# 牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 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－口腔照護稽核表 (TW Dental Oral Care Audit) 之資料模型**

## Logical Model: 牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 之資料模型 

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

 
機構口腔照護稽核表之資料模型，依住民潔牙能力分為（1）完全自理－評估照護員「督導與指導能力」及（2）部分／完全協助－評估照護員「實際操作技術」。涵蓋督導能力稽核、操作技術稽核、關鍵技術稽核、流程稽核、牙菌斑控制結果評估及評分結果與稽核等級。 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOralCareAudit",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAudit",
  "version" : "0.0.1",
  "name" : "TWDentalOralCareAuditModel",
  "title" : "牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 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" : "機構口腔照護稽核表之資料模型，依住民潔牙能力分為（1）完全自理－評估照護員「督導與指導能力」及（2）部分／完全協助－評估照護員「實際操作技術」。涵蓋督導能力稽核、操作技術稽核、關鍵技術稽核、流程稽核、牙菌斑控制結果評估及評分結果與稽核等級。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOralCareAudit-mapping",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCareAudit",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOralCareAudit",
      "path" : "TWDentalOralCareAudit",
      "short" : "牙醫－口腔照護稽核表 (TW Dental Oral Care Audit) 之資料模型",
      "definition" : "機構口腔照護稽核表之資料模型，依住民潔牙能力分為（1）完全自理－評估照護員「督導與指導能力」及（2）部分／完全協助－評估照護員「實際操作技術」。涵蓋督導能力稽核、操作技術稽核、關鍵技術稽核、流程稽核、牙菌斑控制結果評估及評分結果與稽核等級。",
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "DentalOralCareAudit"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.identifier",
      "path" : "TWDentalOralCareAudit.identifier",
      "short" : "稽核紀錄識別碼",
      "definition" : "稽核紀錄的唯一識別碼。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "稽核紀錄識別碼: DentalOralCareAudit.identifier"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.organizationName",
      "path" : "TWDentalOralCareAudit.organizationName",
      "short" : "機構名稱",
      "definition" : "執行稽核之機構名稱。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "機構名稱: DentalOralCareAudit.performer"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.auditDate",
      "path" : "TWDentalOralCareAudit.auditDate",
      "short" : "日期",
      "definition" : "進行稽核的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "日期: DentalOralCareAudit.effectiveDateTime"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.auditor",
      "path" : "TWDentalOralCareAudit.auditor",
      "short" : "評核者",
      "definition" : "執行此稽核的評核人員。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "評核者: DentalOralCareAudit.performer"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.staff",
      "path" : "TWDentalOralCareAudit.staff",
      "short" : "受稽核工作人員",
      "definition" : "被稽核之照護工作人員。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "受稽核工作人員: DentalOralCareAudit.focus"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.staffName",
      "path" : "TWDentalOralCareAudit.staffName",
      "short" : "工作人員姓名",
      "definition" : "被稽核工作人員之姓名。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "工作人員姓名: DentalOralCareAudit.focus"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.resident",
      "path" : "TWDentalOralCareAudit.resident",
      "short" : "住民（病人）",
      "definition" : "接受口腔照護之住民。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "住民: DentalOralCareAudit.subject"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.residentBed",
      "path" : "TWDentalOralCareAudit.residentBed",
      "short" : "住民床號",
      "definition" : "住民的床號。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "住民床號: DentalOralCareAudit.note"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.residentName",
      "path" : "TWDentalOralCareAudit.residentName",
      "short" : "住民姓名",
      "definition" : "住民的姓名。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "住民姓名: DentalOralCareAudit.subject"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.cleaningAbilityCategory",
      "path" : "TWDentalOralCareAudit.cleaningAbilityCategory",
      "short" : "潔牙能力分類",
      "definition" : "依住民潔牙能力分類（self-care=完全自理，評估督導與指導能力; partial-full-assist=部分／完全協助，評估實際操作技術）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://dental-ig.fhir.tw/ValueSet/VS-OralCareCleaningAbility-twdental"
      },
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "潔牙能力分類: DentalOralCareAudit.category"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit",
      "path" : "TWDentalOralCareAudit.supervisionAudit",
      "short" : "（A）督導能力稽核",
      "definition" : "自理者之督導能力稽核（共5題，每題最高2分，滿分10分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "督導能力稽核: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.observation",
      "path" : "TWDentalOralCareAudit.supervisionAudit.observation",
      "short" : "觀察能力",
      "definition" : "能辨識刷牙錯誤（漏刷、錯誤方式）（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bassInstruction",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bassInstruction",
