Dental Data Exchange
1.0.0 - CI Build United States of America flag

Dental Data Exchange, published by Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dental-data-exchange/ and changes regularly. See the Directory of published versions

Example Bundle: Complete Dental Consult Note Document Bundle example

Generated Narrative: Composition

Resource Composition "Dental-2-Med-Consult" (Language "en-US")

identifier: urn:ietf:rfc:3986/urn:uuid:f28fefc8-5aac-427c-93d7-f0bc7d633a9b

status: FINAL

type: Dentistry Consult note (LOINC#34756-7)

encounter: See above (Encounter/Dental-encounter: Dental Referral with patient A)

date: 2020-02-16 09:10:14+0000

author: See above (Practitioner/practitioner-D: Dentist D, DMD)

title: Consultation Note

Attesters

-ModeTimeParty
*Legal (CompositionAttestationMode#legal)2020-03-28 09:10:14+0000See above (Practitioner/practitioner-D: Dentist Dentist D, DMD)

custodian: See above (Organization/GOHC-organization: Good Oral Health Clinic)

Events

-PeriodDetail
*2020-02-16 --> 2020-02-16Care Provision (ActClass#PCPR)

Allergies and Intolerances Section

Substance Overall Severity Reaction Reaction Severity Status
Penicillin G (Ingredient) Mild Skin rash Mild Active

History of Present Illness Section

The patient has not visited a dentist or received fluoride treatments in the past four years while away at college

Problem Section

Mild, Hypertension

Type 1 diabetes

Dental caries

Unable to chew

Teeth covered in plague

Toothache

Chronic periodontitis

Infection of tooth

At high risk for dental caries (finding)

Medication Section

Medication Directions Start Date Status Indications Fill Instructions
erythromycin 500 mg Take 1 tablet every six hours X10 days Active
ibuprofen (OTC) 200 mg tab Take 2-3 tablets every 8 hours as needed for pain Take 2-3 tablets every 8 hours as needed for pain Active
acetaminophen (OTC) 325 mg Take 2 tablets every 4-6 hours as needed for pain Active
Lisinopril 10 mg tab 1 tab once a day Active

Assessment Section

Patient reports inability to chew on left side due to pain and sensitivity, a condition that has increased in severity in the two days since his medical appointment

Significant decay on the left lower second molar (tooth #18)  with signs of infection 

Early signs of a caries lesion (decay) on the right upper lateral incisor (tooth #7)

Recommend an extraction of the left lower second molar(tooth #18) and a restoration on the right upper lateral incisor (tooth #7) due to a caries lesion

Immunizations Section

Vaccine Date Status
Hepatitis B vaccine January 4, 2020 Completed

Medical Equipment Section

Device Type Procedure Implant Date
Insulin Pump Insertion of insulin pump (procedure) November 3, 2013

Plan of Treatment Section

Date Code Description Mouth Location
Feb 23, 2020 D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) Tooth #18
Mar 3, 2020 D1352 Preventive resin restoration in a moderate to high caries risk patient-permanent tooth Tooth #7
Mar 10, 2020 D0150 comprehensive oral evaluation - new or established patient N/A
Mar 10, 2020 D1110 Prophylaxis - Adult N/A
Mar 10, 2020 D0210 Full mouth radiographic survey N/A

Procedures Section

Date Code Description Mouth Location
Feb 16, 2020 D1206 topical application of fluoride varnish N/A

Reason for Visit Section

Patient referred for evaluation and treatment for toothache lower left

Social History Section

Social History Element Description Effective Dates
Smoking Status - Meaningful Use Never smoked tobacco Feb 14, 2020
Highest Education Level College Education 2005/05/01 - 2010/02/28
Employment Accountaint, Full Time 2005/05/01 - 2010/02/28

Vital Signs Section

Observation Type Value Units
Body Temperature 99 [degF]
Heart Rate 82 /min
Blood Pressure - Diastolic 80 mmHg
Blood Pressure - Systolic 120 mmHg

Instructions Section

Patient educated on the benefits of using a fluoride toothpaste, daily flossing, and bi-annual routine dental cleaning visits.

