Summary: Between 2024 and 2026, we saw some serious advancements in healthcare interoperability. So, big news! TEFCA is officially up and running now. Epic has launched its QHIN, which is pretty exciting. Over at CMS, they finished up their FHIR-based APIs for prior authorization. And let’s not forget ONC--they just kicked off the HTI-1 timelines and rolled out USCDI v3 along with some new Subscription features. Quite a busy time in the health tech world! Hey there! This guide is designed to help decision-makers navigate the process of turning those blockchain pilot projects into fully operational EHR integrations. We're talking about seamless connections to TEFCA and sticking to the standard FHIR workflows--without the headache of a complete overhaul. Let’s dive in!

Blockchain Development Services for Healthcare: From Pilot to Production EHR Integrations

Wow, the healthcare integration scene in 2026 has really changed from what it was just 18 months ago!

TEFCA is officially up and running! By January 2025, we’ll see eight Qualified Health Information Networks (QHINs) being officially designated. Exciting times ahead! Epic's QHIN, which they're calling Epic Nexus, is already linking up more than 1,000 hospitals and 22,000 clinics! Isn't that impressive? You can take a look at what they're up to here. The ONC's HTI-1 final rule is really making waves! They've set December 31, 2025, as the deadline for USCDI v3 to become the new standard, but there’s a little wiggle room until March 1, 2026, if needed. Also, they’re rolling out the FHIR Subscriptions R5 Backport for certification, which is pretty exciting! If you want to dive deeper into the details, just check out healthit.gov. It’s got all the info you need!

• CMS has just wrapped up the final details on its Interoperability and Prior Authorization rule. So, starting January 1, 2027, health insurance companies are going to be required to implement FHIR APIs. This means they need to have systems in place for Patient, Provider, Payer-to-Payer communication, and Prior Authorization processes. It's a big step toward making healthcare data more accessible and streamlined! Get the scoop here. So, the FDA's DSCSA is currently rolling out in phases, and it's got deadlines lined up for manufacturers, distributors, and dispensers that stretch all the way through 2025 and 2026. Basically, it means that being able to easily share and track information across different platforms is more important than ever. If you want to dive deeper into the details, you can check it out here.

These days, blockchain has really moved beyond being just some crazy, far-fetched concept. It's a really smart way to boost trust, keep track of where things come from, and improve how different companies work together when it comes to FHIR-native and TEFCA-connected workflows. Just make sure you nail down the scope right from the start!

Hey there! So, here’s our handy field manual from 7Block Labs. It's all about getting those production systems shipped out in a way that’s totally in tune with EHR realities, keeps up with regulatory deadlines, and guarantees top-notch enterprise security.

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1) Where blockchain actually adds value in EHR‑grade integrations

Think about using blockchain whenever you're trying to get different organizations on the same page. It's great for coordinating, verifying, or sorting out information that needs a little extra trust. Don’t think of blockchain as something you need to replace your EHR or TEFCA. Instead, see it as a cool way to boost what you’ve already got.

• Consent and data-use attestation on the go: Provide patient and provider consents as W3C Verifiable Credentials. 0, and it's officially recognized as a W3C Standard now. We take those consents and map them to HL7 FHIR Consent for enforcement. This way, we ensure everything is in sync and running smoothly. On top of that, you can store hashes of the consent artifacts on a permissioned chain, all while making sure that any Personal Health Information (PHI) stays securely off-chain. Check it out here.
• Rock-solid audit trail: Set up a secure, tamper-proof audit index that’s linked through hashes for every FHIR exchange and any changes that happen across different organizations. This connects to FHIR's AuditEvent and Provenance, and it follows the IHE ATNA/BALP patterns. Now that we have this set up, we can conduct Info Blocking investigations and TEFCA audits way more efficiently. It's going to save us a ton of time! Find more details here.
• Keeping our provider directory and revenue cycle in check: We've discovered that having a shared ledger for provider info and coverage details really pays off. The return on investment has been impressive! For example, Synaptic Health Alliance has shared that MultiPlan is seeing an incredible 500% return on investment each year. That’s pretty impressive, right? Wow, that's really cool! If you want to dive deeper into it, just check it out here.
• Supply Chain/DSCSA Compliance: So, here’s the deal--blockchain is really stepping up as this super cool shared evidence tool for verifying units and managing any hiccups that come up. This is all thanks to the FDA’s pilot projects, like MediLedger, and their interoperability blueprint. Pretty neat, right? Get the scoop here.
• Keeping track of prior authorizations: With payers beginning to implement those FHIR APIs required by CMS, we can use a shared ledger to document and verify the interactions and reasons behind CRD/DTR/PAS processes. This approach really helps with transparency and makes it easier for people to voice their concerns. If you're looking to learn more, check out the details here. There's a ton of useful info waiting for you!
• Keeping health records honest: Some health systems are jumping on the blockchain bandwagon to verify that health records are legit and reliable. A standout example of this is Estonia's KSI model, which shows just how effective this technology can be on a large scale. These provenance anchors really complement the current database and EHR systems we have in place. If you're looking for more details, feel free to dive in here. You’ll find some pretty interesting stuff!

