{"id":7088,"date":"2024-10-28T15:41:56","date_gmt":"2024-10-28T15:41:56","guid":{"rendered":"https:\/\/www.hln.com\/?p=7088"},"modified":"2024-10-28T15:41:57","modified_gmt":"2024-10-28T15:41:57","slug":"draft-federal-fhir-action-plan","status":"publish","type":"post","link":"https:\/\/www.hln.com\/draft-federal-fhir-action-plan\/","title":{"rendered":"ASTP\/ONC Releases Draft Federal FHIR Action Plan"},"content":{"rendered":"<div id=\"themify_builder_content-7088\" data-postid=\"7088\" class=\"themify_builder_content themify_builder_content-7088 themify_builder\">\n \t<!-- module_row -->\n\t<div class=\"themify_builder_row module_row clearfix module_row_0 themify_builder_7088_row module_row_7088-0 tb_fzky614\">\n\t \t <div class=\"row_inner col_align_top\" >\n\t\t\t<div class=\"module_column tb-column col-full first tb_7088_column module_column_0 module_column_7088-0-0 tb_tu41614\">\n\t \t \t <div class=\"tb-column-inner\">\n\t\t <!-- module text -->\n<div class=\"module module-text tb_30u441 \">\n <div class=\"tb_text_wrap\">\n <p><span style=\"font-weight: 400;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-7064 alignright\" src=\"https:\/\/www.hln.com\/wp-content\/uploads\/2024\/10\/HealthITgov-ASTP_animated.svg\" alt=\"\" width=\"354\" height=\"73\" \/>In September 2024, the Assistant Secretary for Technology Policy\/Office of the National Coordinator for Health Information Technology (ASTP\/ONC) released a <\/span><a href=\"https:\/\/www.healthit.gov\/isp\/about-fhir-action-plan\"><span style=\"font-weight: 400;\">Draft Federal FHIR Action Plan<\/span><\/a><span style=\"font-weight: 400;\"> for public comment – the Federal government has declared FHIR \u201cready for prime time.\u201d Aimed in particular at progress by 2026, the plan forms the basis both for identifying and describing the current state of FHIR artifacts and their implementation as well as encouraging Federal agencies <\/span><i><span style=\"font-weight: 400;\">and their partners<\/span><\/i><span style=\"font-weight: 400;\"> to accelerate the implementation of FHIR.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Core Components section of the plan describes the currently-published FHIR standards including the current release of FHIR (<\/span><a href=\"https:\/\/hl7.org\/fhir\/R4\/\"><span style=\"font-weight: 400;\">R4<\/span><\/a><span style=\"font-weight: 400;\">) and implementation guides currently available for the <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/US-Core\/\"><span style=\"font-weight: 400;\">US Core<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/smart-app-launch\/app-launch.html\"><span style=\"font-weight: 400;\">SMART App Launch<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/spec.smarthealth.cards\/\"><span style=\"font-weight: 400;\">SMART Health Cards<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/bulk-data\"><span style=\"font-weight: 400;\">Bulk FHIR<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/cds-hooks.hl7.org\/\"><span style=\"font-weight: 400;\">CDS Hooks<\/span><\/a><span style=\"font-weight: 400;\">, and FHIR <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-subscription-backport-ig\/\"><span style=\"font-weight: 400;\">Subscription<\/span><\/a><span style=\"font-weight: 400;\">. Additional components are identified for Public Health and Emergency Response, including the <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-us-ph-library\"><span style=\"font-weight: 400;\">US Profiles Library<\/span><\/a><span style=\"font-weight: 400;\"> and implementation guides for electronic case reporting (<\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/case-reporting\"><span style=\"font-weight: 400;\">eCR<\/span><\/a><span style=\"font-weight: 400;\">), <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-central-cancer-registry-reporting-ig\/index.html\"><span style=\"font-weight: 400;\">cancer registry reporting<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/cancer-reporting\"><span style=\"font-weight: 400;\">pathology data sharing<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-bfdr\"><span style=\"font-weight: 400;\">vital reports and fetal death reporting<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-health-care-surveys-reporting-ig\/\"><span style=\"font-weight: 400;\">healthcare surveys<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/hl7.org\/fhir\/us\/icsr-ae-reporting\/\"><span style=\"font-weight: 400;\">transfusion and vaccination adverse events<\/span><\/a><span style=\"font-weight: 400;\">. While all but the last are \u201cin production\u201d as indicated, there is very little actual use of these standards for public health purposes – at best, the maturity state is indicated as \u201cin pilot.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite its limited use in public health, this plan is a worthwhile articulation of the Federal government\u2019s intentions and shows strong leadership in this area. As much of public health reporting continues to use <\/span><a href=\"https:\/\/www.hl7.org\/implement\/standards\/product_brief.cfm?product_id=185\"><span style=\"font-weight: 400;\">HL7 v2 messages<\/span><\/a><span style=\"font-weight: 400;\"> and the HL7 Clinical Document Architecture (<\/span><a href=\"https:\/\/hl7.org\/cda\/\"><span style=\"font-weight: 400;\">CDA<\/span><\/a><span style=\"font-weight: 400;\">), with limited funding available for migration to newer FHIR standards, complete migration to FHIR will be an uphill battle (see some of our comments on the ASTP\/ONC <\/span><a href=\"https:\/\/www.hln.com\/hti-2\/\"><span style=\"font-weight: 400;\">HTI-2<\/span><\/a><span style=\"font-weight: 400;\"> proposed rule). The implementation of FHIR within TEFCA (referenced in the plan) will also help. What we can expect is a much slower, though steady march towards broader adoption of FHIR over at least a five to ten year period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p> <\/div>\n<\/div>\n<!