The FHIR at Scale Taskforce (FAST) has identified a series of technical barriers that need to be addressed in order to scale Fast Healthcare Interoperability Resources (FHIR) as a ubiquitous technology that enables wide-scale clinical information exchange between providers, payers, and other stakeholders. These barriers include a lack of a FHIR endpoint locator, lack of common authentication and authorization approaches to ensure appropriate patient privacy, gaps in the ability to bridge patient identity across stakeholders, and a lack of industry wide governance and versioning for FHIR Application Programming Interfaces (APIs).

1. Directory Services

2. Identity

3. Security 

4. Testing, Conformance & Certification 

5. Versioning 

6. Scaling

Read the full Technical Barriers to HL7 FHIR Solutions Scalability

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