The Standard

In May 2024, the FAST Focus webinar, "Secure Health Data Exchange," brought together experts from across the healthcare industry to delve into the intricacies of the HL7 Unified Data Access Profiles (UDAP) Security for Scalable Registration, Authentication, and Authorization Implementation Guide, commonly referred to as the FAST Security IG. This session featured insights on key components and practical implementations of the FAST Security IG. 

Introduction to the FAST Security IG 

The session began with an explanation of the role of FAST in addressing healthcare interoperability challenges. The FAST Security IG aims to create a scalable, secure framework for health data exchange across national networks like TEFCA, Carequality, and CommonWell. 

The Journey to Trustworthy Information Exchange 

A historical perspective on the FAST Security IG highlighted its roots back to 2017. The goal was to leverage existing standards like public key infrastructure (PKI), OpenID Connect, and OAuth 2.0 to ensure a scalable, secure data exchange solution. The FAST Security IG integrates these standards into a cohesive framework, emphasizing the importance of trust in health data transactions. 

Key Components of the FAST Security IG 

The core elements of the FAST Security IG include: 

• JWT-Based Authentication and Authorization: Utilizing JSON Web Tokens for secure assertions of claims from trusted third parties.
• Dynamic Client Registration: Automating client registration using digital certificates to eliminate the need for shared secrets.
• Tiered OAuth: Facilitating patient-facing workflows by directing patients to trusted identity providers for authentication.

This approach ensures that both clients and servers can be securely identified and authenticated, streamlining the registration process, and enhancing trust across the network. 

Real-World Implementations and Insights 

The panel discussion featured firsthand experiences from implementers of the FAST Security IG. The discussion emphasized the collaborative effort in refining the FAST Security IG and the importance of ongoing participation in workgroups to further enhance the specification. 

Open-source solutions to facilitate implementation were highlighted, including a .NET reference implementation and a diagnostic tool called UDAP Ed. These resources help developers visualize and test their implementations, accelerating the adoption of the FAST Security IG. 

The importance of identity assurance was underscored, advocating for a centralized, trusted entity to manage high-security registrations. The FAST Security IG's reliance on well-established standards makes it a robust and scalable solution for the healthcare industry. 

Industry invited to join and participate in the HL7 Da Vinci Project’s newest use case conference calls

Retrieving a duplicate of remittance advice that was previously issued by a payer is a headache-inducing manual process that can involve the use of web portals, phone calls, faxes and emails.

But implementing an HL7 Fast Healthcare Interoperability Resources (FHIR®) Application Programming Interface (API) could change all that.

The HL7 Da Vinci Project has launched a Postable Remittance Advice Use Case with the goal of publishing an implementation guide (IG) for such an API next year. The API will support the request for a duplicate copy of previously issued remittance advice – paper or electronic – in real time to allow efficient, timely and accurate posting of payments.

Remittance advice is a document that healthcare providers receive from insurance companies after submitting a claim. It provides information on the payment status of the claim, including the amount paid, the patient's responsibility and the reason for any denials or adjustments. The purpose of the remittance advice is to inform the healthcare provider of the remittance details and to allow them to reconcile their accounts and ensure that the payment is accurate.

May 29 Sessionfeatures athenahealth, Availity and Humana and honors HL7 Da Vinci Project Community Champions from 4:00 - 5:30 pm ET

Join us this month to hear real-world HL7 FHIR and Da Vinci implementation stories that will provide you with inspiration and insight into how you can apply the learnings of athenahealth, Availity and Humana to your organization’s efforts to reduce friction, increase efficiency and meet the federal interoperability rules. 

After recognizing the 2023 HL7 Da Vinci Project Community Champions, representatives of Availity and Humana will provide a current snapshot of Da Vinci’s effort to create a nationwide interoperable approach among payers using the Payer Data Exchange (PDex) Implementation Guide, which enables payers to create a member’s health history using clinical resources which can be understood by providers and electronic medical records (EMR) systems. This discussion provides an opportunity to better understand dynamics you’ll encounter in achieving payer-to-payer exchange compliance such as consent and endpoint discovery.  Attendees will gain a foundational understanding of the new regulatory requirements, learn about technical and business challenges and benefits from real-world implementers and gain insight into how industry is working together. 

March 2024 marked a pivotal moment for the healthcare IT sector, with the FHIR at Scale Taskforce (FAST) community survey revealing critical insights into the adoption, challenges, and perspectives surrounding various FAST implementation guides (IGs). This survey, engaging various stakeholders from providers to technology vendors, sheds light on the collective journey towards seamless healthcare interoperability. Let's dive into the nuanced feedback and the path it carves for the future of healthcare IT. 

