This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

2.9 2.1.12 Differences from DSTU Release 2 4

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 DSTU2 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 data types datatypes and resources. Comparison of extensions, profiles and value sets will be added in a future version.

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

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

Types
Address	No Changes
Age
Age	Changed Change max value set from a constraint All UCUM Expression for Time to a specialization none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to extensible All Languages Change max value set from http://tools.ietf.org/html/bcp47 All Languages to http://hl7.org/fhir/ValueSet/languages 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	Added Type No Changes
ContactPoint	No Changes
ContactPoint.system Count	Add Codes url, sms No Changes
Contributor DataRequirement
DataRequirement.type	Added 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 , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
Count DataRequirement.subject[x]	Changed Change value set from a constraint http://hl7.org/fhir/ValueSet/subject-type to a specialization 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
DataRequirement DataType	Added Type
Distance
Distance	Changed Change max value set from a constraint All UCUM Expression for Distance to a specialization none
Dosage
Dosage.condition	Added Type Element
Duration Dosage.asNeeded	Changed Renamed from a constraint asNeeded[x] to a specialization asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
Element.id Dosage.doseAndRate.dose[x]	Add Type changed from id to string Expression
ElementDefinition Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
ElementDefinition.representation DosageDetails	Add Codes xmlText, typeAttr, cdaText, xhtml Added Type
ElementDefinition.sliceName DosageSafety	Renamed from name to sliceName Added Type
Duration
ElementDefinition.slicing.discriminator Duration	Type changed Change max value set from string All UCUM Expression for Time to none
Element	No Changes
ElementDefinition
ElementDefinition.slicing.discriminator.type	Added Element Add code position
ElementDefinition.slicing.discriminator.path ElementDefinition.type.code	Added Change value set from http://hl7.org/fhir/ValueSet/defined-types to Element Definition Types
ElementDefinition.comment ElementDefinition.type.aggregation	Renamed from comments to comment Remove code bundled
ElementDefinition.min ElementDefinition.defaultValue[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed from integer to unsignedInt Contributor
ElementDefinition.base.min ElementDefinition.fixed[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed from integer to unsignedInt Contributor
ElementDefinition.contentReference ElementDefinition.pattern[x]	Renamed from nameReference to contentReference Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed from string to uri Contributor
ElementDefinition.type.code ElementDefinition.example.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed from code to uri Contributor
ElementDefinition.minValue[x]	Change binding strength from required to extensible Add Type integer64
ElementDefinition.type.profile ElementDefinition.maxValue[x]	Max Cardinality changed from * to 1 Add Type integer64
ElementDefinition.type.targetProfile ElementDefinition.constraint.requirements	Added Element Type changed from string to markdown
ElementDefinition.type.versioning ElementDefinition.constraint.suppress	Added Element
ElementDefinition.defaultValue[x] ElementDefinition.mustHaveValue	Add Age, Add Count, Add Distance, Add Duration, Add Money Added Element
ElementDefinition.orderMeaning ElementDefinition.valueAlternatives	Added Element
ElementDefinition.fixed[x] ElementDefinition.binding.strength	Add Age, Add Count, Add Distance, Add Duration, Add Money code descriptive
ElementDefinition.pattern[x] ElementDefinition.binding.description	Add Age, Add Count, Add Distance, Add Duration, Add Money Type changed from string to markdown
ElementDefinition.example ElementDefinition.binding.additional	Renamed from example[x] to example Added Element
ElementDefinition.binding.additional.key	Max Cardinality changed from 1 to * Added Element
ElementDefinition.binding.additional.purpose	Remove boolean, Remove integer, Remove decimal, Remove base64Binary, Remove instant, Remove string, Remove uri, Remove date, Remove dateTime, Remove time, Remove code, Remove oid, Remove id, Remove unsignedInt, Remove positiveInt, Remove markdown, Remove Annotation, Remove Attachment, Remove Identifier, Remove CodeableConcept, Remove Coding, Remove Quantity, Remove Range, Remove Period, Remove Ratio, Remove SampledData, Remove Signature, Remove HumanName, Remove Address, Remove ContactPoint, Remove Timing, Remove Reference, Remove Meta Added Mandatory Element
ElementDefinition.example.label ElementDefinition.binding.additional.valueSet	Added Mandatory Element
ElementDefinition.example.value[x] ElementDefinition.binding.additional.documentation	Added Element
