Dental Data Exchange
1.0.0 - CI Build United States of America flag

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

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Profiles

This group contains the StructureDefinitions defined in this guide.

Dental Bundle

This profile on FHIR’s Document Bundle paradigm is applicable to the exchange of Referral Notes and Consult Notes and requires at a minimum the first entry be Dental Referral Note or Dental Consult Note Composition profiles, respectively. All other referenced resources are optional and encouraged.
Dental Referral Note

This Profile defines the Dental Referral Note profile. It contains the textual information regarding a referral to a general dentist or dental specialist as well as references to supplemental dental profiles for the referral
Dental Service Request

This profile contains information regarding the dental referral request including a required identifier and a reference to the reason for the referral, if possible. It also includes basic information such as the patient, referring provider, and encounter information that resulted in the referral.
Dental Consult Note

This profile defines the Dental Consult Note. It contains the textual information regarding what was observed and performed by a general dentist or dental specialist in response to a dental referral as well as references to supplemental dental profiles for that referral. This Dental Consult Note is linked to its Dental Referral Note via the In-Fulfillment-Of extension reference to ServiceRequest.
Dental Condition

This is the Dental Condition profile. It is intended to be used to distinguish dental-related problems from purely medically-related problem (US Core Condition).
Dental Finding

This profile is used to convey oral findings including from odontograms, periodontal assessments, tooth-specific observations, intraoral and extraoral soft tissue exams, TMJ, TMD, and occlusion assessments. Findings in this profile often support associated diagnoses (FHIR Conditions). Dental measurements are represented here as observations. Measurements are distinct from a dental problem which would be represented in the Dental Condition profile.
Dental Communication

This profile is used to convey verbal and written communication and education between providers, patients, and other members of the care team.

Terminologies

This group contains ValueSets and CodeSystems which are defined in this guide.

Dental Reason For Referral

This ValueSet contains coded prominent reasons for referral between medical and dental care settings.
Dental Observation Codes

This ValueSet contains all concepts underneath Clinical Findings (finding) concept from both SNOMED and SNODENT.
Dental Anatomy

This Valueset represents concepts representing specific teeth and areas of the oral cavity
Oral Cavity Area

This ValueSet contains codes for standard oral cavity areas of the mouth.
Tooth Identification ValueSet

A dental notation system for associating information to a specific tooth, commonly used in the United States.
Dental Category

Dental Category (type) codes

Examples

This group contains example FHIR instances provided as part of this guide

Complete Dental Referral Note Document Bundle example

This is an example of a Dental Referral Document Bundle
Complete Dental Consult Note Document Bundle example

This is an example of a Dental Consult Note Document Bundle
Dental Referral Note example

This is an example of Referral Note Composition
Dental Consultation Note example

This is an example of Consult Note Composition
Medical Encounter example

This is an example of US Core Encounter
Dental Encounter example

This is an example of US Core Encounter
Encounter- Comprehensive Oral Eval example

This is an example of US Core Encounter
Dental Referral ServiceRequest example

This is an example of ServiceRequest
Medical/Dental Coverage example

This is an example of Coverage
Dental followup - prophylaxis example

This is an example of US Core Encounter
Allergy example example

This is an example of US Core AllergyIntollerance
Medication- Ibuprofen example

This is an example of US Core Medication
MedicationRequest- Ibuprofen example

This is an example of US Core MedicationRequest
Medication- Erythromycin example

This is an example of US Core Medication
MedicationRequest- Erythromycin example

This is an example of US Core MedicationRequest
MedicationRequest- Tylenol example

This is an example of US Core MedicationRequest
MedicationRequest- Lisinporil Medication example

This is an example of US Core Medication
MedicationRequest- Lisinopril Medication Request example

