臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ci-build

臺灣牙醫實作指引 (Taiwan Dental Implementation Guide), published by 金屬工業研究發展中心. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWDental_IG_Build/ and changes regularly. See the Directory of published versions

## Logical Model: TWDentalIOPIModel - XML Profile

Active as of 2026-06-25

XML representation of the TWDentalIOPI logical model.

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    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="TWDentalIOPI"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition TWDentalIOPI</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI" title="IOPI（Iowa Oral Performance Instrument）病人進展紀錄表之資料模型，用於記錄以 IOPI 系統進行舌頭或嘴唇肌力訓練之追蹤資料，包含每週（第0至8週）之最大壓力（Pmax）、耐力（Endurance）量測值，以及運動處方細節（用力程度、目標壓力與訓練頻率）。">TWDentalIOPI</a><a name="TWDentalIOPI"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.identifier" title="病人進展紀錄表的唯一識別碼。">identifier</a><a name="TWDentalIOPI.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">紀錄表識別碼<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.subject" title="接受 IOPI 肌力訓練追蹤的病人（Patient ID）。">subject</a><a name="TWDentalIOPI.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">受評估對象（病人）</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.year" title="本紀錄表所屬年度。">year</a><a name="TWDentalIOPI.year"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">年度 (Year)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.bulbPosition" title="IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。">bulbPosition</a><a name="TWDentalIOPI.bulbPosition"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">球囊位置 (Bulb position)<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-VS-IOPIBulbPosition-twdental.html" title="http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental" class="binding">IOPI 量測球囊位置值集</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement" title="各週次（第0至8週）之評估量測值與運動處方細節。">measurement</a><a name="TWDentalIOPI.measurement"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">每週量測與處方 (Weekly measurement)<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.week" title="量測週次（0–8）。第0週為基準值（baseline）。">week</a><a name="TWDentalIOPI.measurement.week"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">週次 (Week)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.date" title="該週次量測的日期。">date</a><a name="TWDentalIOPI.measurement.date"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">日期 (Date)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.pMax" title="最大壓力量測值，單位 kPa。">pMax</a><a name="TWDentalIOPI.measurement.pMax"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">最大壓力 Pmax (kPa)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.endurance" title="耐力量測值，單位秒（sec）。">endurance</a><a name="TWDentalIOPI.measurement.endurance"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">耐力 Endurance (sec)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.effort" title="運動處方之用力程度，單位百分比（%）。">effort</a><a name="TWDentalIOPI.measurement.effort"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">用力程度 Effort (%)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.target" title="運動處方之目標壓力，單位 kPa。">target</a><a name="TWDentalIOPI.measurement.target"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">目標壓力 Target (kPa)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.repsPerSet" title="每一組（Set）之反覆次數。">repsPerSet</a><a name="TWDentalIOPI.measurement.repsPerSet"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">每組次數 (#Reps/Set)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.setsPerSession" title="每一次訓練（Session）之組數。">setsPerSession</a><a name="TWDentalIOPI.measurement.setsPerSession"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">每次組數 (#Sets/Session)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.sessionsPerDay" title="每日訓練次數（Session）。">sessionsPerDay</a><a name="TWDentalIOPI.measurement.sessionsPerDay"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">每日次數 (#Sessions/Day)</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalIOPI-definitions.html#TWDentalIOPI.measurement.daysPerWeek" title="每週訓練天數。">daysPerWeek</a><a name="TWDentalIOPI.measurement.daysPerWeek"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">每週天數 (#Days/Week)</td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalIOPI"/>
      <version value="0.0.1"/>
      <name value="TWDentalIOPIModel"/>
      <title value="牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型"/>
      <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="IOPI（Iowa Oral Performance Instrument）病人進展紀錄表之資料模型，用於記錄以 IOPI 系統進行舌頭或嘴唇肌力訓練之追蹤資料，包含每週（第0至8週）之最大壓力（Pmax）、耐力（Endurance）量測值，以及運動處方細節（用力程度、目標壓力與訓練頻率）。"/>
      <fhirVersion value="4.0.1"/>
      <mapping>
        <identity value="TWDentalIOPI-mapping"/>
        <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/TWDentalIOPI"/>
      <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="TWDentalIOPI">
          <path value="TWDentalIOPI"/>
          <short value="牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型"/>
          <definition
                      value="IOPI（Iowa Oral Performance Instrument）病人進展紀錄表之資料模型，用於記錄以 IOPI 系統進行舌頭或嘴唇肌力訓練之追蹤資料，包含每週（第0至8週）之最大壓力（Pmax）、耐力（Endurance）量測值，以及運動處方細節（用力程度、目標壓力與訓練頻率）。"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <isModifier value="false"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="DentalIOPI"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.identifier">
          <path value="TWDentalIOPI.identifier"/>
          <short value="紀錄表識別碼"/>
          <definition value="病人進展紀錄表的唯一識別碼。"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="TWDentalIOPI.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="紀錄表識別碼: DentalIOPI.identifier"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.subject">
          <path value="TWDentalIOPI.subject"/>
