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2025 Year in Review: HIEs and FHIR Accelerators Drive Data Sharing Progress

2025 Year in Review: HIEs, FHIR Accelerators Make Steady Progress

December 23, 2025

Summary

CMS introduced voluntary criteria for trusted data exchange, with over 60 companies pledging participation. At the state level, New York and California are strengthening regional data sharing frameworks. These developments enhance FHIR-based interoperability, advancing utilization for more sophisticated use cases.

Details

In 2025, efforts in US healthcare information exchange (HIE) and data standardization accelerated. Federally, CMS introduced voluntary criteria for trusted, patient-centered data exchange, with over 60 companies pledging to participate. At the state level, New York established statewide encounter alerts, and California legally enacted a comprehensive Data Exchange Framework (DxF). Technologically, FHIR-based interoperability was central. HealtheConnections in NY is transitioning to a cloud-native FHIR platform. Furthermore, applications like Hixny's 'Snapshot NY' demonstrate providing actionable data within existing EHR workflows using SMART-on-FHIR. In California, entities like L.A. Care Health Plan are utilizing FHIR under the DxF to connect with large healthcare organizations. These advancements aim to build a foundation that goes beyond simple information sharing, targeting improvements in regional care coordination and contributions to public health through more sophisticated use cases.

Technology Note

FHIR(Fast Healthcare Interoperability Resources)は医療データ交換の国際標準。このエントリの関連技術: FHIR

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