Dental Data Exchange
1.0.0 - CI Build
Dental Data Exchange
1.0.0 - CI Build
Dental Data Exchange, published by Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dental-data-exchange/ and changes regularly. See the Directory of published versions
Generated Narrative: Composition
Resource Composition "Med-2-Dental-Referral" (Language "en-US")
identifier: urn:ietf:rfc:3986/http://any.org/1
status: FINAL
type: Dentistry Referral note (LOINC#57134-9)
encounter: See above (Encounter/Med-visit-1: PCP visit)
date: 2020-01-14 03:10:14+0000
author: See above (Practitioner/practitioner-M: Dr. John M, MD)
title: Referral Note
| Mode | Time | Party |
| Legal (CompositionAttestationMode#legal) | 2020-03-14 09:10:14+0000 | See above (PractitionerRole/PractitionerRole-M: Dr. John M, MD) |
custodian: See above (Organization/GHC-organization: Good Health Clinic)
| Allergen | Code | Manifestation | Severity |
| Penicillin G | 7908 | Skin rash | mild |
| Medication | Directions | Start Date | Status | Indications | Fill Instructions |
| Lisinopril 10 mg tab | 1 tab once/day | Active | Generic substitution allowed |
Mild, Hypertension
Type 1 diabetes
Teeth covered in plague
Toothache
Swollen Gums
Bleeding Gums
At high risk for dental carries
Toothache
Left lower quadrant pain
Bleeding gums
D0150 - Comprehensive Oral Evaluation
Patient has pain in his lower left jaw and occassional bleeding from his gums - referring for dental evaluation.
The patient has not visited a dentist or received flouride treatments in the past 4 years while away at college
| Vaccine | Date | Status |
|---|---|---|
| Hepatitis B vaccine | January 4, 2020 | Completed |
| Device Type | Procedure | Implant Date |
|---|---|---|
| Insulin Pump | Insertion of insulin pump (procedure) | November 3, 2013 |
No Procedures performed
| Social History Element | Description | Effective Dates |
| Smoking Status | NA | 2005/05/01 - 2020/03/28 |
| Highest Education Received | Collect Education | 2010/05/01 - 2014/03/28 |
| Employment | Full-time accountant | 2015/05/01 - current |
| Vital Sign | Date | Value |
| Temperature | 2020/04/15 | 98.5 |
| Heart Rate | 2020/04/15 | 78 |
| Respiration Rate | 2020/04/15 | 20 |
| Blood Pressure | 2020/04/15 | 120/80 |
No soda/sugary drinks/energy drinks
Use fluoride toothpaste
Neuropathy due to diabetes mellitus
Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride toothpaste, floss
Aetna Comprehensive Medical /Dental Insurance
No Information
2. http://example.org/fhir/us/dental-data-exchange/Patient/example-dental (Patient/example-dental)
Patient A
Identifier 5152020 Address 123 Test Dr.
