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This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
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2.1.12 Differences from Release 4

FHIR Infrastructure icon Work GroupMaturity Level: N/AStandards Status: Informative

This is an automatically generated list of all the structural differences between FHIR R4 and this version. The following possible changes are checked when preparing this list (and others throughout the specification):

  • Addition or deletion of elements, or name change to elements
  • Changes to minimum and maximum cardinality
  • Changes to allowed types
  • Changes to bindings for Extensible/Required bindings, and changes to codes if it's a required binding on a code element
  • Changes to the is-modifier status of an element
  • Changes to the default value for an element (default values were removed after Release 4, but changes are noted for Release 4 to Release 5)

This analysis only considers changes to datatypes and resources. Comparison of profiles and value sets will be added in a future version.

See also the version transforms and the note about version specific extensions.

This analysis is available for R4 as XML or JSON or for R4B as XML or JSON

Types
Address
  • No Changes
Age
Age
Annotation
  • No Changes
Attachment
Attachment.language
Attachment.size
  • Type changed from unsignedInt to integer64
Attachment.height
  • Added Element
Attachment.width
  • Added Element
Attachment.frames
  • Added Element
Attachment.duration
  • Added Element
Attachment.pages
  • Added Element
Availability
  • Added Type
BackboneElement
  • No Changes
BackboneType
  • Added Type
Base
  • Added Type
CodeableConcept
  • No Changes
CodeableReference
  • Added Type
Coding
  • No Changes
ContactDetail
  • No Changes
ContactPoint
  • No Changes
Contributor
  • No Changes
Count
  • No Changes
DataRequirement
DataRequirement.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , SubstanceAmount , CatalogEntry , DeviceUseStatement , DocumentManifest , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , SubstanceSpecification , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , CodeableReference , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , RatioRange , VirtualServiceDetail , ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
DataRequirement.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter
  • Added Element
DataRequirement.valueFilter.path
  • Added Element
DataRequirement.valueFilter.searchParam
  • Added Element
DataRequirement.valueFilter.comparator
  • Added Element
DataRequirement.valueFilter.value[x]
  • Added Element
DataType
  • Added Type
Distance
Distance
Dosage
Dosage.asNeeded
  • Renamed from asNeeded[x] to asNeeded
  • Remove Type CodeableConcept
Dosage.asNeededFor
  • Added Element
Dosage.maxDosePerPeriod
  • Max Cardinality changed from 1 to *
Duration
Duration
Element
  • No Changes
ElementDefinition
ElementDefinition.slicing.discriminator.type
  • Add code position
ElementDefinition.type.code
ElementDefinition.defaultValue[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.fixed[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.pattern[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.example.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.minValue[x]
  • Add Type integer64
ElementDefinition.maxValue[x]
  • Add Type integer64
ElementDefinition.constraint.requirements
  • Type changed from string to markdown
ElementDefinition.constraint.suppress
  • Added Element
ElementDefinition.mustHaveValue
  • Added Element
ElementDefinition.valueAlternatives
  • Added Element
ElementDefinition.binding.description
  • Type changed from string to markdown
ElementDefinition.binding.additional
  • Added Element
ElementDefinition.binding.additional.purpose
  • Added Mandatory Element
ElementDefinition.binding.additional.valueSet
  • Added Mandatory Element
ElementDefinition.binding.additional.documentation
  • Added Element
ElementDefinition.binding.additional.shortDoco
  • Added Element
ElementDefinition.binding.additional.usage
  • Added Element
ElementDefinition.binding.additional.any
  • Added Element
ElementDefinition.mapping.comment
  • Type changed from string to markdown
ElementDefinition.constraint.xpath
  • Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name
  • Type changed from id to code
Expression.language
  • Min Cardinality changed from 1 to 0
  • Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt to none
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail
  • Added Type
Extension
Extension.url
  • Type changed from string to uri
Extension.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
HumanName
  • No Changes
Identifier
  • No Changes
MarketingStatus
MarketingStatus.country
  • Min Cardinality changed from 1 to 0
MarketingStatus.dateRange
  • Min Cardinality changed from 1 to 0
Meta
  • No Changes
MonetaryComponent
  • Added Type
Money
  • No Changes
MoneyQuantity
  • No Changes
Narrative
  • No Changes
ParameterDefinition
ParameterDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , SubstanceAmount , CatalogEntry , DeviceUseStatement , DocumentManifest , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , SubstanceSpecification , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , CodeableReference , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , RatioRange , VirtualServiceDetail , ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
Period
  • No Changes
PrimitiveType
  • Added Type
ProductShelfLife
ProductShelfLife.type
  • Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]
  • Renamed from period to period[x]
  • Min Cardinality changed from 1 to 0
  • Add Types Duration, string
  • Remove Type Quantity
ProductShelfLife.identifier
  • Deleted (removed, not needed)
Quantity
Quantity.comparator
  • Add code ad
Range
  • No Changes
Ratio
Ratio.denominator
  • Type changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange
  • Added Type
Reference
Reference.type
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.type
  • Add codes part-of , amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as
RelatedArtifact.classifier
  • Added Element
RelatedArtifact.resourceReference
  • Added Element
RelatedArtifact.publicationStatus
  • Added Element
RelatedArtifact.publicationDate
  • Added Element
RelatedArtifact.url
  • Deleted (-> document)
RelativeTime
  • Added Type
SampledData
SampledData.interval
  • Added Element
SampledData.intervalUnit
  • Added Mandatory Element
SampledData.codeMap
  • Added Element
SampledData.offsets
  • Added Element
SampledData.period
  • Deleted (-> interval)
Signature
Signature.type
  • Min Cardinality changed from 1 to 0
Signature.when
  • Min Cardinality changed from 1 to 0
Signature.who
  • Min Cardinality changed from 1 to 0
SimpleQuantity
  • No Changes
Timing
Timing.repeat.when
  • Add code IMD
TriggerDefinition
TriggerDefinition.code
  • Added Element
TriggerDefinition.subscriptionTopic
  • Added Element
UsageContext
UsageContext.code
  • Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType icon
VirtualServiceDetail
  • Added Type
base64Binary (No Changes)
boolean (No Changes)
canonical (No Changes)
code (No Changes)
date (No Changes)
dateTime (No Changes)
decimal (No Changes)
id (No Changes)
instant (No Changes)
integer (No Changes)
integer64
  • Added Type
markdown (No Changes)
oid (No Changes)
positiveInt (No Changes)
string (No Changes)
time (No Changes)
unsignedInt (No Changes)
uri (No Changes)
url (No Changes)
uuid (No Changes)
xhtml (No Changes)
Population
  • Deleted
ProdCharacteristic
  • Deleted
SubstanceAmount
  • Deleted (removed, content merged with the resources that used it)
Resources
Account
Account.billingStatus
  • Added Element
Account.covers
  • Added Element
Account.description
  • Type changed from string to markdown
Account.diagnosis
  • Added Element
Account.diagnosis.sequence
  • Added Element
Account.diagnosis.condition
  • Added Mandatory Element
Account.diagnosis.dateOfDiagnosis
  • Added Element
Account.diagnosis.type
  • Added Element
Account.diagnosis.onAdmission
  • Added Element
Account.diagnosis.packageCode
  • Added Element
Account.procedure
  • Added Element
Account.procedure.sequence
  • Added Element
Account.procedure.code
  • Added Mandatory Element
Account.procedure.dateOfService
  • Added Element
Account.procedure.type
  • Added Element
Account.procedure.packageCode
  • Added Element
Account.procedure.device
  • Added Element
Account.relatedAccount
  • Added Element
Account.relatedAccount.relationship
  • Added Element
Account.relatedAccount.account
  • Moved from Account.partOf to account
  • Min Cardinality changed from 0 to 1
Account.currency
  • Added Element
Account.balance
  • Added Element
Account.balance.aggregate
  • Added Element
Account.balance.term
  • Added Element
Account.balance.estimate
  • Added Element
Account.balance.amount
  • Added Mandatory Element
Account.calculatedAt
  • Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]
  • Added Element
ActivityDefinition.subject[x]
  • Add Type canonical(EvidenceVariable)
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.usage
  • Type changed from string to markdown
ActivityDefinition.copyrightLabel
  • Added Element
ActivityDefinition.kind
  • Remove codes AppointmentResponse , Contract
  • Add codes CoverageEligibilityRequest , RequestOrchestration , Transport
ActivityDefinition.timing[x]
  • Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]
  • Added Element
ActivityDefinition.location
  • Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type
  • Min Cardinality changed from 1 to 0
  • Remove code related-person
  • Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical
  • Added Element
ActivityDefinition.participant.typeReference
  • Added Element
ActivityDefinition.participant.function
  • Added Element
ActivityDefinition.specimenRequirement
  • Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition
  • Added Resource
AdministrableProductDefinition
  • Added Resource
AdverseEvent
AdverseEvent.identifier
  • Max Cardinality changed from 1 to *
AdverseEvent.status
  • Added Mandatory Element
AdverseEvent.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code
  • Renamed from event to code
AdverseEvent.cause[x]
  • Added Element
AdverseEvent.effect[x]
  • Added Element
AdverseEvent.resultingEffect
  • Renamed from resultingCondition to resultingEffect
  • Type Reference: Added Target Type Observation
AdverseEvent.outcome
  • Max Cardinality changed from 1 to *
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0` (required)
AdverseEvent.participant
  • Added Element
AdverseEvent.participant.function
  • Added Element
AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.expectedInResearchStudy
  • Added Element
AdverseEvent.suspectEntity.instance
  • Type changed from Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to CodeableReference
AdverseEvent.suspectEntity.causality
  • Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness
  • Renamed from productRelatedness to entityRelatedness
  • Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.note
  • Added Element
AdverseEvent.date
  • Deleted
AdverseEvent.severity
  • Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor
  • Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory
  • Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument
  • Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.verificationStatus
  • Add code presumed
AllergyIntolerance.type
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.recorder
  • Type Reference: Added Target Type Organization
AllergyIntolerance.lastReactionOccurrence
  • Added Element
AllergyIntolerance.reaction.manifestation
  • Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.lastOccurrence
  • Deleted
Appointment
Appointment.cancellationReason
  • Renamed from cancelationReason to cancellationReason
Appointment.class
  • Added Element
Appointment.serviceType
  • Type changed from CodeableConcept to CodeableReference
Appointment.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to CodeableReference
Appointment.priority
  • Type changed from unsignedInt to CodeableConcept
Appointment.replaces
  • Added Element
Appointment.virtualService
  • Added Element
Appointment.previousAppointment
  • Added Element
Appointment.originatingAppointment
  • Added Element
Appointment.account
  • Added Element
Appointment.cancellationDate
  • Added Element
Appointment.note
  • Renamed from comment to note
  • Max Cardinality changed from 1 to *
  • Type changed from string to Annotation
Appointment.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableReference
Appointment.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Appointment.subject
  • Added Element
Appointment.participant.actor
  • Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required
  • Type changed from code to boolean
  • Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` (required)
Appointment.recurrenceId
  • Added Element
Appointment.occurrenceChanged
  • Added Element
Appointment.recurrenceTemplate
  • Added Element
Appointment.recurrenceTemplate.timezone
  • Added Element
Appointment.recurrenceTemplate.recurrenceType
  • Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate
  • Added Element
Appointment.recurrenceTemplate.occurrenceCount
  • Added Element
Appointment.recurrenceTemplate.occurrenceDate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate
  • Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate
  • Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId
  • Added Element
Appointment.reasonReference
  • Deleted (->Appointment.reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime
  • Added Element
AppointmentResponse.actor
  • Type Reference: Added Target Type Group
AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to Appointment Response Status
  • Add code entered-in-error
AppointmentResponse.comment
  • Type changed from string to markdown
AppointmentResponse.recurring
  • Added Element
AppointmentResponse.occurrenceDate
  • Added Element
AppointmentResponse.recurrenceId
  • Added Element
ArtifactAssessment
  • Added Resource
AuditEvent
AuditEvent.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.subtype
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity
  • Added Element
AuditEvent.occurred[x]
  • Added Element
AuditEvent.outcome
  • Type changed from code to BackboneElement
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0` (required)
AuditEvent.outcome.code
  • Added Mandatory Element
AuditEvent.outcome.detail
  • Added Element
AuditEvent.authorization
  • Renamed from purposeOfEvent to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn
  • Added Element
AuditEvent.patient
  • Added Element
AuditEvent.encounter
  • Added Element
AuditEvent.agent.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who
  • Min Cardinality changed from 0 to 1
  • Type Reference: Added Target Type CareTeam
AuditEvent.agent.requestor
  • Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]
  • Renamed from network to network[x]
  • Add Types Reference(Endpoint), uri, string
  • Remove Type BackboneElement
AuditEvent.agent.authorization
  • Renamed from purposeOfUse to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.source.site
  • Type changed from string to Reference(Location)
AuditEvent.source.observer
  • Type Reference: Added Target Type CareTeam
AuditEvent.source.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type
  • Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]
  • Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent
  • Added Element
AuditEvent.period
  • Deleted
AuditEvent.outcomeDesc
  • Deleted (-> outcome)
AuditEvent.agent.altId
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
AuditEvent.agent.name
  • Deleted (-> who.display)
AuditEvent.agent.media
  • Deleted (-> AuditEvent.entity)
AuditEvent.agent.network.address
  • Deleted (-> network[x])
AuditEvent.agent.network.type
  • Deleted (-> network[x])
AuditEvent.entity.type
  • Deleted (-> what.type)
AuditEvent.entity.lifecycle
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name
  • Deleted (-> what.display)
AuditEvent.entity.description
  • Deleted (-> entity.detail.valueString)
Basic
Basic.created
  • Type changed from date to dateTime
Basic.author
  • Type Reference: Added Target Types Device, CareTeam
Binary
  • No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory
  • Max Cardinality changed from 1 to *
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.0.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent
  • Added Element
BiologicallyDerivedProduct.processingFacility
  • Added Element
BiologicallyDerivedProduct.division
  • Added Element
BiologicallyDerivedProduct.productStatus
  • Added Element
BiologicallyDerivedProduct.expirationDate
  • Added Element
BiologicallyDerivedProduct.collection.procedure
  • Added Element
BiologicallyDerivedProduct.storageTempRequirements
  • Added Element
BiologicallyDerivedProduct.property
  • Added Element
BiologicallyDerivedProduct.property.type
  • Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]
  • Added Mandatory Element
BiologicallyDerivedProduct.status
  • Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity
  • Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.processing
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage
  • Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BiologicallyDerivedProductDispense
  • Added Resource
BodyStructure
BodyStructure.includedStructure
  • Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.location
  • Deleted
BodyStructure.locationQualifier
  • Deleted
Bundle
Bundle.type
  • Add code subscription-notification
Bundle.link.relation
  • Type changed from string to code
  • Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot2` (required)
Bundle.issues
  • Added Element
CanonicalResource
  • Added Resource
CapabilityStatement
CapabilityStatement.identifier
  • Added Element
CapabilityStatement.versionAlgorithm[x]
  • Added Element
CapabilityStatement.copyrightLabel
  • Added Element
CapabilityStatement.implementation.description
  • Type changed from string to markdown
CapabilityStatement.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
CapabilityStatement.acceptLanguage
  • Added Element
CapabilityStatement.rest.security.service
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/restful-security-service" to "http://hl7.org/fhir/restful-security-service"
CapabilityStatement.rest.resource.type
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CapabilityStatement.rest.resource.interaction.code
  • Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.conditionalPatch
  • Added Element
CapabilityStatement.messaging.endpoint.protocol
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn
  • Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.intent
  • Add code directive
CarePlan.custodian
  • Renamed from author to custodian
CarePlan.addresses
  • Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity
  • Added Element
CarePlan.activity.plannedActivityReference
  • Renamed from reference to plannedActivityReference
  • Type Reference: Added Target Types RequestOrchestration, ImmunizationRecommendation, SupplyRequest
  • Type Reference: Removed Target Type RequestGroup
CarePlan.activity.outcomeCodeableConcept
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.outcomeReference
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail
  • Deleted (-> CarePlan.activity.plannedActivityReference)
CareTeam
CareTeam.participant.role
  • Max Cardinality changed from * to 1
CareTeam.participant.onBehalfOf
  • Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam
CareTeam.participant.effective[x]
  • Added Element
CareTeam.reason
  • Added Element
CareTeam.encounter
  • Deleted (Avoid circular references since Encounter references CareTeam)
CareTeam.participant.period
  • Deleted
CareTeam.reasonCode
  • Deleted (-> CareTeam.reason)
CareTeam.reasonReference
  • Deleted (-> CareTeam.reason)
ChargeItem
ChargeItem.encounter
  • Added Element
ChargeItem.performer.actor
  • Type Reference: Added Target Type HealthcareService
ChargeItem.unitPriceComponent
  • Added Element
ChargeItem.totalPriceComponent
  • Added Element
ChargeItem.overrideReason
  • Type changed from string to CodeableConcept
ChargeItem.reason
  • Type changed from CodeableConcept to CodeableReference
ChargeItem.service
  • Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference
ChargeItem.product
  • Renamed from product[x] to product
  • Max Cardinality changed from 1 to *
  • Add Type CodeableReference
  • Remove Types Reference(Device | Medication | Substance), CodeableConcept
ChargeItem.context
  • Deleted
ChargeItem.factorOverride
  • Deleted
ChargeItem.priceOverride
  • Deleted
ChargeItemDefinition
ChargeItemDefinition.url
  • Min Cardinality changed from 1 to 0
ChargeItemDefinition.versionAlgorithm[x]
  • Added Element
ChargeItemDefinition.name
  • Added Element
ChargeItemDefinition.account
  • Added Element
ChargeItemDefinition.purpose
  • Added Element
ChargeItemDefinition.copyrightLabel
  • Added Element
ChargeItemDefinition.instance
  • Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService
ChargeItemDefinition.applicability.condition
  • Added Element
ChargeItemDefinition.applicability.effectivePeriod
  • Added Element
ChargeItemDefinition.applicability.relatedArtifact
  • Added Element
ChargeItemDefinition.propertyGroup.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
ChargeItemDefinition.effectivePeriod
  • Deleted
ChargeItemDefinition.applicability.description
  • Deleted
ChargeItemDefinition.applicability.language
  • Deleted
ChargeItemDefinition.applicability.expression
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.type
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.code
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.amount
  • Deleted
Citation
  • Added Resource
Claim
Claim.traceNumber
  • Added Element
Claim.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider
  • Min Cardinality changed from 1 to 0
Claim.priority
  • Min Cardinality changed from 1 to 0
Claim.encounter
  • Added Element
Claim.facility
  • Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup
  • Added Element
Claim.event
  • Added Element
Claim.event.type
  • Added Mandatory Element
Claim.event.when[x]
  • Added Mandatory Element
Claim.careTeam.specialty
  • Added Element
Claim.supportingInfo.value[x]
  • Add Type Identifier
Claim.insurance
  • Min Cardinality changed from 1 to 0
Claim.patientPaid
  • Added Element
Claim.item.traceNumber
  • Added Element
Claim.item.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.productOrServiceEnd
  • Added Element
Claim.item.request
  • Added Element
Claim.item.patientPaid
  • Added Element
Claim.item.tax
  • Added Element
Claim.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site
  • Added Mandatory Element
Claim.item.bodySite.subSite
  • Added Element
Claim.item.detail.traceNumber
  • Added Element
Claim.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd
  • Added Element
Claim.item.detail.patientPaid
  • Added Element
Claim.item.detail.tax
  • Added Element
Claim.item.detail.subDetail.traceNumber
  • Added Element
Claim.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd
  • Added Element
Claim.item.detail.subDetail.patientPaid
  • Added Element
Claim.item.detail.subDetail.tax
  • Added Element
Claim.careTeam.qualification
  • Deleted
Claim.diagnosis.packageCode
  • Deleted
Claim.item.subSite
  • Deleted
ClaimResponse
ClaimResponse.traceNumber
  • Added Element
ClaimResponse.insurer
  • Min Cardinality changed from 1 to 0
ClaimResponse.outcome
ClaimResponse.decision
  • Added Element
ClaimResponse.event
  • Added Element
ClaimResponse.event.type
  • Added Mandatory Element
ClaimResponse.event.when[x]
  • Added Mandatory Element
ClaimResponse.encounter
  • Added Element
ClaimResponse.diagnosisRelatedGroup
  • Added Element
ClaimResponse.item.traceNumber
  • Added Element
ClaimResponse.item.reviewOutcome
  • Added Element
ClaimResponse.item.reviewOutcome.decision
  • Added Element
ClaimResponse.item.reviewOutcome.reason
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthRef
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod
  • Added Element
ClaimResponse.item.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity
  • Added Element
ClaimResponse.item.detail.traceNumber
  • Added Element
ClaimResponse.item.detail.reviewOutcome
  • Added Element
ClaimResponse.item.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.traceNumber
  • Added Element
ClaimResponse.addItem.revenue
  • Added Element
ClaimResponse.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.request
  • Added Element
ClaimResponse.addItem.tax
  • Added Element
ClaimResponse.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site
  • Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite
  • Added Element
ClaimResponse.addItem.reviewOutcome
  • Added Element
ClaimResponse.addItem.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.revenue
  • Added Element
ClaimResponse.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.tax
  • Added Element
ClaimResponse.addItem.detail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.subDetail.revenue
  • Added Element
ClaimResponse.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.subDetail.tax
  • Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.subDetail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ClaimResponse.processNote.language
ClaimResponse.error.expression
  • Added Element
ClaimResponse.item.adjudication.value
  • Deleted
ClaimResponse.addItem.subSite
  • Deleted
ClinicalImpression
ClinicalImpression.status
  • Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to EventStatus
  • Add codes preparation , not-done , on-hold , stopped , unknown
ClinicalImpression.performer
  • Renamed from assessor to performer
ClinicalImpression.changePattern
  • Added Element
ClinicalImpression.summary
  • Type changed from string to markdown
ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.code
  • Deleted (No known use case for this element)
ClinicalImpression.investigation
  • Deleted (-> ClinicalImpression.supportingInfo)
ClinicalImpression.finding.itemCodeableConcept
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalImpression.finding.itemReference
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalUseDefinition
  • Added Resource
CodeSystem
CodeSystem.versionAlgorithm[x]
  • Added Element
CodeSystem.copyrightLabel
  • Added Element
CodeSystem.approvalDate
  • Added Element
CodeSystem.lastReviewDate
  • Added Element
CodeSystem.effectivePeriod
  • Added Element
CodeSystem.topic
  • Added Element
CodeSystem.author
  • Added Element
CodeSystem.editor
  • Added Element
CodeSystem.reviewer
  • Added Element
CodeSystem.endorser
  • Added Element
CodeSystem.relatedArtifact
  • Added Element
CodeSystem.filter.operator
  • Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language
CodeSystem.concept.designation.additionalUse
  • Added Element
Communication
Communication.basedOn
  • Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription
  • Type Reference: Removed Target Type Resource
Communication.recipient
  • Type Reference: Added Target Types Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason
  • Added Element
Communication.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
Communication.reasonCode
  • Deleted (-> Communication.reason)
Communication.reasonReference
  • Deleted (-> Communication.reason)
CommunicationRequest
CommunicationRequest.intent
  • Added Mandatory Element
CommunicationRequest.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
CommunicationRequest.recipient
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider
  • Renamed from sender to informationProvider
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.reason
  • Added Element
CommunicationRequest.reasonCode
  • Deleted (-> CommunicationRequest.reason)
CommunicationRequest.reasonReference
  • Deleted (-> CommunicationRequest.reason)
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]
  • Added Element
CompartmentDefinition.title
  • Added Element
CompartmentDefinition.code
  • Add code EpisodeOfCare
CompartmentDefinition.resource.code
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CompartmentDefinition.resource.startParam
  • Added Element
CompartmentDefinition.resource.endParam
  • Added Element
Composition
Composition.url
  • Added Element
Composition.identifier
  • Max Cardinality changed from 1 to *
Composition.version
  • Added Element
Composition.status
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject
  • Max Cardinality changed from 1 to *
Composition.useContext
  • Added Element
Composition.name
  • Added Element
Composition.note
  • Added Element
Composition.attester.mode
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` (required)
Composition.relatesTo
  • Type changed from BackboneElement to RelatedArtifact
Composition.event.detail
  • Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality
  • Deleted
Composition.relatesTo.code
  • Deleted
Composition.relatesTo.target[x]
  • Deleted
Composition.event.code
  • Deleted
Composition.section.mode
  • Deleted
ConceptMap
ConceptMap.identifier
  • Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]
  • Added Element
ConceptMap.copyrightLabel
  • Added Element
ConceptMap.approvalDate
  • Added Element
ConceptMap.lastReviewDate
  • Added Element
ConceptMap.effectivePeriod
  • Added Element
ConceptMap.topic
  • Added Element
ConceptMap.author
  • Added Element
ConceptMap.editor
  • Added Element
ConceptMap.reviewer
  • Added Element
ConceptMap.endorser
  • Added Element
ConceptMap.relatedArtifact
  • Added Element
ConceptMap.property
  • Added Element
ConceptMap.property.code
  • Added Mandatory Element
ConceptMap.property.uri
  • Added Element
ConceptMap.property.description
  • Added Element
ConceptMap.property.type
  • Added Mandatory Element
ConceptMap.property.system
  • Added Element
ConceptMap.additionalAttribute
  • Added Element
ConceptMap.additionalAttribute.code
  • Added Mandatory Element
ConceptMap.additionalAttribute.uri
  • Added Element
ConceptMap.additionalAttribute.description
  • Added Element
ConceptMap.additionalAttribute.type
  • Added Mandatory Element
ConceptMap.sourceScope[x]
  • Added Element
ConceptMap.targetScope[x]
  • Added Element
ConceptMap.group.source
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet
  • Added Element
ConceptMap.group.element.noMap
  • Added Element
ConceptMap.group.element.target.valueSet
  • Added Element
ConceptMap.group.element.target.relationship
  • Added Mandatory Element
ConceptMap.group.element.target.property
  • Added Element
ConceptMap.group.element.target.property.code
  • Added Mandatory Element
ConceptMap.group.element.target.property.value[x]
  • Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute
  • Renamed from property to attribute
  • Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]
  • Renamed from value to value[x]
  • Min Cardinality changed from 1 to 0
  • Add Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet
  • Added Element
ConceptMap.group.unmapped.mode
  • Remove code provided
  • Add code use-source-code
ConceptMap.group.unmapped.valueSet
  • Added Element
ConceptMap.group.unmapped.relationship
  • Added Element
ConceptMap.group.unmapped.otherMap
  • Renamed from url to otherMap
ConceptMap.source[x]
  • Deleted
ConceptMap.target[x]
  • Deleted
ConceptMap.group.sourceVersion
  • Deleted (-> canonical version in .group.source)
ConceptMap.group.targetVersion
  • Deleted (-> canonical version in .group.target)
ConceptMap.group.element.target.equivalence
  • Deleted (-> relationship)
ConceptMap.group.element.target.dependsOn.system
  • Deleted (-> value as Coding)
ConceptMap.group.element.target.dependsOn.display
  • Deleted (-> value as Coding)
Condition
Condition.clinicalStatus
  • Min Cardinality changed from 0 to 1
  • Add code unknown
Condition.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.bodyStructure
  • Added Element
Condition.asserter
  • Type Reference: Added Target Type Device
Condition.evidence
  • Type changed from BackboneElement to CodeableReference
Condition.evidence.code
  • Deleted (-> Condition.evidence)
Condition.evidence.detail
  • Deleted (-> Condition.evidence)
ConditionDefinition
  • Added Resource
Consent
Consent.status
  • Remove codes proposed , rejected
  • Add codes not-done , unknown
Consent.category
  • Min Cardinality changed from 1 to 0
  • Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Consent.subject
  • Renamed from patient to subject
  • Type Reference: Added Target Types Practitioner, ResearchSubject, Group
Consent.date
  • Renamed from dateTime to date
  • Type changed from dateTime to date
Consent.period
  • Added Element
Consent.grantor
  • Added Element
Consent.grantee
  • Renamed from performer to grantee
  • Type Reference: Added Target Types CareTeam, HealthcareService
Consent.manager
  • Added Element
Consent.controller
  • Added Element
Consent.sourceAttachment
  • Added Element
Consent.sourceReference
  • Added Element
Consent.regulatoryBasis
  • Added Element
Consent.policyBasis
  • Renamed from policy to policyBasis
  • Max Cardinality changed from * to 1
Consent.policyBasis.reference
  • Added Element
