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: TWDentalOralCarePlanModel - Detailed Descriptions

Active as of 2026-06-25

Definitions for the TWDentalOralCarePlan logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. TWDentalOralCarePlan
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。

Short牙醫-口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. TWDentalOralCarePlan.identifier
Definition

照護計畫的唯一識別碼。

Short照護計畫識別碼
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. TWDentalOralCarePlan.subject
Definition

接受照護計畫的病人。

Short照護對象(病人)
Control1..1
TypeReference
6. TWDentalOralCarePlan.basedOnAssessment
Definition

本照護計畫所依據的口腔照護評估紀錄。

Short依據評估
Control0..1
TypeReference
8. TWDentalOralCarePlan.planDate
Definition

照護計畫制定的日期。

Short計畫制定日期
Control1..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
10. TWDentalOralCarePlan.author
Definition

制定此照護計畫的醫事人員或照護人員。

Short計畫制定人員
Control0..1
TypeReference
12. TWDentalOralCarePlan.nextAssessmentDate
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)。

Short下次評估日期
Control0..1
Typedate
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. TWDentalOralCarePlan.careMode
Definition

依照潔牙依賴程度所選定的照護協助模式(三擇一)。

Short照護模式
Control1..1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. TWDentalOralCarePlan.careMode.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
18. TWDentalOralCarePlan.careMode.extension
Definition

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.

ShortAdditional content defined by implementations
Comments

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.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on TWDentalOralCarePlan.careMode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 20. TWDentalOralCarePlan.careMode.modifierExtension
    Definition

    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).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    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.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. TWDentalOralCarePlan.careMode.selfCare
    Definition

    是否採用自主清潔維持模式(病人可自主進行口腔清潔)。

    Short自主清潔維持
    Control0..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    24. TWDentalOralCarePlan.careMode.partialAssistance
    Definition

    是否採用部分協助模式(需部分人員協助進行口腔清潔)。

    Short部分協助模式
    Control0..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. TWDentalOralCarePlan.careMode.fullAssistance
    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)。

    Short完全協助模式
    Control0..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. TWDentalOralCarePlan.enhancedActivities
    Definition

    需加強執行的口腔照護項目(可複選)。

    Short加強照護項目
    Control1..1
    TypeBackboneElement
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. TWDentalOralCarePlan.enhancedActivities.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    32. TWDentalOralCarePlan.enhancedActivities.extension
    Definition

    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.

    ShortAdditional content defined by implementations
    Comments

    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.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on TWDentalOralCarePlan.enhancedActivities.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 34. TWDentalOralCarePlan.enhancedActivities.modifierExtension
      Definition

      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).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      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.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      36. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
      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。

      Short加強清潔強度
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      38. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
      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。

      Short牙縫清潔工具使用
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      40. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
      Definition

      是否提供假牙清潔指導。自動啟動條件:構面五中/高風險。

      Short假牙清潔指導
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      42. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
      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。

      Short口腔機能訓練
      Control0..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      44. TWDentalOralCarePlan.referrals
      Definition

      需轉介的醫療或照護服務(可複選)。

      Short轉介項目
      Control1..1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. TWDentalOralCarePlan.referrals.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      48. TWDentalOralCarePlan.referrals.extension
      Definition

      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.

      ShortAdditional content defined by implementations
      Comments

      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on TWDentalOralCarePlan.referrals.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 50. TWDentalOralCarePlan.referrals.modifierExtension
        Definition

        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).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        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.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        52. TWDentalOralCarePlan.referrals.toDentist
        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。

        Short轉介牙醫
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        54. TWDentalOralCarePlan.referrals.toSpeechTherapist
        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)。

        Short轉介語言治療
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        56. TWDentalOralCarePlan.referrals.toDietitian
        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。

        Short轉介營養師
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        58. TWDentalOralCarePlan.note
        Definition

