{
  "types": [
    "Address",
    "Age",
    "Annotation",
    "Attachment",
    "Availability",
    "BackboneElement",
    "BackboneType",
    "Base",
    "CodeableConcept",
    "CodeableReference",
    "Coding",
    "ContactDetail",
    "ContactPoint",
    "Count",
    "DataRequirement",
    "DataType",
    "Distance",
    "Dosage",
    "DosageCondition",
    "DosageDetails",
    "DosageSafety",
    "Duration",
    "Element",
    "ElementDefinition",
    "Expression",
    "ExtendedContactDetail",
    "Extension",
    "HumanName",
    "Identifier",
    "MarketingStatus",
    "Meta",
    "MonetaryComponent",
    "Money",
    "MoneyQuantity",
    "Narrative",
    "ParameterDefinition",
    "Period",
    "PrimitiveType",
    "ProductShelfLife",
    "Quantity",
    "Range",
    "Ratio",
    "RatioRange",
    "Reference",
    "RelatedArtifact",
    "RelativeTime",
    "SampledData",
    "Signature",
    "SimpleQuantity",
    "Timing",
    "TriggerDefinition",
    "UsageContext",
    "VirtualServiceDetail",
    "base64Binary",
    "boolean",
    "canonical",
    "code",
    "date",
    "dateTime",
    "decimal",
    "id",
    "instant",
    "integer",
    "integer64",
    "markdown",
    "oid",
    "positiveInt",
    "string",
    "time",
    "unsignedInt",
    "uri",
    "url",
    "uuid",
    "xhtml",
    "Contributor",
    "Population",
    "ProdCharacteristic",
    "Account",
    "ActivityDefinition",
    "ActorDefinition",
    "AdministrableProductDefinition",
    "AdverseEvent",
    "AllergyIntolerance",
    "Appointment",
    "AppointmentResponse",
    "ArtifactAssessment",
    "AuditEvent",
    "Basic",
    "Binary",
    "BiologicallyDerivedProduct",
    "BodyStructure",
    "Bundle",
    "CanonicalResource",
    "CapabilityStatement",
    "CarePlan",
    "CareTeam",
    "Claim",
    "ClaimResponse",
    "ClinicalUseDefinition",
    "CodeSystem",
    "Communication",
    "CommunicationRequest",
    "CompartmentDefinition",
    "Composition",
    "ConceptMap",
    "Condition",
    "Consent",
    "Contract",
    "Coverage",
    "CoverageEligibilityRequest",
    "CoverageEligibilityResponse",
    "DetectedIssue",
    "Device",
    "DeviceAlert",
    "DeviceAssociation",
    "DeviceDefinition",
    "DeviceMetric",
    "DeviceRequest",
    "DiagnosticReport",
    "DocumentReference",
    "DomainResource",
    "Encounter",
    "Endpoint",
    "EnrollmentRequest",
    "EnrollmentResponse",
    "EpisodeOfCare",
    "EventDefinition",
    "Evidence",
    "EvidenceVariable",
    "ExampleScenario",
    "ExplanationOfBenefit",
    "FamilyMemberHistory",
    "Flag",
    "Goal",
    "Group",
    "GuidanceResponse",
    "HealthcareService",
    "ImagingSelection",
    "ImagingStudy",
    "Immunization",
    "ImplementationGuide",
    "Ingredient",
    "InsurancePlan",
    "InsuranceProduct",
    "Invoice",
    "Library",
    "List",
    "Location",
    "ManufacturedItemDefinition",
    "Measure",
    "MeasureReport",
    "Medication",
    "MedicationAdministration",
    "MedicationDispense",
    "MedicationRequest",
    "MedicationStatement",
    "MedicinalProductDefinition",
    "MessageDefinition",
    "MessageHeader",
    "MetadataResource",
    "NamingSystem",
    "NutritionIntake",
    "NutritionOrder",
    "NutritionProduct",
    "Observation",
    "ObservationDefinition",
    "OperationDefinition",
    "OperationOutcome",
    "Organization",
    "OrganizationAffiliation",
    "PackagedProductDefinition",
    "Parameters",
    "Patient",
    "PaymentNotice",
    "PaymentReconciliation",
    "Person",
    "PlanDefinition",
    "Practitioner",
    "PractitionerRole",
    "Procedure",
    "Provenance",
    "Questionnaire",
    "QuestionnaireResponse",
    "RegulatedAuthorization",
    "RelatedPerson",
    "RequestOrchestration",
    "Requirements",
    "ResearchStudy",
    "ResearchSubject",
    "Resource",
    "RiskAssessment",
    "Schedule",
    "SearchParameter",
    "ServiceRequest",
    "Slot",
    "Specimen",
    "SpecimenDefinition",
    "StructureDefinition",
    "StructureMap",
    "Subscription",
    "SubscriptionStatus",
    "SubscriptionTopic",
    "Substance",
    "SubstanceDefinition",
    "Task",
    "TerminologyCapabilities",
    "ValueSet",
    "VisionPrescription",
    "CatalogEntry",
    "ChargeItem",
    "ChargeItemDefinition",
    "Citation",
    "ClinicalImpression",
    "DeviceUseStatement",
    "DocumentManifest",
    "EvidenceReport",
    "GraphDefinition",
    "ImmunizationEvaluation",
    "ImmunizationRecommendation",
    "Linkage",
    "Media",
    "MedicationKnowledge",
    "MolecularSequence",
    "RequestGroup",
    "ResearchDefinition",
    "ResearchElementDefinition",
    "SupplyDelivery",
    "SupplyRequest",
    "TestReport",
    "TestScript",
    "VerificationResult"
  ],
  "Address": {
    "elements": {
      "Address.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-use|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Address.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-type|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Age": {
    "elements": {
      "Age": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/age-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-time-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/age-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Annotation": {
    "status": "no-change"
  },
  "Attachment": {
    "elements": {
      "Attachment.contentType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Attachment.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Attachment.size": {
        "removed-types": [
          "unsignedInt"
        ],
        "added-types": [
          "integer64"
        ]
      },
      "Attachment.height": {
        "status": "new"
      },
      "Attachment.width": {
        "status": "new"
      },
      "Attachment.frames": {
        "status": "new"
      },
      "Attachment.duration": {
        "status": "new"
      },
      "Attachment.pages": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "Availability": {
    "status": "new"
  },
  "BackboneElement": {
    "status": "no-change"
  },
  "BackboneType": {
    "status": "new"
  },
  "Base": {
    "status": "new"
  },
  "CodeableConcept": {
    "status": "no-change"
  },
  "CodeableReference": {
    "status": "no-change"
  },
  "Coding": {
    "status": "no-change"
  },
  "ContactDetail": {
    "status": "no-change"
  },
  "ContactPoint": {
    "elements": {
      "ContactPoint.system": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-system|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-system|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ContactPoint.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-use|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Count": {
    "status": "no-change"
  },
  "DataRequirement": {
    "elements": {
      "DataRequirement.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "DataRequirement.subject[x]": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subject-type",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participant-resource-types",
          "strength": "extensible"
        }
      },
      "DataRequirement.valueFilter": {
        "status": "new"
      },
      "DataRequirement.valueFilter.path": {
        "status": "new"
      },
      "DataRequirement.valueFilter.searchParam": {
        "status": "new"
      },
      "DataRequirement.valueFilter.comparator": {
        "status": "new"
      },
      "DataRequirement.valueFilter.value[x]": {
        "status": "new"
      },
      "DataRequirement.sort.direction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/sort-direction|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/sort-direction|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "DataType": {
    "status": "new"
  },
  "Distance": {
    "elements": {
      "Distance": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/distance-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-distance-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/distance-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Dosage": {
    "elements": {
      "Dosage.condition": {
        "status": "new"
      },
      "Dosage.asNeeded": {
        "old-name": "asNeeded[x]",
        "removed-types": [
          "CodeableConcept"
        ]
      },
      "Dosage.asNeededFor": {
        "status": "new"
      },
      "Dosage.site": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Dosage.doseAndRate.dose[x]": {
        "added-types": [
          "Expression"
        ]
      },
      "Dosage.doseAndRate.rate[x]": {
        "added-types": [
          "Expression"
        ]
      },
      "Dosage.safety": {
        "status": "new"
      },
      "Dosage.sequence": {
        "status": "deleted"
      },
      "Dosage.maxDosePerPeriod": {
        "status": "deleted"
      },
      "Dosage.maxDosePerAdministration": {
        "status": "deleted"
      },
      "Dosage.maxDosePerLifetime": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DosageCondition": {
    "status": "new"
  },
  "DosageDetails": {
    "status": "new"
  },
  "DosageSafety": {
    "status": "new"
  },
  "Duration": {
    "elements": {
      "Duration": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/duration-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-time-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/duration-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Element": {
    "elements": {
      "Element.id": {
        "removed-types": [
          "id"
        ],
        "added-types": [
          "string"
        ]
      }
    },
    "status": "changed"
  },
  "ElementDefinition": {
    "elements": {
      "ElementDefinition.representation": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/property-representation|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/property-representation|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.slicing.discriminator.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "position"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/discriminator-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/discriminator-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.slicing.rules": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-slicing-rules|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.type.code": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fhir-element-types",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/elementdefinition-types",
          "strength": "extensible"
        }
      },
      "ElementDefinition.type.aggregation": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "bundled"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-aggregation-mode|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.type.versioning": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-version-rules|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-version-rules|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.defaultValue[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Meta"
        ]
      },
      "ElementDefinition.fixed[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Meta"
        ]
      },
      "ElementDefinition.pattern[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Meta"
        ]
      },
      "ElementDefinition.example.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Meta"
        ]
      },
      "ElementDefinition.minValue[x]": {
        "added-types": [
          "integer64"
        ]
      },
      "ElementDefinition.maxValue[x]": {
        "added-types": [
          "integer64"
        ]
      },
      "ElementDefinition.constraint.requirements": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.constraint.severity": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/constraint-severity|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/constraint-severity|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.constraint.suppress": {
        "status": "new"
      },
      "ElementDefinition.mustHaveValue": {
        "status": "new"
      },
      "ElementDefinition.valueAlternatives": {
        "status": "new"
      },
      "ElementDefinition.binding.strength": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "descriptive"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.binding.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.binding.additional": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.key": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.purpose": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.valueSet": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.documentation": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.shortDoco": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.usage": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.any": {
        "status": "new"
      },
      "ElementDefinition.mapping.language": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ElementDefinition.mapping.comment": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.constraint.xpath": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "Expression": {
    "elements": {
      "Expression.name": {
        "removed-types": [
          "id"
        ],
        "added-types": [
          "code"
        ]
      },
      "Expression.language": {
        "old-min": 1,
        "new-min": 0,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/expression-language",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/mimetypes"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/expression-language",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "ExtendedContactDetail": {
    "status": "new"
  },
  "Extension": {
    "elements": {
      "Extension.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Meta"
        ]
      }
    },
    "status": "changed"
  },
  "HumanName": {
    "elements": {
