<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="MessageDefinition" status="changed">
      <element path="MessageDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.jurisdiction">
         <old-binding reference="http://hl7.org/fhir/ValueSet/jurisdiction"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/jurisdiction"
                      strength="extensible"/>
      </element>
      <element path="MessageDefinition.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/message-significance-category|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="MessageDefinition.focus.code">
         <removed-type name="code"/>
         <added-type name="uri"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/version-independent-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.responseRequired">
         <old-binding reference="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/messageheader-response-request|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MessageDefinition.graph" status="deleted"/>
   </type>
</difference>
