The Data Exchange Framework (DxF) Data Sharing Agreement (DSA) and its Policies and Procedures (P&Ps) require that Hospitals and Emergency Departments, and optionally Skilled Nursing Facilities, that are signatories to the DxF DSA send Notification of Admissions and Discharges to any authorized organization that is a signatory to the DxF DSA as requested via a Roster of Individuals. A Participant may choose to use a QHIO to send Notification of Admissions and Discharges, and the QHIO Program requires that QHIOs share Rosters of Individuals with the other QHIOs to help facilitate Notification of Admissions and Discharges.

The DxF DSA and its P&Ps do not prohibit a QHIO from including the names of Individuals requested by non-signatories on their Rosters for Notification of Admissions and Discharges, so long as it complies with Applicable Law.

The DxF DSA and its P&Ps do not prohibit QHIOs from sharing Notifications of Admissions and Discharges for Individuals requested by non-signatories, so long as the Disclosure complies with Applicable Law and relevant agreements. The DxF DSA and its P&Ps likewise do not require that a signatory to the DxF DSA send Notifications of Admissions and Discharges to non-Participants, whether or not the notifications are facilitated by a QHIO.