The document reaches the health record by itself

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    Regulatory obligation 2026

    FSE 2.0: What's New for Dentists?

    From 31 March 2026, every dentist and dental practitioner - whether self-employed or in a private facility - is obliged to feed the Electronic Health Record 2.0 with reports of the services provided. The documents must be sent to the regional FSE gateway. within 5 days from the performance, in CDA2 format and digitally signed.

    BeebeeDoc automates the entire process: from dental report to transmission to the FSE, without changing your way of working. No manual steps, no additional software.

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    CDA2 Dental Report

    Automatic generation of dental outpatient reports in the CDA2 format required by the Ministry, with ICD-10 diagnoses for oral cavity pathologies (codes K00-K14: caries, gingivitis, periodontitis, tooth loss).

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    Integrated digital signature

    Sign PAdES with OTP or CAdES via Namirial directly from the patient record: the dental report is legally validated in one click.

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    Transmission does not wait for the end of the week

    The report signed at the end of the appointment goes to your region's FSE gateway at the same moment. The five days set by law do not become a backlog to clear on Saturday.

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    Ministry of Health · ANDI

    FSE 2.0 Accredited Software for Dentists and Dental Surgeons


    BeebeeDoc is registered among the software enabled for the transmission of clinical documents to the FSE 2.0, in compliance with the guidelines of the National Association of Italian Dentists (ANDI) and the Order of Surgeons and Dentists, and the technical specifications of Legislative Decree 34/2020.

    How it works

    From the armchair to the ESF in a few seconds

    The workflow is designed for dentists who work between their chair and desk. No additional software, no manual exports.

    1

    Complete the visit in BeebeeDoc

    Record the dental evaluation, the ICD-10 diagnosis (e.g., K02.1 caries, K05.1 gingivitis), the treatment performed, and the clinical notes. BeebeeDoc automatically creates the CDA2 document.

    2

    Sign the report between visits

    PAdES with OTP on the smartphone or CAdES through Namirial: signing starts with one click and works from the tablet too, so the report is validated before the patient gets out of the chair.

    3

    Automatic sending to the regional FSE gateway

    BeebeeDoc transmits the signed dental report to your region's FSE. Confirmation of admission is provided in real time, always within the 5-day legal period.

    4

    Complete archive and tracking

    Every transmitted dental report remains in your archive with an updated status. You always have proof of transmission for each patient and each treatment plan.

    Frequently asked questions about FSE 2.0 for dentists and dental surgeons

    Yes. From March 31, 2026, all healthcare professionals—including freelance dentists and those working in private facilities—are required to add records of services provided to the Electronic Health Record 2.0, as required by Legislative Decree 34/2020 (Relaunch Decree) and subsequent implementing provisions.

    Yes, the rules provide that the patient may object to their record being populated and may mask individual documents. When the objection is active the document is not added, and the software reports the outcome of the submission.

    Yes, clinical documents destined for the health record travel signed. BeebeeDoc includes signing, so signing and sending are two steps of the same operation and not two different programs.

    The outcome comes back into the software with the reason. In most cases it is a personal detail that does not match - the tax code is the most frequent - and it is corrected and resent without redoing the document.

    The dentist must submit outpatient reports relating to dental services provided. This includes the initial dental examination, the treatment plan, reports of interventions with ICD-10 diagnoses, procedures performed (fillings, extractions, endodontics, implantology), and clinical notes. The document must be in HL7 CDA2 format and digitally signed.

    Five days from delivery of the service, as the rules require for every healthcare service. Here there is no moment when you have to remember to send: once the report is signed transmission starts by itself, and the status of every submission stays in the archive.

    You need management software accredited by the Ministry of Health for transmission to the FSE 2.0 and that supports the generation of CDA2 documents for dental reports. BeebeeDoc is accredited and offers specific features for dentists: ICD-10 codes for oral pathologies, structured treatment planning, and SNOMED CT terminology for dental procedures.

    Yes. BeebeeDoc is a cloud-based management system that supports dental practices with multiple dentists (including multiple chairs), each with their own digital signature certificate. Each professional independently signs and transmits their reports to the EHR, with a shared practice-wide archive for managing patients and treatment plans.

    BeebeeDoc is not just FSE 2.0. Discover all the features of the cloud management software for dentists and dental surgeons: diary, medical records, electronic invoicing and much more.

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