Support a Transition of Care or Referral to Another Health Care Provider

Printer Friendly, PDF & Email
Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard
Final
Production
Rating 5
No
Free
Yes
Implementation Specification
Balloted Draft
Production
Rating 5
Yes
Free
Yes
Emerging Implementation Specification
Balloted Draft
Pilot
Feedback Requested
Yes
Free
Yes
Emerging Implementation Specification
Balloted Draft
Pilot
Rating 1
No
Free
No
Emerging Implementation Specification
Final
Feedback requested
Rating 1
No
$
No
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • There are several specific document templates within the C-CDA implementation specification. Trading partners will need to ensure that their systems are capable of supporting specific document templates.
  • HL7 provides a C-CDA Example repository which contains a set of example C-CDA files that have undergone a review and vetting process to ensure completeness and rigour. 
  • The IHE 360X specification listed is designed to track and manage referrals across health IT platforms. 
  • The NCPDP Specialized Standard supports request/referral for Medication Therapy Management services. 
  • Implementers should explore use of emerging CDA on FHIR and C-CDA on FHIR to support this interoperability need. 
  • See CDA and CCDA projects in the Interoperability Proving Ground.
  • Feedback requested

Comment

NCPDP - Comment

In Emerging Implementation Specification add the following:

  • NCPDP Specialized Standard supports request/referral for MTM Services may be initiated by the payer, treating or prescribing physician, pharmacist, a hospital or other facility, and/or the patient or caregiver.
  • CCDA R2 is the basis for NCPDP recommendations for Pharmacy Transition of Care, Pharmacy/Pharmacist care notes, and HL7 CDA® R2 Implementation Guide: Medication Therapy Management (MTM) Templates, Release 1 - US also known as HL7 IG for CDAR2: Medication Therapy Management (MTM) Templates, R1", MTM CMR Take-away document; MTM CMS document, CDAR2, MTM
  • Adoption Level should be a 1.

​​​​​​​Does ONC anticipate 360x becoming federally required

HE Patient Care Coordination Technical Framework Supplement 360 Exchange Closed Loop Referral (360X) Rev. 1.1 – Trial Implementation

The Shall use XDM needs to be reduced to May. That will be consistent with MU2015 requirements to send/receive a single document and use of XDR. Sending a single document is patient based workflow facilitating patient matching and meeting the workflow requirements when sending direct, it lowers the bar for adoption.  

Does ONC anticipate use of 360x becoming federally required?

Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative supports the use of HL7 Clinical Document Architecture (CDA), Release 2.0, Final Edition; the balloted drafts of: HL7 Consolidated CDA Release 1.1 (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1, US Realm), HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Release 2.1, and  IHE Patient Care Coordination Technical Framework Supplement 360 Exchange Closed Loop Referral, Rev. 1.1, Trial Implementation; and NCPDP Specialized Standard.