What Not to Do

• It's best not to store any personal health information or complete clinical notes on the blockchain.
• Just don’t go trying to recreate TEFCA. If there's already a TEFCA/QHIN connection available, it's probably best to skip the hassle of creating your own network. Why reinvent the wheel when you can take advantage of what's already there?

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2) Reference architecture: TEFCA‑aware, FHIR‑native, blockchain‑anchored

A Common Production Topology for Startups and Enterprises

When it comes to setting up a production environment, we often go with a setup that has really worked well for both startups and bigger companies. It's kind of our go-to approach because it gets the job done! Let me give you a quick rundown of what that looks like:

• TEFCA connector: You can get connected using your participant or QHIN, such as Epic Nexus, CommonWell, eHealth Exchange, Health Gorilla, Kno2, KONZA, MedAllies, or eClinicalWorks. Just pick one that works for you! First things first, let’s get the Treatment and Individual Access Services set up. Those are the only experiences we need to focus on for responses at the moment. (sequoiaproject.org).
• EHR integration layer: We're diving into SMART on FHIR v2 to roll out some patient and provider apps. We've got everything mapped out with US Core, so we're really organized on that front! Just a quick reminder--don’t overlook OAuth2/OIDC! Also, we’re currently working with Bulk Data IG v2.

0. There’s nothing for population exports, and on top of that, we’ve got the FHIR Subscriptions R5 Backport to help us stay in sync with events. (build.fhir.org).

• Consent, identity, and credentialing: It's all about making sure that everyone’s on the same page. Consent means that people agree to share their info or participate in something. When it comes to identity, we want to make sure that everyone is who they say they are. And then there's credentialing, which is just a fancy way of saying we verify qualifications and background to ensure that the right people are involved. It’s kind of like making sure that everyone has the proper badges before they come to the party! We're diving into W3C VC 2 here. You’ve got to make sure you’ve got the right credentials for things like patient consent, provider roles, and organizational authorization. All of this info will be captured in the FHIR Consent. Hey! Just a quick reminder to double-check everything when requests come in, and don’t forget to hash those artifacts on-chain. It’s super important! (w3.org).
• Audit and provenance: So, here's the plan: for every exchange, we're going to create an AuditEvent that meets the IHE ATNA/BALP standards. We'll also hash it and put that on the chain. Plus, we'll save the full AuditEvent somewhere off-chain--like in an ATNA repository. Pretty straightforward, right? (profiles.ihe.net).
• Blockchain network: We're gonna stick with Hyperledger Fabric 2. We’ve got 5 LTS rolling out for our permissioned B2B workflows. Just picture it: we’re talking about channels, private data collections, and those MSP identities. Exciting stuff! Another option could be to go with Hyperledger Besu paired with Tessera privacy groups. This combo gives you that EVM compatibility while also allowing for selective disclosure. (toc.hyperledger.org).
• Data plane: If you're looking to set up a FHIR server (either R4 or R4B), you might want to consider adding a master patient index and an off-chain object store, like S3 with Object Lock for WORM. It really gets the job done! Just a quick reminder to keep tokenization in mind, and don't overlook the importance of using deterministic hashing for notarization. It's super helpful!
• Security and compliance: We'll be using KMS and HSM-backed keys for security, plus keeping private data collections for any sensitive metadata. We’re gearing up to have our controls all set for SOC 2 and HITRUST compliance! A great example to look at is BurstIQ. They've been rocking their SOC 2 Type II certification for several years now, which really shows their commitment to security and reliability. (epicos.com).

