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ADA Technical Report No. 1004—Computer Software Performance for Dental Practice Software: 2004

A checklist of features and functions helps the dentist determine specific requirements and their priorities. Characteristics of specific systems are then compared to these specific needs to rank the available choices. The report has also been updated to reflect increasing sophistication in the industry such as the charting interface of the clinical workstation. This standard will also be updated to reflect the growth of web-based systems (ASPs) and dental specialty requirements.

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ANSI/ADA Standard No. 1000—Standard Clinical Data Architecture for the Structure and Content of an Electric Health Record: 2010

The purpose of this standard is to present a standard logical data model and documentation for a clinical data architecture capable of supporting healthcare information systems and the interoperability of health information.

This standard is independent of the constraints of healthcare profession and specialty, the modality of healthcare processes, and the location and environment in which care is delivered. This standard is also independent of data management approach, and the data structures presented in the data model are culture and language neutral.

This document describes the modeling method and conventions employed, and presents the logical data model by subject area for the standard, along with its design rationale and explanatory scenarios.

The scope of this document identifies and describes those data structures needed to support the delivery of healthcare services to individuals and populations, for human and other living beings, and the management of those resources needed to enable these care delivery processes, along with the relationships among those data structures.

This standard continues to be a dynamic, living document that is maintained current with advances in the arts and sciences of the health professions and the changing environment of health care delivery.

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ANSI/ADA Standard No. 1001—Guidelines for the Design of Educational Software: 2002 (Reaffirmed 2006)

This document was approved as an American National Standard by ANSI on August 29, 2002. The purpose of the Guidelines is to promote quality in educational software. They do so in two ways. First, developers can use them to ensure that their products are of high instructional quality during development and evaluation of their products. Second, end users can compare educational software programs with the Guidelines to recognize quality products. For the second goal, the authors have derived validated rating instruments for use by instructional design experts and software end users. The Guidelines are also not domain-specific. Despite the fact that they have been developed in a dental standards committee, they are purposely conceived and formulated to be general. Thus, the Guidelines are applicable to any domain, not just the dental or medical one.

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ADA Technical Report No. 1006—Infection Control for Dental Information Systems: 2000 (Reaffirmed 2004)

This Technical Report is intended as a working document to assist in developing standards for infection control guidelines for dental informatics devices and equipment. Dental informatics equipment and devices consist of the computerized clinical information systems used in dentistry. Devices are those items intended for intraoral use and include digital radiographic equipment, intraoral camera and microscope systems, periodontal probing devices, occlusal force analysis systems, pulp testers, apex locators, and intraoral printers. Equipment is used to support these devices and includes foot controls, headsets, keyboards, pointing devices, and computers and other peripheral hardware such as printers, scanners, CD players, and monitors. This report addresses infection control issues related to the devices and equipment used in dental informatics and is based on the existing infection control protocols related to dental patient care. Devices and equipment used in patient treatment areas should be designed or be able to be adapted to allow appropriate infection control protocols which prevent patient cross-contamination as well as the introduction of environmental infectious agents into the operative site.

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ADA Technical Report No. 1010—Accounting Performance for Dental Information Systems: 2002 (Reaffirmed 2009)

This technical report consists of a Chart of Accounts for Computerized Dental Accounting Systems. The purpose of this report is to define the basic accounts used for dental accounting in the computer-based environment and propose guidelines for use in standards formation.

The Chart of Accounts for Computerized Dental Accounting Systems was developed to provide dentists with improved information on which to base management decisions and facilitate tax preparation. This chart of accounts is to aid in the dissemination of financial information to both internal and external users.

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ADA Technical Report No. 1017—Administrative Procedures and their Application in Dentistry: 2002 (Reaffirmed 2010)

Congress mandated security and privacy rules as part of the HIPAA legislation. This occurred because storing and transmitting protected health information in an electronic format exposes it to risks that do not exist, or are lessened, when health information is in paper form. The development and implementation of administrative procedures are necessary to insure the requirements of privacy are met. These guidelines provide a tool for developing policies, procedures, and best practices to assist the dentist in establishing security and privacy.

The report provides the dentist information on Administrative Procedures for Security and how they apply to dentistry to provide for policies, procedures and practices dealing with the behavioral side of the security and privacy standards. These guidelines recommend health information security and privacy mechanisms and strategies.

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ADA Technical Report No. 1018—Technical Security Mechanisms and Their Application to Dentistry: 2005 (Reaffirmed 2010)

This report discusses requirements for small practices to ensure transmission security to protect the integrity data sent over the Internet and to authenticate the data received.

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ADA Technical Report No. 1019—Technical Security Services and Application to Dentistry: 2003 (Reaffirmed 2010)

Today there is an increased risk of inadvertent or deliberate disclosure of Individually Identifiable Health Information in heath care information systems. Security standards are increasingly being dictated in regulation and legislation, imposing external compliance responsibility on health care. Securing health care information in a reasonable and scaleable manner can be achieved by applying policies and procedures designed to cover four major areas of information management. These areas are Administrative Procedures, Physical Safeguards, Technical Security Services and Technical Security Mechanisms. Use of an Electronic Signature is suggested to insure that authentication and non-repudiation requirements of Security are met in a standardized manner.

