Dental Core FHIR Profiles (R4)
Version 0.3.0 - ci-build

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Dental Caries Finding

Surface-qualified dental caries assessment. The result uses issuer terminology directly; relationship, activity, and radiographic depth remain distinct observations or components when recorded.

Dental Cephalometric Analysis

Imaging-derived cephalometric measurements and reference values without national billing or workflow semantics.

Dental Cephalometric Analysis Panel

A panel that groups atomic imaging-derived cephalometric measurements without changing the released component-based cephalometric analysis profile.

Dental Cephalometric Landmark

An imaging-derived cephalometric landmark with physical UCUM millimetre x and y coordinates, an optional z coordinate, a declared coordinate frame, and explicit source evidence. Pixel coordinates are out of scope.

Dental Cephalometric Measurement

An imaging-derived cephalometric measurement with explicit method and source evidence.

Dental Chart State

Lossless coded chart-state observation used alongside the truthful clinical resource when legacy or source distinctions are not carried by that resource. Properties and values are vendor-neutral Dental Core semantics, not application field names.

Dental Clinical Provenance

Provenance for dental clinical resources, including whether a final diagnosis or classification was derived or explicitly selected by a clinician.

Dental Device

Dental or orthodontic device, component, or retained pin located at one or more FDI tooth positions and optionally linked to a parent prosthesis.

Dental Finding

Country-neutral observed dental finding with patient, effective time, and optional FDI tooth and surface location.

Dental Gingival Assessment

Method-qualified gingival assessment at one tooth. The result is a Fischer 2017 category, a direct UCUM millimetre measurement, or binary periodontal-probe transparency; these result forms are not silently converted.

Dental Gingival Recession Assessment

Tooth-qualified gingival recession classification supporting Miller 1985 for existing records and Cairo 2011 as a distinct alternative. New surface-specific assessments should identify one surface; legacy odontogram records remain valid without one.

Dental Implant

Manufacturer-neutral identity for a dental implant at one FDI position. Product details remain ordinary Device properties and issuer identifiers.

Dental Mesiodistal Tooth Width

A measured mesiodistal tooth width with an explicit method. Image or document source evidence is optional for manual or cast measurements.

Dental Model Analysis Measurement

A provider-neutral derived model-analysis result whose raw observation inputs remain explicit references.

Dental Model Analysis Panel

A panel that groups atomic tooth-width or other model-analysis observations without embedding a named method or norm.

Dental Orthodontic Finding

Observed tooth position, occlusion, appliance, retention, or model-analysis finding. Clinical values use applicable issuer terminology directly.

Dental Orthodontic Photograph

A standardized orthodontic photograph used as exchangeable image evidence; the image content and acquisition protocol remain outside this profile.

Dental Peri-Implant Finding

Site-qualified periodontal measurements and implant-specific indices around one referenced dental implant.

Dental Periodontal Finding

Site-qualified periodontal measurements and findings for one tooth. LOINC and SNOMED CT are referenced directly for applicable observables.

Dental Periodontitis Condition

Confirmed periodontitis diagnosis with stage, grade, and extent or distribution from the 2017 World Workshop classification. The final clinician-selected values are clinical facts; whether software derived or a clinician overrode them belongs in Provenance.

Dental Photostatic Analysis

A panel that groups atomic photostatic measurements from standardized image evidence without embedding a named norm or algorithm.

Dental Photostatic Measurement

A measurement derived from standardized orthodontic image evidence with an explicit method.

Dental Procedure

Performed dental work with patient, occurrence, performer, and one or more FDI tooth positions.

Dental Risk Evidence

Structured patient-level evidence used in dental diagnosis or grading, including cigarette count, periodontitis-attributed tooth loss, and imaging-derived maximum bone-loss percentage.

Dental Service Request

Requested dental intervention with explicit intent and FDI tooth location.

Dental Skeletal Maturity Assessment

A panel that groups atomic skeletal maturity observations with explicit method and source evidence.

Dental Skeletal Maturity Observation

An atomic skeletal maturity observation with explicit method and image or document source evidence.

