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 would help enable 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.
In January 2018, 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.
The Trusted Exchange Framework describes high-level principles that networks should adhere to for trusted exchange.
The Common Agreement is a legal agreement that will enable network-to-network data sharing.