Consent.policyBasis.uri
  • Moved from Consent.policy to Consent.policyBasis
Consent.policyText
  • Added Element
Consent.verification.verificationType
  • Added Element
Consent.verification.verifiedBy
  • Added Element
Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Consent.decision
  • Moved from Consent.provision.type to decision
  • Now marked as Modifier
Consent.provision
  • Max Cardinality changed from 1 to *
Consent.provision.actor.role
Consent.provision.actor.reference
  • Min Cardinality changed from 1 to 0
Consent.provision.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType
  • Added Element
Consent.provision.resourceType
Consent.provision.expression
  • Added Element
Consent.scope
  • Deleted (-> Merged with Consent.category)
Consent.organization
  • Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]
  • Deleted
Consent.policy.authority
  • Deleted
Consent.policyRule
  • Deleted
Contract
Contract.term.action.reason
  • Type changed from string to CodeableReference
Contract.term.action.reasonCode
  • Deleted (-> reason)
Contract.term.action.reasonReference
  • Deleted (-> reason)
Coverage
Coverage.kind
  • Added Mandatory Element
Coverage.paymentBy
  • Added Element
Coverage.paymentBy.party
  • Added Mandatory Element
Coverage.paymentBy.responsibility
  • Added Element
Coverage.subscriberId
  • Max Cardinality changed from 1 to *
  • Type changed from string to Identifier
Coverage.insurer
  • Added Element
Coverage.class.value
  • Type changed from string to Identifier
Coverage.costToBeneficiary.category
  • Added Element
Coverage.costToBeneficiary.network
  • Added Element
Coverage.costToBeneficiary.unit
  • Added Element
Coverage.costToBeneficiary.term
  • Added Element
Coverage.costToBeneficiary.value[x]
  • Min Cardinality changed from 1 to 0
Coverage.insurancePlan
  • Added Element
Coverage.payor
  • Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.event
  • Added Element
CoverageEligibilityRequest.event.type
  • Added Mandatory Element
CoverageEligibilityRequest.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.event
  • Added Element
CoverageEligibilityResponse.event.type
  • Added Mandatory Element
CoverageEligibilityResponse.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Eligibility Outcome
CoverageEligibilityResponse.error.expression
  • Added Element
DetectedIssue
DetectedIssue.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to Detected Issue Status
  • Remove codes registered , amended , corrected , cancelled , unknown
  • Add code mitigated
DetectedIssue.category
  • Added Element
DetectedIssue.subject
  • Added Element
DetectedIssue.encounter
  • Added Element
DetectedIssue.author
  • Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail
  • Type changed from string to markdown
DetectedIssue.mitigation.note
  • Added Element
DetectedIssue.patient
  • Deleted
Device
Device.udiCarrier.deviceIdentifier
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem
  • Added Element
Device.udiCarrier.issuer
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType
  • Add code electronic-transmission
Device.status
  • Remove code unknown
Device.availabilityStatus
  • Added Element
Device.biologicalSourceEvent
  • Added Element
Device.name
  • Renamed from deviceName to name
Device.name.value
  • Added Mandatory Element
Device.name.type
  • Moved from Device.deviceName to Device.name
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
Device.name.display
  • Added Element
Device.category
  • Added Element
Device.type
  • Max Cardinality changed from 1 to *
Device.deviceVersion
  • Added Element
Device.deviceVersion.type
  • Added Element
Device.deviceVersion.component
  • Added Element
Device.deviceVersion.installDate
  • Added Element
Device.deviceVersion.value
  • Added Mandatory Element
Device.conformsTo
  • Renamed from specialization to conformsTo
Device.conformsTo.category
  • Added Element
Device.conformsTo.specification
  • Added Mandatory Element
Device.conformsTo.version
  • Moved from Device.specialization to Device.conformsTo
Device.property.value[x]
  • Added Mandatory Element
Device.mode
  • Added Element
Device.cycle
  • Added Element
Device.duration
  • Added Element
Device.endpoint
  • Added Element
Device.gateway
  • Added Element
Device.statusReason
  • Deleted (-> reason was removed. DeviceAssociation can be used)
Device.distinctIdentifier
  • Deleted
Device.deviceName.name
  • Deleted
Device.specialization.systemType
  • Deleted
Device.version
  • Deleted
Device.property.valueQuantity
  • Deleted
Device.property.valueCode
  • Deleted
Device.patient
  • Deleted (-> patient association is in DeviceAssociation)
DeviceAlert
  • Added Resource
DeviceAssociation
  • Added Resource
DeviceDefinition
DeviceDefinition.description
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod
  • Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier
  • Added Element
DeviceDefinition.regulatoryIdentifier.type
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction
  • Added Mandatory Element
DeviceDefinition.partNumber
  • Added Element
DeviceDefinition.manufacturer
  • Renamed from manufacturer[x] to manufacturer
  • Remove Type string
DeviceDefinition.deviceName.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceDefinition.classification
  • Added Element
DeviceDefinition.classification.type
  • Moved from DeviceDefinition to DeviceDefinition.classification
  • Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification
  • Added Element
DeviceDefinition.conformsTo
  • Renamed from specialization to conformsTo
DeviceDefinition.conformsTo.category
  • Added Element
DeviceDefinition.conformsTo.specification
  • Added Mandatory Element
DeviceDefinition.conformsTo.version
  • Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo
  • Max Cardinality changed from 1 to *
DeviceDefinition.conformsTo.source
  • Added Element
DeviceDefinition.hasPart
  • Added Element
DeviceDefinition.hasPart.reference
  • Added Mandatory Element
DeviceDefinition.hasPart.count
  • Added Element
DeviceDefinition.packaging
  • Added Element
DeviceDefinition.packaging.identifier
  • Added Element
DeviceDefinition.packaging.type
  • Added Element
DeviceDefinition.packaging.count
  • Added Element
DeviceDefinition.packaging.distributor
  • Added Element
DeviceDefinition.packaging.distributor.name
  • Added Element
DeviceDefinition.packaging.distributor.organizationReference
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier
  • Added Element
DeviceDefinition.packaging.packaging
  • Added Element
DeviceDefinition.deviceVersion
  • Added Element
DeviceDefinition.deviceVersion.type
  • Added Element
DeviceDefinition.deviceVersion.component
  • Added Element
DeviceDefinition.deviceVersion.value
  • Added Mandatory Element
DeviceDefinition.property.value[x]
  • Added Mandatory Element
DeviceDefinition.link
  • Added Element
DeviceDefinition.link.relation
  • Added Mandatory Element
DeviceDefinition.link.relatedDevice
  • Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI
  • Added Element
DeviceDefinition.guideline
  • Added Element
DeviceDefinition.guideline.useContext
  • Added Element
DeviceDefinition.guideline.usageInstruction
  • Added Element
DeviceDefinition.guideline.relatedArtifact
  • Moved from DeviceDefinition.onlineInformation to relatedArtifact
  • Max Cardinality changed from 1 to *
  • Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication
  • Added Element
DeviceDefinition.guideline.contraindication
  • Added Element
DeviceDefinition.guideline.warning
  • Added Element
DeviceDefinition.guideline.intendedUse
  • Added Element
DeviceDefinition.correctiveAction
  • Added Element
DeviceDefinition.correctiveAction.recall
  • Added Mandatory Element
DeviceDefinition.correctiveAction.scope
  • Added Element
DeviceDefinition.correctiveAction.period
  • Added Mandatory Element
DeviceDefinition.chargeItem
  • Added Element
DeviceDefinition.chargeItem.chargeItemCode
  • Added Mandatory Element
DeviceDefinition.chargeItem.count
  • Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod
  • Added Element
DeviceDefinition.chargeItem.useContext
  • Added Element
DeviceDefinition.specialization.systemType
  • Deleted
DeviceDefinition.version
  • Deleted
DeviceDefinition.physicalCharacteristics
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity
  • Deleted
DeviceDefinition.property.valueCode
  • Deleted
DeviceDefinition.url
  • Deleted (Removed - only instances have addressable endpoints)
DeviceDefinition.quantity
  • Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice
  • Deleted (Removed - to establish relations, use hasPArt)
DeviceDispense
  • Added Resource
DeviceMetric
DeviceMetric.device
  • Added Mandatory Element
DeviceMetric.color
DeviceMetric.category
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceMetric.measurementFrequency
  • Added Element
DeviceMetric.calibration.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceMetric.source
  • Deleted
DeviceMetric.parent
  • Deleted
DeviceMetric.measurementPeriod
  • Deleted
DeviceRequest
DeviceRequest.replaces
  • Renamed from priorRequest to replaces
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.code
  • Renamed from code[x] to code
  • Add Type CodeableReference
  • Remove Types Reference(Device), CodeableConcept
DeviceRequest.quantity
  • Added Element
DeviceRequest.performer
  • Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason
  • Added Element
DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.performerType
  • Deleted (-> performer)
DeviceRequest.reasonCode
  • Deleted (-> reason)
DeviceRequest.reasonReference
  • Deleted (-> reason)
DeviceUsage
  • Name Changed from DeviceUseStatement to DeviceUsage
DeviceUsage
  • Moved from DeviceUseStatement to DeviceUsage
DeviceUsage.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0 to Device Usage Status
  • Add code not-done
DeviceUsage.category
  • Added Element
DeviceUsage.patient
  • Added Mandatory Element
DeviceUsage.context
  • Added Element
DeviceUsage.dateAsserted
  • Added Element
DeviceUsage.usageStatus
  • Added Element
DeviceUsage.usageReason
  • Added Element
DeviceUsage.adherence
  • Added Element
DeviceUsage.adherence.code
  • Added Mandatory Element
DeviceUsage.adherence.reason
  • Added Mandatory Element
DeviceUsage.informationSource
  • Added Element
DeviceUsage.device
  • Type changed from Reference(Device) to CodeableReference
DeviceUsage.reason
  • Added Element
DeviceUsage.bodySite
  • Type changed from CodeableConcept to CodeableReference
DeviceUseStatement.subject
  • Deleted
DeviceUseStatement.recordedOn
  • Deleted
DeviceUseStatement.source
  • Deleted
DeviceUseStatement.reasonCode
  • Deleted
DeviceUseStatement.reasonReference
  • Deleted
DiagnosticReport
DiagnosticReport.status
  • Add code modified
DiagnosticReport.subject
  • Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
DiagnosticReport.note
  • Added Element
DiagnosticReport.study
  • Added Element
DiagnosticReport.supportingInfo
  • Added Element
DiagnosticReport.supportingInfo.type
  • Added Mandatory Element
DiagnosticReport.supportingInfo.reference
  • Added Mandatory Element
DiagnosticReport.media.link
  • Type Reference: Added Target Type DocumentReference
  • Type Reference: Removed Target Type Media
DiagnosticReport.composition
  • Added Element
DiagnosticReport.conclusion
  • Type changed from string to markdown
DiagnosticReport.conclusionCode
  • Type changed from CodeableConcept to CodeableReference
DiagnosticReport.recomendation
  • Added Element
DiagnosticReport.communication
  • Added Element
DiagnosticReport.imagingStudy
  • Deleted
DocumentReference
DocumentReference.version
  • Added Element
DocumentReference.basedOn
  • Added Element
DocumentReference.docStatus
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
  • Now marked as Modifier
DocumentReference.modality
  • Added Element
DocumentReference.subject
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context
  • Max Cardinality changed from 1 to *
  • Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event
  • Added Element
DocumentReference.related
  • Added Element
DocumentReference.bodySite
  • Added Element
DocumentReference.facilityType
  • Added Element
DocumentReference.practiceSetting
  • Added Element
DocumentReference.period
  • Added Element
DocumentReference.date
  • Type changed from instant to dateTime
DocumentReference.author
  • Type Reference: Added Target Type CareTeam
DocumentReference.attester
  • Added Element
DocumentReference.attester.mode
  • Added Mandatory Element
DocumentReference.attester.time
  • Added Element
DocumentReference.attester.party
  • Added Element
DocumentReference.relatesTo.code
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DocumentReference.description
  • Type changed from string to markdown
DocumentReference.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
DocumentReference.content.profile
  • Added Element
DocumentReference.content.profile.value[x]
  • Added Mandatory Element
DocumentReference.masterIdentifier
  • Deleted (-> identifier)
DocumentReference.authenticator
  • Deleted (-> attester)
DocumentReference.content.format
  • Deleted (-> content.profile)
DocumentReference.context.encounter
  • Deleted (-> context)
DocumentReference.context.event
  • Deleted (-> event)
DocumentReference.context.period
  • Deleted (-> period)
DocumentReference.context.facilityType
  • Deleted (-> facilityType)
DocumentReference.context.practiceSetting
  • Deleted (-> practiceSetting)
DocumentReference.context.sourcePatientInfo
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related
  • Deleted (-> basedOn)
DomainResource
  • No Changes
Encounter
Encounter.status
  • Remove codes arrived , triaged , onleave , finished
  • Add codes on-hold , discharged , completed , discontinued
Encounter.class
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus
  • Added Element
Encounter.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Encounter.careTeam
  • Added Element
Encounter.participant.actor
  • Renamed from individual to actor
  • Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService
  • Added Element
Encounter.actualPeriod
  • Renamed from period to actualPeriod
Encounter.plannedStartDate
  • Added Element
Encounter.plannedEndDate
  • Added Element
Encounter.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to BackboneElement
Encounter.reason.use
  • Added Element
Encounter.reason.value
  • Added Element
Encounter.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition | Procedure) to CodeableReference
Encounter.diagnosis.use
  • Max Cardinality changed from 1 to *
Encounter.dietPreference
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialArrangement
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialCourtesy
  • Moved from Encounter.hospitalization to Encounter
Encounter.admission
  • Renamed from hospitalization to admission
Encounter.admission.preAdmissionIdentifier
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.origin
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.admitSource
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.reAdmission
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.destination
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.dischargeDisposition
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.location.form
  • Renamed from physicalType to form
Encounter.statusHistory
  • Deleted (-> EncounterHistory.status)
Encounter.classHistory
  • Deleted (-> EncounterHistory.class)
Encounter.reasonReference
  • Deleted (-> Encounter.reason.reference)
Encounter.diagnosis.rank
  • Deleted (-> Account.diagnosis.sequence)
EncounterHistory
  • Added Resource
Endpoint
Endpoint.status
  • Remove code test
Endpoint.connectionType
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Endpoint.description
  • Added Element
Endpoint.environmentType
  • Added Element
Endpoint.availability
  • Added Element
Endpoint.payload
  • Added Element
Endpoint.payload.type
  • Moved from Endpoint.payloadType to type
  • Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType
  • Moved from Endpoint.payloadMimeType to mimeType
Endpoint.payload.profileCanonical
  • Added Element
Endpoint.payload.profileUri
  • Added Element
EnrollmentRequest
  • No Changes
EnrollmentResponse
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome
EpisodeOfCare
EpisodeOfCare.reason
  • Added Element
EpisodeOfCare.reason.use
  • Added Element
EpisodeOfCare.reason.value
  • Added Element
EpisodeOfCare.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use
  • Renamed from role to use
EpisodeOfCare.subject
  • Added Mandatory Element
EpisodeOfCare.careTeam
  • Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank
  • Deleted
EpisodeOfCare.patient
  • Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]
  • Added Element
EventDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.usage
  • Type changed from string to markdown
EventDefinition.copyrightLabel
  • Added Element
Evidence
Evidence.versionAlgorithm[x]
  • Added Element
Evidence.citeAs[x]
  • Added Element
Evidence.experimental
  • Added Element
Evidence.purpose
  • Added Element
Evidence.copyrightLabel
  • Added Element
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.roleSubtype
  • Added Element
Evidence.variableDefinition.comparatorCategory
  • Added Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyDesign
  • Added Element
Evidence.statistic
  • Added Element
Evidence.statistic.description
  • Added Element
Evidence.statistic.note
  • Added Element
Evidence.statistic.statisticType
  • Added Element
Evidence.statistic.category
  • Added Element
Evidence.statistic.quantity
  • Added Element
Evidence.statistic.numberOfEvents
  • Added Element
Evidence.statistic.numberAffected
  • Added Element
Evidence.statistic.sampleSize
  • Added Element
Evidence.statistic.sampleSize.description
  • Added Element
Evidence.statistic.sampleSize.note
  • Added Element
Evidence.statistic.sampleSize.numberOfStudies
  • Added Element
Evidence.statistic.sampleSize.numberOfParticipants
  • Added Element
Evidence.statistic.sampleSize.knownDataCount
  • Added Element
Evidence.statistic.attributeEstimate
  • Added Element
Evidence.statistic.attributeEstimate.description
  • Added Element
Evidence.statistic.attributeEstimate.note
  • Added Element
Evidence.statistic.attributeEstimate.type
  • Added Element
Evidence.statistic.attributeEstimate.quantity
  • Added Element
Evidence.statistic.attributeEstimate.level
  • Added Element
Evidence.statistic.attributeEstimate.range
  • Added Element
Evidence.statistic.attributeEstimate.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic
  • Added Element
Evidence.statistic.modelCharacteristic.code
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.value[x]
  • Added Element
Evidence.statistic.modelCharacteristic.intended
  • Added Element
Evidence.statistic.modelCharacteristic.applied
  • Added Element
Evidence.statistic.modelCharacteristic.variable
  • Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange
  • Added Element
Evidence.statistic.modelCharacteristic.attribute
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.shortTitle
  • Deleted
Evidence.subtitle
  • Deleted
Evidence.jurisdiction
  • Deleted
Evidence.effectivePeriod
  • Deleted
Evidence.topic
  • Deleted
Evidence.exposureBackground
  • Deleted
Evidence.exposureVariant
  • Deleted
Evidence.outcome
  • Deleted
EvidenceReport
  • Added Resource
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]
  • Added Element
EvidenceVariable.experimental
  • Added Element
EvidenceVariable.purpose
  • Added Element
EvidenceVariable.copyrightLabel
  • Added Element
EvidenceVariable.actual
  • Added Element
EvidenceVariable.definition
  • Added Element
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.subtitle
  • Deleted
EvidenceVariable.jurisdiction
  • Deleted
EvidenceVariable.topic
  • Deleted
EvidenceVariable.type
  • Deleted
EvidenceVariable.characteristic
  • Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]
  • Added Element
ExampleScenario.title
  • Added Element
ExampleScenario.description
  • Added Element
ExampleScenario.copyrightLabel
  • Added Element
ExampleScenario.actor.key
  • Renamed from actorId to key
ExampleScenario.actor.type
  • Remove code entity
  • Add code system
ExampleScenario.actor.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.key
  • Renamed from resourceId to key
ExampleScenario.instance.structureType
  • Renamed from resourceType to structureType
  • Type changed from code to Coding
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Example Scenario Resource Type
ExampleScenario.instance.structureVersion
  • Added Element
ExampleScenario.instance.structureProfile[x]
  • Added Element
ExampleScenario.instance.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.content
  • Added Element
ExampleScenario.instance.version.key
  • Added Mandatory Element
ExampleScenario.instance.version.title
  • Added Mandatory Element
ExampleScenario.instance.version.description
  • Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content
  • Added Element
ExampleScenario.instance.containedInstance.instanceReference
  • Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference
  • Renamed from versionId to versionReference
ExampleScenario.process.step.number
  • Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step
  • Min Cardinality changed from 1 to 0
ExampleScenario.process.step.process
  • Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow
  • Moved from ExampleScenario to ExampleScenario.process.step
  • Max Cardinality changed from * to 1
ExampleScenario.process.step.operation.type
  • Type changed from string to Coding
  • Add Binding `http://hl7.org/fhir/ValueSet/testscript-operation-codes` (extensible)
ExampleScenario.process.step.operation.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.version.versionId
  • Deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber
  • Added Element
ExplanationOfBenefit.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.provider
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.event
  • Added Element
ExplanationOfBenefit.event.type
  • Added Mandatory Element
ExplanationOfBenefit.event.when[x]
  • Added Mandatory Element
ExplanationOfBenefit.encounter
  • Added Element
ExplanationOfBenefit.facility
  • Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome
ExplanationOfBenefit.decision
  • Added Element
ExplanationOfBenefit.diagnosisRelatedGroup
  • Added Element
ExplanationOfBenefit.careTeam.specialty
  • Added Element
ExplanationOfBenefit.supportingInfo.value[x]
  • Add Type Identifier
ExplanationOfBenefit.insurance
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid
  • Added Element
ExplanationOfBenefit.item.traceNumber
  • Added Element
ExplanationOfBenefit.item.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.request
  • Added Element
ExplanationOfBenefit.item.patientPaid
  • Added Element
ExplanationOfBenefit.item.tax
  • Added Element
ExplanationOfBenefit.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.item.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.item.bodySite.subSite
  • Added Element
ExplanationOfBenefit.item.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.decision
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.reason
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod
  • Added Element
ExplanationOfBenefit.item.adjudication.quantity
  • Added Element
ExplanationOfBenefit.item.detail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.tax
  • Added Element
ExplanationOfBenefit.item.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.revenue
  • Added Element
ExplanationOfBenefit.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.request
  • Added Element
ExplanationOfBenefit.addItem.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.tax
  • Added Element
ExplanationOfBenefit.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite
  • Added Element
ExplanationOfBenefit.addItem.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ExplanationOfBenefit.processNote.language
ExplanationOfBenefit.careTeam.qualification
  • Deleted
ExplanationOfBenefit.diagnosis.packageCode
  • Deleted
ExplanationOfBenefit.item.subSite
  • Deleted
ExplanationOfBenefit.item.adjudication.value
  • Deleted
ExplanationOfBenefit.addItem.subSite
  • Deleted
FamilyMemberHistory
FamilyMemberHistory.participant
  • Added Element
FamilyMemberHistory.participant.function
  • Added Element
FamilyMemberHistory.participant.actor
  • Added Mandatory Element
FamilyMemberHistory.sex
  • Change value set from http://build.fhir.org/valueset-administrative-gender.html to AdministrativeGender
FamilyMemberHistory.reason
  • Added Element
FamilyMemberHistory.procedure
  • Added Element
FamilyMemberHistory.procedure.code
  • Added Mandatory Element
FamilyMemberHistory.procedure.outcome
  • Added Element
FamilyMemberHistory.procedure.contributedToDeath
  • Added Element
FamilyMemberHistory.procedure.performed[x]
  • Added Element
FamilyMemberHistory.procedure.note
  • Added Element
FamilyMemberHistory.reasonCode
  • Deleted (-> FamilyMemberHistory.reason)
FamilyMemberHistory.reasonReference
  • Deleted (-> FamilyMemberHistory.reason)
Flag
Flag.status
  • Min Cardinality changed from 1 to 0
Flag.subject
  • Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author
  • Type Reference: Added Target Type RelatedPerson
Flag.supportingInfo
  • Added Element
FormularyItem
  • Added Resource
GenomicStudy
  • Added Resource
Goal
Goal.continuous
  • Added Element
Goal.acceptance
  • Added Element
Goal.acceptance.participant
  • Added Mandatory Element
Goal.acceptance.status
  • Added Element
Goal.acceptance.priority
  • Added Element
Goal.statusReason
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableConcept
Goal.source
  • Renamed from expressedBy to source
  • Type Reference: Added Target Type CareTeam
Goal.addresses
  • Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode
  • Deleted (-> Goal.outcome)
Goal.outcomeReference
  • Deleted (-> Goal.outcome)
GraphDefinition
GraphDefinition.identifier
  • Added Element
GraphDefinition.versionAlgorithm[x]
  • Added Element
GraphDefinition.title
  • Added Element
GraphDefinition.copyright
  • Added Element
GraphDefinition.copyrightLabel
  • Added Element
GraphDefinition.start
  • Min Cardinality changed from 1 to 0
  • Type changed from code to id
  • Remove Binding `http://hl7.org/fhir/ValueSet/resource-types|4.0.0` (required)
GraphDefinition.node
  • Added Element
GraphDefinition.node.nodeId
  • Added Mandatory Element
GraphDefinition.node.description
  • Added Element
GraphDefinition.node.type
  • Added Mandatory Element
GraphDefinition.node.profile
  • Added Element
GraphDefinition.link.sourceId
  • Added Mandatory Element
GraphDefinition.link.targetId
  • Added Mandatory Element
GraphDefinition.link.params
  • Added Element
GraphDefinition.link.compartment
  • Added Element
GraphDefinition.link.compartment.use
  • Added Mandatory Element
GraphDefinition.link.compartment.rule
  • Added Mandatory Element
GraphDefinition.link.compartment.code
  • Added Mandatory Element
GraphDefinition.link.compartment.expression
  • Added Element
GraphDefinition.link.compartment.description
  • Added Element
GraphDefinition.profile
  • Deleted (-> .node.profile)
GraphDefinition.link.target
  • Deleted (-> .link.targetId / .node.nodeId)
Group
Group.url
  • Added Element
Group.version
  • Added Element
Group.versionAlgorithm[x]
  • Added Element
Group.title
  • Added Element
Group.status
  • Added Element
Group.experimental
  • Added Element
Group.date
  • Added Element
Group.publisher
  • Added Element
Group.contact
  • Added Element
Group.description
  • Added Element
Group.useContext
  • Added Element
Group.purpose
  • Added Element
Group.copyright
  • Added Element
Group.copyrightLabel
  • Added Element
Group.type
  • Min Cardinality changed from 1 to 0
  • Remove codes medication , substance
  • Add codes careteam , healthcareservice , location , organization , relatedperson , specimen
Group.membership
  • Added Mandatory Element
Group.code
  • Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Group.combinationMethod
  • Added Element
Group.combinationThreshold
  • Added Element
Group.characteristic.value[x]
  • Add Types uri, Expression
Group.characteristic.description
  • Added Element
Group.characteristic.method
  • Added Element
Group.characteristic.determinedBy[x]
  • Added Element
Group.characteristic.offset
  • Added Element
Group.characteristic.instances[x]
  • Added Element
Group.characteristic.duration[x]
  • Added Element
Group.characteristic.timing
  • Added Element
Group.member.entity
  • Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen
  • Type Reference: Removed Target Types Medication, Substance
Group.member.involvement
  • Added Element
Group.active
  • Deleted
Group.actual
  • Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.reason
  • Added Element
GuidanceResponse.evaluationMessage
  • Max Cardinality changed from * to 1
GuidanceResponse.result
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, SupplyRequest, Task, VisionPrescription
  • Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode
  • Deleted (-> reason)
GuidanceResponse.reasonReference
  • Deleted (-> reason)
HealthcareService
HealthcareService.offeredIn
  • Added Element
HealthcareService.comment
  • Type changed from string to markdown
HealthcareService.contact
  • Added Element
HealthcareService.eligibility.value[x]
  • Added Element
HealthcareService.eligibility.period
  • Added Element
HealthcareService.communication
HealthcareService.referralRequired
  • Added Element
HealthcareService.availability
  • Added Element
HealthcareService.telecom
  • Deleted (-> HealthcareService.contact.telecom)
HealthcareService.availableTime
  • Deleted (-> HealthcareService.availability.availabileTime)
HealthcareService.notAvailable
  • Deleted (-> HealthcareService.availability.notAvailabileTime)
HealthcareService.availabilityExceptions
  • Deleted (-> HealthcareService.availability.notAvailabileTime.description)
ImagingSelection
  • Added Resource
ImagingStudy
ImagingStudy.modality
ImagingStudy.partOf
  • Added Element
ImagingStudy.procedure
  • Added Element
ImagingStudy.reason
  • Added Element
ImagingStudy.series.modality
ImagingStudy.series.bodySite
  • Type changed from Coding to CodeableReference
ImagingStudy.series.laterality
  • Type changed from Coding to CodeableConcept
ImagingStudy.series.performer.actor
  • Type Reference: Added Target Type HealthcareService
ImagingStudy.series.instance.sopClass
  • Type changed from Coding to oid
  • Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingStudy.interpreter
  • Deleted (-> series.performer)
ImagingStudy.procedureReference
  • Deleted (-> procedure)
ImagingStudy.procedureCode
  • Deleted (-> procedure)
ImagingStudy.reasonCode
  • Deleted (-> reason)
ImagingStudy.reasonReference
  • Deleted (-> reason)
Immunization
Immunization.basedOn
  • Added Element
Immunization.administeredProduct
  • Added Element
Immunization.manufacturer
  • Type changed from Reference(Organization) to CodeableReference
Immunization.supportingInformation
  • Added Element
Immunization.informationSource
  • Added Element
Immunization.performer.actor
  • Type Reference: Added Target Types Patient, RelatedPerson
Immunization.reason
  • Added Element
Immunization.programEligibility
  • Type changed from CodeableConcept to BackboneElement
Immunization.programEligibility.program
  • Added Mandatory Element
Immunization.programEligibility.programStatus
  • Added Mandatory Element
Immunization.reaction.manifestation
  • Added Element
Immunization.protocolApplied.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Min Cardinality changed from 1 to 0
  • Remove Type positiveInt
Immunization.protocolApplied.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
Immunization.recorded
  • Deleted
Immunization.reportOrigin
  • Deleted
Immunization.reasonCode
  • Deleted (-> reason)
Immunization.reasonReference
  • Deleted (-> reason)
Immunization.education
  • Deleted
Immunization.reaction.detail
  • Deleted
ImmunizationEvaluation
ImmunizationEvaluation.description
  • Type changed from string to markdown
ImmunizationEvaluation.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Remove Type positiveInt
ImmunizationEvaluation.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
ImmunizationRecommendation
ImmunizationRecommendation.recommendation.targetDisease
  • Max Cardinality changed from 1 to *
ImmunizationRecommendation.recommendation.description
  • Type changed from string to markdown
ImmunizationRecommendation.recommendation.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Remove Type positiveInt
ImmunizationRecommendation.recommendation.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted
Ingredient
  • Added Resource
InsurancePlan
InsurancePlan.type
  • Max Cardinality changed from * to 1
InsurancePlan.product
  • Added Element
InsurancePlan.generalCost
  • Added Element
InsurancePlan.generalCost.type
  • Added Element
InsurancePlan.generalCost.groupSize
  • Added Element
InsurancePlan.generalCost.cost
  • Added Element
InsurancePlan.generalCost.comment
  • Added Element
InsurancePlan.specificCost
  • Added Element
InsurancePlan.specificCost.category
  • Added Mandatory Element
InsurancePlan.specificCost.benefit
  • Added Element
