{ "resourceType" : "CodeSystem", "id" : "dental-chart-value", "text" : { "status" : "generated", "div" : "

Generated Narrative: CodeSystem dental-chart-value

This case-sensitive code system https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value defines the following codes:

CodeDisplayDefinition
none
inflammation
periodontal-involvement
mobility
granuloma
radicular-cyst
periapical-abscess
attrition
erosion
abrasion
abfraction
tetracycline-staining
fluorosis
nonvital-darkening
extrinsic-staining
other-discoloration
detectable
not-detectable
mild
deep
thin
medium
thick
bracket
band
mesial
distal
extrusion
intrusion
incisal
pulpa-sana
hyperaemia-pulpae
pulpitis-acuta-serosa
pulpitis-acuta-purulenta
pulpitis-chronica-clausa
pulpitis-chronica-ulcerosa
pulpitis-chronica-hyperplastica
necrosis-pulpae
gangraena-pulpae
internal
external-cervical
clasp
attachment
bar-abutment
both
derived
clinician-selected
health
gingivitis
periodontitis
vital
no-response
questionable
negative
sensitive
emerging
half-crown
full-crown
vertical
horizontal
glass-fiber-post
metal-post
tooth-present Tooth presentA permanent tooth is present at the tooth position.
primary-tooth-present Primary tooth presentA primary (deciduous) tooth is present at the tooth position.
implant-in-tooth-position Implant in tooth positionA dental implant occupies the tooth position in place of a natural tooth.
tooth-retained-under-gingiva Tooth retained under gingivaA tooth is present at the tooth position but remains covered by gingiva, such as an impacted or submerged tooth; a tooth that has not yet reached its expected eruption is recorded as tooth not erupted.
tooth-absent-extracted Tooth absent after extractionThe tooth is absent from the tooth position because it was extracted.
tooth-not-erupted Tooth not eruptedNo tooth is visible at the tooth position because the tooth has not yet erupted at the patient's developmental stage; the position is not recorded as missing.
tooth-absent Tooth absentNo tooth is present at the tooth position, without an asserted cause.
natural-tooth-structure Natural tooth structureThe clinical crown consists of natural tooth structure without a recorded loss or preparation.
retained-root Retained rootOnly the root or a root remnant of the tooth remains; the clinical crown is lost.
crown-destroyed Crown destroyedThe clinical crown is extensively destroyed by fracture or disease while the root remains.
prepared-for-crown Prepared for crownThe tooth has been prepared to receive a crown and is not yet restored with the definitive crown.
intracanal-medicament Intracanal medicamentThe root canal system contains a temporary medicament placed between endodontic treatment sessions.
root-canal-filling Root canal fillingThe root canal system is obturated with a definitive root canal filling.
root-post Root post, material not specifiedA root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known.
incomplete-root-canal-filling Incomplete root canal fillingThe root canal system contains a definitive root canal filling that does not reach the intended working length or does not seal the canal completely.
crown CrownAn indirect restoration covering the entire clinical crown of the tooth.
inlay InlayAn indirect intracoronal restoration that does not cover a cusp.
onlay OnlayAn indirect restoration that covers one or more cusps without covering the entire clinical crown.
veneer VeneerAn indirect restoration covering the facial surface of the tooth.
bridge-unit Bridge unitThe tooth position is a unit, abutment or pontic, of a fixed dental prosthesis.
direct-filling Direct fillingA restoration placed and shaped directly in the tooth, qualified by the restored surfaces.
telescopic-crown Telescopic crownA double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it.
lithium-disilicate-ceramic Lithium disilicate ceramicA glass-ceramic reinforced with lithium disilicate crystals.
gold-alloy Gold alloyA dental casting alloy with gold as its principal component.
indirect-composite Indirect compositeA resin composite restoration fabricated outside the mouth and bonded to the tooth.
zirconia ZirconiaA zirconium dioxide ceramic.
cast-metal-alloy Cast metal alloyA full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted.
metal-ceramic Metal-ceramicA metal framework veneered with fused dental ceramic.
temporary-material Temporary materialA material intended for provisional restoration until the definitive restoration is placed.
amalgam AmalgamA dental amalgam alloy of mercury with silver, tin, copper, and other metals.
composite-resin Composite resinA resin-based composite restorative material placed directly.
glass-ionomer-cement Glass ionomer cementA glass ionomer restorative cement, including resin-modified forms.