Dental Tooth State

Structured observed state for one FDI position. Component codes identify structure; component values use applicable issuer clinical terminology.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Measurement Location Detail

Exact protocol-specific location of a dental measurement when tooth, surface, and a six-site periodontal position are not sufficient.

Periodontal Site

Identifies the location around a tooth for a periodontal or peri-implant measurement without defining a local clinical terminology.

Periodontitis Extent and Distribution

Localized, generalized, or molar-incisor pattern from the 2017 World Workshop periodontitis classification.

Periodontitis Grade

Progression grade A through C from the 2017 World Workshop periodontitis classification.

Tooth Position

Identifies one permanent or primary tooth using ISO 3950 FDI notation when the containing resource has no bodySite element.

Tooth Surface

Identifies one tooth surface with the issuer-owned HL7 Terminology FDI-surface CodeSystem. Repeat the extension for multiple surfaces.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

2017 World Workshop Periodontitis Extent and Distribution

Localized, generalized, and molar-incisor pattern results.

2017 World Workshop Periodontitis Grades

Periodontitis Grades A through C.

2017 World Workshop Periodontitis Stages

Periodontitis Stages I through IV.

Cairo Gingival Recession Classification 2011

Cairo recession types RT1 through RT3.

Dental Chart Properties

Properties admitted by DentalChartState.

Dental Chart Values

Results admitted by DentalChartState.

Dental Clinical Findings

Open dental finding selection. Producers use applicable issuer terminology directly; this guide does not republish an external code list.

Dental Materials

Open selection for dental materials coded in applicable issuer terminology.

Dental Provenance Activities

Activities admitted by DentalClinicalProvenance.

Dental Risk Evidence Types

Patient-level evidence axes used by periodontal diagnosis and grading.

FDI Tooth Positions

Permanent and primary tooth positions expressed in ISO 3950 notation.

FDI Tooth Surfaces

Tooth surfaces referenced directly from the HL7 Terminology FDI-surface CodeSystem.

Fischer 2017 Gingival Phenotype Results

Thin, medium, and thick results admitted only with the Fischer 2017 method.

Gingival Assessment Codes

Distinct observable axes for categorical gingival phenotype, measured gingival thickness, and periodontal-probe transparency.

Gingival Assessment Methods

Methods admitted by the Dental Core gingival assessment profile.

Miller Gingival Recession Classification 1985

Miller Classes I through IV.

Periodontal Measurement Sites

Structural six-site positions used to locate periodontal and peri-implant measurements around one tooth.

Tooth Presence Findings

Open selection for clinically observed tooth presence or absence coded directly in issuer terminology.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

2017 World Workshop Periodontitis Classification

Reference-only canonical metadata for the 2017 World Workshop periodontitis classification. The underlying expressions are not distributed in Dental Core.

Cairo Gingival Recession Classification 2011

Reference-only canonical metadata for Cairo's 2011 gingival recession classification. The underlying expressions are not distributed in Dental Core.

Dental Chart Property

Vendor-neutral properties needed to preserve clinically reviewed dental chart state when the primary FHIR resource does not retain the original distinction.

Dental Chart Value

Vendor-neutral coded results for Dental Core chart properties. Codes preserve distinctions asserted by reviewed dental chart models without claiming equivalence to issuer terminology.

Dental Observation Component

Structural component identifiers for Dental Core observation slices. Component values carry clinical meaning in applicable external terminology or primitive FHIR values.

Dental Provenance Activity

Activities distinguishing software-derived clinical output from explicit clinician selection.

FDI Tooth Position

FHIR coding namespace for permanent and primary tooth positions expressed in ISO 3950 two-digit notation. This is a structural locator, not a replacement for a clinical terminology.

Fischer 2017 Three-Level Gingival Phenotype

Reference-only canonical metadata for the Fischer 2017 double-ended periodontal-probe classification. The underlying expressions are not distributed in Dental Core.

