German Dental FHIR Profiles (R4)
0.36.1 - trial-use DE

German Dental FHIR Profiles (R4) - Local Development build (v0.36.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Beispiel Behandlungsjournal-Eintrag 2026-01-10 - JSON Representation

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{
  "resourceType" : "ClinicalImpression",
  "id" : "ExampleDentalClinicalImpression",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.cognovis.de/dental/StructureDefinition/dental-clinical-impression"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ClinicalImpression ExampleDentalClinicalImpression</b></p><a name=\"ExampleDentalClinicalImpression\"> </a><a name=\"hcExampleDentalClinicalImpression\"> </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-dental-clinical-impression.html\">Zahnärztlicher Behandlungsjournaleintrag (DE)</a></p></div><p><b>status</b>: Completed</p><p><b>subject</b>: <a href=\"Patient-pat-gkv-01.html\">Klaus Bergmann (official) (no stated gender), DoB: 1962-04-17 ( Krankenversichertennummer)</a></p><p><b>encounter</b>: <a href=\"Encounter-enc-dental-01-kassenschein.html\">Encounter: identifier = https://example-dental-practice.de/fall-id#DENTAL-2026-0001; status = finished; class = ambulatory (v3 Code System ActCode#AMB); period = 2026-01-10 --&gt; 2026-01-10</a></p><p><b>date</b>: 2026-01-10 10:30:00+0100</p><p><b>assessor</b>: <a href=\"PractitionerRole-role-schoell-gibitzenhof.html\">PractitionerRole Doctor</a></p><blockquote><p><b>finding</b></p><p><b>itemReference</b>: <a href=\"Observation-ExampleDentalFinding.html\">Observation Physical findings of Mouth and Throat and Teeth</a></p></blockquote><blockquote><p><b>finding</b></p><p><b>itemReference</b>: <a href=\"Condition-ExampleDentalCondition.html\">Condition Karies des Dentins</a></p></blockquote><p><b>note</b>: @2026-01-10 09:00:00+0100, @2026-01-10 09:30:00+0100, @2026-01-10 10:00:00+0100, @2026-01-10 10:30:00+0100</p><blockquote><div><p>Anamnese: Keine Einnahme von Antikoagulanzien. Keine Allergien bekannt. Patient beschwerdefrei.</p>\n</div></blockquote><blockquote><div><p>Befund: Zahn 46 — Dentinkaries K02.1 MO (mesial-okklusal), Sondierungstiefe 4 mm bukkal. Vitalität positiv.</p>\n</div></blockquote><blockquote><div><p>Behandlung: Lokalanästhesie BEMA 09. Kariesexkavation Zahn 46. Kompositfüllung zweiflächig MO BEMA 13c, Material: Tetric PowerFill (Ivoclar), lichthärtend. Okklusionskontrolle. Behandlungsdauer 35 min.</p>\n</div></blockquote><blockquote><div><p>Nachsorge: Nächster Termin zur Kontrolle und ggf. Planung HKP für Zahn 46 Krone.</p>\n</div></blockquote></div>"
  },
  "status" : "completed",
  "subject" : {
    🔗 "reference" : "Patient/pat-gkv-01"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/enc-dental-01-kassenschein"
  },
  "date" : "2026-01-10T10:30:00+01:00",
  "assessor" : {
    🔗 "reference" : "PractitionerRole/role-schoell-gibitzenhof"
  },
  "finding" : [
    {
      "itemReference" : {
        🔗 "reference" : "Observation/ExampleDentalFinding"
      }
    },
    {
      "itemReference" : {
        🔗 "reference" : "Condition/ExampleDentalCondition"
      }
    }
  ],
  "note" : [
    {
      "time" : "2026-01-10T09:00:00+01:00",
      "text" : "Anamnese: Keine Einnahme von Antikoagulanzien. Keine Allergien bekannt. Patient beschwerdefrei."
    },
    {
      "time" : "2026-01-10T09:30:00+01:00",
      "text" : "Befund: Zahn 46 — Dentinkaries K02.1 MO (mesial-okklusal), Sondierungstiefe 4 mm bukkal. Vitalität positiv."
    },
    {
      "time" : "2026-01-10T10:00:00+01:00",
      "text" : "Behandlung: Lokalanästhesie BEMA 09. Kariesexkavation Zahn 46. Kompositfüllung zweiflächig MO BEMA 13c, Material: Tetric PowerFill (Ivoclar), lichthärtend. Okklusionskontrolle. Behandlungsdauer 35 min."
    },
    {
      "time" : "2026-01-10T10:30:00+01:00",
      "text" : "Nachsorge: Nächster Termin zur Kontrolle und ggf. Planung HKP für Zahn 46 Krone."
    }
  ]
}