NY Statewide Centralized FHIR Connector Implementation and Challenges
summary
New York eHealth Collaborative (NYeC) builds a statewide FHIR Central Service (FCS) that connects multiple RHIOs and the statewide MPI, completes a 2020–21 proof of concept and validates in stage ready for first production release. Implementation uses mTLS, IP whitelisting and JWT for audit, converts mixed FHIR versions to R4, and replaces bulky CCDA transfers with RESTful FHIR retrievals. Aggregation happens via in-memory aggregation, paging is handled by a pagination mapping table, narrative consolidation remains work in progress.
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