What's the end goal?
Directory: focused on easing ability to identifying endpoints, which currently are located in multiple locations
A National Solution for FHIR Endpoint Discovery
Output format(s) under consideration:
- FHIR Implementation Guide detailing maintenance, validation and retrieval of information from a validated directory
- Recommendation for a central, federally managed, validated provider directory
- Recommendation for federal rules requiring participation in the central directory
Security: solutions focused on determining how to manage permissions and security of millions of patients, payers and providers
UDAP Trusted Dynamic Client Registration | UDAP Tiered OAuth | UDAP JWT-Based Client Authentication| UDAP JWT-Based Authorization Assertions
Output format(s) under consideration:
- Implementer guidance that applies current rules and techniques to FHIR use. Potentially a FHIR IG or other form of guidance
Identity: focused on enabling unique identification of patients/members for requesters Mediated Patient Matching | Collaborative Identifier for Patient | Distributed Identity Management | Networked Identity Management Output format(s) under consideration: - Best practices for Identity Matching Services
- Recommended KPIs for Identity Matching Services
- Best practices for Identity Assurance
- FHIR Implementation Guide for use of Collaborative Identifiers in FHIR queries and pre-query matching
| Scale: focused on enabling a high-volume of FHIR transactions to be consistently and predictably exchanged in a hybrid exchange model Requirements for FHIR RESTful Exchange Intermediaries Output format(s) under consideration: - HL7 FHIR standard for intermediary-to-intermediary exchange
- FAST guidelines for intermediary performance (SLA)
| Exchange: Focused on enabling consistent and reliable transaction exchange Reliable Routing with Metadata Across Intermediaries Reliable Routing Across Intermediaries Using Destination Specific Output format(s) under consideration: - Standard routing metadata definitions to support exchange involving intermediaries, which can be used for any exchange method
- Recommendation for capturing provenance information related to intermediary exchange
| Testing & Certification: focused on ensuring standard conformance ONC FHIR Testing and Certification Output format(s) under consideration: - Requirements for the development of a FHIR testing platform, captured in an RFI to industry participants
- Recommendation to establish an ONC certification program for FHIR implementers
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Versioning: focused on solving issues caused by the use of multiple versions of FHIR across the healthcare ecosystem Supporting Multiple Production Versions of FHIR Output format(s) under consideration: - Content in the Directory FHIR IG (above)
- Request to HL7 for a FHIR version translation capability (to be part of the core FHIR spec)
- Support in the FAST Testing & Certification solution (testing platform) for:
- version-related testing
- capabilityStatement-related testing
- confirmation that FHIR versions are stated in exchanged artifacts
| Contact Us
If you have any further questions, comments or would like more information please contact the ONC FAST Lead: Stephen.Konya@hhs.gov. To stay up to date with FAST, join the FAST TLC LinkedIn Page.