Health Level Seven ®

Active Ballot Items for Clinical Decision Support

This report generated on: October 17, 2026

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

2027 May Ballot Cycle

HL7 FHIR® Implementation Guide: CDS Hooks; Hook Library, Release 1
Normative  1
Ballot Tally Page: FHIR_IG_CDS_HOOKS_R1_N1_TBD Project Insight Reference ID: 1758
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: Clinical Guidelines, Edition 3
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_CPG_E1_S3_TBD Project Insight Reference ID: 1505
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: Evidence Based Medicine Incubator, Edition 1
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_EBM_INCUB_E1_S1_TBD Project Insight Reference ID: 1422
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: Evidence-Based Medicine Knowledge Assets (EBMonFHIR), Edition 1
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_EBM_E1_S3_TBD Project Insight Reference ID: 1422
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® Implementation Guide: Using CQL with FHIR, Edition 3
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_CQL_E1_S3_2026SEP Project Insight Reference ID: 1757
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
4   72 + 0 = 72   46
No Reconciliation Package has been posted for this ballot item.

2026 January Ballot Cycle

HL7 Specification: CDS Hooks, Release 1
Normative  1
Ballot Tally Page: HL7_CDS_HOOKS_R1_N1_2026JAN Project Insight Reference ID: 1234
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   91 + 0 = 91   68
Reconciliation Package

2025 September Ballot Cycle

HL7 FHIR® Implementation Guide: Documentation Templates and Payer Rules (DTR), Edition 2.2 - US Realm
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_DTR_E2.2_S3_2025SEP Project Insight Reference ID: 1493
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
30   55 + 0 = 55   51
Reconciliation Package
HL7 FHIR® Implementation Guide: Canonical Resource Management Infrastructure (CRMI), Edition 2
Standard for Trial Use  3
Ballot Tally Page: FHIR_IG_CRMI_E2_S3_2025SEP Project Insight Reference ID: 1757
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
3   36 + 0 = 36   23
Reconciliation Package
HL7 FHIR® Implementation Guide: Data Exchange Profiles for 2022 CDC Clinical Practice Guideline for Prescribing Opioids, Edition 1 - US Realm
Standard for Trial Use  1
Ballot Tally Page: FHIR_IG_CDC-OPIOID-CPG_E1_S1_2025SEP Project Insight Reference ID: 1917
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
3   39 + 0 = 39   25
Reconciliation Package
HL7 Specification: Clinical Quality Language (CQL), Release 2
Standard for Trial Use  1
Ballot Tally Page: HL7_CQL_R2_S1_2025SEP Project Insight Reference ID: 1887
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
0   82 + 0 = 82   49
Reconciliation Package

2023 January Ballot Cycle

HL7 FHIR® Implementation Guide: Potential Drug-Drug Interaction (PDDI) Clinical Decision Support (CDS), Release 1
Standard for Trial Use  2
Ballot Tally Page: FHIR_IG_PDDI_CDS_R1_ D1_2023JAN Project Insight Reference ID: 1405
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
2   47 + 0 = 47   29
Reconciliation Package

Total Active Ballot Items: 11

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%