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FHIR Management Group


The TSC FHIR Management Group (FMG) provides day-to-day oversight of FHIR-related work group activities including performing quality analysis, monitoring scope and consistency with FHIR principles and aiding in the resolution of FHIR-related intra and inter-work group issues.



The FMG will focus its energy on enabling the following:

  • FHIR development is coordinated and consistent across the organization
  • Work groups have timely feedback and guidance and their development products are aligned with the broader goals of HL7 and its constituent communities
  • Work groups act in a coordinated manner with quick resolution of disputes
  • Work groups understand what is expected of them and have the breadth of domain knowledge, skills and tools necessary to perform their work


The FMG, through its structure, processes and activities will manage the following risks:

  • Work Group solutions diverge in resource and profile development
  • Work Groups do not coordinate development activities as they should
  • Tools do not meet requirements of development
  • Development space is not used correctly (e.g. subversion)
  • Ballot processes don’t meet needs of work groups and/or community
  • Stakeholders are not sure how to engage with the organization
  • Work Groups are not able to balance workload of FHIR and other activities


Additional constraints on membership include:

  • At least two members must be Affiliate members.
  • At least one member must be a co-chair or active member of MnM.

Terms will be 2 years and renewable at the discretion of the TSC.  Member terms are staggered such that approximately 50% of the member terms expire in a given year.

The Co-Chairs of the FMG will be determined by the members of the group each time the membership composition changes or a position is renewed.

Work Products and Contributions to HL7 Processes

Primary activities of the FMG include:

  • Provide advice and guidance to FHIR Governance Board (FGB) on clarification and evolution of FHIR principles and requirements
  • Define QA processes for review of work group FHIR resources, profiles and core constructs based on guidelines developed by the MnM Work Group with the objective ensuring adherence to FHIR principles.  Such processes to include:
    • Periodic review of draft resources for adherence to FHIR principles
    • Periodic review of ballot reconciliation decisions to ensure continued adherence to FHIR principles
  • Execute the above QA processes
  • Coordinate training of work groups on FHIR methodology and principles
  • Coordinate the development and release of tooling needed to support FHIR development and maintenance processes.


The FMG is composed of seven to ten members with vote:

  • The chair of the FGB – ex officio
  • The HL7 Chief Technical Officer (CTO) ex officio
  • Four members  who are co-chair or active participants in each of the four steering divisions (one from each steering division)
    • Each member is appointed by the TSC with consideration of the recommendations of the FGB and the respective steering division.
  • One member to represent the “international” perspective appointed by the TSC with consideration of the recommendations of the FGB and the Affiliate Council.
  • Up to three additional ad-hoc members appointed by the TSC based on their technical, organizational and/or management expertise with consideration of the recommendations of the FGB

Formal Relationships With Other HL7 Groups

  • Most members of the FMG are appointed by the HL7 Technical Steering Committee (TSC).
  • The FMG reports to the TSC via the FGB.  Appeals of FMG decisions may be submitted to the FGB.
  • The FMG coordinates its activities with and through the TSC HL7 Architecture Program.
  • The FMG provides advice and recommendations to the FGB and is monitored and is evaluated by the FGB
  • The FMG uses guidelines and rules developed by the Modeling & Methodology (MnM) Work Group according to precepts developed by FGB.  FMG will develop its own processes for management of FHIR to ensure that the guidelines, rules and precepts are adhered to.

Formal Relationship With Groups Outside of HL7

The FGB has no formal relationships with groups outside HL7.