ElementDefinition.minValue[x] ElementDefinition.binding.additional.shortDoco	Remove boolean, Remove base64Binary, Remove string, Remove uri, Remove code, Remove oid, Remove id, Remove markdown, Remove Annotation, Remove Attachment, Remove Identifier, Remove CodeableConcept, Remove Coding, Remove Range, Remove Period, Remove Ratio, Remove SampledData, Remove Signature, Remove HumanName, Remove Address, Remove ContactPoint, Remove Timing, Remove Reference, Remove Meta Added Element
ElementDefinition.maxValue[x] ElementDefinition.binding.additional.usage	Remove boolean, Remove base64Binary, Remove string, Remove uri, Remove code, Remove oid, Remove id, Remove markdown, Remove Annotation, Remove Attachment, Remove Identifier, Remove CodeableConcept, Remove Coding, Remove Range, Remove Period, Remove Ratio, Remove SampledData, Remove Signature, Remove HumanName, Remove Address, Remove ContactPoint, Remove Timing, Remove Reference, Remove Meta Added Element
ElementDefinition.constraint.expression ElementDefinition.binding.additional.any	Added Element
ElementDefinition.mapping.comment	Type changed from string to markdown
ElementDefinition.constraint.xpath	Min Cardinality Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name	Type changed from 1 id to 0 code
ElementDefinition.constraint.source Expression.language	Added Element 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"
ElementDefinition.mapping.comment ExtendedContactDetail	Added Element Type
Extension
Extension.url	Type changed from string to uri
Extension.value[x]	Add Age, Add Count, Add Distance, Add Duration, Add Money Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.family HumanName.use	Max Cardinality changed from * to 1 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	Changed from a constraint to a specialization No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
ParameterDefinition.type	Added 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 , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , 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	No Changes Add code ad
Range	No Changes
Ratio
Ratio.denominator	No Changes 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 code part-of
Reference.identifier RelatedArtifact.resourceReference	Added Element
RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.url	Deleted (-> document)
RelatedArtifact RelativeTime	Added Type
SampledData
SampledData.interval	No Changes Added Element
SampledData.intervalUnit	Added Mandatory Element
SampledData.codeMap	Added Element
SampledData.offsets	Added Element
SampledData.period	Deleted (-> interval)
Signature
Signature.onBehalfOf[x] Signature.type	Added Element Min Cardinality changed from 1 to 0
Signature.contentType Signature.when	Min Cardinality changed from 1 to 0
Signature.blob Signature.who	Min Cardinality changed from 1 to 0
SimpleQuantity	No Changes
Timing
Timing.repeat.bounds[x] Timing.repeat.startOffset	Remove Quantity{http://hl7.org/fhir/StructureDefinition/Duration}, Add Duration Added Element
Timing.repeat.countMax Timing.repeat.endOffset	Added Element
Timing.repeat.durationUnit Timing.repeat.when	Renamed from durationUnits to durationUnit Add code IMD
TriggerDefinition
Timing.repeat.periodUnit TriggerDefinition.type	Renamed from periodUnits to periodUnit Remove codes data-added , data-modified , data-removed Add code subscription-topic
Timing.repeat.dayOfWeek TriggerDefinition.code	Added Element
Timing.repeat.timeOfDay TriggerDefinition.subscriptionTopic	Added Element
Timing.repeat.when TriggerDefinition.timing[x]	Max Cardinality changed from 1 to * Add Codes MORN, AFT, EVE, NIGHT, PHS Remove Type Reference(Schedule)
Timing.repeat.offset UsageContext	Added Element
TriggerDefinition UsageContext.code	Added Type Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType
UsageContext VirtualServiceDetail	Added Type
base64Binary	No Changes (No Changes)
boolean	No Changes (No Changes)
canonical	(No Changes)
code	No Changes (No Changes)
date	No Changes (No Changes)
dateTime	No Changes (No Changes)
decimal	No Changes (No Changes)
id	No Changes (No Changes)
instant	No Changes (No Changes)
integer	(No Changes)
integer64	No Changes Added Type
markdown	No Changes (No Changes)
oid	No Changes (No Changes)
positiveInt	No Changes (No Changes)
string	No Changes (No Changes)
time	No Changes (No Changes)
unsignedInt	No Changes (No Changes)
uri	No Changes (No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Contributor	No Changes Deleted
xhtml Population	Added Type Deleted
ProdCharacteristic	Deleted
SubstanceAmount	Deleted (removed, content merged with the resources that used it)
Resources
Account
Account.status Account.billingStatus	Add Binding http://hl7.org/fhir/ValueSet/account-status (required) Added Element
Account.period Account.covers	Added Element
Account.active Account.description	Renamed Type changed from activePeriod string to active markdown
Account.balance Account.guarantor.party	Type Min Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 1 to Money 0
Account.coverage Account.guarantor.account	Added Element
Account.coverage.coverage Account.guarantor.responsibility	Added Element
Account.coverage.priority Account.guarantor.limit	Added Element
Account.guarantor Account.guarantor.rank	Added Element
Account.guarantor.party Account.diagnosis	Added Element
Account.guarantor.onHold Account.diagnosis.sequence	Added Element
