German Dental FHIR Profiles (R4)
0.41.6 - trial-use Germany

German Dental FHIR Profiles (R4) - Local Development build (v0.41.6) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example Periodontal Observation with PAR-Richtlinie Components - JSON Representation

Raw json | Download

{
  "resourceType" : "Observation",
  "id" : "ExamplePeriodontalObservationPAR",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-observation"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ExamplePeriodontalObservationPAR</b></p><a name=\"ExamplePeriodontalObservationPAR\"> </a><a name=\"hcExamplePeriodontalObservationPAR\"> </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-periodontal-observation.html\">Parodontalbefund (DE)</a></p></div><p><b>FDI Zahnnummer</b>: 16</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/dental-category dental}\">Dental</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8704-9}\">Physical findings of Mouth and Throat and Teeth</span></p><p><b>subject</b>: <a href=\"Patient-pat-beihilfe-01.html\">Friedrich Hartmann (official) Male, DoB: 1958-11-22</a></p><p><b>effective</b>: 2026-03-05 15:30:00+0100</p><p><b>performer</b>: <a href=\"Organization-org-dental-mvz.html\">Organization Demo-Zahnarztpraxis MVZ Nürnberg</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ex-tooth 16}\">Zahn 16 — erster oberer rechter Molar</span></p><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site mesiobuccal}\">Mesiobuccal</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe mesio-bukkal</span></p><p><b>value</b>: 4 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site buccal}\">Buccal</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe bukkal</span></p><p><b>value</b>: 3 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site distobuccal}\">Distobuccal</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe disto-bukkal</span></p><p><b>value</b>: 4 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site mesiolingual}\">Mesiolingual</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe mesio-lingual</span></p><p><b>value</b>: 3 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site lingual}\">Lingual</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe lingual</span></p><p><b>value</b>: 3 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site distolingual}\">Distolingual</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 32910-2}\">Sondierungstiefe disto-lingual</span></p><p><b>value</b>: 3 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site buccal}\">Buccal</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 86276007}\">BOP bukkal</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site lingual}\">Lingual</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 86276007}\">BOP lingual</span></p><p><b>value</b>: false</p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site buccal}\">Buccal</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6288001}\">Rezession bukkal</span></p><p><b>value</b>: 1 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site lingual}\">Lingual</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 6288001}\">Rezession lingual</span></p><p><b>value</b>: 0 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site buccal}\">Buccal</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type attachment-loss}\">Attachmentverlust</span></p><p><b>value</b>: 5 mm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemm = 'millimeter')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Periodontal Measurement Site</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site distobuccal}\">Distobuccal</span></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type suppuration-on-probing}\">Suppuration on probing</span></p><p><b>value</b>: true</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 109728009}\">Furkationsbeteiligung</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type par-grad}\">PAR Grad</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/par-grad B}\">Grad B</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type par-behandlungsphase}\">PAR Behandlungsphase</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/par-behandlungs-phase ATG}\">Parodontologisches Aufklaerungs- und Therapiegespraech</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type par-lockerungsgrad}\">Lockerungsgrad</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/par-lockerungsgrad 0}\">0</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type par-furkationsbefall}\">PAR Furkationsbefall</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/par-furkationsbefall I}\">Klasse I</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type par-behandlungsbeduerftigkeit}\">PAR Behandlungsbeduerftigkeit</span></p><p><b>value</b>: <span title=\"Codes:{https://fhir.cognovis.de/dental/CodeSystem/par-behandlungsbeduerftigkeit P}\">Parodontitis</span></p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "https://fhir.cognovis.de/dental/StructureDefinition/fdi-tooth-number",
      "valueCode" : "16"
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "https://fhir.cognovis.de/dental/CodeSystem/dental-category",
          "code" : "dental",
          "display" : "Dental"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "8704-9",
        "display" : "Physical findings of Mouth and Throat and Teeth"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/pat-beihilfe-01"
  },
  "effectiveDateTime" : "2026-03-05T15:30:00+01:00",
  "performer" : [
    {
      🔗 "reference" : "Organization/org-dental-mvz"
    }
  ],
  "bodySite" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/ex-tooth",
        "code" : "16",
        "display" : "16"
      }
    ],
    "text" : "Zahn 16 — erster oberer rechter Molar"
  },
  "component" : [
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "mesiobuccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe mesio-bukkal"
      },
      "valueQuantity" : {
        "value" : 4,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "buccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe bukkal"
      },
      "valueQuantity" : {
        "value" : 3,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "distobuccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe disto-bukkal"
      },
      "valueQuantity" : {
        "value" : 4,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "mesiolingual"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe mesio-lingual"
      },
      "valueQuantity" : {
        "value" : 3,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "lingual"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe lingual"
      },
      "valueQuantity" : {
        "value" : 3,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "distolingual"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "32910-2"
          }
        ],
        "text" : "Sondierungstiefe disto-lingual"
      },
      "valueQuantity" : {
        "value" : 3,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "buccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "86276007"
          }
        ],
        "text" : "BOP bukkal"
      },
      "valueBoolean" : true
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "lingual"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "86276007"
          }
        ],
        "text" : "BOP lingual"
      },
      "valueBoolean" : false
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "buccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "6288001"
          }
        ],
        "text" : "Rezession bukkal"
      },
      "valueQuantity" : {
        "value" : 1,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "lingual"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "6288001"
          }
        ],
        "text" : "Rezession lingual"
      },
      "valueQuantity" : {
        "value" : 0,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "buccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "attachment-loss"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 5,
        "unit" : "mm",
        "system" : "http://unitsofmeasure.org",
        "code" : "mm"
      }
    },
    {
      "extension" : [
        {
          "url" : "https://fhir.cognovis.de/dental/StructureDefinition/periodontal-measurement-site",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.cognovis.de/dental/CodeSystem/periodontal-measurement-site",
                "code" : "distobuccal"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "suppuration-on-probing"
          }
        ]
      },
      "valueBoolean" : true
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "109728009"
          }
        ],
        "text" : "Furkationsbeteiligung"
      },
      "valueInteger" : 1
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "par-grad"
          }
        ],
        "text" : "PAR Grad"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/par-grad",
            "code" : "B",
            "display" : "Grad B"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "par-behandlungsphase"
          }
        ],
        "text" : "PAR Behandlungsphase"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/par-behandlungs-phase",
            "code" : "ATG",
            "display" : "Parodontologisches Aufklaerungs- und Therapiegespraech"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "par-lockerungsgrad"
          }
        ],
        "text" : "Lockerungsgrad"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/par-lockerungsgrad",
            "code" : "0",
            "display" : "0"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "par-furkationsbefall"
          }
        ],
        "text" : "PAR Furkationsbefall"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/par-furkationsbefall",
            "code" : "I",
            "display" : "Klasse I"
          }
        ]
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/pa-befund-type",
            "code" : "par-behandlungsbeduerftigkeit"
          }
        ],
        "text" : "PAR Behandlungsbeduerftigkeit"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.cognovis.de/dental/CodeSystem/par-behandlungsbeduerftigkeit",
            "code" : "P",
            "display" : "Parodontitis"
          }
        ]
      }
    }
  ]
}