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Clinical Quality Information1499HL7 FHIR® Implementation Guide: Quality Measures, Release 1- US Realm

Requesting alternate ballot title "FHIR Quality Measure IG"
FHIR1st STU BallotFHIR Clinical Reasoning provides infrastructure requirements for representing a health quality measure as an electronic format. A quality measure is a quantitative tool to assess the performance of an individual or organization’s performance in relation to a specified process or outcome via the measurement of an action, process, or outcome of clinical care.William GoossenAffirmative2019/02/252019/03/28
Electronic Health Records1445Reaffirmation of HL7 EHR Behavioral Health Functional Profile, Release 1EHR1st Normative BallotThis is a reaffirmation ballot for an existing standard that needed to be renewed. 
This HL7 EHR Behavioral Health Functional Profile (EHR BH FP) contains the functions and conformance criteria deemed important for behavioral health care providers' clinical records systems. At a minimum, this profile provides a shopping list of capabilities a behavioral health provider should consupports treatment processes and efficiencies for behavioral health, mental health and substance abuse organizations 
Anneke, William GoossenAffirmative2019/02/252019/03/28
Electronic Health Records1446Reaffirmation of HL7 EHR Child Health Functional Profile, Release 1EHR1st Normative BallotThis is a reaffirmation ballot of an existing standard. The HL7 Child Health Functional Profile for EHR Systems (Child Health Profile) is designed to assist children's healthcare providers and associated IT vendors to create functionality that ensures safe and reliable care of children through the effective use of information technology.Anneke, William GoossenAffirmative2019/02/252019/03/28
Electronic Health Records1447Reaffirmation of HL7 EHR Clinical Research Functional Profile, Release 1EHR1st Normative BallotThis is a reaffirmation ballot for an existing standard.The EHR Clinical Research Functional Profile (EHR CR FP) provides high-level functional requirements necessary for using electronic health record (EHR) data for regulated clinical research.Anneke, William GoossenAffirmative2019/02/252019/03/28
Orders and Observations1444Reaffirmation of HL7 Version 3 Standard: Clinical Statement Pattern, Release 1V31st Normative BallotThis as an re-affirmation ballot on the Clinical Statement Pattern Release 1 to continue the ability to reference the content from other HL7 V3 standards and implementation guides.Anneke GoossenAffirmative2019/02/252019/03/28
Structured Documents977HL7 CDA® R2 Implementation Guide: Questionnaire Response Document, Release 1CDA2nd Normative BallotThis ballot is for an implementation guide defining 
Questionnaire Response Document for purpose of 
representing patient responses to questionnaires as a 
structured document reusing and/or enhancing existing 
CDA templates where possible creating new CDA 
templates where necessary.
Since the last ballot of this material in 2017JAN , the following changes have been made: This is the second Normative ballot for this document. 
The changes made to the document reflect the resolutions 
that were agreed to by the working group. Both substantive 
and non-substantive changes were made. As this is the 
second Normative ballot for this IG, the ballot comments are 
limited to only the substantive changes. The substantive 
changes were due to the following N1 comments: 
1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 13, 16, 18, 31, 56, 60. 
Comments during this second (N2) ballot are resticted to 
those (subsantive) changes only. The corresponding final 
reconciliation spreadsheet can be found here: 
Anneke, William GoossenAffirmative2019/02/252019/03/28
Orders and Observations1238HL7 Domain Analysis Model: Unique Device Identifier (UDI) Implementation Guidance, Release 1HL73rd Informative BallotThe focus of this ballot is to address the implantable 
devices unique identification needs and support for implantable device list (e.g. Meaningful Use 2015 certification requirements).Since the last ballot of this material in 2018JAN , the following changes have been made: This version addresses the comments received in the first 
Roel BareldsNegative
see document:
HL7_DAM_UDI_IG_REQ_R1_I3_2019MAYcomment RBS.pdf
Security914HL7 Version 3 Standard: Privacy and Security Architecture Framework, Release 1

