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