RCE Resource Library
TEFCA is a multifaceted, living framework that enables seamless and secure nationwide exchange of health information.
Getting STarted
Below is a guide to the Common Agreement, Standard Operating Procedures (SOPs), technical documents, and other resources that make up TEFCA’s rules of the road. Start your journey to next generation interoperability here.  ​
Seeking Stakeholder Feedback - Deadline Extended
Draft Public Health Resources Now Available
RCE Developed Resources
Download online resources exclusive to the RCE and TEFCA below
Core Requirements
Coming Soon
- Terms of Participation (Participant and Subparticipant)
Exchange Purposes (XP) Implementation SOPs
Coming Soon
- Health Care Operations SubXP-1 (DRAFT)
- Public Health SubXP-1 (DRAFT)
Privacy and Security SOPs
Coming Soon
- QHIN Cybersecurity Certification
QHIN Application and Onboarding
- QHIN Application and Process Diagram
- QHIN Application (Online Submission Form)
- QHIN Application (PDF)
- Communications Protocol
- QHIN Fee Schedule
- Means to Demonstrate US Ownership and Control of a QHIN SOP
- Means to Demonstrate US Ownership and Control of a QHIN Questionnaire
- ONC Requests for and Access to Confidential Information
- QHIN Onboarding and Designation SOP Version 3.0
- RCE and QHIN Conformance Testing Process
- TEFCA Policy Notice: QHIN Designation and Appeals Processes
Fact Sheets
- FHIR Roadmap for TEFCA Exchange Version 2.0
- TEFCA Cross Reference Resource
- TEFCA Glossary
- TEFCA Guide
- Questions to ask your QHIN or other TEFCA connectors
- TEFCA for Executives
- TEFCA on FHIR
- TEFCA for Individuals
- Benefits for Health Information Networks (HINs)
- Benefits for State Governments and Public Health
- Benefits for Patients and Consumers
- Benefits for the Payer Community
- Benefits for Health Care Providers Across the Continuum
Can't find what you are looking for?
Additional Resources
ONC Developed Resources
2022 Trusted Exchange Framework Resources
Congressional Resources
Looking for webinar recordings or slides?
Please see the Community Engagement page
