Dental Data Exchange
2.0.0-ballot - 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 2.0.0-ballot 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

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