Integrasi Satusehat Odontogram dengan Tumbuhsehat

odontogram.md

Odontogram Data

Pengiriman data pemeriksaan Odontogram terdiri atas pengiriman data odontogram, occlusi, torus palatinus, torus mandibularis, palatum, diastema, gigi anomali, kondisi gigi dan mulut lainnya, jumlah gigi decayed, jumlah gigi missing, nama dokter pemeriksa, dan tanggal pemeriksaan menggunakan Resources Observation.

Sumber informasi:

• Modul Penerapan: Gigi - Odontogram
• Terminologi Gigi
• Terminologi Nomenklatur Gigi FDI
• Terminologi Permukaan Gigi
• Terminologi Keadaan Gigi
• Terminologi Occlusi

Odontogram

Data odontogram setiap index gigi dan sangat kompleks dari struktur data, dengan contoh payload:

• .../docs/satusehat/05-odontogram/payload-example-a.json (Gigi 11)
• .../docs/satusehat/05-odontogram/payload-example-b (Gigi 12)
• .../docs/satusehat/05-odontogram/payload-example-c (Gigi 15)

Data yang dinamik dan cukup kompleks namun memungkinkan pola:

• bodySite = hanya perlu dinamik pada coding.code dan coding.display untuk:
  1. Nomenklatur Gigi FDI, memilih indeks gigi
• component = array of objects dengan beberapa subdata yang nested object (Observation.component.code & Observation.component.valueCodeableConcept), digunakan untuk input:

no	component	categoryCode
1	Permukaan gigi	surf
2	Keadaan Gigi	cond
3	Bahan Restorasi	mtr
4	Restorasi	res
5	Bahan Protesa	mpr
6	Protesa	pro

Nomenklatur Gigi FDI

Terminologi bodySite.coding.code dan bodySite.coding.display:

code	display	indeks gigi
422653006	Structure of permanent maxillary right central incisor tooth	11
424877001	Structure of permanent maxillary right lateral incisor tooth	12
860767006	Structure of permanent maxillary right canine tooth	13
57826002	Structure of permanent maxillary right first premolar tooth	14
36492000	Structure of permanent maxillary right second premolar tooth	15
865995000	Structure of permanent maxillary right first molar tooth	16
863902006	Structure of permanent maxillary right second molar tooth	17
68085002	Structure of permanent maxillary right third molar tooth	18
424399000	Structure of permanent maxillary left central incisor tooth	21
423185002	Structure of permanent maxillary left lateral incisor tooth	22
860780009	Structure of permanent maxillary left canine tooth	23
61897005	Structure of permanent maxillary left first premolar tooth	24
23226009	Structure of permanent maxillary left second premolar tooth	25
865988009	Structure of permanent maxillary left first molar tooth	26
863901004	Structure of permanent maxillary left second molar tooth	27
87704003	Structure of permanent maxillary left third molar tooth	28
425106001	Structure of permanent mandibular left central incisor tooth	31
423331005	Structure of permanent mandibular left lateral incisor tooth	32
860782001	Structure of permanent mandibular left canine tooth	33
2400006	Structure of permanent mandibular left first premolar tooth	34
24573005	Structure of permanent mandibular left second premolar tooth	35
866006002	Structure of permanent mandibular left first molar tooth	36
863898000	Structure of permanent mandibular left second molar tooth	37
74344005	Structure of permanent mandibular left third molar tooth	38
424575004	Structure of permanent mandibular right central incisor tooth	41
423937004	Structure of permanent mandibular right lateral incisor tooth	42
860785004	Structure of permanent mandibular right canine tooth	43
80140008	Structure of permanent mandibular right first premolar tooth	44
8873007	Structure of permanent mandibular right second premolar tooth	45
866005003	Structure of permanent mandibular right first molar tooth	46
863899008	Structure of permanent mandibular right second molar tooth	47
38994002	Structure of permanent mandibular right third molar tooth	48
88824007	Structure of deciduous maxillary right central incisor tooth	51
65624003	Structure of deciduous maxillary right lateral incisor tooth	52
30618001	Structure of deciduous maxillary right canine tooth	53
17505006	Structure of deciduous maxillary right first molar tooth	54
27855007	Structure of deciduous maxillary right second molar tooth	55
51678005	Structure of deciduous maxillary left central incisor tooth	61
43622005	Structure of deciduous maxillary left lateral incisor tooth	62
73937000	Structure of deciduous maxillary left canine tooth	63
45234009	Structure of deciduous maxillary left first molar tooth	64
51943008	Structure of deciduous maxillary left second molar tooth	65
89552004	Structure of deciduous mandibular left central incisor tooth	71
14770005	Structure of deciduous mandibular left lateral incisor tooth	72
43281008	Structure of deciduous mandibular left canine tooth	73
38896004	Structure of deciduous mandibular left first molar tooth	74
49330006	Structure of deciduous mandibular left second molar tooth	75
67834006	Structure of deciduous mandibular right central incisor tooth	81
22445006	Structure of deciduous mandibular right lateral incisor tooth	82
6062009	Structure of deciduous mandibular right canine tooth	83
58646007	Structure of deciduous mandibular right first molar tooth	84
61868007	Structure of deciduous mandibular right second molar tooth	85