          <short value="受評估對象（病人）"/>
          <definition value="接受 IOPI 肌力訓練追蹤的病人（Patient ID）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.subject"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="受評估病人: DentalIOPI.subject"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.year">
          <path value="TWDentalIOPI.year"/>
          <short value="年度 (Year)"/>
          <definition value="本紀錄表所屬年度。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.year"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="年度: DentalIOPI.effectivePeriod"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.bulbPosition">
          <path value="TWDentalIOPI.bulbPosition"/>
          <short value="球囊位置 (Bulb position)"/>
          <definition value="IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.bulbPosition"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental"/>
          </binding>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="球囊位置: DentalIOPI.bodySite"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement">
          <path value="TWDentalIOPI.measurement"/>
          <short value="每週量測與處方 (Weekly measurement)"/>
          <definition value="各週次（第0至8週）之評估量測值與運動處方細節。"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="TWDentalIOPI.measurement"/>
            <min value="0"/>
            <max value="*"/>
          </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() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每週量測: DentalIOPI.component"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.id">
          <path value="TWDentalIOPI.measurement.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="TWDentalIOPI.measurement.extension">
          <path value="TWDentalIOPI.measurement.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() &gt; 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(.), &quot;value&quot;)])"/>
            <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="TWDentalIOPI.measurement.modifierExtension">
          <path value="TWDentalIOPI.measurement.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() &gt; 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(.), &quot;value&quot;)])"/>
            <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="TWDentalIOPI.measurement.week">
          <path value="TWDentalIOPI.measurement.week"/>
          <short value="週次 (Week)"/>
          <definition value="量測週次（0–8）。第0週為基準值（baseline）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.week"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="8"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="週次: DentalIOPI.component.code"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.date">
          <path value="TWDentalIOPI.measurement.date"/>
          <short value="日期 (Date)"/>
          <definition value="該週次量測的日期。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.date"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="日期: DentalIOPI.component[date].valueDateTime"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.pMax">
          <path value="TWDentalIOPI.measurement.pMax"/>
          <short value="最大壓力 Pmax (kPa)"/>
          <definition value="最大壓力量測值，單位 kPa。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.pMax"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="最大壓力 Pmax: DentalIOPI.component[pMax].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.endurance">
          <path value="TWDentalIOPI.measurement.endurance"/>
          <short value="耐力 Endurance (sec)"/>
          <definition value="耐力量測值，單位秒（sec）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.endurance"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map
                 value="耐力 Endurance: DentalIOPI.component[endurance].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.effort">
          <path value="TWDentalIOPI.measurement.effort"/>
          <short value="用力程度 Effort (%)"/>
          <definition value="運動處方之用力程度，單位百分比（%）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.effort"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <maxValueDecimal value="100"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="用力程度 Effort: DentalIOPI.component[effort].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.target">
          <path value="TWDentalIOPI.measurement.target"/>
          <short value="目標壓力 Target (kPa)"/>
          <definition value="運動處方之目標壓力，單位 kPa。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.target"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="目標壓力 Target: DentalIOPI.component[target].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.repsPerSet">
          <path value="TWDentalIOPI.measurement.repsPerSet"/>
          <short value="每組次數 (#Reps/Set)"/>
          <definition value="每一組（Set）之反覆次數。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.repsPerSet"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每組次數: DentalIOPI.component[repsPerSet].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.setsPerSession">
          <path value="TWDentalIOPI.measurement.setsPerSession"/>
          <short value="每次組數 (#Sets/Session)"/>
          <definition value="每一次訓練（Session）之組數。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.setsPerSession"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每次組數: DentalIOPI.component[setsPerSession].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.sessionsPerDay">
          <path value="TWDentalIOPI.measurement.sessionsPerDay"/>
          <short value="每日次數 (#Sessions/Day)"/>
          <definition value="每日訓練次數（Session）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.sessionsPerDay"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每日次數: DentalIOPI.component[sessionsPerDay].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.daysPerWeek">
          <path value="TWDentalIOPI.measurement.daysPerWeek"/>
          <short value="每週天數 (#Days/Week)"/>
