Things to be done to get to V3

• FHIR Profiles for FAST Identity
  • Practitioner and Organization
  • Extensions to $match operation?
  • Revisit SME feedback from workshops - Carmen S/Catherine S
    • Don't need to credit source of feedback - SMEs are not representing their organizations, rather sharing their personal expertise
• Follow up on when FAST is considered "done", is this by V3 or more? - MJ/Carmen S
• Use Cases - SMEs want to see use cases, do we agree? Need follow up with Chief Architects - Diana
  • TTs can document how their solutions work for specific use cases if it helps illustrate/understand the solutions better, with the call out that these solutions are meant to be applied broader than the specific use case
• Consent - SME feedback wants FAST to tackle
  • Could be a topic that can be addressed across TTs
  • Consent could cover multiple topics
    • Sharing identity
    • Sharing PHI
  • What can we learn from how other industries have tackled it? E.g. PSD2
• Provider Identity - role of NPPES, reliability of data
  • Identity team to recommend next steps(?) to Directory team
    • JM 9/25/20: Note "Digital Contact Information" requirement here: https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet 
    • JM 9/25/20: Note that DirectTrust Directory is working on more public availability of their directory, so there is a possibility of this being useful at some point also. This directory already contains about 1M electronic endpoints, is integrated into many EMR systems, and currently has a URL field for FHIR endpoints too. The directory group is also actively working on strengthening the directory's representation of the parent/child organizational relationships that we mentioned during our session yesterday are relevant to exchange use cases.
  • Ask team for opinion on whether to recommend ONC/CMS come up with incentives/mandates to keep NPPES data current. Why are so many providers/payers/entities having to pay for this data and pay to maintain it? Licensing Boards, State Medical Assns, etc. should be sources of data for NPPES 2.0