InsurancePlan.specificCost.benefit.type
  • Added Mandatory Element
InsurancePlan.specificCost.benefit.cost
  • Added Element
InsurancePlan.specificCost.benefit.cost.type
  • Added Mandatory Element
InsurancePlan.specificCost.benefit.cost.applicability
  • Added Element
InsurancePlan.specificCost.benefit.cost.qualifier
  • Added Element
InsurancePlan.specificCost.benefit.cost.value
  • Added Element
InsurancePlan.status
  • Deleted
InsurancePlan.name
  • Deleted
InsurancePlan.alias
  • Deleted
InsurancePlan.period
  • Deleted
InsurancePlan.ownedBy
  • Deleted
InsurancePlan.administeredBy
  • Deleted
InsurancePlan.contact
  • Deleted
InsurancePlan.endpoint
  • Deleted
InsurancePlan.coverage
  • Deleted
InsurancePlan.plan
  • Deleted
InsuranceProduct
  • Added Resource
InventoryItem
  • Added Resource
InventoryReport
  • Added Resource
Invoice
Invoice.creation
  • Added Element
Invoice.period[x]
  • Added Element
Invoice.lineItem.serviced[x]
  • Added Element
Invoice.lineItem.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
Invoice.totalPriceComponent
  • Add Type MonetaryComponent
Invoice.lineItem.priceComponent.type
  • Deleted
Invoice.lineItem.priceComponent.code
  • Deleted
Invoice.lineItem.priceComponent.factor
  • Deleted
Invoice.lineItem.priceComponent.amount
  • Deleted
Library
Library.versionAlgorithm[x]
  • Added Element
Library.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.usage
  • Type changed from string to markdown
Library.copyrightLabel
  • Added Element
Linkage
  • No Changes
List
List.subject
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Group, Device, Location
List.source
  • Type Reference: Added Target Types Organization, RelatedPerson, CareTeam
Location
Location.description
  • Type changed from string to markdown
Location.type
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact
  • Added Element
Location.form
  • Renamed from physicalType to form
Location.characteristic
  • Added Element
Location.hoursOfOperation
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to Availability
Location.virtualService
  • Added Element
Location.telecom
  • Deleted (-> Location.contact.telecom)
Location.hoursOfOperation.daysOfWeek
  • Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek)
Location.hoursOfOperation.allDay
  • Deleted (-> Location.hoursOfOperation.availableTime.allDay)
Location.hoursOfOperation.openingTime
  • Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime)
Location.hoursOfOperation.closingTime
  • Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime)
Location.availabilityExceptions
  • Deleted (-> Location.hoursOfOperation.notAvailable.description)
ManufacturedItemDefinition
  • Added Resource
Measure
Measure.versionAlgorithm[x]
  • Added Element
Measure.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Measure.basis
  • Added Element
Measure.usage
  • Type changed from string to markdown
Measure.copyrightLabel
  • Added Element
Measure.scoring
  • Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to Measure Scoring icon
Measure.scoringUnit
  • Added Element
Measure.riskAdjustment
  • Type changed from string to markdown
Measure.rateAggregation
  • Type changed from string to markdown
Measure.term
  • Added Element
Measure.term.code
  • Added Element
Measure.term.definition
  • Added Element
Measure.group.linkId
  • Added Element
Measure.group.description
  • Type changed from string to markdown
Measure.group.type
  • Added Element
Measure.group.subject[x]
  • Added Element
Measure.group.basis
  • Added Element
Measure.group.scoring
  • Added Element
Measure.group.scoringUnit
  • Added Element
Measure.group.rateAggregation
  • Added Element
Measure.group.improvementNotation
  • Added Element
Measure.group.library
  • Added Element
Measure.group.population.linkId
  • Added Element
Measure.group.population.description
  • Type changed from string to markdown
Measure.group.population.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition
  • Added Element
Measure.group.population.inputPopulationId
  • Added Element
Measure.group.population.aggregateMethod
  • Added Element
Measure.group.stratifier.linkId
  • Added Element
Measure.group.stratifier.description
  • Type changed from string to markdown
Measure.group.stratifier.groupDefinition
  • Added Element
Measure.group.stratifier.component.linkId
  • Added Element
Measure.group.stratifier.component.description
  • Type changed from string to markdown
Measure.group.stratifier.component.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition
  • Added Element
Measure.supplementalData.linkId
  • Added Element
Measure.supplementalData.description
  • Type changed from string to markdown
Measure.definition
  • Deleted (->term.definition term is code and definition now)
MeasureReport
MeasureReport.type
  • Remove code data-collection
  • Add code data-exchange
MeasureReport.dataUpdateType
  • Added Element
MeasureReport.measure
  • Min Cardinality changed from 1 to 0
MeasureReport.subject
  • Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter
  • Type Reference: Added Target Type Group
  • Type Reference: Removed Target Type Location
MeasureReport.reportingVendor
  • Added Element
MeasureReport.location
  • Added Element
MeasureReport.inputParameters
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.group.linkId
  • Added Element
MeasureReport.group.subject
  • Added Element
MeasureReport.group.population.linkId
  • Added Element
MeasureReport.group.population.subjectReport
  • Added Element
MeasureReport.group.population.subjects
  • Added Element
MeasureReport.group.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration
MeasureReport.group.stratifier.linkId
  • Added Element
MeasureReport.group.stratifier.code
  • Max Cardinality changed from * to 1
MeasureReport.group.stratifier.stratum.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjects
  • Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration
MeasureReport.supplementalData
  • Added Element
Medication
Medication.marketingAuthorizationHolder
  • Added Element
Medication.doseForm
  • Added Element
Medication.totalVolume
  • Added Element
Medication.ingredient.item
  • Renamed from item[x] to item
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Substance | Medication)
Medication.ingredient.strength[x]
  • Renamed from strength to strength[x]
  • Add Types CodeableConcept, Quantity
Medication.definition
  • Added Element
Medication.manufacturer
  • Deleted
Medication.form
  • Deleted
Medication.amount
  • Deleted
MedicationAdministration
MedicationAdministration.basedOn
  • Added Element
MedicationAdministration.partOf
  • Type Reference: Added Target Type MedicationDispense
MedicationAdministration.category
  • Max Cardinality changed from 1 to *
MedicationAdministration.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter
  • Added Element
MedicationAdministration.occurrence[x]
  • Added Mandatory Element
MedicationAdministration.recorded
  • Added Element
MedicationAdministration.isSubPotent
  • Added Element
MedicationAdministration.subPotentReason
  • Added Element
MedicationAdministration.performer.actor
  • Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationAdministration.reason
  • Added Element
MedicationAdministration.device
  • Type changed from Reference(Device) to CodeableReference
MedicationAdministration.instantiates
  • Deleted
MedicationAdministration.context
  • Deleted
MedicationAdministration.effective[x]
  • Deleted
MedicationAdministration.reasonCode
  • Deleted (-> reason)
MedicationAdministration.reasonReference
  • Deleted (-> reason)
MedicationDispense
MedicationDispense.basedOn
  • Added Element
MedicationDispense.partOf
  • Type Reference: Added Target Type MedicationAdministration
MedicationDispense.notPerformedReason
  • Added Element
MedicationDispense.statusChanged
  • Added Element
MedicationDispense.category
  • Max Cardinality changed from 1 to *
MedicationDispense.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationDispense.subject
  • Min Cardinality changed from 0 to 1
MedicationDispense.encounter
  • Added Element
MedicationDispense.performer.actor
  • Type Reference: Added Target Type CareTeam
MedicationDispense.recorded
  • Added Element
MedicationDispense.receiver
  • Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole
MedicationDispense.renderedDosageInstruction
  • Added Element
MedicationDispense.substitution.responsibleParty
  • Max Cardinality changed from * to 1
  • Type Reference: Added Target Type Organization
MedicationDispense.statusReason[x]
  • Deleted
MedicationDispense.context
  • Deleted
MedicationDispense.detectedIssue
  • Deleted
MedicationKnowledge
MedicationKnowledge.identifier
  • Added Element
MedicationKnowledge.status
  • Change value set from http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0 to PublicationStatus
  • Remove codes inactive , entered-in-error
  • Add codes draft , retired , unknown
MedicationKnowledge.author
  • Added Element
MedicationKnowledge.jurisdiction
  • Added Element
MedicationKnowledge.name
  • Added Element
MedicationKnowledge.monograph.source
  • Type Reference: Removed Target Type Media
MedicationKnowledge.cost.effectiveDate
  • Added Element
MedicationKnowledge.cost.cost[x]
  • Renamed from cost to cost[x]
  • Add Type CodeableConcept
MedicationKnowledge.indicationGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.indication
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
  • Added Element
MedicationKnowledge.medicineClassification.source[x]
  • Added Element
MedicationKnowledge.packaging
  • Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.cost
  • Added Element
MedicationKnowledge.packaging.packagedProduct
  • Added Element
MedicationKnowledge.clinicalUseIssue
  • Added Element
MedicationKnowledge.storageGuideline
  • Added Element
MedicationKnowledge.storageGuideline.reference
  • Added Element
MedicationKnowledge.storageGuideline.note
  • Added Element
MedicationKnowledge.storageGuideline.stabilityDuration
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type
  • Added Mandatory Element
MedicationKnowledge.storageGuideline.environmentalSetting.value[x]
  • Added Mandatory Element
MedicationKnowledge.regulatory.schedule
  • Type changed from BackboneElement to CodeableConcept
MedicationKnowledge.definitional
  • Added Element
MedicationKnowledge.definitional.definition
  • Added Element
MedicationKnowledge.definitional.doseForm
  • Added Element
MedicationKnowledge.definitional.intendedRoute
  • Added Element
MedicationKnowledge.definitional.ingredient
  • Added Element
MedicationKnowledge.definitional.ingredient.item
  • Added Mandatory Element
MedicationKnowledge.definitional.ingredient.type
  • Added Element
MedicationKnowledge.definitional.ingredient.strength[x]
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.type
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x]
  • Added Element
MedicationKnowledge.manufacturer
  • Deleted
MedicationKnowledge.doseForm
  • Deleted
MedicationKnowledge.amount
  • Deleted
MedicationKnowledge.synonym
  • Deleted
MedicationKnowledge.ingredient
  • Deleted
MedicationKnowledge.intendedRoute
  • Deleted
MedicationKnowledge.administrationGuidelines
  • Deleted
MedicationKnowledge.packaging.type
  • Deleted
MedicationKnowledge.packaging.quantity
  • Deleted
MedicationKnowledge.drugCharacteristic
  • Deleted
MedicationKnowledge.contraindication
  • Deleted
MedicationKnowledge.regulatory.schedule.schedule
  • Deleted
MedicationKnowledge.kinetics
  • Deleted
MedicationRequest
MedicationRequest.basedOn
  • Type Reference: Added Target Type RequestOrchestration
MedicationRequest.status
  • Add code ended
MedicationRequest.statusChanged
  • Added Element
MedicationRequest.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource
  • Added Element
MedicationRequest.reported
  • Renamed from reported[x] to reported
  • Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.performerType
  • Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Types DeviceDefinition, HealthcareService
  • Type Reference: Removed Target Type Device
MedicationRequest.device
  • Added Element
MedicationRequest.reason
  • Added Element
MedicationRequest.courseOfTherapyType
  • Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.renderedDosageInstruction
  • Added Element
MedicationRequest.effectiveDosePeriod
  • Added Element
MedicationRequest.dispenseRequest.dispenser
  • Added Element
MedicationRequest.dispenseRequest.dispenserInstruction
  • Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid
  • Added Element
MedicationRequest.reasonCode
  • Deleted (-> reason)
MedicationRequest.reasonReference
  • Deleted (-> reason)
MedicationRequest.instantiatesCanonical
  • Deleted
MedicationRequest.instantiatesUri
  • Deleted
MedicationRequest.dispenseRequest.performer
  • Deleted
MedicationRequest.detectedIssue
  • Deleted
MedicationStatement
MedicationStatement.partOf
  • Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status
  • Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken
  • Add codes recorded , draft
MedicationStatement.category
  • Max Cardinality changed from 1 to *
MedicationStatement.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter
  • Renamed from context to encounter
  • Type Reference: Removed Target Type EpisodeOfCare
MedicationStatement.effective[x]
  • Add Type Timing
MedicationStatement.informationSource
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Device
MedicationStatement.reason
  • Added Element
MedicationStatement.relatedClinicalInformation
  • Added Element
MedicationStatement.renderedDosageInstruction
  • Added Element
MedicationStatement.adherence
  • Added Element
MedicationStatement.adherence.code
  • Added Mandatory Element
MedicationStatement.adherence.reason
  • Added Element
MedicationStatement.basedOn
  • Deleted
MedicationStatement.statusReason
  • Deleted
MedicationStatement.reasonCode
  • Deleted (-> reason)
MedicationStatement.reasonReference
  • Deleted (-> reason)
MedicinalProductDefinition
  • Added Resource
MessageDefinition
MessageDefinition.versionAlgorithm[x]
  • Added Element
MessageDefinition.copyrightLabel
  • Added Element
MessageDefinition.focus.code
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
MessageDefinition.graph
  • Max Cardinality changed from * to 1
MessageHeader
MessageHeader.event[x]
  • Add Type canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]
  • Renamed from endpoint to endpoint[x]
  • Min Cardinality changed from 1 to 0
  • Add Type Reference(Endpoint)
MessageHeader.destination.receiver
  • Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.endpoint[x]
  • Renamed from endpoint to endpoint[x]
  • Min Cardinality changed from 1 to 0
  • Add Type Reference(Endpoint)
MessageHeader.source.sender
  • Added Element
MessageHeader.response.identifier
  • Type changed from id to Identifier
MessageHeader.destination.target
  • Deleted
MessageHeader.sender
  • Deleted
MessageHeader.enterer
  • Deleted
MessageHeader.author
  • Deleted
MessageHeader.responsible
  • Deleted
MetadataResource
MetadataResource.approvalDate
  • Added Element
MetadataResource.lastReviewDate
  • Added Element
MetadataResource.effectivePeriod
  • Added Element
MetadataResource.topic
  • Added Element
MetadataResource.author
  • Added Element
MetadataResource.editor
  • Added Element
MetadataResource.reviewer
  • Added Element
MetadataResource.endorser
  • Added Element
MetadataResource.relatedArtifact
  • Added Element
MetadataResource.url
  • Deleted (-> CanonicalResource)
MetadataResource.version
  • Deleted (-> CanonicalResource)
MetadataResource.name
  • Deleted (-> CanonicalResource)
MetadataResource.title
  • Deleted (-> CanonicalResource)
MetadataResource.status
  • Deleted (-> CanonicalResource)
MetadataResource.experimental
  • Deleted (-> CanonicalResource)
MetadataResource.date
  • Deleted (-> CanonicalResource)
MetadataResource.publisher
  • Deleted (-> CanonicalResource)
MetadataResource.contact
  • Deleted (-> CanonicalResource)
MetadataResource.description
  • Deleted (-> CanonicalResource)
MetadataResource.useContext
  • Deleted (-> CanonicalResource)
MetadataResource.jurisdiction
  • Deleted (-> CanonicalResource)
MolecularDefinition
  • Added Resource
MolecularSequence
MolecularSequence.literal
  • Added Element
MolecularSequence.literal.sequenceValue
  • Added Mandatory Element
MolecularSequence.file
  • Added Element
MolecularSequence.relative
  • Added Element
MolecularSequence.relative.startingSequence
  • Added Mandatory Element
MolecularSequence.relative.edit
  • Added Element
MolecularSequence.relative.edit.editOrder
  • Added Element
MolecularSequence.relative.edit.coordinateSystem
  • Added Mandatory Element
MolecularSequence.relative.edit.start
  • Added Mandatory Element
MolecularSequence.relative.edit.end
  • Added Mandatory Element
MolecularSequence.relative.edit.replacementSequence
  • Added Mandatory Element
MolecularSequence.relative.edit.replacedSequence
  • Added Element
MolecularSequence.extracted
  • Added Element
MolecularSequence.extracted.startingSequence
  • Added Mandatory Element
MolecularSequence.extracted.start
  • Added Mandatory Element
MolecularSequence.extracted.end
  • Added Mandatory Element
MolecularSequence.extracted.coordinateSystem
  • Added Mandatory Element
MolecularSequence.extracted.reverseComplement
  • Added Element
MolecularSequence.repeated
  • Added Element
MolecularSequence.repeated.sequenceMotif
  • Added Mandatory Element
MolecularSequence.repeated.copyCount
  • Added Mandatory Element
MolecularSequence.concatenated
  • Added Element
MolecularSequence.concatenated.sequenceElement
  • Added Mandatory Element
MolecularSequence.concatenated.sequenceElement.sequence
  • Added Mandatory Element
MolecularSequence.concatenated.sequenceElement.ordinalIndex
  • Added Mandatory Element
MolecularSequence.coordinateSystem
  • Deleted (>relative.coordinateSystem)
MolecularSequence.patient
  • Deleted
MolecularSequence.specimen
  • Deleted
MolecularSequence.device
  • Deleted
MolecularSequence.performer
  • Deleted
MolecularSequence.quantity
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.referenceSeq
  • Deleted (->relative.startingSequence.sequence[x])
MolecularSequence.variant
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.observedSeq
  • Deleted (->relative.startingSequence.sequenceString)
MolecularSequence.quality
  • Deleted (Removed from the resource.)
MolecularSequence.readCoverage
  • Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.repository
  • Deleted (->formatted)
MolecularSequence.pointer
  • Deleted (->relative)
MolecularSequence.structureVariant
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
NamingSystem
NamingSystem.url
  • Added Element
NamingSystem.identifier
  • Added Element
NamingSystem.version
  • Added Element
NamingSystem.versionAlgorithm[x]
  • Added Element
NamingSystem.title
  • Added Element
NamingSystem.experimental
  • Added Element
NamingSystem.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.purpose
  • Added Element
NamingSystem.copyright
  • Added Element
NamingSystem.copyrightLabel
  • Added Element
NamingSystem.approvalDate
  • Added Element
NamingSystem.lastReviewDate
  • Added Element
NamingSystem.effectivePeriod
  • Added Element
NamingSystem.topic
  • Added Element
NamingSystem.author
  • Added Element
NamingSystem.editor
  • Added Element
NamingSystem.reviewer
  • Added Element
NamingSystem.endorser
  • Added Element
NamingSystem.relatedArtifact
  • Added Element
NamingSystem.uniqueId.type
  • Add codes iri-stem , v2csmnemonic
NamingSystem.uniqueId.authoritative
  • Added Element
NutritionIntake
  • Added Resource
NutritionOrder
NutritionOrder.basedOn
  • Added Element
NutritionOrder.groupIdentifier
  • Added Element
NutritionOrder.priority
  • Added Element
NutritionOrder.subject
  • Added Mandatory Element
NutritionOrder.supportingInformation
  • Added Element
NutritionOrder.performer
  • Added Element
NutritionOrder.outsideFoodAllowed
  • Added Element
NutritionOrder.oralDiet.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.oralDiet.schedule.timing
  • Added Element
NutritionOrder.oralDiet.schedule.asNeeded
  • Added Element
NutritionOrder.oralDiet.schedule.asNeededFor
  • Added Element
NutritionOrder.oralDiet.texture.type
  • Added Element
NutritionOrder.oralDiet.caloricDensity
  • Added Element
NutritionOrder.supplement.type
  • Type changed from CodeableConcept to CodeableReference
NutritionOrder.supplement.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.supplement.schedule.timing
  • Added Element
NutritionOrder.supplement.schedule.asNeeded
  • Added Element
NutritionOrder.supplement.schedule.asNeededFor
  • Added Element
NutritionOrder.supplement.caloricDensity
  • Added Element
NutritionOrder.enteralFormula.type
  • Added Element
NutritionOrder.enteralFormula.productName
  • Added Element
NutritionOrder.enteralFormula.deliveryDevice
  • Added Element
NutritionOrder.enteralFormula.routeOfAdministration
  • Added Element
NutritionOrder.enteralFormula.administration.schedule
  • Type changed from Timing to BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor
  • Added Element
NutritionOrder.enteralFormula.maxVolumeToAdminister
  • Added Element
NutritionOrder.enteralFormula.administrationInstruction
  • Type changed from string to markdown
NutritionOrder.additive
  • Added Element
NutritionOrder.additive.modularType
  • Added Element
NutritionOrder.additive.productName
  • Added Element
NutritionOrder.additive.quantity
  • Added Element
NutritionOrder.patient
  • Deleted
NutritionOrder.oralDiet.texture.foodType
  • Deleted
NutritionOrder.oralDiet.fluidConsistencyType
  • Deleted
NutritionOrder.enteralFormula.baseFormulaType
  • Deleted
NutritionOrder.enteralFormula.baseFormulaProductName
  • Deleted
NutritionOrder.enteralFormula.additiveType
  • Deleted
NutritionOrder.enteralFormula.additiveProductName
  • Deleted
NutritionOrder.enteralFormula.routeofAdministration
  • Deleted
NutritionOrder.enteralFormula.maxVolumeToDeliver
  • Deleted
NutritionProduct
  • Added Resource
Observation
Observation.instantiates[x]
  • Added Element
Observation.triggeredBy
  • Added Element
Observation.triggeredBy.observation
  • Added Mandatory Element
Observation.triggeredBy.type
  • Added Mandatory Element
Observation.triggeredBy.reason
  • Added Element
Observation.partOf
  • Type Reference: Added Target Type GenomicStudy
Observation.status
  • Add codes specimen-in-process , appended , cannot-be-obtained
Observation.subject
  • Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
Observation.focus
  • Now marked as Modifier
Observation.value[x]
  • Add Types Attachment, Reference(MolecularSequence)
Observation.bodyStructure
  • Added Element
Observation.specimen
  • Type Reference: Added Target Type Group
Observation.referenceRange.normalValue
  • Added Element
Observation.referenceRange.text
  • Type changed from string to markdown
Observation.derivedFrom
  • Type Reference: Added Target Types ImagingSelection, GenomicStudy
  • Type Reference: Removed Target Type Media
Observation.component.value[x]
  • Add Types Attachment, Reference(MolecularSequence)
ObservationDefinition
ObservationDefinition.url
  • Added Element
ObservationDefinition.identifier
  • Max Cardinality changed from * to 1
ObservationDefinition.version
  • Added Element
ObservationDefinition.versionAlgorithm[x]
  • Added Element
ObservationDefinition.name
  • Added Element
ObservationDefinition.title
  • Added Element
ObservationDefinition.status
  • Added Mandatory Element
ObservationDefinition.experimental
  • Added Element
ObservationDefinition.date
  • Added Element
ObservationDefinition.publisher
  • Added Element
ObservationDefinition.contact
  • Added Element
ObservationDefinition.description
  • Added Element
ObservationDefinition.useContext
  • Added Element
ObservationDefinition.jurisdiction
  • Added Element
ObservationDefinition.purpose
  • Added Element
ObservationDefinition.copyright
  • Added Element
ObservationDefinition.copyrightLabel
  • Added Element
ObservationDefinition.approvalDate
  • Added Element
ObservationDefinition.lastReviewDate
  • Added Element
ObservationDefinition.effectivePeriod
  • Added Element
ObservationDefinition.derivedFromCanonical
  • Added Element
ObservationDefinition.derivedFromUri
  • Added Element
ObservationDefinition.subject
  • Added Element
ObservationDefinition.performerType
  • Added Element
ObservationDefinition.bodySite
  • Added Element
ObservationDefinition.specimen
  • Added Element
ObservationDefinition.device
  • Added Element
ObservationDefinition.permittedUnit
  • Added Element
ObservationDefinition.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedValue.context
  • Added Element
ObservationDefinition.qualifiedValue.appliesTo
  • Added Element
ObservationDefinition.qualifiedValue.gender
  • Added Element
ObservationDefinition.qualifiedValue.age
  • Added Element
ObservationDefinition.qualifiedValue.gestationalAge
  • Added Element
ObservationDefinition.qualifiedValue.condition
  • Added Element
ObservationDefinition.qualifiedValue.rangeCategory
  • Added Element
ObservationDefinition.qualifiedValue.range
  • Added Element
ObservationDefinition.qualifiedValue.validCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.normalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.abnormalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.criticalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.interpretation
  • Added Element
ObservationDefinition.hasMember
  • Added Element
ObservationDefinition.component
  • Added Element
ObservationDefinition.component.code
  • Added Mandatory Element
ObservationDefinition.component.permittedDataType
  • Added Element
ObservationDefinition.component.permittedUnit
  • Added Element
ObservationDefinition.component.qualifiedValue
  • Added Element
ObservationDefinition.quantitativeDetails
  • Deleted
ObservationDefinition.qualifiedInterval
  • Deleted
ObservationDefinition.validCodedValueSet
  • Deleted
ObservationDefinition.normalCodedValueSet
  • Deleted
ObservationDefinition.abnormalCodedValueSet
  • Deleted
ObservationDefinition.criticalCodedValueSet
  • Deleted
OperationDefinition
OperationDefinition.identifier
  • Added Element
OperationDefinition.versionAlgorithm[x]
  • Added Element
OperationDefinition.copyright
  • Added Element
OperationDefinition.copyrightLabel
  • Added Element
OperationDefinition.resource
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition , InsuranceProduct
OperationDefinition.parameter.scope
  • Added Element
OperationDefinition.parameter.documentation
  • Type changed from string to markdown
OperationDefinition.parameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , SubstanceAmount , CatalogEntry , DeviceUseStatement , DocumentManifest , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , SubstanceSpecification , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , CodeableReference , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , RatioRange , VirtualServiceDetail , ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
OperationDefinition.parameter.allowedType
  • Added Element
OperationOutcome
OperationOutcome.issue.severity
  • Add code success
OperationOutcome.issue.code
  • Add codes limited-filter , success
Organization
Organization.description
  • Added Element
Organization.contact
  • Type changed from BackboneElement to ExtendedContactDetail
Organization.qualification
  • Added Element
Organization.qualification.identifier
  • Added Element
Organization.qualification.code
  • Added Mandatory Element
Organization.qualification.status
  • Added Element
Organization.qualification.period
  • Added Element
Organization.qualification.issuer
  • Added Element
Organization.telecom
  • Deleted (-> Use contact.telecom to provide context of use)
Organization.address
  • Deleted (-> Use contact.address to provide context of use)
Organization.contact.purpose
  • Deleted (-> Organization.contact.purpose)
Organization.contact.name
  • Deleted (-> Organization.contact.name)
Organization.contact.telecom
  • Deleted (-> Organization.contact.telecom)
Organization.contact.address
  • Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact
  • Added Element
OrganizationAffiliation.telecom
  • Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition
  • Added Resource
Parameters
Parameters.parameter.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Patient
Patient.contact.relationship
  • Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role
  • Added Element
Patient.contact.additionalName
  • Added Element
Patient.contact.additionalAddress
  • Added Element
Patient.communication.language
PaymentNotice
PaymentNotice.reporter
  • Added Element
PaymentNotice.payment
  • Min Cardinality changed from 1 to 0
PaymentNotice.provider
  • Deleted
PaymentReconciliation
PaymentReconciliation.type
  • Added Mandatory Element
PaymentReconciliation.kind
  • Added Element
PaymentReconciliation.enterer
  • Added Element
PaymentReconciliation.issuerType
  • Added Element
PaymentReconciliation.paymentIssuer
  • Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Payment Outcome
PaymentReconciliation.date
  • Added Mandatory Element
PaymentReconciliation.location
  • Added Element
PaymentReconciliation.method
  • Added Element
PaymentReconciliation.cardBrand
  • Added Element
PaymentReconciliation.accountNumber
  • Added Element
PaymentReconciliation.expirationDate
  • Added Element
PaymentReconciliation.processor
  • Added Element
PaymentReconciliation.referenceNumber
  • Added Element
PaymentReconciliation.authorization
  • Added Element
PaymentReconciliation.tenderedAmount
  • Added Element
PaymentReconciliation.returnedAmount
  • Added Element
PaymentReconciliation.amount
  • Added Mandatory Element
PaymentReconciliation.allocation
  • Added Element
PaymentReconciliation.allocation.identifier
  • Added Element
PaymentReconciliation.allocation.predecessor
  • Added Element
PaymentReconciliation.allocation.target
  • Added Element
PaymentReconciliation.allocation.targetItem[x]
  • Added Element
PaymentReconciliation.allocation.encounter
  • Added Element
PaymentReconciliation.allocation.account
  • Added Element
PaymentReconciliation.allocation.type
  • Added Element
PaymentReconciliation.allocation.submitter
  • Added Element
PaymentReconciliation.allocation.response
  • Added Element
PaymentReconciliation.allocation.date
  • Added Element
PaymentReconciliation.allocation.responsible
  • Added Element
PaymentReconciliation.allocation.payee
  • Added Element
PaymentReconciliation.allocation.amount
  • Added Element
PaymentReconciliation.paymentDate
  • Deleted
PaymentReconciliation.paymentAmount
  • Deleted
PaymentReconciliation.detail
  • Deleted
Permission
  • Added Resource
Person
Person.deceased[x]
  • Added Element
Person.maritalStatus
  • Added Element
Person.photo
  • Max Cardinality changed from 1 to *
Person.communication
  • Added Element
Person.communication.language
  • Added Mandatory Element
Person.communication.preferred
  • Added Element
PersonalRelationship
  • Added Resource
PlanDefinition
PlanDefinition.versionAlgorithm[x]
  • Added Element
PlanDefinition.subject[x]
  • Add Type canonical(EvidenceVariable)
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.usage
  • Type changed from string to markdown
PlanDefinition.copyrightLabel
  • Added Element
PlanDefinition.goal.target.detail[x]
  • Add Types string, boolean, integer, Ratio
PlanDefinition.actor
  • Added Element
PlanDefinition.actor.title
  • Added Element
PlanDefinition.actor.description
  • Added Element
PlanDefinition.actor.option
  • Added Mandatory Element
PlanDefinition.actor.option.type
  • Added Element
PlanDefinition.actor.option.typeCanonical
  • Added Element
PlanDefinition.actor.option.typeReference
  • Added Element
PlanDefinition.actor.option.role
  • Added Element
PlanDefinition.action.linkId
  • Added Element
PlanDefinition.action.description
  • Type changed from string to markdown
PlanDefinition.action.textEquivalent
  • Type changed from string to markdown
PlanDefinition.action.code
  • Max Cardinality changed from * to 1
PlanDefinition.action.subject[x]
  • Add Type canonical
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title
  • Added Element
PlanDefinition.action.input.requirement
  • Added Element
PlanDefinition.action.input.relatedData
  • Added Element
PlanDefinition.action.output
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title
  • Added Element
PlanDefinition.action.output.requirement
  • Added Element
PlanDefinition.action.output.relatedData
  • Added Element
PlanDefinition.action.relatedAction.targetId
  • Added Mandatory Element
PlanDefinition.action.relatedAction.endRelationship
  • Added Element
PlanDefinition.action.timing[x]
  • Remove Types dateTime, Period
PlanDefinition.action.location
  • Added Element
PlanDefinition.action.participant.actorId
  • Added Element
PlanDefinition.action.participant.type
  • Min Cardinality changed from 1 to 0
  • Remove code related-person
  • Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
PlanDefinition.action.participant.typeCanonical
  • Added Element
PlanDefinition.action.participant.typeReference
  • Added Element
PlanDefinition.action.participant.function
  • Added Element
PlanDefinition.asNeeded[x]
  • Added Element
PlanDefinition.action.relatedAction.actionId
  • Deleted (PlanDefinition.action.relatedAction.targetId)
