TEFCA identity and organization structure

Last updated: Jun 5, 2026
HEALTH TECH VENDOR
DEVELOPER

The Trusted Exchange Framework and Common Agreement (TEFCA) uses object identifiers (OIDs) to designate unique organizations and records belonging to network participants. An OID is a globally unique identifier defined by the International Organization for Standardization (ISO).

TEFCA OID types

We provide three OID types you must use within TEFCA:

OID type

Description

OID structure

Organization

Corresponds to your organization within TEFCA.

2.16.840.1.113883.3.6147.450.1.X.XXXX.X.X.1

Patient

Corresponds one-to-one with your Master Patient Indexes (MPIs).

We create the first one for you. If you have multiple MPIs, we recommend you create a patient OID for each MPI in your system.

2.16.840.1.113883.3.6147.450.1.X.XXXX.X.X.2

Document

Corresponds one-to-one with each document you exchange. Each document must have its own unique OID, which can either be a Redox-generated OID followed by your ID (e.g., …3.1^12345) or a version 4 UUID. Learn more about version 4 UUIDs.

2.16.840.1.113883.3.6147.450.1.X.XXXX.X.X.3

Using an existing OID

Network Onramps pricing requires that you use the Redox-generated OID. If you would rather use an existing OID, talk to your Account Manager to discuss needs and get pricing information.

To break down the OID structure:

OID segment

Notes

2.16.840.1.113883.3.6147.450

This is Redox.

X

The first X represents the Redox deployment:

0: local development

1: non-production

2: production

XXXX

This segment should be populated with your Redox organization ID.

X

The second X represents the environment type:

0: development

1: staging

2: production

X

The third X represents a number assigned to the partner site. This can be omitted if there’s only one site.

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