We continue to work with stakeholders through an open and transparent process to describe additional policies and procedures that Participants must follow as they implement the DxF. Please review the Data Elements to Be Exchanged P&P for a description of the data that Participants are required to exchange under the DxF, and the draft Real Time P&P and the draft Technical Requirements for Exchange P&P, for more about the requirements that Participants must meet. Ultimately, it is a Participant’s choice how to best operationalize the requirements of the DxF as part of its own implementation plan and in compliance with the DSA and P&Ps.

The Data Exchange Framework is not a technology, but instead rules of the road for how organizations will provide access to and exchange health and social services information. Participants in the DxF are free to choose any health information exchange network, health information organization, or technology to exchange health and social services information that adheres to the requirements of the Data Sharing Agreement and its accompanying Policies and Procedures. CDII anticipates that many Participants will choose to use a nationwide network or framework or one of California’s several Health Information Organizations (HIOs) to meet some or all of their obligations to exchange data.