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: TWDentalOralCarePlanModel - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalOralCarePlan 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. TWDentalOralCarePlan
Definition | 根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。
Short | 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 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. TWDentalOralCarePlan.identifier
Definition | 照護計畫的唯一識別碼。
Short | 照護計畫識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCarePlan.subject
Definition | 接受照護計畫的病人。
Short | 照護對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCarePlan.basedOnAssessment
Definition | 本照護計畫所依據的口腔照護評估紀錄。
Short | 依據評估
Control | 0..1
Type | Reference
8. TWDentalOralCarePlan.planDate
Definition | 照護計畫制定的日期。
Short | 計畫制定日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCarePlan.author
Definition | 制定此照護計畫的醫事人員或照護人員。
Short | 計畫制定人員
Control | 0..1
Type | Reference
12. TWDentalOralCarePlan.nextAssessmentDate
Definition | 預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。
Short | 下次評估日期
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. TWDentalOralCarePlan.careMode
Definition | 依照潔牙依賴程度所選定的照護協助模式（三擇一）。
Short | 照護模式
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. TWDentalOralCarePlan.careMode.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
18. TWDentalOralCarePlan.careMode.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 `TWDentalOralCarePlan.careMode.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. TWDentalOralCarePlan.careMode.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())
22. TWDentalOralCarePlan.careMode.selfCare
Definition | 是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
Short | 自主清潔維持
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. TWDentalOralCarePlan.careMode.partialAssistance
Definition | 是否採用部分協助模式（需部分人員協助進行口腔清潔）。
Short | 部分協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. TWDentalOralCarePlan.careMode.fullAssistance
Definition | 是否採用完全協助模式（需完全由人員代為執行口腔清潔）。
Short | 完全協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCarePlan.enhancedActivities
Definition | 需加強執行的口腔照護項目（可複選）。
Short | 加強照護項目
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. TWDentalOralCarePlan.enhancedActivities.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
32. TWDentalOralCarePlan.enhancedActivities.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 `TWDentalOralCarePlan.enhancedActivities.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. TWDentalOralCarePlan.enhancedActivities.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())
36. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
Definition | 是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。
Short | 加強清潔強度
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
Definition | 是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。
Short | 牙縫清潔工具使用
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
Definition | 是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
Short | 假牙清潔指導
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
Definition | 是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。
Short | 口腔機能訓練
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. TWDentalOralCarePlan.referrals
Definition | 需轉介的醫療或照護服務（可複選）。
Short | 轉介項目
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. TWDentalOralCarePlan.referrals.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. TWDentalOralCarePlan.referrals.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 `TWDentalOralCarePlan.referrals.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. TWDentalOralCarePlan.referrals.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. TWDentalOralCarePlan.referrals.toDentist
Definition | 是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。
Short | 轉介牙醫
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. TWDentalOralCarePlan.referrals.toSpeechTherapist
Definition | 是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。
Short | 轉介語言治療
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. TWDentalOralCarePlan.referrals.toDietitian
Definition | 是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。
Short | 轉介營養師
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. TWDentalOralCarePlan.note
Definition | 照護計畫的補充說明或其他備註事項。
Short | 備註
Control | 0..1
Type | string
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. TWDentalOralCarePlan
Definition | 根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。
Short | 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. TWDentalOralCarePlan.identifier
Definition | 照護計畫的唯一識別碼。
Short | 照護計畫識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCarePlan.subject
Definition | 接受照護計畫的病人。
Short | 照護對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCarePlan.basedOnAssessment
Definition | 本照護計畫所依據的口腔照護評估紀錄。
Short | 依據評估
Control | 0..1
Type | Reference
8. TWDentalOralCarePlan.planDate
Definition | 照護計畫制定的日期。
Short | 計畫制定日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCarePlan.author
Definition | 制定此照護計畫的醫事人員或照護人員。
Short | 計畫制定人員
Control | 0..1
Type | Reference
12. TWDentalOralCarePlan.nextAssessmentDate
Definition | 預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。
Short | 下次評估日期
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. TWDentalOralCarePlan.careMode
Definition | 依照潔牙依賴程度所選定的照護協助模式（三擇一）。
Short | 照護模式
Control | 1..1
Type | BackboneElement
16. TWDentalOralCarePlan.careMode.selfCare
Definition | 是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
Short | 自主清潔維持
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. TWDentalOralCarePlan.careMode.partialAssistance
Definition | 是否採用部分協助模式（需部分人員協助進行口腔清潔）。
Short | 部分協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. TWDentalOralCarePlan.careMode.fullAssistance
Definition | 是否採用完全協助模式（需完全由人員代為執行口腔清潔）。
Short | 完全協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. TWDentalOralCarePlan.enhancedActivities
