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

Clinical Modules

Clinical modules

The initial package contains one dependency and release unit with explicit module boundaries:

  • Common: patient, effective time, performer, FDI position, and tooth surface.
  • Restorative and endodontic: tooth presence, caries, restoration, prosthetic, pulp, apical, root, wear, fracture, contact, and extraction findings.
  • Periodontal and peri-implant: site measurements, indices, gingival findings, method-qualified gingival phenotype, Miller or Cairo recession classification, 2017 periodontitis stage/grade/extent, furcation, mobility, implant focus, and assessment results.
  • Orthodontic and model analysis: tooth position, occlusion, appliances, retention, crowding, and measured model-analysis results.
  • Cephalometry: imaging-derived measurements, landmarks, norms, and analyses.

Lossless chart exchange

Performed work uses Dental Procedure, retained appliances and prosthetic components use Dental Device, and proposed work uses explicit requests within a care plan. Dental Risk Evidence carries cigarettes per day, periodontitis- attributed tooth loss, and imaging-derived maximum bone loss. Dental Clinical Provenance distinguishes derived results from explicit clinician selection.

Dental Chart State is the compatibility seam for an exact charted distinction that is not retained by those resources, such as an unqualified legacy category. Its properties are domain concepts rather than source-application field names. Producers emit it alongside the truthful clinical carrier and consumers use it for exact roundtrip only; they must not infer that a Procedure was performed merely from a chart-state component.

Pulp sensibility and percussion are recorded only when the corresponding test was performed. In particular, a negative percussion result is an asserted test result; omission means not tested. Tooth-eruption stage is likewise emitted only when an emergence stage was explicitly recorded: omission means fully erupted or not assessed and is not equivalent to full-crown. Root-fracture orientation is recorded only when vertical or horizontal orientation is asserted; producers must not infer an orientation from an unqualified fracture.

Root-post type is an independent chart property with glass-fiber and metal values. It does not replace or combine with the root/endodontic state carried by Dental Tooth State. Producers represent both facts independently and must not invent Cartesian post/filling codes.

These are authoring modules, not separate packages in 0.2.0. They may be split later without changing the clinical meaning or canonical identity of released artifacts.

Orthodontic carrier boundary

Orthodontic carrier profiles record interoperable evidence, atomic observations, and panels without selecting a clinical school or treatment pathway. Methods, norms, algorithms, and executable clinical logic remain outside this carrier contract.