Referrals Between Clinicians and Community-Based Organizations and Other Extra-Clinical Services

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	HL7® FHIR® R4: Observation Resource	Final	Production		No	Free	No
Emerging Standard	HL7 FHIR R4: Messaging	Balloted Draft	Feedback requested	Feedback Requested	No	Free	No
Emerging Standard	HL7 FHIR R4: ServiceRequest Resource	Balloted Draft	Feedback requested	Feedback Requested	No	Free	No
Emerging Standard	HL7 FHIR R4: Task Resource	Balloted Draft	Feedback requested	Feedback Requested	No	Free	No
Emerging Implementation Specification	HL7 Bidirectional Services eReferrals (BSeR) FHIR IG	In Development	Feedback requested	Feedback Requested	No	Free	No
Emerging Implementation Specification	360X and Social Determinants of Health (SDoH) Referrals	In Development	Pilot	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Use cases under this section refer to interactions between clinical settings and organizations outside of the clinical setting ("extra-clinical"). The 360X Project, building on and in close coordination with the Gravity Project, is leveraging existing IHE 360X profiles to develop a profile designed to support closed-loop referrals to extra-clinical organizations in support of social determinants of health use cases. FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

Use cases under this section refer to interactions between clinical settings and organizations outside of the clinical setting ("extra-clinical").
The 360X Project, building on and in close coordination with the Gravity Project, is leveraging existing IHE 360X profiles to develop a profile designed to support closed-loop referrals to extra-clinical organizations in support of social determinants of health use cases.
FHIR Resources are in various stages of maturity. Please refer to the FHIR website for updates on specific profiles and their progress. The FHIR Maturity Model and each of the levels is described on the HL7 wiki.

Comment

Submitted by kelly.clarke@j… on 2023-10-03

Recommend defining "extra-clinical" services for clarity. Does “extra” mean additional or does it mean beyond additional clinical services?