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