{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:33:39Z","timestamp":1786556019518,"version":"build-2736575974"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Substance Use HeAlth REcords Sharing","award":["9R01DA056984-06A1"],"award-info":[{"award-number":["9R01DA056984-06A1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Substance use disorder (SUD) care continues to be hindered by persistent gaps in health information exchange (HIE). This study examined people, organizational, regulatory, and technical barriers to SUD data sharing from the provider perspective and identified key opportunities to improve care through health record interoperability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Behavioral health providers (52% prescribers) representing 4 SUD treatment organizations in 14 US states participated in 11 focus groups (n\u2009=\u200931) and 5 validation interviews (n\u2009=\u20095) covering scenarios related to SUD Healthcare Effectiveness Data and Information Set (HEDIS) metrics. Thematic analysis, keyword searches, and workflow analysis [using Unified Modeling Language (UML) diagrams] were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Incomplete data access at the point of care frequently necessitated manual exchange via fax, phone, and secure email. When available, HIE and Prescription Drug Monitoring Program (PDMP) data were helpful, but confusion regarding the release of SUD information requirements in the context of HIPAA (Health Insurance Portability and Accountability Act), 42 CFR (Code of Federal Regulations) Part 2 and state requirements was ubiquitous. UML modeling of 4 core SUD care scenarios rising from participants\u2019 HEDIS examples revealed 3 common data sharing subprocesses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Fragmented data sharing workflows, and extensive use of non-electronic data sharing methods impact outcomes for individuals with SUD. Interoperable consent management, HIE and PDMP integration with EHRs, and harmonized privacy regulations are provider priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mapping provider-identified barriers reveals technical, regulatory, and workflow breakdowns that limit SUD care coordination. Advancing electronic, consent-driven interoperability employing standards is critical to improving continuity of care while safeguarding patient privacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jamiaopen\/ooag162","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:15:27Z","timestamp":1785323727000},"source":"Crossref","is-referenced-by-count":0,"title":["Beyond fax: provider perspectives on data sharing in substance use disorder care"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3595-1187","authenticated-orcid":false,"given":"Martha","family":"Kaiser","sequence":"first","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyi","family":"Wei","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]},{"name":"College of Nursing, Human Performance and Health Sciences, Lander University , Greenwood, SC 29649,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Prathyusha","family":"Nookala","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reid","family":"Cooper","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Ariosto","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Adams","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5769-8556","authenticated-orcid":false,"given":"Adela","family":"Grando","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malihe","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]},{"name":"Cancer Research Center, Semnan University of Medical Sciences , Semnan, 35131- 19111,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita C","family":"Murcko","sequence":"additional","affiliation":[{"name":"College of Health Solutions, Arizona State University , Phoenix, AZ 85004,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"2026081212402171600_ooag162-B1","doi-asserted-by":"publisher","first-page":"194","DOI":"10.3390\/psychoactives3020013","article-title":"A multi-level analysis of biological, social, and psychological determinants of substance use disorder and co-occurring mental health outcomes","volume":"3","author":"Belfiore","year":"2024","journal-title":"Psychoactives"},{"key":"2026081212402171600_ooag162-B2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1176\/appi.ajp.2021.21101069","article-title":"Substance use disorders are deadly","volume":"179","author":"Compton","year":"2022","journal-title":"Am J Psychiatry"},{"key":"2026081212402171600_ooag162-B3","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/j.medcli.2023.11.016","article-title":"Substance use disorder: epidemiology, medical consequences and treatment","volume":"162","author":"Fuster","year":"2024","journal-title":"Med Clin (Barc)"},{"key":"2026081212402171600_ooag162-B4","author":"National Institute on Drug Abuse (NIDA). 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