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: TWDentalOralCareAssessmentModel - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalOralCareAssessment 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. TWDentalOralCareAssessment
Definition | 機構人員進行口腔照護評估之資料模型，涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能，以及假牙功能等五大構面之評估結果，由社團法人台灣口腔照護協會制定。
Short | 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 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. TWDentalOralCareAssessment.identifier
Definition | 評估紀錄的唯一識別碼。
Short | 評估紀錄識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCareAssessment.subject
Definition | 接受口腔照護評估的病人。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCareAssessment.medicalRecordNumber
Definition | 病人的病歷號碼。
Short | 病歷號
Control | 0..1
Type | Identifier
8. TWDentalOralCareAssessment.ward
Definition | 病人的床號或病房資訊。
Short | 床號
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCareAssessment.assessmentDate
Definition | 進行評估的日期。
Short | 評估日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. TWDentalOralCareAssessment.assessor
Definition | 執行口腔照護評估的醫事人員或照護人員。
Short | 評估人員
Control | 1..1
Type | Reference
14. TWDentalOralCareAssessment.assessmentType
Definition | 本次評估的類型（initial=初評; follow-up=定期追蹤）。
Short | 評估類型
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. TWDentalOralCareAssessment.assessmentSequence
Definition | 若評估類型為定期追蹤，記錄本次為第幾次。
Short | 追蹤次數
Control | 0..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. TWDentalOralCareAssessment.domainOne
Definition | 評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。
Short | 構面一：口腔基本狀況
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. TWDentalOralCareAssessment.domainOne.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
22. TWDentalOralCareAssessment.domainOne.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 `TWDentalOralCareAssessment.domainOne.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. TWDentalOralCareAssessment.domainOne.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())
26. TWDentalOralCareAssessment.domainOne.lips
Definition | 雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。
Short | 雙唇 (Lips)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCareAssessment.domainOne.tongue
Definition | 舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。
Short | 舌頭
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. TWDentalOralCareAssessment.domainOne.mucosa
Definition | 口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。
Short | 黏膜
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. TWDentalOralCareAssessment.domainOne.gingiva
Definition | 牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。
Short | 牙齦
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. TWDentalOralCareAssessment.domainOne.saliva
Definition | 唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。
Short | 唾液狀況
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. TWDentalOralCareAssessment.domainOne.halitosis
Definition | 口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。
Short | 口臭 (Halitosis)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
Definition | 牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。
Short | 牙面清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
Definition | 牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。
Short | 牙縫清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. TWDentalOralCareAssessment.domainOne.riskLevel
Definition | 口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。
Short | 構面一風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. TWDentalOralCareAssessment.domainTwo
Definition | 評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度，以及整體潔牙依賴程度。
Short | 構面二：口腔清潔能力與依賴程度
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. TWDentalOralCareAssessment.domainTwo.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
48. TWDentalOralCareAssessment.domainTwo.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 `TWDentalOralCareAssessment.domainTwo.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. TWDentalOralCareAssessment.domainTwo.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())
52. TWDentalOralCareAssessment.domainTwo.brushingAbility
Definition | 刷牙自主能力（0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙）。
Short | 刷牙能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
Definition | 牙縫清潔工具使用能力（0=可自行使用; 1=需協助或偶爾使用; 2=無法使用）。
Short | 牙縫清潔能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. TWDentalOralCareAssessment.domainTwo.rinsingAbility
Definition | 漱口能力（0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳）。
Short | 漱口能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. TWDentalOralCareAssessment.domainTwo.compliance
Definition | 清潔配合度與認知配合程度（0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合）。
Short | 清潔配合度／認知配合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. TWDentalOralCareAssessment.domainTwo.dependencyLevel
Definition | 整體潔牙依賴程度（independent=完全自理; partial=部分協助; full=完全需協助）。
Short | 潔牙依賴程度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. TWDentalOralCareAssessment.domainThree
Definition | 評估對咬牙組數、飲食型態及咀嚼困難程度。
Short | 構面三：咀嚼能力
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. TWDentalOralCareAssessment.domainThree.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
66. TWDentalOralCareAssessment.domainThree.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 `TWDentalOralCareAssessment.domainThree.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
