This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

2.1.12 Differences from Release 4

Maturity Level : N/A

Responsible Owner: FHIR Infrastructure Work Group

Standards Status : Informative

This page has not been updated for R6 at this time; this will be addressed prior to the next ballot. None of the content here is worth commenting on for ballot purposes.

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

AdverseEvent.subject Type Reference: Added Target Type ResearchSubject AdverseEvent.recorder Type Reference: Added Target Type ResearchSubject AllergyIntolerance.participant Added Element Basic ChargeItem.encounter ChargeItemDefinition Claim ClaimResponse ClaimResponse.item.detail.adjudication Min Cardinality changed from 1 to 0 ConditionDefinition Added Resource Device.status Remove code unknown DeviceRequest.doNotPerform Added Element DeviceRequest.performerType Deleted (-> performer) DeviceRequest.reasonCode Deleted (-> reason) DeviceRequest.reasonReference Deleted (-> reason) DeviceUsage Name Changed from DeviceUseStatement to DeviceUsage DiagnosticReport EncounterHistory Added Resource FamilyMemberHistory.participant ImmunizationEvaluation.description ImmunizationRecommendation Measure.scoring Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to MeasureScoring Measure.supplementalData.description Type changed from string to markdown MeasureReport Medication MedicationAdministration MedicationDispense MedicationKnowledge MolecularSequence.subject MolecularSequence.coordinateSystem Deleted (>relative.coordinateSystem) NamingSystem NamingSystem.uniqueId.type Add codes iri-stem , v2csmnemonic NutritionIntake Added Resource NutritionOrder Substance.instance SubstancePolymer.identifier 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) SupplyDelivery SupplyRequest SupplyRequest.item Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication | Substance | Device) TestReport.testScript TestScript TestScript.url Min Cardinality changed from 1 to 0

Types
Address	No Changes
Age
Age	Change max value set from All UCUM Expression for Time to none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup MessageDefinition , ResearchDefinition MessageHeader , ResearchElementDefinition MolecularSequence , RiskEvidenceSynthesis NamingSystem , SubstanceSpecification NutritionOrder , Type Observation , Any ObservationDefinition Add codes , Base OperationDefinition , DataType OperationOutcome , Availability Organization , BackboneType OrganizationAffiliation , CodeableReference Parameters , ExtendedContactDetail Patient , MonetaryComponent PaymentNotice , PrimitiveType PaymentReconciliation , integer64 Person , RatioRange PlanDefinition , VirtualServiceDetail Practitioner , ActorDefinition PractitionerRole , AdministrableProductDefinition Procedure , ArtifactAssessment Provenance , BiologicallyDerivedProductDispense Questionnaire , CanonicalResource QuestionnaireResponse , Citation RelatedPerson , ClinicalUseDefinition RequestGroup , ConditionDefinition ResearchDefinition , DeviceAssociation ResearchElementDefinition , DeviceDispense ResearchStudy , DeviceUsage ResearchSubject , EncounterHistory Resource , EvidenceReport RiskAssessment , FormularyItem RiskEvidenceSynthesis , GenomicStudy Schedule , ImagingSelection SearchParameter , Ingredient ServiceRequest , InventoryItem Slot , InventoryReport Specimen , ManufacturedItemDefinition SpecimenDefinition , MedicinalProductDefinition StructureDefinition , MetadataResource StructureMap , NutritionIntake Subscription , NutritionProduct Substance , PackagedProductDefinition SubstanceNucleicAcid , Permission SubstancePolymer , RegulatedAuthorization SubstanceProtein , RequestOrchestration SubstanceReferenceInformation , Requirements SubstanceSourceMaterial , SubscriptionStatus SubstanceSpecification , SubscriptionTopic SupplyDelivery , SubstanceDefinition SupplyRequest , TestPlan Task , Transport TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
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	Change max value set from All UCUM Expression for Distance to none
Dosage
Dosage.condition	Added Element
Dosage.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Max Cardinality changed from 1 to * Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration
Duration	Change max value set from All UCUM Expression for Time to none
Element	No Changes
ElementDefinition
ElementDefinition.slicing.discriminator.type	Add code position
ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Element Definition Types
ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, 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.strength	Add code descriptive
ElementDefinition.binding.description	Type changed from string to markdown
ElementDefinition.binding.additional	Added Element
ElementDefinition.binding.additional.key	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, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.use	No Changes Remove code maiden
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup MessageDefinition , ResearchDefinition MessageHeader , ResearchElementDefinition MolecularSequence , RiskEvidenceSynthesis NamingSystem , SubstanceSpecification NutritionOrder , Type Observation , Any ObservationDefinition Add codes , Base OperationDefinition , DataType OperationOutcome , Availability Organization , BackboneType OrganizationAffiliation , CodeableReference Parameters , ExtendedContactDetail Patient , MonetaryComponent PaymentNotice , PrimitiveType PaymentReconciliation , integer64 Person , RatioRange PlanDefinition , VirtualServiceDetail Practitioner , ActorDefinition PractitionerRole , AdministrableProductDefinition Procedure , ArtifactAssessment Provenance , BiologicallyDerivedProductDispense Questionnaire , CanonicalResource QuestionnaireResponse , Citation RelatedPerson , ClinicalUseDefinition RequestGroup , ConditionDefinition ResearchDefinition , DeviceAssociation ResearchElementDefinition , DeviceDispense ResearchStudy , DeviceUsage ResearchSubject , EncounterHistory Resource , EvidenceReport RiskAssessment , FormularyItem RiskEvidenceSynthesis , GenomicStudy Schedule , ImagingSelection SearchParameter , Ingredient ServiceRequest , InventoryItem Slot , InventoryReport Specimen , ManufacturedItemDefinition SpecimenDefinition , MedicinalProductDefinition StructureDefinition , MetadataResource StructureMap , NutritionIntake Subscription , NutritionProduct Substance , PackagedProductDefinition SubstanceNucleicAcid , Permission SubstancePolymer , RegulatedAuthorization SubstanceProtein , RequestOrchestration SubstanceReferenceInformation , Requirements SubstanceSourceMaterial , SubscriptionStatus SubstanceSpecification , SubscriptionTopic SupplyDelivery , SubstanceDefinition SupplyRequest , TestPlan Task , Transport TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
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 code 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 RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.publicationDate RelatedArtifact.url	Added Element Deleted (-> document)
RelatedArtifact.url RelativeTime	Deleted (-> document) 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.startOffset	Added Element
Timing.repeat.endOffset	Added Element
Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType
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)
Contributor	Deleted
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.guarantor.party	Min Cardinality changed from 1 to 0
Account.diagnosis Account.guarantor.account	Added Element
Account.diagnosis.sequence Account.guarantor.responsibility	Added Element
Account.diagnosis.condition Account.guarantor.limit	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis Account.guarantor.rank	Added Element
Account.diagnosis.type Account.diagnosis	Added Element
Account.diagnosis.onAdmission Account.diagnosis.sequence	Added Element
Account.diagnosis.packageCode Account.diagnosis.condition	Added Mandatory Element
Account.procedure Account.diagnosis.dateOfDiagnosis	Added Element
Account.procedure.sequence Account.diagnosis.type	Added Element
Account.procedure.code Account.diagnosis.onAdmission	Added Mandatory Element
Account.procedure.dateOfService Account.diagnosis.packageCode	Added Element
Account.procedure.type Account.procedure	Added Element
Account.procedure.packageCode Account.procedure.sequence	Added Element
Account.procedure.device Account.procedure.code	Added Mandatory Element
Account.relatedAccount Account.procedure.dateOfService	Added Element
Account.relatedAccount.relationship Account.procedure.type	Added Element
Account.relatedAccount.account Account.procedure.packageCode	Moved from Account.partOf to account Added Element
Account.procedure.device	Min Cardinality changed Added Element
Account.parent	Renamed from 0 partOf to 1 parent
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove code codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , Transport reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime 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.occurrence[x] AdverseEvent.effect[x]	Added Element
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type Reference: Added Target Type Observation changed from Reference(Condition) to CodeableReference
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[x] AdverseEvent.suspectEntity.instance	Renamed Type changed from instance Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to instance[x] Add Type CodeableConcept 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, ResearchSubject RelatedPerson
AdverseEvent.contributingFactor AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor.item[x] AdverseEvent.contributingFactor	Added Mandatory Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.preventiveAction.item[x] Added Mandatory Element AdverseEvent.mitigatingAction	Added Element
AdverseEvent.mitigatingAction.item[x] Added Mandatory Element AdverseEvent.supportingInfo	Added Element
AdverseEvent.supportingInfo.item[x] Added Mandatory 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 AllergyIntolerance.clinicalStatus	Add Remove code presumed resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.participant.function AllergyIntolerance.recorder	Type Reference: Added Element Target Type Organization
AllergyIntolerance.participant.actor AllergyIntolerance.lastReactionOccurrence	Added Mandatory Element
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.recorder Deleted (-> participant.actor) AllergyIntolerance.asserter AllergyIntolerance.lastOccurrence	Deleted (-> participant.actor)
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 MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
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.category AuditEvent.type	Renamed from type to category Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.code AuditEvent.subtype	Renamed from subtype to code Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 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 Types CareTeam, DeviceDefinition, Group, HealthcareService
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 Basic
Basic.code	Deleted (-> entity.detail.valueString) Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
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 Coding 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.sourcePatient	Added Element
BiologicallyDerivedProduct.collection.sourceOrganization	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 BiologicallyDerivedProduct.collection.source	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements) BiologicallyDerivedProduct.collection)
BiologicallyDerivedProductDispense BiologicallyDerivedProduct.storage	Added Resource Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
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.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Added Element
BodyStructure.excludedStructure	Added Element
BodyStructure.description	Type changed from string to markdown
BodyStructure.morphology	Deleted
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|5.0.0` `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
CapabilityStatement.versionAlgorithm[x]	Added Element
CapabilityStatement.actorDefinition	Added Element
CapabilityStatement.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement.copyrightLabel	Added Element
CapabilityStatement.implementation.description	Type changed from string to markdown
CapabilityStatement.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.3.0 , 4.1.0 3.5.0 , 4.2 4.0.0 Add codes 0.0 , 4.2.0 0.4 , 4.3 0.5 , 4.3.0 1.0 , 4.3.0-cibuild 1.1 , 4.3.0-snapshot1 1.4 , 4.4 1.6 , 4.4.0 1.8 , 4.5 3.0 , 4.5.0 3.3 , 4.6 3.5 , 4.6.0 4.0 , 5.0 4.1 , 5.0.0 4.2 , 5.0.0-cibuild 4.3 , 5.0.0-snapshot1 4.4 , 5.0.0-snapshot2 4.5 , 5.0.0-ballot 4.6 , 5.0.0-snapshot3 5.0 , 5.0.0-draft-final 6.0
CapabilityStatement.format	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Patch Mime Types Add codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
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 , Type changed from code to uri Change binding strength from required to extensible Change value set from ResearchElementDefinition http://hl7.org/fhir/ValueSet/resource-types|4.0.0 , to Extended Resource , RiskEvidenceSynthesis , SubstanceSpecification Types
CapabilityStatement.rest.resource.definition	Added Element
CapabilityStatement.rest.resource.interaction.code	Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration update-conditional , Requirements patch-conditional , SubscriptionStatus delete-conditional-single , SubscriptionTopic delete-conditional-multiple , SubstanceDefinition delete-history , TestPlan delete-history-version , Transport create-conditional
CapabilityStatement.rest.resource.conditionalPatch	Added Element
CapabilityStatement.rest.resource.searchParam.type	Add code resource
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.status	Remove codes revoked , completed Add code ended
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 RequestOrchestration Type Reference: Removed Target Type RequestGroup
CarePlan.instantiatesCanonical	Deleted
CarePlan.instantiatesUri	Deleted
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.member	Type Reference: Added Target Types Group, HealthcareService
CareTeam.participant.onBehalfOf	Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
CareTeam.participant.coverage[x] CareTeam.participant.effective[x]	Added Element
CareTeam.participant.supportingInfo	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 Claim	Added Element
ChargeItem.performer.actor Claim.traceNumber	Type Reference: Added Target Type HealthcareService Element
ChargeItem.unitPriceComponent Claim.statusReason	Added Element
ChargeItem.totalPriceComponent Claim.subject	Added Mandatory Element
ChargeItem.overrideReason Claim.enterer	Type changed from string to CodeableConcept Reference: Added Target Types Patient, RelatedPerson
ChargeItem.service Claim.provider	Type Min Cardinality changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) 1 to CodeableReference 0
ChargeItem.product Claim.priority	Renamed from product[x] to product Max Min Cardinality changed from 1 to * Add Type CodeableReference Remove Types Reference(Device | Medication | Substance), CodeableConcept ChargeItem.context Deleted ChargeItem.factorOverride Deleted 0
ChargeItem.priceOverride Claim.prescription	Deleted Type Reference: Added Target Type ServiceRequest
ChargeItemDefinition.url Claim.originalPrescription	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type ServiceRequest
ChargeItemDefinition.versionAlgorithm[x] Claim.encounter	Added Element
ChargeItemDefinition.name Claim.facility	Type Reference: Added Element Target Type Organization
ChargeItemDefinition.purpose Claim.diagnosisRelatedGroup	Added Element
ChargeItemDefinition.copyrightLabel Claim.event	Added Element
ChargeItemDefinition.instance Claim.event.type	Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService Mandatory Element
ChargeItemDefinition.applicability.condition Claim.event.when[x]	Added Mandatory Element
ChargeItemDefinition.applicability.effectivePeriod Claim.careTeam.specialty	Added Element
ChargeItemDefinition.applicability.relatedArtifact Claim.supportingInfo.subCategory	Added Element
ChargeItemDefinition.propertyGroup.priceComponent Claim.supportingInfo.timing[x]	Type changed from BackboneElement to MonetaryComponent Add Types dateTime, Timing ChargeItemDefinition.effectivePeriod Deleted Remove Type date
ChargeItemDefinition.applicability.description Claim.supportingInfo.value[x]	Deleted Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ChargeItemDefinition.applicability.language Claim.insurance	Deleted Min Cardinality changed from 1 to 0
ChargeItemDefinition.applicability.expression Claim.patientPaid	Deleted Added Element
ChargeItemDefinition.propertyGroup.priceComponent.type Claim.item.traceNumber	Deleted Added Element
ChargeItemDefinition.propertyGroup.priceComponent.code Claim.item.subject	Deleted Added Element
ChargeItemDefinition.propertyGroup.priceComponent.factor Claim.item.productOrService	Deleted Min Cardinality changed from 1 to 0
ChargeItemDefinition.propertyGroup.priceComponent.amount Claim.item.productOrServiceEnd	Deleted Added Element
Citation Claim.item.request	Added Resource Element
Claim.traceNumber Claim.item.patientPaid	Added Element
Claim.enterer Claim.item.tax	Type Reference: Added Target Types Patient, RelatedPerson Element
Claim.provider Claim.item.bodySite	Min Max Cardinality changed from 1 to 0 * Claim.priority Min Cardinality Type changed from 1 CodeableConcept to 0 BackboneElement
Claim.encounter Claim.item.bodySite.site	Added Mandatory Element
Claim.facility Claim.item.bodySite.subSite	Type Reference: Added Target Type Organization Element
Claim.diagnosisRelatedGroup Claim.item.detail.traceNumber	Added Element
Claim.event Claim.item.detail.productOrService	Added Element Min Cardinality changed from 1 to 0
Claim.event.type Claim.item.detail.productOrServiceEnd	Added Mandatory Element
Claim.event.when[x] Claim.item.detail.patientPaid	Added Mandatory Element
Claim.careTeam.specialty Claim.item.detail.tax	Added Element
Claim.supportingInfo.value[x] Claim.item.detail.subDetail.traceNumber	Add Type Identifier Added Element
Claim.insurance Claim.item.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
Claim.patientPaid Claim.item.detail.subDetail.productOrServiceEnd	Added Element
Claim.item.traceNumber Claim.item.detail.subDetail.patientPaid	Added Element
Claim.item.productOrService Claim.item.detail.subDetail.tax	Min Cardinality changed from 1 to 0 Added Element
Claim.item.productOrServiceEnd Claim.patient	Added Element Deleted
Claim.item.request Claim.careTeam.responsible	Added Element Deleted
Claim.item.patientPaid Claim.careTeam.qualification	Added Element Deleted
Claim.item.tax Claim.diagnosis.packageCode	Added Element Deleted
Claim.item.bodySite Claim.item.subSite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement Deleted
ClaimResponse
Claim.item.bodySite.site ClaimResponse.traceNumber	Added Mandatory Element
Claim.item.bodySite.subSite ClaimResponse.statusReason	Added Element
Claim.item.detail.traceNumber ClaimResponse.subject	Added Mandatory Element
Claim.item.detail.productOrService ClaimResponse.insurer	Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd ClaimResponse.outcome	Added Element Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Claim Processing Codes
Claim.item.detail.patientPaid ClaimResponse.decision	Added Element
Claim.item.detail.tax ClaimResponse.event	Added Element
Claim.item.detail.subDetail.traceNumber ClaimResponse.event.type	Added Mandatory Element
Claim.item.detail.subDetail.productOrService ClaimResponse.event.when[x]	Min Cardinality changed from 1 to 0 Added Mandatory Element
Claim.item.detail.subDetail.productOrServiceEnd ClaimResponse.encounter	Added Element
Claim.item.detail.subDetail.patientPaid ClaimResponse.diagnosisRelatedGroup	Added Element
Claim.item.detail.subDetail.tax ClaimResponse.supportingInfo	Added Element
Claim.careTeam.qualification ClaimResponse.supportingInfo.sequence	Deleted Added Mandatory Element
Claim.diagnosis.packageCode ClaimResponse.supportingInfo.category	Deleted Added Mandatory Element
Claim.item.subSite ClaimResponse.supportingInfo.code	Deleted Added Element
ClaimResponse.traceNumber ClaimResponse.supportingInfo.timing[x]	Added Element
ClaimResponse.insurer ClaimResponse.supportingInfo.value[x]	Min Cardinality changed from 1 to 0 Added Element
ClaimResponse.outcome ClaimResponse.supportingInfo.reason	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Claim Processing Codes Added Element
ClaimResponse.decision ClaimResponse.item.traceNumber	Added Element
ClaimResponse.event ClaimResponse.item.informationSequence	Added Element
ClaimResponse.event.type ClaimResponse.item.reviewOutcome	Added Mandatory Element
ClaimResponse.event.when[x] ClaimResponse.item.reviewOutcome.decision	Added Mandatory Element
ClaimResponse.encounter ClaimResponse.item.reviewOutcome.reason	Added Element
ClaimResponse.diagnosisRelatedGroup ClaimResponse.item.reviewOutcome.preAuthRef	Added Element
ClaimResponse.item.traceNumber ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
ClaimResponse.item.reviewOutcome ClaimResponse.item.adjudication	Added Element Min Cardinality changed from 1 to 0
ClaimResponse.item.reviewOutcome.decision ClaimResponse.item.adjudication.quantity	Added Element
ClaimResponse.item.reviewOutcome.reason ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod ClaimResponse.item.detail.reviewOutcome	Added Element
ClaimResponse.item.adjudication ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity ClaimResponse.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.item.detail.traceNumber ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.item.detail.reviewOutcome ClaimResponse.addItem.traceNumber	Added Element
ClaimResponse.item.detail.subDetail.traceNumber ClaimResponse.addItem.subject	Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.traceNumber ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.revenue ClaimResponse.addItem.category	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.class	Added Element
ClaimResponse.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.processNote.text	Type changed from string to markdown
ClaimResponse.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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.finding.item Added Element ClinicalImpression.code Deleted (No known use case for this element) ClinicalImpression.investigation ClaimResponse.patient	Deleted (-> ClinicalImpression.supportingInfo)
ClinicalImpression.finding.itemCodeableConcept ClaimResponse.item.adjudication.value	Deleted (-> ClinicalImpression.finding.item)
ClinicalImpression.finding.itemReference ClaimResponse.addItem.subSite	Deleted (-> ClinicalImpression.finding.item)
ClinicalUseDefinition	Added Resource
CodeSystem
CodeSystem.versionAlgorithm[x]	Added Element
CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, 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.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
Communication.reasonCode	Deleted (-> Communication.reason)
Communication.reasonReference	Deleted (-> Communication.reason)
CommunicationRequest
CommunicationRequest.status	Remove codes revoked , completed Add code ended
CommunicationRequest.intent	Added Mandatory Element
CommunicationRequest.payload.content[x]	Add Type CodeableConcept Remove Type string
CommunicationRequest.requester	Type Reference: Added Target Type Group
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 Types Endpoint, Group
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 , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification SubstanceNucleicAcid Add codes , ActorDefinition SubstancePolymer , AdministrableProductDefinition SubstanceProtein , ArtifactAssessment SubstanceReferenceInformation , BiologicallyDerivedProductDispense SubstanceSourceMaterial , Citation SubstanceSpecification , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult Add codes ActorDefinition , EncounterHistory AdministrableProductDefinition , EvidenceReport ArtifactAssessment , FormularyItem ClinicalUseDefinition , GenomicStudy DeviceAlert , ImagingSelection DeviceAssociation , Ingredient ImagingSelection , InventoryItem Ingredient , InventoryReport InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CompartmentDefinition.resource.startParam	Added Element
CompartmentDefinition.resource.endParam	Added Element
CompartmentDefinition.resource.documentation	Deleted
Composition
Composition.url	Added Element
Composition.identifier	Max Cardinality changed from 1 to *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
Composition.status	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from 1 to *
Composition.useContext	Added Element
Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Composition.title	Min Cardinality changed from 1 to 0
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 Composition.attester.party	Type changed from BackboneElement to RelatedArtifact Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Composition.relatesTo.type	Added Mandatory Element
Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality Composition.section.author	Deleted Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.relatesTo.code Composition.confidentiality	Deleted
Composition.relatesTo.target[x] Composition.relatesTo.code	Deleted
Composition.event.code	Deleted
Composition.section.mode	Deleted
ConceptMap
ConceptMap.identifier	Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]	Added Element
ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.comment	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.comment	Added Element
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 Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.category Condition.verificationStatus	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible) codes provisional , differential
Condition.participant Condition.category	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.participant.function Condition.bodyStructure	Added Element
Condition.participant.actor Condition.recorder	Type Reference: Added Mandatory Element Target Type Group
Condition.evidence Condition.asserter	Type changed from BackboneElement to CodeableReference Reference: Added Target Types Device, Group
Condition.recorder Condition.stage.assessment	Deleted (-> Condition.participant.actor) Type Reference: Removed Target Type ClinicalImpression
Condition.asserter Condition.evidence	Deleted (-> Condition.participant.actor) Type changed from BackboneElement to CodeableReference
Condition.evidence.code	Deleted (-> Condition.evidence)
Condition.evidence.detail	Deleted (-> Condition.evidence)
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, Group, 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.url Consent.policyBasis.uri	Added Element Moved from Consent.policy to Consent.policyBasis
Consent.policyText	Added Element
Consent.verification.verificationType Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
