Health Level Seven ®

Active Ballot Items for FHIR Management Group

This report generated on: October 16, 2026

An 'Active' Ballot Item is any ballot item that meets the following criteria.

2027 May Ballot Cycle

HL7 FHIR®, Release 5 Normative Content
Normative  1
Ballot Tally Page: FHIR_R5_N1_2022MAY Project Insight Reference ID: 891
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   0 + 0 = 0   0
No Reconciliation Package has been posted for this ballot item.

2026 September Ballot Cycle

HL7 FHIR® Release 6
Normative  2
Ballot Tally Page: FHIR_R6_N2_2026SEP Project Insight Reference ID: 891
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
102   47 + 0 = 47   112
No Reconciliation Package has been posted for this ballot item.

2025 September Ballot Cycle

HL7 FHIR® Implementation Guide: Core Extensions, Edition 5.3
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_EXTENSIONS_E1_S3_2025SEP Project Insight Reference ID: 891
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
10   30 + 0 = 30   24
Reconciliation Package

2021 May Ballot Cycle

HL7 FHIR® Release 4B
Standard for Trial Use  1
Ballot Tally Page: FHIR_R4B_D1_2021MAY Project Insight Reference ID: 891
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
11   80 + 0 = 80   55
Reconciliation Package

Total Active Ballot Items: 4

Legend and Additional Information

Important Note Only the last ballot of an item is displayed in this list. If you need to refer to an earlier ballot of any item, you will need to use the Ballot Desktop and navigate to the Tally page of that ballot.
Active In this context, "active" refers to any item that has balloted at least once, but has not been published and has not been withdrawn as a project by the sponsoring WG.
Publication Requests If you feel an item has completed balloting and is ready to be published, you can submit a publication request using the Publication Request Template.
Ballot Tally Page This link will jump you to the Ballot Tally Page for the listed item to allow you to review the ballot tally. The code highlighted in the link is the Unique Ballot ID for the item.
Project Insight Reference ID The Project Insight Reference ID references the HL7 project this ballot item is associated with. More than a single ballot item may reference a single project. The link will jump to the Project Summary page for a project.
Tally Summary The Tally Summary lists the current ballot tally, ignoring any Abstain, No Returns and Removed values as these are not relevant to the final ballot outcome. Withdraws count as Affirmatives, although they are split out to illustrate how the ballot has fared after the ballot close.
Needed for Passage Needed for Passage displays the 'raw' number of votes a ballot needs to pass. If the total number of Affirmatives and Withdraws do not exceed this number, it will display in red. If the total number of Affirmatives and Withdraws do exceed this number, it will display in green. A green number does not necessarily mean that a ballot has passed, but it does mean that a WG should review the ballot and determine whether the actual status of the ballot.
Approval Levels Normative: 75%
Informative and STU: 60%