68. TWDentalOralCareAssessment.domainThree.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())
70. TWDentalOralCareAssessment.domainThree.occlusionPairs
Definition | 對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。
Short | 對咬牙組數
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. TWDentalOralCareAssessment.domainThree.dietType
Definition | 目前飲食型態（normal=普通; minced-soft-semi=剁碎／軟食／半流質; liquid-tube=流質／管灌）。
Short | 飲食型態
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. TWDentalOralCareAssessment.domainThree.chewingDifficulty
Definition | 咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。
Short | 咀嚼困難
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. TWDentalOralCareAssessment.domainThree.riskLevel
Definition | 咀嚼能力之整體風險評估（low=低; medium=中; high=高）。
Short | 構面三風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. TWDentalOralCareAssessment.domainFour
Definition | A. 口腔肌肉功能（唇閉合、舌頭活動、DDK Test）；B. 吞嚥功能（嗆咳、聲音濕濁、RSST Test）。
Short | 構面四：口腔機能與吞嚥功能
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. TWDentalOralCareAssessment.domainFour.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
82. TWDentalOralCareAssessment.domainFour.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 `TWDentalOralCareAssessment.domainFour.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. TWDentalOralCareAssessment.domainFour.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())
86. TWDentalOralCareAssessment.domainFour.lipClosure
Definition | 唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。
Short | 唇閉合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
88. TWDentalOralCareAssessment.domainFour.tongueMovement
Definition | 舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。
Short | 舌頭活動
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
90. TWDentalOralCareAssessment.domainFour.ddkTest
Definition | 交替運動速率測試結果（0=清楚且連續; 1=發音模糊; 2=無法完成）。
Short | DDK Test（交替運動速率測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. TWDentalOralCareAssessment.domainFour.choking
Definition | 進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。
Short | 嗆咳
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. TWDentalOralCareAssessment.domainFour.wetVoice
Definition | 進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。
Short | 聲音濕濁
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
96. TWDentalOralCareAssessment.domainFour.rsstTest
Definition | 反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。
Short | RSST Test（反覆唾液吞嚥測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. TWDentalOralCareAssessment.domainFour.riskLevel
Definition | 口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面四風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
100. TWDentalOralCareAssessment.domainFive
Definition | 評估假牙類型、配戴頻率、穩定度及清潔狀況（適用於有假牙之個案）。
Short | 構面五：假牙功能 (Domain 5: Prosthesis Condition)
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. TWDentalOralCareAssessment.domainFive.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
104. TWDentalOralCareAssessment.domainFive.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 `TWDentalOralCareAssessment.domainFive.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
106. TWDentalOralCareAssessment.domainFive.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())
108. TWDentalOralCareAssessment.domainFive.fullDenture
Definition | 全口活動假牙相關資訊。
Short | 全口活動假牙
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. TWDentalOralCareAssessment.domainFive.fullDenture.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
112. TWDentalOralCareAssessment.domainFive.fullDenture.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 `TWDentalOralCareAssessment.domainFive.fullDenture.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
114. TWDentalOralCareAssessment.domainFive.fullDenture.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())
116. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
Definition | 是否有上顎全口活動假牙。
Short | 上顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
118. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
Definition | 上顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
Definition | 是否有下顎全口活動假牙。
Short | 下顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
122. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
Definition | 下顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
124. TWDentalOralCareAssessment.domainFive.partialDenture
Definition | 部分活動假牙相關資訊。
Short | 部分活動假牙
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. TWDentalOralCareAssessment.domainFive.partialDenture.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
128. TWDentalOralCareAssessment.domainFive.partialDenture.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 `TWDentalOralCareAssessment.domainFive.partialDenture.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
130. TWDentalOralCareAssessment.domainFive.partialDenture.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())
132. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
Definition | 是否有上顎部分活動假牙。
Short | 上顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
134. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
Definition | 上顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
136. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
Definition | 是否有下顎部分活動假牙。
Short | 下顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
