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 SME Session 1: A National Solution for FHIR Endpoint Discovery 



The FAST Directory, Versions and Scale Tiger Team worked on proposed solutions for each domain area reflected in its name, however, this SME Panel Session will focus on the solution developed to address barriers related to a National Directory for FHIR Endpoints.

The group of SMEs invited to participate in this session will be asked to evaluate the team's proposed solution, "A National Solution for FHIR Endpoint Discovery",  and provide their expert insight in their own area of expertise, as well as the opinion on the topic.

This solution aims to answer the following questions:

  • How do we find a FHIR endpoint for an organization or provider?
  • How do we know what FHIR operations the endpoint supports? 
  • How do we know the authentication and authorization requirements for the endpoint?

The solution proposes a model focused on an API-enabled national source for endpoint directory information, available to any local directory or workflow. The directory contains entity and individual information to determine endpoint relationships. The endpoint information shall include supported IG’s, trust frameworks, metadata requirements, etc.

Participants 

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 
Alix GossImpradoMeeting Facilitator, ONC FAST Tiger Team Lead 
Bob Dieterle Enablecare Meeting Facilitator, ONC FAST Tiger Team Lead 
Celine LefebvreAmerican Medical AssociationSubject Matter Expert 
Dr. Steven WaldrenAmerican Academy of Family PhysiciansSubject Matter Expert 
Terry CunninghamAmerican Hospital AssociationSubject Matter Expert 
Dave CasselCarequalitySubject Matter Expert 
Didi DavisSequoia Subject Matter Expert 
Paul WilderCommonwell Subject Matter Expert 
Rim CothrenCalifornia Association of Health Information Exchanges /eHealth Exchange Subject Matter Expert 
Scott StueweDirectTrustSubject Matter Expert 
Paul Joiner*Availity Subject Matter Expert 
Joe Bell*Cooperative Exchange Subject Matter Expert 
Dan ChaputHHS | ONCSubject Matter Expert 
Alexandra  MuggeHHS | CMSSubject Matter Expert 
Steven LaneSutterhealthSubject Matter Expert 
Matt SchullerBlue Cross Blue Shield AssociationSubject Matter Expert 
Hans BuitendijkCerner & Commonwell Subject Matter Expert 
Ron UrwongseCouncil for Affordable Quality Healthcare, IncSubject 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:  May 21, 2020 /  4:00 - 5:00 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 a national endpoints directory  (3 hours) (closed session, by invite only)

  • Date/time:  June 1, 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 (updated for follow-up session taking place June 15th, 4-6pm ET)

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: Stephen.Konya@hhs.gov and Diana.Ciricean@hhs.gov.


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