Carequality Celebrates 10-Year Anniversary and Growth Milestone

March 26, 2024 |
Carequality Blog, Carequality News

Nearly 800 Million Documents Exchanged Monthly

(Vienna, VA – March 26, 2024) – Carequality, a nationwide, common interoperability trust framework to enable health information exchange between and among health information networks, celebrates 10 years since it was launched. Today, Carequality supports the exchange of more than 745,000,000 documents monthly across disparate technologies, geographies, and networks.

“Whether it’s a kid’s school sports physical or a patient’s complicated disease treatment requiring a team of doctors, every document exchanged represents a patient,” said Alan Swenson, Carequality executive director. “Carequality is aggressively expanding access to the clinical information when and where it is needed because lives depend on it.”

Carequality was founded in 2014, and one year later, the Carequality Interoperability Framework was published and adopted by 13 founding organizations. The Carequality Interoperability Framework consists of multiple elements, such as legal terms, policy requirements, governance, and more, which operationalize data sharing among health information exchange networks, vendors, payers, and others across the healthcare ecosystem.

By July 1, 2016, the first exchange of clinical documents for treatment purposes leveraging the framework occurred between a health system using the Epic electronical heath record (EHR) system and a clinic using the athenahealth EHR. It was a first-of-its-kind exchange.

Today, Carequality is enabling care coordination down the street and across the country with a robust, widely adopted interoperability framework. The dynamic framework has evolved with the needs of the healthcare community, from adding HL7® FHIR® and public health support to expanding the use cases and exchange purposes.

“Our 10 years of growth is testament to the support and trust of our implementer community and the dedication of our Carequality team,” said Swenson. “We look forward to continuing to be a pioneering force in the health IT industry, aiming to advance interoperability nationwide not only for the Carequality community, but as we support TEFCA.”

Alongside this milestone, Carequality is celebrating more than five years of being an independent nonprofit organization. In 2018, more than 59 million documents had been exchanged under the framework. It has rapidly grown since as more and more physicians use the expanding connectivity, and more than 6 billion documents have been exchanged in just 2023.

Carequality’s mission to connect health data sharing networks and communities under the common trust framework relies on participation from subject matter experts from across the industry. To learn more about Carequality and to get involved, visit

*Revised March 28, 2024*

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About Carequality

Carequality is a national-level, consensus-built, interoperability framework to enable exchange between and among health information networks. Carequality brings together diverse groups, including electronic health record vendors, record locator service providers and other types of existing networks, to determine technical and policy agreements to enable data to flow between and among networks, platforms and geographies.

The Carequality Framework provides the essential elements for trusted national exchange, such as common rules of the road, well-defined technical specifications and a participant directory.


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