Definition | 下顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
140. TWDentalOralCareAssessment.domainFive.wearing
Definition | 假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。
Short | 是否配戴
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. TWDentalOralCareAssessment.domainFive.stability
Definition | 假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。
Short | 穩定度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
144. TWDentalOralCareAssessment.domainFive.cleanliness
Definition | 假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。
Short | 清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
146. TWDentalOralCareAssessment.domainFive.riskLevel
Definition | 假牙功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面五風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
148. TWDentalOralCareAssessment.overallRiskLevel
Definition | 綜合五大構面的整體風險評估（low=低風險（其餘）; medium=中風險（≥2個構面為中）; high=高風險（任一構面紅旗、構面四高、≥2構面高））。
Short | 整體風險
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. TWDentalOralCareAssessment
Definition | 機構人員進行口腔照護評估之資料模型，涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能，以及假牙功能等五大構面之評估結果，由社團法人台灣口腔照護協會制定。
Short | 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. TWDentalOralCareAssessment.identifier
Definition | 評估紀錄的唯一識別碼。
Short | 評估紀錄識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCareAssessment.subject
Definition | 接受口腔照護評估的病人。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCareAssessment.medicalRecordNumber
Definition | 病人的病歷號碼。
Short | 病歷號
Control | 0..1
Type | Identifier
8. TWDentalOralCareAssessment.ward
Definition | 病人的床號或病房資訊。
Short | 床號
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCareAssessment.assessmentDate
Definition | 進行評估的日期。
Short | 評估日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. TWDentalOralCareAssessment.assessor
Definition | 執行口腔照護評估的醫事人員或照護人員。
Short | 評估人員
Control | 1..1
Type | Reference
14. TWDentalOralCareAssessment.assessmentType
Definition | 本次評估的類型（initial=初評; follow-up=定期追蹤）。
Short | 評估類型
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. TWDentalOralCareAssessment.assessmentSequence
Definition | 若評估類型為定期追蹤，記錄本次為第幾次。
Short | 追蹤次數
Control | 0..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. TWDentalOralCareAssessment.domainOne
Definition | 評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。
Short | 構面一：口腔基本狀況
Control | 1..1
Type | BackboneElement
20. TWDentalOralCareAssessment.domainOne.lips
Definition | 雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。
Short | 雙唇 (Lips)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. TWDentalOralCareAssessment.domainOne.tongue
Definition | 舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。
Short | 舌頭
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. TWDentalOralCareAssessment.domainOne.mucosa
Definition | 口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。
Short | 黏膜
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. TWDentalOralCareAssessment.domainOne.gingiva
Definition | 牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。
Short | 牙齦
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCareAssessment.domainOne.saliva
Definition | 唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。
Short | 唾液狀況
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. TWDentalOralCareAssessment.domainOne.halitosis
Definition | 口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。
Short | 口臭 (Halitosis)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
Definition | 牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。
Short | 牙面清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
Definition | 牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。
Short | 牙縫清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. TWDentalOralCareAssessment.domainOne.riskLevel
Definition | 口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。
Short | 構面一風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCareAssessment.domainTwo
Definition | 評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度，以及整體潔牙依賴程度。
Short | 構面二：口腔清潔能力與依賴程度
Control | 1..1
Type | BackboneElement
40. TWDentalOralCareAssessment.domainTwo.brushingAbility
Definition | 刷牙自主能力（0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙）。
Short | 刷牙能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
Definition | 牙縫清潔工具使用能力（0=可自行使用; 1=需協助或偶爾使用; 2=無法使用）。
Short | 牙縫清潔能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. TWDentalOralCareAssessment.domainTwo.rinsingAbility
Definition | 漱口能力（0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳）。
Short | 漱口能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. TWDentalOralCareAssessment.domainTwo.compliance
Definition | 清潔配合度與認知配合程度（0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合）。
Short | 清潔配合度／認知配合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. TWDentalOralCareAssessment.domainTwo.dependencyLevel
Definition | 整體潔牙依賴程度（independent=完全自理; partial=部分協助; full=完全需協助）。
Short | 潔牙依賴程度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. TWDentalOralCareAssessment.domainThree
Definition | 評估對咬牙組數、飲食型態及咀嚼困難程度。
Short | 構面三：咀嚼能力
Control | 1..1
Type | BackboneElement
52. TWDentalOralCareAssessment.domainThree.occlusionPairs
Definition | 對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。
Short | 對咬牙組數
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. TWDentalOralCareAssessment.domainThree.dietType
Definition | 目前飲食型態（normal=普通; minced-soft-semi=剁碎／軟食／半流質; liquid-tube=流質／管灌）。
