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

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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 Security Patterns for Consideration
  • 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

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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.