Payers Section

Aetna Comprehensive Medical /Dental Insurance

Dental Findings Section

Finding Type Value Location
Problem Dental Caries Tooth #18
Problem Infection of Tooth Tooth #18
Problem Dental Caries Tooth #7
Result Overjet 3mm

Additional Document Content

2. http://example.org/fhir/us/dental-data-exchange/Patient/example-dental (Patient/example-dental)

Patient A
Identifier 5152020
Address 123 Test Dr.
Denver CO US
Date of birth 01 January 1990

3. http://example.org/fhir/us/dental-data-exchange/Encounter/Med-visit-1 (Encounter/Med-visit-1)

Not done yet

4. http://example.org/fhir/us/dental-data-exchange/PractitionerRole/PractitionerRole-M (PractitionerRole/PractitionerRole-M)

Generated Narrative: PractitionerRole

Resource PractitionerRole "PractitionerRole-M"

practitioner: See above (Practitioner/practitioner-M: Dr. John M)

organization: See above (Organization/GHC-organization: Good Health Clinic)

specialty: General practice (specialty) (SNOMED CT#394814009)

5. http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-M (Practitioner/practitioner-M)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-M"

identifier: http://hl7.org/fhir/sid/us-npi/1234569999

name: John M

telecom: ph: 303-303-6443(WORK)

gender: MALE

birthDate: 1975-06-09

6. http://example.org/fhir/us/dental-data-exchange/Organization/GHC-organization (Organization/GHC-organization)

Generated Narrative: Organization

Resource Organization "GHC-organization"

identifier: http://hl7.org/fhir/sid/us-npi/1316452725

active: true

type: Healthcare Provider (Organization type#prov)

name: Good Health Clinic

Contacts

-TelecomAddress
*ph: (+1) 555-677-7777, customer-service@GHclinic.org7551 W Alameda Ave Lakewood CO 80226 USA

7. http://example.org/fhir/us/dental-data-exchange/AllergyIntolerance/Allergy-example-dental (AllergyIntolerance/Allergy-example-dental)

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "Allergy-example-dental"

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

category: MEDICATION

criticality: HIGH

code: Penicillin G (Ingredient) (RxNorm#7980 "Penicillin G")

patient: See above (Patient/example-dental: Patient A)

onset: 1998-05-01

8. http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Lisinopril-medreq (MedicationRequest/Lisinopril-medreq)

Generated Narrative: MedicationRequest

Resource MedicationRequest "Lisinopril-medreq"

status: ACTIVE

intent: PLAN

subject: See above (Patient/example-dental: Patient A)

authoredOn: 2020-02-14

requester: See above (Practitioner/practitioner-M: Dr. John M, MD)

DosageInstructions

-TextTimingRoute
*Take 1 tab once a dayStarting 2020-01-03, OnceOral use (SNOMED CT#26643006)

9. http://example.org/fhir/us/dental-data-exchange/Medication/Lisinopril-med-example (Medication/Lisinopril-med-example)

Lisinopril 10 mg tab

10. http://example.org/fhir/us/dental-data-exchange/Condition/HTN-example (Condition/HTN-example)

Generated Narrative: Condition

Resource Condition "HTN-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item")

code: Hypertensive disorder (disorder) (SNOMED CT#38341003 "High blood pressure"; Systematized Nomenclature of Dentistry (SNODENT)#175027D "High blood pressure")

subject: See above (Patient/example-dental: Patient A)

onset: 2013-07-06

11. http://example.org/fhir/us/dental-data-exchange/Condition/DM1-example (Condition/DM1-example)

Generated Narrative: Condition

Resource Condition "DM1-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item")

code: Diabetes mellitus type I (SNOMED CT#46635009; Systematized Nomenclature of Dentistry (SNODENT)#175321D)

subject: See above (Patient/example-dental: Patient A)

onset: 2013-07-06

12. http://example.org/fhir/us/dental-data-exchange/Condition/Dental-plaque-example (Condition/Dental-plaque-example)

Generated Narrative: Condition

Resource Condition "Dental-plaque-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern)

code: Teeth covered in plaque (finding) (SNOMED CT#276453000; Systematized Nomenclature of Dentistry (SNODENT)#108723D)

subject: See above (Patient/example-dental: Patient A)

onset: 2013-07-06

13. http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-UNK (Practitioner/practitioner-UNK)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-UNK"

identifier: http://hl7.org/fhir/sid/us-npi/555555555

name: UNK

14. http://example.org/fhir/us/dental-data-exchange/Condition/toothache-example (Condition/toothache-example)

Generated Narrative: Condition

Resource Condition "toothache-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern)

code: Toothache (finding) (SNOMED CT#27355003; Systematized Nomenclature of Dentistry (SNODENT)#131687D)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-14