      "HumanName.use": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "maiden"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Identifier": {
    "elements": {
      "Identifier.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-use|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "MarketingStatus": {
    "status": "no-change"
  },
  "Meta": {
    "status": "no-change"
  },
  "MonetaryComponent": {
    "status": "new"
  },
  "Money": {
    "elements": {
      "Money.currency": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
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      "AdverseEvent.subjectMedicalHistory": {
        "status": "deleted"
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      "AdverseEvent.referenceDocument": {
        "status": "deleted"
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        "added-types": [
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      "AllergyIntolerance.recorder": {
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          "Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)"
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      "AllergyIntolerance.lastReactionOccurrence": {
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      "AllergyIntolerance.reaction.manifestation": {
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        "added-types": [
          "CodeableReference"
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      "AllergyIntolerance.reaction.severity": {
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/reaction-event-severity|6.0.0-ballot4",
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        "binding-status": "changed",
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        "added-types": [
          "Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription)"
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        "added-types": [
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      "Appointment.recurrenceTemplate.weeklyTemplate.monday": {
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      "Appointment.recurrenceTemplate.weeklyTemplate.wednesday": {
        "status": "new"
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        "status": "new"
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      "Appointment.recurrenceTemplate.weeklyTemplate.friday": {
        "status": "new"
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      "Appointment.recurrenceTemplate.weeklyTemplate.saturday": {
        "status": "new"
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      "Appointment.recurrenceTemplate.weeklyTemplate.sunday": {
        "status": "new"
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        "status": "new"
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      "Appointment.recurrenceTemplate.monthlyTemplate": {
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      "Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth": {
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        "status": "new"
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        "status": "new"
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      "Appointment.recurrenceTemplate.yearlyTemplate.yearInterval": {
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      "Appointment.recurrenceTemplate.excludingDate": {
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      "Appointment.reasonReference": {
        "status": "deleted"
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    },
    "status": "changed"
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        "added-types": [
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      "AppointmentResponse.recurring": {
        "status": "new"
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      "AppointmentResponse.occurrenceDate": {
        "status": "new"
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      "AppointmentResponse.recurrenceId": {
        "status": "new"
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    },
    "status": "changed"
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  "ArtifactAssessment": {
    "status": "new"
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  "AuditEvent": {
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        ],
        "added-types": [
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        "binding-status": "removed",
        "old-binding": {
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      "AuditEvent.subtype": {
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        "added-types": [
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        "binding-status": "removed",
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      "AuditEvent.action": {
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      "AuditEvent.severity": {
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      "AuditEvent.occurred[x]": {
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          "dateTime"
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      "AuditEvent.outcome": {
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        "added-types": [
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        "binding-status": "removed",
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      },
      "AuditEvent.outcome.code": {
        "status": "new"
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      "AuditEvent.outcome.detail": {
        "status": "new"
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      "AuditEvent.basedOn": {
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      "AuditEvent.patient": {
        "status": "new"
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      "AuditEvent.encounter": {
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      "AuditEvent.agent.type": {
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      "AuditEvent.agent.who": {
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        "removed-types": [
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        "added-types": [
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        "new-min": 0
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      "AuditEvent.agent.network[x]": {
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        "added-types": [
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          "uri",
          "string"
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      "AuditEvent.source.site": {
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      "AuditEvent.source.observer": {
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        "binding-status": "removed",
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        "added-types": [
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        "binding-status": "removed",
        "old-binding": {
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          "strength": "extensible"
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      "AuditEvent.entity.securityLabel": {
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        "added-types": [
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        "binding-status": "removed",
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      "AuditEvent.agent.media": {
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        "added-types": [
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    "status": "changed"
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  "BiologicallyDerivedProduct": {
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      "BiologicallyDerivedProduct.therapyIdentifier": {
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      "BiologicallyDerivedProduct.biologicalSourceEvent": {
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        "status": "new"
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      "BiologicallyDerivedProduct.division": {
        "status": "new"
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      "BiologicallyDerivedProduct.collection.sourcePatient": {
        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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      "BiologicallyDerivedProduct.property": {
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      "BiologicallyDerivedProduct.property.type": {
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      "BiologicallyDerivedProduct.storage": {
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      "BodyStructure.includedStructure.structure": {
        "status": "new"
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      "BodyStructure.includedStructure.laterality": {
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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      "BodyStructure.includedStructure.spatialReference": {
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      "BodyStructure.includedStructure.image": {
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        "binding-codes-changed": true,
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          "reference": "http://hl7.org/fhir/ValueSet/bundle-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Bundle.link.relation": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "code"
        ],
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Bundle.entry.search.mode": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0",
          "strength": "required"
        },
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          "reference": "http://hl7.org/fhir/ValueSet/search-entry-mode|6.0.0-ballot4",
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        }
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      "Bundle.entry.request.method": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-verb|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-verb|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Bundle.entry.response.outcome": {
        "removed-types": [
          "Resource"
        ],
        "added-types": [
          "Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)"
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      "Bundle.issues": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "CanonicalResource": {
    "status": "new"
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      },
      "CapabilityStatement.versionAlgorithm[x]": {
        "status": "new"
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      "CapabilityStatement.status": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
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          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.actorDefinition": {
        "status": "new"
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      "CapabilityStatement.jurisdiction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
          "strength": "extensible"
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        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
        }
      },
      "CapabilityStatement.copyrightLabel": {
        "status": "new"
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      "CapabilityStatement.kind": {
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          "strength": "required"
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      "CapabilityStatement.implementation.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
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      "CapabilityStatement.fhirVersion": {
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        "binding-codes-changed": true,
        "removed-codes": [
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          "0.0.81",
          "0.0.82",
          "0.4.0",
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          "1.0.1",
          "1.0.2",
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          "1.4.0",
          "1.6.0",
          "1.8.0",
          "3.0.0",
          "3.0.1",
          "3.0.2",
          "3.3.0",
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          "4.0.0",
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          "4.1.0",
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          "1.4",
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          "3.0",
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          "4.1",
          "4.2",
          "4.3",
          "4.4",
          "4.5",
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      "CapabilityStatement.format": {
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        "binding-status": "changed",
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          "strength": "required"
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          "strength": "required"
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      "CapabilityStatement.patchFormat": {
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
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          "strength": "required"
        }
      },
      "CapabilityStatement.acceptLanguage": {
        "status": "new"
      },
      "CapabilityStatement.rest.mode": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/restful-capability-mode|4.3.0",
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          "reference": "http://hl7.org/fhir/ValueSet/restful-capability-mode|6.0.0-ballot4",
          "strength": "required"
        }
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      "CapabilityStatement.rest.resource.type": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "uri"
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        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/extended-resource-types",
          "strength": "extensible"
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      "CapabilityStatement.rest.resource.definition": {
