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: TWDentalOF5Model - XML Profile

Active as of 2026-06-25

XML representation of the TWDentalOF5 logical model.

Raw xml | Download

    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="TWDentalOF5"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition TWDentalOF5</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5" title="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。">TWDentalOF5</a><a name="TWDentalOF5"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.identifier" title="評估紀錄的唯一識別碼。">identifier</a><a name="TWDentalOF5.identifier"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">評估紀錄識別碼<br/></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.subject" title="接受口腔衰弱評估的病人。">subject</a><a name="TWDentalOF5.subject"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">受評估對象（病人）</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.assessmentDate" title="進行口腔衰弱評估的日期。">assessmentDate</a><a name="TWDentalOF5.assessmentDate"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">評估日期</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.assessor" title="執行此評估的醫事人員或照護人員。">assessor</a><a name="TWDentalOF5.assessor"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">評估者</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.toothReduction" title="您的天然牙齒還剩下多少顆？（0–19顆＝適用; ≥20顆＝不適用）。">toothReduction</a><a name="TWDentalOF5.toothReduction"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">牙齒減少</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.toothReduction.remainingTeeth" title="目前天然牙齒剩餘的顆數。">remainingTeeth</a><a name="TWDentalOF5.toothReduction.remainingTeeth"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">天然牙齒剩餘顆數</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.toothReduction.applicable" title="是否符合牙齒減少（true=0–19顆，適用; false=≥20顆，不適用）。">applicable</a><a name="TWDentalOF5.toothReduction.applicable"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">牙齒減少是否適用</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.chewingDifficulty" title="與6個月前相比，您吃硬的食物是否有困難？（true=是; false=否）。">chewingDifficulty</a><a name="TWDentalOF5.chewingDifficulty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">咀嚼困難</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.swallowingDifficulty" title="您最近是否被茶或湯嗆到？（true=是; false=否）。">swallowingDifficulty</a><a name="TWDentalOF5.swallowingDifficulty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">吞嚥困難</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.dryMouth" title="您是否經常感到口乾？（true=是; false=否）。">dryMouth</a><a name="TWDentalOF5.dryMouth"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">口乾</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralMotorSpeech" title="A 或 B 二擇一評估口腔運動與發音技能。">oralMotorSpeech</a><a name="TWDentalOF5.oralMotorSpeech"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;; padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;" href="http://hl7.org/fhir/R4/conformance-rules.html#constraints" title="This element has or is affected by constraints ( of5-method-result )">C</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">口腔運動發音技能低下<br class="constraint"/><span title="null" class="constraint">Constraints: </span><span style="font-weight:bold" title="項目五應依所選評估方式（A 或 B）填寫對應之結果欄位。" class="constraint">of5-method-result</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralMotorSpeech.method" title="採用之評估方式（A=發音清晰度; B=口腔輪替運動）。">method</a><a name="TWDentalOF5.oralMotorSpeech.method"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">評估方式<br class="binding"/><span style="font-weight:bold" title="null" class="binding">Binding: </span><a href="ValueSet-VS-OF5AssessmentMethod-twdental.html" title="http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental" class="binding">OF-5 口腔運動發音技能評估方式值集</a><span title="null" class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span title="null" class="binding">)</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralMotorSpeech.articulationDifficulty" title="您最近在發音清晰度方面是否感到困難？（true=是; false=否）。">articulationDifficulty</a><a name="TWDentalOF5.oralMotorSpeech.articulationDifficulty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A. 發音清晰度困難</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralMotorSpeech.ddkRateApplicable" title="口腔輪替運動（每秒發「ta」音的速度）是否低於標準（true=&lt;6.0次/秒，適用; false=≥6.0次/秒，不適用）。">ddkRateApplicable</a><a name="TWDentalOF5.oralMotorSpeech.ddkRateApplicable"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B. 口腔輪替運動是否適用</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.positiveItemCount" title="五項中判定為「是／適用」的項目數量。">positiveItemCount</a><a name="TWDentalOF5.positiveItemCount"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">符合項數</td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-TWDentalOF5-definitions.html#TWDentalOF5.oralFrailty" title="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）。">oralFrailty</a><a name="TWDentalOF5.oralFrailty"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">口腔衰弱判定 (Oral frailty)</td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5"/>
      <version value="0.0.1"/>
      <name value="TWDentalOF5Model"/>
      <title value="牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型"/>
      <status value="active"/>
      <date value="2026-06-25T00:51:39+00:00"/>
      <publisher value="金屬工業研究發展中心"/>
      <contact>
        <name value="金屬工業研究發展中心"/>
        <telecom>
          <system value="url"/>
          <value value="https://www.mirdc.org.tw/"/>
        </telecom>
      </contact>
      <contact>
        <name value="黃怡文"/>
        <telecom>
          <system value="email"/>
          <value value="lisaiwh@mail.mirdc.org.tw"/>