Practitioner
Practitioner.active
  • Now marked as Modifier
Practitioner.deceased[x]
  • Added Element
Practitioner.qualification.status
  • Added Element
Practitioner.communication
  • Type changed from CodeableConcept to BackboneElement
  • Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
Practitioner.communication.language
  • Added Mandatory Element
Practitioner.communication.preferred
  • Added Element
PractitionerRole
PractitionerRole.display
  • Added Element
PractitionerRole.contact
  • Added Element
PractitionerRole.characteristic
  • Added Element
PractitionerRole.communication
  • Added Element
PractitionerRole.availability
  • Added Element
PractitionerRole.telecom
  • Deleted (-> PractitionerRole.contact.telecom)
PractitionerRole.availableTime
  • Deleted (-> PractitionerRole.availability.availableTime)
PractitionerRole.notAvailable
  • Deleted (-> PractitionerRole.availability.notAvailableTime)
PractitionerRole.availabilityExceptions
  • Deleted (-> PractitionerRole.availability.notAvailableTime.description)
Procedure
Procedure.basedOn
  • Type Reference: Added Target Type MedicationRequest
Procedure.category
  • Max Cardinality changed from 1 to *
Procedure.subject
  • Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus
  • Added Element
Procedure.occurrence[x]
  • Added Element
Procedure.recorded
  • Added Element
Procedure.reported[x]
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.performer.period
  • Added Element
Procedure.reason
  • Added Element
Procedure.bodyStructure
  • Added Element
Procedure.outcome
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Procedure.complication
  • Type changed from CodeableConcept to CodeableReference
Procedure.followUp
  • Type changed from CodeableConcept to CodeableReference
Procedure.used
  • Added Element
Procedure.supportingInfo
  • Added Element
Procedure.performed[x]
  • Deleted
Procedure.asserter
  • Deleted (-> Procedure.reportedReference)
Procedure.reasonCode
  • Deleted (-> Procedure.reason)
Procedure.reasonReference
  • Deleted (-> Procedure.reason)
Procedure.complicationDetail
  • Deleted (-> Procedure.complication)
Procedure.usedReference
  • Deleted (-> Procedure.used)
Procedure.usedCode
  • Deleted (-> Procedure.used)
Provenance
Provenance.recorded
  • Min Cardinality changed from 1 to 0
Provenance.authorization
  • Renamed from reason to authorization
  • Type changed from CodeableConcept to CodeableReference
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Provenance.why
  • Added Element
Provenance.activity
  • Remove Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
Provenance.basedOn
  • Added Element
Provenance.patient
  • Added Element
Provenance.encounter
  • Added Element
Provenance.agent.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who
  • Type Reference: Added Target Types CareTeam, Group
Provenance.agent.onBehalfOf
  • Type Reference: Added Target Types CareTeam, Group
  • Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role
  • Remove code derivation
  • Add code instantiates
Questionnaire
Questionnaire.versionAlgorithm[x]
  • Added Element
Questionnaire.subjectType
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
Questionnaire.copyrightLabel
  • Added Element
Questionnaire.item.type
  • Remove codes choice , open-choice
  • Add codes question , coding
Questionnaire.item.disabledDisplay
  • Added Element
Questionnaire.item.answerConstraint
  • Added Element
QuestionnaireResponse
QuestionnaireResponse.identifier
  • Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire
  • Min Cardinality changed from 0 to 1
QuestionnaireResponse.source
  • Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.answer.value[x]
  • Min Cardinality changed from 0 to 1
  • Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization
  • Added Resource
RelatedPerson
RelatedPerson.role
  • Added Element
RelatedPerson.communication.language
RequestOrchestration
  • Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration
  • Moved from RequestGroup to RequestOrchestration
RequestOrchestration.subject
  • Type Reference: Added Target Types CareTeam, Device, HealthcareService, Location, Organization, Practitioner, PractitionerRole, RelatedPerson
RequestOrchestration.reason
  • Added Element
RequestOrchestration.goal
  • Added Element
RequestOrchestration.action.linkId
  • Added Element
RequestOrchestration.action.description
  • Type changed from string to markdown
RequestOrchestration.action.textEquivalent
  • Type changed from string to markdown
RequestOrchestration.action.goal
  • Added Element
RequestOrchestration.action.input
  • Added Element
RequestOrchestration.action.input.title
  • Added Element
RequestOrchestration.action.input.requirement
  • Added Element
RequestOrchestration.action.input.relatedData
  • Added Element
RequestOrchestration.action.output
  • Added Element
RequestOrchestration.action.output.title
  • Added Element
RequestOrchestration.action.output.requirement
  • Added Element
RequestOrchestration.action.output.relatedData
  • Added Element
RequestOrchestration.action.relatedAction.targetId
  • Added Mandatory Element
RequestOrchestration.action.relatedAction.endRelationship
  • Added Element
RequestOrchestration.action.location
  • Added Element
RequestOrchestration.action.participant
  • Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement
RequestOrchestration.action.participant.type
  • Added Element
RequestOrchestration.action.participant.typeCanonical
  • Added Element
RequestOrchestration.action.participant.typeReference
  • Added Element
RequestOrchestration.action.participant.role
  • Added Element
RequestOrchestration.action.participant.function
  • Added Element
RequestOrchestration.action.participant.actor[x]
  • Added Element
RequestOrchestration.action.definition[x]
  • Added Element
RequestOrchestration.action.transform
  • Added Element
RequestOrchestration.action.dynamicValue
  • Added Element
RequestOrchestration.action.dynamicValue.path
  • Added Element
RequestOrchestration.action.dynamicValue.expression
  • Added Element
RequestGroup.reasonCode
  • Deleted
RequestGroup.reasonReference
  • Deleted
RequestGroup.action.relatedAction.actionId
  • Deleted
Requirements
  • Added Resource
ResearchStudy
ResearchStudy.url
  • Added Element
ResearchStudy.version
  • Added Element
ResearchStudy.name
  • Added Element
ResearchStudy.label
  • Added Element
ResearchStudy.label.type
  • Added Element
ResearchStudy.label.value
  • Added Element
ResearchStudy.date
  • Added Element
ResearchStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to PublicationStatus
  • Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn
  • Add codes draft , retired , unknown
ResearchStudy.primaryPurposeType
  • Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
ResearchStudy.studyDesign
  • Added Element
ResearchStudy.focus
  • Type changed from CodeableConcept to CodeableReference
ResearchStudy.region
  • Added Element
ResearchStudy.descriptionSummary
  • Added Element
ResearchStudy.site
  • Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier
  • Added Element
ResearchStudy.associatedParty
  • Added Element
ResearchStudy.associatedParty.name
  • Added Element
ResearchStudy.associatedParty.role
  • Added Mandatory Element
ResearchStudy.associatedParty.period
  • Added Element
ResearchStudy.associatedParty.classifier
  • Added Element
ResearchStudy.associatedParty.party
  • Added Element
ResearchStudy.progressStatus
  • Added Element
ResearchStudy.progressStatus.state
  • Added Mandatory Element
ResearchStudy.progressStatus.actual
  • Added Element
ResearchStudy.progressStatus.period
  • Added Element
ResearchStudy.whyStopped
  • Added Element
ResearchStudy.recruitment
  • Added Element
ResearchStudy.recruitment.targetNumber
  • Added Element
ResearchStudy.recruitment.actualNumber
  • Added Element
ResearchStudy.recruitment.eligibility
  • Added Element
ResearchStudy.recruitment.actualGroup
  • Added Element
ResearchStudy.comparisonGroup
  • Added Element
ResearchStudy.comparisonGroup.linkId
  • Added Element
ResearchStudy.comparisonGroup.name
  • Added Mandatory Element
ResearchStudy.comparisonGroup.type
  • Added Element
ResearchStudy.comparisonGroup.description
  • Added Element
ResearchStudy.comparisonGroup.intendedExposure
  • Added Element
ResearchStudy.comparisonGroup.observedGroup
  • Added Element
ResearchStudy.objective.description
  • Added Element
ResearchStudy.outcomeMeasure
  • Added Element
ResearchStudy.outcomeMeasure.name
  • Added Element
ResearchStudy.outcomeMeasure.type
  • Added Element
ResearchStudy.outcomeMeasure.description
  • Added Element
ResearchStudy.outcomeMeasure.reference
  • Added Element
ResearchStudy.result
  • Added Element
ResearchStudy.category
  • Deleted
ResearchStudy.contact
  • Deleted
ResearchStudy.location
  • Deleted
ResearchStudy.enrollment
  • Deleted
ResearchStudy.sponsor
  • Deleted
ResearchStudy.principalInvestigator
  • Deleted
ResearchStudy.reasonStopped
  • Deleted
ResearchStudy.arm
  • Deleted
ResearchSubject
ResearchSubject.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to PublicationStatus
  • Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn
  • Add codes draft , active , retired , unknown
ResearchSubject.subject
  • Added Mandatory Element
ResearchSubject.subjectState
  • Added Element
ResearchSubject.subjectState.code
  • Added Mandatory Element
ResearchSubject.subjectState.startDate
  • Added Mandatory Element
ResearchSubject.subjectState.endDate
  • Added Element
ResearchSubject.subjectState.reason
  • Added Element
ResearchSubject.subjectMilestone
  • Added Element
ResearchSubject.subjectMilestone.milestone
  • Added Mandatory Element
ResearchSubject.subjectMilestone.date
  • Added Element
ResearchSubject.subjectMilestone.reason
  • Added Element
ResearchSubject.assignedComparisonGroup
  • Added Element
ResearchSubject.actualComparisonGroup
  • Added Element
ResearchSubject.consent
  • Max Cardinality changed from 1 to *
ResearchSubject.individual
  • Deleted
ResearchSubject.assignedArm
  • Deleted
ResearchSubject.actualArm
  • Deleted
Resource
Resource.language
RiskAssessment
RiskAssessment.status
  • Add codes specimen-in-process , appended , cannot-be-obtained
RiskAssessment.performer
  • Type Reference: Added Target Types Patient, RelatedPerson
RiskAssessment.reason
  • Added Element
RiskAssessment.reasonCode
  • Deleted (-> reason)
RiskAssessment.reasonReference
  • Deleted (-> reason)
Schedule
Schedule.serviceType
  • Type changed from CodeableConcept to CodeableReference
Schedule.name
  • Added Element
Schedule.actor
  • Type Reference: Added Target Type CareTeam
Schedule.comment
  • Type changed from string to markdown
SearchParameter
SearchParameter.identifier
  • Added Element
SearchParameter.versionAlgorithm[x]
  • Added Element
SearchParameter.title
  • Added Element
SearchParameter.copyright
  • Added Element
SearchParameter.copyrightLabel
  • Added Element
SearchParameter.base
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition , InsuranceProduct
SearchParameter.processingMode
  • Renamed from xpathUsage to processingMode
  • Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to Search Processing Mode Type
  • Remove codes nearby , distance
SearchParameter.constraint
  • Added Element
SearchParameter.target
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , MolecularDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , PersonalRelationship , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition , InsuranceProduct
SearchParameter.modifier
  • Remove code ofType
  • Add codes of-type , code-text , text-advanced , iterate
SearchParameter.xpath
  • Deleted (XPath removed due to lack of use and maintenance)
ServiceRequest
ServiceRequest.basedOn
  • Type Reference: Added Target Types RequestOrchestration, NutritionOrder
ServiceRequest.code
  • Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail
  • Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus
  • Added Element
ServiceRequest.orderDetail.parameter
  • Added Mandatory Element
ServiceRequest.orderDetail.parameter.code
  • Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]
  • Added Mandatory Element
ServiceRequest.focus
  • Added Element
ServiceRequest.location
  • Added Element
ServiceRequest.reason
  • Added Element
ServiceRequest.supportingInfo
  • Type changed from Reference(Resource) to CodeableReference
ServiceRequest.bodyStructure
  • Added Element
ServiceRequest.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]
  • Added Element
ServiceRequest.locationCode
  • Deleted
ServiceRequest.locationReference
  • Deleted
ServiceRequest.reasonCode
  • Deleted (-> reason)
ServiceRequest.reasonReference
  • Deleted (-> reason)
Slot
Slot.serviceType
  • Type changed from CodeableConcept to CodeableReference
Slot.appointmentType
  • Max Cardinality changed from 1 to *
Specimen
Specimen.subject
  • Type Reference: Added Target Type BiologicallyDerivedProduct
Specimen.combined
  • Added Element
Specimen.role
  • Added Element
Specimen.feature
  • Added Element
Specimen.feature.type
  • Added Mandatory Element
Specimen.feature.description
  • Added Mandatory Element
Specimen.collection.collector
  • Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device
  • Added Element
Specimen.collection.procedure
  • Added Element
Specimen.collection.bodySite
  • Type changed from CodeableConcept to CodeableReference
Specimen.processing.method
  • Added Element
Specimen.processing.performer
  • Added Element
Specimen.processing.device
  • Added Element
Specimen.processing.time[x]
  • Add Type Duration
Specimen.container.device
  • Added Mandatory Element
Specimen.processing.procedure
  • Deleted
Specimen.container.identifier
  • Deleted
Specimen.container.description
  • Deleted
Specimen.container.type
  • Deleted
Specimen.container.capacity
  • Deleted
Specimen.container.additive[x]
  • Deleted
SpecimenDefinition
SpecimenDefinition.url
  • Added Element
SpecimenDefinition.version
  • Added Element
SpecimenDefinition.versionAlgorithm[x]
  • Added Element
SpecimenDefinition.name
  • Added Element
SpecimenDefinition.title
  • Added Element
SpecimenDefinition.derivedFromCanonical
  • Added Element
SpecimenDefinition.derivedFromUri
  • Added Element
SpecimenDefinition.status
  • Added Mandatory Element
SpecimenDefinition.experimental
  • Added Element
SpecimenDefinition.subject[x]
  • Added Element
SpecimenDefinition.date
  • Added Element
SpecimenDefinition.publisher
  • Added Element
SpecimenDefinition.contact
  • Added Element
SpecimenDefinition.description
  • Added Element
SpecimenDefinition.useContext
  • Added Element
SpecimenDefinition.jurisdiction
  • Added Element
SpecimenDefinition.purpose
  • Added Element
SpecimenDefinition.copyright
  • Added Element
SpecimenDefinition.copyrightLabel
  • Added Element
SpecimenDefinition.approvalDate
  • Added Element
SpecimenDefinition.lastReviewDate
  • Added Element
SpecimenDefinition.effectivePeriod
  • Added Element
SpecimenDefinition.typeTested.container.description
  • Type changed from string to markdown
SpecimenDefinition.typeTested.container.preparation
  • Type changed from string to markdown
SpecimenDefinition.typeTested.requirement
  • Type changed from string to markdown
SpecimenDefinition.typeTested.singleUse
  • Added Element
SpecimenDefinition.typeTested.handling.instruction
  • Type changed from string to markdown
SpecimenDefinition.typeTested.testingDestination
  • Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]
  • Added Element
StructureDefinition.copyrightLabel
  • Added Element
StructureDefinition.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
StructureDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]
  • Added Element
StructureMap.copyrightLabel
  • Added Element
StructureMap.const
  • Added Element
StructureMap.const.name
  • Added Element
StructureMap.const.value
  • Added Element
StructureMap.group.typeMode
  • Min Cardinality changed from 1 to 0
  • Remove code none
StructureMap.group.rule
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.name
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.defaultValue
  • Renamed from defaultValue[x] to defaultValue
  • Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
StructureMap.group.rule.target.context
  • Type changed from id to string
StructureMap.group.rule.target.listMode
  • Remove code collate
  • Add code single
StructureMap.group.rule.target.parameter.value[x]
  • Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter
  • Renamed from variable to parameter
  • Remove Type string
StructureMap.group.rule.target.contextType
  • Deleted (now implied by context)
Subscription
Subscription.identifier
  • Added Element
Subscription.name
  • Added Element
Subscription.status
  • Add code entered-in-error
Subscription.topic
  • Added Mandatory Element
Subscription.managingEntity
  • Added Element
Subscription.reason
  • Min Cardinality changed from 1 to 0
Subscription.filterBy
  • Added Element
Subscription.filterBy.resource
  • Added Element
Subscription.filterBy.filterParameter
  • Added Mandatory Element
Subscription.filterBy.comparator
  • Added Element
Subscription.filterBy.modifier
  • Added Element
Subscription.filterBy.value
  • Added Mandatory Element
Subscription.filterBy.event
  • Added Element
Subscription.channelType
  • Added Mandatory Element
Subscription.endpoint
  • Added Element
Subscription.parameter
  • Added Element
Subscription.parameter.name
  • Added Mandatory Element
Subscription.parameter.value
  • Added Mandatory Element
Subscription.heartbeatPeriod
  • Added Element
Subscription.timeout
  • Added Element
Subscription.contentType
  • Added Element
Subscription.content
  • Added Element
Subscription.maxCount
  • Added Element
Subscription.criteria
  • Deleted
Subscription.error
  • Deleted
Subscription.channel
  • Deleted
SubscriptionStatus
  • Added Resource
SubscriptionTopic
  • Added Resource
Substance
Substance.instance
  • Min Cardinality changed from 0 to 1
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to boolean
  • Now marked as Modifier
Substance.code
  • Type changed from CodeableConcept to CodeableReference
Substance.description
  • Type changed from string to markdown
Substance.expiry
  • Moved from Substance.instance to Substance
Substance.quantity
  • Moved from Substance.instance to Substance
Substance.instance.identifier
  • Deleted (-> Substance.instance.identifier)
SubstanceDefinition
  • Added Resource
SubstanceNucleicAcid
  • No Changes
SubstancePolymer
SubstancePolymer.identifier
  • Added Element
SubstancePolymer.modification
  • Max Cardinality changed from * to 1
SubstancePolymer.monomerSet.startingMaterial.code
  • Renamed from material to code
SubstancePolymer.monomerSet.startingMaterial.category
  • Renamed from type to category
SubstancePolymer.monomerSet.startingMaterial.amount
  • Type changed from SubstanceAmount to Quantity
SubstancePolymer.repeat.repeatUnit.unit
  • Renamed from repeatUnit to unit
SubstancePolymer.repeat.repeatUnit.orientation
  • Renamed from orientationOfPolymerisation to orientation
SubstancePolymer.repeat.repeatUnit.amount
  • Type changed from SubstanceAmount to integer
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type
  • Renamed from degree to type
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high
  • Added Element
SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format
  • Added Element
SubstancePolymer.repeat.numberOfUnits
  • Deleted (not needed because this is the count of RepeatUnit children)
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount
  • Deleted (split into low, high, average)
SubstanceProtein
  • No Changes
SubstanceReferenceInformation
SubstanceReferenceInformation.classification
  • Deleted (attributes moved to SubstanceDefinition resource, then subtype removed (use classification), source renamed to informationSource)
SubstanceSourceMaterial
  • No Changes
SupplyDelivery
SupplyDelivery.status
  • Min Cardinality changed from 0 to 1
SupplyDelivery.type
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to Supply Delivery Supply Item Type
SupplyDelivery.stage
  • Added Mandatory Element
SupplyDelivery.suppliedItem
  • Max Cardinality changed from 1 to *
SupplyDelivery.suppliedItem.condition
  • Added Element
SupplyDelivery.destination
  • Type Reference: Added Target Types Practitioner, PractitionerRole, Organization
SupplyDelivery.receiver
  • Type Reference: Added Target Type Organization
SupplyRequest
SupplyRequest.intent
  • Added Mandatory Element
SupplyRequest.basedOn
  • Added Element
SupplyRequest.deliverFor
  • Added Element
SupplyRequest.item
  • Renamed from item[x] to item
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication | Substance | Device)
SupplyRequest.requester
  • Type Reference: Added Target Type CareTeam
SupplyRequest.reason
  • Added Element
SupplyRequest.deliverTo
  • Type Reference: Added Target Type RelatedPerson
SupplyRequest.reasonCode
  • Deleted (-> reason)
SupplyRequest.reasonReference
  • Deleted (-> reason)
Task
Task.statusReason
  • Type changed from CodeableConcept to CodeableReference
Task.doNotPerform
  • Added Element
Task.description
  • Type changed from string to markdown
Task.requestedPeriod
  • Added Element
Task.requestedPerformer
  • Added Element
Task.owner
  • Type Reference: Removed Target Types HealthcareService, Device
Task.performer
  • Added Element
Task.performer.function
  • Added Element
Task.performer.actor
  • Added Mandatory Element
Task.reason
  • Added Element
Task.input.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Task.output.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Task.performerType
  • Deleted (->Task.requestedPerformer)
Task.reasonCode
  • Deleted (-> reason)
Task.reasonReference
  • Deleted (-> reason)
TerminologyCapabilities
TerminologyCapabilities.identifier
  • Added Element
TerminologyCapabilities.versionAlgorithm[x]
  • Added Element
TerminologyCapabilities.copyrightLabel
  • Added Element
TerminologyCapabilities.implementation.description
  • Type changed from string to markdown
TerminologyCapabilities.codeSystem.version.language
  • Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2` (required)
TerminologyCapabilities.codeSystem.content
  • Added Mandatory Element
TerminologyCapabilities.expansion.parameter.documentation
  • Type changed from string to markdown
TerminologyCapabilities.codeSearch
  • Remove codes explicit , all
  • Add codes in-compose , in-expansion , in-compose-or-expansion
TestPlan
  • Added Resource
TestReport
TestReport.testScript
  • Type changed from Reference(TestScript) to canonical(TestScript)
TestReport.setup.action.assert.requirement
  • Added Element
TestReport.setup.action.assert.requirement.link[x]
  • Added Element
TestScript
TestScript.url
  • Min Cardinality changed from 1 to 0
TestScript.identifier
  • Max Cardinality changed from 1 to *
TestScript.versionAlgorithm[x]
  • Added Element
TestScript.copyrightLabel
  • Added Element
TestScript.origin.url
  • Added Element
TestScript.destination.url
  • Added Element
TestScript.scope
  • Added Element
TestScript.scope.artifact
  • Added Mandatory Element
TestScript.scope.conformance
  • Added Element
TestScript.scope.phase
  • Added Element
TestScript.profile
  • Type changed from Reference(Resource) to canonical(StructureDefinition)
TestScript.setup.action
  • Min Cardinality changed from 1 to 0
TestScript.setup.action.common
  • Added Element
TestScript.setup.action.common.testScript
  • Added Element
TestScript.setup.action.common.keyRef
  • Added Mandatory Element
TestScript.setup.action.common.parameter
  • Added Element
TestScript.setup.action.common.parameter.name
  • Added Mandatory Element
TestScript.setup.action.common.parameter.value
  • Added Mandatory Element
TestScript.setup.action.operation.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction"
TestScript.setup.action.operation.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to Concrete FHIR Types
TestScript.setup.action.assert.defaultManualCompletion
  • Added Element
TestScript.setup.action.assert.operator
  • Add code manualEval
TestScript.setup.action.assert.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to Concrete FHIR Types
TestScript.setup.action.assert.response
  • Remove codes bad , unprocessable
  • Add codes continue , switchingProtocols , accepted , nonAuthoritativeInformation , resetContent , partialContent , multipleChoices , movedPermanently , found , seeOther , useProxy , temporaryRedirect , permanentRedirect , badRequest , unauthorized , paymentRequired , notAcceptable , proxyAuthenticationRequired , requestTimeout , lengthRequired , contentTooLarge , uriTooLong , unsupportedMediaType , rangeNotSatisfiable , expectationFailed , misdirectedRequest , unprocessableContent , upgradeRequired , internalServerError , notImplemented , badGateway , serviceUnavailable , gatewayTimeout , httpVersionNotSupported
TestScript.setup.action.assert.stopTestOnFail
  • Added Mandatory Element
TestScript.setup.action.assert.requirement
  • Added Element
TestScript.setup.action.assert.requirement.reference
  • Added Mandatory Element
TestScript.setup.action.assert.requirement.key
  • Added Mandatory Element
TestScript.test.action
  • Min Cardinality changed from 1 to 0
TestScript.test.action.common
  • Added Element
TestScript.teardown.action.common
  • Added Element
TestScript.common
  • Added Element
TestScript.common.key
  • Added Mandatory Element
TestScript.common.name
  • Added Element
TestScript.common.description
  • Added Element
TestScript.common.parameter
  • Added Element
TestScript.common.parameter.name
  • Added Element
TestScript.common.parameter.description
  • Added Element
TestScript.common.action
  • Added Mandatory Element
TestScript.common.action.operation
  • Added Element
TestScript.common.action.assert
  • Added Element
Transport
  • Added Resource
ValueSet
ValueSet.versionAlgorithm[x]
  • Added Element
ValueSet.copyrightLabel
  • Added Element
ValueSet.approvalDate
  • Added Element
ValueSet.lastReviewDate
  • Added Element
ValueSet.effectivePeriod
  • Added Element
ValueSet.topic
  • Added Element
ValueSet.author
  • Added Element
ValueSet.editor
  • Added Element
ValueSet.reviewer
  • Added Element
ValueSet.endorser
  • Added Element
ValueSet.relatedArtifact
  • Added Element
ValueSet.compose.include.concept.designation.language
ValueSet.compose.include.concept.designation.additionalUse
  • Added Element
ValueSet.compose.include.filter.op
  • Add codes child-of , descendent-leaf
ValueSet.compose.include.copyright
  • Added Element
ValueSet.compose.property
  • Added Element
ValueSet.expansion.next
  • Added Element
ValueSet.expansion.property
  • Added Element
ValueSet.expansion.property.code
  • Added Mandatory Element
ValueSet.expansion.property.uri
  • Added Element
ValueSet.expansion.contains.property
  • Added Element
ValueSet.expansion.contains.property.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.value[x]
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty
  • Added Element
ValueSet.expansion.contains.property.subProperty.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty.value[x]
  • Added Mandatory Element
ValueSet.scope
  • Added Element
ValueSet.scope.inclusionCriteria
  • Added Element
ValueSet.scope.exclusionCriteria
  • Added Element
VerificationResult
VerificationResult.status
  • Add code entered-in-error
VisionPrescription
VisionPrescription.basedOn
  • Added Element
CatalogEntry
  • Deleted (removed in favor of definitional resources)
DeviceUseStatement
  • Deleted
DocumentManifest
  • Deleted (-> List)
EffectEvidenceSynthesis
  • Deleted
Media
  • Deleted (-> DocumentReference)
MedicinalProduct
  • Deleted (-> MedicinalProductDefinition)
MedicinalProductAuthorization
  • Deleted (-> RegulatedAuthorization)
MedicinalProductContraindication
  • Deleted (-> ClinicalUseDefinition)
MedicinalProductIndication
  • Deleted (-> ClinicalUseDefinition)
MedicinalProductIngredient
  • Deleted (-> Ingredient)
MedicinalProductInteraction
  • Deleted (-> ClinicalUseDefinition)
MedicinalProductManufactured
  • Deleted (-> ManufacturedItemDefinition)
MedicinalProductPackaged
  • Deleted (-> ProductPackagedDefinition)
MedicinalProductPharmaceutical
  • Deleted (-> AdmininistrableProductDefinition)
MedicinalProductUndesirableEffect
  • Deleted (-> ClinicalUseDefinition)
RequestGroup
  • Deleted
ResearchDefinition
  • Deleted
ResearchElementDefinition
  • Deleted
RiskEvidenceSynthesis
  • Deleted
SubstanceSpecification
  • Deleted
Types
Address
  • No Changes
Age
Age
Annotation
  • No Changes
Attachment
Attachment.language
Attachment.size
  • Type changed from unsignedInt to integer64
Attachment.height
  • Added Element
Attachment.width
  • Added Element
Attachment.frames
  • Added Element
Attachment.duration
  • Added Element
Attachment.pages
  • Added Element
Availability
  • Added Type
BackboneElement
  • No Changes
BackboneType
  • Added Type
Base
  • Added Type
CodeableConcept
  • No Changes
CodeableReference
  • No Changes
Coding
  • No Changes
ContactDetail
  • No Changes
ContactPoint
  • No Changes
Contributor
  • No Changes
Count
  • No Changes
DataRequirement
DataRequirement.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , VirtualServiceDetail , ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
DataRequirement.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter
  • Added Element
DataRequirement.valueFilter.path
  • Added Element
DataRequirement.valueFilter.searchParam
  • Added Element
DataRequirement.valueFilter.comparator
  • Added Element
DataRequirement.valueFilter.value[x]
  • Added Element
DataType
  • Added Type
Distance
Distance
Dosage
Dosage.asNeeded
  • Renamed from asNeeded[x] to asNeeded
  • Remove Type CodeableConcept
Dosage.asNeededFor
  • Added Element
Dosage.maxDosePerPeriod
  • Max Cardinality changed from 1 to *
Duration
Duration
Element
Element.id
  • Type changed from id to string
ElementDefinition
ElementDefinition.slicing.discriminator.type
  • Add code position
ElementDefinition.type.code
ElementDefinition.defaultValue[x]
  • Add Types integer64, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.fixed[x]
  • Add Types integer64, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.pattern[x]
  • Add Types integer64, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.example.value[x]
  • Add Types integer64, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.minValue[x]
  • Add Type integer64
ElementDefinition.maxValue[x]
  • Add Type integer64
ElementDefinition.constraint.requirements
  • Type changed from string to markdown
ElementDefinition.constraint.suppress
  • Added Element
ElementDefinition.mustHaveValue
  • Added Element
ElementDefinition.valueAlternatives
  • Added Element
ElementDefinition.binding.description
  • Type changed from string to markdown
ElementDefinition.binding.additional
  • Added Element
ElementDefinition.binding.additional.purpose
  • Added Mandatory Element
ElementDefinition.binding.additional.valueSet
  • Added Mandatory Element
ElementDefinition.binding.additional.documentation
  • Added Element
ElementDefinition.binding.additional.shortDoco
  • Added Element
ElementDefinition.binding.additional.usage
  • Added Element
ElementDefinition.binding.additional.any
  • Added Element
ElementDefinition.mapping.comment
  • Type changed from string to markdown
ElementDefinition.constraint.xpath
  • Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name
  • Type changed from id to code
Expression.language
  • Min Cardinality changed from 1 to 0
  • Change max value set from Mime Types to none
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail
  • Added Type
Extension
Extension.value[x]
  • Add Types integer64, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
HumanName
  • No Changes
Identifier
  • No Changes
MarketingStatus
  • No Changes
Meta
  • No Changes
MonetaryComponent
  • Added Type
Money
  • No Changes
MoneyQuantity
  • No Changes
Narrative
  • No Changes
ParameterDefinition
ParameterDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , VirtualServiceDetail , ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
Period
  • No Changes
PrimitiveType
  • Added Type
ProductShelfLife
ProductShelfLife.type
  • Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]
  • Renamed from period to period[x]
  • Min Cardinality changed from 1 to 0
  • Add Types Duration, string
  • Remove Type Quantity
ProductShelfLife.identifier
  • Deleted (removed, not needed)
Quantity
Quantity.comparator
  • Add code ad
Range
  • No Changes
Ratio
Ratio.denominator
  • Type changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange
  • No Changes
Reference
Reference.type
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.type
  • Add codes part-of , amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as
RelatedArtifact.classifier
  • Added Element
RelatedArtifact.resourceReference
  • Added Element
RelatedArtifact.publicationStatus
  • Added Element
RelatedArtifact.publicationDate
  • Added Element
RelatedArtifact.url
  • Deleted (-> document)
RelativeTime
  • Added Type
SampledData
SampledData.interval
  • Added Element
SampledData.intervalUnit
  • Added Mandatory Element
SampledData.codeMap
  • Added Element
SampledData.offsets
  • Added Element
SampledData.period
  • Deleted (-> interval)
Signature
Signature.type
  • Min Cardinality changed from 1 to 0