        "status": "new"
      },
      "CapabilityStatement.rest.resource.interaction.code": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
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          "patch-conditional",
          "delete-conditional-single",
          "delete-conditional-multiple",
          "delete-history",
          "delete-history-version",
          "create-conditional"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/type-restful-interaction|4.3.0",
          "strength": "required"
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          "reference": "http://hl7.org/fhir/ValueSet/type-restful-interaction|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.rest.resource.versioning": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/versioning-policy|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/versioning-policy|6.0.0-ballot4",
          "strength": "required"
        }
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      "CapabilityStatement.rest.resource.conditionalRead": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/conditional-read-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/conditional-read-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.rest.resource.conditionalPatch": {
        "status": "new"
      },
      "CapabilityStatement.rest.resource.conditionalDelete": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/conditional-delete-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/conditional-delete-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.rest.resource.referencePolicy": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-handling-policy|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-handling-policy|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.rest.resource.searchParam.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "resource"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-param-type|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.rest.interaction.code": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/system-restful-interaction|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/system-restful-interaction|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.messaging.supportedMessage.mode": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/event-capability-mode|4.3.0",
          "strength": "required"
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          "reference": "http://hl7.org/fhir/ValueSet/event-capability-mode|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CapabilityStatement.document.mode": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-mode|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-mode|6.0.0-ballot4",
          "strength": "required"
        }
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    },
    "status": "changed"
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  "CarePlan": {
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          "Reference(CarePlan)"
        ],
        "added-types": [
          "Reference(CarePlan | ServiceRequest | RequestOrchestration | NutritionOrder)"
        ]
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      "CarePlan.status": {
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        "binding-codes-changed": true,
        "removed-codes": [
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          "completed"
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        "added-codes": [
          "ended"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4",
          "strength": "required"
        }
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      "CarePlan.intent": {
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        "binding-codes-changed": true,
        "added-codes": [
          "directive"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/care-plan-intent|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/care-plan-intent|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CarePlan.custodian": {
        "old-name": "author"
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      "CarePlan.addresses": {
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          "Reference(Condition)"
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        "added-types": [
          "CodeableReference"
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      },
      "CarePlan.activity.performedActivity": {
        "status": "new"
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      "CarePlan.activity.plannedActivityReference": {
        "old-name": "reference",
        "removed-types": [
          "Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)"
        ],
        "added-types": [
          "Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestOrchestration)"
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      "CarePlan.instantiatesCanonical": {
        "status": "deleted"
      },
      "CarePlan.instantiatesUri": {
        "status": "deleted"
      },
      "CarePlan.activity.outcomeCodeableConcept": {
        "status": "deleted"
      },
      "CarePlan.activity.outcomeReference": {
        "status": "deleted"
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      "CarePlan.activity.detail": {
        "status": "deleted"
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    "status": "changed"
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  "CareTeam": {
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        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/care-team-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/care-team-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CareTeam.participant.role": {
        "old-max": "*",
        "new-max": "1"
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      "CareTeam.participant.member": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam | Group | HealthcareService)"
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      },
      "CareTeam.participant.onBehalfOf": {
        "removed-types": [
          "Reference(Organization)"
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        "added-types": [
          "Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam | Group | HealthcareService)"
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      },
      "CareTeam.participant.effective[x]": {
        "old-name": "period",
        "added-types": [
          "Timing"
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      "CareTeam.participant.supportingInfo": {
        "status": "new"
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      "CareTeam.reason": {
        "status": "new"
      },
      "CareTeam.encounter": {
        "status": "deleted"
      },
      "CareTeam.reasonCode": {
        "status": "deleted"
      },
      "CareTeam.reasonReference": {
        "status": "deleted"
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    },
    "status": "changed"
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  "Claim": {
    "elements": {
      "Claim.traceNumber": {
        "status": "new"
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      "Claim.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4",
          "strength": "required"
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      },
      "Claim.statusReason": {
        "status": "new"
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      "Claim.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/claim-use|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4",
          "strength": "required"
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      },
      "Claim.subject": {
        "old-name": "patient",
        "removed-types": [
          "Reference(Patient)"
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        "added-types": [
          "Reference(Patient | Group)"
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      "Claim.enterer": {
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        "added-types": [
          "Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"
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        "new-min": 0
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      "Claim.priority": {
        "old-min": 1,
        "new-min": 0
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      "Claim.prescription": {
        "removed-types": [
          "Reference(DeviceRequest | MedicationRequest | VisionPrescription)"
        ],
        "added-types": [
          "Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"
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      },
      "Claim.originalPrescription": {
        "removed-types": [
          "Reference(DeviceRequest | MedicationRequest | VisionPrescription)"
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        "added-types": [
          "Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"
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      "Claim.encounter": {
        "status": "new"
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      "Claim.facility": {
        "removed-types": [
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        "added-types": [
          "Reference(Location | Organization)"
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      "Claim.diagnosisRelatedGroup": {
        "status": "new"
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      "Claim.event": {
        "status": "new"
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      "Claim.event.type": {
        "status": "new"
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      "Claim.event.when[x]": {
        "status": "new"
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      "Claim.careTeam.specialty": {
        "old-name": "qualification"
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      "Claim.supportingInfo.subCategory": {
        "status": "new"
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      "Claim.supportingInfo.timing[x]": {
        "removed-types": [
          "date"
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        "added-types": [
          "dateTime",
          "Timing"
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      "Claim.supportingInfo.value[x]": {
        "added-types": [
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          "canonical",
          "code",
          "date",
          "dateTime",
          "decimal",
          "id",
          "instant",
          "integer",
          "integer64",
          "markdown",
          "oid",
          "positiveInt",
          "time",
          "unsignedInt",
          "uri",
          "url",
          "uuid",
          "Address",
          "Age",
          "Annotation",
          "CodeableConcept",
          "CodeableReference",
          "Coding",
          "ContactPoint",
          "Count",
          "Distance",
          "Duration",
          "HumanName",
          "Identifier",
          "Money",
          "Period",
          "Range",
          "Ratio",
          "RatioRange",
          "SampledData",
          "Signature",
          "Timing",
          "ContactDetail",
          "DataRequirement",
          "Expression",
          "ParameterDefinition",
          "RelatedArtifact",
          "TriggerDefinition",
          "UsageContext",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Dosage",
          "Meta"
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        "new-min": 0
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      "Claim.patientPaid": {
        "status": "new"
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      "Claim.item.traceNumber": {
        "status": "new"
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      "Claim.item.subject": {
        "status": "new"
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      "Claim.item.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "Claim.item.productOrServiceEnd": {
        "status": "new"
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      "Claim.item.request": {
        "status": "new"
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      "Claim.item.patientPaid": {
        "status": "new"
      },
      "Claim.item.tax": {
        "status": "new"
      },
      "Claim.item.bodySite": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
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      "Claim.item.bodySite.site": {
        "status": "new"
      },
      "Claim.item.bodySite.subSite": {
        "status": "new"
      },
      "Claim.item.detail.traceNumber": {
        "status": "new"
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      "Claim.item.detail.productOrService": {
        "old-min": 1,
        "new-min": 0
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      "Claim.item.detail.productOrServiceEnd": {
        "status": "new"
      },
      "Claim.item.detail.patientPaid": {
        "status": "new"
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      "Claim.item.detail.tax": {
        "status": "new"
      },
      "Claim.item.detail.subDetail.traceNumber": {
        "status": "new"
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      "Claim.item.detail.subDetail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "Claim.item.detail.subDetail.productOrServiceEnd": {
        "status": "new"
      },
      "Claim.item.detail.subDetail.patientPaid": {
        "status": "new"
      },
      "Claim.item.detail.subDetail.tax": {
        "status": "new"
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      "Claim.careTeam.responsible": {
        "status": "deleted"
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      "Claim.diagnosis.packageCode": {
        "status": "deleted"
      },
      "Claim.item.subSite": {
