oSIST prEN ISO 24292:2026

• Abstract:

  This document outlines a core dataset designed for a concise dental data exchange intended to support continuity and coordination of care. It provides a conceptual framework for a dental data for exchange that can serve as the basis for implementation models.; The content reflects an international perspective on organizing dental information for cross-border exchange. It offers guidance on the essential data elements that should be shared globally and proposes a standardized format for their representation. The document focuses on defining the structure of the data to be exchanged (“the what”) without prescribing the specific methods or technologies used for transmission (“the how”).; It does not include guidance on operational workflows such as data entry, collection, summarization, or integration. Nor does it address the competencies required to perform those tasks. Furthermore, it is not intended as an implementation guide and does not cover the underlying technical infrastructure or the use of particular coding systems, data formats, or terminologies.

• Status: Not Published
• Public Enquiry End Date: 15-Sep-2026
• ICS: 11.060.01 - Dentistry in general
• ICS: 35.240.80 - IT applications in health care technology
• Technical Committee: ITC - Information technology
• Current Stage: 4020 - Public enquire (PE) (Adopted Project)
• Start Date: 22-Jul-2026
• Due Date: 09-Dec-2026
• Completion Date: 20-Aug-2026
• Ref Project: prEN ISO 24292 - Health informatics - Dental patient summary (ISO/DIS 24292:2026)

Overview

oSIST prEN ISO 24292:2026 - Health informatics - Dental patient summary is an international draft standard developed by the Slovenian Institute for Standardization (SIST), aligned with ISO/DIS 24292:2026. This document defines a core dental dataset framework to facilitate concise, interoperable dental data exchange supporting the continuity and coordination of care. It provides globally relevant recommendations for essential dental data elements, offering a standardized format for sharing dental patient information across organizational and national boundaries.

The standard is focused on organizing dental health data for exchange, prioritizing the structure and content of the summary. It is designed for interoperability in electronic dental records but does not prescribe specific technologies, data formats, coding systems, or operational workflows. It serves as a foundation for further implementation and harmonization efforts in health informatics related to dental care.

Key Topics

• Core Dataset Specification
  Outlines a minimal yet comprehensive set of data elements essential for concise dental summaries. These data blocks can be used in electronic dental patient records for seamless data exchange.

• Conceptual Framework
  Provides a high-level structure for data to support cross-border, cross-organization communication, supporting both planned and unplanned care.

• Data Structure, Not Transmission
  Focuses on "what" data should be exchanged rather than "how" to transmit it, intentionally remaining implementation-agnostic.

• International Perspective
  Reflects global best practices, supporting harmonized dental data exchange internationally.

• Patient Summary Content
  Includes patient attributes, healthcare provider details, allergies, intolerances, functional status, medical and dental history, dental procedures, immunizations, medical devices, medication summaries, care plans, diagnoses, results, social history, vital signs, and alerts.

Applications

oSIST prEN ISO 24292:2026 is designed for broad applicability in dental informatics:

• Cross-Border Dental Data Exchange
  Enables smooth transfer of patient dental data between providers in different countries, supporting continuity of care for patients moving internationally or seeking specialized treatment abroad.

• EHR System Interoperability
  Establishes a standard structure for dental data, facilitating interoperability between diverse dental electronic health record (EHR) systems and healthcare IT applications.

• Referral and Specialist Consultations
  Ensures dental professionals receive pertinent and standardized patient data during referrals, supporting safer and more efficient care transitions.

• Patient Safety and Clinical Decision-Making
  By capturing key medical and dental history, allergies, and current treatments, the standard contributes to more informed clinical decisions and improved patient safety.

• Research and Analytics
  Aggregated anonymized dental summaries support research, population health management, and quality improvement efforts.

• Vendor-Neutral Implementation
  As the standard does not dictate specific tools or formats, it is adaptable across various IT infrastructures and vendor systems, encouraging widespread adoption.

Related Standards

• ISO 27269:2025, Health informatics - International patient summary
  Serves as a foundational reference for patient summary structure and definitions, upon which the present dental patient summary builds.