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3) EHR integration playbooks (that actually ship)

Let me give you the scoop on how we seamlessly connect with the big players in EHRs and TEFCA--no stress involved!

• Epic Hey there! If you're looking for some fantastic free FHIR documentation, sandboxes, and ways to discover endpoints, you should definitely take a look at open.epic. It's got some really great resources! If you want to get things rolling, just go ahead and sign up for Vendor Services, Showroom, or Connection Hub. It's super easy! Epic has a ton of FHIR APIs--like, we're talking hundreds here! Most of them are centered around R4, and the cool part? They actually publish live R4 endpoints that you can easily replicate in your own setup. It's a pretty neat feature! When it comes to TEFCA, Epic Nexus has your back! If your customer is using Epic, they can take advantage of those TEFCA patient-directed workflows by connecting to IAS and Nexus routing. Pretty handy, right? Epic just shared some exciting news: more than 1,000 hospitals and 22,000 clinics are now all linked up with TEFCA! How cool is that? If you're curious to learn more, check it out here! Hey there! When you’re brainstorming your design pattern, consider adding a SMART on FHIR app directly into Hyperspace or MyChart. It could be a game changer! You can manage eventing using the Subscriptions Backport, tap into Bulk Data for those risk/research exports you need, and hey, make sure to notarize your AuditEvent/Provenance on the chain! If you're looking for more details, check out hl7.org. They’ve got a ton of great information over there!
• Oracle Cerner and a few other companies. They're definitely in sync with each other! You can expect to see SMART launch along with FHIR R4, plus Bulk Data support when it's relevant. So, just go ahead and use your TEFCA connector or QHIN path whenever you need to make those nationwide queries! It’s super straightforward!

Scopes and Events to Integrate from Day One:

• SMART granular scopes from US Core: Let's consider adding some specific Observation categories that focus on Social Determinants of Health (SDOH) and lab results. Also, don't forget about including DocumentReference categories for those important clinical notes! This method really helps maintain security by following the principle of least privilege. It basically means giving people just enough access to do their jobs and nothing more, which is a smart way to minimize risks. If you want to explore this topic further, you can check it out here. Enjoy diving in!
• Subscriptions R5 Backport: Make sure to add in topics for admissions and discharges, results that get posted, and any prior authorization decisions. Don’t let those slip through the cracks! This is going to seriously reduce the need for polling and shift audit notarization to a more event-driven style. If you’re looking for more info, give this link a click: HL7. It’s got all the details you need!

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4) Consent, identity, and policy: make it computable

• Two-Layer Model Consent:

1. To kick things off, you’ve got a policy that's easy to read and looks great--kind of like the ones you’d see in your online portal, complete with a signature. Next up, we’ve got a machine-readable FHIR Consent. It’s got all the necessary provisions and even outlines the purpose of use, plus it comes with a W3C VC 2. Pretty neat, right? You have a credential that you can verify using cryptographic methods.

• Enforcement: When a request pops up, your API gateway checks it out pretty thoroughly. It takes a glance at the subject, the purpose (that TEFCA XP code), the scopes, and makes sure there's an active Consent resource in the mix. If everything looks good, it creates a temporary token, records a FHIR AuditEvent, and secures the hash on the blockchain. (crowellhealthsolutionsblog.com).
• Why this matters: Just a heads-up: if you're not aware, the penalties for Information Blocking can reach as high as $1 million for each violation. Plus, they've officially wrapped up the details on the provider “disincentives.” So, definitely something to keep in mind! Having a solid audit and consent trail that you can verify and query really helps to reduce your risk. (hipaajournal.com).

