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VA and Department of War join TEFCA

The Office of the National Coordinator for Health Information Technology (ONC) announced on November 5, 2026 that the Department of Veterans Affairs and the Department of War have joined the Trusted Exchange Framework and Common Agreement (TEFCA), adding to the Indian Health Service, the Consumer Product Safety Commission and the Social Security Administration among federal participants. ONC reports nearly 25,000 organizations live on TEFCA with nearly 110,000 unique connections.

Background

ONC describes TEFCA as a network helping patients, healthcare providers, public health and increasingly federal agencies securely share electronic health information. Federal agencies have been joining TEFCA since its launch in December 2023, and the release says more than 2 billion health records have been exchanged through it since then.

Who this affects

Hospitals exchanging records with VA and military treatment facilities through TEFCA-participating networks.

Why it matters

Inference: health information management and interoperability teams may see VA and Department of War record queries and responses through their TEFCA participant; no new duty.

Scope and timing

Authority status
Announced
Responsible owner
Health information management; Interoperability / IT
Publication date
2026-11-05

Not established

Page shows 'Last Updated: November 9, 2026'; what changed after publication not established.

Sources

Complete edition and supplemental material

This article in the complete report →

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