US Health IT Deregulation Proposal: Focus on FHIR Interoperability and Security Maintenance
Industry groups weigh in on HTI-5 proposed rule - TechTarget
Industry groups are discussing the proposed HTI-5 rule aimed at accelerating FHIR-based API adoption.
Summary
The US ASTP/ONC proposed a deregulatory rule (HTI-5) for health data interoperability. While promoting FHIR-based APIs and revising information blocking definitions, industry groups like AHA and WEDI are demanding the retention of privacy/security standards and adequate transition periods.
Details
The US ASTP/ONC released the proposed rule (HTI-5), aiming to deregulate the Health IT Certification Program by promoting FHIR-based APIs and revising existing criteria. The proposal suggested removing or revising 34 out of 60 current certification criteria. Major industry groups submitted comments. The American Hospital Association (AHA) supported interoperability goals but opposed the complete removal of privacy/security standards or the reduction of AI model card requirements in DSI certification, arguing that this shifts risk inappropriately. They also stressed the need for realistic timelines for FHIR transition. The Workgroup for Electronic Data Interchange (WEDI) acknowledged the benefits of deregulation but raised concerns about maintaining privacy and security criteria and the potential impact of removing standards on existing EHR functionalities. Both groups emphasized balancing innovation with patient safety and ensuring robust data exchange capabilities. This debate highlights key policy trends in US healthcare data access, underscoring the ongoing global importance of standardized interoperability (FHIR) alongside stringent security and privacy measures for modern health IT systems.
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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