• EN ISO 1942:2020, Dentistry - Vocabulary
  Provides standardized terminology for dentistry used in this document.

• Other Health Informatics Standards
  Principles and data models from related ISO/IEC health informatics publications may complement or extend the concepts within this standard, particularly for integration with broader medical recordkeeping.

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Keywords: dental patient summary, dental data exchange, health informatics, electronic dental records, dental interoperability, international standards, dental health data, structured dental dataset, patient care coordination, ISO 24292.

SLOVENSKI STANDARD
01-september-2026
Informatika v zdravstvu - Povzetek podatkov o stanju pacienta v zobozdravstvu
(ISO/DIS 24292:2026)
Health informatics - Dental patient summary (ISO/DIS 24292:2026)
Dentaldaten für den Austausch (ISO/DIS 24292:2026)
Échanges de données du domaine dentaire (ISO/DIS 24292:2026)
Ta slovenski standard je istoveten z: prEN ISO 24292
ICS:
11.060.01 Zobozdravstvo na splošno Dentistry in general
35.240.80 Uporabniške rešitve IT v IT applications in health care
zdravstveni tehniki technology
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

DRAFT
International
Standard
ISO/DIS 24292
ISO/TC 215
Health informatics — Dental patient
Secretariat: ANSI
summary
Voting begins on:
ICS: 35.240.80; 11.060.01
2026-07-06
Voting terminates on:
2026-09-28
THIS DOCUMENT IS A DRAFT CIRCULATED
FOR COMMENTS AND APPROVAL. IT
IS THEREFORE SUBJECT TO CHANGE
AND MAY NOT BE REFERRED TO AS AN
INTERNATIONAL STANDARD UNTIL
PUBLISHED AS SUCH.
This document has not been edited by the ISO Central Secretariat.
IN ADDITION TO THEIR EVALUATION AS
BEING ACCEPTABLE FOR INDUSTRIAL,
TECHNOLOGICAL, COMMERCIAL AND
USER PURPOSES, DRAFT INTERNATIONAL
STANDARDS MAY ON OCCASION HAVE TO
ISO/CEN PARALLEL PROCESSING
BE CONSIDERED IN THE LIGHT OF THEIR
POTENTIAL TO BECOME STANDARDS TO
WHICH REFERENCE MAY BE MADE IN
NATIONAL REGULATIONS.
RECIPIENTS OF THIS DRAFT ARE INVITED
TO SUBMIT, WITH THEIR COMMENTS,
NOTIFICATION OF ANY RELEVANT PATENT
RIGHTS OF WHICH THEY ARE AWARE AND TO
PROVIDE SUPPORTING DOCUMENTATION.
Reference number
ISO/DIS 24292:2026(en)
DRAFT
ISO/DIS 24292:2026(en)
International
Standard
ISO/DIS 24292
ISO/TC 215
Health informatics — Dental patient
Secretariat: ANSI
summary
Voting begins on:
ICS: 35.240.80; 11.060.01
Voting terminates on:
THIS DOCUMENT IS A DRAFT CIRCULATED
FOR COMMENTS AND APPROVAL. IT
IS THEREFORE SUBJECT TO CHANGE
AND MAY NOT BE REFERRED TO AS AN
INTERNATIONAL STANDARD UNTIL
PUBLISHED AS SUCH.
This document has not been edited by the ISO Central Secretariat.
IN ADDITION TO THEIR EVALUATION AS
BEING ACCEPTABLE FOR INDUSTRIAL,
© ISO 2026
TECHNOLOGICAL, COMMERCIAL AND
USER PURPOSES, DRAFT INTERNATIONAL
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
STANDARDS MAY ON OCCASION HAVE TO
ISO/CEN PARALLEL PROCESSING
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting on
BE CONSIDERED IN THE LIGHT OF THEIR
the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address below
POTENTIAL TO BECOME STANDARDS TO
WHICH REFERENCE MAY BE MADE IN
or ISO’s member body in the country of the requester.
NATIONAL REGULATIONS.
ISO copyright office
RECIPIENTS OF THIS DRAFT ARE INVITED
CP 401 • Ch. de Blandonnet 8
TO SUBMIT, WITH THEIR COMMENTS,
CH-1214 Vernier, Geneva
NOTIFICATION OF ANY RELEVANT PATENT
Phone: [phone]
RIGHTS OF WHICH THEY ARE AWARE AND TO
PROVIDE SUPPORTING DOCUMENTATION.
Email: [e-mail]
Website: www.iso.org
Published in Switzerland Reference number
ISO/DIS 24292:2026(en)
ii
ISO/DIS 24292:2026(en)
Contents Page
Foreword .vi
Introduction .vii
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 Abbreviations . 4
5 Dental Patient Summary datablocks . 4
5.1 Introduction to the DPS datablocks .4
5.2 Conformance detail .5
6 Descriptors for the DPS dataset . 6
7 The DPS document . 8
7.1 Description .8
8 The DPS feature: Patient attributes . 9
9 The DPS feature: Healthcare provider . 9
9.1 Description .9
9.2 Detailed description of the healthcare provider DPS feature. .9
10 The DPS feature: Patient’s address book .10
11 The DPS section: Allergies and intolerances . 10
12 The DPS section: Functional status . 10
13 The DPS Section: History of current and past medical problems .10
13.1 Description .10
13.2 Detailed description of section history of current and past medical problems .11
14 The DPS Section: History of past dental problems .11
14.1 Description .11
14.2 Detailed description of section history of past dental problems . 12
14.2.1 Purpose . 12
14.2.2 Definition . 12
14.2.3 Business rules . 12
14.2.4 Missing . 12
14.2.5 Format. 12
14.2.6 Inclusion criteria . 12
14.2.7 Currency . 12
14.2.8 Further detail . 12
14.2.9 Examples . 13
14.3 Past dental problems . 13
14.4 Dental problem . 13
14.5 Dental problem type . 13
14.6 Description . 13
14.6.1 Tooth numbering System . 13
14.6.2 Tooth number . 13
14.6.3 Tooth surface . 13
14.6.4 Tooth location .14
14.7 Severity .14
14.8 Problem status . .14
14.9 Date resolved .14
14.10 Specialist contact.14
15 The DPS section: History of pregnancy . 14
16 The DPS section: History of medical procedures . 14

