Health Level Seven ®

Active STU Ballot Items for FHIR Infrastructure

This report generated on: October 16, 2026

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

2026 September Ballot Cycle

HL7 FHIR® Implementation Guide: SQL on FHIR, Edition 3
Ballot Tally Page: FHIR_IG_SQL_ON_FHIR_E3_S1_2026SEP Project Insight Reference ID: 1956
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
6   64 + 0 = 64   42
No Reconciliation Package has been posted for this ballot item.
HL7 FHIR® Implementation Guide: Bulk Data, Edition 4
Ballot Tally Page: FHIR_IG_BULKDATA_E3_S4_2026SEP Project Insight Reference ID: 1497
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
23   80 + 0 = 80   62
No Reconciliation Package has been posted for this ballot item.

2025 January Ballot Cycle

HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Edition 4.0
Ballot Tally Page: FHIR_IG_SDC_E4_S2_2025JAN Project Insight Reference ID: 1390
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
7   57 + 0 = 57   38
Reconciliation Package

2024 September Ballot Cycle

HL7 FHIR® Implementation Guide: Application Feature Framework, Edition 1
Ballot Tally Page: FHIR_IG_APPLICATION_FEATURE_E1_S1_2024SEP Project Insight Reference ID: 1812
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
15   22 + 0 = 22   22
Reconciliation Package
HL7 FHIR® Implementation Guide: SMART Health Cards and Links, Edition 1
Ballot Tally Page: FHIR_IG_SMART_HEALTH_CARDS_AND_LINKS_E1_S1_2024SEP Project Insight Reference ID: 1879
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
23   65 + 0 = 65   53
Reconciliation Package

2024 January Ballot Cycle

HL7 FHIR® Implementation Guide: Subscriptions R5 Backport, Release 1
Ballot Tally Page: FHIR_IG_R5_SUBSCR_2R4_R1_D2_2024JAN Project Insight Reference ID: 1642
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
30   47 + 0 = 47   46
No Reconciliation Package has been posted for this ballot item.
HL7 FHIR® IG: SMART Application Launch Framework, Release 2
Ballot Tally Page: HL7_FHIR_IG_SMART_APP_LAUNCH_R2_D4_2024JAN Project Insight Reference ID: 1341
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
23   79 + 0 = 79   61
Reconciliation Package

2020 September Ballot Cycle

HL7 FHIR® Implementation Guide: SMART Web Messaging, Release 1
Ballot Tally Page: FHIR_IG_SMARTWEBMSG_R1_D1_2020SEP Project Insight Reference ID: 1597
Tally Summary
Negative   Affirmative   Withdraw   Total Affirmatives   Needed for Passage
7   52 + 10 = 62   41
Reconciliation Package

Total Active STU Ballots: 8

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%