Survey Results Overview 

FAST Security IG Adoption and the Quest for Clarity   

The uptake of the HL7 FAST UDAP Security for Scalable Registration, Authentication, and Authorization Implementation Guide (FAST Security IG) is on the rise, driven by an evident market need.  A notable proportion of respondents are keen to implement the HL7 FAST Security IG, likely due to its inclusion in the TEFCA FHIR Roadmap. There were some concerns expressed about market readiness. However, respondents expressed a need for clearer guidance beyond the existing FAST Security IG, suggesting the development of a companion document to aid in implementation strategies would be helpful. 

FAST Identity IG: Overcoming Adoption Barriers   

While there seems to be adoption readiness for the Interoperable Digital Identity and Patient Matching IG, the survey highlights perceived barriers to adoption. These barriers were related to industry issues such as cross-jurisdiction consent and broader market acceptance and adoption by other industry initiatives rather than any issues with the IG itself. 

HL7 applauds the U.S. Department of Health and Human Services’ (HHS) Office of the National Coordinator for Health Information Technology (ONC) for its April 22, 2024 Common Agreement Version 2.0 release, which announced the requirement for health information networks participating in the Trusted Exchange Framework and Common Agreement (TEFCA) to support the HL7 Fast Healthcare Interoperability Resources (FHIR^®) standard.

The HL7 FHIR at Scale Taskforce (FAST) UDAP Security for Scalable Registration, Authentication and Authorization Implementation Guide (FAST Security IG) was designed to streamline and secure data exchange across different healthcare stakeholders. This blog post seeks to dispel common misconceptions about the complexity of implementing the FAST Security IG. 

April 25 Session Focuses on the Observation Screening Response Profile

Join us on April 25, 2024, at 2:30 – 4 p.m. ET for the next Gravity Project Implementation Affinity Group meeting, which features more real-world implementations and a key to their success: the Observation Screening Response profile.

Bringing Observation Screening Response into Focus for Gravity Implementers

Building upon the implementation approach and presentation by New York State Qualified Entities in February, this month’s Gravity Implementation Affinity Group session focuses on more real-world implementations and a key to their success: the Observation Screening Response profile.

The benefits of using this profile include explicit categorization of question/answer pairs by social determinants of health (SDOH) domains, flagging of positive findings, and using a common language (Gravity standardized terminology) to share and communicate these findings.

This session will highlight Observation Screening Response, including guidance on using key elements (e.g., Observation.category and Observation.interpretation) and using Observation Screening Response to create Observation Groupings.

April 24 Session Focuses on Importance of Testing and Connectathons for Implementation Success

In this timely overview, which allows you to prepare to participate in upcoming May, July and September Connectathons, the HL7 Da Vinci Projectwill highlight a key component of implementation: testing.

Experts and hands-on participants will outline why testing is important, the terms used in testing and how testing events, such as Connectathons, are organized and critical to implementation success. Who should be involved, the value of testing partnerships, what activities are planned, and how you can participate will also be discussed. The session concludes with an invaluable primer on testing tools and resources available for your use.

“Jumpstart Your HL7 FHIR Implementation: Testing and Connectathons Demystified,” is slated for April 24, 4 - 5:30 p.m. ET and features the following presenters:

• Jeff Brown, Healthcare Standards Advisor, Lantana Consulting Group
• Mike Gould, Associate Vice President, Interoperability Strategy, ZeOmega
• Kyle Johnsen, Software Developer, Epic

The session is moderated by Alix Goss, HL7 Da Vinci Project PMO, and Senior Consultant, Point-of-Care Partners.

This quarter has brought with it a lot of excitement for us to dive into the great realm of REMS (Risk Evaluation and Mitigation Strategies) automation and its profound impact on our healthcare landscape. Buckle up, because we're about to review a thrilling journey we've been moving down towards greater efficiency, collaboration, and, most importantly, patient care!

Picture this: a world where cumbersome REMS processes are a thing of the past, replaced by seamless automation that not only streamlines workflows but also enhances patient outcomes. I know it sounds farfetched; however, I feel this dream is swiftly becoming a reality!

At the heart of this revolution lies a collective effort to transition from mere discussions to concrete actions. Through initiatives like HL7 CodeX and NCPDP (National Council for Prescription Drug Programs), we're witnessing a relentless commitment to leveraging standardized practices for interoperability and data exchange. I recently had the privilege of participating in the HL7 Connectathon, where the REMS Integration use case showcased the power of community collaboration. And guess what? We're gearing up to ballot the patient enrollment IG in May – talk about momentum!

But our quest doesn't stop there. We're just getting started! Events like the REMS Innovation Consortium (RIC) have served as epicenters of brainstorming, where industry pioneers gather to explore new horizons in patient care. Together, we're shattering the confines of traditional REMS programs and paving the way for groundbreaking innovations.