iii
ISO/DIS 24292:2026(en)
17 The DPS section: History of dental procedures . 14
17.1 Description .14
17.2 Detailed description of the DPS section, history of dental procedures . 15
17.2.1 Purpose . 15
17.2.2 Definition . 15
17.2.3 Business rules .16
17.2.4 Missing .16
17.2.5 Format.16
17.2.6 Inclusion criteria .16
17.2.7 Currency .16
17.2.8 Further detail .16
17.2.9 Examples .16
17.3 Dental procedures content status .16
17.4 Dental procedures .16
17.5 Dental procedure . .16
17.6 Description .16
17.6.1 Tooth numbering system .17
17.6.2 Tooth number .17
17.6.3 Tooth surface .17
17.6.4 Tooth location .17
17.7 Body site .17
18 The DPS section: Immunizations . 17
19 The DPS section: Medical devices .18
19.1 Description .18
19.2 Detailed description of the DPS section, Medical devices .18
20 The DPS section: Medication summary . 19
21 The DPS section: Care plan. 19
21.1 Table 12 describes the optional DPS section for a Care plan. .19
21.2 Detailed description of the DPS section, Care plan . 20
22 The DPS section: Dental problems including diagnosis .20
22.1 Description . 20
22.2 Detailed description on the mandatory DPS section, Dental poblems, including
diagnosis. . 22
22.2.1 Purpose . 22
22.2.2 Definition . 22
22.2.3 Business rules . 22
22.2.4 Missing . 22
22.2.5 Format. 22
22.2.6 Inclusion criteria . 22
22.2.7 Currency . 22
22.2.8 Further detail . 22
22.2.9 Examples . 22
22.3 Problems content status . 23
22.4 Problems . 23
22.5 Problem . 23
22.6 Problem type . 23
22.7 Problem description . 23
22.7.1 Tooth numbering system . 23
22.7.2 Tooth number . 23
22.7.3 Tooth surface . 23
22.7.4 Tooth location . 23
22.7.5 Additional information .24
22.8 Diagnosis . .24
22.9 Severity .24
22.10 Problem status . .24
22.11 Specialist contact.24

