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PSS_DentalDataExchange_TSCApproved_20200106.docx - Initial approved version of PSS

PSS_DentalDataExchange_Updated_2020_02_04.docx - Proposed Revisions to PSS for future consideration

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


1c. Is Your Project an Investigative Project (aka PSS-Lite)?


1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU?


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


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.


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


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:

3j. Backwards Compatibility


3k. Additional Backwards Compatibility Information (if applicable)

3l. Using Current V3 Data Types?


3l. Reason for not using current V3 data types?

3m. External Vocabularies


3n. List of Vocabularies


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?


4c. FHIR Profiles Version


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?


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


5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval.


6a. External Project Collaboration

6b. Content Already Developed

6c. Content externally developed?


6d. List Developers of Externally Developed Content

6e. Is this a hosted (externally funded) project?


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


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

Jan 06, 2020