Since Hurricane Maria tore through Puerto Rico over a year ago, the island has been rebuilding its healthcare infrastructure from the ground up. Federally qualified not-for-profit centers (FQHCs), such as the Puerto Rico Primary Care Association Network (PRPCAN), have played a central role in this process. In 2016, PRPCAN was established to accelerate the adoption of health information technology on the island to improve access to care and reduce costs. Many Puerto Rican healthcare facilities are still not fully operational due physician emigration to the US and physical damages from the hurricane. As a result, patients have struggled to maintain continuity throughout their care journey, and providers are too overwhelmed to comprehensively manage new cases. Clinical interoperability was widely recognized as a fundamental need for rebuilding and scaling an advanced [...]