Denver CO USDate of birth 01 January 1990
3. http://example.org/fhir/us/dental-data-exchange/Encounter/Med-visit-1 (Encounter/Med-visit-1)
Not done yet
4. http://example.org/fhir/us/dental-data-exchange/PractitionerRole/PractitionerRole-M (PractitionerRole/PractitionerRole-M)
Generated Narrative: PractitionerRole
Resource PractitionerRole "PractitionerRole-M"
practitioner: See above (Practitioner/practitioner-M: Dr. John M)
organization: See above (Organization/GHC-organization: Good Health Clinic)
specialty: General practice (specialty) (SNOMED CT#394814009)
5. http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-M (Practitioner/practitioner-M)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-M"
identifier:
http://hl7.org/fhir/sid/us-npi/1234569999name: John M
telecom: ph: 303-303-6443(WORK)
gender: MALE
birthDate: 1975-06-09
6. http://example.org/fhir/us/dental-data-exchange/Organization/GHC-organization (Organization/GHC-organization)
Generated Narrative: Organization
Resource Organization "GHC-organization"
identifier:
http://hl7.org/fhir/sid/us-npi/1316452725active: true
type: Healthcare Provider (Organization type#prov)
name: Good Health Clinic
Contacts
Telecom Address ph: (+1) 555-677-7777, customer-service@GHclinic.org 7551 W Alameda Ave Lakewood CO 80226 USA
7. http://example.org/fhir/us/dental-data-exchange/AllergyIntolerance/Allergy-example-dental (AllergyIntolerance/Allergy-example-dental)
Generated Narrative: AllergyIntolerance
Resource AllergyIntolerance "Allergy-example-dental"
clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)
verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)
category: MEDICATION
criticality: HIGH
code: Penicillin G (Ingredient) (RxNorm#7980 "Penicillin G")
patient: See above (Patient/example-dental: Patient A)
onset: 1998-05-01
8. http://example.org/fhir/us/dental-data-exchange/MedicationRequest/Lisinopril-medreq (MedicationRequest/Lisinopril-medreq)
Generated Narrative: MedicationRequest
Resource MedicationRequest "Lisinopril-medreq"
status: ACTIVE
intent: PLAN
subject: See above (Patient/example-dental: Patient A)
authoredOn: 2020-02-14
requester: See above (Practitioner/practitioner-M: Dr. John M, MD)
DosageInstructions
Text Timing Route Take 1 tab once a day Starting 2020-01-03, Once Oral use (SNOMED CT#26643006)
9. http://example.org/fhir/us/dental-data-exchange/Medication/Lisinopril-med-example (Medication/Lisinopril-med-example)
Lisinopril 10 mg tab
10. http://example.org/fhir/us/dental-data-exchange/Condition/HTN-example (Condition/HTN-example)
Generated Narrative: Condition
Resource Condition "HTN-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem (Condition Category Codes#problem-list-item "Problem List Item")
code: Hypertensive disorder (disorder) (SNOMED CT#38341003 "High blood pressure"; Systematized Nomenclature of Dentistry (SNODENT)#175027D "High blood pressure")
subject: See above (Patient/example-dental: Patient A)
onset: 2013-07-06
11. http://example.org/fhir/us/dental-data-exchange/Condition/DM1-example (Condition/DM1-example)
Generated Narrative: Condition
Resource Condition "DM1-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem (Condition Category Codes#problem-list-item "Problem List Item")
code: Diabetes mellitus type I (SNOMED CT#46635009; Systematized Nomenclature of Dentistry (SNODENT)#175321D)
subject: See above (Patient/example-dental: Patient A)
onset: 2013-07-06
12. http://example.org/fhir/us/dental-data-exchange/Condition/Dental-plaque-example (Condition/Dental-plaque-example)
Generated Narrative: Condition
Resource Condition "Dental-plaque-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Health Concern (US Core Condition Category Extension Codes#health-concern)
code: Teeth covered in plaque (finding) (SNOMED CT#276453000; Systematized Nomenclature of Dentistry (SNODENT)#108723D)
subject: See above (Patient/example-dental: Patient A)
onset: 2013-07-06
13. http://example.org/fhir/us/dental-data-exchange/Practitioner/practitioner-UNK (Practitioner/practitioner-UNK)
Generated Narrative: Practitioner
Resource Practitioner "practitioner-UNK"
identifier:
http://hl7.org/fhir/sid/us-npi/555555555name: UNK
14. http://example.org/fhir/us/dental-data-exchange/Condition/toothache-example (Condition/toothache-example)
Generated Narrative: Condition
