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

: Dental Chart Value - XML Representation

Draft as of 2026-10-03

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="dental-chart-value"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.3.7985.2.16.8"/>
  </identifier>
  <version value="0.9.2"/>
  <name value="DentalChartValueCS"/>
  <title value="Dental Chart Value"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-10-03T11:30:42+02:00"/>
  <publisher value="cognovis GmbH"/>
  <contact>
    <name value="cognovis GmbH"/>
    <telecom>
      <system value="url"/>
      <value value="https://www.cognovis.de"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="info@cognovis.de"/>
    </telecom>
  </contact>
  <description
               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."/>
  <copyright
             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."/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="136"/>
  <concept>
    <code value="none"/>
  </concept>
  <concept>
    <code value="inflammation"/>
  </concept>
  <concept>
    <code value="periodontal-involvement"/>
  </concept>
  <concept>
    <code value="mobility"/>
  </concept>
  <concept>
    <code value="granuloma"/>
  </concept>
  <concept>
    <code value="radicular-cyst"/>
  </concept>
  <concept>
    <code value="periapical-abscess"/>
  </concept>
  <concept>
    <code value="attrition"/>
  </concept>
  <concept>
    <code value="erosion"/>
  </concept>
  <concept>
    <code value="abrasion"/>
  </concept>
  <concept>
    <code value="abfraction"/>
  </concept>
  <concept>
    <code value="tetracycline-staining"/>
  </concept>
  <concept>
    <code value="fluorosis"/>
  </concept>
  <concept>
    <code value="nonvital-darkening"/>
  </concept>
  <concept>
    <code value="extrinsic-staining"/>
  </concept>
  <concept>
    <code value="other-discoloration"/>
  </concept>
  <concept>
    <code value="detectable"/>
  </concept>
  <concept>
    <code value="not-detectable"/>
  </concept>
  <concept>
    <code value="mild"/>
  </concept>
  <concept>
    <code value="deep"/>
  </concept>
  <concept>
    <code value="thin"/>
  </concept>
  <concept>
    <code value="medium"/>
  </concept>
  <concept>
    <code value="thick"/>
  </concept>
  <concept>
    <code value="bracket"/>
  </concept>
  <concept>
    <code value="band"/>
  </concept>
  <concept>
    <code value="mesial"/>
  </concept>
  <concept>
    <code value="distal"/>
  </concept>
  <concept>
    <code value="extrusion"/>
  </concept>
  <concept>
    <code value="intrusion"/>
  </concept>
  <concept>
    <code value="incisal"/>
  </concept>
  <concept>
    <code value="pulpa-sana"/>
  </concept>
  <concept>
    <code value="hyperaemia-pulpae"/>
  </concept>
  <concept>
    <code value="pulpitis-acuta-serosa"/>
  </concept>
  <concept>
    <code value="pulpitis-acuta-purulenta"/>
  </concept>
  <concept>
    <code value="pulpitis-chronica-clausa"/>
  </concept>
  <concept>
    <code value="pulpitis-chronica-ulcerosa"/>
  </concept>
  <concept>
    <code value="pulpitis-chronica-hyperplastica"/>
  </concept>
  <concept>
    <code value="necrosis-pulpae"/>
  </concept>
  <concept>
    <code value="gangraena-pulpae"/>
  </concept>
  <concept>
    <code value="internal"/>
  </concept>
  <concept>
    <code value="external-cervical"/>
  </concept>
  <concept>
    <code value="clasp"/>
  </concept>
  <concept>
    <code value="attachment"/>
  </concept>
  <concept>
    <code value="bar-abutment"/>
  </concept>
  <concept>
    <code value="both"/>
  </concept>
  <concept>
    <code value="derived"/>
  </concept>
  <concept>
    <code value="clinician-selected"/>
  </concept>
  <concept>
    <code value="health"/>
  </concept>
  <concept>
    <code value="gingivitis"/>
  </concept>
  <concept>
    <code value="periodontitis"/>
  </concept>
  <concept>
    <code value="vital"/>
  </concept>
  <concept>
    <code value="no-response"/>
  </concept>
  <concept>
    <code value="questionable"/>
  </concept>
  <concept>
    <code value="negative"/>
  </concept>
  <concept>
    <code value="sensitive"/>
  </concept>
  <concept>
    <code value="emerging"/>
  </concept>
  <concept>
    <code value="half-crown"/>
  </concept>
