FHIR adop­tion gains steam

Health Data Management - - NEWSLINE - —Greg Sla­bod­kin

The adop­tion of HL7’s emerg­ing Fast Health­care In­ter­op­er­abil­ity Re­sources stan­dard for shar­ing elec­tronic med­i­cal in­for­ma­tion has reached crit­i­cal mass, says the Of­fice of the Na­tional Co­or­di­na­tor for Health In­for­ma­tion Tech­nol­ogy.

“New anal­y­sis shows that the United States might be at a turn­ing point when it comes to the adop­tion and im­ple­men­ta­tion of [FHIR],” the agency states. “Us­ing CMS and ONC data, we an­a­lyzed how health IT de­vel­op­ers used FHIR to meet 2015 Edi­tion cer­ti­fi­ca­tion re­quire­ments. Ad­di­tion­ally, we as­sessed how hos­pi­tals and clin­i­cians’ ac­cess to 2015 Edi­tion cer­ti­fied-APIs vary across the U.S.”

The agency found that about 32 per­cent of the health IT de­vel­op­ers cer­ti­fied to “Ap­pli­ca­tion ac­cess—data cat­e­gory re­quest” pub­lished that they are us­ing FHIR Re­lease 2, while al­most 51 per­cent of de­vel­op­ers are us­ing a ver­sion of FHIR com­bined with OAuth 2.0 for au­then­ti­ca­tion.

“While the 32 per­cent may seem low, the es­ti­mated mar­ket share of the health IT de­vel­op­ers us­ing FHIR is large,” wrote ONC’s Steve Pos­nack and Wes Barker in a blog, which in­cluded a table show­ing the 10 cer­ti­fied HIT de­vel­op­ers with the largest mar­ket share across hos­pi­tals and clin­i­cians—el­i­gi­ble for par­tic­i­pa­tion in the CMS Pro­mot­ing In­ter­op­er­abil­ity Pro­grams—and the FHIR ver­sion each de­vel­oper in­cludes in their 2015 Edi­tion cer­ti­fied health IT.

Pos­nack, direc­tor of ONC’s Of­fice of Stan­dards and Tech­nol­ogy, and Barker, a pro­gram an­a­lyst at HHS, re­port that ap­prox­i­mately 82 per­cent of hos­pi­tals and 64 per­cent of clin­i­cians use these de­vel­op­ers’ cer­ti­fied prod­ucts.

“While these data are en­cour­ag­ing, it’s not time to pop any cham­pagne,” con­cludes Pos­nack and Barker. “In­dus­try-wide, much work re­mains, from stan­dards de­vel­op­ment to im­ple­men­ta­tion.”

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