      "short" : "貝氏刷牙指導",
      "definition" : "能指導貝氏刷牙法（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.interproximalReminder",
      "path" : "TWDentalOralCareAudit.supervisionAudit.interproximalReminder",
      "short" : "鄰接面清潔",
      "definition" : "有提醒牙線（棒）／牙間刷（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.cleaningCompleteness",
      "path" : "TWDentalOralCareAudit.supervisionAudit.cleaningCompleteness",
      "short" : "清潔完整性",
      "definition" : "有檢查舌頭與口腔黏膜（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.behaviorGuidance",
      "path" : "TWDentalOralCareAudit.supervisionAudit.behaviorGuidance",
      "short" : "行為引導",
      "definition" : "有鼓勵與修正（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.subtotal",
      "path" : "TWDentalOralCareAudit.supervisionAudit.subtotal",
      "short" : "督導能力小計",
      "definition" : "督導能力稽核小計（0–10分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 10
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus",
      "short" : "加分項目",
      "definition" : "督導能力之加分項目（可複選）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus.demonstration",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus.demonstration",
      "short" : "示範刷牙",
      "definition" : "是否示範刷牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus.deadSpots",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus.deadSpots",
      "short" : "指出死角",
      "definition" : "是否指出清潔死角。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus.education",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus.education",
      "short" : "衛教互動",
      "definition" : "是否進行衛教互動。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus.assistiveDevice",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus.assistiveDevice",
      "short" : "輔具",
      "definition" : "是否使用輔具。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.supervisionAudit.bonus.individualizedCare",
      "path" : "TWDentalOralCareAudit.supervisionAudit.bonus.individualizedCare",
      "short" : "個別化照護",
      "definition" : "是否提供個別化照護。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit",
      "path" : "TWDentalOralCareAudit.operationAudit",
      "short" : "（B）操作技術稽核",
      "definition" : "部分／完全協助之操作技術稽核（共8題，每題最高2分，滿分16分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "操作技術稽核: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.postureSafety",
      "path" : "TWDentalOralCareAudit.operationAudit.postureSafety",
      "short" : "姿勢安全",
      "definition" : "床頭30–60°或正確坐姿（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.desensitization",
      "path" : "TWDentalOralCareAudit.operationAudit.desensitization",
      "short" : "減敏操作",
      "definition" : "有進行口腔按摩／減敏（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.cleaningSequence",
      "path" : "TWDentalOralCareAudit.operationAudit.cleaningSequence",
      "short" : "清潔順序",
      "definition" : "殘渣→鄰接面清潔→牙面清潔（外側–舌側–咬合面）→黏膜（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bassPrinciple",
      "path" : "TWDentalOralCareAudit.operationAudit.bassPrinciple",
      "short" : "貝氏刷牙原則",
      "definition" : "有依照貝氏刷牙法正確操作（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.interproximalCleaning",
      "path" : "TWDentalOralCareAudit.operationAudit.interproximalCleaning",
      "short" : "鄰接面清潔",
      "definition" : "有使用牙線棒／牙間刷（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.mucosaCleaning",
      "path" : "TWDentalOralCareAudit.operationAudit.mucosaCleaning",
      "short" : "黏膜清潔",
      "definition" : "有清潔舌頭／口腔（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.dentureHandling",
      "path" : "TWDentalOralCareAudit.operationAudit.dentureHandling",
      "short" : "假牙處理",
      "definition" : "有取出與清潔假牙（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.chokingPrevention",
      "path" : "TWDentalOralCareAudit.operationAudit.chokingPrevention",
      "short" : "嗆咳預防",
      "definition" : "有安全控制措施（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.subtotal",
      "path" : "TWDentalOralCareAudit.operationAudit.subtotal",
      "short" : "操作技術小計",
      "definition" : "操作技術稽核小計（0–16分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 16
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus",
      "short" : "加分項目",
      "definition" : "操作技術之加分項目（可複選）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus.demonstration",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus.demonstration",
      "short" : "示範刷牙",
      "definition" : "是否示範刷牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus.deadSpots",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus.deadSpots",
      "short" : "指出死角",
