FHIR IG analytics| Package | tw.mirdc.dental |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-TWDentalOHST.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/Lorex/TWDental_IG_Build/StructureDefinition-TWDentalOHST.html |
| URL | http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHST |
| Version | 0.0.1 |
| Status | active |
| Date | 2026-06-25T00:51:39+00:00 |
| Name | TWDentalOHSTModel |
| Title | 牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型 |
| Realm | tw |
| 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。 |
| Type | http://dental-ig.fhir.tw/StructureDefinition/TWDentalOHST |
| Kind | logical |
No resources found
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Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition TWDentalOHST
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  TWDentalOHST | 0..* | Base | 牙醫－口腔篩檢工具 (TOCA Oral Health Screening Tool, OHST) 之資料模型 | |
  identifier | 0..* | Identifier | 篩檢紀錄識別碼 | |
 subject | 1..1 | Reference() | 受檢對象（病人） | |
| medicalRecordNumber | 0..1 | Identifier | 病歷號 (Patient ID) | |
 screeningDate | 1..1 | date | 篩檢日期 (Date) | |
| performer | 1..1 | Reference() | 執行牙醫師 | |
| vitals | 0..1 | BackboneElement | 生命徵象與體位 | |
 height | 0..1 | decimal | 身高 BH (cm) | |
| weight | 0..1 | decimal | 體重 BW (kg) | |
| bloodPressureSystolic | 0..1 | integer | 收縮壓 (mmHg) | |
| bloodPressureDiastolic | 0..1 | integer | 舒張壓 (mmHg) | |
 pulseRate | 0..1 | integer | 脈搏 PR (bpm) | |
| allergy | 0..1 | BackboneElement | 藥物過敏 (Allergy) | |
| hasAllergy | 1..1 | boolean | 是否有藥物過敏 | |
| drugAllergyDetail | 0..1 | string | 過敏藥物名稱 (Drug Allergy) | |
| medicalHistory | 0..1 | BackboneElement | 疾病史 (Past Medical History) | |
| noHistory | 0..1 | boolean | 無疾病史 | |
| hypertension | 0..1 | boolean | 高血壓 (Hypertension) | |
| diabetes | 0..1 | boolean | 糖尿病 (Diabetes) | |
| heartDisease | 0..1 | boolean | 心臟病 (Heart Disease) | |
| stroke | 0..1 | boolean | 中風 (Stroke) | |
| asthma | 0..1 | boolean | 氣喘 (Asthma) | |
| hepatitis | 0..1 | BackboneElement | 肝病 (Hepatitis) | |
| typeB | 0..1 | boolean | B型肝炎 (Hepatitis B) | |
| typeC | 0..1 | boolean | C型肝炎 (Hepatitis C) | |
| cirrhosis | 0..1 | boolean | 肝硬化 (Cirrhosis) | |
| ckd | 0..1 | boolean | 腎病 (CKD) | |
| bleedingDisorder | 0..1 | boolean | 出血異常 (Bleeding Disorder) | |
| pregnancy | 0..1 | boolean | 懷孕 (Pregnancy) | |
| other | 0..1 | string | 其他 (Others) | |
| currentMedication | 0..1 | string | 目前用藥 (Current Medication) | |
| toothStatus | 0..* | BackboneElement | 牙位狀態評估 (Tooth Status) | |
| toothNumber | 1..1 | code | 牙位編號 (FDI Tooth Number) | |
| status | 1..1 | code | 牙齒狀態代碼 (Status Code) | |
| missingReason | 0..1 | code | 缺牙原因 (Missing Reason) | |
| dentureAssessment | 0..1 | BackboneElement | 假牙評估 (Denture Assessment) | |
| fit | 1..1 | code | 假牙合適度 (Fit) | |
| hygiene | 1..1 | code | 假牙清潔 (Hygiene Cleanliness) | |
| oralIndex | 1..1 | BackboneElement | 口腔指數篩檢 (Index Oral Screening) | |
| site | 0..* | BackboneElement | 指數評估牙位 (Index Site) | |
| toothCode | 1..1 | string | 牙位代碼（乳牙/恆牙） | |
| plaqueIndex | 1..1 | integer | 牙菌斑指數 (Plaque Index) | |
| gingivalIndex | 1..1 | integer | 牙齦指數 (Gingival Index) | |
| calculusIndex | 1..1 | integer | 牙結石指數 (Calculus Index) | |
| score | 0..1 | decimal | 各牙位分數 (Score) | |
| totalScore | 0..1 | decimal | 指數總分 (Index Total Score) | |
| overallOralHygieneLevel | 1..1 | code | 整體口腔衛生等級 (Oral Hygiene Level) | |
| intervention | 1..1 | BackboneElement | 處置建議 (Intervention) | |
| ohi | 0..1 | boolean | 口腔衛教 (OHI) | |
| followUp | 0..1 | boolean | 需追蹤 (Follow-up) | |
| referral | 0..1 | boolean | 轉介 (Referral) | |
| treatment | 0..1 | BackboneElement | 治療 (Treatment) | |
| planned | 0..1 | BackboneElement | 治療計畫 (Plan) | |
| scaling | 0..1 | boolean | 洗牙計畫 (Scaling) | |
| filling | 0..1 | boolean | 補牙計畫 (Filling) | |
| extraction | 0..1 | boolean | 拔牙計畫 (Extraction) | |
| sealant | 0..1 | boolean | 窩溝封填計畫 (Sealant) | |
| fluoride | 0..1 | boolean | 塗氟計畫 (Fluoride) | |
| sign | 0..1 | string | 計畫確認簽名 (Sign) | |
| completed | 0..1 | BackboneElement | 治療完成 (Done) | |
 scaling | 0..1 | boolean | 洗牙完成 (Scaling) | |
| filling | 0..1 | boolean | 補牙完成 (Filling) | |
| extraction | 0..1 | boolean | 拔牙完成 (Extraction) | |
| sealant | 0..1 | boolean | 窩溝封填完成 (Sealant) | |
| fluoride | 0..1 | boolean | 塗氟完成 (Fluoride) | |
| sign | 0..1 | string | 完成確認簽名 (Sign) | |
| clinicalNote | 0..1 | string | 臨床紀錄 (Clinical Note) | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "TWDentalOHST",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"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",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "4.0.1"
}
],
"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。",
"min": 0,
"max": "*",
"base": {
"path": "Base",
"min": 0,
"max": "*"
},
"isModifier": false,
"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": "*",
"base": {
"path": "TWDentalOHST.identifier",
"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",
"base": {
"path": "TWDentalOHST.subject",
"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",
"base": {
"path": "TWDentalOHST.medicalRecordNumber",
"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",
"base": {
"path": "TWDentalOHST.screeningDate",
