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TEFCA - Trusted Exchange Framework and Common Agreement
United States (ONC)
v2.0 (2024)
4 domains
4 controls
The Trusted Exchange Framework and Common Agreement (TEFCA), developed by the Office of the National Coordinator for Health IT (ONC) under the 21st Century Cures Act, establishes a universal governance framework for nationwide health information exchange. TEFCA enables interoperable exchange of electronic health information among Qualified Health Information Networks (QHINs). Version 2.0 effective 2024 with operational exchanges beginning.
Verified
Framework summaries on this platform are AI-assisted interpretations for educational and compliance planning purposes. They do not reproduce or replace the official standards. Refer to the authoritative source for the definitive text. Framework names and trademarks belong to their respective organisations.
Framework Domains (4)
Conformance
1 controls
| Code | Title |
|---|---|
| TEFCAREC-1 | Common Agreement Conformance and Onboarding |
Exchange
1 controls
| Code | Title |
|---|---|
| TEFCAREC-3 | Exchange Use Cases and Information Blocking |
Identity
1 controls
| Code | Title |
|---|---|
| TEFCAREC-4 | Identity Proofing and Authentication |
Privacy and Security
1 controls
| Code | Title |
|---|---|
| TEFCAREC-2 | Privacy, Security, Minimum Necessary |
Your Compliance Coverage
If you comply with TEFCA - Trusted Exchange Framework and Common Agreement, you already cover:
Aged Care Quality Standards (Australia)
50%
2 controls mapped
Compare →Regulation on the European Health Data Space (EHDS)
50%
2 controls mapped
Compare →PIC/S Guide to Good Manufacturing Practice for Medicinal Products
50%
2 controls mapped
Compare →+ 189 more: NATO AQAP 2110 - Quality Assurance Requirements for Design, Development, and Production (50%), NAIC Insurance Data Security Model Law (MDL-668) (50%)
See all 192 mapped frameworks ↓Maps to 192 other frameworks
4 total controls
Aged Care Quality Standards (Australia)
2 source controls mapped|3 target controls covered
50%
Regulation on the European Health Data Space (EHDS)
2 source controls mapped|4 target controls covered
50%
PIC/S Guide to Good Manufacturing Practice for Medicinal Products
2 source controls mapped|4 target controls covered
50%
NATO AQAP 2110 - Quality Assurance Requirements for Design, Development, and Production
2 source controls mapped|1 target controls covered
50%
NAIC Insurance Data Security Model Law (MDL-668)
2 source controls mapped|2 target controls covered
50%
MDS2 (Medical Device)
2 source controls mapped|3 target controls covered
50%
ICH Q10 - Pharmaceutical Quality System
2 source controls mapped|3 target controls covered
50%
ICH E6(R3) - Good Clinical Practice
2 source controls mapped|4 target controls covered
50%
HITECH Act
2 source controls mapped|3 target controls covered
50%
GAMP 5 - Good Automated Manufacturing Practice
2 source controls mapped|2 target controls covered
50%
Florida Digital Bill of Rights (FDBR)
2 source controls mapped|4 target controls covered
50%
FDA Quality Management System Regulation (QMSR)
2 source controls mapped|3 target controls covered
50%
IEC 60601-1 - Medical Electrical Equipment Safety
2 source controls mapped|3 target controls covered
50%
APPI
1 source controls mapped|5 target controls covered
25%
Vietnam Law on Cybersecurity (No. 24/2018/QH14)
1 source controls mapped|2 target controls covered
25%
Vermont Artificial Intelligence and Consumer Data Act (AICDA)
1 source controls mapped|1 target controls covered
25%
USMCA Chapter 19 - Digital Trade (United States-Mexico-Canada Agreement)
1 source controls mapped|2 target controls covered
25%
US Gramm-Leach-Bliley Act (GLBA) - Higher Education Safeguards Rule
1 source controls mapped|2 target controls covered
25%
UAE Virtual Asset Regulatory Authority (VARA) Regulations
1 source controls mapped|1 target controls covered
25%
Azure Security Benchmark
1 source controls mapped|4 target controls covered
25%
ISO/IEC 29115:2023 - Entity Authentication Assurance Framework
1 source controls mapped|4 target controls covered
25%
ISO 19011
1 source controls mapped|3 target controls covered
25%
ISO 15189:2022 - Medical Laboratories Requirements for Quality and Competence
1 source controls mapped|3 target controls covered
25%
ISO 13485
1 source controls mapped|1 target controls covered
