Governance
Stated plainly
dQMGrid is stewarded by MDinteractive. A formal governance charter is an first release deliverable, due with the first release. Until it is adopted, this page describes how decisions are actually made — not how we would like them to be.
How decisions are made today
Section titled “How decisions are made today”- Maintainers. MDinteractive’s engineers maintain the code, the rule library and this site, and make the final call on what is merged.
- Contributions. Recipes, EHR notes and rules are reviewed in the open before merging. See How to contribute and the content rules.
- Upstream first. Defects found in a measure package or engine are reported to the people who own that component.
Signing
Section titled “Signing”A derivation or inference counts in a reported result only when a qualified reviewer signs it.
- Any qualified signer may sign rules. MDinteractive is the default signer for the rule sets it maintains; signing is not exclusive to it.
- A signature names the signer, the rule and its version, and is recorded in the rule’s Provenance. It travels with every result that used the rule.
- No rule has yet been clinically signed. Signed rule sets for two ambulatory EHR platforms are an first release deliverable.
What the charter will cover
Section titled “What the charter will cover”The governance charter, due with the first release, will set out:
- Signer scope — who is qualified to sign which classes and tiers of rule, and how a qualification is granted and withdrawn;
- Liability — what a signature does and does not commit the signer to;
- Vendor-finding disclosure — how findings about a specific EHR product are shared with the vendor before they are published, and on what timeline;
- Decision-making and maintainer roles — how maintainers are added and how contested decisions are resolved; and
- The trademark policy for the dQMGrid name and logo.
Toward broader governance
Section titled “Toward broader governance”As adoption grows — more EHR platforms, more signers, more organizations operating the calculator — we expect governance to broaden beyond a single steward. The charter will describe that path. We will not describe dQMGrid as independently governed until it is.