Account.guarantor.period Account.diagnosis.condition	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis	Added Element
Account.diagnosis.type	Added Element
Account.diagnosis.onAdmission	Added Element
Account.diagnosis.packageCode	Added Element
Account.procedure	Added Element
Account.procedure.sequence	Added Element
Account.procedure.code	Added Mandatory Element
Account.procedure.dateOfService	Added Element
Account.procedure.type	Added Element
Account.procedure.packageCode	Added Element
Account.procedure.device	Added Element
Account.parent	Renamed from partOf to parent
Account.currency	deleted Added Element
Account.coveragePeriod Account.balance	deleted Added Element
ActivityDefinition Account.balance.aggregate	Added Resource Element
AdverseEvent Account.balance.term	Added Resource Element
AllergyIntolerance Account.balance.estimate	Added Element
AllergyIntolerance.clinicalStatus Account.balance.amount	Added Mandatory Element
AllergyIntolerance.verificationStatus Account.calculatedAt	Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]	Added Element
AllergyIntolerance.category ActivityDefinition.subject[x]	Max Cardinality 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 1 string to * markdown
ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove Code other codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add Code biologic codes CoverageEligibilityRequest , RequestOrchestration
AllergyIntolerance.criticality ActivityDefinition.intent	Remove Codes CRITL, CRITH, CRITU codes original-order , reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Codes low, high, unable-to-assess Type RelativeTime Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]	Added Element
AllergyIntolerance.code ActivityDefinition.location	Renamed Type changed from substance Reference(Location) to code 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
AllergyIntolerance.onset[x] ActivityDefinition.specimenRequirement	Renamed Type changed from onset Reference(SpecimenDefinition) to onset[x] canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement	Add Age, Add Period, Add Range, Add string 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 *
AllergyIntolerance.assertedDate AdverseEvent.status	Added Mandatory Element
AllergyIntolerance.asserter AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code	Renamed from reporter event to asserter code
AllergyIntolerance.lastOccurrence AdverseEvent.effect[x]	Added Element
AdverseEvent.resultingEffect	Renamed from lastOccurence resultingCondition to lastOccurrence resultingEffect Type changed from Reference(Condition) to CodeableReference
AllergyIntolerance.note 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
AllergyIntolerance.reaction.note AdverseEvent.suspectEntity.instance	Type changed from Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to CodeableReference
AdverseEvent.suspectEntity.causality	Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from productRelatedness to * entityRelatedness Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor	Added Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.mitigatingAction	Added Element
AdverseEvent.supportingInfo	Added Element
AdverseEvent.note	Added Element
AllergyIntolerance.recordedDate AdverseEvent.date	deleted Deleted
AllergyIntolerance.status AdverseEvent.severity	deleted Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AllergyIntolerance.reaction.certainty AdverseEvent.contributor	deleted 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.clinicalStatus	Remove code resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.recorder	Type Reference: Added Target Type Organization
AllergyIntolerance.lastReactionOccurrence	Added Element
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.lastOccurrence	Deleted
Appointment
Appointment.status Appointment.cancellationReason	Add Code entered-in-error Renamed from cancelationReason to cancellationReason
Appointment.serviceCategory Appointment.class	Added Element
Appointment.serviceType	Type changed from CodeableConcept to CodeableReference
Appointment.reason	Renamed from type reasonCode to serviceType reason Max Cardinality Type changed from 1 CodeableConcept to * CodeableReference
Appointment.priority	Type changed from unsignedInt to CodeableConcept
Appointment.specialty Appointment.replaces	Added Element
Appointment.appointmentType 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.reason Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to CodeableReference
Appointment.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
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/encounter-reason `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` (required)
Appointment.indication Appointment.recurrenceId	Added Element
Appointment.supportingInformation Appointment.occurrenceChanged	Added Element
Appointment.created Appointment.recurrenceTemplate	Added Element
Appointment.incomingReferral Appointment.recurrenceTemplate.timezone	Added Element
Appointment.participant.type Appointment.recurrenceTemplate.recurrenceType	Change binding strength from required to extensible Added Mandatory Element
Appointment.requestedPeriod 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.participantType AppointmentResponse.actor	Change binding strength from required to extensible Type Reference: Added Target Type Group
AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/participantstatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/participationstatus Appointment Response Status Add code entered-in-error
AppointmentResponse.comment	Type changed from string to markdown
AppointmentResponse.recurring	Added Element
AppointmentResponse.occurrenceDate	Added Element
AppointmentResponse.recurrenceId	Added Element
ArtifactAssessment	Added Resource
AuditEvent
AuditEvent.type	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.subtype	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity	Added Element
AuditEvent.subtype 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.action AuditEvent.outcome.code	Added Mandatory Element
AuditEvent.recorded AuditEvent.outcome.detail	Added Element
AuditEvent.authorization	Renamed from purposeOfEvent to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.outcome AuditEvent.basedOn	Added Element
AuditEvent.outcomeDesc AuditEvent.patient	Added Element
AuditEvent.purposeOfEvent AuditEvent.encounter	Added Element
AuditEvent.agent 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 Types CareTeam, DeviceDefinition, Group, HealthcareService
AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]	Renamed from participant network to agent 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.agent.role AuditEvent.source.site	Change value set Type changed from http://hl7.org/fhir/ValueSet/dicm-402-roleid string to http://hl7.org/fhir/ValueSet/security-role-type Reference(Location)
AuditEvent.agent.purposeOfUse 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 AuditEvent.entity.role	Renamed Type changed from object Coding to entity CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.type AuditEvent.entity.securityLabel	Change value set Type changed from http://hl7.org/fhir/ValueSet/object-type Coding to http://hl7.org/fhir/ValueSet/audit-entity-type CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.lifecycle AuditEvent.entity.detail.type	Change value set Type changed from http://hl7.org/fhir/ValueSet/object-lifecycle string to http://hl7.org/fhir/ValueSet/object-lifecycle-events CodeableConcept
AuditEvent.entity.detail.value[x]	Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Element
AuditEvent.event AuditEvent.period	deleted 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)
Basic
Basic.code	No Changes 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 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.0.0` (required)
Binary.securityContext BiologicallyDerivedProduct.biologicalSourceEvent	Added Element
BodySite BiologicallyDerivedProduct.processingFacility	Added Element
BodySite.active BiologicallyDerivedProduct.division	Added Element
BodySite.qualifier BiologicallyDerivedProduct.productStatus	Renamed from modifier to qualifier Added Element
Bundle BiologicallyDerivedProduct.expirationDate	Added Element
Bundle.identifier BiologicallyDerivedProduct.collection.sourcePatient	Added Element
Bundle.entry.response.outcome BiologicallyDerivedProduct.collection.sourceOrganization	Added Element
CapabilityStatement BiologicallyDerivedProduct.collection.procedure	Added Resource 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.collection.source	Deleted
BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
CarePlan BodyStructure
CarePlan.definition BodyStructure.includedStructure	Added Mandatory Element
CarePlan.basedOn BodyStructure.includedStructure.structure	Added Mandatory Element
CarePlan.replaces BodyStructure.includedStructure.laterality	Added Element
CarePlan.partOf BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
CarePlan.status BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Remove Code proposed Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Add Codes suspended, entered-in-error, unknown Added Element
CarePlan.intent BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
CarePlan.title 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
CarePlan.subject BodyStructure.description	Min Cardinality Type changed from 0 string to 1 markdown
BodyStructure.morphology	Deleted
BodyStructure.location	Deleted
BodyStructure.locationQualifier	Deleted
Bundle
CarePlan.author Bundle.type	Add Reference(CareTeam) code subscription-notification
Bundle.link.relation	Type changed from string to code Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
CarePlan.careTeam Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
CapabilityStatement.versionAlgorithm[x]	Added Element
CapabilityStatement.actorDefinition	Added Element
CarePlan.supportingInfo CapabilityStatement.jurisdiction	Renamed Change value set from support http://hl7.org/fhir/ValueSet/jurisdiction to supportingInfo Jurisdiction ValueSet
CarePlan.activity.outcomeCodeableConcept CapabilityStatement.copyrightLabel	Added Element
CarePlan.activity.outcomeReference CapabilityStatement.implementation.description	Renamed Type changed from actionResulting string to outcomeReference markdown
