The US Core version 9.0.0-ballot is complete. We received over 70 ballot comments. Thank you to all the commenters. All the ballot comments can be viewed on US Core Balloting Dashboard . We have triaged all the "change request" type trackers and grouped them under the following topics: Portable Medical Order (PMO) (18) Conformance (12) Terminology 13) Misc (13) Publishing (10) (Note that some trackers are assigned multiple categories. and the "technical-correction" type trackers are resolved without committee approval.) We discussed several PMO trackers at last week's virtual HL7 Work Group Meeting WGM . We will continue ballot reconciliation on the rest of the trackers on a series of Cross Group Project (CGP) workgroup calls **starting tomorrow. For trackers that can be reviewed offline, we will hold several Block Votes, starting with Block Vote 1, which we will announce shortly. Our goal is to finish trackers by the end of March and publish by May. US Core Version 9 Ballot Reconciliation and Publication Schedule We will continue to discuss the PMO/ADI Trackers on tomorrow's 2026-02-05 Cross-Group Project / US Core Ballot Reconciliation Call .

Block Vote 1 We have prepared proposed dispositions for 23 US Core v9 2026 Ballot trackers Block Vote 1 below is composed of these topics: Assessments Writing Notes Conformance FamilyMemberHistory Formatting Misc Provenance Terminology UDI/Device We plan to vote on this Block on next Thursday, February 12 Cross-Group Project Work Group (CGP) call. (see above for call information) If there are any items below that you would like to withdraw from the block vote for discussion, please email me or respond on this stream. @Corey Spears @Marti Velezis @Stan Rankins @Jen Seeman @Chris Moesel @Riki Merrick @Bryn Rhodes @Virginia Lorenzi @Carmela Couderc @Isaac Vetter ( for mmullis) @Lisa Nelson @Yunwei Wang Key: Summary (Reporter) Resolution Change Impact: Change Impact (Change Category ) Related and Duplicate Trackers: Related Issues Assessments FHIR-54224 : Screening and Assessment Codes Table (jen_seeman) Persuasive Change Impact: Non-substantive (Enhancement ) FHIR-54223 : USCDI Support Language in 3.6 (jen_seeman) Persuasive with Modification Change Impact: ( ) Writing Notes FHIR-54934 : Cleared definition of Direct Write and Mediated Submission (vlorenzi) Persuasive with Modification Change Impact: Non-substantive (Clarification ) FHIR-54390 : The ""Writing Clinical Notes"" page is informative, but has conformance language (corey_spears) Not Persuasive with Modification Change Impact: Non-substantive (Clarification ) FHIR-54217 : Clinical Notes Conformance (jen_seeman) Not Persuasive Change Impact: ( ) FHIR-54228 : Consistency for Looking Ahead Content (jen_seeman) Not Persuasive - Change Impact: ( ) Conformance FHIR-54437 : Clarify profile specific implementation guidance for Patient.address (carmela_couderc) Persuasive Change Impact: Non-substantive (Enhancement ) FHIR-54435 : Update profile specific implementation guidance for RelatedPerson.address (carmela_couderc) Not Persuasive Change Impact: ( ) FHIR-54218 : Medication List MUST (jen_seeman) Persuasive with Modification Change Impact: Non-substantive (Correction ) FamilyMemberHistory FHIR-54012 : Remove Must Support Requirement for FamilyMemberHistory.Status ( mmullis@epic.com ) Not Persuasive Change Impact: ( ) Formatting FHIR-54948 : please add plain language summary (vlorenzi) Persuasive Change Impact: Non-substantive (Correction ) FHIR-54216 : USCDI to US Core Mapping Table (jen_seeman) Persuasive Change Impact: ( ) FHIR-53612 : convert all example snippets from XML to JSON (ehaas) Persuasive Change Impact: Non-substantive (Enhancement ) FHIR-54213 : How To Read This Guide Changes (jen_seeman) Persuasive Change Impact: Non-substantive (Correction ) Misc FHIR-54705 : Correct URL for USCore Model Info (bryn.rhodes) Persuasive with Modification Change Impact: Compatible, substantive (Correction ) FHIR-54406 : UPdate defintion in Device.patient (RikiM) Persuasive Change Impact: Non-substantive (Clarification ) FHIR-54226 : Relationship With Other IGs (3.7 technical corrections) (jen_seeman) Persuasive with Modification Change Impact: Non-substantive (Correction ) FHIR-54254 : Clearly Mark Deprecated Profiles / Extensions (cmoesel) Persuasive with Modification Change Impact: Compatible, substantive (Correction ) Provenance FHIR-54221 : Basic Provenance Use Case References (jen_seeman) Persuasive with Modification Change Impact: Non-substantive (Clarification ) FHIR-54220 : Basic Provenance Figure 1 (jen_seeman) Considered - No action required Change Impact: ( ) Terminology FHIR-54230 : 7.0.1.0.1 Value Set Package Links (jen_seeman) Persuasive with Modification Change Impact: Compatible, substantive (Enhancement ) FHIR-53597 : Clarification Around Slicing with Valuesets (stan_rankins) Persuasive with Modification Change Impact: ( ) UDI/Device FHIR-54939 : US Core Device Profile: Medical Device List (marti_velezis) Persuasive with Modification Change Impact: Non-substantive (Enhancement )