15. http://example.org/fhir/us/dental-data-exchange/Condition/Swollen-gums-example (Condition/Swollen-gums-example)

Generated Narrative: Condition

Resource Condition "Swollen-gums-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Dental (Dental Category#dental)

code: Swollen gums (finding) (Systematized Nomenclature of Dentistry (SNODENT)#148393D; SNOMED CT#309685001)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-14

16. http://example.org/fhir/us/dental-data-exchange/Condition/Bleeding-gums-example (Condition/Bleeding-gums-example)

Generated Narrative: Condition

Resource Condition "Bleeding-gums-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Health Concern (US Core Condition Category Extension Codes#health-concern), Dental (Dental Category#dental)

code: Bleeding gums (Systematized Nomenclature of Dentistry (SNODENT)#148393D; SNOMED CT#86276007)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-14

17. http://example.org/fhir/us/dental-data-exchange/Condition/Caries-risk (Condition/Caries-risk)

Generated Narrative: Condition

Resource Condition "Caries-risk"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental)

code: At high risk for dental caries (finding) (Systematized Nomenclature of Dentistry (SNODENT)#179051D; SNOMED CT#609402003)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-14

18. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/example-dental-referral-1 (ServiceRequest/example-dental-referral-1)

Generated Narrative: ServiceRequest

Resource ServiceRequest "example-dental-referral-1"

identifier: urn:ietf:rfc:3986/urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4

status: ACTIVE

intent: PLAN

category: Evaluation and management of patient (procedure) (SNOMED CT#14736009 "History and physical examination with evaluation and management of patient (procedure)")

priority: ASAP

code: Patient referral for dental care (procedure) (SNOMED CT#103697008)

subject: See above (Patient/example-dental)

requester: See above (Practitioner/practitioner-M)

19. http://example.org/fhir/us/dental-data-exchange/Encounter/Comp-oral-eval (Encounter/Comp-oral-eval)

Not done yet

20. http://example.org/fhir/us/dental-data-exchange/Immunization/imm-1 (Immunization/imm-1)

Generated Narrative: Immunization

Resource Immunization "imm-1"

status: COMPLETED

vaccineCode: hepatitis B vaccine, pediatric or pediatric/adolescent dosage (PH_VaccinesAdministeredCVX_CDC_NIP#08)

patient: See above (Patient/example-dental: Patient A)

occurrence: 2020-01-04

primarySource: false

21. http://example.org/fhir/us/dental-data-exchange/Procedure/Insulin-pump-insertion (Procedure/Insulin-pump-insertion)

Generated Narrative: Procedure

Resource Procedure "Insulin-pump-insertion"

identifier: urn:ietf:rfc:3986/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff

status: COMPLETED

code: Insertion of insulin pump (procedure) (SNOMED CT#443263006)

subject: See above (Patient/example-dental)

22. http://example.org/fhir/us/dental-data-exchange/Observation/Smoker-obs-example-dental (Observation/Smoker-obs-example-dental)

Generated Narrative: Observation

Resource Observation "Smoker-obs-example-dental"

status: FINAL

category: Social History (Observation Category Codes#social-history)

code: Tobacco smoking status (LOINC#72166-2)

subject: See above (Patient/example-dental: Patient A)

effective: 2020-01-15 05:27:04+0000

issued: Jan 15, 2020, 5:27:04 AM

value: Never smoked tobacco (finding) (SNOMED CT#266919005)

23. http://example.org/fhir/us/dental-data-exchange/Observation/Education-level-example-dental (Observation/Education-level-example-dental)

Generated Narrative: Observation

Resource Observation "Education-level-example-dental"

status: FINAL

code: Highest Level of Education (LOINC#82589-3)

subject: See above (Patient/example-dental: Patient A)

effective: 2012-01-01 --> 2016-01-01

value: Received higher education college education (finding) (SNOMED CT#224302000)

24. http://example.org/fhir/us/dental-data-exchange/Observation/Present-job-example-dental (Observation/Present-job-example-dental)

Generated Narrative: Observation

Resource Observation "Present-job-example-dental"

status: FINAL

code: History of Occupation (LOINC#11341-5)

subject: See above (Patient/example-dental: Patient A)

effective: 2015-01-01 --> (ongoing)

value: Accountants and Auditors (unknown#0800)

25. http://example.org/fhir/us/dental-data-exchange/Observation/vitals-panel (Observation/vitals-panel)

Generated Narrative: Observation

Resource Observation "vitals-panel"