marginal-defect Marginal defectThe restoration margin is deficient, open, or overhanging.
restoration-fracture Restoration fractureThe restoration material is fractured or chipped.
restoration-wear Restoration wearThe restoration material is worn or deficient in contour.
crown-leakage Crown leakageThe crown margin no longer seals the tooth, so that leakage beneath the crown is present.
healing-abutment Healing abutmentA healing abutment is attached to the implant at the tooth position.
locator-attachment Locator attachmentA resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis.
locator-retained-overdenture Locator-retained overdentureA removable overdenture retained by resilient stud attachments covers the tooth position.
bar-attachment Bar attachmentA bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis.
bar-retained-overdenture Bar-retained overdentureA removable overdenture retained by a bar covers the tooth position.
removable-partial-denture Removable partial dentureA removable partial denture replaces or covers the tooth position.
complete-removable-denture Complete removable dentureA complete removable denture replaces the tooth position in an edentulous jaw.
caries CariesA carious lesion of the tooth surface identified by the finding location.
secondary-caries Secondary cariesA carious lesion at the margin of or beneath an existing restoration.
root-caries Root cariesA carious lesion of the root surface; activity is recorded separately.
cavitated-root-caries Cavitated root cariesA carious lesion of the root surface with a cavity.
normal-pulp Normal pulpThe pulp is clinically normal and responds normally to sensibility testing.
reversible-pulpitis Reversible pulpitisPulpal inflammation expected to resolve after removal of the cause.
irreversible-pulpitis Irreversible pulpitisPulpal inflammation that is not expected to resolve.
pulp-necrosis Pulp necrosisDeath of the dental pulp.
normal-apical-tissues Normal apical tissuesThe periapical tissues are clinically and radiographically normal.
symptomatic-apical-periodontitis Symptomatic apical periodontitisInflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion.
asymptomatic-apical-periodontitis Asymptomatic apical periodontitisInflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms.
acute-apical-abscess Acute apical abscessAn inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation.
chronic-apical-abscess Chronic apical abscessAn inflammatory reaction to pulpal infection and necrosis with gradual onset, little or no discomfort, and intermittent discharge of pus through a sinus tract.
condensing-osteitis Condensing osteitisA diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus.
enamel-outer-half Enamel, outer halfThe radiographic lesion is confined to the outer half of the enamel.
enamel-inner-half Enamel, inner halfThe radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction.
dentin-outer-third Dentin, outer thirdThe radiographic lesion reaches the outer third of the dentin.
dentin-middle-third Dentin, middle thirdThe radiographic lesion reaches the middle third of the dentin.
dentin-inner-third Dentin, inner thirdThe radiographic lesion reaches the inner third of the dentin.
tooth-mobility-grade-1 Tooth mobility grade 1Tooth mobility slightly greater than physiological, up to about 1 mm horizontally.
tooth-mobility-grade-2 Tooth mobility grade 2Tooth mobility of more than about 1 mm horizontally without vertical mobility.
tooth-mobility-grade-3 Tooth mobility grade 3Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility.
furcation-grade-1 Furcation grade 1Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width.
furcation-grade-2 Furcation grade 2Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation.
furcation-grade-3 Furcation grade 3Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation.
furcation-grade-4 Furcation grade 4Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible.
peri-implant-health Peri-implant healthPeri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling.
peri-implant-mucositis Peri-implant mucositisInflammation of the peri-implant mucosa without progressive loss of supporting bone.
peri-implantitis-mild-bone-loss Peri-implantitis, mild bone lossPeri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone.
peri-implantitis-moderate-bone-loss Peri-implantitis, moderate bone lossPeri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone.
peri-implantitis-severe-bone-loss Peri-implantitis, severe bone lossPeri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone.
