Dental Core FHIR Profiles (R4)
Version 0.9.2 - ci-build

: Dental Chart Value - TTL Representation

Draft as of 2026-10-03

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/dental-chart-value> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "dental-chart-value"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem dental-chart-value</b></p><a name=\"dental-chart-value\"> </a><a name=\"hcdental-chart-value\"> </a><p>This case-sensitive code system <code>https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">none<a name=\"dental-chart-value-none\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">inflammation<a name=\"dental-chart-value-inflammation\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">periodontal-involvement<a name=\"dental-chart-value-periodontal-involvement\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">mobility<a name=\"dental-chart-value-mobility\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">granuloma<a name=\"dental-chart-value-granuloma\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">radicular-cyst<a name=\"dental-chart-value-radicular-cyst\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">periapical-abscess<a name=\"dental-chart-value-periapical-abscess\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">attrition<a name=\"dental-chart-value-attrition\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">erosion<a name=\"dental-chart-value-erosion\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">abrasion<a name=\"dental-chart-value-abrasion\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">abfraction<a name=\"dental-chart-value-abfraction\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">tetracycline-staining<a name=\"dental-chart-value-tetracycline-staining\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">fluorosis<a name=\"dental-chart-value-fluorosis\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">nonvital-darkening<a name=\"dental-chart-value-nonvital-darkening\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">extrinsic-staining<a name=\"dental-chart-value-extrinsic-staining\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">other-discoloration<a name=\"dental-chart-value-other-discoloration\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">detectable<a name=\"dental-chart-value-detectable\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">not-detectable<a name=\"dental-chart-value-not-detectable\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">mild<a name=\"dental-chart-value-mild\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">deep<a name=\"dental-chart-value-deep\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">thin<a name=\"dental-chart-value-thin\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">medium<a name=\"dental-chart-value-medium\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">thick<a name=\"dental-chart-value-thick\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">bracket<a name=\"dental-chart-value-bracket\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">band<a name=\"dental-chart-value-band\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">mesial<a name=\"dental-chart-value-mesial\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">distal<a name=\"dental-chart-value-distal\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">extrusion<a name=\"dental-chart-value-extrusion\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">intrusion<a name=\"dental-chart-value-intrusion\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">incisal<a name=\"dental-chart-value-incisal\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpa-sana<a name=\"dental-chart-value-pulpa-sana\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">hyperaemia-pulpae<a name=\"dental-chart-value-hyperaemia-pulpae\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpitis-acuta-serosa<a name=\"dental-chart-value-pulpitis-acuta-serosa\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpitis-acuta-purulenta<a name=\"dental-chart-value-pulpitis-acuta-purulenta\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpitis-chronica-clausa<a name=\"dental-chart-value-pulpitis-chronica-clausa\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpitis-chronica-ulcerosa<a name=\"dental-chart-value-pulpitis-chronica-ulcerosa\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">pulpitis-chronica-hyperplastica<a name=\"dental-chart-value-pulpitis-chronica-hyperplastica\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">necrosis-pulpae<a name=\"dental-chart-value-necrosis-pulpae\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">gangraena-pulpae<a name=\"dental-chart-value-gangraena-pulpae\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">internal<a name=\"dental-chart-value-internal\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">external-cervical<a name=\"dental-chart-value-external-cervical\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">clasp<a name=\"dental-chart-value-clasp\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">attachment<a name=\"dental-chart-value-attachment\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">bar-abutment<a name=\"dental-chart-value-bar-abutment\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">both<a name=\"dental-chart-value-both\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">derived<a name=\"dental-chart-value-derived\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">clinician-selected<a name=\"dental-chart-value-clinician-selected\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">health<a name=\"dental-chart-value-health\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">gingivitis<a name=\"dental-chart-value-gingivitis\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">periodontitis<a name=\"dental-chart-value-periodontitis\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">vital<a name=\"dental-chart-value-vital\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">no-response<a name=\"dental-chart-value-no-response\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">questionable<a name=\"dental-chart-value-questionable\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">negative<a