Generated Narrative: StructureDefinition TWDentalOralCarePlan

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
 <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="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 value="4.0.1"/> <mapping> <identity value="TWDentalOralCarePlan"/> <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/TWDentalOralCarePlan"/> <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="TWDentalOralCarePlan"> <path value="TWDentalOralCarePlan"/> <short value="牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型"/> <definition value="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 value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="DentalOralCarePlan"/> </mapping> </element> <element id="TWDentalOralCarePlan.identifier"> <path value="TWDentalOralCarePlan.identifier"/> <short value="照護計畫識別碼"/> <definition value="照護計畫的唯一識別碼。"/> <min value="0"/> <max value="*"/> <base> <path value="TWDentalOralCarePlan.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="照護計畫識別碼: DentalOralCarePlan.identifier"/> </mapping> </element> <element id="TWDentalOralCarePlan.subject"> <path value="TWDentalOralCarePlan.subject"/> <short value="照護對象（病人）"/> <definition value="接受照護計畫的病人。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="照護對象: DentalOralCarePlan.subject"/> </mapping> </element> <element id="TWDentalOralCarePlan.basedOnAssessment"> <path value="TWDentalOralCarePlan.basedOnAssessment"/> <short value="依據評估"/> <definition value="本照護計畫所依據的口腔照護評估紀錄。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.basedOnAssessment"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="依據評估: DentalOralCarePlan.basedOn"/> </mapping> </element> <element id="TWDentalOralCarePlan.planDate"> <path value="TWDentalOralCarePlan.planDate"/> <short value="計畫制定日期"/> <definition value="照護計畫制定的日期。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.planDate"/> <min value="1"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="計畫制定日期: DentalOralCarePlan.created"/> </mapping> </element> <element id="TWDentalOralCarePlan.author"> <path value="TWDentalOralCarePlan.author"/> <short value="計畫制定人員"/> <definition value="制定此照護計畫的醫事人員或照護人員。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.author"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="計畫制定人員: DentalOralCarePlan.author"/> </mapping> </element> <element id="TWDentalOralCarePlan.nextAssessmentDate"> <path value="TWDentalOralCarePlan.nextAssessmentDate"/> <short value="下次評估日期"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.nextAssessmentDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="下次評估日期: DentalOralCarePlan.period.end"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode"> <path value="TWDentalOralCarePlan.careMode"/> <short value="照護模式"/> <definition value="依照潔牙依賴程度所選定的照護協助模式（三擇一）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.careMode"/> <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="TWDentalOralCarePlan"/> <map value="照護模式: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.id"> <path value="TWDentalOralCarePlan.careMode.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="TWDentalOralCarePlan.careMode.extension"> <path value="TWDentalOralCarePlan.careMode.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="TWDentalOralCarePlan.careMode.modifierExtension"> <path value="TWDentalOralCarePlan.careMode.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="TWDentalOralCarePlan.careMode.selfCare"> <path value="TWDentalOralCarePlan.careMode.selfCare"/> <short value="自主清潔維持"/> <definition value="是否採用自主清潔維持模式（病人可自主進行口腔清潔）。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.careMode.selfCare"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.partialAssistance"> <path value="TWDentalOralCarePlan.careMode.partialAssistance"/> <short value="部分協助模式"/> <definition value="是否採用部分協助模式（需部分人員協助進行口腔清潔）。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.careMode.partialAssistance"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.fullAssistance"> <path value="TWDentalOralCarePlan.careMode.fullAssistance"/> <short value="完全協助模式"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.careMode.fullAssistance"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities"> <path value="TWDentalOralCarePlan.enhancedActivities"/> <short value="加強照護項目"/> <definition value="需加強執行的口腔照護項目（可複選）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.enhancedActivities"/> <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="TWDentalOralCarePlan"/> <map value="加強照護項目: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.id"> <path value="TWDentalOralCarePlan.enhancedActivities.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="TWDentalOralCarePlan.enhancedActivities.extension"> <path value="TWDentalOralCarePlan.enhancedActivities.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="TWDentalOralCarePlan.enhancedActivities.modifierExtension"> <path value="TWDentalOralCarePlan.enhancedActivities.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="TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning"> <path value="TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning"/> <short value="加強清潔強度"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.interdentalToolUse"> <path value="TWDentalOralCarePlan.enhancedActivities.interdentalToolUse"/> <short value="牙縫清潔工具使用"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.enhancedActivities.interdentalToolUse"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction"> <path value="TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction"/> <short value="假牙清潔指導"/> <definition value="是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.oralMotorExercise"> <path value="TWDentalOralCarePlan.enhancedActivities.oralMotorExercise"/> <short value="口腔機能訓練"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.enhancedActivities.oralMotorExercise"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals"> <path value="TWDentalOralCarePlan.referrals"/> <short value="轉介項目"/> <definition value="需轉介的醫療或照護服務（可複選）。"/> <min value="1"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.referrals"/> <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="TWDentalOralCarePlan"/> <map value="轉介項目: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.id"> <path value="TWDentalOralCarePlan.referrals.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="TWDentalOralCarePlan.referrals.extension"> <path value="TWDentalOralCarePlan.referrals.