6 Healthcare IT Regulations Mandating FHIR: What It Means for the Industry
6 Healthcare IT Regulations That Mandate FHIR - And What
Summary
The US federal government is mandating the use of FHIR through multiple regulations (such as the Cures Act) starting in 2026. These mandates require patient access APIs and data exchange, necessitating large-scale system overhauls and compliance efforts from healthcare organizations and IT vendors.
Details
In the US, a private sector task force called Argonaut accelerated FHIR implementation since 2014, establishing it as an industry standard. Currently, this technology is being mandated by federal regulations like the '21st Century Cures Act' and CMS-9115-F. Key mandates include providing APIs for patients to access their own Electronic Health Information (EHI) (Patient Access API), and facilitating data exchange between payers (Payer-to-Payer API). A critical point is the phased application of multiple regulations, such as ONC HTI-1 and CMS-0057-F, scheduled for 2026–2027. These are not merely technical updates but carry enforcement power based on the Information Blocking Prohibition. These mandates are built upon infrastructure already established across the entire industry, making them difficult to dismantle even if deregulation occurs. For healthcare IT vendors and payers, adapting to the latest FHIR R4 and US Core specifications is an urgent challenge.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: FHIR
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