Short | 飲食型態
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. TWDentalOralCareAssessment.domainThree.chewingDifficulty
Definition | 咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。
Short | 咀嚼困難
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. TWDentalOralCareAssessment.domainThree.riskLevel
Definition | 咀嚼能力之整體風險評估（low=低; medium=中; high=高）。
Short | 構面三風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. TWDentalOralCareAssessment.domainFour
Definition | A. 口腔肌肉功能（唇閉合、舌頭活動、DDK Test）；B. 吞嚥功能（嗆咳、聲音濕濁、RSST Test）。
Short | 構面四：口腔機能與吞嚥功能
Control | 1..1
Type | BackboneElement
62. TWDentalOralCareAssessment.domainFour.lipClosure
Definition | 唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。
Short | 唇閉合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
64. TWDentalOralCareAssessment.domainFour.tongueMovement
Definition | 舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。
Short | 舌頭活動
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. TWDentalOralCareAssessment.domainFour.ddkTest
Definition | 交替運動速率測試結果（0=清楚且連續; 1=發音模糊; 2=無法完成）。
Short | DDK Test（交替運動速率測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. TWDentalOralCareAssessment.domainFour.choking
Definition | 進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。
Short | 嗆咳
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
70. TWDentalOralCareAssessment.domainFour.wetVoice
Definition | 進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。
Short | 聲音濕濁
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. TWDentalOralCareAssessment.domainFour.rsstTest
Definition | 反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。
Short | RSST Test（反覆唾液吞嚥測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. TWDentalOralCareAssessment.domainFour.riskLevel
Definition | 口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面四風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. TWDentalOralCareAssessment.domainFive
Definition | 評估假牙類型、配戴頻率、穩定度及清潔狀況（適用於有假牙之個案）。
Short | 構面五：假牙功能 (Domain 5: Prosthesis Condition)
Control | 0..1
Type | BackboneElement
78. TWDentalOralCareAssessment.domainFive.fullDenture
Definition | 全口活動假牙相關資訊。
Short | 全口活動假牙
Control | 0..1
Type | BackboneElement
80. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
Definition | 是否有上顎全口活動假牙。
Short | 上顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
Definition | 上顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
84. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
Definition | 是否有下顎全口活動假牙。
Short | 下顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
86. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
Definition | 下顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
88. TWDentalOralCareAssessment.domainFive.partialDenture
Definition | 部分活動假牙相關資訊。
Short | 部分活動假牙
Control | 0..1
Type | BackboneElement
90. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
Definition | 是否有上顎部分活動假牙。
Short | 上顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
Definition | 上顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
Definition | 是否有下顎部分活動假牙。
Short | 下顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
96. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
Definition | 下顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. TWDentalOralCareAssessment.domainFive.wearing
Definition | 假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。
Short | 是否配戴
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
100. TWDentalOralCareAssessment.domainFive.stability
Definition | 假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。
Short | 穩定度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
102. TWDentalOralCareAssessment.domainFive.cleanliness
Definition | 假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。
Short | 清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
104. TWDentalOralCareAssessment.domainFive.riskLevel
Definition | 假牙功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面五風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
106. TWDentalOralCareAssessment.overallRiskLevel
Definition | 綜合五大構面的整體風險評估（low=低風險（其餘）; medium=中風險（≥2個構面為中）; high=高風險（任一構面紅旗、構面四高、≥2構面高））。
Short | 整體風險
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

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

0. TWDentalOralCareAssessment
Definition | 機構人員進行口腔照護評估之資料模型，涵蓋口腔基本狀況、口腔清潔能力與依賴程度、咀嚼能力、口腔機能與吞嚥功能，以及假牙功能等五大構面之評估結果，由社團法人台灣口腔照護協會制定。
Short | 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 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. TWDentalOralCareAssessment.identifier
Definition | 評估紀錄的唯一識別碼。
Short | 評估紀錄識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCareAssessment.subject
Definition | 接受口腔照護評估的病人。
Short | 受評估對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCareAssessment.medicalRecordNumber
Definition | 病人的病歷號碼。
Short | 病歷號
Control | 0..1
Type | Identifier
8. TWDentalOralCareAssessment.ward
Definition | 病人的床號或病房資訊。
Short | 床號
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCareAssessment.assessmentDate
Definition | 進行評估的日期。
Short | 評估日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. TWDentalOralCareAssessment.assessor
Definition | 執行口腔照護評估的醫事人員或照護人員。
Short | 評估人員
Control | 1..1
Type | Reference
14. TWDentalOralCareAssessment.assessmentType
Definition | 本次評估的類型（initial=初評; follow-up=定期追蹤）。
Short | 評估類型
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
16. TWDentalOralCareAssessment.assessmentSequence
