Carequality Framework

The top of this page provides the current production versions of Carequality Framework elements, such as our legal terms and implementation guides.

Near the bottom of this page, you will find “in-process” documents available for comment and feedback. These may one day become official Carequality Framework elements.

Legal and Governance

Carequality Connected Agreement (CCA): This document contains the standard legal terms agreed by all Implementers of the Carequality Framework. It provides the foundation for trusted exchange among Implementers, by establishing the “rules of the road” and defining an Implementer’s rights and obligations. (Note – the document linked here is the CCA itself, without any exhibits or schedules. Prospective Implementers should contact Carequality at to obtain a complete legal package for execution.)

Previous Version: Carequality Connected Agreement

Carequality Connection Terms (CC): This document contains the standard terms that Implementers are required to make legally binding on their members, customers, or participants who engage in exchange activities through the Carequality Framework and are listed in the Carequality Directory.

Previous Version: Carequality CC Terms 

Carequality Dispute Resolutions Process: This document outlines the steps involved in addressing any formal Disputes that may arise between Implementers, or between Implementers and Carequality.

Carequality Technical Trust Policy: This document outlines Carequality’s digital certificate approach and process, along with related technical requirements.

Implementation Guides

Implementation Guides (IG) provide both technical specifications and requirements, as well as additional business and policy requirements, for a particular Carequality Use Case. The initial Carequality Use Case is Query-Based Document Exchange. A draft Imaging Data Exchange IG has been developed with the Radiological Society of North America (RSNA) and is now available for community feedback. The draft Carequality Consumer-Facing App Certification Profile enables health app developers to clearly convey information about the app and their privacy policies. It’s intended for display to a patient to encourage transparency and help consumers make informed choices when selecting products. Please consider this document now available for community feedback.

Query-Based Document Exchange Implementation Guide

In-Process Documents

Proposed – Image Exchange Implementation Guide Supplement v0.2 (12.02.2019)

  • Image Sharing: Making It Real Today (PDF)
    The June 26, 2019 SIIM presentation by RSNA Image Share & Carequality announcing the proposed Imaging Data Exchange IG for community review.

Proposed – Carequality Consumer-Facing App Certification Profile
Considered a supplement to the Carequality FHIR Implementation Guide ready for community feedback and review.