QHIN network

TEFCA-certified QHIN network, federated FHIR/XCA hub.

Definition

To become a QHIN, the entity signs the Common Agreement, demonstrates conformance to the QHIN Technical Framework (QTF), security requirements (NIST 800-53), and support for Exchange Purposes (Treatment, Payment, Health Care Operations, Public Health, Individual Access Services). Annual audit, membership fees. First designation wave December 2023, 7+ QHINs by early 2025.

Origin

TEFCA Common Agreement v1 January 2022, first batch of 5 QHINs December 2023: eHealth Exchange, Epic Nexus, Health Gorilla, KONZA, MedAllies.

Usage

Inter-QHIN switching, USCDI v3 baseline, Individual Access Services for patient mobile apps. Direct competition with Carequality / CommonWell which join or bridge into TEFCA.

Related terms

• TEFCA — cadre parent.
• TEFCA USCDI — alignement données.
• eHealth Exchange — QHIN historique.