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Vital signs Panel (LOINC#85353-1 "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel")

subject: See above (Patient/example-dental)

effective: 2020-02-14

hasMember:

26. http://example.org/fhir/us/dental-data-exchange/Observation/respiratory-rate (Observation/respiratory-rate)

Generated Narrative: Observation

Resource Observation "respiratory-rate"

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Respiratory rate (LOINC#9279-1)

subject: See above (Patient/example-dental)

effective: 2020-02-14

value: 20 breaths/minute (Details: UCUM code /min = '/min')

27. http://example.org/fhir/us/dental-data-exchange/Observation/heart-rate (Observation/heart-rate)

Generated Narrative: Observation

Resource Observation "heart-rate"

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Heart rate (LOINC#8867-4)

subject: See above (Patient/example-dental)

effective: 1999-07-02

value: 78 beats/minute (Details: UCUM code /min = '/min')

28. http://example.org/fhir/us/dental-data-exchange/Observation/blood-pressure (Observation/blood-pressure)

Generated Narrative: Observation

Resource Observation "blood-pressure"

identifier: urn:ietf:rfc:3986/urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281

basedOn: https://acme.org/identifiers/1234

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Blood pressure systolic & diastolic (LOINC#85354-9 "Blood pressure panel with all children optional")

subject: See above (Patient/example-dental)

effective: 2020-02-14

component

code: Systolic blood pressure (LOINC#8480-6; SNOMED CT#271649006)

value: 120 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure (LOINC#8462-4)

value: 80 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')

29. http://example.org/fhir/us/dental-data-exchange/Observation/body-temperature (Observation/body-temperature)

Generated Narrative: Observation

Resource Observation "body-temperature"

status: FINAL

category: Vital Signs (Observation Category Codes#vital-signs)

code: Body temperature (LOINC#8310-5)

subject: See above (Patient/example-dental)

effective: 2020-02-14

value: 36.9 C (Details: UCUM code Cel = 'Cel')

30. http://example.org/fhir/us/dental-data-exchange/Coverage/Dental-Aetna (Coverage/Dental-Aetna)

Generated Narrative: Coverage

Resource Coverage "Dental-Aetna"

identifier: http://benefitsAetna.com/certificate/12345

status: ACTIVE

type: dental care policy (ActCode#DENTAL)

subscriber: See above (Patient/example-dental)

subscriberId: 123456

beneficiary: See above (Patient/example-dental)

dependent: 0

relationship: Self (SubscriberPolicyholder Relationship Codes#self)

period: 2020-01-01 --> 2020-01-01

Classes

-TypeValueName
*Plan (Coverage Class Codes#plan)B37FCAetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC

31. http://example.org/fhir/us/dental-data-exchange/Condition/Tooth-infection18 (Condition/Tooth-infection18)

Generated Narrative: Condition

Resource Condition "Tooth-infection18"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem List Item (Condition Category Codes#problem-list-item), Dental (Dental Category#dental)

code: Infection of tooth (Systematized Nomenclature of Dentistry (SNODENT)#181608D; SNOMED CT#427898007)

bodySite: Mandibular left second molar tooth (Systematized Nomenclature of Dentistry (SNODENT)#161372D "Permanent lower left second molar tooth"; SNOMED CT#48402004)

subject: See above (Patient/example-dental: Patient A)

32. http://example.org/fhir/us/dental-data-exchange/Condition/Mandibular-perm18-example (Condition/Mandibular-perm18-example)

Generated Narrative: Condition

Resource Condition "Mandibular-perm18-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental), Disorder of mouth (disorder) (Systematized Nomenclature of Dentistry (SNODENT)#118666D "Disease of the mouth (disorder)"; SNOMED CT#118938008)

code: Dental caries (disorder) (Systematized Nomenclature of Dentistry (SNODENT)#118065D; SNOMED CT#80967001)

bodySite: Mandibular left second molar tooth (Systematized Nomenclature of Dentistry (SNODENT)#161372D "Permanent lower left second molar tooth"; SNOMED CT#48402004)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-16

33. http://example.org/fhir/us/dental-data-exchange/Condition/Maxillary-perm7-example (Condition/Maxillary-perm7-example)

