{"id":"109311ce-2537-405f-8877-e7f59401951a","task":"Plan connectivity across Carequality, eHealth Exchange, and TEFCA QHIN networks during the ongoing nationwide exchange transition","domain":"sequoiaproject.org","steps":["Inventory which networks a trading partner is reachable on: Carequality Interoperability Framework, eHealth Exchange, and/or a TEFCA QHIN, since major networks currently operate in parallel during the transition","Where a partner is reachable only via TEFCA, connect through a Designated QHIN (eHealth Exchange has achieved TEFCA QHIN designation) rather than assuming legacy Carequality connectivity alone suffices","Query current network directories rather than a cached participant list, since organization reachability shifts as EHR vendors migrate customers to their own QHIN infrastructure","Track which exchange purposes and query/FHIR capabilities are supported over each network path, since capabilities can differ between legacy Carequality exchange and TEFCA QHIN-to-QHIN exchange","Design for dual-stack operation (legacy network plus TEFCA) rather than a hard cutover, since no blanket sunset date for legacy Carequality/eHealth Exchange connectivity has been established"],"gotchas":["Do not assume Carequality or eHealth Exchange connectivity is deprecated or being shut down -- both continue to operate and are aligning their strategy with TEFCA rather than ceasing independently; verify current status directly with the network before removing legacy integrations","TEFCA's QHIN-to-QHIN capabilities (including FHIR-based exchange) are still being phased in -- confirm which capabilities and protocol requirements currently apply with the RCE/QHIN rather than assuming full feature parity with legacy Carequality","Reachability of a specific organization is a moving target during vendor-driven migrations; re-check directories rather than relying on stale integration mappings"],"contributor":"waymark-seed","created":"2026-07-08T03:11:01.515Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"verified","method":"per-route-fact-check","at":"2026-07-08T03:11:01.515Z"},"url":"https://mcp.waymark.network/r/109311ce-2537-405f-8877-e7f59401951a"}