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Approved by CQI on Sept. 16, 2019 

Revision approved by CQI on September 30, 2022

Next review required by TBD


The mission of the Clinical Quality Information (CQI) Work Group is to create and maintain HL7 standards in support of measuring, evaluating, reporting, and thereby improve the quality of health care.  Specific areas of interest include the measurement and reporting of quality and its dimensions including: safe, effective, patient-centered, timely, efficient, and equitable as defined by the Institute of Medicine (now the US Academy of Medicine).



CQI develops and maintains HL7 standards in support of our mission to measure, evaluate, report, and improve on the quality of health care.  In addition, CQI collaborates with other HL7 workgroups and external stakeholders to harmonize the data models, content, and expressions that can affect the measurement of quality of care provided to the patient, including healthcare information system usability, clinical workflow, decision support, and interoperability.

Work Products and Contributions to HL7 Processes

CQI’s work products and contributions to the HL7 process are as follows.  In addition, CQI occasionally develops user guides, white papers, and other documents related to these standards and implementation guides.

  • HL7 Version 3 standards and implementation guides (IGs) to support measures, measure reporting and other standards and IGs that support clinical decision support (CDS) activities.
  • FHIR profiles and implementation guides, including conceptual and logical data models and FHIR resources to accommodate measures, measure reporting and CDS artifacts.
  • Collaborate with other workgroup primary sponsors of FHIR resources to encourage harmonization of efforts to support measurement and CDS, creating FHIR extensions when needed.

 CQI develops specifications using the principles and language of the Services Aware Interoperability Framework (SAIF) Canonical Definition (CD).


Relationships with Other HL7 Groups


CQI has a formal relationship with Clinical Decision Support (CDS).


CQI works in concert with all HL7 work groups whose standards development work efforts can affect the safety and quality of care provided to the patient.  We collaborate frequently with other work groups acrss HL7 as needed with regard to standards development and implementation.  Clinical Information Modeling Initiative (CIMI), Fast Healthcare Interoperability Resources (FHIR), Implementable Technology Specifications (ITS), Patient Care (PC), Structured Documents (SD), Orders and Observations (O&O), Biomedical Research and Regulation (BR&R) and Pharmacy (Pharm). 

CQI also works with HL7 accelerator projects as needed.  like the DaVinci Initiative.


Formal Relationships with Groups Outside of HL7

There are no formal relationships with groups outside of HL7.

Informal Relationships with Groups Outside of HL7

CQI maintains informal relationships with external stakeholders involved in quality measurement and reporting.

  • Other standards development organizations, such as ISO and IHE
  • National Quality Forum (NQF)
  • US federal agencies, including the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), responsible for adopting and implementing quality reporting standards for United States government healthcare quality reporting programs.
  • Measure developers, the payor community, health care providers, health information technology community
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