Permukaan Gigi (surf)

Terminologi component.code.coding:

{
    "system": "http://loinc.org",
    "code": "32889-8",
    "display": "Surface [Identifier] Tooth"
}

Terminologi component.valueCodeableConcept.coding dan component.valueCodeableConcept.display

code	display	shortcode
710099007	Mesial	M
257885003	Occlusion-action	O
46053002	Distal	D
302990001	Buccalis	V
255579002	Palatal-lingual	L

Keadaan Gigi (cond)

Terminologi component.code.coding:

{
    "system": "http://snomed.info/sct",
    "code": "278544002",
    "display": "Tooth finding"
}

Terminologi component.valueCodeableConcept:

system	coding.code	coding.display	shortCode
http://snomed.info/sct	162005007	No tooth problem	sou = Gigi sehat, normal, tanpa kelainan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000090	Gigi tidak ada/ tidak diketahui	non = Gigi tidak ada/ tidak diketahui
http://snomed.info/sct	278658009	Tooth Unerupted	une = Un-erupted
http://snomed.info/sct	278660006	Tooth partially erupted	pre = Partial erupted
http://snomed.info/sct	129263008	Impacted tooth	imv = Impacted visible
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000091	Anomali	ano = Anomali
http://snomed.info/sct	734009000	Diastema of teeth	dia = Diastema
http://snomed.info/sct	53963006	Excessive attrition of teeth	att = Atrisi
http://snomed.info/sct	47222000	Friction injury of tooth	abr = Abrasi
http://snomed.info/sct	80967001	Dental caries	car = Caries/ Karies
http://snomed.info/sct	278590005	Fractured dental crown	cfr = Crown Fracture/ Fraktur Mahkota
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000092	Gigi Non-Vital	nvt = Gigi Non-Vital
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000093	Sisa Akar	rrx = Sisa Akar
http://snomed.info/sct	234948008	Tooth absent	mis = Gigi Hilang
http://snomed.info/sct	278661005	Tooth present	Pre = tooth present
http://snomed.info/sct	307084006	Unable to process information	non = no information
http://snomed.info/sct	397797004	Tooth erupted	eru = erupting
http://snomed.info/sct	66569006	Retained dental root	rrx = Retained root
http://snomed.info/sct	272305001	Dentine pin	ppx = Parapulpal pin
http://snomed.info/sct	70931000	Pathological resorption of tooth	rex = Resorption
http://snomed.info/sct	57602001	Denticles	dex = Denticle
http://snomed.info/sct	35452009	Dilaceration of tooth	dix = Dilacerations
http://snomed.info/sct	109683005	Fracture of dental root	frx = Root fracture
http://snomed.info/sct	287451003	Tooth cavity drilled and filled	cav = cavity
http://snomed.info/sct	39273001	Apical periodontitis	app = apical periodontitis
http://snomed.info/sct	17552000	Dental calculus	cal = calculus
http://snomed.info/sct	82212003	Erosion of teeth	ero = erosion
http://snomed.info/sct	30265004	Dental fluorosis	Flu = fluorosis
http://snomed.info/sct	252283005	Marginal periodontitis	map = marginal periodontitis
http://snomed.info/sct	716296001	Perforation of dental restoration	pex = perforation
http://snomed.info/sct	699457000	Mesial inclination of tooth	M.ver = Mesio version
http://snomed.info/sct	699651005	Distal inclination of tooth	D.ver = Disto version
http://snomed.info/sct	109498002	Tooth in buccoversion	V.ver = Vestibule version
http://snomed.info/sct	109499005	Tooth in linguoversion	L.ver = Linguo version
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000103	Palatoversion	P.ver = Palato version
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000104	Mesiolinguoversion	ML.ver = Mesiolinguo version
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000105	Mesiopalatoversion	MP.ver = Mesiopalato version
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000106	Distolabioversion	DL.ver = Distolabioversion
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000107	Distovestibuloversion	DV.ver = Distovestibulo version
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000108	Distopalatoversion	DP.ver = Distopalato version
http://snomed.info/sct	272274004	Occlusal appliance	spl = splint