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5) TEFCA: what you must support in 2026

• Exchange Purposes: So, there are six main reasons why we can share your information: Treatment, Payment, Health Care Operations, Public Health, Government Benefits Determination, and Individual Access Services. Hey team! Just a quick heads up - we need some responses for Treatment and IAS today. Also, keep an eye out because we'll be rolling out more exchange purposes through SOPs really soon! (rce.sequoiaproject.org).
• QHIN Landscape: So, as of January 16, 2025, the QHINs that have been chosen are CommonWell, eHealth Exchange, Epic Nexus, Health Gorilla, Kno2, KONZA, MedAllies, and eClinicalWorks. Quite the lineup, right? Pick one or more options that really match what your organization needs. (sequoiaproject.org).
• Patient-Directed Access is Here to Stay:
• So, there are these patient-facing IAS apps that can gather Epic records from different systems and send them off to third parties. If you want to learn more, check out HealthEx/Epic! Just a heads up, you'll want to double-check that your wallet and consent processes are all set up to support this feature. (healthcareitnews.com).

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6) Regulatory clocks that shape your backlog

• HTI‑1 (ONC) So, the USCDI v3 is scheduled to launch by December 31, 2025. However, there’s some good news: they’ve decided to give a bit of leeway with enforcement discretion, which means it actually extends to March 1, 2026. This is mainly due to a funding hiccup. Hey there! It's the perfect moment to get your data model and eventing all squared away. And remember, make sure to incorporate the Subscriptions R5 Backport into your certification process! You don’t want to miss that. If you want to dive deeper into the topic, you can find more info here. It's definitely worth a look!
• CMS Interoperability & Prior Authorization (CMS-0057-F). Hey there! Just a heads up - we’ve got some exciting changes coming your way! By January 1, 2027, we’ll be rolling out Prior Auth, plus some FHIR APIs for Patients, Providers, and even Payer-to-Payer. So, mark your calendars! MIPS and the Promoting Interoperability measures will roll out soon after. Oh, and don’t forget to sync up the blockchain notarization with PAS, CRD, and DTR transactions, okay? If you want to dive into all the details, take a look at this link: CMS.gov. It’s got everything you need to know!
• DSCSA (FDA) Hey, just a quick reminder that those phased exemptions are going to run out sometime between 2025 and 2026. Keep that in mind! You'll want to make sure that your processes include electronic systems that work well together and allow for serialized traceability. This will help keep everything organized and efficient. Using blockchain to notarize transactions like TI, TS, and PI exchanges (plus managing any exceptions that pop up) is definitely a clever approach. If you want to get into the nitty-gritty, check out the details here.

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7) Technology choices that won’t bite you later

• Ledger Hey, have you taken a look at Hyperledger Fabric 2? It's definitely worth checking out! 5 LTS is a reliable choice for regulated B2B networks. It’s got all the essentials like private data, secure channels, and MSP support that you’ll need. Sure, Fabric 3. X is out there somewhere, but it looks like we only have 2 available. When it comes to long-term support for enterprises, 5 is definitely the top pick! (toc.hyperledger.org). If you're looking to handle EVM-compatible private transactions and set up privacy groups, you should definitely check out Hyperledger Besu paired with Tessera. It's a great combo! This is just what you need if you're getting into Solidity, rollups, or public-anchor patterns. (docs.tessera.consensys.net).
• Eventing If you're thinking about subscriptions, definitely stick with FHIR Subscriptions (R5 Backport) instead of polling. It’s just a smoother way to go! Pair it up with message queues to manage backpressure smoothly. (hl7.org).
• Audit Hey, just a quick reminder to make sure you send out the FHIR AuditEvent following the IHE BALP guidelines. It’s really important! Go ahead and write the hash to the chain, and then make sure to send the entire payload over to the ATNA repository so it’s stored safely. (profiles.ihe.net).
• EHR Developer Programs If you're looking for something reliable for your production deployments, I’d definitely recommend Epic’s Connection Hub/Showroom. It’s a solid choice! Just a friendly reminder: it’s a good idea to check and update the open.epic endpoint lists every week. This way, everything stays on track and runs without a hitch! (healthexec.com).