        "status": "deleted"
      }
    },
    "status": "changed"
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  "ClaimResponse": {
    "elements": {
      "ClaimResponse.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.statusReason": {
        "status": "new"
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      "ClaimResponse.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.subject": {
        "old-name": "patient",
        "removed-types": [
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        "added-types": [
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        "status": "new"
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        "status": "deleted"
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      "ConceptMap.copyrightLabel": {
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      "ConceptMap.reviewer": {
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      "ConceptMap.endorser": {
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      "ConceptMap.additionalAttribute.description": {
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        "status": "deleted"
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      "ConceptMap.group.element.target.equivalence": {
        "status": "deleted"
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        "status": "deleted"
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      "ConceptMap.group.element.target.dependsOn.display": {
        "status": "deleted"
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    "status": "changed"
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        "status": "new"
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        "status": "new"
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      "DeviceDefinition.title": {
        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
      },
      "DeviceDefinition.publisher": {
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        "added-types": [
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        "status": "new"
      },
      "DeviceDefinition.useContext": {
        "status": "new"
      },
      "DeviceDefinition.jurisdiction": {
        "status": "new"
      },
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        "status": "new"
      },
      "DeviceDefinition.copyright": {
        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
      },
      "DeviceDefinition.partNumber": {
        "status": "new"
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      "DeviceDefinition.udiDeviceIdentifier.marketDistribution": {
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        "status": "new"
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      "DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction": {
        "status": "new"
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      "DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem": {
        "status": "new"
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      },
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        "status": "new"
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      "DeviceDefinition.hasPart.count": {
        "status": "new"
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        "status": "new"
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      "DeviceDefinition.packaging.identifier": {
        "status": "new"
      },
      "DeviceDefinition.packaging.type": {
        "status": "new"
      },
      "DeviceDefinition.packaging.count": {
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      },
      "DeviceDefinition.packaging.distributor": {
        "status": "new"
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      "DeviceDefinition.packaging.distributor.name": {
        "status": "new"
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      "DeviceDefinition.packaging.distributor.organizationReference": {
        "status": "new"
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      "DeviceDefinition.packaging.udiDeviceIdentifier": {
        "status": "new"
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      "DeviceDefinition.packaging.packaging": {
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        "status": "new"
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      "DeviceDefinition.deviceVersion.component": {
        "status": "new"
      },
      "DeviceDefinition.deviceVersion.value": {
        "status": "new"
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      "DeviceDefinition.outputLanguage": {
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        "old-max": "*",
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          "integer",
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      "DeviceDefinition.link.relation": {
        "status": "new"
      },
      "DeviceDefinition.link.relatedDevice[x]": {
        "status": "new"
      },
      "DeviceDefinition.productionIdentifierInUDI": {
        "status": "new"
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      "DeviceDefinition.guideline": {
        "status": "new"
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      "DeviceDefinition.guideline.useContext": {
        "status": "new"
      },
      "DeviceDefinition.guideline.usageInstruction": {
        "status": "new"
      },
      "DeviceDefinition.guideline.relatedArtifact": {
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        "old-max": "1",
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        "removed-types": [
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        "added-types": [
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        "status": "new"
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      "DeviceDefinition.guideline.contraindication": {
        "status": "new"
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      "DeviceDefinition.guideline.warning": {
        "status": "new"
      },
      "DeviceDefinition.guideline.intendedUse": {
        "status": "new"
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      "DeviceDefinition.correctiveAction": {
        "status": "new"
      },
      "DeviceDefinition.correctiveAction.recall": {
        "status": "new"
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      "DeviceDefinition.correctiveAction.scope": {
        "status": "new"
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      "DeviceDefinition.correctiveAction.period": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.chargeItemCode": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.count": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.effectivePeriod": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.useContext": {
        "status": "new"
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      "DeviceDefinition.capability": {
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      },
      "DeviceDefinition.property.valueCode": {
        "status": "deleted"
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      "DeviceDefinition.owner": {
        "status": "deleted"
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      "DeviceDefinition.quantity": {
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      "DeviceDefinition.parentDevice": {
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    },
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        "removed-codes": [
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        "status": "new"
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      "DeviceRequest.quantity": {
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      "DeviceRequest.requester": {
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        "added-types": [
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      "DeviceRequest.location": {
        "status": "new"
      },
      "DeviceRequest.reason": {
        "status": "new"
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      "DeviceRequest.asNeeded": {
        "status": "new"
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      "DeviceRequest.asNeededFor": {
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        "status": "deleted"
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      "DeviceRequest.instantiatesUri": {
        "status": "deleted"
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      "DeviceRequest.performerType": {
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      "DeviceRequest.reasonCode": {
        "status": "deleted"
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      "DeviceRequest.reasonReference": {
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        "added-types": [
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      "DiagnosticReport.status": {
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        "binding-codes-changed": true,
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      "DiagnosticReport.subject": {
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        "added-types": [
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      "DiagnosticReport.relatesTo": {
        "status": "new"
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      "DiagnosticReport.issued": {
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        "added-types": [
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      "DiagnosticReport.procedure": {
        "status": "new"
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        "status": "new"
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      "DiagnosticReport.study": {
        "old-name": "imagingStudy"
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      "DiagnosticReport.supportingInfo": {
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      },
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      },
      "DiagnosticReport.supportingInfo.reference": {
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      "DiagnosticReport.media.link": {
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        "added-types": [
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      "DiagnosticReport.composition": {
        "status": "new"
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      "DocumentReference.context.encounter": {
        "status": "deleted"
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      "DocumentReference.context.event": {
        "status": "deleted"
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      "DocumentReference.context.sourcePatientInfo": {
        "status": "deleted"
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        "status": "deleted"
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      "Encounter.reasonCode": {
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      "Encounter.reasonReference": {
        "status": "deleted"
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        "status": "new"
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        "status": "new"
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        "status": "new"
      },
      "EvidenceVariable.relatesTo": {
        "status": "new"
      },
      "EvidenceVariable.relatesTo.type": {
        "status": "new"
      },
      "EvidenceVariable.relatesTo.target[x]": {
        "status": "new"
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      "EvidenceVariable.definition": {
        "status": "new"
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      "EvidenceVariable.definitionModifier": {
        "status": "new"
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      "EvidenceVariable.definitionModifier.code": {
        "status": "new"
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      "EvidenceVariable.definitionModifier.value[x]": {
        "status": "new"
      },
      "EvidenceVariable.handling": {
        "removed-types": [
          "code"
        ],
        "added-types": [
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        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/variable-handling|4.3.0",
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      },
      "EvidenceVariable.category.value[x]": {
        "added-types": [
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        ]
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      "EvidenceVariable.conditional": {
        "status": "new"
      },
      "EvidenceVariable.classifier": {
        "status": "new"
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      "EvidenceVariable.dataStorage": {
        "status": "new"
      },
      "EvidenceVariable.dataStorage.datatype": {
        "status": "new"
      },
      "EvidenceVariable.dataStorage.path": {
        "status": "new"
      },
      "EvidenceVariable.dataStorage.delimiter": {
        "status": "new"
      },
      "EvidenceVariable.dataStorage.component": {
        "status": "new"
      },
      "EvidenceVariable.timing": {
        "status": "new"
      },
      "EvidenceVariable.period": {
        "status": "new"
      },
      "EvidenceVariable.constraint": {
        "status": "new"
      },
      "EvidenceVariable.constraint.conditional": {
        "status": "new"
      },
      "EvidenceVariable.constraint.minimumQuantity": {
        "status": "new"
      },
      "EvidenceVariable.constraint.maximumQuantity": {
        "status": "new"
      },
      "EvidenceVariable.constraint.earliestDateTime": {
        "status": "new"
      },
      "EvidenceVariable.constraint.latestDateTime": {
        "status": "new"
      },
      "EvidenceVariable.constraint.minimumStringLength": {
        "status": "new"
      },
      "EvidenceVariable.constraint.maximumStringLength": {
        "status": "new"
      },
      "EvidenceVariable.constraint.code": {
        "status": "new"
      },
      "EvidenceVariable.constraint.expression": {
