# 牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 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－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型**

## Logical Model: 牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型 

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

 
牙醫師執行口腔健康篩檢之資料模型（OHST），涵蓋病人基本資料、生命徵象、疾病史、牙位狀態評估（FDI系統）、假牙評估、口腔指數篩檢（牙菌斑／牙齦／牙結石）、整體口腔衛生等級、處置建議及治療計畫與紀錄。 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOHST",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHST",
  "version" : "0.0.1",
  "name" : "TWDentalOHSTModel",
  "title" : "牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 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" : "牙醫師執行口腔健康篩檢之資料模型（OHST），涵蓋病人基本資料、生命徵象、疾病史、牙位狀態評估（FDI系統）、假牙評估、口腔指數篩檢（牙菌斑／牙齦／牙結石）、整體口腔衛生等級、處置建議及治療計畫與紀錄。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOHST",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHST",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOHST",
      "path" : "TWDentalOHST",
      "short" : "牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型",
      "definition" : "牙醫師執行口腔健康篩檢之資料模型（OHST），涵蓋病人基本資料、生命徵象、疾病史、牙位狀態評估（FDI系統）、假牙評估、口腔指數篩檢（牙菌斑／牙齦／牙結石）、整體口腔衛生等級、處置建議及治療計畫與紀錄。",
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "DentalOHST"
      }]
    },
    {
      "id" : "TWDentalOHST.identifier",
      "path" : "TWDentalOHST.identifier",
      "short" : "篩檢紀錄識別碼",
      "definition" : "篩檢紀錄的唯一識別碼。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "篩檢紀錄識別碼: DentalOHST.identifier"
      }]
    },
    {
      "id" : "TWDentalOHST.subject",
      "path" : "TWDentalOHST.subject",
      "short" : "受檢對象（病人）",
      "definition" : "接受口腔篩檢的病人。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "受檢病人: DentalOHST.subject"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalRecordNumber",
      "path" : "TWDentalOHST.medicalRecordNumber",
      "short" : "病歷號 (Patient ID)",
      "definition" : "病人的病歷號碼。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "病歷號: DentalOHST.identifier"
      }]
    },
    {
      "id" : "TWDentalOHST.screeningDate",
      "path" : "TWDentalOHST.screeningDate",
      "short" : "篩檢日期 (Date)",
      "definition" : "進行口腔篩檢的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "篩檢日期: DentalOHST.effectiveDateTime"
      }]
    },
    {
      "id" : "TWDentalOHST.performer",
      "path" : "TWDentalOHST.performer",
      "short" : "執行牙醫師",
      "definition" : "執行此口腔篩檢的牙醫師。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "執行牙醫師: DentalOHST.performer"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals",
      "path" : "TWDentalOHST.vitals",
      "short" : "生命徵象與體位",
      "definition" : "篩檢當日量測的生命徵象及身體測量資料。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "生命徵象: DentalOHST.component"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals.height",
      "path" : "TWDentalOHST.vitals.height",
      "short" : "身高 BH (cm)",
      "definition" : "病人身高，單位公分（cm）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "身高: DentalOHST.component[height].valueQuantity"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals.weight",
      "path" : "TWDentalOHST.vitals.weight",
      "short" : "體重 BW (kg)",
      "definition" : "病人體重，單位公斤（kg）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "體重: DentalOHST.component[weight].valueQuantity"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals.bloodPressureSystolic",
      "path" : "TWDentalOHST.vitals.bloodPressureSystolic",
      "short" : "收縮壓 (mmHg)",
      "definition" : "收縮壓數值，單位 mmHg。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "收縮壓: DentalOHST.component[systolicBP].valueQuantity"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals.bloodPressureDiastolic",
      "path" : "TWDentalOHST.vitals.bloodPressureDiastolic",
      "short" : "舒張壓 (mmHg)",
      "definition" : "舒張壓數值，單位 mmHg。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "舒張壓: DentalOHST.component[diastolicBP].valueQuantity"
      }]
    },
    {
      "id" : "TWDentalOHST.vitals.pulseRate",
      "path" : "TWDentalOHST.vitals.pulseRate",
      "short" : "脈搏 PR (bpm)",
      "definition" : "脈搏數值，單位 bpm。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "脈搏: DentalOHST.component[pulseRate].valueQuantity"
