<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Address" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Address.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/address-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/address-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Address.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/address-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/address-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Age" status="changed">
      <element binding-status="changed" max-valueset-changed="true" path="Age">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-time-units"
                      reference="http://hl7.org/fhir/ValueSet/age-units"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/age-units"
                      strength="extensible"/>
      </element>
   </type>
   <type name="Annotation" status="no-change"/>
   <type name="Attachment" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Attachment.contentType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="Attachment.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Attachment.size">
         <removed-type name="unsignedInt"/>
         <added-type name="integer64"/>
      </element>
      <element path="Attachment.height" status="new"/>
      <element path="Attachment.width" status="new"/>
      <element path="Attachment.frames" status="new"/>
      <element path="Attachment.duration" status="new"/>
      <element path="Attachment.pages" status="new"/>
   </type>
   <type name="Availability" status="new"/>
   <type name="BackboneElement" status="no-change"/>
   <type name="BackboneType" status="new"/>
   <type name="Base" status="new"/>
   <type name="CodeableConcept" status="no-change"/>
   <type name="CodeableReference" status="no-change"/>
   <type name="Coding" status="no-change"/>
   <type name="ContactDetail" status="no-change"/>
   <type name="ContactPoint" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ContactPoint.system">
         <old-binding reference="http://hl7.org/fhir/ValueSet/contact-point-system|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/contact-point-system|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ContactPoint.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/contact-point-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/contact-point-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Count" status="no-change"/>
   <type name="DataRequirement" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DataRequirement.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/all-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DataRequirement.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element path="DataRequirement.valueFilter" status="new"/>
      <element path="DataRequirement.valueFilter.path" status="new"/>
      <element path="DataRequirement.valueFilter.searchParam" status="new"/>
      <element path="DataRequirement.valueFilter.comparator" status="new"/>
      <element path="DataRequirement.valueFilter.value[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DataRequirement.sort.direction">
         <old-binding reference="http://hl7.org/fhir/ValueSet/sort-direction|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/sort-direction|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="DataType" status="new"/>
   <type name="Distance" status="changed">
      <element binding-status="changed"
               max-valueset-changed="true"
               path="Distance">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-distance-units"
                      reference="http://hl7.org/fhir/ValueSet/distance-units"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/distance-units"
                      strength="extensible"/>
      </element>
   </type>
   <type name="Dosage" status="changed">
      <element path="Dosage.condition" status="new"/>
      <element old-name="asNeeded[x]" path="Dosage.asNeeded">
         <removed-type name="CodeableConcept"/>
      </element>
      <element path="Dosage.asNeededFor" status="new"/>
      <element path="Dosage.site">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Dosage.doseAndRate.dose[x]">
         <added-type name="Expression"/>
      </element>
      <element path="Dosage.doseAndRate.rate[x]">
         <added-type name="Expression"/>
      </element>
      <element path="Dosage.safety" status="new"/>
      <element path="Dosage.sequence" status="deleted"/>
      <element path="Dosage.maxDosePerPeriod" status="deleted"/>
      <element path="Dosage.maxDosePerAdministration" status="deleted"/>
      <element path="Dosage.maxDosePerLifetime" status="deleted"/>
   </type>
   <type name="DosageCondition" status="new"/>
   <type name="DosageDetails" status="new"/>
   <type name="DosageSafety" status="new"/>
   <type name="Duration" status="changed">
      <element binding-status="changed"
               max-valueset-changed="true"
               path="Duration">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-time-units"
                      reference="http://hl7.org/fhir/ValueSet/duration-units"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/duration-units"
                      strength="extensible"/>
      </element>
   </type>
   <type name="Element" status="changed">
      <element path="Element.id">
         <removed-type name="id"/>
         <added-type name="string"/>
      </element>
   </type>
   <type name="ElementDefinition" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.representation">
         <old-binding reference="http://hl7.org/fhir/ValueSet/property-representation|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/property-representation|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.slicing.discriminator.type">
         <added-code code="position"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/discriminator-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/discriminator-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.slicing.rules">
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-slicing-rules|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.type.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fhir-element-types"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/elementdefinition-types"
                      strength="extensible"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.type.aggregation">
         <removed-code code="bundled"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-aggregation-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.type.versioning">
         <old-binding reference="http://hl7.org/fhir/ValueSet/reference-version-rules|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/reference-version-rules|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ElementDefinition.defaultValue[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Meta"/>
      </element>
      <element path="ElementDefinition.fixed[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Meta"/>
      </element>
      <element path="ElementDefinition.pattern[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Meta"/>
      </element>
      <element path="ElementDefinition.example.value[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Meta"/>
      </element>
      <element path="ElementDefinition.minValue[x]">
         <added-type name="integer64"/>
      </element>
      <element path="ElementDefinition.maxValue[x]">
         <added-type name="integer64"/>
      </element>
      <element path="ElementDefinition.constraint.requirements">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.constraint.severity">
         <old-binding reference="http://hl7.org/fhir/ValueSet/constraint-severity|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/constraint-severity|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ElementDefinition.constraint.suppress" status="new"/>
      <element path="ElementDefinition.mustHaveValue" status="new"/>
      <element path="ElementDefinition.valueAlternatives" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.binding.strength">
         <added-code code="descriptive"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/binding-strength|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ElementDefinition.binding.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="ElementDefinition.binding.additional" status="new"/>
      <element path="ElementDefinition.binding.additional.key" status="new"/>
      <element path="ElementDefinition.binding.additional.purpose" status="new"/>
      <element path="ElementDefinition.binding.additional.valueSet" status="new"/>
      <element path="ElementDefinition.binding.additional.documentation" status="new"/>
      <element path="ElementDefinition.binding.additional.shortDoco" status="new"/>
      <element path="ElementDefinition.binding.additional.usage" status="new"/>
      <element path="ElementDefinition.binding.additional.any" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ElementDefinition.mapping.language">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ElementDefinition.mapping.comment">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="ElementDefinition.constraint.xpath" status="deleted"/>
   </type>
   <type name="Expression" status="changed">
      <element path="Expression.name">
         <removed-type name="id"/>
         <added-type name="code"/>
      </element>
      <element binding-status="changed"
               max-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="Expression.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/mimetypes"
                      reference="http://hl7.org/fhir/ValueSet/expression-language"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/expression-language"
                      strength="extensible"/>
      </element>
   </type>
   <type name="ExtendedContactDetail" status="new"/>
   <type name="Extension" status="changed">
      <element path="Extension.value[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Meta"/>
      </element>
   </type>
   <type name="HumanName" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="HumanName.use">
         <removed-code code="maiden"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/name-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/name-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Identifier" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Identifier.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/identifier-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/identifier-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="MarketingStatus" status="no-change"/>
   <type name="Meta" status="no-change"/>
   <type name="MonetaryComponent" status="new"/>
   <type name="Money" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Money.currency">
         <old-binding reference="http://hl7.org/fhir/ValueSet/currencies|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/currencies|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="MoneyQuantity" status="no-change"/>
   <type name="Narrative" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Narrative.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/narrative-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/narrative-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="ParameterDefinition" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ParameterDefinition.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/operation-parameter-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ParameterDefinition.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/all-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Period" status="no-change"/>
   <type name="PrimitiveType" status="new"/>
   <type name="ProductShelfLife" status="changed">
      <element new-min="0" old-min="1" path="ProductShelfLife.type"/>
      <element new-min="0"
               old-min="1"
               old-name="period"
               path="ProductShelfLife.period[x]">
         <removed-type name="Quantity"/>
         <added-type name="Duration"/>
         <added-type name="string"/>
      </element>
      <element path="ProductShelfLife.identifier" status="deleted"/>
   </type>
   <type name="Quantity" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Quantity.comparator">
         <added-code code="ad"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/quantity-comparator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/quantity-comparator|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Range" status="no-change"/>
   <type name="Ratio" status="changed">
      <element path="Ratio.denominator">
         <removed-type name="Quantity"/>
         <added-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
      </element>
   </type>
   <type name="RatioRange" status="no-change"/>
   <type name="Reference" status="no-change"/>
   <type name="RelatedArtifact" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="RelatedArtifact.type">
         <added-code code="part-of"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/related-artifact-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/related-artifact-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="RelatedArtifact.resourceReference" status="new"/>
      <element path="RelatedArtifact.artifact[x]" status="new"/>
      <element path="RelatedArtifact.url" status="deleted"/>
   </type>
   <type name="RelativeTime" status="new"/>
   <type name="SampledData" status="changed">
      <element new-min="0"
               old-min="1"
               old-name="period"
               path="SampledData.interval"/>
      <element path="SampledData.intervalUnit" status="new"/>
      <element path="SampledData.codeMap" status="new"/>
      <element path="SampledData.offsets" status="new"/>
   </type>
   <type name="Signature" status="changed">
      <element new-min="0" old-min="1" path="Signature.type"/>
      <element new-min="0" old-min="1" path="Signature.when"/>
      <element new-min="0" old-min="1" path="Signature.who"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Signature.targetFormat">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Signature.sigFormat">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="SimpleQuantity" status="no-change"/>
   <type name="Timing" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Timing.repeat.durationUnit">
         <old-binding reference="http://hl7.org/fhir/ValueSet/units-of-time|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/units-of-time|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Timing.repeat.periodUnit">
         <old-binding reference="http://hl7.org/fhir/ValueSet/units-of-time|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/units-of-time|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Timing.repeat.startOffset" status="new"/>
      <element path="Timing.repeat.endOffset" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Timing.repeat.dayOfWeek">
         <old-binding reference="http://hl7.org/fhir/ValueSet/days-of-week|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/days-of-week|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Timing.repeat.when">
         <added-code code="IMD"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/event-timing|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/event-timing|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="TriggerDefinition" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="TriggerDefinition.type">
         <removed-code code="data-added"/>
         <removed-code code="data-modified"/>
         <removed-code code="data-removed"/>
         <added-code code="subscription-topic"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/trigger-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/trigger-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="TriggerDefinition.code" status="new"/>
      <element path="TriggerDefinition.subscriptionTopic" status="new"/>
      <element path="TriggerDefinition.timing[x]">
         <removed-type name="Reference(Schedule)"/>
      </element>
   </type>
   <type name="UsageContext" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="UsageContext.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/usage-context-type"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/usage-context-type"
                      strength="extensible"/>
      </element>
   </type>
   <type name="VirtualServiceDetail" status="new"/>
   <type name="base64Binary" status="no-change"/>
   <type name="boolean" status="no-change"/>
   <type name="canonical" status="no-change"/>
   <type name="code" status="no-change"/>
   <type name="date" status="no-change"/>
   <type name="dateTime" status="no-change"/>
   <type name="decimal" status="no-change"/>
   <type name="id" status="no-change"/>
   <type name="instant" status="no-change"/>
   <type name="integer" status="no-change"/>
   <type name="integer64" status="new"/>
   <type name="markdown" status="no-change"/>
   <type name="oid" status="no-change"/>
   <type name="positiveInt" status="no-change"/>
   <type name="string" status="no-change"/>
   <type name="time" status="no-change"/>
   <type name="unsignedInt" status="no-change"/>
   <type name="uri" status="no-change"/>
   <type name="url" status="no-change"/>
   <type name="uuid" status="no-change"/>
   <type name="xhtml" status="no-change"/>
   <type name="Contributor" status="deleted"/>
   <type name="Population" status="deleted"/>
   <type name="ProdCharacteristic" status="deleted"/>
   <type name="Account" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Account.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/account-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/account-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Account.billingStatus" status="new"/>
      <element path="Account.covers" status="new"/>
      <element path="Account.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element new-min="0" old-min="1" path="Account.guarantor.party"/>
      <element path="Account.guarantor.account" status="new"/>
      <element path="Account.guarantor.responsibility" status="new"/>
      <element path="Account.guarantor.limit" status="new"/>
      <element path="Account.guarantor.rank" status="new"/>
      <element path="Account.diagnosis" status="new"/>
      <element path="Account.diagnosis.sequence" status="new"/>
      <element path="Account.diagnosis.condition" status="new"/>
      <element path="Account.diagnosis.dateOfDiagnosis" status="new"/>
      <element path="Account.diagnosis.type" status="new"/>
      <element path="Account.diagnosis.onAdmission" status="new"/>
      <element path="Account.diagnosis.packageCode" status="new"/>
      <element path="Account.procedure" status="new"/>
      <element path="Account.procedure.sequence" status="new"/>
      <element path="Account.procedure.code" status="new"/>
      <element path="Account.procedure.dateOfService" status="new"/>
      <element path="Account.procedure.type" status="new"/>
      <element path="Account.procedure.packageCode" status="new"/>
      <element path="Account.procedure.device" status="new"/>
      <element old-name="partOf" path="Account.parent"/>
      <element path="Account.currency" status="new"/>
      <element path="Account.balance" status="new"/>
      <element path="Account.balance.aggregate" status="new"/>
      <element path="Account.balance.term" status="new"/>
      <element path="Account.balance.estimate" status="new"/>
      <element path="Account.balance.amount" status="new"/>
      <element path="Account.calculatedAt" status="new"/>
   </type>
   <type name="ActivityDefinition" status="changed">
      <element path="ActivityDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="ActivityDefinition.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.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="ActivityDefinition.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="ActivityDefinition.copyrightLabel" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.kind">
         <removed-code code="AppointmentResponse"/>
         <removed-code code="Contract"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="SupplyRequest"/>
         <added-code code="CoverageEligibilityRequest"/>
         <added-code code="RequestOrchestration"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ActivityDefinition.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|4.3.0"
                      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="ActivityDefinition.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ActivityDefinition.timing[x]">
         <removed-type name="dateTime"/>
         <removed-type name="Period"/>
         <added-type name="RelativeTime"/>
      </element>
      <element path="ActivityDefinition.asNeeded[x]" status="new"/>
      <element path="ActivityDefinition.location">
         <removed-type name="Reference(Location)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="ActivityDefinition.participant.type">
         <removed-code code="related-person"/>
         <added-code code="careteam"/>
         <added-code code="group"/>
         <added-code code="healthcareservice"/>
         <added-code code="location"/>
         <added-code code="organization"/>
         <added-code code="practitionerrole"/>
         <added-code code="relatedperson"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ActivityDefinition.participant.typeCanonical" status="new"/>
      <element path="ActivityDefinition.participant.typeReference" status="new"/>
      <element path="ActivityDefinition.participant.function" status="new"/>
      <element path="ActivityDefinition.specimenRequirement">
         <removed-type name="Reference(SpecimenDefinition)"/>
         <added-type name="canonical(SpecimenDefinition)"/>
      </element>
      <element path="ActivityDefinition.observationRequirement">
         <removed-type name="Reference(ObservationDefinition)"/>
         <added-type name="canonical(ObservationDefinition)"/>
      </element>
      <element path="ActivityDefinition.observationResultRequirement">
         <removed-type name="Reference(ObservationDefinition)"/>
         <added-type name="canonical(ObservationDefinition)"/>
      </element>
   </type>
   <type name="ActorDefinition" status="new"/>
   <type name="AdministrableProductDefinition" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AdministrableProductDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="AdministrableProductDefinition.description" status="new"/>
      <element path="AdministrableProductDefinition.code" status="new"/>
      <element path="AdministrableProductDefinition.property.value[x]">
         <added-type name="Range"/>
         <added-type name="markdown"/>
         <added-type name="Reference(Binary)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AdministrableProductDefinition.property.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="AdverseEvent" status="changed">
      <element new-max="*" old-max="1" path="AdverseEvent.identifier"/>
      <element path="AdverseEvent.status" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AdverseEvent.actuality">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-actuality|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="AdverseEvent.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-category"
                      strength="extensible"/>
      </element>
      <element old-name="event" path="AdverseEvent.code"/>
      <element old-name="date" path="AdverseEvent.effect[x]">
         <added-type name="Period"/>
      </element>
      <element old-name="resultingCondition" path="AdverseEvent.resultingEffect">
         <removed-type name="Reference(Condition)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               path="AdverseEvent.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0"
                      strength="required"/>
      </element>
      <element path="AdverseEvent.participant" status="new"/>
      <element path="AdverseEvent.participant.function" status="new"/>
      <element path="AdverseEvent.participant.actor" status="new"/>
      <element path="AdverseEvent.expectedInResearchStudy" status="new"/>
      <element path="AdverseEvent.suspectEntity.instance">
         <removed-type name="Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="1" old-max="*" path="AdverseEvent.suspectEntity.causality"/>
      <element path="AdverseEvent.suspectEntity.causality.assessmentMethod"
               status="new"/>
      <element old-name="productRelatedness"
               path="AdverseEvent.suspectEntity.causality.entityRelatedness">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="AdverseEvent.suspectEntity.causality.author">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
      </element>
      <element path="AdverseEvent.suspectEntity.occurrence[x]" status="new"/>
      <element path="AdverseEvent.contributingFactor" status="new"/>
      <element path="AdverseEvent.preventiveAction" status="new"/>
      <element path="AdverseEvent.mitigatingAction" status="new"/>
      <element path="AdverseEvent.supportingInfo" status="new"/>
      <element path="AdverseEvent.note" status="new"/>
      <element path="AdverseEvent.severity" status="deleted"/>
      <element path="AdverseEvent.contributor" status="deleted"/>
      <element path="AdverseEvent.suspectEntity.causality.assessment" status="deleted"/>
      <element path="AdverseEvent.suspectEntity.causality.method" status="deleted"/>
      <element path="AdverseEvent.subjectMedicalHistory" status="deleted"/>
      <element path="AdverseEvent.referenceDocument" status="deleted"/>
   </type>
   <type name="AllergyIntolerance" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="AllergyIntolerance.clinicalStatus">
         <removed-code code="resolved"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AllergyIntolerance.verificationStatus">
         <old-binding reference="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/allergyintolerance-verification|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="AllergyIntolerance.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AllergyIntolerance.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/allergy-intolerance-category|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AllergyIntolerance.criticality">
         <old-binding reference="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="AllergyIntolerance.recorder">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)"/>
      </element>
      <element old-name="lastOccurrence"
               path="AllergyIntolerance.lastReactionOccurrence"/>
      <element path="AllergyIntolerance.reaction.manifestation">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AllergyIntolerance.reaction.severity">
         <old-binding reference="http://hl7.org/fhir/ValueSet/reaction-event-severity|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/reaction-event-severity|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Appointment" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Appointment.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/appointmentstatus|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/appointmentstatus|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="cancelationReason" path="Appointment.cancellationReason"/>
      <element path="Appointment.class" status="new"/>
      <element path="Appointment.serviceType">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Appointment.reason" status="new"/>
      <element path="Appointment.priority">
         <removed-type name="unsignedInt"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Appointment.replaces" status="new"/>
      <element path="Appointment.virtualService" status="new"/>
      <element path="Appointment.previousAppointment" status="new"/>
      <element path="Appointment.originatingAppointment" status="new"/>
      <element path="Appointment.account" status="new"/>
      <element path="Appointment.cancellationDate" status="new"/>
      <element new-max="*"
               old-max="1"
               old-name="comment"
               path="Appointment.note">
         <removed-type name="string"/>
         <added-type name="Annotation"/>
      </element>
      <element new-max="*" old-max="1" path="Appointment.patientInstruction">
         <removed-type name="string"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Appointment.basedOn">
         <removed-type name="Reference(ServiceRequest)"/>
         <added-type name="Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription)"/>
      </element>
      <element path="Appointment.subject" status="new"/>
      <element path="Appointment.participant.actor">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"/>
         <added-type name="Reference(Patient | Group | Practitioner | PractitionerRole | CareTeam | RelatedPerson | Device | HealthcareService | Location)"/>
      </element>
      <element binding-status="removed" path="Appointment.participant.required">
         <removed-type name="code"/>
         <added-type name="boolean"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/participantrequired|4.3.0"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Appointment.participant.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/participationstatus|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participationstatus|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Appointment.recurrenceId" status="new"/>
      <element path="Appointment.occurrenceChanged" status="new"/>
      <element path="Appointment.recurrenceTemplate" status="new"/>
      <element path="Appointment.recurrenceTemplate.timezone" status="new"/>
      <element path="Appointment.recurrenceTemplate.recurrenceType" status="new"/>
      <element path="Appointment.recurrenceTemplate.lastOccurrenceDate" status="new"/>
      <element path="Appointment.recurrenceTemplate.occurrenceCount" status="new"/>
      <element path="Appointment.recurrenceTemplate.occurrenceDate" status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate" status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.monday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.tuesday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.wednesday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.thursday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.friday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.saturday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.sunday"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.weeklyTemplate.weekInterval"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.monthlyTemplate" status="new"/>
      <element path="Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.monthlyTemplate.monthInterval"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.yearlyTemplate" status="new"/>
      <element path="Appointment.recurrenceTemplate.yearlyTemplate.yearInterval"
               status="new"/>
      <element path="Appointment.recurrenceTemplate.excludingDate" status="new"/>
      <element path="Appointment.recurrenceTemplate.excludingRecurrenceId"
               status="new"/>
      <element path="Appointment.reasonCode" status="deleted"/>
      <element path="Appointment.reasonReference" status="deleted"/>
   </type>
   <type name="AppointmentResponse" status="changed">
      <element path="AppointmentResponse.proposedNewTime" status="new"/>
      <element path="AppointmentResponse.actor">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"/>
         <added-type name="Reference(Patient | Group | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AppointmentResponse.participantStatus">
         <old-binding reference="http://hl7.org/fhir/ValueSet/participationstatus|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/appointmentresponse-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="AppointmentResponse.comment">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="AppointmentResponse.recurring" status="new"/>
      <element path="AppointmentResponse.occurrenceDate" status="new"/>
      <element path="AppointmentResponse.recurrenceId" status="new"/>
   </type>
   <type name="ArtifactAssessment" status="new"/>
   <type name="AuditEvent" status="changed">
      <element binding-status="removed" path="AuditEvent.type">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/audit-event-type"
                      strength="extensible"/>
      </element>
      <element binding-status="removed" path="AuditEvent.subtype">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/audit-event-sub-type"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="AuditEvent.action">
         <old-binding reference="http://hl7.org/fhir/ValueSet/audit-event-action|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/audit-event-action|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="AuditEvent.severity" status="new"/>
      <element old-name="period" path="AuditEvent.occurred[x]">
         <added-type name="dateTime"/>
      </element>
      <element binding-status="removed" path="AuditEvent.outcome">
         <removed-type name="code"/>
         <added-type name="BackboneElement"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0"
                      strength="required"/>
      </element>
      <element path="AuditEvent.outcome.code" status="new"/>
      <element path="AuditEvent.outcome.detail" status="new"/>
      <element binding-status="removed"
               old-name="purposeOfEvent"
               path="AuditEvent.authorization">
         <old-binding reference="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
                      strength="extensible"/>
      </element>
      <element path="AuditEvent.basedOn" status="new"/>
      <element path="AuditEvent.patient" status="new"/>
      <element path="AuditEvent.encounter" status="new"/>
      <element binding-status="removed" path="AuditEvent.agent.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/participation-role-type"
                      strength="extensible"/>
      </element>
      <element new-min="1" old-min="0" path="AuditEvent.agent.who">
         <removed-type name="Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | DeviceDefinition | RelatedPerson | Group | HealthcareService)"/>
      </element>
      <element new-min="0" old-min="1" path="AuditEvent.agent.requestor"/>
      <element old-name="network" path="AuditEvent.agent.network[x]">
         <removed-type name="BackboneElement"/>
         <added-type name="Reference(Endpoint)"/>
         <added-type name="uri"/>
         <added-type name="string"/>
      </element>
      <element binding-status="removed"
               old-name="purposeOfUse"
               path="AuditEvent.agent.authorization">
         <old-binding reference="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
