After completion of the initial draft or revision of a practice parameter or technical standard document, the document undergoes “field review”; the process where the draft document is available for any ACR member and collaborating society to provide comments. All practice parameters and technical standards must complete field review before being considered for adoption by the ACR. This is the opportunity stakeholders external to the document drafting/revision process to comment. The comments are collated by staff, and then reviewed by the Chair of the Comment Reconciliation Committee, to determine which editorial comments can be accepted, or if substantive, should be considered by the Comment Reconciliation Committee for inclusion in the final draft to be presented for adoption. When a document completes the comment reconciliation process, it is considered final and ready for approval.