In John Halamka’s look at Health IT in 2014 he offered some really great insight into how regulators should look at standards and adoption of standards.
Here’s one section which talks about the lesson learned from meaningful use stage 2:
“Stage 2 was aspirational and a few of the provisions – Direct-based summary exchange and patient view/download/transmit required an ecosystem that does not yet exist. The goals were good but the standards were not yet mature based on the framework created by the Standards Committee.”
Then, he offers this money line about FHIR and how we should handle it:
“We need to be careful not to incorporate FHIR into any regulatory program until it has achieved an objective level of maturity/adoption”
There’s no doubt that FHIR is on Fire right now, but we need to be careful that it doesn’t just go down in flames. Throwing it into a regulatory program before it’s ready will just smother it and kill the progress that’s being made.