Congress mandated security and privacy rules as part of the HIPAA legislation. This occurred because storing and transmitting protected health information in an electronic format exposes it to additional risks that do not exist, or are lessened, when health information is in paper form. Securing patients’ protected health information also protects their privacy and enhances the dentist’s reputation for professionalism and trustworthiness.

The scope of this paper is to focus on those requirements for meeting the challenge of maintaining privacy and security of Individually Identifiable Health Information using Technical Security Services. These processes are put in place to protect information and to control and monitor individual access to information.

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ADA Technical Report No. 1020—Physical Safeguards and Applications to Dentistry: 2003 (Reaffirmed 2010)

This technical report provides the dentist information on physical safeguards to guard data integrity, privacy, confidentiality, and availability and how they apply to dentistry to provide for assigned security responsibility, media controls, physical access controls, and policy/guideline on workstation use, secure workstation location, and security awareness training. The requirements and implementation features for physical safeguards are presented in a matrix of this proposed rule. This documentation is to be made available to those individuals responsible for implementing the safeguards and to be reviewed and updated periodically.

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ADA Technical Report No. 1021—Data Integrity, Redundancy, Storage and Accessibility: 2005 (Reaffirmed 2009)

This report presents options available to prevent data loss and corruption, maintain data integrity and maintain and restore access to data. It also discusses appropriate contingency plans in emergency situations for recovery and authentication of the data as well as accessing the information.

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ADA Technical Report No. 1023—Implementation Requirements for DICOM in Dentistry: 2005 (Reaffirmed 2009)

This report provides a technical standard based on the DICOM version 3 Standard as it applies to dentistry with the goal of increasing interoperability between digital radiographic systems. It lists the components required for intraoral and extra-oral digital radiography.

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ANSI/ADA Standard No. 1027—Implementation Guide for ANSI/ADA Standard No. 1000: 2010

With this implementation guide vendors, developers and other users can efficiently and economically build clinical databases and data systems from the ANSI/ADA 1000 Standard. This implementation guide shows how to migrate the data model components in the standard to a functioning data system, including how to optimize these models.

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ADA Technical Report No. 1029—Digital Photography: 2004 (Reaffirmed 2009)

The focus of this Technical Report is to provide basic information on the use of digital photography in dentistry and to help facilitate: 1). The appropriate selection of the necessary equipment; 2). Consistent communication between concerned parties with and interoperability of digital images and the information the contained therein. The information provided will address the digital imaging needs of the various dental specialties, the general dental practitioner, other health care providers, the patient and any interested third parties such as insurance carriers, prosthetic and pathology laboratories. These discussions take into consideration the interoperability requirements to insure proper identification, exporting and importing of the image and database management of the image. To capture a quality digital image is not enough- the image has to have proper and standardized labeling of what it contains (the structures that are visible in the image) and the necessary DICOM descriptors of what, how and when it was captured.

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ADA Technical Report No. 1031—Internet Security Issues for Dental Information Systems: 2004 (Reaffirmed 2010)

The Scope of this Technical Report is to create security awareness and education for the dental practitioner associated with a connection to the Internet. The Internet has proven to be an effective means of communication, yet its vulnerability to interception raises issues of privacy, authentication and integrity of the communicated message. Therefore, data security is of utmost importance to users of dental information systems

Because of the personal and private nature of health record, the dental practitioner needs to understand the security issues associated with "data at rest" and "data in transit." This paper is intended to explain security concepts and the risks associated with the maintenance of data in storage and transit, and over an Internet connection.

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ANSI/ADA Standard No. 1039—Standard Clinical Conceptual Data Model: 2006

The purpose of this document is to develop and present a shared understanding of the structure and content of data needed to support healthcare processes. This conceptual model forms the foundation for more detailed data representations in clinical information and the structure and content of data presented in the various types of electronic health and patient records.

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ANSI/ADA Standard No. 1040—Dental Extension to the ASTM Continuity of Care Record: 2008

The Continuity of Care Record (CCR) is a core data set of the most relevant administrative, demographic, and clinical information facts about a patient’s healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another practitioner, system, or setting to support the continuity of care. The Dental Extension to the CCR is organized into three major sections, the Header; the Body; and the Footer. Each section conforms to the same sections of the Medical CCR. This is intentional because exchange of data between health care entities that include other than dental providers is facilitated by this similarity of architecture.

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ADA Technical Report No. 1041—Content of Electronic Laboratory Prescriptions: 2006 (Reaffirmed 2009)

The scope of this technical report is to present the types of data and electronic format necessary to create an electronic dental laboratory prescription. Another goal of this report is to create security awareness and education for the dental practitioner associated with electronic dissemination of patient information offsite to the outsourced dental laboratory.