Consent.verification.verificationDate Consent.verification.verifiedWith	Max Cardinality changed from 1 to * Type Reference: Added Target Type Group
Consent.verification.date	Added Element
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	Min Cardinality changed from 1 to 0 Change value set from Security Role Type http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
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	Renamed from class to resourceType Change value set from Consent Content Class to Resource Types
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.policy.uri Consent.policyRule	Deleted
Consent.policyRule Consent.verification.verificationDate	Deleted
Contract
Contract.author	Type Reference: Added Target Type RelatedPerson
Contract.term.text	Type changed from string to markdown
Contract.term.action.reason	Type changed from string to CodeableReference
Contract.term.action.reasonCode	Deleted (-> reason)
Contract.term.action.reasonReference	Deleted (-> reason)
Coverage
Coverage.statusReason	Added Element
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.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Eligibility Outcome
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
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.severity	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0` (required)
DetectedIssue.subject	Added Element
DetectedIssue.encounter	Added Element
DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
DetectedIssue.mitigation.note DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.patient DetectedIssue.expectedOnsetType	Deleted Added Element
Device DetectedIssue.medicationClass	Added Element
Device.displayName DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
DetectedIssue.patient	Deleted
Device
Device.definition	Type changed from Reference(DeviceDefinition) to CodeableReference canonical(DeviceDefinition)
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.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 Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name 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.version.installDate Device.deviceVersion	Added Element
Device.conformsTo Device.deviceVersion.type	Renamed from specialization to conformsTo Added Element
Device.conformsTo.category Device.deviceVersion.component	Added Element
Device.conformsTo.specification Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Added Mandatory Element
Device.conformsTo.version Device.conformsTo	Moved Renamed from Device.specialization specialization to Device.conformsTo conformsTo
Device.property.value[x] Device.conformsTo.category	Added Mandatory Element
Device.mode Device.conformsTo.specification	Added Mandatory Element
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.cycle Device.property.value[x]	Added Mandatory Element
Device.duration Device.additive	Added Element
Device.endpoint Device.additive.type	Added Mandatory Element
Device.gateway Device.additive.quantity	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)
Device.owner	Deleted
Device.url	Deleted
DeviceAlert	Added Resource
DeviceAssociation	Added Resource
DeviceDefinition
DeviceDefinition.version	Max Cardinality changed from * to 1
DeviceDefinition.description DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.partNumber	Added Element
DeviceDefinition.manufacturer	Renamed from manufacturer[x] to manufacturer Remove Type string
DeviceDefinition.date	Added Element
DeviceDefinition.contact	Type changed from ContactPoint to ContactDetail
DeviceDefinition.publisher	Added Element
DeviceDefinition.useContext	Added Element
DeviceDefinition.jurisdiction	Added Element
DeviceDefinition.purpose	Added Element
DeviceDefinition.copyright	Added Element
DeviceDefinition.copyrightLabel	Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution	Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier.type DeviceDefinition.regulatoryIdentifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.partNumber DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.manufacturer DeviceDefinition.regulatoryIdentifier.identifierSystem	Renamed from manufacturer[x] to manufacturer Remove Type string Added Element
DeviceDefinition.deviceName.type	Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name 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 DeviceDefinition.hasPart.definition[x]	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.version DeviceDefinition.deviceVersion	Type changed from string to BackboneElement Added Element
DeviceDefinition.version.type DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.version.component DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.version.value DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	Added Element
DeviceDefinition.property.value[x]	Added Mandatory Element
DeviceDefinition.link	Added Element
DeviceDefinition.link.relation	Added Mandatory Element
DeviceDefinition.link.relatedDevice DeviceDefinition.link.relatedDevice[x]	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.physicalCharacteristics	Deleted (-> DeviceDefinition.property)
DeviceDefinition.languageCode	Deleted
DeviceDefinition.capability	Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity	Deleted
DeviceDefinition.property.valueCode	Deleted
DeviceDefinition.url DeviceDefinition.owner	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 DeviceMetric
DeviceMetric.status	Added Resource Mandatory Element
DeviceMetric DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.device	Added Mandatory Element
DeviceMetric.color	Change value set from http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to Color Codes (Names or RGB Values)
DeviceMetric.measurementFrequency	Added Element
DeviceMetric.availability	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.code DeviceRequest.status	Renamed from code[x] to code Add Type CodeableReference Remove Types Reference(Device), CodeableConcept codes revoked , completed DeviceRequest.quantity Added Element Add code ended
DeviceRequest.performer DeviceRequest.intent	Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.reason DeviceRequest.doNotPerform	Added Element
DeviceRequest.asNeeded DeviceRequest.product[x]	Added Mandatory Element
DeviceRequest.asNeededFor DeviceRequest.quantity	Added Element
DeviceUsage DeviceRequest.requester	Moved from DeviceUseStatement to DeviceUsage Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceUsage.status DeviceRequest.performer	Change value set Type changed from http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0 to Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device Usage Status Add code not-done DeviceUsage.category Added Element | RelatedPerson) to CodeableReference
DeviceUsage.patient DeviceRequest.location	Added Mandatory Element
DeviceUsage.context DeviceRequest.reason	Added Element
DeviceUsage.dateAsserted DeviceRequest.asNeeded	Added Element
DeviceUsage.usageStatus DeviceRequest.asNeededFor	Added Element
DeviceUsage.usageReason DeviceRequest.instantiatesCanonical	Added Element Deleted
DeviceUsage.adherence DeviceRequest.instantiatesUri	Added Element Deleted
DeviceUsage.adherence.code DeviceRequest.code[x]	Added Mandatory Element Deleted
DeviceUsage.adherence.reason DeviceRequest.performerType	Added Mandatory Element Deleted (-> performer)
DeviceUsage.informationSource DeviceRequest.reasonCode	Added Element Deleted (-> reason)
DeviceUsage.device DeviceRequest.reasonReference	Type changed from Reference(Device) to CodeableReference Deleted (-> reason)
DeviceUsage.reason DiagnosticReport	Added Element
DeviceUsage.bodySite DiagnosticReport.basedOn	Type changed from CodeableConcept to CodeableReference Reference: Removed Target Type ImmunizationRecommendation
DeviceUseStatement.subject DiagnosticReport.status	Deleted Remove codes preliminary , corrected , appended
DeviceUseStatement.recordedOn DiagnosticReport.subject	Deleted Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
DeviceUseStatement.source DiagnosticReport.relatesTo	Deleted Added Element
DeviceUseStatement.reasonCode DiagnosticReport.issued	Deleted Type changed from instant to dateTime
DeviceUseStatement.reasonReference DiagnosticReport.procedure	Deleted Added Element
DiagnosticReport.status DiagnosticReport.performer	Add code modified Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.subject DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct Patient, RelatedPerson
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.comparison	Added Element
DiagnosticReport.imagingStudy	Deleted
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code preliminary 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.bodySite DocumentReference.related	Added Element
DocumentReference.bodyStructure	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 Types CareTeam, Group
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.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
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 MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
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)
Endpoint
Endpoint.status	Remove code test Add code limited
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
EnrollmentRequest.candidate	No Changes Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome
EnrollmentResponse.candidate	Added Element
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 Max Cardinality changed from 1 to *
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
EventDefinition.usage	Type changed from string to markdown
EventDefinition.copyrightLabel	Added Element
Evidence
Evidence.versionAlgorithm[x]	Added Element
Evidence.citeAs[x] Evidence.citeAs	Added Element
Evidence.experimental	Added Element
Evidence.recorder	Added Element
Evidence.purpose	Added Element
Evidence.copyrightLabel	Added Element
Evidence.assertion Evidence.relatesTo	Added Element
Evidence.variableDefinition Evidence.relatesTo.type	Added Mandatory Element
Evidence.relatesTo.target[x]	Added Mandatory Element
Evidence.assertion	Added Element
Evidence.variableDefinition	Added 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.sampleSize.numberAnalyzed	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 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.attributeEstimate 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 Evidence.relatedArtifact	Deleted
Evidence.exposureVariant Evidence.exposureBackground	Deleted
Evidence.outcome Evidence.exposureVariant	Deleted
EvidenceReport Evidence.outcome	Added Resource Deleted
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]	Added Element
EvidenceVariable.citeAs	Added Element
EvidenceVariable.experimental	Added Element
EvidenceVariable.recorder	Added Element
EvidenceVariable.purpose	Added Element
EvidenceVariable.copyrightLabel	Added Element
EvidenceVariable.actual EvidenceVariable.relatesTo	Added Element
EvidenceVariable.characteristic EvidenceVariable.relatesTo.type	Min Cardinality changed from 1 to 0 Added Mandatory Element
EvidenceVariable.characteristic.linkId EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.characteristic.description EvidenceVariable.actual	Type changed from string to markdown Added Element
EvidenceVariable.characteristic.note EvidenceVariable.definition	Added Element
EvidenceVariable.characteristic.definitionReference EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.characteristic.definitionCanonical EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.characteristic.definitionCodeableConcept EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.characteristic.definitionExpression EvidenceVariable.handling	Added Element
EvidenceVariable.characteristic.definitionId EvidenceVariable.category	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue EvidenceVariable.category.name	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.type EvidenceVariable.category.value[x]	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.method EvidenceVariable.conditional	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.device EvidenceVariable.classifier	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.value[x] EvidenceVariable.dataStorage	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.offset EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.characteristic.definitionByCombination EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.characteristic.definitionByCombination.code EvidenceVariable.dataStorage.delimiter	Added Mandatory Element
EvidenceVariable.characteristic.definitionByCombination.threshold EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.characteristic.definitionByCombination.characteristic EvidenceVariable.timing	Added Mandatory Element
EvidenceVariable.characteristic.instances[x] EvidenceVariable.period	Added Element
EvidenceVariable.characteristic.duration[x] EvidenceVariable.constraint	Added Element
EvidenceVariable.characteristic.timeFromEvent EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.characteristic.timeFromEvent.description EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.characteristic.timeFromEvent.note EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.characteristic.timeFromEvent.event[x] EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.quantity EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.range EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.handling EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.category EvidenceVariable.constraint.code	Added Element
EvidenceVariable.category.name EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.category.value[x] EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.subtitle EvidenceVariable.constraint.expectedUnitsValueSet	Deleted Added Element
EvidenceVariable.jurisdiction EvidenceVariable.constraint.anyValueAllowed	Deleted Added Element
EvidenceVariable.topic EvidenceVariable.missingDataMeaning	Deleted Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.type EvidenceVariable.subtitle	Deleted
EvidenceVariable.characteristic.definition[x] EvidenceVariable.jurisdiction	Deleted
EvidenceVariable.characteristic.usageContext EvidenceVariable.topic	Deleted
EvidenceVariable.characteristic.participantEffective[x] EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.characteristic.timeFromStart EvidenceVariable.type	Deleted
EvidenceVariable.characteristic.groupMeasure EvidenceVariable.characteristic	Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]	Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExampleScenario.copyrightLabel	Added Element
ExampleScenario.actor.key	Renamed from actorId to key
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to Actor Definition Actor Type Remove code entity Add code codes system , collective , other
ExampleScenario.actor.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.actor.definition	Added Element
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` `http://hl7.org/fhir/ValueSet/examplescenario-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.statusReason	Added Element
ExplanationOfBenefit.subject	Added Mandatory 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.related.claim	Type Reference: Added Target Type ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest
ExplanationOfBenefit.originalPrescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest, VisionPrescription
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	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Claim Processing Codes
ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element
ExplanationOfBenefit.supportingInfo.value[x] ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type Identifier date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid	Added Element
ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	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.adjudication.decisionDate	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.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	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.class	Added Element
ExplanationOfBenefit.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from string to markdown
ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ExplanationOfBenefit.patient	Deleted
ExplanationOfBenefit.careTeam.responsible	Deleted
ExplanationOfBenefit.careTeam.qualification	Deleted
ExplanationOfBenefit.diagnosis.packageCode	Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.item.adjudication.value	Deleted
ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory	Added Element
FamilyMemberHistory.participant.function FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.participant.actor FamilyMemberHistory.asserter	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.instantiatesCanonical	Deleted
FamilyMemberHistory.instantiatesUri	Deleted
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
FormularyItem Flag.supportingInfo	Added Resource Element
GenomicStudy Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Resource Element
Goal Goal.acceptance	Added Element
Goal.continuous Goal.acceptance.participant	Added Mandatory Element
Goal.source Goal.acceptance.status	Renamed Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from expressedBy 1 to source * Type Reference: changed from string to CodeableConcept
Goal.recorder	Added Target Type CareTeam Element
Goal.addresses Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types MedicationRequest, Procedure CareTeam, Group
Goal.outcome Goal.addresses	Type Reference: Added Element Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
GraphDefinition Group
GraphDefinition.identifier Group.url	Added Element
GraphDefinition.versionAlgorithm[x] Group.version	Added Element
GraphDefinition.title Group.versionAlgorithm[x]	Added Element
GraphDefinition.copyright Group.title	Added Element
GraphDefinition.copyrightLabel Group.status	Added Element
GraphDefinition.start Group.experimental	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) Added Element
GraphDefinition.node Group.date	Added Element
GraphDefinition.node.nodeId Group.publisher	Added Mandatory Element
GraphDefinition.node.description Group.contact	Added Element
GraphDefinition.node.type Group.description	Added Mandatory Element
GraphDefinition.node.profile Group.useContext	Added Element
GraphDefinition.link.sourceId Group.purpose	Added Mandatory Element
GraphDefinition.link.targetId Group.copyright	Added Mandatory Element
GraphDefinition.link.params Group.copyrightLabel	Added Element
GraphDefinition.link.compartment Group.type	Added Element Min Cardinality changed from 1 to 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
GraphDefinition.link.compartment.use Group.membership	Added Mandatory Element
GraphDefinition.link.compartment.rule Group.code	Added Mandatory Element Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
GraphDefinition.link.compartment.code Group.combinationMethod	Added Mandatory Element
GraphDefinition.link.compartment.expression Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
GraphDefinition.link.compartment.description Group.characteristic.description	Added Element
GraphDefinition.profile Group.characteristic.method	Deleted (-> .node.profile) Added Element
GraphDefinition.link.target Group.characteristic.formula	Deleted (-> .link.targetId / .node.nodeId) Added Element
Group Group.characteristic.determiner	Added Element
Group.active Group.characteristic.offset	Now marked as Modifier Added Element
Group.type Group.characteristic.instances[x]	Remove codes medication , substance Add codes careteam , healthcareservice , location , organization , relatedperson , specimen Added Element
Group.membership Group.characteristic.duration[x]	Added Mandatory Element
Group.description Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Type Reference: Removed Target Types Medication, Substance Added Element
Group.active	Deleted
Group.actual	Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.location	Added Element
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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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.status	Add code inactive
ImagingStudy.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.partOf ImagingStudy.basedOn	Added Element Type Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Added Element
ImagingStudy.reason	Added Element
ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.series.bodySite	Type changed from Coding to CodeableReference
ImagingStudy.series.laterality ImagingStudy.series.performer.actor	Type changed from Coding to CodeableConcept Reference: Added Target Type HealthcareService
ImagingStudy.series.performer.actor ImagingStudy.series.instance.sopClass	Type Reference: Added Target Type HealthcareService 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)
ImagingStudy.series.laterality	Deleted
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 Remove Min Cardinality changed from 1 to 0 Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Remove Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.recorded	Deleted
Immunization.reportOrigin	Deleted
Immunization.reasonCode	Deleted (-> reason)
Immunization.reasonReference	Deleted (-> reason)
Immunization.education	Deleted
Immunization.reaction.detail	Deleted
ImmunizationEvaluation ImplementationGuide	Type changed from string to markdown ImmunizationEvaluation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt
ImmunizationEvaluation.seriesDoses ImplementationGuide.identifier	Renamed from seriesDoses[x] to seriesDoses Remove Type positiveInt Added Element
ImmunizationRecommendation.recommendation.targetDisease ImplementationGuide.versionAlgorithm[x]	Max Cardinality changed from 1 to * Added Element
ImmunizationRecommendation.recommendation.description Type changed from string to markdown ImmunizationRecommendation.recommendation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt ImmunizationRecommendation.recommendation.seriesDoses ImplementationGuide.jurisdiction	Renamed Change value set from seriesDoses[x] http://hl7.org/fhir/ValueSet/jurisdiction to seriesDoses Remove Type positiveInt ImplementationGuide Jurisdiction ValueSet ImplementationGuide.identifier Added Element ImplementationGuide.versionAlgorithm[x] Added Element
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
ImplementationGuide.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.3.0 , 4.1.0 3.5.0 , 4.2 4.0.0 Add codes 0.0 , 4.2.0 0.4 , 4.3 0.5 , 4.3.0 1.0 , 4.3.0-cibuild 1.1 , 4.3.0-snapshot1 1.4 , 4.4 1.6 , 4.4.0 1.8 , 4.5 3.0 , 4.5.0 3.3 , 4.6 3.5 , 4.6.0 4.0 , 5.0 4.1 , 5.0.0 4.2 , 5.0.0-cibuild 4.3 , 5.0.0-snapshot1 4.4 , 5.0.0-snapshot2 4.5 , 5.0.0-ballot 4.6 , 5.0.0-snapshot3 5.0 , 5.0.0-draft-final 6.0
ImplementationGuide.dependsOn.reason	Added Element
ImplementationGuide.global.type	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification SubstanceNucleicAcid Add codes , ActorDefinition SubstancePolymer , AdministrableProductDefinition SubstanceProtein , ArtifactAssessment SubstanceReferenceInformation , BiologicallyDerivedProductDispense SubstanceSourceMaterial , Citation SubstanceSpecification , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult Add codes ActorDefinition , EncounterHistory AdministrableProductDefinition , EvidenceReport ArtifactAssessment , FormularyItem ClinicalUseDefinition , GenomicStudy DeviceAlert , ImagingSelection DeviceAssociation , Ingredient ImagingSelection , InventoryItem Ingredient , InventoryReport InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , 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 Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.3.0 , 4.1.0 3.5.0 , 4.2 4.0.0 Add codes 0.0 , 4.2.0 0.4 , 4.3 0.5 , 4.3.0 1.0 , 4.3.0-cibuild 1.1 , 4.3.0-snapshot1 1.4 , 4.4 1.6 , 4.4.0 1.8 , 4.5 3.0 , 4.5.0 3.3 , 4.6 3.5 , 4.6.0 4.0 , 5.0 4.1 , 5.0.0 4.2 , 5.0.0-cibuild 4.3 , 5.0.0-snapshot1 4.4 , 5.0.0-snapshot2 4.5 , 5.0.0-ballot 4.6 , 5.0.0-snapshot3 5.0 , 5.0.0-draft-final 6.0
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.contact InsurancePlan.type	Type Max Cardinality changed from BackboneElement * to ExtendedContactDetail 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.contact.purpose InsurancePlan.status	Deleted (-> InsurancePlan.contact.purpose)
InsurancePlan.contact.name InsurancePlan.name	Deleted (-> InsurancePlan.contact.name)
InsurancePlan.contact.telecom InsurancePlan.alias	Deleted (-> InsurancePlan.contact.telecom)
InsurancePlan.contact.address InsurancePlan.period	Deleted (-> InsurancePlan.contact.address)
InventoryItem InsurancePlan.ownedBy	Added Resource Deleted
InsurancePlan.administeredBy	Deleted
InsurancePlan.contact	Deleted
InsurancePlan.endpoint	Deleted
InsurancePlan.coverage	Deleted
InsurancePlan.plan	Deleted
InventoryReport InsuranceProduct	Added Resource
Invoice
Invoice.creation	Added Element
Invoice.period[x]	Added Element
Invoice.issuer	Type Reference: Added Target Types Practitioner, PractitionerRole
Invoice.lineItem.serviced[x]	Added Element
Invoice.lineItem.priceComponent	Type changed from BackboneElement to MonetaryComponent
Invoice.totalPriceComponent	Add Type MonetaryComponent
Invoice.date	Deleted
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.type	Change value set from http://hl7.org/fhir/ValueSet/library-type to LibraryType
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 Library.jurisdiction	Type changed Change value set from string http://hl7.org/fhir/ValueSet/jurisdiction to markdown Jurisdiction ValueSet
Library.copyrightLabel Library.usage	Added Element Type changed from string to markdown
Linkage Library.copyrightLabel	No Changes Added Element
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 CareTeam, Group
Location
Location.code	Added Element
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 Measure.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Measure.usage	Type changed from string to markdown
Measure.copyrightLabel	Added Element
Measure.scoringUnit Measure.reportingFrequency	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.title	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 Measure.group.basisRequirement	Added Element
Measure.group.scoringUnit Measure.group.scoring	Added Element
Measure.group.rateAggregation Measure.group.scoringUnit	Added Element
Measure.group.improvementNotation Measure.group.scoringPrecision	Added Element
Measure.group.library Measure.group.compositeScoring	Added Element
Measure.group.population.linkId Measure.group.component	Added Element
Measure.group.population.description Measure.group.component.measure	Type changed from string to markdown Added Element
Measure.group.population.criteria Measure.group.component.groupId	Min Cardinality changed from 1 to 0 Added Element
Measure.group.population.groupDefinition Measure.group.component.weight	Added Element
Measure.group.population.inputPopulationId Measure.group.rateAggregation	Added Element
Measure.group.population.aggregateMethod Measure.group.improvementNotation	Added Element
Measure.group.stratifier.linkId Measure.group.improvementNotationGuidance	Added Element
