Qualified Health Information Networks (QHINs)
See the following -
Draft TEFCA Facilitated FHIR Implementation Guide: A Public Health Perspective
On October 7, 2022, the Trusted Exchange Framework and Common Agreement (TEFCA) project released a Draft TEFCA Facilitated FHIR Implementation Guide. As described in an earlier post, the project released a specific plan for integrating HL7 Fast Health Information Resources (FHIR) into the architecture that was defined explicitly in a new Roadmap for later implementation. This draft implementation guide (IG) provides the initial proposed details for this functionality. TEFCA only poses technical requirements on its direct participants, the Qualified Health Information Networks, or QHINs, but they are not the actual sources nor destinations of the data. The actual “FHIR details” are sketchy in this IG; maybe that is by design. It seems to specify just what the QHIN needs to know to do patient discovery and move the query and response around rather than any specifics on where a query originates nor where the response goes, let alone what data is contained.
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ONC Gets It Mostly Right with TEFCA 2.0
On April 17, 2019 the Office of the National Coordinator for Health Information Technology (ONC) released the second draft of its Trusted Exchange Framework and Common Agreement (TEFCA) for comment. The initial version was released more than a year ago in January 2018 (see my original blog). As before, this is in response to a requirement imposed by Congress in the 21 Century Cures Act. After a somewhat lengthy (but well written) introduction, the document contains three parts (compared to just two parts the first time around)...
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ONC Selects Noam Arzt to serve on the ONC Trusted Exchange Framework Task Force
The Office of the National Coordinator for Health Information Technology (ONC) has selected Dr. Noam H. Arzt, President of HLN Consulting (HLN), as a member of the Trusted Exchange Framework Task Force. This group of healthcare and health information technology specialists will advise ONC on various aspects of the Draft Trusted Exchange Framework. This framework outlines a common set of principles for trusted exchange of health information records and minimum terms and conditions for trusted exchange as directed by Congress in the 21st Century Cures Act.
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