1. Project Name  and ID

Project Name:V2+

Project ID:1222


Date : 7/9/2021


Date : 

2. Sponsoring Group(s) / Project Team

2.a.Primary Sponsor/Work Group:
(1 (And Only 1) Allowed)

V2 Management

2.b. Co-sponsor Work Group(s)

Conformance, Vocabulary, PEST, Education, ITS, INM

Indicate the level of involvement that the co-sponsor will have for this project:

  •  Request formal content review prior to ballot

  •  Request periodic project updates. Specify period: 

Vocabulary: Monthly, ITS: at WGMs

  •  Other Involvement. Specify details here: 

Participate fully: Conformance, Electronic Services, Education, INM

2.c Project Team

Project facilitator (1Mandatory)

Frank Oemig, Hans Buitendijk

Other interested parties and their roles

All V2 Chapter owners/editors

Multi-disciplinary project team (recommended)

       Modeling facilitator


       Publishing facilitator

Frank Oemig

       Vocabulary facilitator


       Domain expert rep

Rob Snelick, Brian Pech, John Garguilo, Craig Newman, Tony Julian, (at some point ask Virginia Lorenzi an Education person to participate throughout)

       Business requirement analyst

       Conformance facilitator (for IG projects)

       Other facilitators (SOA, etc)

Implementers (2 Mandatory for STU projects)

FHIR Project Note: The implementer requirement will be handled by the “balloting” project.  Therefore work groups do not fill out the above section.  However, feel free to list implementers specific to your work group’s resources if you know of any.

1) PH

2) OO

  1. Project Definition

2.a.    Project Scope

This is a fresh-Look initiative to modernize and make it easier to the developer to create and maintain high-quality specifications, and to the implementer to access and use the specifications in their efforts.

  • Consolidate technical terminology to provide the specification (e.g., R vs. RE vs. O, etc.)
  • Improve ability to maintain consistency across “chapters” (e.g., re-use and referencing of common componentry) ensuring updates are applied everywhere.
  • Publish V2 on a website as primary source for implementers
    • Replace word and pdf with a new source of truth on a webbased tool from which everything is derived.

The project will be organized in four phases:

  • Phase I - Establish target publication format.
    • Re-organize content
    • Consider alignment with FHIR approach
    • Generate and review draft HTML
  • Phase II - Establish a plan
    • Create a development plan that addresses:
      • Overall structure
        • Ability to modularize enabling smaller, targeted publications
        • Support continuous maintenance
      • Modernizing conformance constructs.
      • Enabling mapping between IGAMT and V2+ (e.g., link back to source from IGAMT to V2+)
      • Documentation tools for source specifications
      • Maintain simplicity to maintain the specification while simplifying implementer access as well.
        • Consider IGAMT to aid in the maintenance
    • Create an internal marketing/outreach plan
  • Phase III - Implement
  • Phase IV – Education and Deployment

This information is required by ANSI for all ballots. Briefly explain the reason behind the need for this project. This may be related to legislative requirements, industry need, or similar justifications.

2.b.   Project Need:

V2 is difficult to be

  • Maintainable
    • Consistency across chapters is challenging to achieve (presentation, content, style)
    • Generating pdfs
    • Variations in level of activity across chapters, yet impacting others.
      • Modular updates that isolate the change and minimize publication scope.
    • Inconsistent change tracking / request proposal.
  • Accessible
    • Finding editors to perform the necessary updates.
  • Processable
    • Inability to easily/consistently create implementation guides
    • Inability to easily/consistently generate and integrate with testing tools
  • Kept current
    • Long time line between versions.
    • Dependencies across chapters requiring everything to move together rather than targeted components individually.

2.c.    Security Risks

Will this project produce executable(s), for example, schemas, transforms, style sheets, executable program, etc.  If so the project must review and document security risks.





2.d.   External Drivers

National programs, e.g., ONC Certification programs, that require consistency and clear, unambiguous implementation guidance to measure conformance.

2.e.    Project Objectives / Deliverables / Target Dates

Target Date

(Dependency on Chapter “2B.A” Conformance updates)

Assume May Draft PUB-15 - Getting issue details... STATUS

September 2019

Phase I


  • Establish Target Publication Structure/Model

January 2019

  • Establish Target Publication Format

September 2019

  • Convert v2.9 to new format and fine tune

January 2020

  • Establish training for v2+ Editors

June 2020

  • Publish v2+

June 2020

  • Train v2+ editors

September 2021

Phase II


  • Update Conformance Chapter 2.B

May 2020

  • Map IGAMT to v2+

June 2020

  • Implement IGAMT to v2+
September 2020 (subject to v2+ Publishing date)
  • Create internal marketing/outreach plan


Phase III


  • Implement IGAMT to v2+

September 2020

Phase IV


  • Education and Deployment


2.f.       Common Names / Keywords / Aliases

V2+, IGAMT on V2

2.g.   Lineage


2.h.   Project Dependencies

Chapter 2.B Conformance Updates (PI ID not known)

2.i.       Project Document Repository Location

2.j.       Backwards Compatibility

Are the items being produced by this project backward compatible?






For V3, are you using the current data types? 