        "status": "new"
      },
      "EvidenceVariable.constraint.expectedValueSet": {
        "status": "new"
      },
      "EvidenceVariable.constraint.expectedUnitsValueSet": {
        "status": "new"
      },
      "EvidenceVariable.constraint.anyValueAllowed": {
        "status": "new"
      },
      "EvidenceVariable.missingDataMeaning": {
        "status": "new"
      },
      "EvidenceVariable.unacceptableDataHandling": {
        "status": "new"
      },
      "EvidenceVariable.subtitle": {
        "status": "deleted"
      },
      "EvidenceVariable.relatedArtifact": {
        "status": "deleted"
      },
      "EvidenceVariable.characteristicCombination": {
        "status": "deleted"
      },
      "EvidenceVariable.characteristic": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
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    "elements": {
      "ExampleScenario.versionAlgorithm[x]": {
        "status": "new"
      },
      "ExampleScenario.title": {
        "status": "new"
      },
      "ExampleScenario.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "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"
        }
      },
      "ExampleScenario.description": {
        "status": "new"
      },
      "ExampleScenario.jurisdiction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
        }
      },
      "ExampleScenario.copyrightLabel": {
        "status": "new"
      },
      "ExampleScenario.actor.key": {
        "old-name": "actorId"
      },
      "ExampleScenario.actor.type": {
        "old-min": 1,
        "new-min": 0,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.3.0",
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          "reference": "http://hl7.org/fhir/ValueSet/actordefinition-actor-type|6.0.0-ballot4",
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        }
      },
      "ExampleScenario.actor.title": {
        "old-name": "name",
        "old-min": 0,
        "new-min": 1
      },
      "ExampleScenario.actor.definition": {
        "status": "new"
      },
      "ExampleScenario.instance.key": {
        "old-name": "resourceId"
      },
      "ExampleScenario.instance.structureType": {
        "old-name": "resourceType",
        "removed-types": [
          "code"
        ],
        "added-types": [
          "Coding"
        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.3.0",
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        },
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          "reference": "http://hl7.org/fhir/ValueSet/examplescenario-instance-type",
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      "ExampleScenario.instance.structureVersion": {
        "status": "new"
      },
      "ExampleScenario.instance.structureProfile[x]": {
        "status": "new"
      },
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        "old-name": "name",
        "old-min": 0,
        "new-min": 1
      },
      "ExampleScenario.instance.content": {
        "status": "new"
      },
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      },
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        "status": "new"
      },
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        "old-min": 1,
        "new-min": 0
      },
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        "status": "new"
      },
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        "old-name": "resourceId"
      },
      "ExampleScenario.instance.containedInstance.versionReference": {
        "old-name": "versionId"
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      "ExampleScenario.process.step.number": {
        "status": "new"
      },
      "ExampleScenario.process.step.process": {
        "old-max": "*",
        "new-max": "1"
      },
      "ExampleScenario.process.step.workflow": {
        "status": "new"
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        "removed-types": [
          "string"
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        "added-types": [
          "Coding"
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        "binding-status": "added",
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          "reference": "http://hl7.org/fhir/ValueSet/examplescenario-operation-codes",
          "strength": "extensible"
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        "old-min": 0,
        "new-min": 1
      },
      "ExampleScenario.process.step.operation.number": {
        "status": "deleted"
      },
      "ExampleScenario.workflow": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
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      "ExplanationOfBenefit.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.3.0",
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      "ExplanationOfBenefit.statusReason": {
        "status": "new"
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        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "strength": "required"
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      },
      "ExplanationOfBenefit.subject": {
        "old-name": "patient",
        "removed-types": [
          "Reference(Patient)"
        ],
        "added-types": [
          "Reference(Patient | Group)"
        ]
      },
      "ExplanationOfBenefit.enterer": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"
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      },
      "ExplanationOfBenefit.insurer": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.provider": {
        "old-min": 1,
        "new-min": 0
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      "ExplanationOfBenefit.related.claim": {
        "removed-types": [
          "Reference(Claim)"
        ],
        "added-types": [
          "Reference(Claim | ExplanationOfBenefit)"
        ]
      },
      "ExplanationOfBenefit.prescription": {
        "removed-types": [
          "Reference(MedicationRequest | VisionPrescription)"
        ],
        "added-types": [
          "Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"
        ]
      },
      "ExplanationOfBenefit.originalPrescription": {
        "removed-types": [
          "Reference(MedicationRequest)"
        ],
        "added-types": [
          "Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"
        ]
      },
      "ExplanationOfBenefit.event": {
        "status": "new"
      },
      "ExplanationOfBenefit.event.type": {
        "status": "new"
      },
      "ExplanationOfBenefit.event.when[x]": {
        "status": "new"
      },
      "ExplanationOfBenefit.encounter": {
        "status": "new"
      },
      "ExplanationOfBenefit.facility": {
        "removed-types": [
          "Reference(Location)"
        ],
        "added-types": [
          "Reference(Location | Organization)"
        ]
      },
      "ExplanationOfBenefit.outcome": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-outcome|6.0.0-ballot4",
          "strength": "required"
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      },
      "ExplanationOfBenefit.decision": {
        "status": "new"
      },
      "ExplanationOfBenefit.diagnosisRelatedGroup": {
        "status": "new"
      },
      "ExplanationOfBenefit.careTeam.specialty": {
        "old-name": "qualification"
      },
      "ExplanationOfBenefit.supportingInfo.timing[x]": {
        "removed-types": [
          "date"
        ],
        "added-types": [
          "dateTime",
          "Timing"
        ]
      },
      "ExplanationOfBenefit.supportingInfo.value[x]": {
        "added-types": [
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          "canonical",
          "code",
          "date",
          "dateTime",
          "decimal",
          "id",
          "instant",
          "integer",
          "integer64",
          "markdown",
          "oid",
          "positiveInt",
          "time",
          "unsignedInt",
          "uri",
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          "uuid",
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          "Age",
          "Annotation",
          "CodeableConcept",
          "CodeableReference",
          "Coding",
          "ContactPoint",
          "Count",
          "Distance",
          "Duration",
          "HumanName",
          "Identifier",
          "Money",
          "Period",
          "Range",
          "Ratio",
          "RatioRange",
          "SampledData",
          "Signature",
          "Timing",
          "ContactDetail",
          "DataRequirement",
          "Expression",
          "ParameterDefinition",
          "RelatedArtifact",
          "TriggerDefinition",
          "UsageContext",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail",
          "Dosage",
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      },
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        "status": "new"
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      "ExplanationOfBenefit.item.traceNumber": {
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        "status": "new"
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        "status": "new"
      },
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        "status": "new"
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      "ExplanationOfBenefit.item.bodySite": {
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        "new-max": "*",
        "removed-types": [
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        ],
        "added-types": [
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      },
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        "status": "new"
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      "ExplanationOfBenefit.item.bodySite.subSite": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.decision": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.reason": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.preAuthRef": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.adjudication.quantity": {
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        "added-types": [
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      },
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        "status": "new"
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      "ExplanationOfBenefit.item.detail.traceNumber": {
        "status": "new"
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        "status": "new"
      },
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        "status": "new"
      },
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        "status": "new"
      },
      "ExplanationOfBenefit.addItem.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.subject": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.informationSequence": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.revenue": {
        "status": "new"
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        "status": "new"
      },
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        "status": "new"
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        "status": "new"
      },
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        "status": "new"
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      "ExplanationOfBenefit.addItem.detail.revenue": {
        "status": "new"
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        "status": "new"
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      "ExplanationOfBenefit.addItem.detail.subDetail.traceNumber": {
        "status": "new"
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      "ExplanationOfBenefit.processNote.class": {
        "status": "new"
      },
      "ExplanationOfBenefit.processNote.type": {
        "removed-types": [
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        ],
        "added-types": [
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        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/note-type|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type",
          "strength": "extensible"
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      },
      "ExplanationOfBenefit.processNote.text": {
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        ],
        "added-types": [
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      },
      "ExplanationOfBenefit.processNote.language": {
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        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ExplanationOfBenefit.careTeam.responsible": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.diagnosis.packageCode": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.item.subSite": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.addItem.subSite": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "FamilyMemberHistory": {
    "elements": {
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        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/history-status|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/history-status|6.0.0-ballot4",
          "strength": "required"
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      },
      "FamilyMemberHistory.recorder": {
        "status": "new"
      },
      "FamilyMemberHistory.asserter": {
        "status": "new"
      },
      "FamilyMemberHistory.reason": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure.code": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure.outcome": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure.contributedToDeath": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure.performed[x]": {
        "status": "new"
      },
      "FamilyMemberHistory.procedure.note": {
        "status": "new"
      },
      "FamilyMemberHistory.instantiatesCanonical": {
        "status": "deleted"
      },