Bahan Restorasi (mtr)

Terminologi component.code.coding:

{
    "system": "http://snomed.info/sct",
    "code": "432680005",
    "display": "Dental filling material"
}

Terminologi component.valueCodeableConcept:

system	coding.code	coding.display	shortCode
http://snomed.info/sct	256447001	Amalgam (silver) dental filling material	amf = Amalgam Filling
http://snomed.info/sct	256454007	Glass-ionomer dental material	gif = GIC/ Silika
http://snomed.info/sct	256452006	Composite dental filling material	cof = Composite filling
http://snomed.info/sct	256455008	Fissure sealant material	fis = Fissure Sealant
http://snomed.info/sct	278557005	Dental glass-ionomer filling present	gif= glass ionomer filling
http://snomed.info/sct	261253002	Ceramic	cef= ceramic filling
http://snomed.info/sct	733965001	Malleable tooth colored material	tcf = tooth coloured filling
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000114	unidentified filing	uif = unidentified filing
http://snomed.info/sct	256511000	Acrylic dental material	acr = Acrilic
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000115	Full Metal Dental Material	fm = Full Metal
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000116	Non-precious Metal Dental Material	npm = Non-precious metal
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000117	Gold Metal Dental Material	gm = Gold Metal
http://snomed.info/sct	256496006	Gold alloy	go = Gold
http://snomed.info/sct	256485003	Porcelain bonded to metal foil	mp = Metal Porcelain
http://snomed.info/sct	256532008	Root canal filling material	rfx = Root filling
http://snomed.info/sct	256480008	Dental porcelain material	por = Porcelain
http://snomed.info/sct	261253002	Ceramic	cer = Ceramic

Restorasi (res)

Terminologi component.code.coding:

{
    "system": "http://snomed.info/sct",
    "code": "251335007",
    "display": "Dental restoration or prosthesis shade"
}

Terminologi component.valueCodeableConcept:

system	coding.code	coding.display	shortCode
http://snomed.info/sct	468240009	Dental crown, metal	fmc = Full Metal Crown
http://snomed.info/sct	468254001	Dental crown, ceramic	poc = Porcelain Crown
http://snomed.info/sct	468778007	Metal dental crown with ceramic coating	mpc = Metal Porcelain Crown
http://snomed.info/sct	272291000	Full gold crown	gmc = Gold Metal Crown
http://snomed.info/sct	706370006	Root canal post	rct = Root Canal Treatment / Perawatan Saluran Akar
http://snomed.info/sct	468993001	Dental implant system	ipx = Implan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000094	Metal Bridge	meb = Metal Bridge
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000095	Porcelain Bridge	pob = Porcelain Bridge
http://snomed.info/sct	260930001	Pontic	pon = Pontic
http://snomed.info/sct	707144009	Finding of condition of abutment tooth	abu = Gigi abutment
http://snomed.info/sct	272287005	Inlay dental restoration	inl = Inlay
http://snomed.info/sct	277487004	Onlay dental restoration	onl = Onlay
http://snomed.info/sct	272289008	Crown	cr= Crown
http://snomed.info/sct	272299003	Bridge - dental	br = Bridge
http://snomed.info/sct	278553009	Dental veneer present	dv = Dental Veener
http://snomed.info/sct	278550007	Dental filling present	df = Dental Filling

Bahan Protesa (mpr)

Terminologi component.code.coding:

{
    "system": "http://snomed.info/sct",
    "code": "256509009",
    "display": "Maxillofacial prosthesis and appliance material"
}

Terminologi component.valueCodeableConcept:

system	coding.code	coding.display	shortCode
http://snomed.info/sct	256511000	Acrylic dental material	acr = Acrilic
http://snomed.info/sct	256525004	Maxillofacial prosthesis or appliance material - metal	bmp = Bahan Metal Protesa
http://snomed.info/sct	256504004	Polycarbonate dental material	bpp = Bahan Polycarbonat Protesa

Protesa (pro)

Terminologi component.code.coding:

{
    "system": "http://snomed.info/sct",
    "code": "34026-5",
    "display": "Dental prosthesis"
}

