{
  "resourceType" : "Observation",
  "id" : "dental-core-example-chart-state",
  "meta" : {
    "profile" : ["https://fhir.cognovis.de/dental-core/StructureDefinition/dental-chart-state"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation dental-core-example-chart-state</b></p><a name=\"dental-core-example-chart-state\"> </a><a name=\"hcdental-core-example-chart-state\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-dental-chart-state.html\">Dental Chart State</a></p></div><p><b>Recorded Crown Fracture Description</b>: fracture</p><p><b>Recorded Orthodontic Progression Flag</b>: false</p><blockquote><p><b>Recorded Root Resection State</b></p><ul><li>description: amputation</li><li>root: distobuccal</li></ul></blockquote><blockquote><p><b>Recorded Papilla Loss Grade</b></p><ul><li>surface: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-FDI-surface.html#FDI-surface-M\">Surface Codes: M</a> (Mesial)</li><li>grade: 1</li><li>classification: Nordland and Tarnow</li></ul></blockquote><blockquote><p><b>Recorded Papilla Loss Grade</b></p><ul><li>surface: <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-FDI-surface.html#FDI-surface-D\">Surface Codes: D</a> (Distal)</li><li>grade: 3</li><li>classification: Nordland and Tarnow</li></ul></blockquote><blockquote><p><b>Recorded Apical Finding State</b></p><ul><li>description: normal</li><li>root: palatal</li></ul></blockquote><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-component chart-state}\">Dental chart state</span></p><p><b>subject</b>: <a href=\"Patient-dental-core-example-patient.html\">Anonymous Patient (no stated gender), DoB Unknown</a></p><p><b>effective</b>: 2026-08-13</p><p><b>performer</b>: <a href=\"Practitioner-dental-core-example-practitioner.html\">Practitioner</a></p><p><b>bodySite</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/tooth-position-fdi 16}\">Permanent maxillary right first molar</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property root-concavity-category}\">root-concavity-category</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value deep}\">deep</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property diagnosis-selection-mode}\">diagnosis-selection-mode</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value clinician-selected}\">clinician-selected</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property pulp-sensibility-test}\">pulp-sensibility-test</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value vital}\">vital</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property percussion-test}\">percussion-test</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value negative}\">negative</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property tooth-eruption-stage}\">tooth-eruption-stage</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value half-crown}\">half-crown</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Sub-tooth Location Detail</b>: mesiobuccal</p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property root-fracture}\">root-fracture</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value horizontal}\">horizontal</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property root-post-type}\">root-post-type</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value glass-fiber-post}\">glass-fiber-post</span></p></blockquote></div>"
  },
  "extension" : [{
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-crown-fracture-type",
    "valueString" : "fracture"
  },
  {
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-orthodontic-progression",
    "valueBoolean" : false
  },
  {
    "extension" : [{
      "url" : "description",
      "valueString" : "amputation"
    },
    {
      "url" : "root",
      "valueString" : "distobuccal"
    }],
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-root-resection"
  },
  {
    "extension" : [{
      "url" : "surface",
      "valueCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/FDI-surface",
        "code" : "M"
      }
    },
    {
      "url" : "grade",
      "valueInteger" : 1
    },
    {
      "url" : "classification",
      "valueString" : "Nordland and Tarnow"
    }],
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss"
  },
  {
    "extension" : [{
      "url" : "surface",
      "valueCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/FDI-surface",
        "code" : "D"
      }
    },
    {
      "url" : "grade",
      "valueInteger" : 3
    },
    {
      "url" : "classification",
      "valueString" : "Nordland and Tarnow"
    }],
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-papilla-loss"
  },
  {
    "extension" : [{
      "url" : "description",
      "valueString" : "normal"
    },
    {
      "url" : "root",
      "valueString" : "palatal"
    }],
    "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/recorded-apical-finding"
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-component",
      "code" : "chart-state"
    }]
  },
  "subject" : {
    "reference" : "Patient/dental-core-example-patient"
  },
  "effectiveDateTime" : "2026-08-13",
  "performer" : [{
    "reference" : "Practitioner/dental-core-example-practitioner"
  }],
  "bodySite" : {
    "coding" : [{
      "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/tooth-position-fdi",
      "code" : "16"
    }]
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "root-concavity-category"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "deep"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "diagnosis-selection-mode"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "clinician-selected"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "pulp-sensibility-test"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "vital"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "percussion-test"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "negative"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "tooth-eruption-stage"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "half-crown"
      }]
    }
  },
  {
    "extension" : [{
      "url" : "https://fhir.cognovis.de/dental-core/StructureDefinition/measurement-location-detail",
      "valueString" : "mesiobuccal"
    }],
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "root-fracture"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "horizontal"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-property",
        "code" : "root-post-type"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "https://fhir.cognovis.de/dental-core/CodeSystem/dental-chart-value",
        "code" : "glass-fiber-post"
      }]
    }
  }]
}