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FHIR Roadmap for TEFCA

ONC and the RCE have published the “FHIR® Roadmap for TEFCA Exchange –Version 1.”

The evolving health IT landscape requires TEFCA to rapidly include approaches that support FHIR.  This approach leverages current state of FHIR today and allows TEFCA policy and technical infrastructure to accelerate FHIR adoption into the future.

In 2023, the RCE will pilot the use of the TEFCA Facilitated FHIR Implementation Guide (Draft 2).

Planned Stages of FHIR Availability in TEFCA

Stage 1

FHIR Content Support

  • FHIR exchange possible within QHINs’ own networks
  • IHE exchange of FHIR payloads between QHINs is possible with "out-of-band" coordination.
Stage 2

Network-Facilitated FHIR Exchange

  • QHIN-facilitated FHIR-based exchange available as an option under TEFCA.
Stage 3

Network-Brokered FHIR Exchange

  • QHIN-facilitated FHIR-based exchange available as an option under TEFCA.
  • QHIN-brokered FHIR API exchange optionally available.
TEFCA FHIR Roadmap Graphic

TEFCA Facilitated FHIR Implementation Guide Testing

HL7 FHIR Connectathon | May 6 – 7, 2023 | New Orleans, LA  

The HL7 FHIR Connectathon has a dedicated track for TEFCA-Facilitated FHIR Implementation Guide Testing. This will build on the IHE Connectathon from March, and includes defined clinical scenarios. All organizations interested in supporting the implementation of FHIR utilizing UDAP for Dynamic Registration are welcome to participate, particularly candidate QHINs, those thinking of applying to be a QHIN, and those thinking of applying to be a Participant or Subparticipant of a QHIN and who expect to be leveraging Facilitated FHIR when it is available. To register and learn more visit the HL7 site: https://confluence.hl7.org/display/FHIR/2023+-+05+TEFCA+Facilitated+FHIR#id-202305TEFCAFacilitatedFHIR-Zulipstream

This program is supported by the Office of the National Coordinator for Health Information Technology (ONC) of the U.S. Department of Health and Human Services (HHS) under grant number 90AX0026, Trusted Exchange Framework and Common Agreement – Recognized Coordinating Entity (RCE) Cooperative Agreement Program, in the amount of $5,101,000 with 100 percent funded by ONC/HHS. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by ONC, HHS or the U.S. Government.

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