25%
NIST SP 800-171A - Assessing Security Requirements for Controlled Unclassified Information (CUI)
1 source controls mapped|6 target controls covered
25%
AWS Well-Architected Security Pillar
1 source controls mapped|4 target controls covered
25%
ISO/IEC 27400:2022
1 source controls mapped|7 target controls covered
25%
NIST SP 800-171A Rev 3 - Assessing CUI Security Requirements
1 source controls mapped|6 target controls covered
25%
AML/CTF Act 2006 (Australia)
1 source controls mapped|1 target controls covered
25%
Bank Secrecy Act / Anti-Money Laundering (BSA/AML)
1 source controls mapped|1 target controls covered
25%
AWWA Cybersecurity Guidance for the Water Sector (American Water Works Association)
1 source controls mapped|2 target controls covered
25%
Illinois Biometric Information Privacy Act (BIPA)
1 source controls mapped|3 target controls covered
25%
ASD Strategies to Mitigate Cyber Security Incidents
1 source controls mapped|6 target controls covered
25%
ISO/IEC 23837 - Security Requirements for Quantum Key Distribution
1 source controls mapped|4 target controls covered
25%
BSI IT-Grundschutz
1 source controls mapped|5 target controls covered
25%
FDA 21 CFR Part 11
1 source controls mapped|1 target controls covered
25%
FIDO2 / WebAuthn
1 source controls mapped|2 target controls covered
25%
FISMA
1 source controls mapped|3 target controls covered
25%
FTC GLBA Safeguards Rule (16 CFR Part 314)
1 source controls mapped|4 target controls covered
25%
Ghana Cybersecurity Act
1 source controls mapped|4 target controls covered
25%
GLI-33 - Gaming Laboratories International Event Wagering Systems
1 source controls mapped|2 target controls covered
25%
HL7 FHIR Security Framework
1 source controls mapped|1 target controls covered
25%
IACS Unified Requirements E26/E27 - Cyber Resilience of Ships and On-Board Systems
1 source controls mapped|3 target controls covered
25%
ISMAP (Japan)
1 source controls mapped|3 target controls covered
25%
ITU-T X.805 - Security Architecture for End-to-End Communications
1 source controls mapped|2 target controls covered
25%
MARS-E
1 source controls mapped|3 target controls covered
25%
MITRE ATT&CK
1 source controls mapped|2 target controls covered
25%
MITRE D3FEND
1 source controls mapped|2 target controls covered
25%
MTCS (Singapore)
1 source controls mapped|4 target controls covered
25%
NIS2 Directive Implementing Acts
1 source controls mapped|2 target controls covered
25%
NIST Privacy Framework
1 source controls mapped|6 target controls covered
25%
NIST SP 800-115 (Technical Guide to Information Security Testing and Assessment)
1 source controls mapped|2 target controls covered
25%
NIST SP 800-123
1 source controls mapped|2 target controls covered
25%
NIST SP 800-137
1 source controls mapped|2 target controls covered
25%
NIST SP 800-61
1 source controls mapped|2 target controls covered
25%
NIST SP 800-63-4
1 source controls mapped|2 target controls covered
25%
NIST SP 800-66
1 source controls mapped|1 target controls covered
25%
NIST SP 800-82 Revision 3: Guide to Industrial Control Systems (ICS) Security
1 source controls mapped|5 target controls covered
25%
NIST SP 800-92
1 source controls mapped|2 target controls covered
25%
Oman National Cybersecurity Framework
1 source controls mapped|3 target controls covered
25%
OpenSSF Scorecard
1 source controls mapped|2 target controls covered
25%
OWASP DevSecOps Maturity Model (DSOMM)
1 source controls mapped|4 target controls covered
25%
OWASP MASVS
1 source controls mapped|2 target controls covered
25%
OWASP SAMM
1 source controls mapped|2 target controls covered
25%
OWASP Top 10 for LLM Applications 2025
1 source controls mapped|2 target controls covered
25%
PAS 1192-5:2015 - Security-Minded Approach to BIM and Digital Built Environments
1 source controls mapped|2 target controls covered
25%
PTES
1 source controls mapped|2 target controls covered
25%
Secure by Design: A Guide for Manufacturers (CISA)
1 source controls mapped|1 target controls covered
25%
SIG (Shared Assessments)
1 source controls mapped|2 target controls covered
25%
Sigstore - Software Artifact Signing and Verification
1 source controls mapped|1 target controls covered
25%
Armenia Law on Protection of Personal Data (2015)
1 source controls mapped|4 target controls covered
25%
ISO/IEC 29100:2024
1 source controls mapped|6 target controls covered
25%
