Office of the National Coordinator of Health Information Technology (ONC) published a draft version of their Interoperability Roadmap for public comment: Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Version 1.0. Goal is to "enable a majority of individuals and providers across the care continuum to send, receive, find, and use a common set of electronic clinical information at the nationwide level by the end of 2017”. Public comments due by April 3, 2015.

At a high level, it reports current barriers to interoperability as:

• Data insufficiently standardized
• Lack of financial motives to exchange and misinterpretation of privacy laws detours exchanging
• Trust doesn't scale across disparate networks

Based on the barriers, the plan includes:

• Establish a coordinated governance framework
• Improve technical standards for a core clinical data set
• Enhance incentives for sharing
• Clarify privacy and security requirements