<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Practitioner" status="changed">
      <element modifier="added" path="Practitioner.active"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Practitioner.gender">
         <old-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Practitioner.deceased[x]" status="new"/>
      <element path="Practitioner.qualification.status" status="new"/>
      <element binding-status="removed" path="Practitioner.communication">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
      </element>
      <element path="Practitioner.communication.language" status="new"/>
      <element path="Practitioner.communication.preferred" status="new"/>
   </type>
</difference>