Signature.when
  • Min Cardinality changed from 1 to 0
Signature.who
  • Min Cardinality changed from 1 to 0
SimpleQuantity
  • No Changes
Timing
Timing.repeat.when
  • Add code IMD
TriggerDefinition
TriggerDefinition.code
  • Added Element
TriggerDefinition.subscriptionTopic
  • Added Element
UsageContext
UsageContext.code
  • Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType icon
VirtualServiceDetail
  • Added Type
base64Binary (No Changes)
boolean (No Changes)
canonical (No Changes)
code (No Changes)
date (No Changes)
dateTime (No Changes)
decimal (No Changes)
id (No Changes)
instant (No Changes)
integer (No Changes)
integer64
  • Added Type
markdown (No Changes)
oid (No Changes)
positiveInt (No Changes)
string (No Changes)
time (No Changes)
unsignedInt (No Changes)
uri (No Changes)
url (No Changes)
uuid (No Changes)
xhtml (No Changes)
Population
  • Deleted
ProdCharacteristic
  • Deleted
Resources
Account
Account.billingStatus
  • Added Element
Account.covers
  • Added Element
Account.description
  • Type changed from string to markdown
Account.diagnosis
  • Added Element
Account.diagnosis.sequence
  • Added Element
Account.diagnosis.condition
  • Added Mandatory Element
Account.diagnosis.dateOfDiagnosis
  • Added Element
Account.diagnosis.type
  • Added Element
Account.diagnosis.onAdmission
  • Added Element
Account.diagnosis.packageCode
  • Added Element
Account.procedure
  • Added Element
Account.procedure.sequence
  • Added Element
Account.procedure.code
  • Added Mandatory Element
Account.procedure.dateOfService
  • Added Element
Account.procedure.type
  • Added Element
Account.procedure.packageCode
  • Added Element
Account.procedure.device
  • Added Element
Account.relatedAccount
  • Added Element
Account.relatedAccount.relationship
  • Added Element
Account.relatedAccount.account
  • Moved from Account.partOf to account
  • Min Cardinality changed from 0 to 1
Account.currency
  • Added Element
Account.balance
  • Added Element
Account.balance.aggregate
  • Added Element
Account.balance.term
  • Added Element
Account.balance.estimate
  • Added Element
Account.balance.amount
  • Added Mandatory Element
Account.calculatedAt
  • Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]
  • Added Element
ActivityDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.usage
  • Type changed from string to markdown
ActivityDefinition.copyrightLabel
  • Added Element
ActivityDefinition.kind
  • Remove codes AppointmentResponse , Contract
  • Add codes CoverageEligibilityRequest , RequestOrchestration , Transport
ActivityDefinition.timing[x]
  • Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]
  • Added Element
ActivityDefinition.location
  • Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type
  • Min Cardinality changed from 1 to 0
  • Remove code related-person
  • Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical
  • Added Element
ActivityDefinition.participant.typeReference
  • Added Element
ActivityDefinition.participant.function
  • Added Element
ActivityDefinition.specimenRequirement
  • Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition
  • Added Resource
AdministrableProductDefinition
AdministrableProductDefinition.description
  • Added Element
AdministrableProductDefinition.property.value[x]
  • Add Types markdown, Reference(Binary)
AdverseEvent
AdverseEvent.identifier
  • Max Cardinality changed from 1 to *
AdverseEvent.status
  • Added Mandatory Element
AdverseEvent.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code
  • Renamed from event to code
AdverseEvent.cause[x]
  • Added Element
AdverseEvent.effect[x]
  • Added Element
AdverseEvent.resultingEffect
  • Renamed from resultingCondition to resultingEffect
  • Type Reference: Added Target Type Observation
AdverseEvent.outcome
  • Max Cardinality changed from 1 to *
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0` (required)
AdverseEvent.participant
  • Added Element
AdverseEvent.participant.function
  • Added Element
AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.expectedInResearchStudy
  • Added Element
AdverseEvent.suspectEntity.instance
  • Type changed from Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to CodeableReference
AdverseEvent.suspectEntity.causality
  • Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness
  • Renamed from productRelatedness to entityRelatedness
  • Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.note
  • Added Element
AdverseEvent.date
  • Deleted
AdverseEvent.severity
  • Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor
  • Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory
  • Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument
  • Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.verificationStatus
  • Add code presumed
AllergyIntolerance.type
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` (required)
AllergyIntolerance.recorder
  • Type Reference: Added Target Type Organization
AllergyIntolerance.lastReactionOccurrence
  • Added Element
AllergyIntolerance.reaction.manifestation
  • Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.lastOccurrence
  • Deleted
Appointment
Appointment.cancellationReason
  • Renamed from cancelationReason to cancellationReason
Appointment.class
  • Added Element
Appointment.serviceType
  • Type changed from CodeableConcept to CodeableReference
Appointment.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to CodeableReference
Appointment.priority
  • Type changed from unsignedInt to CodeableConcept
Appointment.replaces
  • Added Element
Appointment.virtualService
  • Added Element
Appointment.previousAppointment
  • Added Element
Appointment.originatingAppointment
  • Added Element
Appointment.account
  • Added Element
Appointment.cancellationDate
  • Added Element
Appointment.note
  • Renamed from comment to note
  • Max Cardinality changed from 1 to *
  • Type changed from string to Annotation
Appointment.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableReference
Appointment.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Appointment.subject
  • Added Element
Appointment.participant.actor
  • Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required
  • Type changed from code to boolean
  • Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.3.0` (required)
Appointment.recurrenceId
  • Added Element
Appointment.occurrenceChanged
  • Added Element
Appointment.recurrenceTemplate
  • Added Element
Appointment.recurrenceTemplate.timezone
  • Added Element
Appointment.recurrenceTemplate.recurrenceType
  • Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate
  • Added Element
Appointment.recurrenceTemplate.occurrenceCount
  • Added Element
Appointment.recurrenceTemplate.occurrenceDate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate
  • Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate
  • Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId
  • Added Element
Appointment.reasonReference
  • Deleted (->Appointment.reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime
  • Added Element
AppointmentResponse.actor
  • Type Reference: Added Target Type Group
AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.3.0 to Appointment Response Status
  • Add code entered-in-error
AppointmentResponse.comment
  • Type changed from string to markdown
AppointmentResponse.recurring
  • Added Element
AppointmentResponse.occurrenceDate
  • Added Element
AppointmentResponse.recurrenceId
  • Added Element
ArtifactAssessment
  • Added Resource
AuditEvent
AuditEvent.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.subtype
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity
  • Added Element
AuditEvent.occurred[x]
  • Added Element
AuditEvent.outcome
  • Type changed from code to BackboneElement
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0` (required)
AuditEvent.outcome.code
  • Added Mandatory Element
AuditEvent.outcome.detail
  • Added Element
AuditEvent.authorization
  • Renamed from purposeOfEvent to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn
  • Added Element
AuditEvent.patient
  • Added Element
AuditEvent.encounter
  • Added Element
AuditEvent.agent.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who
  • Min Cardinality changed from 0 to 1
  • Type Reference: Added Target Type CareTeam
AuditEvent.agent.requestor
  • Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]
  • Renamed from network to network[x]
  • Add Types Reference(Endpoint), uri, string
  • Remove Type BackboneElement
AuditEvent.agent.authorization
  • Renamed from purposeOfUse to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.source.site
  • Type changed from string to Reference(Location)
AuditEvent.source.observer
  • Type Reference: Added Target Type CareTeam
AuditEvent.source.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type
  • Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]
  • Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent
  • Added Element
AuditEvent.period
  • Deleted
AuditEvent.outcomeDesc
  • Deleted (-> outcome)
AuditEvent.agent.altId
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
AuditEvent.agent.name
  • Deleted (-> who.display)
AuditEvent.agent.media
  • Deleted (-> AuditEvent.entity)
AuditEvent.agent.network.address
  • Deleted (-> network[x])
AuditEvent.agent.network.type
  • Deleted (-> network[x])
AuditEvent.entity.type
  • Deleted (-> what.type)
AuditEvent.entity.lifecycle
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name
  • Deleted (-> what.display)
AuditEvent.entity.description
  • Deleted (-> entity.detail.valueString)
Basic
Basic.created
  • Type changed from date to dateTime
Basic.author
  • Type Reference: Added Target Types Device, CareTeam
Binary
  • No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory
  • Max Cardinality changed from 1 to *
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.3.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent
  • Added Element
BiologicallyDerivedProduct.processingFacility
  • Added Element
BiologicallyDerivedProduct.division
  • Added Element
BiologicallyDerivedProduct.productStatus
  • Added Element
BiologicallyDerivedProduct.expirationDate
  • Added Element
BiologicallyDerivedProduct.collection.procedure
  • Added Element
BiologicallyDerivedProduct.storageTempRequirements
  • Added Element
BiologicallyDerivedProduct.property
  • Added Element
BiologicallyDerivedProduct.property.type
  • Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]
  • Added Mandatory Element
BiologicallyDerivedProduct.status
  • Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity
  • Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.processing
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage
  • Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BiologicallyDerivedProductDispense
  • Added Resource
BodyStructure
BodyStructure.includedStructure
  • Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.location
  • Deleted
BodyStructure.locationQualifier
  • Deleted
Bundle
Bundle.type
  • Add code subscription-notification
Bundle.link.relation
  • Type changed from string to code
  • Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot2` (required)
Bundle.issues
  • Added Element
CanonicalResource
  • Added Resource
CapabilityStatement
CapabilityStatement.identifier
  • Added Element
CapabilityStatement.versionAlgorithm[x]
  • Added Element
CapabilityStatement.copyrightLabel
  • Added Element
CapabilityStatement.implementation.description
  • Type changed from string to markdown
CapabilityStatement.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.2.0 , 4.3 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
CapabilityStatement.acceptLanguage
  • Added Element
CapabilityStatement.rest.security.service
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/restful-security-service" to "http://hl7.org/fhir/restful-security-service"
CapabilityStatement.rest.resource.type
  • Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
CapabilityStatement.rest.resource.interaction.code
  • Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.conditionalPatch
  • Added Element
CapabilityStatement.messaging.endpoint.protocol
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn
  • Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.intent
  • Add code directive
CarePlan.custodian
  • Renamed from author to custodian
CarePlan.addresses
  • Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity
  • Added Element
CarePlan.activity.plannedActivityReference
  • Renamed from reference to plannedActivityReference
  • Type Reference: Added Target Types RequestOrchestration, ImmunizationRecommendation, SupplyRequest
  • Type Reference: Removed Target Type RequestGroup
CarePlan.activity.outcomeCodeableConcept
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.outcomeReference
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail
  • Deleted (-> CarePlan.activity.plannedActivityReference)
CareTeam
CareTeam.participant.role
  • Max Cardinality changed from * to 1
CareTeam.participant.onBehalfOf
  • Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam
CareTeam.participant.effective[x]
  • Added Element
CareTeam.reason
  • Added Element
CareTeam.encounter
  • Deleted (Avoid circular references since Encounter references CareTeam)
CareTeam.participant.period
  • Deleted
CareTeam.reasonCode
  • Deleted (-> CareTeam.reason)
CareTeam.reasonReference
  • Deleted (-> CareTeam.reason)
ChargeItem
ChargeItem.encounter
  • Added Element
ChargeItem.performer.actor
  • Type Reference: Added Target Type HealthcareService
ChargeItem.unitPriceComponent
  • Added Element
ChargeItem.totalPriceComponent
  • Added Element
ChargeItem.overrideReason
  • Type changed from string to CodeableConcept
ChargeItem.reason
  • Type changed from CodeableConcept to CodeableReference
ChargeItem.service
  • Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference
ChargeItem.product
  • Renamed from product[x] to product
  • Max Cardinality changed from 1 to *
  • Add Type CodeableReference
  • Remove Types Reference(Device | Medication | Substance), CodeableConcept
ChargeItem.context
  • Deleted
ChargeItem.factorOverride
  • Deleted
ChargeItem.priceOverride
  • Deleted
ChargeItemDefinition
ChargeItemDefinition.url
  • Min Cardinality changed from 1 to 0
ChargeItemDefinition.versionAlgorithm[x]
  • Added Element
ChargeItemDefinition.name
  • Added Element
ChargeItemDefinition.account
  • Added Element
ChargeItemDefinition.purpose
  • Added Element
ChargeItemDefinition.copyrightLabel
  • Added Element
ChargeItemDefinition.instance
  • Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService
ChargeItemDefinition.applicability.condition
  • Added Element
ChargeItemDefinition.applicability.effectivePeriod
  • Added Element
ChargeItemDefinition.applicability.relatedArtifact
  • Added Element
ChargeItemDefinition.propertyGroup.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
ChargeItemDefinition.effectivePeriod
  • Deleted
ChargeItemDefinition.applicability.description
  • Deleted
ChargeItemDefinition.applicability.language
  • Deleted
ChargeItemDefinition.applicability.expression
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.type
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.code
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.amount
  • Deleted
Citation
Citation.versionAlgorithm[x]
  • Added Element
Citation.copyrightLabel
  • Added Element
Citation.summary.style
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/citation-summary-style" to "http://hl7.org/fhir/citation-summary-style"
Citation.classification.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/citation-classification-type" to "http://hl7.org/fhir/citation-classification-type"
Citation.relatedArtifact
  • Added Element
Citation.citedArtifact.currentState
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type" to "http://hl7.org/fhir/cited-artifact-status-type"
Citation.citedArtifact.statusDate.activity
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type" to "http://hl7.org/fhir/cited-artifact-status-type"
Citation.citedArtifact.title.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/title-type" to "http://hl7.org/fhir/title-type"
Citation.citedArtifact.abstract.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type" to "http://hl7.org/fhir/cited-artifact-abstract-type"
Citation.citedArtifact.part.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-part-type" to "http://hl7.org/fhir/cited-artifact-part-type"
Citation.citedArtifact.relatesTo.type
  • Added Mandatory Element
Citation.citedArtifact.relatesTo.classifier
  • Added Element
Citation.citedArtifact.relatesTo.label
  • Added Element
Citation.citedArtifact.relatesTo.display
  • Added Element
Citation.citedArtifact.relatesTo.citation
  • Added Element
Citation.citedArtifact.relatesTo.document
  • Added Element
Citation.citedArtifact.relatesTo.resource
  • Added Element
Citation.citedArtifact.relatesTo.resourceReference
  • Added Element
Citation.citedArtifact.publicationForm.publishedIn.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/published-in-type" to "http://hl7.org/fhir/published-in-type"
Citation.citedArtifact.publicationForm.citedMedium
  • Added Element
Citation.citedArtifact.publicationForm.volume
  • Added Element
Citation.citedArtifact.publicationForm.issue
  • Added Element
Citation.citedArtifact.publicationForm.publicationDateText
  • Added Element
Citation.citedArtifact.publicationForm.publicationDateSeason
  • Added Element
Citation.citedArtifact.webLocation.classifier
  • Added Element
Citation.citedArtifact.classification.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type" to "http://hl7.org/fhir/cited-artifact-classification-type"
Citation.citedArtifact.classification.artifactAssessment
  • Added Element
Citation.citedArtifact.contributorship.entry.contributor
  • Added Mandatory Element
Citation.citedArtifact.contributorship.entry.forenameInitials
  • Added Element
Citation.citedArtifact.contributorship.entry.affiliation
  • Added Element
Citation.citedArtifact.contributorship.entry.contributionType
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/artifact-contribution-type" to "http://hl7.org/fhir/artifact-contribution-type"
Citation.citedArtifact.contributorship.entry.role
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-role" to "http://hl7.org/fhir/contributor-role"
Citation.citedArtifact.contributorship.entry.contributionInstance.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/artifact-contribution-instance-type" to "http://hl7.org/fhir/artifact-contribution-instance-type"
Citation.citedArtifact.contributorship.entry.rankingOrder
  • Added Element
Citation.citedArtifact.contributorship.summary.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-type" to "http://hl7.org/fhir/contributor-summary-type"
Citation.citedArtifact.contributorship.summary.style
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-style" to "http://hl7.org/fhir/contributor-summary-style"
Citation.citedArtifact.contributorship.summary.source
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-source" to "http://hl7.org/fhir/contributor-summary-source"
Citation.relatesTo
  • Deleted
Citation.citedArtifact.relatesTo.relationshipType
  • Deleted
Citation.citedArtifact.relatesTo.targetClassifier
  • Deleted
Citation.citedArtifact.relatesTo.target[x]
  • Deleted
Citation.citedArtifact.publicationForm.periodicRelease
  • Deleted
Citation.citedArtifact.webLocation.type
  • Deleted
Citation.citedArtifact.classification.whoClassified
  • Deleted
Citation.citedArtifact.contributorship.entry.name
  • Deleted
Citation.citedArtifact.contributorship.entry.initials
  • Deleted
Citation.citedArtifact.contributorship.entry.collectiveName
  • Deleted
Citation.citedArtifact.contributorship.entry.identifier
  • Deleted
Citation.citedArtifact.contributorship.entry.affiliationInfo
  • Deleted
Citation.citedArtifact.contributorship.entry.address
  • Deleted
Citation.citedArtifact.contributorship.entry.telecom
  • Deleted
Citation.citedArtifact.contributorship.entry.listOrder
  • Deleted
Claim
Claim.traceNumber
  • Added Element
Claim.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider
  • Min Cardinality changed from 1 to 0
Claim.priority
  • Min Cardinality changed from 1 to 0
Claim.encounter
  • Added Element
Claim.facility
  • Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup
  • Added Element
Claim.event
  • Added Element
Claim.event.type
  • Added Mandatory Element
Claim.event.when[x]
  • Added Mandatory Element
Claim.careTeam.specialty
  • Added Element
Claim.supportingInfo.value[x]
  • Add Type Identifier
Claim.insurance
  • Min Cardinality changed from 1 to 0
Claim.patientPaid
  • Added Element
Claim.item.traceNumber
  • Added Element
Claim.item.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.productOrServiceEnd
  • Added Element
Claim.item.request
  • Added Element
Claim.item.patientPaid
  • Added Element
Claim.item.tax
  • Added Element
Claim.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site
  • Added Mandatory Element
Claim.item.bodySite.subSite
  • Added Element
Claim.item.detail.traceNumber
  • Added Element
Claim.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd
  • Added Element
Claim.item.detail.patientPaid
  • Added Element
Claim.item.detail.tax
  • Added Element
Claim.item.detail.subDetail.traceNumber
  • Added Element
Claim.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd
  • Added Element
Claim.item.detail.subDetail.patientPaid
  • Added Element
Claim.item.detail.subDetail.tax
  • Added Element
Claim.careTeam.qualification
  • Deleted
Claim.diagnosis.packageCode
  • Deleted
Claim.item.subSite
  • Deleted
ClaimResponse
ClaimResponse.traceNumber
  • Added Element
ClaimResponse.insurer
  • Min Cardinality changed from 1 to 0
ClaimResponse.outcome
ClaimResponse.decision
  • Added Element
ClaimResponse.event
  • Added Element
ClaimResponse.event.type
  • Added Mandatory Element
ClaimResponse.event.when[x]
  • Added Mandatory Element
ClaimResponse.encounter
  • Added Element
ClaimResponse.diagnosisRelatedGroup
  • Added Element
ClaimResponse.item.traceNumber
  • Added Element
ClaimResponse.item.reviewOutcome
  • Added Element
ClaimResponse.item.reviewOutcome.decision
  • Added Element
ClaimResponse.item.reviewOutcome.reason
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthRef
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod
  • Added Element
ClaimResponse.item.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity
  • Added Element
ClaimResponse.item.detail.traceNumber
  • Added Element
ClaimResponse.item.detail.reviewOutcome
  • Added Element
ClaimResponse.item.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.traceNumber
  • Added Element
ClaimResponse.addItem.revenue
  • Added Element
ClaimResponse.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.request
  • Added Element
ClaimResponse.addItem.tax
  • Added Element
ClaimResponse.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site
  • Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite
  • Added Element
ClaimResponse.addItem.reviewOutcome
  • Added Element
ClaimResponse.addItem.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.revenue
  • Added Element
ClaimResponse.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.tax
  • Added Element
ClaimResponse.addItem.detail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.subDetail.revenue
  • Added Element
ClaimResponse.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.subDetail.tax
  • Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.subDetail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ClaimResponse.processNote.language
ClaimResponse.error.expression
  • Added Element
ClaimResponse.item.adjudication.value
  • Deleted
ClaimResponse.addItem.subSite
  • Deleted
ClinicalImpression
ClinicalImpression.status
  • Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.3.0 to EventStatus
  • Add codes preparation , not-done , on-hold , stopped , unknown
ClinicalImpression.performer
  • Renamed from assessor to performer
ClinicalImpression.changePattern
  • Added Element
ClinicalImpression.summary
  • Type changed from string to markdown
ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.code
  • Deleted (No known use case for this element)
ClinicalImpression.investigation
  • Deleted (-> ClinicalImpression.supportingInfo)
ClinicalImpression.finding.itemCodeableConcept
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalImpression.finding.itemReference
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalUseDefinition
ClinicalUseDefinition.subject
  • Type Reference: Added Target Types NutritionProduct, BiologicallyDerivedProduct
ClinicalUseDefinition.contraindication.applicability
  • Added Element
ClinicalUseDefinition.contraindication.otherTherapy.treatment
  • Added Mandatory Element
ClinicalUseDefinition.indication.applicability
  • Added Element
ClinicalUseDefinition.library
  • Added Element
ClinicalUseDefinition.contraindication.otherTherapy.therapy
  • Deleted
CodeSystem
CodeSystem.versionAlgorithm[x]
  • Added Element
CodeSystem.copyrightLabel
  • Added Element
CodeSystem.approvalDate
  • Added Element
CodeSystem.lastReviewDate
  • Added Element
CodeSystem.effectivePeriod
  • Added Element
CodeSystem.topic
  • Added Element
CodeSystem.author
  • Added Element
CodeSystem.editor
  • Added Element
CodeSystem.reviewer
  • Added Element
CodeSystem.endorser
  • Added Element
CodeSystem.relatedArtifact
  • Added Element
CodeSystem.filter.operator
  • Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language
CodeSystem.concept.designation.additionalUse
  • Added Element
Communication
Communication.basedOn
  • Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription
  • Type Reference: Removed Target Type Resource
Communication.recipient
  • Type Reference: Added Target Types Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason
  • Added Element
Communication.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
Communication.reasonCode
  • Deleted (-> Communication.reason)
Communication.reasonReference
  • Deleted (-> Communication.reason)
CommunicationRequest
CommunicationRequest.intent
  • Added Mandatory Element
CommunicationRequest.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
CommunicationRequest.recipient
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider
  • Renamed from sender to informationProvider
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.reason
  • Added Element
CommunicationRequest.reasonCode
  • Deleted (-> CommunicationRequest.reason)
CommunicationRequest.reasonReference
  • Deleted (-> CommunicationRequest.reason)
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]
  • Added Element
CompartmentDefinition.title
  • Added Element
CompartmentDefinition.code
  • Add code EpisodeOfCare
CompartmentDefinition.resource.code
  • Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
CompartmentDefinition.resource.startParam
  • Added Element
CompartmentDefinition.resource.endParam
  • Added Element
Composition
Composition.url
  • Added Element
Composition.identifier
  • Max Cardinality changed from 1 to *
Composition.version
  • Added Element
Composition.status
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject
  • Max Cardinality changed from 1 to *
Composition.useContext
  • Added Element
Composition.name
  • Added Element
Composition.note
  • Added Element
Composition.attester.mode
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0` (required)
Composition.relatesTo
  • Type changed from BackboneElement to RelatedArtifact
Composition.event.detail
  • Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality
  • Deleted
Composition.relatesTo.code
  • Deleted
Composition.relatesTo.target[x]
  • Deleted
Composition.event.code
  • Deleted
Composition.section.mode
  • Deleted
ConceptMap
ConceptMap.identifier
  • Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]
  • Added Element
ConceptMap.copyrightLabel
  • Added Element
ConceptMap.approvalDate
  • Added Element
ConceptMap.lastReviewDate
  • Added Element
ConceptMap.effectivePeriod
  • Added Element
ConceptMap.topic
  • Added Element
ConceptMap.author
  • Added Element
ConceptMap.editor
  • Added Element
ConceptMap.reviewer
  • Added Element
ConceptMap.endorser
  • Added Element
ConceptMap.relatedArtifact
  • Added Element
ConceptMap.property
  • Added Element
ConceptMap.property.code
  • Added Mandatory Element
ConceptMap.property.uri
  • Added Element
ConceptMap.property.description
  • Added Element
ConceptMap.property.type
  • Added Mandatory Element
ConceptMap.property.system
  • Added Element
ConceptMap.additionalAttribute
  • Added Element
ConceptMap.additionalAttribute.code
  • Added Mandatory Element
ConceptMap.additionalAttribute.uri
  • Added Element
ConceptMap.additionalAttribute.description
  • Added Element
ConceptMap.additionalAttribute.type
  • Added Mandatory Element
ConceptMap.sourceScope[x]
  • Added Element
ConceptMap.targetScope[x]
  • Added Element
ConceptMap.group.source
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet
  • Added Element
ConceptMap.group.element.noMap
  • Added Element
ConceptMap.group.element.target.valueSet
  • Added Element
ConceptMap.group.element.target.relationship
  • Added Mandatory Element
ConceptMap.group.element.target.property
  • Added Element
ConceptMap.group.element.target.property.code
  • Added Mandatory Element
ConceptMap.group.element.target.property.value[x]
  • Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute
  • Renamed from property to attribute
  • Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]
  • Renamed from value to value[x]
  • Min Cardinality changed from 1 to 0
  • Add Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet
  • Added Element
ConceptMap.group.unmapped.mode
  • Remove code provided
  • Add code use-source-code
ConceptMap.group.unmapped.valueSet
  • Added Element
ConceptMap.group.unmapped.relationship
  • Added Element
ConceptMap.group.unmapped.otherMap
  • Renamed from url to otherMap
ConceptMap.source[x]
  • Deleted
ConceptMap.target[x]
  • Deleted
ConceptMap.group.sourceVersion
  • Deleted (-> canonical version in .group.source)
ConceptMap.group.targetVersion
  • Deleted (-> canonical version in .group.target)
ConceptMap.group.element.target.equivalence
  • Deleted (-> relationship)
ConceptMap.group.element.target.dependsOn.system
  • Deleted (-> value as Coding)
ConceptMap.group.element.target.dependsOn.display
  • Deleted (-> value as Coding)
Condition
Condition.clinicalStatus
  • Min Cardinality changed from 0 to 1
  • Add code unknown
Condition.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.bodyStructure
  • Added Element
Condition.asserter
  • Type Reference: Added Target Type Device
Condition.evidence
  • Type changed from BackboneElement to CodeableReference
Condition.evidence.code
  • Deleted (-> Condition.evidence)
Condition.evidence.detail
  • Deleted (-> Condition.evidence)
ConditionDefinition
  • Added Resource
Consent
Consent.status
  • Remove codes proposed , rejected
  • Add codes not-done , unknown
Consent.category
  • Min Cardinality changed from 1 to 0
  • Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Consent.subject
  • Renamed from patient to subject
  • Type Reference: Added Target Types Practitioner, ResearchSubject, Group
Consent.date
  • Renamed from dateTime to date
  • Type changed from dateTime to date
Consent.period
  • Added Element
Consent.grantor
  • Added Element
Consent.grantee
  • Renamed from performer to grantee
  • Type Reference: Added Target Types CareTeam, HealthcareService
Consent.manager
  • Added Element
Consent.controller
  • Added Element
Consent.sourceAttachment
  • Added Element
Consent.sourceReference
  • Added Element
Consent.regulatoryBasis
  • Added Element
Consent.policyBasis
  • Renamed from policy to policyBasis
  • Max Cardinality changed from * to 1
Consent.policyBasis.reference
  • Added Element
Consent.policyBasis.uri
  • Moved from Consent.policy to Consent.policyBasis
Consent.policyText
  • Added Element
Consent.verification.verificationType
  • Added Element
Consent.verification.verifiedBy
  • Added Element
Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Consent.decision
  • Moved from Consent.provision.type to decision
  • Now marked as Modifier
Consent.provision
  • Max Cardinality changed from 1 to *
Consent.provision.actor.role
Consent.provision.actor.reference
  • Min Cardinality changed from 1 to 0
Consent.provision.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType
  • Added Element
Consent.provision.resourceType
Consent.provision.expression
  • Added Element
Consent.scope
  • Deleted (-> Merged with Consent.category)
Consent.organization
  • Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]
  • Deleted
Consent.policy.authority
  • Deleted
Consent.policyRule
  • Deleted
Contract
Contract.term.action.reason
  • Type changed from string to CodeableReference
Contract.term.action.reasonCode
  • Deleted (-> reason)
Contract.term.action.reasonReference
  • Deleted (-> reason)
Coverage
Coverage.kind
  • Added Mandatory Element
Coverage.paymentBy
  • Added Element
Coverage.paymentBy.party
  • Added Mandatory Element
Coverage.paymentBy.responsibility
  • Added Element
Coverage.subscriberId
  • Max Cardinality changed from 1 to *
  • Type changed from string to Identifier
Coverage.insurer
  • Added Element