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8) Three production‑ready patterns with concrete details

1) Provider Directory + Coverage Truth Layer

• What it does: Think of it as a shared ledger that keeps track of the essential provider addresses, their affiliations, and details about the plan coverage. It’s pretty much your go-to resource for all the important info! You can easily jot down changes as verified entries, and electronic health records (EHRs) can access this info using FHIR endpoints.
• Why now: Right now, there’s a big push for standardized exchanges thanks to CMS APIs like the Provider Directory and Payer-to-Payer. These ledgers really help get rid of any duplicate entries and keep old information from cluttering things up. On top of that, Synaptic has seen a pretty impressive return on investment. (cms.gov).
• Build notes:
• Contract: We're checking out providers based on their location and status, all sorted by their NPI and addresses. We've got to get those changes notarized and make sure we roll out the updates for FHIR Organization and Endpoint into the EHRs.
• KPIs: Let’s track how often we’re facing directory disagreements, how much we’re cutting down on claim rework, and the frequency with which we can redirect calls to the center.

2) Prior Authorization Evidence Rail

• What it does: This system helps you keep an eye on your PAS/CRD/DTR calls, along with the decision payloads and timestamps for all those interactions between payers and providers. It’s like having a digital assistant that makes sure everything’s organized and easy to access! Plus, it ties everything back to those EHR order/workqueue IDs.
• Why now: The CMS is launching a Prior Auth API, and you’ve got until 2027 to get prepped for it. So, with this setup, your ledger will become a go-to source for managing appeals and denials, making it a trusted place to track everything. For more info, head over to cms.gov. You’ll find all the details waiting for you there!
• Build notes: Hey, just a quick reminder: it’s really important to avoid storing any PHI. What you should do instead is keep salted hashes along with some metadata. It’s a safer approach! Just a quick reminder to make sure you include the purpose--like whether it's for treatment or operations--and don’t forget to reference the consent too!

3) DSCSA Incidents and Verifications

• What it does: It focuses on keeping a close eye on the chain of custody and making sure any exceptions are handled easily among manufacturers, wholesalers, and dispensers. All of this is done while sticking to the rules laid out by the PDG and FDA. If you want to dive deeper into the details, just check it out here.
• Build notes: We're going to be backing up EPCIS/GS1 events off the chain, and we'll definitely take the time to notarize those verification events. On top of that, we’re planning to set up auditor views to make those enforcement checks a lot easier. It’s all about making sure we hit those important deadlines in 2025! If you're looking for more info, definitely take a look at this article from Pharmaceutical Commerce. It's got some great insights!

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9) From pilot to production: a 90/180/360‑day blueprint

Days 0-30: Getting a Handle on Feasibility and Compliance. Alright, let’s get things rolling! First up, we need to nail down the TEFCA path--so basically, that means looking at Participant/QHIN. We’re also diving into our initial use cases, which will focus on Treatment/IAS. And of course, we’ll work on putting together the Info Blocking risk model as well. Sound good? We should also decide whether we're going with Fabric or Besu for our ledger, and we’ll need to nail down the FHIR event scope too. If you want to dive deeper into the details, just click here. You're going to find a lot of useful info!

• Days 31-90: Get the MVP rolling with one health system and one payer. Alright, it’s time to kickstart the SMART app! We’re going to be working on mapping the R4 data model to USCDI v3. Plus, we’ll be tackling some cool Subscriptions Backport stuff for ADT and labs. And don’t forget--we’ll also be getting into on-chain notarization. Let’s make it happen! Just a quick reminder to keep the IHE BALP AuditEvent feed in mind, and make sure we're getting Epic Vendor Services involved if Epic is part of the plan. If you're looking for more details, you can check it out here.
• Days 91-180: Launching TEFCA and Syncing Up with Payer APIs. Alright, so here's the plan: we'll link up via your QHIN, throw in those Bulk Data exports, and integrate a few stubs for PAS/CRD/DTR. Sound good? We're also planning to get a W3C VC-backed consent wallet up and running and look to grow our private data collections.
  Curious to dive deeper? Just click here for more info!
• Days 181-360: Expand to Multiple Organizations, Implement Governance and Set SLAs. Alright, let’s really dive into solidifying our rules for data contributions. We need to nail down the exit strategies and figure out the liability stuff too. We're going to do some performance testing to make sure we hit that 95th percentile latency, and then we'll start bringing in more participants. Oh, and don’t forget, we have to gear up for the CMS 2027 readiness attestation.

