<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Procedure" status="changed">
      <element path="Procedure.basedOn">
         <removed-type name="Reference(CarePlan | ServiceRequest)"/>
         <added-type name="Reference(CarePlan | ServiceRequest | MedicationRequest)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Procedure.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/event-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="Procedure.category"/>
      <element path="Procedure.subject">
         <removed-type name="Reference(Patient | Group)"/>
         <added-type name="Reference(Patient | Group | Device | Practitioner | Organization | Location)"/>
      </element>
      <element path="Procedure.focus" status="new"/>
      <element old-name="performed[x]" path="Procedure.occurrence[x]">
         <added-type name="Timing"/>
      </element>
      <element path="Procedure.recorded" status="new"/>
      <element old-name="asserter" path="Procedure.reported[x]">
         <added-type name="boolean"/>
      </element>
      <element path="Procedure.performer.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)"/>
      </element>
      <element path="Procedure.performer.period" status="new"/>
      <element path="Procedure.reason" status="new"/>
      <element path="Procedure.bodyStructure" status="new"/>
      <element new-max="*" old-max="1" path="Procedure.outcome">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Procedure.report">
         <removed-type name="Reference(DiagnosticReport | DocumentReference | Composition)"/>
         <added-type name="Reference(DiagnosticReport | DocumentReference | Composition | Bundle)"/>
      </element>
      <element path="Procedure.complication">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Procedure.followUp">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Procedure.used" status="new"/>
      <element path="Procedure.supportingInfo" status="new"/>
      <element path="Procedure.instantiatesCanonical" status="deleted"/>
      <element path="Procedure.instantiatesUri" status="deleted"/>
      <element path="Procedure.reasonCode" status="deleted"/>
      <element path="Procedure.reasonReference" status="deleted"/>
      <element path="Procedure.complicationDetail" status="deleted"/>
      <element path="Procedure.usedReference" status="deleted"/>
      <element path="Procedure.usedCode" status="deleted"/>
   </type>
</difference>