Requesting alternate ballot title "HL7 Version 3 Standard: Privacy and Security Architecture Framework (PSAF)"
V32nd Normative BallotThe Privacy and Security Architecture Framework (PSAF) is comprised of: Volumes 1 and 2, Trust Framework for Federated Authorization conceptual and behavioral models; 
Volume 3 Provenance, which addresses topics needed for trustworthy information exchange; and Volume 4 Audit, which provides a conceptual model for the audit service interfaces. These volumes form the basis of HL7 implementable privacy and security specifications. Only Volumes 3 and 4 are in scope for comments.
Since the last ballot of this material in 2018MAY , the following changes have been made: PSAF Volume 3 Provenance changes: Clarification on architecture's concept of a Federated Provenance Domain and capabilities for tracking the trustworthiness of participant's submission of discoverable provenance to that domain. PSAF Volume 4 Audit is a refactoring of the PASS Audit Conceptual Model, which passed normative ballot in 2017. The previous Audit specification missed the publication deadline of one year after approval as normative, and therefore required reballoting.
William GoossenAffirmative2019/02/252019/03/28
Financial Management1428HL7 FHIR® Implementation Guide: Coverage Requirements Discovery, Release 1 - US RealmFHIR2nd STU BallotIn the US clinicians are often unaware of the expectations of payor organizations around care delivery, requirements for pre-authorizations and other processes. This results in denied payment, changes to therapy after initiation and/or additional overhead costs are incurred. Defining a standardized mechanism by which care delivery organizations and providers can query payors to find relevant guidance prior to care delivery will increase efficient delivery of care and corresponding payment.
Since the last ballot of this material in 2018SEP , the following changes have been made: Changes were made throughout the guide to respond to comments made during the prior ballot period "Ballot for Comment".
William Goossenabstain2019/02/252019/03/28
FHIR Infrastructure1390HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 2FHIR1st STU BallotSDC provides guidance on how to use Questionnaire and QuestionnaireResponse for more sophisticated questionnaires, such as are used in the research, payment, public health and other areas. It includes controls over rendering, data entry, calculations, population from existing data, converting questionnaire responses to other FHIR resources and describes how to produce adaptive questionnaires.
Since the last ballot of this material in 2018SEP , the following changes have been made: The updated SDC specification changes expectations for population and introduces extraction and adaptive questionnaire capabilities. It lightens expectations for conformance and provides additional rendering and calculation capabilities.
Anneke Goossenabstain2019/02/252019/03/28
FHIR Infrastructure1433HL7 FHIR® Implementation Guide: Patient Reported Outcomes (PRO), Release 1 - US RealmFHIR1st STU BallotThe Patient Reported Outcomes (PRO) FHIR Implementation Guide (IG) will focus on capturing and exchanging patient reported outcome data electronically using the FHIR standard. The data that is captured will be made available to both providers and authorized researchers. While the PRO FHIR IG can be applied to multiple use cases, the current requirements have been drawn from PCORnet use cases and implementations.
Since the last ballot of this material in 2018SEP , the following changes have been made: The version of the IG is backwards compatible with the previous version of the IG. The IG is built on the latest release of FHIR namely R4. The changes from the previous version to the current version including clarifying various parts of the IG based on ballot comments received, adding examples and updating implementation guidance for developers.

Anneke, William Goossenabstain2019/02/252019/03/28
Clinical Quality Information1429HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Release 1 - US RealmFHIR2nd STU BallotThis Implementation Guide defines common data exchange patterns usable for a broad range of value-based health care use cases, including quality measurement and reporting, and public health care reporting.
Since the last ballot of this material in 2018SEP , the following changes have been made: This ballot version includes numerous changes in support of reconciliation efforts with comment submitters, as well as the inclusion of use cases to support more general quality measurement and public health reporting use cases. Substantive changes include: 
1) Ensuring the guidance addresses challenges associated with pull and subscription exchange mechanisms. 
2) Ensuring the exchange mechanisms can support the use of messaging protocols. 
3) Ensuring support for additional use cases including Colorectal Cancer Screening and Hospital Reporting for Venous Thromboembolism and Stroke reporting. 
4) Ensuring support for communication of quality measurement results.
Anneke, William GoossenAffirmative2019/02/252019/03/28
Publishing773HL7 Version 2.9 Messaging StandardV295th Normative BallotThis is another ballot for V2.9 Normative edition with reconciled comments from the previous ballot cycle of Jan. 2019.
Since the last ballot of this material in 2019JAN , the following changes have been made: This is another ballot for V2.9 Normative edition with reconciled comments from the previous ballot cycle of Jan. 2019.
Irma Jongeneel
Jan Dannenberg
Roel Barelds

Irma: Affirmative

Roel: Affirmative