      }]
    },
    {
      "id" : "TWDentalOHST.allergy",
      "path" : "TWDentalOHST.allergy",
      "short" : "藥物過敏 (Allergy)",
      "definition" : "病人藥物過敏資訊。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "藥物過敏: DentalOHST.AllergyIntolerance"
      }]
    },
    {
      "id" : "TWDentalOHST.allergy.hasAllergy",
      "path" : "TWDentalOHST.allergy.hasAllergy",
      "short" : "是否有藥物過敏",
      "definition" : "是否有藥物過敏（true=有; false=無）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "是否有過敏: DentalOHST.AllergyIntolerance.clinicalStatus"
      }]
    },
    {
      "id" : "TWDentalOHST.allergy.drugAllergyDetail",
      "path" : "TWDentalOHST.allergy.drugAllergyDetail",
      "short" : "過敏藥物名稱 (Drug Allergy)",
      "definition" : "若有藥物過敏，記錄過敏藥物的名稱或類別。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "過敏藥物: DentalOHST.AllergyIntolerance.code"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory",
      "path" : "TWDentalOHST.medicalHistory",
      "short" : "疾病史 (Past Medical History)",
      "definition" : "病人過去及現有疾病史紀錄（可複選）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "疾病史: DentalOHST.Condition"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.noHistory",
      "path" : "TWDentalOHST.medicalHistory.noHistory",
      "short" : "無疾病史",
      "definition" : "確認病人無任何慢性疾病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.hypertension",
      "path" : "TWDentalOHST.medicalHistory.hypertension",
      "short" : "高血壓 (Hypertension)",
      "definition" : "是否有高血壓病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "高血壓: DentalOHST.Condition[hypertension]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.diabetes",
      "path" : "TWDentalOHST.medicalHistory.diabetes",
      "short" : "糖尿病 (Diabetes)",
      "definition" : "是否有糖尿病病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "糖尿病: DentalOHST.Condition[diabetes]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.heartDisease",
      "path" : "TWDentalOHST.medicalHistory.heartDisease",
      "short" : "心臟病 (Heart Disease)",
      "definition" : "是否有心臟病病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "心臟病: DentalOHST.Condition[heartDisease]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.stroke",
      "path" : "TWDentalOHST.medicalHistory.stroke",
      "short" : "中風 (Stroke)",
      "definition" : "是否有中風病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "中風: DentalOHST.Condition[stroke]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.asthma",
      "path" : "TWDentalOHST.medicalHistory.asthma",
      "short" : "氣喘 (Asthma)",
      "definition" : "是否有氣喘病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "氣喘: DentalOHST.Condition[asthma]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.hepatitis",
      "path" : "TWDentalOHST.medicalHistory.hepatitis",
      "short" : "肝病 (Hepatitis)",
      "definition" : "肝病相關病史。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.hepatitis.typeB",
      "path" : "TWDentalOHST.medicalHistory.hepatitis.typeB",
      "short" : "B型肝炎 (Hepatitis B)",
      "definition" : "是否有B型肝炎。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "B型肝炎: DentalOHST.Condition[hepatitisB]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.hepatitis.typeC",
      "path" : "TWDentalOHST.medicalHistory.hepatitis.typeC",
      "short" : "C型肝炎 (Hepatitis C)",
      "definition" : "是否有C型肝炎。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "C型肝炎: DentalOHST.Condition[hepatitisC]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.hepatitis.cirrhosis",
      "path" : "TWDentalOHST.medicalHistory.hepatitis.cirrhosis",
      "short" : "肝硬化 (Cirrhosis)",
      "definition" : "是否有肝硬化。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "肝硬化: DentalOHST.Condition[cirrhosis]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.ckd",
      "path" : "TWDentalOHST.medicalHistory.ckd",
      "short" : "腎病 (CKD)",
      "definition" : "是否有慢性腎臟病（Chronic Kidney Disease）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "腎病: DentalOHST.Condition[ckd]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.bleedingDisorder",
