<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="CodeSystem" status="changed">
      <element path="CodeSystem.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.jurisdiction">
         <old-binding reference="http://hl7.org/fhir/ValueSet/jurisdiction"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/jurisdiction"
                      strength="extensible"/>
      </element>
      <element path="CodeSystem.copyrightLabel" status="new"/>
      <element path="CodeSystem.approvalDate" status="new"/>
      <element path="CodeSystem.lastReviewDate" status="new"/>
      <element path="CodeSystem.effectivePeriod" status="new"/>
      <element path="CodeSystem.topic" status="new"/>
      <element path="CodeSystem.author" status="new"/>
      <element path="CodeSystem.editor" status="new"/>
      <element path="CodeSystem.reviewer" status="new"/>
      <element path="CodeSystem.endorser" status="new"/>
      <element path="CodeSystem.relatedArtifact" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.hierarchyMeaning">
         <old-binding reference="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.content">
         <old-binding reference="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/codesystem-content-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.filter.operator">
         <added-code code="child-of"/>
         <added-code code="descendent-leaf"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.property.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/concept-property-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/concept-property-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="CodeSystem.concept.designation.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="CodeSystem.concept.designation.additionalUse" status="new"/>
   </type>
</difference>
