SME Session 4: An HL7 FHIR Standard Based Solution for Intermediary-to-Intermediary Exchange and Reliable Routing with Metadata 

The FAST Exchange Tiger Team focused on proposed solutions to address barriers related to transaction exchange for FHIR-based solutions at scale. 

The group of SMEs invited to participate in this session will be asked to evaluate the team's proposed solutions: Reliable Routing with Metadata Across Intermediaries and Reliable Routing Across Intermediaries Using Destination Specific and provide their expert insight and opinion on these solutions.

The solutions aim to answer the following questions:

  1. How do we consistently and reliably exchange clinical data across a hybrid system where partners may use one or more intermediaries for technical and business operations?
  2. How do we standardize metadata exchange?

These solutions are focused on enabling consistent and reliable transaction exchange.


NameOrganization Participation Role 
Patrick MurtaHumanaMeeting Facilitator, ONC FAST Chief Architect 
Paul OatesCignaMeeting Facilitator, ONC FAST Chief Architect 
Stephen Konya HHS | ONC Meeting Facilitator, ONC FAST Lead 
Durwin DayBlue Cross Blue Shield of IllinoisMeeting Facilitator, ONC FAST Tiger Team Lead 
Henry MeyneAvailitySubject Matter Expert 
Beth ClapperChange HealthcareSubject Matter Expert 
Robert BowmanCAQHSubject Matter Expert 
Jason VogtCommonWell/MeditechSubject Matter Expert 
Eric HeflineHealth ExchangeSubject Matter Expert 
John Kelly EDIFECSSubject Matter Expert 
Rick Geimer*LantanaSubject Matter Expert 
Alix GossImpradoSubject Matter Expert 
Alex KonturHHS | ONCSubject Matter Expert 
Mike CabralHHS | CMSSubject Matter Expert 
Amit ShahBlue Cross Blue Shield of FloridaSubject Matter Expert 
Michael GouldBlue Cross Blue Shield Association 
Sid Hebert*AvailitySubject Matter Expert 
Matt Doyle EpicSubject Matter Expert 
David TurveyCernerSubject Matter Expert 
Mary Kay McDanielsCognosanteSubject Matter Expert 

*All SME participants with an asterisk by their name are invited, pending confirmation. 

Relevant Pre-meeting Reading Material 

SME Session Details

The nominated SME's will be asked to participate in two meetings in their area of expertise. 

Meeting #1 - SMEs Prep-session  (1 hour) (closed session, by invite only)

  • Date/time:  June 22, 2020 /  3:00 - 4:00 PM EST
  • Scope and goals: This session is intended to orient SMEs to the work of FAST, the barriers this team is addressing and the proposed solution the team has developed. The goal is to provide SMEs with the foundational knowledge required to conduct an evaluation of the proposed solution prior to the SME Session.
  • Agenda
    • Introductions
    • FAST 101
    • SME Role and Expectations
    • Barriers & Proposed Solution
    • Setting the Stage for SME Session
    • Meeting materials

Meeting #2 -  SMEs Panel Discussion Session - An industry discussion around the FAST proposed solution for exchange  (3 hours) (closed session, by invite only)

  • Date/time:   June 29, 2020 /  3:00 - 6:00 PM EST
  • Scope and goals: The goal of this session is to elicit SMEs expert insight into proposed solution(s), specifically:
    • Feasibility and effectiveness
    • Potential gaps
    • Unintended consequences
    • Alternate approaches to consider
    • Industry path forward (standard, regulation or policy)
  • Agenda
    • Welcome
    • Session Goals
    • Solution Review and Discussion
    • Implications of Solution
    • Industry Path Forward
    • Action Items
  • Meeting materials

Learn More About FAST

FAST’s goal is to analyze and identify HL7® Fast Healthcare Interoperability Resources (FHIR®) scalability gaps and offer possible solutions that will address current barriers and will accelerate FHIR adoption at scale. 

To learn more, you can review the FAST 101 deck in Confluence or watch the FAST 101 webinar recording or read the 2019 End-of-Year Report for a snapshot of the progress made by FAST so far.

Other FAST resources that may be of interest

Next Steps immediately following SME Sessions

    • FAST Report-Out to summarize session discussion, decisions, and next steps
    • FAST Action Plan to define proposed solution path (standard, regulation and/or process)

Contact Us

If you have any further questions, comments or would like more information please contact the ONC FAST Leads: and

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