CarePlan.activity.reference CapabilityStatement.fhirVersion	Remove Reference(DiagnosticOrder), Remove Reference(MedicationOrder), Remove Reference(Order), Remove Reference(ProcessRequest), Remove Reference(SupplyRequest), Add Reference(MedicationRequest), 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 , 3.3.0 , 3.5.0 , 4.0.0 Add Reference(Task), 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 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 Reference(RequestGroup) codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
CarePlan.activity.detail.definition CapabilityStatement.acceptLanguage	Added Element
CarePlan.activity.detail.status CapabilityStatement.rest.security.service	Min Cardinality changed Change code system for extensibly bound codes from 0 "http://terminology.hl7.org/CodeSystem/restful-security-service" to 1 Add Code unknown "http://hl7.org/fhir/restful-security-service"
CarePlan.activity.detail.statusReason CapabilityStatement.rest.resource.type	Type changed from CodeableConcept code to string uri Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Extended Resource Types
CapabilityStatement.rest.resource.definition	Added Element
CarePlan.activity.detail.prohibited CapabilityStatement.rest.resource.interaction.code	Min Cardinality changed Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.conditionalPatch	Added Element
CapabilityStatement.rest.resource.searchParam.type	Add code resource
CapabilityStatement.messaging.endpoint.protocol	Change code system for extensibly bound codes from 1 "http://terminology.hl7.org/CodeSystem/message-transport" to 0 "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn	Default Value "false" added Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.activity.detail.performer CarePlan.status	Remove codes revoked , completed Add Reference(CareTeam) code ended
CarePlan.note CarePlan.intent	Max Cardinality Add code directive
CarePlan.custodian	Renamed from author to custodian
CarePlan.addresses	Type changed from 1 Reference(Condition) to * CodeableReference
CarePlan.activity.performedActivity	Added Element
CarePlan.activity.plannedActivityReference	Renamed from reference to plannedActivityReference Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type RequestGroup
CarePlan.modified CarePlan.instantiatesCanonical	deleted Deleted
CarePlan.relatedPlan CarePlan.instantiatesUri	deleted Deleted
CarePlan.participant CarePlan.activity.outcomeCodeableConcept	deleted 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 Resource Target Types Group, HealthcareService
ChargeItem CareTeam.participant.onBehalfOf	Type Reference: Added Resource Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
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)
Claim
Claim.status Claim.traceNumber	Added Element
Claim.statusReason	Added Element
Claim.subject	Added Mandatory Element
Claim.type Claim.enterer	Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider	Min Cardinality changed from 1 to 0
Claim.priority	Type Min Cardinality changed from code 1 to CodeableConcept 0
Claim.prescription	Change value set from http://hl7.org/fhir/ValueSet/claim-type-link to http://hl7.org/fhir/ValueSet/claim-type Type Reference: Added Target Type ServiceRequest
Claim.originalPrescription	Type Reference: Added Target Type ServiceRequest
Claim.subType Claim.encounter	Added Element
Claim.use Claim.facility	Change value set from http://hl7.org/fhir/ValueSet/claim-use-link to http://hl7.org/fhir/ValueSet/claim-use Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup	Added Element
Claim.event	Added Element
Claim.event.type	Added Mandatory Element
Claim.event.when[x]	Added Mandatory Element
Claim.careTeam.specialty	Added Element
Claim.supportingInfo.subCategory	Added Element
Claim.patient Claim.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type date
Claim.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
Claim.insurance	Min Cardinality changed from 1 to 0
Claim.billablePeriod Claim.patientPaid	Added Element
Claim.insurer Claim.item.traceNumber	Added Element
Claim.item.subject	Added Element
Claim.priority Claim.item.productOrService	Type Min Cardinality changed from Coding 1 to CodeableConcept 0
Claim.item.productOrServiceEnd	Added Element
Claim.item.request	Added Element
Claim.item.patientPaid	Added Element
Claim.item.tax	Added Element
Claim.fundsReserve Claim.item.bodySite	Type Max Cardinality changed from Coding 1 to * Type changed from CodeableConcept to BackboneElement
Claim.related Claim.item.bodySite.site	Added Mandatory Element
Claim.related.claim Claim.item.bodySite.subSite	Added Element
Claim.related.relationship Claim.item.detail.traceNumber	Added Element
Claim.item.detail.productOrService	Min Cardinality changed from 1 to 0
Claim.related.reference Claim.item.detail.productOrServiceEnd	Added Element
Claim.prescription Claim.item.detail.patientPaid	Remove Reference(MedicationOrder), Add Reference(MedicationRequest) Added Element
Claim.item.detail.tax	Added Element
Claim.item.detail.subDetail.traceNumber	Added Element
Claim.originalPrescription Claim.item.detail.subDetail.productOrService	Type Min Cardinality changed from Reference(MedicationOrder) 1 to Reference(MedicationRequest) 0
Claim.item.detail.subDetail.productOrServiceEnd	Added Element
Claim.item.detail.subDetail.patientPaid	Added Element
Claim.item.detail.subDetail.tax	Added Element
Claim.patient	Deleted
Claim.careTeam.responsible	Deleted
Claim.careTeam.qualification	Deleted
Claim.diagnosis.packageCode	Deleted