iv
ISO/DIS 24292:2026(en)
23 The DPS section: Results .24
23.1 Description . 25
23.2 Detailed description of DPS section on Results . 25
24 The DPS section: Social history .25
24.1 Description . 25
24.2 Detailed description of the mandatory DPS section social history . 26
24.2.1 Purpose . 26
24.2.2 Definition . 26
24.2.3 Business rules . 26
24.2.4 Missing . 26
24.2.5 Format. 26
24.2.6 Inclusion criteria .27
24.2.7 Currency .27
24.2.8 Further detail .27
24.2.9 Examples .27
24.3 Social factors .27
24.4 Social factor .27
24.5 Social factor description .27
24.6 Social factor details .27
24.7 Reference date range .27
25 The DPS section: Vital signs .27
26 The DPS feature: Cross organization .28
27 The DPS section: Alerts .28
Annex A (informative) Implementation Independence and Terminology Considerations in
dentistry .29
Annex B (informative) .31
Annex C (informative) Additional resources for specific use cases .32
Bibliography .33

v
ISO/DIS 24292:2026(en)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out through
ISO technical committees. Each member body interested in a subject for which a technical committee
has been established has the right to be represented on that committee. International organizations,
governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely
with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are described
in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the different types
of ISO documents should be noted. This document was drafted in accordance with the editorial rules of the
ISO/IEC Directives, Part 2 (see www.iso.org/directives).
ISO draws attention to the possibility that the implementation of this document may involve the use of (a)
patent(s). ISO takes no position concerning the evidence, validity or applicability of any claimed patent
rights in respect thereof. As of the date of publication of this document, ISO had not received notice of (a)
patent(s) which may be required to implement this document. However, implementers are cautioned that
this may not represent the latest information, which may be obtained from the patent database available at
www.iso.org/patents. ISO shall not be held responsible for identifying any or all such patent rights.
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and expressions
related to conformity assessment, as well as information about ISO's adherence to the World Trade
Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www.iso.org/iso/foreword.html.
This document was prepared by Technical Committee ISO/TC 215, Health informatics
This is the first edition of ISO 24292:202#
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www.iso.org/members.html.

vi
ISO/DIS 24292:2026(en)
Introduction
0.1 General
As digitization of dental patient records has progressed, there is a growing need to exchange electronic
information among dental providers for patients transitioning from one practice to another, for referral to
dental specialists for consultation and treatment, for exchange of dental data in other healthcare settings
and for research projects. Examples of data for exchange include administrative data, such as patient name
and provider information, clinical findings, treatment data, image files, medications, allergies, and progress
notes. Such data exchange could also support research using the shared data.
Currently, there are no international recommendations for such exchanges for dental practice.
This document in intended to develop recommendations regarding what digital dental information could
be exchanged among electronic dental records and the format for the data elements that support that data
exchange. The goal of the dental data exchange is syntactic and semantic interoperability for electronic
dental record data.
The standardized data exchanged may also be aggregated and used for analytics and research.
The goal of this document is to define Dental patient summary (DPS) comprising core content in a concise
form. This document defines a core, structured dental dataset with associated business rules for a relevant
patient.
The DPS is designed to provide relevant information to assist planned and unplanned care across any
organizational boundary, including country borders and their jurisdictional requirements (e.g. local,
regional, state/provincial, and national).
The DPS dataset in this document is small, even so there is no expectation that the full dataset is realized for
conformant specification and conformant implementation to be produced.
The dataset in this summary is non-exhaustive. The data blocks are introduced to meet patient summary
requirements be they clinical, administrative, or technological in nature.