Deliverables to Insist On:

• Threat Models (for both on-chain and off-chain stuff), DPIA, and Zero-Trust Architecture.
• Audit Event Catalog along with a strong retention plan.
• Chaincode/Smart Contract Specs that outline how to upgrade and include emergency procedures if things go sideways.
• Runbooks that guide you through dealing with QHIN outages and updates to EHR releases.

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10) Security, compliance, and operations checklist

• Information Blocking: It’s super important to have a solid process for handling requests fast. You’ll want to keep track of everything with audit trails that link back to the users and what they need. Plus, don’t forget to gather evidence in case you need to show why an exemption was made. If you want to dive deeper into this topic, check out more details here. It’s a great resource!
• ONC HTI‑1: It’s super important to make sure that your FHIR layer has the USCDI v3 elements covered. This means you should definitely include things like Health Insurance Info, Health Status/Assessments, and those expanded labs. Just a heads-up! Oh, and make sure you keep in mind the enforcement discretion period that lasts until March 1, 2026. It's definitely something to factor into your plans! If you're looking for more info, definitely take a look at this: link. You'll find some good details there!
• CMS Interop/PA: Make sure to check out the roadmap heading into 2027 for APIs--it’s going to be important! Consider looking into setting up some internal API gateways. It’s a great way to streamline things. Also, think about boosting observability and maybe adding some clinical workflow hooks. They can really make a difference! For more info, check out this link. It’s a great resource!
• DSCSA: It's all about getting those serialized data flows set up. Make sure your exception handling is on point and that you're hitting those verification SLAs as the FDA recommends. If you want to dive deeper into that, you can check out more details here. It’s a pretty informative read!
• SOC 2/HITRUST journey: Make sure you pay attention to the essentials like controls for key management, change management, and monitoring. They're super important! Whenever you get the chance, try to partner up with vendors who have a strong track record with SOC 2 Type II. It really pays off in the long run! For more details, feel free to take a look at this link. You'll find everything you need there!

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11) Emerging best practices we’re standardizing in 2026

• VC-native consent and identity: This involves issuing credentials for both patients and providers using W3C VC 2. Alright, just a heads up: when you're working in real-time, definitely make sure to apply the FHIR Consent rules. And hey, don't skip over the important step of notarizing both the grant and withdrawal events. It’s all about keeping things above board! (w3.org).
• FHIR-first eventing: Start with the Subscriptions Backport topics to handle your needs. If that isn’t quite cutting it, you can always switch gears and use Bulk Data for any batch requirements. Try to cut down on polling whenever you can, and instead of keeping track of everything in the chain, just jot down “what happened” in the AuditEvent. (hl7.org).
• Fabric 2. 5 LTS: This is your best bet when it comes to handling permissioned operations. If you're diving into Solidity or are in need of some hybrid public anchoring, definitely check out using Besu with Tessera. They work great together for those kinds of projects! (toc.hyperledger.org).
• TEFCA playbooks: Start off with Treatment/IAS to get the ball rolling, and as your standard operating procedures evolve, gradually incorporate Payment/Operations. It's all about building up step by step! To really get a feel for your success, pay attention to how much you've cut down on HIE fees and how quickly you're getting to those charts. It's more than just looking at TPS numbers! (crowellhealthsolutionsblog.com).
• Getting Epic Ready for Production: Make sure to keep in mind what Showroom and Vendor Services need when you're planning! Try to make it a habit to update your endpoint catalogs every week. And if your sites are using Epic, definitely make use of Nexus - it can really simplify things for you! (healthexec.com).

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12) Common pitfalls--and how to avoid them

• Recreating TEFCA on a blockchain: Seriously, just avoid that path. When it comes to exchanging records, it’s best to focus on TEFCA and QHINs. Use blockchain mainly to build trust, manage consent, and maintain those all-important audit trails. Take a look at this link: (rce.sequoiaproject.org). You might find it interesting!
• On-chain PHI: Yeah, that’s a hard pass. Make sure to just save hashes or pointers instead of the actual PHI. It's a good idea to store the real sensitive info in your EHR/FHIR server or another secure storage option. This way, you can keep everything safe and sound!
• Ambiguous ROI: Kick things off with a solid cross-enterprise workflow--like directory syncing, coverage verification, or prior authorization evidence. Set a goal for quarterly savings that you can really track and measure. Synaptic’s reported ROI really shows why this method is effective. If you want to dive deeper into it, check it out here: synaptichealthalliance.com.
• Don’t overlook those deadlines! Seriously, you don’t want to miss this one. Make sure your 2026 backlog includes USCDI v3, along with the Subscriptions, the steps for DSCSA enforcement, and the CMS 2027 APIs. You've got this! Keep yourself updated: (healthit.gov).