Terminologi component.valueCodeableConcept:

system	coding.code	coding.display	arti
http://snomed.info/sct	272256008	Partial denture	prd = Partial Denture
http://snomed.info/sct	272253000	Full/full dentures	fld = Full Denture
http://snomed.info/sct	706359004	Denture clasp	cla = Clasp
http://snomed.info/sct	272254006	Complete upper denture	fud = Full upper denture
http://snomed.info/sct	278428009	Partial lower denture	pld = Partial lower denture
http://snomed.info/sct	278426008	Partial upper denture	pud = Partial upper denture
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000109	Hybrid Lower Denture	hld = Hybrid lower denture
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000110	Hybrid Upper Denture	hud = Hybrid upper denture

odontogram_details.md

Odontogram Data

Pengiriman data pemeriksaan Odontogram terdiri atas pengiriman data odontogram, occlusi, torus palatinus, torus mandibularis, palatum, diastema, gigi anomali, kondisi gigi dan mulut lainnya, jumlah gigi decayed, jumlah gigi missing, nama dokter pemeriksa, dan tanggal pemeriksaan menggunakan Resources Observation.

Sumber informasi:

• Modul Penerapan: Gigi - Odontogram
• Terminologi Gigi
• Terminologi Occlusi

Odontogram: Observasi Gigi

Memiliki 10 item / kategori data, dari semua item diketahui pola data pada payload, semua bersifat opsional untuk diintegrasikan, dengan syarat memiliki nilai default atau diisi oleh user. Input berupa pilihan, text / string, dan number / integer.

Occlusi

Payload: ...docs/satusehat/05-odontogram/payload-occlusi.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "25272006",
                "display": "Dental occlusion"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	Deskripsi Pilihan / shortCode
http://snomed.info/sct	278683009	No malocclusion	(Default) nor = Normal Bite
http://snomed.info/sct	109495004	Crossbite	crb = Cross Bite
http://snomed.info/sct	60476005	Deep overbite	stb = Steep Bite
http://snomed.info/sct	49827005	Disto-occlusion of teeth	dio = distal occlusion
http://snomed.info/sct	405258007	Displacement of tooth	dis = displacement (midline)
http://snomed.info/sct	110321001	Edge to edge occlusion of teeth	ebt = edge to edge bite
http://snomed.info/sct	70305005	Horizontal overbite	hbt =horizontal overlap
http://snomed.info/sct	110322008	Mesial step occlusion of primary dentition	meo = mesial occlusion
http://snomed.info/sct	50033000	Tooth migration, function	mig = migration
http://snomed.info/sct	35580009	Open bite	obt = openbite
http://snomed.info/sct	235088005	Reverse overjet	rbt = reverse overbite
http://snomed.info/sct	38089000	Rotation of tooth	rot = rotation
http://snomed.info/sct	23234003	Vertical overbite	sbt = scissors bite
http://snomed.info/sct	734008008	Spacing of teeth	spa = spacing
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000111	Tilted Tooth	til = tilted tooth

Torus Palatinus

Payload: ...docs/satusehat/05-odontogram/payload-torus-palatinus.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "46752004",
                "display": "Torus palatinus"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	Deskripsi Pilihan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000074	Tidak ada Torus Palatinus	(Default) Tidak Ada
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000075	Torus Palatinus Kecil	Kecil
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000076	Torus Palatinus Sedang	Sedang
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000077	Torus Palatinus Besar	Besar
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000078	Torus Palatinus Palatinus	Multiple

Torus Mandibularis

Payload: ...docs/satusehat/05-odontogram/payload-torus-mandibularis.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "11625007",
                "display": "Torus mandibularis"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	Deskripsi Pilihan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000079	Tidak ada Torus Mandibularis	(Default) Tidak ada
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000080	Torus Mandibularis Sisi Kiri	Sisi Kiri
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000081	Torus Mandibularis Sisi Kanan	Sisi Kanan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000082	Torus Mandibularis pada Kedua Sisi	Kedua Sisi

Palatum

Payload: ...docs/satusehat/05-odontogram/payload-palatum.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://loinc.org",
                "code": "32460-8",
                "display": "Physical findings of Palate"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	Deskripsi Pilihan
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000083	Palatum Dalam	(Default) Dalam
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000084	Palatum Sedang	Sedang
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000085	Palatum Rendah	Rendah

Diastema

Payload: ...docs/satusehat/05-odontogram/payload-diastema.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "734009000",
                "display": "Diastema of teeth"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	text
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000086	Tidak Ada Diastema	(Default) null or -
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000087	Ada Diastema	user input: string

Anomali

Payload: ...docs/satusehat/05-odontogram/payload-anomali.json, membutuhkan input pilihan.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://snomed.info/sct",
                "code": "81256000",
                "display": "Anomaly of tooth position"
            }
        ]
    },
}

Terminologi object Observation.component.valueCodeableConcept.coding:

system	code	display	text
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000088	Tidak Ada Gigi Anomali	(Default) null or -
http://terminology.kemkes.go.id/CodeSystem/clinical-term	OV000089	Ada Gigi Anomali	user input: string

Kondisi Gigi dan Mulut Lainnya

Payload: ...docs/satusehat/05-odontogram/payload-other.json, membutuhkan input string / text.

