Two major interoperability groups, Sequoia Project and DirectTrust, are exchanging more health records and connecting more provider sites than ever, the companies announced this week.

The Sequoia Project – whose members include Carequality, eHealth Exchange, and RSNA Image Share Validation – marked its fifth anniversary by touting across-the-board growth: The number of health organizations participating in its in initiatives, the size of geographic reach and the volume of data exchanged are all on the rise.