<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Goal" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Goal.lifecycleStatus">
         <removed-code code="active"/>
         <removed-code code="on-hold"/>
         <removed-code code="completed"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/goal-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/goal-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Goal.continuous" status="new"/>
      <element path="Goal.acceptance" status="new"/>
      <element path="Goal.acceptance.participant" status="new"/>
      <element path="Goal.acceptance.status" status="new"/>
      <element path="Goal.acceptance.priority" status="new"/>
      <element new-max="*" old-max="1" path="Goal.statusReason">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Goal.recorder" status="new"/>
      <element old-name="expressedBy" path="Goal.source">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | CareTeam | Group)"/>
      </element>
      <element path="Goal.addresses">
         <removed-type name="Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)"/>
         <added-type name="Reference(Condition | Observation | MedicationStatement | MedicationRequest | NutritionOrder | ServiceRequest | RiskAssessment | Procedure | NutritionIntake)"/>
      </element>
      <element path="Goal.outcomeCode" status="deleted"/>
      <element path="Goal.outcomeReference" status="deleted"/>
   </type>
</difference>
