# 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型 - 臺灣牙醫實作指引 (Taiwan Dental Implementation Guide) v0.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型**

## Logical Model: 牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型 

| | |
| :--- | :--- |
| *Official URL*:http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment | *Version*:0.0.1 |
| Active as of 2026-06-25 | *Computable Name*:TWDentalOralCareAssessmentModel |

 
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。 

**Usages:**

* This Logical Model is not used by any profiles in this Specification

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/tw.mirdc.dental|current/StructureDefinition/StructureDefinition-TWDentalOralCareAssessment.json)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-TWDentalOralCareAssessment.csv), [Excel](StructureDefinition-TWDentalOralCareAssessment.xlsx) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOralCareAssessment",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment",
  "version" : "0.0.1",
  "name" : "TWDentalOralCareAssessmentModel",
  "title" : "牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型",
  "status" : "active",
  "date" : "2026-06-25T00:51:39+00:00",
  "publisher" : "金屬工業研究發展中心",
  "contact" : [{
    "name" : "金屬工業研究發展中心",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.mirdc.org.tw/"
    }]
  },
  {
    "name" : "黃怡文",
    "telecom" : [{
      "system" : "email",
      "value" : "lisaiwh@mail.mirdc.org.tw",
      "use" : "work"
    }]
  },
  {
    "name" : "莊世任",
    "telecom" : [{
      "system" : "email",
      "value" : "renjuang@mail.mirdc.org.tw",
      "use" : "work"
    }]
  }],
  "description" : "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。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOralCareAssessment",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAssessment",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOralCareAssessment",
      "path" : "TWDentalOralCareAssessment",
      "short" : "牙醫－口腔照護評估 (TW Dental Oral Care Assessment) 之資料模型",
      "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。",
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "DentalOralCareAssessment"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.identifier",
      "path" : "TWDentalOralCareAssessment.identifier",
      "short" : "評估紀錄識別碼",
      "definition" : "評估紀錄的唯一識別碼。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "評估紀錄識別碼: DentalOralCareAssessment.identifier"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.subject",
      "path" : "TWDentalOralCareAssessment.subject",
      "short" : "受評估對象（病人）",
      "definition" : "接受口腔照護評估的病人。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "受評估病人: DentalOralCareAssessment.subject"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.medicalRecordNumber",
      "path" : "TWDentalOralCareAssessment.medicalRecordNumber",
      "short" : "病歷號",
      "definition" : "病人的病歷號碼。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "病歷號: DentalOralCareAssessment.identifier"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.ward",
      "path" : "TWDentalOralCareAssessment.ward",
      "short" : "床號",
      "definition" : "病人的床號或病房資訊。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "床號: DentalOralCareAssessment.note"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.assessmentDate",
      "path" : "TWDentalOralCareAssessment.assessmentDate",
      "short" : "評估日期",
      "definition" : "進行評估的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "評估日期: DentalOralCareAssessment.effectiveDateTime"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.assessor",
      "path" : "TWDentalOralCareAssessment.assessor",
      "short" : "評估人員",
      "definition" : "執行口腔照護評估的醫事人員或照護人員。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "評估人員: DentalOralCareAssessment.performer"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.assessmentType",
      "path" : "TWDentalOralCareAssessment.assessmentType",
      "short" : "評估類型",
      "definition" : "本次評估的類型（initial=初評; follow-up=定期追蹤）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "評估類型: DentalOralCareAssessment.category"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.assessmentSequence",
      "path" : "TWDentalOralCareAssessment.assessmentSequence",
      "short" : "追蹤次數",
      "definition" : "若評估類型為定期追蹤，記錄本次為第幾次。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "positiveInt"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "追蹤次數: DentalOralCareAssessment.note"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne",
      "path" : "TWDentalOralCareAssessment.domainOne",
      "short" : "構面一：口腔基本狀況",
