Abstract
HL7 Fast Healthcare Interoperability Resources (FHIR), along with recent regulatory changes, have created significant excitement and opportunity for Clinical Data Management organizations to integrate directly with EHRs. However, barriers to wide-scale adoption of FHIR (or any other interoperability mechanism) still remain. Many parallels can be drawn to previous legislative efforts to drive wide-scale adoption of digital health technology and interoperability.This paper discusses the history of interoperability standards and regulations, along with an analysis on why previous efforts have been met with limited success. It presents paths forward based on lessons learned from directly implementing interoperability within EHRs and leveraging integrations to empower Health Information Exchanges and Population Health Management projects across the country.
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