Data Strategy Briefing — August 26, 2024

Executive briefing: The Office of the National Coordinator for Health IT (ONC) and the Recognized Coordinating Entity released the TEFCA FHIR Roadmap on 26 August 2024, detailing how Qualified Health Information Networks (QHINs) will roll out FHIR-based exchange alongside existing document-based workflows. The roadmap sets expectations for 2025 pilot transactions, conformance testing, and production go-lives supporting consumer access, population-level queries, and payer integration.

Key interoperability checkpoints

• Use case prioritisation. Identify TEFCA exchange scenarios (consumer access, public health, payer data requests) most critical for 2025 pilots and map required FHIR resources.
• Certification dependencies. Align TEFCA FHIR plans with HTI-1 certification timelines so API capabilities, security layers, and patient access features land before pilot deadlines.
• Policy harmonisation. Update data use agreements and consent frameworks to reflect TEFCA's trusted exchange framework and minimum necessary requirements.

Operational priorities

• Vendor engagement. Confirm EHR and HIE partners will support TEFCA FHIR transactions, including Bulk FHIR APIs and patient-authorised app connections.
• Testing infrastructure. Build or subscribe to sandbox environments that replicate QHIN conformance testing requirements and security assertions.
• Measurement plans. Define KPIs tracking query success rates, latency, and exception handling to demonstrate readiness during ONC evaluations.

Enablement moves

• Brief interoperability governance boards on roadmap milestones and resource needs for 2025 pilots.
• Coordinate with privacy officers to ensure TEFCA participant agreements align with state consent laws and 42 CFR Part 2 obligations.

Sources

• TEFCA FHIR Roadmap
• Advancing TEFCA with FHIR

Zeph Tech operationalises TEFCA FHIR upgrades with roadmap-aligned pilot plans, conformance testing support, and cross-jurisdiction consent governance.

Related briefings

Curated signals from the same pillar or overlapping topics.

Data Strategy · Credibility 50/100 · March 18, 2024

Data Strategy Briefing — March 18, 2024

The U.S. Office of the National Coordinator released Draft USCDI v5, expanding interoperability data classes that providers and digital health platforms must prepare to exchange as HTI-1 enforcement nears.

Data Strategy · Credibility 87/100 · January 18, 2024

TEFCA interoperability — First QHINs cleared to exchange nationwide

ONC and The Sequoia Project designated six Qualified Health Information Networks under the Trusted Exchange Framework and Common Agreement, activating nationwide FHIR-based exchange obligations for participants…

Data Strategy · Credibility 40/100 · July 13, 2022

Data Strategy Briefing — ONC USCDI v3 Final Release

The U.S. ONC finalized United States Core Data for Interoperability (USCDI) v3 on 13 July 2022, expanding required health data classes and elements, prompting providers and health IT vendors to update data-exchange…

Data Strategy · Credibility 40/100 · January 18, 2022

Data Strategy Briefing — January 18, 2022

The 18 January 2022 TEFCA launch set U.S. health data networks on a path toward Qualified Health Information Network onboarding, demanding rigorous operational playbooks, governance guardrails, and vendor sourcing…

Data Strategy · Credibility 40/100 · May 1, 2020

Data Strategy Briefing — May 1, 2020

CMS's Interoperability and Patient Access Final Rule requires MA, Medicaid/CHIP, and FFE QHP payers to deliver FHIR-based patient and directory APIs, support payer-to-payer exchange, and ensure hospitals send ADT…

Continue in the Data Strategy pillar

Return to the hub for curated research and deep-dive guides.

Visit pillar hub

Latest guides

• Data Interoperability Engineering Guide — Zeph Tech

  Engineer interoperable data exchanges that satisfy the EU Data Act, Data Governance Act, European Interoperability Framework, and ISO/IEC 19941 portability requirements.

• Data Stewardship Operating Model Guide — Zeph Tech

  Establish accountable data stewardship programmes that meet U.S. Evidence Act mandates, Canada’s Directive on Service and Digital, and OECD data governance principles while…

• Data Strategy Operating Model Guide — Zeph Tech

  Design a data strategy operating model that satisfies the EU Data Act, EU Data Governance Act, U.S. Evidence Act, and Singapore Digital Government policies with measurable…