QHIOs are not required by CDII to guarantee Participants that use a QHIO are compliant with the DxF. QHIOs may not have insight into a Participant’s internal policies and standard operating practices which could have an impact on the Participant’s compliance with the DSA and its P&Ps. Participants must assess their own processes to ensure that they remain compliant. QHIOs may choose, but are not required by CDII, to offer services to assist or advise Participants in assessing their compliance with the DSA.