name=\"dental-chart-value-negative\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">sensitive<a name=\"dental-chart-value-sensitive\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">emerging<a name=\"dental-chart-value-emerging\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">half-crown<a name=\"dental-chart-value-half-crown\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">full-crown<a name=\"dental-chart-value-full-crown\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">vertical<a name=\"dental-chart-value-vertical\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">horizontal<a name=\"dental-chart-value-horizontal\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">glass-fiber-post<a name=\"dental-chart-value-glass-fiber-post\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">metal-post<a name=\"dental-chart-value-metal-post\"> </a></td><td/><td/></tr><tr><td style=\"white-space:nowrap\">tooth-present<a name=\"dental-chart-value-tooth-present\"> </a></td><td>Tooth present</td><td>A permanent tooth is present at the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">primary-tooth-present<a name=\"dental-chart-value-primary-tooth-present\"> </a></td><td>Primary tooth present</td><td>A primary (deciduous) tooth is present at the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">implant-in-tooth-position<a name=\"dental-chart-value-implant-in-tooth-position\"> </a></td><td>Implant in tooth position</td><td>A dental implant occupies the tooth position in place of a natural tooth.</td></tr><tr><td style=\"white-space:nowrap\">tooth-retained-under-gingiva<a name=\"dental-chart-value-tooth-retained-under-gingiva\"> </a></td><td>Tooth retained under gingiva</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">tooth-absent-extracted<a name=\"dental-chart-value-tooth-absent-extracted\"> </a></td><td>Tooth absent after extraction</td><td>The tooth is absent from the tooth position because it was extracted.</td></tr><tr><td style=\"white-space:nowrap\">tooth-not-erupted<a name=\"dental-chart-value-tooth-not-erupted\"> </a></td><td>Tooth not erupted</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">tooth-absent<a name=\"dental-chart-value-tooth-absent\"> </a></td><td>Tooth absent</td><td>No tooth is present at the tooth position, without an asserted cause.</td></tr><tr><td style=\"white-space:nowrap\">natural-tooth-structure<a name=\"dental-chart-value-natural-tooth-structure\"> </a></td><td>Natural tooth structure</td><td>The clinical crown consists of natural tooth structure without a recorded loss or preparation.</td></tr><tr><td style=\"white-space:nowrap\">retained-root<a name=\"dental-chart-value-retained-root\"> </a></td><td>Retained root</td><td>Only the root or a root remnant of the tooth remains; the clinical crown is lost.</td></tr><tr><td style=\"white-space:nowrap\">crown-destroyed<a name=\"dental-chart-value-crown-destroyed\"> </a></td><td>Crown destroyed</td><td>The clinical crown is extensively destroyed by fracture or disease while the root remains.</td></tr><tr><td style=\"white-space:nowrap\">prepared-for-crown<a name=\"dental-chart-value-prepared-for-crown\"> </a></td><td>Prepared for crown</td><td>The tooth has been prepared to receive a crown and is not yet restored with the definitive crown.</td></tr><tr><td style=\"white-space:nowrap\">intracanal-medicament<a name=\"dental-chart-value-intracanal-medicament\"> </a></td><td>Intracanal medicament</td><td>The root canal system contains a temporary medicament placed between endodontic treatment sessions.</td></tr><tr><td style=\"white-space:nowrap\">root-canal-filling<a name=\"dental-chart-value-root-canal-filling\"> </a></td><td>Root canal filling</td><td>The root canal system is obturated with a definitive root canal filling.</td></tr><tr><td style=\"white-space:nowrap\">root-post<a name=\"dental-chart-value-root-post\"> </a></td><td>Root post, material not specified</td><td>A root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known.</td></tr><tr><td style=\"white-space:nowrap\">incomplete-root-canal-filling<a name=\"dental-chart-value-incomplete-root-canal-filling\"> </a></td><td>Incomplete root canal filling</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">crown<a name=\"dental-chart-value-crown\"> </a></td><td>Crown</td><td>An indirect restoration covering the entire clinical crown of the tooth.</td></tr><tr><td style=\"white-space:nowrap\">inlay<a name=\"dental-chart-value-inlay\"> </a></td><td>Inlay</td><td>An indirect intracoronal restoration that does not cover a cusp.</td></tr><tr><td style=\"white-space:nowrap\">onlay<a name=\"dental-chart-value-onlay\"> </a></td><td>Onlay</td><td>An indirect restoration that covers one or more cusps without covering the entire clinical crown.</td></tr><tr><td style=\"white-space:nowrap\">veneer<a name=\"dental-chart-value-veneer\"> </a></td><td>Veneer</td><td>An indirect restoration covering the facial surface of the tooth.</td></tr><tr><td style=\"white-space:nowrap\">bridge-unit<a name=\"dental-chart-value-bridge-unit\"> </a></td><td>Bridge unit</td><td>The tooth position is a unit, abutment or pontic, of a fixed dental prosthesis.</td></tr><tr><td style=\"white-space:nowrap\">direct-filling<a name=\"dental-chart-value-direct-filling\"> </a></td><td>Direct filling</td><td>A restoration placed and shaped directly in the tooth, qualified by the restored surfaces.</td></tr><tr><td style=\"white-space:nowrap\">telescopic-crown<a name=\"dental-chart-value-telescopic-crown\"> </a></td><td>Telescopic crown</td><td>A double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it.</td></tr><tr><td style=\"white-space:nowrap\">lithium-disilicate-ceramic<a name=\"dental-chart-value-lithium-disilicate-ceramic\"> </a></td><td>Lithium disilicate ceramic</td><td>A glass-ceramic reinforced with lithium disilicate crystals.</td></tr><tr><td style=\"white-space:nowrap\">gold-alloy<a name=\"dental-chart-value-gold-alloy\"> </a></td><td>Gold alloy</td><td>A dental casting alloy with gold as its principal component.</td></tr><tr><td style=\"white-space:nowrap\">indirect-composite<a name=\"dental-chart-value-indirect-composite\"> </a></td><td>Indirect composite</td><td>A resin composite restoration fabricated outside the mouth and bonded to the tooth.