vii
DRAFT International Standard ISO/DIS 24292:2026(en)
Health informatics — Dental patient summary
1 Scope
This document outlines a core dataset designed for a concise dental data exchange intended to support
continuity and coordination of care. It provides a conceptual framework for a Dental Patient Summary that
can serve as the basis for implementation models.
The content reflects an international perspective on organizing dental information for cross-border
exchange. It offers guidance on the essential data elements that should be shared globally and proposes a
standardized format for their representation. The document focuses on defining the structure of the data to
be exchanged (“the what”) without prescribing the specific methods or technologies used for transmission
(“the how”).
It does not include guidance on operational workflows such as data entry, collection, summarization, or
integration. Nor does it address the competencies required to perform those tasks. Furthermore, it is not
intended as an implementation guide and does not cover the underlying technical infrastructure or the use
of particular coding systems, data formats, or terminologies.
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content constitutes
requirements of this document. For dated references, only the edition cited applies. For undated references,
the latest edition of the referenced document (including any amendments) applies.
ISO 27269:2025, Health informatics — International patient summary
3 Terms and definitions
For the purposes of this document, the following terms and definitions / terms and definitions given in Clause
3: ISO 27269:2025- Health informatics — International patient summary.
ISO and IEC maintain terminological databases for use in standardization at the following addresses:
— IEC Electropedia: available at http:// www .electropedia .org/
— ISO Online browsing platform: available at http:// www .iso .org/ obp
3.1
dentist
person licensed by a regulatory body to practise dentistry
[1]
[SOURCE: EN ISO 1942:2020 ]
3.2
dentistry
science of preventing, diagnosing and treating diseases and malfunctions of, and injuries to, the teeth, mouth
and jaws, and of replacing lost teeth and associated tissues and promoting oral health
[1]
[SOURCE: EN ISO 1942:2020 , 3.1.2.1]

ISO/DIS 24292:2026(en)
3.3
dental device
instrument, apparatus, appliance, software, material or other article, whether used alone or in combination,
including the software necessary for its proper application, intended by the manufacturer to be used for
human beings for the purpose of
— diagnosis, prevention, monitoring, treatment or alleviation of oral disease;
— diagnosis, monitoring, treatment, alleviation of or compensation for cranio-facial injury or oral handicap;
— investigation, replacement or modification of the cranio-facial anatomy or of a physiological process
and which does not achieve its principal intended action in or on the human body by pharmacological,
immunological or metabolic means, but which may be assisted in its function by such means;
[1]
[SOURCE: EN ISO 1942:2020 , 3.1.4.7]
3.4
dental material
substance or combination of substances specially formulated and prepared for use in the practice of dentistry
(3.2) and/or associated procedures
[1]
[SOURCE: EN ISO 1942:2020 , 3.1.2.2]
3.5
dental restoration
dental device (3.3) that replaces excavated or lost tooth structure, teeth or oral tissues
[1]
[SOURCE: EN ISO 1942:2020 , 3.1.4.7]
3.6
temporary filling material
filling material (3.1.4.11) intended to serve until a permanent restoration (3.1.4.13) can be placed
3.7
dental prosthesis
dental device (3.3) replacing one or more missing teeth and, if required, associated anatomical structures
[1]
[SOURCE: EN ISO 1942:2020 , 3.1.4.19]
3.8
dental implant
device especially designed to be placed within, through or upon the bones of the cranio-facial complex, the
primary purposes of which are to support and/or to resist displacement of a dental prosthesis (3.7)
3.9
computer aided design - computer aided manufacturing
CAD/CAM
fabrication that involves the use of digitalized dataN
Note 1 to entry: CAD/CAM manufacturing of a dental restoration (3.1.4.13) or prostheses usually include all or some of
the following features:
a) a digital scanning and recording of oral structures captured using an intraoral camera or laser scanning, or the
dimensions and characteristics of the surfaces of the model on which prosthesis or restoration is to fit, or; pattern
of the prosthesis or restoration that is to be reproduced,
b) a software package modelling the recording that can be used to guide the fabrication of appliances that models
the recording and can be used to design the prosthesis, and
c) a machine capable of being guided by the software in shaping the desired prosthesis or restoration.