        照護計畫的補充說明或其他備註事項。

        Short備註
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

        Guidance on how to interpret the contents of this table can be foundhere

        0. TWDentalOralCarePlan
        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。

        Short牙醫-口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. TWDentalOralCarePlan.identifier
        Definition

        照護計畫的唯一識別碼。

        Short照護計畫識別碼
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        4. TWDentalOralCarePlan.subject
        Definition

        接受照護計畫的病人。

        Short照護對象(病人)
        Control1..1
        TypeReference
        6. TWDentalOralCarePlan.basedOnAssessment
        Definition

        本照護計畫所依據的口腔照護評估紀錄。

        Short依據評估
        Control0..1
        TypeReference
        8. TWDentalOralCarePlan.planDate
        Definition

        照護計畫制定的日期。

        Short計畫制定日期
        Control1..1
        Typedate
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        10. TWDentalOralCarePlan.author
        Definition

        制定此照護計畫的醫事人員或照護人員。

        Short計畫制定人員
        Control0..1
        TypeReference
        12. TWDentalOralCarePlan.nextAssessmentDate
        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)。

        Short下次評估日期
        Control0..1
        Typedate
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        14. TWDentalOralCarePlan.careMode
        Definition

        依照潔牙依賴程度所選定的照護協助模式(三擇一)。

        Short照護模式
        Control1..1
        TypeBackboneElement
        16. TWDentalOralCarePlan.careMode.selfCare
        Definition

        是否採用自主清潔維持模式(病人可自主進行口腔清潔)。

        Short自主清潔維持
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        18. TWDentalOralCarePlan.careMode.partialAssistance
        Definition

        是否採用部分協助模式(需部分人員協助進行口腔清潔)。

        Short部分協助模式
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        20. TWDentalOralCarePlan.careMode.fullAssistance
        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)。

        Short完全協助模式
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        22. TWDentalOralCarePlan.enhancedActivities
        Definition

        需加強執行的口腔照護項目(可複選)。

        Short加強照護項目
        Control1..1
        TypeBackboneElement
        24. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
        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。

        Short加強清潔強度
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        26. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
        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。

        Short牙縫清潔工具使用
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        28. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
        Definition

        是否提供假牙清潔指導。自動啟動條件:構面五中/高風險。

        Short假牙清潔指導
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        30. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
        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。

        Short口腔機能訓練
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        32. TWDentalOralCarePlan.referrals
        Definition

        需轉介的醫療或照護服務(可複選)。

        Short轉介項目
        Control1..1
        TypeBackboneElement
        34. TWDentalOralCarePlan.referrals.toDentist
        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。

        Short轉介牙醫
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        36. TWDentalOralCarePlan.referrals.toSpeechTherapist
        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)。

        Short轉介語言治療
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        38. TWDentalOralCarePlan.referrals.toDietitian
        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。

        Short轉介營養師
        Control0..1
        Typeboolean
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        40. TWDentalOralCarePlan.note
        Definition

        照護計畫的補充說明或其他備註事項。

        Short備註
        Control0..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

        Guidance on how to interpret the contents of this table can be foundhere

        0. TWDentalOralCarePlan
        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。

        Short牙醫-口腔照護計畫 (TW Dental Oral Care Plan) 之資料模型
        Control0..*
        Is Modifierfalse
        Logical ModelInstances of this logical model are not marked to be the target of a Reference
        2. TWDentalOralCarePlan.identifier
        Definition

        照護計畫的唯一識別碼。

        Short照護計畫識別碼
        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control0..*
        TypeIdentifier
        4. TWDentalOralCarePlan.subject
        Definition

        接受照護計畫的病人。

        Short照護對象(病人)
        Control1..1
        TypeReference
        6. TWDentalOralCarePlan.basedOnAssessment
        Definition

        本照護計畫所依據的口腔照護評估紀錄。

        Short依據評估
        Control0..1
        TypeReference
        8. TWDentalOralCarePlan.planDate
        Definition

