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CommonWell Marks its 10th Anniversary as TEFCA Gets Underway

Healthcare IT Today

Just a few weeks ago, CommonWell was announced as one of six applicants—along with eHealth Exchange, Epic TEFCA Interoperability Systems, Health Gorilla, Kno2 and Konza— accepted to continue in the onboarding process to become a Qualified Health Information Network (QHIN) under TEFCA. I feel it throughout the industry now.

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Redox unwraps interoperability in 2024

Redox

Here are some specific reflections: FHIR adoption: We missed the mark on our HL7® Fast Healthcare Interoperability Resources (FHIR®) growth prediction. It certainly is growing, but FHIR has not picked up the steam we had hoped for in 2023. We reflected on that in our recap of 2023 FHIR DevDays. Sadly, he was wrong.

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Improving Document Exchange Response with Asynchronous FHIR API

Healthcare Exchange Standards

In the last article I show how PDQm can be made Asynchronous by using the FHIR Subscription. For example the eHealth Exchange and CareQuality don't have any use of asynchronous while they have required everyone to support it. This improvement can also be done using FHIR Subscription and orchestration of each notification.

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PDQm using FHIR Subscription as Async API to XCPD/XCA

Healthcare Exchange Standards

FHIR has a solution ready to be used. I worked with a developer who implemented this as an internal API to their implementation that interfaces with the eHealth Exchange (Sequoia Network). Lastly the Responder/InitiatingGateway must have a blocking thread for this many minutes too, taking up precious resources on the middleware.

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