<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Substance" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Substance.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/substance-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/substance-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Substance.code">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Substance.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Substance.expiry" status="new"/>
      <element path="Substance.quantity" status="new"/>
      <element path="Substance.instance" status="deleted"/>
      <element path="Substance.ingredient" status="deleted"/>
   </type>
</difference>
