# 牙醫－口腔衰弱五項量表 (TW Dental OF-5) 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－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型**

## Logical Model: 牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型 

| | |
| :--- | :--- |
| *Official URL*:http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5 | *Version*:0.0.1 |
| Active as of 2026-06-25 | *Computable Name*:TWDentalOF5Model |

 
口腔衰弱五項量表（Oral Frailty Five-item, OF-5）之資料模型，包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目；五項中有兩項以上為「是／適用」即表示有口腔衰弱的表現。 

**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-TWDentalOF5.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-TWDentalOF5.csv), [Excel](StructureDefinition-TWDentalOF5.xlsx) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOF5",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5",
  "version" : "0.0.1",
  "name" : "TWDentalOF5Model",
  "title" : "牙醫－口腔衰弱五項量表 (TW Dental OF-5) 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" : "口腔衰弱五項量表（Oral Frailty Five-item, OF-5）之資料模型，包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目；五項中有兩項以上為「是／適用」即表示有口腔衰弱的表現。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOF5-mapping",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOF5",
      "path" : "TWDentalOF5",
      "short" : "牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型",
      "definition" : "口腔衰弱五項量表（Oral Frailty Five-item, OF-5）之資料模型，包含牙齒減少、咀嚼困難、吞嚥困難、口乾及口腔運動發音技能低下等五個項目；五項中有兩項以上為「是／適用」即表示有口腔衰弱的表現。",
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "DentalOF5"
      }]
    },
    {
      "id" : "TWDentalOF5.identifier",
      "path" : "TWDentalOF5.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" : "TWDentalOF5-mapping",
        "map" : "評估紀錄識別碼: DentalOF5.identifier"
      }]
    },
    {
      "id" : "TWDentalOF5.subject",
      "path" : "TWDentalOF5.subject",
      "short" : "受評估對象（病人）",
      "definition" : "接受口腔衰弱評估的病人。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "受評估病人: DentalOF5.subject"
      }]
    },
    {
      "id" : "TWDentalOF5.assessmentDate",
      "path" : "TWDentalOF5.assessmentDate",
      "short" : "評估日期",
      "definition" : "進行口腔衰弱評估的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "評估日期: DentalOF5.effectiveDateTime"
      }]
    },
    {
      "id" : "TWDentalOF5.assessor",
      "path" : "TWDentalOF5.assessor",
      "short" : "評估者",
      "definition" : "執行此評估的醫事人員或照護人員。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "評估者: DentalOF5.performer"
      }]
    },
    {
      "id" : "TWDentalOF5.toothReduction",
      "path" : "TWDentalOF5.toothReduction",
      "short" : "牙齒減少",
      "definition" : "您的天然牙齒還剩下多少顆？（0–19顆＝適用; ≥20顆＝不適用）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "牙齒減少: DentalOF5.component[toothReduction]"
      }]
    },
    {
      "id" : "TWDentalOF5.toothReduction.remainingTeeth",
      "path" : "TWDentalOF5.toothReduction.remainingTeeth",
      "short" : "天然牙齒剩餘顆數",
      "definition" : "目前天然牙齒剩餘的顆數。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 32,
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "天然牙齒剩餘顆數: DentalOF5.component[remainingTeeth].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOF5.toothReduction.applicable",
      "path" : "TWDentalOF5.toothReduction.applicable",
      "short" : "牙齒減少是否適用",
      "definition" : "是否符合牙齒減少（true=0–19顆，適用; false=≥20顆，不適用）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "牙齒減少適用: DentalOF5.component[toothReduction].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.chewingDifficulty",
      "path" : "TWDentalOF5.chewingDifficulty",
      "short" : "咀嚼困難",
      "definition" : "與6個月前相比，您吃硬的食物是否有困難？（true=是; false=否）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "咀嚼困難: DentalOF5.component[chewingDifficulty].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.swallowingDifficulty",
      "path" : "TWDentalOF5.swallowingDifficulty",
      "short" : "吞嚥困難",
      "definition" : "您最近是否被茶或湯嗆到？（true=是; false=否）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "吞嚥困難: DentalOF5.component[swallowingDifficulty].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.dryMouth",
      "path" : "TWDentalOF5.dryMouth",
      "short" : "口乾",
      "definition" : "您是否經常感到口乾？（true=是; false=否）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "口乾: DentalOF5.component[dryMouth].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.oralMotorSpeech",
      "path" : "TWDentalOF5.oralMotorSpeech",
      "short" : "口腔運動發音技能低下",
      "definition" : "A 或 B 二擇一評估口腔運動與發音技能。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "constraint" : [{
        "key" : "of5-method-result",
        "severity" : "error",
        "human" : "項目五應依所選評估方式（A 或 B）填寫對應之結果欄位。",
        "expression" : "(method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists())",
        "source" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "口腔運動發音技能低下: DentalOF5.component[oralMotorSpeech]"
      }]
    },
    {
      "id" : "TWDentalOF5.oralMotorSpeech.method",
      "path" : "TWDentalOF5.oralMotorSpeech.method",
      "short" : "評估方式",
      "definition" : "採用之評估方式（A=發音清晰度; B=口腔輪替運動）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental"
      },
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "評估方式: DentalOF5.component[oralMotorSpeech].valueCode"
      }]
    },
    {
      "id" : "TWDentalOF5.oralMotorSpeech.articulationDifficulty",
      "path" : "TWDentalOF5.oralMotorSpeech.articulationDifficulty",
      "short" : "A. 發音清晰度困難",
      "definition" : "您最近在發音清晰度方面是否感到困難？（true=是; false=否）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "發音清晰度困難: DentalOF5.component[articulation].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.oralMotorSpeech.ddkRateApplicable",
      "path" : "TWDentalOF5.oralMotorSpeech.ddkRateApplicable",
      "short" : "B. 口腔輪替運動是否適用",
      "definition" : "口腔輪替運動（每秒發「ta」音的速度）是否低於標準（true=<6.0次/秒，適用; false=≥6.0次/秒，不適用）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "口腔輪替運動適用: DentalOF5.component[ddkRate].valueBoolean"
      }]
    },
    {
      "id" : "TWDentalOF5.positiveItemCount",
      "path" : "TWDentalOF5.positiveItemCount",
      "short" : "符合項數",
      "definition" : "五項中判定為「是／適用」的項目數量。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 5,
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "符合項數: DentalOF5.component[positiveCount].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOF5.oralFrailty",
      "path" : "TWDentalOF5.oralFrailty",
      "short" : "口腔衰弱判定 (Oral frailty)",
      "definition" : "整體判定是否有口腔衰弱表現（true=兩項以上為是／適用; false=未達）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOF5-mapping",
        "map" : "口腔衰弱判定: DentalOF5.interpretation"
      }]
    }]
  }
}

```