Definition | 若評估類型為定期追蹤，記錄本次為第幾次。
Short | 追蹤次數
Control | 0..1
Type | positiveInt
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. TWDentalOralCareAssessment.domainOne
Definition | 評估雙唇、舌頭、黏膜、牙齦、唾液、口臭、牙面清潔及牙縫清潔等八項口腔基本狀況。
Short | 構面一：口腔基本狀況
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. TWDentalOralCareAssessment.domainOne.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
22. TWDentalOralCareAssessment.domainOne.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 `TWDentalOralCareAssessment.domainOne.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
24. TWDentalOralCareAssessment.domainOne.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()`)
26. TWDentalOralCareAssessment.domainOne.lips
Definition | 雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。
Short | 雙唇 (Lips)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCareAssessment.domainOne.tongue
Definition | 舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。
Short | 舌頭
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. TWDentalOralCareAssessment.domainOne.mucosa
Definition | 口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。
Short | 黏膜
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. TWDentalOralCareAssessment.domainOne.gingiva
Definition | 牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。
Short | 牙齦
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. TWDentalOralCareAssessment.domainOne.saliva
Definition | 唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。
Short | 唾液狀況
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. TWDentalOralCareAssessment.domainOne.halitosis
Definition | 口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。
Short | 口臭 (Halitosis)
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness
Definition | 牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。
Short | 牙面清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. TWDentalOralCareAssessment.domainOne.interdentalCleanliness
Definition | 牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。
Short | 牙縫清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. TWDentalOralCareAssessment.domainOne.riskLevel
Definition | 口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。
Short | 構面一風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. TWDentalOralCareAssessment.domainTwo
Definition | 評估刷牙能力、牙縫清潔能力、漱口能力、清潔配合度，以及整體潔牙依賴程度。
Short | 構面二：口腔清潔能力與依賴程度
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. TWDentalOralCareAssessment.domainTwo.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
48. TWDentalOralCareAssessment.domainTwo.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 `TWDentalOralCareAssessment.domainTwo.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. TWDentalOralCareAssessment.domainTwo.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()`)
52. TWDentalOralCareAssessment.domainTwo.brushingAbility
Definition | 刷牙自主能力（0=可自行完整刷牙; 1=需部分協助; 2=無法自行刷牙）。
Short | 刷牙能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility
Definition | 牙縫清潔工具使用能力（0=可自行使用; 1=需協助或偶爾使用; 2=無法使用）。
Short | 牙縫清潔能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. TWDentalOralCareAssessment.domainTwo.rinsingAbility
Definition | 漱口能力（0=可正常漱口並吐出; 1=控制不穩定; 2=無法漱口或易嗆咳）。
Short | 漱口能力
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. TWDentalOralCareAssessment.domainTwo.compliance
Definition | 清潔配合度與認知配合程度（0=可理解並配合; 1=需多次提醒; 2=抗拒或無法配合）。
Short | 清潔配合度／認知配合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. TWDentalOralCareAssessment.domainTwo.dependencyLevel
Definition | 整體潔牙依賴程度（independent=完全自理; partial=部分協助; full=完全需協助）。
Short | 潔牙依賴程度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. TWDentalOralCareAssessment.domainThree
Definition | 評估對咬牙組數、飲食型態及咀嚼困難程度。
Short | 構面三：咀嚼能力
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. TWDentalOralCareAssessment.domainThree.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
66. TWDentalOralCareAssessment.domainThree.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 `TWDentalOralCareAssessment.domainThree.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
68. TWDentalOralCareAssessment.domainThree.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()`)
70. TWDentalOralCareAssessment.domainThree.occlusionPairs
Definition | 對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。
Short | 對咬牙組數
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. TWDentalOralCareAssessment.domainThree.dietType
Definition | 目前飲食型態（normal=普通; minced-soft-semi=剁碎／軟食／半流質; liquid-tube=流質／管灌）。
Short | 飲食型態
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. TWDentalOralCareAssessment.domainThree.chewingDifficulty
Definition | 咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。
Short | 咀嚼困難
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. TWDentalOralCareAssessment.domainThree.riskLevel
Definition | 咀嚼能力之整體風險評估（low=低; medium=中; high=高）。
Short | 構面三風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. TWDentalOralCareAssessment.domainFour
Definition | A. 口腔肌肉功能（唇閉合、舌頭活動、DDK Test）；B. 吞嚥功能（嗆咳、聲音濕濁、RSST Test）。
Short | 構面四：口腔機能與吞嚥功能
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. TWDentalOralCareAssessment.domainFour.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
82. TWDentalOralCareAssessment.domainFour.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 `TWDentalOralCareAssessment.domainFour.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. TWDentalOralCareAssessment.domainFour.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()`)
