Back to top
Top
U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

CQF Ruler

CQF Ruler

The Clinical Quality Framework (CQF) Ruler is a collection of plugins built for the HAPI Fast Healthcare Interoperability Resources® (FHIR®) Java Persistence API (JPA) server that brings the FHIR Clinical Reasoning Module to life. It enables healthcare organizations and developers to process electronic clinical quality measures (eCQMs), evaluate decision logic, and apply clinical rules in real time. Beyond quality measurement, the CQF Ruler acts as a central repository for knowledge artifacts, such as care guidelines and decision support rules, and serves as a clinical decision support service that can provide actionable recommendations at the point of care. By combining measure processing, knowledge management, and decision support, the CQF Ruler helps make quality reporting and evidence-based care more efficient, consistent, and interoperable across FHIR-enabled systems. 

Category
Development
Implementation
Who Uses Tool
Academics/Researchers
CDS Developer/Steward
Health IT Developer/Vendor
Implementer
Measure Developer/Steward
Last Updated: Mar 23, 2026

We want your feedback

For technical questions about eCQMs, please log in to the ONC Project Tracking System, specifically the eCQM Issue Tracker.

eCQI Resource Center Feedback pertains to:
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.