      "FamilyMemberHistory.instantiatesUri": {
        "status": "deleted"
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      "FamilyMemberHistory.reasonCode": {
        "status": "deleted"
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      "FamilyMemberHistory.reasonReference": {
        "status": "deleted"
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    "status": "changed"
  },
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        "new-min": 0,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/flag-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Flag.subject": {
        "removed-types": [
          "Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)"
        ],
        "added-types": [
          "Reference(Patient | RelatedPerson | Location | Group | Organization | Practitioner | PractitionerRole | PlanDefinition | Medication | Procedure)"
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      },
      "Flag.author": {
        "removed-types": [
          "Reference(Device | Organization | Patient | Practitioner | PractitionerRole)"
        ],
        "added-types": [
          "Reference(Device | Organization | Patient | RelatedPerson | Practitioner | PractitionerRole)"
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      },
      "Flag.supportingInfo": {
        "status": "new"
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    },
    "status": "changed"
  },
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      "Measure.group.rateAggregation": {
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      "Measure.group.improvementNotation": {
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      "Measure.group.improvementNotationGuidance": {
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      "Measure.improvementNotation": {
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      "MeasureReport.messages": {
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          "id"
        ],
        "added-types": [
          "Identifier"
        ]
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        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/response-code|4.3.0",
          "strength": "required"
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          "strength": "required"
        }
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      "MessageHeader.destination.target": {
        "status": "deleted"
      },
      "MessageHeader.enterer": {
        "status": "deleted"
      },
      "MessageHeader.author": {
        "status": "deleted"
      },
      "MessageHeader.responsible": {
        "status": "deleted"
      }
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    "status": "changed"
  },
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    "status": "new"
  },
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    "elements": {
      "NamingSystem.url": {
        "status": "new"
      },
      "NamingSystem.identifier": {
        "status": "new"
      },
      "NamingSystem.version": {
        "status": "new"
      },
      "NamingSystem.versionAlgorithm[x]": {
        "status": "new"
      },
      "NamingSystem.title": {
        "status": "new"
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      "NamingSystem.status": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        },
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          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4",
          "strength": "required"
        }
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      "NamingSystem.kind": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "NamingSystem.experimental": {
        "status": "new"
      },
      "NamingSystem.type": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-type",
          "strength": "extensible"
        }
      },
      "NamingSystem.jurisdiction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
        }
      },
      "NamingSystem.purpose": {
        "status": "new"
      },
      "NamingSystem.copyright": {
        "status": "new"
      },
      "NamingSystem.copyrightLabel": {
        "status": "new"
      },
      "NamingSystem.approvalDate": {
        "status": "new"
      },
      "NamingSystem.lastReviewDate": {
        "status": "new"
      },
      "NamingSystem.effectivePeriod": {
        "status": "new"
      },
      "NamingSystem.topic": {
        "status": "new"
      },
      "NamingSystem.author": {
        "status": "new"
      },
      "NamingSystem.editor": {
        "status": "new"
      },
      "NamingSystem.reviewer": {
        "status": "new"
      },
      "NamingSystem.endorser": {
        "status": "new"
      },
      "NamingSystem.relatedArtifact": {
        "status": "new"
      },
      "NamingSystem.uniqueId.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "iri-stem",
          "v2csmnemonic"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.3.0",
          "strength": "required"
        },
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          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "NamingSystem.uniqueId.authoritative": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "NutritionIntake": {
    "status": "new"
  },
  "NutritionOrder": {
    "elements": {
      "NutritionOrder.basedOn": {
        "status": "new"
      },
      "NutritionOrder.groupIdentifier": {
        "status": "new"
      },
      "NutritionOrder.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "revoked",
          "completed"
        ],
        "added-codes": [
          "ended"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4",
          "strength": "required"
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      },
      "NutritionOrder.intent": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "original-order",
          "reflex-order",
          "filler-order",
          "instance-order"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "NutritionOrder.priority": {
        "status": "new"
      },
      "NutritionOrder.subject": {
        "old-name": "patient",
        "removed-types": [
          "Reference(Patient)"
        ],
        "added-types": [
          "Reference(Patient | Group)"
        ]
      },
      "NutritionOrder.supportingInformation": {
        "status": "new"
      },
      "NutritionOrder.requester": {
        "old-name": "orderer"
      },
      "NutritionOrder.performer": {
        "status": "new"
      },
      "NutritionOrder.outsideFoodAllowed": {
        "status": "new"
      },
      "NutritionOrder.oralDiet.schedule": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "Timing"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "NutritionOrder.oralDiet.schedule.timing": {
        "status": "new"
      },
      "NutritionOrder.oralDiet.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.oralDiet.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.oralDiet.nutrient.amount": {
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionOrder.oralDiet.texture.type": {
        "old-name": "foodType"
      },
      "NutritionOrder.oralDiet.caloricDensity": {
        "status": "new"
      },
      "NutritionOrder.supplement.type": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "NutritionOrder.supplement.schedule": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "Timing"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "NutritionOrder.supplement.schedule.timing": {
        "status": "new"
      },
      "NutritionOrder.supplement.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.supplement.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.supplement.quantity": {
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionOrder.supplement.caloricDensity": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.type": {
        "old-name": "baseFormulaType",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "NutritionOrder.enteralFormula.productName": {
        "old-name": "baseFormulaProductName"
      },
      "NutritionOrder.enteralFormula.deliveryDevice[x]": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.caloricDensity": {
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionOrder.enteralFormula.routeOfAdministration": {
        "old-name": "routeofAdministration",
        "old-max": "1",
        "new-max": "*"
      },
      "NutritionOrder.enteralFormula.administration.schedule": {
        "removed-types": [
          "Timing"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "NutritionOrder.enteralFormula.administration.schedule.timing": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.quantity": {
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionOrder.enteralFormula.administration.rate[x]": {
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ]
      },
      "NutritionOrder.enteralFormula.maxVolumeToAdminister": {
        "old-name": "maxVolumeToDeliver",
        "removed-types": [
          "Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionOrder.enteralFormula.administrationInstruction": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "NutritionOrder.additive": {
        "status": "new"
      },
      "NutritionOrder.additive.modularType": {
        "status": "new"
      },
      "NutritionOrder.additive.productName": {
        "status": "new"
      },
      "NutritionOrder.additive.quantity": {
        "status": "new"
      },
      "NutritionOrder.additive.routeOfAdministration": {
        "status": "new"
      },
      "NutritionOrder.instantiatesCanonical": {
        "status": "deleted"
      },
      "NutritionOrder.instantiatesUri": {
        "status": "deleted"
      },
      "NutritionOrder.instantiates": {
        "status": "deleted"
      },
      "NutritionOrder.oralDiet.fluidConsistencyType": {
        "status": "deleted"
      },
      "NutritionOrder.enteralFormula.additiveType": {
        "status": "deleted"
      },
      "NutritionOrder.enteralFormula.additiveProductName": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "NutritionProduct": {
    "elements": {
      "NutritionProduct.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/nutritionproduct-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/nutritionproduct-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "NutritionProduct.manufacturer": {
        "removed-types": [
          "Reference(Organization)"
        ],
        "added-types": [
          "Reference(Organization | RelatedPerson)"
        ]
      },
      "NutritionProduct.nutrient.item": {
        "old-min": 0,
        "new-min": 1
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      "NutritionProduct.nutrient.amount[x]": {
        "old-name": "amount",
        "old-max": "*",
        "new-max": "1",
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionProduct.ingredientSummary": {
        "status": "new"
      },
      "NutritionProduct.ingredient.amount[x]": {
        "old-name": "amount",
        "old-max": "*",
        "new-max": "1",
        "added-types": [
          "Quantity"
        ]
      },
      "NutritionProduct.ingredient.allergen": {
        "status": "new"
      },
      "NutritionProduct.energy": {
        "status": "new"
      },
      "NutritionProduct.characteristic": {
        "status": "new"
      },
      "NutritionProduct.characteristic.type": {
        "status": "new"
      },
      "NutritionProduct.characteristic.value[x]": {
        "status": "new"
      },
      "NutritionProduct.instance": {
        "old-max": "1",
        "new-max": "*"
      },
      "NutritionProduct.instance.name": {
        "status": "new"
      },
      "NutritionProduct.instance.biologicalSourceEvent": {
        "status": "new"
      },
      "NutritionProduct.knownAllergen": {
        "status": "deleted"
      },
      "NutritionProduct.productCharacteristic": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "Observation": {
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        "removed-types": [
          "Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest)"
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      },
      "Observation.triggeredBy": {
        "status": "new"
      },
      "Observation.triggeredBy.observation": {
        "status": "new"
      },
      "Observation.triggeredBy.type": {
        "status": "new"
      },
      "Observation.triggeredBy.reason": {
        "status": "new"
      },
      "Observation.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
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        "added-codes": [
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-status|4.3.0",
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        },
        "new-binding": {
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      },
      "Observation.subject": {
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        ],
        "added-types": [
          "Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)"
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      },
      "Observation.focus": {
        "modifier": "added"
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      "Observation.organizer": {
        "status": "new"
      },
      "Observation.performer": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService | Group)"
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      },
      "Observation.value[x]": {
        "added-types": [
          "Attachment"
        ]
      },
      "Observation.interpretationContext": {
        "status": "new"
      },
      "Observation.bodyStructure": {
        "status": "new"
      },
      "Observation.specimen": {
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          "Reference(Specimen)"
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        "added-types": [
          "Reference(Specimen | Group)"
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      "Observation.referenceRange.low": {