</td></tr><tr><td style=\"white-space:nowrap\">zirconia<a name=\"dental-chart-value-zirconia\"> </a></td><td>Zirconia</td><td>A zirconium dioxide ceramic.</td></tr><tr><td style=\"white-space:nowrap\">cast-metal-alloy<a name=\"dental-chart-value-cast-metal-alloy\"> </a></td><td>Cast metal alloy</td><td>A full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted.</td></tr><tr><td style=\"white-space:nowrap\">metal-ceramic<a name=\"dental-chart-value-metal-ceramic\"> </a></td><td>Metal-ceramic</td><td>A metal framework veneered with fused dental ceramic.</td></tr><tr><td style=\"white-space:nowrap\">temporary-material<a name=\"dental-chart-value-temporary-material\"> </a></td><td>Temporary material</td><td>A material intended for provisional restoration until the definitive restoration is placed.</td></tr><tr><td style=\"white-space:nowrap\">amalgam<a name=\"dental-chart-value-amalgam\"> </a></td><td>Amalgam</td><td>A dental amalgam alloy of mercury with silver, tin, copper, and other metals.</td></tr><tr><td style=\"white-space:nowrap\">composite-resin<a name=\"dental-chart-value-composite-resin\"> </a></td><td>Composite resin</td><td>A resin-based composite restorative material placed directly.</td></tr><tr><td style=\"white-space:nowrap\">glass-ionomer-cement<a name=\"dental-chart-value-glass-ionomer-cement\"> </a></td><td>Glass ionomer cement</td><td>A glass ionomer restorative cement, including resin-modified forms.</td></tr><tr><td style=\"white-space:nowrap\">marginal-defect<a name=\"dental-chart-value-marginal-defect\"> </a></td><td>Marginal defect</td><td>The restoration margin is deficient, open, or overhanging.</td></tr><tr><td style=\"white-space:nowrap\">restoration-fracture<a name=\"dental-chart-value-restoration-fracture\"> </a></td><td>Restoration fracture</td><td>The restoration material is fractured or chipped.</td></tr><tr><td style=\"white-space:nowrap\">restoration-wear<a name=\"dental-chart-value-restoration-wear\"> </a></td><td>Restoration wear</td><td>The restoration material is worn or deficient in contour.</td></tr><tr><td style=\"white-space:nowrap\">crown-leakage<a name=\"dental-chart-value-crown-leakage\"> </a></td><td>Crown leakage</td><td>The crown margin no longer seals the tooth, so that leakage beneath the crown is present.</td></tr><tr><td style=\"white-space:nowrap\">healing-abutment<a name=\"dental-chart-value-healing-abutment\"> </a></td><td>Healing abutment</td><td>A healing abutment is attached to the implant at the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">locator-attachment<a name=\"dental-chart-value-locator-attachment\"> </a></td><td>Locator attachment</td><td>A resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis.</td></tr><tr><td style=\"white-space:nowrap\">locator-retained-overdenture<a name=\"dental-chart-value-locator-retained-overdenture\"> </a></td><td>Locator-retained overdenture</td><td>A removable overdenture retained by resilient stud attachments covers the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">bar-attachment<a name=\"dental-chart-value-bar-attachment\"> </a></td><td>Bar attachment</td><td>A bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis.</td></tr><tr><td style=\"white-space:nowrap\">bar-retained-overdenture<a name=\"dental-chart-value-bar-retained-overdenture\"> </a></td><td>Bar-retained overdenture</td><td>A removable overdenture retained by a bar covers the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">removable-partial-denture<a name=\"dental-chart-value-removable-partial-denture\"> </a></td><td>Removable partial denture</td><td>A removable partial denture replaces or covers the tooth position.</td></tr><tr><td style=\"white-space:nowrap\">complete-removable-denture<a name=\"dental-chart-value-complete-removable-denture\"> </a></td><td>Complete removable denture</td><td>A complete removable denture replaces the tooth position in an edentulous jaw.</td></tr><tr><td style=\"white-space:nowrap\">caries<a name=\"dental-chart-value-caries\"> </a></td><td>Caries</td><td>A carious lesion of the tooth surface identified by the finding location.</td></tr><tr><td style=\"white-space:nowrap\">secondary-caries<a name=\"dental-chart-value-secondary-caries\"> </a></td><td>Secondary caries</td><td>A carious lesion at the margin of or beneath an existing restoration.</td></tr><tr><td style=\"white-space:nowrap\">root-caries<a name=\"dental-chart-value-root-caries\"> </a></td><td>Root caries</td><td>A carious lesion of the root surface; activity is recorded separately.</td></tr><tr><td style=\"white-space:nowrap\">cavitated-root-caries<a name=\"dental-chart-value-cavitated-root-caries\"> </a></td><td>Cavitated root caries</td><td>A carious lesion of the root surface with a cavity.</td></tr><tr><td style=\"white-space:nowrap\">normal-pulp<a name=\"dental-chart-value-normal-pulp\"> </a></td><td>Normal pulp</td><td>The pulp is clinically normal and responds normally to sensibility testing.</td></tr><tr><td style=\"white-space:nowrap\">reversible-pulpitis<a name=\"dental-chart-value-reversible-pulpitis\"> </a></td><td>Reversible pulpitis</td><td>Pulpal inflammation expected to resolve after removal of the cause.</td></tr><tr><td style=\"white-space:nowrap\">irreversible-pulpitis<a name=\"dental-chart-value-irreversible-pulpitis\"> </a></td><td>Irreversible pulpitis</td><td>Pulpal inflammation that is not expected to resolve.</td></tr><tr><td style=\"white-space:nowrap\">pulp-necrosis<a name=\"dental-chart-value-pulp-necrosis\"> </a></td><td>Pulp necrosis</td><td>Death of the dental pulp.</td></tr><tr><td style=\"white-space:nowrap\">normal-apical-tissues<a name=\"dental-chart-value-normal-apical-tissues\"> </a></td><td>Normal apical tissues</td><td>The periapical tissues are clinically and radiographically normal.</td></tr><tr><td style=\"white-space:nowrap\">symptomatic-apical-periodontitis<a name=\"dental-chart-value-symptomatic-apical-periodontitis\"> </a></td><td>Symptomatic apical periodontitis</td><td>Inflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion.</td></tr><tr><td style=\"white-space:nowrap\">asymptomatic-apical-periodontitis<a name=\"dental-chart-value-asymptomatic-apical-periodontitis\"> </a></td><td>Asymptomatic apical periodontitis</td><td>Inflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms.</td></tr><tr><td style=\"white-space:nowrap\">acute-apical-abscess<a name=\"dental-chart-value-acute-apical-abscess\"> </a></td><td>Acute apical abscess</td><td>An inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation.</td></tr><tr><td style=\"white-space:nowrap\">chronic-apical-abscess<a name=\"dental-chart-value-chronic-apical-abscess\"> </a></td><td>Chronic apical abscess</td><td>An inflammatory reaction to pulpal infection and necrosis with gradual onset, little or no discomfort, and intermittent discharge of pus through a sinus tract.</td></tr><tr><td style=\"white-space:nowrap\">condensing-osteitis<a name=\"dental-chart-value-condensing-osteitis\"> </a></td><td>Condensing osteitis</td><td>A diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus.</td></tr><tr><td style=\"white-space:nowrap\">enamel-outer-half<a name=\"dental-chart-value-enamel-outer-half\"> </a></td><td>Enamel, outer half</td><td>The radiographic lesion is confined to the outer half of the enamel.</td></tr><tr><td style=\"white-space:nowrap\">enamel-inner-half<a name=\"dental-chart-value-enamel-inner-half\"> </a></td><td>Enamel, inner half</td><td>The radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction.</td></tr><tr><td style=\"white-space:nowrap\">dentin-outer-third<a name=\"dental-chart-value-dentin-outer-third\"> </a></td><td>Dentin, outer third</td><td>The radiographic lesion reaches the outer third of the dentin.</td></tr><tr><td style=\"white-space:nowrap\">dentin-middle-third<a name=\"dental-chart-value-dentin-middle-third\"> </a></td><td>Dentin, middle third</td><td>The radiographic lesion reaches the middle third of the dentin.</td></tr><tr><td style=\"white-space:nowrap\">dentin-inner-third<a name=\"dental-chart-value-dentin-inner-third\"> </a></td><td>Dentin, inner third</td><td>The radiographic lesion reaches the inner third of the dentin.</td></tr><tr><td style=\"white-space:nowrap\">tooth-mobility-grade-1<a name=\"dental-chart-value-tooth-mobility-grade-1\"> </a></td><td>Tooth mobility grade 1</td><td>Tooth mobility slightly greater than physiological, up to about 1 mm horizontally.</td></tr><tr><td style=\"white-space:nowrap\">tooth-mobility-grade-2<a name=\"dental-chart-value-tooth-mobility-grade-2\"> </a></td><td>Tooth mobility grade 2</td><td>Tooth mobility of more than about 1 mm horizontally without vertical mobility.</td></tr><tr><td style=\"white-space:nowrap\">tooth-mobility-grade-3<a name=\"dental-chart-value-tooth-mobility-grade-3\"> </a></td><td>Tooth mobility grade 3</td><td>Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility.</td></tr><tr><td style=\"white-space:nowrap\">furcation-grade-1<a name=\"dental-chart-value-furcation-grade-1\"> </a></td><td>Furcation grade 1</td><td>Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width.</td></tr><tr><td style=\"white-space:nowrap\">furcation-grade-2<a name=\"dental-chart-value-furcation-grade-2\"> </a></td><td>Furcation grade 2</td><td>Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation.</td></tr><tr><td style=\"white-space:nowrap\">furcation-grade-3<a name=\"dental-chart-value-furcation-grade-3\"> </a></td><td>Furcation grade 3</td><td>Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation.</td></tr><tr><td style=\"white-space:nowrap\">furcation-grade-4<a name=\"dental-chart-value-furcation-grade-4\"> </a></td><td>Furcation grade 4</td><td>Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible.</td></tr><tr><td style=\"white-space:nowrap\">peri-implant-health<a name=\"dental-chart-value-peri-implant-health\"> </a></td><td>Peri-implant health</td><td>Peri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling.</td></tr><tr><td style=\"white-space:nowrap\">peri-implant-mucositis<a name=\"dental-chart-value-peri-implant-mucositis\"> </a></td><td>Peri-implant mucositis</td><td>Inflammation of the peri-implant mucosa without progressive loss of supporting bone.</td></tr><tr><td style=\"white-space:nowrap\">peri-implantitis-mild-bone-loss<a name=\"dental-chart-value-peri-implantitis-mild-bone-loss\"> </a></td><td>Peri-implantitis, mild bone loss</td><td>Peri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone.</td></tr><tr><td style=\"white-space:nowrap\">peri-implantitis-moderate-bone-loss<a name=\"dental-chart-value-peri-implantitis-moderate-bone-loss\"> </a></td><td>Peri-implantitis, moderate bone loss</td><td>Peri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone.</td></tr><tr><td style=\"white-space:nowrap\">peri-implantitis-severe-bone-loss<a name=\"dental-chart-value-peri-implantitis-severe-bone-loss\"> </a></td><td>Peri-implantitis, severe bone loss</td><td>Peri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value"] ;
  fhir:CodeSystem.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.3.7985.2.16.8" ]
  ] ;
  fhir:CodeSystem.version [ fhir:value "0.9.2"] ;
  fhir:CodeSystem.name [ fhir:value "DentalChartValueCS"] ;
  fhir:CodeSystem.title [ fhir:value "Dental Chart Value"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-10-03T11:30:42+02:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "cognovis GmbH"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "cognovis GmbH" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.cognovis.de" ]
     ], [
       fhir:index 1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "info@cognovis.de" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "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."] ;
