Background

The Trusted Exchange Framework Common Agreement™, known as TEFCA™, operates in the United States as a nationwide framework for health information sharing. It was created to remove barriers for sharing health records electronically among healthcare providers, patients, public health agencies, and payers.

360X describes the use of of referral-specific payloads that enable the management of end-to-end (closed-loop) referrals. Given that the TEFCA "push" interactions are based on XCDR, a related IHE profile to XDR, there could be a relatively straight-forward path for enabling 360X on TEFCA. 

In September and October of 2024, the 360X project distributed a questionnaire to potential interested parties. Eight organizations responded, among them four QHINs. There was high interest among the respondents, and high-level of expected participation in the project.

Approach

The initial approach for this effort is in two main areas:

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