HTI-5 continues ASTP/ONC’s shift from basic data exchange to reliable, explainable interoperability in real-world use. This blog explains what HTI-5 signals, why it matters now, and how EHRs can prepare for ongoing oversight without turning compliance into a constant scramble.

ONC’s expectations for certified health IT are shifting. In 2026, exchanging data is no longer enough. Systems must support traceable, explainable, and longitudinal data use under HTI-1 and USCDI v3. This blog explains what insight really means and why it matters now.