Claim.item.subSite	Deleted
ClaimResponse
ClaimResponse.traceNumber	Added Element
ClaimResponse.statusReason	Added Element
ClaimResponse.subject	Added Mandatory Element
Claim.payee.type ClaimResponse.insurer	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.outcome	Type changed Change value set from Coding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to CodeableConcept Claim Processing Codes
Claim.payee.resourceType ClaimResponse.decision	Added Element
Claim.payee.party ClaimResponse.event	Added Element
Claim.careTeam ClaimResponse.event.type	Added Mandatory Element
Claim.careTeam.sequence ClaimResponse.event.when[x]	Added Mandatory Element
Claim.careTeam.provider ClaimResponse.encounter	Added Element
Claim.careTeam.responsible ClaimResponse.diagnosisRelatedGroup	Added Element
Claim.careTeam.role ClaimResponse.supportingInfo	Added Element
Claim.careTeam.qualification ClaimResponse.supportingInfo.sequence	Added Mandatory Element
Claim.information ClaimResponse.supportingInfo.category	Added Mandatory Element
Claim.information.sequence ClaimResponse.supportingInfo.code	Added Element
Claim.information.category ClaimResponse.supportingInfo.timing[x]	Added Element
Claim.information.code ClaimResponse.supportingInfo.value[x]	Added Element
Claim.information.timing[x] ClaimResponse.supportingInfo.reason	Added Element
Claim.information.value[x] ClaimResponse.item.traceNumber	Added Element
Claim.information.reason ClaimResponse.item.informationSequence	Added Element
ClaimResponse.item.reviewOutcome	Added Element
ClaimResponse.item.reviewOutcome.decision	Added Element
ClaimResponse.item.reviewOutcome.reason	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
Claim.diagnosis.diagnosis[x] ClaimResponse.item.adjudication	Renamed Min Cardinality changed from diagnosis 1 to diagnosis[x] 0
ClaimResponse.item.adjudication.quantity	Remove Coding, Add CodeableConcept, Add Reference(Condition) Added Element
Claim.diagnosis.type ClaimResponse.item.adjudication.decisionDate	Added Element
Claim.diagnosis.packageCode ClaimResponse.item.detail.traceNumber	Added Element
Claim.procedure ClaimResponse.item.detail.reviewOutcome	Added Element
ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
Claim.procedure.sequence ClaimResponse.item.detail.subDetail.traceNumber	Added Element
Claim.procedure.date ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
Claim.procedure.procedure[x] ClaimResponse.addItem.traceNumber	Added Element
Claim.insurance ClaimResponse.addItem.subject	Added Element
Claim.insurance.sequence ClaimResponse.addItem.informationSequence	Added Element
Claim.insurance.focal ClaimResponse.addItem.revenue	Added Element
Claim.insurance.coverage ClaimResponse.addItem.category	Added Element
ClaimResponse.addItem.productOrService	Min Cardinality changed from 1 to 0
Claim.insurance.businessArrangement ClaimResponse.addItem.productOrServiceEnd	Added Element
Claim.insurance.preAuthRef ClaimResponse.addItem.request	Added Element
Claim.insurance.claimResponse ClaimResponse.addItem.tax	Added Element
Claim.accident ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from date CodeableConcept to BackboneElement
Claim.accident.date ClaimResponse.addItem.bodySite.site	Added Mandatory Element
Claim.accident.type ClaimResponse.addItem.bodySite.subSite	Added Element
Claim.accident.location[x] ClaimResponse.addItem.reviewOutcome	Added Element
ClaimResponse.addItem.adjudication	Min Cardinality changed from 1 to 0
Claim.employmentImpacted ClaimResponse.addItem.detail.traceNumber	Added Element
Claim.hospitalization ClaimResponse.addItem.detail.revenue	Added Element
ClaimResponse.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
Claim.item.careTeamLinkId ClaimResponse.addItem.detail.productOrServiceEnd	Added Element
Claim.item.procedureLinkId ClaimResponse.addItem.detail.tax	Added Element
Claim.item.informationLinkId ClaimResponse.addItem.detail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.adjudication	Min Cardinality changed from 1 to 0
Claim.item.revenue ClaimResponse.addItem.detail.subDetail.traceNumber	Added Element
Claim.item.category ClaimResponse.addItem.detail.subDetail.revenue	Added Element
Claim.item.service 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 Coding code to CodeableConcept Change binding strength from required to extensible
Claim.item.modifier ClaimResponse.processNote.text	Type changed from Coding string to CodeableConcept 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
Claim.item.programCode ClaimResponse.error.expression	Added Element
ClaimResponse.patient	Deleted
ClaimResponse.item.adjudication.value	Deleted
ClaimResponse.addItem.subSite	Deleted
ClinicalUseDefinition	Added Resource
CodeSystem
Claim.item.serviced[x] CodeSystem.versionAlgorithm[x]	Added Element
CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Claim.item.location[x] 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
Claim.item.unitPrice CodeSystem.filter.operator	Type changed Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language	Change binding strength from Quantity{http://hl7.org/fhir/StructureDefinition/Money} preferred to Money 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
Claim.item.net Communication.recipient	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} to Money Reference: Added Target Types Location, Endpoint
