Respondent sequence number
Overall Oral Health Exam Status
Referral Status Code
Must always take antibiotics?
Had a heart problem?
Had congenital heart murmurs?
Had heart valve problem?
Had congenital heart disease?
Had bacterial endocarditis?
Had rheumatic fever?
Have kidney disease w/ renal dialysis?
Have other artificial material?
Have a hip, bone, or joint replacement?
Past 30 days / painful tooth?
How many days / painful tooth?
Overall recommendation for care
Untreated Caries / Restorative needs
Periodontal needs
Gingival / OHI needs
Assessment of soft tissue lesion
Some other finding
No significant needs