                      strength="extensible"/>
      </element>
      <element path="AuditEvent.source.site">
         <removed-type name="string"/>
         <added-type name="Reference(Location)"/>
      </element>
      <element path="AuditEvent.source.observer">
         <removed-type name="Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)"/>
      </element>
      <element binding-status="removed" path="AuditEvent.source.type">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/audit-source-type"
                      strength="extensible"/>
      </element>
      <element binding-status="removed" path="AuditEvent.entity.role">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/object-role"
                      strength="extensible"/>
      </element>
      <element binding-status="removed" path="AuditEvent.entity.securityLabel">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/security-labels"
                      strength="extensible"/>
      </element>
      <element path="AuditEvent.entity.detail.type">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="AuditEvent.entity.detail.value[x]">
         <added-type name="Quantity"/>
         <added-type name="CodeableConcept"/>
         <added-type name="boolean"/>
         <added-type name="integer"/>
         <added-type name="Range"/>
         <added-type name="Ratio"/>
         <added-type name="time"/>
         <added-type name="dateTime"/>
         <added-type name="Period"/>
      </element>
      <element path="AuditEvent.entity.agent" status="new"/>
      <element path="AuditEvent.outcomeDesc" status="deleted"/>
      <element path="AuditEvent.agent.altId" status="deleted"/>
      <element path="AuditEvent.agent.name" status="deleted"/>
      <element path="AuditEvent.agent.media" status="deleted"/>
      <element path="AuditEvent.agent.network.address" status="deleted"/>
      <element path="AuditEvent.agent.network.type" status="deleted"/>
      <element path="AuditEvent.entity.type" status="deleted"/>
      <element path="AuditEvent.entity.lifecycle" status="deleted"/>
      <element path="AuditEvent.entity.name" status="deleted"/>
   </type>
   <type name="Basic" status="changed">
      <element binding-status="added" path="Basic.code">
         <new-binding reference="http://hl7.org/fhir/ValueSet/version-independent-resource-types"
                      strength="extensible"/>
      </element>
      <element path="Basic.created">
         <removed-type name="date"/>
         <added-type name="dateTime"/>
      </element>
      <element path="Basic.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization | Device | CareTeam)"/>
      </element>
   </type>
   <type name="Binary" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Binary.contentType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="BiologicallyDerivedProduct" status="changed">
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               path="BiologicallyDerivedProduct.productCategory">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/product-category|4.3.0"
                      strength="required"/>
      </element>
      <element path="BiologicallyDerivedProduct.therapyIdentifier" status="new"/>
      <element path="BiologicallyDerivedProduct.biologicalSourceEvent" status="new"/>
      <element path="BiologicallyDerivedProduct.processingFacility" status="new"/>
      <element path="BiologicallyDerivedProduct.division" status="new"/>
      <element path="BiologicallyDerivedProduct.productStatus" status="new"/>
      <element path="BiologicallyDerivedProduct.expirationDate" status="new"/>
      <element path="BiologicallyDerivedProduct.collection.sourcePatient" status="new"/>
      <element path="BiologicallyDerivedProduct.collection.sourceOrganization"
               status="new"/>
      <element path="BiologicallyDerivedProduct.collection.procedure" status="new"/>
      <element path="BiologicallyDerivedProduct.storageTempRequirements" status="new"/>
      <element path="BiologicallyDerivedProduct.property" status="new"/>
      <element path="BiologicallyDerivedProduct.property.type" status="new"/>
      <element path="BiologicallyDerivedProduct.property.value[x]" status="new"/>
      <element path="BiologicallyDerivedProduct.status" status="deleted"/>
      <element path="BiologicallyDerivedProduct.quantity" status="deleted"/>
      <element path="BiologicallyDerivedProduct.collection.source" status="deleted"/>
      <element path="BiologicallyDerivedProduct.processing" status="deleted"/>
      <element path="BiologicallyDerivedProduct.manipulation" status="deleted"/>
      <element path="BiologicallyDerivedProduct.storage" status="deleted"/>
   </type>
   <type name="BodyStructure" status="changed">
      <element path="BodyStructure.includedStructure" status="new"/>
      <element path="BodyStructure.includedStructure.structure" status="new"/>
      <element path="BodyStructure.includedStructure.laterality" status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value"
               status="new"/>
      <element path="BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation"
               status="new"/>
      <element path="BodyStructure.includedStructure.spatialReference" status="new"/>
      <element path="BodyStructure.includedStructure.image" status="new"/>
      <element path="BodyStructure.includedStructure.qualifier" status="new"/>
      <element path="BodyStructure.excludedStructure" status="new"/>
      <element path="BodyStructure.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="BodyStructure.location" status="deleted"/>
      <element path="BodyStructure.locationQualifier" status="deleted"/>
   </type>
   <type name="Bundle" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Bundle.type">
         <added-code code="subscription-notification"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/bundle-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/bundle-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="added" path="Bundle.link.relation">
         <removed-type name="string"/>
         <added-type name="code"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Bundle.entry.search.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-entry-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-entry-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Bundle.entry.request.method">
         <old-binding reference="http://hl7.org/fhir/ValueSet/http-verb|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/http-verb|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Bundle.entry.response.outcome">
         <removed-type name="Resource"/>
         <added-type name="Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)"/>
      </element>
      <element path="Bundle.issues" status="new"/>
   </type>
   <type name="CanonicalResource" status="new"/>
   <type name="CapabilityStatement" status="changed">
      <element path="CapabilityStatement.identifier" status="new"/>
      <element path="CapabilityStatement.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CapabilityStatement.actorDefinition" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.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="CapabilityStatement.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/capability-statement-kind|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CapabilityStatement.implementation.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.fhirVersion">
         <removed-code code="0.0.80"/>
         <removed-code code="0.0.81"/>
         <removed-code code="0.0.82"/>
         <removed-code code="0.4.0"/>
         <removed-code code="0.5.0"/>
         <removed-code code="1.0.0"/>
         <removed-code code="1.0.1"/>
         <removed-code code="1.0.2"/>
         <removed-code code="1.1.0"/>
         <removed-code code="1.4.0"/>
         <removed-code code="1.6.0"/>
         <removed-code code="1.8.0"/>
         <removed-code code="3.0.0"/>
         <removed-code code="3.0.1"/>
         <removed-code code="3.0.2"/>
         <removed-code code="3.3.0"/>
         <removed-code code="3.5.0"/>
         <removed-code code="4.0.0"/>
         <removed-code code="4.0.1"/>
         <removed-code code="4.1.0"/>
         <removed-code code="4.3.0-cibuild"/>
         <removed-code code="4.3.0-snapshot1"/>
         <removed-code code="4.3.0"/>
         <added-code code="0.0"/>
         <added-code code="0.4"/>
         <added-code code="0.5"/>
         <added-code code="1.0"/>
         <added-code code="1.1"/>
         <added-code code="1.4"/>
         <added-code code="1.6"/>
         <added-code code="1.8"/>
         <added-code code="3.0"/>
         <added-code code="3.3"/>
         <added-code code="3.5"/>
         <added-code code="4.0"/>
         <added-code code="4.1"/>
         <added-code code="4.2"/>
         <added-code code="4.3"/>
         <added-code code="4.4"/>
         <added-code code="4.5"/>
         <added-code code="4.6"/>
         <added-code code="5.0"/>
         <added-code code="6.0"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.format">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/supplemented-mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.patchFormat">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/patchmimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CapabilityStatement.acceptLanguage" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/restful-capability-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/restful-capability-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.type">
         <removed-type name="code"/>
         <added-type name="uri"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/extended-resource-types"
                      strength="extensible"/>
      </element>
      <element path="CapabilityStatement.rest.resource.definition" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.interaction.code">
         <added-code code="update-conditional"/>
         <added-code code="patch-conditional"/>
         <added-code code="delete-conditional-single"/>
         <added-code code="delete-conditional-multiple"/>
         <added-code code="delete-history"/>
         <added-code code="delete-history-version"/>
         <added-code code="create-conditional"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/type-restful-interaction|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/type-restful-interaction|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.versioning">
         <old-binding reference="http://hl7.org/fhir/ValueSet/versioning-policy|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/versioning-policy|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.conditionalRead">
         <old-binding reference="http://hl7.org/fhir/ValueSet/conditional-read-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/conditional-read-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CapabilityStatement.rest.resource.conditionalPatch" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.conditionalDelete">
         <old-binding reference="http://hl7.org/fhir/ValueSet/conditional-delete-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/conditional-delete-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.referencePolicy">
         <old-binding reference="http://hl7.org/fhir/ValueSet/reference-handling-policy|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/reference-handling-policy|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.resource.searchParam.type">
         <added-code code="resource"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.rest.interaction.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/system-restful-interaction|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/system-restful-interaction|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.messaging.supportedMessage.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/event-capability-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/event-capability-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CapabilityStatement.document.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/document-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/document-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="CarePlan" status="changed">
      <element path="CarePlan.basedOn">
         <removed-type name="Reference(CarePlan)"/>
         <added-type name="Reference(CarePlan | ServiceRequest | RequestOrchestration | NutritionOrder)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CarePlan.status">
         <removed-code code="revoked"/>
         <removed-code code="completed"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CarePlan.intent">
         <added-code code="directive"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/care-plan-intent|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/care-plan-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="author" path="CarePlan.custodian"/>
      <element path="CarePlan.addresses">
         <removed-type name="Reference(Condition)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="CarePlan.activity.performedActivity" status="new"/>
      <element old-name="reference" path="CarePlan.activity.plannedActivityReference">
         <removed-type name="Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)"/>
         <added-type name="Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestOrchestration)"/>
      </element>
      <element path="CarePlan.instantiatesCanonical" status="deleted"/>
      <element path="CarePlan.instantiatesUri" status="deleted"/>
      <element path="CarePlan.activity.outcomeCodeableConcept" status="deleted"/>
      <element path="CarePlan.activity.outcomeReference" status="deleted"/>
      <element path="CarePlan.activity.detail" status="deleted"/>
   </type>
   <type name="CareTeam" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CareTeam.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/care-team-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/care-team-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="1" old-max="*" path="CareTeam.participant.role"/>
      <element path="CareTeam.participant.member">
         <removed-type name="Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam | Group | HealthcareService)"/>
      </element>
      <element path="CareTeam.participant.onBehalfOf">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam | Group | HealthcareService)"/>
      </element>
      <element old-name="period" path="CareTeam.participant.effective[x]">
         <added-type name="Timing"/>
      </element>
      <element path="CareTeam.participant.supportingInfo" status="new"/>
      <element path="CareTeam.reason" status="new"/>
      <element path="CareTeam.encounter" status="deleted"/>
      <element path="CareTeam.reasonCode" status="deleted"/>
      <element path="CareTeam.reasonReference" status="deleted"/>
   </type>
   <type name="Claim" status="changed">
      <element path="Claim.traceNumber" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Claim.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Claim.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Claim.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/claim-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="patient" path="Claim.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element path="Claim.enterer">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
      </element>
      <element new-min="0" old-min="1" path="Claim.provider"/>
      <element new-min="0" old-min="1" path="Claim.priority"/>
      <element path="Claim.prescription">
         <removed-type name="Reference(DeviceRequest | MedicationRequest | VisionPrescription)"/>
         <added-type name="Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"/>
      </element>
      <element path="Claim.originalPrescription">
         <removed-type name="Reference(DeviceRequest | MedicationRequest | VisionPrescription)"/>
         <added-type name="Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"/>
      </element>
      <element path="Claim.encounter" status="new"/>
      <element path="Claim.facility">
         <removed-type name="Reference(Location)"/>
         <added-type name="Reference(Location | Organization)"/>
      </element>
      <element path="Claim.diagnosisRelatedGroup" status="new"/>
      <element path="Claim.event" status="new"/>
      <element path="Claim.event.type" status="new"/>
      <element path="Claim.event.when[x]" status="new"/>
      <element old-name="qualification" path="Claim.careTeam.specialty"/>
      <element path="Claim.supportingInfo.subCategory" status="new"/>
      <element path="Claim.supportingInfo.timing[x]">
         <removed-type name="date"/>
         <added-type name="dateTime"/>
         <added-type name="Timing"/>
      </element>
      <element path="Claim.supportingInfo.value[x]">
         <added-type name="base64Binary"/>
         <added-type name="canonical"/>
         <added-type name="code"/>
         <added-type name="date"/>
         <added-type name="dateTime"/>
         <added-type name="decimal"/>
         <added-type name="id"/>
         <added-type name="instant"/>
         <added-type name="integer"/>
         <added-type name="integer64"/>
         <added-type name="markdown"/>
         <added-type name="oid"/>
         <added-type name="positiveInt"/>
         <added-type name="time"/>
         <added-type name="unsignedInt"/>
         <added-type name="uri"/>
         <added-type name="url"/>
         <added-type name="uuid"/>
         <added-type name="Address"/>
         <added-type name="Age"/>
         <added-type name="Annotation"/>
         <added-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
         <added-type name="Coding"/>
         <added-type name="ContactPoint"/>
         <added-type name="Count"/>
         <added-type name="Distance"/>
         <added-type name="Duration"/>
         <added-type name="HumanName"/>
         <added-type name="Identifier"/>
         <added-type name="Money"/>
         <added-type name="Period"/>
         <added-type name="Range"/>
         <added-type name="Ratio"/>
         <added-type name="RatioRange"/>
         <added-type name="SampledData"/>
         <added-type name="Signature"/>
         <added-type name="Timing"/>
         <added-type name="ContactDetail"/>
         <added-type name="DataRequirement"/>
         <added-type name="Expression"/>
         <added-type name="ParameterDefinition"/>
         <added-type name="RelatedArtifact"/>
         <added-type name="TriggerDefinition"/>
         <added-type name="UsageContext"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Dosage"/>
         <added-type name="Meta"/>
      </element>
      <element new-min="0" old-min="1" path="Claim.insurance"/>
      <element path="Claim.patientPaid" status="new"/>
      <element path="Claim.item.traceNumber" status="new"/>
      <element path="Claim.item.subject" status="new"/>
      <element new-min="0" old-min="1" path="Claim.item.productOrService"/>
      <element path="Claim.item.productOrServiceEnd" status="new"/>
      <element path="Claim.item.request" status="new"/>
      <element path="Claim.item.patientPaid" status="new"/>
      <element path="Claim.item.tax" status="new"/>
      <element new-max="*" old-max="1" path="Claim.item.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="Claim.item.bodySite.site" status="new"/>
      <element path="Claim.item.bodySite.subSite" status="new"/>
      <element path="Claim.item.detail.traceNumber" status="new"/>
      <element new-min="0" old-min="1" path="Claim.item.detail.productOrService"/>
      <element path="Claim.item.detail.productOrServiceEnd" status="new"/>
      <element path="Claim.item.detail.patientPaid" status="new"/>
      <element path="Claim.item.detail.tax" status="new"/>
      <element path="Claim.item.detail.subDetail.traceNumber" status="new"/>
      <element new-min="0"
               old-min="1"
               path="Claim.item.detail.subDetail.productOrService"/>
      <element path="Claim.item.detail.subDetail.productOrServiceEnd" status="new"/>
      <element path="Claim.item.detail.subDetail.patientPaid" status="new"/>
      <element path="Claim.item.detail.subDetail.tax" status="new"/>
      <element path="Claim.careTeam.responsible" status="deleted"/>
      <element path="Claim.diagnosis.packageCode" status="deleted"/>
      <element path="Claim.item.subSite" status="deleted"/>
   </type>
   <type name="ClaimResponse" status="changed">
      <element path="ClaimResponse.traceNumber" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ClaimResponse.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/claim-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="patient" path="ClaimResponse.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element new-min="0" old-min="1" path="ClaimResponse.insurer"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClaimResponse.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ClaimResponse.decision" status="new"/>
      <element path="ClaimResponse.event" status="new"/>
      <element path="ClaimResponse.event.type" status="new"/>
      <element path="ClaimResponse.event.when[x]" status="new"/>
      <element path="ClaimResponse.encounter" status="new"/>
      <element path="ClaimResponse.diagnosisRelatedGroup" status="new"/>
      <element path="ClaimResponse.supportingInfo" status="new"/>
      <element path="ClaimResponse.supportingInfo.sequence" status="new"/>
      <element path="ClaimResponse.supportingInfo.category" status="new"/>
      <element path="ClaimResponse.supportingInfo.code" status="new"/>
      <element path="ClaimResponse.supportingInfo.timing[x]" status="new"/>
      <element path="ClaimResponse.supportingInfo.value[x]" status="new"/>
      <element path="ClaimResponse.supportingInfo.reason" status="new"/>
      <element path="ClaimResponse.item.traceNumber" status="new"/>
      <element path="ClaimResponse.item.informationSequence" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.decision" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.reason" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.preAuthRef" status="new"/>
      <element path="ClaimResponse.item.reviewOutcome.preAuthPeriod" status="new"/>
      <element new-min="0" old-min="1" path="ClaimResponse.item.adjudication"/>
      <element old-name="value" path="ClaimResponse.item.adjudication.quantity">
         <removed-type name="decimal"/>
         <added-type name="Quantity"/>
      </element>
      <element path="ClaimResponse.item.adjudication.decisionDate" status="new"/>
      <element path="ClaimResponse.item.detail.traceNumber" status="new"/>
      <element path="ClaimResponse.item.detail.reviewOutcome" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.item.detail.adjudication"/>
      <element path="ClaimResponse.item.detail.subDetail.traceNumber" status="new"/>
      <element path="ClaimResponse.item.detail.subDetail.reviewOutcome" status="new"/>
      <element path="ClaimResponse.addItem.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.subject" status="new"/>
      <element path="ClaimResponse.addItem.informationSequence" status="new"/>
      <element path="ClaimResponse.addItem.revenue" status="new"/>
      <element path="ClaimResponse.addItem.category" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.productOrService"/>
      <element path="ClaimResponse.addItem.productOrServiceEnd" status="new"/>
      <element path="ClaimResponse.addItem.request" status="new"/>
      <element path="ClaimResponse.addItem.tax" status="new"/>
      <element new-max="*" old-max="1" path="ClaimResponse.addItem.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ClaimResponse.addItem.bodySite.site" status="new"/>
      <element path="ClaimResponse.addItem.bodySite.subSite" status="new"/>
      <element path="ClaimResponse.addItem.reviewOutcome" status="new"/>
      <element new-min="0" old-min="1" path="ClaimResponse.addItem.adjudication"/>
      <element path="ClaimResponse.addItem.detail.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.detail.revenue" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.productOrService"/>
      <element path="ClaimResponse.addItem.detail.productOrServiceEnd" status="new"/>
      <element path="ClaimResponse.addItem.detail.tax" status="new"/>
      <element path="ClaimResponse.addItem.detail.reviewOutcome" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.adjudication"/>
      <element path="ClaimResponse.addItem.detail.subDetail.traceNumber" status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.revenue" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.subDetail.productOrService"/>
      <element path="ClaimResponse.addItem.detail.subDetail.productOrServiceEnd"
               status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.tax" status="new"/>
      <element path="ClaimResponse.addItem.detail.subDetail.reviewOutcome"
               status="new"/>
      <element new-min="0"
               old-min="1"
               path="ClaimResponse.addItem.detail.subDetail.adjudication"/>
      <element path="ClaimResponse.processNote.class" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="ClaimResponse.processNote.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/note-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/note-type"
                      strength="extensible"/>
      </element>
      <element path="ClaimResponse.processNote.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="ClaimResponse.processNote.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ClaimResponse.error.expression" status="new"/>
      <element path="ClaimResponse.addItem.subSite" status="deleted"/>
   </type>
   <type name="ClinicalUseDefinition" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ClinicalUseDefinition.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/clinical-use-definition-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-min="1" old-min="0" path="ClinicalUseDefinition.subject">
         <removed-type name="Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element modifier="added" path="ClinicalUseDefinition.status"/>
      <element path="ClinicalUseDefinition.undesirableEffect.management" status="new"/>
      <element new-max="*"
               old-max="1"
               path="ClinicalUseDefinition.indication.intendedEffect"/>
      <element path="ClinicalUseDefinition.indication.undesirableEffect">
         <removed-type name="Reference(ClinicalUseDefinition)"/>
      </element>
      <element path="ClinicalUseDefinition.indication.applicability" status="new"/>
      <element path="ClinicalUseDefinition.indication.otherTherapy.relationshipType"
               status="new"/>
      <element path="ClinicalUseDefinition.indication.otherTherapy.treatment"
               status="new"/>
      <element path="ClinicalUseDefinition.contraindication.indication">
         <removed-type name="Reference(ClinicalUseDefinition)"/>
      </element>
      <element path="ClinicalUseDefinition.contraindication.applicability"
               status="new"/>
      <element path="ClinicalUseDefinition.contraindication.management" status="new"/>
      <element path="ClinicalUseDefinition.contraindication.otherTherapy">
         <removed-type name="BackboneElement"/>
      </element>
      <element path="ClinicalUseDefinition.interaction.interactant.route" status="new"/>
      <element path="ClinicalUseDefinition.interaction.severity" status="new"/>
      <element path="ClinicalUseDefinition.library" status="new"/>
      <element path="ClinicalUseDefinition.contraindication.otherTherapy.relationshipType"
               status="deleted"/>
      <element path="ClinicalUseDefinition.contraindication.otherTherapy.therapy"
               status="deleted"/>
   </type>
   <type name="CodeSystem" status="changed">
      <element path="CodeSystem.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="CodeSystem.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="CodeSystem.copyrightLabel" status="new"/>
      <element path="CodeSystem.approvalDate" status="new"/>
      <element path="CodeSystem.lastReviewDate" status="new"/>
      <element path="CodeSystem.effectivePeriod" status="new"/>
      <element path="CodeSystem.topic" status="new"/>
      <element path="CodeSystem.author" status="new"/>
      <element path="CodeSystem.editor" status="new"/>
      <element path="CodeSystem.reviewer" status="new"/>
      <element path="CodeSystem.endorser" status="new"/>
      <element path="CodeSystem.relatedArtifact" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.hierarchyMeaning">
         <old-binding reference="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.content">
         <old-binding reference="http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/codesystem-content-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.filter.operator">
         <added-code code="child-of"/>
         <added-code code="descendent-leaf"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CodeSystem.property.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/concept-property-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/concept-property-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="CodeSystem.concept.designation.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CodeSystem.concept.designation.additionalUse" status="new"/>
   </type>
   <type name="Communication" status="changed">
      <element path="Communication.basedOn">
         <removed-type name="Reference(Resource)"/>
         <added-type name="Reference(CarePlan | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest | Task | VisionPrescription)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Communication.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/event-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Communication.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Communication.recipient">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)"/>
         <added-type name="Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint)"/>
      </element>
      <element path="Communication.sender">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | CareTeam)"/>
      </element>
      <element path="Communication.reason" status="new"/>
      <element path="Communication.payload.content[x]">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Communication.instantiatesCanonical" status="deleted"/>
      <element path="Communication.instantiatesUri" status="deleted"/>
      <element path="Communication.reasonCode" status="deleted"/>
      <element path="Communication.reasonReference" status="deleted"/>
   </type>
   <type name="CommunicationRequest" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CommunicationRequest.status">
         <removed-code code="revoked"/>
         <removed-code code="completed"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CommunicationRequest.intent" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CommunicationRequest.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CommunicationRequest.payload.content[x]">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="CommunicationRequest.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="CommunicationRequest.recipient">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService | Endpoint)"/>
      </element>
      <element new-max="*"
               old-max="1"
               old-name="sender"
               path="CommunicationRequest.informationProvider">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService | Endpoint | Group)"/>
      </element>
      <element path="CommunicationRequest.reason" status="new"/>
      <element path="CommunicationRequest.reasonCode" status="deleted"/>
      <element path="CommunicationRequest.reasonReference" status="deleted"/>
   </type>
   <type name="CompartmentDefinition" status="changed">
      <element path="CompartmentDefinition.versionAlgorithm[x]" status="new"/>
      <element path="CompartmentDefinition.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CompartmentDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CompartmentDefinition.code">
         <added-code code="EpisodeOfCare"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/compartment-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/compartment-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="CompartmentDefinition.resource.code">
         <removed-code code="Resource"/>
         <removed-code code="DomainResource"/>
         <removed-code code="CatalogEntry"/>
         <removed-code code="ChargeItem"/>
         <removed-code code="ChargeItemDefinition"/>
         <removed-code code="Citation"/>
         <removed-code code="ClinicalImpression"/>
         <removed-code code="DeviceUseStatement"/>
         <removed-code code="DocumentManifest"/>
         <removed-code code="EvidenceReport"/>
         <removed-code code="GraphDefinition"/>
         <removed-code code="ImmunizationEvaluation"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="Linkage"/>
         <removed-code code="Media"/>
         <removed-code code="MedicationKnowledge"/>
         <removed-code code="MolecularSequence"/>
         <removed-code code="RequestGroup"/>
         <removed-code code="ResearchDefinition"/>
         <removed-code code="ResearchElementDefinition"/>
         <removed-code code="SupplyDelivery"/>
         <removed-code code="SupplyRequest"/>
         <removed-code code="TestReport"/>
         <removed-code code="TestScript"/>
         <removed-code code="VerificationResult"/>
         <added-code code="ActorDefinition"/>
         <added-code code="ArtifactAssessment"/>
         <added-code code="DeviceAlert"/>
         <added-code code="DeviceAssociation"/>
         <added-code code="ImagingSelection"/>
         <added-code code="InsuranceProduct"/>
         <added-code code="NutritionIntake"/>
         <added-code code="RequestOrchestration"/>
         <added-code code="Requirements"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CompartmentDefinition.resource.startParam" status="new"/>
      <element path="CompartmentDefinition.resource.endParam" status="new"/>
      <element path="CompartmentDefinition.resource.documentation" status="deleted"/>
   </type>
   <type name="Composition" status="changed">
      <element path="Composition.url" status="new"/>
      <element new-max="*" old-max="1" path="Composition.identifier"/>
      <element path="Composition.version" status="new"/>
      <element path="Composition.consent" status="new"/>
      <element path="Composition.basedOn" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Composition.status">
         <removed-code code="preliminary"/>
         <added-code code="registered"/>
         <added-code code="partial"/>
         <added-code code="cancelled"/>
