The changes are as follows: 1) to update versions of documents incorporated by reference within Rule R428-1, specifically, "Utah Hospital Inpatient Discharge Data Submittal Manual, Data Element Descriptions and Definitions, Version VI", February 2014 and "Utah Ambulatory Surgical Submittal Manual, Data Element Descriptions and Definitions, Version III", November 2009 should be replaced by "Utah Healthcare Facility Data Submission Guide, Version 1", January 15, 2016; 2) to clarify data elements and related requirements where needed to make uniform with existing practice; and 3) to update the version number for "All Payer Claims Database Data Submittal Guide" from version 2.2 to version 2.2.1.