TEFCA USCDI
TEFCA / USCDI alignment for US QHIN exchanges.
Definition
USCDI v3 (July 2022) includes Encounter Information, Health Concerns, Goals, Procedures, Diagnostic Imaging. TEFCA Common Agreement v2 (April 2024) mandates FHIR R4 USCDI v3 baseline for treatment, payment, health care operations, public health, individual access. RCE (Recognized Coordinating Entity): The Sequoia Project.
Origin
21st Century Cures Act 2016 mandated TEFCA, Common Agreement published January 2022 by ONC + The Sequoia Project RCE.
Usage
US national interoperability for treatment + payment + public health. Seven QHINs designated in 2024: eHealth Exchange, Epic Nexus, KONZA, Health Gorilla, MedAllies, CommonWell, KAMMCO.