Terminologi object Observation.code.coding:

{
    "code": {
        "coding": [
            {
                "system": "http://terminology.kemkes.go.id/CodeSystem/clinical-term",
                "code": "OC000060",
                "display": "Kondisi Gigi dan Mulut Lainnya"
            }
        ]
    },
}

Terminologi object Observation.valueString:

• user input
• string
• default: Tidak ada
• Contoh: "Gusi kemerahan, bengkak, dan terasa lunak saat disentuh. Ditemukan pustula pada bukal gigi 14 dengan diameter 3 mm, mobility negatuf, dan nyeri tekan positif"

Jumlah Gigi (Decayed, Missing, Filled)

Hanya berbeda pada Observation.code.coding.code dan Observation.code.coding.display dengan input int

1. Decayed, .../docs/satusehat/05-odontogram/payload-tooth-decayed.json:

   Terminologi object Observation.code.coding:

   {
       "code": {
           "coding": [
               {
                   "system": "http://snomed.info/sct",
                   "code": "251319000",
                   "display": "Decayed tooth count"
               }
           ]
       },
   }

   Terminologi object Observation.valueInteger:

   • integer
   • default: 0

2. Missing, .../docs/satusehat/05-odontogram/payload-tooth-missing.json:

   Terminologi object Observation.code.coding:

   {
       "code": {
           "coding": [
               {
                   "system": "http://snomed.info/sct",
                   "code": "251317003",
                   "display": "Missing tooth count"
               }
           ]
       },
   }

   Terminologi object Observation.valueInteger:

   • integer
   • default: 0

3. Filled, .../docs/satusehat/05-odontogram/payload-tooth-filled.json

   Terminologi object Observation.code.coding:

   {
       "code": {
           "coding": [
               {
                   "system": "http://snomed.info/sct",
                   "code": "251318008",
                   "display": "Filled tooth count"
               }
           ]
       },
   }

   Terminologi object Observation.valueInteger:

   • integer
   • default: 0

paylaod-frontend-odontogram-example.json

{
    "_info": "PUT /records/{id} - field 'odontogram' payload from frontend",
    "_note": "Frontend sends tooth FDI number + abbreviation status codes. Backend transforms to full FHIR Observation via OdontogramMapper.",
    "_abbreviation_reference": "See docs/satusehat/05-odontogram/odontogram.md for complete abbreviation list per category",

    "odontogram": [
        {
            "toothId": "11",
            "statuses": [
                {
                    "category": "surf",
                    "items": ["M"]
                },
                {
                    "category": "cond",
                    "items": ["sou", "une", "mis"]
                }
            ]
        },
        {
            "toothId": "15",
            "statuses": [
                {
                    "category": "surf",
                    "items": ["F"]
                },
                {
                    "category": "mtr",
                    "items": ["sou", "une", "mis"]
                },
                {
                    "category": "pro",
                    "items": ["prd", "fld"]
                }
            ]
        }
    ]
}

payload-frontend-odontogram-details.json

{
    "odontogram_details": {
        "occlusion": "nor",
        "palatinus": "Tidak Ada",
        "mandibularis": "Tidak Ada",
        "palatum": "Dalam",
        "diastema": {
            "status": "Ada Diastema",
            "detail": "Diastema pada gigi 11 dan 21",
            "_comment": "Jika status adalah 'Ada Diastema', maka detail harus diisi dengan informasi lebih lanjut tentang diastema tersebut."
        },
        "anomali": {
            "status": "Ada Gigi Anomali",
            "detail": "Gigi anomali pada gigi 31",
            "_comment": "Jika status adalah 'Ada Gigi Anomali', maka detail harus diisi dengan informasi lebih lanjut tentang gigi anomali tersebut."
        },
        "other": "Detail tambahan tentang kondisi gigi lainnya jika diperlukan.",
        "decayed": 2,
        "missing": 0,
        "filled": 1,
        "_comment": "Jumlah gigi yang berlubang (decayed), hilang (missing), dan terisi (filled) harus diisi dengan angka yang sesuai."
    }
}