HL7 CDA® R2 Implementation Guide: Exchange of C-CDA Based Documents; Periodontal Attachment, Release 1 - US Realm

DESCRIPTION

The Periodontal attachment is used to convey information about periodontal related services.  This includes the business use of claims attachments, prior authorization and pre-determinations.  It may also be used for other clinical data exchange functions as needed.  The items defined for electronic supporting documentation were developed by the Standards Committee on Dental Informatics of the American Dental Association (ADA).  Many of the items described in the attachments are based on an analysis of paper forms that have been used by dentists and payers in the past. Each possible attachment item, however, has been reviewed for appropriateness in an electronic format.  This standard does not include diagnostic quality scanned images, or digital images in DICOM or other image file types to represent radiographs or pictures of patient conditions.  These are included in a separate attachment if needed.

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Exchange of C-CDA Based Documents; Periodontal Attachment, Release 1 - US Realm may also go by the following names or acronyms:

TARGETS

• Regulatory Agency
• Standards Development Organizations (SDOs)
• Payors
• EHR, PHR Vendors
• Health Care IT Vendors
• Dental Community

 

BENEFITS

• Enables Dental community to convey information about periodontal related services.  This includes the business use of claims attachments, prior authorization and pre-determinations.  It may also be used for other clinical data exchange functions as needed.

• Supports capturing and sending periodontal exam information which is transferred to electronic systems in the form of unstructured data. The authors respectfully believe that by creating new document types to support these data, claims processing speed will be increased and the overall delivery and payment of care will be made more interoperable through the use of standardized document types fit for this purpose.

 

IMPLEMENTATIONS/CASE STUDIES

• Department of Defense
• American Dental Association

DEVELOPMENT BACKGROUND

The purpose of this implementation guide is to provide a HL7 CDA-based set of templates defining a standardized document that can be used to convey supporting clinical documentation from a dental provider to a payer (e.g., insurance company) to substantiate a claim for periodontal care.

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Exchange of C-CDA Based Documents; Periodontal Attachment, Release 1 - US Realm

STU DOCUMENTS

HL7 CDA® R2 Implementation Guide: Exchange of C-CDA Based Documents; Periodontal Attachment, Release 1 - US Realm

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TOPICS

• Attachments
• Financial Management

BALLOT TYPE

• STU

STATUS DATE

2017-07-20

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• EHR, PHR Vendors
• Health Care IT Vendors
• Payors
• Regulatory Agency
• Standards Development Organizations (SDOs)

FAMILY

• CDA

CURRENT STATE

• Stable

REALM

• US Realm