Coverage.class.value
  • Type changed from string to Identifier
Coverage.costToBeneficiary.category
  • Added Element
Coverage.costToBeneficiary.network
  • Added Element
Coverage.costToBeneficiary.unit
  • Added Element
Coverage.costToBeneficiary.term
  • Added Element
Coverage.costToBeneficiary.value[x]
  • Min Cardinality changed from 1 to 0
Coverage.insurancePlan
  • Added Element
Coverage.payor
  • Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.event
  • Added Element
CoverageEligibilityRequest.event.type
  • Added Mandatory Element
CoverageEligibilityRequest.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.event
  • Added Element
CoverageEligibilityResponse.event.type
  • Added Mandatory Element
CoverageEligibilityResponse.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Eligibility Outcome
CoverageEligibilityResponse.error.expression
  • Added Element
DetectedIssue
DetectedIssue.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.3.0 to Detected Issue Status
  • Remove codes registered , amended , corrected , cancelled , unknown
  • Add code mitigated
DetectedIssue.category
  • Added Element
DetectedIssue.subject
  • Added Element
DetectedIssue.encounter
  • Added Element
DetectedIssue.author
  • Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail
  • Type changed from string to markdown
DetectedIssue.mitigation.note
  • Added Element
DetectedIssue.patient
  • Deleted
Device
Device.udiCarrier.deviceIdentifier
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem
  • Added Element
Device.udiCarrier.issuer
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType
  • Add code electronic-transmission
Device.status
  • Remove code unknown
Device.availabilityStatus
  • Added Element
Device.biologicalSourceEvent
  • Added Element
Device.name
  • Renamed from deviceName to name
Device.name.value
  • Added Mandatory Element
Device.name.type
  • Moved from Device.deviceName to Device.name
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
Device.name.display
  • Added Element
Device.category
  • Added Element
Device.type
  • Max Cardinality changed from 1 to *
Device.deviceVersion
  • Added Element
Device.deviceVersion.type
  • Added Element
Device.deviceVersion.component
  • Added Element
Device.deviceVersion.installDate
  • Added Element
Device.deviceVersion.value
  • Added Mandatory Element
Device.conformsTo
  • Renamed from specialization to conformsTo
Device.conformsTo.category
  • Added Element
Device.conformsTo.specification
  • Added Mandatory Element
Device.conformsTo.version
  • Moved from Device.specialization to Device.conformsTo
Device.property.value[x]
  • Added Mandatory Element
Device.mode
  • Added Element
Device.cycle
  • Added Element
Device.duration
  • Added Element
Device.endpoint
  • Added Element
Device.gateway
  • Added Element
Device.statusReason
  • Deleted (-> reason was removed. DeviceAssociation can be used)
Device.distinctIdentifier
  • Deleted
Device.deviceName.name
  • Deleted
Device.specialization.systemType
  • Deleted
Device.version
  • Deleted
Device.property.valueQuantity
  • Deleted
Device.property.valueCode
  • Deleted
Device.patient
  • Deleted (-> patient association is in DeviceAssociation)
DeviceAlert
  • Added Resource
DeviceAssociation
  • Added Resource
DeviceDefinition
DeviceDefinition.description
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod
  • Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier
  • Added Element
DeviceDefinition.regulatoryIdentifier.type
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction
  • Added Mandatory Element
DeviceDefinition.partNumber
  • Added Element
DeviceDefinition.manufacturer
  • Renamed from manufacturer[x] to manufacturer
  • Remove Type string
DeviceDefinition.deviceName.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceDefinition.classification
  • Added Element
DeviceDefinition.classification.type
  • Moved from DeviceDefinition to DeviceDefinition.classification
  • Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification
  • Added Element
DeviceDefinition.conformsTo
  • Renamed from specialization to conformsTo
DeviceDefinition.conformsTo.category
  • Added Element
DeviceDefinition.conformsTo.specification
  • Added Mandatory Element
DeviceDefinition.conformsTo.version
  • Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo
  • Max Cardinality changed from 1 to *
DeviceDefinition.conformsTo.source
  • Added Element
DeviceDefinition.hasPart
  • Added Element
DeviceDefinition.hasPart.reference
  • Added Mandatory Element
DeviceDefinition.hasPart.count
  • Added Element
DeviceDefinition.packaging
  • Added Element
DeviceDefinition.packaging.identifier
  • Added Element
DeviceDefinition.packaging.type
  • Added Element
DeviceDefinition.packaging.count
  • Added Element
DeviceDefinition.packaging.distributor
  • Added Element
DeviceDefinition.packaging.distributor.name
  • Added Element
DeviceDefinition.packaging.distributor.organizationReference
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier
  • Added Element
DeviceDefinition.packaging.packaging
  • Added Element
DeviceDefinition.deviceVersion
  • Added Element
DeviceDefinition.deviceVersion.type
  • Added Element
DeviceDefinition.deviceVersion.component
  • Added Element
DeviceDefinition.deviceVersion.value
  • Added Mandatory Element
DeviceDefinition.property.value[x]
  • Added Mandatory Element
DeviceDefinition.link
  • Added Element
DeviceDefinition.link.relation
  • Added Mandatory Element
DeviceDefinition.link.relatedDevice
  • Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI
  • Added Element
DeviceDefinition.guideline
  • Added Element
DeviceDefinition.guideline.useContext
  • Added Element
DeviceDefinition.guideline.usageInstruction
  • Added Element
DeviceDefinition.guideline.relatedArtifact
  • Moved from DeviceDefinition.onlineInformation to relatedArtifact
  • Max Cardinality changed from 1 to *
  • Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication
  • Added Element
DeviceDefinition.guideline.contraindication
  • Added Element
DeviceDefinition.guideline.warning
  • Added Element
DeviceDefinition.guideline.intendedUse
  • Added Element
DeviceDefinition.correctiveAction
  • Added Element
DeviceDefinition.correctiveAction.recall
  • Added Mandatory Element
DeviceDefinition.correctiveAction.scope
  • Added Element
DeviceDefinition.correctiveAction.period
  • Added Mandatory Element
DeviceDefinition.chargeItem
  • Added Element
DeviceDefinition.chargeItem.chargeItemCode
  • Added Mandatory Element
DeviceDefinition.chargeItem.count
  • Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod
  • Added Element
DeviceDefinition.chargeItem.useContext
  • Added Element
DeviceDefinition.specialization.systemType
  • Deleted
DeviceDefinition.version
  • Deleted
DeviceDefinition.physicalCharacteristics
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity
  • Deleted
DeviceDefinition.property.valueCode
  • Deleted
DeviceDefinition.url
  • Deleted (Removed - only instances have addressable endpoints)
DeviceDefinition.quantity
  • Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice
  • Deleted (Removed - to establish relations, use hasPArt)
DeviceDispense
  • Added Resource
DeviceMetric
DeviceMetric.device
  • Added Mandatory Element
DeviceMetric.color
DeviceMetric.category
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceMetric.measurementFrequency
  • Added Element
DeviceMetric.calibration.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DeviceMetric.source
  • Deleted
DeviceMetric.parent
  • Deleted
DeviceMetric.measurementPeriod
  • Deleted
DeviceRequest
DeviceRequest.replaces
  • Renamed from priorRequest to replaces
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.code
  • Renamed from code[x] to code
  • Add Type CodeableReference
  • Remove Types Reference(Device), CodeableConcept
DeviceRequest.quantity
  • Added Element
DeviceRequest.performer
  • Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason
  • Added Element
DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.performerType
  • Deleted (-> performer)
DeviceRequest.reasonCode
  • Deleted (-> reason)
DeviceRequest.reasonReference
  • Deleted (-> reason)
DeviceUsage
  • Name Changed from DeviceUseStatement to DeviceUsage
DeviceUsage
  • Moved from DeviceUseStatement to DeviceUsage
DeviceUsage.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-statement-status|4.3.0 to Device Usage Status
  • Add code not-done
DeviceUsage.category
  • Added Element
DeviceUsage.patient
  • Added Mandatory Element
DeviceUsage.context
  • Added Element
DeviceUsage.dateAsserted
  • Added Element
DeviceUsage.usageStatus
  • Added Element
DeviceUsage.usageReason
  • Added Element
DeviceUsage.adherence
  • Added Element
DeviceUsage.adherence.code
  • Added Mandatory Element
DeviceUsage.adherence.reason
  • Added Mandatory Element
DeviceUsage.informationSource
  • Added Element
DeviceUsage.device
  • Type changed from Reference(Device) to CodeableReference
DeviceUsage.reason
  • Added Element
DeviceUsage.bodySite
  • Type changed from CodeableConcept to CodeableReference
DeviceUseStatement.subject
  • Deleted
DeviceUseStatement.recordedOn
  • Deleted
DeviceUseStatement.source
  • Deleted
DeviceUseStatement.reasonCode
  • Deleted
DeviceUseStatement.reasonReference
  • Deleted
DiagnosticReport
DiagnosticReport.status
  • Add code modified
DiagnosticReport.subject
  • Type Reference: Added Target Type BiologicallyDerivedProduct
  • Type Reference: Removed Target Type Procedure
DiagnosticReport.note
  • Added Element
DiagnosticReport.study
  • Added Element
DiagnosticReport.supportingInfo
  • Added Element
DiagnosticReport.supportingInfo.type
  • Added Mandatory Element
DiagnosticReport.supportingInfo.reference
  • Added Mandatory Element
DiagnosticReport.media.link
  • Type Reference: Added Target Type DocumentReference
  • Type Reference: Removed Target Type Media
DiagnosticReport.composition
  • Added Element
DiagnosticReport.conclusion
  • Type changed from string to markdown
DiagnosticReport.conclusionCode
  • Type changed from CodeableConcept to CodeableReference
DiagnosticReport.recomendation
  • Added Element
DiagnosticReport.communication
  • Added Element
DiagnosticReport.imagingStudy
  • Deleted
DocumentReference
DocumentReference.version
  • Added Element
DocumentReference.basedOn
  • Added Element
DocumentReference.docStatus
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
  • Now marked as Modifier
DocumentReference.modality
  • Added Element
DocumentReference.subject
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context
  • Max Cardinality changed from 1 to *
  • Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event
  • Added Element
DocumentReference.related
  • Added Element
DocumentReference.bodySite
  • Added Element
DocumentReference.facilityType
  • Added Element
DocumentReference.practiceSetting
  • Added Element
DocumentReference.period
  • Added Element
DocumentReference.date
  • Type changed from instant to dateTime
DocumentReference.author
  • Type Reference: Added Target Type CareTeam
DocumentReference.attester
  • Added Element
DocumentReference.attester.mode
  • Added Mandatory Element
DocumentReference.attester.time
  • Added Element
DocumentReference.attester.party
  • Added Element
DocumentReference.relatesTo.code
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DocumentReference.description
  • Type changed from string to markdown
DocumentReference.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
DocumentReference.content.profile
  • Added Element
DocumentReference.content.profile.value[x]
  • Added Mandatory Element
DocumentReference.masterIdentifier
  • Deleted (-> identifier)
DocumentReference.authenticator
  • Deleted (-> attester)
DocumentReference.content.format
  • Deleted (-> content.profile)
DocumentReference.context.encounter
  • Deleted (-> context)
DocumentReference.context.event
  • Deleted (-> event)
DocumentReference.context.period
  • Deleted (-> period)
DocumentReference.context.facilityType
  • Deleted (-> facilityType)
DocumentReference.context.practiceSetting
  • Deleted (-> practiceSetting)
DocumentReference.context.sourcePatientInfo
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related
  • Deleted (-> basedOn)
DomainResource
  • No Changes
Encounter
Encounter.status
  • Remove codes arrived , triaged , onleave , finished
  • Add codes on-hold , discharged , completed , discontinued
Encounter.class
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus
  • Added Element
Encounter.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Encounter.careTeam
  • Added Element
Encounter.participant.actor
  • Renamed from individual to actor
  • Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService
  • Added Element
Encounter.actualPeriod
  • Renamed from period to actualPeriod
Encounter.plannedStartDate
  • Added Element
Encounter.plannedEndDate
  • Added Element
Encounter.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to BackboneElement
Encounter.reason.use
  • Added Element
Encounter.reason.value
  • Added Element
Encounter.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition | Procedure) to CodeableReference
Encounter.diagnosis.use
  • Max Cardinality changed from 1 to *
Encounter.dietPreference
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialArrangement
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialCourtesy
  • Moved from Encounter.hospitalization to Encounter
Encounter.admission
  • Renamed from hospitalization to admission
Encounter.admission.preAdmissionIdentifier
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.origin
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.admitSource
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.reAdmission
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.destination
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.dischargeDisposition
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.location.form
  • Renamed from physicalType to form
Encounter.statusHistory
  • Deleted (-> EncounterHistory.status)
Encounter.classHistory
  • Deleted (-> EncounterHistory.class)
Encounter.reasonReference
  • Deleted (-> Encounter.reason.reference)
Encounter.diagnosis.rank
  • Deleted (-> Account.diagnosis.sequence)
EncounterHistory
  • Added Resource
Endpoint
Endpoint.status
  • Remove code test
Endpoint.connectionType
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Endpoint.description
  • Added Element
Endpoint.environmentType
  • Added Element
Endpoint.availability
  • Added Element
Endpoint.payload
  • Added Element
Endpoint.payload.type
  • Moved from Endpoint.payloadType to type
  • Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType
  • Moved from Endpoint.payloadMimeType to mimeType
Endpoint.payload.profileCanonical
  • Added Element
Endpoint.payload.profileUri
  • Added Element
EnrollmentRequest
  • No Changes
EnrollmentResponse
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Enrollment Outcome
EpisodeOfCare
EpisodeOfCare.reason
  • Added Element
EpisodeOfCare.reason.use
  • Added Element
EpisodeOfCare.reason.value
  • Added Element
EpisodeOfCare.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use
  • Renamed from role to use
EpisodeOfCare.subject
  • Added Mandatory Element
EpisodeOfCare.careTeam
  • Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank
  • Deleted
EpisodeOfCare.patient
  • Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]
  • Added Element
EventDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.usage
  • Type changed from string to markdown
EventDefinition.copyrightLabel
  • Added Element
Evidence
Evidence.versionAlgorithm[x]
  • Added Element
Evidence.name
  • Added Element
Evidence.experimental
  • Added Element
Evidence.purpose
  • Added Element
Evidence.copyright
  • Added Element
Evidence.copyrightLabel
  • Added Element
Evidence.variableDefinition.variableRole
  • Type changed from CodeableConcept to code
  • Change binding strength from extensible to required
Evidence.variableDefinition.roleSubtype
  • Added Element
Evidence.variableDefinition.comparatorCategory
  • Added Element
Evidence.variableDefinition.directnessMatch
Evidence.synthesisType
Evidence.studyDesign
  • Added Element
Evidence.statistic.description
  • Type changed from string to markdown
Evidence.statistic.sampleSize.description
  • Type changed from string to markdown
Evidence.statistic.attributeEstimate.description
  • Type changed from string to markdown
Evidence.statistic.modelCharacteristic.code
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/statistic-model-code" to "http://hl7.org/fhir/statistic-model-code"
Evidence.statistic.modelCharacteristic.value[x]
  • Renamed from value to value[x]
  • Add Types Range, CodeableConcept
Evidence.statistic.modelCharacteristic.intended
  • Added Element
Evidence.statistic.modelCharacteristic.applied
  • Added Element
Evidence.statistic.modelCharacteristic.attribute
  • Added Element
Evidence.certainty.description
  • Type changed from string to markdown
Evidence.certainty.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/certainty-type" to "http://hl7.org/fhir/certainty-type"
Evidence.certainty.rating
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/certainty-rating" to "http://hl7.org/fhir/certainty-rating"
Evidence.studyType
  • Deleted
Evidence.statistic.modelCharacteristic.attributeEstimate
  • Deleted
EvidenceReport
EvidenceReport.subject.characteristic.code
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/focus-characteristic-code" to "http://hl7.org/fhir/focus-characteristic-code"
EvidenceReport.relatesTo.target
  • Renamed from target[x] to target
  • Remove Types Identifier, Reference(EvidenceReport)
EvidenceReport.relatesTo.target.url
  • Added Element
EvidenceReport.relatesTo.target.identifier
  • Added Element
EvidenceReport.relatesTo.target.display
  • Added Element
EvidenceReport.relatesTo.target.resource
  • Added Element
EvidenceReport.section.focus
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/evidence-report-section" to "http://hl7.org/fhir/evidence-report-section"
EvidenceReport.section.author
  • Type Reference: Added Target Types Patient, Practitioner, PractitionerRole, RelatedPerson
  • Type Reference: Removed Target Type Person
EvidenceReport.section.entryClassifier
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/evidence-classifier-code" to "http://hl7.org/fhir/evidence-classifier-code"
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]
  • Added Element
EvidenceVariable.experimental
  • Added Element
EvidenceVariable.purpose
  • Added Element
EvidenceVariable.copyright
  • Added Element
EvidenceVariable.copyrightLabel
  • Added Element
EvidenceVariable.approvalDate
  • Added Element
EvidenceVariable.lastReviewDate
  • Added Element
EvidenceVariable.effectivePeriod
  • Added Element
EvidenceVariable.definition
  • Added Element
EvidenceVariable.category.value[x]
  • Add Type Reference(Group)
EvidenceVariable.subtitle
  • Deleted
EvidenceVariable.characteristicCombination
  • Deleted
EvidenceVariable.characteristic
  • Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]
  • Added Element
ExampleScenario.title
  • Added Element
ExampleScenario.description
  • Added Element
ExampleScenario.copyrightLabel
  • Added Element
ExampleScenario.actor.key
  • Renamed from actorId to key
ExampleScenario.actor.type
  • Remove code entity
  • Add code system
ExampleScenario.actor.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.key
  • Renamed from resourceId to key
ExampleScenario.instance.structureType
  • Renamed from resourceType to structureType
  • Type changed from code to Coding
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Example Scenario Resource Type
ExampleScenario.instance.structureVersion
  • Added Element
ExampleScenario.instance.structureProfile[x]
  • Added Element
ExampleScenario.instance.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.content
  • Added Element
ExampleScenario.instance.version.key
  • Added Mandatory Element
ExampleScenario.instance.version.title
  • Added Mandatory Element
ExampleScenario.instance.version.description
  • Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content
  • Added Element
ExampleScenario.instance.containedInstance.instanceReference
  • Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference
  • Renamed from versionId to versionReference
ExampleScenario.process.step.number
  • Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step
  • Min Cardinality changed from 1 to 0
ExampleScenario.process.step.process
  • Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow
  • Moved from ExampleScenario to ExampleScenario.process.step
  • Max Cardinality changed from * to 1
ExampleScenario.process.step.operation.type
  • Type changed from string to Coding
  • Add Binding `http://hl7.org/fhir/ValueSet/testscript-operation-codes` (extensible)
ExampleScenario.process.step.operation.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.version.versionId
  • Deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber
  • Added Element
ExplanationOfBenefit.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.provider
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.event
  • Added Element
ExplanationOfBenefit.event.type
  • Added Mandatory Element
ExplanationOfBenefit.event.when[x]
  • Added Mandatory Element
ExplanationOfBenefit.encounter
  • Added Element
ExplanationOfBenefit.facility
  • Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome
ExplanationOfBenefit.decision
  • Added Element
ExplanationOfBenefit.diagnosisRelatedGroup
  • Added Element
ExplanationOfBenefit.careTeam.specialty
  • Added Element
ExplanationOfBenefit.supportingInfo.value[x]
  • Add Type Identifier
ExplanationOfBenefit.insurance
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid
  • Added Element
ExplanationOfBenefit.item.traceNumber
  • Added Element
ExplanationOfBenefit.item.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.request
  • Added Element
ExplanationOfBenefit.item.patientPaid
  • Added Element
ExplanationOfBenefit.item.tax
  • Added Element
ExplanationOfBenefit.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.item.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.item.bodySite.subSite
  • Added Element
ExplanationOfBenefit.item.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.decision
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.reason
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod
  • Added Element
ExplanationOfBenefit.item.adjudication.quantity
  • Added Element
ExplanationOfBenefit.item.detail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.tax
  • Added Element
ExplanationOfBenefit.item.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.revenue
  • Added Element
ExplanationOfBenefit.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.request
  • Added Element
ExplanationOfBenefit.addItem.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.tax
  • Added Element
ExplanationOfBenefit.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite
  • Added Element
ExplanationOfBenefit.addItem.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ExplanationOfBenefit.processNote.language
ExplanationOfBenefit.careTeam.qualification
  • Deleted
ExplanationOfBenefit.diagnosis.packageCode
  • Deleted
ExplanationOfBenefit.item.subSite
  • Deleted
ExplanationOfBenefit.item.adjudication.value
  • Deleted
ExplanationOfBenefit.addItem.subSite
  • Deleted
FamilyMemberHistory
FamilyMemberHistory.participant
  • Added Element
FamilyMemberHistory.participant.function
  • Added Element
FamilyMemberHistory.participant.actor
  • Added Mandatory Element
FamilyMemberHistory.reason
  • Added Element
FamilyMemberHistory.procedure
  • Added Element
FamilyMemberHistory.procedure.code
  • Added Mandatory Element
FamilyMemberHistory.procedure.outcome
  • Added Element
FamilyMemberHistory.procedure.contributedToDeath
  • Added Element
FamilyMemberHistory.procedure.performed[x]
  • Added Element
FamilyMemberHistory.procedure.note
  • Added Element
FamilyMemberHistory.reasonCode
  • Deleted (-> FamilyMemberHistory.reason)
FamilyMemberHistory.reasonReference
  • Deleted (-> FamilyMemberHistory.reason)
Flag
Flag.status
  • Min Cardinality changed from 1 to 0
Flag.subject
  • Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author
  • Type Reference: Added Target Type RelatedPerson
Flag.supportingInfo
  • Added Element
FormularyItem
  • Added Resource
GenomicStudy
  • Added Resource
Goal
Goal.continuous
  • Added Element
Goal.acceptance
  • Added Element
Goal.acceptance.participant
  • Added Mandatory Element
Goal.acceptance.status
  • Added Element
Goal.acceptance.priority
  • Added Element
Goal.statusReason
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableConcept
Goal.source
  • Renamed from expressedBy to source
  • Type Reference: Added Target Type CareTeam
Goal.addresses
  • Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode
  • Deleted (-> Goal.outcome)
Goal.outcomeReference
  • Deleted (-> Goal.outcome)
GraphDefinition
GraphDefinition.identifier
  • Added Element
GraphDefinition.versionAlgorithm[x]
  • Added Element
GraphDefinition.title
  • Added Element
GraphDefinition.copyright
  • Added Element
GraphDefinition.copyrightLabel
  • Added Element
GraphDefinition.start
  • Min Cardinality changed from 1 to 0
  • Type changed from code to id
  • Remove Binding `http://hl7.org/fhir/ValueSet/resource-types|4.3.0` (required)
GraphDefinition.node
  • Added Element
GraphDefinition.node.nodeId
  • Added Mandatory Element
GraphDefinition.node.description
  • Added Element
GraphDefinition.node.type
  • Added Mandatory Element
GraphDefinition.node.profile
  • Added Element
GraphDefinition.link.sourceId
  • Added Mandatory Element
GraphDefinition.link.targetId
  • Added Mandatory Element
GraphDefinition.link.params
  • Added Element
GraphDefinition.link.compartment
  • Added Element
GraphDefinition.link.compartment.use
  • Added Mandatory Element
GraphDefinition.link.compartment.rule
  • Added Mandatory Element
GraphDefinition.link.compartment.code
  • Added Mandatory Element
GraphDefinition.link.compartment.expression
  • Added Element
GraphDefinition.link.compartment.description
  • Added Element
GraphDefinition.profile
  • Deleted (-> .node.profile)
GraphDefinition.link.target
  • Deleted (-> .link.targetId / .node.nodeId)
Group
Group.url
  • Added Element
Group.version
  • Added Element
Group.versionAlgorithm[x]
  • Added Element
Group.title
  • Added Element
Group.status
  • Added Element
Group.experimental
  • Added Element
Group.date
  • Added Element
Group.publisher
  • Added Element
Group.contact
  • Added Element
Group.description
  • Added Element
Group.useContext
  • Added Element
Group.purpose
  • Added Element
Group.copyright
  • Added Element
Group.copyrightLabel
  • Added Element
Group.type
  • Min Cardinality changed from 1 to 0
  • Remove codes medication , substance
  • Add codes careteam , healthcareservice , location , organization , relatedperson , specimen
Group.membership
  • Added Mandatory Element
Group.code
  • Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Group.combinationMethod
  • Added Element
Group.combinationThreshold
  • Added Element
Group.characteristic.value[x]
  • Add Types uri, Expression
Group.characteristic.description
  • Added Element
Group.characteristic.method
  • Added Element
Group.characteristic.determinedBy[x]
  • Added Element
Group.characteristic.offset
  • Added Element
Group.characteristic.instances[x]
  • Added Element
Group.characteristic.duration[x]
  • Added Element
Group.characteristic.timing
  • Added Element
Group.member.entity
  • Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, Specimen
  • Type Reference: Removed Target Types Medication, Substance
Group.member.involvement
  • Added Element
Group.active
  • Deleted
Group.actual
  • Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.reason
  • Added Element
GuidanceResponse.evaluationMessage
  • Max Cardinality changed from * to 1
GuidanceResponse.result
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, SupplyRequest, Task, VisionPrescription
  • Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode
  • Deleted (-> reason)
GuidanceResponse.reasonReference
  • Deleted (-> reason)
HealthcareService
HealthcareService.offeredIn
  • Added Element
HealthcareService.comment
  • Type changed from string to markdown
HealthcareService.contact
  • Added Element
HealthcareService.eligibility.value[x]
  • Added Element
HealthcareService.eligibility.period
  • Added Element
HealthcareService.communication
HealthcareService.referralRequired
  • Added Element
HealthcareService.availability
  • Added Element
HealthcareService.telecom
  • Deleted (-> HealthcareService.contact.telecom)
HealthcareService.availableTime
  • Deleted (-> HealthcareService.availability.availabileTime)
HealthcareService.notAvailable
  • Deleted (-> HealthcareService.availability.notAvailabileTime)
HealthcareService.availabilityExceptions
  • Deleted (-> HealthcareService.availability.notAvailabileTime.description)
ImagingSelection
  • Added Resource
ImagingStudy
ImagingStudy.modality
ImagingStudy.partOf
  • Added Element
ImagingStudy.procedure
  • Added Element
ImagingStudy.reason
  • Added Element
ImagingStudy.series.modality
ImagingStudy.series.bodySite
  • Type changed from Coding to CodeableReference
ImagingStudy.series.laterality
  • Type changed from Coding to CodeableConcept
ImagingStudy.series.performer.actor
  • Type Reference: Added Target Type HealthcareService
ImagingStudy.series.instance.sopClass
  • Type changed from Coding to oid
  • Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingStudy.interpreter
  • Deleted (-> series.performer)
ImagingStudy.procedureReference
  • Deleted (-> procedure)
ImagingStudy.procedureCode
  • Deleted (-> procedure)
ImagingStudy.reasonCode
  • Deleted (-> reason)
ImagingStudy.reasonReference
  • Deleted (-> reason)
Immunization
Immunization.basedOn
  • Added Element
Immunization.administeredProduct
  • Added Element
Immunization.manufacturer
  • Type changed from Reference(Organization) to CodeableReference
Immunization.supportingInformation
  • Added Element
Immunization.informationSource
  • Added Element
Immunization.performer.actor
  • Type Reference: Added Target Types Patient, RelatedPerson
Immunization.reason
  • Added Element
Immunization.programEligibility
  • Type changed from CodeableConcept to BackboneElement
Immunization.programEligibility.program
  • Added Mandatory Element
Immunization.programEligibility.programStatus
  • Added Mandatory Element
Immunization.reaction.manifestation
  • Added Element
Immunization.protocolApplied.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Min Cardinality changed from 1 to 0
  • Remove Type positiveInt
Immunization.protocolApplied.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
Immunization.recorded
  • Deleted
Immunization.reportOrigin
  • Deleted
Immunization.reasonCode
  • Deleted (-> reason)
Immunization.reasonReference
  • Deleted (-> reason)
Immunization.education
  • Deleted
Immunization.reaction.detail
  • Deleted
ImmunizationEvaluation
ImmunizationEvaluation.description
  • Type changed from string to markdown
ImmunizationEvaluation.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Remove Type positiveInt
ImmunizationEvaluation.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
ImmunizationRecommendation
ImmunizationRecommendation.recommendation.targetDisease
  • Max Cardinality changed from 1 to *
ImmunizationRecommendation.recommendation.description
  • Type changed from string to markdown
ImmunizationRecommendation.recommendation.doseNumber
  • Renamed from doseNumber[x] to doseNumber
  • Remove Type positiveInt
ImmunizationRecommendation.recommendation.seriesDoses
  • Renamed from seriesDoses[x] to seriesDoses
  • Remove Type positiveInt
ImplementationGuide
ImplementationGuide.identifier
  • Added Element
ImplementationGuide.versionAlgorithm[x]
  • Added Element
ImplementationGuide.purpose
  • Added Element
ImplementationGuide.copyrightLabel
  • Added Element
ImplementationGuide.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.2.0 , 4.3 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.global.type
  • Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.2.0 , 4.3 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
ImplementationGuide.definition.resource.profile
  • Added Element
ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Renamed from name[x] to name
  • Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample
  • Added Element
ImplementationGuide.manifest.resource.profile
  • Added Element
ImplementationGuide.definition.resource.example[x]
  • Deleted
ImplementationGuide.manifest.resource.example[x]
  • Deleted
Ingredient
Ingredient.group
  • Added Element
Ingredient.comment
  • Added Element
Ingredient.substance.strength.presentation[x]
  • Add Types CodeableConcept, Quantity
Ingredient.substance.strength.concentration[x]
  • Add Types CodeableConcept, Quantity
Ingredient.substance.strength.basis
  • Added Element
Ingredient.substance.strength.referenceStrength.substance
  • Min Cardinality changed from 0 to 1
Ingredient.substance.strength.referenceStrength.strength[x]
  • Add Type Quantity
InsurancePlan
InsurancePlan.type
  • Max Cardinality changed from * to 1
InsurancePlan.product
  • Added Element