" }, "url" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.16.840.1.113883.3.7985.2.16.8" }], "version" : "0.9.2", "name" : "DentalChartValueCS", "title" : "Dental Chart Value", "status" : "draft", "experimental" : true, "date" : "2026-10-03T11:30:42+02:00", "publisher" : "cognovis GmbH", "contact" : [{ "name" : "cognovis GmbH", "telecom" : [{ "system" : "url", "value" : "https://www.cognovis.de" }, { "system" : "email", "value" : "info@cognovis.de" }] }], "description" : "Owner-authored Dental Core values for tooth state, chart findings, and chart properties. Dental Core owns these primary codes; SNOMED CT equivalents, where they exist, are stated only in the ConceptMap dental-chart-value-to-snomed-ct (ADR-002). Codes do not claim equivalence to issuer terminology by themselves.", "copyright" : "Copyright 2026+ cognovis GmbH. Cognovis-authored Dental Core material is licensed under Apache-2.0; third-party material retains its own terms as documented in the Third-Party Notices.", "caseSensitive" : true, "content" : "complete", "count" : 136, "concept" : [{ "code" : "none" }, { "code" : "inflammation" }, { "code" : "periodontal-involvement" }, { "code" : "mobility" }, { "code" : "granuloma" }, { "code" : "radicular-cyst" }, { "code" : "periapical-abscess" }, { "code" : "attrition" }, { "code" : "erosion" }, { "code" : "abrasion" }, { "code" : "abfraction" }, { "code" : "tetracycline-staining" }, { "code" : "fluorosis" }, { "code" : "nonvital-darkening" }, { "code" : "extrinsic-staining" }, { "code" : "other-discoloration" }, { "code" : "detectable" }, { "code" : "not-detectable" }, { "code" : "mild" }, { "code" : "deep" }, { "code" : "thin" }, { "code" : "medium" }, { "code" : "thick" }, { "code" : "bracket" }, { "code" : "band" }, { "code" : "mesial" }, { "code" : "distal" }, { "code" : "extrusion" }, { "code" : "intrusion" }, { "code" : "incisal" }, { "code" : "pulpa-sana" }, { "code" : "hyperaemia-pulpae" }, { "code" : "pulpitis-acuta-serosa" }, { "code" : "pulpitis-acuta-purulenta" }, { "code" : "pulpitis-chronica-clausa" }, { "code" : "pulpitis-chronica-ulcerosa" }, { "code" : "pulpitis-chronica-hyperplastica" }, { "code" : "necrosis-pulpae" }, { "code" : "gangraena-pulpae" }, { "code" : "internal" }, { "code" : "external-cervical" }, { "code" : "clasp" }, { "code" : "attachment" }, { "code" : "bar-abutment" }, { "code" : "both" }, { "code" : "derived" }, { "code" : "clinician-selected" }, { "code" : "health" }, { "code" : "gingivitis" }, { "code" : "periodontitis" }, { "code" : "vital" }, { "code" : "no-response" }, { "code" : "questionable" }, { "code" : "negative" }, { "code" : "sensitive" }, { "code" : "emerging" }, { "code" : "half-crown" }, { "code" : "full-crown" }, { "code" : "vertical" }, { "code" : "horizontal" }, { "code" : "glass-fiber-post" }, { "code" : "metal-post" }, { "code" : "tooth-present", "display" : "Tooth present", "definition" : "A permanent tooth is present at the tooth position." }, { "code" : "primary-tooth-present", "display" : "Primary tooth present", "definition" : "A primary (deciduous) tooth is present at the tooth position." }, { "code" : "implant-in-tooth-position", "display" : "Implant in tooth position", "definition" : "A dental implant occupies the tooth position in place of a natural tooth." }, { "code" : "tooth-retained-under-gingiva", "display" : "Tooth retained under gingiva", "definition" : "A tooth is present at the tooth position but remains covered by gingiva, such as an impacted or submerged tooth; a tooth that has not yet reached its expected eruption is recorded as tooth not erupted." }, { "code" : "tooth-absent-extracted", "display" : "Tooth absent after extraction", "definition" : "The tooth is absent from the tooth position because it was extracted." }, { "code" : "tooth-not-erupted", "display" : "Tooth not erupted", "definition" : "No tooth is visible at the tooth position because the tooth has not yet erupted at the patient's developmental stage; the position is not recorded as missing." }, { "code" : "tooth-absent", "display" : "Tooth absent", "definition" : "No tooth is present at the tooth position, without an asserted cause." }, { "code" : "natural-tooth-structure", "display" : "Natural tooth structure", "definition" : "The clinical crown consists of natural tooth structure without a recorded loss or preparation." }, { "code" : "retained-root", "display" : "Retained root", "definition" : "Only the root or a root remnant of the tooth remains; the clinical crown is lost." }, { "code" : "crown-destroyed", "display" : "Crown destroyed", "definition" : "The clinical crown is extensively destroyed by fracture or disease while the root remains." }, { "code" : "prepared-for-crown", "display" : "Prepared for crown", "definition" : "The tooth has been prepared to receive a crown and is not yet restored with the definitive crown." }, { "code" : "intracanal-medicament", "display" : "Intracanal