      "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。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面一：口腔基本狀況: DentalOralCareAssessment.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.lips",
      "path" : "TWDentalOralCareAssessment.domainOne.lips",
      "short" : "雙唇 (Lips)",
      "definition" : "雙唇狀況（0=正常; 1=輕微乾裂; 2=出血或明顯破裂）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "雙唇評估: DentalOralCareAssessment.component[lips].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.tongue",
      "path" : "TWDentalOralCareAssessment.domainOne.tongue",
      "short" : "舌頭",
      "definition" : "舌頭狀況（0=粉紅濕潤; 1=薄白苔; 2=厚苔或潰瘍）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "舌頭評估: DentalOralCareAssessment.component[tongue].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.mucosa",
      "path" : "TWDentalOralCareAssessment.domainOne.mucosa",
      "short" : "黏膜",
      "definition" : "口腔黏膜狀況（0=正常; 1=輕微紅點; 2=潰瘍或白斑）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "黏膜評估: DentalOralCareAssessment.component[mucosa].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.gingiva",
      "path" : "TWDentalOralCareAssessment.domainOne.gingiva",
      "short" : "牙齦",
      "definition" : "牙齦狀況（0=無出血; 1=刷牙出血; 2=腫脹或膿包）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "牙齦評估: DentalOralCareAssessment.component[gingiva].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.saliva",
      "path" : "TWDentalOralCareAssessment.domainOne.saliva",
      "short" : "唾液狀況",
      "definition" : "唾液濕潤程度（0=濕潤; 1=偏乾; 2=明顯乾燥）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "唾液評估: DentalOralCareAssessment.component[saliva].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.halitosis",
      "path" : "TWDentalOralCareAssessment.domainOne.halitosis",
      "short" : "口臭 (Halitosis)",
      "definition" : "口臭程度（0=無; 1=近距離可聞; 2=明顯異味）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "口臭評估: DentalOralCareAssessment.component[halitosis].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness",
      "path" : "TWDentalOralCareAssessment.domainOne.toothSurfaceCleanliness",
      "short" : "牙面清潔",
      "definition" : "牙面清潔狀況（0=無殘渣; 1=局部菌斑; 2=多處堆積）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "牙面清潔評估: DentalOralCareAssessment.component[toothSurface].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.interdentalCleanliness",
      "path" : "TWDentalOralCareAssessment.domainOne.interdentalCleanliness",
      "short" : "牙縫清潔",
      "definition" : "牙縫清潔狀況（0=無殘渣; 1=局部殘渣; 2=多處堆積）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "牙縫清潔評估: DentalOralCareAssessment.component[interdental].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainOne.riskLevel",
      "path" : "TWDentalOralCareAssessment.domainOne.riskLevel",
      "short" : "構面一風險等級",
      "definition" : "口腔基本狀況之整體風險評估（low=低; medium=中; high=高）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面一風險: DentalOralCareAssessment.component[domain1Risk].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo",
      "path" : "TWDentalOralCareAssessment.domainTwo",
      "short" : "構面二：口腔清潔能力與依賴程度",
      "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。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面二：口腔清潔能力: DentalOralCareAssessment.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo.brushingAbility",
      "path" : "TWDentalOralCareAssessment.domainTwo.brushingAbility",
      "short" : "刷牙能力",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "刷牙能力: DentalOralCareAssessment.component[brushing].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility",
      "path" : "TWDentalOralCareAssessment.domainTwo.interdentalCleaningAbility",
      "short" : "牙縫清潔能力",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "牙縫清潔能力: DentalOralCareAssessment.component[interdentalCleaning].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo.rinsingAbility",
      "path" : "TWDentalOralCareAssessment.domainTwo.rinsingAbility",
      "short" : "漱口能力",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "漱口能力: DentalOralCareAssessment.component[rinsing].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo.compliance",
      "path" : "TWDentalOralCareAssessment.domainTwo.compliance",
      "short" : "清潔配合度／認知配合",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "清潔配合度: DentalOralCareAssessment.component[compliance].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainTwo.dependencyLevel",
      "path" : "TWDentalOralCareAssessment.domainTwo.dependencyLevel",
      "short" : "潔牙依賴程度",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "潔牙依賴程度: DentalOralCareAssessment.component[dependency].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainThree",
      "path" : "TWDentalOralCareAssessment.domainThree",
      "short" : "構面三：咀嚼能力",