Resource Condition "toothache-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Health Concern (US Core Condition Category Extension Codes#health-concern)
code: Toothache (finding) (SNOMED CT#27355003; Systematized Nomenclature of Dentistry (SNODENT)#131687D)
subject: See above (Patient/example-dental: Patient A)
onset: 2020-02-14
15. http://example.org/fhir/us/dental-data-exchange/Condition/Swollen-gums-example (Condition/Swollen-gums-example)
Generated Narrative: Condition
Resource Condition "Swollen-gums-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Health Concern (US Core Condition Category Extension Codes#health-concern), Dental (Dental Category#dental)
code: Swollen gums (finding) (Systematized Nomenclature of Dentistry (SNODENT)#148393D; SNOMED CT#309685001)
subject: See above (Patient/example-dental: Patient A)
onset: 2020-02-14
16. http://example.org/fhir/us/dental-data-exchange/Condition/Bleeding-gums-example (Condition/Bleeding-gums-example)
Generated Narrative: Condition
Resource Condition "Bleeding-gums-example"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Health Concern (US Core Condition Category Extension Codes#health-concern), Dental (Dental Category#dental)
code: Bleeding gums (Systematized Nomenclature of Dentistry (SNODENT)#148393D; SNOMED CT#86276007)
subject: See above (Patient/example-dental: Patient A)
onset: 2020-02-14
17. http://example.org/fhir/us/dental-data-exchange/Condition/Caries-risk (Condition/Caries-risk)
Generated Narrative: Condition
Resource Condition "Caries-risk"
clinicalStatus: Active (Condition Clinical Status Codes#active)
verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)
category: Problem (Condition Category Codes#problem-list-item "Problem List Item"), Dental (Dental Category#dental)
code: At high risk for dental caries (finding) (Systematized Nomenclature of Dentistry (SNODENT)#179051D; SNOMED CT#609402003)
subject: See above (Patient/example-dental: Patient A)
onset: 2020-02-14
18. http://example.org/fhir/us/dental-data-exchange/ServiceRequest/example-dental-referral-1 (ServiceRequest/example-dental-referral-1)
Generated Narrative: ServiceRequest
Resource ServiceRequest "example-dental-referral-1"
identifier:
urn:ietf:rfc:3986/urn:uid:0c2aacfc-ce7d-4652-b9ea-7280ea21dec4status: ACTIVE
intent: PLAN
category: Evaluation and management of patient (procedure) (SNOMED CT#14736009 "History and physical examination with evaluation and management of patient (procedure)")
priority: ASAP
code: Patient referral for dental care (procedure) (SNOMED CT#103697008)
subject: See above (Patient/example-dental)
requester: See above (Practitioner/practitioner-M)
19. http://example.org/fhir/us/dental-data-exchange/Encounter/Comp-oral-eval (Encounter/Comp-oral-eval)
Not done yet
20. http://example.org/fhir/us/dental-data-exchange/Immunization/imm-1 (Immunization/imm-1)
Generated Narrative: Immunization
Resource Immunization "imm-1"
status: COMPLETED
vaccineCode: hepatitis B vaccine, pediatric or pediatric/adolescent dosage (PH_VaccinesAdministeredCVX_CDC_NIP#08)
patient: See above (Patient/example-dental: Patient A)
occurrence: 2020-01-04
primarySource: false
21. http://example.org/fhir/us/dental-data-exchange/Procedure/Insulin-pump-insertion (Procedure/Insulin-pump-insertion)
Generated Narrative: Procedure
Resource Procedure "Insulin-pump-insertion"
identifier:
urn:ietf:rfc:3986/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07affstatus: COMPLETED
code: Insertion of insulin pump (procedure) (SNOMED CT#443263006)
subject: See above (Patient/example-dental)
22. http://example.org/fhir/us/dental-data-exchange/Observation/Smoker-obs-example-dental (Observation/Smoker-obs-example-dental)
Generated Narrative: Observation
Resource Observation "Smoker-obs-example-dental"
status: FINAL
category: Social History (Observation Category Codes#social-history)
code: Tobacco smoking status (LOINC#72166-2)
subject: See above (Patient/example-dental: Patient A)
issued: Jan 15, 2020, 5:27:04 AM
value: Never smoked tobacco (finding) (SNOMED CT#266919005)
23. http://example.org/fhir/us/dental-data-exchange/Observation/Education-level-example-dental (Observation/Education-level-example-dental)
Generated Narrative: Observation
Resource Observation "Education-level-example-dental"
status: FINAL
code: Highest Level of Education (LOINC#82589-3)