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        "added-types": [
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      "Observation.referenceRange.high": {
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        "added-types": [
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      "Observation.referenceRange.normalValue": {
        "status": "new"
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      "Observation.referenceRange.text": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "Observation.hasMember": {
        "removed-types": [
          "Reference(Observation | QuestionnaireResponse | MolecularSequence)"
        ],
        "added-types": [
          "Reference(Observation | QuestionnaireResponse)"
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      },
      "Observation.derivedFrom": {
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          "Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)"
        ],
        "added-types": [
          "Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation)"
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      "Observation.component.value[x]": {
        "added-types": [
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    },
    "status": "changed"
  },
  "ObservationDefinition": {
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        "status": "new"
      },
      "ObservationDefinition.version": {
        "status": "new"
      },
      "ObservationDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "ObservationDefinition.name": {
        "status": "new"
      },
      "ObservationDefinition.title": {
        "status": "new"
      },
      "ObservationDefinition.status": {
        "status": "new"
      },
      "ObservationDefinition.experimental": {
        "status": "new"
      },
      "ObservationDefinition.date": {
        "status": "new"
      },
      "ObservationDefinition.publisher": {
        "status": "new"
      },
      "ObservationDefinition.contact": {
        "status": "new"
      },
      "ObservationDefinition.description": {
        "status": "new"
      },
      "ObservationDefinition.useContext": {
        "status": "new"
      },
      "ObservationDefinition.jurisdiction": {
        "status": "new"
      },
      "ObservationDefinition.purpose": {
        "status": "new"
      },
      "ObservationDefinition.copyright": {
        "status": "new"
      },
      "ObservationDefinition.copyrightLabel": {
        "status": "new"
      },
      "ObservationDefinition.approvalDate": {
        "status": "new"
      },
      "ObservationDefinition.lastReviewDate": {
        "status": "new"
      },
      "ObservationDefinition.effectivePeriod": {
        "status": "new"
      },
      "ObservationDefinition.derivedFromCanonical": {
        "status": "new"
      },
      "ObservationDefinition.derivedFromUri": {
        "status": "new"
      },
      "ObservationDefinition.subject": {
        "status": "new"
      },
      "ObservationDefinition.performerType": {
        "status": "new"
      },
      "ObservationDefinition.permittedDataType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/permitted-data-type|4.3.0",
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          "strength": "required"
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      },
      "ObservationDefinition.bodyStructure": {
        "status": "new"
      },
      "ObservationDefinition.specimen": {
        "status": "new"
      },
      "ObservationDefinition.device[x]": {
        "status": "new"
      },
      "ObservationDefinition.permittedUnit": {
        "status": "new"
      },
      "ObservationDefinition.qualifiedValue": {
        "old-name": "qualifiedInterval"
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      "ObservationDefinition.qualifiedValue.sexParameterForClinicalUse": {
        "old-name": "gender",
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4",
          "strength": "required"
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        "old-name": "category",
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-range-category|4.3.0",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-range-category|6.0.0-ballot4",
          "strength": "required"
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      "ObservationDefinition.qualifiedValue.validCodedValueSet": {
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        "added-types": [
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      "ObservationDefinition.qualifiedValue.normalCodedValueSet": {
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        "added-types": [
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      "ObservationDefinition.qualifiedValue.abnormalCodedValueSet": {
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        "added-types": [
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      "ObservationDefinition.qualifiedValue.criticalCodedValueSet": {
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        "added-types": [
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      "ObservationDefinition.qualifiedValue.interpretation": {
        "status": "new"
      },
      "ObservationDefinition.hasMember": {
        "status": "new"
      },
      "ObservationDefinition.component": {
        "status": "new"
      },
      "ObservationDefinition.component.code": {
        "status": "new"
      },
      "ObservationDefinition.component.permittedDataType": {
        "status": "new"
      },
      "ObservationDefinition.component.permittedUnit": {
        "status": "new"
      },
      "ObservationDefinition.component.qualifiedValue": {
        "status": "new"
      },
      "ObservationDefinition.quantitativeDetails": {
        "status": "deleted"
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    },
    "status": "changed"
  },
  "OperationDefinition": {
    "elements": {
      "OperationDefinition.identifier": {
        "status": "new"
      },
      "OperationDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "OperationDefinition.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "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"
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      "OperationDefinition.kind": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/operation-kind|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/operation-kind|6.0.0-ballot4",
          "strength": "required"
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      "OperationDefinition.jurisdiction": {
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        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
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        },
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          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
        }
      },
      "OperationDefinition.copyright": {
        "status": "new"
      },
      "OperationDefinition.copyrightLabel": {
        "status": "new"
      },
      "OperationDefinition.synchronicity": {
        "status": "new"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot4",
          "strength": "required"
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      },
      "OperationDefinition.parameter.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/operation-parameter-use|4.3.0",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/operation-parameter-use|6.0.0-ballot4",
          "strength": "required"
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      "OperationDefinition.parameter.scope": {
        "status": "new"
      },
      "OperationDefinition.parameter.min": {
        "removed-types": [
          "integer"
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        "added-types": [
          "unsignedInt"
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      "OperationDefinition.parameter.documentation": {
        "removed-types": [
          "string"
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        "added-types": [
          "markdown"
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      "OperationDefinition.parameter.type": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-types|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot4",
          "strength": "required"
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        "status": "new"
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      "OperationDefinition.parameter.searchType": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "resource"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-param-type|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot4",
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        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "descriptive"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot4",
          "strength": "required"
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      }
    },
    "status": "changed"
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  "OperationOutcome": {
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        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "success"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-severity|4.3.0",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-severity|6.0.0-ballot4",
          "strength": "required"
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      },
      "OperationOutcome.issue.code": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
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          "login",
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          "expired",
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          "duplicate",
          "multiple-matches",
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          "deleted",
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          "code-invalid",
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          "too-costly",
          "business-rule",
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          "lock-error",
          "no-store",
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          "timeout",
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        "added-codes": [
          "success"
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/issue-type|4.3.0",
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    "status": "changed"
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      },
      "Organization.contact": {
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "ExtendedContactDetail"
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      "Organization.qualification": {
        "status": "new"
      },
      "Organization.qualification.identifier": {
        "status": "new"
      },
      "Organization.qualification.code": {
        "status": "new"
      },
      "Organization.qualification.status": {
        "status": "new"
      },
      "Organization.qualification.period": {
        "status": "new"
      },
      "Organization.qualification.issuer": {
        "status": "new"
      },
      "Organization.telecom": {
        "status": "deleted"
      },
      "Organization.address": {
        "status": "deleted"
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      "Organization.contact.purpose": {
        "status": "deleted"
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      "Organization.contact.name": {
        "status": "deleted"
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      "Organization.contact.telecom": {
        "status": "deleted"
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      "Organization.contact.address": {
        "status": "deleted"
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    },
    "status": "changed"
  },
  "OrganizationAffiliation": {
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      "OrganizationAffiliation.contact": {
        "status": "new"
      },
      "OrganizationAffiliation.telecom": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
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    "elements": {
      "PackagedProductDefinition.attachedDocument": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.identifier": {
        "status": "new"
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      "PackagedProductDefinition.packaging.type": {
        "status": "new"
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      "PackagedProductDefinition.packaging.componentPart": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.quantity": {
        "status": "new"
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      "PackagedProductDefinition.packaging.material": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.alternateMaterial": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.shelfLifeStorage": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.manufacturer": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.property": {
        "status": "new"
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      "PackagedProductDefinition.packaging.property.type": {
        "status": "new"
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      "PackagedProductDefinition.packaging.property.value[x]": {
        "status": "new"
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      "PackagedProductDefinition.packaging.containedItem": {
        "status": "new"
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      "PackagedProductDefinition.packaging.containedItem.item": {
        "status": "new"
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      "PackagedProductDefinition.packaging.containedItem.amount": {
        "status": "new"
      },
      "PackagedProductDefinition.packaging.packaging": {
        "status": "new"