ISO/IEC 27557:2022 - Organisational Privacy Risk Management
1 source controls mapped|5 target controls covered
25%
21 CFR Part 58 - Good Laboratory Practice (GLP)
1 source controls mapped|2 target controls covered
25%
BRCGS Global Standard for Food Safety Issue 9
1 source controls mapped|3 target controls covered
25%
ISO/IEC 29134:2023
1 source controls mapped|5 target controls covered
25%
ISO/IEC 27014:2020
1 source controls mapped|4 target controls covered
25%
Albania Law on Protection of Personal Data (Law No. 9887, 2008, amended 2014)
1 source controls mapped|3 target controls covered
25%
ISO/IEC 27004:2016
1 source controls mapped|3 target controls covered
25%
ISO/IEC 38500:2024 - Governance of IT
1 source controls mapped|4 target controls covered
25%
ISO/IEC 27011:2024
1 source controls mapped|3 target controls covered
25%
Barbados Data Protection Act 2019
1 source controls mapped|5 target controls covered
25%
ISO/IEC 30111:2019
1 source controls mapped|4 target controls covered
25%
ASIS SPC.1-2009 - Organizational Resilience Standard
1 source controls mapped|2 target controls covered
25%
ISO/IEC 27050 - Electronic Discovery (Parts 1-4)
1 source controls mapped|1 target controls covered
25%
Austria Data Protection Act (Datenschutzgesetz, DSG, amended 2018)
1 source controls mapped|6 target controls covered
25%
Azerbaijan Law on Personal Data (2010)
1 source controls mapped|4 target controls covered
25%
ISO 31000:2018
1 source controls mapped|1 target controls covered
25%
ISO/IEC 27007:2020
1 source controls mapped|1 target controls covered
25%
ISO/IEC 27031:2011
1 source controls mapped|1 target controls covered
25%
NIST AI Risk Management Framework (AI RMF 1.0)
1 source controls mapped|3 target controls covered
25%
IEC 62351 - Power Systems Communication Security
1 source controls mapped|1 target controls covered
25%
ISO/IEC 29147:2018
1 source controls mapped|3 target controls covered
25%
FATF Recommendation 16 - Virtual Asset Travel Rule
1 source controls mapped|1 target controls covered
25%
French Sapin II Law (Law No. 2016-1691)
1 source controls mapped|1 target controls covered
25%
GLBA
1 source controls mapped|3 target controls covered
25%
HKMA Cyber Resilience Assessment Framework (C-RAF)
1 source controls mapped|3 target controls covered
25%
HKMA SPM
1 source controls mapped|2 target controls covered
25%
IAEA Nuclear Security Series - Computer Security at Nuclear Facilities (NSS-17-T Rev 1)
1 source controls mapped|4 target controls covered
25%
IATA Operational Safety Audit (IOSA) Standards Manual
1 source controls mapped|1 target controls covered
25%
IATF 16949:2016 - Quality Management System for Automotive Production
1 source controls mapped|2 target controls covered
25%
IMO Maritime Cybersecurity Guidelines (MSC-FAL.1/Circ.3/Rev.2)
1 source controls mapped|2 target controls covered
25%
Israel Protection of Privacy Law (5741-1981)
1 source controls mapped|4 target controls covered
25%
ITAR - International Traffic in Arms Regulations
1 source controls mapped|1 target controls covered
25%
ITU Radio Regulations and Space Security Standards
1 source controls mapped|1 target controls covered
25%
Monetary Authority of Singapore Technology Risk Management Guidelines
1 source controls mapped|2 target controls covered
25%
NATO STANAG 4774 (Confidentiality Metadata Labels) and STANAG 4778 (Metadata Binding)
1 source controls mapped|2 target controls covered
25%
NIST Post-Quantum Cryptography Standards (FIPS 203, 204, 205)
1 source controls mapped|1 target controls covered
25%
NIST SP 800-144
1 source controls mapped|2 target controls covered
25%
NIST SP 800-145
1 source controls mapped|2 target controls covered
25%
NIST SP 800-146
1 source controls mapped|2 target controls covered
25%
NIST SP 800-88
1 source controls mapped|1 target controls covered
25%
NIST Special Publication 800-34 Revision 1, Contingency Planning Guide for Federal Information Systems
1 source controls mapped|2 target controls covered
25%
NRC 10 CFR 73.54 - Nuclear Facility Cybersecurity
1 source controls mapped|2 target controls covered
25%
O-RAN WG11 Security Specification
1 source controls mapped|3 target controls covered
25%
OCC Heightened Standards (12 CFR Part 30, Appendix D)
1 source controls mapped|1 target controls covered
25%
Open Banking Security
1 source controls mapped|3 target controls covered
25%
OSFI B-13
