An effective and transparent governance structure is essential for any service that a community will contribute to, use, and leverage to support critical decisions. CDS Connect is such a service, especially as it aims support decisions with the potential to impact the health of people.

The Governance structure that has been developed for the CDS Connect project is a draft framework that has been created to allow for community members to provide input. This input will help drive the finer-level details of the CDS Connect Repository, and will eventually be incorporated into future working versions of the CDS Connect software.

Organization Management Roles

Each CDS Connect service (assuming there could be more than one in the future) is effectively owned and operated by a Governing Organization (could be a consortium of organizations).

Governing Organization

Organization that owns and oversees the repository.

Currently AHRQ is serving as the Governing Organization (GO) for CDS Connect

Governing Organization Lead (GO Lead)

Represents the GO on all matters related to the CDS Connect Service.


Oversees and administers all activity within CDS Connect from a technical, process and systems perspective.

Publishing Organization (PO)

Legally owns and is responsible for an Artifact from the clinical content perspective.

Publishing Organization Lead

Represents the PO as the decision maker for all the organization’s activities within CDS Connect.

Artifact Creation and Management Roles

Content creation and management roles work under a Publishing Organization. All Roles in this Group will also have the rights, responsibilities and privileges of Registered Users.

Editors represent the Publishing Organization as the project leader and decision maker for a particular artifact. The Author contributes to creation and modification of an artifact. The Publisher submits artifact versions to be published live in the repository, or sends back to the Authors and Editors for additional changes.