:
  v: TWDentalOralCarePlan.referrals.toDietitian
path:
  v: TWDentalOralCarePlan.referrals.toDietitian
short:
  v: 轉介營養師
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.referrals.toDietitian
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference

id:
  v: TWDentalOralCarePlan.note
path:
  v: TWDentalOralCarePlan.note
short:
  v: 備註
definition:
  v: 照護計畫的補充說明或其他備註事項。
min:
  v: 0
max:
  v: 1
base:
  path:
    v: TWDentalOralCarePlan.note
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 備註: DentalOralCarePlan.note

element:
  id:
    v: TWDentalOralCarePlan
  path:
    v: TWDentalOralCarePlan
  short:
    v: 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
  definition:
    v: 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:
      v: TWDentalOralCarePlan
    map:
      v: DentalOralCarePlan
element:
  id:
    v: TWDentalOralCarePlan.identifier
  path:
    v: TWDentalOralCarePlan.identifier
  short:
    v: 照護計畫識別碼
  definition:
    v: 照護計畫的唯一識別碼。
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Identifier
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 照護計畫識別碼: DentalOralCarePlan.identifier
element:
  id:
    v: TWDentalOralCarePlan.subject
  path:
    v: TWDentalOralCarePlan.subject
  short:
    v: 照護對象（病人）
  definition:
    v: 接受照護計畫的病人。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: Reference
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 照護對象: DentalOralCarePlan.subject
element:
  id:
    v: TWDentalOralCarePlan.basedOnAssessment
  path:
    v: TWDentalOralCarePlan.basedOnAssessment
  short:
    v: 依據評估
  definition:
    v: 本照護計畫所依據的口腔照護評估紀錄。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Reference
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 依據評估: DentalOralCarePlan.basedOn
element:
  id:
    v: TWDentalOralCarePlan.planDate
  path:
    v: TWDentalOralCarePlan.planDate
  short:
    v: 計畫制定日期
  definition:
    v: 照護計畫制定的日期。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: date
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 計畫制定日期: DentalOralCarePlan.created
element:
  id:
    v: TWDentalOralCarePlan.author
  path:
    v: TWDentalOralCarePlan.author
  short:
    v: 計畫制定人員
  definition:
    v: 制定此照護計畫的醫事人員或照護人員。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Reference
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 計畫制定人員: DentalOralCarePlan.author
element:
  id:
    v: TWDentalOralCarePlan.nextAssessmentDate
  path:
    v: TWDentalOralCarePlan.nextAssessmentDate
  short:
    v: 下次評估日期
  definition:
    v: 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:
    v: 0
  max:
    v: 1
  type:
    code:
      v: date
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 下次評估日期: DentalOralCarePlan.period.end
element:
  id:
    v: TWDentalOralCarePlan.careMode
  path:
    v: TWDentalOralCarePlan.careMode
  short:
    v: 照護模式
  definition:
    v: 依照潔牙依賴程度所選定的照護協助模式（三擇一）。
  min:
    v: 1
  max:
    v: 1
  type:
    code:
      v: BackboneElement
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 照護模式: DentalOralCarePlan.activity
element:
  id:
    v: TWDentalOralCarePlan.careMode.selfCare
  path:
    v: TWDentalOralCarePlan.careMode.selfCare
  short:
    v: 自主清潔維持
  definition:
    v: 是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: boolean
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status
element:
  id:
    v: TWDentalOralCarePlan.careMode.partialAssistance
  path:
    v: TWDentalOralCarePlan.careMode.partialAssistance
  short:
    v: 部分協助模式
  definition:
    v: 是否採用部分協助模式（需部分人員協助進行口腔清潔）。
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: boolean
  mapping:
    identity:
      v: TWDentalOralCarePlan
    map:
      v: 部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status

id:
  v: TWDentalOralCarePlan.careMode.fullAssistance
path:
  v: TWDentalOralCarePlan.careMode.fullAssistance
short:
  v: 完全協助模式
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities
path:
  v: TWDentalOralCarePlan.enhancedActivities
short:
  v: 加強照護項目
definition:
  v: 需加強執行的口腔照護項目（可複選）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 加強照護項目: DentalOralCarePlan.activity

id:
  v: TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
path:
  v: TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
short:
  v: 加強清潔強度
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
path:
  v: TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
short:
  v: 牙縫清潔工具使用
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
path:
  v: TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
short:
  v: 假牙清潔指導
definition:
  v: 是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status

id:
  v: TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
path:
  v: TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
short:
  v: 口腔機能訓練
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status

id:
  v: TWDentalOralCarePlan.referrals
path:
  v: TWDentalOralCarePlan.referrals
short:
  v: 轉介項目
definition:
  v: 需轉介的醫療或照護服務（可複選）。
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介項目: DentalOralCarePlan.activity

id:
  v: TWDentalOralCarePlan.referrals.toDentist
path:
  v: TWDentalOralCarePlan.referrals.toDentist
short:
  v: 轉介牙醫
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference

id:
  v: TWDentalOralCarePlan.referrals.toSpeechTherapist
path:
  v: TWDentalOralCarePlan.referrals.toSpeechTherapist
short:
  v: 轉介語言治療
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference

id:
  v: TWDentalOralCarePlan.referrals.toDietitian
path:
  v: TWDentalOralCarePlan.referrals.toDietitian
short:
  v: 轉介營養師
definition:
  v: 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:
  v: 0
max:
  v: 1
type:
  code:
    v: boolean
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference

id:
  v: TWDentalOralCarePlan.note
path:
  v: TWDentalOralCarePlan.note
short:
  v: 備註
definition:
  v: 照護計畫的補充說明或其他備註事項。
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
mapping:
  identity:
    v: TWDentalOralCarePlan
  map:
    v: 備註: DentalOralCarePlan.note