      "definition" : "是否指出清潔死角。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus.education",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus.education",
      "short" : "衛教互動",
      "definition" : "是否進行衛教互動。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus.assistiveDevice",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus.assistiveDevice",
      "short" : "輔具",
      "definition" : "是否使用輔具。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.operationAudit.bonus.individualizedCare",
      "path" : "TWDentalOralCareAudit.operationAudit.bonus.individualizedCare",
      "short" : "個別化照護",
      "definition" : "是否提供個別化照護。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit",
      "short" : "關鍵技術稽核",
      "definition" : "關鍵技術稽核，任一項目未達即判定技術未達標。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "關鍵技術稽核: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod",
      "short" : "貝氏刷牙法",
      "definition" : "貝氏刷牙法之關鍵技術項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.bristleAngle",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.bristleAngle",
      "short" : "刷毛涵蓋牙齦45–60度",
      "definition" : "刷毛是否涵蓋一點牙齦並呈45–60度。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.smallVibration",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.smallVibration",
      "short" : "小幅震動",
      "definition" : "是否小幅震動。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.sulcusBrushing",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.sulcusBrushing",
      "short" : "有刷牙齦溝",
      "definition" : "是否有刷牙齦溝。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.systematicOrder",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.bassMethod.systematicOrder",
      "short" : "有系統順序",
      "definition" : "是否依系統順序操作。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds",
      "short" : "特殊需求潔牙技巧",
      "definition" : "特殊需求潔牙技巧之關鍵技術項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.postureAndToolPrep",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.postureAndToolPrep",
      "short" : "姿勢安全操作及潔牙工具準備",
      "definition" : "個案姿勢安全操作及潔牙工具準備。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.desensitizationPositioning",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.desensitizationPositioning",
      "short" : "減敏處理及潔牙擺位",
      "definition" : "減敏處理及潔牙擺位。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.handGestureSpace",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.handGestureSpace",
      "short" : "潔牙手勢及空間製造",
      "definition" : "潔牙手勢及空間製造。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.zonedSystematicCleaning",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.specialNeeds.zonedSystematicCleaning",
      "short" : "分區並有系統順序清潔",
      "definition" : "分區並有系統順序清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.keyTechniqueAudit.techniqueMet",
      "path" : "TWDentalOralCareAudit.keyTechniqueAudit.techniqueMet",
      "short" : "關鍵技術是否達標",
      "definition" : "關鍵技術整體判定（true=全部達標; false=任一未達，技術未達標）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit",
      "path" : "TWDentalOralCareAudit.processAudit",
      "short" : "流程稽核",
      "definition" : "流程稽核（共10項，每項1分，滿分10分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "流程稽核: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.preparation",
      "path" : "TWDentalOralCareAudit.processAudit.preparation",
      "short" : "事前準備",
      "definition" : "事前準備流程項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.preparation.handHygiene",
      "path" : "TWDentalOralCareAudit.processAudit.preparation.handHygiene",
      "short" : "手部清潔",
      "definition" : "是否完成手部清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.preparation.equipmentPrep",
      "path" : "TWDentalOralCareAudit.processAudit.preparation.equipmentPrep",
      "short" : "器具準備",
      "definition" : "是否完成器具準備。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.preparation.rapportBuilding",
      "path" : "TWDentalOralCareAudit.processAudit.preparation.rapportBuilding",
      "short" : "建立關係",
      "definition" : "是否建立關係。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.process",
      "path" : "TWDentalOralCareAudit.processAudit.process",
      "short" : "操作過程",
      "definition" : "操作過程流程項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.process.interproximalCleaning",
      "path" : "TWDentalOralCareAudit.processAudit.process.interproximalCleaning",
      "short" : "鄰接面清潔",
      "definition" : "是否完成鄰接面清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.process.toothSurfaceCleaning",
      "path" : "TWDentalOralCareAudit.processAudit.process.toothSurfaceCleaning",
      "short" : "牙面清潔",
      "definition" : "是否完成牙面清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.process.mucosaCleaning",
      "path" : "TWDentalOralCareAudit.processAudit.process.mucosaCleaning",
