HL7 Informative Document: Patient Information Quality Improvement (PIQI) Framework, Edition 1
1.0.0 - Informative 1

HL7 Informative Document: Patient Information Quality Improvement (PIQI) Framework, Edition 1, published by HL7 Cross-Group Projects Work Group. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/piqi/ and changes regularly. See the Directory of published versions

Change History

This provides a list of changes to the Patient Information Quality Improvement (PIQI) Framework since its initial release

1.0.0

1.0.0 - Patient Information Quality Improvement (PIQI) Framework, Edition 1: Initial publication. Introduces the four components of the PIQI Framework: the Healthcare Data Quality Taxonomy (HDQT v1.0), the PIQI Clinical Data Model, the Simple Assessment Module (SAM) specification, and the Evaluation Rubric specification.

In total, 121 changes were addressed as part of 1.0.0-ballot feedback categorized as follows:

Non-compatible:

  • OTHER-2957 - Update example JSON structure to include all aliases

Compatible, Substantive:

  • OTHER-3075 - Correct LOINC code system OID
  • OTHER-3004 - Clarify there is no single PIQI information model
  • OTHER-3084 - Status should be included in more data classes
  • OTHER-3083 - Add a provenance data class
  • OTHER-2950 - LabResult class attribute performedSite
  • OTHER-2949 - Add status to Allergy class
  • OTHER-2997 - Introduce a SAM Maturity Model or Evaluation Rubric
  • OTHER-3079 - Standardize Formatting and PIQI Value Statements Across Use Cases
  • OTHER-3041 - Change Observation Value Attribute Type