Generated Narrative: Condition

Resource Condition "Maxillary-perm7-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental)

code: Dental caries (disorder) (Systematized Nomenclature of Dentistry (SNODENT)#118065D; SNOMED CT#80967001)

bodySite: Entire permanent maxillary right lateral incisor tooth (body structure) (Systematized Nomenclature of Dentistry (SNODENT)#161941D "Permanent upper right lateral incisor tooth"; SNOMED CT#245574002)

subject: See above (Patient/example-dental: Patient A)

onset: 2019-06-10

34. http://example.org/fhir/us/dental-data-exchange/Observation/Overjet (Observation/Overjet)

Generated Narrative: Observation

Resource Observation "Overjet"

status: FINAL

category: Exam (Observation Category Codes#exam), Dental (Dental Category#dental)

code: Overjet (LOINC#32916-9 "Horizontal overlap [Length] Maxilla and Mandible Measured")

subject: See above (Patient/example-dental)

effective: 2020-02-16

value: 3 mm

35. http://example.org/fhir/us/dental-data-exchange/MedicationRequest/erythromycin-medreq-2 (MedicationRequest/erythromycin-medreq-2)

Generated Narrative: MedicationRequest

Resource MedicationRequest "erythromycin-medreq-2"

status: ACTIVE

intent: PLAN

subject: See above (Patient/example-dental: Patient A)

authoredOn: 2017-12-06

requester: See above (Practitioner/practitioner-D: Dr. John M, MD)

DosageInstructions

-TextTiming
*Take 1 tablet every six hours X10 daysStarting 2017-12-06, Once

dispenseRequest

numberOfRepeatsAllowed: 1

quantity: 500 mg (Details: UCUM code mg = 'mg')

ExpectedSupplyDurations

-ValueUnitSystemCode
*10dayshttp://unitsofmeasure.orgd

36. http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Ibuprofen-medreq-2 (MedicationRequest/Ibuprofen-medreq-2)

Generated Narrative: MedicationRequest

Resource MedicationRequest "Ibuprofen-medreq-2"

status: COMPLETED

intent: PLAN

subject: See above (Patient/example-dental: Patient A)

authoredOn: 2019-12-06

requester: See above (Practitioner/practitioner-D: Dr. John M, MD)

DosageInstructions

-TextTiming
*Take 2-3 tablets every 8 hours as needed for painStarting 2019-12-06, Once

dispenseRequest

numberOfRepeatsAllowed: 1

quantity: 200 mg (Details: UCUM code mg = 'mg')

ExpectedSupplyDurations

-ValueUnitSystemCode
*30dayshttp://unitsofmeasure.orgd

37. http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Tylenol-med-dental (MedicationRequest/Tylenol-med-dental)

Generated Narrative: MedicationRequest

Resource MedicationRequest "Tylenol-med-dental"

status: ACTIVE

intent: PLAN

subject: See above (Patient/example-dental: Patient A)

authoredOn: 2020-03-30

requester: See above (Practitioner/practitioner-D: Dr. Dental D, DMD)

DosageInstructions

-TextRoute
*take 1 tablet every 4 hours as needed for painOral use (SNOMED CT#26643006)

dispenseRequest

numberOfRepeatsAllowed: 10

quantity: 300 mg (Details: UCUM code mg = 'mg')

ExpectedSupplyDurations

-ValueUnitSystemCode
*30dayshttp://unitsofmeasure.orgd

38. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Dental-extraction-example (ServiceRequest/Dental-extraction-example)

Generated Narrative: ServiceRequest

Resource ServiceRequest "Dental-extraction-example"

status: ACTIVE

intent: PLAN

category: Surgical procedure (SNOMED CT#387713003)

code: Extraction, erupted tooth or exposed root (elevation and/or forceps removal) (cdt#D7140)

subject: See above (Patient/example-dental)

requester: See above (Practitioner/practitioner-D)

bodySite: Structure of mandibular left second molar tooth (SNOMED CT#48402004; Systematized Nomenclature of Dentistry (SNODENT)#161372D "Permanent lower left second molar tooth")

39. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Resin-restore-example (ServiceRequest/Resin-restore-example)

Generated Narrative: ServiceRequest

Resource ServiceRequest "Resin-restore-example"

status: ACTIVE

intent: PLAN

code: Preventive resin restoration in a moderate to high caries risk patient-permanent tooth (cdt#D1352)

subject: See above (Patient/example-dental)

requester: See above (Practitioner/practitioner-D)

bodySite: Entire maxillary right lateral incisor tooth (Systematized Nomenclature of Dentistry (SNODENT)#161941D "Permanent upper right lateral incisor tooth"; SNOMED CT#245574002)

40. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/prophylaxis-example (ServiceRequest/prophylaxis-example)

