What Is the Trusted Exchange Framework and Common Agreement™?

TEFCA Defined

The Trusted Exchange Framework and Common Agreement, also known as TEFCA, outlines a common set of principles, terms, and conditions to support the development of a Common Agreement that helps enable the nationwide exchange of electronic health information (EHI) across disparate health information networks (HINs). The TEFCA is designed to scale EHI exchange nationwide and help ensure that HINs, health care providers, health plans, individuals, and many more stakeholders have secure access to their electronic health information when and where it is needed.

rce-mobile-icon

TEFCA and Electronic Health Information

The TEFCA enables the appropriate sharing of electronic health information between networks in order to:

In January 2018, the Office of the National Coordinator for Health Information Technology (ONC) released the first draft of the Trusted Exchange Framework (TEF Draft 1) for public comment. ONC reviewed all of the public comments on the TEF Draft 1 and released an updated draft package for comment in April 2019. This TEF Draft 2 package was developed by ONC with input from all of the public comments on the TEF Draft 1 and includes three components: (1) the TEF Draft 2; (2) the Minimum Required Terms and Conditions (MRTCs) Draft 2; and (3) the Qualified Health Information Network (QHIN) Technical Framework (QTF) Draft 1.

In January 2022, ONC and the RCE® announced the publication of the Trusted Exchange Framework and the Common Agreement (TEFCA). Applications to be designated as a Qualified Health Information Network® are being accepted on a rolling basis.

The Trusted Exchange Framework

The Trusted Exchange Framework describes high-level principles that networks should adhere to for trusted exchange. 

The Common Agreement

The Common Agreement is a legal agreement that will enable network-to-network data sharing.

Meet the QHINS

The Designated QHINs have been announced!

RCE is proud to introduce the designated Qualified Health Information Networks. 

What can we help you find?

Stay Connected

Complete the form below and join our mailing list