Claim.item.udi 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 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 , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
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 Coding 1 to Reference(Device) *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
Claim.item.bodySite Composition.status	Type Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from Coding 1 to CodeableConcept *
Composition.useContext	Added Element
Claim.item.subSite Composition.author	Type Min Cardinality changed from Coding 1 to CodeableConcept 0 Type Reference: Added Target Type CareTeam
Claim.item.encounter Composition.participant	Added Element
Claim.item.detail.revenue Composition.participant.type	Added Mandatory Element
Claim.item.detail.category Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Claim.item.detail.service Composition.title	Min Cardinality changed from 1 to 0
Composition.note	Added Element
Composition.attester.mode	Type changed from Coding code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` (required)
Claim.item.detail.modifier Composition.attester.party	Type Reference: Added Element Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Claim.item.detail.programCode Composition.relatesTo.type	Added Mandatory Element
Claim.item.detail.unitPrice Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} to Money Identifier
Claim.item.detail.net Composition.event.detail	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} Reference(Resource) to Money CodeableReference
Claim.item.detail.udi Composition.section.author	Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.confidentiality	Deleted
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 Coding uri to Reference(Device) canonical(CodeSystem)
ConceptMap.group.target	Type changed from uri to canonical(CodeSystem)
Claim.item.detail.subDetail.revenue ConceptMap.group.element.valueSet	Added Element
Claim.item.detail.subDetail.category ConceptMap.group.element.noMap	Added Element
Claim.item.detail.subDetail.service 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 Type changed from Coding to CodeableConcept Add Types code, Coding, boolean, Quantity
Claim.item.detail.subDetail.modifier ConceptMap.group.element.target.dependsOn.valueSet	Added Element
ConceptMap.group.unmapped.mode	Remove code provided Add code use-source-code
Claim.item.detail.subDetail.programCode 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
Claim.item.detail.subDetail.unitPrice Condition.clinicalStatus	Type Min Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 0 to Money 1 Remove codes recurrence , relapse , remission , resolved Add code unknown
Claim.item.detail.subDetail.net Condition.verificationStatus	Remove codes provisional , differential
Condition.category	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.bodyStructure	Added Element
Condition.recorder	Type Reference: Added Target Type Group
Condition.asserter	Type Reference: Added Target Types Device, Group
Condition.stage.assessment	Type Reference: Removed Target Type ClinicalImpression
Condition.evidence	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} BackboneElement to Money CodeableReference
Condition.evidence.code	Deleted (-> Condition.evidence)
Condition.evidence.detail	Deleted (-> Condition.evidence)
Consent
Claim.item.detail.subDetail.udi Consent.status	Max 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 Coding dateTime to Reference(Device) date
Claim.total Consent.period	Added Element
Claim.ruleset Consent.grantor	deleted Added Element
Claim.originalRuleset Consent.grantee	deleted Renamed from performer to grantee Type Reference: Added Target Types CareTeam, Group, HealthcareService
Claim.target Consent.manager	deleted Added Element
Claim.payee.provider Consent.controller	deleted Added Element
Claim.payee.organization Consent.sourceAttachment	deleted Added Element
Claim.payee.person Consent.sourceReference	deleted Added Element
Claim.condition Consent.regulatoryBasis	deleted Added Element
Claim.coverage Consent.policyBasis	deleted Renamed from policy to policyBasis Max Cardinality changed from * to 1
Claim.exception Consent.policyBasis.reference	deleted Added Element
Claim.school Consent.policyBasis.uri	deleted Moved from Consent.policy to Consent.policyBasis
Claim.accidentType Consent.policyText	deleted Added Element
Claim.interventionException Consent.verification.type	deleted Added Element
Claim.item.type Consent.verification.verifiedBy	deleted Added Element
Claim.item.provider Consent.verification.verifiedWith	deleted Type Reference: Added Target Type Group
Claim.item.serviceDate Consent.verification.date	deleted Added Element
Consent.decision	Moved from Consent.provision.type to decision Now marked as Modifier
Consent.provisionReference	Added Element
Consent.provision	Max Cardinality changed from 1 to *
Consent.provision.actor.role	Min Cardinality changed from 1 to 0 Change value set from 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
Claim.item.points Consent.scope	deleted Deleted (-> Merged with Consent.category)
Claim.item.detail.type Consent.organization	deleted Deleted (-> split into Consent.manager and Consent.controller)
