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FHIR at Scale Taskforce (FAST) Home
Created by
Joshua Procious
, last updated by
Janice Reese
on
Apr 21, 2026
4 minute read
FAST
Supports Scalability of FHIR
The FHIR at Scale Taskforce (
FAST
) identifies Fast Healthcare Interoperability Resources (FHIR) scalability gaps, defines solutions to address current barriers, and identifies needed infrastructure for scalable FHIR solutions.
FAST
Implementation Guides
FAST develops FHIR Implementation Guides (IGs) that address critical areas needed for scalable, nationwide interoperability. Each guide provides standards-based solutions and best practices to help organizations securely exchange health data at scale.
Upcoming Public Calls
Join the
FAST public calls
for insights into the standards and solutions making scalable, secure data exchange a reality.
Featured Insights
In "Speeding up Patient Identification, Consent, and Data Exchange,"
Jason Teeple
, Senior Director, Enterprise Architecture & Interoperability Strategy at
Evernorth Health Services
, and
Duncan Weatherston
, CEO,
Smile Digital Health
, co-chairs of FAST, discuss why scalable identity, security, directories, and consent are essential to trusted data exchange.
The conversation highlights FAST’s work with CMS, the role of federated identity and patient-driven consent, and what’s ahead as testing ramps up to support future CMS regulations.
Watch the video
and learn how to get involved in FAST working groups:
From Policy to Practice: FAST Advances Consent, Identity, Security and Directory for CMS-Aligned Networks
The
HL7® FHIR® at Scale Taskforce (FAST)
continues to translate national interoperability policy into implementable, real-world infrastructure. This month marks several major milestones, including the opening of the
FAST Consent Ballot
, the official publication of
FAST Identity STU 2
and
FAST Security STU 2
, and continued progress on
FAST National Directory toward STU 2.
This reinforces
the growing momentum toward
CMS-Aligned Networks powered by FAST
These advances demonstrate how standards, trust frameworks, directory infrastructure and testing at scale converge to support scalable, secure and interoperable data exchange across the healthcare ecosystem.
Read how FAST is gaining momentum in advancing FHIR-based data exchange with the HL7 Da Vinci Project.
Watch the replay of FAST’s latest webinar to see how FHIR-based identity, security, and consent frameworks are powering trusted, scalable data exchange.
Stay Informed with HIPcast
Tune into HIPcast, a podcast for Health Information Professionals discussing industry trends, challenges, and future considerations in healthcare data and information. Gain insights and practical perspectives by staying informed on key developments in the field.
Join the
FAST
Community
Becoming a FAST member gives you the opportunity to actively shape the future of FHIR-based data exchange. Engage with working groups, contribute to implementation guides, and connect with industry leaders driving interoperability across healthcare.
Quick Links
FAST Projects
FAST Calendar
FAST Membership
FAST Monthly Updates
FAST Co-Chair Interview with Healthcare IT Today
FAST Quarterly Report Q1 2026
FAST 2025 Year End Report
FAST CMS Aligned Networks
FAST CMS Aligned Networks Diagram
FAST BoF_General Update Sept 25.pdf
FAST BoF_General Update_Sept 24.pdf
FAST Sept 2023 HL7 WGM BoF Presentatio
FAST Accelerator Overview Presentation
(FAST Focus 3/7/24)
FAST Accelerator Overview Recording
(FAST Focus 3/7/24)
FAST Overview - July 2025
FAST Use Case Submission Form
Sign up for the
FAST
Listserv to stay in touch!
Learn more about
FAST
membership
Team
FAST Steering Committee Co-Chairs
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Program Management Office
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Recent space activity
Janice Reese
FHIR at Scale Taskforce (FAST) Home
updated Apr 21, 2026
view change
2026-04-27 National Directory Meeting
updated Apr 18, 2026
view change
2026-04-16 Testing at Scale Meeting
updated Apr 16, 2026
view change
Matt Blackmon
2026-04-14 Security/UDAP Meeting
updated Apr 14, 2026
view change
Janice Reese
2026-04-14 Security/UDAP Meeting
updated Apr 14, 2026
view change
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