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Welcome to 360X: Closed Loop Referrals Project

Launched in 2012, as part of ONC's State Health Information Exchange Cooperative Agreement Program, 360X was launched with a goal of using standards supporting Meaningful Use Stage 2 to enable provider exchange of patient information for referrals from their EHR workflow, regardless of the EHR systems and/or HISP services used (i.e., allowing information to move point-to-point between unaffiliated organizations, differing EHRs, and differing HISPs) with at least the same quality of workflow integration providers currently experience when referring between homogeneous EHR systems. While the State HIE Program closed out programmatic activities in 2014, 360X remains active under ONC’s Office of Standards and Technology, and Tech Lab.



For more information about how 360X works, view the latest version of our Implementation Guide. 

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