Referral to a Specialist - Request, Status Updates, Outcome

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7® Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Release 2.1	Balloted Draft	Production		Yes	Free	Yes
Implementation Specification	HL7 CDA R2 IG: C‐CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2 ‐ US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Implementation Specification	HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Emerging Implementation Specification	IHE Patient Care Coordination Technical Framework Supplement: 360 Exchange - Closed Loop Referral (360X) Rev. 1.1 – Trial Implementation	Balloted Draft	Production		No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
The HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).	Feedback requested.

Comment

Submitted by Kwallace46 on 2022-03-08

Cooperation for electronic referrals and record sharing

Many specialists I refer to are not utilizing record sharing or direct ID for referrals. I have called many and they are only doing the bare minimum to meet meaningful use criteria, because of the effort involved in changing office operations. My recommendation would be for assistance from healthIT.gov for organizations to use their EMR's capabilities maximally and promote interoperability. No amount of technological advances in information exchange will be of value unless providers actually use them. I have already spent a great deal of time calling offices in our area to encourage use of information exchange in order to help my practice waste less time chasing down records and results. Unfortunately, however, most have not been interested in putting in the necessary work, which limits my ability to use information exchange.