  <concept>
    <code value="full-crown"/>
  </concept>
  <concept>
    <code value="vertical"/>
  </concept>
  <concept>
    <code value="horizontal"/>
  </concept>
  <concept>
    <code value="glass-fiber-post"/>
  </concept>
  <concept>
    <code value="metal-post"/>
  </concept>
  <concept>
    <code value="tooth-present"/>
    <display value="Tooth present"/>
    <definition value="A permanent tooth is present at the tooth position."/>
  </concept>
  <concept>
    <code value="primary-tooth-present"/>
    <display value="Primary tooth present"/>
    <definition
                value="A primary (deciduous) tooth is present at the tooth position."/>
  </concept>
  <concept>
    <code value="implant-in-tooth-position"/>
    <display value="Implant in tooth position"/>
    <definition
                value="A dental implant occupies the tooth position in place of a natural tooth."/>
  </concept>
  <concept>
    <code value="tooth-retained-under-gingiva"/>
    <display value="Tooth retained under gingiva"/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="tooth-absent-extracted"/>
    <display value="Tooth absent after extraction"/>
    <definition
                value="The tooth is absent from the tooth position because it was extracted."/>
  </concept>
  <concept>
    <code value="tooth-not-erupted"/>
    <display value="Tooth not erupted"/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="tooth-absent"/>
    <display value="Tooth absent"/>
    <definition
                value="No tooth is present at the tooth position, without an asserted cause."/>
  </concept>
  <concept>
    <code value="natural-tooth-structure"/>
    <display value="Natural tooth structure"/>
    <definition
                value="The clinical crown consists of natural tooth structure without a recorded loss or preparation."/>
  </concept>
  <concept>
    <code value="retained-root"/>
    <display value="Retained root"/>
    <definition
                value="Only the root or a root remnant of the tooth remains; the clinical crown is lost."/>
  </concept>
  <concept>
    <code value="crown-destroyed"/>
    <display value="Crown destroyed"/>
    <definition
                value="The clinical crown is extensively destroyed by fracture or disease while the root remains."/>
  </concept>
  <concept>
    <code value="prepared-for-crown"/>
    <display value="Prepared for crown"/>
    <definition
                value="The tooth has been prepared to receive a crown and is not yet restored with the definitive crown."/>
  </concept>
  <concept>
    <code value="intracanal-medicament"/>
    <display value="Intracanal medicament"/>
    <definition
                value="The root canal system contains a temporary medicament placed between endodontic treatment sessions."/>
  </concept>
  <concept>
    <code value="root-canal-filling"/>
    <display value="Root canal filling"/>
    <definition
                value="The root canal system is obturated with a definitive root canal filling."/>
  </concept>
  <concept>
    <code value="root-post"/>
    <display value="Root post, material not specified"/>
    <definition
                value="A root post is present; its material is not recorded. Use glass-fiber-post or metal-post when the material is known."/>
  </concept>
  <concept>
    <code value="incomplete-root-canal-filling"/>
    <display value="Incomplete root canal filling"/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="crown"/>
    <display value="Crown"/>
    <definition
                value="An indirect restoration covering the entire clinical crown of the tooth."/>
  </concept>
  <concept>
    <code value="inlay"/>
    <display value="Inlay"/>
    <definition
                value="An indirect intracoronal restoration that does not cover a cusp."/>
  </concept>
  <concept>
    <code value="onlay"/>
    <display value="Onlay"/>
    <definition
                value="An indirect restoration that covers one or more cusps without covering the entire clinical crown."/>
  </concept>
  <concept>
    <code value="veneer"/>
    <display value="Veneer"/>
    <definition
                value="An indirect restoration covering the facial surface of the tooth."/>
  </concept>
  <concept>
