Dental Data Exchange
2.0.0-ballot - CI Build

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 2.0.0-ballot 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

## ValueSet: Dental Reason For Referral

Official URL: http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-reason-for-referral | Version: 2.0.0-ballot
Draft as of 2025-04-07 | Computable Name: DentalReasonForReferral
Copyright/Legal: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

This ValueSet contains coded prominent reasons for referral between medical and dental care settings or between dental care settings.

References

- Dental Service Request

### Logical Definition (CLD)

Generated Narrative: ValueSet dental-reason-for-referral

version: 15; Last updated: 2021-07-19 16:08:39+0000;

Information Source: #MmL7qsaf7XO0rR5c

This value set includes codes based on the following rules:

- Include these codes as defined in `http://snomed.info/sct`

  Code | Display
  27355003 | Toothache
  11114002 | Sore gums
  309685001 | Swollen gums
  80967001 | Dental caries
  110475006 | Compliance with suggested dental care
  397869004 | Dental trauma
  65124004 | Swelling
  1071000119107 | Oral lesion
  298376001 | Temporomandibular joint painful on movement
  82212003 | Erosion of teeth
  52031007 | Erosion of teeth due to persistent vomiting
  87715008 | Xerostomia
  110299009 | Poor oral hygiene
  6288001 | Accretion on teeth
  128477000 | Abscess
  40733004 | Infectious disease
  73211009 | Diabetes mellitus
  77386006 | Pregnant
  103697008 | Patient referral for dental care (procedure)
  234972003 | Disturbance of tooth eruption or exfoliation
  47944004 | Malocclusion of teeth

- Include these codes as defined in `http://www.ada.org/snodent`

  Code | Display | Definition
  131687D | Toothache |
  104458D | Sore gums |
  148393D | Swollen gums |
  118065D | Dental caries |
  146328D | Compliance with suggested dental care |
  128117D | Dental trauma |
  128015D | Swelling |
  180678D | Oral lesion |
  167337D | Temporomandibular joint painful on movement |
  135988D | Erosion of teeth |
  104212D | Erosion of teeth due to persistent vomiting |
  138508D | Xerostomia |
  140234D | Poor oral hygiene | Poor oral hygiene
  127701D | Accretion on teeth |
  123286D | Abscess |
  138169D | Infectious disease |
  133643D | Diabetes mellitus |
  174950D | Pregnant |
  144684D | Disturbance of tooth eruption or exfoliation |
  150365D | Malocclusion of teeth |

- Include these codes as defined in `http://hl7.org/fhir/sid/icd-10-cm`

  Code | Display
  K08.89 | Other specified disorders of teeth and supporting structures
  K06.8 | Other specified disorders of gingiva and edentulous alveolar ridge
  K02.9 | Dental caries, unspecified
  Z09 | Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
  T79.9XXA | Unspecified early complication of trauma, initial encounter
  M26.69 | Other specified disorders of temporomandibular joint
  K03.2 | Erosion of teeth
  R68.2 | Dry mouth, unspecified
  K03.6 | Deposits [accretions] on teeth
  K12.2 | Cellulitis and abscess of mouth
  E13.9 | Other specified diabetes mellitus without complications
  Z33.1 | Pregnant state, incidental
  Z02.9 | Encounter for Administrative exam, unspecified
  K00.6 | Disturbances in tooth eruption
  M26.4 | Malocclusion, unspecified

### Expansion

ValueSet

Expansion based on code system fragment http://www.ada.org/snodent Systematized Nomenclature of Dentistry (SNODENT) v2.1.0 (CodeSystem)

Expansion from tx.fhir.org based on:

- codesystem International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) version2024
- SNOMED CT United States edition 01-Mar 2025
- codesystem Systematized Nomenclature of Dentistry (SNODENT) v2.1.0 (CodeSystem)

This value set contains at least 37 concepts

Code | System | Display (en-US) | Definition
27355003 | http://snomed.info/sct | Toothache |
11114002 | http://snomed.info/sct | Gingival pain |
309685001 | http://snomed.info/sct | Swollen gums |
80967001 | http://snomed.info/sct | Dental caries |
110475006 | http://snomed.info/sct | Compliance with suggested dental care |
397869004 | http://snomed.info/sct | Dental trauma (disorder) |
65124004 | http://snomed.info/sct | Swelling |
1071000119107 | http://snomed.info/sct | Oral lesion |
298376001 | http://snomed.info/sct | Temporomandibular joint painful on movement |
82212003 | http://snomed.info/sct | Erosion of teeth |
52031007 | http://snomed.info/sct | Erosion of teeth due to persistent vomiting |
87715008 | http://snomed.info/sct | Aptyalism |
110299009 | http://snomed.info/sct | Poor oral hygiene |
6288001 | http://snomed.info/sct | Accretion on teeth |
128477000 | http://snomed.info/sct | Abscess (disorder) |
40733004 | http://snomed.info/sct | Infectious disease |
73211009 | http://snomed.info/sct | Diabetes mellitus |
77386006 | http://snomed.info/sct | Pregnancy |
103697008 | http://snomed.info/sct | Patient referral for dental care |
234972003 | http://snomed.info/sct | Disturbance of tooth eruption or exfoliation |
47944004 | http://snomed.info/sct | Malocclusion of teeth |
140234D | http://www.ada.org/snodent | Poor oral hygiene | Poor oral hygiene
K08.89 | http://hl7.org/fhir/sid/icd-10-cm | Other specified disorders of teeth and supporting structures |
K06.8 | http://hl7.org/fhir/sid/icd-10-cm | Oth disrd of gingiva and edentulous alveolar ridge |
K02.9 | http://hl7.org/fhir/sid/icd-10-cm | Dental caries, unspecified |
Z09 | http://hl7.org/fhir/sid/icd-10-cm | Encntr for f/u exam aft trtmt for cond oth than malig neoplm |
T79.9XXA | http://hl7.org/fhir/sid/icd-10-cm | Unspecified early complication of trauma, initial encounter |
M26.69 | http://hl7.org/fhir/sid/icd-10-cm | Other specified disorders of temporomandibular joint |
K03.2 | http://hl7.org/fhir/sid/icd-10-cm | Erosion of teeth |
R68.2 | http://hl7.org/fhir/sid/icd-10-cm | Dry mouth, unspecified |
K03.6 | http://hl7.org/fhir/sid/icd-10-cm | Deposits [accretions] on teeth |
K12.2 | http://hl7.org/fhir/sid/icd-10-cm | Cellulitis and abscess of mouth |
E13.9 | http://hl7.org/fhir/sid/icd-10-cm | Other specified diabetes mellitus without complications |
Z33.1 | http://hl7.org/fhir/sid/icd-10-cm | Pregnant state, incidental |
Z02.9 | http://hl7.org/fhir/sid/icd-10-cm | Encounter for administrative examinations, unspecified |
K00.6 | http://hl7.org/fhir/sid/icd-10-cm | Disturbances in tooth eruption |
M26.4 | http://hl7.org/fhir/sid/icd-10-cm | Malocclusion, unspecified |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code