Gingival Assessment Method

Methods that distinguish direct gingival-thickness measurement, periodontal-probe transparency, and the Fischer 2017 three-level protocol. The method is part of the result semantics.

Miller Gingival Recession Classification 1985

Reference-only canonical metadata for Miller's 1985 gingival recession classification. The underlying expressions are not distributed in Dental Core.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Dental Core example absent gingival assessment result

A method-qualified gingival assessment whose expected result was not obtained.

Dental Core example caries finding

A surface-qualified caries finding that references SNOMED CT by issuer canonical.

Dental Core example cephalometric analysis

A cephalometric measurement derived from the example imaging study.

Dental Core example cephalometric analysis panel

Synthetic panel grouping atomic cephalometric measurements.

Dental Core example cephalometric landmark

Synthetic imaging-derived landmark observation.

Dental Core example cephalometric measurement

Synthetic imaging-derived cephalometric measurement.

Dental Core example cephalometric source

Imaging source referenced by the cephalometric analysis example.

Dental Core example chart state

Exact vendor-neutral chart values supplementing truthful clinical resources.

Dental Core example clinical provenance

Clinician selection provenance for a clinical result.

Dental Core example clinician-selected skeletal maturity provenance

Synthetic clinician selection provenance for a skeletal maturity assessment.

Dental Core example device

Dental device located at one FDI position.

Dental Core example direct gingival thickness

A direct transgingival thickness measurement with method, instrument, surface, and exact location.

Dental Core example finding

A partial generic clinical finding that demonstrates the base Dental Finding profile.

Dental Core example gingival assessment

A Fischer 2017 method-qualified categorical gingival assessment.

Dental Core example gingival recession assessment

A surface-qualified recession assessment carrying distinct Miller and Cairo classifications.

Dental Core example implant

A manufacturer-neutral implant device located at one FDI position.

Dental Core example legacy Miller recession assessment

A tooth-level Miller classification without a fabricated surface, retained for odontogram interoperability.

Dental Core example mesiodistal tooth width

Synthetic tooth-width measurement with explicit source evidence.

Dental Core example model-analysis measurement

Synthetic derived model-analysis result with raw observation input.

Dental Core example model-analysis panel

Synthetic panel grouping atomically measured tooth widths.

Dental Core example orthodontic analysis software

Synthetic provider-neutral software agent used only for provenance demonstration.

Dental Core example orthodontic finding

A tooth-position orthodontic finding using issuer terminology directly.

Dental Core example orthodontic photograph

Synthetic standardized orthodontic image evidence.

Dental Core example patient

Minimal patient referenced by the clinical Dental Core examples.

Dental Core example peri-implant finding

A site-qualified peri-implant observation focused on the example implant.

Dental Core example periodontal finding

A site-qualified periodontal probing and bleeding observation.

Dental Core example periodontal probe

A periodontal probe referenced by method-qualified gingival assessments.

Dental Core example periodontal-probe transparency

A binary periodontal-probe transparency assessment with method, instrument, surface, and exact location.

Dental Core example periodontitis condition

A confirmed periodontitis diagnosis with 2017 World Workshop stage, grade, and extent.

Dental Core example photostatic analysis

Synthetic panel grouping image-derived photostatic measurements.

Dental Core example photostatic measurement

Synthetic measurement derived from image evidence.

Dental Core example practitioner

Minimal practitioner recorded as performer in the clinical examples.

Dental Core example procedure

Completed dental work at one FDI position.

Dental Core example raw model-analysis input

Synthetic unprofiled source observation for a derived model-analysis result.

Dental Core example risk evidence

Structured evidence used for dental diagnosis or grading.

Dental Core example service request

Planned dental intervention at one FDI position.

Dental Core example skeletal maturity assessment

Synthetic panel grouping skeletal maturity observations.

Dental Core example skeletal maturity observation

Synthetic imaging-derived skeletal maturity observation.

Dental Core example software-derived model-analysis provenance

Synthetic software agent provenance for a derived orthodontic panel.

Dental Core example tooth state

A complete tooth-presence observation for one FDI position.