Data Strategy Briefing — December 12, 2023

Executive briefing: The U.S. Office of the National Coordinator for Health IT (ONC) and The Sequoia Project released the TEFCA FHIR Roadmap on 12 December 2023, defining how Qualified Health Information Networks (QHINs) will adopt FHIR-based exchange capabilities beginning in 2024.

Key data governance checkpoints

• Roadmap alignment. Review the phased milestones for FHIR transactions, including readiness assessments in 2024 and production support for FHIR-based query and push services.
• Data quality controls. Evaluate data normalization, terminology services, and provenance capture needed to meet TEFCA FHIR payload requirements.
• Participant agreements. Update QHIN participation agreements to address the roadmap’s security, certification, and testing obligations.

Operational priorities

• Pilot preparation. Identify product teams and provider partners to participate in the 2024 FHIR pilot period outlined by the roadmap.
• Infrastructure readiness. Plan API gateway enhancements, consent management updates, and audit logging to support FHIR-based exchange alongside existing IHE transactions.
• Governance reporting. Establish KPIs for FHIR transaction success rates, error handling, and patient access metrics.

Enablement moves

• Host workshops explaining differences between current TEFCA message formats and forthcoming FHIR requirements for clinical, administrative, and public health use cases.
• Integrate roadmap checkpoints into TEFCA participation compliance plans to ensure resourcing for testing, certification, and go-live support.

Sources

• ONC announcement of the TEFCA FHIR Roadmap
• TEFCA FHIR Roadmap (December 2023)

Zeph Tech supports TEFCA participants with FHIR roadmap execution, covering interoperability design, testing coordination, and compliance reporting.

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