<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="ActivityDefinition" status="changed">
      <element path="ActivityDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.jurisdiction">
         <old-binding reference="http://hl7.org/fhir/ValueSet/jurisdiction"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/jurisdiction"
                      strength="extensible"/>
      </element>
      <element path="ActivityDefinition.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="ActivityDefinition.copyrightLabel" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.kind">
         <removed-code code="AppointmentResponse"/>
         <removed-code code="Contract"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="SupplyRequest"/>
         <added-code code="CoverageEligibilityRequest"/>
         <added-code code="RequestOrchestration"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.intent">
         <removed-code code="original-order"/>
         <removed-code code="reflex-order"/>
         <removed-code code="filler-order"/>
         <removed-code code="instance-order"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-intent|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ActivityDefinition.timing[x]">
         <removed-type name="dateTime"/>
         <removed-type name="Period"/>
         <added-type name="RelativeTime"/>
      </element>
      <element path="ActivityDefinition.asNeeded[x]" status="new"/>
      <element path="ActivityDefinition.location">
         <removed-type name="Reference(Location)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="ActivityDefinition.participant.type">
         <removed-code code="related-person"/>
         <added-code code="careteam"/>
         <added-code code="group"/>
         <added-code code="healthcareservice"/>
         <added-code code="location"/>
         <added-code code="organization"/>
         <added-code code="practitionerrole"/>
         <added-code code="relatedperson"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ActivityDefinition.participant.typeCanonical" status="new"/>
      <element path="ActivityDefinition.participant.typeReference" status="new"/>
      <element path="ActivityDefinition.participant.function" status="new"/>
      <element path="ActivityDefinition.specimenRequirement">
         <removed-type name="Reference(SpecimenDefinition)"/>
         <added-type name="canonical(SpecimenDefinition)"/>
      </element>
      <element path="ActivityDefinition.observationRequirement">
         <removed-type name="Reference(ObservationDefinition)"/>
         <added-type name="canonical(ObservationDefinition)"/>
      </element>
      <element path="ActivityDefinition.observationResultRequirement">
         <removed-type name="Reference(ObservationDefinition)"/>
         <added-type name="canonical(ObservationDefinition)"/>
      </element>
   </type>
</difference>