-- \/module text -->\n\t <\/div>\n\t \t<\/div>\n\t\t <\/div>\n\t <!-- \/row_inner -->\n\t<\/div>\n\t<!-- \/module_row -->\n\t<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In September 2024, ASTP\/ONC released a Draft Federal FHIR Action Plan for public comment – the Federal government has declared FHIR \u201cready for prime time.\u201d Read a short public health perspective on this plan.<\/p>\n","protected":false},"author":4,"featured_media":7064,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[45,9,10,48,50,12,13,18,20,25,40],"tags":[36],"class_list":["post-7088","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dmi","category-ehr-phr","category-ecr","category-federal-rulemaking","category-fhir","category-hie-interoperability","category-hl7","category-mu","category-onc","category-planning","category-public-health","tag-blog","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"acf":[],"builder_content":"<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hln.com\/wp-content\/uploads\/2024\/10\/HealthITgov-ASTP_animated.svg\" alt=\"\" width=\"354\" height=\"73\" \/>In September 2024, the Assistant Secretary for Technology Policy\/Office of the National Coordinator for Health Information Technology (ASTP\/ONC) released a <a href=\"https:\/\/www.healthit.gov\/isp\/about-fhir-action-plan\">Draft Federal FHIR Action Plan<\/a> for public comment - the Federal government has declared FHIR \u201cready for prime time.\u201d Aimed in particular at progress by 2026, the plan forms the basis both for identifying and describing the current state of FHIR artifacts and their implementation as well as encouraging Federal agencies <i>and their partners<\/i> to accelerate the implementation of FHIR.\u00a0<\/p> <p>The Core Components section of the plan describes the currently-published FHIR standards including the current release of FHIR (<a href=\"https:\/\/hl7.org\/fhir\/R4\/\">R4<\/a>) and implementation guides currently available for the <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/US-Core\/\">US Core<\/a>, <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/smart-app-launch\/app-launch.html\">SMART App Launch<\/a> and <a href=\"https:\/\/spec.smarthealth.cards\/\">SMART Health Cards<\/a>, <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/bulk-data\">Bulk FHIR<\/a>, <a href=\"https:\/\/cds-hooks.hl7.org\/\">CDS Hooks<\/a>, and FHIR <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-subscription-backport-ig\/\">Subscription<\/a>. Additional components are identified for Public Health and Emergency Response, including the <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-us-ph-library\">US Profiles Library<\/a> and implementation guides for electronic case reporting (<a href=\"https:\/\/build.fhir.org\/ig\/HL7\/case-reporting\">eCR<\/a>), <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-central-cancer-registry-reporting-ig\/index.html\">cancer registry reporting<\/a> and <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/cancer-reporting\">pathology data sharing<\/a>, <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-bfdr\">vital reports and fetal death reporting<\/a>, <a href=\"https:\/\/build.fhir.org\/ig\/HL7\/fhir-health-care-surveys-reporting-ig\/\">healthcare surveys<\/a>, and <a href=\"https:\/\/hl7.org\/fhir\/us\/icsr-ae-reporting\/\">transfusion and vaccination adverse events<\/a>. While all but the last are \u201cin production\u201d as indicated, there is very little actual use of these standards for public health purposes - at best, the maturity state is indicated as \u201cin pilot.\u201d<\/p> <p>Despite its limited use in public health, this plan is a worthwhile articulation of the Federal government\u2019s intentions and shows strong leadership in this area. As much of public health reporting continues to use <a href=\"https:\/\/www.hl7.org\/implement\/standards\/product_brief.cfm?product_id=185\">HL7 v2 messages<\/a> and the HL7 Clinical Document Architecture (<a href=\"https:\/\/hl7.org\/cda\/\">CDA<\/a>), with limited funding available for migration to newer FHIR standards, complete migration to FHIR will be an uphill battle (see some of our comments on the ASTP\/ONC <a href=\"https:\/\/www.hln.com\/hti-2\/\">HTI-2<\/a> proposed rule). The implementation of FHIR within TEFCA (referenced in the plan) will also help. What we can expect is a much slower, though steady march towards broader adoption of FHIR over at least a five to ten year period.<\/p> <p>\u00a0<\/p>","_links":{"self":[{"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/posts\/7088","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/comments?post=7088"}],"version-history":[{"count":3,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/posts\/7088\/revisions"}],"predecessor-version":[{"id":7091,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/posts\/7088\/revisions\/7091"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/media\/7064"}],"wp:attachment":[{"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/media?parent=7088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/categories?post=7088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hln.com\/wp-json\/wp\/v2\/tags?post=7088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}