         <added-code code="deprecated"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/composition-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="Composition.subject"/>
      <element path="Composition.useContext" status="new"/>
      <element new-min="0" old-min="1" path="Composition.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"/>
      </element>
      <element path="Composition.participant" status="new"/>
      <element path="Composition.participant.type" status="new"/>
      <element path="Composition.participant.function" status="new"/>
      <element path="Composition.participant.time" status="new"/>
      <element path="Composition.participant.party" status="new"/>
      <element path="Composition.name" status="new"/>
      <element new-min="0" old-min="1" path="Composition.title"/>
      <element path="Composition.note" status="new"/>
      <element binding-status="removed" path="Composition.attester.mode">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0"
                      strength="required"/>
      </element>
      <element path="Composition.attester.party">
         <removed-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization | Group)"/>
      </element>
      <element path="Composition.custodian">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Organization | Patient | Group)"/>
      </element>
      <element path="Composition.relatesTo.type" status="new"/>
      <element path="Composition.relatesTo.target[x]">
         <removed-type name="Identifier"/>
         <added-type name="uri"/>
         <added-type name="Attachment"/>
         <added-type name="canonical(Resource)"/>
         <added-type name="markdown"/>
      </element>
      <element path="Composition.event.detail">
         <removed-type name="Reference(Resource)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Composition.section.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"/>
      </element>
      <element path="Composition.section.note" status="new"/>
      <element path="Composition.confidentiality" status="deleted"/>
      <element path="Composition.relatesTo.code" status="deleted"/>
      <element path="Composition.event.code" status="deleted"/>
      <element path="Composition.section.mode" status="deleted"/>
   </type>
   <type name="ConceptMap" status="changed">
      <element new-max="*" old-max="1" path="ConceptMap.identifier"/>
      <element path="ConceptMap.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ConceptMap.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="ConceptMap.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="ConceptMap.copyrightLabel" status="new"/>
      <element path="ConceptMap.approvalDate" status="new"/>
      <element path="ConceptMap.lastReviewDate" status="new"/>
      <element path="ConceptMap.effectivePeriod" status="new"/>
      <element path="ConceptMap.topic" status="new"/>
      <element path="ConceptMap.author" status="new"/>
      <element path="ConceptMap.editor" status="new"/>
      <element path="ConceptMap.reviewer" status="new"/>
      <element path="ConceptMap.endorser" status="new"/>
      <element path="ConceptMap.relatedArtifact" status="new"/>
      <element path="ConceptMap.property" status="new"/>
      <element path="ConceptMap.property.code" status="new"/>
      <element path="ConceptMap.property.uri" status="new"/>
      <element path="ConceptMap.property.description" status="new"/>
      <element path="ConceptMap.property.type" status="new"/>
      <element path="ConceptMap.property.system" status="new"/>
      <element path="ConceptMap.additionalAttribute" status="new"/>
      <element path="ConceptMap.additionalAttribute.code" status="new"/>
      <element path="ConceptMap.additionalAttribute.uri" status="new"/>
      <element path="ConceptMap.additionalAttribute.description" status="new"/>
      <element path="ConceptMap.additionalAttribute.type" status="new"/>
      <element old-name="source[x]" path="ConceptMap.sourceScope[x]"/>
      <element old-name="target[x]" path="ConceptMap.targetScope[x]"/>
      <element path="ConceptMap.group.source">
         <removed-type name="uri"/>
         <added-type name="canonical(CodeSystem)"/>
      </element>
      <element path="ConceptMap.group.target">
         <removed-type name="uri"/>
         <added-type name="canonical(CodeSystem)"/>
      </element>
      <element path="ConceptMap.group.element.valueSet" status="new"/>
      <element path="ConceptMap.group.element.noMap" status="new"/>
      <element path="ConceptMap.group.element.comment" status="new"/>
      <element path="ConceptMap.group.element.target.valueSet" status="new"/>
      <element path="ConceptMap.group.element.target.relationship" status="new"/>
      <element path="ConceptMap.group.element.target.property" status="new"/>
      <element path="ConceptMap.group.element.target.property.code" status="new"/>
      <element path="ConceptMap.group.element.target.property.value[x]" status="new"/>
      <element old-name="property"
               path="ConceptMap.group.element.target.dependsOn.attribute">
         <removed-type name="uri"/>
         <added-type name="code"/>
      </element>
      <element new-min="0"
               old-min="1"
               old-name="value"
               path="ConceptMap.group.element.target.dependsOn.value[x]">
         <added-type name="code"/>
         <added-type name="Coding"/>
         <added-type name="boolean"/>
         <added-type name="Quantity"/>
      </element>
      <element path="ConceptMap.group.element.target.dependsOn.valueSet" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ConceptMap.group.unmapped.mode">
         <removed-code code="provided"/>
         <added-code code="use-source-code"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ConceptMap.group.unmapped.comment" status="new"/>
      <element path="ConceptMap.group.unmapped.valueSet" status="new"/>
      <element path="ConceptMap.group.unmapped.relationship" status="new"/>
      <element old-name="url" path="ConceptMap.group.unmapped.otherMap"/>
      <element path="ConceptMap.group.sourceVersion" status="deleted"/>
      <element path="ConceptMap.group.targetVersion" status="deleted"/>
      <element path="ConceptMap.group.element.target.equivalence" status="deleted"/>
      <element path="ConceptMap.group.element.target.dependsOn.system"
               status="deleted"/>
      <element path="ConceptMap.group.element.target.dependsOn.display"
               status="deleted"/>
   </type>
   <type name="Condition" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="1"
               old-min="0"
               path="Condition.clinicalStatus">
         <removed-code code="recurrence"/>
         <removed-code code="relapse"/>
         <removed-code code="remission"/>
         <removed-code code="resolved"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/condition-clinical|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/condition-clinical|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Condition.verificationStatus">
         <removed-code code="provisional"/>
         <removed-code code="differential"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/condition-ver-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/condition-ver-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="Condition.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/condition-category"
                      strength="extensible"/>
      </element>
      <element path="Condition.bodyStructure" status="new"/>
      <element path="Condition.recorder">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Group)"/>
      </element>
      <element path="Condition.asserter">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | Group)"/>
      </element>
      <element path="Condition.stage.assessment">
         <removed-type name="Reference(ClinicalImpression | DiagnosticReport | Observation)"/>
         <added-type name="Reference(DiagnosticReport | Observation)"/>
      </element>
      <element path="Condition.evidence">
         <removed-type name="BackboneElement"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Condition.evidence.code" status="deleted"/>
      <element path="Condition.evidence.detail" status="deleted"/>
   </type>
   <type name="Consent" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Consent.status">
         <removed-code code="proposed"/>
         <removed-code code="rejected"/>
         <added-code code="not-done"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-state-codes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/consent-state-codes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed"
               new-min="0"
               old-min="1"
               path="Consent.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-category"
                      strength="extensible"/>
      </element>
      <element old-name="patient" path="Consent.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Practitioner | ResearchSubject | Group)"/>
      </element>
      <element old-name="dateTime" path="Consent.date">
         <removed-type name="dateTime"/>
         <added-type name="date"/>
      </element>
      <element path="Consent.period" status="new"/>
      <element path="Consent.grantor" status="new"/>
      <element old-name="performer" path="Consent.grantee">
         <removed-type name="Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)"/>
         <added-type name="Reference(CareTeam | Group | HealthcareService | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)"/>
      </element>
      <element path="Consent.manager" status="new"/>
      <element path="Consent.controller" status="new"/>
      <element path="Consent.sourceAttachment" status="new"/>
      <element path="Consent.sourceReference" status="new"/>
      <element path="Consent.regulatoryBasis" status="new"/>
      <element new-max="1"
               old-max="*"
               old-name="policy"
               path="Consent.policyBasis"/>
      <element path="Consent.policyBasis.reference" status="new"/>
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               old-name="policyRule"
               path="Consent.policyText">
         <removed-type name="CodeableConcept"/>
         <added-type name="Reference(DocumentReference)"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-policy"
                      strength="extensible"/>
      </element>
      <element path="Consent.verification.type" status="new"/>
      <element path="Consent.verification.verifiedBy" status="new"/>
      <element path="Consent.verification.verifiedWith">
         <removed-type name="Reference(Patient | RelatedPerson)"/>
         <added-type name="Reference(Patient | RelatedPerson | Group)"/>
      </element>
      <element new-max="*"
               old-max="1"
               old-name="verificationDate"
               path="Consent.verification.date"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               modifier="added"
               old-name="type"
               path="Consent.decision">
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-provision-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/consent-provision-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="Consent.provision"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="Consent.provision.actor.role">
         <old-binding reference="http://hl7.org/fhir/ValueSet/security-role-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participation-role-type"
                      strength="extensible"/>
      </element>
      <element new-min="0" old-min="1" path="Consent.provision.actor.reference"/>
      <element binding-status="removed" path="Consent.provision.securityLabel">
         <old-binding reference="http://hl7.org/fhir/ValueSet/security-labels"
                      strength="extensible"/>
      </element>
      <element path="Consent.provision.documentType" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               old-name="class"
               path="Consent.provision.resourceType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-content-class"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Consent.provision.data.meaning">
         <old-binding reference="http://hl7.org/fhir/ValueSet/consent-data-meaning|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/consent-data-meaning|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Consent.provision.expression" status="new"/>
      <element path="Consent.scope" status="deleted"/>
      <element path="Consent.organization" status="deleted"/>
      <element path="Consent.source[x]" status="deleted"/>
      <element path="Consent.policy.authority" status="deleted"/>
   </type>
   <type name="Contract" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Contract.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/contract-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/contract-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Contract.author">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | Organization | RelatedPerson)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Contract.contentDefinition.publicationStatus">
         <old-binding reference="http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/contract-publicationstatus|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Contract.term.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Contract.term.action.reason">
         <removed-type name="string"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Contract.term.action.reasonCode" status="deleted"/>
      <element path="Contract.term.action.reasonReference" status="deleted"/>
   </type>
   <type name="Coverage" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Coverage.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Coverage.statusReason" status="new"/>
      <element path="Coverage.kind" status="new"/>
      <element path="Coverage.paymentBy" status="new"/>
      <element path="Coverage.paymentBy.party" status="new"/>
      <element path="Coverage.paymentBy.responsibility" status="new"/>
      <element new-max="*" old-max="1" path="Coverage.subscriberId">
         <removed-type name="string"/>
         <added-type name="Identifier"/>
      </element>
      <element path="Coverage.insurer" status="new"/>
      <element path="Coverage.class.value">
         <removed-type name="string"/>
         <added-type name="Identifier"/>
      </element>
      <element path="Coverage.costToBeneficiary.category" status="new"/>
      <element path="Coverage.costToBeneficiary.network" status="new"/>
      <element path="Coverage.costToBeneficiary.unit" status="new"/>
      <element path="Coverage.costToBeneficiary.term" status="new"/>
      <element new-min="0" old-min="1" path="Coverage.costToBeneficiary.value[x]"/>
      <element path="Coverage.insurancePlan" status="new"/>
      <element path="Coverage.payor" status="deleted"/>
   </type>
   <type name="CoverageEligibilityRequest" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CoverageEligibilityRequest.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CoverageEligibilityRequest.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CoverageEligibilityRequest.purpose">
         <old-binding reference="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CoverageEligibilityRequest.event" status="new"/>
      <element path="CoverageEligibilityRequest.event.type" status="new"/>
      <element path="CoverageEligibilityRequest.event.when[x]" status="new"/>
   </type>
   <type name="CoverageEligibilityResponse" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CoverageEligibilityResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CoverageEligibilityResponse.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CoverageEligibilityResponse.purpose">
         <old-binding reference="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CoverageEligibilityResponse.event" status="new"/>
      <element path="CoverageEligibilityResponse.event.type" status="new"/>
      <element path="CoverageEligibilityResponse.event.when[x]" status="new"/>
      <element new-min="0" old-min="1" path="CoverageEligibilityResponse.request"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="CoverageEligibilityResponse.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/eligibility-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="CoverageEligibilityResponse.insurance.item.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="CoverageEligibilityResponse.error.expression" status="new"/>
   </type>
   <type name="DetectedIssue" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DetectedIssue.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/detectedissue-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DetectedIssue.category" status="new"/>
      <element binding-status="removed" path="DetectedIssue.severity">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0"
                      strength="required"/>
      </element>
      <element old-name="patient" path="DetectedIssue.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)"/>
      </element>
      <element path="DetectedIssue.encounter" status="new"/>
      <element path="DetectedIssue.identified[x]">
         <added-type name="Timing"/>
      </element>
      <element path="DetectedIssue.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device)"/>
         <added-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device)"/>
      </element>
      <element path="DetectedIssue.detail">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="DetectedIssue.qualityOfEvidence" status="new"/>
      <element path="DetectedIssue.expectedOnsetType" status="new"/>
      <element path="DetectedIssue.medicationClass" status="new"/>
      <element path="DetectedIssue.managementCode" status="new"/>
      <element path="DetectedIssue.mitigation.note" status="new"/>
   </type>
   <type name="Device" status="changed">
      <element path="Device.definition">
         <removed-type name="Reference(DeviceDefinition)"/>
         <added-type name="canonical(DeviceDefinition)"/>
      </element>
      <element new-min="1" old-min="0" path="Device.udiCarrier.deviceIdentifier"/>
      <element path="Device.udiCarrier.deviceIdentifierSystem" status="new"/>
      <element new-min="1" old-min="0" path="Device.udiCarrier.issuer"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Device.udiCarrier.entryType">
         <added-code code="electronic-transmission"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/udi-entry-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/udi-entry-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Device.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/device-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/device-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Device.availabilityStatus" status="new"/>
      <element old-name="distinctIdentifier" path="Device.biologicalSourceEvent">
         <removed-type name="string"/>
         <added-type name="Identifier"/>
      </element>
      <element old-name="deviceName" path="Device.name"/>
      <element old-name="name" path="Device.name.value"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="Device.name.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/device-nametype|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/device-nametype"
                      strength="extensible"/>
      </element>
      <element path="Device.name.display" status="new"/>
      <element path="Device.category" status="new"/>
      <element new-max="*" old-max="1" path="Device.type"/>
      <element old-name="version" path="Device.deviceVersion"/>
      <element path="Device.deviceVersion.installDate" status="new"/>
      <element old-name="specialization" path="Device.conformsTo"/>
      <element path="Device.conformsTo.category" status="new"/>
      <element old-name="systemType" path="Device.conformsTo.specification"/>
      <element path="Device.property.value[x]" status="new"/>
      <element path="Device.additive" status="new"/>
      <element path="Device.additive.type" status="new"/>
      <element path="Device.additive.quantity" status="new"/>
      <element path="Device.statusReason" status="deleted"/>
      <element path="Device.property.valueQuantity" status="deleted"/>
      <element path="Device.property.valueCode" status="deleted"/>
      <element path="Device.patient" status="deleted"/>
      <element path="Device.owner" status="deleted"/>
      <element path="Device.url" status="deleted"/>
   </type>
   <type name="DeviceAlert" status="new"/>
   <type name="DeviceAssociation" status="new"/>
   <type name="DeviceDefinition" status="changed">
      <element new-max="1" old-max="*" path="DeviceDefinition.version"/>
      <element path="DeviceDefinition.versionAlgorithm[x]" status="new"/>
      <element path="DeviceDefinition.name" status="new"/>
      <element path="DeviceDefinition.title" status="new"/>
      <element path="DeviceDefinition.status" status="new"/>
      <element path="DeviceDefinition.experimental" status="new"/>
      <element path="DeviceDefinition.date" status="new"/>
      <element path="DeviceDefinition.publisher" status="new"/>
      <element path="DeviceDefinition.contact">
         <removed-type name="ContactPoint"/>
         <added-type name="ContactDetail"/>
      </element>
      <element path="DeviceDefinition.description" status="new"/>
      <element path="DeviceDefinition.useContext" status="new"/>
      <element path="DeviceDefinition.jurisdiction" status="new"/>
      <element path="DeviceDefinition.purpose" status="new"/>
      <element path="DeviceDefinition.copyright" status="new"/>
      <element path="DeviceDefinition.copyrightLabel" status="new"/>
      <element path="DeviceDefinition.approvalDate" status="new"/>
      <element path="DeviceDefinition.lastReviewDate" status="new"/>
      <element path="DeviceDefinition.effectivePeriod" status="new"/>
      <element path="DeviceDefinition.partNumber" status="new"/>
      <element old-name="manufacturer[x]" path="DeviceDefinition.manufacturer">
         <removed-type name="string"/>
      </element>
      <element path="DeviceDefinition.udiDeviceIdentifier.marketDistribution"
               status="new"/>
      <element path="DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod"
               status="new"/>
      <element path="DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction"
               status="new"/>
      <element path="DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem"
               status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier" status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier.type" status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier.identifier" status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier.issuer" status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier.jurisdiction" status="new"/>
      <element path="DeviceDefinition.regulatoryIdentifier.identifierSystem"
               status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="DeviceDefinition.deviceName.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/device-nametype|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/device-nametype"
                      strength="extensible"/>
      </element>
      <element path="DeviceDefinition.classification" status="new"/>
      <element new-min="1" old-min="0" path="DeviceDefinition.classification.type"/>
      <element path="DeviceDefinition.classification.justification" status="new"/>
      <element old-name="specialization" path="DeviceDefinition.conformsTo"/>
      <element path="DeviceDefinition.conformsTo.category" status="new"/>
      <element old-name="systemType" path="DeviceDefinition.conformsTo.specification">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element new-max="*" old-max="1" path="DeviceDefinition.conformsTo.version"/>
      <element path="DeviceDefinition.conformsTo.source" status="new"/>
      <element path="DeviceDefinition.hasPart" status="new"/>
      <element path="DeviceDefinition.hasPart.definition[x]" status="new"/>
      <element path="DeviceDefinition.hasPart.count" status="new"/>
      <element path="DeviceDefinition.packaging" status="new"/>
      <element path="DeviceDefinition.packaging.identifier" status="new"/>
      <element path="DeviceDefinition.packaging.type" status="new"/>
      <element path="DeviceDefinition.packaging.count" status="new"/>
      <element path="DeviceDefinition.packaging.distributor" status="new"/>
      <element path="DeviceDefinition.packaging.distributor.name" status="new"/>
      <element path="DeviceDefinition.packaging.distributor.organizationReference"
               status="new"/>
      <element path="DeviceDefinition.packaging.udiDeviceIdentifier" status="new"/>
      <element path="DeviceDefinition.packaging.packaging" status="new"/>
      <element path="DeviceDefinition.deviceVersion" status="new"/>
      <element path="DeviceDefinition.deviceVersion.type" status="new"/>
      <element path="DeviceDefinition.deviceVersion.component" status="new"/>
      <element path="DeviceDefinition.deviceVersion.value" status="new"/>
      <element binding-status="added"
               old-name="languageCode"
               path="DeviceDefinition.outputLanguage">
         <removed-type name="CodeableConcept"/>
         <added-type name="code"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="1"
               new-min="1"
               old-max="*"
               old-min="0"
               old-name="valueQuantity"
               path="DeviceDefinition.property.value[x]">
         <added-type name="CodeableConcept"/>
         <added-type name="string"/>
         <added-type name="boolean"/>
         <added-type name="integer"/>
         <added-type name="Range"/>
         <added-type name="Attachment"/>
      </element>
      <element path="DeviceDefinition.link" status="new"/>
      <element path="DeviceDefinition.link.relation" status="new"/>
      <element path="DeviceDefinition.link.relatedDevice[x]" status="new"/>
      <element path="DeviceDefinition.productionIdentifierInUDI" status="new"/>
      <element path="DeviceDefinition.guideline" status="new"/>
      <element path="DeviceDefinition.guideline.useContext" status="new"/>
      <element path="DeviceDefinition.guideline.usageInstruction" status="new"/>
      <element new-max="*"
               old-max="1"
               old-name="onlineInformation"
               path="DeviceDefinition.guideline.relatedArtifact">
         <removed-type name="uri"/>
         <added-type name="RelatedArtifact"/>
      </element>
      <element path="DeviceDefinition.guideline.indication" status="new"/>
      <element path="DeviceDefinition.guideline.contraindication" status="new"/>
      <element path="DeviceDefinition.guideline.warning" status="new"/>
      <element path="DeviceDefinition.guideline.intendedUse" status="new"/>
      <element path="DeviceDefinition.correctiveAction" status="new"/>
      <element path="DeviceDefinition.correctiveAction.recall" status="new"/>
      <element path="DeviceDefinition.correctiveAction.scope" status="new"/>
      <element path="DeviceDefinition.correctiveAction.period" status="new"/>
      <element path="DeviceDefinition.chargeItem" status="new"/>
      <element path="DeviceDefinition.chargeItem.chargeItemCode" status="new"/>
      <element path="DeviceDefinition.chargeItem.count" status="new"/>
      <element path="DeviceDefinition.chargeItem.effectivePeriod" status="new"/>
      <element path="DeviceDefinition.chargeItem.useContext" status="new"/>
      <element path="DeviceDefinition.physicalCharacteristics" status="deleted"/>
      <element path="DeviceDefinition.capability" status="deleted"/>
      <element path="DeviceDefinition.property.valueCode" status="deleted"/>
      <element path="DeviceDefinition.owner" status="deleted"/>
      <element path="DeviceDefinition.quantity" status="deleted"/>
      <element path="DeviceDefinition.parentDevice" status="deleted"/>
   </type>
   <type name="DeviceMetric" status="changed">
      <element path="DeviceMetric.status" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="DeviceMetric.operationalStatus">
         <removed-code code="entered-in-error"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/metric-operational-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/metric-operational-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="DeviceMetric.category">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/metric-category|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/metric-category"
                      strength="extensible"/>
      </element>
      <element path="DeviceMetric.device" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DeviceMetric.color">
         <old-binding reference="http://hl7.org/fhir/ValueSet/metric-color|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/color-codes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DeviceMetric.measurementFrequency" status="new"/>
      <element path="DeviceMetric.availability" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="DeviceMetric.calibration.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/metric-calibration-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/metric-calibration-type"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DeviceMetric.calibration.state">
         <old-binding reference="http://hl7.org/fhir/ValueSet/metric-calibration-state|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/metric-calibration-state|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DeviceMetric.source" status="deleted"/>
      <element path="DeviceMetric.parent" status="deleted"/>
      <element path="DeviceMetric.measurementPeriod" status="deleted"/>
   </type>
   <type name="DeviceRequest" status="changed">
      <element old-name="priorRequest" path="DeviceRequest.replaces">
         <removed-type name="Reference(Resource)"/>
         <added-type name="Reference(DeviceRequest)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="DeviceRequest.status">
         <removed-code code="revoked"/>
         <removed-code code="completed"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="DeviceRequest.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|4.3.0"
                      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="DeviceRequest.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DeviceRequest.doNotPerform" status="new"/>
      <element old-name="code[x]" path="DeviceRequest.product[x]">
         <added-type name="canonical(DeviceDefinition)"/>
      </element>
      <element path="DeviceRequest.quantity" status="new"/>
      <element path="DeviceRequest.requester">
         <removed-type name="Reference(Device | Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Device | Practitioner | PractitionerRole | Organization | CareTeam | Group | Patient | RelatedPerson)"/>
      </element>
      <element path="DeviceRequest.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="DeviceRequest.location" status="new"/>
      <element path="DeviceRequest.reason" status="new"/>
      <element path="DeviceRequest.asNeeded" status="new"/>
      <element path="DeviceRequest.asNeededFor" status="new"/>
      <element path="DeviceRequest.instantiatesCanonical" status="deleted"/>
      <element path="DeviceRequest.instantiatesUri" status="deleted"/>
      <element path="DeviceRequest.performerType" status="deleted"/>
      <element path="DeviceRequest.reasonCode" status="deleted"/>
      <element path="DeviceRequest.reasonReference" status="deleted"/>
   </type>
   <type name="DiagnosticReport" status="changed">
      <element path="DiagnosticReport.basedOn">
         <removed-type name="Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"/>
         <added-type name="Reference(CarePlan | MedicationRequest | NutritionOrder | ServiceRequest)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="DiagnosticReport.status">
         <removed-code code="preliminary"/>
         <removed-code code="corrected"/>
         <removed-code code="appended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/diagnostic-report-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DiagnosticReport.subject">
         <removed-type name="Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)"/>
         <added-type name="Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)"/>
      </element>
      <element path="DiagnosticReport.relatesTo" status="new"/>
      <element path="DiagnosticReport.issued">
         <removed-type name="instant"/>
         <added-type name="dateTime"/>
      </element>
      <element path="DiagnosticReport.procedure" status="new"/>
      <element path="DiagnosticReport.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device | Patient | RelatedPerson)"/>
      </element>
      <element path="DiagnosticReport.resultsInterpreter">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"/>
      </element>
      <element path="DiagnosticReport.note" status="new"/>
      <element old-name="imagingStudy" path="DiagnosticReport.study"/>
      <element path="DiagnosticReport.supportingInfo" status="new"/>
      <element path="DiagnosticReport.supportingInfo.type" status="new"/>
      <element path="DiagnosticReport.supportingInfo.reference" status="new"/>
      <element path="DiagnosticReport.media.link">
         <removed-type name="Reference(Media)"/>
         <added-type name="Reference(DocumentReference)"/>
      </element>
      <element path="DiagnosticReport.composition" status="new"/>
      <element path="DiagnosticReport.conclusion">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="DiagnosticReport.conclusionCode">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="DiagnosticReport.recomendation" status="new"/>
      <element path="DiagnosticReport.communication" status="new"/>
      <element path="DiagnosticReport.comparison" status="new"/>
   </type>
   <type name="DocumentReference" status="changed">
      <element path="DocumentReference.version" status="new"/>
      <element path="DocumentReference.basedOn" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="DocumentReference.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/document-reference-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/document-reference-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               modifier="added"
               path="DocumentReference.docStatus">
         <removed-code code="preliminary"/>
         <added-code code="registered"/>
         <added-code code="partial"/>
         <added-code code="cancelled"/>
         <added-code code="deprecated"/>
         <added-code code="unknown"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/composition-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="DocumentReference.modality" status="new"/>