      "path" : "TWDentalOHST.medicalHistory.bleedingDisorder",
      "short" : "出血異常 (Bleeding Disorder)",
      "definition" : "是否有出血異常或凝血功能障礙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "出血異常: DentalOHST.Condition[bleedingDisorder]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.pregnancy",
      "path" : "TWDentalOHST.medicalHistory.pregnancy",
      "short" : "懷孕 (Pregnancy)",
      "definition" : "目前是否懷孕中。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "懷孕: DentalOHST.Condition[pregnancy]"
      }]
    },
    {
      "id" : "TWDentalOHST.medicalHistory.other",
      "path" : "TWDentalOHST.medicalHistory.other",
      "short" : "其他 (Others)",
      "definition" : "其他疾病史補充說明。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "其他疾病: DentalOHST.Condition[other].note"
      }]
    },
    {
      "id" : "TWDentalOHST.currentMedication",
      "path" : "TWDentalOHST.currentMedication",
      "short" : "目前用藥 (Current Medication)",
      "definition" : "病人目前正在服用的藥物清單。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "目前用藥: DentalOHST.MedicationStatement"
      }]
    },
    {
      "id" : "TWDentalOHST.toothStatus",
      "path" : "TWDentalOHST.toothStatus",
      "short" : "牙位狀態評估 (Tooth Status)",
      "definition" : "每顆牙齒的狀態評估，以FDI二位數牙位編號系統記錄。涵蓋恆牙（11–18, 21–28, 31–38, 41–48）及乳牙（51–55, 61–65, 71–75, 81–85）。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙位評估: DentalOHST.Observation[toothStatus]"
      }]
    },
    {
      "id" : "TWDentalOHST.toothStatus.toothNumber",
      "path" : "TWDentalOHST.toothStatus.toothNumber",
      "short" : "牙位編號 (FDI Tooth Number)",
      "definition" : "FDI 二位數牙位編號（如：11=右上中切牙; 36=左下第一大臼齒; 55=右上第二乳臼齒等）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙位編號: DentalOHST.Observation[toothStatus].bodySite"
      }]
    },
    {
      "id" : "TWDentalOHST.toothStatus.status",
      "path" : "TWDentalOHST.toothStatus.status",
      "short" : "牙齒狀態代碼 (Status Code)",
      "definition" : "牙齒狀態（0=健康Sound; 1=齲齒Decay; 2=缺牙Missing; 3=已填補Filled; 4=活動假牙Removable denture; 5=牙冠Crown或牙橋支台Bridge abutment; 6=殘根Retained root; 7=外傷Trauma; 8=未萌出Un-erupted; 9=未記錄Not recorded）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙齒狀態: DentalOHST.Observation[toothStatus].valueCode"
      }]
    },
    {
      "id" : "TWDentalOHST.toothStatus.missingReason",
      "path" : "TWDentalOHST.toothStatus.missingReason",
      "short" : "缺牙原因 (Missing Reason)",
      "definition" : "僅當牙齒狀態為缺牙（Status=2）時填寫（A=齲齒Caries; B=乳牙自然脫落Exfoliated; C=非齲齒non-caries; D=外傷Trauma; E=先天缺牙Congenital; F=不明Unknown）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "缺牙原因: DentalOHST.Observation[toothStatus].component[missingReason].valueCode"
      }]
    },
    {
      "id" : "TWDentalOHST.dentureAssessment",
      "path" : "TWDentalOHST.dentureAssessment",
      "short" : "假牙評估 (Denture Assessment)",
      "definition" : "現有假牙的合適度與清潔狀況評估（適用於有假牙之個案）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "假牙評估: DentalOHST.Observation[denture]"
      }]
    },
    {
      "id" : "TWDentalOHST.dentureAssessment.fit",
      "path" : "TWDentalOHST.dentureAssessment.fit",
      "short" : "假牙合適度 (Fit)",
      "definition" : "假牙合適度評估（good=合適; needs-adjustment=需調整; poor=不合適建議轉介重作）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "假牙合適度: DentalOHST.Observation[denture].component[fit].valueCode"
      }]
    },
    {
      "id" : "TWDentalOHST.dentureAssessment.hygiene",
      "path" : "TWDentalOHST.dentureAssessment.hygiene",
      "short" : "假牙清潔 (Hygiene Cleanliness)",
      "definition" : "假牙清潔狀況（good=良好; fair=普通需加強; poor=不佳高風險）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "假牙清潔: DentalOHST.Observation[denture].component[hygiene].valueCode"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex",
      "path" : "TWDentalOHST.oralIndex",
      "short" : "口腔指數篩檢 (Index Oral Screening)",
      "definition" : "針對六個代表牙位進行牙菌斑、牙齦及牙結石指數評估。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "口腔指數篩檢: DentalOHST.Observation[oralIndex]"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site",
      "path" : "TWDentalOHST.oralIndex.site",
      "short" : "指數評估牙位 (Index Site)",
