2025 Middleware Mandate Report: Analyzing Global Interoperability Vendor Challenges and Strategies
Black Book Research Releases 2025 Middleware Mandate Report: First Global Vendor ...
Summary
Black Book Research released the 2025 Middleware Mandate Report. The report emphasizes the growing importance of interoperability in healthcare's data economy, revealing that compliance with international regulations like TEFCA and EHDS is a key challenge for vendors.
Details
This comprehensive 90-page report by Black Book Research benchmarks interoperability vendors across regions including U.S., Europe, Canada, APAC, and the Middle East. Based on 2,484 validated survey responses from hospital executives and national health system authorities, the study highlights that middleware is becoming a strategic control plane for compliance and ROI, surpassing even EHRs as the largest new IT investment. The report details regional trends: EHDS compliance is identified by 71% of EU stakeholders as their top purchasing requirement for 2026, while U.S. buyers are actively onboarding with QHINs under TEFCA. It categorizes vendors into archetypes—such as 'Speed Leaders' and 'Compliance Anchors'—and addresses technical challenges, including the gap between essential HL7v2 environments and FHIR maturity. The findings provide strategic guidance for healthcare executives, CIOs, and policymakers navigating complex interoperability strategies globally.
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