SNODENT is a terminology designed for use in the electronic health records (EHR) environment and its features include:
• An oral health resource with a granular clinical content
• Provides consistent oral health content for use in electronic dental records
• Is mapped to other standard terminologies
• Is included in the ONC ISA
• Is recognized by and included in HL7/FHIR standards developed for dental data exchange
The ADA is a leader in the development, publication, and implementation of interoperability standards in the oral health care setting, and is an American National Standards Institute (ANSI) Accredited Standards Development Organization for dental information technology through its Standards Committee on Dental Informatics (SCDI). The SCDI membership consists of a broad range of stakeholder interests, including technology vendors, dental plans, clearinghouses, national dental specialty organizations, practicing dentists, and academics.
Submitted By: Jean Narcisi / American Dental Association | |
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Data Element Information | |
Rationale for Separate Consideration | SNODENT is a terminology designed for use in the electronic health records (EHR) environment and its features include: • An oral health resource with a granular clinical content • Provides consistent oral health content for use in electronic dental records • Is mapped to other standard terminologies • Is included in the ONC ISA • Is recognized by and included in HL7/FHIR standards developed for dental data exchange |
Use Case Description(s) | |
Use Case Description | • Use Case 1 Medical to Dental Referral Note • Use Case 2 Dental to Medical Consult Note • Use Case 3 Dental to Dental (Specialist) Referral Note • Use Case 4 Dental (Specialist) to Dental (General Dentist) Consult Note |
Estimated number of stakeholders capturing, accessing using or exchanging | The ADA currently has more than 163,000 member stakeholders. In addition, the Department of Defense plans to implement the HL7 dental summary exchange standards that include SNODENT as part of their dental readiness program for reservists and active duty personnel. |
Link to use case project page | http://hl7.org/fhir/us/dental-data-exchange/2020Sep/index.html |
Healthcare Aims |
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Maturity of Use and Technical Specifications for Data Element | |
Applicable Standard(s) | N/A |
Additional Specifications | HL7 FHIR® Implementation Guide: Dental Data Exchange, Release 1 - US Realm; HL7 CDA R2 Implementation Guide: Dental Data Exchange, Release 1 - US Realm; HL7 CDA® R2 Implementation Guide: Exchange of C-CDA Based Documents; Periodontal Attachment, Release 1 - US Realm; HL7 CDA® R2 Implementation Guide: Orthodontic Attachment, Release 1 - US Realm |
Current Use | In limited use in test environments only |
Supporting Artifacts |
The Department of Defense plans to implement the HL7 dental summary exchange standards as part of their dental readiness program for reservists and active duty personnel. The FHIR Dental Data Exchange implementation guide was tested at the May 2020 HL7 Connectathon. https://confluence.hl7.org/display/FHIR/2020-05+Connectathon+24 |
Number of organizations/individuals with which this data element has been electronically exchanged | 4 |
Supporting Artifacts |
May 2020 HL7 Connectathon https://confluence.hl7.org/display/FHIR/2020-05+Connectathon+24 |
Potential Challenges | |
Restrictions on Standardization (e.g. proprietary code) | SNODENT is and ANSI Standard - AMERICAN NATIONAL STANDARD/AMERICAN DENTAL ASSOCIATION STANDARD NO. 2000.4 SNODENT (SYSTEMIZED NOMENCLATURE OF DENTISTRY) |
Restrictions on Use (e.g. licensing, user fees) | SNODENT can be licensed from the American Dental Association and there are no user fees. |
Privacy and Security Concerns | No privacy and security concerns |
Estimate of Overall Burden | An estimate of overall burden is unknown at this time. SNODENT maps work to provide explicit links to health related classifications and coding schemes used in the United States such as SNOMED CT, ICD-9 CM, ICD-10 CM, and CDT. Maps facilitate use of SNODENT based clinical data for interoperability between systems and other purposes also, such as quality measures and/or statistical reporting. |
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