What HL7 FHIR at Scale Taskforce (FAST) does

HL7 FHIR at Scale Taskforce (FAST) is one of nine FHIR Accelerator Programs operating under Health Level Seven International (HL7), a not-for-profit, ANSI-accredited standards developing organization founded in 1987 and headquartered in Ann Arbor, Michigan. FAST's stated purpose is to advance the adoption of HL7 FHIR (Fast Healthcare Interoperability Resources) at scale, developing profiles and implementation guides that are balloted within HL7's standards process and targeted at removing interoperability fragmentation across the healthcare ecosystem. FAST itself operates with a small core team (1-10 employees) and draws on the broader HL7 community of more than 1,600 members from over 50 countries, including 500+ corporate members spanning providers, payers, government agencies, pharmaceutical companies, vendors, and consulting firms.

Technically, FAST works within the HL7 FHIR ecosystem, leveraging FHIR R4 and related implementation guides as the foundational framework for healthcare data exchange. Artifacts produced and curated by FAST and the wider accelerator portfolio are validated through FHIR Connectathon events (e.g., the planned May 2026 Connectathon 42) and tri-annual Working Group Meetings. The technical stack is standards-as-specification rather than product-as-software: deliverables include implementation guides, conformance profiles, and reference test data distributed through public FHIR test servers and the FHIR Cross-IG Package Explorer, with community collaboration occurring on the HL7 Confluence wiki and the chat.fhir.org forum.

FAST and HL7 International are structured as a member-supported non-profit. Revenue mechanics are not publicly disclosed; HL7 International's funding derives from individual and corporate membership fees across 50+ countries, supplemented by event fees from Working Group Meetings and Connectathons. As a standards developing organization rather than a commercial software vendor, FAST does not publish product pricing and does not generate licensing or ARR in the conventional sense. Strategic value accrues indirectly through influence over global interoperability standards, regulatory recognition via ANSI accreditation, and the network effects produced by the nine-accelerator ecosystem (Argonaut, Da Vinci, CodeX, CARIN Alliance, Gravity, Helios, Vulcan, Caliper, FAST).

Name

HL7 FHIR at Scale Taskforce (FAST)

Legal name

Health Level Seven International

Website

https://confluence.hl7.org

Company type

Private

Founded year

1987

Operating status

Operating

Headcount range

1–10 employees

Short description

HL7 FHIR at Scale Taskforce (FAST) is a non-profit FHIR Accelerator Program under HL7 International that develops profiles and implementation guides to scale healthcare data interoperability for providers, payers, governments, and health IT vendors globally.

Ownership category

akta.pro rank

Product category

Healthcare Interoperability Standards

NAICS

Computer Systems Design and Related Services (54151)

SIC

Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA)

akta.pro secondary industry

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Healthcare interoperability standards
• FHIR implementation guides
• Health data exchange
• FHIR accelerator programs
• Healthcare data standards

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Others

Distribution channels3 records

Marketing channels5 records

Core offering

The HL7 FHIR at Scale Taskforce (FAST) is a taskforce under the HL7 FHIR Accelerator Program that develops FHIR-based implementation guides, profiles, and technical frameworks to enable health data interoperability at scale. It focuses on addressing scaling challenges for FHIR adoption across large healthcare ecosystems, providing specifications and implementation guidance that support clinical practice and the management, delivery, and evaluation of health services.

Product overview

HL7 FHIR at Scale Taskforce (FAST) is listed as one of the HL7 FHIR Accelerator Programs under Health Level Seven International. The available sources do not contain specific product descriptions, service offerings, or technical documentation for the FAST program itself. The sources primarily cover the general HL7 organizational structure, committee governance (Technical Steering Committee, Policy Advisory Committee, International Council), and Working Group Meeting (WGM) activities. HL7 International is a not-for-profit, ANSI-accredited standards developing organization that provides frameworks and standards for health data exchange, with over 1,600 members from more than 50 countries.

Differentiator

Problem solved

Functional benefit

Brands

• FHIR (Fast Healthcare Interoperability Resources): HL7's flagship standard for health data interoperability

Segments1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• HL7 FHIR Accelerator Programs (Argonaut, Da Vinci, CodeX, CARIN Alliance, Gravity, Helios, Vulcan, Caliper)coreStrategic or Co-development PartnerFAST is one of multiple FHIR Accelerator Programs under HL7 International. Each accelerator (Argonaut, Da Vinci, CodeX, CARIN Alliance, Gravity, Helios, Vulcan, Caliper) focuses on specific use cases and develops profiles and implementation guides balloted within HL7 to advance FHIR adoption at scale.

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• IHE International (Integrating the Healthcare Enterprise): IHE International develops interoperability profiles and implementation guides for health IT systems, with deep overlap on FHIR-based integration profiles. FAST and IHE both work on cross-vendor health data exchange specifications and collaborate through initiatives like HL7:IHE Project Gemini.
• CodeX (Common Oncology Data Elements eXtensions): CodeX is an HL7 FHIR Accelerator focused on oncology and clinical-research data exchange. It is a direct accelerator peer operating under the same HL7 governance structure as FAST, targeting a specialized domain within the broader FHIR adoption mandate.
• HL7 Argonaut Project: Argonaut is a sibling HL7 FHIR Accelerator Program focused on provider-facing FHIR implementation guides. As a co-equal accelerator under HL7, it shares governance, balloting, and community infrastructure with FAST and targets overlapping implementer audiences.
• CARIN Alliance: CARIN Alliance is a multi-stakeholder initiative advancing consumer-directed exchange using FHIR APIs. As an HL7 FHIR Accelerator peer, it shares HL7 governance and the same balloting infrastructure as FAST while pursuing a different interoperability use case.
• HL7 Da Vinci Project: Da Vinci is an HL7 FHIR Accelerator focused on payer-provider data exchange use cases. It is a peer accelerator within the same HL7 ecosystem, sharing governance and member base with FAST while targeting a distinct but adjacent interoperability problem space.

Broad incumbents

• SNOMED International: SNOMED International is the global standards body for clinical terminology and is closely co-deployed with HL7 FHIR implementations. As an ANSI-accredited SDO with international reach, it is comparable to HL7 in governance model and is a frequent collaborator in the same interoperability stack.
• HIMSS (Healthcare Information and Management Systems Society): HIMSS is a broad healthcare IT membership and advocacy organization that convenes implementers, vendors, and policymakers. It is comparable in serving as an industry convener for digital health adoption and operates community and education programs adjacent to FAST's mandate.

Emerging players

• openEHR International: openEHR International promotes an open-health-record specification with an alternative, archetype-driven approach to interoperability. It overlaps with HL7 FAST on the goal of portable, scalable health data and represents an emerging architectural alternative that competes for implementer mind-share.
• CommonWell Health Alliance: CommonWell is a vendor-led health data exchange network built on interoperability standards including FHIR. It is comparable as a multi-stakeholder, at-scale interoperability initiative that operationalizes the kind of cross-organization data sharing FAST profiles are designed to support.
• OHDSI (Observational Health Data Sciences and Informatics): OHDSI is a multi-stakeholder, open-science community that runs the OMOP common data model and FHIR-OMOP initiatives. It overlaps with FAST in advancing large-scale, cross-institutional health data exchange, particularly for clinical research and population health.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/hl7-fhir-at-scale-taskforce-fast

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about HL7 FHIR at Scale Taskforce (FAST)