Sequoia Project

Connected We Stand!

Sequoias are among the oldest, tallest trees on earth. Individually, they cannot reach the great heights of giant sequoias. Together, their complex, interconnected root system helps them withstand nature’s forces and flourish. Only connected can they reach great heights.

About Us

The Sequoia Project

We are an independent, trusted advocate for nationwide health information exchange. The Sequoia Project, through our initiatives, and our engagement with government and industry, experts who can identify the barriers to interoperability and pioneer processes to make health information exchange work on a national level. We are a neutral body, inclusive of diverse participants, which allows us to create practical solutions to data exchange problems. As a nonprofit operating in the public interest, our governance process insures transparent oversight of this work.


Year We were Founded


Non Profit Organization


Years of Experience


Member Strong Organization

Our Vision

Our vision is to make the right health information accessible at the right place and time to improve the health and welfare of all Americans. At the Sequoia Project we are:




Exploring our Roots

We’ve grown over the last 10 years! When we were founded, The Sequoia Project supported a single initiative that now operates as an independent health information network. Today, we continue to incubate new initiatives through our Interoperability Matters cooperative. Learn more about our history below.

2012The Founding of The Sequoia Project
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In 2012, The Sequoia Project was chartered as a non-profit 501(c)(3) to advance the implementation of secure, interoperable nationwide health information exchange.
2012Maintaining the eHealth Exchange
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The Office of the National Coordinator for Health Information Technology, part of the U.S. Department of Health and Human Services, transitioned management of its eHealth Exchange to The Sequoia Project for maintenance. Since 2012, the Exchange has grown to become the largest health information exchange network in the country.
2014Supporting a New Initiative - Carequality
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In 2014, we began to support additional initiatives beginning with Carequality. The adopters of the Carequality Interoperability Framework – and their clients – benefit from accelerated, less costly health data sharing agreements, because they no longer need to develop one-off legal agreements between individual data sharing partners.

The Sequoia Project


Our work takes the form of independent initiatives, each with its own mission, governance, membership and structure. We are an ideal home for projects that require a collaborative environment in which multiple parties with differing perspectives can work together. We can provide the sustaining management services and governance support required to allow new initiatives to grow and succeed. Our initiatives work independently but draw upon each other’s perspective and expertise as appropriate.

We welcome the addition of new health IT interoperability initiatives. Contact us below to determine if The Sequoia Project is a good fit for your next interoperability implementation project.

Sequoia Project Interoperabiliity Matters Logo

Interoperability Matters

Interoperability Matters is a public-private cooperative that engages experts from across the healthcare and healthcare IT communities to identify, prioritize, and collaborate on the most pressing, discrete challenges to nationwide health information exchange.


Patient Unified Lookup System for Emergencies (PULSE)

A nationwide health IT disaster response platform that can be deployed at the city, county, or state level to authenticate disaster healthcare volunteer providers.

RSNA Image Share Validation

RSNA Image Share Validation

A conformity assessment program that tests the compliance of vendor systems using quality standards determined most effective for accurate and efficient exchange of medical images.

Member Spotlight

Thank You To Our Members

AMA - American Medical Association
ShareCare logo
Sutter Health logo
OCHIN logo

Join Us

Become a Member

Join other organizations as a corporate member of The Sequoia Project and engage in The Sequoia Project-sponsored initiatives and various cross-industry collaborative efforts to advance nationwide health information exchange implementation.