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      "PackagedProductDefinition.characteristic": {
        "removed-types": [
          "CodeableConcept"
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      "PackagedProductDefinition.package": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
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    "elements": {
      "Parameters.parameter.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "CodeableReference",
          "RatioRange",
          "Availability",
          "ExtendedContactDetail",
          "VirtualServiceDetail"
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    "status": "changed"
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  "Patient": {
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        "binding-status": "changed",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4",
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      },
      "Patient.contact.relationship": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
          "strength": "extensible"
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      },
      "Patient.contact.role": {
        "status": "new"
      },
      "Patient.contact.additionalName": {
        "status": "new"
      },
      "Patient.contact.additionalAddress": {
        "status": "new"
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        "binding-valueset-changed": true,
        "binding-status": "changed",
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      },
      "Patient.communication.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
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          "strength": "required"
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      },
      "Patient.link.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/link-type|4.3.0",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/link-type|6.0.0-ballot4",
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      }
    },
    "status": "changed"
  },
  "PaymentNotice": {
    "elements": {
      "PaymentNotice.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.3.0",
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        "new-binding": {
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      },
      "PaymentNotice.statusReason": {
        "status": "new"
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      "PaymentNotice.reporter": {
        "old-name": "provider"
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      "PaymentNotice.payment": {
        "old-min": 1,
        "new-min": 0
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    },
    "status": "changed"
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        "status": "new"
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      "PaymentReconciliation.status": {
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        "binding-status": "changed",
        "old-binding": {
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        "new-binding": {
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      },
      "PaymentReconciliation.statusReason": {
        "status": "new"
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      "PaymentReconciliation.kind": {
        "status": "new"
      },
      "PaymentReconciliation.enterer": {
        "status": "new"
      },
      "PaymentReconciliation.issuerType": {
        "status": "new"
      },
      "PaymentReconciliation.paymentIssuer": {
        "removed-types": [
          "Reference(Organization)"
        ],
        "added-types": [
          "Reference(Organization | Patient | RelatedPerson)"
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      },
      "PaymentReconciliation.outcome": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/payment-outcome|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "PaymentReconciliation.date": {
        "old-name": "paymentDate"
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      "PaymentReconciliation.location": {
        "status": "new"
      },
      "PaymentReconciliation.method": {
        "status": "new"
      },
      "PaymentReconciliation.cardBrand": {
        "status": "new"
      },
      "PaymentReconciliation.accountNumber": {
        "status": "new"
      },
      "PaymentReconciliation.expirationDate": {
        "status": "new"
      },
      "PaymentReconciliation.processor": {
        "status": "new"
      },
      "PaymentReconciliation.referenceNumber": {
        "status": "new"
      },
      "PaymentReconciliation.authorization": {
        "status": "new"
      },
      "PaymentReconciliation.tenderedAmount": {
        "status": "new"
      },
      "PaymentReconciliation.returnedAmount": {
        "status": "new"
      },
      "PaymentReconciliation.amount": {
        "old-name": "paymentAmount",
        "old-min": 1,
        "new-min": 0
      },
      "PaymentReconciliation.allocation": {
        "old-name": "detail"
      },
      "PaymentReconciliation.allocation.target": {
        "old-name": "request",
        "removed-types": [
          "Reference(Resource)"
        ],
        "added-types": [
          "Reference(Claim | Account | Invoice | Encounter | Contract)"
        ]
      },
      "PaymentReconciliation.allocation.targetItem[x]": {
        "status": "new"
      },
      "PaymentReconciliation.allocation.encounter": {
        "status": "new"
      },
      "PaymentReconciliation.allocation.account": {
        "status": "new"
      },
      "PaymentReconciliation.allocation.type": {
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        "new-min": 0,
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/payment-type",
          "strength": "extensible"
        }
      },
      "PaymentReconciliation.allocation.response": {
        "removed-types": [
          "Reference(Resource)"
        ],
        "added-types": [
          "Reference(ClaimResponse)"
        ]
      },
      "PaymentReconciliation.allocation.noteNumber": {
        "status": "new"
      },
      "PaymentReconciliation.processNote.class": {
        "status": "new"
      },
      "PaymentReconciliation.processNote.number": {
        "status": "new"
      },
      "PaymentReconciliation.processNote.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "PaymentReconciliation.processNote.text": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
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      }
    },
    "status": "changed"
  },
  "Person": {
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        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Person.deceased[x]": {
        "status": "new"
      },
      "Person.maritalStatus": {
        "status": "new"
      },
      "Person.photo": {
        "old-max": "1",
        "new-max": "*"
      },
      "Person.communication": {
        "status": "new"
      },
      "Person.communication.language": {
        "status": "new"
      },
      "Person.communication.preferred": {
        "status": "new"
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      "Person.link.assurance": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identity-assuranceLevel|6.0.0-ballot4",
          "strength": "required"
        }
      }
    },
    "status": "changed"
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  "PlanDefinition": {
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        "status": "new"
      },
      "PlanDefinition.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/plan-definition-type",
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        },
        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/plan-definition-type",
          "strength": "extensible"
        }
      },
      "PlanDefinition.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "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"
        }
      },
      "PlanDefinition.subject[x]": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subject-type",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participant-resource-types",
          "strength": "extensible"
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      },
      "PlanDefinition.jurisdiction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
          "strength": "extensible"
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        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
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      },
      "PlanDefinition.usage": {
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        "added-types": [
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      "PlanDefinition.copyrightLabel": {
        "status": "new"
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      "PlanDefinition.goal.target.detail[x]": {
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          "string",
          "boolean",
          "integer",
          "Ratio"
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      "PlanDefinition.actor": {
        "status": "new"
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      "PlanDefinition.actor.title": {
        "status": "new"
      },
      "PlanDefinition.actor.description": {
        "status": "new"
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      "PlanDefinition.actor.option": {
        "status": "new"
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      "PlanDefinition.actor.option.type": {
        "status": "new"
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      "PlanDefinition.actor.option.typeCanonical": {
        "status": "new"
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      "PlanDefinition.actor.option.typeReference": {
        "status": "new"
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      "PlanDefinition.actor.option.role": {
        "status": "new"
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      "PlanDefinition.action.linkId": {
        "status": "new"
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        "added-types": [
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      "PlanDefinition.action.textEquivalent": {
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        "added-types": [
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      "PlanDefinition.action.priority": {
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.3.0",
          "strength": "required"
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4",
          "strength": "required"
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      },
      "PlanDefinition.action.code": {
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        "new-max": "1"
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      "PlanDefinition.action.goalId": {
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          "id"
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        "added-types": [
          "string"
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      "PlanDefinition.action.subject[x]": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/subject-type",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participant-resource-types",
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      "PlanDefinition.action.condition.kind": {
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          "reference": "http://hl7.org/fhir/ValueSet/action-condition-kind|6.0.0-ballot4",
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      "PlanDefinition.action.input": {
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        "added-types": [
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      "PlanDefinition.action.input.title": {
        "status": "new"
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      "PlanDefinition.action.input.requirement": {
        "status": "new"
      },
      "PlanDefinition.action.input.relatedData": {
        "status": "new"
      },
      "PlanDefinition.action.output": {
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        ],
        "added-types": [
          "BackboneElement"
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      },
      "PlanDefinition.action.output.title": {
        "status": "new"
      },
      "PlanDefinition.action.output.requirement": {
        "status": "new"
      },
      "PlanDefinition.action.output.relatedData": {
        "status": "new"
      },
      "PlanDefinition.action.relatedAction.targetId": {
        "old-name": "actionId",
        "removed-types": [
          "id"
        ],
        "added-types": [
          "string"
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      },
      "PlanDefinition.action.relatedAction.relationship": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
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          "before-end",
          "concurrent-with-start",
          "concurrent-with-end",
          "after-start",
          "after-end"
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      "PractitionerRole.display": {
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      "Provenance.why": {
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        "status": "new"
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      "Provenance.patient": {
        "status": "new"
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      "Provenance.encounter": {
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        "binding-codes-changed": true,
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      "RequestOrchestration.action.input": {
        "status": "new"
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      "RequestOrchestration.action.input.title": {
        "status": "new"
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        "status": "new"
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      "ResearchStudy.enrollment": {
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