    <code value="bridge-unit"/>
    <display value="Bridge unit"/>
    <definition
                value="The tooth position is a unit, abutment or pontic, of a fixed dental prosthesis."/>
  </concept>
  <concept>
    <code value="direct-filling"/>
    <display value="Direct filling"/>
    <definition
                value="A restoration placed and shaped directly in the tooth, qualified by the restored surfaces."/>
  </concept>
  <concept>
    <code value="telescopic-crown"/>
    <display value="Telescopic crown"/>
    <definition
                value="A double crown: a primary coping cemented on the tooth and a secondary crown in a removable prosthesis fitting over it."/>
  </concept>
  <concept>
    <code value="lithium-disilicate-ceramic"/>
    <display value="Lithium disilicate ceramic"/>
    <definition
                value="A glass-ceramic reinforced with lithium disilicate crystals."/>
  </concept>
  <concept>
    <code value="gold-alloy"/>
    <display value="Gold alloy"/>
    <definition
                value="A dental casting alloy with gold as its principal component."/>
  </concept>
  <concept>
    <code value="indirect-composite"/>
    <display value="Indirect composite"/>
    <definition
                value="A resin composite restoration fabricated outside the mouth and bonded to the tooth."/>
  </concept>
  <concept>
    <code value="zirconia"/>
    <display value="Zirconia"/>
    <definition value="A zirconium dioxide ceramic."/>
  </concept>
  <concept>
    <code value="cast-metal-alloy"/>
    <display value="Cast metal alloy"/>
    <definition
                value="A full-cast dental metal alloy without a ceramic veneer, where no gold alloy is asserted."/>
  </concept>
  <concept>
    <code value="metal-ceramic"/>
    <display value="Metal-ceramic"/>
    <definition
                value="A metal framework veneered with fused dental ceramic."/>
  </concept>
  <concept>
    <code value="temporary-material"/>
    <display value="Temporary material"/>
    <definition
                value="A material intended for provisional restoration until the definitive restoration is placed."/>
  </concept>
  <concept>
    <code value="amalgam"/>
    <display value="Amalgam"/>
    <definition
                value="A dental amalgam alloy of mercury with silver, tin, copper, and other metals."/>
  </concept>
  <concept>
    <code value="composite-resin"/>
    <display value="Composite resin"/>
    <definition
                value="A resin-based composite restorative material placed directly."/>
  </concept>
  <concept>
    <code value="glass-ionomer-cement"/>
    <display value="Glass ionomer cement"/>
    <definition
                value="A glass ionomer restorative cement, including resin-modified forms."/>
  </concept>
  <concept>
    <code value="marginal-defect"/>
    <display value="Marginal defect"/>
    <definition
                value="The restoration margin is deficient, open, or overhanging."/>
  </concept>
  <concept>
    <code value="restoration-fracture"/>
    <display value="Restoration fracture"/>
    <definition value="The restoration material is fractured or chipped."/>
  </concept>
  <concept>
    <code value="restoration-wear"/>
    <display value="Restoration wear"/>
    <definition
                value="The restoration material is worn or deficient in contour."/>
  </concept>
  <concept>
    <code value="crown-leakage"/>
    <display value="Crown leakage"/>
    <definition
                value="The crown margin no longer seals the tooth, so that leakage beneath the crown is present."/>
  </concept>
  <concept>
    <code value="healing-abutment"/>
    <display value="Healing abutment"/>
    <definition
                value="A healing abutment is attached to the implant at the tooth position."/>
  </concept>
  <concept>
    <code value="locator-attachment"/>
    <display value="Locator attachment"/>
    <definition
                value="A resilient stud attachment is fitted to the implant or tooth at the position to retain a removable prosthesis."/>
  </concept>
  <concept>
    <code value="locator-retained-overdenture"/>
    <display value="Locator-retained overdenture"/>
    <definition