      <element path="DocumentReference.subject">
         <removed-type name="Reference(Patient | Practitioner | Group | Device)"/>
         <added-type name="Reference(Resource)"/>
      </element>
      <element new-max="*" old-max="1" path="DocumentReference.context">
         <removed-type name="BackboneElement"/>
         <added-type name="Reference(Appointment | Encounter | EpisodeOfCare)"/>
      </element>
      <element path="DocumentReference.event" status="new"/>
      <element path="DocumentReference.related" status="new"/>
      <element path="DocumentReference.bodyStructure" status="new"/>
      <element path="DocumentReference.date">
         <removed-type name="instant"/>
         <added-type name="dateTime"/>
      </element>
      <element path="DocumentReference.author">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam | Group)"/>
      </element>
      <element path="DocumentReference.attester" status="new"/>
      <element path="DocumentReference.attester.mode" status="new"/>
      <element path="DocumentReference.attester.time" status="new"/>
      <element path="DocumentReference.attester.party" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="DocumentReference.relatesTo.code">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/document-relationship-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/document-relationship-type"
                      strength="extensible"/>
      </element>
      <element path="DocumentReference.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="removed" path="DocumentReference.securityLabel">
         <old-binding reference="http://hl7.org/fhir/ValueSet/security-labels"
                      strength="extensible"/>
      </element>
      <element path="DocumentReference.content.profile" status="new"/>
      <element path="DocumentReference.content.profile.value[x]" status="new"/>
      <element path="DocumentReference.masterIdentifier" status="deleted"/>
      <element path="DocumentReference.authenticator" status="deleted"/>
      <element path="DocumentReference.content.format" status="deleted"/>
      <element path="DocumentReference.context.encounter" status="deleted"/>
      <element path="DocumentReference.context.event" status="deleted"/>
      <element path="DocumentReference.context.sourcePatientInfo" status="deleted"/>
      <element path="DocumentReference.context.related" status="deleted"/>
   </type>
   <type name="DomainResource" status="no-change"/>
   <type name="Encounter" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Encounter.status">
         <removed-code code="arrived"/>
         <removed-code code="triaged"/>
         <removed-code code="onleave"/>
         <removed-code code="finished"/>
         <added-code code="on-hold"/>
         <added-code code="discharged"/>
         <added-code code="completed"/>
         <added-code code="discontinued"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/encounter-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/encounter-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Encounter.businessStatus" status="new"/>
      <element path="Encounter.businessStatus.code" status="new"/>
      <element path="Encounter.businessStatus.type" status="new"/>
      <element path="Encounter.businessStatus.effectiveDate" status="new"/>
      <element binding-status="removed"
               new-max="*"
               new-min="0"
               old-max="1"
               old-min="1"
               path="Encounter.class">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
                      strength="extensible"/>
      </element>
      <element new-max="*" old-max="1" path="Encounter.serviceType">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Encounter.subjectStatus" status="new"/>
      <element path="Encounter.basedOn">
         <removed-type name="Reference(ServiceRequest)"/>
         <added-type name="Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription)"/>
      </element>
      <element path="Encounter.careTeam" status="new"/>
      <element old-name="individual" path="Encounter.participant.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | RelatedPerson)"/>
         <added-type name="Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)"/>
      </element>
      <element path="Encounter.virtualService" status="new"/>
      <element old-name="period" path="Encounter.actualPeriod"/>
      <element path="Encounter.plannedStartDate" status="new"/>
      <element path="Encounter.plannedEndDate" status="new"/>
      <element path="Encounter.reason" status="new"/>
      <element path="Encounter.reason.use" status="new"/>
      <element path="Encounter.reason.value" status="new"/>
      <element new-max="*"
               new-min="0"
               old-max="1"
               old-min="1"
               path="Encounter.diagnosis.condition">
         <removed-type name="Reference(Condition | Procedure)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="*" old-max="1" path="Encounter.diagnosis.use"/>
      <element old-name="hospitalization" path="Encounter.admission"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Encounter.location.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/encounter-location-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/encounter-location-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="physicalType" path="Encounter.location.form"/>
      <element path="Encounter.statusHistory" status="deleted"/>
      <element path="Encounter.classHistory" status="deleted"/>
      <element path="Encounter.reasonCode" status="deleted"/>
      <element path="Encounter.reasonReference" status="deleted"/>
      <element path="Encounter.diagnosis.rank" status="deleted"/>
   </type>
   <type name="Endpoint" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Endpoint.status">
         <removed-code code="test"/>
         <added-code code="limited"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/endpoint-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/endpoint-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               path="Endpoint.connectionType">
         <removed-type name="Coding"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/endpoint-connection-type"
                      strength="extensible"/>
      </element>
      <element path="Endpoint.description" status="new"/>
      <element path="Endpoint.environmentType" status="new"/>
      <element path="Endpoint.availability" status="new"/>
      <element path="Endpoint.payload" status="new"/>
      <element new-min="0"
               old-min="1"
               old-name="payloadType"
               path="Endpoint.payload.type"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               old-name="payloadMimeType"
               path="Endpoint.payload.mimeType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Endpoint.payload.profileCanonical" status="new"/>
      <element path="Endpoint.payload.profileUri" status="new"/>
   </type>
   <type name="EnrollmentRequest" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EnrollmentRequest.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="EnrollmentRequest.candidate">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
   </type>
   <type name="EnrollmentResponse" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EnrollmentResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EnrollmentResponse.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/enrollment-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="EnrollmentResponse.candidate" status="new"/>
   </type>
   <type name="EpisodeOfCare" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EpisodeOfCare.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/episode-of-care-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EpisodeOfCare.statusHistory.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/episode-of-care-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/episode-of-care-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="EpisodeOfCare.reason" status="new"/>
      <element path="EpisodeOfCare.reason.use" status="new"/>
      <element path="EpisodeOfCare.reason.value" status="new"/>
      <element new-max="*"
               new-min="0"
               old-max="1"
               old-min="1"
               path="EpisodeOfCare.diagnosis.condition">
         <removed-type name="Reference(Condition)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="*"
               old-max="1"
               old-name="role"
               path="EpisodeOfCare.diagnosis.use"/>
      <element old-name="patient" path="EpisodeOfCare.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element old-name="team" path="EpisodeOfCare.careTeam"/>
      <element path="EpisodeOfCare.diagnosis.rank" status="deleted"/>
   </type>
   <type name="EventDefinition" status="changed">
      <element path="EventDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EventDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="EventDefinition.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EventDefinition.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="EventDefinition.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="EventDefinition.copyrightLabel" status="new"/>
   </type>
   <type name="Evidence" status="changed">
      <element path="Evidence.versionAlgorithm[x]" status="new"/>
      <element path="Evidence.name" status="new"/>
      <element old-name="citeAs[x]" path="Evidence.citeAs">
         <removed-type name="Reference(Citation)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Evidence.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Evidence.experimental" status="new"/>
      <element path="Evidence.recorder" status="new"/>
      <element path="Evidence.purpose" status="new"/>
      <element path="Evidence.copyright" status="new"/>
      <element path="Evidence.copyrightLabel" status="new"/>
      <element path="Evidence.relatesTo" status="new"/>
      <element path="Evidence.relatesTo.type" status="new"/>
      <element path="Evidence.relatesTo.target[x]" status="new"/>
      <element new-min="0" old-min="1" path="Evidence.variableDefinition"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="Evidence.variableDefinition.variableRole">
         <removed-type name="CodeableConcept"/>
         <added-type name="code"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/variable-role"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/variable-role|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Evidence.variableDefinition.roleSubtype" status="new"/>
      <element path="Evidence.variableDefinition.comparatorCategory" status="new"/>
      <element binding-status="removed"
               path="Evidence.variableDefinition.directnessMatch">
         <old-binding reference="http://hl7.org/fhir/ValueSet/directness"
                      strength="extensible"/>
      </element>
      <element binding-status="removed"
               new-max="*"
               old-max="1"
               path="Evidence.synthesisType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/synthesis-type"
                      strength="extensible"/>
      </element>
      <element path="Evidence.studyDesign" status="new"/>
      <element path="Evidence.statistic.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="removed" path="Evidence.statistic.statisticType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/statistic-type"
                      strength="extensible"/>
      </element>
      <element path="Evidence.statistic.sampleSize.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Evidence.statistic.sampleSize.numberAnalyzed" status="new"/>
      <element path="Evidence.statistic.attributeEstimate.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="removed"
               path="Evidence.statistic.attributeEstimate.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/attribute-estimate-type"
                      strength="extensible"/>
      </element>
      <element binding-status="removed"
               path="Evidence.statistic.modelCharacteristic.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/statistic-model-code"
                      strength="extensible"/>
      </element>
      <element old-name="value" path="Evidence.statistic.modelCharacteristic.value[x]">
         <added-type name="Range"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Evidence.statistic.modelCharacteristic.intended" status="new"/>
      <element path="Evidence.statistic.modelCharacteristic.applied" status="new"/>
      <element binding-status="removed"
               path="Evidence.statistic.modelCharacteristic.variable.handling">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/variable-handling|4.3.0"
                      strength="required"/>
      </element>
      <element path="Evidence.statistic.modelCharacteristic.attribute" status="new"/>
      <element path="Evidence.certainty.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="removed" path="Evidence.certainty.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/certainty-type"
                      strength="extensible"/>
      </element>
      <element binding-status="removed" path="Evidence.certainty.rating">
         <old-binding reference="http://hl7.org/fhir/ValueSet/certainty-rating"
                      strength="extensible"/>
      </element>
      <element new-max="*" old-max="1" path="Evidence.certainty.rater"/>
      <element path="Evidence.relatedArtifact" status="deleted"/>
      <element path="Evidence.studyType" status="deleted"/>
      <element path="Evidence.statistic.modelCharacteristic.attributeEstimate"
               status="deleted"/>
   </type>
   <type name="EvidenceVariable" status="changed">
      <element path="EvidenceVariable.versionAlgorithm[x]" status="new"/>
      <element path="EvidenceVariable.citeAs" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="EvidenceVariable.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="EvidenceVariable.experimental" status="new"/>
      <element path="EvidenceVariable.recorder" status="new"/>
      <element path="EvidenceVariable.purpose" status="new"/>
      <element path="EvidenceVariable.copyright" status="new"/>
      <element path="EvidenceVariable.copyrightLabel" status="new"/>
      <element path="EvidenceVariable.approvalDate" status="new"/>
      <element path="EvidenceVariable.lastReviewDate" status="new"/>
      <element path="EvidenceVariable.effectivePeriod" status="new"/>
      <element path="EvidenceVariable.relatesTo" status="new"/>
      <element path="EvidenceVariable.relatesTo.type" status="new"/>
      <element path="EvidenceVariable.relatesTo.target[x]" status="new"/>
      <element path="EvidenceVariable.definition" status="new"/>
      <element path="EvidenceVariable.definitionModifier" status="new"/>
      <element path="EvidenceVariable.definitionModifier.code" status="new"/>
      <element path="EvidenceVariable.definitionModifier.value[x]" status="new"/>
      <element binding-status="removed" path="EvidenceVariable.handling">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/variable-handling|4.3.0"
                      strength="required"/>
      </element>
      <element path="EvidenceVariable.category.value[x]">
         <added-type name="Reference(Group)"/>
      </element>
      <element path="EvidenceVariable.conditional" status="new"/>
      <element path="EvidenceVariable.classifier" status="new"/>
      <element path="EvidenceVariable.dataStorage" status="new"/>
      <element path="EvidenceVariable.dataStorage.datatype" status="new"/>
      <element path="EvidenceVariable.dataStorage.path" status="new"/>
      <element path="EvidenceVariable.dataStorage.delimiter" status="new"/>
      <element path="EvidenceVariable.dataStorage.component" status="new"/>
      <element path="EvidenceVariable.timing" status="new"/>
      <element path="EvidenceVariable.period" status="new"/>
      <element path="EvidenceVariable.constraint" status="new"/>
      <element path="EvidenceVariable.constraint.conditional" status="new"/>
      <element path="EvidenceVariable.constraint.minimumQuantity" status="new"/>
      <element path="EvidenceVariable.constraint.maximumQuantity" status="new"/>
      <element path="EvidenceVariable.constraint.earliestDateTime" status="new"/>
      <element path="EvidenceVariable.constraint.latestDateTime" status="new"/>
      <element path="EvidenceVariable.constraint.minimumStringLength" status="new"/>
      <element path="EvidenceVariable.constraint.maximumStringLength" status="new"/>
      <element path="EvidenceVariable.constraint.code" status="new"/>
      <element path="EvidenceVariable.constraint.expression" status="new"/>
      <element path="EvidenceVariable.constraint.expectedValueSet" status="new"/>
      <element path="EvidenceVariable.constraint.expectedUnitsValueSet" status="new"/>
      <element path="EvidenceVariable.constraint.anyValueAllowed" status="new"/>
      <element path="EvidenceVariable.missingDataMeaning" status="new"/>
      <element path="EvidenceVariable.unacceptableDataHandling" status="new"/>
      <element path="EvidenceVariable.subtitle" status="deleted"/>
      <element path="EvidenceVariable.relatedArtifact" status="deleted"/>
      <element path="EvidenceVariable.characteristicCombination" status="deleted"/>
      <element path="EvidenceVariable.characteristic" status="deleted"/>
   </type>
   <type name="ExampleScenario" status="changed">
      <element path="ExampleScenario.versionAlgorithm[x]" status="new"/>
      <element path="ExampleScenario.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ExampleScenario.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ExampleScenario.description" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ExampleScenario.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="ExampleScenario.copyrightLabel" status="new"/>
      <element old-name="actorId" path="ExampleScenario.actor.key"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="ExampleScenario.actor.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/actordefinition-actor-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-min="1"
               old-min="0"
               old-name="name"
               path="ExampleScenario.actor.title"/>
      <element path="ExampleScenario.actor.definition" status="new"/>
      <element old-name="resourceId" path="ExampleScenario.instance.key"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               old-name="resourceType"
               path="ExampleScenario.instance.structureType">
         <removed-type name="code"/>
         <added-type name="Coding"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/examplescenario-instance-type"
                      strength="extensible"/>
      </element>
      <element path="ExampleScenario.instance.structureVersion" status="new"/>
      <element path="ExampleScenario.instance.structureProfile[x]" status="new"/>
      <element new-min="1"
               old-min="0"
               old-name="name"
               path="ExampleScenario.instance.title"/>
      <element path="ExampleScenario.instance.content" status="new"/>
      <element old-name="versionId" path="ExampleScenario.instance.version.key"/>
      <element path="ExampleScenario.instance.version.title" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExampleScenario.instance.version.description"/>
      <element path="ExampleScenario.instance.version.content" status="new"/>
      <element old-name="resourceId"
               path="ExampleScenario.instance.containedInstance.instanceReference"/>
      <element old-name="versionId"
               path="ExampleScenario.instance.containedInstance.versionReference"/>
      <element path="ExampleScenario.process.step.number" status="new"/>
      <element new-max="1" old-max="*" path="ExampleScenario.process.step.process"/>
      <element path="ExampleScenario.process.step.workflow" status="new"/>
      <element binding-status="added"
               path="ExampleScenario.process.step.operation.type">
         <removed-type name="string"/>
         <added-type name="Coding"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/examplescenario-operation-codes"
                      strength="extensible"/>
      </element>
      <element new-min="1"
               old-min="0"
               old-name="name"
               path="ExampleScenario.process.step.operation.title"/>
      <element path="ExampleScenario.process.step.operation.number" status="deleted"/>
      <element path="ExampleScenario.workflow" status="deleted"/>
   </type>
   <type name="ExplanationOfBenefit" status="changed">
      <element path="ExplanationOfBenefit.traceNumber" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ExplanationOfBenefit.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/explanationofbenefit-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ExplanationOfBenefit.statusReason" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ExplanationOfBenefit.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/claim-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="patient" path="ExplanationOfBenefit.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element path="ExplanationOfBenefit.enterer">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
      </element>
      <element new-min="0" old-min="1" path="ExplanationOfBenefit.insurer"/>
      <element new-min="0" old-min="1" path="ExplanationOfBenefit.provider"/>
      <element path="ExplanationOfBenefit.related.claim">
         <removed-type name="Reference(Claim)"/>
         <added-type name="Reference(Claim | ExplanationOfBenefit)"/>
      </element>
      <element path="ExplanationOfBenefit.prescription">
         <removed-type name="Reference(MedicationRequest | VisionPrescription)"/>
         <added-type name="Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"/>
      </element>
      <element path="ExplanationOfBenefit.originalPrescription">
         <removed-type name="Reference(MedicationRequest)"/>
         <added-type name="Reference(DeviceRequest | MedicationRequest | ServiceRequest | VisionPrescription)"/>
      </element>
      <element path="ExplanationOfBenefit.event" status="new"/>
      <element path="ExplanationOfBenefit.event.type" status="new"/>
      <element path="ExplanationOfBenefit.event.when[x]" status="new"/>
      <element path="ExplanationOfBenefit.encounter" status="new"/>
      <element path="ExplanationOfBenefit.facility">
         <removed-type name="Reference(Location)"/>
         <added-type name="Reference(Location | Organization)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ExplanationOfBenefit.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/claim-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ExplanationOfBenefit.decision" status="new"/>
      <element path="ExplanationOfBenefit.diagnosisRelatedGroup" status="new"/>
      <element old-name="qualification" path="ExplanationOfBenefit.careTeam.specialty"/>
      <element path="ExplanationOfBenefit.supportingInfo.timing[x]">
         <removed-type name="date"/>
         <added-type name="dateTime"/>
         <added-type name="Timing"/>
      </element>
      <element path="ExplanationOfBenefit.supportingInfo.value[x]">
         <added-type name="base64Binary"/>
         <added-type name="canonical"/>
         <added-type name="code"/>
         <added-type name="date"/>
         <added-type name="dateTime"/>
         <added-type name="decimal"/>
         <added-type name="id"/>
         <added-type name="instant"/>
         <added-type name="integer"/>
         <added-type name="integer64"/>
         <added-type name="markdown"/>
         <added-type name="oid"/>
         <added-type name="positiveInt"/>
         <added-type name="time"/>
         <added-type name="unsignedInt"/>
         <added-type name="uri"/>
         <added-type name="url"/>
         <added-type name="uuid"/>
         <added-type name="Address"/>
         <added-type name="Age"/>
         <added-type name="Annotation"/>
         <added-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
         <added-type name="Coding"/>
         <added-type name="ContactPoint"/>
         <added-type name="Count"/>
         <added-type name="Distance"/>
         <added-type name="Duration"/>
         <added-type name="HumanName"/>
         <added-type name="Identifier"/>
         <added-type name="Money"/>
         <added-type name="Period"/>
         <added-type name="Range"/>
         <added-type name="Ratio"/>
         <added-type name="RatioRange"/>
         <added-type name="SampledData"/>
         <added-type name="Signature"/>
         <added-type name="Timing"/>
         <added-type name="ContactDetail"/>
         <added-type name="DataRequirement"/>
         <added-type name="Expression"/>
         <added-type name="ParameterDefinition"/>
         <added-type name="RelatedArtifact"/>
         <added-type name="TriggerDefinition"/>
         <added-type name="UsageContext"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
         <added-type name="Dosage"/>
         <added-type name="Meta"/>
      </element>
      <element new-min="0" old-min="1" path="ExplanationOfBenefit.insurance"/>
      <element path="ExplanationOfBenefit.patientPaid" status="new"/>
      <element path="ExplanationOfBenefit.item.traceNumber" status="new"/>
      <element path="ExplanationOfBenefit.item.subject" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.item.productOrService"/>
      <element path="ExplanationOfBenefit.item.productOrServiceEnd" status="new"/>
      <element path="ExplanationOfBenefit.item.request" status="new"/>
      <element path="ExplanationOfBenefit.item.patientPaid" status="new"/>
      <element path="ExplanationOfBenefit.item.tax" status="new"/>
      <element new-max="*" old-max="1" path="ExplanationOfBenefit.item.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ExplanationOfBenefit.item.bodySite.site" status="new"/>
      <element path="ExplanationOfBenefit.item.bodySite.subSite" status="new"/>
      <element path="ExplanationOfBenefit.item.reviewOutcome" status="new"/>
      <element path="ExplanationOfBenefit.item.reviewOutcome.decision" status="new"/>
      <element path="ExplanationOfBenefit.item.reviewOutcome.reason" status="new"/>
      <element path="ExplanationOfBenefit.item.reviewOutcome.preAuthRef" status="new"/>
      <element path="ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod"
               status="new"/>
      <element old-name="value" path="ExplanationOfBenefit.item.adjudication.quantity">
         <removed-type name="decimal"/>
         <added-type name="Quantity"/>
      </element>
      <element path="ExplanationOfBenefit.item.adjudication.decisionDate" status="new"/>
      <element path="ExplanationOfBenefit.item.detail.traceNumber" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.item.detail.productOrService"/>
      <element path="ExplanationOfBenefit.item.detail.productOrServiceEnd"
               status="new"/>
      <element path="ExplanationOfBenefit.item.detail.patientPaid" status="new"/>
      <element path="ExplanationOfBenefit.item.detail.tax" status="new"/>
      <element path="ExplanationOfBenefit.item.detail.reviewOutcome" status="new"/>
      <element path="ExplanationOfBenefit.item.detail.subDetail.traceNumber"
               status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.item.detail.subDetail.productOrService"/>
      <element path="ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd"
               status="new"/>
      <element path="ExplanationOfBenefit.item.detail.subDetail.patientPaid"
               status="new"/>
      <element path="ExplanationOfBenefit.item.detail.subDetail.tax" status="new"/>
      <element path="ExplanationOfBenefit.item.detail.subDetail.reviewOutcome"
               status="new"/>
      <element path="ExplanationOfBenefit.addItem.traceNumber" status="new"/>
      <element path="ExplanationOfBenefit.addItem.subject" status="new"/>
      <element path="ExplanationOfBenefit.addItem.informationSequence" status="new"/>
      <element path="ExplanationOfBenefit.addItem.revenue" status="new"/>
      <element path="ExplanationOfBenefit.addItem.category" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.addItem.productOrService"/>
      <element path="ExplanationOfBenefit.addItem.productOrServiceEnd" status="new"/>
      <element path="ExplanationOfBenefit.addItem.request" status="new"/>
      <element path="ExplanationOfBenefit.addItem.patientPaid" status="new"/>
      <element path="ExplanationOfBenefit.addItem.tax" status="new"/>
      <element new-max="*"
               old-max="1"
               path="ExplanationOfBenefit.addItem.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ExplanationOfBenefit.addItem.bodySite.site" status="new"/>
      <element path="ExplanationOfBenefit.addItem.bodySite.subSite" status="new"/>
      <element path="ExplanationOfBenefit.addItem.reviewOutcome" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.traceNumber" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.revenue" status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.addItem.detail.productOrService"/>
      <element path="ExplanationOfBenefit.addItem.detail.productOrServiceEnd"
               status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.patientPaid" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.tax" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.reviewOutcome" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.traceNumber"
               status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.revenue"
               status="new"/>
      <element new-min="0"
               old-min="1"
               path="ExplanationOfBenefit.addItem.detail.subDetail.productOrService"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd"
               status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.patientPaid"
               status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.tax" status="new"/>
      <element path="ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome"
               status="new"/>
      <element path="ExplanationOfBenefit.processNote.class" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="ExplanationOfBenefit.processNote.type">
         <removed-type name="code"/>
         <added-type name="CodeableConcept"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/note-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/note-type"
                      strength="extensible"/>
      </element>
      <element path="ExplanationOfBenefit.processNote.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="ExplanationOfBenefit.processNote.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ExplanationOfBenefit.careTeam.responsible" status="deleted"/>
      <element path="ExplanationOfBenefit.diagnosis.packageCode" status="deleted"/>
      <element path="ExplanationOfBenefit.item.subSite" status="deleted"/>
      <element path="ExplanationOfBenefit.addItem.subSite" status="deleted"/>
   </type>
   <type name="FamilyMemberHistory" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="FamilyMemberHistory.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/history-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/history-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="FamilyMemberHistory.recorder" status="new"/>
      <element path="FamilyMemberHistory.asserter" status="new"/>
      <element path="FamilyMemberHistory.reason" status="new"/>
      <element path="FamilyMemberHistory.procedure" status="new"/>
      <element path="FamilyMemberHistory.procedure.code" status="new"/>
      <element path="FamilyMemberHistory.procedure.outcome" status="new"/>
      <element path="FamilyMemberHistory.procedure.contributedToDeath" status="new"/>
      <element path="FamilyMemberHistory.procedure.performed[x]" status="new"/>
      <element path="FamilyMemberHistory.procedure.note" status="new"/>
      <element path="FamilyMemberHistory.instantiatesCanonical" status="deleted"/>
      <element path="FamilyMemberHistory.instantiatesUri" status="deleted"/>
      <element path="FamilyMemberHistory.reasonCode" status="deleted"/>
      <element path="FamilyMemberHistory.reasonReference" status="deleted"/>
   </type>
   <type name="Flag" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="Flag.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/flag-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/flag-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Flag.subject">
         <removed-type name="Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)"/>
         <added-type name="Reference(Patient | RelatedPerson | Location | Group | Organization | Practitioner | PractitionerRole | PlanDefinition | Medication | Procedure)"/>
      </element>
      <element path="Flag.author">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Device | Organization | Patient | RelatedPerson | Practitioner | PractitionerRole)"/>
      </element>
      <element path="Flag.supportingInfo" status="new"/>
   </type>
   <type name="Goal" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Goal.lifecycleStatus">
         <removed-code code="active"/>
         <removed-code code="on-hold"/>
         <removed-code code="completed"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/goal-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/goal-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Goal.continuous" status="new"/>
      <element path="Goal.acceptance" status="new"/>
      <element path="Goal.acceptance.participant" status="new"/>
      <element path="Goal.acceptance.status" status="new"/>
      <element path="Goal.acceptance.priority" status="new"/>
      <element new-max="*" old-max="1" path="Goal.statusReason">
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Goal.recorder" status="new"/>
      <element old-name="expressedBy" path="Goal.source">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | CareTeam | Group)"/>
      </element>
      <element path="Goal.addresses">
         <removed-type name="Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)"/>
         <added-type name="Reference(Condition | Observation | MedicationStatement | MedicationRequest | NutritionOrder | ServiceRequest | RiskAssessment | Procedure | NutritionIntake)"/>
      </element>
      <element path="Goal.outcomeCode" status="deleted"/>
      <element path="Goal.outcomeReference" status="deleted"/>
   </type>
   <type name="Group" status="changed">
      <element path="Group.url" status="new"/>
      <element path="Group.version" status="new"/>
      <element path="Group.versionAlgorithm[x]" status="new"/>
      <element path="Group.title" status="new"/>
      <element path="Group.status" status="new"/>
      <element path="Group.experimental" status="new"/>
      <element path="Group.date" status="new"/>
