Electronic health records (EHRs) arrived in the industry at the turn of the century with standards testing, certification, and a $38.4 billion federal investment to achieve interoperable health data. From manual workflows to email to Direct messaging, blockchain, and Fast Healthcare Interoperability Resources (FHIR) application programming interfaces (APIs), explore the continuum of data-sharing available in healthcare. Seasoned trailblazers discuss electronic data movement and the world of healthcare interoperability to offer an understanding of federal mandates, common use cases, data standards, poised disruptors, the next step in certified EHR technology (CEHRT), and will ask the question, once the data superhighway is in place, is FHIR the only interoperable way or just one small step in the right direction?