<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Findings observed during the physical examination of a single tooth." /> <purpose value="To record a narrative description and clinical interpretation of the findings observed during the physical examination of a single tooth." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="Examination_of_a_tooth"> <path value="Examination_of_a_tooth" /> <short value="Examination of a tooth" /> <definition value="Findings observed during the physical examination of a single tooth." /> <min value="1" /> <max value="1" /> <base> <path value="Examination_of_a_tooth" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.System_or_structure_examined"> <path value="Examination_of_a_tooth.System_or_structure_examined" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="1" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.System_or_structure_examined" /> <min value="1" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.System_or_structure_examined.value"> <path value="Examination_of_a_tooth.System_or_structure_examined.value" /> <short value="System or structure examined" /> <definition value="Identification of the examined body system or anatomical structure." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.System_or_structure_examined.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Tooth_label"> <path value="Examination_of_a_tooth.Tooth_label" /> <short value="Tooth label" /> <definition value="Name or nomenclature of the tooth examined." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Tooth_label" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Tooth_label.value"> <path value="Examination_of_a_tooth.Tooth_label.value" /> <short value="Tooth label" /> <definition value="Name or nomenclature of the tooth examined." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Tooth_label.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Presence"> <path value="Examination_of_a_tooth.Presence" /> <short value="Presence" /> <definition value="Presence or absence of the identified tooth." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Presence" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Presence.value"> <path value="Examination_of_a_tooth.Presence.value" /> <short value="Presence" /> <definition value="Presence or absence of the identified tooth." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Presence.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Tooth_position"> <path value="Examination_of_a_tooth.Tooth_position" /> <short value="Tooth position" /> <definition value="Identification of the position of the identified tooth." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Tooth_position" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Tooth_position.value"> <path value="Examination_of_a_tooth.Tooth_position.value" /> <short value="Tooth position" /> <definition value="Identification of the position of the identified tooth." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Tooth_position.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> 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id="Examination_of_a_tooth.No_abnormality_detected.value"> <path value="Examination_of_a_tooth.No_abnormality_detected.value" /> <short value="No abnormality detected" /> <definition value="Statement that no abnormality was detected (NAD) on physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.No_abnormality_detected.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Clinical_description"> <path value="Examination_of_a_tooth.Clinical_description" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Clinical_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Clinical_description.value"> <path value="Examination_of_a_tooth.Clinical_description.value" /> <short value="Clinical description" /> <definition value="Narrative description of the overall findings observed during the physical examination." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Clinical_description.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Condition"> <path value="Examination_of_a_tooth.Condition" /> <short value="Condition" /> <definition value="Has the tooth been restored?" /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Condition" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Condition.value"> <path value="Examination_of_a_tooth.Condition.value" /> <short value="Condition" /> <definition value="Has the tooth been restored?" /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Condition.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Gum_description"> <path value="Examination_of_a_tooth.Gum_description" /> <short value="Gum description" /> <definition value="Narrative description about the gum of the identified tooth." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Gum_description" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Gum_description.value"> <path value="Examination_of_a_tooth.Gum_description.value" /> <short value="Gum description" /> <definition value="Narrative description 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value="1" /> </base> <type> <code value="Quantity" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Findings"> <path value="Examination_of_a_tooth.Findings" /> <short value="Findings" /> <definition value="Details about the findings observed." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_a_tooth.Findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Findings.Finding"> <path value="Examination_of_a_tooth.Findings.Finding" /> <short value="Finding" /> <definition value="*" /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Findings.Finding" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Findings.Finding.value_DV_CODED_TEXT"> <path value="Examination_of_a_tooth.Findings.Finding.value_DV_CODED_TEXT" /> <short value="Finding" /> <definition value="*" /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Findings.Finding.value_DV_CODED_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Findings.Finding.value_DV_TEXT"> <path value="Examination_of_a_tooth.Findings.Finding.value_DV_TEXT" /> <short value="Finding" /> <definition value="*" /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Findings.Finding.value_DV_TEXT" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Findings.Surface"> <path value="Examination_of_a_tooth.Findings.Surface" /> <short value="Surface" /> <definition value="Surface of the tooth where the finding is observed." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Findings.Surface" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Findings.Surface.value"> <path value="Examination_of_a_tooth.Findings.Surface.value" /> <short value="Surface" /> <definition value="Surface of the tooth where the finding is observed." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Findings.Surface.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Findings.Clinical_description"> <path 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value="Examination_of_a_tooth.Examination_findings" /> <short value="Examination findings" /> <definition value="Structured details about the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_a_tooth.Examination_findings" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Multimedia_representation"> <path value="Examination_of_a_tooth.Multimedia_representation" /> <short value="Multimedia representation" /> <definition value="Digital image, video or diagram representing the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_a_tooth.Multimedia_representation" /> <min value="0" /> <max value="*" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Clinical_interpretation"> <path value="Examination_of_a_tooth.Clinical_interpretation" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="*" /> <base> <path value="Examination_of_a_tooth.Clinical_interpretation" /> <min value="0" /> <max value="*" /> </base> </element> <element id="Examination_of_a_tooth.Clinical_interpretation.value"> <path value="Examination_of_a_tooth.Clinical_interpretation.value" /> <short value="Clinical interpretation" /> <definition value="Single word, phrase or brief description that represents the clinical meaning and significance of the physical examination findings." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Clinical_interpretation.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="Examination_of_a_tooth.Comment"> <path value="Examination_of_a_tooth.Comment" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Comment" /> <min value="0" /> <max value="1" /> </base> </element> <element id="Examination_of_a_tooth.Comment.value"> <path value="Examination_of_a_tooth.Comment.value" /> <short value="Comment" /> <definition value="Additional narrative about the physical examination findings, not captured in other fields." /> <min value="0" /> <max value="1" /> <base> <path value="Examination_of_a_tooth.Comment.value" /> <min value="0" /> <max value="1" /> </base> <type> <code value="CodeableConcept" /> </type> 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