<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="DiagnosticReport" status="changed">
      <element path="DiagnosticReport.basedOn">
         <removed-type name="Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"/>
         <added-type name="Reference(CarePlan | MedicationRequest | NutritionOrder | ServiceRequest)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="DiagnosticReport.status">
         <removed-code code="preliminary"/>
         <removed-code code="corrected"/>
         <removed-code code="appended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/diagnostic-report-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DiagnosticReport.subject">
         <removed-type name="Reference(Patient | Group | Device | Location)"/>
         <added-type name="Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)"/>
      </element>
      <element path="DiagnosticReport.relatesTo" status="new"/>
      <element path="DiagnosticReport.issued">
         <removed-type name="instant"/>
         <added-type name="dateTime"/>
      </element>
      <element path="DiagnosticReport.procedure" status="new"/>
      <element path="DiagnosticReport.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device | Patient | RelatedPerson)"/>
      </element>
      <element path="DiagnosticReport.resultsInterpreter">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"/>
      </element>
      <element path="DiagnosticReport.note" status="new"/>
      <element old-name="imagingStudy" path="DiagnosticReport.study"/>
      <element path="DiagnosticReport.supportingInfo" status="new"/>
      <element path="DiagnosticReport.supportingInfo.type" status="new"/>
      <element path="DiagnosticReport.supportingInfo.reference" status="new"/>
      <element path="DiagnosticReport.media.link">
         <removed-type name="Reference(Media)"/>
         <added-type name="Reference(DocumentReference)"/>
      </element>
      <element path="DiagnosticReport.composition" status="new"/>
      <element path="DiagnosticReport.conclusion">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="DiagnosticReport.conclusionCode">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="DiagnosticReport.recomendation" status="new"/>
      <element path="DiagnosticReport.communication" status="new"/>
      <element path="DiagnosticReport.comparison" status="new"/>
   </type>
</difference>
