FHIR Archives - HIT Leaders and News

Clinical Trials Enter the Automation Era, But Oversight Must Keep Pace

Jason Free — Tue, 04 Nov 2025 02:14:47 +0000

The debut of real-time data integration between Epic and clinical trial systems at Mount Sinai Tisch Cancer Center signals a deeper shift in how leading institutions are reimagining research infrastructure, where speed, accuracy, and regulatory readiness are becoming as critical as scientific discovery itself.

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Interoperability’s Next Act: AI, TEFCA, and the Strategic Stakes of the eHealth Exchange Gathering

Jason Free — Tue, 23 Sep 2025 11:54:28 +0000

When the eHealth Exchange convenes its 2025 Annual Meeting in Nashville this November, it won’t just be another interoperability summit. The event will serve as a barometer for how U.S. health data infrastructure is evolving under new pressures, technical, political, and economic.

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AI Care Managers Shift Healthcare’s Administrative Frontier

Jason Free — Mon, 04 Aug 2025 13:15:38 +0000

Sword Health built its reputation on digital musculoskeletal therapy, winning large employer contracts in the process. The company’s latest move establishes a new division, Sword Intelligence, that pivots proven in-house automation tools toward the broader provider, payer, and public-sector markets.

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Tech Giants and CMS Chart Path to Patient Driven Health Data Exchange

Jason Free — Mon, 04 Aug 2025 11:32:08 +0000

The White House gathered senior officials and market heavyweights, including Amazon, Anthropic, Apple, Google, and OpenAI, to endorse a voluntary framework that promises easier data sharing between providers and patients. The commitment aligns with a refreshed political mandate from the U.S. Department of Health and Human Services to replace paper, portals, and passwords with secure, app-based access to health records.

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FHIR at a Crossroads for Real-World Evidence

Jason Free — Tue, 01 Jul 2025 11:56:49 +0000

The Electronic Health Record Association’s June 23 comment letter arrives just weeks after the Food and Drug Administration opened Docket No. FDA-2025-N-0287 to explore whether HL7 FHIR can carry real-world data into formal submissions. Representing almost thirty vendors, the EHR Association applauds the inquiry yet warns that inconsistent coding practices, limited lineage metadata, and opaque de-identification workflows still undermine research-grade reliability. FDA’s docket signals a strategic shift from viewing FHIR solely as a messaging format to considering it a regulatory substrate that could align clinical care documentation with pharmaceutical evidence pathways.

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Epic’s Legal Troubles and the Deeper Crisis in Health Data

Jason Free — Thu, 15 May 2025 21:24:11 +0000

CureIS Healthcare’s lawsuit against Epic Systems is more than a routine addition to the mounting pile of digital health litigation. It marks a deeper unraveling—one that exposes the structural fragility of the U.S. electronic health record (EHR) market. For years, a handful of entrenched vendors have controlled this space with minimal resistance. Now, that dominance appears to be reaching its breaking point. What is unfolding is not just a legal dispute, but a potential collapse of platform control, strained by contradictions around interoperability, data stewardship, and competitive neutrality.

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Payer Workgroup Publishes Payer-to-Payer FHIR API Compliance Readiness Checklist Ahead of CMS Deadline

Jason Free — Tue, 15 Apr 2025 22:21:45 +0000

Developed by Interoperability Matters’ Payer-to-Payer FHIR API Implementation Workgroup, the readiness checklist serves as a resource for any payer seeking to implement the Centers for Medicare & Medicaid Services (CMS) regulation. This editable checklist provides an easy-to-use framework that helps identify both explicit and implicit regulatory and operational requirements, ensuring payers are well-prepared to meet compliance standards.

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ONC Releases Common Agreement Version 2.0, Paving the Way for TEFCA Exchange via FHIR

Jason Free — Fri, 26 Apr 2024 11:04:05 +0000

The U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC) and its Recognized Coordinating Entity (RCE), The Sequoia Project, Inc., announced that Common Agreement Version 2.0 (CA v2.0) has been released.

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The Sequoia Project and HL7 Enter Strategic Collaboration To Advance FHIR Implementations Nationwide

Jason Free — Mon, 04 Mar 2024 12:35:26 +0000

Health Level Seven International (HL7), a leading standards-development organization, and The Sequoia Project, a non-profit and trusted advocate for nationwide health information technology (health IT) interoperability, are pleased to announce a strategic collaboration to advance global health data interoperability by accelerating the adoption of the HL7 Fast Healthcare Interoperability Resources (FHIR) standards in the United States.

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HHS Expands TEFCA by Adding Two Additional QHINs

Jason Free — Wed, 14 Feb 2024 14:31:36 +0000

The U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC), announced that two additional organizations—CommonWell Health Alliance and Kno2—have been designated as Qualified Health Information Networks (QHINs) capable of nationwide health data exchange governed by the Trusted Exchange Framework and Common Agreement (TEFCA).

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