(Refer to TSC position statement on new projects using R2B for more information on the current V3 data types)






If you check 'No' please explain the reason:

If desired, enter additional information regarding Backwards Compatibility.

2.k.    External Vocabularies

Will this project include/reference external vocabularies?






If yes, please list the vocabularies: VSAC and others depending on what we prepopulate.

  1. Products (check all that apply)


Non Product Project - (Educ. Marketing, Elec. Services, etc.)

V3 Domain Information Model (DIM / DMIM)

Arden Syntax

V3 Documents – Administrative (e.g. SPL)

Clinical Context Object Workgroup (CCOW)

V3 Documents – Clinical (e.g. CDA)

Domain Analysis Model (DAM)

V3 Documents - Knowledge

Electronic Health Record (EHR) Functional Profile

V3 Foundation – RIM

Logical Model

V3 Foundation – Vocab Domains & Value Sets

V2 Messages – Administrative

V3 Messages - Administrative

V2 Messages - Clinical

V3 Messages - Clinical

V2 Messages - Departmental

V3 Messages - Departmental

V2 Messages – Infrastructure

V3 Messages - Infrastructure

FHIR Implementation Guide

V3 Rules - GELLO

FHIR Profiles

V3 Services – Java Services (ITS Work Group)

FHIR Resources

V3 Services – Web Services (SOA)

New/Modified/HL7 Policy/Procedure/Process

White Paper

New Product Definition

New Product Family


Creating/Using a tool not listed in the HL7 Tool Inventory

If you checked New Product Definition or New Product Family, please define below:

  1. Project Intent (check all that apply)

Create new standard

Supplement to a current standard


Revise current standard (see text box below)

Implementation Guide (IG) will be created/modified

Reaffirmation of a standard

Project is adopting/endorsing an externally developed IG:

New/Modified HL7 Policy/Procedure/Process

Specify external organization in Sec. 6 below;

Withdraw an Informative Document

Externally developed IG is to be (select one):

White Paper (select one):

Adopted  - OR -


Balloted Informative OR

Non-balloted WG White Paper

N/A  (Project not directly related to an HL7 Standard)

If revising a current standard, indicate the following:

-   Name of the standard being revised


-   Date it was published (or request for publication, or ANSI designation date)

Dec 6 2019

-   Rationale for revision

Continued evolution of the v2 standard, specifically a modernization of the standard including (but not limited to) improved content maintenance tooling and web publication to bring it in line with other product families.

-   The relationship between the new standard and the current standard (is it designed to replace the current standard, a supplement to the current standard, etc.)

v2+ will replace v2.9 as the current normative standard

4.a.    Ballot Type (check all that apply)

Comment (aka Comment-Only)

Joint Ballot (with other SDOs)


N/A  (project won’t go through ballot)

STU to Normative     - OR -


Normative (no STU)

If necessary, add any additional ballot information here.  If artifacts will be jointly balloted with other SDOs, list the other groups.

4.b.   Joint Copyright

Check this box if you will be pursuing a joint copyright.  Note that when this box is checked, a Joint Copyright Letter of Agreement must be submitted to the TSC in order for the PSS to receive TSC approval.

Joint Copyrighted Material will be produced?




  1. Project Logistics

5.a.    External Project Collaboration

NIST, Frank Oemig

For projects that have some of their content already developed:

How much content for this project is already developed?

Indicate % here

Was the content externally developed (Y/N)? 

If Yes, list developers

Is this a hosted (externally funded) project? 
(not asking for amount just if funded)



5.b.   Realm


Universal     - OR -


Realm Specific


Check here if this standard balloted or was previously approved as realm specific standard

Enter “U.S.” or name of HL7 affiliate(s) here.  For projects producing deliverables applicable to multiple realms, document those details here.

For Investigative projects, indicate if the project is planned to be Realm Specific or Universal, if known. Work Groups are encouraged designating project a Universal project initially, and discover which Realms can contribute to the work effort during the discovery phase of the project.  Note: This status is subject to change during the investigative process. 

5.c.    Project Approval Dates

Affiliate Approval Date (for Affiliate Specific Projects):


US Realm Steering Committee Approval Date
(for US Realm Specific Projects):


Sponsoring Work Group Approval Date: Publishing


Co-Sponsor Group Approval Date: Conformance2019-05-21
Co-Sponsor Group Approval Date: Electronic Services and Tools2019-06-04
Co-Sponsor Group Approval Date: ITS2019-05-21
Co-Sponsor Group Approval Date: Vocabulary2019-07-01
Co-Sponsor Group Approval Date: INM2019-05-07

V2 Management Group Approval Date:


Architectural Review Board Approval Date:


Steering Division Approval Date :


Last Work Group Health:





PBS Metrics and Work Group Health Reviewed? (required for SD Approval if not green)



Technical Steering Committee Approval Date:

TSC Approval Date 2019-09-09

TSC has received a Copyright/Distribution Agreement (containing the verbiage outlined within the SOU), signed by both parties.





1 Comment

  1. Hans Buitendijk Frank Oemig Hi all - just checking on this. The comments in the JIRA review reflect that EST has requested that the timeline be updated before they review, and that Vocabulary hasn't reviewed yet.