      "definition" : "評估對咬牙組數、飲食型態及咀嚼困難程度。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面三：咀嚼能力: DentalOralCareAssessment.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainThree.occlusionPairs",
      "path" : "TWDentalOralCareAssessment.domainThree.occlusionPairs",
      "short" : "對咬牙組數",
      "definition" : "對咬牙組數（6plus=≥6組; 1to5=1–5組; zero=0組）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "對咬牙組數: DentalOralCareAssessment.component[occlusionPairs].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainThree.dietType",
      "path" : "TWDentalOralCareAssessment.domainThree.dietType",
      "short" : "飲食型態",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "飲食型態: DentalOralCareAssessment.component[dietType].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainThree.chewingDifficulty",
      "path" : "TWDentalOralCareAssessment.domainThree.chewingDifficulty",
      "short" : "咀嚼困難",
      "definition" : "咀嚼困難程度（none=無; occasional=偶爾; frequent=經常）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "咀嚼困難: DentalOralCareAssessment.component[chewingDifficulty].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainThree.riskLevel",
      "path" : "TWDentalOralCareAssessment.domainThree.riskLevel",
      "short" : "構面三風險等級",
      "definition" : "咀嚼能力之整體風險評估（low=低; medium=中; high=高）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面三風險: DentalOralCareAssessment.component[domain3Risk].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour",
      "path" : "TWDentalOralCareAssessment.domainFour",
      "short" : "構面四：口腔機能與吞嚥功能",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面四：口腔機能與吞嚥功能: DentalOralCareAssessment.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.lipClosure",
      "path" : "TWDentalOralCareAssessment.domainFour.lipClosure",
      "short" : "唇閉合",
      "definition" : "唇閉合能力（0=可維持5秒; 1=無法維持; 2=有口水外流）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "唇閉合: DentalOralCareAssessment.component[lipClosure].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.tongueMovement",
      "path" : "TWDentalOralCareAssessment.domainFour.tongueMovement",
      "short" : "舌頭活動",
      "definition" : "舌頭活動能力（0=可左右移動; 1=緩慢或困難; 2=幾乎無法）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "舌頭活動: DentalOralCareAssessment.component[tongueMovement].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.ddkTest",
      "path" : "TWDentalOralCareAssessment.domainFour.ddkTest",
      "short" : "DDK Test（交替運動速率測試）",
      "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）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "DDK Test: DentalOralCareAssessment.component[ddkTest].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.choking",
      "path" : "TWDentalOralCareAssessment.domainFour.choking",
      "short" : "嗆咳",
      "definition" : "進食時嗆咳頻率（0=無; 1=偶爾; 2=每餐皆發生）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "嗆咳: DentalOralCareAssessment.component[choking].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.wetVoice",
      "path" : "TWDentalOralCareAssessment.domainFour.wetVoice",
      "short" : "聲音濕濁",
      "definition" : "進食後聲音濕濁程度（0=清晰; 1=偶爾濕濁; 2=持續濕濁）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "聲音濕濁: DentalOralCareAssessment.component[wetVoice].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.rsstTest",
      "path" : "TWDentalOralCareAssessment.domainFour.rsstTest",
      "short" : "RSST Test（反覆唾液吞嚥測試）",
      "definition" : "反覆唾液吞嚥測試結果（0=≥3次; 1=1–2次; 2=0次）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "RSST Test: DentalOralCareAssessment.component[rsstTest].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFour.riskLevel",
      "path" : "TWDentalOralCareAssessment.domainFour.riskLevel",
      "short" : "構面四風險等級",
      "definition" : "口腔機能與吞嚥功能之整體風險評估（low=低; medium=中; high=高）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面四風險: DentalOralCareAssessment.component[domain4Risk].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive",
      "path" : "TWDentalOralCareAssessment.domainFive",
      "short" : "構面五：假牙功能 (Domain 5: Prosthesis Condition)",
      "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）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面五：假牙功能: DentalOralCareAssessment.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.fullDenture",
      "path" : "TWDentalOralCareAssessment.domainFive.fullDenture",
      "short" : "全口活動假牙",
      "definition" : "全口活動假牙相關資訊。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "全口活動假牙: DentalOralCareAssessment.component[fullDenture]"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.fullDenture.maxillary",
      "path" : "TWDentalOralCareAssessment.domainFive.fullDenture.maxillary",
      "short" : "上顎全口假牙",
