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 - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalIOPI logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. TWDentalIOPI
Definition | 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）。
Short | 牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. TWDentalIOPI.identifier
Definition | 病人進展紀錄表的唯一識別碼。
Short | 紀錄表識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalIOPI.subject
Definition | 接受 IOPI 肌力訓練追蹤的病人（Patient ID）。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalIOPI.year
Definition | 本紀錄表所屬年度。
Short | 年度 (Year)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. TWDentalIOPI.bulbPosition
Definition | IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。
Short | 球囊位置 (Bulb position)
Control | 0..1
Binding | The codes SHALL be taken from IOPI 量測球囊位置值集 (required to `http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalIOPI.measurement
Definition | 各週次（第0至8週）之評估量測值與運動處方細節。
Short | 每週量測與處方 (Weekly measurement)
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. TWDentalIOPI.measurement.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
14. TWDentalIOPI.measurement.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `TWDentalIOPI.measurement.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. TWDentalIOPI.measurement.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. TWDentalIOPI.measurement.week
Definition | 量測週次（0–8）。第0週為基準值（baseline）。
Short | 週次 (Week)
Control | 1..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 8
20. TWDentalIOPI.measurement.date
Definition | 該週次量測的日期。
Short | 日期 (Date)
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. TWDentalIOPI.measurement.pMax
Definition | 最大壓力量測值，單位 kPa。
Short | 最大壓力 Pmax (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
24. TWDentalIOPI.measurement.endurance
Definition | 耐力量測值，單位秒（sec）。
Short | 耐力 Endurance (sec)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
26. TWDentalIOPI.measurement.effort
Definition | 運動處方之用力程度，單位百分比（%）。
Short | 用力程度 Effort (%)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 100
28. TWDentalIOPI.measurement.target
Definition | 運動處方之目標壓力，單位 kPa。
Short | 目標壓力 Target (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
30. TWDentalIOPI.measurement.repsPerSet
Definition | 每一組（Set）之反覆次數。
Short | 每組次數 (#Reps/Set)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
32. TWDentalIOPI.measurement.setsPerSession
Definition | 每一次訓練（Session）之組數。
Short | 每次組數 (#Sets/Session)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
34. TWDentalIOPI.measurement.sessionsPerDay
Definition | 每日訓練次數（Session）。
Short | 每日次數 (#Sessions/Day)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
36. TWDentalIOPI.measurement.daysPerWeek
Definition | 每週訓練天數。
Short | 每週天數 (#Days/Week)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 7

Guidance on how to interpret the contents of this table can be foundhere

0. TWDentalIOPI
Definition | 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）。
Short | 牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. TWDentalIOPI.identifier
Definition | 病人進展紀錄表的唯一識別碼。
Short | 紀錄表識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalIOPI.subject
Definition | 接受 IOPI 肌力訓練追蹤的病人（Patient ID）。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalIOPI.year
Definition | 本紀錄表所屬年度。
Short | 年度 (Year)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. TWDentalIOPI.bulbPosition
Definition | IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。
Short | 球囊位置 (Bulb position)
Control | 0..1
Binding | The codes SHALL be taken from IOPI 量測球囊位置值集 (required to `http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalIOPI.measurement
Definition | 各週次（第0至8週）之評估量測值與運動處方細節。
Short | 每週量測與處方 (Weekly measurement)
Control | 0..*
Type | BackboneElement
12. TWDentalIOPI.measurement.week
Definition | 量測週次（0–8）。第0週為基準值（baseline）。
Short | 週次 (Week)
Control | 1..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 8
14. TWDentalIOPI.measurement.date
Definition | 該週次量測的日期。
Short | 日期 (Date)
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. TWDentalIOPI.measurement.pMax
Definition | 最大壓力量測值，單位 kPa。
Short | 最大壓力 Pmax (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
18. TWDentalIOPI.measurement.endurance
Definition | 耐力量測值，單位秒（sec）。
Short | 耐力 Endurance (sec)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
20. TWDentalIOPI.measurement.effort
Definition | 運動處方之用力程度，單位百分比（%）。
Short | 用力程度 Effort (%)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 100
22. TWDentalIOPI.measurement.target
Definition | 運動處方之目標壓力，單位 kPa。
Short | 目標壓力 Target (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
24. TWDentalIOPI.measurement.repsPerSet
Definition | 每一組（Set）之反覆次數。
Short | 每組次數 (#Reps/Set)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
26. TWDentalIOPI.measurement.setsPerSession
Definition | 每一次訓練（Session）之組數。
Short | 每次組數 (#Sets/Session)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
28. TWDentalIOPI.measurement.sessionsPerDay
Definition | 每日訓練次數（Session）。
Short | 每日次數 (#Sessions/Day)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
30. TWDentalIOPI.measurement.daysPerWeek
Definition | 每週訓練天數。
Short | 每週天數 (#Days/Week)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 7

