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Officials tie TEFCA, USCDI and open standards to jump in patient record access to 60%
Summary
ONC and CMS speakers credited TEFCA, USCDI v3, FHIR, identity standards and industry crosswalks for a rapid increase in patient app access, while noting provider workflow gaps that still limit value.
Service leaders from ONC and CMS credited federal standards and a multi-stakeholder approach for a steep rise in patient access to their medical records. Tom Keane, National Coordinator for Health IT (S6), said the effort 'gave participants to sit down with people they normally wouldn't' and that TEFCA and certification alignment will reflect practices demonstrated by the ecosystem.
Chris Klomp (S3) and others described technical baselines now required in production: FHIR APIs, USCDI v3 as the data floor, a 27-combination patient-matching standard, mandatory query-response for network participants, and a national provider directory. "It took the industry 30 years to get from the fax machine to that sentence," Keane said. Officials cautioned that technology alone is not enough: providers must update workflows to receive patient-shared records and use published EHR-specific guidance so QR-code transfers function in real visits.
