Difference between revisions of "Trusted Exchange Framework and Common Agreement (TEFCA)"

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(Recognized Coordinating Entity (RCE))
(Recognized Coordinating Entity (RCE))
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== The QHIN Technical Framework (QTF) Draft 1 ==
== The QHIN Technical Framework (QTF) Draft 1 ==
==== Recognized Coordinating Entity (RCE) ====
===== Recognized Coordinating Entity (RCE) =====

Revision as of 15:32, 18 October 2019

Trusted Exchange Framework and Common Agreement (TEFCA) outline a set of principles, terms and conditions to facilitate the development of health information exchange network across the nation[1]. The process engages Government, private and public entities to develop a common agreement to allow healthcare stakeholders to exchange information across health information networks (HIN).

The Trusted Exchange Framework (TEF) Draft 1

The first draft of TEF was published by the ONC (Office of the National Coordinator for Health Information Technology) in January 5, 2018[2]. It provides a framework and vision for how qualified health information networks (QHIN) and the recognized coordinating entity (RCE) function. The framework focused on:

  • Empowering individuals to use their Electronic Health Information to the fullest extent;
  • Enabling providers and communities to deliver smarter, safer, and more efficient care; and
  • Promotes innovation at all levels[3].

TEFCA establishes QHIN to standardize HIE inter-connectivity. Each health information network has to enter into agreements with TEFCA which facilitates the standardized methodology to share information. Once they have made these agreements they are able to become a qualified health information network (QHIN)[4].

A recognized coordination entity is established to act as the governing body of multiple QHINs. Of note, on September 3, 2019 ONC awarded The Sequoia Project a cooperative agreement to serve as the RCE[5].

The Trusted Exchange Framework (TEF) Draft 2

Draft 2 was published in April 19, 2019[6].

the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. This

The Minimum Required Terms and Conditions (MRTCs) Draft 2

The QHIN Technical Framework (QTF) Draft 1

Recognized Coordinating Entity (RCE)



  1. https://www.healthit.gov/topic/interoperability/trusted-exchange-framework-and-common-agreement
  2. https://www.healthit.gov/sites/default/files/draft-trusted-exchange-framework.pdf
  3. https://www.healthit.gov/sites/default/files/draft-trusted-exchange-framework.pdf
  4. https://www.impact-advisors.com/regulatory/interoperability/tefca-in-a-nutshell/
  5. https://www.hhs.gov/about/news/2019/09/03/onc-awards-the-sequoia-project-cooperative-agreement.html
  6. https://www.healthit.gov/topic/interoperability/trusted-exchange-framework-and-common-agreement
  7. https://www.healthit.gov/sites/default/files/draft-trusted-exchange-framework.pdf

Submitted by Erick Christensen