<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Patient" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.gender">
         <old-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="Patient.contact.relationship">
         <old-binding reference="http://hl7.org/fhir/ValueSet/patient-contactrelationship"
                      strength="extensible"/>
      </element>
      <element path="Patient.contact.role" status="new"/>
      <element path="Patient.contact.additionalName" status="new"/>
      <element path="Patient.contact.additionalAddress" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.contact.gender">
         <old-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="Patient.communication.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.link.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/link-type|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/link-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
</difference>
