What’s Happening at the ONC

The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administration’s health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care. ONC is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS). Here is what they are doing and reporting. Follow them @ONC_HealthIT. Sign up for their email updates.

News & Announcements

ONC Releases Common Agreement Version 2.0, Paving the Way for TEFCA Exchange via FHIR
The U.S. Department of Health and Human Services (HHS), through the Office of the National Coordinator for Health Information Technology (ONC) and its Recognized Coordinating Entity® (RCE™), The Sequoia Project, Inc., announced that Common Agreement Version 2.0 (CA v2.0) has been released. The Common Agreement establishes the technical infrastructure model and governing approach for different health information networks and their users to securely share clinical information with each other – all under commonly agreed-to rules-of-the-road. The seven designated Qualified Health Information Networks™ (QHINs™) under the Trusted Exchange Framework and Common Agreement℠ (TEFCA℠) can now adopt and begin implementing the new version. Also published today is the Participant and Subparticipant Terms of Participation, which sets forth the requirements that each Participant and Subparticipant must agree to and comply with to participate in TEFCA.


USCDI+ Cancer Data Exchange Summit

When: Wednesday, May 8 and Thursday, May 9, 2024
Registration and Agenda

The Office of the National Coordinator for Health Information Technology (ONC) and the National Institutes of Health’s (NIH) National Cancer Institute (NCI) are excited to announce the upcoming United States Core Data for Interoperability Plus (USCDI+) Cancer Data Exchange Summit, May 8-9th. This two-day, in person meeting will bring together clinical, scientific and technical communities for information sharing as we identify strengths, weaknesses, and gaps in existing data standards and availability of data needed to implement the USCDI+ Cancer Moonshot Use Cases. In person registration for the USCDI+ Cancer Data Exchange Summit is limited due to logistical constraints and physical capacity. For those unable to attend in person, we are pleased to offer a virtual participation option. While active participation in break-out groups won’t be possible, you can still gain valuable insights by tuning in remotely to plenary sessions, keynote addresses, and updates on the USCDI+ Cancer use cases. Details on accessing the virtual platform will be provided closer to the event date.


21st Century Cures Act Summary

The 21st Century Cures Act, signed December 13, 2016, by President Obama, promotes and funds the acceleration of research into preventing and curing serious illnesses; accelerates drug and medical device development; attempts to address the opioid abuse crisis; and tries to improve mental health service delivery. The Act includes a number of provisions that push for greater interoperability, adoption of electronic health records (EHRs) and support for human services programs.

Certification of Health IT

The ONC Health IT Certification Program (Certification Program) ensures that Certified Health Information Technology meets the technological capability, functionality, and security requirements adopted by the U.S. Department of Health and Human Services (HHS).

United States Core Data for Interoperability (USCDI)

The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange. Review the USCDI Fact Sheet to learn more.


The Trusted Exchange Framework and Common Agreement (TEFCA) establishes a universal policy and technical floor for nationwide interoperability; simplifies connectivity for organizations to securely exchange information to improve patient care, enhance the welfare of populations, and generate health care value; and enables individuals to gather their healthcare information. The Common Agreement establishes the infrastructure model and the governing approach for users in different networks to securely share basic clinical information under commonly agreed-to expectations and rules.

ONC Interoperability Pledge

Companies that provide 90 percent of electronic health records used by hospitals nationwide as well as the top five largest health care systems in the country have agreed to implement three core commitments: Consumer Access, No Blocking/Ensuring Transparency, and Standards. The ONC (@ONC_HealthIT) wants vendors to sign a pledge. Is your vendor pledging? Find out who is on the list.