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ANSI/ADA Standard No. 1047—Standard Content of an Electronic Periodontal Attachment: 2010

The purpose of this standard is to develop uniform content requirements for documentation to be included in an electronic periodontal attachment. An attachment is separate from the original claim submission transaction. Attachment documentation specified in this standard will enable claims adjudication for various periodontal procedures.

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ADA Technical Report No. 1048Attachment of DICOM Datasets Using E-mail in Dentistry: 2011

This report provides a technical standard based on the DICOM (Digital Imaging and Communications in Medicine) version 3 Standard as it applies to dentistry with the goal of increasing interoperability between practitioners. In particular, this report highlights the benefits of the ZIP File over E-mail Interchange Profiles of the DICOM Standard for dentists or specialists who don't share the same image data repository, but need to exchange patient data in a fast and secure manner.

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ADA Technical Report No. 1051—Implementation Guidelines for DICOM in Institutional Dentistry: 2009

This report provides a technical standard based on the DICOM Standard as it applies to dentistry with the goal of increasing interoperability within and between institutional digital radiographic systems. This report will illustrate through high-level interaction use cases how to achieve interoperability for typical dental imaging tasks. They are: (1) view images on removable media; (2) create interoperable removable media images; (3) share images among various networked multi-vendor storage and acquisition systems; (4) ability to exchange visible light photographic and endoscopic images within a dental image acquisition context; (5) create and exchange DICOM structured display objects; (6) perform scheduled workflow to integrate digital images with an electronic dental records system; (7) import and reconcile Images from outside the institution into the electronic dental records system; (8) securely transfer DICOM images via email, and; (9) access DICOM images via the Internet. These use cases show the DICOM requirements in context, describing them in clear relationship to the clinical tasks of the dental provider.

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ADA Technical Report No. 1055Computer Hardware and Software Guidelines for Dental Offices: 2011

The purpose of this technical report is to outline the features of hardware and software for dental practice management systems and propose guidelines for selection for their optimal utilization in dental offices.

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ADA Technical Report No. 1057—Interoperability of Imaging Technologies in Today's Dental Practice: 2010

This report discusses the issues involving interoperability that arise when digital radiography and photography are integrated into a dental practice. The report describes the features of DICOM that facilitate resolution of these issues and allows a dental practice to achieve interoperability within their imaging and practice management systems and with outside healthcare data systems and networks. Descriptions of the components of a digital radiography system and guidelines on what to look for when choosing digital radiography components also are included.

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ANSI/ADA Standard No. 1058Forensic Dental Data Set: 2010

The purpose of this standard is to develop uniform nomenclature for the description of forensic dental data and define a standardized set of uniform terms to convey this information. The goal of the standard is not to define the extent of information collected, only to be certain that common terms are used in order to aid in an identifying human remains or a living amnesiac.

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ADA Technical Report No. 1059Guidelines for the Application of the DICOM Standard to Radiographic Cephalometric Data: 2010

In the current DICOM documentation, cephalograms are not addressed directly. This technical report (TR) was developed to fill the gap in such a way as to provide imaging equipment vendors an approved way of storing cephalograms, along with their clinically relevant data, in an interoperable way.

In addition, this TR shall serve as a part of the foundation for the definition of ADA SCDI approved guidelines for the storage and transfer of orthodontic electronic patient records through the utilization of existing popular informatics standards. This TR shall be included in the definition of an ADA SCDI document to specify the integration of DICOM and HL7 standards for orthodontic data.

This document was initially designed for scanned film-based cephalograms, but is intended to be used for digitally created cephalograms as well.

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ADA Technical Report No. 1060The Secure Exchange and Utilization of Digital Images in Dentistry: 2011



This report outlines methods for the secure electronic exchange and utilization of electronic digital image files, including those requiring diagnostic quality. Such images may include diagnostic radiographs, intraoral and extra-oral photographs, video, optical impressions and oral pathology photomicrographs. Caution is advised against the utilization of unsecure exchange transmission modes, such as unencrypted e-mail attachments sent over the Internet or any other unsecured electronic exchange not conforming to accepted security transmission standards. Currently available practices and existing constraints to diagnostic image exchange are reviewed and potential solutions offered.

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ADA White Paper No. 1070Implementation of the Electronic Prescription Standard for Dentistry: 2011

The scope of this white paper is to present and establish the guidelines for standard electronic prescriptions in dentistry. The NCPDP/SCRIPT standard addresses prescription transactions between provider/office practice and retail pharmacy and currently has the broadest acceptance in the ambulatory setting. This white paper is available as a free download by clicking here.

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ISO/ANSI/ADA Standard No. 3950Designation System for Teeth and Areas of the Oral Cavity: 2010

This international standard provides a system for the designation of teeth and areas of the oral cavity using two digits.

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