<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="DetectedIssue" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DetectedIssue.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/detectedissue-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DetectedIssue.category" status="new"/>
      <element binding-status="removed" path="DetectedIssue.severity">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0"
                      strength="required"/>
      </element>
      <element old-name="patient" path="DetectedIssue.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)"/>
      </element>
      <element path="DetectedIssue.encounter" status="new"/>
      <element path="DetectedIssue.identified[x]">
         <added-type name="Timing"/>
      </element>
      <element path="DetectedIssue.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device)"/>
         <added-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device)"/>
      </element>
      <element path="DetectedIssue.detail">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="DetectedIssue.qualityOfEvidence" status="new"/>
      <element path="DetectedIssue.expectedOnsetType" status="new"/>
      <element path="DetectedIssue.medicationClass" status="new"/>
      <element path="DetectedIssue.managementCode" status="new"/>
      <element path="DetectedIssue.mitigation.note" status="new"/>
   </type>
</difference>
