Practical guidance on HL7 v2 ↔ FHIR, CMS-0057-F readiness, prior authorization, TEFCA, and AI-native mapping — written for the people who have to make healthcare data actually move.
Showing 7 articles
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CMS-0057-F forces impacted payers to stand up four FHIR APIs by January 1, 2027 — yet ~43% of payers had not started as of October 2025. Here is exactly what the rule requires, the mandated technical stack, the staged timeline, and how to catch up.
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FHIR is not replacing HL7 v2 — the two must coexist. This guide shows how v2 segments map to FHIR resources, why the hard part is semantic fidelity, and how AI-assisted mapping turns a months-long interface backlog into days of reviewable work.
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FHIR is now non-optional for every certified EHR and mandated for payers under CMS rules. This guide covers FHIR fundamentals, US Core conformance, the standards that matter (SMART, Bulk Data, Da Vinci), architecture options, and how to deliver in weeks, not years.
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CMS-0057-F forces impacted payers to stand up four FHIR APIs by January 1, 2027 — yet ~43% of payers had not started as of October 2025. Here is exactly what the rule requires, the mandated technical stack, the staged timeline, and how to catch up.
1200x630px
FHIR is not replacing HL7 v2 — the two must coexist. This guide shows how v2 segments map to FHIR resources, why the hard part is semantic fidelity, and how AI-assisted mapping turns a months-long interface backlog into days of reviewable work.
1200x630px
FHIR is now non-optional for every certified EHR and mandated for payers under CMS rules. This guide covers FHIR fundamentals, US Core conformance, the standards that matter (SMART, Bulk Data, Da Vinci), architecture options, and how to deliver in weeks, not years.
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PARDD is the hardest of the four CMS-0057-F APIs because it reworks an entire workflow. Learn how it uses the Da Vinci CRD, DTR, and PAS guides, why it must bridge X12 278, and how AI assembles documentation to cut prior-auth burden.
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TEFCA connects separate health data networks nationwide through QHINs. Learn what a QHIN is, how the framework is moving toward FHIR, why translation lives at the network edge, and what it means for HIEs, vendors, and providers.
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RTPB shows patient-specific drug coverage and out-of-pocket cost at the point of prescribing. Learn how NCPDP RTPB v13 is converging with the CARIN FHIR IG, how it connects to e-prescribing, and why RxNorm/NDC accuracy makes or breaks it.
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Legacy integration engines make interface mapping slow and consultant-heavy. Learn how a fleet of specialized AI agents drafts mappings, normalizes terminology, and validates conformance — with human-in-the-loop review and a full audit trail.
Practical perspectives on HL7 v2, FHIR, and healthcare data exchange — plus early access to product updates as we prepare for launch.
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