Note to Balloters

This "May 2018 Normative Ballot" has been provided to solicit feedback on a number of substantive changes made to the CDA R2.1 since the Sept. 2017 Normative Ballot.

The following are the substantive changes that were made:

1. In section 5.3.6.8 SubstanceAdministration, SubstanceAdministration.consumable relationship shall be 0..1 rather than 1..1 (or declared conditional).
2. In section 5.2.3.5.4 HealthCareFacility the binding on it's class code should not be fixed to SDLOC, but rather SDLOC should be defaulted out of the V:RoleClassServiceDeliveryLocation value set. In the CDA R2.0 schema this was a defaulted and not a fixed binding.
3. In section 2.1 HL7 Reference Information Model, the binding has been changed back to RIM 2.35 as data types R1 were not supported in parts of the V3 tooling for RIM 2.36c.

It should be noted that the publication is now generated from the V3 process and tables, text and formatting may appear somewhat different. Every attempt has been made to ensure that the content is consistent with the previous versions of the CDA R2.1 ballot.