InsurancePlan.generalCost
  • Added Element
InsurancePlan.generalCost.type
  • Added Element
InsurancePlan.generalCost.groupSize
  • Added Element
InsurancePlan.generalCost.cost
  • Added Element
InsurancePlan.generalCost.comment
  • Added Element
InsurancePlan.specificCost
  • Added Element
InsurancePlan.specificCost.category
  • Added Mandatory Element
InsurancePlan.specificCost.benefit
  • Added Element
InsurancePlan.specificCost.benefit.type
  • Added Mandatory Element
InsurancePlan.specificCost.benefit.cost
  • Added Element
InsurancePlan.specificCost.benefit.cost.type
  • Added Mandatory Element
InsurancePlan.specificCost.benefit.cost.applicability
  • Added Element
InsurancePlan.specificCost.benefit.cost.qualifier
  • Added Element
InsurancePlan.specificCost.benefit.cost.value
  • Added Element
InsurancePlan.status
  • Deleted
InsurancePlan.name
  • Deleted
InsurancePlan.alias
  • Deleted
InsurancePlan.period
  • Deleted
InsurancePlan.ownedBy
  • Deleted
InsurancePlan.administeredBy
  • Deleted
InsurancePlan.contact
  • Deleted
InsurancePlan.endpoint
  • Deleted
InsurancePlan.coverage
  • Deleted
InsurancePlan.plan
  • Deleted
InsuranceProduct
  • Added Resource
InventoryItem
  • Added Resource
InventoryReport
  • Added Resource
Invoice
Invoice.creation
  • Added Element
Invoice.period[x]
  • Added Element
Invoice.lineItem.serviced[x]
  • Added Element
Invoice.lineItem.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
Invoice.totalPriceComponent
  • Add Type MonetaryComponent
Invoice.lineItem.priceComponent.type
  • Deleted
Invoice.lineItem.priceComponent.code
  • Deleted
Invoice.lineItem.priceComponent.factor
  • Deleted
Invoice.lineItem.priceComponent.amount
  • Deleted
Library
Library.versionAlgorithm[x]
  • Added Element
Library.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.usage
  • Type changed from string to markdown
Library.copyrightLabel
  • Added Element
Linkage
  • No Changes
List
List.subject
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Group, Device, Location
List.source
  • Type Reference: Added Target Types Organization, RelatedPerson, CareTeam
Location
Location.description
  • Type changed from string to markdown
Location.type
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact
  • Added Element
Location.form
  • Renamed from physicalType to form
Location.characteristic
  • Added Element
Location.hoursOfOperation
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to Availability
Location.virtualService
  • Added Element
Location.telecom
  • Deleted (-> Location.contact.telecom)
Location.hoursOfOperation.daysOfWeek
  • Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek)
Location.hoursOfOperation.allDay
  • Deleted (-> Location.hoursOfOperation.availableTime.allDay)
Location.hoursOfOperation.openingTime
  • Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime)
Location.hoursOfOperation.closingTime
  • Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime)
Location.availabilityExceptions
  • Deleted (-> Location.hoursOfOperation.notAvailable.description)
ManufacturedItemDefinition
ManufacturedItemDefinition.name
  • Added Element
ManufacturedItemDefinition.marketingStatus
  • Added Element
ManufacturedItemDefinition.property.value[x]
  • Add Types markdown, Reference(Binary)
ManufacturedItemDefinition.component
  • Added Element
ManufacturedItemDefinition.component.type
  • Added Mandatory Element
ManufacturedItemDefinition.component.function
  • Added Element
ManufacturedItemDefinition.component.amount
  • Added Element
ManufacturedItemDefinition.component.constituent
  • Added Element
ManufacturedItemDefinition.component.constituent.amount
  • Added Element
ManufacturedItemDefinition.component.constituent.location
  • Added Element
ManufacturedItemDefinition.component.constituent.function
  • Added Element
ManufacturedItemDefinition.component.constituent.hasIngredient
  • Added Element
ManufacturedItemDefinition.component.property
  • Added Element
ManufacturedItemDefinition.component.component
  • Added Element
Measure
Measure.versionAlgorithm[x]
  • Added Element
Measure.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Measure.basis
  • Added Element
Measure.usage
  • Type changed from string to markdown
Measure.copyrightLabel
  • Added Element
Measure.scoring
  • Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to Measure Scoring icon
Measure.scoringUnit
  • Added Element
Measure.riskAdjustment
  • Type changed from string to markdown
Measure.rateAggregation
  • Type changed from string to markdown
Measure.term
  • Added Element
Measure.term.code
  • Added Element
Measure.term.definition
  • Added Element
Measure.group.linkId
  • Added Element
Measure.group.description
  • Type changed from string to markdown
Measure.group.type
  • Added Element
Measure.group.subject[x]
  • Added Element
Measure.group.basis
  • Added Element
Measure.group.scoring
  • Added Element
Measure.group.scoringUnit
  • Added Element
Measure.group.rateAggregation
  • Added Element
Measure.group.improvementNotation
  • Added Element
Measure.group.library
  • Added Element
Measure.group.population.linkId
  • Added Element
Measure.group.population.description
  • Type changed from string to markdown
Measure.group.population.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition
  • Added Element
Measure.group.population.inputPopulationId
  • Added Element
Measure.group.population.aggregateMethod
  • Added Element
Measure.group.stratifier.linkId
  • Added Element
Measure.group.stratifier.description
  • Type changed from string to markdown
Measure.group.stratifier.groupDefinition
  • Added Element
Measure.group.stratifier.component.linkId
  • Added Element
Measure.group.stratifier.component.description
  • Type changed from string to markdown
Measure.group.stratifier.component.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition
  • Added Element
Measure.supplementalData.linkId
  • Added Element
Measure.supplementalData.description
  • Type changed from string to markdown
Measure.definition
  • Deleted (->term.definition term is code and definition now)
MeasureReport
MeasureReport.type
  • Remove code data-collection
  • Add code data-exchange
MeasureReport.dataUpdateType
  • Added Element
MeasureReport.measure
  • Min Cardinality changed from 1 to 0
MeasureReport.subject
  • Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter
  • Type Reference: Added Target Type Group
  • Type Reference: Removed Target Type Location
MeasureReport.reportingVendor
  • Added Element
MeasureReport.location
  • Added Element
MeasureReport.inputParameters
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.group.linkId
  • Added Element
MeasureReport.group.subject
  • Added Element
MeasureReport.group.population.linkId
  • Added Element
MeasureReport.group.population.subjectReport
  • Added Element
MeasureReport.group.population.subjects
  • Added Element
MeasureReport.group.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration
MeasureReport.group.stratifier.linkId
  • Added Element
MeasureReport.group.stratifier.code
  • Max Cardinality changed from * to 1
MeasureReport.group.stratifier.stratum.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Renamed from value to value[x]
  • Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjects
  • Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Renamed from measureScore to measureScore[x]
  • Add Types dateTime, CodeableConcept, Period, Range, Duration
MeasureReport.supplementalData
  • Added Element
Medication
Medication.marketingAuthorizationHolder
  • Added Element
Medication.doseForm
  • Added Element
Medication.totalVolume
  • Added Element
Medication.ingredient.item
  • Renamed from item[x] to item
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Substance | Medication)
Medication.ingredient.strength[x]
  • Renamed from strength to strength[x]
  • Add Types CodeableConcept, Quantity
Medication.definition
  • Added Element
Medication.manufacturer
  • Deleted
Medication.form
  • Deleted
Medication.amount
  • Deleted
MedicationAdministration
MedicationAdministration.basedOn
  • Added Element
MedicationAdministration.partOf
  • Type Reference: Added Target Type MedicationDispense
MedicationAdministration.category
  • Max Cardinality changed from 1 to *
MedicationAdministration.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter
  • Added Element
MedicationAdministration.occurrence[x]
  • Added Mandatory Element
MedicationAdministration.recorded
  • Added Element
MedicationAdministration.isSubPotent
  • Added Element
MedicationAdministration.subPotentReason
  • Added Element
MedicationAdministration.performer.actor
  • Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationAdministration.reason
  • Added Element
MedicationAdministration.device
  • Type changed from Reference(Device) to CodeableReference
MedicationAdministration.instantiates
  • Deleted
MedicationAdministration.context
  • Deleted
MedicationAdministration.effective[x]
  • Deleted
MedicationAdministration.reasonCode
  • Deleted (-> reason)
MedicationAdministration.reasonReference
  • Deleted (-> reason)
MedicationDispense
MedicationDispense.basedOn
  • Added Element
MedicationDispense.partOf
  • Type Reference: Added Target Type MedicationAdministration
MedicationDispense.notPerformedReason
  • Added Element
MedicationDispense.statusChanged
  • Added Element
MedicationDispense.category
  • Max Cardinality changed from 1 to *
MedicationDispense.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationDispense.subject
  • Min Cardinality changed from 0 to 1
MedicationDispense.encounter
  • Added Element
MedicationDispense.performer.actor
  • Type Reference: Added Target Type CareTeam
MedicationDispense.recorded
  • Added Element
MedicationDispense.receiver
  • Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole
MedicationDispense.renderedDosageInstruction
  • Added Element
MedicationDispense.substitution.responsibleParty
  • Max Cardinality changed from * to 1
  • Type Reference: Added Target Type Organization
MedicationDispense.statusReason[x]
  • Deleted
MedicationDispense.context
  • Deleted
MedicationDispense.detectedIssue
  • Deleted
MedicationKnowledge
MedicationKnowledge.identifier
  • Added Element
MedicationKnowledge.status
  • Change value set from http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.3.0 to PublicationStatus
  • Remove codes inactive , entered-in-error
  • Add codes draft , retired , unknown
MedicationKnowledge.author
  • Added Element
MedicationKnowledge.jurisdiction
  • Added Element
MedicationKnowledge.name
  • Added Element
MedicationKnowledge.monograph.source
  • Type Reference: Removed Target Type Media
MedicationKnowledge.cost.effectiveDate
  • Added Element
MedicationKnowledge.cost.cost[x]
  • Renamed from cost to cost[x]
  • Add Type CodeableConcept
MedicationKnowledge.indicationGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.indication
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
  • Added Element
MedicationKnowledge.medicineClassification.source[x]
  • Added Element
MedicationKnowledge.packaging
  • Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.cost
  • Added Element
MedicationKnowledge.packaging.packagedProduct
  • Added Element
MedicationKnowledge.clinicalUseIssue
  • Added Element
MedicationKnowledge.storageGuideline
  • Added Element
MedicationKnowledge.storageGuideline.reference
  • Added Element
MedicationKnowledge.storageGuideline.note
  • Added Element
MedicationKnowledge.storageGuideline.stabilityDuration
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type
  • Added Mandatory Element
MedicationKnowledge.storageGuideline.environmentalSetting.value[x]
  • Added Mandatory Element
MedicationKnowledge.regulatory.schedule
  • Type changed from BackboneElement to CodeableConcept
MedicationKnowledge.definitional
  • Added Element
MedicationKnowledge.definitional.definition
  • Added Element
MedicationKnowledge.definitional.doseForm
  • Added Element
MedicationKnowledge.definitional.intendedRoute
  • Added Element
MedicationKnowledge.definitional.ingredient
  • Added Element
MedicationKnowledge.definitional.ingredient.item
  • Added Mandatory Element
MedicationKnowledge.definitional.ingredient.type
  • Added Element
MedicationKnowledge.definitional.ingredient.strength[x]
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.type
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x]
  • Added Element
MedicationKnowledge.manufacturer
  • Deleted
MedicationKnowledge.doseForm
  • Deleted
MedicationKnowledge.amount
  • Deleted
MedicationKnowledge.synonym
  • Deleted
MedicationKnowledge.ingredient
  • Deleted
MedicationKnowledge.intendedRoute
  • Deleted
MedicationKnowledge.administrationGuidelines
  • Deleted
MedicationKnowledge.packaging.type
  • Deleted
MedicationKnowledge.packaging.quantity
  • Deleted
MedicationKnowledge.drugCharacteristic
  • Deleted
MedicationKnowledge.contraindication
  • Deleted
MedicationKnowledge.regulatory.schedule.schedule
  • Deleted
MedicationKnowledge.kinetics
  • Deleted
MedicationRequest
MedicationRequest.basedOn
  • Type Reference: Added Target Type RequestOrchestration
MedicationRequest.status
  • Add code ended
MedicationRequest.statusChanged
  • Added Element
MedicationRequest.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource
  • Added Element
MedicationRequest.reported
  • Renamed from reported[x] to reported
  • Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.performerType
  • Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Types DeviceDefinition, HealthcareService
  • Type Reference: Removed Target Type Device
MedicationRequest.device
  • Added Element
MedicationRequest.reason
  • Added Element
MedicationRequest.courseOfTherapyType
  • Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.renderedDosageInstruction
  • Added Element
MedicationRequest.effectiveDosePeriod
  • Added Element
MedicationRequest.dispenseRequest.dispenser
  • Added Element
MedicationRequest.dispenseRequest.dispenserInstruction
  • Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid
  • Added Element
MedicationRequest.reasonCode
  • Deleted (-> reason)
MedicationRequest.reasonReference
  • Deleted (-> reason)
MedicationRequest.instantiatesCanonical
  • Deleted
MedicationRequest.instantiatesUri
  • Deleted
MedicationRequest.dispenseRequest.performer
  • Deleted
MedicationRequest.detectedIssue
  • Deleted
MedicationStatement
MedicationStatement.partOf
  • Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status
  • Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken
  • Add codes recorded , draft
MedicationStatement.category
  • Max Cardinality changed from 1 to *
MedicationStatement.medication
  • Renamed from medication[x] to medication
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter
  • Renamed from context to encounter
  • Type Reference: Removed Target Type EpisodeOfCare
MedicationStatement.effective[x]
  • Add Type Timing
MedicationStatement.informationSource
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Device
MedicationStatement.reason
  • Added Element
MedicationStatement.relatedClinicalInformation
  • Added Element
MedicationStatement.renderedDosageInstruction
  • Added Element
MedicationStatement.adherence
  • Added Element
MedicationStatement.adherence.code
  • Added Mandatory Element
MedicationStatement.adherence.reason
  • Added Element
MedicationStatement.basedOn
  • Deleted
MedicationStatement.statusReason
  • Deleted
MedicationStatement.reasonCode
  • Deleted (-> reason)
MedicationStatement.reasonReference
  • Deleted (-> reason)
MedicinalProductDefinition
MedicinalProductDefinition.comprisedOf
  • Added Element
MedicinalProductDefinition.name.part
  • Added Element
MedicinalProductDefinition.name.part.part
  • Added Mandatory Element
MedicinalProductDefinition.name.part.type
  • Added Mandatory Element
MedicinalProductDefinition.name.usage
  • Added Element
MedicinalProductDefinition.name.usage.country
  • Added Mandatory Element
MedicinalProductDefinition.name.usage.jurisdiction
  • Added Element
MedicinalProductDefinition.name.usage.language
  • Added Mandatory Element
MedicinalProductDefinition.characteristic.value[x]
  • Add Types markdown, integer
MedicinalProductDefinition.name.namePart
  • Deleted
MedicinalProductDefinition.name.countryLanguage
  • Deleted
MessageDefinition
MessageDefinition.versionAlgorithm[x]
  • Added Element
MessageDefinition.copyrightLabel
  • Added Element
MessageDefinition.focus.code
  • Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
MessageDefinition.graph
  • Max Cardinality changed from * to 1
MessageHeader
MessageHeader.event[x]
  • Add Type canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]
  • Renamed from endpoint to endpoint[x]
  • Min Cardinality changed from 1 to 0
  • Add Type Reference(Endpoint)
MessageHeader.destination.receiver
  • Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.endpoint[x]
  • Renamed from endpoint to endpoint[x]
  • Min Cardinality changed from 1 to 0
  • Add Type Reference(Endpoint)
MessageHeader.source.sender
  • Added Element
MessageHeader.response.identifier
  • Type changed from id to Identifier
MessageHeader.destination.target
  • Deleted
MessageHeader.sender
  • Deleted
MessageHeader.enterer
  • Deleted
MessageHeader.author
  • Deleted
MessageHeader.responsible
  • Deleted
MetadataResource
  • Added Resource
MolecularDefinition
  • Added Resource
MolecularSequence
MolecularSequence.literal
  • Added Element
MolecularSequence.literal.sequenceValue
  • Added Mandatory Element
MolecularSequence.file
  • Added Element
MolecularSequence.relative
  • Added Element
MolecularSequence.relative.startingSequence
  • Added Mandatory Element
MolecularSequence.relative.edit
  • Added Element
MolecularSequence.relative.edit.editOrder
  • Added Element
MolecularSequence.relative.edit.coordinateSystem
  • Added Mandatory Element
MolecularSequence.relative.edit.start
  • Added Mandatory Element
MolecularSequence.relative.edit.end
  • Added Mandatory Element
MolecularSequence.relative.edit.replacementSequence
  • Added Mandatory Element
MolecularSequence.relative.edit.replacedSequence
  • Added Element
MolecularSequence.extracted
  • Added Element
MolecularSequence.extracted.startingSequence
  • Added Mandatory Element
MolecularSequence.extracted.start
  • Added Mandatory Element
MolecularSequence.extracted.end
  • Added Mandatory Element
MolecularSequence.extracted.coordinateSystem
  • Added Mandatory Element
MolecularSequence.extracted.reverseComplement
  • Added Element
MolecularSequence.repeated
  • Added Element
MolecularSequence.repeated.sequenceMotif
  • Added Mandatory Element
MolecularSequence.repeated.copyCount
  • Added Mandatory Element
MolecularSequence.concatenated
  • Added Element
MolecularSequence.concatenated.sequenceElement
  • Added Mandatory Element
MolecularSequence.concatenated.sequenceElement.sequence
  • Added Mandatory Element
MolecularSequence.concatenated.sequenceElement.ordinalIndex
  • Added Mandatory Element
MolecularSequence.coordinateSystem
  • Deleted (>relative.coordinateSystem)
MolecularSequence.patient
  • Deleted
MolecularSequence.specimen
  • Deleted
MolecularSequence.device
  • Deleted
MolecularSequence.performer
  • Deleted
MolecularSequence.quantity
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.referenceSeq
  • Deleted (->relative.startingSequence.sequence[x])
MolecularSequence.variant
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.observedSeq
  • Deleted (->relative.startingSequence.sequenceString)
MolecularSequence.quality
  • Deleted (Removed from the resource.)
MolecularSequence.readCoverage
  • Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
MolecularSequence.repository
  • Deleted (->formatted)
MolecularSequence.pointer
  • Deleted (->relative)
MolecularSequence.structureVariant
  • Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html)
NamingSystem
NamingSystem.url
  • Added Element
NamingSystem.identifier
  • Added Element
NamingSystem.version
  • Added Element
NamingSystem.versionAlgorithm[x]
  • Added Element
NamingSystem.title
  • Added Element
NamingSystem.experimental
  • Added Element
NamingSystem.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.purpose
  • Added Element
NamingSystem.copyright
  • Added Element
NamingSystem.copyrightLabel
  • Added Element
NamingSystem.approvalDate
  • Added Element
NamingSystem.lastReviewDate
  • Added Element
NamingSystem.effectivePeriod
  • Added Element
NamingSystem.topic
  • Added Element
NamingSystem.author
  • Added Element
NamingSystem.editor
  • Added Element
NamingSystem.reviewer
  • Added Element
NamingSystem.endorser
  • Added Element
NamingSystem.relatedArtifact
  • Added Element
NamingSystem.uniqueId.type
  • Add codes iri-stem , v2csmnemonic
NamingSystem.uniqueId.authoritative
  • Added Element
NutritionIntake
  • Added Resource
NutritionOrder
NutritionOrder.basedOn
  • Added Element
NutritionOrder.groupIdentifier
  • Added Element
NutritionOrder.priority
  • Added Element
NutritionOrder.subject
  • Added Mandatory Element
NutritionOrder.supportingInformation
  • Added Element
NutritionOrder.performer
  • Added Element
NutritionOrder.outsideFoodAllowed
  • Added Element
NutritionOrder.oralDiet.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.oralDiet.schedule.timing
  • Added Element
NutritionOrder.oralDiet.schedule.asNeeded
  • Added Element
NutritionOrder.oralDiet.schedule.asNeededFor
  • Added Element
NutritionOrder.oralDiet.texture.type
  • Added Element
NutritionOrder.oralDiet.caloricDensity
  • Added Element
NutritionOrder.supplement.type
  • Type changed from CodeableConcept to CodeableReference
NutritionOrder.supplement.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.supplement.schedule.timing
  • Added Element
NutritionOrder.supplement.schedule.asNeeded
  • Added Element
NutritionOrder.supplement.schedule.asNeededFor
  • Added Element
NutritionOrder.supplement.caloricDensity
  • Added Element
NutritionOrder.enteralFormula.type
  • Added Element
NutritionOrder.enteralFormula.productName
  • Added Element
NutritionOrder.enteralFormula.deliveryDevice
  • Added Element
NutritionOrder.enteralFormula.routeOfAdministration
  • Added Element
NutritionOrder.enteralFormula.administration.schedule
  • Type changed from Timing to BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor
  • Added Element
NutritionOrder.enteralFormula.maxVolumeToAdminister
  • Added Element
NutritionOrder.enteralFormula.administrationInstruction
  • Type changed from string to markdown
NutritionOrder.additive
  • Added Element
NutritionOrder.additive.modularType
  • Added Element
NutritionOrder.additive.productName
  • Added Element
NutritionOrder.additive.quantity
  • Added Element
NutritionOrder.patient
  • Deleted
NutritionOrder.oralDiet.texture.foodType
  • Deleted
NutritionOrder.oralDiet.fluidConsistencyType
  • Deleted
NutritionOrder.enteralFormula.baseFormulaType
  • Deleted
NutritionOrder.enteralFormula.baseFormulaProductName
  • Deleted
NutritionOrder.enteralFormula.additiveType
  • Deleted
NutritionOrder.enteralFormula.additiveProductName
  • Deleted
NutritionOrder.enteralFormula.routeofAdministration
  • Deleted
NutritionOrder.enteralFormula.maxVolumeToDeliver
  • Deleted
NutritionProduct
NutritionProduct.nutrient.item
  • Min Cardinality changed from 0 to 1
NutritionProduct.nutrient.amount[x]
  • Renamed from amount to amount[x]
  • Max Cardinality changed from * to 1
  • Add Type Quantity
NutritionProduct.ingredientSummary
  • Added Element
NutritionProduct.ingredient.amount[x]
  • Renamed from amount to amount[x]
  • Max Cardinality changed from * to 1
  • Add Type Quantity
NutritionProduct.ingredient.allergen
  • Added Element
NutritionProduct.energy
  • Added Element
NutritionProduct.characteristic
  • Added Element
NutritionProduct.characteristic.type
  • Added Mandatory Element
NutritionProduct.characteristic.value[x]
  • Added Mandatory Element
NutritionProduct.instance
  • Max Cardinality changed from 1 to *
NutritionProduct.instance.name
  • Added Element
NutritionProduct.instance.biologicalSourceEvent
  • Added Element
NutritionProduct.knownAllergen
  • Deleted
NutritionProduct.productCharacteristic
  • Deleted
Observation
Observation.instantiates[x]
  • Added Element
Observation.triggeredBy
  • Added Element
Observation.triggeredBy.observation
  • Added Mandatory Element
Observation.triggeredBy.type
  • Added Mandatory Element
Observation.triggeredBy.reason
  • Added Element
Observation.partOf
  • Type Reference: Added Target Type GenomicStudy
Observation.status
  • Add codes specimen-in-process , appended , cannot-be-obtained
Observation.subject
  • Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
Observation.focus
  • Now marked as Modifier
Observation.value[x]
  • Add Types Attachment, Reference(MolecularSequence)
Observation.bodyStructure
  • Added Element
Observation.specimen
  • Type Reference: Added Target Type Group
Observation.referenceRange.normalValue
  • Added Element
Observation.referenceRange.text
  • Type changed from string to markdown
Observation.derivedFrom
  • Type Reference: Added Target Types ImagingSelection, GenomicStudy
  • Type Reference: Removed Target Type Media
Observation.component.value[x]
  • Add Types Attachment, Reference(MolecularSequence)
ObservationDefinition
ObservationDefinition.url
  • Added Element
ObservationDefinition.identifier
  • Max Cardinality changed from * to 1
ObservationDefinition.version
  • Added Element
ObservationDefinition.versionAlgorithm[x]
  • Added Element
ObservationDefinition.name
  • Added Element
ObservationDefinition.title
  • Added Element
ObservationDefinition.status
  • Added Mandatory Element
ObservationDefinition.experimental
  • Added Element
ObservationDefinition.date
  • Added Element
ObservationDefinition.publisher
  • Added Element
ObservationDefinition.contact
  • Added Element
ObservationDefinition.description
  • Added Element
ObservationDefinition.useContext
  • Added Element
ObservationDefinition.jurisdiction
  • Added Element
ObservationDefinition.purpose
  • Added Element
ObservationDefinition.copyright
  • Added Element
ObservationDefinition.copyrightLabel
  • Added Element
ObservationDefinition.approvalDate
  • Added Element
ObservationDefinition.lastReviewDate
  • Added Element
ObservationDefinition.effectivePeriod
  • Added Element
ObservationDefinition.derivedFromCanonical
  • Added Element
ObservationDefinition.derivedFromUri
  • Added Element
ObservationDefinition.subject
  • Added Element
ObservationDefinition.performerType
  • Added Element
ObservationDefinition.bodySite
  • Added Element
ObservationDefinition.specimen
  • Added Element
ObservationDefinition.device
  • Added Element
ObservationDefinition.permittedUnit
  • Added Element
ObservationDefinition.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedValue.context
  • Added Element
ObservationDefinition.qualifiedValue.appliesTo
  • Added Element
ObservationDefinition.qualifiedValue.gender
  • Added Element
ObservationDefinition.qualifiedValue.age
  • Added Element
ObservationDefinition.qualifiedValue.gestationalAge
  • Added Element
ObservationDefinition.qualifiedValue.condition
  • Added Element
ObservationDefinition.qualifiedValue.rangeCategory
  • Added Element
ObservationDefinition.qualifiedValue.range
  • Added Element
ObservationDefinition.qualifiedValue.validCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.normalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.abnormalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.criticalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.interpretation
  • Added Element
ObservationDefinition.hasMember
  • Added Element
ObservationDefinition.component
  • Added Element
ObservationDefinition.component.code
  • Added Mandatory Element
ObservationDefinition.component.permittedDataType
  • Added Element
ObservationDefinition.component.permittedUnit
  • Added Element
ObservationDefinition.component.qualifiedValue
  • Added Element
ObservationDefinition.quantitativeDetails
  • Deleted
ObservationDefinition.qualifiedInterval
  • Deleted
ObservationDefinition.validCodedValueSet
  • Deleted
ObservationDefinition.normalCodedValueSet
  • Deleted
ObservationDefinition.abnormalCodedValueSet
  • Deleted
ObservationDefinition.criticalCodedValueSet
  • Deleted
OperationDefinition
OperationDefinition.identifier
  • Added Element
OperationDefinition.versionAlgorithm[x]
  • Added Element
OperationDefinition.copyright
  • Added Element
OperationDefinition.copyrightLabel
  • Added Element
OperationDefinition.resource
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , InsuranceProduct
OperationDefinition.parameter.scope
  • Added Element
OperationDefinition.parameter.documentation
  • Type changed from string to markdown
OperationDefinition.parameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , VirtualServiceDetail , ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
OperationDefinition.parameter.allowedType
  • Added Element
OperationOutcome
OperationOutcome.issue.severity
  • Add code success
OperationOutcome.issue.code
  • Add codes limited-filter , success
Organization
Organization.description
  • Added Element
Organization.contact
  • Type changed from BackboneElement to ExtendedContactDetail
Organization.qualification
  • Added Element
Organization.qualification.identifier
  • Added Element
Organization.qualification.code
  • Added Mandatory Element
Organization.qualification.status
  • Added Element
Organization.qualification.period
  • Added Element
Organization.qualification.issuer
  • Added Element
Organization.telecom
  • Deleted (-> Use contact.telecom to provide context of use)
Organization.address
  • Deleted (-> Use contact.address to provide context of use)
Organization.contact.purpose
  • Deleted (-> Organization.contact.purpose)
Organization.contact.name
  • Deleted (-> Organization.contact.name)
Organization.contact.telecom
  • Deleted (-> Organization.contact.telecom)
Organization.contact.address
  • Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact
  • Added Element
OrganizationAffiliation.telecom
  • Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition
PackagedProductDefinition.attachedDocument
  • Added Element
PackagedProductDefinition.packaging
  • Added Element
PackagedProductDefinition.packaging.identifier
  • Added Element
PackagedProductDefinition.packaging.type
  • Added Element
PackagedProductDefinition.packaging.componentPart
  • Added Element
PackagedProductDefinition.packaging.quantity
  • Added Element
PackagedProductDefinition.packaging.material
  • Added Element
PackagedProductDefinition.packaging.alternateMaterial
  • Added Element
PackagedProductDefinition.packaging.shelfLifeStorage
  • Added Element
PackagedProductDefinition.packaging.manufacturer
  • Added Element
PackagedProductDefinition.packaging.property
  • Added Element
PackagedProductDefinition.packaging.property.type
  • Added Mandatory Element
PackagedProductDefinition.packaging.property.value[x]
  • Added Element
PackagedProductDefinition.packaging.containedItem
  • Added Element
PackagedProductDefinition.packaging.containedItem.item
  • Added Mandatory Element
PackagedProductDefinition.packaging.containedItem.amount
  • Added Element
PackagedProductDefinition.packaging.packaging
  • Added Element
PackagedProductDefinition.characteristic
  • Remove Type CodeableConcept
PackagedProductDefinition.package
  • Deleted
Parameters
Parameters.parameter.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail
  • Remove Type Contributor
Patient
Patient.contact.relationship
  • Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role
  • Added Element
Patient.contact.additionalName
  • Added Element
Patient.contact.additionalAddress
  • Added Element
Patient.communication.language
PaymentNotice
PaymentNotice.reporter
  • Added Element
PaymentNotice.payment
  • Min Cardinality changed from 1 to 0
PaymentNotice.provider
  • Deleted
PaymentReconciliation
PaymentReconciliation.type
  • Added Mandatory Element
PaymentReconciliation.kind
  • Added Element
PaymentReconciliation.enterer
  • Added Element
PaymentReconciliation.issuerType
  • Added Element
PaymentReconciliation.paymentIssuer
  • Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Payment Outcome
PaymentReconciliation.date
  • Added Mandatory Element
PaymentReconciliation.location
  • Added Element
PaymentReconciliation.method
  • Added Element
PaymentReconciliation.cardBrand
  • Added Element
PaymentReconciliation.accountNumber
  • Added Element
PaymentReconciliation.expirationDate
  • Added Element
PaymentReconciliation.processor
  • Added Element
PaymentReconciliation.referenceNumber
  • Added Element
PaymentReconciliation.authorization
  • Added Element
PaymentReconciliation.tenderedAmount
  • Added Element
PaymentReconciliation.returnedAmount
  • Added Element
PaymentReconciliation.amount
  • Added Mandatory Element
PaymentReconciliation.allocation
  • Added Element
PaymentReconciliation.allocation.identifier
  • Added Element
PaymentReconciliation.allocation.predecessor
  • Added Element
PaymentReconciliation.allocation.target
  • Added Element
PaymentReconciliation.allocation.targetItem[x]
  • Added Element
PaymentReconciliation.allocation.encounter
  • Added Element
PaymentReconciliation.allocation.account
  • Added Element
PaymentReconciliation.allocation.type
  • Added Element
PaymentReconciliation.allocation.submitter
