Considerations should also be made for the size, capability, and sophistication of data sources. For instance, many data consumer/source interactions will occur between large payer businesses and small or solo medical practices. These practices are often less resourced than larger health systems and therefore implementation decisions should be scaled to meet the uniqueness of end-users’ environments.

Existing Wording:

• There may be differences in regulatory expectations around data that is queried directly vs. information that is 'pushed' in response to a human-mediated request, such that the latter is more practical/cost-effective overall. (Though with this argument, care should be taken that the distribution of costs is equitable, rather than simply being offloaded from the data consumer to the data source.)

Proposed Wording:

• There may be differences in regulatory expectations around data that is queried directly vs. information that is 'pushed' in response to a human-mediated request, such that the latter is more practical/cost-effective overall. (Though with this argument, care should be taken that the distribution of costs is equitable, rather than simply being offloaded from the data consumer to the data source.) Considerations should also be made for the size, capability, and sophistication of data sources. For instance, many data consumer/source interactions will occur between large payer businesses and small or solo medical practices. These practices are often less resourced than larger health systems and therefore implementation decisions should be scaled to meet the uniqueness of end-users’ environments.