though my name is mentioned, I don't see any tickets raised by me. ;)

moved to discuss Eric M Haas, DVM, MS Health eData Inc 1131 Estates Drive, Napa, CA 94558

23 issues, Eric is going big right out the gate!!!

Can we pull FHIR-54437 from the block vote?

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We kicked off the weekly calls with a review of the tentative schedule to publication, announcement of Block Vote 1 (see above), and discussed and voted on these Portable Medical Order (PMO) trackers: FHIR-55597 - Remove US Core PMO ServiceRequest Profile These Trackers are directly impacted by the outcome of FHIR-55597 : FHIR-54974 - rejected FHIR-54949 - add requester guidance FHIR-54946 - rejected FHIR-54657 - rejected FHIR-54287 - group examples list by type and profile FHIR-54231 - rejected ADI DocumentRefence Tracker FHIR-54944 - expand description of format codes. Next Steps: On next week's 2026-02-12 Cross-Group Project / US Core Ballot Reconciliation Call : We will vote on Block Vote 1 Depending on participation due the overlapping ASTP conference, discuss these trackers: - FHIR-54973 Add OrganizationAffiliation - FHIR-54913 Add specimen collection time( - FHIR-54654 Question about us-core-22 constraint Y(unwei Wang) Not Persuasive - FHIR-54437 : Clarify profile specific implementation guidance for Patient.address (carmela_couderc) Persuasive The [US Core 9.0 Ballot Reconciliation and Publication Schedule] is here and is subject to change. For homework, review the Block Vote 1 and the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Correction: FHIR-54974 - rejected should be FHIR-54947 - rejected

Cooper Thompson said : Can we pull FHIR-54437 from the block vote? Agreed, please pull FHIR-54437