ISO/DIS 24292:2026(en)
[1]
[SOURCE: EN ISO 1942:2020 3.8]
3.10
tooth not present
tooth not visible both in clinical and in a radiologic examination or reported as not present in the dental
record
Note 1 to entry: This term is used if the tooth has been replaced by a prosthesis.
Note 2 to entry: A tooth shall be considered not present even if it is replaced by a dental prosthesis (3.3.8)
Note 3 to entry: This term may be used alone or with a descriptor below. If no descriptor is found that describes the
prosthesis, then the “other- (by report)” descriptor shall be used.
[2]
[SOURCE: EN ISO 20888:2020 3.3.2]
3.11
tooth extracted
area of the jaw previously occupied by a tooth when both the coronal portion and root portion of the both
the deciduous and permanent tooth are not visible intraorally or radiographically
Note 1 to entry: This term may be used in combination with a restorative descriptor.
Note 2 to entry: This term is used when the tooth has been therapeutically lost or the loss is of unknown origin.
[2]
[SOURCE: EN ISO 20888:2020 3.3.2.1]
3.12
tooth missing
missing tooth whose socket exhibits no healing
Note 1 to entry: This term is only to be used if there is substantial evidence that the loss was traumatic and not
therapeutic or through natural causes.
[2]
[SOURCE: EN ISO 20888:2020 , 3.3.2.2]
3.13
tooth missing
tooth that has never been formed and without documentation that it ever existed in the dental
treatment records
Note 1 to entry: This term is only used if there is documented evidence that the tooth bud never existed.
Note 2 to entry: Qualifying a tooth as congenitally missing should be done according to the age of the individual whose
tooth is being examined.
[2]
[SOURCE: EN ISO 20888:2020 3.3.2.3]
3.14
tooth not replaced
area of the jaw previously occupied by a tooth when both the coronal portion and root portion of the both
the deciduous and permanent tooth are not visible intraorally or radiographically, and no fixed or removable
dental prosthesis (3.7) is present to replace the tooth
[2]
[SOURCE: EN ISO 20888:2020 3.3.2.5]
3.15
tooth replaced
area of the jaw previously occupied by a tooth when both the coronal portion and root portion of the both
the deciduous and permanent tooth are not visible intraorally or radiographically, and a fixed or removable
dental prosthesis (3.7) is present to replace the tooth
[2]
[SOURCE: EN ISO 20888:2020 3.3.2.6]

ISO/DIS 24292:2026(en)
4 Abbreviations
Table 1
DPS Dental Patient Summary
ICD International Classification of Diseases
IDMP Identification of Medicinal Products standards
PS Patient Summary
SDO Standard Development Organization
SNODENT Systematized Nomenclature of Dentistry
SNOMED Systematized Nomenclature of Medicine
UDI Unique and normalized identifier of the medical device.
5 Dental Patient Summary datablocks
5.1 Introduction to the DPS datablocks
Figure 1 shows the datablocks that define the DPS in this document.
Figure 1 — DPS sections and figures
Figure 1 shows the mandatory DPS datablocks located in the first row. The second row represents the DPS
datablocks that are ‘Required if Known’, and the last row represent the ‘Optional’ datablocks for an DPS.
The establishment of an DPS shall contain the following mandatory Data Blocks at a minimum:

ISO/DIS 24292:2026(en)
Table 2 — Mandatory data blocks for DPS
a) Patient attributes (specifically, ‘Patient’s name’ from the
DPS feature)
b) Allergies and intolerances
c) Dental Problems including diagnosis
d) History of Dental Procedures
e) Medication summary
f) Cross organization (specifically, ‘Originating organiza-
tion’, ‘Date of DPS document creation’
from the DPS Feature)
5.2 Conformance detail
The Dental Patient Summary (DPS) follows a hierarchical structure. At the highest level is the DPS document,
which includes six mandatory datablocks (Table 2 ) and may
...