"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",
"base": {
"path": "TWDentalOHST.performer",
"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",
"base": {
"path": "TWDentalOHST.vitals",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "生命徵象: DentalOHST.component"
}
]
},
{
"id": "TWDentalOHST.vitals.id",
"path": "TWDentalOHST.vitals.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.vitals.extension",
"path": "TWDentalOHST.vitals.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.vitals.modifierExtension",
"path": "TWDentalOHST.vitals.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.vitals.height",
"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",
"base": {
"path": "TWDentalOHST.vitals.weight",
"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",
"base": {
"path": "TWDentalOHST.vitals.bloodPressureSystolic",
"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",
"base": {
"path": "TWDentalOHST.vitals.bloodPressureDiastolic",
"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",
"base": {
"path": "TWDentalOHST.vitals.pulseRate",
"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",
"base": {
"path": "TWDentalOHST.allergy",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "藥物過敏: DentalOHST.AllergyIntolerance"
}
]
},
{
"id": "TWDentalOHST.allergy.id",
"path": "TWDentalOHST.allergy.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.allergy.extension",
"path": "TWDentalOHST.allergy.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.allergy.modifierExtension",
"path": "TWDentalOHST.allergy.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.allergy.hasAllergy",
"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",
"base": {
"path": "TWDentalOHST.allergy.drugAllergyDetail",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "疾病史: DentalOHST.Condition"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.id",
"path": "TWDentalOHST.medicalHistory.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.extension",
"path": "TWDentalOHST.medicalHistory.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.modifierExtension",
"path": "TWDentalOHST.medicalHistory.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.noHistory",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.hypertension",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.diabetes",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.heartDisease",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.stroke",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.asthma",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.hepatitis",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.hepatitis.id",
"path": "TWDentalOHST.medicalHistory.hepatitis.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.hepatitis.extension",
"path": "TWDentalOHST.medicalHistory.hepatitis.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.medicalHistory.hepatitis.modifierExtension",
"path": "TWDentalOHST.medicalHistory.hepatitis.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.hepatitis.typeB",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.hepatitis.typeC",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.hepatitis.cirrhosis",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.ckd",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.bleedingDisorder",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.pregnancy",
"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",
"base": {
"path": "TWDentalOHST.medicalHistory.other",
"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",
"base": {
"path": "TWDentalOHST.currentMedication",
"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": "*",
"base": {
"path": "TWDentalOHST.toothStatus",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "牙位評估: DentalOHST.Observation[toothStatus]"
}
]
},
{
"id": "TWDentalOHST.toothStatus.id",
"path": "TWDentalOHST.toothStatus.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.toothStatus.extension",
"path": "TWDentalOHST.toothStatus.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.toothStatus.modifierExtension",
"path": "TWDentalOHST.toothStatus.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.toothStatus.toothNumber",
"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",
"base": {
"path": "TWDentalOHST.toothStatus.status",
"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",
"base": {
"path": "TWDentalOHST.toothStatus.missingReason",
"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",
"base": {
"path": "TWDentalOHST.dentureAssessment",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "假牙評估: DentalOHST.Observation[denture]"
}
]
},
{
"id": "TWDentalOHST.dentureAssessment.id",
"path": "TWDentalOHST.dentureAssessment.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.dentureAssessment.extension",
"path": "TWDentalOHST.dentureAssessment.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.dentureAssessment.modifierExtension",
"path": "TWDentalOHST.dentureAssessment.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.dentureAssessment.fit",
"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",
"base": {
"path": "TWDentalOHST.dentureAssessment.hygiene",
"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",
"base": {
"path": "TWDentalOHST.oralIndex",