  fhir:CodeSystem.copyright [ fhir:value "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."] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "136"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "none" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "inflammation" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "periodontal-involvement" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "mobility" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "granuloma" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "radicular-cyst" ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "periapical-abscess" ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "attrition" ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "erosion" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "abrasion" ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "abfraction" ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "tetracycline-staining" ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "fluorosis" ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "nonvital-darkening" ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "extrinsic-staining" ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "other-discoloration" ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "detectable" ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "not-detectable" ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "mild" ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "deep" ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "thin" ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "medium" ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "thick" ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "bracket" ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "band" ]
  ], [
     fhir:index 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "mesial" ]
  ], [
     fhir:index 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "distal" ]
  ], [
     fhir:index 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "extrusion" ]
  ], [
     fhir:index 28 ;
     fhir:CodeSystem.concept.code [ fhir:value "intrusion" ]
  ], [
     fhir:index 29 ;
     fhir:CodeSystem.concept.code [ fhir:value "incisal" ]
  ], [
     fhir:index 30 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpa-sana" ]
  ], [
     fhir:index 31 ;
     fhir:CodeSystem.concept.code [ fhir:value "hyperaemia-pulpae" ]
  ], [
     fhir:index 32 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpitis-acuta-serosa" ]
  ], [
     fhir:index 33 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpitis-acuta-purulenta" ]
  ], [
     fhir:index 34 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpitis-chronica-clausa" ]
  ], [
     fhir:index 35 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpitis-chronica-ulcerosa" ]
  ], [
     fhir:index 36 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulpitis-chronica-hyperplastica" ]
  ], [
     fhir:index 37 ;
     fhir:CodeSystem.concept.code [ fhir:value "necrosis-pulpae" ]
  ], [
     fhir:index 38 ;
     fhir:CodeSystem.concept.code [ fhir:value "gangraena-pulpae" ]
  ], [
     fhir:index 39 ;
     fhir:CodeSystem.concept.code [ fhir:value "internal" ]
  ], [
     fhir:index 40 ;
     fhir:CodeSystem.concept.code [ fhir:value "external-cervical" ]
  ], [
     fhir:index 41 ;
     fhir:CodeSystem.concept.code [ fhir:value "clasp" ]
  ], [
     fhir:index 42 ;
     fhir:CodeSystem.concept.code [ fhir:value "attachment" ]
  ], [
     fhir:index 43 ;
     fhir:CodeSystem.concept.code [ fhir:value "bar-abutment" ]
  ], [
     fhir:index 44 ;
     fhir:CodeSystem.concept.code [ fhir:value "both" ]
  ], [
     fhir:index 45 ;
     fhir:CodeSystem.concept.code [ fhir:value "derived" ]
  ], [
     fhir:index 46 ;
     fhir:CodeSystem.concept.code [ fhir:value "clinician-selected" ]
  ], [
     fhir:index 47 ;
     fhir:CodeSystem.concept.code [ fhir:value "health" ]
  ], [
     fhir:index 48 ;
     fhir:CodeSystem.concept.code [ fhir:value "gingivitis" ]
  ], [
     fhir:index 49 ;
     fhir:CodeSystem.concept.code [ fhir:value "periodontitis" ]
  ], [
     fhir:index 50 ;
     fhir:CodeSystem.concept.code [ fhir:value "vital" ]
  ], [
     fhir:index 51 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-response" ]
  ], [
     fhir:index 52 ;
     fhir:CodeSystem.concept.code [ fhir:value "questionable" ]
  ], [
     fhir:index 53 ;
     fhir:CodeSystem.concept.code [ fhir:value "negative" ]
  ], [
     fhir:index 54 ;
     fhir:CodeSystem.concept.code [ fhir:value "sensitive" ]
  ], [
     fhir:index 55 ;
     fhir:CodeSystem.concept.code [ fhir:value "emerging" ]
  ], [
     fhir:index 56 ;
     fhir:CodeSystem.concept.code [ fhir:value "half-crown" ]
  ], [
     fhir:index 57 ;
     fhir:CodeSystem.concept.code [ fhir:value "full-crown" ]
  ], [
     fhir:index 58 ;
     fhir:CodeSystem.concept.code [ fhir:value "vertical" ]
  ], [
     fhir:index 59 ;
     fhir:CodeSystem.concept.code [ fhir:value "horizontal" ]
  ], [
     fhir:index 60 ;
     fhir:CodeSystem.concept.code [ fhir:value "glass-fiber-post" ]
  ], [
     fhir:index 61 ;
     fhir:CodeSystem.concept.code [ fhir:value "metal-post" ]
  ], [
     fhir:index 62 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-present" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth present" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A permanent tooth is present at the tooth position." ]
  ], [
     fhir:index 63 ;
     fhir:CodeSystem.concept.code [ fhir:value "primary-tooth-present" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Primary tooth present" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A primary (deciduous) tooth is present at the tooth position." ]
  ], [
     fhir:index 64 ;
     fhir:CodeSystem.concept.code [ fhir:value "implant-in-tooth-position" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Implant in tooth position" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A dental implant occupies the tooth position in place of a natural tooth." ]
  ], [
     fhir:index 65 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-retained-under-gingiva" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth retained under gingiva" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 66 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-absent-extracted" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth absent after extraction" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The tooth is absent from the tooth position because it was extracted." ]
  ], [
     fhir:index 67 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-not-erupted" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth not erupted" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 68 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-absent" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth absent" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "No tooth is present at the tooth position, without an asserted cause." ]
  ], [