86. TWDentalOralCareAssessment.domainFour.lipClosure
Definition | 唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。
Short | 唇閉合
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
88. TWDentalOralCareAssessment.domainFour.tongueMovement
Definition | 舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。
Short | 舌頭活動
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
90. TWDentalOralCareAssessment.domainFour.ddkTest
Definition | 交替運動速率測試結果（0=清楚且連續; 1=發音模糊; 2=無法完成）。
Short | DDK Test（交替運動速率測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. TWDentalOralCareAssessment.domainFour.choking
Definition | 進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。
Short | 嗆咳
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. TWDentalOralCareAssessment.domainFour.wetVoice
Definition | 進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。
Short | 聲音濕濁
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
96. TWDentalOralCareAssessment.domainFour.rsstTest
Definition | 反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。
Short | RSST Test（反覆唾液吞嚥測試）
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. TWDentalOralCareAssessment.domainFour.riskLevel
Definition | 口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面四風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
100. TWDentalOralCareAssessment.domainFive
Definition | 評估假牙類型、配戴頻率、穩定度及清潔狀況（適用於有假牙之個案）。
Short | 構面五：假牙功能 (Domain 5: Prosthesis Condition)
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. TWDentalOralCareAssessment.domainFive.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
104. TWDentalOralCareAssessment.domainFive.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 `TWDentalOralCareAssessment.domainFive.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
106. TWDentalOralCareAssessment.domainFive.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()`)
108. TWDentalOralCareAssessment.domainFive.fullDenture
Definition | 全口活動假牙相關資訊。
Short | 全口活動假牙
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. TWDentalOralCareAssessment.domainFive.fullDenture.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
112. TWDentalOralCareAssessment.domainFive.fullDenture.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 `TWDentalOralCareAssessment.domainFive.fullDenture.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
114. TWDentalOralCareAssessment.domainFive.fullDenture.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()`)
116. TWDentalOralCareAssessment.domainFive.fullDenture.maxillary
Definition | 是否有上顎全口活動假牙。
Short | 上顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
118. TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition
Definition | 上顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. TWDentalOralCareAssessment.domainFive.fullDenture.mandibular
Definition | 是否有下顎全口活動假牙。
Short | 下顎全口假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
122. TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition
Definition | 下顎全口假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎全口假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
124. TWDentalOralCareAssessment.domainFive.partialDenture
Definition | 部分活動假牙相關資訊。
Short | 部分活動假牙
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. TWDentalOralCareAssessment.domainFive.partialDenture.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
128. TWDentalOralCareAssessment.domainFive.partialDenture.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 `TWDentalOralCareAssessment.domainFive.partialDenture.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
130. TWDentalOralCareAssessment.domainFive.partialDenture.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()`)
132. TWDentalOralCareAssessment.domainFive.partialDenture.maxillary
Definition | 是否有上顎部分活動假牙。
Short | 上顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
134. TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition
Definition | 上顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 上顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
136. TWDentalOralCareAssessment.domainFive.partialDenture.mandibular
Definition | 是否有下顎部分活動假牙。
Short | 下顎部分假牙
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition
Definition | 下顎部分假牙完整度（intact=完整且穩固; damaged=破損; loose=鬆動或需黏著劑）。
Short | 下顎部分假牙狀態
Control | 0..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
140. TWDentalOralCareAssessment.domainFive.wearing
Definition | 假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。
Short | 是否配戴
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. TWDentalOralCareAssessment.domainFive.stability
Definition | 假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。
Short | 穩定度
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
144. TWDentalOralCareAssessment.domainFive.cleanliness
Definition | 假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。
Short | 清潔
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
146. TWDentalOralCareAssessment.domainFive.riskLevel
Definition | 假牙功能之整體風險評估（low=低; medium=中; high=高）。
Short | 構面五風險等級
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
148. TWDentalOralCareAssessment.overallRiskLevel
Definition | 綜合五大構面的整體風險評估（low=低風險（其餘）; medium=中風險（≥2個構面為中）; high=高風險（任一構面紅旗、構面四高、≥2構面高））。
Short | 整體風險
Control | 1..1
Type | code
Primitive Value | This primitive element may be present, or absent, or replaced by an extension