Non-substantive or Technical Correction

  • OTHER-3073 - Improve "Shared Simple Assessment Modules" text
  • OTHER-3078 - Display name requirements
  • OTHER-3076 - Clarify care summary vs specific set of patient data
  • OTHER-3074 - Provide link to PIQI Message Format Guide
  • OTHER-3077 - Improve Readability of PIQI Data Class Attributes Table
  • OTHER-2961 - Incorrect word used in incomplete definition
  • OTHER-2958 - Patient Data Class is not defined
  • OTHER-2982 - Clarify attribute cardinality
  • OTHER-2993 - Define referential validity
  • OTHER-2980 - Use of Range Value Attribute Type with dates
  • OTHER-2975 - Make SAM outputs consistent
  • OTHER-2941 - Improve sentence clarity
  • OTHER-2945 - Clarify PIQI Need on Homepage
  • OTHER-3092 - Reference existing HL7 work identifying data quality considerations
  • OTHER-3003 - Clarify qualitative dimension vs. non-qualitative
  • OTHER-3002 - Enhance Dimension Definition
  • OTHER-3010 - Improve paragraph in 3.2.1 USCDI
  • OTHER-3011 - Mention "Data in motion/flight" focus
  • OTHER-3007 - Update PIQI Framework Information Model
  • OTHER-3008 - Include descrition for sanctioned evaluation rubrics
  • OTHER-3085 - Clarify Text in Section 3.8 Health Information Exchange
  • OTHER-3080 - PIQI needs to clearly account for incorrect data within its framework
  • OTHER-2981 - Explain Patient Container vs. Patient Data Class
  • OTHER-2985 - Improve LabResult Data Class
  • OTHER-2991 - Clarify Invalid Value Dimension
  • OTHER-2959 - Missing word in Element attribute definition
  • OTHER-2974 - Clarify meaning of "message"
  • OTHER-2955 - Add VitalSign Class attribute performedSite
  • OTHER-2953 - MedicalDevice class name is not matching its definition
  • OTHER-2964 - Clarify if obsolete assessment takes date of the record into account
  • OTHER-2968 - Provide a Rubric definition
  • OTHER-2962 - Clarify format on the simpleAttribute
  • OTHER-2940 - Missing section text
  • OTHER-2996 - Taxonomy of Dimensions should reflect trust parameters for contextual data fitness
  • OTHER-3009 - Move information about establishing trust to introduction
  • OTHER-3001 - Move Data Fitness reference
  • OTHER-3015 - Improve PIQI Framework introduction
  • OTHER-3017 - Clarify shared SAM information
  • OTHER-3013 - Assigned SAM definition missing
  • OTHER-3012 - Adjust Codeable Concepts description
  • OTHER-3018 - Clarify Source Identity Registry
  • OTHER-3037 - Improve information modeling section
  • OTHER-3038 - Replace EHR with HIT
  • OTHER-3040 - Replace message with transaction
  • OTHER-3035 - Add sentence to introduction
  • OTHER-3061 - Adjust USCDI Language
  • OTHER-3039 - CGP Typo
  • OTHER-3072 - Clarify "PIQI Community of Practice"
  • OTHER-3086 - Clarify text in Section 4.2 PIQI Message Philosophy
  • OTHER-3066 - Simplify Evaluation Criteira Definition
  • OTHER-3103 - Clarify dose quantification
  • OTHER-3063 - C-CDA, not CCDA
  • OTHER-3062 - Remove reference to Table of Contents
  • OTHER-3044 - Clarify difference between element and attribute
  • OTHER-3021 - Various typos, minor changes
  • OTHER-3036 - Conformance to USCDI cannot be directly measured
  • OTHER-3034 - Improve reference to database-centric
  • OTHER-2942 - Reference to a non-existing section / missing link to external document
  • OTHER-3106 - Remove ENC_REASON from rubric
  • OTHER-3107 - Add missing "finished" in status list
  • OTHER-3105 - Add conditional SAM of ATTR_ISPOPULATED
  • OTHER-3081 - Enumerate Figure in Framework Design
  • OTHER-2954 - Clarify that date may be range
  • OTHER-3104 - DEM_LANG SAM does not have the correct codeSystem
  • OTHER-2971 - Update SAM Parameters
  • OTHER-2992 - Clarify Invalid Format vs Invalid Value
  • OTHER-2977 - Add Glossary of terms
  • OTHER-2990 - Improve format definition
  • OTHER-2978 - Clarify use of codings
  • OTHER-3047 - Add PIQI Healthcare Data Quality Taxonomy links
  • OTHER-3016 - Clarify PIQI CoP Description
  • OTHER-2963 - Clarify invalid values
  • OTHER-3058 - Improve Criterion Criticality Indicator description
  • OTHER-3065 - Improve SAM Definitions
  • OTHER-3064 - Improve Information model description
  • OTHER-3053 - Improve Prerequisite and Conditional SAMs
  • OTHER-2972 - Improve Simple Attribute SAM definition
  • OTHER-3043 - Clarify quality of relationships
  • OTHER-3005 - Evaluation Rubric examples needed
  • OTHER-2946 - More examples for the Observation Attribute Type
  • OTHER-2989 - Examples for Invalid dimensions
  • OTHER-2979 - Clarify Observation Value Attribute Type
  • OTHER-3049 - Distinguish temporally and situationally implausible conditions
  • OTHER-3090 - Add Examples in section 4.8.1 Availability Category
  • OTHER-3048 - Improve Column formatting
  • OTHER-2967 - Fix typo in sentence "An given evaluation rubric has a name, version and purpose, …
  • OTHER-2939 - Fix sentence and add trademark / copyright icons
  • OTHER-2966 - Fix typo in Pseudocode
  • OTHER-3023 - Remove foundational from sentence
  • OTHER-3022 - Remove Table of Contents Reference
  • OTHER-3024 - Improve language in CoP
  • OTHER-3028 - Improve reference to "this model"
  • OTHER-3027 - Improve CoP Benefits Sentence
  • OTHER-3025 - Rename Evaluation Profile
  • OTHER-3030 - Reference to diabetes element should be changed
  • OTHER-3029 - Distinguish clinical quality measurement and data quality measurement
  • OTHER-3033 - USCDI v3 reference should be versionless - e.g., USCDI
  • OTHER-3057 - Clarify Evaluation Rubric Model
  • OTHER-3054 - Clarify PIQI scoring
  • OTHER-3050 - Improve PIQI Assessment approach language
  • OTHER-3052 - Improve scoring language
  • OTHER-3056 - Improve Attribute descriptions
  • OTHER-3045 - Improve "coded concept" language
  • OTHER-2973 - Various typos
  • OTHER-2965 - Improve sentence in definition of SAM Assessment Logic
  • OTHER-3051 - Improve link to SAM sections
  • OTHER-3055 - Improve test example references
  • OTHER-3031 - Improve Invalid Grouping definition
  • OTHER-3089 - Add examples in section 4.8.1 Availability Category
  • OTHER-3032 - Add examples to Plausibility Category, Situationally Implausible
  • OTHER-3026 - Improve SAM examples and diagram alignment

1.0.0-ballot

2025-08-16 1.0.0-ballot - Patient Information Quality Improvement (PIQI) Framework, Edition 1 (Informative ballot 1) Ballot Candidate