Developed by Clinical Architecture, PIQXL Gateway is the first commercial solution built on the PIQI framework for patient message quality.
Connie, Connecticut’s state-designated Health Information Exchange (HIE), is implementing Clinical Architecture’s PIQXL Gateway to help healthcare organizations across Connecticut assess and strengthen the quality of shared patient data. The solution enables Connie to evaluate incoming messages, identify where data quality breaks down, and provide participants with actionable insights.
PIQXL Gateway is the first commercial solution built on the open-source Patient Information Quality Improvement (PIQI) framework, a standards-based model for evaluating patient messages across domains like accuracy, availability, and consistency. Originally developed by Clinical Architecture, PIQI is now governed by the PIQI Alliance, and is nearing completion of the HL7 balloting process. Connie will use PIQXL Gateway to apply the framework in practice to score data and identify where quality issues originate in clinical and analytical workflows.
The system enables upstream remediation by identifying specific defects at the field and message level, helping reduce the burden of manual data review. PIQXL Gateway also provides visibility into how data quality varies across sources and over time, enabling organizations to benchmark performance and prioritize improvements.
This collaboration reinforces Connie’s commitment to advancing data quality across the healthcare ecosystem and gives participants greater confidence in the information they rely on for care delivery and coordination.



