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FAST Supports Scalability of FHIR

The FHIR at Scale Taskforce (FAST) identifies Fast Healthcare Interoperability Resources (FHIR) scalability gaps, defines solutions to address current barriers, and identifies needed infrastructure for scalable FHIR solutions.

 

FAST Implementation Guides


FAST develops FHIR Implementation Guides (IGs) that address critical areas needed for scalable, nationwide interoperability. Each guide provides standards-based solutions and best practices to help organizations securely exchange health data at scale.





Upcoming Public Calls


 Join the FAST public calls for insights into the standards and solutions making scalable, secure data exchange a reality.


Featured Insights


FAST Consent Webinar 

Computable consent is becoming essential infrastructure for trusted healthcare data exchange.

Join HL7 FAST, SHIFT Collaborative, and The Sequoia Project Privacy & Consent Workgroup on August 13 as we launch the FAST Scalable Consent Management Implementation Guide and explore how healthcare organizations can translate patient choices and privacy requirements into standards-based, actionable data exchange.

The webinar will examine how computable consent can support:

🔹 Granular patient preferences
🔹 Sensitive data protections
🔹 Consent discovery across systems
🔹 Delegation and authorized representatives
🔹 Revocation and lifecycle management
🔹 Auditability and transparency
🔹 Policy-aware data exchange across organizations and jurisdictions

This work represents an important step toward making consent more interoperable, discoverable, enforceable, and scalable—while strengthening patient trust and supporting nationwide exchange initiatives such as TEFCA and CMS Aligned Networks.

Join us to learn how FAST, SHIFT, and The Sequoia Project are helping move consent from static forms and manual processes toward computable infrastructure that can operate across the healthcare ecosystem.

Register here:
https://us02web.zoom.us/webinar/register/WN_FbZJEoMMQMmnDaKVZbThHA#/registration

#HL7 #FHIR #HL7FAST #ComputableConsent #PatientConsent #Interoperability #HealthData #Privacy #HealthIT #TEFCA #CMSAlignedNetworks

WEDI Spring 2026 Conference - FAST NDH Directory Presentation


Advancing Provider Directory Interoperability: FAST National Directory of Healthcare Provider & Services (NDH) and CMS Priorities in Action. David Pyke, Technical Director, FHIR AT Scale Taskforce (FAST)David Marotz, Director, Product Innovation, Surescripts. With growing momentum around CMS provider directory initiatives and references to NDH in the CMS-0062 Prior Authorization rule, the industry is at a key inflection point. This session will explore how the FAST NDHDirectory framework supports scalable, standards-based provider and payer data exchange. Panelists will highlight alignment with CMS priorities andreal-world use cases across payers, providers, and networks. 


Out of the FHIR Podcast Interview on FAST Security hosted by Gene Vestel with David Pyke and Jason Vogt Why TRUST is the most important element in enabling Healthcare Interoperability


Why FAST Security is going international. Listen to the podcast Speeding Up Patient Identification, Consent, and Data Exchange 

In "Speeding up Patient Identification, Consent, and Data Exchange," Jason Teeple, Senior Director, Enterprise Architecture & Interoperability Strategy at Evernorth Health Services, and Duncan Weatherston, CEO, Smile Digital Health, co-chairs of FAST, discuss why scalable identity, security, directories, and consent are essential to trusted data exchange.

The conversation highlights FAST’s work with CMS, the role of federated identity and patient-driven consent, and what’s ahead as testing ramps up to support future CMS regulations.

Watch the video and learn how to get involved in FAST working groups:

From Policy to Practice: FAST Advances Consent, Identity, Security and Directory for CMS-Aligned Networks

The HL7® FHIR® at Scale Taskforce (FAST) continues to translate national interoperability policy into implementable, real-world infrastructure. This month marks several major milestones, including the opening of the FAST Consent Ballot, the official publication of FAST Identity STU 2 and FAST Security STU 2, and continued progress on FAST National Directory toward STU 2. This reinforcesthe growing momentum toward CMS-Aligned Networks powered by FAST. 

These advances demonstrate how standards, trust frameworks, directory infrastructure and testing at scale converge to support scalable, secure and interoperable data exchange across the healthcare ecosystem. 

https://blog.hl7.org/from-policy-to-practice-fast-advances-consent-identity-security-and-directory-for-cms-aligned-networks


Read how FAST is gaining momentum in advancing FHIR-based data exchange with the HL7 Da Vinci Project. 


Watch the replay of FAST’s latest webinar to see how FHIR-based identity, security, and consent frameworks are powering trusted, scalable data exchange.


Stay Informed with HIPcast


Tune into HIPcast, a podcast for Health Information Professionals discussing industry trends, challenges, and future considerations in healthcare data and information. Gain insights and practical perspectives by staying informed on key developments in the field.


Join the FAST Community

Becoming a FAST member gives you the opportunity to actively shape the future of FHIR-based data exchange. Engage with working groups, contribute to implementation guides, and connect with industry leaders driving interoperability across healthcare. 


Sign up for the FAST Listserv to stay in touch! 


Learn more about FAST membership

Team

FAST Steering Committee Co-Chairs

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Program Management Office

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