The purpose of this contract is to support data cleaning, analysis, evaluation, and dissemination of results from the 2025 national survey of digital health companies. This work serves as a key support for ONC's ongoing efforts to track the implementation and impact of the Cures Act health IT provisions and to enable longitudinal assessment of digital health companies' experience with interoperability and API use over time. Therefore, this survey and it's responses will help ONC to better understand: Companies' adoption of various types of API technologies for EHR integration Use of the FHIR standard Status of integrations with EHRs, as well as the EHR vendors with which companies have integrated their products Critical factors that affect companies' abilities to work successfully with EHR APIs Barriers experienced by companies to integrate products with EHRs using APIs Underlying characteristics of digital health companies Perceived benefit of federal health IT policy Desired improvements to API standards and relevant federal health IT policy Gaining insights into each of these domains is essential in supporting efforts to enable interoperability and exchange. The work will also enable future rounds of this survey and outcomes from this contract will identify necessary changes to the survey instrument and how to field future surveys.