Blog from May, 2024

Attendance

Administrative topics

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We reviewed the upcoming tasks on SDOH-related standards. The 360X-SD specification needs to be prepared for publishing for trial implementation. Everyone is invited to give it a look-over at https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_360XSD_Rev1-0_PC_2024-04-10.pdf and propose any clarifications, fixing possible typos or any other improvement. At the next SDOH call on June 14 we will review any suggestions.

We continued the discussion of the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. The development will result in two FHIR IGs

• The IHE International IG will only describe the required support for searching based on a Task resource, without profiling any resource profiling, or vocabulary binding. This will establish the transaction framework that national or regional implementations can reuse.
• The IHE US IG will reference the Gravity profiles and value sets, and use the transaction described in the International IG

The latest approved change proposals for the base 360X IHE profile are ready to be incorporated, and we discussed the process of publishing the 360X IHE profile as final text. We determined that it is worth the effort to initiate the uplift of the PCC technical framework to web publishing, and making 360X the fist web-published PCC profile on https://profiles.ihe.net. This process will happen over the summer.

Mark Mollenkopf (Feeding America) mentioned being at a Food as Medicine conference last week that was attended by folks from USDA, Veterans  Health Administration, and HHS. They presented as a panel and were actively seeking questions and ideas that could move SDOH work along. Mark offered on today’s call that if this team had questions and ideas in support of the 360X-SD work, he would help surface those in conversations and work that Feeding America is doing with HHS. Feeding America and HHS announced a public-private partnership in February 2024.
https://www.hhs.gov/about/news/2024/02/02/hhs-hosts-first-ever-food-medicine-summit-launches-three-public-private-partnerships.html

Garry Miller contributed to this thinking that funding and policy support would help overcome some of the implementation barriers. Key point of the early work will be to show providers that improvements via 360XSD can have a measurable impact for patients. If they can get behind it, because they see value, this can help accelerate the adoption/implementation of the new standards.

Matt Bishop commented that easing the process of SNAP/WIC applications with options for API submissions can show a measurable impact on getting help to patients/clients.

Attendance

Administrative topics

Announcement

The call on May 24 will be cancelled (week of HL7 WG meeting, and Friday before Memorial Day weekend).

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We continued the discussion of the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. Looking at the the ServiceRequest and workflow-related Task resources in Gravity, we have to make sure that there are two points to cover:

• The IHE International profiles need to accommodate various non-US needs, therefore we can't reference Gravity resources directly due to the requirements on US Core and specific US-based value sets. The IHE spec will work with base-standard ServiceRequest and Task, and will have a US-specific part that will reference the Gravity resources and value sets
• We have to make sure that the Referral Recipient owns the workflow Task, so that the query can be based on it. Gravity explicitly allows for the Task to live on the recipient's FHIR server.

The work on getting the 360X-SD published for trial implementation will start after Memorial Day.

The latest approved change proposals for the base 360X IHE profile are ready to be incorporated, and the process of publishing the 360X IHE profile as final text will develop over the summer.

Attendance

Administrative topics

Announcement

The call on May 24 will be cancelled (week of HL7 WG meeting, and Friday before Memorial Day weekend).

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

IHE Committee meeting

At the face to face meeting this week the IHE PCC committee reviewed the 360X-HH profile (see below), the SDOH-RSQ profile, and the status of the 360X-SD public comment. The IHE ITI committee reviewed the ITI Scheduling FHIR profile.

SDOH Referral Status Query (SDOH-RSQ)

This FHIR-based profile is complementary to the the 360X-SD profile. The review of the current status pointed out that the Gravity Project resource profiles are tightly coupled with US-Core, and the IHE general purpose profile will need to be more generic. One option is to simply define the search parameters for the query, and have a US-specific section that references the Gravity Project resources.

360X-SD Public Comment

There are no current issues submitted, and with the impending end of the comment period, the work on publishing the profile for trial implementation will commence after Memorial Day.

Home Health referrals

The 360X-HH Profile was reviewed at the IHE meeting. The current suggestion is to have the capability for "Deferred referral" designated as a named option. This will allow implementations to be clear that they support this particular transaction. The initial information for some of the 360X-HH - specific transactions will be available for review at the next Home Health call on June 7.

Attendance

Administrative topics

Action items

The 360X-SD IHE profile has been published for public comment at https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_360XSD_Rev1-0_PC_2024-04-10.pdf. Please review and send comments (including "I approve") using the form at https://www.ihe.net/PCC_Public_Comments/

Reminders

Signing up for the mailing list can be done at https://360x-referral.com/mailman3/lists/360x-contrib.360x-referral.com/ 
There is an archive of all messages sent to the mailing list, including the the meeting requests, at https://360x-referral.com/archives/list/360x-contrib@360x-referral.com/

SDOH Referrals

We discussed the current state of the SDOH Referral Status Query, which is being developed as a IHE FHIR IG. The goal is to have volume 1 completed for the face to face meeting. That, and the comments for the 360X-SD IHE profile will be discussed at the next IHE face-to-face meeting. The tentative time slots for 360X topics are:

• 360X-HH (Home Health) 11 am - 1 pm Eastern time on Wednesday, May 8,
• 360X-SD (SDOH comment review + Referral Status Query) 10 am - 11 am  Eastern Time on Thursday, May 9.

The conference call information will be sent to the mailing list as soon as it becomes available.