<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Composition" status="changed">
      <element path="Composition.url" status="new"/>
      <element new-max="*" old-max="1" path="Composition.identifier"/>
      <element path="Composition.version" status="new"/>
      <element path="Composition.consent" status="new"/>
      <element path="Composition.basedOn" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Composition.status">
         <removed-code code="preliminary"/>
         <added-code code="registered"/>
         <added-code code="partial"/>
         <added-code code="cancelled"/>
         <added-code code="deprecated"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/composition-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="Composition.subject"/>
      <element path="Composition.useContext" status="new"/>
      <element new-min="0" old-min="1" path="Composition.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"/>
      </element>
      <element path="Composition.participant" status="new"/>
      <element path="Composition.participant.type" status="new"/>
      <element path="Composition.participant.function" status="new"/>
      <element path="Composition.participant.time" status="new"/>
      <element path="Composition.participant.party" status="new"/>
      <element path="Composition.name" status="new"/>
      <element new-min="0" old-min="1" path="Composition.title"/>
      <element path="Composition.note" status="new"/>
      <element binding-status="removed" path="Composition.attester.mode">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0"
                      strength="required"/>
      </element>
      <element path="Composition.attester.party">
         <removed-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization | Group)"/>
      </element>
      <element path="Composition.custodian">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Organization | Patient | Group)"/>
      </element>
      <element path="Composition.relatesTo.type" status="new"/>
      <element path="Composition.relatesTo.target[x]">
         <removed-type name="Identifier"/>
         <added-type name="uri"/>
         <added-type name="Attachment"/>
         <added-type name="canonical(Resource)"/>
         <added-type name="markdown"/>
      </element>
      <element path="Composition.event.detail">
         <removed-type name="Reference(Resource)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Composition.section.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"/>
      </element>
      <element path="Composition.section.note" status="new"/>
      <element path="Composition.confidentiality" status="deleted"/>
      <element path="Composition.relatesTo.code" status="deleted"/>
      <element path="Composition.event.code" status="deleted"/>
      <element path="Composition.section.mode" status="deleted"/>
   </type>
</difference>