1 source controls mapped|4 target controls covered
25%
OWASP Top 10:2025
1 source controls mapped|1 target controls covered
25%
Pakistan Personal Data Protection Bill 2023
1 source controls mapped|3 target controls covered
25%
Philippines Cybercrime Prevention Act (RA 10175)
1 source controls mapped|1 target controls covered
25%
PSD2 SCA
1 source controls mapped|3 target controls covered
25%
SLSA
1 source controls mapped|1 target controls covered
25%
API 1164
1 source controls mapped|4 target controls covered
25%
ISO/IEC 27006:2024
1 source controls mapped|1 target controls covered
25%
FedRAMP Rev 5
1 source controls mapped|4 target controls covered
25%
IEEE 1686
1 source controls mapped|2 target controls covered
25%
Japan FSA Cybersecurity Guidelines for Financial Institutions
1 source controls mapped|2 target controls covered
25%
NERC CIP
1 source controls mapped|2 target controls covered
25%
New Zealand Information Security Manual (NZISM)
1 source controls mapped|1 target controls covered
25%
NIS2 Directive
1 source controls mapped|3 target controls covered
25%
Bahrain PDPL
1 source controls mapped|5 target controls covered
25%
Australian Privacy Principles (APPs)
1 source controls mapped|3 target controls covered
25%
Federal Decree-Law No. 45 of 2021 on the Protection of Personal Data (UAE PDPL)
1 source controls mapped|3 target controls covered
25%
Family Educational Rights and Privacy Act (FERPA)
1 source controls mapped|3 target controls covered
25%
Global Cross-Border Privacy Rules (Global CBPR) Forum
1 source controls mapped|1 target controls covered
25%
Hong Kong Personal Data (Privacy) Ordinance (PDPO, Cap 486)
1 source controls mapped|2 target controls covered
25%
Iceland Data Protection and Processing of Personal Data Act (Act No. 90/2018)
1 source controls mapped|2 target controls covered
25%
IEEE 7000
1 source controls mapped|1 target controls covered
25%
India DPDP Act
1 source controls mapped|2 target controls covered
25%
Indiana Consumer Data Protection Act
1 source controls mapped|2 target controls covered
25%
Indonesia PDP Law
1 source controls mapped|3 target controls covered
25%
Iowa Consumer Data Protection Act
1 source controls mapped|3 target controls covered
25%
Jamaica Data Protection Act 2020
1 source controls mapped|5 target controls covered
25%
Japan AI Guidelines
1 source controls mapped|1 target controls covered
25%
Kentucky Consumer Data Protection Act
1 source controls mapped|4 target controls covered
25%
Kenya Data Protection Act
1 source controls mapped|1 target controls covered
25%
Kids Online Safety Act (KOSA)
1 source controls mapped|2 target controls covered
25%
South Korea PIPA
1 source controls mapped|3 target controls covered
25%
Law No. 172-13 on the Protection of Personal Data
1 source controls mapped|2 target controls covered
25%
Liechtenstein DPA
1 source controls mapped|3 target controls covered
25%
Malaysia PDPA 2010
1 source controls mapped|4 target controls covered
25%
Maryland Online Data Privacy Act of 2024
1 source controls mapped|3 target controls covered
25%
Mauritius DPA
1 source controls mapped|3 target controls covered
25%
Mexico LFPDPPP
1 source controls mapped|2 target controls covered
25%
Minnesota Consumer Data Privacy Act
1 source controls mapped|3 target controls covered
25%
Montana Consumer Data Privacy Act
1 source controls mapped|3 target controls covered
25%
Nevada Gaming Control Board Cybersecurity Requirements
1 source controls mapped|2 target controls covered
25%
New Hampshire Data Privacy Act
1 source controls mapped|3 target controls covered
25%
New Jersey Data Privacy Act
1 source controls mapped|3 target controls covered
25%
Nebraska Data Privacy Act
1 source controls mapped|6 target controls covered
25%
Nigeria Data Protection Act 2023 (NDPA)
1 source controls mapped|6 target controls covered
25%
Nigeria Data Protection Regulation (NDPR)
1 source controls mapped|2 target controls covered
25%
Nigeria Open Banking Regulatory Framework (CBN, 2023)
1 source controls mapped|3 target controls covered
25%
NIST AI 600-1: Generative AI Profile
1 source controls mapped|1 target controls covered
25%
NIST SP 800-122
1 source controls mapped|3 target controls covered
25%
Notifiable Data Breaches Scheme (Australia)
1 source controls mapped|1 target controls covered
25%
OECD AI Principles
1 source controls mapped|1 target controls covered
25%
Oregon Consumer Privacy Act