medicament", "definition" : "The root canal system contains a temporary medicament placed between endodontic treatment sessions." }, { "code" : "root-canal-filling", "display" : "Root canal filling", "definition" : "The root canal system is obturated with a definitive root canal filling." }, { "code" : "root-post", "display" : "Root post, material not specified", "definition" : "A root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known." }, { "code" : "incomplete-root-canal-filling", "display" : "Incomplete root canal filling", "definition" : "The root canal system contains a definitive root canal filling that does not reach the intended working length or does not seal the canal completely." }, { "code" : "crown", "display" : "Crown", "definition" : "An indirect restoration covering the entire clinical crown of the tooth." }, { "code" : "inlay", "display" : "Inlay", "definition" : "An indirect intracoronal restoration that does not cover a cusp." }, { "code" : "onlay", "display" : "Onlay", "definition" : "An indirect restoration that covers one or more cusps without covering the entire clinical crown." }, { "code" : "veneer", "display" : "Veneer", "definition" : "An indirect restoration covering the facial surface of the tooth." }, { "code" : "bridge-unit", "display" : "Bridge unit", "definition" : "The tooth position is a unit, abutment or pontic, of a fixed dental prosthesis." }, { "code" : "direct-filling", "display" : "Direct filling", "definition" : "A restoration placed and shaped directly in the tooth, qualified by the restored surfaces." }, { "code" : "telescopic-crown", "display" : "Telescopic crown", "definition" : "A double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it." }, { "code" : "lithium-disilicate-ceramic", "display" : "Lithium disilicate ceramic", "definition" : "A glass-ceramic reinforced with lithium disilicate crystals." }, { "code" : "gold-alloy", "display" : "Gold alloy", "definition" : "A dental casting alloy with gold as its principal component." }, { "code" : "indirect-composite", "display" : "Indirect composite", "definition" : "A resin composite restoration fabricated outside the mouth and bonded to the tooth." }, { "code" : "zirconia", "display" : "Zirconia", "definition" : "A zirconium dioxide ceramic." }, { "code" : "cast-metal-alloy", "display" : "Cast metal alloy", "definition" : "A full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted." }, { "code" : "metal-ceramic", "display" : "Metal-ceramic", "definition" : "A metal framework veneered with fused dental ceramic." }, { "code" : "temporary-material", "display" : "Temporary material", "definition" : "A material intended for provisional restoration until the definitive restoration is placed." }, { "code" : "amalgam", "display" : "Amalgam", "definition" : "A dental amalgam alloy of mercury with silver, tin, copper, and other metals." }, { "code" : "composite-resin", "display" : "Composite resin", "definition" : "A resin-based composite restorative material placed directly." }, { "code" : "glass-ionomer-cement", "display" : "Glass ionomer cement", "definition" : "A glass ionomer restorative cement, including resin-modified forms." }, { "code" : "marginal-defect", "display" : "Marginal defect", "definition" : "The restoration margin is deficient, open, or overhanging." }, { "code" : "restoration-fracture", "display" : "Restoration fracture", "definition" : "The restoration material is fractured or chipped." }, { "code" : "restoration-wear", "display" : "Restoration wear", "definition" : "The restoration material is worn or deficient in contour." }, { "code" : "crown-leakage", "display" : "Crown leakage", "definition" : "The crown margin no longer seals the tooth, so that leakage beneath the crown is present." }, { "code" : "healing-abutment", "display" : "Healing abutment", "definition" : "A healing abutment is attached to the implant at the tooth position." }, { "code" : "locator-attachment", "display" : "Locator attachment", "definition" : "A resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis." }, { "code" : "locator-retained-overdenture", "display" : "Locator-retained overdenture", "definition" : "A removable overdenture retained by resilient stud attachments covers the tooth position." }, { "code" : "bar-attachment", "display" : "Bar attachment", "definition" : "A bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis." }, { "code" : "bar-retained-overdenture", "display" : "Bar-retained overdenture", "definition" : "A removable overdenture retained by a bar covers the tooth position." }, { "code" : "removable-partial-denture", "display" : "Removable partial denture", "definition" : "A removable partial denture replaces or covers the tooth position." }, { "code" : "complete-removable-denture", "display" : "Complete removable denture", "definition" : "A complete removable denture replaces the tooth position in an edentulous