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Interoperability

network standard

TEFCA: Trusted Exchange Framework and Common Agreement

Treat nationwide exchange as a governance and participant-path readiness track, not a direct SCRIMED live-exchange claim.

Statusregistry-defined
StewardOffice of the National Coordinator for Health IT
Profiles4
Linked contracts0

Versions and profiles

Deployment scope must be selected and verified before live exchange.

01Common Agreement
02QHIN/participant path
03FHIR roadmap monitored
04purpose-of-use policy
Capabilities

Approved exchange scope

  • nationwide exchange governance
  • participant routing
  • purpose-of-use controls
  • audit and exchange policy alignment
Evidence

Required conformance artifacts

  • participant authority
  • customer exchange pathway
  • privacy/security policy
  • audit and consent evidence
Controls

Required before live use

  • customer authority
  • purpose-of-use
  • consent policy
  • exchange participant review
  • no direct QHIN claim

Contract bindings

Connector contracts using this standard.

Primary sources

Official references retained for implementation review.

01https://healthit.gov/policy/tefca/