          <use value="work"/>
        </telecom>
      </contact>
      <contact>
        <name value="莊世任"/>
        <telecom>
          <system value="email"/>
          <value value="renjuang@mail.mirdc.org.tw"/>
          <use value="work"/>
        </telecom>
      </contact>
      <description
                   value="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 value="4.0.1"/>
      <mapping>
        <identity value="TWDentalOF5-mapping"/>
        <uri value="https://dental-ig.fhir.tw"/>
        <name value="TW Dental IG"/>
      </mapping>
      <kind value="logical"/>
      <abstract value="false"/>
      <type value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5"/>
      <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
      <derivation value="specialization"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="4.0.1"/>
        </extension>
        <element id="TWDentalOF5">
          <path value="TWDentalOF5"/>
          <short value="牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型"/>
          <definition
                      value="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。"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Base"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <isModifier value="false"/>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="DentalOF5"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.identifier">
          <path value="TWDentalOF5.identifier"/>
          <short value="評估紀錄識別碼"/>
          <definition value="評估紀錄的唯一識別碼。"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="TWDentalOF5.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估紀錄識別碼: DentalOF5.identifier"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.subject">
          <path value="TWDentalOF5.subject"/>
          <short value="受評估對象（病人）"/>
          <definition value="接受口腔衰弱評估的病人。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.subject"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="受評估病人: DentalOF5.subject"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.assessmentDate">
          <path value="TWDentalOF5.assessmentDate"/>
          <short value="評估日期"/>
          <definition value="進行口腔衰弱評估的日期。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.assessmentDate"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估日期: DentalOF5.effectiveDateTime"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.assessor">
          <path value="TWDentalOF5.assessor"/>
          <short value="評估者"/>
          <definition value="執行此評估的醫事人員或照護人員。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.assessor"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估者: DentalOF5.performer"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction">
          <path value="TWDentalOF5.toothReduction"/>
          <short value="牙齒減少"/>
          <definition value="您的天然牙齒還剩下多少顆？（0–19顆＝適用; ≥20顆＝不適用）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.toothReduction"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="牙齒減少: DentalOF5.component[toothReduction]"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.id">
          <path value="TWDentalOF5.toothReduction.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.extension">
          <path value="TWDentalOF5.toothReduction.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.modifierExtension">
          <path value="TWDentalOF5.toothReduction.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.remainingTeeth">
          <path value="TWDentalOF5.toothReduction.remainingTeeth"/>
          <short value="天然牙齒剩餘顆數"/>
          <definition value="目前天然牙齒剩餘的顆數。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.toothReduction.remainingTeeth"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="32"/>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="天然牙齒剩餘顆數: DentalOF5.component[remainingTeeth].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.applicable">
          <path value="TWDentalOF5.toothReduction.applicable"/>
          <short value="牙齒減少是否適用"/>
          <definition value="是否符合牙齒減少（true=0–19顆，適用; false=≥20顆，不適用）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.toothReduction.applicable"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="牙齒減少適用: DentalOF5.component[toothReduction].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.chewingDifficulty">
          <path value="TWDentalOF5.chewingDifficulty"/>
          <short value="咀嚼困難"/>
          <definition value="與6個月前相比，您吃硬的食物是否有困難？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.chewingDifficulty"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="咀嚼困難: DentalOF5.component[chewingDifficulty].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.swallowingDifficulty">
          <path value="TWDentalOF5.swallowingDifficulty"/>
          <short value="吞嚥困難"/>
          <definition value="您最近是否被茶或湯嗆到？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.swallowingDifficulty"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="吞嚥困難: DentalOF5.component[swallowingDifficulty].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.dryMouth">
          <path value="TWDentalOF5.dryMouth"/>
          <short value="口乾"/>
          <definition value="您是否經常感到口乾？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.dryMouth"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口乾: DentalOF5.component[dryMouth].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech">
          <path value="TWDentalOF5.oralMotorSpeech"/>
          <short value="口腔運動發音技能低下"/>
          <definition value="A 或 B 二擇一評估口腔運動與發音技能。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.oralMotorSpeech"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="of5-method-result"/>