      "short" : "黏膜清潔",
      "definition" : "是否完成黏膜清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.process.safetyControl",
      "path" : "TWDentalOralCareAudit.processAudit.process.safetyControl",
      "short" : "安全控制",
      "definition" : "是否進行安全控制。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.cleanup",
      "path" : "TWDentalOralCareAudit.processAudit.cleanup",
      "short" : "事後整理",
      "definition" : "事後整理流程項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.cleanup.equipmentCleaning",
      "path" : "TWDentalOralCareAudit.processAudit.cleanup.equipmentCleaning",
      "short" : "器具清潔",
      "definition" : "是否完成器具清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.cleanup.environmentCleaning",
      "path" : "TWDentalOralCareAudit.processAudit.cleanup.environmentCleaning",
      "short" : "環境清潔",
      "definition" : "是否完成環境清潔。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.cleanup.continuousCare",
      "path" : "TWDentalOralCareAudit.processAudit.cleanup.continuousCare",
      "short" : "持續關懷互動",
      "definition" : "是否持續關懷互動。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.processAudit.score",
      "path" : "TWDentalOralCareAudit.processAudit.score",
      "short" : "流程稽核分數",
      "definition" : "流程稽核分數（0–10分）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 10
    },
    {
      "id" : "TWDentalOralCareAudit.plaqueControl",
      "path" : "TWDentalOralCareAudit.plaqueControl",
      "short" : "口腔清潔結果評估－牙菌斑控制",
      "definition" : "以潔牙前後照片評估牙菌斑控制結果。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "牙菌斑控制: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.plaqueControl.beforePhoto",
      "path" : "TWDentalOralCareAudit.plaqueControl.beforePhoto",
      "short" : "潔牙前照片",
      "definition" : "潔牙前的口腔照片。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Attachment"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.plaqueControl.afterPhoto",
      "path" : "TWDentalOralCareAudit.plaqueControl.afterPhoto",
      "short" : "潔牙後照片",
      "definition" : "潔牙後的口腔照片。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Attachment"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.plaqueControl.score",
      "path" : "TWDentalOralCareAudit.plaqueControl.score",
      "short" : "牙菌斑控制評分",
      "definition" : "牙菌斑控制評分（0–2分）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2
    },
    {
      "id" : "TWDentalOralCareAudit.scoring",
      "path" : "TWDentalOralCareAudit.scoring",
      "short" : "評分結果",
      "definition" : "綜合各稽核面向之評分結果與最終等級。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "評分結果: DentalOralCareAudit.component"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.operationSupervisionScore",
      "path" : "TWDentalOralCareAudit.scoring.operationSupervisionScore",
      "short" : "操作／督導分數（佔60%）",
      "definition" : "操作技術或督導能力分數，佔總分60%。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.processScore",
      "path" : "TWDentalOralCareAudit.scoring.processScore",
      "short" : "流程稽核分數（佔20%）",
      "definition" : "流程稽核分數，佔總分20%。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.plaqueControlScore",
      "path" : "TWDentalOralCareAudit.scoring.plaqueControlScore",
      "short" : "牙菌斑控制分數（佔20%）",
      "definition" : "牙菌斑控制分數，佔總分20%。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.rawTotal",
      "path" : "TWDentalOralCareAudit.scoring.rawTotal",
      "short" : "原始總分",
      "definition" : "加權後之原始總分。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.bonus",
      "path" : "TWDentalOralCareAudit.scoring.bonus",
      "short" : "加分",
      "definition" : "額外加分。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.actualTotal",
      "path" : "TWDentalOralCareAudit.scoring.actualTotal",
      "short" : "實際總分",
      "definition" : "含加分後之實際總分。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "minValueDecimal" : 0
    },
    {
      "id" : "TWDentalOralCareAudit.scoring.finalGrade",
      "path" : "TWDentalOralCareAudit.scoring.finalGrade",
      "short" : "最終稽核等級",
      "definition" : "最終稽核等級（A=≥90優良; B=70–89合格; C=50–69需改善; D=<50不合格）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "binding" : {
        "strength" : "required",
        "valueSet" : "http://dental-ig.fhir.tw/ValueSet/VS-OralCareAuditGrade-twdental"
      },
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "最終稽核等級: DentalOralCareAudit.interpretation"
      }]
    },
    {
      "id" : "TWDentalOralCareAudit.deficiencyRecommendation",
      "path" : "TWDentalOralCareAudit.deficiencyRecommendation",
      "short" : "缺失與建議",
      "definition" : "稽核發現之缺失與改善建議。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCareAudit-mapping",
        "map" : "缺失與建議: DentalOralCareAudit.note"
      }]
    }]
  }
}

```