      <element path="Group.publisher" status="new"/>
      <element path="Group.contact" status="new"/>
      <element path="Group.description" status="new"/>
      <element path="Group.useContext" status="new"/>
      <element path="Group.purpose" status="new"/>
      <element path="Group.copyright" status="new"/>
      <element path="Group.copyrightLabel" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="Group.type">
         <added-code code="careteam"/>
         <added-code code="healthcareservice"/>
         <added-code code="location"/>
         <added-code code="organization"/>
         <added-code code="relatedperson"/>
         <added-code code="specimen"/>
         <added-code code="medicinalproductdefinition"/>
         <added-code code="substancedefinition"/>
         <added-code code="biologicallyDerivedProduct"/>
         <added-code code="nutritionProduct"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/group-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/group-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Group.membership" status="new"/>
      <element binding-status="added" path="Group.code">
         <new-binding reference="http://hl7.org/fhir/ValueSet/group-code"
                      strength="extensible"/>
      </element>
      <element path="Group.combinationMethod" status="new"/>
      <element path="Group.combinationThreshold" status="new"/>
      <element path="Group.characteristic.value[x]">
         <added-type name="uri"/>
         <added-type name="Expression"/>
      </element>
      <element path="Group.characteristic.description" status="new"/>
      <element path="Group.characteristic.method" status="new"/>
      <element path="Group.characteristic.formula" status="new"/>
      <element path="Group.characteristic.determiner" status="new"/>
      <element path="Group.characteristic.offset" status="new"/>
      <element path="Group.characteristic.instances[x]" status="new"/>
      <element path="Group.characteristic.duration[x]" status="new"/>
      <element path="Group.characteristic.timing" status="new"/>
      <element path="Group.member.entity">
         <removed-type name="Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Medication | Substance | Group)"/>
         <added-type name="Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Specimen | Medication | MedicinalProductDefinition | Substance | SubstanceDefinition | BiologicallyDerivedProduct | NutritionProduct)"/>
      </element>
      <element path="Group.member.involvement" status="new"/>
      <element path="Group.active" status="deleted"/>
      <element path="Group.actual" status="deleted"/>
   </type>
   <type name="GuidanceResponse" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="GuidanceResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/guidance-response-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/guidance-response-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="GuidanceResponse.location" status="new"/>
      <element path="GuidanceResponse.reason" status="new"/>
      <element new-max="1" old-max="*" path="GuidanceResponse.evaluationMessage"/>
      <element new-max="*" old-max="1" path="GuidanceResponse.result">
         <removed-type name="Reference(CarePlan | RequestGroup)"/>
         <added-type name="Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | Task | VisionPrescription)"/>
      </element>
      <element path="GuidanceResponse.reasonCode" status="deleted"/>
      <element path="GuidanceResponse.reasonReference" status="deleted"/>
   </type>
   <type name="HealthcareService" status="changed">
      <element path="HealthcareService.offeredIn" status="new"/>
      <element path="HealthcareService.comment">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element old-name="telecom" path="HealthcareService.contact">
         <removed-type name="ContactPoint"/>
         <added-type name="ExtendedContactDetail"/>
      </element>
      <element path="HealthcareService.eligibility.value[x]" status="new"/>
      <element path="HealthcareService.eligibility.period" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="HealthcareService.communication">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="HealthcareService.referralRequired" status="new"/>
      <element path="HealthcareService.availability" status="new"/>
      <element path="HealthcareService.availableTime" status="deleted"/>
      <element path="HealthcareService.notAvailable" status="deleted"/>
      <element path="HealthcareService.availabilityExceptions" status="deleted"/>
   </type>
   <type name="ImagingSelection" status="new"/>
   <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>
   <type name="Immunization" status="changed">
      <element path="Immunization.basedOn" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Immunization.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/immunization-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/immunization-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Immunization.administeredProduct" status="new"/>
      <element path="Immunization.manufacturer">
         <removed-type name="Reference(Organization)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Immunization.supportingInformation" status="new"/>
      <element path="Immunization.informationSource" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Immunization.performer.function">
         <old-binding reference="http://hl7.org/fhir/ValueSet/immunization-function"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/immunization-function"
                      strength="extensible"/>
      </element>
      <element path="Immunization.performer.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)"/>
      </element>
      <element path="Immunization.reason" status="new"/>
      <element path="Immunization.programEligibility">
         <removed-type name="CodeableConcept"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="Immunization.programEligibility.program" status="new"/>
      <element path="Immunization.programEligibility.programStatus" status="new"/>
      <element old-name="detail" path="Immunization.reaction.manifestation">
         <removed-type name="Reference(Observation)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-min="0"
               old-min="1"
               old-name="doseNumber[x]"
               path="Immunization.protocolApplied.doseNumber">
         <removed-type name="positiveInt"/>
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element old-name="seriesDoses[x]"
               path="Immunization.protocolApplied.seriesDoses">
         <removed-type name="positiveInt"/>
         <removed-type name="string"/>
         <added-type name="CodeableConcept"/>
      </element>
      <element path="Immunization.recorded" status="deleted"/>
      <element path="Immunization.reportOrigin" status="deleted"/>
      <element path="Immunization.reasonCode" status="deleted"/>
      <element path="Immunization.reasonReference" status="deleted"/>
      <element path="Immunization.education" status="deleted"/>
   </type>
   <type name="ImplementationGuide" status="changed">
      <element path="ImplementationGuide.identifier" status="new"/>
      <element path="ImplementationGuide.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="ImplementationGuide.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="ImplementationGuide.purpose" status="new"/>
      <element path="ImplementationGuide.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.license">
         <old-binding reference="http://hl7.org/fhir/ValueSet/spdx-license|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/spdx-license|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.fhirVersion">
         <removed-code code="0.0.80"/>
         <removed-code code="0.0.81"/>
         <removed-code code="0.0.82"/>
         <removed-code code="0.4.0"/>
         <removed-code code="0.5.0"/>
         <removed-code code="1.0.0"/>
         <removed-code code="1.0.1"/>
         <removed-code code="1.0.2"/>
         <removed-code code="1.1.0"/>
         <removed-code code="1.4.0"/>
         <removed-code code="1.6.0"/>
         <removed-code code="1.8.0"/>
         <removed-code code="3.0.0"/>
         <removed-code code="3.0.1"/>
         <removed-code code="3.0.2"/>
         <removed-code code="3.3.0"/>
         <removed-code code="3.5.0"/>
         <removed-code code="4.0.0"/>
         <removed-code code="4.0.1"/>
         <removed-code code="4.1.0"/>
         <removed-code code="4.3.0-cibuild"/>
         <removed-code code="4.3.0-snapshot1"/>
         <removed-code code="4.3.0"/>
         <added-code code="0.0"/>
         <added-code code="0.4"/>
         <added-code code="0.5"/>
         <added-code code="1.0"/>
         <added-code code="1.1"/>
         <added-code code="1.4"/>
         <added-code code="1.6"/>
         <added-code code="1.8"/>
         <added-code code="3.0"/>
         <added-code code="3.3"/>
         <added-code code="3.5"/>
         <added-code code="4.0"/>
         <added-code code="4.1"/>
         <added-code code="4.2"/>
         <added-code code="4.3"/>
         <added-code code="4.4"/>
         <added-code code="4.5"/>
         <added-code code="4.6"/>
         <added-code code="5.0"/>
         <added-code code="6.0"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ImplementationGuide.dependsOn.reason" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.global.type">
         <removed-code code="Resource"/>
         <removed-code code="DomainResource"/>
         <removed-code code="CatalogEntry"/>
         <removed-code code="ChargeItem"/>
         <removed-code code="ChargeItemDefinition"/>
         <removed-code code="Citation"/>
         <removed-code code="ClinicalImpression"/>
         <removed-code code="DeviceUseStatement"/>
         <removed-code code="DocumentManifest"/>
         <removed-code code="EvidenceReport"/>
         <removed-code code="GraphDefinition"/>
         <removed-code code="ImmunizationEvaluation"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="Linkage"/>
         <removed-code code="Media"/>
         <removed-code code="MedicationKnowledge"/>
         <removed-code code="MolecularSequence"/>
         <removed-code code="RequestGroup"/>
         <removed-code code="ResearchDefinition"/>
         <removed-code code="ResearchElementDefinition"/>
         <removed-code code="SupplyDelivery"/>
         <removed-code code="SupplyRequest"/>
         <removed-code code="TestReport"/>
         <removed-code code="TestScript"/>
         <removed-code code="VerificationResult"/>
         <added-code code="ActorDefinition"/>
         <added-code code="ArtifactAssessment"/>
         <added-code code="DeviceAlert"/>
         <added-code code="DeviceAssociation"/>
         <added-code code="ImagingSelection"/>
         <added-code code="InsuranceProduct"/>
         <added-code code="NutritionIntake"/>
         <added-code code="RequestOrchestration"/>
         <added-code code="Requirements"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ImplementationGuide.definition.grouping.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element new-min="0"
               old-min="1"
               path="ImplementationGuide.definition.resource"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.definition.resource.fhirVersion">
         <removed-code code="0.0.80"/>
         <removed-code code="0.0.81"/>
         <removed-code code="0.0.82"/>
         <removed-code code="0.4.0"/>
         <removed-code code="0.5.0"/>
         <removed-code code="1.0.0"/>
         <removed-code code="1.0.1"/>
         <removed-code code="1.0.2"/>
         <removed-code code="1.1.0"/>
         <removed-code code="1.4.0"/>
         <removed-code code="1.6.0"/>
         <removed-code code="1.8.0"/>
         <removed-code code="3.0.0"/>
         <removed-code code="3.0.1"/>
         <removed-code code="3.0.2"/>
         <removed-code code="3.3.0"/>
         <removed-code code="3.5.0"/>
         <removed-code code="4.0.0"/>
         <removed-code code="4.0.1"/>
         <removed-code code="4.1.0"/>
         <removed-code code="4.3.0-cibuild"/>
         <removed-code code="4.3.0-snapshot1"/>
         <removed-code code="4.3.0"/>
         <added-code code="0.0"/>
         <added-code code="0.4"/>
         <added-code code="0.5"/>
         <added-code code="1.0"/>
         <added-code code="1.1"/>
         <added-code code="1.4"/>
         <added-code code="1.6"/>
         <added-code code="1.8"/>
         <added-code code="3.0"/>
         <added-code code="3.3"/>
         <added-code code="3.5"/>
         <added-code code="4.0"/>
         <added-code code="4.1"/>
         <added-code code="4.2"/>
         <added-code code="4.3"/>
         <added-code code="4.4"/>
         <added-code code="4.5"/>
         <added-code code="4.6"/>
         <added-code code="5.0"/>
         <added-code code="6.0"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ImplementationGuide.definition.resource.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element old-name="example[x]"
               path="ImplementationGuide.definition.resource.isExample">
         <removed-type name="canonical(StructureDefinition)"/>
      </element>
      <element path="ImplementationGuide.definition.resource.profile" status="new"/>
      <element path="ImplementationGuide.definition.page.source[x]" status="new"/>
      <element old-name="name[x]" path="ImplementationGuide.definition.page.name">
         <removed-type name="Reference(Binary)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImplementationGuide.definition.page.generation">
         <old-binding reference="http://hl7.org/fhir/ValueSet/guide-page-generation|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/guide-page-generation|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               path="ImplementationGuide.definition.parameter.code">
         <removed-type name="code"/>
         <added-type name="Coding"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/guide-parameter-code|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/guide-parameter-code"
                      strength="extensible"/>
      </element>
      <element old-name="example[x]"
               path="ImplementationGuide.manifest.resource.isExample">
         <removed-type name="canonical(StructureDefinition)"/>
      </element>
      <element path="ImplementationGuide.manifest.resource.profile" status="new"/>
   </type>
   <type name="Ingredient" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Ingredient.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Ingredient.group" status="new"/>
      <element path="Ingredient.comment" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Ingredient.manufacturer.role">
         <old-binding reference="http://hl7.org/fhir/ValueSet/ingredient-manufacturer-role|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/ingredient-manufacturer-role|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Ingredient.substance.strength.presentation[x]">
         <added-type name="CodeableConcept"/>
         <added-type name="Quantity"/>
      </element>
      <element path="Ingredient.substance.strength.concentration[x]">
         <added-type name="CodeableConcept"/>
         <added-type name="Quantity"/>
      </element>
      <element path="Ingredient.substance.strength.basis" status="new"/>
      <element new-min="1"
               old-min="0"
               path="Ingredient.substance.strength.referenceStrength.substance"/>
      <element path="Ingredient.substance.strength.referenceStrength.strength[x]">
         <added-type name="Quantity"/>
      </element>
   </type>
   <type name="InsurancePlan" status="changed">
      <element path="InsurancePlan.product" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="InsurancePlan.specificCost.benefit.cost.applicability">
         <old-binding reference="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/insuranceplan-applicability|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="qualifiers"
               path="InsurancePlan.specificCost.benefit.cost.qualifier"/>
      <element path="InsurancePlan.identifier" status="deleted"/>
      <element path="InsurancePlan.status" status="deleted"/>
      <element path="InsurancePlan.type" status="deleted"/>
      <element path="InsurancePlan.name" status="deleted"/>
      <element path="InsurancePlan.alias" status="deleted"/>
      <element path="InsurancePlan.period" status="deleted"/>
      <element path="InsurancePlan.ownedBy" status="deleted"/>
      <element path="InsurancePlan.administeredBy" status="deleted"/>
      <element path="InsurancePlan.coverageArea" status="deleted"/>
      <element path="InsurancePlan.contact" status="deleted"/>
      <element path="InsurancePlan.endpoint" status="deleted"/>
      <element path="InsurancePlan.network" status="deleted"/>
      <element path="InsurancePlan.coverage" status="deleted"/>
      <element path="InsurancePlan.plan" status="deleted"/>
   </type>
   <type name="InsuranceProduct" status="new"/>
   <type name="Invoice" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Invoice.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/invoice-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/invoice-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Invoice.creation" status="new"/>
      <element old-name="date" path="Invoice.period[x]">
         <removed-type name="dateTime"/>
         <added-type name="date"/>
         <added-type name="Period"/>
      </element>
      <element path="Invoice.issuer">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Organization | Practitioner | PractitionerRole)"/>
      </element>
      <element path="Invoice.lineItem.serviced[x]" status="new"/>
      <element path="Invoice.lineItem.priceComponent">
         <removed-type name="BackboneElement"/>
         <added-type name="MonetaryComponent"/>
      </element>
      <element path="Invoice.totalPriceComponent">
         <added-type name="MonetaryComponent"/>
      </element>
      <element path="Invoice.lineItem.priceComponent.type" status="deleted"/>
      <element path="Invoice.lineItem.priceComponent.code" status="deleted"/>
      <element path="Invoice.lineItem.priceComponent.factor" status="deleted"/>
      <element path="Invoice.lineItem.priceComponent.amount" status="deleted"/>
   </type>
   <type name="Library" status="changed">
      <element path="Library.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Library.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="Library.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/library-type"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/library-type"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Library.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Library.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="Library.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Library.copyrightLabel" status="new"/>
   </type>
   <type name="List" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="List.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/list-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/list-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="List.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/list-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/list-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="List.subject">
         <removed-type name="Reference(Patient | Group | Device | Location)"/>
         <added-type name="Reference(Resource)"/>
      </element>
      <element path="List.source">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | Device)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Patient | Device | Organization | RelatedPerson | CareTeam | Group)"/>
      </element>
   </type>
   <type name="Location" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Location.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/location-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/location-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Location.code" status="new"/>
      <element path="Location.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Location.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/location-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/location-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="Location.type">
         <old-binding reference="http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
                      strength="extensible"/>
      </element>
      <element old-name="telecom" path="Location.contact">
         <removed-type name="ContactPoint"/>
         <added-type name="ExtendedContactDetail"/>
      </element>
      <element old-name="physicalType" path="Location.form"/>
      <element path="Location.characteristic" status="new"/>
      <element new-max="1" old-max="*" path="Location.hoursOfOperation">
         <removed-type name="BackboneElement"/>
         <added-type name="Availability"/>
      </element>
      <element path="Location.virtualService" status="new"/>
      <element path="Location.hoursOfOperation.daysOfWeek" status="deleted"/>
      <element path="Location.hoursOfOperation.allDay" status="deleted"/>
      <element path="Location.hoursOfOperation.openingTime" status="deleted"/>
      <element path="Location.hoursOfOperation.closingTime" status="deleted"/>
      <element path="Location.availabilityExceptions" status="deleted"/>
   </type>
   <type name="ManufacturedItemDefinition" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ManufacturedItemDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ManufacturedItemDefinition.name" status="new"/>
      <element path="ManufacturedItemDefinition.marketingStatus" status="new"/>
      <element path="ManufacturedItemDefinition.property.value[x]">
         <added-type name="Range"/>
         <added-type name="markdown"/>
         <added-type name="Reference(Binary)"/>
      </element>
      <element path="ManufacturedItemDefinition.component" status="new"/>
      <element path="ManufacturedItemDefinition.component.type" status="new"/>
      <element path="ManufacturedItemDefinition.component.function" status="new"/>
      <element path="ManufacturedItemDefinition.component.amount" status="new"/>
      <element path="ManufacturedItemDefinition.component.constituent" status="new"/>
      <element path="ManufacturedItemDefinition.component.constituent.amount"
               status="new"/>
      <element path="ManufacturedItemDefinition.component.constituent.location"
               status="new"/>
      <element path="ManufacturedItemDefinition.component.constituent.function"
               status="new"/>
      <element path="ManufacturedItemDefinition.component.constituent.hasIngredient"
               status="new"/>
      <element path="ManufacturedItemDefinition.component.property" status="new"/>
      <element path="ManufacturedItemDefinition.component.component" status="new"/>
   </type>
   <type name="Measure" status="changed">
      <element path="Measure.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Measure.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="Measure.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Measure.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="Measure.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.copyrightLabel" status="new"/>
      <element path="Measure.reportingFrequency" status="new"/>
      <element path="Measure.riskAdjustment">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.rateAggregation">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.term" status="new"/>
      <element path="Measure.term.code" status="new"/>
      <element path="Measure.term.definition" status="new"/>
      <element path="Measure.group.linkId" status="new"/>
      <element path="Measure.group.title" status="new"/>
      <element path="Measure.group.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.group.type" status="new"/>
      <element path="Measure.group.subject[x]" status="new"/>
      <element path="Measure.group.basis" status="new"/>
      <element path="Measure.group.basisRequirement" status="new"/>
      <element path="Measure.group.scoring" status="new"/>
      <element path="Measure.group.scoringUnit" status="new"/>
      <element path="Measure.group.scoringPrecision" status="new"/>
      <element path="Measure.group.compositeScoring" status="new"/>
      <element path="Measure.group.component" status="new"/>
      <element path="Measure.group.component.measure" status="new"/>
      <element path="Measure.group.component.groupId" status="new"/>
      <element path="Measure.group.component.weight" status="new"/>
      <element path="Measure.group.rateAggregation" status="new"/>
      <element path="Measure.group.improvementNotation" status="new"/>
      <element path="Measure.group.improvementNotationGuidance" status="new"/>
      <element path="Measure.group.library" status="new"/>
      <element path="Measure.group.population.linkId" status="new"/>
      <element path="Measure.group.population.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Measure.group.population.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-population"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/measure-population"
                      strength="extensible"/>
      </element>
      <element path="Measure.group.population.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element new-min="0" old-min="1" path="Measure.group.population.criteria"/>
      <element path="Measure.group.population.groupDefinition" status="new"/>
      <element path="Measure.group.population.inputPopulationId" status="new"/>
      <element path="Measure.group.population.aggregateMethod" status="new"/>
      <element path="Measure.group.stratifier.linkId" status="new"/>
      <element path="Measure.group.stratifier.title" status="new"/>
      <element path="Measure.group.stratifier.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.group.stratifier.groupDefinition" status="new"/>
      <element path="Measure.group.stratifier.component.linkId" status="new"/>
      <element path="Measure.group.stratifier.component.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element new-min="0"
               old-min="1"
               path="Measure.group.stratifier.component.criteria"/>
      <element path="Measure.group.stratifier.component.groupDefinition" status="new"/>
      <element path="Measure.group.stratifier.component.valueSet" status="new"/>
      <element path="Measure.group.stratifier.component.unit" status="new"/>
      <element path="Measure.supplementalData.linkId" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Measure.supplementalData.usage">
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-data-usage"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/measure-data-usage"
                      strength="extensible"/>
      </element>
      <element path="Measure.supplementalData.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Measure.supplementalData.valueSet" status="new"/>
      <element path="Measure.supplementalData.unit" status="new"/>
      <element path="Measure.scoring" status="deleted"/>
      <element path="Measure.compositeScoring" status="deleted"/>
      <element path="Measure.type" status="deleted"/>
      <element path="Measure.improvementNotation" status="deleted"/>
      <element path="Measure.definition" status="deleted"/>
   </type>
   <type name="MeasureReport" status="changed">
      <element path="MeasureReport.category" status="new"/>
      <element path="MeasureReport.messages" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MeasureReport.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-report-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/measure-report-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MeasureReport.type">
         <removed-code code="data-collection"/>
         <added-code code="data-exchange"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-report-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/measure-report-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MeasureReport.dataUpdateType" status="new"/>
      <element new-min="0" old-min="1" path="MeasureReport.measure"/>
      <element path="MeasureReport.subject">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)"/>
         <added-type name="Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
      </element>
      <element path="MeasureReport.reporter">
         <removed-type name="Reference(Practitioner | PractitionerRole | Location | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization)"/>
      </element>
      <element path="MeasureReport.reportingVendor" status="new"/>
      <element path="MeasureReport.location" status="new"/>
      <element path="MeasureReport.inputParameters" status="new"/>
      <element path="MeasureReport.group.linkId" status="new"/>
      <element path="MeasureReport.group.title" status="new"/>
      <element path="MeasureReport.group.calculatedDate" status="new"/>
      <element path="MeasureReport.group.description" status="new"/>
      <element path="MeasureReport.group.type" status="new"/>
      <element path="MeasureReport.group.subject" status="new"/>
      <element path="MeasureReport.group.scoring" status="new"/>
      <element path="MeasureReport.group.improvementNotation" status="new"/>
      <element path="MeasureReport.group.improvementNotationGuidance" status="new"/>
      <element path="MeasureReport.group.population.linkId" status="new"/>
      <element path="MeasureReport.group.population.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MeasureReport.group.population.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-population"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/measure-population"
                      strength="extensible"/>
      </element>
      <element path="MeasureReport.group.population.description" status="new"/>
      <element path="MeasureReport.group.population.countQuantity" status="new"/>
      <element path="MeasureReport.group.population.subjectReport" status="new"/>
      <element path="MeasureReport.group.population.subjects" status="new"/>
      <element old-name="measureScore" path="MeasureReport.group.measureScore[x]">
         <added-type name="dateTime"/>
         <added-type name="CodeableConcept"/>
         <added-type name="Period"/>
         <added-type name="Range"/>
         <added-type name="Duration"/>
         <added-type name="boolean"/>
         <added-type name="Ratio"/>
      </element>
      <element path="MeasureReport.group.stratifier.linkId" status="new"/>
      <element path="MeasureReport.group.stratifier.title" status="new"/>
      <element new-max="1" old-max="*" path="MeasureReport.group.stratifier.code"/>
      <element path="MeasureReport.group.stratifier.description" status="new"/>
      <element old-name="value" path="MeasureReport.group.stratifier.stratum.value[x]">
         <added-type name="boolean"/>
         <added-type name="Quantity"/>
         <added-type name="Range"/>
         <added-type name="Reference"/>
      </element>
      <element path="MeasureReport.group.stratifier.stratum.component.linkId"
               status="new"/>
      <element path="MeasureReport.group.stratifier.stratum.component.description"
               status="new"/>
      <element old-name="value"
               path="MeasureReport.group.stratifier.stratum.component.value[x]">
         <added-type name="boolean"/>
         <added-type name="Quantity"/>
         <added-type name="Range"/>
         <added-type name="Reference"/>
      </element>
      <element path="MeasureReport.group.stratifier.stratum.population.linkId"
               status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MeasureReport.group.stratifier.stratum.population.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/measure-population"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/measure-population"
                      strength="extensible"/>
      </element>
      <element path="MeasureReport.group.stratifier.stratum.population.countQuantity"
               status="new"/>
      <element path="MeasureReport.group.stratifier.stratum.population.subjectReport"
               status="new"/>
      <element path="MeasureReport.group.stratifier.stratum.population.subjects"
               status="new"/>
      <element old-name="measureScore"
               path="MeasureReport.group.stratifier.stratum.measureScore[x]">
         <added-type name="dateTime"/>
         <added-type name="CodeableConcept"/>
         <added-type name="Period"/>
         <added-type name="Range"/>
         <added-type name="Duration"/>
         <added-type name="boolean"/>
         <added-type name="Ratio"/>
      </element>
      <element path="MeasureReport.supplementalData" status="new"/>
      <element path="MeasureReport.improvementNotation" status="deleted"/>
   </type>
   <type name="Medication" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Medication.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/medication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="manufacturer" path="Medication.marketingAuthorizationHolder"/>
      <element old-name="form" path="Medication.doseForm"/>
      <element path="Medication.packageSize" status="new"/>
      <element path="Medication.packageSize.numberOfItems" status="new"/>
      <element path="Medication.packageSize.amountPerItem" status="new"/>
      <element old-name="item[x]" path="Medication.ingredient.item">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(Substance | Medication)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Medication.ingredient.role" status="new"/>
      <element old-name="strength" path="Medication.ingredient.strength[x]">
         <added-type name="CodeableConcept"/>
         <added-type name="Quantity"/>
      </element>
      <element old-name="batch" path="Medication.instance"/>
      <element path="Medication.instance.identifier" status="new"/>
      <element path="Medication.definition" status="new"/>
      <element path="Medication.amount" status="deleted"/>
   </type>
   <type name="MedicationAdministration" status="changed">
      <element path="MedicationAdministration.basedOn" status="new"/>
      <element path="MedicationAdministration.partOf">
         <removed-type name="Reference(MedicationAdministration | Procedure)"/>
         <added-type name="Reference(MedicationAdministration | Procedure | MedicationDispense)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationAdministration.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/medication-admin-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medication-admin-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="MedicationAdministration.category"/>
