<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <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>
</difference>
