# 牙醫－口腔健康評估量表 (TW Dental OHAT) 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－口腔健康評估量表 (TW Dental OHAT) 之資料模型**

## Logical Model: 牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型 

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

 
口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOHAT",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT",
  "version" : "0.0.1",
  "name" : "TWDentalOHATModel",
  "title" : "牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型",
  "status" : "active",
  "date" : "2026-06-25T00:51:39+00:00",
  "publisher" : "金屬工業研究發展中心",
  "contact" : [{
    "name" : "金屬工業研究發展中心",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.mirdc.org.tw/"
    }]
  },
  {
    "name" : "黃怡文",
    "telecom" : [{
      "system" : "email",
      "value" : "lisaiwh@mail.mirdc.org.tw",
      "use" : "work"
    }]
  },
  {
    "name" : "莊世任",
    "telecom" : [{
      "system" : "email",
      "value" : "renjuang@mail.mirdc.org.tw",
      "use" : "work"
    }]
  }],
  "description" : "口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOHAT-mapping",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOHAT",
      "path" : "TWDentalOHAT",
      "short" : "牙醫－口腔健康評估量表 (TW Dental OHAT) 之資料模型",
      "definition" : "口腔健康評估量表（Oral Health Assessment Tool, OHAT）之資料模型，針對嘴唇、舌頭、牙齦組織、唾液、自然牙、假牙、口腔清潔及牙齒疼痛等八個項目進行 0–2 分評估，分數越高代表口腔狀況越差。資料來源：Chalmers J, Johnson V, Tang JH, Titler MG, J Gerontol Nurs. 2004。",
      "constraint" : [{
        "key" : "ohat-total-score",
        "severity" : "warning",
        "human" : "若有填寫總得分，總得分應等於八項評分之總和。",
        "expression" : "totalScore.empty() or totalScore = lips + tongue + gums + saliva + naturalTeeth + dentures + oralCleanliness + dentalPain",
        "source" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHAT"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "DentalOHAT"
      }]
    },
    {
      "id" : "TWDentalOHAT.identifier",
      "path" : "TWDentalOHAT.identifier",
      "short" : "評估紀錄識別碼",
      "definition" : "評估紀錄的唯一識別碼。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "評估紀錄識別碼: DentalOHAT.identifier"
      }]
    },
    {
      "id" : "TWDentalOHAT.subject",
      "path" : "TWDentalOHAT.subject",
      "short" : "受評估對象（病人）",
      "definition" : "接受口腔健康評估的病人。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "受評估病人: DentalOHAT.subject"
      }]
    },
    {
      "id" : "TWDentalOHAT.assessmentDate",
      "path" : "TWDentalOHAT.assessmentDate",
      "short" : "評估日期",
      "definition" : "進行口腔健康評估的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "評估日期: DentalOHAT.effectiveDateTime"
      }]
    },
    {
      "id" : "TWDentalOHAT.assessor",
      "path" : "TWDentalOHAT.assessor",
      "short" : "評估者",
      "definition" : "執行此口腔健康評估的醫事人員或照護人員。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "評估者: DentalOHAT.performer"
      }]
    },
    {
      "id" : "TWDentalOHAT.lips",
      "path" : "TWDentalOHAT.lips",
      "short" : "嘴唇",
      "definition" : "嘴唇狀況評分（0=平滑、粉紅、濕潤; 1=乾裂、嘴角紅; 2=潰瘍、出血）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "嘴唇: DentalOHAT.component[lips].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.tongue",
      "path" : "TWDentalOHAT.tongue",
      "short" : "舌頭",
      "definition" : "舌頭狀況評分（0=粉紅、濕潤可見乳突; 1=發紅、發紫、蒼白、乾裂或舌苔覆蓋; 2=非常紅或白斑、潰瘍）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "舌頭: DentalOHAT.component[tongue].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.gums",
      "path" : "TWDentalOHAT.gums",
      "short" : "牙齦組織",
      "definition" : "牙齦組織狀況評分（0=粉紅、結實、濕潤; 1=乾燥浮腫、有1個白斑; 2=潰瘍、出血、多於1個白斑）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "牙齦組織: DentalOHAT.component[gums].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.saliva",
      "path" : "TWDentalOHAT.saliva",
      "short" : "唾液",
      "definition" : "唾液狀況評分（0=容易吐出、唾液呈水狀; 1=不易吐出、唾液少且黏稠; 2=無法吐出、唾液很少且非常黏稠）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "唾液: DentalOHAT.component[saliva].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.naturalTeeth",
      "path" : "TWDentalOHAT.naturalTeeth",
      "short" : "自然牙",
      "definition" : "自然牙狀況評分（0=沒有齲齒或斷牙; 1=1–3顆齲齒或斷牙; 2=4顆以上齲齒、斷牙或牙齒少於4顆無假牙）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "自然牙: DentalOHAT.component[naturalTeeth].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.dentures",
      "path" : "TWDentalOHAT.dentures",
      "short" : "假牙",
      "definition" : "假牙狀況評分（0=沒損壞且有規律配戴或無假牙; 1=1處損壞、每天戴1–2小時; 2=多於1處損壞、沒有戴或假牙處黏合）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "假牙: DentalOHAT.component[dentures].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.oralCleanliness",
      "path" : "TWDentalOHAT.oralCleanliness",
      "short" : "口腔清潔",
      "definition" : "口腔清潔狀況評分（0=清潔且沒有食物殘渣; 1=局部牙菌斑或食物殘渣; 2=多處牙菌斑或食物殘渣）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "口腔清潔: DentalOHAT.component[oralCleanliness].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.dentalPain",
      "path" : "TWDentalOHAT.dentalPain",
      "short" : "牙齒疼痛",
      "definition" : "牙齒疼痛表現評分（0=沒有行為、言語或生理現象表示; 1=有行為或言語現象表示，如拉臉、咬唇或不吃東西; 2=有生理現象表示，如臉腫、大片潰瘍）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 2,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "牙齒疼痛: DentalOHAT.component[dentalPain].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHAT.totalScore",
      "path" : "TWDentalOHAT.totalScore",
      "short" : "總得分",
      "definition" : "八項評估項目之總得分（0–16分），分數越高代表口腔狀況越差。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "minValueInteger" : 0,
      "maxValueInteger" : 16,
      "mapping" : [{
        "identity" : "TWDentalOHAT-mapping",
        "map" : "總得分: DentalOHAT.valueInteger"
      }]
    }]
  }
}

```
