Five Pacific Northwest clients of electronic health records vendor Cerner have joined the CommonWell Health Alliance that offers health information exchange. The new clients demonstrate growth of the alliance while at the same time showing some of its continuing weaknesses.

Created two years ago by seven vendors including Cerner, CommonWell now has about 30 vendors—up from 25 in mid-April—who have pledged to cooperate to accelerate interoperability. But many of the members are not yet technically able to exchange data through McKesson Relay Health, which operates the health information exchange.

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