                value="A removable overdenture retained by resilient stud attachments covers the tooth position."/>
  </concept>
  <concept>
    <code value="bar-attachment"/>
    <display value="Bar attachment"/>
    <definition
                value="A bar splinting implants or teeth is present at the tooth position to retain a removable prosthesis."/>
  </concept>
  <concept>
    <code value="bar-retained-overdenture"/>
    <display value="Bar-retained overdenture"/>
    <definition
                value="A removable overdenture retained by a bar covers the tooth position."/>
  </concept>
  <concept>
    <code value="removable-partial-denture"/>
    <display value="Removable partial denture"/>
    <definition
                value="A removable partial denture replaces or covers the tooth position."/>
  </concept>
  <concept>
    <code value="complete-removable-denture"/>
    <display value="Complete removable denture"/>
    <definition
                value="A complete removable denture replaces the tooth position in an edentulous jaw."/>
  </concept>
  <concept>
    <code value="caries"/>
    <display value="Caries"/>
    <definition
                value="A carious lesion of the tooth surface identified by the finding location."/>
  </concept>
  <concept>
    <code value="secondary-caries"/>
    <display value="Secondary caries"/>
    <definition
                value="A carious lesion at the margin of or beneath an existing restoration."/>
  </concept>
  <concept>
    <code value="root-caries"/>
    <display value="Root caries"/>
    <definition
                value="A carious lesion of the root surface; activity is recorded separately."/>
  </concept>
  <concept>
    <code value="cavitated-root-caries"/>
    <display value="Cavitated root caries"/>
    <definition value="A carious lesion of the root surface with a cavity."/>
  </concept>
  <concept>
    <code value="normal-pulp"/>
    <display value="Normal pulp"/>
    <definition
                value="The pulp is clinically normal and responds normally to sensibility testing."/>
  </concept>
  <concept>
    <code value="reversible-pulpitis"/>
    <display value="Reversible pulpitis"/>
    <definition
                value="Pulpal inflammation expected to resolve after removal of the cause."/>
  </concept>
  <concept>
    <code value="irreversible-pulpitis"/>
    <display value="Irreversible pulpitis"/>
    <definition value="Pulpal inflammation that is not expected to resolve."/>
  </concept>
  <concept>
    <code value="pulp-necrosis"/>
    <display value="Pulp necrosis"/>
    <definition value="Death of the dental pulp."/>
  </concept>
  <concept>
    <code value="normal-apical-tissues"/>
    <display value="Normal apical tissues"/>
    <definition
                value="The periapical tissues are clinically and radiographically normal."/>
  </concept>
  <concept>
    <code value="symptomatic-apical-periodontitis"/>
    <display value="Symptomatic apical periodontitis"/>
    <definition
                value="Inflammation of the apical periodontium with clinical symptoms such as pain on biting or percussion."/>
  </concept>
  <concept>
    <code value="asymptomatic-apical-periodontitis"/>
    <display value="Asymptomatic apical periodontitis"/>
    <definition
                value="Inflammation and destruction of the apical periodontium of pulpal origin, seen as an apical radiolucency, without clinical symptoms."/>
  </concept>
  <concept>
    <code value="acute-apical-abscess"/>
    <display value="Acute apical abscess"/>
    <definition
                value="An inflammatory reaction to pulpal infection and necrosis with rapid onset, spontaneous pain, and pus formation."/>
  </concept>
  <concept>
    <code value="chronic-apical-abscess"/>
    <display value="Chronic apical abscess"/>
    <definition
                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."/>
  </concept>
  <concept>
    <code value="condensing-osteitis"/>
    <display value="Condensing osteitis"/>
    <definition
                value="A diffuse radiopaque periapical lesion representing a localized bony reaction to a low-grade inflammatory stimulus."/>
  </concept>
  <concept>
    <code value="enamel-outer-half"/>
    <display value="Enamel, outer half"/>