            <severity value="error"/>
            <human value="項目五應依所選評估方式（A 或 B）填寫對應之結果欄位。"/>
            <expression
                        value="(method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists())"/>
            <source
                    value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5"/>
          </constraint>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔運動發音技能低下: DentalOF5.component[oralMotorSpeech]"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.id">
          <path value="TWDentalOF5.oralMotorSpeech.id"/>
          <representation value="xmlAttr"/>
          <short value="Unique id for inter-element referencing"/>
          <definition
                      value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
              <valueUrl value="string"/>
            </extension>
            <code value="http://hl7.org/fhirpath/System.String"/>
          </type>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.extension">
          <path value="TWDentalOF5.oralMotorSpeech.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional content defined by implementations"/>
          <definition
                      value="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."/>
          <comment
                   value="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."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="false"/>
          <isSummary value="false"/>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.modifierExtension">
          <path value="TWDentalOF5.oralMotorSpeech.modifierExtension"/>
          <short value="Extensions that cannot be ignored even if unrecognized"/>
          <definition
                      value="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)."/>
          <comment
                   value="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."/>
          <requirements
                        value="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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() or (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
          </constraint>
          <isModifier value="true"/>
          <isModifierReason
                            value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.method">
          <path value="TWDentalOF5.oralMotorSpeech.method"/>
          <short value="評估方式"/>
          <definition value="採用之評估方式（A=發音清晰度; B=口腔輪替運動）。"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.oralMotorSpeech.method"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental"/>
          </binding>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估方式: DentalOF5.component[oralMotorSpeech].valueCode"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.articulationDifficulty">
          <path value="TWDentalOF5.oralMotorSpeech.articulationDifficulty"/>
          <short value="A. 發音清晰度困難"/>
          <definition value="您最近在發音清晰度方面是否感到困難？（true=是; false=否）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.oralMotorSpeech.articulationDifficulty"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="發音清晰度困難: DentalOF5.component[articulation].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.ddkRateApplicable">
          <path value="TWDentalOF5.oralMotorSpeech.ddkRateApplicable"/>
          <short value="B. 口腔輪替運動是否適用"/>
          <definition
                      value="口腔輪替運動（每秒發「ta」音的速度）是否低於標準（true=&lt;6.0次/秒，適用; false=≥6.0次/秒，不適用）。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.oralMotorSpeech.ddkRateApplicable"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔輪替運動適用: DentalOF5.component[ddkRate].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.positiveItemCount">
          <path value="TWDentalOF5.positiveItemCount"/>
          <short value="符合項數"/>
          <definition value="五項中判定為「是／適用」的項目數量。"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.positiveItemCount"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="5"/>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="符合項數: DentalOF5.component[positiveCount].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralFrailty">
          <path value="TWDentalOF5.oralFrailty"/>
          <short value="口腔衰弱判定 (Oral frailty)"/>
          <definition value="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 value="0"/>
          <max value="1"/>
          <base>
            <path value="TWDentalOF5.oralFrailty"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔衰弱判定: DentalOF5.interpretation"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="TWDentalOF5">
          <path value="TWDentalOF5"/>
          <short value="牙醫－口腔衰弱五項量表 (TW Dental OF-5) 之資料模型"/>
          <definition
                      value="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 value="TWDentalOF5-mapping"/>
            <map value="DentalOF5"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.identifier">
          <path value="TWDentalOF5.identifier"/>
          <short value="評估紀錄識別碼"/>
          <definition value="評估紀錄的唯一識別碼。"/>
          <min value="0"/>
          <max value="*"/>
          <type>
            <code value="Identifier"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估紀錄識別碼: DentalOF5.identifier"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.subject">
          <path value="TWDentalOF5.subject"/>
          <short value="受評估對象（病人）"/>
          <definition value="接受口腔衰弱評估的病人。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="受評估病人: DentalOF5.subject"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.assessmentDate">
          <path value="TWDentalOF5.assessmentDate"/>
          <short value="評估日期"/>
