<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="ClaimResponse" status="changed">
      <element path="ClaimResponse.traceNumber" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ClaimResponse.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="patient" path="ClaimResponse.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element new-min="0" old-min="1" path="ClaimResponse.insurer"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ClaimResponse.decision" status="new"/>
      <element path="ClaimResponse.event" status="new"/>
      <element path="ClaimResponse.event.type" status="new"/>
      <element path="ClaimResponse.event.when[x]" status="new"/>
      <element path="ClaimResponse.encounter" status="new"/>
      <element path="ClaimResponse.diagnosisRelatedGroup" status="new"/>
      <element path="ClaimResponse.supportingInfo" status="new"/>
      <element path="ClaimResponse.supportingInfo.sequence" status="new"/>
      <element path="ClaimResponse.supportingInfo.category" status="new"/>
      <element path="ClaimResponse.supportingInfo.code" status="new"/>
      <element path="ClaimResponse.supportingInfo.timing[x]" status="new"/>
      <element path="ClaimResponse.supportingInfo.value[x]" status="new"/>
      <element path="ClaimResponse.supportingInfo.reason" status="new"/>
      <element path="ClaimResponse.item.traceNumber" status="new"/>
      <element path="ClaimResponse.item.informationSequence" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.decision" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.reason" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.preAuthRef" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.preAuthPeriod" status="new"/>
      <element new-min="0" old-min="1" path="ClaimResponse.item.adjudication"/>
      <element old-name="value" path="ClaimResponse.item.adjudication.quantity">
         <removed-type name="decimal"/>
         <added-type name="Quantity"/>
      </element>
      <element path="ClaimResponse.item.adjudication.decisionDate" status="new"/>
      <element path="ClaimResponse.item.detail.traceNumber" status="new"/>
      <element path="ClaimResponse.item.detail.reviewOutcome" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.item.detail.adjudication"/>
      <element path="ClaimResponse.item.detail.subDetail.traceNumber" status="new"/>
      <element path="ClaimResponse.item.detail.subDetail.reviewOutcome" status="new"/>
      <element path="ClaimResponse.addItem.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.subject" status="new"/>
      <element path="ClaimResponse.addItem.informationSequence" status="new"/>
      <element path="ClaimResponse.addItem.revenue" status="new"/>
      <element path="ClaimResponse.addItem.category" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.productOrService"/>
      <element path="ClaimResponse.addItem.productOrServiceEnd" status="new"/>
      <element path="ClaimResponse.addItem.request" status="new"/>
      <element path="ClaimResponse.addItem.tax" status="new"/>
      <element new-max="*" old-max="1" path="ClaimResponse.addItem.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ClaimResponse.addItem.bodySite.site" status="new"/>
      <element path="ClaimResponse.addItem.bodySite.subSite" status="new"/>
      <element path="ClaimResponse.addItem.reviewOutcome" status="new"/>
      <element new-min="0" old-min="1" path="ClaimResponse.addItem.adjudication"/>
      <element path="ClaimResponse.addItem.detail.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.detail.revenue" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.productOrService"/>
      <element path="ClaimResponse.addItem.detail.productOrServiceEnd" status="new"/>
      <element path="ClaimResponse.addItem.detail.tax" status="new"/>
      <element path="ClaimResponse.addItem.detail.reviewOutcome" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.adjudication"/>
      <element path="ClaimResponse.addItem.detail.subDetail.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.revenue" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.subDetail.productOrService"/>
      <element path="ClaimResponse.addItem.detail.subDetail.productOrServiceEnd"
               status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.tax" status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.reviewOutcome"
               status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.subDetail.adjudication"/>
      <element path="ClaimResponse.processNote.class" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="ClaimResponse.processNote.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/note-type|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/note-type"
                      strength="extensible"/>
      </element>
      <element path="ClaimResponse.processNote.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="ClaimResponse.processNote.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 path="ClaimResponse.error.expression" status="new"/>
      <element path="ClaimResponse.addItem.subSite" status="deleted"/>
   </type>
</difference>