      "definition" : "各代表牙位之口腔指數評估。標準評估牙位為：55/16（右上第二乳臼齒／第一大臼齒）、51/11（右上乳中切牙／中切牙）、65/26（左上第二乳臼齒／第一大臼齒）、75/36（左下第二乳臼齒／第一大臼齒）、71/31（左下乳中切牙／中切牙）、85/46（右下第二乳臼齒／第一大臼齒）。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "評估牙位: DentalOHST.Observation[oralIndex].component"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site.toothCode",
      "path" : "TWDentalOHST.oralIndex.site.toothCode",
      "short" : "牙位代碼（乳牙/恆牙）",
      "definition" : "代表牙位的記錄，格式為「乳牙/恆牙」（如：55/16、51/11、65/26、75/36、71/31、85/46）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙位代碼: DentalOHST.Observation[oralIndex].component.code"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site.plaqueIndex",
      "path" : "TWDentalOHST.oralIndex.site.plaqueIndex",
      "short" : "牙菌斑指數 (Plaque Index)",
      "definition" : "牙菌斑指數評分（0=無菌斑; 1=輕度; 2=中度; 3=重度）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙菌斑指數: DentalOHST.Observation[oralIndex].component[plaque].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site.gingivalIndex",
      "path" : "TWDentalOHST.oralIndex.site.gingivalIndex",
      "short" : "牙齦指數 (Gingival Index)",
      "definition" : "牙齦指數評分（0=健康; 1=輕度發炎; 2=中度發炎; 3=重度發炎）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙齦指數: DentalOHST.Observation[oralIndex].component[gingival].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site.calculusIndex",
      "path" : "TWDentalOHST.oralIndex.site.calculusIndex",
      "short" : "牙結石指數 (Calculus Index)",
      "definition" : "牙結石指數評分（0=無; 1=輕度; 2=中度; 3=重度）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "integer"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙結石指數: DentalOHST.Observation[oralIndex].component[calculus].valueInteger"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.site.score",
      "path" : "TWDentalOHST.oralIndex.site.score",
      "short" : "各牙位分數 (Score)",
      "definition" : "該牙位三項指數的合計或加權計算分數。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "牙位分數: DentalOHST.Observation[oralIndex].component[score].valueDecimal"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.totalScore",
      "path" : "TWDentalOHST.oralIndex.totalScore",
      "short" : "指數總分 (Index Total Score)",
      "definition" : "六個評估牙位的口腔指數總分。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "decimal"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "指數總分: DentalOHST.Observation[oralIndex].valueDecimal"
      }]
    },
    {
      "id" : "TWDentalOHST.oralIndex.overallOralHygieneLevel",
      "path" : "TWDentalOHST.oralIndex.overallOralHygieneLevel",
      "short" : "整體口腔衛生等級 (Oral Hygiene Level)",
      "definition" : "依指數總分評定的整體口腔衛生等級（0=健康Healthy; 1=輕度Mild; 2=中度Moderate; 3=重度Severe）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "整體口腔衛生等級: DentalOHST.Observation[oralIndex].interpretation"
      }]
    },
    {
      "id" : "TWDentalOHST.intervention",
      "path" : "TWDentalOHST.intervention",
      "short" : "處置建議 (Intervention)",
      "definition" : "依篩檢結果提出的處置建議（可複選）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "處置建議: DentalOHST.ServiceRequest"
      }]
    },
    {
      "id" : "TWDentalOHST.intervention.ohi",
      "path" : "TWDentalOHST.intervention.ohi",
      "short" : "口腔衛教 (OHI)",
      "definition" : "是否給予口腔衛生教育（Oral Hygiene Instruction）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "口腔衛教: DentalOHST.ServiceRequest[ohi]"
      }]
    },
    {
      "id" : "TWDentalOHST.intervention.followUp",
      "path" : "TWDentalOHST.intervention.followUp",
      "short" : "需追蹤 (Follow-up)",
      "definition" : "是否需要後續追蹤。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "需追蹤: DentalOHST.ServiceRequest[followUp]"
      }]
    },
    {
      "id" : "TWDentalOHST.intervention.referral",
      "path" : "TWDentalOHST.intervention.referral",
      "short" : "轉介 (Referral)",
      "definition" : "是否需要轉介至其他科別或院所。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "轉介: DentalOHST.ServiceRequest[referral]"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment",
      "path" : "TWDentalOHST.treatment",
      "short" : "治療 (Treatment)",
      "definition" : "篩檢當次的治療計畫與完成情形。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "治療: DentalOHST.Procedure"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned",