"min": 1,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "口腔指數篩檢: DentalOHST.Observation[oralIndex]"
}
]
},
{
"id": "TWDentalOHST.oralIndex.id",
"path": "TWDentalOHST.oralIndex.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.oralIndex.extension",
"path": "TWDentalOHST.oralIndex.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.oralIndex.modifierExtension",
"path": "TWDentalOHST.oralIndex.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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": "*",
"base": {
"path": "TWDentalOHST.oralIndex.site",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "評估牙位: DentalOHST.Observation[oralIndex].component"
}
]
},
{
"id": "TWDentalOHST.oralIndex.site.id",
"path": "TWDentalOHST.oralIndex.site.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.oralIndex.site.extension",
"path": "TWDentalOHST.oralIndex.site.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.oralIndex.site.modifierExtension",
"path": "TWDentalOHST.oralIndex.site.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.oralIndex.site.toothCode",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.site.plaqueIndex",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.site.gingivalIndex",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.site.calculusIndex",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.site.score",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.totalScore",
"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",
"base": {
"path": "TWDentalOHST.oralIndex.overallOralHygieneLevel",
"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",
"base": {
"path": "TWDentalOHST.intervention",
"min": 1,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "處置建議: DentalOHST.ServiceRequest"
}
]
},
{
"id": "TWDentalOHST.intervention.id",
"path": "TWDentalOHST.intervention.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.intervention.extension",
"path": "TWDentalOHST.intervention.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.intervention.modifierExtension",
"path": "TWDentalOHST.intervention.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.intervention.ohi",
"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",
"base": {
"path": "TWDentalOHST.intervention.followUp",
"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",
"base": {
"path": "TWDentalOHST.intervention.referral",
"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",
"base": {
"path": "TWDentalOHST.treatment",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "治療: DentalOHST.Procedure"
}
]
},
{
"id": "TWDentalOHST.treatment.id",
"path": "TWDentalOHST.treatment.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.extension",
"path": "TWDentalOHST.treatment.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.modifierExtension",
"path": "TWDentalOHST.treatment.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.treatment.planned",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "TWDentalOHST.treatment.planned.id",
"path": "TWDentalOHST.treatment.planned.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.planned.extension",
"path": "TWDentalOHST.treatment.planned.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.planned.modifierExtension",
"path": "TWDentalOHST.treatment.planned.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.treatment.planned.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",
"base": {
"path": "TWDentalOHST.treatment.planned.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",
"base": {
"path": "TWDentalOHST.treatment.planned.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",
"base": {
"path": "TWDentalOHST.treatment.planned.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",
"base": {
"path": "TWDentalOHST.treatment.planned.fluoride",
"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",
"base": {
"path": "TWDentalOHST.treatment.planned.sign",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id": "TWDentalOHST.treatment.completed.id",
"path": "TWDentalOHST.treatment.completed.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.completed.extension",
"path": "TWDentalOHST.treatment.completed.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"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.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "TWDentalOHST.treatment.completed.modifierExtension",
"path": "TWDentalOHST.treatment.completed.modifierExtension",
"short": "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": true,
"isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.scaling",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.filling",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.extraction",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.sealant",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.fluoride",
"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",
"base": {
"path": "TWDentalOHST.treatment.completed.sign",
"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",
"base": {
"path": "TWDentalOHST.clinicalNote",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "TWDentalOHST",
"map": "臨床紀錄: DentalOHST.ClinicalImpression.note"
}
]
}
]
},
"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"
}
]
}
]
}
}