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HIE Initiatives across the USA. Health information exchange initiatives have coverage areas that span all 50 states, the District of Columbia, and the U.S. territories of the Virgin Islands, Puerto Rico, and American Samoa.Initiatives most commonly reported a multi-county coverage area. Forty-seven initiatives reported covering a multi-county area, and 39 initiatives reported covering an entire state. Other coverage areas reported by initiatives include: at the county level (17), multi-state le14

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