     fhir:index 69 ;
     fhir:CodeSystem.concept.code [ fhir:value "natural-tooth-structure" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Natural tooth structure" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The clinical crown consists of natural tooth structure without a recorded loss or preparation." ]
  ], [
     fhir:index 70 ;
     fhir:CodeSystem.concept.code [ fhir:value "retained-root" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Retained root" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Only the root or a root remnant of the tooth remains; the clinical crown is lost." ]
  ], [
     fhir:index 71 ;
     fhir:CodeSystem.concept.code [ fhir:value "crown-destroyed" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Crown destroyed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The clinical crown is extensively destroyed by fracture or disease while the root remains." ]
  ], [
     fhir:index 72 ;
     fhir:CodeSystem.concept.code [ fhir:value "prepared-for-crown" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Prepared for crown" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The tooth has been prepared to receive a crown and is not yet restored with the definitive crown." ]
  ], [
     fhir:index 73 ;
     fhir:CodeSystem.concept.code [ fhir:value "intracanal-medicament" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Intracanal medicament" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The root canal system contains a temporary medicament placed between endodontic treatment sessions." ]
  ], [
     fhir:index 74 ;
     fhir:CodeSystem.concept.code [ fhir:value "root-canal-filling" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Root canal filling" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The root canal system is obturated with a definitive root canal filling." ]
  ], [
     fhir:index 75 ;
     fhir:CodeSystem.concept.code [ fhir:value "root-post" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Root post, material not specified" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known." ]
  ], [
     fhir:index 76 ;
     fhir:CodeSystem.concept.code [ fhir:value "incomplete-root-canal-filling" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Incomplete root canal filling" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 77 ;
     fhir:CodeSystem.concept.code [ fhir:value "crown" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Crown" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An indirect restoration covering the entire clinical crown of the tooth." ]
  ], [
     fhir:index 78 ;
     fhir:CodeSystem.concept.code [ fhir:value "inlay" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Inlay" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An indirect intracoronal restoration that does not cover a cusp." ]
  ], [
     fhir:index 79 ;
     fhir:CodeSystem.concept.code [ fhir:value "onlay" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Onlay" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An indirect restoration that covers one or more cusps without covering the entire clinical crown." ]
  ], [
     fhir:index 80 ;
     fhir:CodeSystem.concept.code [ fhir:value "veneer" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Veneer" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An indirect restoration covering the facial surface of the tooth." ]
  ], [
     fhir:index 81 ;
     fhir:CodeSystem.concept.code [ fhir:value "bridge-unit" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Bridge unit" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The tooth position is a unit, abutment or pontic, of a fixed dental prosthesis." ]
  ], [
     fhir:index 82 ;
     fhir:CodeSystem.concept.code [ fhir:value "direct-filling" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Direct filling" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A restoration placed and shaped directly in the tooth, qualified by the restored surfaces." ]
  ], [
     fhir:index 83 ;
     fhir:CodeSystem.concept.code [ fhir:value "telescopic-crown" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Telescopic crown" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it." ]
  ], [
     fhir:index 84 ;
     fhir:CodeSystem.concept.code [ fhir:value "lithium-disilicate-ceramic" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Lithium disilicate ceramic" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A glass-ceramic reinforced with lithium disilicate crystals." ]
  ], [
     fhir:index 85 ;
     fhir:CodeSystem.concept.code [ fhir:value "gold-alloy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gold alloy" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A dental casting alloy with gold as its principal component." ]
  ], [
     fhir:index 86 ;
     fhir:CodeSystem.concept.code [ fhir:value "indirect-composite" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Indirect composite" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A resin composite restoration fabricated outside the mouth and bonded to the tooth." ]
  ], [
     fhir:index 87 ;
     fhir:CodeSystem.concept.code [ fhir:value "zirconia" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Zirconia" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A zirconium dioxide ceramic." ]
  ], [
     fhir:index 88 ;
     fhir:CodeSystem.concept.code [ fhir:value "cast-metal-alloy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Cast metal alloy" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted." ]
  ], [
     fhir:index 89 ;
     fhir:CodeSystem.concept.code [ fhir:value "metal-ceramic" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Metal-ceramic" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A metal framework veneered with fused dental ceramic." ]
  ], [
     fhir:index 90 ;
     fhir:CodeSystem.concept.code [ fhir:value "temporary-material" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Temporary material" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A material intended for provisional restoration until the definitive restoration is placed." ]
  ], [
     fhir:index 91 ;