jaw." }, { "code" : "caries", "display" : "Caries", "definition" : "A carious lesion of the tooth surface identified by the finding location." }, { "code" : "secondary-caries", "display" : "Secondary caries", "definition" : "A carious lesion at the margin of or beneath an existing restoration." }, { "code" : "root-caries", "display" : "Root caries", "definition" : "A carious lesion of the root surface; activity is recorded separately." }, { "code" : "cavitated-root-caries", "display" : "Cavitated root caries", "definition" : "A carious lesion of the root surface with a cavity." }, { "code" : "normal-pulp", "display" : "Normal pulp", "definition" : "The pulp is clinically normal and responds normally to sensibility testing." }, { "code" : "reversible-pulpitis", "display" : "Reversible pulpitis", "definition" : "Pulpal inflammation expected to resolve after removal of the cause." }, { "code" : "irreversible-pulpitis", "display" : "Irreversible pulpitis", "definition" : "Pulpal inflammation that is not expected to resolve." }, { "code" : "pulp-necrosis", "display" : "Pulp necrosis", "definition" : "Death of the dental pulp." }, { "code" : "normal-apical-tissues", "display" : "Normal apical tissues", "definition" : "The periapical tissues are clinically and radiographically normal." }, { "code" : "symptomatic-apical-periodontitis", "display" : "Symptomatic apical periodontitis", "definition" : "Inflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion." }, { "code" : "asymptomatic-apical-periodontitis", "display" : "Asymptomatic apical periodontitis", "definition" : "Inflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms." }, { "code" : "acute-apical-abscess", "display" : "Acute apical abscess", "definition" : "An inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation." }, { "code" : "chronic-apical-abscess", "display" : "Chronic apical abscess", "definition" : "An inflammatory reaction to pulpal infection and necrosis with gradual onset, little or no discomfort, and intermittent discharge of pus through a sinus tract." }, { "code" : "condensing-osteitis", "display" : "Condensing osteitis", "definition" : "A diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus." }, { "code" : "enamel-outer-half", "display" : "Enamel, outer half", "definition" : "The radiographic lesion is confined to the outer half of the enamel." }, { "code" : "enamel-inner-half", "display" : "Enamel, inner half", "definition" : "The radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction." }, { "code" : "dentin-outer-third", "display" : "Dentin, outer third", "definition" : "The radiographic lesion reaches the outer third of the dentin." }, { "code" : "dentin-middle-third", "display" : "Dentin, middle third", "definition" : "The radiographic lesion reaches the middle third of the dentin." }, { "code" : "dentin-inner-third", "display" : "Dentin, inner third", "definition" : "The radiographic lesion reaches the inner third of the dentin." }, { "code" : "tooth-mobility-grade-1", "display" : "Tooth mobility grade 1", "definition" : "Tooth mobility slightly greater than physiological, up to about 1 mm horizontally." }, { "code" : "tooth-mobility-grade-2", "display" : "Tooth mobility grade 2", "definition" : "Tooth mobility of more than about 1 mm horizontally without vertical mobility." }, { "code" : "tooth-mobility-grade-3", "display" : "Tooth mobility grade 3", "definition" : "Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility." }, { "code" : "furcation-grade-1", "display" : "Furcation grade 1", "definition" : "Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width." }, { "code" : "furcation-grade-2", "display" : "Furcation grade 2", "definition" : "Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation." }, { "code" : "furcation-grade-3", "display" : "Furcation grade 3", "definition" : "Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation." }, { "code" : "furcation-grade-4", "display" : "Furcation grade 4", "definition" : "Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible." }, { "code" : "peri-implant-health", "display" : "Peri-implant health", "definition" : "Peri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling." }, { "code" : "peri-implant-mucositis", "display" : "Peri-implant mucositis", "definition" : "Inflammation of the peri-implant mucosa without progressive loss of supporting bone." }, { "code" : "peri-implantitis-mild-bone-loss", "display" : "Peri-implantitis, mild bone loss", "definition" : "Peri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone." }, { "code" : "peri-implantitis-moderate-bone-loss", "display" : "Peri-implantitis, moderate bone loss", "definition" : "Peri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone." }, { "code" : "peri-implantitis-severe-bone-loss", "display" : "Peri-implantitis, severe bone loss", "definition" : "Peri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone." }] }