Dentistry

Dentistry

Indian Health Project

Description on Oral Health Status form

SCTID

Fully specified name (SNOMED)

Parent SCTID, FSN

Last exam date

722353005

Date of last oral examination (observable entity)

840644009 |Date of last oral examination (observable entity)|

# of remaining teeth

251321005

Present tooth count (observable entity)

364133007 |Measure of dentition (observable entity)|

Estimate # of teeth with active carious lesions

251319000

Decayed tooth count (observable entity)

364133007 |Measure of dentition (observable entity)|

Any abscessed teeth

246209001

Number of abscesses (observable entity) ( or add # of endodontic abscesses as child)



Any teeth requiring immediate restoration or treatment?

Need new concept

model after immediately necessary treatment as an obs entity



Community periodontal index (by sextant)

251309006

Community periodontal index of treatment need (observable entity)

251306004 |Index of periodontal condition (observable entity)|

Community periodontal index (CPI) scores







Carious teeth, 1-3

251319000

Decayed tooth count (observable entitiy) can we add these as children?



Carious teeth 4-9



concrete ranges under discussion: https://confluence.ihtsdotools.org/pages/viewpage.action?spaceKey=IAP&title=Requirements+for+implementation+of+concrete+domains



Carious teeth 10 or more



concrete ranges under discussion: https://confluence.ihtsdotools.org/pages/viewpage.action?spaceKey=IAP&title=Requirements+for+implementation+of+concrete+domains











Any teeth identified for extraction due to caries, perio disease or abscess?

Need new concept

possibly model after 183976008 Operative procedure planned (situation)



Any abnormal oral lesions indicated for biopsy

183993008

Biopsy planned (situation)



Any definitively diagnosed oral and pharyngeal cancer

363505006

Malignant tumor of oral cavity (disorder)



Active caries depth (by sextant)

Need new concept

as child of 425170006, depth of lesion? Add as child depth of carious dental lesion



Active caries depth (1-4)



Can likely adapt to E1, E2, D1, D2, D3 and into pulp











Caries risk

609400006

At low risk for dental caries (finding)





609401005

At moderate risk for dental caries (finding)





609402003

At high risk for dental caries (finding)



Smoking

266918002

tobacco smoking consumption (observable entity)





77176002

current smoker (finding)





56771006

Heavy smoker (over 20/day) (finding)







multiple others- what do we need or want?











Diabetes

44054006

Diabetes mellitus type 2 (disorder)





46635009

Diabetes mellitus type 1 (disorder)



Dry Mouth

87715008

Xerostomia (disorder)





  • The first column contains the metrics that they are trying to capture, the other columns are possible concepts that currently exist and any that may be needed.  

  • We would like feedback on the observable entities, the existing concepts are under modeled with no attributes, and many of the findings to not have an observable to "interpret" and are also under modeled.

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