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The FHIR at Scale Taskforce (FAST) has identified regulatory and policy barriers that need to be addressed in order to scale Fast Healthcare Interoperability Resources (FHIR) as a ubiquitous capability that enables widescale clinical information exchange between providers, payers, and other stakeholders. These barriers include the HIPAA minimum necessary regulations, the naming of a standard In a way the
limits innovation, the lack of a single patient identifier, and the cost of accessing data via FHIR Application Programming Interfaces (APIs).


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1. HIPAA Minimum Necessary

2. Regulatory Mandate for a Single Named Standard

3. Patient Identifier

4. Data Blocking

5. Use of NPPES as the Repository for Endpoints

6. HIPAA Transactions Requiring X12

Read the full Regulatory/Policy Barriers to HL7 FHIR Solutions Scalability

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