      <element old-name="medication[x]" path="MedicationAdministration.medication">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(Medication)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element old-name="context" path="MedicationAdministration.encounter">
         <removed-type name="Reference(Encounter | EpisodeOfCare)"/>
         <added-type name="Reference(Encounter)"/>
      </element>
      <element old-name="effective[x]" path="MedicationAdministration.occurrence[x]">
         <added-type name="Timing"/>
      </element>
      <element path="MedicationAdministration.recorded" status="new"/>
      <element path="MedicationAdministration.isSubPotent" status="new"/>
      <element path="MedicationAdministration.subPotentReason" status="new"/>
      <element path="MedicationAdministration.performer.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="MedicationAdministration.reason" status="new"/>
      <element path="MedicationAdministration.device">
         <removed-type name="Reference(Device)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="MedicationAdministration.instantiates" status="deleted"/>
      <element path="MedicationAdministration.reasonCode" status="deleted"/>
      <element path="MedicationAdministration.reasonReference" status="deleted"/>
   </type>
   <type name="MedicationDispense" status="changed">
      <element path="MedicationDispense.basedOn" status="new"/>
      <element path="MedicationDispense.partOf">
         <removed-type name="Reference(Procedure)"/>
         <added-type name="Reference(Procedure | MedicationAdministration)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationDispense.status">
         <removed-code code="stopped"/>
         <added-code code="unfulfilled"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/medicationdispense-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medicationdispense-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="statusReason[x]" path="MedicationDispense.notPerformedReason">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(DetectedIssue)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="MedicationDispense.statusChanged" status="new"/>
      <element new-max="*" old-max="1" path="MedicationDispense.category"/>
      <element old-name="medication[x]" path="MedicationDispense.medication">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(Medication)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-min="1" old-min="0" path="MedicationDispense.subject"/>
      <element old-name="context" path="MedicationDispense.encounter">
         <removed-type name="Reference(Encounter | EpisodeOfCare)"/>
         <added-type name="Reference(Encounter)"/>
      </element>
      <element path="MedicationDispense.performer.actor">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam | Group)"/>
      </element>
      <element path="MedicationDispense.fillNumber" status="new"/>
      <element path="MedicationDispense.recorded" status="new"/>
      <element path="MedicationDispense.receiver">
         <removed-type name="Reference(Patient | Practitioner)"/>
         <added-type name="Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole | Organization | Group)"/>
      </element>
      <element new-max="1" old-max="*" path="MedicationDispense.dosageInstruction">
         <removed-type name="Dosage"/>
         <added-type name="DosageDetails"/>
      </element>
      <element path="MedicationDispense.doseAdministrationAid" status="new"/>
      <element new-max="1"
               old-max="*"
               path="MedicationDispense.substitution.responsibleParty">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization)"/>
      </element>
      <element path="MedicationDispense.detectedIssue" status="deleted"/>
   </type>
   <type name="MedicationRequest" status="changed">
      <element path="MedicationRequest.basedOn">
         <removed-type name="Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)"/>
         <added-type name="Reference(CarePlan | MedicationRequest | ServiceRequest | RequestOrchestration)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationRequest.status">
         <removed-code code="cancelled"/>
         <removed-code code="completed"/>
         <removed-code code="stopped"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/medicationrequest-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medicationrequest-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MedicationRequest.statusChanged" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationRequest.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/medicationrequest-intent|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medicationrequest-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationRequest.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="medication[x]" path="MedicationRequest.medication">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(Medication)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="MedicationRequest.informationSource" status="new"/>
      <element old-name="reported[x]" path="MedicationRequest.isRecordOfRequest">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)"/>
      </element>
      <element binding-status="added" path="MedicationRequest.performerType">
         <new-binding reference="http://hl7.org/fhir/ValueSet/medication-intended-performer-role"
                      strength="extensible"/>
      </element>
      <element new-max="*" old-max="1" path="MedicationRequest.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService | Group)"/>
      </element>
      <element path="MedicationRequest.device" status="new"/>
      <element path="MedicationRequest.reason" status="new"/>
      <element binding-status="added" path="MedicationRequest.courseOfTherapyType">
         <new-binding reference="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"
                      strength="extensible"/>
      </element>
      <element path="MedicationRequest.effectiveTiming[x]" status="new"/>
      <element new-max="1" old-max="*" path="MedicationRequest.dosageInstruction">
         <removed-type name="Dosage"/>
         <added-type name="DosageDetails"/>
      </element>
      <element old-name="performer" path="MedicationRequest.dispenseRequest.dispenser"/>
      <element path="MedicationRequest.dispenseRequest.dispenserInstruction"
               status="new"/>
      <element path="MedicationRequest.dispenseRequest.doseAdministrationAid"
               status="new"/>
      <element path="MedicationRequest.dispenseRequest.destination" status="new"/>
      <element path="MedicationRequest.reasonCode" status="deleted"/>
      <element path="MedicationRequest.reasonReference" status="deleted"/>
      <element path="MedicationRequest.instantiatesCanonical" status="deleted"/>
      <element path="MedicationRequest.instantiatesUri" status="deleted"/>
      <element path="MedicationRequest.detectedIssue" status="deleted"/>
   </type>
   <type name="MedicationStatement" status="changed">
      <element path="MedicationStatement.partOf">
         <removed-type name="Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)"/>
         <added-type name="Reference(Procedure | MedicationStatement)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MedicationStatement.status">
         <removed-code code="active"/>
         <removed-code code="completed"/>
         <removed-code code="intended"/>
         <removed-code code="stopped"/>
         <removed-code code="on-hold"/>
         <removed-code code="unknown"/>
         <removed-code code="not-taken"/>
         <added-code code="recorded"/>
         <added-code code="draft"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/medication-statement-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/medication-statement-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="MedicationStatement.category"/>
      <element old-name="medication[x]" path="MedicationStatement.medication">
         <removed-type name="CodeableConcept"/>
         <removed-type name="Reference(Medication)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element old-name="context" path="MedicationStatement.encounter">
         <removed-type name="Reference(Encounter | EpisodeOfCare)"/>
         <added-type name="Reference(Encounter)"/>
      </element>
      <element path="MedicationStatement.effective[x]">
         <added-type name="Timing"/>
      </element>
      <element path="MedicationStatement.author" status="new"/>
      <element new-max="*"
               old-max="1"
               path="MedicationStatement.informationSource">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)"/>
         <added-type name="Reference(Device | Patient | Practitioner | PractitionerRole | RelatedPerson | Organization | Group)"/>
      </element>
      <element path="MedicationStatement.reason" status="new"/>
      <element path="MedicationStatement.relatedClinicalInformation" status="new"/>
      <element new-max="1" old-max="*" path="MedicationStatement.dosage">
         <removed-type name="Dosage"/>
         <added-type name="DosageDetails"/>
      </element>
      <element path="MedicationStatement.adherence" status="new"/>
      <element path="MedicationStatement.adherence.code" status="new"/>
      <element path="MedicationStatement.adherence.reason" status="new"/>
      <element path="MedicationStatement.basedOn" status="deleted"/>
      <element path="MedicationStatement.statusReason" status="deleted"/>
      <element path="MedicationStatement.reasonCode" status="deleted"/>
      <element path="MedicationStatement.reasonReference" status="deleted"/>
   </type>
   <type name="MedicinalProductDefinition" status="changed">
      <element path="MedicinalProductDefinition.comprisedOf" status="new"/>
      <element old-name="namePart" path="MedicinalProductDefinition.name.part"/>
      <element old-name="countryLanguage" path="MedicinalProductDefinition.name.usage"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="MedicinalProductDefinition.name.usage.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MedicinalProductDefinition.characteristic.value[x]">
         <added-type name="markdown"/>
         <added-type name="Range"/>
         <added-type name="integer"/>
      </element>
   </type>
   <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|4.3.0"
                      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|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/message-significance-category|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.focus.code">
         <removed-code code="Resource"/>
         <removed-code code="DomainResource"/>
         <removed-code code="CatalogEntry"/>
         <removed-code code="ChargeItem"/>
         <removed-code code="ChargeItemDefinition"/>
         <removed-code code="Citation"/>
         <removed-code code="ClinicalImpression"/>
         <removed-code code="DeviceUseStatement"/>
         <removed-code code="DocumentManifest"/>
         <removed-code code="EvidenceReport"/>
         <removed-code code="GraphDefinition"/>
         <removed-code code="ImmunizationEvaluation"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="Linkage"/>
         <removed-code code="Media"/>
         <removed-code code="MedicationKnowledge"/>
         <removed-code code="MolecularSequence"/>
         <removed-code code="RequestGroup"/>
         <removed-code code="ResearchDefinition"/>
         <removed-code code="ResearchElementDefinition"/>
         <removed-code code="SupplyDelivery"/>
         <removed-code code="SupplyRequest"/>
         <removed-code code="TestReport"/>
         <removed-code code="TestScript"/>
         <removed-code code="VerificationResult"/>
         <added-code code="ActorDefinition"/>
         <added-code code="ArtifactAssessment"/>
         <added-code code="DeviceAlert"/>
         <added-code code="DeviceAssociation"/>
         <added-code code="ImagingSelection"/>
         <added-code code="InsuranceProduct"/>
         <added-code code="NutritionIntake"/>
         <added-code code="RequestOrchestration"/>
         <added-code code="Requirements"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.responseRequired">
         <old-binding reference="http://hl7.org/fhir/ValueSet/messageheader-response-request|4.3.0"
                      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>
   <type name="MessageHeader" status="changed">
      <element path="MessageHeader.event[x]">
         <added-type name="canonical(EventDefinition | SubscriptionTopic)"/>
      </element>
      <element new-min="0"
               old-min="1"
               old-name="endpoint"
               path="MessageHeader.destination.endpoint[x]">
         <added-type name="Reference(Endpoint)"/>
      </element>
      <element path="MessageHeader.destination.receiver">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
      </element>
      <element new-min="0"
               old-min="1"
               old-name="endpoint"
               path="MessageHeader.source.endpoint[x]">
         <added-type name="Reference(Endpoint)"/>
      </element>
      <element path="MessageHeader.source.sender">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole)"/>
      </element>
      <element path="MessageHeader.response.identifier">
         <removed-type name="id"/>
         <added-type name="Identifier"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageHeader.response.code">
         <old-binding reference="http://hl7.org/fhir/ValueSet/response-code|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/response-code|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MessageHeader.destination.target" status="deleted"/>
      <element path="MessageHeader.enterer" status="deleted"/>
      <element path="MessageHeader.author" status="deleted"/>
      <element path="MessageHeader.responsible" status="deleted"/>
   </type>
   <type name="MetadataResource" status="new"/>
   <type name="NamingSystem" status="changed">
      <element path="NamingSystem.url" status="new"/>
      <element path="NamingSystem.identifier" status="new"/>
      <element path="NamingSystem.version" status="new"/>
      <element path="NamingSystem.versionAlgorithm[x]" status="new"/>
      <element path="NamingSystem.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="NamingSystem.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="NamingSystem.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/namingsystem-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/namingsystem-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="NamingSystem.experimental" status="new"/>
      <element binding-status="removed" path="NamingSystem.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/identifier-type"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="NamingSystem.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="NamingSystem.purpose" status="new"/>
      <element path="NamingSystem.copyright" status="new"/>
      <element path="NamingSystem.copyrightLabel" status="new"/>
      <element path="NamingSystem.approvalDate" status="new"/>
      <element path="NamingSystem.lastReviewDate" status="new"/>
      <element path="NamingSystem.effectivePeriod" status="new"/>
      <element path="NamingSystem.topic" status="new"/>
      <element path="NamingSystem.author" status="new"/>
      <element path="NamingSystem.editor" status="new"/>
      <element path="NamingSystem.reviewer" status="new"/>
      <element path="NamingSystem.endorser" status="new"/>
      <element path="NamingSystem.relatedArtifact" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="NamingSystem.uniqueId.type">
         <added-code code="iri-stem"/>
         <added-code code="v2csmnemonic"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="NamingSystem.uniqueId.authoritative" status="new"/>
   </type>
   <type name="NutritionIntake" status="new"/>
   <type name="NutritionOrder" status="changed">
      <element path="NutritionOrder.basedOn" status="new"/>
      <element path="NutritionOrder.groupIdentifier" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="NutritionOrder.status">
         <removed-code code="revoked"/>
         <removed-code code="completed"/>
         <added-code code="ended"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="NutritionOrder.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|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="NutritionOrder.priority" status="new"/>
      <element old-name="patient" path="NutritionOrder.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group)"/>
      </element>
      <element path="NutritionOrder.supportingInformation" status="new"/>
      <element old-name="orderer" path="NutritionOrder.requester"/>
      <element path="NutritionOrder.performer" status="new"/>
      <element path="NutritionOrder.outsideFoodAllowed" status="new"/>
      <element new-max="1" old-max="*" path="NutritionOrder.oralDiet.schedule">
         <removed-type name="Timing"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="NutritionOrder.oralDiet.schedule.timing" status="new"/>
      <element path="NutritionOrder.oralDiet.schedule.asNeeded" status="new"/>
      <element path="NutritionOrder.oralDiet.schedule.asNeededFor" status="new"/>
      <element path="NutritionOrder.oralDiet.nutrient.amount">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element old-name="foodType" path="NutritionOrder.oralDiet.texture.type"/>
      <element path="NutritionOrder.oralDiet.caloricDensity" status="new"/>
      <element path="NutritionOrder.supplement.type">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="1" old-max="*" path="NutritionOrder.supplement.schedule">
         <removed-type name="Timing"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="NutritionOrder.supplement.schedule.timing" status="new"/>
      <element path="NutritionOrder.supplement.schedule.asNeeded" status="new"/>
      <element path="NutritionOrder.supplement.schedule.asNeededFor" status="new"/>
      <element path="NutritionOrder.supplement.quantity">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element path="NutritionOrder.supplement.caloricDensity" status="new"/>
      <element old-name="baseFormulaType" path="NutritionOrder.enteralFormula.type">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element old-name="baseFormulaProductName"
               path="NutritionOrder.enteralFormula.productName"/>
      <element path="NutritionOrder.enteralFormula.deliveryDevice[x]" status="new"/>
      <element path="NutritionOrder.enteralFormula.caloricDensity">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element new-max="*"
               old-max="1"
               old-name="routeofAdministration"
               path="NutritionOrder.enteralFormula.routeOfAdministration"/>
      <element path="NutritionOrder.enteralFormula.administration.schedule">
         <removed-type name="Timing"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="NutritionOrder.enteralFormula.administration.schedule.timing"
               status="new"/>
      <element path="NutritionOrder.enteralFormula.administration.schedule.asNeeded"
               status="new"/>
      <element path="NutritionOrder.enteralFormula.administration.schedule.asNeededFor"
               status="new"/>
      <element path="NutritionOrder.enteralFormula.administration.quantity">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element path="NutritionOrder.enteralFormula.administration.rate[x]">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
      </element>
      <element old-name="maxVolumeToDeliver"
               path="NutritionOrder.enteralFormula.maxVolumeToAdminister">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element path="NutritionOrder.enteralFormula.administrationInstruction">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="NutritionOrder.additive" status="new"/>
      <element path="NutritionOrder.additive.modularType" status="new"/>
      <element path="NutritionOrder.additive.productName" status="new"/>
      <element path="NutritionOrder.additive.quantity" status="new"/>
      <element path="NutritionOrder.additive.routeOfAdministration" status="new"/>
      <element path="NutritionOrder.instantiatesCanonical" status="deleted"/>
      <element path="NutritionOrder.instantiatesUri" status="deleted"/>
      <element path="NutritionOrder.instantiates" status="deleted"/>
      <element path="NutritionOrder.oralDiet.fluidConsistencyType" status="deleted"/>
      <element path="NutritionOrder.enteralFormula.additiveType" status="deleted"/>
      <element path="NutritionOrder.enteralFormula.additiveProductName"
               status="deleted"/>
   </type>
   <type name="NutritionProduct" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="NutritionProduct.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/nutritionproduct-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/nutritionproduct-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="NutritionProduct.manufacturer">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Organization | RelatedPerson)"/>
      </element>
      <element new-min="1" old-min="0" path="NutritionProduct.nutrient.item"/>
      <element new-max="1"
               old-max="*"
               old-name="amount"
               path="NutritionProduct.nutrient.amount[x]">
         <added-type name="Quantity"/>
      </element>
      <element path="NutritionProduct.ingredientSummary" status="new"/>
      <element new-max="1"
               old-max="*"
               old-name="amount"
               path="NutritionProduct.ingredient.amount[x]">
         <added-type name="Quantity"/>
      </element>
      <element path="NutritionProduct.ingredient.allergen" status="new"/>
      <element path="NutritionProduct.energy" status="new"/>
      <element path="NutritionProduct.characteristic" status="new"/>
      <element path="NutritionProduct.characteristic.type" status="new"/>
      <element path="NutritionProduct.characteristic.value[x]" status="new"/>
      <element new-max="*" old-max="1" path="NutritionProduct.instance"/>
      <element path="NutritionProduct.instance.name" status="new"/>
      <element path="NutritionProduct.instance.biologicalSourceEvent" status="new"/>
      <element path="NutritionProduct.knownAllergen" status="deleted"/>
      <element path="NutritionProduct.productCharacteristic" status="deleted"/>
   </type>
   <type name="Observation" status="changed">
      <element path="Observation.basedOn">
         <removed-type name="Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"/>
         <added-type name="Reference(CarePlan | DeviceRequest | MedicationRequest | NutritionOrder | ServiceRequest)"/>
      </element>
      <element path="Observation.triggeredBy" status="new"/>
      <element path="Observation.triggeredBy.observation" status="new"/>
      <element path="Observation.triggeredBy.type" status="new"/>
      <element path="Observation.triggeredBy.reason" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Observation.status">
         <removed-code code="corrected"/>
         <added-code code="specimen-in-process"/>
         <added-code code="cannot-be-obtained"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/observation-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Observation.subject">
         <removed-type name="Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)"/>
         <added-type name="Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance | BiologicallyDerivedProduct | NutritionProduct)"/>
      </element>
      <element modifier="added" path="Observation.focus"/>
      <element path="Observation.organizer" status="new"/>
      <element path="Observation.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService | Group)"/>
      </element>
      <element path="Observation.value[x]">
         <added-type name="Attachment"/>
      </element>
      <element path="Observation.interpretationContext" status="new"/>
      <element path="Observation.bodyStructure" status="new"/>
      <element path="Observation.specimen">
         <removed-type name="Reference(Specimen)"/>
         <added-type name="Reference(Specimen | Group)"/>
      </element>
      <element path="Observation.referenceRange.low">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element path="Observation.referenceRange.high">
         <removed-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="Quantity"/>
      </element>
      <element path="Observation.referenceRange.normalValue" status="new"/>
      <element path="Observation.referenceRange.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Observation.hasMember">
         <removed-type name="Reference(Observation | QuestionnaireResponse | MolecularSequence)"/>
         <added-type name="Reference(Observation | QuestionnaireResponse)"/>
      </element>
      <element path="Observation.derivedFrom">
         <removed-type name="Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)"/>
         <added-type name="Reference(DocumentReference | ImagingStudy | ImagingSelection | QuestionnaireResponse | Observation)"/>
      </element>
      <element path="Observation.component.value[x]">
         <added-type name="Attachment"/>
      </element>
   </type>
   <type name="ObservationDefinition" status="changed">
      <element path="ObservationDefinition.url" status="new"/>
      <element path="ObservationDefinition.version" status="new"/>
      <element path="ObservationDefinition.versionAlgorithm[x]" status="new"/>
      <element path="ObservationDefinition.name" status="new"/>
      <element path="ObservationDefinition.title" status="new"/>
      <element path="ObservationDefinition.status" status="new"/>
      <element path="ObservationDefinition.experimental" status="new"/>
      <element path="ObservationDefinition.date" status="new"/>
      <element path="ObservationDefinition.publisher" status="new"/>
      <element path="ObservationDefinition.contact" status="new"/>
      <element path="ObservationDefinition.description" status="new"/>
      <element path="ObservationDefinition.useContext" status="new"/>
      <element path="ObservationDefinition.jurisdiction" status="new"/>
      <element path="ObservationDefinition.purpose" status="new"/>
      <element path="ObservationDefinition.copyright" status="new"/>
      <element path="ObservationDefinition.copyrightLabel" status="new"/>
      <element path="ObservationDefinition.approvalDate" status="new"/>
      <element path="ObservationDefinition.lastReviewDate" status="new"/>
      <element path="ObservationDefinition.effectivePeriod" status="new"/>
      <element path="ObservationDefinition.derivedFromCanonical" status="new"/>
      <element path="ObservationDefinition.derivedFromUri" status="new"/>
      <element path="ObservationDefinition.subject" status="new"/>
      <element path="ObservationDefinition.performerType" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ObservationDefinition.permittedDataType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/permitted-data-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/permitted-data-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ObservationDefinition.bodyStructure" status="new"/>
      <element path="ObservationDefinition.specimen" status="new"/>
      <element path="ObservationDefinition.device[x]" status="new"/>
      <element path="ObservationDefinition.permittedUnit" status="new"/>
      <element old-name="qualifiedInterval"
               path="ObservationDefinition.qualifiedValue"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               old-name="gender"
               path="ObservationDefinition.qualifiedValue.sexParameterForClinicalUse">
         <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 binding-status="changed"
               binding-valueset-changed="true"
               old-name="category"
               path="ObservationDefinition.qualifiedValue.rangeCategory">
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-range-category|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/observation-range-category|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ObservationDefinition.qualifiedValue.validCodedValueSet">
         <removed-type name="Reference(ValueSet)"/>
         <added-type name="canonical(ValueSet)"/>
      </element>
      <element path="ObservationDefinition.qualifiedValue.normalCodedValueSet">
         <removed-type name="Reference(ValueSet)"/>
         <added-type name="canonical(ValueSet)"/>
      </element>
      <element path="ObservationDefinition.qualifiedValue.abnormalCodedValueSet">
         <removed-type name="Reference(ValueSet)"/>
         <added-type name="canonical(ValueSet)"/>
      </element>
      <element path="ObservationDefinition.qualifiedValue.criticalCodedValueSet">
         <removed-type name="Reference(ValueSet)"/>
         <added-type name="canonical(ValueSet)"/>
      </element>
      <element path="ObservationDefinition.qualifiedValue.interpretation" status="new"/>
      <element path="ObservationDefinition.hasMember" status="new"/>
      <element path="ObservationDefinition.component" status="new"/>
      <element path="ObservationDefinition.component.code" status="new"/>
      <element path="ObservationDefinition.component.permittedDataType" status="new"/>
      <element path="ObservationDefinition.component.permittedUnit" status="new"/>
      <element path="ObservationDefinition.component.qualifiedValue" status="new"/>
      <element path="ObservationDefinition.quantitativeDetails" status="deleted"/>
   </type>
   <type name="OperationDefinition" status="changed">
      <element path="OperationDefinition.identifier" status="new"/>
      <element path="OperationDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="OperationDefinition.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/operation-kind|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/operation-kind|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.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="OperationDefinition.copyright" status="new"/>
      <element path="OperationDefinition.copyrightLabel" status="new"/>
      <element path="OperationDefinition.synchronicity" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.resource">
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.parameter.use">
         <old-binding reference="http://hl7.org/fhir/ValueSet/operation-parameter-use|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/operation-parameter-use|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="OperationDefinition.parameter.scope" status="new"/>
      <element path="OperationDefinition.parameter.min">
         <removed-type name="integer"/>
         <added-type name="unsignedInt"/>
      </element>
      <element path="OperationDefinition.parameter.documentation">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.parameter.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/all-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="OperationDefinition.parameter.allowedType" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.parameter.searchType">
         <added-code code="resource"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="OperationDefinition.parameter.binding.strength">
         <added-code code="descriptive"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/binding-strength|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="OperationOutcome" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="OperationOutcome.issue.severity">
         <added-code code="success"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/issue-severity|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/issue-severity|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="OperationOutcome.issue.code">
         <removed-code code="structure"/>
         <removed-code code="required"/>
         <removed-code code="value"/>
         <removed-code code="invariant"/>
         <removed-code code="login"/>
         <removed-code code="unknown"/>
         <removed-code code="expired"/>
         <removed-code code="forbidden"/>
         <removed-code code="suppressed"/>
         <removed-code code="not-supported"/>
         <removed-code code="duplicate"/>
         <removed-code code="multiple-matches"/>
         <removed-code code="not-found"/>
         <removed-code code="deleted"/>
         <removed-code code="too-long"/>
         <removed-code code="code-invalid"/>
         <removed-code code="extension"/>
         <removed-code code="too-costly"/>
         <removed-code code="business-rule"/>
         <removed-code code="conflict"/>
         <removed-code code="lock-error"/>
         <removed-code code="no-store"/>
         <removed-code code="exception"/>
         <removed-code code="timeout"/>
         <removed-code code="incomplete"/>
         <removed-code code="throttled"/>
         <added-code code="success"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/issue-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/issue-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Organization" status="changed">
      <element path="Organization.description" status="new"/>
      <element path="Organization.contact">
         <removed-type name="BackboneElement"/>
         <added-type name="ExtendedContactDetail"/>
      </element>
      <element path="Organization.qualification" status="new"/>
      <element path="Organization.qualification.identifier" status="new"/>
      <element path="Organization.qualification.code" status="new"/>
      <element path="Organization.qualification.status" status="new"/>
      <element path="Organization.qualification.period" status="new"/>
      <element path="Organization.qualification.issuer" status="new"/>
      <element path="Organization.telecom" status="deleted"/>
      <element path="Organization.address" status="deleted"/>
      <element path="Organization.contact.purpose" status="deleted"/>
      <element path="Organization.contact.name" status="deleted"/>
      <element path="Organization.contact.telecom" status="deleted"/>
      <element path="Organization.contact.address" status="deleted"/>
   </type>
   <type name="OrganizationAffiliation" status="changed">
      <element path="OrganizationAffiliation.contact" status="new"/>
      <element path="OrganizationAffiliation.telecom" status="deleted"/>
   </type>
   <type name="PackagedProductDefinition" status="changed">
      <element path="PackagedProductDefinition.attachedDocument" status="new"/>
      <element path="PackagedProductDefinition.packaging" status="new"/>
      <element path="PackagedProductDefinition.packaging.identifier" status="new"/>
      <element path="PackagedProductDefinition.packaging.type" status="new"/>
      <element path="PackagedProductDefinition.packaging.componentPart" status="new"/>
      <element path="PackagedProductDefinition.packaging.quantity" status="new"/>
      <element path="PackagedProductDefinition.packaging.material" status="new"/>
