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FHIR Roadmap for TEFCA™

ONC and the RCE™ released the updated “FHIR® Roadmap for TEFCA℠ Exchange – Version 2” in December 2023. 

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.

Download Roadmap

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

QHIN-Facilitated FHIR Exchange

  • QHIN support for facilitated FHIR API exchange required.
  • Participant and Subparticipant exchange via FHIR API is available.
Stage 3

QHIN-to-QHIN FHIR Exchange

  • Support for exchange between QHINs via FHIR APIs required.
Stage 4

End-to-End FHIR Exchange

  • Support for QHIN-brokered FHIR Exchange between Participants and Subparticipants.
Meet the QHINS

The Designated QHINs have been announced!

RCE is proud to introduce the designated Qualified Health Information Networks. 

Designated QHINs
eHealth Exchange logo
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General: rce@sequoiaproject.org

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