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

Profiles

Profiles

This implementation guide defines the following profiles for German dental practice data:

Clinical Profiles

• DentalFindingDE — Zahnärztlicher Befund (Observation)
• CariesObservationDE — surface-specific ICDAS II lesion score
• PulpSensibilityObservationDE — thermal and electric pulp sensibility results
• ProsthesisFindingDE — technical finding focused on a removable prosthesis Device
• SuprastructureFindingDE — technical finding focused on an implant suprastructure Device
• PeriodontalObservationDE — Parodontalbefund (Observation)
• PeriImplantObservationDE — site-level findings around one referenced implant
• ProphylaxisObservationDE — Prophylaxe-Befund (Observation)
• DentalDepositObservationDE — Klinischer Belagstyp und zweiachsige Lokalisation (Observation)
• RadiographicBoneLossObservationDE — Röntgenologischer Knochenabbau mit Grading-Evidenz (Observation)
• OralHealthScreeningDE — Oral Health Screening: parafunktionale Habits, orale Risikofaktoren, systemische Screening-Befunde (Observation)
• AlignerProgressObservationDE — stage-specific clinical tracking outcome
• TraumaObservationDE — one published ICD-11 NA0D injury classification per tooth and event time
• DentalConditionDE — Zahnärztliche Diagnose (Condition)
• DentalProcedureDE — Zahnärztliche Behandlung (Procedure)
• PeriodontalAdjunctiveProcedureDE — laser, aPDT, aPTT, or local antimicrobial procedure with referenced Device and Substance
• DentalCommunicationDE — Zahnärztliche Kommunikation (Communication)
• DentalClinicalImpressionDE — Behandlungsjournal (ClinicalImpression)

Billing Profiles

• BemaChargeItemDE — BEMA Leistungsposition (ChargeItem)
• GozChargeItemDE — GOZ Leistungsposition (ChargeItem)
• GozInvoiceDE — GOZ private invoice, derived directly from gematik DiPagRechnung
• DentalEncounterDE — Behandlungskontakt (Encounter, billing-agnostic)
• DentalClaimDE — Abrechnungsanspruch (Claim, billing-case boundary)

​Dental billing cases reuse AccountPraxisSchein from the Praxis-DE IG. ScheinNummer, Scheinart, servicePeriod, and coverage live on Account; Encounter.account and ChargeItem.account reference it.

GozInvoiceDE uses the official gematik DiPagRechnung contract. Dental adds only the GOZ charge-item and account references; gross amounts, included tax, deductions, laboratory services, payment details, and correction invoices retain their DiPag meaning.

Treatment Plans

• DentalCarePlanDE — Dental Behandlungsplan: HKP, PAR, KFO, ZE, KBR, KGL, PMB (CarePlan, via category[planType])
• PrimarySnoringCarePlanDE — primary-snoring oral-appliance care with linked evidence and Device
• OsasOralApplianceCarePlanDE — medically ordered OSAS oral-appliance pathway
• AlignerCarePlanDE — KFO plan with tooth-specific attachments and interproximal reduction

The PAR and prophylaxis resource boundaries, measurement representation, workflow links, and delegation semantics are described in PAR and Prophylaxis.

Supporting Profiles

• DentalImplantDE — reusable dental implant Device identity
• ImplantSuprastructureDE — implant-supported crown, bridge, or prosthesis identity
• DentalProsthesisDE — removable prosthesis Device identity
• OsasOralApplianceDeviceDE — manufacturer-neutral OSAS oral appliance identity
• OsasOralApplianceServiceRequestDE — medical order initiating the dental OSAS pathway
• DentalOrganizationDE — Zahnarztpraxis (Organization)
• DentalPractitionerDE — Zahnärztlicher Behandler (Practitioner, ZANR)
• DentalPractitionerRoleDE — Zahnärztliche Rolle am Standort (PractitionerRole.specialty → SNOMED CT)
• DentalImagingStudyDE — Röntgendiagnostik (ImagingStudy)
• DentalLabServiceRequestDE — Laborauftrag (ServiceRequest)