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="TWDentalOralCarePlan.referrals.modifierExtension"> <path value="TWDentalOralCarePlan.referrals.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="TWDentalOralCarePlan.referrals.toDentist"> <path value="TWDentalOralCarePlan.referrals.toDentist"/> <short value="轉介牙醫"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.referrals.toDentist"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.toSpeechTherapist"> <path value="TWDentalOralCarePlan.referrals.toSpeechTherapist"/> <short value="轉介語言治療"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.referrals.toSpeechTherapist"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.toDietitian"> <path value="TWDentalOralCarePlan.referrals.toDietitian"/> <short value="轉介營養師"/> <definition value="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 value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.referrals.toDietitian"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.note"> <path value="TWDentalOralCarePlan.note"/> <short value="備註"/> <definition value="照護計畫的補充說明或其他備註事項。"/> <min value="0"/> <max value="1"/> <base> <path value="TWDentalOralCarePlan.note"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="備註: DentalOralCarePlan.note"/> </mapping> </element> </snapshot> <differential> <element id="TWDentalOralCarePlan"> <path value="TWDentalOralCarePlan"/> <short value="牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型"/> <definition value="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 value="TWDentalOralCarePlan"/> <map value="DentalOralCarePlan"/> </mapping> </element> <element id="TWDentalOralCarePlan.identifier"> <path value="TWDentalOralCarePlan.identifier"/> <short value="照護計畫識別碼"/> <definition value="照護計畫的唯一識別碼。"/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="照護計畫識別碼: DentalOralCarePlan.identifier"/> </mapping> </element> <element id="TWDentalOralCarePlan.subject"> <path value="TWDentalOralCarePlan.subject"/> <short value="照護對象（病人）"/> <definition value="接受照護計畫的病人。"/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="照護對象: DentalOralCarePlan.subject"/> </mapping> </element> <element id="TWDentalOralCarePlan.basedOnAssessment"> <path value="TWDentalOralCarePlan.basedOnAssessment"/> <short value="依據評估"/> <definition value="本照護計畫所依據的口腔照護評估紀錄。"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="依據評估: DentalOralCarePlan.basedOn"/> </mapping> </element> <element id="TWDentalOralCarePlan.planDate"> <path value="TWDentalOralCarePlan.planDate"/> <short value="計畫制定日期"/> <definition value="照護計畫制定的日期。"/> <min value="1"/> <max value="1"/> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="計畫制定日期: DentalOralCarePlan.created"/> </mapping> </element> <element id="TWDentalOralCarePlan.author"> <path value="TWDentalOralCarePlan.author"/> <short value="計畫制定人員"/> <definition value="制定此照護計畫的醫事人員或照護人員。"/> <min value="0"/> <max value="1"/> <type> <code value="Reference"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="計畫制定人員: DentalOralCarePlan.author"/> </mapping> </element> <element id="TWDentalOralCarePlan.nextAssessmentDate"> <path value="TWDentalOralCarePlan.nextAssessmentDate"/> <short value="下次評估日期"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="date"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="下次評估日期: DentalOralCarePlan.period.end"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode"> <path value="TWDentalOralCarePlan.careMode"/> <short value="照護模式"/> <definition value="依照潔牙依賴程度所選定的照護協助模式（三擇一）。"/> <min value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="照護模式: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.selfCare"> <path value="TWDentalOralCarePlan.careMode.selfCare"/> <short value="自主清潔維持"/> <definition value="是否採用自主清潔維持模式（病人可自主進行口腔清潔）。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.partialAssistance"> <path value="TWDentalOralCarePlan.careMode.partialAssistance"/> <short value="部分協助模式"/> <definition value="是否採用部分協助模式（需部分人員協助進行口腔清潔）。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.careMode.fullAssistance"> <path value="TWDentalOralCarePlan.careMode.fullAssistance"/> <short value="完全協助模式"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities"> <path value="TWDentalOralCarePlan.enhancedActivities"/> <short value="加強照護項目"/> <definition value="需加強執行的口腔照護項目（可複選）。"/> <min value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="加強照護項目: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning"> <path value="TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning"/> <short value="加強清潔強度"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.interdentalToolUse"> <path value="TWDentalOralCarePlan.enhancedActivities.interdentalToolUse"/> <short value="牙縫清潔工具使用"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction"> <path value="TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction"/> <short value="假牙清潔指導"/> <definition value="是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。"/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.enhancedActivities.oralMotorExercise"> <path value="TWDentalOralCarePlan.enhancedActivities.oralMotorExercise"/> <short value="口腔機能訓練"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals"> <path value="TWDentalOralCarePlan.referrals"/> <short value="轉介項目"/> <definition value="需轉介的醫療或照護服務（可複選）。"/> <min value="1"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介項目: DentalOralCarePlan.activity"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.toDentist"> <path value="TWDentalOralCarePlan.referrals.toDentist"/> <short value="轉介牙醫"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.toSpeechTherapist"> <path value="TWDentalOralCarePlan.referrals.toSpeechTherapist"/> <short value="轉介語言治療"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.referrals.toDietitian"> <path value="TWDentalOralCarePlan.referrals.toDietitian"/> <short value="轉介營養師"/> <definition value="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 value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference"/> </mapping> </element> <element id="TWDentalOralCarePlan.note"> <path value="TWDentalOralCarePlan.note"/> <short value="備註"/> <definition value="照護計畫的補充說明或其他備註事項。"/> <min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <mapping> <identity value="TWDentalOralCarePlan"/> <map value="備註: DentalOralCarePlan.note"/> </mapping> </element> </differential> </StructureDefinition>