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How 7Block Labs gets you there

We’re a blockchain software consultancy that operates in regulated environments. Here’s what we typically offer:

• Custom Blockchain Solutions: We create personalized software designed just for your business, making sure it fits your specific needs and stays in line with industry rules.
• Smart Contract Development: Creating smart contracts that are not only secure but also efficient. These contracts help automate processes and improve transparency in a really effective way.
• Tokenization Services: We’re all about turning real-world assets into digital tokens, making it super easy to trade them and boosting their liquidity.
• Regulatory Compliance Advisory: We're here to guide you through the tricky world of blockchain regulations, making sure your project stays on the right path.
• Making It Work with Old Systems: It's super important to get your new blockchain solutions to mesh well with the tech you already have in place.
• Ongoing Support and Maintenance: We're here to lend a hand! Our team will help ensure your blockchain systems stay up and running without a hitch and keep everything fresh and current.

Don’t hesitate to get in touch if you’d like to chat more about any of these packages! I’m here to help.

• 6-Week Blueprint: We’re going to start off strong with a solid game plan. We’ll dive into the TEFCA path, figure out how we’ll mesh with EHR systems like Epic and Cerner, and decide on the best ledger options--whether that’s Fabric or Besu. Plus, we’ll lay out a smart strategy for protecting our data and build a comprehensive business case to support everything we’re doing.
• 90-Day MVP: So, here’s the plan! We’re going to jump right into creating a SMART app. Along the way, we’ll bring in those FHIR R4 APIs, set up Subscriptions, and even get into some on-chain notarization. Exciting stuff ahead! We're also going to set up an AuditEvent repository that's IHE-compliant, and we're planning to kick off our first TEFCA use case. Exciting stuff ahead!
• Scale-Out: Okay, so now we’re diving into how we can expand with multi-participant governance. We'll be looking to integrate with CMS for Prior Authorization, handle those DSCSA incident flows, and make sure we’ve got some solid resilience plans and runbooks in place. Don't worry, we’ll definitely get ourselves geared up for SOC 2 compliance as well!

Hey there! If you're interested in seeing a live demo with an Epic sandbox and a Fabric network, we've got some exciting news! We’ll have everything ready to go in just two weeks. Our team will walk you and your crew through the code, tests, and controls, so you'll get a real feel for how it all works. Can't wait to show you! Hey, don’t let this slip by! If you’re looking for more details, check this out: (open.epic.com).

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Appendix: Helpful starting points

• TEFCA QHINs and Why We Exchange Information (Starting with Treatment, then moving on to IAS). Feel free to take a look at it here!
• Epic + TEFCA Adoption: Exciting news! More than 1,000 hospitals and 22,000 clinics are joining the party! If you want to dive deeper into this, check it out here.
• HTI‑1 Timelines: The USCDI v3 baseline is officially set up, and they're giving everyone a bit of leeway until March 1, 2026, before enforcing the rules. Oh, and don’t forget about the subscription updates we’re rolling out for certification! If you want to dive deeper into this, just check out this link. It’s got all the info you’ll need!
• CMS Interoperability & Prior Auth: Don’t forget about those API deadlines coming up in 2027! If you need more details, you can check it out here.
• DSCSA Phased Enforcement Timelines: For the most recent updates, swing by Pharmaceutical Commerce. They’ve got the scoop on all things DSCSA compliance!
• W3C Verifiable Credentials 2.0 0 Standard: Want the latest on the new standard? Check out W3C’s announcement for all the details!

If you’re jumping into the world of blockchain for healthcare, 2026 is going to be a key year. It’s all about finding that sweet spot between meeting the necessary standards and building real trust with everyone involved. At 7Block Labs, we're all about helping you bring your vision to life.