This article is written by Elation Health for informational purposes only. It is intended as a summary of how Elation’s tools relate to the California Data Exchange Framework and should not be relied upon to ensure compliance. Each practice is responsible for understanding and meeting its own DxF obligations. For official DxF requirements, contact CalHHS directly.
Overview
The California Data Exchange Framework (DxF) is a statewide initiative established under AB 133 and SB 660 that requires California healthcare entities to exchange health data electronically. The framework is administered by the California Health and Human Services Agency (CalHHS). As part of the DxF, healthcare entities must sign a Data Sharing Agreement (DSA) and establish a method for electronic health data exchange. The DxF allows participants to fulfill their data exchange obligations through several pathways, including connecting through a Qualified Health Information Organization (QHIO), through an agreement with another entity that provides data exchange, or through their own technology. Elation provides the tools and integrations to facilitate data exchange, but compliance with the DxF — including signing the DSA and understanding your practice’s specific obligations — is the responsibility of each individual practice.How Elation supports your data exchange requirements
Carequality integration
Elation’s Carequality integration enables your practice to exchange patient data bidirectionally across the national Carequality network. This includes sharing and receiving Continuity of Care Documents (CCDs/C-CDAs) with other Carequality-enabled EHRs, health systems, and Health Information Exchanges (HIEs). Carequality is a recognized data exchange pathway that can help satisfy the DxF’s technical requirements for health data exchange. To enable Carequality in your practice:1
Open Security & Privacy settings
Go to Settings > Security & Privacy.
2
Turn on data sharing
Toggle Patient Data Sharing with Outside Care to ON and agree to the terms.
USCDI support
The DxF requires USCDI v2 at a minimum for data exchange. Elation supports the USCDI standard for data exchanged through the Carequality integration. For details on USCDI data classes and how they map to Elation data, see 21st Century Cures Act Guide - Patient CCDAs and U.S. Core Data for Interoperability (USCDI).Recommended next steps
If your California practice needs to comply with the DxF:1
Understand your obligations
Review the DxF requirements that apply to your practice through the DxF participant portal. Requirements vary based on entity type and size.
2
Sign the Data Sharing Agreement
If you have not yet signed the DSA, you can do so through the DxF participant portal.
3
Enable Carequality
If Carequality is not yet enabled in your Elation account, follow the setup instructions in the Carequality Integration Introduction to turn it on.