<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="ServiceRequest" status="changed">
      <element path="ServiceRequest.basedOn">
         <removed-type name="Reference(CarePlan | ServiceRequest | MedicationRequest)"/>
         <added-type name="Reference(CarePlan | DocumentReference | ServiceRequest | MedicationRequest | RequestOrchestration | NutritionOrder | DocumentReference)"/>
      </element>
      <element path="ServiceRequest.replaces">
         <removed-type name="Reference(ServiceRequest)"/>
         <added-type name="Reference(ServiceRequest | MedicationRequest | RequestOrchestration | CarePlan | DeviceRequest | CommunicationRequest | NutritionOrder | VisionPrescription)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ServiceRequest.status">
         <removed-code code="revoked"/>
         <removed-code code="completed"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ServiceRequest.statusReason" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ServiceRequest.intent">
         <removed-code code="original-order"/>
         <removed-code code="reflex-order"/>
         <removed-code code="filler-order"/>
         <removed-code code="instance-order"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ServiceRequest.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ServiceRequest.code">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="ServiceRequest.orderDetail">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ServiceRequest.orderDetail.parameterFocus[x]" status="new"/>
      <element path="ServiceRequest.orderDetail.parameter" status="new"/>
      <element path="ServiceRequest.orderDetail.parameter.code" status="new"/>
      <element path="ServiceRequest.orderDetail.parameter.value[x]" status="new"/>
      <element path="ServiceRequest.focus" status="new"/>
      <element old-name="asNeeded[x]" path="ServiceRequest.asNeeded">
         <removed-type name="CodeableConcept"/>
      </element>
      <element path="ServiceRequest.asNeededFor" status="new"/>
      <element path="ServiceRequest.requester">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | Group)"/>
      </element>
      <element path="ServiceRequest.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson | Group)"/>
      </element>
      <element path="ServiceRequest.location" status="new"/>
      <element path="ServiceRequest.reason" status="new"/>
      <element path="ServiceRequest.supportingInfo">
         <removed-type name="Reference(Resource)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="ServiceRequest.bodyStructure" status="new"/>
      <element new-max="*" old-max="1" path="ServiceRequest.patientInstruction">
         <removed-type name="string"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ServiceRequest.patientInstruction.instruction[x]" status="new"/>
      <element path="ServiceRequest.instantiatesCanonical" status="deleted"/>
      <element path="ServiceRequest.instantiatesUri" status="deleted"/>
      <element path="ServiceRequest.locationCode" status="deleted"/>
      <element path="ServiceRequest.locationReference" status="deleted"/>
      <element path="ServiceRequest.reasonCode" status="deleted"/>
      <element path="ServiceRequest.reasonReference" status="deleted"/>
      <element path="ServiceRequest.specimen" status="deleted"/>
      <element path="ServiceRequest.bodySite" status="deleted"/>
   </type>
</difference>
