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This implementation guide uses existing standards and specifications to enable the sharing of clinical content and the minimal workflow information for the closed-loop referral use case.

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Data and Section requirements for 360x: 360X requires a valid CCDA C-CDA per HL7 C-CDA R2.1 IG and, therefore, the section conventions that that IG defines take precedence. The only requirement that 360X levies on the referral request and the request closure documents beyond the HL7 CCDA C-CDA R2.1 IG is that:

  • Every referral request must have a non-null reason for referral section (R)
  • Every closure of a request must have a non-null response to the question asked in the reason for referral and the recommendation is to include that content in the Results section.

Data and Section information: We have provided an Appendix provided Appendix B for document types and sections in support of your development to 360X and comparison of it to any development toward the ONC 2015 Edition specifications. This is for information only. Three document types are reviewed:

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For the Consultation note, only 2 two columns are provided; HL7 IG and AMA input, since the ONC 2015 Edition does not define a Consultation Note as a required document template.

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