<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="ImagingStudy" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ImagingStudy.status">
         <added-code code="inactive"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/imagingstudy-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/imagingstudy-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImagingStudy.modality">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
                      strength="extensible"/>
         <new-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.basedOn">
         <removed-type name="Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)"/>
         <added-type name="Reference(CarePlan | ServiceRequest | Appointment | Task)"/>
      </element>
      <element path="ImagingStudy.procedure" status="new"/>
      <element path="ImagingStudy.reason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImagingStudy.series.modality">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
                      strength="extensible"/>
         <new-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.series.bodySite">
         <removed-type name="Coding"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="ImagingStudy.series.performer.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)"/>
      </element>
      <element binding-status="removed" path="ImagingStudy.series.instance.sopClass">
         <removed-type name="Coding"/>
         <added-type name="oid"/>
         <old-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.interpreter" status="deleted"/>
      <element path="ImagingStudy.procedureReference" status="deleted"/>
      <element path="ImagingStudy.procedureCode" status="deleted"/>
      <element path="ImagingStudy.reasonCode" status="deleted"/>
      <element path="ImagingStudy.reasonReference" status="deleted"/>
      <element path="ImagingStudy.series.laterality" status="deleted"/>
   </type>
</difference>
