HL7 Ballot Process and FHIR DSTU2 Ballot Review May 26, 2015 DRAFT: Not for distribution

HL7 Ballot Process Overview 4 Ballot Types N - Normative I - Informative D - Draft Standard for Trial Use (DSTU) O - Draft for Comment Ballot Type Quorum/Approval Summary Quorum Approval Normative Majority 75% Informative N/A 60% DSTU Draft for Comment *Quorum is achieved by total affirmatives, negatives, and abstains *Approval is achieved by total affirmatives and negatives

HL7 Ballot Vote & Comment Overview Votes are classified as: Affirmative: may include affirmative comments or suggestions Negative: MUST include comments; Negative votes with no comments are not counted as valid votes Abstain: no vote but wish to remain in the ballot pool for future balloting on the standard No Vote: signed up for the ballot pool, but did not cast a vote Comments can be classified as follows: Neg-Mj: Negative Vote with Reason - Major The content of the material is non-functional, incomplete or requires correction before final publication All Neg-Mj votes in normative ballots must be resolved by the work group Neg-Mi: Negative Vote with Reason - Minor The comment needs to be resolved, but is not as significant as a negative major A-C: Affirm Vote with Comment A-S: Affirmative Vote with Comment - Suggestion The work group should to consider a suggestion such as additional background information or justification for a particular solution A-T: Affirm Vote with Comment - Typo A-Q: Affirm Vote with Question

May 2015 DSTU Vote Tallies FHIR Core – DSTU2 Affirmative Negative Abstain No Vote Comments 57 90 60 54 ~1338 DAF Profile - DSTU Affirmative Negative Abstain No Vote Comments 47 59 74 38 ~230 SDC Profile - DSTU Affirmative Negative Abstain No Vote Comments 38 67 72 39 ~150

Ballot Reconciliation Process An essential part of the ballot process, particularly for normative ballots, is the completion of reconciliation Reconciliation is an American National Standards Institute (ANSI) requirement that HL7 must fulfill for certification WG’s begin reconciling comments at the WGM, but reconciliation can take several weeks or months depending on the comments received during the ballot Potential Dispositions of comments include: In the case of Informative or DSTU ballots, a WG can submit a ballot package for publication even if there are outstanding comments; Normative ballots must consider and reconcile ALL comments Persuasive Persuasive with Mod Not Persuasive Not Persuasive with Mod Not Related Referred and Tracked Pending Input from Submitter Pending Input from other WG Considered - Accepted for Future Use Considered - Question Answered Considered - No Action Required

WGM HL7 Timeline Jan ‘15 WGM May ‘15 WGM Oct ‘15 WGM Jan ‘15 Feb ‘15 Mar ‘15 Apr ‘15 May ‘15 Jun ‘15 Jul ‘15 Aug ‘15 Sep ‘15 Feb - Apr Full HL7 Ballot Cycle Jul - Sep Jan ‘15 WGM May ‘15 WGM Oct ‘15 WGM FHIR DSTU 2 Draft for Comment NIB: 02/22/2015 FHIR DSTU 2 NIB: 07/18/2015 FHIR DSTU 2 Publication (estimated) DAF FHIR Profile Draft for Comment Final Content Deadline: 03/29/2015 SDC FHIR Profile DSTU Final Content Deadline: 08/23/2015 Ballot Open: 12/12/2014 – 01/12/2015 DAF FHIR Profile DSTU Ballot Open: 08/28 – 9/28/ 2015 Ballot Open: 04/03 – 05/04/2015

Questions? If you have any questions or comments, please contact: Angelique Cortez – angelique.j.cortez@accenture.com Perri Smith – perri.smith@accenturefederal.com Gayathri Jayawardena – gayathri.jayawardena@esacinc.com