Join our Qualified Health Information Organization

QHIOs are designated entities under CalHHS Center for Data Insights and Innovation that can help health care entities in California comply with the CalHHS Data Exchange Framework, which will be mandated on January 31, 2024.

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Health Gorilla is the only dual-designated QHIN and QHIO.

Organizations that do business in California can connect to our QHIO to comply with the DxF mandate, and participate in nationwide TEFCA exchange through our QHIN.

Download our QHIO one pager to learn more.

Value to healthcare organizations

Participate in the CalHHS DxF and  TEFCA

Seamlessly participate in the DxF by the Jan 31th deadline, and participate in national TEFCA exchange in 2024.

Access comprehensive data from entities across California

Exchange data with hospitals, medical groups, skilled nursing facilities, health plans, and labs in California.

Retrieve data for use cases beyond Treatment

DxF participation enables data exchange for Treatment, Payment, and Operations purposes, supporting critical workflows.

Health Gorilla’s QHIO supports real-time exchange of clinical, ADT, & social services data in accordance with DxF


Participate in the CalHHS Data Exchange Framework through Health Gorilla’s QHIO.

The DxF is a single data sharing agreement and common set of policies and procedures that requires and governs the exchange of health information among healthcare and government entities in California. It facilitates the secure and appropriate exchange of health and social services information, giving providers greater understanding of a patient’s full health history and the information needed to provide safe, effective, whole-person care.

By participating in Health Gorilla’s QHIO, healthcare organizations that sign the Data Sharing Agreement (DSA) can participate in the DxF seamlessly and securely. Most required signatories of the DSA must provide access to and exchange health information for treatment, payment, or health care operations on or before January 31, 2024.

The CalHHS Data Sharing Agreement is a mandated agreement between hospitals, physician organizations and medical groups, skilled nursing facilities, health plans and disability insurers, clinical laboratories, and acute psychiatric hospitals to share patient information safely. California Health and Safety code section 130290 requires most providers and healthcare entities to sign the DSA. Signing may also enable entities to qualify for public grants to support implementation.

What are the proposed exchange purposes for the Data Exchange Framework?

Health Care Operations

Secure and trusted


We’re HITRUST R2 certified, which means that we successfully manage cybersecurity risks by exceeding industry-defined information security requirements.

SOC 2 Type 2

SOC 2 Type 2 is a stamp of approval on our controls relevant to data security, availability, processing, integrity, confidentiality, and privacy.


Complying with applicable health data laws, including HIPAA, is ingrained in our culture, processes, and staff training.