subject: See above (Patient/example-dental: Patient A)
effective: 2012-01-01 --> 2016-01-01
value: Received higher education college education (finding) (SNOMED CT#224302000)
24. http://example.org/fhir/us/dental-data-exchange/Observation/Present-job-example-dental (Observation/Present-job-example-dental)
Generated Narrative: Observation
Resource Observation "Present-job-example-dental"
status: FINAL
code: History of Occupation (LOINC#11341-5)
subject: See above (Patient/example-dental: Patient A)
effective: 2015-01-01 --> (ongoing)
value: Accountants and Auditors (unknown#0800)
25. http://example.org/fhir/us/dental-data-exchange/Observation/vitals-panel (Observation/vitals-panel)
Generated Narrative: Observation
Resource Observation "vitals-panel"
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Vital signs Panel (LOINC#85353-1 "Vital signs, weight, height, head circumference, oxygen saturation and BMI panel")
subject: See above (Patient/example-dental)
effective: 2020-02-14
hasMember:
26. http://example.org/fhir/us/dental-data-exchange/Communication/dental-education (Communication/dental-education)
Generated Narrative: Communication
Resource Communication "dental-education"
status: COMPLETED
category: Instruction (CommunicationCategory#instruction)
subject: See above (Patient/example-dental)
encounter: See above (Encounter/Med-visit-1)
recipient: See above (Patient/example-dental)
sender: See above (Practitioner/practitioner-M)
Payloads
Content[x] Pt. Education. Advised to see dentist regularly, brush 2x/day w/ fluoride toothpaste, floss ()
27. http://example.org/fhir/us/dental-data-exchange/Observation/respiratory-rate (Observation/respiratory-rate)
Generated Narrative: Observation
Resource Observation "respiratory-rate"
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Respiratory rate (LOINC#9279-1)
subject: See above (Patient/example-dental)
effective: 2020-02-14
value: 20 breaths/minute (Details: UCUM code /min = '/min')
28. http://example.org/fhir/us/dental-data-exchange/Observation/heart-rate (Observation/heart-rate)
Generated Narrative: Observation
Resource Observation "heart-rate"
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Heart rate (LOINC#8867-4)
subject: See above (Patient/example-dental)
effective: 1999-07-02
value: 78 beats/minute (Details: UCUM code /min = '/min')
29. http://example.org/fhir/us/dental-data-exchange/Observation/blood-pressure (Observation/blood-pressure)
Generated Narrative: Observation
Resource Observation "blood-pressure"
identifier:
urn:ietf:rfc:3986/urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281basedOn:
https://acme.org/identifiers/1234status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Blood pressure systolic & diastolic (LOINC#85354-9 "Blood pressure panel with all children optional")
subject: See above (Patient/example-dental)
effective: 2020-02-14
component
code: Systolic blood pressure (LOINC#8480-6; SNOMED CT#271649006)
value: 120 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
component
code: Diastolic blood pressure (LOINC#8462-4)
value: 80 mmHg (Details: UCUM code mm[Hg] = 'mm[Hg]')
30. http://example.org/fhir/us/dental-data-exchange/Observation/body-temperature (Observation/body-temperature)
Generated Narrative: Observation
Resource Observation "body-temperature"
status: FINAL
category: Vital Signs (Observation Category Codes#vital-signs)
code: Body temperature (LOINC#8310-5)
subject: See above (Patient/example-dental)
effective: 2020-02-14
value: 36.9 C (Details: UCUM code Cel = 'Cel')
31. http://example.org/fhir/us/dental-data-exchange/Coverage/Dental-Aetna (Coverage/Dental-Aetna)
Resource Coverage "Dental-Aetna"
identifier:
http://benefitsAetna.com/certificate/12345status: ACTIVE
type: dental care policy (ActCode#DENTAL)
subscriber: See above (Patient/example-dental)
subscriberId: 123456
beneficiary: See above (Patient/example-dental)
dependent: 0
relationship: Self (SubscriberPolicyholder Relationship Codes#self)
period: 2020-01-01 --> 2020-01-01
Classes
Type Value Name Plan (Coverage Class Codes#plan) B37FC Aetna Full Coverage: Medical, Dental, Pharmacy, Vision, EHC
IG © 2020+ Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.dental-data-exchange#1.0.0 based on FHIR 4.0.1. Generated 2024-02-28
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