# 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型 - 臺灣牙醫實作指引 (Taiwan Dental Implementation Guide) v0.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型**

## Logical Model: 牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型 

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

 
根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "TWDentalOralCarePlan",
  "url" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan",
  "version" : "0.0.1",
  "name" : "TWDentalOralCarePlanModel",
  "title" : "牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 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" : "根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。",
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "TWDentalOralCarePlan",
    "uri" : "https://dental-ig.fhir.tw",
    "name" : "TW Dental IG"
  }],
  "kind" : "logical",
  "abstract" : false,
  "type" : "http://dental-ig.fhir.tw/StructureDefinition/TWDentalOralCarePlan",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
  "derivation" : "specialization",
  "differential" : {
    "element" : [{
      "id" : "TWDentalOralCarePlan",
      "path" : "TWDentalOralCarePlan",
      "short" : "牙醫－口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型",
      "definition" : "根據口腔照護評估結果所制定之照護計畫資料模型，包含照護協助模式、加強照護項目及轉介建議，並依構面風險自動對應照護計畫規則。",
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "DentalOralCarePlan"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.identifier",
      "path" : "TWDentalOralCarePlan.identifier",
      "short" : "照護計畫識別碼",
      "definition" : "照護計畫的唯一識別碼。",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "照護計畫識別碼: DentalOralCarePlan.identifier"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.subject",
      "path" : "TWDentalOralCarePlan.subject",
      "short" : "照護對象（病人）",
      "definition" : "接受照護計畫的病人。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "照護對象: DentalOralCarePlan.subject"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.basedOnAssessment",
      "path" : "TWDentalOralCarePlan.basedOnAssessment",
      "short" : "依據評估",
      "definition" : "本照護計畫所依據的口腔照護評估紀錄。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "依據評估: DentalOralCarePlan.basedOn"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.planDate",
      "path" : "TWDentalOralCarePlan.planDate",
      "short" : "計畫制定日期",
      "definition" : "照護計畫制定的日期。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "計畫制定日期: DentalOralCarePlan.created"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.author",
      "path" : "TWDentalOralCarePlan.author",
      "short" : "計畫制定人員",
      "definition" : "制定此照護計畫的醫事人員或照護人員。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "計畫制定人員: DentalOralCarePlan.author"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.nextAssessmentDate",
      "path" : "TWDentalOralCarePlan.nextAssessmentDate",
      "short" : "下次評估日期",
      "definition" : "預計下次口腔照護評估的日期（低風險：3個月；中風險：1–3個月；高風險：1個月內）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "date"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "下次評估日期: DentalOralCarePlan.period.end"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.careMode",
      "path" : "TWDentalOralCarePlan.careMode",
      "short" : "照護模式",
      "definition" : "依照潔牙依賴程度所選定的照護協助模式（三擇一）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "照護模式: DentalOralCarePlan.activity"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.careMode.selfCare",
      "path" : "TWDentalOralCarePlan.careMode.selfCare",
      "short" : "自主清潔維持",
      "definition" : "是否採用自主清潔維持模式（病人可自主進行口腔清潔）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "自主清潔維持: DentalOralCarePlan.activity[selfCare].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.careMode.partialAssistance",
      "path" : "TWDentalOralCarePlan.careMode.partialAssistance",
      "short" : "部分協助模式",
      "definition" : "是否採用部分協助模式（需部分人員協助進行口腔清潔）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "部分協助模式: DentalOralCarePlan.activity[partialAssistance].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.careMode.fullAssistance",
      "path" : "TWDentalOralCarePlan.careMode.fullAssistance",
      "short" : "完全協助模式",
      "definition" : "是否採用完全協助模式（需完全由人員代為執行口腔清潔）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "完全協助模式: DentalOralCarePlan.activity[fullAssistance].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.enhancedActivities",
      "path" : "TWDentalOralCarePlan.enhancedActivities",
      "short" : "加強照護項目",
      "definition" : "需加強執行的口腔照護項目（可複選）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "加強照護項目: DentalOralCarePlan.activity"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning",
      "path" : "TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning",
      "short" : "加強清潔強度",
      "definition" : "是否加強清潔強度（如增加清潔頻率或使用輔助工具）。自動啟動條件：構面一中/高風險或構面二中/高風險。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "加強清潔強度: DentalOralCarePlan.activity[intensifiedCleaning].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse",
      "path" : "TWDentalOralCarePlan.enhancedActivities.interdentalToolUse",
      "short" : "牙縫清潔工具使用",
      "definition" : "是否指導或協助使用牙縫清潔工具（如牙線、牙間刷）。自動啟動條件：構面一中/高風險。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "牙縫清潔工具使用: DentalOralCarePlan.activity[interdentalTool].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction",
      "path" : "TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction",
      "short" : "假牙清潔指導",
      "definition" : "是否提供假牙清潔指導。自動啟動條件：構面五中/高風險。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "假牙清潔指導: DentalOralCarePlan.activity[dentureCleaning].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise",
      "path" : "TWDentalOralCarePlan.enhancedActivities.oralMotorExercise",
      "short" : "口腔機能訓練",
      "definition" : "是否執行口腔機能訓練（如唇舌運動、吞嚥訓練）。自動啟動條件：構面三中/高風險或構面四中/高風險。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "口腔機能訓練: DentalOralCarePlan.activity[oralMotor].detail.status"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.referrals",
      "path" : "TWDentalOralCarePlan.referrals",
      "short" : "轉介項目",
      "definition" : "需轉介的醫療或照護服務（可複選）。",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "BackboneElement"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "轉介項目: DentalOralCarePlan.activity"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.referrals.toDentist",
      "path" : "TWDentalOralCarePlan.referrals.toDentist",
      "short" : "轉介牙醫",
      "definition" : "是否轉介至牙醫進行進一步診治。自動啟動條件：構面一高風險、構面三高風險或構面五高風險；構面二高風險且構面一中風險時亦應啟動。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "轉介牙醫: DentalOralCarePlan.activity[referralDentist].reference"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.referrals.toSpeechTherapist",
      "path" : "TWDentalOralCarePlan.referrals.toSpeechTherapist",
      "short" : "轉介語言治療",
      "definition" : "是否轉介至語言治療師進行吞嚥或口腔機能評估與治療。自動啟動條件：構面四高風險（吞嚥風險為最高優先，不得取消）。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "轉介語言治療: DentalOralCarePlan.activity[referralSpeech].reference"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.referrals.toDietitian",
      "path" : "TWDentalOralCarePlan.referrals.toDietitian",
      "short" : "轉介營養師",
      "definition" : "是否轉介至營養師進行飲食評估與建議。自動啟動條件：構面三高風險。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "boolean"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "轉介營養師: DentalOralCarePlan.activity[referralDietitian].reference"
      }]
    },
    {
      "id" : "TWDentalOralCarePlan.note",
      "path" : "TWDentalOralCarePlan.note",
      "short" : "備註",
      "definition" : "照護計畫的補充說明或其他備註事項。",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mapping" : [{
        "identity" : "TWDentalOralCarePlan",
        "map" : "備註: DentalOralCarePlan.note"
      }]
    }]
  }
}

```