Generated Narrative: ServiceRequest

Resource ServiceRequest "prophylaxis-example"

status: ACTIVE

intent: PLAN

code: Preventive resin restoration in a moderate to high caries risk patient-permanent tooth (cdt#D1352)

subject: See above (Patient/example-dental)

requester: See above (Practitioner/practitioner-D)

bodySite: Entire maxillary right lateral incisor tooth (Systematized Nomenclature of Dentistry (SNODENT)#161941D "Permanent upper right lateral incisor tooth"; SNOMED CT#245574002)

41. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/Radiograph-survey (ServiceRequest/Radiograph-survey)

Generated Narrative: ServiceRequest

Resource ServiceRequest "Radiograph-survey"

status: ACTIVE

intent: PLAN

code: Full mouth radiographic survey (cdt#D0210)

subject: See above (Patient/example-dental)

requester: See above (Practitioner/practitioner-D)

42. http://example.org/fhir/us/dental-data-exchange/Procedure/Dental-flouride-tx-example (Procedure/Dental-flouride-tx-example)

Generated Narrative: Procedure

Resource Procedure "Dental-flouride-tx-example"

identifier: urn:ietf:rfc:3986/urn:uuid:c2a737f2-2fdb-49c1-b097-dac173d07aff

status: COMPLETED

code: topical application of fluoride varnish (cdt#D1206)

subject: See above (Patient/example-dental)

Performers

-Actor
*See above (Practitioner/practitioner-D)

43. http://example.org/fhir/us/dental-data-exchange/Communication/dental-education2 (Communication/dental-education2)

Generated Narrative: Communication

Resource Communication "dental-education2"

status: COMPLETED

subject: See above (Patient/example-dental)

encounter: See above (Encounter/Dental-encounter)

sent: 2020-02-16 18:01:10-0800

received: 2020-01-16 18:01:11-0800

recipient: See above (Patient/example-dental)

sender: See above (Practitioner/practitioner-D)

Payloads

-Content[x]
*Patient educated on the benefits of using a fluoride toothpaste, daily flossing, and bi-annual routine dental cleaning visits. ()

44. http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-D (Practitioner/practitioner-D)

Generated Narrative: Practitioner

Resource Practitioner "practitioner-D"

identifier: http://hl7.org/fhir/sid/us-npi/1234560000

name: John D

telecom: ph: 720-555-6443(WORK)

gender: MALE

birthDate: 1990-06-09

45. http://example.org/fhir/us/dental-data-exchange/Encounter/Dental-encounter (Encounter/Dental-encounter)

Not done yet

46. http://example.org/fhir/us/dental-data-exchange/Organization/GOHC-organization (Organization/GOHC-organization)

Generated Narrative: Organization

Resource Organization "GOHC-organization"

identifier: http://hl7.org/fhir/sid/us-npi/2316452725

active: true

type: Healthcare Provider (Organization type#prov)

name: Good Oral Health Clinic

Contacts

-TelecomAddress
*ph: (+1) 720-677-7777, customer2-service@GHclinic.org7552 W Alameda Ave Lakewood CO 80226 USA

47. http://example.org/fhir/us/dental-data-exchange/Condition/Dental-caries (Condition/Dental-caries)

Generated Narrative: Condition

Resource Condition "Dental-caries"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental)

code: Dental caries (disorder) (Systematized Nomenclature of Dentistry (SNODENT)#118065D; SNOMED CT#80967001)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-16

48. http://example.org/fhir/us/dental-data-exchange/Condition/no-chew (Condition/no-chew)

Generated Narrative: Condition

Resource Condition "no-chew"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem List Item (Condition Category Codes#problem-list-item), Dental (Dental Category#dental)

code: Unable to chew (finding) (Systematized Nomenclature of Dentistry (SNODENT)#126488D; SNOMED CT#288920002)

subject: See above (Patient/example-dental: Patient A)

49. http://example.org/fhir/us/dental-data-exchange/Condition/Chronic-periodontitis-example (Condition/Chronic-periodontitis-example)

Generated Narrative: Condition

Resource Condition "Chronic-periodontitis-example"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental), Dental Problem List (Systematized Nomenclature of Dentistry (SNODENT)#118666D "Disorder of mouth (disorder)")

code: Chronic periodontitis (disorder) (Systematized Nomenclature of Dentistry (SNODENT)#116957D; SNOMED CT#5689008)

subject: See above (Patient/example-dental: Patient A)

onset: 2020-02-14