      <element path="PackagedProductDefinition.packaging.alternateMaterial"
               status="new"/>
      <element path="PackagedProductDefinition.packaging.shelfLifeStorage"
               status="new"/>
      <element path="PackagedProductDefinition.packaging.manufacturer" status="new"/>
      <element path="PackagedProductDefinition.packaging.property" status="new"/>
      <element path="PackagedProductDefinition.packaging.property.type" status="new"/>
      <element path="PackagedProductDefinition.packaging.property.value[x]"
               status="new"/>
      <element path="PackagedProductDefinition.packaging.containedItem" status="new"/>
      <element path="PackagedProductDefinition.packaging.containedItem.item"
               status="new"/>
      <element path="PackagedProductDefinition.packaging.containedItem.amount"
               status="new"/>
      <element path="PackagedProductDefinition.packaging.packaging" status="new"/>
      <element path="PackagedProductDefinition.characteristic">
         <removed-type name="CodeableConcept"/>
      </element>
      <element path="PackagedProductDefinition.package" status="deleted"/>
   </type>
   <type name="Parameters" status="changed">
      <element path="Parameters.parameter.value[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="CodeableReference"/>
         <added-type name="RatioRange"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
      </element>
   </type>
   <type name="Patient" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.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 binding-status="removed" path="Patient.contact.relationship">
         <old-binding reference="http://hl7.org/fhir/ValueSet/patient-contactrelationship"
                      strength="extensible"/>
      </element>
      <element path="Patient.contact.role" status="new"/>
      <element path="Patient.contact.additionalName" status="new"/>
      <element path="Patient.contact.additionalAddress" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.contact.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 binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="Patient.communication.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Patient.link.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/link-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/link-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="PaymentNotice" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PaymentNotice.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PaymentNotice.statusReason" status="new"/>
      <element old-name="provider" path="PaymentNotice.reporter"/>
      <element new-min="0" old-min="1" path="PaymentNotice.payment"/>
   </type>
   <type name="PaymentReconciliation" status="changed">
      <element path="PaymentReconciliation.type" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PaymentReconciliation.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PaymentReconciliation.statusReason" status="new"/>
      <element path="PaymentReconciliation.kind" status="new"/>
      <element path="PaymentReconciliation.enterer" status="new"/>
      <element path="PaymentReconciliation.issuerType" status="new"/>
      <element path="PaymentReconciliation.paymentIssuer">
         <removed-type name="Reference(Organization)"/>
         <added-type name="Reference(Organization | Patient | RelatedPerson)"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PaymentReconciliation.outcome">
         <old-binding reference="http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/payment-outcome|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="paymentDate" path="PaymentReconciliation.date"/>
      <element path="PaymentReconciliation.location" status="new"/>
      <element path="PaymentReconciliation.method" status="new"/>
      <element path="PaymentReconciliation.cardBrand" status="new"/>
      <element path="PaymentReconciliation.accountNumber" status="new"/>
      <element path="PaymentReconciliation.expirationDate" status="new"/>
      <element path="PaymentReconciliation.processor" status="new"/>
      <element path="PaymentReconciliation.referenceNumber" status="new"/>
      <element path="PaymentReconciliation.authorization" status="new"/>
      <element path="PaymentReconciliation.tenderedAmount" status="new"/>
      <element path="PaymentReconciliation.returnedAmount" status="new"/>
      <element new-min="0"
               old-min="1"
               old-name="paymentAmount"
               path="PaymentReconciliation.amount"/>
      <element old-name="detail" path="PaymentReconciliation.allocation"/>
      <element old-name="request" path="PaymentReconciliation.allocation.target">
         <removed-type name="Reference(Resource)"/>
         <added-type name="Reference(Claim | Account | Invoice | Encounter | Contract)"/>
      </element>
      <element path="PaymentReconciliation.allocation.targetItem[x]" status="new"/>
      <element path="PaymentReconciliation.allocation.encounter" status="new"/>
      <element path="PaymentReconciliation.allocation.account" status="new"/>
      <element binding-status="added"
               new-min="0"
               old-min="1"
               path="PaymentReconciliation.allocation.type">
         <new-binding reference="http://hl7.org/fhir/ValueSet/payment-type"
                      strength="extensible"/>
      </element>
      <element path="PaymentReconciliation.allocation.response">
         <removed-type name="Reference(Resource)"/>
         <added-type name="Reference(ClaimResponse)"/>
      </element>
      <element path="PaymentReconciliation.allocation.noteNumber" status="new"/>
      <element path="PaymentReconciliation.processNote.class" status="new"/>
      <element path="PaymentReconciliation.processNote.number" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PaymentReconciliation.processNote.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/note-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/note-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PaymentReconciliation.processNote.text">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
   </type>
   <type name="Person" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Person.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="Person.deceased[x]" status="new"/>
      <element path="Person.maritalStatus" status="new"/>
      <element new-max="*" old-max="1" path="Person.photo"/>
      <element path="Person.communication" status="new"/>
      <element path="Person.communication.language" status="new"/>
      <element path="Person.communication.preferred" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Person.link.assurance">
         <old-binding reference="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/identity-assuranceLevel|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="PlanDefinition" status="changed">
      <element path="PlanDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/plan-definition-type"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/plan-definition-type"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="PlanDefinition.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.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="PlanDefinition.usage">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="PlanDefinition.copyrightLabel" status="new"/>
      <element path="PlanDefinition.goal.target.detail[x]">
         <added-type name="string"/>
         <added-type name="boolean"/>
         <added-type name="integer"/>
         <added-type name="Ratio"/>
      </element>
      <element path="PlanDefinition.actor" status="new"/>
      <element path="PlanDefinition.actor.title" status="new"/>
      <element path="PlanDefinition.actor.description" status="new"/>
      <element path="PlanDefinition.actor.option" status="new"/>
      <element path="PlanDefinition.actor.option.type" status="new"/>
      <element path="PlanDefinition.actor.option.typeCanonical" status="new"/>
      <element path="PlanDefinition.actor.option.typeReference" status="new"/>
      <element path="PlanDefinition.actor.option.role" status="new"/>
      <element path="PlanDefinition.action.linkId" status="new"/>
      <element path="PlanDefinition.action.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="PlanDefinition.action.textEquivalent">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="1" old-max="*" path="PlanDefinition.action.code"/>
      <element path="PlanDefinition.action.goalId">
         <removed-type name="id"/>
         <added-type name="string"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.subject[x]">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subject-type"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/participant-resource-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.condition.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-condition-kind|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-condition-kind|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PlanDefinition.action.input">
         <removed-type name="DataRequirement"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="PlanDefinition.action.input.title" status="new"/>
      <element path="PlanDefinition.action.input.requirement" status="new"/>
      <element path="PlanDefinition.action.input.relatedData" status="new"/>
      <element path="PlanDefinition.action.output">
         <removed-type name="DataRequirement"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="PlanDefinition.action.output.title" status="new"/>
      <element path="PlanDefinition.action.output.requirement" status="new"/>
      <element path="PlanDefinition.action.output.relatedData" status="new"/>
      <element old-name="actionId" path="PlanDefinition.action.relatedAction.targetId">
         <removed-type name="id"/>
         <added-type name="string"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.relatedAction.relationship">
         <removed-code code="before-start"/>
         <removed-code code="before-end"/>
         <removed-code code="concurrent-with-start"/>
         <removed-code code="concurrent-with-end"/>
         <removed-code code="after-start"/>
         <removed-code code="after-end"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-relationship-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-relationship-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PlanDefinition.action.relatedAction.endRelationship" status="new"/>
      <element path="PlanDefinition.action.timing[x]">
         <removed-type name="dateTime"/>
         <removed-type name="Period"/>
         <added-type name="RelativeTime"/>
      </element>
      <element path="PlanDefinition.action.location" status="new"/>
      <element path="PlanDefinition.action.participant.actorId" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="PlanDefinition.action.participant.type">
         <removed-code code="related-person"/>
         <added-code code="careteam"/>
         <added-code code="group"/>
         <added-code code="healthcareservice"/>
         <added-code code="location"/>
         <added-code code="organization"/>
         <added-code code="practitionerrole"/>
         <added-code code="relatedperson"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-participant-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PlanDefinition.action.participant.typeCanonical" status="new"/>
      <element path="PlanDefinition.action.participant.typeReference" status="new"/>
      <element path="PlanDefinition.action.participant.function" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-type"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/action-type"
                      strength="extensible"/>
      </element>
      <element path="PlanDefinition.action.applicabilityBehavior" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.groupingBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-grouping-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.selectionBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-selection-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-selection-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.requiredBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-required-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-required-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.precheckBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-precheck-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="PlanDefinition.action.cardinalityBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/action-cardinality-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="PlanDefinition.asNeeded[x]" status="new"/>
   </type>
   <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>
   <type name="PractitionerRole" status="changed">
      <element path="PractitionerRole.network" status="new"/>
      <element path="PractitionerRole.display" status="new"/>
      <element path="PractitionerRole.contact" status="new"/>
      <element path="PractitionerRole.characteristic" status="new"/>
      <element path="PractitionerRole.communication" status="new"/>
      <element path="PractitionerRole.availability" status="new"/>
      <element path="PractitionerRole.telecom" status="deleted"/>
      <element path="PractitionerRole.availableTime" status="deleted"/>
      <element path="PractitionerRole.notAvailable" status="deleted"/>
      <element path="PractitionerRole.availabilityExceptions" status="deleted"/>
   </type>
   <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|4.3.0"
                      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>
   <type name="Provenance" status="changed">
      <element new-min="0" old-min="1" path="Provenance.recorded"/>
      <element binding-status="removed"
               old-name="reason"
               path="Provenance.authorization">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
         <old-binding reference="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
                      strength="extensible"/>
      </element>
      <element path="Provenance.why" status="new"/>
      <element binding-status="removed" path="Provenance.activity">
         <old-binding reference="http://hl7.org/fhir/ValueSet/provenance-activity-type"
                      strength="extensible"/>
      </element>
      <element path="Provenance.basedOn" status="new"/>
      <element path="Provenance.patient" status="new"/>
      <element path="Provenance.encounter" status="new"/>
      <element binding-status="removed" path="Provenance.agent.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/provenance-agent-type"
                      strength="extensible"/>
      </element>
      <element path="Provenance.agent.who">
         <removed-type name="Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | Group | HealthcareService)"/>
      </element>
      <element path="Provenance.agent.onBehalfOf">
         <removed-type name="Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Group | HealthcareService)"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Provenance.entity.role">
         <removed-code code="derivation"/>
         <added-code code="instantiates"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/provenance-entity-role|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Questionnaire" status="changed">
      <element path="Questionnaire.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.subjectType">
         <removed-code code="Resource"/>
         <removed-code code="DomainResource"/>
         <removed-code code="CatalogEntry"/>
         <removed-code code="ChargeItem"/>
         <removed-code code="ChargeItemDefinition"/>
         <removed-code code="Citation"/>
         <removed-code code="ClinicalImpression"/>
         <removed-code code="DeviceUseStatement"/>
         <removed-code code="DocumentManifest"/>
         <removed-code code="EvidenceReport"/>
         <removed-code code="GraphDefinition"/>
         <removed-code code="ImmunizationEvaluation"/>
         <removed-code code="ImmunizationRecommendation"/>
         <removed-code code="Linkage"/>
         <removed-code code="Media"/>
         <removed-code code="MedicationKnowledge"/>
         <removed-code code="MolecularSequence"/>
         <removed-code code="RequestGroup"/>
         <removed-code code="ResearchDefinition"/>
         <removed-code code="ResearchElementDefinition"/>
         <removed-code code="SupplyDelivery"/>
         <removed-code code="SupplyRequest"/>
         <removed-code code="TestReport"/>
         <removed-code code="TestScript"/>
         <removed-code code="VerificationResult"/>
         <added-code code="ActorDefinition"/>
         <added-code code="ArtifactAssessment"/>
         <added-code code="DeviceAlert"/>
         <added-code code="DeviceAssociation"/>
         <added-code code="ImagingSelection"/>
         <added-code code="InsuranceProduct"/>
         <added-code code="NutritionIntake"/>
         <added-code code="RequestOrchestration"/>
         <added-code code="Requirements"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.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="Questionnaire.copyrightLabel" status="new"/>
      <element new-max="*" old-max="1" path="Questionnaire.item.definition"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.item.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/item-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/item-type-useable|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.item.enableWhen.operator">
         <old-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Questionnaire.item.enableWhen.answer[x]">
         <added-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
         <added-type name="uri"/>
         <added-type name="Attachment"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Questionnaire.item.enableBehavior">
         <old-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Questionnaire.item.disabledDisplay" status="new"/>
      <element path="Questionnaire.item.answerConstraint" status="new"/>
      <element path="Questionnaire.item.answerOption.value[x]">
         <added-type name="decimal"/>
         <added-type name="dateTime"/>
         <added-type name="uri"/>
         <added-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
      </element>
      <element path="Questionnaire.item.initial.value[x]">
         <added-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
      </element>
   </type>
   <type name="QuestionnaireResponse" status="changed">
      <element new-max="*" old-max="1" path="QuestionnaireResponse.identifier"/>
      <element new-min="1" old-min="0" path="QuestionnaireResponse.questionnaire"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="QuestionnaireResponse.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/questionnaire-answers-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="QuestionnaireResponse.author">
         <removed-type name="Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)"/>
         <added-type name="Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization | Group)"/>
      </element>
      <element path="QuestionnaireResponse.source">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
         <added-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
      </element>
      <element new-max="*"
               old-max="1"
               path="QuestionnaireResponse.item.definition"/>
      <element new-min="1"
               old-min="0"
               path="QuestionnaireResponse.item.answer.value[x]">
         <added-type name="Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)"/>
      </element>
   </type>
   <type name="RegulatedAuthorization" status="changed">
      <element path="RegulatedAuthorization.subject">
         <removed-type name="Reference(MedicinalProductDefinition | BiologicallyDerivedProduct | NutritionProduct | PackagedProductDefinition | SubstanceDefinition | DeviceDefinition | ResearchStudy | ActivityDefinition | PlanDefinition | ObservationDefinition | Practitioner | Organization | Location)"/>
         <added-type name="Reference(MedicinalProductDefinition | BiologicallyDerivedProduct | NutritionProduct | PackagedProductDefinition | ManufacturedItemDefinition | Ingredient | SubstanceDefinition | DeviceDefinition | ResearchStudy | ActivityDefinition | PlanDefinition | ObservationDefinition | Practitioner | Organization | Location)"/>
      </element>
      <element modifier="added" path="RegulatedAuthorization.status"/>
      <element new-max="*" old-max="1" path="RegulatedAuthorization.indication"/>
      <element path="RegulatedAuthorization.attachedDocument" status="new"/>
   </type>
   <type name="RelatedPerson" status="changed">
      <element path="RelatedPerson.role" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="RelatedPerson.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 binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="RelatedPerson.communication.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="RequestOrchestration"
         old-name="RequestGroup"
         status="changed">
      <element path="RequestOrchestration.identifier" status="new"/>
      <element path="RequestOrchestration.instantiatesCanonical" status="new"/>
      <element path="RequestOrchestration.instantiatesUri" status="new"/>
      <element path="RequestOrchestration.basedOn" status="new"/>
      <element path="RequestOrchestration.replaces" status="new"/>
      <element path="RequestOrchestration.groupIdentifier" status="new"/>
      <element path="RequestOrchestration.status" status="new"/>
      <element path="RequestOrchestration.intent" status="new"/>
      <element path="RequestOrchestration.priority" status="new"/>
      <element path="RequestOrchestration.code" status="new"/>
      <element path="RequestOrchestration.subject" status="new"/>
      <element path="RequestOrchestration.encounter" status="new"/>
      <element path="RequestOrchestration.authoredOn" status="new"/>
      <element path="RequestOrchestration.author" status="new"/>
      <element path="RequestOrchestration.reason" status="new"/>
      <element path="RequestOrchestration.goal" status="new"/>
      <element path="RequestOrchestration.note" status="new"/>
      <element path="RequestOrchestration.action" status="new"/>
      <element path="RequestOrchestration.action.linkId" status="new"/>
      <element path="RequestOrchestration.action.prefix" status="new"/>
      <element path="RequestOrchestration.action.title" status="new"/>
      <element path="RequestOrchestration.action.description" status="new"/>
      <element path="RequestOrchestration.action.textEquivalent" status="new"/>
      <element path="RequestOrchestration.action.priority" status="new"/>
      <element path="RequestOrchestration.action.code" status="new"/>
      <element path="RequestOrchestration.action.documentation" status="new"/>
      <element path="RequestOrchestration.action.goal" status="new"/>
      <element path="RequestOrchestration.action.condition" status="new"/>
      <element path="RequestOrchestration.action.condition.kind" status="new"/>
      <element path="RequestOrchestration.action.condition.expression" status="new"/>
      <element path="RequestOrchestration.action.input" status="new"/>
      <element path="RequestOrchestration.action.input.title" status="new"/>
      <element path="RequestOrchestration.action.input.requirement" status="new"/>
      <element path="RequestOrchestration.action.input.relatedData" status="new"/>
      <element path="RequestOrchestration.action.output" status="new"/>
      <element path="RequestOrchestration.action.output.title" status="new"/>
      <element path="RequestOrchestration.action.output.requirement" status="new"/>
      <element path="RequestOrchestration.action.output.relatedData" status="new"/>
      <element path="RequestOrchestration.action.relatedAction" status="new"/>
      <element path="RequestOrchestration.action.relatedAction.targetId" status="new"/>
      <element path="RequestOrchestration.action.relatedAction.relationship"
               status="new"/>
      <element path="RequestOrchestration.action.relatedAction.endRelationship"
               status="new"/>
      <element path="RequestOrchestration.action.relatedAction.offset[x]" status="new"/>
      <element path="RequestOrchestration.action.timing[x]" status="new"/>
      <element path="RequestOrchestration.action.location" status="new"/>
      <element path="RequestOrchestration.action.participant" status="new"/>
      <element path="RequestOrchestration.action.participant.type" status="new"/>
      <element path="RequestOrchestration.action.participant.typeCanonical"
               status="new"/>
      <element path="RequestOrchestration.action.participant.typeReference"
               status="new"/>
      <element path="RequestOrchestration.action.participant.role" status="new"/>
      <element path="RequestOrchestration.action.participant.function" status="new"/>
      <element path="RequestOrchestration.action.participant.actor[x]" status="new"/>
      <element path="RequestOrchestration.action.type" status="new"/>
      <element path="RequestOrchestration.action.applicabilityBehavior" status="new"/>
      <element path="RequestOrchestration.action.groupingBehavior" status="new"/>
      <element path="RequestOrchestration.action.selectionBehavior" status="new"/>
      <element path="RequestOrchestration.action.requiredBehavior" status="new"/>
      <element path="RequestOrchestration.action.precheckBehavior" status="new"/>
      <element path="RequestOrchestration.action.cardinalityBehavior" status="new"/>
      <element path="RequestOrchestration.action.resource" status="new"/>
      <element path="RequestOrchestration.action.definition[x]" status="new"/>
      <element path="RequestOrchestration.action.transform" status="new"/>
      <element path="RequestOrchestration.action.dynamicValue" status="new"/>
      <element path="RequestOrchestration.action.dynamicValue.path" status="new"/>
      <element path="RequestOrchestration.action.dynamicValue.expression" status="new"/>
      <element path="RequestOrchestration.action.action" status="new"/>
      <element path="RequestGroup.identifier" status="deleted"/>
      <element path="RequestGroup.instantiatesCanonical" status="deleted"/>
      <element path="RequestGroup.instantiatesUri" status="deleted"/>
      <element path="RequestGroup.basedOn" status="deleted"/>
      <element path="RequestGroup.replaces" status="deleted"/>
      <element path="RequestGroup.groupIdentifier" status="deleted"/>
      <element path="RequestGroup.status" status="deleted"/>
      <element path="RequestGroup.intent" status="deleted"/>
      <element path="RequestGroup.priority" status="deleted"/>
      <element path="RequestGroup.code" status="deleted"/>
      <element path="RequestGroup.subject" status="deleted"/>
      <element path="RequestGroup.encounter" status="deleted"/>
      <element path="RequestGroup.authoredOn" status="deleted"/>
      <element path="RequestGroup.author" status="deleted"/>
      <element path="RequestGroup.reasonCode" status="deleted"/>
      <element path="RequestGroup.reasonReference" status="deleted"/>
      <element path="RequestGroup.note" status="deleted"/>
      <element path="RequestGroup.action" status="deleted"/>
   </type>
   <type name="Requirements" status="new"/>
   <type name="ResearchStudy" status="changed">
      <element path="ResearchStudy.url" status="new"/>
      <element path="ResearchStudy.version" status="new"/>
      <element path="ResearchStudy.name" status="new"/>
      <element path="ResearchStudy.label" status="new"/>
      <element path="ResearchStudy.label.type" status="new"/>
      <element path="ResearchStudy.label.value" status="new"/>
      <element path="ResearchStudy.label.language" status="new"/>
      <element path="ResearchStudy.citeAs" status="new"/>
      <element path="ResearchStudy.relatesTo" status="new"/>
      <element path="ResearchStudy.relatesTo.type" status="new"/>
      <element path="ResearchStudy.relatesTo.target[x]" status="new"/>
      <element path="ResearchStudy.date" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ResearchStudy.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/research-study-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="removed" path="ResearchStudy.primaryPurposeType">
         <old-binding reference="http://hl7.org/fhir/ValueSet/research-study-prim-purp-type"
                      strength="extensible"/>
      </element>
      <element old-name="category" path="ResearchStudy.studyDesign"/>
      <element path="ResearchStudy.focus">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="ResearchStudy.region" status="new"/>
      <element path="ResearchStudy.descriptionSummary" status="new"/>
      <element path="ResearchStudy.site">
         <removed-type name="Reference(Location)"/>
         <added-type name="Reference(Location | ResearchStudy | Organization)"/>
      </element>
      <element path="ResearchStudy.classifier" status="new"/>
      <element path="ResearchStudy.associatedParty" status="new"/>
      <element path="ResearchStudy.associatedParty.name" status="new"/>
      <element path="ResearchStudy.associatedParty.role" status="new"/>
      <element path="ResearchStudy.associatedParty.period" status="new"/>
      <element path="ResearchStudy.associatedParty.classifier" status="new"/>
      <element path="ResearchStudy.associatedParty.party" status="new"/>
      <element path="ResearchStudy.progressStatus" status="new"/>
      <element path="ResearchStudy.progressStatus.state" status="new"/>
      <element path="ResearchStudy.progressStatus.actual" status="new"/>
      <element path="ResearchStudy.progressStatus.period" status="new"/>
      <element old-name="reasonStopped" path="ResearchStudy.whyStopped"/>
      <element path="ResearchStudy.recruitment" status="new"/>
      <element path="ResearchStudy.recruitment.targetNumber" status="new"/>
      <element path="ResearchStudy.recruitment.actualNumber" status="new"/>
      <element path="ResearchStudy.recruitment.eligibility" status="new"/>
      <element path="ResearchStudy.recruitment.actualGroup" status="new"/>
      <element path="ResearchStudy.recruitment.description" status="new"/>
      <element path="ResearchStudy.comparisonGroup" status="new"/>
      <element path="ResearchStudy.comparisonGroup.targetNumber" status="new"/>
      <element path="ResearchStudy.comparisonGroup.actualNumber" status="new"/>
      <element path="ResearchStudy.comparisonGroup.eligibility" status="new"/>
      <element path="ResearchStudy.comparisonGroup.observedGroup" status="new"/>
      <element path="ResearchStudy.comparisonGroup.description" status="new"/>
      <element path="ResearchStudy.objective.description" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.name" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.type" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.description" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.endpoint" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.population" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.intervention" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.comparator" status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.summaryMeasure"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.eventHandling"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.eventHandling.event"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.eventHandling.group"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.eventHandling.handling"
               status="new"/>
      <element path="ResearchStudy.objective.outcomeMeasure.eventHandling.description"
               status="new"/>
      <element path="ResearchStudy.result" status="new"/>
      <element path="ResearchStudy.contact" status="deleted"/>
      <element path="ResearchStudy.relatedArtifact" status="deleted"/>
      <element path="ResearchStudy.location" status="deleted"/>
      <element path="ResearchStudy.enrollment" status="deleted"/>
      <element path="ResearchStudy.sponsor" status="deleted"/>
      <element path="ResearchStudy.principalInvestigator" status="deleted"/>
      <element path="ResearchStudy.arm" status="deleted"/>
   </type>
   <type name="ResearchSubject" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ResearchSubject.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/research-subject-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element old-name="individual" path="ResearchSubject.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Group | Specimen | Device | Medication | Substance | SubstanceDefinition | BiologicallyDerivedProduct)"/>
      </element>
      <element path="ResearchSubject.subjectState" status="new"/>
      <element path="ResearchSubject.subjectState.code" status="new"/>
      <element path="ResearchSubject.subjectState.startDate" status="new"/>
      <element path="ResearchSubject.subjectState.endDate" status="new"/>
      <element path="ResearchSubject.subjectState.reason" status="new"/>
      <element path="ResearchSubject.subjectMilestone" status="new"/>
      <element path="ResearchSubject.subjectMilestone.milestone" status="new"/>
      <element path="ResearchSubject.subjectMilestone.date" status="new"/>
      <element path="ResearchSubject.subjectMilestone.reason" status="new"/>
      <element path="ResearchSubject.comparisonGroup" status="new"/>
      <element new-max="*" old-max="1" path="ResearchSubject.consent"/>
      <element path="ResearchSubject.assignedArm" status="deleted"/>
      <element path="ResearchSubject.actualArm" status="deleted"/>
   </type>
   <type name="Resource" status="changed">
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="Resource.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="RiskAssessment" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="RiskAssessment.status">
         <removed-code code="corrected"/>
         <added-code code="specimen-in-process"/>
         <added-code code="cannot-be-obtained"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/observation-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="RiskAssessment.performer">
         <removed-type name="Reference(Practitioner | PractitionerRole | Device)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device)"/>
      </element>
      <element path="RiskAssessment.reason" status="new"/>
      <element path="RiskAssessment.prediction.probability[x]">
         <added-type name="Quantity"/>
      </element>
      <element path="RiskAssessment.reasonCode" status="deleted"/>
      <element path="RiskAssessment.reasonReference" status="deleted"/>
   </type>
   <type name="Schedule" status="changed">
