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Balloting is one of the key functions delivered by HL7. The purpose of balloting is to ensure that the community targeted by a specification has reviewed the specification and agrees with it and that the specification has appropriately high quality and is appropriate for use.

For this objective to be achieved, it's essential that the community who reviews ballots is used efficiently. The content submitted for ballot must actually be ready for review and reviews must only be sought when necessary.

If work groups need to have a frozen snapshot of their publication hosted for reference for some purpose (connectathon, preliminary regulation, formal review, etc.) this can be arranged without balloting.

The FMG , with the concurrence of the TSC,     is instituting the following guidelines policy for ballot:

1. "For Comment" ballots should SHALL   only be used when appropriate:

  • In general, content that is not deemed "ready for implementation" should be reviewed by soliciting WG review through listserv and , testing at connectathons and or , if need be, holding formal peer reviews.
  • If there's a need to reach a broader community to ask specific questions to allow content to move forward, consult the product director for assistance in identifying appropriate communication channels.
  • Ballots scheduled for "STU" ballot will not SHALL NOT be dropped to "comment only" ballot automatically if it is not deemed ready for STU. If content is not ready for ballot review, the ballot should SHALL be deferred to a later cycle.
  • "For Comment" ballots will be approved are appropriate in situations where a work group cannot progress their content to STU ballot level without getting specific questions answered , and the community and the alternative feedback mechanisms are not sufficient to reach the community from which answers are required. The work group should SHALL   indicate what specific questions require an answer and why alternative mechanisms are insufficient to meet their needs when requesting "For Comment" ballot.

2. Multiple STU ballots prior to publication should be an unusual exception and will require justification to the FMG. Substantive changes are permitted between STU ballot and publication. However, if the substantive changes are significant and the work group feels that a ballot review is essential prior to allowing production testing by implementers, a second STU ballot is possible .

STU Ballots

  1. 3. Content submitted to STU ballot should SHALL   be considered "ready for implementation" by the balloting work group , with prior including experience at connectathon s . The FMG may solicit evidence of adequate connectathon review and community participation and/or perform a cursory review of ballot material during the pre-ballot QA period to verify that the submitted content is sufficiently complete and of high - quality meets the established quality criteria . ( I.e. e.g., there should not be "to do" areas that are relevant for the implementation scope subject to ballot, there should be adequate example instances, etc.)


  1. Multiple STU ballots prior to publication should be an exception and SHALL require approval by the FMG. Substantive changes are permitted between STU ballot and publication. However, if the substantive changes are significant and the work group determines that a ballot review is essential prior to production testing by implementers, a subsequent STU ballot may be warranted.



  1. 4. The FMG may request that the TSC adjust ballot schedules to balance balloter load. If a large number of ballots targeting the same community are scheduled for ballot in a single cycle, some ballots may be deferred to subsequent cycles. Work groups will be consulted should this occur and consideration will be given to regulation and project funding timelines.


  1. 5. Work groups are encouraged to solicit participation during the ballot.
    Ballots that fail to receive line-item feedback from a sufficient number of commenters may be held back by the FMG from receiving STU status [AW1]


All FMG decisions with respect to authorization to ballot and authorization to publish are subject to appeal to the TSC.


[AW1] SGB recommends addressing this in a policy that describes publication criteria.