This is an example of US Core MedicationRequest
Patient A example

This is an example of US Core Patient
Practitioner Dentist example

This is an example of US Core Practitioner
PractitionerRole Medical example

This is an example of US Core PractitionerRole
PractitionerRole Dentist example

This is an example of US Core PractitionerRole
Practitioner Medical example

This is an example of US Core Practitioner
Procedure- Flouride Treatment example

This is an example of US Core Procedure
Procedure- Incisor Restoration example

This is an example of US Core Procedure
Organization- Good Health Clinic example

This is an example of US Core Organization
Organization- Good Oral Health Clinic example

This is an example of US Core Organization
Condition- Dental Caries (US Core Condition) example

This is an example of Dental Condition (US Core Condition)
Condition- Dental Caries example

This is an example of Dental Condition
Organization- Good Endodontics Health Clinic example

This is an example of US Core Organization
Organization- Aetna Insurance example

This is an example of US Core Organization
Condition- Dental Caries on Permanent Mandibular 7 example

This is an example of Dental Condition
Condition- Pulpitis example

This is an example of Dental Condition
Condition- Caries on Permanent Mandibular 18 example

This is an example of Dental Condition
Condition- Plaque example

This is an example of Dental Condition
Condition- Left Lower Quadrant Pain example

This is an example of Dental Condition
Condition- Swollen gums example

This is an example of Dental Condition
Condition- Tootheache example

This is an example of Dental Condition
Condition- Bleeding gums example

This is an example of Dental Condition
Condition- Caries risk example

This is an example of Dental Condition
Condition- Tooth infection 18 example

This is an example of Dental Condition
Condition- Periodontitis example

This is an example of Dental Condition
Condition- Unable to Chew example

This is an example of Dental Condition
Condition- Hypertension example

This is an example of US Core Condition
Condition- Diabetes example

This is an example of US Core Condition
Immunization example

This is an example of US Core Immunization
Communication- Patient education example

This is an example of Communication
Communication- Patient Education 2 example

This is an example of Patient education (verbal)
Dental Observation- Overjet example

This is an example of a dental finding (measurement)
Observation- Occupation: Accountant example

This is an example of ODH past or present occupation Observation
Observation- Education level example

This is an example of education level
Observation- Smoking Status example

This is an example of smoking status
Observation- Vital signs panel example

This is an example of US Core Vitals panel
Observation- Respiratory Rate example

This is an example of Respiratory Rate
Observation- Body temperature example

This is an example of body temp
Observation- Heart rate example

This is an example of heart rate
Observation- Blood pressure example

This is an example of blood pressure
Practitioner with unknown name example

This is an example of US Core Practitioner
Procedure- Insulin pump insertion example

This is an example of US Core Procedure
Procedure- Oral evaluation example

This is an example of US Core Procedure
ServiceRequest- Extraction example

This is an example of a Dental ServiceRequest for a future dental procedure
ServiceRequest- Full Mouth Radiography imaging survey example

This is an example of a Dental ServiceRequest for a future dental procedure
ServiceRequest- Resin Restoration example

This is an example of a Dental ServiceRequest for a future dental procedure
ServiceRequest- Prophylaxis ServiceRequest example

This is an example of a requested prophylaxis treatment (ServiceRequest)

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Dental Data Exchange Client

This section describes the expected capabilities of the Dental Data Exchange Document Consumer (aka client) actor which is responsible for creating and initiating the queries for clinical documents provided by a Dental Data Exchange Document Source (aka server) actors. This CapabilityStatement imports and extends CCDAonFHIR-client CapabilityStatementCCDAonFHIR client CapabilityStatement, which imports and extends the us-core-client CapabilityStatement
Dental Data Exchange Server

This section describes the expected capabilities of the Dental Data Exchange Document Source (aka server) actor which is responsible for responding to queries for clinical documents provided by Dental Data Exchange Document Consumer (aka client) actors. This CapabilityStatement imports and extends CCDAonFHIR-server CapabilityStatement, which imports and extends the us-core-server CapabilityStatement

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

Dental Terminology Settings

The parameter defines required Dental Terminology Settings for using version-specific Snomed codes within the US