Dental Data Exchange (CDA and FHIR) PSS

1a. Project Name HL7 Implementation Guide for CDA Release 2: Dental Data Exchange and HL7 Implementation Guide for HL7 FHIR R4: Dental Data Exchange 1b. Project ID 1553 1c. Is Your Project an Investigative Project (aka PSS-Lite)? No 1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU? No 1e. Today's Date 1f. Name of standard being reaffirmed 1g. Project Artifact Information 1h. ISO/IEC Standard to Adopt 1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption? 1j. Unit of Measure 2a. Primary/Sponsor WG Payer/Provider Information Exchange 2b. Co-Sponsor WG Structured Documents 2c. Co-Sponsor Level of Involvement Request periodic project updates; specify period in text box below (e.g. 'Monthly', 'At WGMs', etc.) 2c. Co-Sponsor Update Periods Monthly 2d. Project Facilitator Greg Zeller 2e. Other Interested Parties (and roles) Patient Care 2f. Modeling Facilitator Russell Ott 2g. Publishing Facilitator Russell Ott 2h. Vocabulary Facilitator Jean Narcisi 2i. Domain Expert Representative 2j. Business Requirements Analyst 2k. Conformance Facilitator 2l. Other Facilitators 2m. Implementers US Department of Defense, US Department of Veterans Affairs, and affiliated contractors VA - Document Storage Systems (DSS) DoD - Corporate Dental System (CDS) DoD - Henry Schein Dentrix 3a. Project Scope Develop two parallel implementation guides for Dental Data Exchange: • HL7 Implementation Guide for CDA Release 2: Dental Data Exchange • HL7 Implementation Guide for FHIR R4: Dental Data Exchange The guides will specify exchange standards for sharing information between dentists and other dental providers as well as between medical and dental providers. The focus of the CDA development is to develop the necessary CDA templates and supporting implementation guidance to establish a new Document Template based on the existing C-CDA 2.1 CCD document template to contain the discrete Dental Data called for in the ANSI/ADA 1084 standard. The ultimate objective is to publish an HL7 CDA Implementation Guide that provides a Dental CCD document template and supporting section and entry templates. The FHIR IG will be based on the same requirements as the CDA based Dental Information Exchange IG. This dual IG will also include bi-directional transforms from CDA to FHIR and FHIR to CDA. Attachments 3b. Project Need There currently does not exist a standard for the exchange of discrete dental observations between dental providers. While some Dental EHRs have implemented the C-CDA for data exchange, it was built primarily for medical care, and does not include the structured data elements necessary for use by dental providers. Sharing dental information exchange between the medical and dental community is limited to exchanges using paper or attaching pdf documents to a secure email and sharing directly. Creation of a dual electronic exchange in both FHIR and CDA will provide new implementers flexibility in technical approach. 3c. Security Risk No 3d. External Drivers 3e. Objectives/Deliverables and Target Dates Define data requirements - JAN 2020 Complete Modelling - MAY 2020 Ballot STU1 - SEP 2020 Complete STU1 Ballot Reconciliation - JAN 2021 Publish STU1 - MAR 2021 Ballot STU2 - JAN 2023 Complete STU2 Ballot Reconciliation - MAY 2023 Publish STU2 - AUG 2023 3f. Common Names / Keywords / Aliases: 3g. Lineage 3h. Project Dependencies 3i. HL7-Managed Project Document Repository URL: https://confluence.hl7.org/display/ATT/Dental+Summary+Exchange+Project 3j. Backwards Compatibility No 3k. Additional Backwards Compatibility Information (if applicable) 3l. Using Current V3 Data Types? Yes 3l. Reason for not using current V3 data types? 3m. External Vocabularies Yes 3n. List of Vocabularies LOINC SNODENT CDT CPT ICD-10 SNOMED RxNorm 3o. Earliest prior release and/or version to which the compatibility applies 4a. Products FHIR Implementation Guide, V3 Documents – Clinical (e.g. CDA) 4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to? FHIR R4 4c. FHIR Profiles Version FHIR R4 4d. Please define your New Product Definition 4d. Please define your New Product Family 5a. Project Intent Create new standard 5a. White Paper Type 5a. Is the project adopting/endorsing an externally developed IG? No 5a. Externally developed IG is to be (select one) 5a. Specify external organization 5a. Revising Current Standard Info 5b. Project Ballot Type STU to Normative 5c. Additional Ballot Info 5d. Joint Copyright Yes 5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval. Yes 6a. External Project Collaboration 6b. Content Already Developed 6c. Content externally developed? No 6d. List Developers of Externally Developed Content 6e. Is this a hosted (externally funded) project? No 6f. Stakeholders Clinical and Public Health Laboratories, Standards Development Organizations (SDOs), Payors, Other 6f. Other Stakeholders Dental Providers, Patients, Clearinghouses, Federal Health Sector/Institutions, Registries, Schools 6g. Vendors EHR, PHR, Health Care IT, Lab, Other 6g. Other Vendors Electronic Dental Record vendors, Dental Laboratories 6h. Providers Clinical and Public Health Laboratories, Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other 6h. Other Providers Federal Health Sector Providers 6i. Realm U.S. Realm Specific 7d. US Realm Approval Date Jan 14, 2020 7a. Management Group(s) to Review PSS CDA, FHIR 7b. Sponsoring WG Approval Date Jan 07, 2020 7c. Co-Sponsor Approval Date Jan 09, 2020 7c. Co-Sponsor 2 Approval Date 7c. Co-Sponsor 3 Approval Date 7c. Co-Sponsor 4 Approval Date 7c. Co-Sponsor 5 Approval Date 7c. Co-Sponsor 6 Approval Date 7c. Co-Sponsor 7 Approval Date 7c. Co-Sponsor 8 Approval Date 7c. Co-Sponsor 9 Approval Date 7c. Co-Sponsor 10 Approval Date 7e. CDA MG Approval Date Jan 16, 2020 7f. FMG Approval Date Jan 15, 2020 7g. V2 MG Approval Date 7h. Architecture Review Board Approval Date 7i. Steering Division Approval Date Feb 04, 2020 7j. TSC Approval Date Mar 09, 2020