Guidance on how to interpret the contents of this table can be foundhere

0. TWDentalIOPI
Definition | 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）。
Short | 牙醫－IOPI 病人進展紀錄表 (TW Dental IOPI) 之資料模型
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. TWDentalIOPI.identifier
Definition | 病人進展紀錄表的唯一識別碼。
Short | 紀錄表識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalIOPI.subject
Definition | 接受 IOPI 肌力訓練追蹤的病人（Patient ID）。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalIOPI.year
Definition | 本紀錄表所屬年度。
Short | 年度 (Year)
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
8. TWDentalIOPI.bulbPosition
Definition | IOPI 量測球囊放置位置（tongue=舌頭; lip=嘴唇）。
Short | 球囊位置 (Bulb position)
Control | 0..1
Binding | The codes SHALL be taken from IOPI 量測球囊位置值集 (required to `http://dental-ig.fhir.tw/ValueSet/VS-IOPIBulbPosition-twdental` )
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalIOPI.measurement
Definition | 各週次（第0至8週）之評估量測值與運動處方細節。
Short | 每週量測與處方 (Weekly measurement)
Control | 0..*
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. TWDentalIOPI.measurement.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
14. TWDentalIOPI.measurement.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `TWDentalIOPI.measurement.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. TWDentalIOPI.measurement.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | 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.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. TWDentalIOPI.measurement.week
Definition | 量測週次（0–8）。第0週為基準值（baseline）。
Short | 週次 (Week)
Control | 1..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 8
20. TWDentalIOPI.measurement.date
Definition | 該週次量測的日期。
Short | 日期 (Date)
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. TWDentalIOPI.measurement.pMax
Definition | 最大壓力量測值，單位 kPa。
Short | 最大壓力 Pmax (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
24. TWDentalIOPI.measurement.endurance
Definition | 耐力量測值，單位秒（sec）。
Short | 耐力 Endurance (sec)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
26. TWDentalIOPI.measurement.effort
Definition | 運動處方之用力程度，單位百分比（%）。
Short | 用力程度 Effort (%)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 100
28. TWDentalIOPI.measurement.target
Definition | 運動處方之目標壓力，單位 kPa。
Short | 目標壓力 Target (kPa)
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
30. TWDentalIOPI.measurement.repsPerSet
Definition | 每一組（Set）之反覆次數。
Short | 每組次數 (#Reps/Set)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
32. TWDentalIOPI.measurement.setsPerSession
Definition | 每一次訓練（Session）之組數。
Short | 每次組數 (#Sets/Session)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
34. TWDentalIOPI.measurement.sessionsPerDay
Definition | 每日訓練次數（Session）。
Short | 每日次數 (#Sessions/Day)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
36. TWDentalIOPI.measurement.daysPerWeek
Definition | 每週訓練天數。
Short | 每週天數 (#Days/Week)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Min Value | 0
Max Value | 7