Definition | 需加強執行的口腔照護項目（可複選）。
Short | 加強照護項目
Control | 1..1
Type | BackboneElement
24. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
Definition | 是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。
Short | 加強清潔強度
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
Definition | 是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。
Short | 牙縫清潔工具使用
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
Definition | 是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
Short | 假牙清潔指導
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
Definition | 是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。
Short | 口腔機能訓練
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. TWDentalOralCarePlan.referrals
Definition | 需轉介的醫療或照護服務（可複選）。
Short | 轉介項目
Control | 1..1
Type | BackboneElement
34. TWDentalOralCarePlan.referrals.toDentist
Definition | 是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。
Short | 轉介牙醫
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. TWDentalOralCarePlan.referrals.toSpeechTherapist
Definition | 是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。
Short | 轉介語言治療
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCarePlan.referrals.toDietitian
Definition | 是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。
Short | 轉介營養師
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. TWDentalOralCarePlan.note
Definition | 照護計畫的補充說明或其他備註事項。
Short | 備註
Control | 0..1
Type | string
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. TWDentalOralCarePlan
Definition | 根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。
Short | 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 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. TWDentalOralCarePlan.identifier
Definition | 照護計畫的唯一識別碼。
Short | 照護計畫識別碼
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
4. TWDentalOralCarePlan.subject
Definition | 接受照護計畫的病人。
Short | 照護對象（病人）
Control | 1..1
Type | Reference
6. TWDentalOralCarePlan.basedOnAssessment
Definition | 本照護計畫所依據的口腔照護評估紀錄。
Short | 依據評估
Control | 0..1
Type | Reference
8. TWDentalOralCarePlan.planDate
Definition | 照護計畫制定的日期。
Short | 計畫制定日期
Control | 1..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCarePlan.author
Definition | 制定此照護計畫的醫事人員或照護人員。
Short | 計畫制定人員
Control | 0..1
Type | Reference
12. TWDentalOralCarePlan.nextAssessmentDate
Definition | 預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。
Short | 下次評估日期
Control | 0..1
Type | date
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. TWDentalOralCarePlan.careMode
Definition | 依照潔牙依賴程度所選定的照護協助模式（三擇一）。
Short | 照護模式
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
16. TWDentalOralCarePlan.careMode.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
18. TWDentalOralCarePlan.careMode.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 `TWDentalOralCarePlan.careMode.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
20. TWDentalOralCarePlan.careMode.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()`)
22. TWDentalOralCarePlan.careMode.selfCare
Definition | 是否採用自主清潔維持模式（病人可自主進行口腔清潔）。
Short | 自主清潔維持
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. TWDentalOralCarePlan.careMode.partialAssistance
Definition | 是否採用部分協助模式（需部分人員協助進行口腔清潔）。
Short | 部分協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
26. TWDentalOralCarePlan.careMode.fullAssistance
Definition | 是否採用完全協助模式（需完全由人員代為執行口腔清潔）。
Short | 完全協助模式
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
28. TWDentalOralCarePlan.enhancedActivities
Definition | 需加強執行的口腔照護項目（可複選）。
Short | 加強照護項目
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. TWDentalOralCarePlan.enhancedActivities.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
32. TWDentalOralCarePlan.enhancedActivities.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 `TWDentalOralCarePlan.enhancedActivities.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. TWDentalOralCarePlan.enhancedActivities.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()`)
36. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
Definition | 是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。
Short | 加強清潔強度
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
38. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
Definition | 是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。
Short | 牙縫清潔工具使用
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
40. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
Definition | 是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。
Short | 假牙清潔指導
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
Definition | 是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。
Short | 口腔機能訓練
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
44. TWDentalOralCarePlan.referrals
Definition | 需轉介的醫療或照護服務（可複選）。
Short | 轉介項目
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. TWDentalOralCarePlan.referrals.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. TWDentalOralCarePlan.referrals.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 `TWDentalOralCarePlan.referrals.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
50. TWDentalOralCarePlan.referrals.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. TWDentalOralCarePlan.referrals.toDentist
Definition | 是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。
Short | 轉介牙醫
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
54. TWDentalOralCarePlan.referrals.toSpeechTherapist
Definition | 是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。
Short | 轉介語言治療
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
56. TWDentalOralCarePlan.referrals.toDietitian
Definition | 是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。
Short | 轉介營養師
Control | 0..1
Type | boolean
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
58. TWDentalOralCarePlan.note
Definition | 照護計畫的補充說明或其他備註事項。
Short | 備註
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension