Official website of the State of California
California has big, bold plans for transforming healthcare, expanding coverage, and improving connections between health and social services entities.
The DxF is the first step toward this vision, by using secure data exchange to bring existing standalone health systems, providers, and social services together seamlessly and improve outcomes for all Californians.
The DxF aims to fill in gaps of understanding about social determinants of health, enabling our health and social services providers to address health inequities and disparities, especially in historically underserved and underrepresented communities.
COVID-19 has been the greatest unmasker of inequities, but also the greatest accelerant for change.
— CalHHS Secretary Mark Ghaly
The DxF is not a new technology or centralized data repository; instead, DxF Participants are agreeing to new rules of the road for securely and appropriately exchanging health and social services information to best serve patients and join a shared commitment to providing safe, effective, whole-person care across California.
Intermediaries offer services and functions to support the sharing of health and social services information, assisting entities as they create and respond to information requests.
DxF Participants may choose to securely exchange data through a QHIO, nationwide network or framework, other intermediary, point-to-point connections, their own platforms or technology solutions, or a combination of these methods to comply with the DxF’s DSA and its P&Ps.
A DxF designated Intermediary that facilitates the secure exchange of health and social services information between Participants.
Any vendor-agnostic health information network or health information exchange framework with nationwide scope, including coverage in California, available to some or all Participants for the exchange of health and social services information that may or may not have signed the DSA.
An organization that is a signatory to the DSA, including any identified subordinate entities of that Signatory.
the rules of the road adopted by the California Health and Human Services and the Center for Data Insights and Innovation pursuant to the DSA of that signatory.
An agreement between Participants to engage in the real-time, secure and appropriate exchange of health and social services data
Standards and governance of health and social services information exchange implemented and managed by CalHHS
Enables providers and public organizations to match shared clients while keeping identities and health records protected and secure
Connections between health and social services entities can be made through a QHIO, another Intermediary that provides data exchange, or the Participant’s own technology
The DxF will accelerate and expand the exchange of health information among healthcare entities, government agencies, and social services programs. With clear data sharing policies, California will be better positioned to solve public health challenges and be more flexible during public health emergencies.
Learn more about the DxF Guiding Principles (PDF).
The full Data Exchange Framework FAQ is available here.
Find additional information about the Data Exchange Framework and ongoing implementation by visiting the CalHHS DxF FAQ.
Governance information is available here.
The establishment and implementation of the DxF is made possible through a comprehensive, open, and public process to ensure transparency and accountability.