      "path" : "TWDentalOHST.treatment.planned",
      "short" : "治療計畫 (Plan)",
      "definition" : "本次計畫進行的治療項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.scaling",
      "path" : "TWDentalOHST.treatment.planned.scaling",
      "short" : "洗牙計畫 (Scaling)",
      "definition" : "是否計畫進行洗牙（Scaling）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "洗牙計畫: DentalOHST.CarePlan.activity[scaling].detail.status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.filling",
      "path" : "TWDentalOHST.treatment.planned.filling",
      "short" : "補牙計畫 (Filling)",
      "definition" : "是否計畫進行補牙（Filling）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "補牙計畫: DentalOHST.CarePlan.activity[filling].detail.status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.extraction",
      "path" : "TWDentalOHST.treatment.planned.extraction",
      "short" : "拔牙計畫 (Extraction)",
      "definition" : "是否計畫進行拔牙（Extraction）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "拔牙計畫: DentalOHST.CarePlan.activity[extraction].detail.status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.sealant",
      "path" : "TWDentalOHST.treatment.planned.sealant",
      "short" : "窩溝封填計畫 (Sealant)",
      "definition" : "是否計畫進行窩溝封填（Pit and Fissure Sealant）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "窩溝封填計畫: DentalOHST.CarePlan.activity[sealant].detail.status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.fluoride",
      "path" : "TWDentalOHST.treatment.planned.fluoride",
      "short" : "塗氟計畫 (Fluoride)",
      "definition" : "是否計畫進行塗氟（Fluoride Application）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "塗氟計畫: DentalOHST.CarePlan.activity[fluoride].detail.status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.planned.sign",
      "path" : "TWDentalOHST.treatment.planned.sign",
      "short" : "計畫確認簽名 (Sign)",
      "definition" : "治療計畫確認人員的簽名。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "計畫簽名: DentalOHST.CarePlan.note"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed",
      "path" : "TWDentalOHST.treatment.completed",
      "short" : "治療完成 (Done)",
      "definition" : "本次已完成的治療項目。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.scaling",
      "path" : "TWDentalOHST.treatment.completed.scaling",
      "short" : "洗牙完成 (Scaling)",
      "definition" : "是否已完成洗牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "洗牙完成: DentalOHST.Procedure[scaling].status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.filling",
      "path" : "TWDentalOHST.treatment.completed.filling",
      "short" : "補牙完成 (Filling)",
      "definition" : "是否已完成補牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "補牙完成: DentalOHST.Procedure[filling].status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.extraction",
      "path" : "TWDentalOHST.treatment.completed.extraction",
      "short" : "拔牙完成 (Extraction)",
      "definition" : "是否已完成拔牙。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "拔牙完成: DentalOHST.Procedure[extraction].status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.sealant",
      "path" : "TWDentalOHST.treatment.completed.sealant",
      "short" : "窩溝封填完成 (Sealant)",
      "definition" : "是否已完成窩溝封填。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "窩溝封填完成: DentalOHST.Procedure[sealant].status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.fluoride",
      "path" : "TWDentalOHST.treatment.completed.fluoride",
      "short" : "塗氟完成 (Fluoride)",
      "definition" : "是否已完成塗氟。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "塗氟完成: DentalOHST.Procedure[fluoride].status"
      }]
    },
    {
      "id" : "TWDentalOHST.treatment.completed.sign",
      "path" : "TWDentalOHST.treatment.completed.sign",
      "short" : "完成確認簽名 (Sign)",
      "definition" : "治療完成確認人員的簽名。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "完成簽名: DentalOHST.Procedure.note"
      }]
    },
    {
      "id" : "TWDentalOHST.clinicalNote",
      "path" : "TWDentalOHST.clinicalNote",
      "short" : "臨床紀錄 (Clinical Note)",
      "definition" : "牙醫師記錄的其他臨床觀察、說明或附記。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOHST",
        "map" : "臨床紀錄: DentalOHST.ClinicalImpression.note"
      }]
    }]
  }
}

```