    <definition
                value="The radiographic lesion is confined to the outer half of the enamel."/>
  </concept>
  <concept>
    <code value="enamel-inner-half"/>
    <display value="Enamel, inner half"/>
    <definition
                value="The radiographic lesion reaches the inner half of the enamel, not the enamel-dentin junction."/>
  </concept>
  <concept>
    <code value="dentin-outer-third"/>
    <display value="Dentin, outer third"/>
    <definition
                value="The radiographic lesion reaches the outer third of the dentin."/>
  </concept>
  <concept>
    <code value="dentin-middle-third"/>
    <display value="Dentin, middle third"/>
    <definition
                value="The radiographic lesion reaches the middle third of the dentin."/>
  </concept>
  <concept>
    <code value="dentin-inner-third"/>
    <display value="Dentin, inner third"/>
    <definition
                value="The radiographic lesion reaches the inner third of the dentin."/>
  </concept>
  <concept>
    <code value="tooth-mobility-grade-1"/>
    <display value="Tooth mobility grade 1"/>
    <definition
                value="Tooth mobility slightly greater than physiological, up to about 1 mm horizontally."/>
  </concept>
  <concept>
    <code value="tooth-mobility-grade-2"/>
    <display value="Tooth mobility grade 2"/>
    <definition
                value="Tooth mobility of more than about 1 mm horizontally without vertical mobility."/>
  </concept>
  <concept>
    <code value="tooth-mobility-grade-3"/>
    <display value="Tooth mobility grade 3"/>
    <definition
                value="Tooth mobility of more than about 1 mm horizontally together with vertical mobility or depressibility."/>
  </concept>
  <concept>
    <code value="furcation-grade-1"/>
    <display value="Furcation grade 1"/>
    <definition
                value="Initial furcation involvement: horizontal loss of periodontal support not exceeding about one third of the tooth width."/>
  </concept>
  <concept>
    <code value="furcation-grade-2"/>
    <display value="Furcation grade 2"/>
    <definition
                value="Partial furcation involvement: horizontal loss of periodontal support exceeding about one third of the tooth width without passing through the furcation."/>
  </concept>
  <concept>
    <code value="furcation-grade-3"/>
    <display value="Furcation grade 3"/>
    <definition
                value="Through-and-through furcation involvement: horizontal loss of periodontal support passing through the entire furcation."/>
  </concept>
  <concept>
    <code value="furcation-grade-4"/>
    <display value="Furcation grade 4"/>
    <definition
                value="Through-and-through furcation involvement with the furcation entrance exposed by gingival recession, so that the furcation is clinically visible."/>
  </concept>
  <concept>
    <code value="peri-implant-health"/>
    <display value="Peri-implant health"/>
    <definition
                value="Peri-implant tissues without clinical signs of inflammation and without bone loss beyond initial remodeling."/>
  </concept>
  <concept>
    <code value="peri-implant-mucositis"/>
    <display value="Peri-implant mucositis"/>
    <definition
                value="Inflammation of the peri-implant mucosa without progressive loss of supporting bone."/>
  </concept>
  <concept>
    <code value="peri-implantitis-mild-bone-loss"/>
    <display value="Peri-implantitis, mild bone loss"/>
    <definition
                value="Peri-implantitis with inflammation of the peri-implant mucosa and mild progressive loss of supporting bone."/>
  </concept>
  <concept>
    <code value="peri-implantitis-moderate-bone-loss"/>
    <display value="Peri-implantitis, moderate bone loss"/>
    <definition
                value="Peri-implantitis with inflammation of the peri-implant mucosa and moderate progressive loss of supporting bone."/>
  </concept>
  <concept>
    <code value="peri-implantitis-severe-bone-loss"/>
    <display value="Peri-implantitis, severe bone loss"/>
    <definition
                value="Peri-implantitis with inflammation of the peri-implant mucosa and severe progressive loss of supporting bone."/>
  </concept>
</CodeSystem>