TEFCA - correct answer Trusted Exchange Framework and Common
Agreement
Date TEFCA was published? - correct answer November 7 2023
The Common Agreement - correct answer The legal contract that the
Recognized Coordinating Entity (RCE) will sign with each Qualified Health Information Network (QHIN).
https://www.federalregister.gov/public-inspection/2023-24536/trusted-exchange-framework-and-
common-agreement-version-11
The Recognized Coordinating Entity (RCE) - correct answer The organization
that develops, updates, implements, and maintains the Common Agreement, as well as solicits and
reviews applications from health information networks seeking QHIN status.
The Current RCE in 2023 - correct answer The Sequoia Project currently serves
as the RCE under a contract with the Office of the National Coordinator for Health Information
Technology (ONC)
QHIN Technical Framework (QTF) - correct answer The QTF outlines the
technical components for exchange among QHINs, including patient identity resolution, authentication,
and performance measurement.
https://rce.sequoiaproject.org/wp-content/uploads/2022/01/QTF_0122.pdf
Qualified Health Information Network (QHIN) - correct answer A QHIN is a HIN
that is a U.S. Entity that has completed the QHIN application, onboarding, and designation process and is
a party to the Common Agreement countersigned by the RCE. QHINs have the technical capabilities and
organizational attributes to connect HINs on a nationwide scale.
Participants and Subparticipants will be able to choose their QHIN and will be able to share information
with all other connected entities regardless of which QHIN organization they choose.