<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="MessageDefinition" status="changed">
      <element path="MessageDefinition.versionAlgorithm[x]" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.status">
         <old-binding reference="http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.jurisdiction">
         <old-binding reference="http://hl7.org/fhir/ValueSet/jurisdiction"
                      strength="extensible"/>
         <new-binding reference="http://terminology.hl7.org/ValueSet/jurisdiction"
                      strength="extensible"/>
      </element>
      <element path="MessageDefinition.copyrightLabel" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.category">
         <old-binding reference="http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/message-significance-category|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element binding-codes-changed="true"
               binding-status="changed"
               binding-valueset-changed="true"
               path="MessageDefinition.focus.code">
         <removed-code code="CatalogEntry"/>
         <removed-code code="ChargeItem"/>
         <removed-code code="ChargeItemDefinition"/>
         <removed-code code="ClinicalImpression"/>
         <removed-code code="DeviceUseStatement"/>
         <removed-code code="DocumentManifest"/>
         <removed-code code="DomainResource"/>
         <removed-code code="EffectEvidenceSynthesis"/>
         <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="MedicinalProduct"/>
         <removed-code code="MedicinalProductAuthorization"/>
         <removed-code code="MedicinalProductContraindication"/>
         <removed-code code="MedicinalProductIndication"/>
         <removed-code code="MedicinalProductIngredient"/>
         <removed-code code="MedicinalProductInteraction"/>
         <removed-code code="MedicinalProductManufactured"/>
         <removed-code code="MedicinalProductPackaged"/>
         <removed-code code="MedicinalProductPharmaceutical"/>
         <removed-code code="MedicinalProductUndesirableEffect"/>
         <removed-code code="MolecularSequence"/>
         <removed-code code="RequestGroup"/>
         <removed-code code="ResearchDefinition"/>
         <removed-code code="ResearchElementDefinition"/>
         <removed-code code="Resource"/>
         <removed-code code="RiskEvidenceSynthesis"/>
         <removed-code code="SubstanceNucleicAcid"/>
         <removed-code code="SubstancePolymer"/>
         <removed-code code="SubstanceProtein"/>
         <removed-code code="SubstanceReferenceInformation"/>
         <removed-code code="SubstanceSourceMaterial"/>
         <removed-code code="SubstanceSpecification"/>
         <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="AdministrableProductDefinition"/>
         <added-code code="ArtifactAssessment"/>
         <added-code code="ClinicalUseDefinition"/>
         <added-code code="DeviceAlert"/>
         <added-code code="DeviceAssociation"/>
         <added-code code="ImagingSelection"/>
         <added-code code="Ingredient"/>
         <added-code code="InsuranceProduct"/>
         <added-code code="ManufacturedItemDefinition"/>
         <added-code code="MedicinalProductDefinition"/>
         <added-code code="NutritionIntake"/>
         <added-code code="NutritionProduct"/>
         <added-code code="PackagedProductDefinition"/>
         <added-code code="RegulatedAuthorization"/>
         <added-code code="RequestOrchestration"/>
         <added-code code="Requirements"/>
         <added-code code="SubscriptionStatus"/>
         <added-code code="SubscriptionTopic"/>
         <added-code code="SubstanceDefinition"/>
         <old-binding reference="http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
                      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|4.0.0"
                      strength="required"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/messageheader-response-request|6.0.0-ballot4"
                      strength="required"/>
      </element>
      <element path="MessageDefinition.graph" status="deleted"/>
   </type>
</difference>
