U.S. healthcare Is undergoing a tremendous change. In 2016, Congress passed the 21st Century Cures Act, providing among many things a mandate to end the cycle of patient data being trapped in silos, virtually impossible to share, and keeping the dream or coordinated care out of reach. With the Cures Act came the declaration that US patients should now own their health records and the healthcare industry must make their patient data interoperable, and now the ONC and CMS proposed rules define the terms of compliance and implementation of information blocking provisions in the 21st Century Cures Act