please pull FHIR-54939

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We voted on Block Vote 1 (minus 2 pulled items), and discussed and voted on the following trackers: FHIR-54939 (Pulled from Block Vote 1): - Removed reference to §170.315(a)(14) Medical device list FHIR-54973 - rejected FHIR-54913 - rejected FHIR-54654 - updated invariant text and discussed these 2 US@ trackers and will revisit them on the 2026-02-26 CGP call: FHIR-54437 (Pulled from Block Vote 1) FHIR-54435 Next Steps: On next week's 2026-02-19 US Core Ballot Reconciliation Call , we will discuss ADI DocumentReference and Terminology trackers The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We discussed and voted on the following trackers: FHIR-54411 - clarification of USCDI terminology requirements FHIR-54412 - rejected FHIR-54943 - fix constraint rendering (publishing) FHIR-54247 - updated guidance text FHIR-53823 - updated guidance text FHIR-53792 - rejected FHIR-49134 - US Core 6.1.0 patch Next Steps: On next week's 2026-02-26 US Core Ballot Reconciliation Call , we will discuss the remaining ADI DocumentReference and Terminology trackers The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We discussed and voted on the following trackers: FHIR-54941 - rejected FHIR-54936 - update ADI DocumentReference Profile introduction FHIR-54414 - Fix code system name FHIR-54407 - Update Goal Codes Next Steps: On next week's 2026-03-05 US Core Ballot Reconciliation Call , we will hold a Block Vote 2 ( :point_down: see below for the announcement) on several miscellaneous trackers and discuss Terminology trackers The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Block Vote 2 We have prepared proposed dispositions for 5 US Core v9 2026 Ballot trackers Block Vote 2 We plan to vote on this Block on next Thursday, March 5 Cross-Group Project Work Group (CGP) call. (see above for call information) If there are any items below that you would like to withdraw from the block vote for discussion, please email me or respond on this stream. @Jen Seeman @Chris Moesel Key: Summary (Reporter) Resolution Change Impact: Change Impact (Change Category ) Misc FHIR-54222 Basic Provenance Figure 3 and 4 (Jennifer Seeman) Persuasive preapplied here * Change Impact: Non-Substantive(Enhancement) FHIR-55953 : Remove redundant guidance (Eric Haas) Persuasive - impact: Non-substantive Correction FHIR -54227: Writing Vital Signs Encounter Determination (Jennifer Seeman) Persuasive with Mod - impact: Non-substantive Enhancement FHIR-54105 : ElementDefinition mappings refer to missing StructureDefinition mappings (Chris Moesel) Persuasive with Mod - impact: Non-Compatible? Correction FHIR-55956 : Remove Duplicate Note type (Eric Haas) Persuasive preapplied here - impact: Non-substantive Correction

Thank you to all who were able to attend Yesterday's CGP/US Core Ballot Reconciliation Call . We approved all dispositions in Block Vote 2 and discussed and voted on the following trackers: Terminology FHIR-53784 : Created Patch Request instead FHIR-53376 : Updated RelatedPerson.relationship binding to align with CDA FHIR-55688 Reviewed issues surrounding our use additional bindings will follow up with fully fleshed out proposals FHIR-54407 proposal to REOPEN ...delayed Misc FHIR-55961 ; Update US Core's IG Resource/package description Brief segway in the Requirements table work and review FHIR-55974 : Discussed Basic Provenance guidance - will have specific proposal to review next week Next Steps: On next week's 2026-03-12 US Core Ballot Reconciliation Call , we will follow up on our discussion on Basic Provenance guidance and Terminology trackers: FHIR-55974 : Discussed Basic Provenance guidance FHIR-55688 additional bindings proposals FHIR-54407 REOPEN FHIR-54415 FHIR-54437 , FHIR-54435 US@ Trackers FHIR-54410 The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We discussed and voted on the following trackers: FHIR-55974 : Add guidance on Provenance use of entity FHIR-54437 , FHIR-54435 : Discussed US@ requirements and scope - no vote and tabled until next week. Next Steps: On next week's 2026-03-19 US Core Ballot Reconciliation Call , we will follow up on our discussion on US@ and the remaining Terminology trackers: FHIR-54437 , FHIR-54435 US@ Trackers FHIR-55688 additional bindings proposals FHIR-54407 REOPEN FHIR-54415 FHIR-54410 The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .

Thank you to all who were able to attend Today's CGP/US Core Ballot Reconciliation Call . We discussed and voted on the following trackers: US@ FHIR-54437 - change text to refer to technical specification FHIR-54435 - Will remove all guidance from non-Patient profiles Terminology FHIR-55688 Replace additional bindings with other structures to match intent FHIR-54407 Reopened and deferred FHIR-56095 Update “Common substances for allergy and intolerance documentation including refutations” ValueSet for improved curation Next Steps: On next week's 2026-03-26 US Core Ballot Reconciliation Call , we will discus the remaining Terminology trackers and review the new Conformance/Requirements tables (and related trackers) and updated PMO/ADI guidance for derived orders. Terminology FHIR-54415 FHIR-54410 Requirements related FHIR-56134 FHIR-55919 The US Core 9.0 Ballot Reconciliation and Publication Schedule is here and is subject to change. For homework, review the trackers listed on the agenda, For any questions or comments, contact @Eric Haas , @Brett Marquard , or @Gay Dolin .