<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="AdverseEvent" status="changed">
      <element new-max="*" old-max="1" path="AdverseEvent.identifier"/>
      <element path="AdverseEvent.status" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AdverseEvent.actuality">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-actuality|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="AdverseEvent.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-category"
                      strength="extensible"/>
      </element>
      <element old-name="event" path="AdverseEvent.code"/>
      <element old-name="date" path="AdverseEvent.effect[x]">
         <added-type name="Period"/>
      </element>
      <element old-name="resultingCondition" path="AdverseEvent.resultingEffect">
         <removed-type name="Reference(Condition)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               path="AdverseEvent.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0"
                      strength="required"/>
      </element>
      <element path="AdverseEvent.participant" status="new"/>
      <element path="AdverseEvent.participant.function" status="new"/>
      <element path="AdverseEvent.participant.actor" status="new"/>
      <element path="AdverseEvent.expectedInResearchStudy" status="new"/>
      <element path="AdverseEvent.suspectEntity.instance">
         <removed-type name="Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="1" old-max="*" path="AdverseEvent.suspectEntity.causality"/>
      <element path="AdverseEvent.suspectEntity.causality.assessmentMethod"
               status="new"/>
      <element old-name="productRelatedness"
               path="AdverseEvent.suspectEntity.causality.entityRelatedness">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="AdverseEvent.suspectEntity.causality.author">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
      </element>
      <element path="AdverseEvent.suspectEntity.occurrence[x]" status="new"/>
      <element path="AdverseEvent.contributingFactor" status="new"/>
      <element path="AdverseEvent.preventiveAction" status="new"/>
      <element path="AdverseEvent.mitigatingAction" status="new"/>
      <element path="AdverseEvent.supportingInfo" status="new"/>
      <element path="AdverseEvent.note" status="new"/>
      <element path="AdverseEvent.severity" status="deleted"/>
      <element path="AdverseEvent.contributor" status="deleted"/>
      <element path="AdverseEvent.suspectEntity.causality.assessment" status="deleted"/>
      <element path="AdverseEvent.suspectEntity.causality.method" status="deleted"/>
      <element path="AdverseEvent.subjectMedicalHistory" status="deleted"/>
      <element path="AdverseEvent.referenceDocument" status="deleted"/>
   </type>
</difference>