Measure.group.stratifier.description Measure.group.library	Type changed from string to markdown Added Element
Measure.group.stratifier.groupDefinition Measure.group.population.linkId	Added Element
Measure.group.stratifier.component.linkId Measure.group.population.title	Added Element
Measure.group.stratifier.component.description Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
Measure.group.population.description	Type changed from string to markdown
Measure.group.stratifier.component.criteria Measure.group.population.criteria	Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition Measure.group.population.groupDefinition	Added Element
Measure.supplementalData.linkId Measure.group.population.inputPopulationId	Added Element
Measure.definition Measure.group.population.aggregateMethod	Deleted (->term.definition term is code and definition now) Added Element
MeasureReport.type Measure.group.stratifier.linkId	Remove code data-collection Add code data-exchange Added Element
MeasureReport.dataUpdateType Measure.group.stratifier.title	Added Element
MeasureReport.measure Measure.group.stratifier.description	Min Cardinality Type changed from 1 string to 0 markdown
MeasureReport.subject Measure.group.stratifier.groupDefinition	Type Reference: Added Target Types CareTeam, HealthcareService, Organization Element
MeasureReport.reporter Measure.group.stratifier.component.linkId	Type Reference: Added Target Type Group Type Reference: Removed Target Type Location Element
MeasureReport.reportingVendor Measure.group.stratifier.component.description	Added Element Type changed from string to markdown
MeasureReport.location Measure.group.stratifier.component.criteria	Added Element Min Cardinality changed from 1 to 0
MeasureReport.inputParameters Measure.group.stratifier.component.groupDefinition	Added Element
MeasureReport.scoring Measure.group.stratifier.component.valueSet	Added Element
MeasureReport.group.linkId Measure.group.stratifier.component.unit	Added Element
MeasureReport.group.subject Measure.supplementalData.linkId	Added Element
MeasureReport.group.population.linkId Measure.supplementalData.usage	Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
MeasureReport.group.population.subjectReport Measure.supplementalData.description	Added Element Type changed from string to markdown
MeasureReport.group.population.subjects Measure.supplementalData.valueSet	Added Element
MeasureReport.group.measureScore[x] Measure.supplementalData.unit	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration Added Element
MeasureReport.group.stratifier.linkId Measure.scoring	Added Element Deleted
MeasureReport.group.stratifier.code Measure.compositeScoring	Max Cardinality changed from * to 1 Deleted
MeasureReport.group.stratifier.stratum.value[x] Measure.type	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Deleted
MeasureReport.group.stratifier.stratum.component.linkId Measure.improvementNotation	Added Element Deleted
MeasureReport.group.stratifier.stratum.component.value[x] Measure.definition	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Deleted (->term.definition term is code and definition now)
MeasureReport.group.stratifier.stratum.population.linkId MeasureReport	Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport MeasureReport.category	Added Element
MeasureReport.group.stratifier.stratum.population.subjects MeasureReport.messages	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x] MeasureReport.type	Renamed from measureScore to measureScore[x] Remove code data-collection Add Types dateTime, CodeableConcept, Period, Range, Duration MeasureReport.supplementalData Added Element code data-exchange
Medication.marketingAuthorizationHolder MeasureReport.dataUpdateType	Added Element
Medication.doseForm MeasureReport.measure	Added Element Min Cardinality changed from 1 to 0
Medication.totalVolume MeasureReport.subject	Type Reference: Added Element Target Types CareTeam, HealthcareService, Organization
Medication.ingredient.item MeasureReport.reporter	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication) Reference: Removed Target Type Location
Medication.ingredient.strength[x] MeasureReport.reportingVendor	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity Added Element
Medication.definition MeasureReport.location	Added Element
Medication.manufacturer MeasureReport.inputParameters	Deleted Added Element
Medication.form MeasureReport.group.linkId	Deleted Added Element
Medication.amount MeasureReport.group.title	Deleted Added Element
MedicationAdministration.basedOn MeasureReport.group.calculatedDate	Added Element
MedicationAdministration.partOf MeasureReport.group.description	Type Reference: Added Target Type MedicationDispense Element
MedicationAdministration.category MeasureReport.group.type	Max Cardinality changed from 1 to * Added Element
MedicationAdministration.medication MeasureReport.group.subject	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) Added Element
MedicationAdministration.encounter MeasureReport.group.scoring	Added Element
MedicationAdministration.occurence[x] MeasureReport.group.improvementNotation	Added Mandatory Element
MedicationAdministration.recorded MeasureReport.group.improvementNotationGuidance	Added Element
MedicationAdministration.isSubPotent MeasureReport.group.population.linkId	Added Element
MedicationAdministration.subPotentReason MeasureReport.group.population.title	Added Element
MedicationAdministration.performer.actor MeasureReport.group.population.code	Type changed Change value set from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) http://hl7.org/fhir/ValueSet/measure-population to CodeableReference MeasurePopulationType
MedicationAdministration.reason MeasureReport.group.population.description	Added Element
MedicationAdministration.device MeasureReport.group.population.countQuantity	Type changed from Reference(Device) to CodeableReference Added Element
MedicationAdministration.instantiates MeasureReport.group.population.subjectReport	Deleted Added Element
MedicationAdministration.context MeasureReport.group.population.subjects	Deleted Added Element
MedicationAdministration.effective[x] MeasureReport.group.measureScore[x]	Deleted Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationAdministration.reasonCode MeasureReport.group.stratifier.linkId	Deleted (-> reason) Added Element
MedicationAdministration.reasonReference MeasureReport.group.stratifier.title	Deleted (-> reason) Added Element
MedicationDispense.basedOn MeasureReport.group.stratifier.code	Added Element Max Cardinality changed from * to 1
MedicationDispense.partOf MeasureReport.group.stratifier.description	Type Reference: Added Target Type MedicationAdministration Element
MedicationDispense.notPerformedReason MeasureReport.group.stratifier.stratum.value[x]	Added Element Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MedicationDispense.statusChanged MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MedicationDispense.category MeasureReport.group.stratifier.stratum.component.description	Max Cardinality changed from 1 to * Added Element
MedicationDispense.medication MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from medication[x] value to medication value[x] Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) MedicationDispense.subject Min Cardinality changed from 0 to 1 boolean, Quantity, Range, Reference
MedicationDispense.encounter MeasureReport.group.stratifier.stratum.population.linkId	Added Element
MedicationDispense.performer.actor MeasureReport.group.stratifier.stratum.population.code	Type Reference: Added Target Type CareTeam Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MedicationDispense.recorded MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MedicationDispense.receiver MeasureReport.group.stratifier.stratum.population.subjectReport	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole Element
MedicationDispense.renderedDosageInstruction MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MedicationDispense.substitution.responsibleParty MeasureReport.group.stratifier.stratum.measureScore[x]	Max Cardinality changed Renamed from * measureScore to 1 measureScore[x] Type Reference: Added Target Type Organization Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationDispense.statusReason[x] MeasureReport.supplementalData	Deleted Added Element
MedicationDispense.context MeasureReport.improvementNotation	Deleted
MedicationDispense.detectedIssue Medication
Medication.marketingAuthorizationHolder	Deleted Added Element
MedicationKnowledge.identifier Medication.doseForm	Added Element
MedicationKnowledge.author Medication.packageSize	Added Element
MedicationKnowledge.intendedJurisdiction Medication.packageSize.numberOfItems	Added Element
MedicationKnowledge.name Medication.packageSize.amountPerItem	Added Element
MedicationKnowledge.monograph.source Medication.ingredient.item	Renamed from item[x] to item Add Type Reference: Removed Target Type Media CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
MedicationKnowledge.cost.effectiveDate Medication.ingredient.role	Added Element
MedicationKnowledge.cost.cost[x] Medication.ingredient.strength[x]	Renamed from cost strength to cost[x] strength[x] Add Type CodeableConcept Types CodeableConcept, Quantity
MedicationKnowledge.indicationGuideline Medication.instance	Added Element
MedicationKnowledge.indicationGuideline.indication Medication.instance.identifier	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline Medication.instance.lotNumber	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent Medication.instance.expirationDate	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage Medication.definition	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type Medication.manufacturer	Added Mandatory Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage Medication.form	Added Mandatory Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment Medication.amount	Added Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic Medication.batch	Added Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type MedicationAdministration	Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x] MedicationAdministration.basedOn	Added Element
MedicationKnowledge.medicineClassification.source[x] MedicationAdministration.partOf	Type Reference: Added Element Target Type MedicationDispense
MedicationKnowledge.packaging MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.cost MedicationAdministration.medication	Added Element Renamed from medication[x] to medication MedicationKnowledge.packaging.packagedProduct Added Element Add Type CodeableReference MedicationKnowledge.clinicalUseIssue Added Element Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.storageGuideline MedicationAdministration.encounter	Added Element
MedicationKnowledge.storageGuideline.reference MedicationAdministration.occurrence[x]	Added Mandatory Element
MedicationKnowledge.storageGuideline.note MedicationAdministration.recorded	Added Element
MedicationKnowledge.storageGuideline.stabilityDuration MedicationAdministration.isSubPotent	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting MedicationAdministration.subPotentReason	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type MedicationAdministration.performer.actor	Added Mandatory Element Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationKnowledge.storageGuideline.environmentalSetting.value[x] MedicationAdministration.reason	Added Mandatory Element
MedicationKnowledge.regulatory.schedule MedicationAdministration.device	Type changed from BackboneElement Reference(Device) to CodeableConcept CodeableReference
MedicationKnowledge.definitional MedicationAdministration.instantiates	Added Element Deleted
MedicationKnowledge.definitional.definition MedicationAdministration.context	Added Element Deleted
MedicationKnowledge.definitional.doseForm MedicationAdministration.effective[x]	Added Element Deleted
MedicationKnowledge.definitional.intendedRoute MedicationAdministration.reasonCode	Added Element Deleted (-> reason)
MedicationKnowledge.definitional.ingredient MedicationAdministration.reasonReference	Added Element Deleted (-> reason)
MedicationDispense
MedicationKnowledge.definitional.ingredient.item MedicationDispense.basedOn	Added Mandatory Element
MedicationKnowledge.definitional.ingredient.type MedicationDispense.partOf	Type Reference: Added Element Target Type MedicationAdministration
MedicationKnowledge.definitional.ingredient.strength[x] MedicationDispense.status	Added Element Remove code stopped Add code unfulfilled
MedicationKnowledge.definitional.drugCharacteristic MedicationDispense.notPerformedReason	Added Element
MedicationKnowledge.definitional.drugCharacteristic.type MedicationDispense.statusChanged	Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x] MedicationDispense.category	Added Element Max Cardinality changed from 1 to *
MedicationKnowledge.manufacturer MedicationDispense.medication	Deleted Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.doseForm MedicationDispense.subject	Deleted Min Cardinality changed from 0 to 1
MedicationKnowledge.amount MedicationDispense.encounter	Deleted Added Element
MedicationKnowledge.synonym MedicationDispense.performer.actor	Deleted Type Reference: Added Target Types CareTeam, Group
MedicationKnowledge.ingredient MedicationDispense.fillNumber	Deleted Added Element
MedicationKnowledge.intendedRoute MedicationDispense.recorded	Deleted Added Element
MedicationKnowledge.administrationGuidelines MedicationDispense.receiver	Deleted Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationKnowledge.packaging.type MedicationDispense.dosageInstruction	Deleted Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationKnowledge.packaging.quantity MedicationDispense.doseAdministrationAid	Deleted Added Element
MedicationKnowledge.drugCharacteristic MedicationDispense.substitution.responsibleParty	Deleted Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization
MedicationKnowledge.contraindication MedicationDispense.statusReason[x]	Deleted
MedicationKnowledge.regulatory.schedule.schedule MedicationDispense.context	Deleted
MedicationKnowledge.kinetics MedicationDispense.detectedIssue	Deleted
MedicationRequest
MedicationRequest.basedOn	Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.reported MedicationRequest.isRecordOfRequest	Renamed from reported[x] to reported Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Added Element
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 HealthcareService, Group 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 MedicationRequest.effectiveTiming[x]	Added Element
MedicationRequest.effectiveDosePeriod MedicationRequest.dosageInstruction	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Added Element
MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.dispenseRequest.destination	Added Element
MedicationRequest.reported[x]	Deleted
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.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.renderedDosageInstruction MedicationStatement.dosage	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MessageDefinition.copyrightLabel	Added Element
MessageDefinition.focus.code	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification SubstanceNucleicAcid Add codes , ActorDefinition SubstancePolymer , AdministrableProductDefinition SubstanceProtein , ArtifactAssessment SubstanceReferenceInformation , BiologicallyDerivedProductDispense SubstanceSourceMaterial , Citation SubstanceSpecification , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult Add codes ActorDefinition , EncounterHistory AdministrableProductDefinition , EvidenceReport ArtifactAssessment , FormularyItem ClinicalUseDefinition , GenomicStudy DeviceAlert , ImagingSelection DeviceAssociation , Ingredient ImagingSelection , InventoryItem Ingredient , InventoryReport InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
MessageDefinition.graph	Max Cardinality changed from * to 1 Deleted
MessageHeader
MessageHeader.event[x]	Add Type canonical(EventDefinition) Remove Type uri 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.sender Type Reference: Added Target Type Device MessageHeader.author MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Organization 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.usage	Added Element
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)
MolecularSequence NamingSystem	Renamed from patient to subject Type Reference: Added Target Types Group, Substance, BiologicallyDerivedProduct, NutritionProduct
MolecularSequence.focus NamingSystem.url	Added Element
MolecularSequence.literal NamingSystem.identifier	Added Element
MolecularSequence.formatted NamingSystem.version	Added Element
MolecularSequence.relative NamingSystem.versionAlgorithm[x]	Added Element
MolecularSequence.relative.coordinateSystem NamingSystem.title	Added Mandatory Element
MolecularSequence.relative.ordinalPosition NamingSystem.experimental	Added Element
MolecularSequence.relative.sequenceRange NamingSystem.type	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
MolecularSequence.relative.startingSequence NamingSystem.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MolecularSequence.relative.startingSequence.genomeAssembly NamingSystem.purpose	Added Element
MolecularSequence.relative.startingSequence.chromosome NamingSystem.copyright	Added Element
MolecularSequence.relative.startingSequence.sequence[x] NamingSystem.copyrightLabel	Added Element
MolecularSequence.relative.startingSequence.windowStart NamingSystem.approvalDate	Added Element
MolecularSequence.relative.startingSequence.windowEnd NamingSystem.lastReviewDate	Added Element
MolecularSequence.relative.startingSequence.orientation NamingSystem.effectivePeriod	Added Element
MolecularSequence.relative.startingSequence.strand NamingSystem.topic	Added Element
MolecularSequence.relative.edit NamingSystem.author	Added Element
MolecularSequence.relative.edit.start NamingSystem.editor	Added Element
MolecularSequence.relative.edit.end NamingSystem.reviewer	Added Element
MolecularSequence.relative.edit.replacementSequence NamingSystem.endorser	Added Element
MolecularSequence.relative.edit.replacedSequence NamingSystem.relatedArtifact	Added Element
MolecularSequence.quantity NamingSystem.uniqueId.type	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Add codes iri-stem , v2csmnemonic
MolecularSequence.referenceSeq NamingSystem.uniqueId.authoritative	Deleted (->relative.startingSequence.sequence[x]) Added Element
MolecularSequence.variant NutritionIntake	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Resource
MolecularSequence.observedSeq NutritionOrder	Deleted (->relative.startingSequence.sequenceString)
MolecularSequence.quality NutritionOrder.basedOn	Deleted (Removed from the resource.) Added Element
MolecularSequence.readCoverage NutritionOrder.groupIdentifier	Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.repository NutritionOrder.status	Deleted (->formatted) Remove codes revoked , completed MolecularSequence.pointer Deleted (->relative) Add code ended
MolecularSequence.structureVariant NutritionOrder.intent	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Remove codes original-order , reflex-order , filler-order , instance-order
NamingSystem.url NutritionOrder.priority	Added Element
NamingSystem.identifier NutritionOrder.subject	Added Mandatory Element
NamingSystem.version NutritionOrder.supportingInformation	Added Element
NamingSystem.versionAlgorithm[x] NutritionOrder.requester	Added Element
NamingSystem.title NutritionOrder.performer	Added Element
NamingSystem.experimental NutritionOrder.outsideFoodAllowed	Added Element
NamingSystem.type NutritionOrder.oralDiet.schedule	Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible) Max Cardinality changed from * to 1 NamingSystem.purpose Added Element Type changed from Timing to BackboneElement
NamingSystem.copyright NutritionOrder.oralDiet.schedule.timing	Added Element
NamingSystem.copyrightLabel NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NamingSystem.approvalDate NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
NamingSystem.lastReviewDate NutritionOrder.oralDiet.nutrient.amount	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.effectivePeriod NutritionOrder.oralDiet.texture.type	Added Element
NamingSystem.topic NutritionOrder.oralDiet.caloricDensity	Added Element
NamingSystem.author NutritionOrder.supplement.type	Added Element Type changed from CodeableConcept to CodeableReference
NamingSystem.editor NutritionOrder.supplement.schedule	Added Element Max Cardinality changed from * to 1 NamingSystem.reviewer Added Element Type changed from Timing to BackboneElement
NamingSystem.endorser NutritionOrder.supplement.schedule.timing	Added Element
NamingSystem.relatedArtifact NutritionOrder.supplement.schedule.asNeeded	Added Element
NamingSystem.uniqueId.authoritative NutritionOrder.supplement.schedule.asNeededFor	Added Element
NutritionOrder.basedOn NutritionOrder.supplement.quantity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.groupIdentifier NutritionOrder.supplement.caloricDensity	Added Element
NutritionOrder.priority NutritionOrder.enteralFormula.type	Added Element
NutritionOrder.subject NutritionOrder.enteralFormula.productName	Added Mandatory Element
NutritionOrder.supportingInformation NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
NutritionOrder.performer NutritionOrder.enteralFormula.caloricDensity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.outsideFoodAllowed NutritionOrder.enteralFormula.routeOfAdministration	Added Element
NutritionOrder.oralDiet.schedule NutritionOrder.enteralFormula.administration.schedule	Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
NutritionOrder.oralDiet.schedule.timing NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NutritionOrder.oralDiet.schedule.asNeeded NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NutritionOrder.supplement.type NutritionOrder.enteralFormula.administration.quantity	Type changed from CodeableConcept Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to CodeableReference Quantity
NutritionOrder.supplement.schedule NutritionOrder.enteralFormula.administration.rate[x]	Max Cardinality changed from * to 1 Remove Type changed from Timing to BackboneElement Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.supplement.schedule.timing NutritionOrder.enteralFormula.maxVolumeToAdminister	Added Element
NutritionOrder.supplement.schedule.asNeeded NutritionOrder.enteralFormula.administrationInstruction	Added Element Type changed from string to markdown
NutritionOrder.supplement.schedule.asNeededFor NutritionOrder.additive	Added Element
NutritionOrder.enteralFormula.baseFormulaType NutritionOrder.additive.modularType	Type changed from CodeableConcept to CodeableReference Added Element
NutritionOrder.enteralFormula.deliveryDevice NutritionOrder.additive.productName	Added Element
NutritionOrder.enteralFormula.additive NutritionOrder.additive.quantity	Added Element
NutritionOrder.enteralFormula.additive.type NutritionOrder.additive.routeOfAdministration	Added Element
NutritionOrder.enteralFormula.additive.productName NutritionOrder.instantiatesCanonical	Added Element Deleted
NutritionOrder.enteralFormula.additive.quantity NutritionOrder.instantiatesUri	Added Element Deleted
NutritionOrder.enteralFormula.routeOfAdministration NutritionOrder.instantiates	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule NutritionOrder.patient	Type changed from Timing to BackboneElement Deleted
NutritionOrder.enteralFormula.administration.schedule.timing NutritionOrder.orderer	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule.asNeeded NutritionOrder.oralDiet.texture.foodType	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule.asNeededFor NutritionOrder.oralDiet.fluidConsistencyType	Added Element Deleted
NutritionOrder.enteralFormula.administrationInstruction NutritionOrder.enteralFormula.baseFormulaType	Type changed from string to markdown Deleted
NutritionOrder.patient 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] Observation.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
Observation.triggeredBy	Added Element
Observation.triggeredBy.observation	Added Mandatory Element
Observation.triggeredBy.type	Added Mandatory Element
Observation.triggeredBy.reason	Added Element
Observation.partOf Observation.status	Type Reference: Added Target Type GenomicStudy Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
Observation.performer	Type Reference: Added Target Types HealthcareService, Group
Observation.value[x]	Add Types Attachment, Reference(MolecularSequence) Reference
Observation.interpretationContext	Added Element
Observation.bodyStructure	Added Element
Observation.specimen	Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Added Element
Observation.referenceRange.text	Type changed from string to markdown
Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Types ImagingSelection, GenomicStudy Type ImagingSelection Type Reference: Removed Target Type Media Types Media, MolecularSequence
Observation.component.value[x]	Add Types Attachment, Reference(MolecularSequence) Reference
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 ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Added Element
ObservationDefinition.qualifiedValue.context	Added Element
ObservationDefinition.qualifiedValue.appliesTo	Added Element
ObservationDefinition.qualifiedValue.gender ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
OperationDefinition.copyright	Added Element
OperationDefinition.copyrightLabel	Added Element
OperationDefinition.synchronicity	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 Remove codes ActorDefinition ChargeItem , AdministrableProductDefinition ChargeItemDefinition , ArtifactAssessment ClinicalImpression , BiologicallyDerivedProductDispense GraphDefinition , CanonicalResource ImmunizationEvaluation , Citation ImmunizationRecommendation , ClinicalUseDefinition Linkage , ConditionDefinition MedicationKnowledge , DeviceAssociation MolecularSequence , DeviceDispense SubstanceNucleicAcid , DeviceUsage SubstancePolymer , EncounterHistory SubstanceProtein , EvidenceReport SubstanceReferenceInformation , FormularyItem SubstanceSourceMaterial , GenomicStudy SupplyDelivery , ImagingSelection SupplyRequest , Ingredient TestReport , InventoryItem TestScript , InventoryReport VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , 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
OperationDefinition.parameter.scope	Added Element
OperationDefinition.parameter.min	Type changed from integer to unsignedInt
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup MessageDefinition , ResearchDefinition MessageHeader , ResearchElementDefinition MolecularSequence , RiskEvidenceSynthesis NamingSystem , SubstanceSpecification NutritionOrder , Type Observation , Any ObservationDefinition Add codes , Base OperationDefinition , DataType OperationOutcome , Availability Organization , BackboneType OrganizationAffiliation , CodeableReference Parameters , ExtendedContactDetail Patient , MonetaryComponent PaymentNotice , PrimitiveType PaymentReconciliation , integer64 Person , RatioRange PlanDefinition , VirtualServiceDetail Practitioner , ActorDefinition PractitionerRole , AdministrableProductDefinition Procedure , ArtifactAssessment Provenance , BiologicallyDerivedProductDispense Questionnaire , CanonicalResource QuestionnaireResponse , Citation RelatedPerson , ClinicalUseDefinition RequestGroup , ConditionDefinition ResearchDefinition , DeviceAssociation ResearchElementDefinition , DeviceDispense ResearchStudy , DeviceUsage ResearchSubject , EncounterHistory Resource , EvidenceReport RiskAssessment , FormularyItem RiskEvidenceSynthesis , GenomicStudy Schedule , ImagingSelection SearchParameter , Ingredient ServiceRequest , InventoryItem Slot , InventoryReport Specimen , ManufacturedItemDefinition SpecimenDefinition , MedicinalProductDefinition StructureDefinition , MetadataResource StructureMap , NutritionIntake Subscription , NutritionProduct Substance , PackagedProductDefinition SubstanceNucleicAcid , Permission SubstancePolymer , RegulatedAuthorization SubstanceProtein , RequestOrchestration SubstanceReferenceInformation , Requirements SubstanceSourceMaterial , SubscriptionStatus SubstanceSpecification , SubscriptionTopic SupplyDelivery , SubstanceDefinition SupplyRequest , TestPlan Task , Transport TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Add Remove codes limited-filter structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code 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, VirtualServiceDetail, 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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.statusReason	Added Element
PaymentNotice.reporter	Added Element
PaymentNotice.payment	Min Cardinality changed from 1 to 0
PaymentNotice.provider	Deleted
PaymentReconciliation
PaymentReconciliation.type	Added Mandatory Element
PaymentReconciliation.statusReason	Added 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 PaymentReconciliation.allocation.noteNumber	Deleted Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
PaymentReconciliation.paymentAmount PaymentReconciliation.paymentDate	Deleted
PaymentReconciliation.detail PaymentReconciliation.paymentAmount	Deleted
Permission PaymentReconciliation.detail	Added Resource Deleted
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
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/plan-definition-type to PlanDefinitionType
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.goalId	Type changed from id to string
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.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.relatedAction.endRelationship	Added Element
PlanDefinition.action.timing[x]	Add Type RelativeTime 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.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
PlanDefinition.action.applicabilityBehavior	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.network	Added Element
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.report	Type Reference: Added Target Type Bundle
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.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
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 Type CareTeam Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Type CareTeam Types CareTeam, Group, HealthcareService 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 , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification SubstanceNucleicAcid Add codes , ActorDefinition SubstancePolymer , AdministrableProductDefinition SubstanceProtein , ArtifactAssessment SubstanceReferenceInformation , BiologicallyDerivedProductDispense SubstanceSourceMaterial , Citation SubstanceSpecification , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult Add codes ActorDefinition , EncounterHistory AdministrableProductDefinition , EvidenceReport ArtifactAssessment , FormularyItem ClinicalUseDefinition , GenomicStudy DeviceAlert , ImagingSelection DeviceAssociation , Ingredient ImagingSelection , InventoryItem Ingredient , InventoryReport InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan ,
Questionnaire.jurisdiction	Change value set from Transport http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|4.0.0 to Questionnaire Useable Item Type Remove codes choice , open-choice Add codes question , code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
Questionnaire.item.disabledDisplay	Added Element
Questionnaire.item.answerConstraint	Added Element
Questionnaire.item.answerOption.value[x]	Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Questionnaire.item.initial.value[x]	Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
QuestionnaireResponse
QuestionnaireResponse.identifier	Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire	Min Cardinality changed from 0 to 1
QuestionnaireResponse.author	Type Reference: Added Target Type Group
QuestionnaireResponse.source	Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
RequestOrchestration.status	Remove codes revoked , completed Add code ended
RequestOrchestration.intent	Remove codes original-order , reflex-order , filler-order , instance-order
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.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
RequestOrchestration.action.relatedAction.endRelationship	Added Element
RequestOrchestration.action.timing[x]	Add Type RelativeTime
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.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
RequestOrchestration.action.applicabilityBehavior	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.label.language	Added Element
ResearchStudy.citeAs	Added Element
ResearchStudy.relatesTo	Added Element
ResearchStudy.relatesTo.type	Added Mandatory Element
ResearchStudy.relatesTo.target[x]	Added Mandatory 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.recruitment.description	Added Element
ResearchStudy.comparisonGroup	Added Element
ResearchStudy.comparisonGroup.linkId ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.name ResearchStudy.comparisonGroup.actualNumber	Added Element
ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.objective.description	Added Element
ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.comparisonGroup.type ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.comparisonGroup.description ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.comparisonGroup.intendedExposure ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.comparisonGroup.observedGroup ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.description ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.outcomeMeasure ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.outcomeMeasure.name ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.outcomeMeasure.type ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.outcomeMeasure.description ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ResearchStudy.outcomeMeasure.reference ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ResearchStudy.result	Added Element
ResearchStudy.category	Deleted
ResearchStudy.contact	Deleted
ResearchStudy.relatedArtifact	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.progress ResearchSubject.subject	Added Mandatory Element
ResearchSubject.progress.type ResearchSubject.subjectState	Added Element
ResearchSubject.progress.subjectState ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.progress.milestone ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.progress.reason ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.progress.startDate ResearchSubject.subjectState.reason	Added Element
ResearchSubject.progress.endDate ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subject ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.assignedComparisonGroup ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.actualComparisonGroup ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.comparisonGroup	Added Element
ResearchSubject.consent	Max Cardinality changed from 1 to *
ResearchSubject.individual	Deleted
ResearchSubject.assignedArm	Deleted
ResearchSubject.actualArm	Deleted
Resource
Resource.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RiskAssessment
RiskAssessment.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
RiskAssessment.performer	Type Reference: Added Target Types Patient, RelatedPerson
RiskAssessment.reason	Added Element
RiskAssessment.prediction.probability[x]	Add Type Quantity
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
SearchParameter.copyright	Added Element
SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	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 Remove codes ActorDefinition ChargeItem , AdministrableProductDefinition ChargeItemDefinition , ArtifactAssessment ClinicalImpression , BiologicallyDerivedProductDispense GraphDefinition , CanonicalResource ImmunizationEvaluation , Citation ImmunizationRecommendation , ClinicalUseDefinition Linkage , ConditionDefinition MedicationKnowledge , DeviceAssociation MolecularSequence , DeviceDispense SubstanceNucleicAcid , DeviceUsage SubstancePolymer , EncounterHistory SubstanceProtein , EvidenceReport SubstanceReferenceInformation , FormularyItem SubstanceSourceMaterial , GenomicStudy SupplyDelivery , ImagingSelection SupplyRequest , Ingredient TestReport , InventoryItem TestScript , InventoryReport VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , 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
SearchParameter.type	Add code resource
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 Remove codes ActorDefinition ChargeItem , AdministrableProductDefinition ChargeItemDefinition , ArtifactAssessment ClinicalImpression , BiologicallyDerivedProductDispense GraphDefinition , CanonicalResource ImmunizationEvaluation , Citation ImmunizationRecommendation , ClinicalUseDefinition Linkage , ConditionDefinition MedicationKnowledge , DeviceAssociation MolecularSequence , DeviceDispense SubstanceNucleicAcid , DeviceUsage SubstancePolymer , EncounterHistory SubstanceProtein , EvidenceReport SubstanceReferenceInformation , FormularyItem SubstanceSourceMaterial , GenomicStudy SupplyDelivery , ImagingSelection SupplyRequest , Ingredient TestReport , InventoryItem TestScript , InventoryReport VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , 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
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 DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
ServiceRequest.replaces	Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
ServiceRequest.status	Remove codes revoked , completed Add code ended
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail	Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus ServiceRequest.orderDetail.parameterFocus[x]	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.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
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.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.locationCode	Deleted
ServiceRequest.locationReference	Deleted
ServiceRequest.reasonCode	Deleted (-> reason)
ServiceRequest.reasonReference	Deleted (-> reason)
ServiceRequest.bodySite	Deleted
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 Types BiologicallyDerivedProduct, NutritionProduct
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 Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from CodeableConcept to CodeableReference
Specimen.processing.method	Added Element
Specimen.container.device Specimen.processing.performer	Added Mandatory Element
Specimen.container.location Specimen.processing.device[x]	Added Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.accessionIdentifier	Deleted
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.3.0 , 4.1.0 3.5.0 , 4.2 4.0.0 Add codes 0.0 , 4.2.0 0.4 , 4.3 0.5 , 4.3.0 1.0 , 4.3.0-cibuild 1.1 , 4.3.0-snapshot1 1.4 , 4.4 1.6 , 4.4.0 1.8 , 4.5 3.0 , 4.5.0 3.3 , 4.6 3.5 , 4.6.0 4.0 , 5.0 4.1 , 5.0.0 4.2 , 5.0.0-cibuild 4.3 , 5.0.0-snapshot1 4.4 , 5.0.0-snapshot2 4.5 , 5.0.0-ballot 4.6 , 5.0.0-snapshot3 5.0 , 5.0.0-draft-final 6.0
StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.min	Type changed from integer to unsignedInt
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.resourceType 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	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 Substance.instance	Deleted (-> Substance.instance.identifier)
SubstanceDefinition Substance.ingredient	Added Resource Deleted
SubstanceNucleicAcid SubstanceDefinition	No Changes Added Resource
SubstancePolymer Task	Added Element
SubstancePolymer.modification Task.statusReason	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 CodeableConcept to type SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average Added Element SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low Added Element SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high Added Element CodeableReference
SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format Task.doNotPerform	Added Element
SubstanceSourceMaterial Task.code	No Changes Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
SupplyDelivery.type Task.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 string to Supply Delivery Supply Item Type Remove codes medication , device Add codes medication , device , biologicallyderivedproduct markdown
SupplyDelivery.suppliedItem Task.focus	Max Cardinality changed from 1 to * SupplyDelivery.receiver Type Reference: Added Target Type Organization changed from Reference(Resource) to BackboneElement
SupplyRequest.basedOn Task.focus.value[x]	Added Mandatory Element
SupplyRequest.deliverFor Task.requestedPeriod	Added Element
SupplyRequest.requester Task.requester	Type Reference: Added Target Type CareTeam Group
SupplyRequest.reason Task.requestedPerformer	Added Element
SupplyRequest.deliverTo Task.owner	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 Group 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.restriction.recipient	Type Reference: Added Target Type Device
Task.input.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.output.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.performerType Task.instantiatesCanonical	Deleted (->Task.requestedPerformer)
Task.reasonCode Task.instantiatesUri	Deleted (-> reason)
Task.reasonReference Task.performerType	Deleted (-> reason) TerminologyCapabilities TerminologyCapabilities.identifier Added Element TerminologyCapabilities.versionAlgorithm[x] Added Element TerminologyCapabilities.copyrightLabel Added Element TerminologyCapabilities.codeSystem.version.language Add Binding `http://hl7.org/fhir/ValueSet/languages|5.0.0` (required) TerminologyCapabilities.codeSystem.content Added Mandatory Element (->Task.requestedPerformer)
TerminologyCapabilities.codeSearch Task.reasonCode	Remove codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion Deleted (-> reason)
TestPlan Task.reasonReference	Added Resource Deleted (-> reason)
TestReport TerminologyCapabilities	Type changed from Reference(TestScript) to canonical(TestScript)
TestReport.setup.action.assert.requirement TerminologyCapabilities.identifier	Added Element
TestReport.setup.action.assert.requirement.link[x] TerminologyCapabilities.versionAlgorithm[x]	Added Element
TestScript.identifier TerminologyCapabilities.jurisdiction	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/jurisdiction to * Jurisdiction ValueSet
TestScript.versionAlgorithm[x] TerminologyCapabilities.copyrightLabel	Added Element
TestScript.copyrightLabel TerminologyCapabilities.implementation.description	Added Element Type changed from string to markdown
TestScript.origin.url TerminologyCapabilities.codeSystem.supplement	Added Element
TestScript.destination.url TerminologyCapabilities.codeSystem.version.supplement	Added Element
TestScript.scope TerminologyCapabilities.codeSystem.version.language	Added Element Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TestScript.scope.artifact TerminologyCapabilities.codeSystem.content	Added Mandatory Element
TestScript.scope.conformance TerminologyCapabilities.supplements	Added Element
TestScript.scope.phase Added Element TestScript.profile Type changed from Reference(Resource) to canonical(StructureDefinition) 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 TerminologyCapabilities.supplements.globals	Added Element
TestScript.setup.action.assert.operator Add code manualEval TestScript.setup.action.assert.resource TerminologyCapabilities.expansion.parameter.documentation	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 string to Concrete FHIR Types markdown
TestScript.setup.action.assert.response TerminologyCapabilities.codeSearch	Remove codes bad explicit , unprocessable all 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 in-compose , gatewayTimeout in-expansion , httpVersionNotSupported in-compose-or-expansion
TestScript.setup.action.assert.stopTestOnFail TerminologyCapabilities.closure	Added Mandatory Element Deleted
TestScript.setup.action.assert.requirement ValueSet	Added Element
TestScript.setup.action.assert.requirement.link[x] ValueSet.versionAlgorithm[x]	Added Element
Transport ValueSet.jurisdiction	Added Resource Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction 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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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
VisionPrescription
ValueSet.scope VisionPrescription.basedOn	Added Element
ValueSet.scope.inclusionCriteria VisionPrescription.groupIdentifier	Added Element
ValueSet.scope.exclusionCriteria VisionPrescription.priority	Added Element
VerificationResult CatalogEntry	Deleted (removed in favor of definitional resources)
VerificationResult.status ChargeItem	Add code entered-in-error Deleted
VisionPrescription ChargeItemDefinition	No Changes Deleted
CatalogEntry ClinicalImpression	Deleted (removed in favor of definitional resources)
DeviceUseStatement	Deleted
DocumentManifest	Deleted (-> List)
EffectEvidenceSynthesis	Deleted
GraphDefinition	Deleted
ImmunizationEvaluation	Deleted
ImmunizationRecommendation	Deleted
Linkage	Deleted
Media	Deleted (-> DocumentReference)
MedicationKnowledge	Deleted
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)
MolecularSequence	Deleted
RequestGroup	Deleted
ResearchDefinition	Deleted
ResearchElementDefinition	Deleted
RiskEvidenceSynthesis	Deleted
SubstanceNucleicAcid	Deleted
SubstancePolymer	Deleted
SubstanceProtein	Deleted
SubstanceReferenceInformation	Deleted
SubstanceSourceMaterial	Deleted
SubstanceSpecification	Deleted
SupplyDelivery	Deleted
SupplyRequest	Deleted
TestReport	Deleted
TestScript	Deleted
VerificationResult	Deleted

AdverseEvent.subject Type Reference: Added Target Type ResearchSubject AdverseEvent.recorder Type Reference: Added Target Type ResearchSubject AllergyIntolerance.participant Added Element Basic ChargeItem.encounter Added Element ChargeItem.performer.actor Type Reference: Added Target Type HealthcareService ChargeItem.unitPriceComponent Added Element ChargeItem.totalPriceComponent ChargeItemDefinition.propertyGroup.priceComponent Type changed from BackboneElement to MonetaryComponent ChargeItemDefinition.effectivePeriod Deleted ChargeItemDefinition.applicability.description Deleted 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" Claim Claim.item.detail.productOrService Min Cardinality changed from 1 to 0 Claim.item.detail.subDetail.productOrService Min Cardinality changed from 1 to 0 Claim.careTeam.qualification Deleted Claim.diagnosis.packageCode Deleted ClaimResponse ClaimResponse.outcome Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Claim Processing Codes ClaimResponse.item.detail.adjudication Min Cardinality changed from 1 to 0 ConditionDefinition Added Resource Device.status Remove code unknown 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 DiagnosticReport DiagnosticReport.conclusion Type changed from string to markdown EncounterHistory Added Resource EvidenceReport FamilyMemberHistory.participant ImmunizationEvaluation.description Type changed from string to markdown ImmunizationEvaluation.doseNumber ImmunizationRecommendation Measure.scoring Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to MeasureScoring Measure.supplementalData.description Type changed from string to markdown MeasureReport MedicationAdministration MedicationDispense MedicationKnowledge NamingSystem TerminologyCapabilities TestReport

Types
Address	No Changes
Age
Age	Change max value set from All UCUM Expression for Time to none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProductDefinition , Availability MessageDefinition , BackboneType MessageHeader , ExtendedContactDetail MolecularSequence , MonetaryComponent NamingSystem , PrimitiveType NutritionOrder , integer64 NutritionProduct , VirtualServiceDetail Observation , ActorDefinition ObservationDefinition , ArtifactAssessment OperationDefinition , BiologicallyDerivedProductDispense OperationOutcome , CanonicalResource Organization , ConditionDefinition OrganizationAffiliation , DeviceAssociation PackagedProductDefinition , DeviceDispense Patient , DeviceUsage PaymentNotice , EncounterHistory PaymentReconciliation , FormularyItem Person , GenomicStudy PlanDefinition , ImagingSelection Practitioner , InventoryItem PractitionerRole , InventoryReport Procedure , MetadataResource Provenance , NutritionIntake Questionnaire , Permission QuestionnaireResponse , RequestOrchestration RegulatedAuthorization , Requirements RelatedPerson , SubstanceNucleicAcid RequestGroup , SubstancePolymer ResearchDefinition , SubstanceProtein ResearchElementDefinition , SubstanceReferenceInformation ResearchStudy , SubstanceSourceMaterial ResearchSubject , TestPlan RiskAssessment , Transport Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
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	Change max value set from All UCUM Expression for Distance to none
Dosage
Dosage.condition	Added Element
Dosage.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Max Cardinality changed from 1 to * Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration
Duration	Change max value set from All UCUM Expression for Time to none
Element
Element.id	Type changed from id to string
ElementDefinition
ElementDefinition.slicing.discriminator.type	Add code position
ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/fhir-element-types to Element Definition Types
ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, 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.strength	Add code descriptive
ElementDefinition.binding.description	Type changed from string to markdown
ElementDefinition.binding.additional	Added Element
ElementDefinition.binding.additional.key	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, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.use	No Changes Remove code maiden
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProductDefinition , Availability MessageDefinition , BackboneType MessageHeader , ExtendedContactDetail MolecularSequence , MonetaryComponent NamingSystem , PrimitiveType NutritionOrder , integer64 NutritionProduct , VirtualServiceDetail Observation , ActorDefinition ObservationDefinition , ArtifactAssessment OperationDefinition , BiologicallyDerivedProductDispense OperationOutcome , CanonicalResource Organization , ConditionDefinition OrganizationAffiliation , DeviceAssociation PackagedProductDefinition , DeviceDispense Patient , DeviceUsage PaymentNotice , EncounterHistory PaymentReconciliation , FormularyItem Person , GenomicStudy PlanDefinition , ImagingSelection Practitioner , InventoryItem PractitionerRole , InventoryReport Procedure , MetadataResource Provenance , NutritionIntake Questionnaire , Permission QuestionnaireResponse , RequestOrchestration RegulatedAuthorization , Requirements RelatedPerson , SubstanceNucleicAcid RequestGroup , SubstancePolymer ResearchDefinition , SubstanceProtein ResearchElementDefinition , SubstanceReferenceInformation ResearchStudy , SubstanceSourceMaterial ResearchSubject , TestPlan RiskAssessment , Transport Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
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 code 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 RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.publicationDate RelatedArtifact.url	Added Element Deleted (-> document)
RelatedArtifact.url RelativeTime	Deleted (-> document) 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.startOffset	Added Element
Timing.repeat.endOffset	Added Element
Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType
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)
Contributor	Deleted
Population	Deleted
ProdCharacteristic	Deleted
Resources
Account
Account.billingStatus	Added Element
Account.covers	Added Element
Account.description	Type changed from string to markdown
Account.guarantor.party	Min Cardinality changed from 1 to 0
Account.diagnosis Account.guarantor.account	Added Element
Account.diagnosis.sequence Account.guarantor.responsibility	Added Element
Account.diagnosis.condition Account.guarantor.limit	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis Account.guarantor.rank	Added Element
Account.diagnosis.type Account.diagnosis	Added Element
Account.diagnosis.onAdmission Account.diagnosis.sequence	Added Element
Account.diagnosis.packageCode Account.diagnosis.condition	Added Mandatory Element
Account.procedure Account.diagnosis.dateOfDiagnosis	Added Element
Account.procedure.sequence Account.diagnosis.type	Added Element
Account.procedure.code Account.diagnosis.onAdmission	Added Mandatory Element
Account.procedure.dateOfService Account.diagnosis.packageCode	Added Element
Account.procedure.type Account.procedure	Added Element
Account.procedure.packageCode Account.procedure.sequence	Added Element
Account.procedure.device Account.procedure.code	Added Mandatory Element
Account.relatedAccount Account.procedure.dateOfService	Added Element
Account.relatedAccount.relationship Account.procedure.type	Added Element
Account.relatedAccount.account Account.procedure.packageCode	Moved from Account.partOf to account Added Element
Account.procedure.device	Min Cardinality changed Added Element
Account.parent	Renamed from 0 partOf to 1 parent
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove code codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , Transport reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime 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.code	Added Element
AdministrableProductDefinition.property.value[x]	Add Types Range, 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.occurrence[x] AdverseEvent.effect[x]	Added Element
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type Reference: Added Target Type Observation changed from Reference(Condition) to CodeableReference
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[x] AdverseEvent.suspectEntity.instance	Renamed Type changed from instance Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to instance[x] Add Type CodeableConcept 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, ResearchSubject RelatedPerson
AdverseEvent.contributingFactor AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor.item[x] AdverseEvent.contributingFactor	Added Mandatory Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.preventiveAction.item[x] Added Mandatory Element AdverseEvent.mitigatingAction	Added Element
AdverseEvent.mitigatingAction.item[x] Added Mandatory Element AdverseEvent.supportingInfo	Added Element
AdverseEvent.supportingInfo.item[x] Added Mandatory 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 AllergyIntolerance.clinicalStatus	Add Remove code presumed resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` (required)
AllergyIntolerance.participant.function AllergyIntolerance.recorder	Type Reference: Added Element Target Type Organization
AllergyIntolerance.participant.actor AllergyIntolerance.lastReactionOccurrence	Added Mandatory Element
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.recorder Deleted (-> participant.actor) AllergyIntolerance.asserter AllergyIntolerance.lastOccurrence	Deleted (-> participant.actor)
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 MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
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.category AuditEvent.type	Renamed from type to category Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.code AuditEvent.subtype	Renamed from subtype to code Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 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 Types CareTeam, DeviceDefinition, Group, HealthcareService
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 Basic
Basic.code	Deleted (-> entity.detail.valueString) Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
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 Coding 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.sourcePatient	Added Element
BiologicallyDerivedProduct.collection.sourceOrganization	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 BiologicallyDerivedProduct.collection.source	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements) BiologicallyDerivedProduct.collection)
BiologicallyDerivedProductDispense BiologicallyDerivedProduct.storage	Added Resource Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
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.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Added Element
BodyStructure.excludedStructure	Added Element
BodyStructure.description	Type changed from string to markdown
BodyStructure.morphology	Deleted
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|5.0.0` `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
CapabilityStatement.versionAlgorithm[x]	Added Element
CapabilityStatement.actorDefinition	Added Element
CapabilityStatement.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement.copyrightLabel	Added Element
CapabilityStatement.implementation.description	Type changed from string to markdown
CapabilityStatement.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.3.0 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 6.0 ,
CapabilityStatement.format	Change value set from 5.0.0 http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 , to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from 5.0.0-cibuild http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 , to Patch Mime Types Add codes 5.0.0-snapshot1 application/fhir+xml , 5.0.0-snapshot2 application/fhir+json , 5.0.0-ballot application/fhir+turtle , 5.0.0-snapshot3 application/json-patch+json , 5.0.0-draft-final application/xml-patch+xml
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 , Type changed from code to uri Change binding strength from required to extensible Change value set from ResearchElementDefinition http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Extended Resource Types
CapabilityStatement.rest.resource.definition	Added Element
CapabilityStatement.rest.resource.interaction.code	Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InventoryItem , InventoryReport , NutritionIntake , Permission , RequestOrchestration , Requirements , SubstanceNucleicAcid update-conditional , SubstancePolymer patch-conditional , SubstanceProtein delete-conditional-single , SubstanceReferenceInformation delete-conditional-multiple , SubstanceSourceMaterial delete-history , TestPlan delete-history-version , Transport create-conditional
CapabilityStatement.rest.resource.conditionalPatch	Added Element
CapabilityStatement.rest.resource.searchParam.type	Add code resource
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.status	Remove codes revoked , completed Add code ended
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 RequestOrchestration Type Reference: Removed Target Type RequestGroup
CarePlan.activity.outcomeCodeableConcept CarePlan.instantiatesCanonical	Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.outcomeReference CarePlan.instantiatesUri	Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail CarePlan.activity.outcomeCodeableConcept	Deleted (-> CarePlan.activity.plannedActivityReference) CareTeam CareTeam.participant.role Max Cardinality changed from * to 1 CareTeam.participant.coverage[x] Added Element CareTeam.reason Added Element CareTeam.encounter Deleted (Avoid circular references since Encounter references CareTeam) CareTeam.participant.period Deleted CarePlan.activity.performedActivity)
CareTeam.reasonCode CarePlan.activity.outcomeReference	Deleted (-> CareTeam.reason) CarePlan.activity.performedActivity)
CareTeam.reasonReference CarePlan.activity.detail	Deleted (-> CareTeam.reason) CarePlan.activity.plannedActivityReference)
ChargeItem CareTeam	Added Element ChargeItem.overrideReason Type changed from string to CodeableConcept
ChargeItem.service Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference ChargeItem.product CareTeam.participant.role	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.purpose Added Element 1
ChargeItemDefinition.copyrightLabel CareTeam.participant.member	Type Reference: Added Element Target Types Group, HealthcareService
ChargeItemDefinition.instance CareTeam.participant.onBehalfOf	Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
ChargeItemDefinition.applicability.condition CareTeam.participant.effective[x]	Added Element
ChargeItemDefinition.applicability.effectivePeriod CareTeam.participant.supportingInfo	Added Element
ChargeItemDefinition.applicability.relatedArtifact CareTeam.reason	Added Element
ChargeItemDefinition.applicability.language Deleted ChargeItemDefinition.applicability.expression Deleted ChargeItemDefinition.propertyGroup.priceComponent.type CareTeam.encounter	Deleted (Avoid circular references since Encounter references CareTeam)
ChargeItemDefinition.propertyGroup.priceComponent.code CareTeam.participant.period	Deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor CareTeam.reasonCode	Deleted (-> CareTeam.reason)
ChargeItemDefinition.propertyGroup.priceComponent.amount CareTeam.reasonReference	Deleted (-> CareTeam.reason)
Citation Claim
Citation.versionAlgorithm[x] Claim.traceNumber	Added Element
Citation.copyrightLabel Claim.statusReason	Added Element
Citation.relatedArtifact Claim.subject	Added Mandatory Element
Citation.citedArtifact.currentState Claim.enterer	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" Type Reference: Added Target Types Patient, RelatedPerson
Citation.citedArtifact.statusDate.activity Claim.provider	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type" 1 to "http://hl7.org/fhir/cited-artifact-status-type" 0
Citation.citedArtifact.title.type Claim.priority	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/title-type" 1 to "http://hl7.org/fhir/title-type" 0
Citation.citedArtifact.abstract.type Claim.prescription	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" Type Reference: Added Target Type ServiceRequest
Citation.citedArtifact.part.type Claim.originalPrescription	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" Type Reference: Added Target Type ServiceRequest
Citation.citedArtifact.relatesTo.type Claim.encounter	Added Mandatory Element
Citation.citedArtifact.relatesTo.classifier Claim.facility	Type Reference: Added Element Target Type Organization
Citation.citedArtifact.relatesTo.label Claim.diagnosisRelatedGroup	Added Element
Citation.citedArtifact.relatesTo.display Claim.event	Added Element
Citation.citedArtifact.relatesTo.citation Claim.event.type	Added Mandatory Element
Citation.citedArtifact.relatesTo.document Claim.event.when[x]	Added Mandatory Element
Citation.citedArtifact.relatesTo.resource Claim.careTeam.specialty	Added Element
Citation.citedArtifact.relatesTo.resourceReference Claim.supportingInfo.subCategory	Added Element
Citation.citedArtifact.publicationForm.publishedIn.type Claim.supportingInfo.timing[x]	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/published-in-type" to "http://hl7.org/fhir/published-in-type" Add Types dateTime, Timing Citation.citedArtifact.publicationForm.citedMedium Added Element Remove Type date
Citation.citedArtifact.publicationForm.volume Claim.supportingInfo.value[x]	Added Element Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Citation.citedArtifact.publicationForm.issue Claim.insurance	Added Element Min Cardinality changed from 1 to 0
Citation.citedArtifact.publicationForm.publicationDateText Claim.patientPaid	Added Element
Citation.citedArtifact.publicationForm.publicationDateSeason Claim.item.traceNumber	Added Element
Citation.citedArtifact.webLocation.classifier Claim.item.subject	Added Element
Citation.citedArtifact.classification.type Claim.item.productOrService	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type" 1 to "http://hl7.org/fhir/cited-artifact-classification-type" 0
Citation.citedArtifact.classification.artifactAssessment Claim.item.productOrServiceEnd	Added Element
Citation.citedArtifact.contributorship.entry.contributor Claim.item.request	Added Mandatory Element
Citation.citedArtifact.contributorship.entry.forenameInitials Claim.item.patientPaid	Added Element
Citation.citedArtifact.contributorship.entry.affiliation Claim.item.tax	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 Claim.item.bodySite	Change code system for extensibly bound codes Max Cardinality changed from "http://terminology.hl7.org/CodeSystem/contributor-role" 1 to "http://hl7.org/fhir/contributor-role" * Citation.citedArtifact.contributorship.entry.contributionInstance.type Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/artifact-contribution-instance-type" CodeableConcept to "http://hl7.org/fhir/artifact-contribution-instance-type" BackboneElement
Citation.citedArtifact.contributorship.entry.rankingOrder Claim.item.bodySite.site	Added Mandatory Element
Citation.citedArtifact.contributorship.summary.type Claim.item.bodySite.subSite	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-type" to "http://hl7.org/fhir/contributor-summary-type" Added Element
Citation.citedArtifact.contributorship.summary.style Claim.item.detail.traceNumber	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-style" to "http://hl7.org/fhir/contributor-summary-style" Added Element
Citation.citedArtifact.contributorship.summary.source Claim.item.detail.productOrService	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/contributor-summary-source" 1 to "http://hl7.org/fhir/contributor-summary-source" 0
Citation.relatesTo Claim.item.detail.productOrServiceEnd	Deleted Added Element
Citation.citedArtifact.relatesTo.relationshipType Claim.item.detail.patientPaid	Deleted Added Element
Citation.citedArtifact.relatesTo.targetClassifier Claim.item.detail.tax	Deleted Added Element
Citation.citedArtifact.relatesTo.target[x] Claim.item.detail.subDetail.traceNumber	Deleted Added Element
Citation.citedArtifact.publicationForm.periodicRelease Claim.item.detail.subDetail.productOrService	Deleted Min Cardinality changed from 1 to 0
Citation.citedArtifact.webLocation.type Claim.item.detail.subDetail.productOrServiceEnd	Deleted Added Element
Citation.citedArtifact.classification.whoClassified Claim.item.detail.subDetail.patientPaid	Deleted Added Element
Citation.citedArtifact.contributorship.entry.name Claim.item.detail.subDetail.tax	Deleted Added Element
Citation.citedArtifact.contributorship.entry.initials Claim.patient	Deleted
Citation.citedArtifact.contributorship.entry.collectiveName Claim.careTeam.responsible	Deleted
Citation.citedArtifact.contributorship.entry.identifier Claim.careTeam.qualification	Deleted
Citation.citedArtifact.contributorship.entry.affiliationInfo Claim.diagnosis.packageCode	Deleted
Citation.citedArtifact.contributorship.entry.address Claim.item.subSite	Deleted
Citation.citedArtifact.contributorship.entry.telecom ClaimResponse	Deleted
Citation.citedArtifact.contributorship.entry.listOrder ClaimResponse.traceNumber	Deleted Added Element
Claim.traceNumber ClaimResponse.statusReason	Added Element
Claim.enterer ClaimResponse.subject	Type Reference: Added Target Types Patient, RelatedPerson Mandatory Element
Claim.provider ClaimResponse.insurer	Min Cardinality changed from 1 to 0
Claim.priority ClaimResponse.outcome	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to 0 Claim.encounter Added Element Claim.facility Type Reference: Added Target Type Organization Claim Processing Codes
Claim.diagnosisRelatedGroup ClaimResponse.decision	Added Element
Claim.event ClaimResponse.event	Added Element
Claim.event.type ClaimResponse.event.type	Added Mandatory Element
Claim.event.when[x] ClaimResponse.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 ClaimResponse.encounter	Added Element
Claim.item.request ClaimResponse.diagnosisRelatedGroup	Added Element
Claim.item.patientPaid ClaimResponse.supportingInfo	Added Element
Claim.item.tax ClaimResponse.supportingInfo.sequence	Added Mandatory Element Claim.item.bodySite Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site ClaimResponse.supportingInfo.category	Added Mandatory Element
Claim.item.bodySite.subSite ClaimResponse.supportingInfo.code	Added Element
Claim.item.detail.traceNumber ClaimResponse.supportingInfo.timing[x]	Added Element
Claim.item.detail.productOrServiceEnd ClaimResponse.supportingInfo.value[x]	Added Element
Claim.item.detail.patientPaid ClaimResponse.supportingInfo.reason	Added Element
Claim.item.detail.tax ClaimResponse.item.traceNumber	Added Element
Claim.item.detail.subDetail.traceNumber ClaimResponse.item.informationSequence	Added Element
Claim.item.detail.subDetail.productOrServiceEnd ClaimResponse.item.reviewOutcome	Added Element
Claim.item.detail.subDetail.patientPaid ClaimResponse.item.reviewOutcome.decision	Added Element
Claim.item.detail.subDetail.tax ClaimResponse.item.reviewOutcome.reason	Added Element
Claim.item.subSite ClaimResponse.item.reviewOutcome.preAuthRef	Deleted Added Element
ClaimResponse.traceNumber ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
ClaimResponse.insurer ClaimResponse.item.adjudication	Min Cardinality changed from 1 to 0
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 ClaimResponse.item.adjudication.quantity	Added Element
ClaimResponse.item.reviewOutcome.reason ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod ClaimResponse.item.detail.reviewOutcome	Added Element
ClaimResponse.item.adjudication ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity ClaimResponse.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.item.detail.traceNumber ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.item.detail.reviewOutcome ClaimResponse.addItem.traceNumber	Added Element
ClaimResponse.item.detail.subDetail.traceNumber ClaimResponse.addItem.subject	Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.traceNumber ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.revenue ClaimResponse.addItem.category	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.class	Added Element
ClaimResponse.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.processNote.text	Type changed from string to markdown
ClaimResponse.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ClaimResponse.error.expression	Added Element
ClaimResponse.patient	Deleted
ClaimResponse.item.adjudication.value	Deleted
ClaimResponse.addItem.subSite	Deleted
ClinicalImpression ClinicalUseDefinition
ClinicalImpression.status ClinicalUseDefinition.subject	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.3.0 0 to EventStatus 1 Add codes preparation , not-done , on-hold , stopped , unknown Type changed from Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance) to CodeableReference
ClinicalImpression.performer ClinicalUseDefinition.status	Renamed from assessor to performer Now marked as Modifier
ClinicalImpression.changePattern ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalImpression.finding.item ClinicalUseDefinition.indication.intendedEffect	Added Element Max Cardinality changed from 1 to *
ClinicalImpression.code ClinicalUseDefinition.indication.undesirableEffect	Deleted (No known use case for this element) Remove Type Reference(ClinicalUseDefinition)
ClinicalImpression.investigation ClinicalUseDefinition.indication.applicability	Deleted (-> ClinicalImpression.supportingInfo) Added Element
ClinicalImpression.finding.itemCodeableConcept ClinicalUseDefinition.indication.otherTherapy.relationshipType	Deleted (-> ClinicalImpression.finding.item) Added Mandatory Element
ClinicalImpression.finding.itemReference ClinicalUseDefinition.indication.otherTherapy.treatment	Deleted (-> ClinicalImpression.finding.item) Added Mandatory Element
ClinicalUseDefinition ClinicalUseDefinition.contraindication.indication	Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.subject ClinicalUseDefinition.contraindication.applicability	Type Reference: Added Target Types NutritionProduct, BiologicallyDerivedProduct Element
ClinicalUseDefinition.contraindication.applicability ClinicalUseDefinition.contraindication.management	Added Element
ClinicalUseDefinition.contraindication.otherTherapy	Remove Type BackboneElement
ClinicalUseDefinition.contraindication.otherTherapy.treatment ClinicalUseDefinition.interaction.interactant.route	Added Mandatory Element
ClinicalUseDefinition.indication.applicability ClinicalUseDefinition.interaction.severity	Added Element
ClinicalUseDefinition.library	Added Element
ClinicalUseDefinition.contraindication.otherTherapy.relationshipType	Deleted
ClinicalUseDefinition.contraindication.otherTherapy.therapy	Deleted
CodeSystem
CodeSystem.versionAlgorithm[x]	Added Element
CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, 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.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
Communication.reasonCode	Deleted (-> Communication.reason)
Communication.reasonReference	Deleted (-> Communication.reason)
CommunicationRequest
CommunicationRequest.status	Remove codes revoked , completed Add code ended
CommunicationRequest.intent	Added Mandatory Element
CommunicationRequest.payload.content[x]	Add Type CodeableConcept Remove Type string
CommunicationRequest.requester	Type Reference: Added Target Type Group
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 Types Endpoint, Group
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 ChargeItem , DocumentManifest ChargeItemDefinition , Media Citation , RequestGroup ClinicalImpression , ResearchDefinition DeviceUseStatement , ResearchElementDefinition DocumentManifest Add codes , ActorDefinition EvidenceReport , ArtifactAssessment GraphDefinition , BiologicallyDerivedProductDispense ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense Media , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem RequestGroup , GenomicStudy ResearchDefinition , ImagingSelection ResearchElementDefinition , InventoryItem SupplyDelivery , InventoryReport SupplyRequest , NutritionIntake TestReport , Permission TestScript , RequestOrchestration VerificationResult Add codes ActorDefinition , Requirements ArtifactAssessment , SubstanceNucleicAcid DeviceAlert , SubstancePolymer DeviceAssociation , SubstanceProtein ImagingSelection , SubstanceReferenceInformation InsuranceProduct , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements
CompartmentDefinition.resource.startParam	Added Element
CompartmentDefinition.resource.endParam	Added Element
CompartmentDefinition.resource.documentation	Deleted
Composition
Composition.url	Added Element
Composition.identifier	Max Cardinality changed from 1 to *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
Composition.status	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from 1 to *
Composition.useContext	Added Element
Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Composition.title	Min Cardinality changed from 1 to 0
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 Composition.attester.party	Type changed from BackboneElement to RelatedArtifact Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Composition.relatesTo.type	Added Mandatory Element
Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality Composition.section.author	Deleted Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.relatesTo.code Composition.confidentiality	Deleted
Composition.relatesTo.target[x] Composition.relatesTo.code	Deleted
Composition.event.code	Deleted
Composition.section.mode	Deleted
ConceptMap
ConceptMap.identifier	Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]	Added Element
ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.comment	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.comment	Added Element
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 Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.category Condition.verificationStatus	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible) codes provisional , differential
Condition.participant Condition.category	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.participant.function Condition.bodyStructure	Added Element
Condition.participant.actor Condition.recorder	Type Reference: Added Mandatory Element Target Type Group
Condition.evidence Condition.asserter	Type changed from BackboneElement to CodeableReference Reference: Added Target Types Device, Group
Condition.recorder Condition.stage.assessment	Deleted (-> Condition.participant.actor) Type Reference: Removed Target Type ClinicalImpression
Condition.asserter Condition.evidence	Deleted (-> Condition.participant.actor) Type changed from BackboneElement to CodeableReference
Condition.evidence.code	Deleted (-> Condition.evidence)
Condition.evidence.detail	Deleted (-> Condition.evidence)
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, Group, 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.url Consent.policyBasis.uri	Added Element Moved from Consent.policy to Consent.policyBasis
Consent.policyText	Added Element
Consent.verification.verificationType Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
Consent.verification.verificationDate Consent.verification.verifiedWith	Max Cardinality changed from 1 to * Type Reference: Added Target Type Group
Consent.verification.date	Added Element
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	Min Cardinality changed from 1 to 0 Change value set from Security Role Type http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
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	Renamed from class to resourceType Change value set from Consent Content Class to Resource Types
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.policy.uri Consent.policyRule	Deleted
Consent.policyRule Consent.verification.verificationDate	Deleted
Contract
Contract.author	Type Reference: Added Target Type RelatedPerson
Contract.term.text	Type changed from string to markdown
Contract.term.action.reason	Type changed from string to CodeableReference
Contract.term.action.reasonCode	Deleted (-> reason)
Contract.term.action.reasonReference	Deleted (-> reason)
Coverage
Coverage.statusReason	Added Element
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.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Eligibility Outcome
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
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.severity	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0` (required)
DetectedIssue.subject	Added Element
DetectedIssue.encounter	Added Element
DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
DetectedIssue.mitigation.note DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.patient DetectedIssue.expectedOnsetType	Deleted Added Element
Device DetectedIssue.medicationClass	Added Element
Device.displayName DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
DetectedIssue.patient	Deleted
Device
Device.definition	Type changed from Reference(DeviceDefinition) to CodeableReference canonical(DeviceDefinition)
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.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 Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name 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.version.installDate Device.deviceVersion	Added Element
Device.conformsTo Device.deviceVersion.type	Renamed from specialization to conformsTo Added Element
Device.conformsTo.category Device.deviceVersion.component	Added Element
Device.conformsTo.specification Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Added Mandatory Element
Device.conformsTo.version Device.conformsTo	Moved Renamed from Device.specialization specialization to Device.conformsTo conformsTo
Device.property.value[x] Device.conformsTo.category	Added Mandatory Element
Device.mode Device.conformsTo.specification	Added Mandatory Element
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.cycle Device.property.value[x]	Added Mandatory Element
Device.duration Device.additive	Added Element
Device.endpoint Device.additive.type	Added Mandatory Element
Device.gateway Device.additive.quantity	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)
Device.owner	Deleted
Device.url	Deleted
DeviceAlert	Added Resource
DeviceAssociation	Added Resource
DeviceDefinition
DeviceDefinition.version	Max Cardinality changed from * to 1
DeviceDefinition.description DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.partNumber	Added Element
DeviceDefinition.manufacturer	Renamed from manufacturer[x] to manufacturer Remove Type string
DeviceDefinition.date	Added Element
DeviceDefinition.contact	Type changed from ContactPoint to ContactDetail
DeviceDefinition.publisher	Added Element
DeviceDefinition.useContext	Added Element
DeviceDefinition.jurisdiction	Added Element
DeviceDefinition.purpose	Added Element
DeviceDefinition.copyright	Added Element
DeviceDefinition.copyrightLabel	Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution	Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier.type DeviceDefinition.regulatoryIdentifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.partNumber DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.manufacturer DeviceDefinition.regulatoryIdentifier.identifierSystem	Renamed from manufacturer[x] to manufacturer Remove Type string Added Element
DeviceDefinition.deviceName.type	Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name 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 DeviceDefinition.hasPart.definition[x]	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.version DeviceDefinition.deviceVersion	Type changed from string to BackboneElement Added Element
DeviceDefinition.version.type DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.version.component DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.version.value DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	Added Element
DeviceDefinition.property.value[x]	Added Mandatory Element
DeviceDefinition.link	Added Element
DeviceDefinition.link.relation	Added Mandatory Element
DeviceDefinition.link.relatedDevice DeviceDefinition.link.relatedDevice[x]	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.physicalCharacteristics	Deleted (-> DeviceDefinition.property)
DeviceDefinition.languageCode	Deleted
DeviceDefinition.capability	Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity	Deleted
DeviceDefinition.property.valueCode	Deleted
DeviceDefinition.url DeviceDefinition.owner	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 DeviceMetric
DeviceMetric.status	Added Resource Mandatory Element
DeviceMetric DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.device	Added Mandatory Element
DeviceMetric.color	Change value set from http://hl7.org/fhir/ValueSet/metric-color|4.3.0 to Color Codes (Names or RGB Values)
DeviceMetric.measurementFrequency	Added Element
DeviceMetric.availability	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 DeviceRequest.status	Added Element Remove codes revoked , completed Add code ended
DeviceRequest.code DeviceRequest.intent	Renamed from code[x] to code Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.doNotPerform	Add Type CodeableReference Added Element
DeviceRequest.product[x]	Remove Types Reference(Device), CodeableConcept Added Mandatory Element
DeviceRequest.quantity	Added Element
DeviceRequest.requester	Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason DeviceRequest.location	Added Element
DeviceRequest.asNeeded DeviceRequest.reason	Added Element
DeviceRequest.asNeededFor DeviceRequest.asNeeded	Added Element
DeviceRequest.performerType DeviceRequest.asNeededFor	Deleted (-> performer) Added Element
DeviceRequest.reasonCode DeviceRequest.instantiatesCanonical	Deleted (-> reason)
DeviceRequest.reasonReference DeviceRequest.instantiatesUri	Deleted (-> reason)
DeviceUsage.category DeviceRequest.code[x]	Added Element Deleted
DeviceUsage.patient DeviceRequest.performerType	Added Mandatory Element Deleted (-> performer)
DeviceUsage.context DeviceRequest.reasonCode	Added Element Deleted (-> reason)
DeviceUsage.dateAsserted DeviceRequest.reasonReference	Added Element Deleted (-> reason)
DeviceUsage.usageStatus DiagnosticReport	Added Element
DeviceUsage.usageReason DiagnosticReport.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
DeviceUsage.adherence DiagnosticReport.status	Added Element Remove codes preliminary , corrected , appended
DeviceUsage.adherence.code DiagnosticReport.subject	Type Reference: Added Mandatory Element Target Type BiologicallyDerivedProduct DeviceUsage.adherence.reason Added Mandatory Element Type Reference: Removed Target Type Procedure
DeviceUsage.informationSource DiagnosticReport.relatesTo	Added Element
DeviceUsage.device DiagnosticReport.issued	Type changed from Reference(Device) instant to CodeableReference dateTime
DeviceUsage.reason DiagnosticReport.procedure	Added Element
DeviceUsage.bodySite DiagnosticReport.performer	Type changed from CodeableConcept to CodeableReference Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DeviceUseStatement.subject DiagnosticReport.resultsInterpreter	Deleted Type Reference: Added Target Types Patient, RelatedPerson
DeviceUseStatement.recordedOn DiagnosticReport.note	Deleted Added Element
DeviceUseStatement.source DiagnosticReport.study	Deleted Added Element
DeviceUseStatement.reasonCode DiagnosticReport.supportingInfo	Deleted Added Element
DeviceUseStatement.reasonReference DiagnosticReport.supportingInfo.type	Deleted Added Mandatory Element
DiagnosticReport.status DiagnosticReport.supportingInfo.reference	Add code modified Added Mandatory Element
DiagnosticReport.subject DiagnosticReport.media.link	Type Reference: Added Target Type BiologicallyDerivedProduct DocumentReference Type Reference: Removed Target Type Procedure Media
DiagnosticReport.note DiagnosticReport.composition	Added Element
DiagnosticReport.study DiagnosticReport.conclusion	Added Element Type changed from string to markdown
DiagnosticReport.supportingInfo DiagnosticReport.conclusionCode	Added Element Type changed from CodeableConcept to CodeableReference
DiagnosticReport.supportingInfo.type DiagnosticReport.recomendation	Added Mandatory Element
DiagnosticReport.supportingInfo.reference DiagnosticReport.communication	Added Mandatory Element DiagnosticReport.media.link Type Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition DiagnosticReport.comparison	Added Element
DiagnosticReport.imagingStudy	Deleted
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code preliminary 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.bodySite DocumentReference.related	Added Element
DocumentReference.bodyStructure	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 Types CareTeam, Group
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.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
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 MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
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)
Endpoint
Endpoint.status	Remove code test Add code limited
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
EnrollmentRequest.candidate	No Changes Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Enrollment Outcome
EnrollmentResponse.candidate	Added Element
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 Max Cardinality changed from 1 to *
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
EventDefinition.usage	Type changed from string to markdown
EventDefinition.copyrightLabel	Added Element
Evidence
Evidence.versionAlgorithm[x]	Added Element
Evidence.name	Added Element
Evidence.citeAs	Renamed from citeAs[x] to citeAs Remove Type Reference(Citation)
Evidence.experimental	Added Element
Evidence.recorder	Added Element
Evidence.purpose	Added Element
Evidence.copyright	Added Element
Evidence.copyrightLabel	Added Element
Evidence.relatesTo	Added Element
Evidence.relatesTo.type	Added Mandatory Element
Evidence.relatesTo.target[x]	Added Mandatory Element
Evidence.variableDefinition.directnessMatch Evidence.variableDefinition	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/directness 1 to EvidenceDirectness 0
Evidence.synthesisType Evidence.variableDefinition.variableRole	Type changed from CodeableConcept to code Change value set binding strength from http://hl7.org/fhir/ValueSet/synthesis-type extensible to StatisticSynthesisType required
Evidence.studyDesign Evidence.variableDefinition.roleSubtype	Added Element
Evidence.variableDefinition.comparatorCategory	Added Element
Evidence.statistic.description Evidence.variableDefinition.directnessMatch	Type changed from string to markdown Remove Binding `http://hl7.org/fhir/ValueSet/directness` (extensible)
Evidence.statistic.sampleSize.description Evidence.synthesisType	Type Max Cardinality changed from string 1 to markdown * Remove Binding `http://hl7.org/fhir/ValueSet/synthesis-type` (extensible)
Evidence.studyDesign	Added Element
Evidence.statistic.attributeEstimate.description Evidence.statistic.description	Type changed from string to markdown
Evidence.statistic.modelCharacteristic.code Evidence.statistic.statisticType	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/statistic-model-code" to "http://hl7.org/fhir/statistic-model-code" Remove Binding `http://hl7.org/fhir/ValueSet/statistic-type` (extensible)
Evidence.certainty.description Evidence.statistic.sampleSize.description	Type changed from string to markdown
Evidence.certainty.type Evidence.statistic.sampleSize.numberAnalyzed	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/certainty-type" to "http://hl7.org/fhir/certainty-type" Added Element
Evidence.certainty.rating Evidence.statistic.attributeEstimate.description	Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/certainty-rating" string to "http://hl7.org/fhir/certainty-rating" markdown
Evidence.studyType Evidence.statistic.attributeEstimate.type	Deleted Remove Binding `http://hl7.org/fhir/ValueSet/attribute-estimate-type` (extensible)
EvidenceReport.subject.characteristic.code Evidence.statistic.modelCharacteristic.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" Remove Binding `http://hl7.org/fhir/ValueSet/statistic-model-code` (extensible)
EvidenceReport.relatesTo.target Evidence.statistic.modelCharacteristic.value[x]	Renamed from target[x] value to target value[x] Remove Add Types Identifier, Reference(EvidenceReport) Range, CodeableConcept
EvidenceReport.relatesTo.target.url Evidence.statistic.modelCharacteristic.intended	Added Element
EvidenceReport.relatesTo.target.identifier Evidence.statistic.modelCharacteristic.applied	Added Element
EvidenceReport.relatesTo.target.display Evidence.statistic.modelCharacteristic.variable.handling	Added Element Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
EvidenceReport.relatesTo.target.resource Evidence.statistic.modelCharacteristic.attribute	Added Element
EvidenceReport.section.focus Evidence.certainty.description	Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/evidence-report-section" string to "http://hl7.org/fhir/evidence-report-section" markdown
EvidenceReport.section.author Evidence.certainty.type	Type Reference: Added Target Types Patient, Practitioner, PractitionerRole, RelatedPerson Remove Binding `http://hl7.org/fhir/ValueSet/certainty-type` (extensible)
Evidence.certainty.rating	Type Reference: Removed Target Type Person Remove Binding `http://hl7.org/fhir/ValueSet/certainty-rating` (extensible)
EvidenceReport.section.entryClassifier Evidence.certainty.rater	Change code system for extensibly bound codes Max Cardinality changed from "http://terminology.hl7.org/CodeSystem/evidence-classifier-code" 1 to "http://hl7.org/fhir/evidence-classifier-code" *
Evidence.relatedArtifact	Deleted
Evidence.studyType	Deleted
Evidence.statistic.modelCharacteristic.attributeEstimate	Deleted
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]	Added Element
EvidenceVariable.citeAs	Added Element
EvidenceVariable.experimental	Added Element
EvidenceVariable.recorder	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.characteristic.linkId EvidenceVariable.relatesTo	Added Element
EvidenceVariable.characteristic.description EvidenceVariable.relatesTo.type	Type changed from string to markdown Added Mandatory Element
EvidenceVariable.characteristic.note EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.characteristic.definitionReference EvidenceVariable.definition	Added Element
EvidenceVariable.characteristic.definitionCanonical EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.characteristic.definitionCodeableConcept EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.characteristic.definitionExpression EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
EvidenceVariable.category.value[x]	Add Type Reference(Group)
EvidenceVariable.characteristic.definitionId EvidenceVariable.conditional	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue EvidenceVariable.classifier	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.type EvidenceVariable.dataStorage	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.method EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.device EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.value[x] EvidenceVariable.dataStorage.delimiter	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.offset EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.characteristic.definitionByCombination EvidenceVariable.timing	Added Element
EvidenceVariable.characteristic.definitionByCombination.code EvidenceVariable.period	Added Mandatory Element
EvidenceVariable.characteristic.definitionByCombination.threshold EvidenceVariable.constraint	Added Element
EvidenceVariable.characteristic.definitionByCombination.characteristic EvidenceVariable.constraint.conditional	Added Mandatory Element
EvidenceVariable.characteristic.instances[x] EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.characteristic.duration[x] EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.characteristic.timeFromEvent EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.description EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.note EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.characteristic.timeFromEvent.event[x] EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.characteristic.timeFromEvent.quantity EvidenceVariable.constraint.code	Added Element
EvidenceVariable.characteristic.timeFromEvent.range EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.subtitle EvidenceVariable.constraint.expectedValueSet	Deleted Added Element
EvidenceVariable.characteristicCombination EvidenceVariable.constraint.expectedUnitsValueSet	Deleted Added Element
EvidenceVariable.characteristic.definition[x] EvidenceVariable.constraint.anyValueAllowed	Deleted Added Element
EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.characteristic.method EvidenceVariable.subtitle	Deleted
EvidenceVariable.characteristic.device EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.characteristic.timeFromStart EvidenceVariable.characteristicCombination	Deleted
EvidenceVariable.characteristic.groupMeasure EvidenceVariable.characteristic	Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]	Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExampleScenario.copyrightLabel	Added Element
ExampleScenario.actor.key	Renamed from actorId to key
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.3.0 to Actor Definition Actor Type Remove code entity Add code codes system , collective , other
ExampleScenario.actor.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.actor.definition	Added Element
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` `http://hl7.org/fhir/ValueSet/examplescenario-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.statusReason	Added Element
ExplanationOfBenefit.subject	Added Mandatory 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.related.claim	Type Reference: Added Target Type ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest
ExplanationOfBenefit.originalPrescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest, VisionPrescription
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	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Claim Processing Codes
ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element
ExplanationOfBenefit.supportingInfo.value[x] ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type Identifier date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid	Added Element
ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	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.adjudication.decisionDate	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.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	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.class	Added Element
ExplanationOfBenefit.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from string to markdown
ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ExplanationOfBenefit.patient	Deleted
ExplanationOfBenefit.careTeam.responsible	Deleted
ExplanationOfBenefit.careTeam.qualification	Deleted
ExplanationOfBenefit.diagnosis.packageCode	Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.item.adjudication.value	Deleted
ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory	Added Element
FamilyMemberHistory.participant.function FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.participant.actor FamilyMemberHistory.asserter	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.instantiatesCanonical	Deleted
FamilyMemberHistory.instantiatesUri	Deleted
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
FormularyItem Flag.supportingInfo	Added Resource Element
GenomicStudy Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Resource Element
Goal Goal.acceptance	Added Element
Goal.continuous Goal.acceptance.participant	Added Mandatory Element
Goal.source Goal.acceptance.status	Renamed Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from expressedBy 1 to source * Type Reference: changed from string to CodeableConcept
Goal.recorder	Added Target Type CareTeam Element
Goal.addresses Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types MedicationRequest, Procedure CareTeam, Group
Goal.outcome Goal.addresses	Type Reference: Added Element Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
GraphDefinition Group
GraphDefinition.identifier Group.url	Added Element
GraphDefinition.versionAlgorithm[x] Group.version	Added Element
GraphDefinition.title Group.versionAlgorithm[x]	Added Element
GraphDefinition.copyright Group.title	Added Element
GraphDefinition.copyrightLabel Group.status	Added Element
GraphDefinition.start Group.experimental	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) Added Element
GraphDefinition.node Group.date	Added Element
GraphDefinition.node.nodeId Group.publisher	Added Mandatory Element
GraphDefinition.node.description Group.contact	Added Element
GraphDefinition.node.type Group.description	Added Mandatory Element
GraphDefinition.node.profile Group.useContext	Added Element
GraphDefinition.link.sourceId Group.purpose	Added Mandatory Element
GraphDefinition.link.targetId Group.copyright	Added Mandatory Element
GraphDefinition.link.params Group.copyrightLabel	Added Element
GraphDefinition.link.compartment Group.type	Added Element Min Cardinality changed from 1 to 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
GraphDefinition.link.compartment.use Group.membership	Added Mandatory Element
GraphDefinition.link.compartment.rule Group.code	Added Mandatory Element Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
GraphDefinition.link.compartment.code Group.combinationMethod	Added Mandatory Element
GraphDefinition.link.compartment.expression Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
GraphDefinition.link.compartment.description Group.characteristic.description	Added Element
GraphDefinition.profile Group.characteristic.method	Deleted (-> .node.profile) Added Element
GraphDefinition.link.target Group.characteristic.formula	Deleted (-> .link.targetId / .node.nodeId) Added Element
Group Group.characteristic.determiner	Added Element
Group.active Group.characteristic.offset	Now marked as Modifier Added Element
Group.type Group.characteristic.instances[x]	Remove codes medication , substance Add codes careteam , healthcareservice , location , organization , relatedperson , specimen Added Element
Group.membership Group.characteristic.duration[x]	Added Mandatory Element
Group.description Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, Specimen Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Type Reference: Removed Target Types Medication, Substance Added Element
Group.active	Deleted
Group.actual	Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.location	Added Element
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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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.status	Add code inactive
ImagingStudy.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.partOf ImagingStudy.basedOn	Added Element Type Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Added Element
ImagingStudy.reason	Added Element
ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.series.bodySite	Type changed from Coding to CodeableReference
ImagingStudy.series.laterality ImagingStudy.series.performer.actor	Type changed from Coding to CodeableConcept Reference: Added Target Type HealthcareService
ImagingStudy.series.performer.actor ImagingStudy.series.instance.sopClass	Type Reference: Added Target Type HealthcareService 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)
ImagingStudy.series.laterality	Deleted
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 Remove Min Cardinality changed from 1 to 0 Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Remove Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.recorded	Deleted
Immunization.reportOrigin	Deleted
Immunization.reasonCode	Deleted (-> reason)
Immunization.reasonReference	Deleted (-> reason)
Immunization.education	Deleted
Immunization.reaction.detail	Deleted
ImmunizationEvaluation ImplementationGuide	Renamed from doseNumber[x] to doseNumber Remove Type positiveInt
ImmunizationEvaluation.seriesDoses ImplementationGuide.identifier	Renamed from seriesDoses[x] to seriesDoses Remove Type positiveInt Added Element
ImmunizationRecommendation.recommendation.targetDisease ImplementationGuide.versionAlgorithm[x]	Max Cardinality changed from 1 to * Added Element
ImmunizationRecommendation.recommendation.description Type changed from string to markdown ImmunizationRecommendation.recommendation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt ImmunizationRecommendation.recommendation.seriesDoses ImplementationGuide.jurisdiction	Renamed Change value set from seriesDoses[x] http://hl7.org/fhir/ValueSet/jurisdiction to seriesDoses Remove Type positiveInt ImplementationGuide Jurisdiction ValueSet ImplementationGuide.identifier Added Element ImplementationGuide.versionAlgorithm[x] Added Element
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
ImplementationGuide.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.0.2 , 4.3 3.3.0 , 4.4 3.5.0 , 4.4.0 4.0.0 , 4.5 4.0.1 , 4.5.0 4.1.0 , 4.6 4.3.0-cibuild , 4.6.0 4.3.0-snapshot1 , 5.0 4.3.0 Add codes 0.0 , 5.0.0 0.4 , 5.0.0-cibuild 0.5 , 5.0.0-snapshot1 1.0 , 5.0.0-snapshot2 1.1 , 5.0.0-ballot 1.4 , 5.0.0-snapshot3 1.6 , 5.0.0-draft-final 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	Added Element
ImplementationGuide.global.type	Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement ChargeItem , DocumentManifest ChargeItemDefinition , Media Citation , RequestGroup ClinicalImpression , ResearchDefinition DeviceUseStatement , ResearchElementDefinition DocumentManifest Add codes , ActorDefinition EvidenceReport , ArtifactAssessment GraphDefinition , BiologicallyDerivedProductDispense ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense Media , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem RequestGroup , GenomicStudy ResearchDefinition , ImagingSelection ResearchElementDefinition , InventoryItem SupplyDelivery , InventoryReport SupplyRequest , NutritionIntake TestReport , Permission TestScript , RequestOrchestration VerificationResult Add codes ActorDefinition , Requirements ArtifactAssessment , SubstanceNucleicAcid DeviceAlert , SubstancePolymer DeviceAssociation , SubstanceProtein ImagingSelection , SubstanceReferenceInformation InsuranceProduct , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements
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 Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.0.2 , 4.3 3.3.0 , 4.4 3.5.0 , 4.4.0 4.0.0 , 4.5 4.0.1 , 4.5.0 4.1.0 , 4.6 4.3.0-cibuild , 4.6.0 4.3.0-snapshot1 , 5.0 4.3.0 Add codes 0.0 , 5.0.0 0.4 , 5.0.0-cibuild 0.5 , 5.0.0-snapshot1 1.0 , 5.0.0-snapshot2 1.1 , 5.0.0-ballot 1.4 , 5.0.0-snapshot3 1.6 , 5.0.0-draft-final 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
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.contact InsurancePlan.type	Type Max Cardinality changed from BackboneElement * to ExtendedContactDetail 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.contact.purpose InsurancePlan.status	Deleted (-> InsurancePlan.contact.purpose)
InsurancePlan.contact.name InsurancePlan.name	Deleted (-> InsurancePlan.contact.name)
InsurancePlan.contact.telecom InsurancePlan.alias	Deleted (-> InsurancePlan.contact.telecom)
InsurancePlan.contact.address InsurancePlan.period	Deleted (-> InsurancePlan.contact.address)
InventoryItem InsurancePlan.ownedBy	Added Resource Deleted
InsurancePlan.administeredBy	Deleted
InsurancePlan.contact	Deleted
InsurancePlan.endpoint	Deleted
InsurancePlan.coverage	Deleted
InsurancePlan.plan	Deleted
InventoryReport InsuranceProduct	Added Resource
Invoice
Invoice.creation	Added Element
Invoice.period[x]	Added Element
Invoice.issuer	Type Reference: Added Target Types Practitioner, PractitionerRole
Invoice.lineItem.serviced[x]	Added Element
Invoice.lineItem.priceComponent	Type changed from BackboneElement to MonetaryComponent
Invoice.totalPriceComponent	Add Type MonetaryComponent
Invoice.date	Deleted
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.type	Change value set from http://hl7.org/fhir/ValueSet/library-type to LibraryType
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 Library.jurisdiction	Type changed Change value set from string http://hl7.org/fhir/ValueSet/jurisdiction to markdown Jurisdiction ValueSet
Library.copyrightLabel Library.usage	Added Element Type changed from string to markdown
Linkage Library.copyrightLabel	No Changes Added Element
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 CareTeam, Group
Location
Location.code	Added Element
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 Range, 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 Measure.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Measure.usage	Type changed from string to markdown
Measure.copyrightLabel	Added Element
Measure.scoringUnit Measure.reportingFrequency	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.title	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 Measure.group.basisRequirement	Added Element
Measure.group.scoringUnit Measure.group.scoring	Added Element
Measure.group.rateAggregation Measure.group.scoringUnit	Added Element
Measure.group.improvementNotation Measure.group.scoringPrecision	Added Element
Measure.group.library Measure.group.compositeScoring	Added Element
Measure.group.population.linkId Measure.group.component	Added Element
Measure.group.population.description Measure.group.component.measure	Type changed from string to markdown Added Element
Measure.group.population.criteria Measure.group.component.groupId	Min Cardinality changed from 1 to 0 Added Element
Measure.group.population.groupDefinition Measure.group.component.weight	Added Element
Measure.group.population.inputPopulationId Measure.group.rateAggregation	Added Element
Measure.group.population.aggregateMethod Measure.group.improvementNotation	Added Element
Measure.group.stratifier.linkId Measure.group.improvementNotationGuidance	Added Element
Measure.group.stratifier.description Measure.group.library	Type changed from string to markdown Added Element
Measure.group.stratifier.groupDefinition Measure.group.population.linkId	Added Element
Measure.group.stratifier.component.linkId Measure.group.population.title	Added Element
Measure.group.stratifier.component.description Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
Measure.group.population.description	Type changed from string to markdown
Measure.group.stratifier.component.criteria Measure.group.population.criteria	Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition Measure.group.population.groupDefinition	Added Element
Measure.supplementalData.linkId Measure.group.population.inputPopulationId	Added Element
Measure.definition Measure.group.population.aggregateMethod	Deleted (->term.definition term is code and definition now) Added Element
MeasureReport.type Measure.group.stratifier.linkId	Remove code data-collection Add code data-exchange Added Element
MeasureReport.dataUpdateType Measure.group.stratifier.title	Added Element
MeasureReport.measure Measure.group.stratifier.description	Min Cardinality Type changed from 1 string to 0 markdown
MeasureReport.subject Measure.group.stratifier.groupDefinition	Type Reference: Added Target Types CareTeam, HealthcareService, Organization Element
MeasureReport.reporter Measure.group.stratifier.component.linkId	Type Reference: Added Target Type Group Type Reference: Removed Target Type Location Element
MeasureReport.reportingVendor Measure.group.stratifier.component.description	Added Element Type changed from string to markdown
MeasureReport.location Measure.group.stratifier.component.criteria	Added Element Min Cardinality changed from 1 to 0
MeasureReport.inputParameters Measure.group.stratifier.component.groupDefinition	Added Element
MeasureReport.scoring Measure.group.stratifier.component.valueSet	Added Element
MeasureReport.group.linkId Measure.group.stratifier.component.unit	Added Element
MeasureReport.group.subject Measure.supplementalData.linkId	Added Element
MeasureReport.group.population.linkId Measure.supplementalData.usage	Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
MeasureReport.group.population.subjectReport Measure.supplementalData.description	Added Element Type changed from string to markdown
MeasureReport.group.population.subjects Measure.supplementalData.valueSet	Added Element
MeasureReport.group.measureScore[x] Measure.supplementalData.unit	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration Added Element
MeasureReport.group.stratifier.linkId Measure.scoring	Added Element Deleted
MeasureReport.group.stratifier.code Measure.compositeScoring	Max Cardinality changed from * to 1 Deleted
MeasureReport.group.stratifier.stratum.value[x] Measure.type	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Deleted
MeasureReport.group.stratifier.stratum.component.linkId Measure.improvementNotation	Added Element Deleted
MeasureReport.group.stratifier.stratum.component.value[x] Measure.definition	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Deleted (->term.definition term is code and definition now)
MeasureReport.group.stratifier.stratum.population.linkId MeasureReport	Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport MeasureReport.category	Added Element
MeasureReport.group.stratifier.stratum.population.subjects MeasureReport.messages	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x] MeasureReport.type	Renamed from measureScore to measureScore[x] Remove code data-collection Add Types dateTime, CodeableConcept, Period, Range, Duration code data-exchange
MeasureReport.supplementalData Added Element Medication Medication.marketingAuthorizationHolder MeasureReport.dataUpdateType	Added Element
Medication.doseForm MeasureReport.measure	Added Element Min Cardinality changed from 1 to 0
Medication.totalVolume MeasureReport.subject	Type Reference: Added Element Target Types CareTeam, HealthcareService, Organization
Medication.ingredient.item MeasureReport.reporter	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication) Reference: Removed Target Type Location
Medication.ingredient.strength[x] MeasureReport.reportingVendor	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity Added Element
Medication.definition MeasureReport.location	Added Element
Medication.manufacturer MeasureReport.inputParameters	Deleted Added Element
Medication.form MeasureReport.group.linkId	Deleted Added Element
Medication.amount MeasureReport.group.title	Deleted Added Element
MedicationAdministration.basedOn MeasureReport.group.calculatedDate	Added Element
MedicationAdministration.partOf MeasureReport.group.description	Type Reference: Added Target Type MedicationDispense Element
MedicationAdministration.category MeasureReport.group.type	Max Cardinality changed from 1 to * Added Element
MedicationAdministration.medication MeasureReport.group.subject	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) Added Element
MedicationAdministration.encounter MeasureReport.group.scoring	Added Element
MedicationAdministration.occurence[x] MeasureReport.group.improvementNotation	Added Mandatory Element
MedicationAdministration.recorded MeasureReport.group.improvementNotationGuidance	Added Element
MedicationAdministration.isSubPotent MeasureReport.group.population.linkId	Added Element
MedicationAdministration.subPotentReason MeasureReport.group.population.title	Added Element
MedicationAdministration.performer.actor MeasureReport.group.population.code	Type changed Change value set from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) http://hl7.org/fhir/ValueSet/measure-population to CodeableReference MeasurePopulationType
MedicationAdministration.reason MeasureReport.group.population.description	Added Element
MedicationAdministration.device MeasureReport.group.population.countQuantity	Type changed from Reference(Device) to CodeableReference Added Element
MedicationAdministration.instantiates MeasureReport.group.population.subjectReport	Deleted Added Element
MedicationAdministration.context MeasureReport.group.population.subjects	Deleted Added Element
MedicationAdministration.effective[x] MeasureReport.group.measureScore[x]	Deleted Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationAdministration.reasonCode MeasureReport.group.stratifier.linkId	Deleted (-> reason) Added Element
MedicationAdministration.reasonReference MeasureReport.group.stratifier.title	Deleted (-> reason) Added Element
MedicationDispense.basedOn MeasureReport.group.stratifier.code	Added Element Max Cardinality changed from * to 1
MedicationDispense.partOf MeasureReport.group.stratifier.description	Type Reference: Added Target Type MedicationAdministration Element
MedicationDispense.notPerformedReason MeasureReport.group.stratifier.stratum.value[x]	Added Element Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MedicationDispense.statusChanged MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MedicationDispense.category MeasureReport.group.stratifier.stratum.component.description	Max Cardinality changed from 1 to * Added Element
MedicationDispense.medication MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from medication[x] value to medication value[x] Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) MedicationDispense.subject Min Cardinality changed from 0 to 1 boolean, Quantity, Range, Reference
MedicationDispense.encounter MeasureReport.group.stratifier.stratum.population.linkId	Added Element
MedicationDispense.performer.actor MeasureReport.group.stratifier.stratum.population.code	Type Reference: Added Target Type CareTeam Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MedicationDispense.recorded MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MedicationDispense.receiver MeasureReport.group.stratifier.stratum.population.subjectReport	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole Element
MedicationDispense.renderedDosageInstruction MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MedicationDispense.substitution.responsibleParty MeasureReport.group.stratifier.stratum.measureScore[x]	Max Cardinality changed Renamed from * measureScore to 1 measureScore[x] Type Reference: Added Target Type Organization Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationDispense.statusReason[x] MeasureReport.supplementalData	Deleted Added Element
MedicationDispense.context MeasureReport.improvementNotation	Deleted
MedicationDispense.detectedIssue Medication
Medication.marketingAuthorizationHolder	Deleted Added Element
MedicationKnowledge.identifier Medication.doseForm	Added Element
MedicationKnowledge.author Medication.packageSize	Added Element
MedicationKnowledge.intendedJurisdiction Medication.packageSize.numberOfItems	Added Element
MedicationKnowledge.name Medication.packageSize.amountPerItem	Added Element
MedicationKnowledge.monograph.source Medication.ingredient.item	Renamed from item[x] to item Add Type Reference: Removed Target Type Media CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
MedicationKnowledge.cost.effectiveDate Medication.ingredient.role	Added Element
MedicationKnowledge.cost.cost[x] Medication.ingredient.strength[x]	Renamed from cost strength to cost[x] strength[x] Add Type CodeableConcept Types CodeableConcept, Quantity
MedicationKnowledge.indicationGuideline Medication.instance	Added Element
MedicationKnowledge.indicationGuideline.indication Medication.instance.identifier	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline Medication.instance.lotNumber	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent Medication.instance.expirationDate	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage Medication.definition	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type Medication.manufacturer	Added Mandatory Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage Medication.form	Added Mandatory Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment Medication.amount	Added Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic Medication.batch	Added Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type MedicationAdministration	Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x] MedicationAdministration.basedOn	Added Element
MedicationKnowledge.medicineClassification.source[x] MedicationAdministration.partOf	Type Reference: Added Element Target Type MedicationDispense
MedicationKnowledge.packaging MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.cost MedicationAdministration.medication	Added Element Renamed from medication[x] to medication MedicationKnowledge.packaging.packagedProduct Added Element Add Type CodeableReference MedicationKnowledge.clinicalUseIssue Added Element Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.storageGuideline MedicationAdministration.encounter	Added Element
MedicationKnowledge.storageGuideline.reference MedicationAdministration.occurrence[x]	Added Mandatory Element
MedicationKnowledge.storageGuideline.note MedicationAdministration.recorded	Added Element
MedicationKnowledge.storageGuideline.stabilityDuration MedicationAdministration.isSubPotent	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting MedicationAdministration.subPotentReason	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type MedicationAdministration.performer.actor	Added Mandatory Element Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationKnowledge.storageGuideline.environmentalSetting.value[x] MedicationAdministration.reason	Added Mandatory Element
MedicationKnowledge.regulatory.schedule MedicationAdministration.device	Type changed from BackboneElement Reference(Device) to CodeableConcept CodeableReference
MedicationKnowledge.definitional MedicationAdministration.instantiates	Added Element Deleted
MedicationKnowledge.definitional.definition MedicationAdministration.context	Added Element Deleted
MedicationKnowledge.definitional.doseForm MedicationAdministration.effective[x]	Added Element Deleted
MedicationKnowledge.definitional.intendedRoute MedicationAdministration.reasonCode	Added Element Deleted (-> reason)
MedicationKnowledge.definitional.ingredient MedicationAdministration.reasonReference	Added Element Deleted (-> reason)
MedicationDispense
MedicationKnowledge.definitional.ingredient.item MedicationDispense.basedOn	Added Mandatory Element
MedicationKnowledge.definitional.ingredient.type MedicationDispense.partOf	Type Reference: Added Element Target Type MedicationAdministration
MedicationKnowledge.definitional.ingredient.strength[x] MedicationDispense.status	Added Element Remove code stopped Add code unfulfilled
MedicationKnowledge.definitional.drugCharacteristic MedicationDispense.notPerformedReason	Added Element
MedicationKnowledge.definitional.drugCharacteristic.type MedicationDispense.statusChanged	Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x] MedicationDispense.category	Added Element Max Cardinality changed from 1 to *
MedicationKnowledge.manufacturer MedicationDispense.medication	Deleted Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.doseForm MedicationDispense.subject	Deleted Min Cardinality changed from 0 to 1
MedicationKnowledge.amount MedicationDispense.encounter	Deleted Added Element
MedicationKnowledge.synonym MedicationDispense.performer.actor	Deleted Type Reference: Added Target Types CareTeam, Group
MedicationKnowledge.ingredient MedicationDispense.fillNumber	Deleted Added Element
MedicationKnowledge.intendedRoute MedicationDispense.recorded	Deleted Added Element
MedicationKnowledge.administrationGuidelines MedicationDispense.receiver	Deleted Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationKnowledge.packaging.type MedicationDispense.dosageInstruction	Deleted Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationKnowledge.packaging.quantity MedicationDispense.doseAdministrationAid	Deleted Added Element
MedicationKnowledge.drugCharacteristic MedicationDispense.substitution.responsibleParty	Deleted Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization
MedicationKnowledge.contraindication MedicationDispense.statusReason[x]	Deleted
MedicationKnowledge.regulatory.schedule.schedule MedicationDispense.context	Deleted
MedicationKnowledge.kinetics MedicationDispense.detectedIssue	Deleted
MedicationRequest
MedicationRequest.basedOn	Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.reported MedicationRequest.isRecordOfRequest	Renamed from reported[x] to reported Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Added Element
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 HealthcareService, Group 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 MedicationRequest.effectiveTiming[x]	Added Element
MedicationRequest.effectiveDosePeriod MedicationRequest.dosageInstruction	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Added Element
MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.dispenseRequest.destination	Added Element
MedicationRequest.reported[x]	Deleted
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.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.renderedDosageInstruction MedicationStatement.dosage	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
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, Range, integer
MedicinalProductDefinition.name.namePart	Deleted
MedicinalProductDefinition.name.countryLanguage	Deleted
MessageDefinition
MessageDefinition.versionAlgorithm[x]	Added Element
MessageDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MessageDefinition.copyrightLabel	Added Element
MessageDefinition.focus.code	Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement ChargeItem , DocumentManifest ChargeItemDefinition , Media Citation , RequestGroup ClinicalImpression , ResearchDefinition DeviceUseStatement , ResearchElementDefinition DocumentManifest Add codes , ActorDefinition EvidenceReport , ArtifactAssessment GraphDefinition , BiologicallyDerivedProductDispense ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense Media , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem RequestGroup , GenomicStudy ResearchDefinition , ImagingSelection ResearchElementDefinition , InventoryItem SupplyDelivery , InventoryReport SupplyRequest , NutritionIntake TestReport , Permission TestScript , RequestOrchestration VerificationResult Add codes ActorDefinition , Requirements ArtifactAssessment , SubstanceNucleicAcid DeviceAlert , SubstancePolymer DeviceAssociation , SubstanceProtein ImagingSelection , SubstanceReferenceInformation InsuranceProduct , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements
MessageDefinition.graph	Max Cardinality changed from * to 1 Deleted
MessageHeader
MessageHeader.event[x]	Add Type canonical(EventDefinition) Remove Type uri 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.sender Type Reference: Added Target Type Device MessageHeader.author MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Organization 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.enterer MessageHeader.destination.target	Deleted
MetadataResource MessageHeader.sender	Added Resource Deleted
MolecularSequence MessageHeader.enterer	Deleted
MolecularSequence.subject MessageHeader.author	Renamed from patient to subject Type Reference: Added Target Types Group, Substance, BiologicallyDerivedProduct, NutritionProduct Deleted
MolecularSequence.focus MessageHeader.responsible	Added Element Deleted
MolecularSequence.literal MetadataResource	Added Element Resource
NamingSystem
MolecularSequence.formatted NamingSystem.url	Added Element
MolecularSequence.relative NamingSystem.identifier	Added Element
MolecularSequence.relative.coordinateSystem NamingSystem.version	Added Mandatory Element
MolecularSequence.relative.ordinalPosition NamingSystem.versionAlgorithm[x]	Added Element
MolecularSequence.relative.sequenceRange NamingSystem.title	Added Element
MolecularSequence.relative.startingSequence NamingSystem.experimental	Added Element
MolecularSequence.relative.startingSequence.genomeAssembly NamingSystem.type	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
MolecularSequence.relative.startingSequence.chromosome NamingSystem.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MolecularSequence.relative.startingSequence.sequence[x] NamingSystem.purpose	Added Element
MolecularSequence.relative.startingSequence.windowStart NamingSystem.copyright	Added Element
MolecularSequence.relative.startingSequence.windowEnd NamingSystem.copyrightLabel	Added Element
MolecularSequence.relative.startingSequence.orientation NamingSystem.approvalDate	Added Element
MolecularSequence.relative.startingSequence.strand NamingSystem.lastReviewDate	Added Element
MolecularSequence.relative.edit NamingSystem.effectivePeriod	Added Element
MolecularSequence.relative.edit.start NamingSystem.topic	Added Element
MolecularSequence.relative.edit.end NamingSystem.author	Added Element
MolecularSequence.relative.edit.replacementSequence NamingSystem.editor	Added Element
MolecularSequence.relative.edit.replacedSequence NamingSystem.reviewer	Added Element
MolecularSequence.coordinateSystem NamingSystem.endorser	Deleted (>relative.coordinateSystem) Added Element
MolecularSequence.quantity NamingSystem.relatedArtifact	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.referenceSeq NamingSystem.uniqueId.type	Deleted (->relative.startingSequence.sequence[x]) Add codes iri-stem , v2csmnemonic
MolecularSequence.variant NamingSystem.uniqueId.authoritative	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.observedSeq NutritionIntake	Deleted (->relative.startingSequence.sequenceString) Added Resource
MolecularSequence.quality NutritionOrder	Deleted (Removed from the resource.)
MolecularSequence.readCoverage NutritionOrder.basedOn	Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.repository NutritionOrder.groupIdentifier	Deleted (->formatted) Added Element
MolecularSequence.pointer NutritionOrder.status	Deleted (->relative) Remove codes revoked , completed Add code ended
MolecularSequence.structureVariant NutritionOrder.intent	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Remove codes original-order , reflex-order , filler-order , instance-order
NamingSystem.url NutritionOrder.priority	Added Element
NamingSystem.identifier NutritionOrder.subject	Added Mandatory Element
NamingSystem.version NutritionOrder.supportingInformation	Added Element
NamingSystem.versionAlgorithm[x] NutritionOrder.requester	Added Element
NamingSystem.title NutritionOrder.performer	Added Element
NamingSystem.experimental NutritionOrder.outsideFoodAllowed	Added Element
NamingSystem.type NutritionOrder.oralDiet.schedule	Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible) Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
NamingSystem.purpose NutritionOrder.oralDiet.schedule.timing	Added Element
NamingSystem.copyright NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NamingSystem.copyrightLabel NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
NamingSystem.approvalDate NutritionOrder.oralDiet.nutrient.amount	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.lastReviewDate NutritionOrder.oralDiet.texture.type	Added Element
NamingSystem.effectivePeriod NutritionOrder.oralDiet.caloricDensity	Added Element
NamingSystem.topic NutritionOrder.supplement.type	Added Element Type changed from CodeableConcept to CodeableReference
NamingSystem.author NutritionOrder.supplement.schedule	Added Element Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
NamingSystem.editor NutritionOrder.supplement.schedule.timing	Added Element
NamingSystem.reviewer NutritionOrder.supplement.schedule.asNeeded	Added Element
NamingSystem.endorser NutritionOrder.supplement.schedule.asNeededFor	Added Element
NutritionOrder.supplement.quantity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.relatedArtifact NutritionOrder.supplement.caloricDensity	Added Element
NamingSystem.uniqueId.type NutritionOrder.enteralFormula.type	Add codes iri-stem , v2csmnemonic Added Element
NamingSystem.uniqueId.authoritative NutritionOrder.enteralFormula.productName	Added Element
NutritionIntake NutritionOrder.enteralFormula.deliveryDevice[x]	Added Resource Element
NutritionOrder NutritionOrder.enteralFormula.caloricDensity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.basedOn NutritionOrder.enteralFormula.routeOfAdministration	Added Element
NutritionOrder.groupIdentifier NutritionOrder.enteralFormula.administration.schedule	Added Element Type changed from Timing to BackboneElement
NutritionOrder.priority NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NutritionOrder.subject NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Mandatory Element
NutritionOrder.supportingInformation NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NutritionOrder.performer NutritionOrder.enteralFormula.administration.quantity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.administration.rate[x]	Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.outsideFoodAllowed NutritionOrder.enteralFormula.maxVolumeToAdminister	Added Element
NutritionOrder.oralDiet.schedule NutritionOrder.enteralFormula.administrationInstruction	Max Cardinality changed from * to 1 Type changed from Timing string to BackboneElement markdown
NutritionOrder.oralDiet.schedule.timing NutritionOrder.additive	Added Element
NutritionOrder.oralDiet.schedule.asNeeded NutritionOrder.additive.modularType	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor NutritionOrder.additive.productName	Added Element
NutritionOrder.supplement.type NutritionOrder.additive.quantity	Type changed from CodeableConcept to CodeableReference Added Element
NutritionOrder.supplement.schedule NutritionOrder.additive.routeOfAdministration	Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement Added Element
NutritionOrder.supplement.schedule.timing NutritionOrder.instantiatesCanonical	Added Element Deleted
NutritionOrder.supplement.schedule.asNeeded NutritionOrder.instantiatesUri	Added Element Deleted
NutritionOrder.supplement.schedule.asNeededFor NutritionOrder.instantiates	Added Element Deleted
NutritionOrder.enteralFormula.baseFormulaType NutritionOrder.patient	Type changed from CodeableConcept to CodeableReference Deleted
NutritionOrder.enteralFormula.deliveryDevice NutritionOrder.orderer	Added Element Deleted
NutritionOrder.enteralFormula.additive NutritionOrder.oralDiet.texture.foodType	Added Element Deleted
NutritionOrder.enteralFormula.additive.type NutritionOrder.oralDiet.fluidConsistencyType	Added Element Deleted
NutritionOrder.enteralFormula.additive.productName NutritionOrder.enteralFormula.baseFormulaType	Added Element Deleted
NutritionOrder.enteralFormula.additive.quantity NutritionOrder.enteralFormula.baseFormulaProductName	Added Element Deleted
NutritionOrder.enteralFormula.routeOfAdministration NutritionOrder.enteralFormula.additiveType	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule NutritionOrder.enteralFormula.additiveProductName	Type changed from Timing to BackboneElement Deleted
NutritionOrder.enteralFormula.administration.schedule.timing NutritionOrder.enteralFormula.routeofAdministration	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule.asNeeded NutritionOrder.enteralFormula.maxVolumeToDeliver	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule.asNeededFor NutritionProduct
NutritionProduct.manufacturer	Type Reference: Added Element Target Type RelatedPerson
NutritionOrder.enteralFormula.administrationInstruction NutritionProduct.nutrient.item	Type Min Cardinality changed from string 0 to markdown 1
NutritionOrder.patient NutritionProduct.nutrient.amount[x]	Deleted Renamed from amount to amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionOrder.enteralFormula.additiveType NutritionProduct.ingredientSummary	Deleted Added Element
NutritionOrder.enteralFormula.additiveProductName NutritionProduct.ingredient.amount[x]	Deleted Renamed from amount to amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionOrder.enteralFormula.routeofAdministration NutritionProduct.ingredient.allergen	Deleted Added Element
NutritionProduct 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] Observation.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
Observation.triggeredBy	Added Element
Observation.triggeredBy.observation	Added Mandatory Element
Observation.triggeredBy.type	Added Mandatory Element
Observation.triggeredBy.reason	Added Element
Observation.partOf Observation.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Type GenomicStudy Types BiologicallyDerivedProduct, NutritionProduct
Observation.subject Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
Observation.performer	Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct HealthcareService, Group
Observation.value[x]	Add Types Attachment, Reference(MolecularSequence) Reference
Observation.interpretationContext	Added Element
Observation.bodyStructure	Added Element
Observation.specimen	Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Added Element
Observation.referenceRange.text	Type changed from string to markdown
Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Types ImagingSelection, GenomicStudy Type ImagingSelection Type Reference: Removed Target Type Media Types Media, MolecularSequence
Observation.component.value[x]	Add Types Attachment, Reference(MolecularSequence) Reference
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 ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Added Element
ObservationDefinition.qualifiedValue.context	Added Element
ObservationDefinition.qualifiedValue.appliesTo	Added Element
ObservationDefinition.qualifiedValue.gender ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
OperationDefinition.copyright	Added Element
OperationDefinition.copyrightLabel	Added Element
OperationDefinition.synchronicity	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 Remove codes ActorDefinition ChargeItem , ArtifactAssessment ChargeItemDefinition , BiologicallyDerivedProductDispense Citation , CanonicalResource ClinicalImpression , ConditionDefinition EvidenceReport , DeviceAssociation GraphDefinition , DeviceDispense ImmunizationEvaluation , DeviceUsage ImmunizationRecommendation , EncounterHistory Linkage , FormularyItem MedicationKnowledge , GenomicStudy MolecularSequence , ImagingSelection SupplyDelivery , InventoryItem SupplyRequest , InventoryReport TestReport , MetadataResource TestScript , NutritionIntake VerificationResult Add codes ActorDefinition , Permission ArtifactAssessment , RequestOrchestration CanonicalResource , Requirements DeviceAlert , SubstanceNucleicAcid DeviceAssociation , SubstancePolymer ImagingSelection , SubstanceProtein InsuranceProduct , SubstanceReferenceInformation MetadataResource , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements , 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
OperationDefinition.parameter.scope	Added Element
OperationDefinition.parameter.min	Type changed from integer to unsignedInt
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 Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProductDefinition , Availability MessageDefinition , BackboneType MessageHeader , ExtendedContactDetail MolecularSequence , MonetaryComponent NamingSystem , PrimitiveType NutritionOrder , integer64 NutritionProduct , VirtualServiceDetail Observation , ActorDefinition ObservationDefinition , ArtifactAssessment OperationDefinition , BiologicallyDerivedProductDispense OperationOutcome , CanonicalResource Organization , ConditionDefinition OrganizationAffiliation , DeviceAssociation PackagedProductDefinition , DeviceDispense Patient , DeviceUsage PaymentNotice , EncounterHistory PaymentReconciliation , FormularyItem Person , GenomicStudy PlanDefinition , ImagingSelection Practitioner , InventoryItem PractitionerRole , InventoryReport Procedure , MetadataResource Provenance , NutritionIntake Questionnaire , Permission QuestionnaireResponse , RequestOrchestration RegulatedAuthorization , Requirements RelatedPerson , SubstanceNucleicAcid RequestGroup , SubstancePolymer ResearchDefinition , SubstanceProtein ResearchElementDefinition , SubstanceReferenceInformation ResearchStudy , SubstanceSourceMaterial ResearchSubject , TestPlan RiskAssessment , Transport Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Add Remove codes limited-filter structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code 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 ExtendedContactDetail, VirtualServiceDetail 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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.statusReason	Added Element
PaymentNotice.reporter	Added Element
PaymentNotice.payment	Min Cardinality changed from 1 to 0
PaymentNotice.provider	Deleted
PaymentReconciliation
PaymentReconciliation.type	Added Mandatory Element
PaymentReconciliation.statusReason	Added 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 PaymentReconciliation.allocation.noteNumber	Deleted Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
PaymentReconciliation.paymentAmount PaymentReconciliation.paymentDate	Deleted
PaymentReconciliation.detail PaymentReconciliation.paymentAmount	Deleted
Permission PaymentReconciliation.detail	Added Resource Deleted
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
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/plan-definition-type to PlanDefinitionType
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.goalId	Type changed from id to string
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.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.relatedAction.endRelationship	Added Element
PlanDefinition.action.timing[x]	Add Type RelativeTime 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.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
PlanDefinition.action.applicabilityBehavior	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.network	Added Element
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.report	Type Reference: Added Target Type Bundle
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.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
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 Type CareTeam Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Type CareTeam Types CareTeam, Group, HealthcareService 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 ChargeItem , DocumentManifest ChargeItemDefinition , Media Citation , RequestGroup ClinicalImpression , ResearchDefinition DeviceUseStatement , ResearchElementDefinition DocumentManifest Add codes , ActorDefinition EvidenceReport , ArtifactAssessment GraphDefinition , BiologicallyDerivedProductDispense ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense Media , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem RequestGroup , GenomicStudy ResearchDefinition , ImagingSelection ResearchElementDefinition , InventoryItem SupplyDelivery , InventoryReport SupplyRequest , NutritionIntake TestReport , Permission TestScript , RequestOrchestration VerificationResult Add codes ActorDefinition , Requirements ArtifactAssessment , SubstanceNucleicAcid DeviceAlert , SubstancePolymer DeviceAssociation , SubstanceProtein ImagingSelection , SubstanceReferenceInformation InsuranceProduct , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements
Questionnaire.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|4.3.0 to Questionnaire Useable Item Type Remove codes question , choice , open-choice Add code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
Questionnaire.item.disabledDisplay	Added Element
Questionnaire.item.answerConstraint	Added Element
Questionnaire.item.answerOption.value[x]	Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Questionnaire.item.initial.value[x]	Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
QuestionnaireResponse
QuestionnaireResponse.identifier	Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire	Min Cardinality changed from 0 to 1
QuestionnaireResponse.author	Type Reference: Added Target Type Group
QuestionnaireResponse.source	Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
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.status	Now marked as Modifier
RegulatedAuthorization.indication	Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument	Added Element
RelatedPerson
RelatedPerson.role	Added Element
RelatedPerson.communication.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
RequestOrchestration.status	Remove codes revoked , completed Add code ended
RequestOrchestration.intent	Remove codes original-order , reflex-order , filler-order , instance-order
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.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
RequestOrchestration.action.relatedAction.endRelationship	Added Element
RequestOrchestration.action.timing[x]	Add Type RelativeTime
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.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
RequestOrchestration.action.applicabilityBehavior	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.label.language	Added Element
ResearchStudy.citeAs	Added Element
ResearchStudy.relatesTo	Added Element
ResearchStudy.relatesTo.type	Added Mandatory Element
ResearchStudy.relatesTo.target[x]	Added Mandatory 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.recruitment.description	Added Element
ResearchStudy.comparisonGroup	Added Element
ResearchStudy.comparisonGroup.linkId ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.name ResearchStudy.comparisonGroup.actualNumber	Added Element
ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.objective.description	Added Element
ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.comparisonGroup.type ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.comparisonGroup.description ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.comparisonGroup.intendedExposure ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.comparisonGroup.observedGroup ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.description ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.outcomeMeasure ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.outcomeMeasure.name ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.outcomeMeasure.type ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.outcomeMeasure.description ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ResearchStudy.outcomeMeasure.reference ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ResearchStudy.result	Added Element
ResearchStudy.category	Deleted
ResearchStudy.contact	Deleted
ResearchStudy.relatedArtifact	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.progress ResearchSubject.subject	Added Mandatory Element
ResearchSubject.progress.type ResearchSubject.subjectState	Added Element
ResearchSubject.progress.subjectState ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.progress.milestone ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.progress.reason ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.progress.startDate ResearchSubject.subjectState.reason	Added Element
ResearchSubject.progress.endDate ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subject ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.assignedComparisonGroup ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.actualComparisonGroup ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.comparisonGroup	Added Element
ResearchSubject.consent	Max Cardinality changed from 1 to *
ResearchSubject.individual	Deleted
ResearchSubject.assignedArm	Deleted
ResearchSubject.actualArm	Deleted
Resource
Resource.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RiskAssessment
RiskAssessment.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
RiskAssessment.performer	Type Reference: Added Target Types Patient, RelatedPerson
RiskAssessment.reason	Added Element
RiskAssessment.prediction.probability[x]	Add Type Quantity
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
SearchParameter.copyright	Added Element
SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	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 Remove codes ActorDefinition ChargeItem , ArtifactAssessment ChargeItemDefinition , BiologicallyDerivedProductDispense Citation , CanonicalResource ClinicalImpression , ConditionDefinition EvidenceReport , DeviceAssociation GraphDefinition , DeviceDispense ImmunizationEvaluation , DeviceUsage ImmunizationRecommendation , EncounterHistory Linkage , FormularyItem MedicationKnowledge , GenomicStudy MolecularSequence , ImagingSelection SupplyDelivery , InventoryItem SupplyRequest , InventoryReport TestReport , MetadataResource TestScript , NutritionIntake VerificationResult Add codes ActorDefinition , Permission ArtifactAssessment , RequestOrchestration CanonicalResource , Requirements DeviceAlert , SubstanceNucleicAcid DeviceAssociation , SubstancePolymer ImagingSelection , SubstanceProtein InsuranceProduct , SubstanceReferenceInformation MetadataResource , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements , 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
SearchParameter.type	Add code resource
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 Remove codes ActorDefinition ChargeItem , ArtifactAssessment ChargeItemDefinition , BiologicallyDerivedProductDispense Citation , CanonicalResource ClinicalImpression , ConditionDefinition EvidenceReport , DeviceAssociation GraphDefinition , DeviceDispense ImmunizationEvaluation , DeviceUsage ImmunizationRecommendation , EncounterHistory Linkage , FormularyItem MedicationKnowledge , GenomicStudy MolecularSequence , ImagingSelection SupplyDelivery , InventoryItem SupplyRequest , InventoryReport TestReport , MetadataResource TestScript , NutritionIntake VerificationResult Add codes ActorDefinition , Permission ArtifactAssessment , RequestOrchestration CanonicalResource , Requirements DeviceAlert , SubstanceNucleicAcid DeviceAssociation , SubstancePolymer ImagingSelection , SubstanceProtein InsuranceProduct , SubstanceReferenceInformation MetadataResource , SubstanceSourceMaterial NutritionIntake , TestPlan RequestOrchestration , Transport Requirements , 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
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 DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
ServiceRequest.replaces	Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
ServiceRequest.status	Remove codes revoked , completed Add code ended
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail	Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus ServiceRequest.orderDetail.parameterFocus[x]	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.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
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.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.locationCode	Deleted
ServiceRequest.locationReference	Deleted
ServiceRequest.reasonCode	Deleted (-> reason)
ServiceRequest.reasonReference	Deleted (-> reason)
ServiceRequest.bodySite	Deleted
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 Types BiologicallyDerivedProduct, NutritionProduct
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 Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from CodeableConcept to CodeableReference
Specimen.processing.method	Added Element
Specimen.container.device Specimen.processing.performer	Added Mandatory Element
Specimen.container.location Specimen.processing.device[x]	Added Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.accessionIdentifier	Deleted
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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.0.2 , 4.3 3.3.0 , 4.4 3.5.0 , 4.4.0 4.0.0 , 4.5 4.0.1 , 4.5.0 4.1.0 , 4.6 4.3.0-cibuild , 4.6.0 4.3.0-snapshot1 , 5.0 4.3.0 Add codes 0.0 , 5.0.0 0.4 , 5.0.0-cibuild 0.5 , 5.0.0-snapshot1 1.0 , 5.0.0-snapshot2 1.1 , 5.0.0-ballot 1.4 , 5.0.0-snapshot3 1.6 , 5.0.0-draft-final 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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.min	Type changed from integer to unsignedInt
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.resourceType 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
SubscriptionTopic SubscriptionStatus.notificationEvent.triggerEvent	Added Element
SubscriptionTopic.versionAlgorithm[x] SubscriptionStatus.notificationEvent.relatedQuery	Added Element
SubscriptionTopic.name SubscriptionStatus.notificationEvent.relatedQuery.queryType	Added Element
SubscriptionTopic.experimental SubscriptionStatus.notificationEvent.relatedQuery.query	No longer marked as Modifier Added Mandatory Element
SubscriptionTopic.copyrightLabel SubscriptionStatus.notificationEvent.authorizationHint	Added Element
SubscriptionTopic.resourceTrigger.resource SubscriptionStatus.notificationEvent.authorizationHint.authorizationType	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Types used with Subscriptions Added Mandatory Element
SubscriptionTopic.eventTrigger.resource SubscriptionStatus.notificationEvent.authorizationHint.value	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Types used with Subscriptions Added Element
SubscriptionTopic.canFilterBy.resource SubscriptionTopic
SubscriptionTopic.versionAlgorithm[x]	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Types used with Subscriptions Added Element
SubscriptionTopic.canFilterBy.comparator SubscriptionTopic.name	Added Element
SubscriptionTopic.canFilterBy.modifier SubscriptionTopic.experimental	Change value set from http://hl7.org/fhir/ValueSet/subscription-search-modifier|4.3.0 to Search No longer marked as Modifier Code Remove codes = , eq , ne , gt , lt , ge , le , sa , eb , ap Add codes missing , exact , contains , not , text , type , identifier , code-text , text-advanced , iterate
SubscriptionTopic.notificationShape.resource SubscriptionTopic.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/jurisdiction to Types used with Subscriptions Jurisdiction ValueSet
Substance SubscriptionTopic.copyrightLabel	Added Element
Substance.instance SubscriptionTopic.trigger	Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Type changed from BackboneElement to boolean Now marked as Modifier Added Element
Substance.code SubscriptionTopic.trigger.description	Type changed from CodeableConcept to CodeableReference Added Element
Substance.description SubscriptionTopic.trigger.resource	Type changed from string to markdown Added Mandatory Element
Substance.expiry SubscriptionTopic.trigger.supportedInteraction	Moved from Substance.instance to Substance Added Element
Substance.quantity SubscriptionTopic.trigger.queryCriteria	Moved from Substance.instance to Substance Added Element
Substance.instance.identifier SubscriptionTopic.trigger.queryCriteria.previous	Deleted (-> Substance.instance.identifier) Added Element
SubstanceDefinition SubscriptionTopic.trigger.queryCriteria.resultForCreate	Added Element
SubstanceDefinition.characterization SubscriptionTopic.trigger.queryCriteria.current	Added Element
SubstanceDefinition.characterization.technique SubscriptionTopic.trigger.queryCriteria.resultForDelete	Added Element
SubstanceDefinition.characterization.form SubscriptionTopic.trigger.queryCriteria.requireBoth	Added Element
SubstanceDefinition.characterization.description SubscriptionTopic.trigger.fhirPathCriteria	Added Element
SubstanceDefinition.characterization.file SubscriptionTopic.trigger.event	Added Element
SubstanceDefinition.referenceInformation SubscriptionTopic.trigger.canFilterBy	Added Element
SubstanceDefinition.name.language SubscriptionTopic.trigger.canFilterBy.description	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none Added Element
SubstanceDefinition.nucleicAcid SubscriptionTopic.trigger.canFilterBy.resource	Added Element
SubstanceDefinition.polymer SubscriptionTopic.trigger.canFilterBy.filterParameter	Added Mandatory Element
SubstanceDefinition.protein SubscriptionTopic.trigger.canFilterBy.filterDefinition	Added Element
SubstanceNucleicAcid SubscriptionTopic.trigger.canFilterBy.comparator	Added Resource Element
SubstancePolymer SubscriptionTopic.trigger.canFilterBy.modifier	Added Resource Element
SubstanceProtein SubscriptionTopic.trigger.notificationShape	Added Resource Element
SubstanceReferenceInformation SubscriptionTopic.trigger.notificationShape.resource	Added Resource Mandatory Element
SubstanceSourceMaterial SubscriptionTopic.trigger.notificationShape.include	Added Resource Element
SupplyDelivery SubscriptionTopic.trigger.notificationShape.revInclude	Added Element
SupplyDelivery.type SubscriptionTopic.trigger.notificationShape.relatedQuery	Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.3.0 to Supply Delivery Supply Item Type Remove codes medication , device Add codes medication , device , biologicallyderivedproduct Added Element
SupplyDelivery.suppliedItem SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType	Max Cardinality changed from 1 to * Added Element
SupplyDelivery.receiver SubscriptionTopic.trigger.notificationShape.relatedQuery.query	Type Reference: Added Target Type Organization Mandatory Element
SupplyRequest SubscriptionTopic.resourceTrigger	Deleted
SupplyRequest.basedOn SubscriptionTopic.eventTrigger	Added Element Deleted
SupplyRequest.deliverFor SubscriptionTopic.canFilterBy	Added Element Deleted
SupplyRequest.item SubscriptionTopic.notificationShape	Renamed from item[x] to item Deleted
Substance
Substance.code	Add Type changed from CodeableConcept to CodeableReference Remove Types CodeableConcept, Reference(Medication | Substance | Device)
SupplyRequest.requester Substance.description	Type Reference: Added Target Type CareTeam changed from string to markdown
SupplyRequest.reason Substance.expiry	Added Element Moved from Substance.instance to Substance
SupplyRequest.deliverTo Substance.quantity	Type Reference: Added Target Type RelatedPerson Moved from Substance.instance to Substance
SupplyRequest.reasonCode Substance.instance	Deleted (-> reason)
SupplyRequest.reasonReference Substance.ingredient	Deleted (-> reason)
Task SubstanceDefinition
Task.statusReason SubstanceDefinition.status	Type changed from CodeableConcept to CodeableReference Now marked as Modifier
Task.doNotPerform SubstanceDefinition.characterization	Added Element
Task.requestedPeriod SubstanceDefinition.characterization.technique	Added Element
Task.requestedPerformer SubstanceDefinition.characterization.form	Added Element
Task.owner SubstanceDefinition.characterization.description	Type Reference: Removed Target Types HealthcareService, Device Added Element
Task.performer SubstanceDefinition.characterization.file	Added Element
Task.performer.function SubstanceDefinition.property.value[x]	Added Element Add Type Range
Task.performer.actor SubstanceDefinition.name.language	Added Mandatory Element Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
Task.reason SubstanceDefinition.informationSource	Added Element Deleted
Task.input.value[x] Task	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail Remove Type Contributor
Task.output.value[x] Task.statusReason	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail Max Cardinality changed from 1 to * Remove Type Contributor changed from CodeableConcept to CodeableReference
Task.performerType Task.doNotPerform	Deleted (->Task.requestedPerformer) Added Element
Task.reasonCode Task.code	Deleted (-> reason) Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
Task.reasonReference Task.description	Deleted (-> reason) Type changed from string to markdown
TerminologyCapabilities.identifier Task.focus	Added Element Max Cardinality changed from 1 to * Type changed from Reference(Resource) to BackboneElement
TerminologyCapabilities.versionAlgorithm[x] Task.focus.value[x]	Added Mandatory Element
TerminologyCapabilities.copyrightLabel Task.requestedPeriod	Added Element
TerminologyCapabilities.codeSystem.version.language Task.requester	Add Binding `http://hl7.org/fhir/ValueSet/languages|5.0.0` (required) Type Reference: Added Target Type Group
TerminologyCapabilities.codeSystem.content Task.requestedPerformer	Added Mandatory Element
TerminologyCapabilities.codeSearch Task.owner	Remove codes explicit , all Type Reference: Added Target Type Group Add codes in-compose , in-expansion , in-compose-or-expansion Type Reference: Removed Target Types HealthcareService, Device
TestPlan Task.performer	Added Resource Element
TestReport.testScript Task.performer.function	Type changed from Reference(TestScript) to canonical(TestScript) Added Element
TestReport.setup.action.assert.requirement Task.performer.actor	Added Mandatory Element
TestReport.setup.action.assert.requirement.link[x] Task.reason	Added Element
TestScript Task.restriction.recipient	Type Reference: Added Target Type Device
TestScript.url Task.input.value[x]	Min Cardinality changed from 1 to 0 Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
TestScript.identifier Task.output.value[x]	Max Cardinality changed from 1 to * Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
TestScript.versionAlgorithm[x] Task.instantiatesCanonical	Added Element Deleted
TestScript.copyrightLabel Task.instantiatesUri	Added Element Deleted
TestScript.origin.url Task.performerType	Added Element Deleted (->Task.requestedPerformer)
TestScript.destination.url Task.reasonCode	Added Element Deleted (-> reason)
TestScript.scope Task.reasonReference	Added Element Deleted (-> reason)
TerminologyCapabilities
TestScript.scope.artifact TerminologyCapabilities.identifier	Added Mandatory Element
TestScript.scope.conformance TerminologyCapabilities.versionAlgorithm[x]	Added Element
TerminologyCapabilities.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TestScript.scope.phase TerminologyCapabilities.copyrightLabel	Added Element
TestScript.profile TerminologyCapabilities.implementation.description	Type changed from Reference(Resource) string to canonical(StructureDefinition) markdown
TestScript.setup.action.operation.type TerminologyCapabilities.codeSystem.supplement	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction" Added Element
TestScript.setup.action.operation.resource TerminologyCapabilities.codeSystem.version.supplement	Type changed from code to uri Added Element
TerminologyCapabilities.codeSystem.version.language	Change binding strength from required to extensible Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TerminologyCapabilities.codeSystem.content	Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.3.0 to Concrete FHIR Types Added Mandatory Element
TestScript.setup.action.assert.defaultManualCompletion TerminologyCapabilities.supplements	Added Element
TestScript.setup.action.assert.operator TerminologyCapabilities.supplements.globals	Add code manualEval Added Element
TestScript.setup.action.assert.resource TerminologyCapabilities.expansion.parameter.documentation	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 string to Concrete FHIR Types markdown
TestScript.setup.action.assert.response TerminologyCapabilities.codeSearch	Remove codes bad explicit , unprocessable all 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 in-compose , gatewayTimeout in-expansion , httpVersionNotSupported in-compose-or-expansion
TestScript.setup.action.assert.stopTestOnFail TerminologyCapabilities.closure	Added Mandatory Element Deleted
TestScript.setup.action.assert.requirement ValueSet	Added Element
TestScript.setup.action.assert.requirement.link[x] ValueSet.versionAlgorithm[x]	Added Element
Transport ValueSet.jurisdiction	Added Resource Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction 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	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
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
VisionPrescription
ValueSet.scope VisionPrescription.basedOn	Added Element
ValueSet.scope.inclusionCriteria VisionPrescription.groupIdentifier	Added Element
ValueSet.scope.exclusionCriteria VisionPrescription.priority	Added Element
VerificationResult CatalogEntry	Deleted (removed in favor of definitional resources)
VerificationResult.status ChargeItem	Add code entered-in-error Deleted
VisionPrescription ChargeItemDefinition	No Changes Deleted
CatalogEntry Citation	Deleted
ClinicalImpression	Deleted (removed in favor of definitional resources)
DeviceUseStatement	Deleted
DocumentManifest	Deleted (-> List)
EvidenceReport	Deleted
GraphDefinition	Deleted
ImmunizationEvaluation	Deleted
ImmunizationRecommendation	Deleted
Linkage	Deleted
Media	Deleted (-> DocumentReference)
MedicationKnowledge	Deleted
MolecularSequence	Deleted
RequestGroup	Deleted
ResearchDefinition	Deleted
ResearchElementDefinition	Deleted
SupplyDelivery	Deleted
SupplyRequest	Deleted
TestReport	Deleted
TestScript	Deleted
VerificationResult	Deleted