{"id":"https://openalex.org/W4400954181","doi":"https://doi.org/10.3233/shti240285","title":"Road to a National Health Information Network: US Trusted Exchange Framework and Common Agreement (TEFCA)","display_name":"Road to a National Health Information Network: US Trusted Exchange Framework and Common Agreement (TEFCA)","publication_year":2024,"publication_date":"2024-07-24","ids":{"openalex":"https://openalex.org/W4400954181","doi":"https://doi.org/10.3233/shti240285","pmid":"https://pubmed.ncbi.nlm.nih.gov/39049387"},"language":"en","primary_location":{"id":"doi:10.3233/shti240285","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti240285","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240285","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240285","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010829979","display_name":"Christina Baker","orcid":"https://orcid.org/0000-0002-6391-0314"},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Christina Baker","raw_affiliation_strings":["University of Colorado, Anschutz Medical Campus, College of Nursing"],"affiliations":[{"raw_affiliation_string":"University of Colorado, Anschutz Medical Campus, College of Nursing","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105032412","display_name":"Rebecca Breidenstein","orcid":null},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Breidenstein","raw_affiliation_strings":["University of Colorado, Anschutz Medical Campus, College of Nursing"],"affiliations":[{"raw_affiliation_string":"University of Colorado, Anschutz Medical Campus, College of Nursing","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5105032413","display_name":"Esther Banuelos","orcid":null},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Esther Banuelos","raw_affiliation_strings":["University of Colorado, Anschutz Medical Campus, College of Nursing"],"affiliations":[{"raw_affiliation_string":"University of Colorado, Anschutz Medical Campus, College of Nursing","institution_ids":["https://openalex.org/I51713134"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5010829979"],"corresponding_institution_ids":["https://openalex.org/I51713134"],"apc_list":null,"apc_paid":null,"fwci":37.8275,"has_fulltext":false,"cited_by_count":10,"citation_normalized_percentile":{"value":0.99748085,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"315","issue":null,"first_page":"697","last_page":"698"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.6550999879837036,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.6550999879837036,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.7425925731658936},{"id":"https://openalex.org/keywords/health-information-exchange","display_name":"Health information exchange","score":0.7250746488571167},{"id":"https://openalex.org/keywords/cinahl","display_name":"CINAHL","score":0.6253739595413208},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6210227608680725},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.6138387322425842},{"id":"https://openalex.org/keywords/information-exchange","display_name":"Information exchange","score":0.5016965866088867},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.43712860345840454},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.371406227350235},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3489813208580017},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.34108424186706543},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.2915283441543579},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.24741998314857483},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.18449532985687256},{"id":"https://openalex.org/keywords/health-information","display_name":"Health information","score":0.18263542652130127},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.10325279831886292},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.08782672882080078}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.7425925731658936},{"id":"https://openalex.org/C2778759051","wikidata":"https://www.wikidata.org/wiki/Q5691085","display_name":"Health information exchange","level":4,"score":0.7250746488571167},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.6253739595413208},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6210227608680725},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.6138387322425842},{"id":"https://openalex.org/C189693848","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information exchange","level":2,"score":0.5016965866088867},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.43712860345840454},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.371406227350235},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3489813208580017},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.34108424186706543},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2915283441543579},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.24741998314857483},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.18449532985687256},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.18263542652130127},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.10325279831886292},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.08782672882080078},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D066275","descriptor_name":"Health Information Exchange","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti240285","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti240285","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240285","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:39049387","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39049387","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti240285","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti240285","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240285","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/17","score":0.5600000023841858,"display_name":"Partnerships for the goals"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4400954181.pdf"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W3159929130"],"related_works":["https://openalex.org/W4226054113","https://openalex.org/W2942211944","https://openalex.org/W3175890237","https://openalex.org/W2029176015","https://openalex.org/W2805708434","https://openalex.org/W1976038767","https://openalex.org/W3003644632","https://openalex.org/W2126034072","https://openalex.org/W1833893427","https://openalex.org/W2904129898"],"abstract_inverted_index":{"The":[0],"Trusted":[1],"Exchange":[2],"Framework":[3],"and":[4,18,66,84,93,99,112,116,118,130,155,160,174],"Common":[5,106],"Agreement":[6],"(TEFCA)":[7],"is":[8],"a":[9,81],"U.S.":[10,159],"government":[11],"initiative":[12],"aimed":[13],"at":[14],"promoting":[15],"the":[16,27,31,39,55,88,105,137,158,168],"secure":[17],"interoperable":[19],"exchange":[20,139],"of":[21,38,68,91,140],"electronic":[22],"health":[23,177],"information":[24,148,178],"(EHI)":[25],"across":[26],"healthcare":[28,128,133,144],"ecosystem.":[29],"In":[30],"U.S.,":[32],"TEFCA":[33,121],"was":[34],"established":[35],"as":[36,157],"part":[37],"21st":[40],"Century":[41],"Cures":[42],"Act,":[43],"signed":[44],"into":[45],"law":[46],"in":[47,167],"December":[48],"2016.":[49],"Methods:":[50],"A":[51],"literature":[52],"search":[53],"using":[54,176],"PRISMA":[56],"guidelines":[57],"will":[58,73,77],"be":[59,74,78],"conducted":[60],"through":[61],"PubMed,":[62],"CINAHL,":[63],"Google":[64],"Scholar,":[65],"Web":[67],"Science,":[69],"for":[70,96,101,110],"dates":[71],"2013-2024":[72],"conducted.":[75],"Results":[76],"demonstrated":[79],"with":[80],"timeline,":[82],"graphics,":[83],"written":[85],"text":[86],"on":[87],"key":[89],"points":[90],"technical":[92],"operational":[94],"standards":[95],"HIE,":[97],"rules":[98],"expectations":[100],"data":[102,141],"sharing":[103],"under":[104],"Agreement,":[107],"governance":[108],"framework":[109],"implementation":[111],"enforcement":[113],"principles,":[114],"stakeholders":[115],"collaborators,":[117],"interoperability":[119,166],"challenges.":[120],"seeks":[122],"to":[123,151,170],"improve":[124,171],"patient":[125,172],"care,":[126],"reduce":[127],"costs,":[129],"enhance":[131],"overall":[132],"quality":[134],"by":[135],"facilitating":[136],"seamless":[138],"between":[142],"different":[143],"entities.":[145],"Sharing":[146],"this":[147],"can":[149],"contribute":[150],"nursing":[152],"informatics":[153],"practice":[154],"knowledge":[156],"other":[161],"countries":[162],"strive":[163],"towards":[164],"better":[165],"race":[169],"care":[173],"outcomes":[175],"technology.":[179]},"counts_by_year":[{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}
