Per TEFCA (Trusted Exchange Framework and Common Agreement) under ONC: conformance. Requirements include (a) Common Agreement adherence + (b) Qualified Health Information Network (QHIN) onboarding + (c) participant + sub-participant agreement + (d) cooperate with RCE (Recognized Coordinating Entity).
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.