A Shared Nationwide Interoperability Roadmap

Created in 2015, the Shared Nationwide Interoperability Roadmap laid out a plan in three, six and ten year increments to achieve the interoperability needed to enable a learning health system. This plan built on standards that enable the foundation for interoperability today, and processes to test and certify that health IT systems implement those standards consistently and according to constrained implementation guidance.

This Roadmap was a product of ONC’s 10-Year Vision to Achieve an Interoperable Health IT Infrastructure (aka ONC’s 10-Year Interoperability Concept Paper). This paper defined a set of guiding principles and building blocks to drive interoperability.


  • Build upon existing health infrastructure where possible.
  • One size does not fit all for approaches to achieve interoperability with systems.
  • Empower individuals to become more active participants and partners in their health and care.
  • Leverage the market to encourage innovation to meeting evolving demands for interoperability.
  • Simplify solutions where possible.
  • Maintain modularity to allow system capabilities to evolve with innovation.
  • Consider the current environment for health IT and support multiple levels of advancement.
  • Focus on value such as improved health and lower costs that result from interoperability efforts.
  • Protect privacy and security in all aspects of interoperability.
  • Standards and interoperability efforts must be accessible nationwide and scalable to varying implementation needs.

View the HIMSS Interoperability Roadmaps and Summary Matrix to see how ONC’s Roadmap compares with others presented in the health IT community.