In Development

The Future of Quality Measure Development

We're building powerful new capabilities to transform how healthcare organizations create, share, and execute clinical quality measures.

Phase 5

Open Quality Measure Exchange

A community-driven marketplace for sharing and discovering clinical quality measures

Measure Repository

Browse and discover quality measures shared by the community with full versioning support

One-Click Publishing

Publish your CQL measures directly to the exchange with metadata and documentation

FHIR Server Integration

Deploy measures to any FHIR R4 server with automatic Library and Measure resource creation

Version Control

Track measure versions, view change history, and manage measure lifecycle

Collaborative Authoring

Work together on measures with role-based access control and review workflows

Quality Certification

Community-driven review and certification process for published measures

Why an Open Exchange?

Quality measure development is often duplicated across organizations. The Open Quality Measure Exchange creates a shared repository where healthcare organizations can contribute, discover, and reuse validated measures—accelerating adoption of value-based care while reducing development costs.

Phase 4

SQL on FHIR Integration

Automated CQL to SQL conversion for analytics and data warehouse execution

Automated CQL to SQL

Convert CQL expressions to optimized SQL queries targeting your data warehouse

Multiple Dialects

Support for PostgreSQL, BigQuery, Snowflake, Databricks, and more SQL dialects

FHIR Path Support

Full FHIRPath expression translation with proper null handling and type coercion

Performance Optimized

Generated SQL is optimized for large-scale analytics with proper indexing hints

Schema Mapping

Flexible mapping between FHIR resources and your existing database schemas

Validation & Testing

Verify SQL output matches CQL semantics with automated test generation

Try FHIR Query Converter Today

Our companion project for converting FHIR queries to SQL is already available. Convert FHIRPath expressions and FHIR search queries to SQL for BigQuery, PostgreSQL, and more.

Unified Quality Measurement Workflow

From authoring to execution, a seamless experience across platforms

Unified Workflow

Author in CQL, execute anywhere - from FHIR servers to data warehouses

Standards Compliance

Maintain HL7 CQL and FHIR compliance while leveraging SQL performance

Analytics Ready

Connect quality measures directly to BI tools and reporting dashboards

End-to-End Workflow

Author CQLVisual or Code
PublishTo Exchange
ConvertCQL to SQL
ExecuteOn Data Warehouse
AnalyzeBI Dashboards

Be Part of the Future

These features are actively being developed. Star the repository to stay updated, or contribute to help shape the future of open quality measurement.