          <definition value="每週訓練天數。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalIOPI.measurement.daysPerWeek"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="7"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每週天數: DentalIOPI.component[daysPerWeek].valueInteger"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="TWDentalIOPI">
          <path value="TWDentalIOPI"/>
          <short value="牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型"/>
          <definition
                      value="IOPI（Iowa Oral Performance Instrument）病人進展紀錄表之資料模型，用於記錄以 IOPI 系統進行舌頭或嘴唇肌力訓練之追蹤資料，包含每週（第0至8週）之最大壓力（Pmax）、耐力（Endurance）量測值，以及運動處方細節（用力程度、目標壓力與訓練頻率）。"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="DentalIOPI"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.identifier">
          <path value="TWDentalIOPI.identifier"/>
          <short value="紀錄表識別碼"/>
          <definition value="病人進展紀錄表的唯一識別碼。"/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="紀錄表識別碼: DentalIOPI.identifier"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.subject">
          <path value="TWDentalIOPI.subject"/>
          <short value="受評估對象（病人）"/>
          <definition value="接受 IOPI 肌力訓練追蹤的病人（Patient ID）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="受評估病人: DentalIOPI.subject"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.year">
          <path value="TWDentalIOPI.year"/>
          <short value="年度 (Year)"/>
          <definition value="本紀錄表所屬年度。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="年度: DentalIOPI.effectivePeriod"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.bulbPosition">
          <path value="TWDentalIOPI.bulbPosition"/>
          <short value="球囊位置 (Bulb position)"/>
          <definition value="IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental"/>
          </binding>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="球囊位置: DentalIOPI.bodySite"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement">
          <path value="TWDentalIOPI.measurement"/>
          <short value="每週量測與處方 (Weekly measurement)"/>
          <definition value="各週次（第0至8週）之評估量測值與運動處方細節。"/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="BackboneElement"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每週量測: DentalIOPI.component"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.week">
          <path value="TWDentalIOPI.measurement.week"/>
          <short value="週次 (Week)"/>
          <definition value="量測週次（0–8）。第0週為基準值（baseline）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="8"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="週次: DentalIOPI.component.code"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.date">
          <path value="TWDentalIOPI.measurement.date"/>
          <short value="日期 (Date)"/>
          <definition value="該週次量測的日期。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="日期: DentalIOPI.component[date].valueDateTime"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.pMax">
          <path value="TWDentalIOPI.measurement.pMax"/>
          <short value="最大壓力 Pmax (kPa)"/>
          <definition value="最大壓力量測值，單位 kPa。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="最大壓力 Pmax: DentalIOPI.component[pMax].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.endurance">
          <path value="TWDentalIOPI.measurement.endurance"/>
          <short value="耐力 Endurance (sec)"/>
          <definition value="耐力量測值，單位秒（sec）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map
                 value="耐力 Endurance: DentalIOPI.component[endurance].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.effort">
          <path value="TWDentalIOPI.measurement.effort"/>
          <short value="用力程度 Effort (%)"/>
          <definition value="運動處方之用力程度，單位百分比（%）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <maxValueDecimal value="100"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="用力程度 Effort: DentalIOPI.component[effort].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.target">
          <path value="TWDentalIOPI.measurement.target"/>
          <short value="目標壓力 Target (kPa)"/>
          <definition value="運動處方之目標壓力，單位 kPa。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="decimal"/>
          </type>
          <minValueDecimal value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="目標壓力 Target: DentalIOPI.component[target].valueQuantity"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.repsPerSet">
          <path value="TWDentalIOPI.measurement.repsPerSet"/>
          <short value="每組次數 (#Reps/Set)"/>
          <definition value="每一組（Set）之反覆次數。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每組次數: DentalIOPI.component[repsPerSet].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.setsPerSession">
          <path value="TWDentalIOPI.measurement.setsPerSession"/>
          <short value="每次組數 (#Sets/Session)"/>
          <definition value="每一次訓練（Session）之組數。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每次組數: DentalIOPI.component[setsPerSession].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.sessionsPerDay">
          <path value="TWDentalIOPI.measurement.sessionsPerDay"/>
          <short value="每日次數 (#Sessions/Day)"/>
          <definition value="每日訓練次數（Session）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每日次數: DentalIOPI.component[sessionsPerDay].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalIOPI.measurement.daysPerWeek">
          <path value="TWDentalIOPI.measurement.daysPerWeek"/>
          <short value="每週天數 (#Days/Week)"/>
          <definition value="每週訓練天數。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="7"/>
          <mapping>
            <identity value="TWDentalIOPI-mapping"/>
            <map value="每週天數: DentalIOPI.component[daysPerWeek].valueInteger"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>