        照護計畫制定的日期。

        Short計畫制定日期
        Control1..1
        Typedate
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        10. TWDentalOralCarePlan.author
        Definition

        制定此照護計畫的醫事人員或照護人員。

        Short計畫制定人員
        Control0..1
        TypeReference
        12. TWDentalOralCarePlan.nextAssessmentDate
        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)。

        Short下次評估日期
        Control0..1
        Typedate
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        14. TWDentalOralCarePlan.careMode
        Definition

        依照潔牙依賴程度所選定的照護協助模式(三擇一)。

        Short照護模式
        Control1..1
        TypeBackboneElement
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. TWDentalOralCarePlan.careMode.id
        Definition

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        18. TWDentalOralCarePlan.careMode.extension
        Definition

        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.

        ShortAdditional content defined by implementations
        Comments

        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.

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on TWDentalOralCarePlan.careMode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 20. TWDentalOralCarePlan.careMode.modifierExtension
          Definition

          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).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          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.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          22. TWDentalOralCarePlan.careMode.selfCare
          Definition

          是否採用自主清潔維持模式(病人可自主進行口腔清潔)。

          Short自主清潔維持
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          24. TWDentalOralCarePlan.careMode.partialAssistance
          Definition

          是否採用部分協助模式(需部分人員協助進行口腔清潔)。

          Short部分協助模式
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          26. TWDentalOralCarePlan.careMode.fullAssistance
          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)。

          Short完全協助模式
          Control0..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          28. TWDentalOralCarePlan.enhancedActivities
          Definition

          需加強執行的口腔照護項目(可複選)。

          Short加強照護項目
          Control1..1
          TypeBackboneElement
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          30. TWDentalOralCarePlan.enhancedActivities.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          32. TWDentalOralCarePlan.enhancedActivities.extension
          Definition

          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.

          ShortAdditional content defined by implementations
          Comments

          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on TWDentalOralCarePlan.enhancedActivities.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 34. TWDentalOralCarePlan.enhancedActivities.modifierExtension
            Definition

            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).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            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.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            36. TWDentalOralCarePlan.enhancedActivities.intensifiedCleaning
            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。

            Short加強清潔強度
            Control0..1
            Typeboolean
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            38. TWDentalOralCarePlan.enhancedActivities.interdentalToolUse
            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。

            Short牙縫清潔工具使用
            Control0..1
            Typeboolean
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            40. TWDentalOralCarePlan.enhancedActivities.dentureCleaningInstruction
            Definition

            是否提供假牙清潔指導。自動啟動條件:構面五中/高風險。

            Short假牙清潔指導
            Control0..1
            Typeboolean
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            42. TWDentalOralCarePlan.enhancedActivities.oralMotorExercise
            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。

            Short口腔機能訓練
            Control0..1
            Typeboolean
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            44. TWDentalOralCarePlan.referrals
            Definition

            需轉介的醫療或照護服務(可複選)。

            Short轉介項目
            Control1..1
            TypeBackboneElement
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. TWDentalOralCarePlan.referrals.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            48. TWDentalOralCarePlan.referrals.extension
            Definition

            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.

            ShortAdditional content defined by implementations
            Comments

            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.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on TWDentalOralCarePlan.referrals.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 50. TWDentalOralCarePlan.referrals.modifierExtension
              Definition

              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).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              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.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              52. TWDentalOralCarePlan.referrals.toDentist
              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。

              Short轉介牙醫
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              54. TWDentalOralCarePlan.referrals.toSpeechTherapist
              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)。

              Short轉介語言治療
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              56. TWDentalOralCarePlan.referrals.toDietitian
              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。

              Short轉介營養師
              Control0..1
              Typeboolean
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              58. TWDentalOralCarePlan.note
              Definition

              照護計畫的補充說明或其他備註事項。

              Short備註
              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension