| Version 5.0.0-ballot | Current Build | Difference | Union | Intersection | Notes | 
| CodeSystems | 
| CH PPQm Consent Identifier Type | CH PPQm Consent Identifier Type | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Policy Set Template ID | CH PPQm Policy Set Template ID | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| IHE XCPD Codesystem more attributes requested | IHE XCPD Codesystem more attributes requested | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Codesystem PDQ More Attributes Requested | CH Codesystem PDQ More Attributes Requested | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| ValueSets | 
| ChCoreMaritalStatus | ChCoreMaritalStatus | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 0 Notes | 
| AccessAuditTrailEventType | AccessAuditTrailEventType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PDQm ValueSet More Attributes Requested | CH PDQm ValueSet More Attributes Requested | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 5 Notes | 
| DocumentAuditEventType | DocumentAuditEventType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 5 Notes | 
| EprParticipant | EprParticipant | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 8 Notes | 
| HpdAuditEventType | HpdAuditEventType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| PolicyAuditEventType | PolicyAuditEventType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 8 Notes | 
| CH PPQm Actor Identifier Type | CH PPQm Actor Identifier Type | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Consent Identifier Type | CH PPQm Consent Identifier Type | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Feed Request HTTP Method | CH PPQm Feed Request HTTP Method | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Policy Set Template ID | CH PPQm Policy Set Template ID | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Referenced Policy Set for Default Provide (203) template | CH PPQm Referenced Policy Set for Default Provide (203) template | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates | CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Referenced Policy Set for Emergency Access (202) and HCP Group (302) templates | CH PPQm Referenced Policy Set for Emergency Access (202) and HCP Group (302) templates | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Referenced Policy Set for Healthcare Professionals with Delegation (304) template | CH PPQm Referenced Policy Set for Healthcare Professionals with Delegation (304) template | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PPQm Referenced Policy Set for Healthcare Professionals without Delegation (301) template | CH PPQm Referenced Policy Set for Healthcare Professionals without Delegation (301) template | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| Restricted HTTP Verb Value Set | Restricted HTTP Verb Value Set | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.classCode | DocumentEntry.classCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.confidentialityCode | DocumentEntry.confidentialityCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.eventCodeList | DocumentEntry.eventCodeList | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.formatCode | DocumentEntry.formatCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.healthcareFacilityTypeCode | DocumentEntry.healthcareFacilityTypeCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.languageCode | DocumentEntry.languageCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.mimeType | DocumentEntry.mimeType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.practiceSettingCode | DocumentEntry.practiceSettingCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentEntry.typeCode | DocumentEntry.typeCode | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| EprPurposeOfUse | EprPurposeOfUse | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| EprRole | EprRole | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| HCProfessional.hcProfession | HCProfessional.hcProfession | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| HCProfessional.hcSpecialisation | HCProfessional.hcSpecialisation | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| Common Tags | Common Tags | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Consent Action Codes | Consent Action Codes | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Consent Content Codes | Consent Content Codes | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| DiagnosisRole | DiagnosisRole | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Diet | Diet | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Encounter Reason Codes | Encounter Reason Codes | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Special arrangements | Special arrangements | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Special courtesy | Special courtesy | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 6 Notes | 
| Encounter type | Encounter type | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| IdentifierType | ConsentProvisionType | Comparison | Union | Intersection | 19 Breaking Changes, 0 Changes, 5 Notes | 
| Common Languages | Common Languages | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Location type | Location type | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| Organization type | Organization type | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| ResourceType | ConsentProvisionType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 4 Notes | 
| SecurityRoleType | SecurityRoleType | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 63 Notes | 
| Service type | Service type | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| StructureDefinitions | 
| CH Core Postal Address | CH Core Postal Address | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Core Address | CH Core Address | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Core DocumentReference | CH Core DocumentReference | Comparison | Union | Intersection | 2 Breaking Changes, 0 Changes, 2 Notes | 
| CH Core Encounter | CH Core Encounter | Comparison | Union | Intersection | 2 Breaking Changes, 0 Changes, 6 Notes | 
| EPR-SPID Identifier | EPR-SPID Identifier | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| GLN Identifier | GLN Identifier | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| Human Name | Human Name | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Core Location | CH Core Location | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH Core Organization | CH Core Organization | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH Core Patient | CH Core Patient | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 3 Notes | 
| CH Core Practitioner | CH Core Practitioner | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 3 Notes | 
| AccessAuditTrailEvent | AccessAuditTrailEvent | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| ChAtcIti81Response | ChAtcIti81Response | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH mCSD Organization | CH mCSD Organization | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH mCSD PractitionerRole | CH mCSD PractitionerRole | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH mCSD Practitioner | CH mCSD Practitioner | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 3 Notes | 
|  | Transaction Bundle Profile for ITI-130 Process Care Services Resources Request Message | Added |  | 
| CH PDQm Patient Profile for $match Input | CH PDQm Patient Profile for $match Input | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH PDQm Match Input Parameters Profile | CH PDQm Match Input Parameters Profile | Failed | Found a slice at 'Parameters.parameter' but there was no definition for the slicing | 
| CH Audit Event with a Basic Auth Token | CH Audit Event with a Basic Auth Token | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH Audit Event with an Extended Auth Token | CH Audit Event with an Extended Auth Token | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-104] Patient Identifier Cross-reference Manager / Create patient | CH Audit Event for [ITI-104] Patient Identifier Cross-reference Manager / Create patient | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-104] Patient Identifier Cross-reference Manager / Update patient | CH Audit Event for [ITI-104] Patient Identifier Cross-reference Manager / Update patient | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-104] Patient Identity Source | CH Audit Event for [ITI-104] Patient Identity Source | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-119] Patient Demographics Consumer | CH Audit Event for [ITI-119] Patient Demographics Consumer | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Audit Event for [ITI-119] Patient Demographics Supplier | CH Audit Event for [ITI-119] Patient Demographics Supplier | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Audit Event for [ITI-130] Data Source & Directory / Create | CH Audit Event for [ITI-130] Data Source & Directory / Create | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-130] Data Source & Directory / Delete | CH Audit Event for [ITI-130] Data Source & Directory / Delete | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-130] Data Source & Directory / Update | CH Audit Event for [ITI-130] Data Source & Directory / Update | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-65] Document Recipient | CH Audit Event for [ITI-65] Document Recipient | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-65] Document Source | CH Audit Event for [ITI-65] Document Source | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-67] Document Consumer | CH Audit Event for [ITI-67] Document Consumer | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-67] Document Responder | CH Audit Event for [ITI-67] Document Responder | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-68] Document Consumer | CH Audit Event for [ITI-68] Document Consumer | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-68] Document Responder | CH Audit Event for [ITI-68] Document Responder | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [ITI-83] Patient Identifier Cross-reference Consumer | CH Audit Event for [ITI-83] Patient Identifier Cross-reference Consumer | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-83] Patient Identifier Cross-reference Manager | CH Audit Event for [ITI-83] Patient Identifier Cross-reference Manager | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-90] Query Client & Directory / Query | CH Audit Event for [ITI-90] Query Client & Directory / Query | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [ITI-90] Query Client & Directory / Read | CH Audit Event for [ITI-90] Query Client & Directory / Read | Failed | Found a slice at 'AuditEvent.agent' but there was no definition for the slicing | 
| CH Audit Event for [PPQ-3] Create privacy policy | CH Audit Event for [PPQ-3] Create privacy policy | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [PPQ-3] Delete privacy policy | CH Audit Event for [PPQ-3] Delete privacy policy | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [PPQ-3] Update privacy policy | CH Audit Event for [PPQ-3] Update privacy policy | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [PPQ-5] Policy Consumer | CH Audit Event for [PPQ-5] Policy Consumer | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| CH Audit Event for [PPQ-5] Policy Repository | CH Audit Event for [PPQ-5] Policy Repository | Failed | Found a slice at 'AuditEvent.entity' but there was no definition for the slicing | 
| Process |  | Removed |  | 
| DICOM Study Instance UID | DICOM Study Instance UID | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| DocumentAuditEvent | DocumentAuditEvent | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| HpdAuditEvent | HpdAuditEvent | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| LDAP Identifier | LDAP Identifier | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| Oid Identifier | Oid Identifier | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| PolicyAuditEvent | PolicyAuditEvent | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| EPR policy set based on template 201 | EPR policy set based on template 201 | Failed | Java heap space | 
| EPR policy set based on template 202 | EPR policy set based on template 202 | Failed | Java heap space | 
| EPR policy set based on template 203 | EPR policy set based on template 203 | Failed | Java heap space | 
| EPR policy set based on template 301 | EPR policy set based on template 301 | Failed | Java heap space | 
| EPR policy set based on template 302 | EPR policy set based on template 302 | Failed | Java heap space | 
| EPR policy set based on template 303 | EPR policy set based on template 303 | Failed | Java heap space | 
| EPR policy set based on template 304 | EPR policy set based on template 304 | Failed | Java heap space | 
| CH PPQm Consent | CH PPQm Consent | Failed |  | 
| CH PPQm Feed Request Bundle | CH PPQm Feed Request Bundle | Comparison | Union | Intersection | 2 Breaking Changes, 0 Changes, 2 Notes | 
| CH PPQm Retrieve Response Bundle | CH PPQm Retrieve Response Bundle | Comparison | Union | Intersection | 2 Breaking Changes, 0 Changes, 2 Notes | 
| Identifier for XDSDocumentEntry.uniqueId | Identifier for XDSDocumentEntry.uniqueId | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH EPR FHIR AuditEvent | CH EPR FHIR AuditEvent | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH EPR FHIR BirthName | CH EPR FHIR BirthName | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 0 Notes | 
| CH EPR FHIR HumanName | CH EPR FHIR HumanName | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 0 Notes | 
| CH Extension Author AuthorRole | CH Extension Author AuthorRole | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Extension Deletion Status | CH Extension Deletion Status | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
|  | CH MHD-1 Update Document Metadata Transaction Request | Added |  | 
|  | CH MHD-1 Update Document Metadata Transaction Response | Added |  | 
| CH MHD Find Document References Comprehensive Response message | CH MHD Find Document References Comprehensive Response message | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH MHD DocumentReference Comprehensive | CH MHD DocumentReference Comprehensive | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH MHD Extension to provide the homeCommunityId | CH MHD Extension to provide the homeCommunityId | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH MHD Provide Document Bundle Comprehensive Response | CH MHD Provide Document Bundle Comprehensive Response | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH MHD Provide Document Bundle Comprehensive | CH MHD Provide Document Bundle Comprehensive | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH MHD SubmissionSet Comprehensive | CH MHD SubmissionSet Comprehensive | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 1 Note | 
| CH Audit Event for [CH:MHD-1] Document Responder | CH Audit Event for [CH:MHD-1] Document Responder | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH Audit Event for [CH:MHD-1] Document Source | CH Audit Event for [CH:MHD-1] Document Source | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH PDQm Match Output Bundle Profile | CH PDQm Match Output Bundle Profile | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH PDQm OperationOutcome More Attributes Requested | CH PDQm OperationOutcome More Attributes Requested | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH PDQm Patient | CH PDQm Patient | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 3 Notes | 
| CH PDQm Provider Organization | CH PDQm Provider Organization | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 2 Notes | 
| CH PIXm IN Parameters | CH PIXm IN Parameters | Failed | Found a slice at 'Parameters.parameter' but there was no definition for the slicing | 
| CH PIXm OUT Parameters | CH PIXm OUT Parameters | Failed | Found a slice at 'Parameters.parameter' but there was no definition for the slicing | 
| CH PIXm Patient Feed | CH PIXm Patient Feed | Comparison | Union | Intersection | 1 Breaking Change, 0 Changes, 3 Notes | 
| uniqueId Identifier | uniqueId Identifier | Comparison | Union | Intersection | 0 Breaking Changes, 0 Changes, 0 Notes | 
| CapabilityStatements | 
|  | ATNA Audit Creator (client) | Added |  | 
|  | ATNA Audit Record Repository (server) | Added |  | 
|  | EPR API (server) | Added |  | 
|  | EPR App (client) | Added |  | 
|  | MHD Document Consumer (client) | Added |  | 
|  | MHD Document Recipient (server) | Added |  | 
|  | MHD Document Responder (server) | Added |  | 
|  | MHD Document Source (client) | Added |  | 
|  | PDQm Consumer (client) | Added |  | 
|  | PDQm Supplier (server) | Added |  | 
|  | PIXm Patient Identifier Cross-Reference Consumer (client) | Added |  | 
|  | PIXm Patient Identifier Cross-reference Manager (server) | Added |  | 
|  | PIXm Patient Identity Source (client) | Added |  | 
|  | PPQm Policy Repository (server) | Added |  | 
|  | PPQm Policy Source and Consumer (client) | Added |  | 
|  | mCSD Data Source (client) | Added |  | 
|  | mCSD Directory (server) | Added |  | 
|  | mCSD Query Client (client) | Added |  | 
|  | CapabilityStatement for the Patient Audit Record Repository | Added |  |