     fhir:CodeSystem.concept.code [ fhir:value "amalgam" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Amalgam" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A dental amalgam alloy of mercury with silver, tin, copper, and other metals." ]
  ], [
     fhir:index 92 ;
     fhir:CodeSystem.concept.code [ fhir:value "composite-resin" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Composite resin" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A resin-based composite restorative material placed directly." ]
  ], [
     fhir:index 93 ;
     fhir:CodeSystem.concept.code [ fhir:value "glass-ionomer-cement" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Glass ionomer cement" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A glass ionomer restorative cement, including resin-modified forms." ]
  ], [
     fhir:index 94 ;
     fhir:CodeSystem.concept.code [ fhir:value "marginal-defect" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Marginal defect" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The restoration margin is deficient, open, or overhanging." ]
  ], [
     fhir:index 95 ;
     fhir:CodeSystem.concept.code [ fhir:value "restoration-fracture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Restoration fracture" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The restoration material is fractured or chipped." ]
  ], [
     fhir:index 96 ;
     fhir:CodeSystem.concept.code [ fhir:value "restoration-wear" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Restoration wear" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The restoration material is worn or deficient in contour." ]
  ], [
     fhir:index 97 ;
     fhir:CodeSystem.concept.code [ fhir:value "crown-leakage" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Crown leakage" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The crown margin no longer seals the tooth, so that leakage beneath the crown is present." ]
  ], [
     fhir:index 98 ;
     fhir:CodeSystem.concept.code [ fhir:value "healing-abutment" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Healing abutment" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A healing abutment is attached to the implant at the tooth position." ]
  ], [
     fhir:index 99 ;
     fhir:CodeSystem.concept.code [ fhir:value "locator-attachment" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Locator attachment" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis." ]
  ], [
     fhir:index 100 ;
     fhir:CodeSystem.concept.code [ fhir:value "locator-retained-overdenture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Locator-retained overdenture" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A removable overdenture retained by resilient stud attachments covers the tooth position." ]
  ], [
     fhir:index 101 ;
     fhir:CodeSystem.concept.code [ fhir:value "bar-attachment" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Bar attachment" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis." ]
  ], [
     fhir:index 102 ;
     fhir:CodeSystem.concept.code [ fhir:value "bar-retained-overdenture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Bar-retained overdenture" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A removable overdenture retained by a bar covers the tooth position." ]
  ], [
     fhir:index 103 ;
     fhir:CodeSystem.concept.code [ fhir:value "removable-partial-denture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Removable partial denture" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A removable partial denture replaces or covers the tooth position." ]
  ], [
     fhir:index 104 ;
     fhir:CodeSystem.concept.code [ fhir:value "complete-removable-denture" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Complete removable denture" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A complete removable denture replaces the tooth position in an edentulous jaw." ]
  ], [
     fhir:index 105 ;
     fhir:CodeSystem.concept.code [ fhir:value "caries" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Caries" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A carious lesion of the tooth surface identified by the finding location." ]
  ], [
     fhir:index 106 ;
     fhir:CodeSystem.concept.code [ fhir:value "secondary-caries" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Secondary caries" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A carious lesion at the margin of or beneath an existing restoration." ]
  ], [
     fhir:index 107 ;
     fhir:CodeSystem.concept.code [ fhir:value "root-caries" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Root caries" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A carious lesion of the root surface; activity is recorded separately." ]
  ], [
     fhir:index 108 ;
     fhir:CodeSystem.concept.code [ fhir:value "cavitated-root-caries" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Cavitated root caries" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A carious lesion of the root surface with a cavity." ]
  ], [
     fhir:index 109 ;
     fhir:CodeSystem.concept.code [ fhir:value "normal-pulp" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Normal pulp" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The pulp is clinically normal and responds normally to sensibility testing." ]
  ], [
     fhir:index 110 ;
     fhir:CodeSystem.concept.code [ fhir:value "reversible-pulpitis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Reversible pulpitis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Pulpal inflammation expected to resolve after removal of the cause." ]
  ], [
     fhir:index 111 ;
     fhir:CodeSystem.concept.code [ fhir:value "irreversible-pulpitis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Irreversible pulpitis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Pulpal inflammation that is not expected to resolve." ]
  ], [
     fhir:index 112 ;
     fhir:CodeSystem.concept.code [ fhir:value "pulp-necrosis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pulp necrosis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Death of the dental pulp." ]
  ], [
     fhir:index 113 ;
     fhir:CodeSystem.concept.code [ fhir:value "normal-apical-tissues" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Normal apical tissues" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The periapical tissues are clinically and radiographically normal." ]
