Powering Proactive Care: FHIR Subscriptions as the Foundation for Time-Sensitive Patient-Centered Decision Support Project Overview
The National Opinion Research Center will enhance an existing prototype hypertension application with FHIR-based Subscription capabilities to automatically identify patients for enrollment in a pregnancy-induced hypertension monitoring program and provide real-time responses to patients that report elevated blood pressure.
Project Dates
This project began in 2025 and is estimated to be completed in 2027.
Project Goals
The project will focus on three priority areas:
Aim 1: Leveraging FHIR Subscriptions to expand the patient enrollment and monitoring capabilities of a prototype application that monitors blood pressure for patients with postpartum hypertension.
Aim 2: Implementing the enhanced postpartum hypertension app in a clinical setting.
Aim 3: Assessing the feasibility of and lessons learned from leveraging Subscriptions in the enhanced CDS application to inform improvements to Subscription specifications.
Healthcare Information and Management Systems Society (HIMSS)
Project Overview
The Healthcare Information and Management Systems Society (HIMSS) seeks to simplify identity proofing, enhance patient matching, and reduce implementation complexity to advance the adoption of Individual Access Services (IAS) under the Trusted Exchange Framework and Common Agreement (TEFCA).
Project Dates
This project began in 2025 and is estimated to be completed in 2027.
Project Goals
The project will focus on three priority areas:
- Simplifying Identity Proofing: Evaluating alternatives such as federated credentials and reusable identity tokens to reduce user friction while maintaining compliance with NIST IAL2 and TEFCA requirements.
- Enhancing Patient Matching: Implementing deterministic, privacy-preserving methods like tokenized identifiers and hashed attributes to improve accuracy and scalability.
- Reducing Implementation Complexity: Developing reusable toolkits and workflows to ease operational burdens and encourage broader IAS participation.