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The ballot for FHIR R5 was being planned for the May 2022 ballot cycle however, due to the amount of work required to prepare R5 for ballot, FHIR Management Group has decided that R5 will not be balloted in the May 2022 ballot cycle.
FMG has discussed several options around the R5 ballot and they are seeking feedback from the standards and implementation communities before deciding which option to move forward with.