1 source controls mapped|3 target controls covered
25%
PDPA Singapore
1 source controls mapped|3 target controls covered
25%
PDPA Thailand
1 source controls mapped|2 target controls covered
25%
Personal Data Act (personopplysningsloven)
1 source controls mapped|2 target controls covered
25%
Peru DPL
1 source controls mapped|4 target controls covered
25%
POPIA
1 source controls mapped|3 target controls covered
25%
Privacy Act 2020
1 source controls mapped|3 target controls covered
25%
Qatar DPL
1 source controls mapped|4 target controls covered
25%
Rhode Island Data Transparency and Privacy Protection Act (RIDTPPA)
1 source controls mapped|1 target controls covered
25%
SASB Standards
1 source controls mapped|1 target controls covered
25%
Student Privacy Pledge 2020
1 source controls mapped|1 target controls covered
25%
Taiwan PDPA
1 source controls mapped|2 target controls covered
25%
Tanzania Personal Data Protection Act (Draft)
1 source controls mapped|4 target controls covered
25%
NIST SP 800-171
1 source controls mapped|1 target controls covered
25%
ISO/IEC 27010:2015
1 source controls mapped|1 target controls covered
25%
FIRST CSIRT Services Framework and Standards
1 source controls mapped|1 target controls covered
25%
India CERT-In Cyber Security Directions 2022
1 source controls mapped|1 target controls covered
25%
Laos Law on Prevention and Combating Cybercrime (2015)
1 source controls mapped|1 target controls covered
25%
Ley Orgánica de Protección de Datos Personales (LOPDP)
1 source controls mapped|1 target controls covered
25%
LGPD
1 source controls mapped|1 target controls covered
25%
NRF Cybersecurity and Data Privacy Framework (National Retail Federation)
1 source controls mapped|1 target controls covered
25%
Singapore Cybersecurity Act 2018
1 source controls mapped|1 target controls covered
25%
Protective Security Policy Framework (PSPF) Release 2024
1 source controls mapped|1 target controls covered
25%
Papua New Guinea National Cybersecurity Policy & Cybercrime Act (2016)
1 source controls mapped|1 target controls covered
25%
Frequently Asked Questions
What is TEFCA - Trusted Exchange Framework and Common Agreement?
TEFCA - Trusted Exchange Framework and Common Agreement is a compliance framework from United States (ONC) with 4 domains and 4 controls. The Trusted Exchange Framework and Common Agreement (TEFCA), developed by the Office of the National Coordinator for Health IT (ONC) under the 21st Century Cures Act, establishes a universal governance framework for nationwide health information exchange. TEFCA enables interoperable exchange of electronic health information among Qualified Health Information Networks (QHINs). Version 2.0 effective 2024 with operational exchanges beginning. It is used by organisations to establish and maintain compliance with industry standards and regulatory requirements.
How many controls does TEFCA - Trusted Exchange Framework and Common Agreement have?
TEFCA - Trusted Exchange Framework and Common Agreement has 4 controls organised across 4 domains. The largest domains are Conformance (1 controls), Exchange (1 controls), Identity (1 controls). Each control defines specific requirements that organisations must implement to achieve compliance.
What frameworks does TEFCA - Trusted Exchange Framework and Common Agreement map to?
TEFCA - Trusted Exchange Framework and Common Agreement maps to 192 other compliance frameworks. The top mapping partners are Aged Care Quality Standards (Australia) (50% coverage), Regulation on the European Health Data Space (EHDS) (50% coverage), PIC/S Guide to Good Manufacturing Practice for Medicinal Products (50% coverage). Use our comparison tool to explore control-level mappings between frameworks.
How do I get started with TEFCA - Trusted Exchange Framework and Common Agreement compliance?
Start your TEFCA - Trusted Exchange Framework and Common Agreement compliance journey by running a self-assessment on our platform to identify your current compliance posture. Our AI advisory can answer specific questions about TEFCA - Trusted Exchange Framework and Common Agreement requirements, and cross-framework mapping helps you leverage existing controls from other frameworks you may already comply with. Create a free account to access all 4 controls and track your progress.
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