      "definition" : "是否有上顎全口活動假牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "上顎全口假牙: DentalOralCareAssessment.component[fullDentureMaxillary].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition",
      "path" : "TWDentalOralCareAssessment.domainFive.fullDenture.maxillaryCondition",
      "short" : "上顎全口假牙狀態",
      "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）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "上顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMaxillaryCondition].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.fullDenture.mandibular",
      "path" : "TWDentalOralCareAssessment.domainFive.fullDenture.mandibular",
      "short" : "下顎全口假牙",
      "definition" : "是否有下顎全口活動假牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "下顎全口假牙: DentalOralCareAssessment.component[fullDentureMandibular].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition",
      "path" : "TWDentalOralCareAssessment.domainFive.fullDenture.mandibularCondition",
      "short" : "下顎全口假牙狀態",
      "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）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "下顎全口假牙狀態: DentalOralCareAssessment.component[fullDentureMandibularCondition].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.partialDenture",
      "path" : "TWDentalOralCareAssessment.domainFive.partialDenture",
      "short" : "部分活動假牙",
      "definition" : "部分活動假牙相關資訊。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "部分活動假牙: DentalOralCareAssessment.component[partialDenture]"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.partialDenture.maxillary",
      "path" : "TWDentalOralCareAssessment.domainFive.partialDenture.maxillary",
      "short" : "上顎部分假牙",
      "definition" : "是否有上顎部分活動假牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "上顎部分假牙: DentalOralCareAssessment.component[partialDentureMaxillary].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition",
      "path" : "TWDentalOralCareAssessment.domainFive.partialDenture.maxillaryCondition",
      "short" : "上顎部分假牙狀態",
      "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）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "上顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMaxillaryCondition].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.partialDenture.mandibular",
      "path" : "TWDentalOralCareAssessment.domainFive.partialDenture.mandibular",
      "short" : "下顎部分假牙",
      "definition" : "是否有下顎部分活動假牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "下顎部分假牙: DentalOralCareAssessment.component[partialDentureMandibular].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition",
      "path" : "TWDentalOralCareAssessment.domainFive.partialDenture.mandibularCondition",
      "short" : "下顎部分假牙狀態",
      "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）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "下顎部分假牙狀態: DentalOralCareAssessment.component[partialDentureMandibularCondition].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.wearing",
      "path" : "TWDentalOralCareAssessment.domainFive.wearing",
      "short" : "是否配戴",
      "definition" : "假牙配戴頻率（daily=每日規律; occasional=偶爾; not-worn=未配戴）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "假牙配戴頻率: DentalOralCareAssessment.component[dentureWearing].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.stability",
      "path" : "TWDentalOralCareAssessment.domainFive.stability",
      "short" : "穩定度",
      "definition" : "假牙整體穩定度（stable=穩定; loose=鬆動; damaged=破損）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "假牙穩定度: DentalOralCareAssessment.component[dentureStability].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.cleanliness",
      "path" : "TWDentalOralCareAssessment.domainFive.cleanliness",
      "short" : "清潔",
      "definition" : "假牙清潔狀況（clean=乾淨; needs-improvement=需改進; heavy-buildup=明顯堆積）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "假牙清潔: DentalOralCareAssessment.component[dentureCleanliness].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.domainFive.riskLevel",
      "path" : "TWDentalOralCareAssessment.domainFive.riskLevel",
      "short" : "構面五風險等級",
      "definition" : "假牙功能之整體風險評估（low=低; medium=中; high=高）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "構面五風險: DentalOralCareAssessment.component[domain5Risk].valueCode"
      }]
    },
    {
      "id" : "TWDentalOralCareAssessment.overallRiskLevel",
      "path" : "TWDentalOralCareAssessment.overallRiskLevel",
      "short" : "整體風險",
      "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））。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAssessment",
        "map" : "整體風險: DentalOralCareAssessment.interpretation"
      }]
    }]
  }
}

```
