FHIR Policy & Tech Digest

TEFCA Enforcement Action

• 🔥 GuardDog-Epic Agreement: GuardDog agreed with Epic to seek a court order permanently barring it from requesting...

• Rapid no-code workflows: Build smart automations between MAX and ModMed EMA using certified FHIR APIs, triggers, actions, and AI logic.
• Instant...

• Telehealth firm GuardDog to be barred from data exchanges
• Agrees with Epic to seek permanent court order
• Blocks requests for patient records via TEFCA and Carequality frameworks

For patient-facing apps—where most new interoperability work is happening—SMART on FHIR is the standard to use, layering OAuth 2.0.

Implementation guides like US Core provide the necessary rules and constraints to make the flexible FHIR standard practical for specific, real-world use cases—essential for implementation teams mapping to canonical standards.

Key for FHIR teams: Microsoft/HealthEx's Copilot Health pulls EHRs from 50,000+ US providers via TEFCA individual access services.

• Tech backbone:...

GuardDog Telehealth Barred from TEFCA and Carequality

• 🔥 Epic and Health Systems File Stipulated Judgment: Epic and health systems filed a...

Master profiling, security, performance, and deployment to build FHIR applications that are not only functional but also secure, scalable, and ready.

Bridge legacy HL7 v2 systems to FHIR R4 with this open-source approach:

• Parse HL7 v2 messages programmatically
• Extract segments/fields by CARISTIX names
• Convert ADT/ORM/ORU messages to FHIR R4 bundles using MCP
  Essential for EHR API integrations.

Enforcement update for FHIR implementers:

• Epic and health systems secure permanent injunction barring GuardDog from TEFCA and Carequality, requiring...

Key enforcement risks for FHIR ecosystems from Epic's lawsuit:

• Sham Access Exposed: GuardDog fraudulently requested records via Health Gorilla,...

Cures Act breakthrough: Bulk FHIR APIs enable population-scale data exchange for analytics and value-based care.

• Population power: Shifts FHIR from...

ONC Proposed Rule & LTPAC Feedback

• 🔥 Risks to Long-Term Care Providers: The Long-Term Post-Acute Care Health Information Technology...

Shift payers beyond portals to agentic real-time workflows like prior auth and attachments, using AI agents for stateful conversations.

• Layered...

Master FHIR validation layers—syntactic, spec conformance, profiles/terminology, business rules—to ensure interoperability at every stage:

• Design...

LTPAC risks from ONC deregulations: Proposed removals/revisions to certification criteria threaten skilled nursing, assisted living, home health...

Key signals for FHIR teams:

• CMS Aligned Network accelerates API-focused data exchange faster than regs; 700+ orgs pledged since July, with results...

Complementary initiatives: TEFCA sets regulatory floor to lift all boats; Health Tech Ecosystem acts as speedboat innovation accelerator.

• Rapid...

Three weeks before a lawsuit, TEFCA's leadership addressed the Trusted Exchange Framework and Common Agreement, live since December 2023 to make health data flow freely across states for doctors.

Hands-on guide for .NET devs building production-ready FHIR clients compliant with ONC (g)(10) and US Core:

• Connect & read: Link to Firely Server,...