          <definition value="進行口腔衰弱評估的日期。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="date"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估日期: DentalOF5.effectiveDateTime"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.assessor">
          <path value="TWDentalOF5.assessor"/>
          <short value="評估者"/>
          <definition value="執行此評估的醫事人員或照護人員。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="Reference"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估者: DentalOF5.performer"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction">
          <path value="TWDentalOF5.toothReduction"/>
          <short value="牙齒減少"/>
          <definition value="您的天然牙齒還剩下多少顆？（0–19顆＝適用; ≥20顆＝不適用）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="BackboneElement"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="牙齒減少: DentalOF5.component[toothReduction]"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.remainingTeeth">
          <path value="TWDentalOF5.toothReduction.remainingTeeth"/>
          <short value="天然牙齒剩餘顆數"/>
          <definition value="目前天然牙齒剩餘的顆數。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="32"/>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="天然牙齒剩餘顆數: DentalOF5.component[remainingTeeth].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.toothReduction.applicable">
          <path value="TWDentalOF5.toothReduction.applicable"/>
          <short value="牙齒減少是否適用"/>
          <definition value="是否符合牙齒減少（true=0–19顆，適用; false=≥20顆，不適用）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="牙齒減少適用: DentalOF5.component[toothReduction].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.chewingDifficulty">
          <path value="TWDentalOF5.chewingDifficulty"/>
          <short value="咀嚼困難"/>
          <definition value="與6個月前相比，您吃硬的食物是否有困難？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="咀嚼困難: DentalOF5.component[chewingDifficulty].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.swallowingDifficulty">
          <path value="TWDentalOF5.swallowingDifficulty"/>
          <short value="吞嚥困難"/>
          <definition value="您最近是否被茶或湯嗆到？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map
                 value="吞嚥困難: DentalOF5.component[swallowingDifficulty].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.dryMouth">
          <path value="TWDentalOF5.dryMouth"/>
          <short value="口乾"/>
          <definition value="您是否經常感到口乾？（true=是; false=否）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口乾: DentalOF5.component[dryMouth].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech">
          <path value="TWDentalOF5.oralMotorSpeech"/>
          <short value="口腔運動發音技能低下"/>
          <definition value="A 或 B 二擇一評估口腔運動與發音技能。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="of5-method-result"/>
            <severity value="error"/>
            <human value="項目五應依所選評估方式（A 或 B）填寫對應之結果欄位。"/>
            <expression
                        value="(method = 'A' implies articulationDifficulty.exists()) and (method = 'B' implies ddkRateApplicable.exists())"/>
            <source
                    value="http://dental-ig.fhir.tw/StructureDefinition/TWDentalOF5"/>
          </constraint>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔運動發音技能低下: DentalOF5.component[oralMotorSpeech]"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.method">
          <path value="TWDentalOF5.oralMotorSpeech.method"/>
          <short value="評估方式"/>
          <definition value="採用之評估方式（A=發音清晰度; B=口腔輪替運動）。"/>
          <min value="1"/>
          <max value="1"/>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <strength value="required"/>
            <valueSet
                      value="http://dental-ig.fhir.tw/ValueSet/VS-OF5AssessmentMethod-twdental"/>
          </binding>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="評估方式: DentalOF5.component[oralMotorSpeech].valueCode"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.articulationDifficulty">
          <path value="TWDentalOF5.oralMotorSpeech.articulationDifficulty"/>
          <short value="A. 發音清晰度困難"/>
          <definition value="您最近在發音清晰度方面是否感到困難？（true=是; false=否）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="發音清晰度困難: DentalOF5.component[articulation].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralMotorSpeech.ddkRateApplicable">
          <path value="TWDentalOF5.oralMotorSpeech.ddkRateApplicable"/>
          <short value="B. 口腔輪替運動是否適用"/>
          <definition
                      value="口腔輪替運動（每秒發「ta」音的速度）是否低於標準（true=&lt;6.0次/秒，適用; false=≥6.0次/秒，不適用）。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔輪替運動適用: DentalOF5.component[ddkRate].valueBoolean"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.positiveItemCount">
          <path value="TWDentalOF5.positiveItemCount"/>
          <short value="符合項數"/>
          <definition value="五項中判定為「是／適用」的項目數量。"/>
          <min value="0"/>
          <max value="1"/>
          <type>
            <code value="integer"/>
          </type>
          <minValueInteger value="0"/>
          <maxValueInteger value="5"/>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="符合項數: DentalOF5.component[positiveCount].valueInteger"/>
          </mapping>
        </element>
        <element id="TWDentalOF5.oralFrailty">
          <path value="TWDentalOF5.oralFrailty"/>
          <short value="口腔衰弱判定 (Oral frailty)"/>
          <definition value="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 value="0"/>
          <max value="1"/>
          <type>
            <code value="boolean"/>
          </type>
          <mapping>
            <identity value="TWDentalOF5-mapping"/>
            <map value="口腔衰弱判定: DentalOF5.interpretation"/>
          </mapping>
        </element>
      </differential>
    </StructureDefinition>