  ], [
     fhir:index 114 ;
     fhir:CodeSystem.concept.code [ fhir:value "symptomatic-apical-periodontitis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Symptomatic apical periodontitis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion." ]
  ], [
     fhir:index 115 ;
     fhir:CodeSystem.concept.code [ fhir:value "asymptomatic-apical-periodontitis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Asymptomatic apical periodontitis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms." ]
  ], [
     fhir:index 116 ;
     fhir:CodeSystem.concept.code [ fhir:value "acute-apical-abscess" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Acute apical abscess" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation." ]
  ], [
     fhir:index 117 ;
     fhir:CodeSystem.concept.code [ fhir:value "chronic-apical-abscess" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chronic apical abscess" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An inflammatory reaction to pulpal infection and necrosis with gradual onset, little or no discomfort, and intermittent discharge of pus through a sinus tract." ]
  ], [
     fhir:index 118 ;
     fhir:CodeSystem.concept.code [ fhir:value "condensing-osteitis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Condensing osteitis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "A diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus." ]
  ], [
     fhir:index 119 ;
     fhir:CodeSystem.concept.code [ fhir:value "enamel-outer-half" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Enamel, outer half" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The radiographic lesion is confined to the outer half of the enamel." ]
  ], [
     fhir:index 120 ;
     fhir:CodeSystem.concept.code [ fhir:value "enamel-inner-half" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Enamel, inner half" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction." ]
  ], [
     fhir:index 121 ;
     fhir:CodeSystem.concept.code [ fhir:value "dentin-outer-third" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dentin, outer third" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The radiographic lesion reaches the outer third of the dentin." ]
  ], [
     fhir:index 122 ;
     fhir:CodeSystem.concept.code [ fhir:value "dentin-middle-third" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dentin, middle third" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The radiographic lesion reaches the middle third of the dentin." ]
  ], [
     fhir:index 123 ;
     fhir:CodeSystem.concept.code [ fhir:value "dentin-inner-third" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dentin, inner third" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The radiographic lesion reaches the inner third of the dentin." ]
  ], [
     fhir:index 124 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-mobility-grade-1" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth mobility grade 1" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Tooth mobility slightly greater than physiological, up to about 1 mm horizontally." ]
  ], [
     fhir:index 125 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-mobility-grade-2" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth mobility grade 2" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Tooth mobility of more than about 1 mm horizontally without vertical mobility." ]
  ], [
     fhir:index 126 ;
     fhir:CodeSystem.concept.code [ fhir:value "tooth-mobility-grade-3" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Tooth mobility grade 3" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility." ]
  ], [
     fhir:index 127 ;
     fhir:CodeSystem.concept.code [ fhir:value "furcation-grade-1" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Furcation grade 1" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width." ]
  ], [
     fhir:index 128 ;
     fhir:CodeSystem.concept.code [ fhir:value "furcation-grade-2" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Furcation grade 2" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation." ]
  ], [
     fhir:index 129 ;
     fhir:CodeSystem.concept.code [ fhir:value "furcation-grade-3" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Furcation grade 3" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation." ]
  ], [
     fhir:index 130 ;
     fhir:CodeSystem.concept.code [ fhir:value "furcation-grade-4" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Furcation grade 4" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible." ]
  ], [
     fhir:index 131 ;
     fhir:CodeSystem.concept.code [ fhir:value "peri-implant-health" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Peri-implant health" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Peri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling." ]
  ], [
     fhir:index 132 ;
     fhir:CodeSystem.concept.code [ fhir:value "peri-implant-mucositis" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Peri-implant mucositis" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Inflammation of the peri-implant mucosa without progressive loss of supporting bone." ]
  ], [
     fhir:index 133 ;
     fhir:CodeSystem.concept.code [ fhir:value "peri-implantitis-mild-bone-loss" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Peri-implantitis, mild bone loss" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Peri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone." ]
  ], [
     fhir:index 134 ;
     fhir:CodeSystem.concept.code [ fhir:value "peri-implantitis-moderate-bone-loss" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Peri-implantitis, moderate bone loss" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Peri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone." ]
  ], [
     fhir:index 135 ;
     fhir:CodeSystem.concept.code [ fhir:value "peri-implantitis-severe-bone-loss" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Peri-implantitis, severe bone loss" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Peri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/dental-chart-value.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/dental-chart-value.ttl> .