      <element path="Schedule.serviceType">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Schedule.name" status="new"/>
      <element path="Schedule.actor">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | CareTeam | RelatedPerson | Device | HealthcareService | Location)"/>
      </element>
      <element path="Schedule.comment">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
   </type>
   <type name="SearchParameter" status="changed">
      <element path="SearchParameter.identifier" status="new"/>
      <element path="SearchParameter.versionAlgorithm[x]" status="new"/>
      <element path="SearchParameter.title" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="SearchParameter.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="SearchParameter.copyright" status="new"/>
      <element path="SearchParameter.copyrightLabel" status="new"/>
      <element path="SearchParameter.aliasCode" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.base">
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.type">
         <added-code code="resource"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-param-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               old-name="xpathUsage"
               path="SearchParameter.processingMode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-xpath-usage|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-processingmode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="SearchParameter.constraint" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.target">
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.comparator">
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-comparator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-comparator|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SearchParameter.modifier">
         <old-binding reference="http://hl7.org/fhir/ValueSet/search-modifier-code|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/search-modifier-all-codes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="SearchParameter.xpath" status="deleted"/>
   </type>
   <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|4.3.0"
                      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|4.3.0"
                      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|4.3.0"
                      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>
   <type name="Slot" status="changed">
      <element path="Slot.serviceType">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element new-max="*" old-max="1" path="Slot.appointmentType"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Slot.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/slotstatus|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/slotstatus|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="Specimen" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Specimen.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/specimen-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/specimen-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Specimen.subject">
         <removed-type name="Reference(Patient | Group | Device | Substance | Location)"/>
         <added-type name="Reference(Patient | Group | Device | BiologicallyDerivedProduct | Substance | Location | NutritionProduct)"/>
      </element>
      <element path="Specimen.combined" status="new"/>
      <element path="Specimen.role" status="new"/>
      <element path="Specimen.feature" status="new"/>
      <element path="Specimen.feature.type" status="new"/>
      <element path="Specimen.feature.description" status="new"/>
      <element path="Specimen.collection.collector">
         <removed-type name="Reference(Practitioner | PractitionerRole)"/>
         <added-type name="Reference(Organization | Practitioner | PractitionerRole | Patient | RelatedPerson)"/>
      </element>
      <element path="Specimen.collection.device[x]" status="new"/>
      <element path="Specimen.collection.procedure" status="new"/>
      <element path="Specimen.collection.bodySite">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element old-name="procedure" path="Specimen.processing.method"/>
      <element path="Specimen.processing.performer" status="new"/>
      <element path="Specimen.processing.device[x]" status="new"/>
      <element path="Specimen.processing.additive">
         <removed-type name="Reference(Substance)"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Specimen.processing.time[x]">
         <added-type name="Duration"/>
      </element>
      <element path="Specimen.container.device[x]" status="new"/>
      <element binding-status="removed" path="Specimen.condition">
         <old-binding reference="http://terminology.hl7.org/ValueSet/v2-0493"
                      strength="extensible"/>
      </element>
      <element path="Specimen.accessionIdentifier" status="deleted"/>
      <element path="Specimen.container.identifier" status="deleted"/>
      <element path="Specimen.container.description" status="deleted"/>
      <element path="Specimen.container.type" status="deleted"/>
      <element path="Specimen.container.capacity" status="deleted"/>
      <element path="Specimen.container.additive[x]" status="deleted"/>
   </type>
   <type name="SpecimenDefinition" status="changed">
      <element path="SpecimenDefinition.url" status="new"/>
      <element path="SpecimenDefinition.version" status="new"/>
      <element path="SpecimenDefinition.versionAlgorithm[x]" status="new"/>
      <element path="SpecimenDefinition.name" status="new"/>
      <element path="SpecimenDefinition.title" status="new"/>
      <element path="SpecimenDefinition.derivedFromCanonical" status="new"/>
      <element path="SpecimenDefinition.derivedFromUri" status="new"/>
      <element path="SpecimenDefinition.status" status="new"/>
      <element path="SpecimenDefinition.experimental" status="new"/>
      <element path="SpecimenDefinition.subject[x]" status="new"/>
      <element path="SpecimenDefinition.date" status="new"/>
      <element path="SpecimenDefinition.publisher" status="new"/>
      <element path="SpecimenDefinition.contact" status="new"/>
      <element path="SpecimenDefinition.description" status="new"/>
      <element path="SpecimenDefinition.useContext" status="new"/>
      <element path="SpecimenDefinition.jurisdiction" status="new"/>
      <element path="SpecimenDefinition.purpose" status="new"/>
      <element path="SpecimenDefinition.copyright" status="new"/>
      <element path="SpecimenDefinition.copyrightLabel" status="new"/>
      <element path="SpecimenDefinition.approvalDate" status="new"/>
      <element path="SpecimenDefinition.lastReviewDate" status="new"/>
      <element path="SpecimenDefinition.effectivePeriod" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SpecimenDefinition.typeTested.preference">
         <old-binding reference="http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/specimen-contained-preference|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="SpecimenDefinition.typeTested.container.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="SpecimenDefinition.typeTested.container.preparation">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="SpecimenDefinition.typeTested.requirement">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="SpecimenDefinition.typeTested.singleUse" status="new"/>
      <element path="SpecimenDefinition.typeTested.handling.instruction">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="SpecimenDefinition.typeTested.testingDestination" status="new"/>
   </type>
   <type name="StructureDefinition" status="changed">
      <element path="StructureDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="StructureDefinition.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="StructureDefinition.copyrightLabel" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.fhirVersion">
         <removed-code code="0.0.80"/>
         <removed-code code="0.0.81"/>
         <removed-code code="0.0.82"/>
         <removed-code code="0.4.0"/>
         <removed-code code="0.5.0"/>
         <removed-code code="1.0.0"/>
         <removed-code code="1.0.1"/>
         <removed-code code="1.0.2"/>
         <removed-code code="1.1.0"/>
         <removed-code code="1.4.0"/>
         <removed-code code="1.6.0"/>
         <removed-code code="1.8.0"/>
         <removed-code code="3.0.0"/>
         <removed-code code="3.0.1"/>
         <removed-code code="3.0.2"/>
         <removed-code code="3.3.0"/>
         <removed-code code="3.5.0"/>
         <removed-code code="4.0.0"/>
         <removed-code code="4.0.1"/>
         <removed-code code="4.1.0"/>
         <removed-code code="4.3.0-cibuild"/>
         <removed-code code="4.3.0-snapshot1"/>
         <removed-code code="4.3.0"/>
         <added-code code="0.0"/>
         <added-code code="0.4"/>
         <added-code code="0.5"/>
         <added-code code="1.0"/>
         <added-code code="1.1"/>
         <added-code code="1.4"/>
         <added-code code="1.6"/>
         <added-code code="1.8"/>
         <added-code code="3.0"/>
         <added-code code="3.3"/>
         <added-code code="3.5"/>
         <added-code code="4.0"/>
         <added-code code="4.1"/>
         <added-code code="4.2"/>
         <added-code code="4.3"/>
         <added-code code="4.4"/>
         <added-code code="4.5"/>
         <added-code code="4.6"/>
         <added-code code="5.0"/>
         <added-code code="6.0"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/FHIR-version|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/structure-definition-kind|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/structure-definition-kind|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.context.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/extension-context-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/extension-context-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/defined-types"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fhir-types"
                      strength="extensible"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureDefinition.derivation">
         <old-binding reference="http://hl7.org/fhir/ValueSet/type-derivation-rule|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/type-derivation-rule|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="StructureMap" status="changed">
      <element path="StructureMap.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="StructureMap.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="StructureMap.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.structure.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-model-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-model-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="StructureMap.const" status="new"/>
      <element path="StructureMap.const.name" status="new"/>
      <element path="StructureMap.const.value" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               new-min="0"
               old-min="1"
               path="StructureMap.group.typeMode">
         <removed-code code="none"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-group-type-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-group-type-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.group.input.mode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-input-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-input-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-min="0" old-min="1" path="StructureMap.group.rule"/>
      <element new-min="0" old-min="1" path="StructureMap.group.rule.name"/>
      <element path="StructureMap.group.rule.source.min">
         <removed-type name="integer"/>
         <added-type name="unsignedInt"/>
      </element>
      <element old-name="defaultValue[x]"
               path="StructureMap.group.rule.source.defaultValue">
         <removed-type name="base64Binary"/>
         <removed-type name="boolean"/>
         <removed-type name="canonical"/>
         <removed-type name="code"/>
         <removed-type name="date"/>
         <removed-type name="dateTime"/>
         <removed-type name="decimal"/>
         <removed-type name="id"/>
         <removed-type name="instant"/>
         <removed-type name="integer"/>
         <removed-type name="markdown"/>
         <removed-type name="oid"/>
         <removed-type name="positiveInt"/>
         <removed-type name="time"/>
         <removed-type name="unsignedInt"/>
         <removed-type name="uri"/>
         <removed-type name="url"/>
         <removed-type name="uuid"/>
         <removed-type name="Address"/>
         <removed-type name="Age"/>
         <removed-type name="Annotation"/>
         <removed-type name="Attachment"/>
         <removed-type name="CodeableConcept"/>
         <removed-type name="Coding"/>
         <removed-type name="ContactPoint"/>
         <removed-type name="Count"/>
         <removed-type name="Distance"/>
         <removed-type name="Duration"/>
         <removed-type name="HumanName"/>
         <removed-type name="Identifier"/>
         <removed-type name="Money"/>
         <removed-type name="Period"/>
         <removed-type name="Quantity"/>
         <removed-type name="Range"/>
         <removed-type name="Ratio"/>
         <removed-type name="Reference"/>
         <removed-type name="SampledData"/>
         <removed-type name="Signature"/>
         <removed-type name="Timing"/>
         <removed-type name="ContactDetail"/>
         <removed-type name="Contributor"/>
         <removed-type name="DataRequirement"/>
         <removed-type name="Expression"/>
         <removed-type name="ParameterDefinition"/>
         <removed-type name="RelatedArtifact"/>
         <removed-type name="TriggerDefinition"/>
         <removed-type name="UsageContext"/>
         <removed-type name="Dosage"/>
         <removed-type name="Meta"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.group.rule.source.listMode">
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-source-list-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-source-list-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="StructureMap.group.rule.target.context">
         <removed-type name="id"/>
         <added-type name="string"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.group.rule.target.listMode">
         <removed-code code="collate"/>
         <added-code code="single"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-target-list-mode|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-target-list-mode|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="StructureMap.group.rule.target.transform">
         <old-binding reference="http://hl7.org/fhir/ValueSet/map-transform|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/map-transform|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="StructureMap.group.rule.target.parameter.value[x]">
         <added-type name="date"/>
         <added-type name="time"/>
         <added-type name="dateTime"/>
      </element>
      <element old-name="variable" path="StructureMap.group.rule.dependent.parameter">
         <removed-type name="string"/>
      </element>
      <element path="StructureMap.group.rule.target.contextType" status="deleted"/>
   </type>
   <type name="Subscription" status="changed">
      <element path="Subscription.identifier" status="new"/>
      <element path="Subscription.name" status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="Subscription.status">
         <added-code code="entered-in-error"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/subscription-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/subscription-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Subscription.topic" status="new"/>
      <element path="Subscription.managingEntity" status="new"/>
      <element new-min="0" old-min="1" path="Subscription.reason"/>
      <element path="Subscription.filterBy" status="new"/>
      <element path="Subscription.filterBy.resource" status="new"/>
      <element path="Subscription.filterBy.filterParameter" status="new"/>
      <element path="Subscription.filterBy.comparator" status="new"/>
      <element path="Subscription.filterBy.modifier" status="new"/>
      <element path="Subscription.filterBy.value" status="new"/>
      <element path="Subscription.filterBy.event" status="new"/>
      <element path="Subscription.channelType" status="new"/>
      <element path="Subscription.endpoint" status="new"/>
      <element path="Subscription.parameter" status="new"/>
      <element path="Subscription.parameter.name" status="new"/>
      <element path="Subscription.parameter.value" status="new"/>
      <element path="Subscription.heartbeatPeriod" status="new"/>
      <element path="Subscription.timeout" status="new"/>
      <element path="Subscription.contentType" status="new"/>
      <element path="Subscription.content" status="new"/>
      <element path="Subscription.maxCount" status="new"/>
      <element path="Subscription.criteria" status="deleted"/>
      <element path="Subscription.error" status="deleted"/>
      <element path="Subscription.channel" status="deleted"/>
   </type>
   <type name="SubscriptionStatus" status="changed">
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="SubscriptionStatus.status">
         <added-code code="entered-in-error"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/subscription-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/subscription-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SubscriptionStatus.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/subscription-notification-type|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/subscription-notification-type|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="SubscriptionStatus.eventsSinceSubscriptionStart">
         <removed-type name="string"/>
         <added-type name="integer64"/>
      </element>
      <element path="SubscriptionStatus.notificationEvent.eventNumber">
         <removed-type name="string"/>
         <added-type name="integer64"/>
      </element>
      <element path="SubscriptionStatus.notificationEvent.triggerEvent" status="new"/>
      <element path="SubscriptionStatus.notificationEvent.relatedQuery" status="new"/>
      <element path="SubscriptionStatus.notificationEvent.relatedQuery.queryType"
               status="new"/>
      <element path="SubscriptionStatus.notificationEvent.relatedQuery.query"
               status="new"/>
      <element path="SubscriptionStatus.notificationEvent.authorizationHint"
               status="new"/>
      <element path="SubscriptionStatus.notificationEvent.authorizationHint.authorizationType"
               status="new"/>
      <element path="SubscriptionStatus.notificationEvent.authorizationHint.value"
               status="new"/>
   </type>
   <type name="SubscriptionTopic" status="changed">
      <element path="SubscriptionTopic.versionAlgorithm[x]" status="new"/>
      <element path="SubscriptionTopic.name" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SubscriptionTopic.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element modifier="removed" path="SubscriptionTopic.experimental"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="SubscriptionTopic.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="SubscriptionTopic.copyrightLabel" status="new"/>
      <element path="SubscriptionTopic.trigger" status="new"/>
      <element path="SubscriptionTopic.trigger.description" status="new"/>
      <element path="SubscriptionTopic.trigger.resource" status="new"/>
      <element path="SubscriptionTopic.trigger.supportedInteraction" status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria" status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria.previous" status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria.resultForCreate"
               status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria.current" status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria.resultForDelete"
               status="new"/>
      <element path="SubscriptionTopic.trigger.queryCriteria.requireBoth" status="new"/>
      <element path="SubscriptionTopic.trigger.fhirPathCriteria" status="new"/>
      <element path="SubscriptionTopic.trigger.event" status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy" status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.description" status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.resource" status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.filterParameter"
               status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.filterDefinition"
               status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.comparator" status="new"/>
      <element path="SubscriptionTopic.trigger.canFilterBy.modifier" status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape" status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.resource"
               status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.include" status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.revInclude"
               status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.relatedQuery"
               status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType"
               status="new"/>
      <element path="SubscriptionTopic.trigger.notificationShape.relatedQuery.query"
               status="new"/>
      <element path="SubscriptionTopic.resourceTrigger" status="deleted"/>
      <element path="SubscriptionTopic.eventTrigger" status="deleted"/>
      <element path="SubscriptionTopic.canFilterBy" status="deleted"/>
      <element path="SubscriptionTopic.notificationShape" status="deleted"/>
   </type>
   <type name="Substance" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Substance.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/substance-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/substance-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Substance.code">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element path="Substance.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="Substance.expiry" status="new"/>
      <element path="Substance.quantity" status="new"/>
      <element path="Substance.instance" status="deleted"/>
      <element path="Substance.ingredient" status="deleted"/>
   </type>
   <type name="SubstanceDefinition" status="changed">
      <element modifier="added" path="SubstanceDefinition.status"/>
      <element path="SubstanceDefinition.characterization" status="new"/>
      <element path="SubstanceDefinition.characterization.technique" status="new"/>
      <element path="SubstanceDefinition.characterization.form" status="new"/>
      <element path="SubstanceDefinition.characterization.description" status="new"/>
      <element path="SubstanceDefinition.characterization.file" status="new"/>
      <element path="SubstanceDefinition.property.value[x]">
         <added-type name="Range"/>
      </element>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="SubstanceDefinition.name.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="SubstanceDefinition.sourceMaterial.countryOfOrigin">
         <added-code code="AA"/>
         <added-code code="QM"/>
         <added-code code="QN"/>
         <added-code code="QO"/>
         <added-code code="QP"/>
         <added-code code="QQ"/>
         <added-code code="QR"/>
         <added-code code="QS"/>
         <added-code code="QT"/>
         <added-code code="QU"/>
         <added-code code="QV"/>
         <added-code code="QW"/>
         <added-code code="QX"/>
         <added-code code="QY"/>
         <added-code code="QZ"/>
         <added-code code="XA"/>
         <added-code code="XB"/>
         <added-code code="XC"/>
         <added-code code="XD"/>
         <added-code code="XE"/>
         <added-code code="XF"/>
         <added-code code="XG"/>
         <added-code code="XH"/>
         <added-code code="XI"/>
         <added-code code="XJ"/>
         <added-code code="XK"/>
         <added-code code="XL"/>
         <added-code code="XM"/>
         <added-code code="XN"/>
         <added-code code="XO"/>
         <added-code code="XP"/>
         <added-code code="XQ"/>
         <added-code code="XR"/>
         <added-code code="XS"/>
         <added-code code="XT"/>
         <added-code code="XU"/>
         <added-code code="XV"/>
         <added-code code="XW"/>
         <added-code code="XX"/>
         <added-code code="XY"/>
         <added-code code="XZ"/>
         <added-code code="ZZ"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/country|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/country|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="SubstanceDefinition.informationSource" status="deleted"/>
   </type>
   <type name="Task" status="changed">
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Task.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/task-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/task-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element new-max="*" old-max="1" path="Task.statusReason">
         <removed-type name="CodeableConcept"/>
         <added-type name="CodeableReference"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Task.intent">
         <old-binding reference="http://hl7.org/fhir/ValueSet/task-intent|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/task-intent|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Task.priority">
         <old-binding reference="http://hl7.org/fhir/ValueSet/request-priority|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="Task.doNotPerform" status="new"/>
      <element binding-status="added" path="Task.code">
         <new-binding reference="http://hl7.org/fhir/ValueSet/task-code"
                      strength="extensible"/>
      </element>
      <element path="Task.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element new-max="*" old-max="1" path="Task.focus">
         <removed-type name="Reference(Resource)"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="Task.focus.value[x]" status="new"/>
      <element path="Task.requestedPeriod" status="new"/>
      <element path="Task.requester">
         <removed-type name="Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
         <added-type name="Reference(Device | Group | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"/>
      </element>
      <element path="Task.requestedPerformer" status="new"/>
      <element path="Task.owner">
         <removed-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | Group)"/>
      </element>
      <element path="Task.performer" status="new"/>
      <element path="Task.performer.function" status="new"/>
      <element path="Task.performer.actor" status="new"/>
      <element path="Task.reason" status="new"/>
      <element path="Task.restriction.recipient">
         <removed-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Group | Organization)"/>
         <added-type name="Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Group | Organization | Device)"/>
      </element>
      <element path="Task.input.value[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="CodeableReference"/>
         <added-type name="RatioRange"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
      </element>
      <element path="Task.output.value[x]">
         <removed-type name="Contributor"/>
         <added-type name="integer64"/>
         <added-type name="CodeableReference"/>
         <added-type name="RatioRange"/>
         <added-type name="Availability"/>
         <added-type name="ExtendedContactDetail"/>
         <added-type name="VirtualServiceDetail"/>
      </element>
      <element path="Task.instantiatesCanonical" status="deleted"/>
      <element path="Task.instantiatesUri" status="deleted"/>
      <element path="Task.performerType" status="deleted"/>
      <element path="Task.reasonCode" status="deleted"/>
      <element path="Task.reasonReference" status="deleted"/>
   </type>
   <type name="TerminologyCapabilities" status="changed">
      <element path="TerminologyCapabilities.identifier" status="new"/>
      <element path="TerminologyCapabilities.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="TerminologyCapabilities.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="TerminologyCapabilities.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="TerminologyCapabilities.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="TerminologyCapabilities.kind">
         <old-binding reference="http://hl7.org/fhir/ValueSet/capability-statement-kind|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/capability-statement-kind|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="TerminologyCapabilities.implementation.description">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element path="TerminologyCapabilities.codeSystem.supplement" status="new"/>
      <element path="TerminologyCapabilities.codeSystem.version.supplement"
               status="new"/>
      <element binding-status="added"
               path="TerminologyCapabilities.codeSystem.version.language">
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="TerminologyCapabilities.codeSystem.content" status="new"/>
      <element path="TerminologyCapabilities.supplements" status="new"/>
      <element path="TerminologyCapabilities.supplements.globals" status="new"/>
      <element path="TerminologyCapabilities.expansion.parameter.documentation">
         <removed-type name="string"/>
         <added-type name="markdown"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="TerminologyCapabilities.codeSearch">
         <removed-code code="explicit"/>
         <removed-code code="all"/>
         <added-code code="in-compose"/>
         <added-code code="in-expansion"/>
         <added-code code="in-compose-or-expansion"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/code-search-support|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/code-search-support|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="TerminologyCapabilities.closure" status="deleted"/>
   </type>
   <type name="ValueSet" status="changed">
      <element path="ValueSet.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ValueSet.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.3.0"
                      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="ValueSet.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="ValueSet.copyrightLabel" status="new"/>
      <element path="ValueSet.approvalDate" status="new"/>
      <element path="ValueSet.lastReviewDate" status="new"/>
      <element path="ValueSet.effectivePeriod" status="new"/>
      <element path="ValueSet.topic" status="new"/>
      <element path="ValueSet.author" status="new"/>
      <element path="ValueSet.editor" status="new"/>
      <element path="ValueSet.reviewer" status="new"/>
      <element path="ValueSet.endorser" status="new"/>
      <element path="ValueSet.relatedArtifact" status="new"/>
      <element binding-status="changed"
               binding-strength-changed="true"
               binding-valueset-changed="true"
               max-valueset-changed="true"
               path="ValueSet.compose.include.concept.designation.language">
         <old-binding max="http://hl7.org/fhir/ValueSet/all-languages"
                      reference="http://hl7.org/fhir/ValueSet/languages"
                      strength="preferred"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ValueSet.compose.include.concept.designation.additionalUse"
               status="new"/>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="ValueSet.compose.include.filter.op">
         <added-code code="child-of"/>
         <added-code code="descendent-leaf"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/filter-operator|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="ValueSet.compose.include.copyright" status="new"/>
      <element path="ValueSet.compose.property" status="new"/>
      <element path="ValueSet.expansion.next" status="new"/>
      <element path="ValueSet.expansion.property" status="new"/>
      <element path="ValueSet.expansion.property.code" status="new"/>
      <element path="ValueSet.expansion.property.uri" status="new"/>
      <element path="ValueSet.expansion.contains.property" status="new"/>
      <element path="ValueSet.expansion.contains.property.code" status="new"/>
      <element path="ValueSet.expansion.contains.property.value[x]" status="new"/>
      <element path="ValueSet.expansion.contains.property.subProperty" status="new"/>
      <element path="ValueSet.expansion.contains.property.subProperty.code"
               status="new"/>
      <element path="ValueSet.expansion.contains.property.subProperty.value[x]"
               status="new"/>
   </type>
   <type name="VisionPrescription" status="changed">
      <element path="VisionPrescription.basedOn" status="new"/>
      <element path="VisionPrescription.groupIdentifier" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="VisionPrescription.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/fm-status|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="VisionPrescription.priority" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="VisionPrescription.lensSpecification.eye">
         <old-binding reference="http://hl7.org/fhir/ValueSet/vision-eye-codes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/vision-eye-codes|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="VisionPrescription.lensSpecification.prism.base">
         <old-binding reference="http://hl7.org/fhir/ValueSet/vision-base-codes|4.3.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/vision-base-codes|6.0.0-ballot4"
                      strength="required"/>
      </element>
   </type>
   <type name="CatalogEntry" status="deleted"/>
   <type name="ChargeItem" status="deleted"/>
   <type name="ChargeItemDefinition" status="deleted"/>
   <type name="Citation" status="deleted"/>
   <type name="ClinicalImpression" status="deleted"/>
   <type name="DeviceUseStatement" status="deleted"/>
   <type name="DocumentManifest" status="deleted"/>
   <type name="EvidenceReport" status="deleted"/>
   <type name="GraphDefinition" status="deleted"/>
   <type name="ImmunizationEvaluation" status="deleted"/>
   <type name="ImmunizationRecommendation" status="deleted"/>
   <type name="Linkage" status="deleted"/>
   <type name="Media" status="deleted"/>
   <type name="MedicationKnowledge" status="deleted"/>
   <type name="MolecularSequence" status="deleted"/>
   <type name="RequestGroup" status="deleted"/>
   <type name="ResearchDefinition" status="deleted"/>
   <type name="ResearchElementDefinition" status="deleted"/>
   <type name="SupplyDelivery" status="deleted"/>
   <type name="SupplyRequest" status="deleted"/>
   <type name="TestReport" status="deleted"/>
   <type name="TestScript" status="deleted"/>
   <type name="VerificationResult" status="deleted"/>
</difference>
