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 - XML Representation

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<ClinicalImpression xmlns="http://hl7.org/fhir">
  <id value="ExampleDentalClinicalImpression"/>
  <meta>
    <profile
             value="https://fhir.cognovis.de/dental/StructureDefinition/dental-clinical-impression"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
</div></blockquote><blockquote><div><p>Befund: Zahn 46 — Dentinkaries K02.1 MO (mesial-okklusal), Sondierungstiefe 4 mm bukkal. Vitalität positiv.</p>
</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>
</div></blockquote><blockquote><div><p>Nachsorge: Nächster Termin zur Kontrolle und ggf. Planung HKP für Zahn 46 Krone.</p>
</div></blockquote></div>
  </text>
  <status value="completed"/>
  <subject>🔗 
    <reference value="Patient/pat-gkv-01"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/enc-dental-01-kassenschein"/>
  </encounter>
  <date value="2026-01-10T10:30:00+01:00"/>
  <assessor>🔗 
    <reference value="PractitionerRole/role-schoell-gibitzenhof"/>
  </assessor>
  <finding>
    <itemReference>🔗 
      <reference value="Observation/ExampleDentalFinding"/>
    </itemReference>
  </finding>
  <finding>
    <itemReference>🔗 
      <reference value="Condition/ExampleDentalCondition"/>
    </itemReference>
  </finding>
  <note>
    <time value="2026-01-10T09:00:00+01:00"/>
    <text
          value="Anamnese: Keine Einnahme von Antikoagulanzien. Keine Allergien bekannt. Patient beschwerdefrei."/>
  </note>
  <note>
    <time value="2026-01-10T09:30:00+01:00"/>
    <text
          value="Befund: Zahn 46 — Dentinkaries K02.1 MO (mesial-okklusal), Sondierungstiefe 4 mm bukkal. Vitalität positiv."/>
  </note>
  <note>
    <time value="2026-01-10T10:00:00+01:00"/>
    <text
          value="Behandlung: Lokalanästhesie BEMA 09. Kariesexkavation Zahn 46. Kompositfüllung zweiflächig MO BEMA 13c, Material: Tetric PowerFill (Ivoclar), lichthärtend. Okklusionskontrolle. Behandlungsdauer 35 min."/>
  </note>
  <note>
    <time value="2026-01-10T10:30:00+01:00"/>
    <text
          value="Nachsorge: Nächster Termin zur Kontrolle und ggf. Planung HKP für Zahn 46 Krone."/>
  </note>
</ClinicalImpression>