Timeline to Operationalize TEFCA

The Trusted Exchange Framework and Common Agreement (TEFCA) is now available. The publication of TEFCA marks the beginning a new era of electronic health information exchange in the US. Below is the anticipated timeline to live exchange of health information among and between Qualified Health Information Networks (QHINs) and their participants and subparticipants.

Q1 and Q2 of 2022

Publish Common Agreement Version 1 and initial SOPs
Publish QHIN Technical Framework (QTF) Version 1 and FHIR Roadmap
Initiate work to enable FHIR-based exchange
Public education and engagement

Q1 and Q2 of 2023

Public announcement: First Approved QHIN Applicants
Onboarding of initial QHINs
Additional QHIN applications processed
Launch TEFCA FHIR-based exchange pilot

Q3 and Q4 of 2023

Additional QHIN applications processed
Continue onboarding of initial QHINs
Establish Governing Council
Refine Common Agreement, SOPs, and QTF, including to support FHIR-based exchange
First QHINs go-live with IHE document exchange

2024

Additional QHIN applications processed
Continue onboarding of candidate QHINs
Refine Common Agreement, SOPs, and QTF
First QHINs go-live with FHIR-based exchange