Health Level Seven ®

Active Ballot Items for Orders and Observations

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® Implementation Guide: Cancer Pathology Common Library, Release 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_CANCER_COMMLIB_R1_D1_2021SEP Project Insight Reference ID: 1686
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.
HL7 Cross Paradigm Implementation Guide: Unique Device Identifier (UDI), Release 1
Informative  1
Ballot Tally Page: HL7_IG_UDI_R1_I1_TBD Project Insight Reference ID: 1238
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.
HL7 FHIR® Implementation Guide: Laboratory Models and Profiles, Edition 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_LAB_E1_TBD Project Insight Reference ID: 1539
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.
HL7 FHIR® Implementation Guide: Laboratory Report, Edition 1
Standard for Trial Use  2
Ballot Tally Page: FHIR_IG_LAB_REPORT_E1_S2_TBD Project Insight Reference ID: 1892
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 May Ballot Cycle

HL7 Domain Analysis Model: Nutrition Care, Release 3
Normative  1
Ballot Tally Page: HL7_DAM_NUT_R3_N1_2026MAY Project Insight Reference ID: 1948
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   13 + 0 = 13   10
Reconciliation Package
HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface (LRI), Edition 1 STU Release 5 - US Realm
Standard for Trial Use  4
Ballot Tally Page: V251_IG_LRI_E6_S8_2026MAY Project Insight Reference ID: 1294
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
1   39 + 0 = 39   24
No Reconciliation Package has been posted for this ballot item.

2025 May Ballot Cycle

HL7 Logical Model: Anatomical Inventory and Person Characteristics, Edition 1
Informative  1
Ballot Tally Page: HL7_LM_AIPC_E1_I1_2025MAY Project Insight Reference ID: 1851
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   23 + 0 = 23   14
No Reconciliation Package has been posted for this ballot item.
HL7 FHIR® Implementation Guide: Cancer Electronic Pathology Reporting, Release 1 - US Realm
Standard for Trial Use  2
Ballot Tally Page: FHIR_IG_ePATH_RPT_R1_S2_2025MAY Project Insight Reference ID: 1686
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   25 + 0 = 25   15
Reconciliation Package
HL7 FHIR® Implementation Guide: Continuous Glucose Monitoring (CGM), Edition 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_CGM_E1_S1_2025MAY Project Insight Reference ID: 1909
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   52 + 0 = 52   31
Reconciliation Package
HL7 FHIR® Implementation Guide: Clinical Order Workflow (COW), Edition 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_COW_E1_S1_2025MAY Project Insight Reference ID: 1068
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
17   30 + 0 = 30   28
No Reconciliation Package has been posted for this ballot item.

2024 January Ballot Cycle

HL7 FHIR® Implementation Guide: LOINC – IVD Test Code (LIVD) Mapping, Edition 1
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_LIVD_E1_D3_2024JAN Project Insight Reference ID: 1335
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
2   28 + 0 = 28   18
Reconciliation Package
HL7 Version 2.5.1 Implementation Guide: Laboratory Orders (LOI) from EHR, Edition 1 STU Release 5 - US Realm
Standard for Trial Use  2
Ballot Tally Page: V251_IG_LABORDERS_E1_D5_2024JAN Project Insight Reference ID: 922
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
2   38 + 0 = 38   24
Reconciliation Package
HL7 Version 2 Implementation Guide: v2-to-FHIR, Edition 1
Standard for Trial Use  1
Ballot Tally Page: V2_IG_V2-2-FHIR_E1_D1_2024JAN Project Insight Reference ID: 1481
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
3   42 + 0 = 42   27
Reconciliation Package

2022 September Ballot Cycle

HL7 FHIR® Implementation Guide: IHE SDC electronic Cancer Checklist, Release 1- US Realm
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_IHE-SDC-eCC_R1_D1_2022SEP Project Insight Reference ID: 1700
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   27 + 0 = 27   16
Reconciliation Package
HL7 FHIR® R2 Implementation Guide: At-Home In-Vitro Test Report - US Realm
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_HOME_IV_REPORT_R1_D1_2022SEP Project Insight Reference ID: 1742
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
1   69 + 0 = 69   42
Reconciliation Package

2020 September Ballot Cycle

HL7 FHIR® Implementation Guide: Vital Signs, Release 1- US Realm
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_VITALSIGNS_R_D1_2020SEP Project Insight Reference ID: 1541
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
34   53 + 20 = 73   64
Reconciliation Package
HL7 FHIR® Implementation Guide: Order Catalog, Release 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_ORDSVCCAT_R1_D1_2020SEP Project Insight Reference ID: 1010
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
3   72 + 8 = 80   50
Reconciliation Package

2020 February Ballot Cycle

HL7 Version 3 Domain Analysis Model: Laboratory Orders, Release 2
Informative  1
Ballot Tally Page: HL7_DAM_LABORD_R2_I1_2020FEB Project Insight Reference ID: 1067
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
1   18 + 0 = 18   11
Reconciliation Package

Total Active Ballot Items: 18

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%