  • Added Element
PaymentReconciliation.allocation.response
  • Added Element
PaymentReconciliation.allocation.date
  • Added Element
PaymentReconciliation.allocation.responsible
  • Added Element
PaymentReconciliation.allocation.payee
  • Added Element
PaymentReconciliation.allocation.amount
  • Added Element
PaymentReconciliation.paymentDate
  • Deleted
PaymentReconciliation.paymentAmount
  • Deleted
PaymentReconciliation.detail
  • Deleted
Permission
  • Added Resource
Person
Person.deceased[x]
  • Added Element
Person.maritalStatus
  • Added Element
Person.photo
  • Max Cardinality changed from 1 to *
Person.communication
  • Added Element
Person.communication.language
  • Added Mandatory Element
Person.communication.preferred
  • Added Element
PersonalRelationship
  • Added Resource
PlanDefinition
PlanDefinition.versionAlgorithm[x]
  • Added Element
PlanDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.usage
  • Type changed from string to markdown
PlanDefinition.copyrightLabel
  • Added Element
PlanDefinition.goal.target.detail[x]
  • Add Types string, boolean, integer, Ratio
PlanDefinition.actor
  • Added Element
PlanDefinition.actor.title
  • Added Element
PlanDefinition.actor.description
  • Added Element
PlanDefinition.actor.option
  • Added Mandatory Element
PlanDefinition.actor.option.type
  • Added Element
PlanDefinition.actor.option.typeCanonical
  • Added Element
PlanDefinition.actor.option.typeReference
  • Added Element
PlanDefinition.actor.option.role
  • Added Element
PlanDefinition.action.linkId
  • Added Element
PlanDefinition.action.description
  • Type changed from string to markdown
PlanDefinition.action.textEquivalent
  • Type changed from string to markdown
PlanDefinition.action.code
  • Max Cardinality changed from * to 1
PlanDefinition.action.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title
  • Added Element
PlanDefinition.action.input.requirement
  • Added Element
PlanDefinition.action.input.relatedData
  • Added Element
PlanDefinition.action.output
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title
  • Added Element
PlanDefinition.action.output.requirement
  • Added Element
PlanDefinition.action.output.relatedData
  • Added Element
PlanDefinition.action.relatedAction.targetId
  • Added Mandatory Element
PlanDefinition.action.relatedAction.endRelationship
  • Added Element
PlanDefinition.action.timing[x]
  • Remove Types dateTime, Period
PlanDefinition.action.location
  • Added Element
PlanDefinition.action.participant.actorId
  • Added Element
PlanDefinition.action.participant.type
  • Min Cardinality changed from 1 to 0
  • Remove code related-person
  • Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
PlanDefinition.action.participant.typeCanonical
  • Added Element
PlanDefinition.action.participant.typeReference
  • Added Element
PlanDefinition.action.participant.function
  • Added Element
PlanDefinition.asNeeded[x]
  • Added Element
PlanDefinition.action.relatedAction.actionId
  • Deleted (PlanDefinition.action.relatedAction.targetId)
Practitioner
Practitioner.active
  • Now marked as Modifier
Practitioner.deceased[x]
  • Added Element
Practitioner.qualification.status
  • Added Element
Practitioner.communication
  • Type changed from CodeableConcept to BackboneElement
  • Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
Practitioner.communication.language
  • Added Mandatory Element
Practitioner.communication.preferred
  • Added Element
PractitionerRole
PractitionerRole.display
  • Added Element
PractitionerRole.contact
  • Added Element
PractitionerRole.characteristic
  • Added Element
PractitionerRole.communication
  • Added Element
PractitionerRole.availability
  • Added Element
PractitionerRole.telecom
  • Deleted (-> PractitionerRole.contact.telecom)
PractitionerRole.availableTime
  • Deleted (-> PractitionerRole.availability.availableTime)
PractitionerRole.notAvailable
  • Deleted (-> PractitionerRole.availability.notAvailableTime)
PractitionerRole.availabilityExceptions
  • Deleted (-> PractitionerRole.availability.notAvailableTime.description)
Procedure
Procedure.basedOn
  • Type Reference: Added Target Type MedicationRequest
Procedure.category
  • Max Cardinality changed from 1 to *
Procedure.subject
  • Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus
  • Added Element
Procedure.occurrence[x]
  • Added Element
Procedure.recorded
  • Added Element
Procedure.reported[x]
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.performer.period
  • Added Element
Procedure.reason
  • Added Element
Procedure.bodyStructure
  • Added Element
Procedure.outcome
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Procedure.complication
  • Type changed from CodeableConcept to CodeableReference
Procedure.followUp
  • Type changed from CodeableConcept to CodeableReference
Procedure.used
  • Added Element
Procedure.supportingInfo
  • Added Element
Procedure.performed[x]
  • Deleted
Procedure.asserter
  • Deleted (-> Procedure.reportedReference)
Procedure.reasonCode
  • Deleted (-> Procedure.reason)
Procedure.reasonReference
  • Deleted (-> Procedure.reason)
Procedure.complicationDetail
  • Deleted (-> Procedure.complication)
Procedure.usedReference
  • Deleted (-> Procedure.used)
Procedure.usedCode
  • Deleted (-> Procedure.used)
Provenance
Provenance.recorded
  • Min Cardinality changed from 1 to 0
Provenance.authorization
  • Renamed from reason to authorization
  • Type changed from CodeableConcept to CodeableReference
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Provenance.why
  • Added Element
Provenance.activity
  • Remove Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
Provenance.basedOn
  • Added Element
Provenance.patient
  • Added Element
Provenance.encounter
  • Added Element
Provenance.agent.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who
  • Type Reference: Added Target Types CareTeam, Group
Provenance.agent.onBehalfOf
  • Type Reference: Added Target Types CareTeam, Group
  • Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role
  • Remove code derivation
  • Add code instantiates
Questionnaire
Questionnaire.versionAlgorithm[x]
  • Added Element
Questionnaire.subjectType
  • Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , ResearchElementDefinition
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport
Questionnaire.copyrightLabel
  • Added Element
Questionnaire.item.type
  • Remove codes choice , open-choice
  • Add code coding
Questionnaire.item.disabledDisplay
  • Added Element
Questionnaire.item.answerConstraint
  • Added Element
QuestionnaireResponse
QuestionnaireResponse.identifier
  • Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire
  • Min Cardinality changed from 0 to 1
QuestionnaireResponse.source
  • Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.answer.value[x]
  • Min Cardinality changed from 0 to 1
  • Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization
RegulatedAuthorization.subject
  • Type Reference: Added Target Types ManufacturedItemDefinition, Ingredient
RegulatedAuthorization.indication
  • Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument
  • Added Element
RelatedPerson
RelatedPerson.role
  • Added Element
RelatedPerson.communication.language
RequestOrchestration
  • Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration
  • Moved from RequestGroup to RequestOrchestration
RequestOrchestration.subject
  • Type Reference: Added Target Types CareTeam, Device, HealthcareService, Location, Organization, Practitioner, PractitionerRole, RelatedPerson
RequestOrchestration.reason
  • Added Element
RequestOrchestration.goal
  • Added Element
RequestOrchestration.action.linkId
  • Added Element
RequestOrchestration.action.description
  • Type changed from string to markdown
RequestOrchestration.action.textEquivalent
  • Type changed from string to markdown
RequestOrchestration.action.goal
  • Added Element
RequestOrchestration.action.input
  • Added Element
RequestOrchestration.action.input.title
  • Added Element
RequestOrchestration.action.input.requirement
  • Added Element
RequestOrchestration.action.input.relatedData
  • Added Element
RequestOrchestration.action.output
  • Added Element
RequestOrchestration.action.output.title
  • Added Element
RequestOrchestration.action.output.requirement
  • Added Element
RequestOrchestration.action.output.relatedData
  • Added Element
RequestOrchestration.action.relatedAction.targetId
  • Added Mandatory Element
RequestOrchestration.action.relatedAction.endRelationship
  • Added Element
RequestOrchestration.action.location
  • Added Element
RequestOrchestration.action.participant
  • Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement
RequestOrchestration.action.participant.type
  • Added Element
RequestOrchestration.action.participant.typeCanonical
  • Added Element
RequestOrchestration.action.participant.typeReference
  • Added Element
RequestOrchestration.action.participant.role
  • Added Element
RequestOrchestration.action.participant.function
  • Added Element
RequestOrchestration.action.participant.actor[x]
  • Added Element
RequestOrchestration.action.definition[x]
  • Added Element
RequestOrchestration.action.transform
  • Added Element
RequestOrchestration.action.dynamicValue
  • Added Element
RequestOrchestration.action.dynamicValue.path
  • Added Element
RequestOrchestration.action.dynamicValue.expression
  • Added Element
RequestGroup.reasonCode
  • Deleted
RequestGroup.reasonReference
  • Deleted
RequestGroup.action.relatedAction.actionId
  • Deleted
Requirements
  • Added Resource
ResearchStudy
ResearchStudy.url
  • Added Element
ResearchStudy.version
  • Added Element
ResearchStudy.name
  • Added Element
ResearchStudy.label
  • Added Element
ResearchStudy.label.type
  • Added Element
ResearchStudy.label.value
  • Added Element
ResearchStudy.date
  • Added Element
ResearchStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.3.0 to PublicationStatus
  • Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn
  • Add codes draft , retired , unknown
ResearchStudy.primaryPurposeType
  • Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
ResearchStudy.studyDesign
  • Added Element
ResearchStudy.focus
  • Type changed from CodeableConcept to CodeableReference
ResearchStudy.region
  • Added Element
ResearchStudy.descriptionSummary
  • Added Element
ResearchStudy.site
  • Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier
  • Added Element
ResearchStudy.associatedParty
  • Added Element
ResearchStudy.associatedParty.name
  • Added Element
ResearchStudy.associatedParty.role
  • Added Mandatory Element
ResearchStudy.associatedParty.period
  • Added Element
ResearchStudy.associatedParty.classifier
  • Added Element
ResearchStudy.associatedParty.party
  • Added Element
ResearchStudy.progressStatus
  • Added Element
ResearchStudy.progressStatus.state
  • Added Mandatory Element
ResearchStudy.progressStatus.actual
  • Added Element
ResearchStudy.progressStatus.period
  • Added Element
ResearchStudy.whyStopped
  • Added Element
ResearchStudy.recruitment
  • Added Element
ResearchStudy.recruitment.targetNumber
  • Added Element
ResearchStudy.recruitment.actualNumber
  • Added Element
ResearchStudy.recruitment.eligibility
  • Added Element
ResearchStudy.recruitment.actualGroup
  • Added Element
ResearchStudy.comparisonGroup
  • Added Element
ResearchStudy.comparisonGroup.linkId
  • Added Element
ResearchStudy.comparisonGroup.name
  • Added Mandatory Element
ResearchStudy.comparisonGroup.type
  • Added Element
ResearchStudy.comparisonGroup.description
  • Added Element
ResearchStudy.comparisonGroup.intendedExposure
  • Added Element
ResearchStudy.comparisonGroup.observedGroup
  • Added Element
ResearchStudy.objective.description
  • Added Element
ResearchStudy.outcomeMeasure
  • Added Element
ResearchStudy.outcomeMeasure.name
  • Added Element
ResearchStudy.outcomeMeasure.type
  • Added Element
ResearchStudy.outcomeMeasure.description
  • Added Element
ResearchStudy.outcomeMeasure.reference
  • Added Element
ResearchStudy.result
  • Added Element
ResearchStudy.category
  • Deleted
ResearchStudy.contact
  • Deleted
ResearchStudy.location
  • Deleted
ResearchStudy.enrollment
  • Deleted
ResearchStudy.sponsor
  • Deleted
ResearchStudy.principalInvestigator
  • Deleted
ResearchStudy.reasonStopped
  • Deleted
ResearchStudy.arm
  • Deleted
ResearchSubject
ResearchSubject.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.3.0 to PublicationStatus
  • Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn
  • Add codes draft , active , retired , unknown
ResearchSubject.subject
  • Added Mandatory Element
ResearchSubject.subjectState
  • Added Element
ResearchSubject.subjectState.code
  • Added Mandatory Element
ResearchSubject.subjectState.startDate
  • Added Mandatory Element
ResearchSubject.subjectState.endDate
  • Added Element
ResearchSubject.subjectState.reason
  • Added Element
ResearchSubject.subjectMilestone
  • Added Element
ResearchSubject.subjectMilestone.milestone
  • Added Mandatory Element
ResearchSubject.subjectMilestone.date
  • Added Element
ResearchSubject.subjectMilestone.reason
  • Added Element
ResearchSubject.assignedComparisonGroup
  • Added Element
ResearchSubject.actualComparisonGroup
  • Added Element
ResearchSubject.consent
  • Max Cardinality changed from 1 to *
ResearchSubject.individual
  • Deleted
ResearchSubject.assignedArm
  • Deleted
ResearchSubject.actualArm
  • Deleted
Resource
Resource.language
RiskAssessment
RiskAssessment.status
  • Add codes specimen-in-process , appended , cannot-be-obtained
RiskAssessment.performer
  • Type Reference: Added Target Types Patient, RelatedPerson
RiskAssessment.reason
  • Added Element
RiskAssessment.reasonCode
  • Deleted (-> reason)
RiskAssessment.reasonReference
  • Deleted (-> reason)
Schedule
Schedule.serviceType
  • Type changed from CodeableConcept to CodeableReference
Schedule.name
  • Added Element
Schedule.actor
  • Type Reference: Added Target Type CareTeam
Schedule.comment
  • Type changed from string to markdown
SearchParameter
SearchParameter.identifier
  • Added Element
SearchParameter.versionAlgorithm[x]
  • Added Element
SearchParameter.title
  • Added Element
SearchParameter.copyright
  • Added Element
SearchParameter.copyrightLabel
  • Added Element
SearchParameter.base
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , InsuranceProduct
SearchParameter.processingMode
  • Renamed from xpathUsage to processingMode
  • Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.3.0 to Search Processing Mode Type
  • Remove codes nearby , distance
SearchParameter.constraint
  • Added Element
SearchParameter.target
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All)
  • Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , ConditionDefinition , DeviceAlert , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InsuranceProduct , InventoryItem , InventoryReport , MetadataResource , MolecularDefinition , NutritionIntake , Permission , PersonalRelationship , RequestOrchestration , Requirements , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan , Transport , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , InsuranceProduct
SearchParameter.modifier
  • Remove code ofType
  • Add codes of-type , code-text , text-advanced , iterate
SearchParameter.xpath
  • Deleted (XPath removed due to lack of use and maintenance)
ServiceRequest
ServiceRequest.basedOn
  • Type Reference: Added Target Types RequestOrchestration, NutritionOrder
ServiceRequest.code
  • Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail
  • Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus
  • Added Element
ServiceRequest.orderDetail.parameter
  • Added Mandatory Element
ServiceRequest.orderDetail.parameter.code
  • Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]
  • Added Mandatory Element
ServiceRequest.focus
  • Added Element
ServiceRequest.location
  • Added Element
ServiceRequest.reason
  • Added Element
ServiceRequest.supportingInfo
  • Type changed from Reference(Resource) to CodeableReference
ServiceRequest.bodyStructure
  • Added Element
ServiceRequest.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]
  • Added Element
ServiceRequest.locationCode
  • Deleted
ServiceRequest.locationReference
  • Deleted
ServiceRequest.reasonCode
  • Deleted (-> reason)
ServiceRequest.reasonReference
  • Deleted (-> reason)
Slot
Slot.serviceType
  • Type changed from CodeableConcept to CodeableReference
Slot.appointmentType
  • Max Cardinality changed from 1 to *
Specimen
Specimen.subject
  • Type Reference: Added Target Type BiologicallyDerivedProduct
Specimen.combined
  • Added Element
Specimen.role
  • Added Element
Specimen.feature
  • Added Element
Specimen.feature.type
  • Added Mandatory Element
Specimen.feature.description
  • Added Mandatory Element
Specimen.collection.collector
  • Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device
  • Added Element
Specimen.collection.procedure
  • Added Element
Specimen.collection.bodySite
  • Type changed from CodeableConcept to CodeableReference
Specimen.processing.method
  • Added Element
Specimen.processing.performer
  • Added Element
Specimen.processing.device
  • Added Element
Specimen.processing.time[x]
  • Add Type Duration
Specimen.container.device
  • Added Mandatory Element
Specimen.processing.procedure
  • Deleted
Specimen.container.identifier
  • Deleted
Specimen.container.description
  • Deleted
Specimen.container.type
  • Deleted
Specimen.container.capacity
  • Deleted
Specimen.container.additive[x]
  • Deleted
SpecimenDefinition
SpecimenDefinition.url
  • Added Element
SpecimenDefinition.version
  • Added Element
SpecimenDefinition.versionAlgorithm[x]
  • Added Element
SpecimenDefinition.name
  • Added Element
SpecimenDefinition.title
  • Added Element
SpecimenDefinition.derivedFromCanonical
  • Added Element
SpecimenDefinition.derivedFromUri
  • Added Element
SpecimenDefinition.status
  • Added Mandatory Element
SpecimenDefinition.experimental
  • Added Element
SpecimenDefinition.subject[x]
  • Added Element
SpecimenDefinition.date
  • Added Element
SpecimenDefinition.publisher
  • Added Element
SpecimenDefinition.contact
  • Added Element
SpecimenDefinition.description
  • Added Element
SpecimenDefinition.useContext
  • Added Element
SpecimenDefinition.jurisdiction
  • Added Element
SpecimenDefinition.purpose
  • Added Element
SpecimenDefinition.copyright
  • Added Element
SpecimenDefinition.copyrightLabel
  • Added Element
SpecimenDefinition.approvalDate
  • Added Element
SpecimenDefinition.lastReviewDate
  • Added Element
SpecimenDefinition.effectivePeriod
  • Added Element
SpecimenDefinition.typeTested.container.description
  • Type changed from string to markdown
SpecimenDefinition.typeTested.container.preparation
  • Type changed from string to markdown
SpecimenDefinition.typeTested.requirement
  • Type changed from string to markdown
SpecimenDefinition.typeTested.singleUse
  • Added Element
SpecimenDefinition.typeTested.handling.instruction
  • Type changed from string to markdown
SpecimenDefinition.typeTested.testingDestination
  • Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]
  • Added Element
StructureDefinition.copyrightLabel
  • Added Element
StructureDefinition.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.2.0 , 4.3 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballo1 , 6.0.0-ballot2
StructureDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]
  • Added Element
StructureMap.copyrightLabel
  • Added Element
StructureMap.const
  • Added Element
StructureMap.const.name
  • Added Element
StructureMap.const.value
  • Added Element
StructureMap.group.typeMode
  • Min Cardinality changed from 1 to 0
  • Remove code none
StructureMap.group.rule
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.name
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.defaultValue
  • Renamed from defaultValue[x] to defaultValue
  • Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
StructureMap.group.rule.target.context
  • Type changed from id to string
StructureMap.group.rule.target.listMode
  • Remove code collate
  • Add code single
StructureMap.group.rule.target.parameter.value[x]
  • Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter
  • Renamed from variable to parameter
  • Remove Type string
StructureMap.group.rule.target.contextType
  • Deleted (now implied by context)
Subscription
Subscription.identifier
  • Added Element
Subscription.name
  • Added Element
Subscription.status
  • Add code entered-in-error
Subscription.topic
  • Added Mandatory Element
Subscription.managingEntity
  • Added Element
Subscription.reason
  • Min Cardinality changed from 1 to 0
Subscription.filterBy
  • Added Element
Subscription.filterBy.resource
  • Added Element
Subscription.filterBy.filterParameter
  • Added Mandatory Element
Subscription.filterBy.comparator
  • Added Element
Subscription.filterBy.modifier
  • Added Element
Subscription.filterBy.value
  • Added Mandatory Element
Subscription.filterBy.event
  • Added Element
Subscription.channelType
  • Added Mandatory Element
Subscription.endpoint
  • Added Element
Subscription.parameter
  • Added Element
Subscription.parameter.name
  • Added Mandatory Element
Subscription.parameter.value
  • Added Mandatory Element
Subscription.heartbeatPeriod
  • Added Element
Subscription.timeout
  • Added Element
Subscription.contentType
  • Added Element
Subscription.content
  • Added Element
Subscription.maxCount
  • Added Element
Subscription.criteria
  • Deleted
Subscription.error
  • Deleted
Subscription.channel
  • Deleted
SubscriptionStatus
SubscriptionStatus.status
  • Add code entered-in-error
SubscriptionStatus.eventsSinceSubscriptionStart
  • Type changed from string to integer64
SubscriptionStatus.notificationEvent.eventNumber
  • Type changed from string to integer64
SubscriptionStatus.notificationEvent.triggerEvent
  • Added Element
SubscriptionStatus.notificationEvent.relatedQuery
  • Added Element
SubscriptionStatus.notificationEvent.relatedQuery.queryType
  • Added Element
SubscriptionStatus.notificationEvent.relatedQuery.query
  • Added Mandatory Element
SubscriptionTopic
SubscriptionTopic.versionAlgorithm[x]
  • Added Element
SubscriptionTopic.name
  • Added Element
SubscriptionTopic.experimental
  • No longer marked as Modifier
SubscriptionTopic.copyrightLabel
  • Added Element
SubscriptionTopic.trigger
  • Added Element
SubscriptionTopic.trigger.description
  • Added Element
SubscriptionTopic.trigger.resource
  • Added Mandatory Element
SubscriptionTopic.trigger.supportedInteraction
  • Added Element
SubscriptionTopic.trigger.queryCriteria
  • Added Element
SubscriptionTopic.trigger.queryCriteria.previous
  • Added Element
SubscriptionTopic.trigger.queryCriteria.resultForCreate
  • Added Element
SubscriptionTopic.trigger.queryCriteria.current
  • Added Element
SubscriptionTopic.trigger.queryCriteria.resultForDelete
  • Added Element
SubscriptionTopic.trigger.queryCriteria.requireBoth
  • Added Element
SubscriptionTopic.trigger.fhirPathCriteria
  • Added Element
SubscriptionTopic.trigger.event
  • Added Element
SubscriptionTopic.trigger.canFilterBy
  • Added Element
SubscriptionTopic.trigger.canFilterBy.description
  • Added Element
SubscriptionTopic.trigger.canFilterBy.resource
  • Added Element
SubscriptionTopic.trigger.canFilterBy.filterParameter
  • Added Mandatory Element
SubscriptionTopic.trigger.canFilterBy.filterDefinition
  • Added Element
SubscriptionTopic.trigger.canFilterBy.comparator
  • Added Element
SubscriptionTopic.trigger.canFilterBy.modifier
  • Added Element
SubscriptionTopic.trigger.notificationShape
  • Added Element
SubscriptionTopic.trigger.notificationShape.resource
  • Added Mandatory Element
SubscriptionTopic.trigger.notificationShape.include
  • Added Element
SubscriptionTopic.trigger.notificationShape.revInclude
  • Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery
  • Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType
  • Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.query
  • Added Mandatory Element
SubscriptionTopic.resourceTrigger
  • Deleted
SubscriptionTopic.eventTrigger
  • Deleted
SubscriptionTopic.canFilterBy
  • Deleted
SubscriptionTopic.notificationShape
  • Deleted
Substance
Substance.instance
  • Min Cardinality changed from 0 to 1
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to boolean
  • Now marked as Modifier
Substance.code
  • Type changed from CodeableConcept to CodeableReference
Substance.description
  • Type changed from string to markdown
Substance.expiry
  • Moved from Substance.instance to Substance
Substance.quantity
  • Moved from Substance.instance to Substance
Substance.instance.identifier
  • Deleted (-> Substance.instance.identifier)
SubstanceDefinition
SubstanceDefinition.characterization
  • Added Element
SubstanceDefinition.characterization.technique
  • Added Element
SubstanceDefinition.characterization.form
  • Added Element
SubstanceDefinition.characterization.description
  • Added Element
SubstanceDefinition.characterization.file
  • Added Element
SubstanceDefinition.referenceInformation
  • Added Element
SubstanceDefinition.name.language
SubstanceDefinition.nucleicAcid
  • Added Element
SubstanceDefinition.polymer
  • Added Element
SubstanceDefinition.protein
  • Added Element
SubstanceNucleicAcid
  • Added Resource
SubstancePolymer
  • Added Resource
SubstanceProtein
  • Added Resource
SubstanceReferenceInformation
  • Added Resource
SubstanceSourceMaterial
  • Added Resource
SupplyDelivery
SupplyDelivery.status
  • Min Cardinality changed from 0 to 1
SupplyDelivery.type
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.3.0 to Supply Delivery Supply Item Type
SupplyDelivery.stage
  • Added Mandatory Element
SupplyDelivery.suppliedItem
  • Max Cardinality changed from 1 to *
SupplyDelivery.suppliedItem.condition
  • Added Element
SupplyDelivery.destination
  • Type Reference: Added Target Types Practitioner, PractitionerRole, Organization
SupplyDelivery.receiver
  • Type Reference: Added Target Type Organization
SupplyRequest
SupplyRequest.intent
  • Added Mandatory Element
SupplyRequest.basedOn
  • Added Element
SupplyRequest.deliverFor
  • Added Element
SupplyRequest.item
  • Renamed from item[x] to item
  • Add Type CodeableReference
  • Remove Types CodeableConcept, Reference(Medication | Substance | Device)
SupplyRequest.requester
  • Type Reference: Added Target Type CareTeam
SupplyRequest.reason
  • Added Element
SupplyRequest.deliverTo
  • Type Reference: Added Target Type RelatedPerson
SupplyRequest.reasonCode
  • Deleted (-> reason)
SupplyRequest.reasonReference
  • Deleted (-> reason)
Task
Task.statusReason
  • Type changed from CodeableConcept to CodeableReference
Task.doNotPerform
  • Added Element
Task.description
  • Type changed from string to markdown
Task.requestedPeriod
  • Added Element
Task.requestedPerformer
  • Added Element
Task.owner
  • Type Reference: Removed Target Types HealthcareService, Device
Task.performer
  • Added Element
Task.performer.function
  • Added Element
Task.performer.actor
  • Added Mandatory Element
Task.reason
  • Added Element
Task.input.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail
  • Remove Type Contributor
Task.output.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail
  • Remove Type Contributor
Task.performerType
  • Deleted (->Task.requestedPerformer)
Task.reasonCode
  • Deleted (-> reason)
Task.reasonReference
  • Deleted (-> reason)
TerminologyCapabilities
TerminologyCapabilities.identifier
  • Added Element
TerminologyCapabilities.versionAlgorithm[x]
  • Added Element
TerminologyCapabilities.copyrightLabel
  • Added Element
TerminologyCapabilities.implementation.description
  • Type changed from string to markdown
TerminologyCapabilities.codeSystem.version.language
  • Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot2` (required)
TerminologyCapabilities.codeSystem.content
  • Added Mandatory Element
TerminologyCapabilities.expansion.parameter.documentation
  • Type changed from string to markdown
TerminologyCapabilities.codeSearch
  • Remove codes explicit , all
  • Add codes in-compose , in-expansion , in-compose-or-expansion
TestPlan
  • Added Resource
TestReport
TestReport.testScript
  • Type changed from Reference(TestScript) to canonical(TestScript)
TestReport.setup.action.assert.requirement
  • Added Element
TestReport.setup.action.assert.requirement.link[x]
  • Added Element
TestScript
TestScript.url
  • Min Cardinality changed from 1 to 0
TestScript.identifier
  • Max Cardinality changed from 1 to *
TestScript.versionAlgorithm[x]
  • Added Element
TestScript.copyrightLabel
  • Added Element
TestScript.origin.url
  • Added Element
TestScript.destination.url
  • Added Element
TestScript.scope
  • Added Element
TestScript.scope.artifact
  • Added Mandatory Element
TestScript.scope.conformance
  • Added Element
TestScript.scope.phase
  • Added Element
TestScript.profile
  • Type changed from Reference(Resource) to canonical(StructureDefinition)
TestScript.setup.action
  • Min Cardinality changed from 1 to 0
TestScript.setup.action.common
  • Added Element
TestScript.setup.action.common.testScript
  • Added Element
TestScript.setup.action.common.keyRef
  • Added Mandatory Element
TestScript.setup.action.common.parameter
  • Added Element
TestScript.setup.action.common.parameter.name
  • Added Mandatory Element
TestScript.setup.action.common.parameter.value
  • Added Mandatory Element
TestScript.setup.action.operation.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction"
TestScript.setup.action.operation.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.3.0 to Concrete FHIR Types
TestScript.setup.action.assert.defaultManualCompletion
  • Added Element
TestScript.setup.action.assert.operator
  • Add code manualEval
TestScript.setup.action.assert.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.3.0 to Concrete FHIR Types
TestScript.setup.action.assert.response
  • Remove codes bad , unprocessable
  • Add codes continue , switchingProtocols , accepted , nonAuthoritativeInformation , resetContent , partialContent , multipleChoices , movedPermanently , found , seeOther , useProxy , temporaryRedirect , permanentRedirect , badRequest , unauthorized , paymentRequired , notAcceptable , proxyAuthenticationRequired , requestTimeout , lengthRequired , contentTooLarge , uriTooLong , unsupportedMediaType , rangeNotSatisfiable , expectationFailed , misdirectedRequest , unprocessableContent , upgradeRequired , internalServerError , notImplemented , badGateway , serviceUnavailable , gatewayTimeout , httpVersionNotSupported
TestScript.setup.action.assert.stopTestOnFail
  • Added Mandatory Element
TestScript.setup.action.assert.requirement
  • Added Element
TestScript.setup.action.assert.requirement.reference
  • Added Mandatory Element
TestScript.setup.action.assert.requirement.key
  • Added Mandatory Element
TestScript.test.action
  • Min Cardinality changed from 1 to 0
TestScript.test.action.common
  • Added Element
TestScript.teardown.action.common
  • Added Element
TestScript.common
  • Added Element
TestScript.common.key
  • Added Mandatory Element
TestScript.common.name
  • Added Element
TestScript.common.description
  • Added Element
TestScript.common.parameter
  • Added Element
TestScript.common.parameter.name
  • Added Element
TestScript.common.parameter.description
  • Added Element
TestScript.common.action
  • Added Mandatory Element
TestScript.common.action.operation
  • Added Element
TestScript.common.action.assert
  • Added Element
Transport
  • Added Resource
ValueSet
ValueSet.versionAlgorithm[x]
  • Added Element
ValueSet.copyrightLabel
  • Added Element
ValueSet.approvalDate
  • Added Element
ValueSet.lastReviewDate
  • Added Element
ValueSet.effectivePeriod
  • Added Element
ValueSet.topic
  • Added Element
ValueSet.author
  • Added Element
ValueSet.editor
  • Added Element
ValueSet.reviewer
  • Added Element
ValueSet.endorser
  • Added Element
ValueSet.relatedArtifact
  • Added Element
ValueSet.compose.include.concept.designation.language
ValueSet.compose.include.concept.designation.additionalUse
  • Added Element
ValueSet.compose.include.filter.op
  • Add codes child-of , descendent-leaf
ValueSet.compose.include.copyright
  • Added Element
ValueSet.compose.property
  • Added Element
ValueSet.expansion.next
  • Added Element
ValueSet.expansion.property
  • Added Element
ValueSet.expansion.property.code
  • Added Mandatory Element
ValueSet.expansion.property.uri
  • Added Element
ValueSet.expansion.contains.property
  • Added Element
ValueSet.expansion.contains.property.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.value[x]
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty
  • Added Element
ValueSet.expansion.contains.property.subProperty.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty.value[x]
  • Added Mandatory Element
ValueSet.scope
  • Added Element
ValueSet.scope.inclusionCriteria
  • Added Element
ValueSet.scope.exclusionCriteria
  • Added Element
VerificationResult
VerificationResult.status
  • Add code entered-in-error
VisionPrescription
VisionPrescription.basedOn
  • Added Element
CatalogEntry
  • Deleted (removed in favor of definitional resources)
DeviceUseStatement
  • Deleted
DocumentManifest
  • Deleted (-> List)
Media
  • Deleted (-> DocumentReference)
RequestGroup
  • Deleted
ResearchDefinition
  • Deleted
ResearchElementDefinition
  • Deleted