The Data Exchange Framework (DxF) allows Participants to Exchange Health and Social Services Information through any health information exchange network, health information organization, or technology that meets the requirements of the DSA and its Policies and Procedures. The DxF is not intended to be an information technology system or single repository of data, rather it is a collection of organizations that are required to share health information using national standards and a common set of policies. Some Participants may choose to use services provided by a Nationwide Network or Framework or a Qualified Health Information Organization (QHIO) to meet some or all of the DSA requirements. A QHIO is an Intermediary designated by HCAI that meets DxF requirements for secure data Exchange. Refer to DxF QHIOs At A Glance for more information.