Claim.item.detail.points Consent.source[x]	deleted Deleted
Claim.item.detail.subDetail.type Consent.policy.authority	deleted Deleted
Claim.item.detail.subDetail.points Consent.policyRule	deleted Deleted
Claim.item.prosthesis Consent.verification.verificationDate	deleted 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
Claim.additionalMaterials Contract.term.action.reasonCode	deleted Deleted (-> reason)
Claim.missingTeeth Contract.term.action.reasonReference	deleted Deleted (-> reason)
ClaimResponse Coverage
ClaimResponse.status Coverage.statusReason	Added Element
ClaimResponse.patient Coverage.kind	Added Mandatory Element
ClaimResponse.insurer Coverage.paymentBy	Added Element
Coverage.paymentBy.party	Added Mandatory Element
Coverage.paymentBy.responsibility	Added Element
ClaimResponse.outcome Coverage.subscriberId	Max Cardinality changed from 1 to * Type changed from code string to CodeableConcept Identifier
Coverage.insurer	Remove Binding http://hl7.org/fhir/ValueSet/remittance-outcome (required) Added Element
ClaimResponse.payeeType Coverage.class.value	Type changed from Coding string to CodeableConcept Identifier
ClaimResponse.item.adjudication.category Coverage.costToBeneficiary.category	Added Element
ClaimResponse.item.adjudication.reason Coverage.costToBeneficiary.network	Added Element
Coverage.costToBeneficiary.unit	Added Element
Coverage.costToBeneficiary.term	Added Element
ClaimResponse.item.adjudication.amount Coverage.costToBeneficiary.value[x]	Type Min Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 1 to Money 0
ClaimResponse.item.detail.noteNumber Coverage.insurancePlan	Added Element
ClaimResponse.item.detail.adjudication Coverage.payor	Remove BackboneElement Deleted
CoverageEligibilityRequest
ClaimResponse.item.detail.subDetail.noteNumber CoverageEligibilityRequest.statusReason	Added Element
ClaimResponse.item.detail.subDetail.adjudication CoverageEligibilityRequest.event	Remove BackboneElement Added Element
ClaimResponse.addItem.revenue CoverageEligibilityRequest.event.type	Added Mandatory Element
ClaimResponse.addItem.category 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
ClaimResponse.addItem.service 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 Coding string to CodeableConcept markdown
ClaimResponse.addItem.modifier CoverageEligibilityResponse.error.expression	Added Element
DetectedIssue
ClaimResponse.addItem.fee 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 Add code mitigated
DetectedIssue.category	Added Element
DetectedIssue.severity	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} code to Money CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0` (required)
ClaimResponse.addItem.noteNumber DetectedIssue.subject	Added Element
DetectedIssue.encounter	Added Element
ClaimResponse.addItem.adjudication DetectedIssue.identified[x]	Remove BackboneElement Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
ClaimResponse.addItem.detail.revenue DetectedIssue.qualityOfEvidence	Added Element
ClaimResponse.addItem.detail.category DetectedIssue.expectedOnsetType	Added Element
DetectedIssue.medicationClass	Added Element
DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
DetectedIssue.patient	Deleted
Device
ClaimResponse.addItem.detail.service Device.definition	Type changed from Reference(DeviceDefinition) to canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifier	Min Cardinality changed from 1 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 Type changed from Coding code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.addItem.detail.modifier Device.name.display	Added Element
Device.category	Added Element
ClaimResponse.addItem.detail.fee Device.type	Type Max Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 1 to Money *
ClaimResponse.addItem.detail.noteNumber Device.deviceVersion	Added Element
ClaimResponse.addItem.detail.adjudication Device.deviceVersion.type	Remove BackboneElement Added Element
Device.deviceVersion.component	Added Element
Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Added Mandatory Element
Device.conformsTo	Renamed from specialization to conformsTo
Device.conformsTo.category	Added Element
Device.conformsTo.specification	Added Mandatory Element
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.property.value[x]	Added Mandatory Element
Device.additive	Added Element
Device.additive.type	Added Mandatory Element
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
ClaimResponse.error.code DeviceDefinition.version	Type Max Cardinality changed from Coding * to CodeableConcept 1
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 Binding http://hl7.org/fhir/ValueSet/adjudication-error (required) Type string
DeviceDefinition.date	Added Element
ClaimResponse.totalCost DeviceDefinition.contact	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} ContactPoint to Money 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.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier	Added Element
DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifierSystem	Added Element
ClaimResponse.unallocDeductable DeviceDefinition.deviceName.type	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} code to Money CodeableConcept Change binding strength from required to extensible
ClaimResponse.totalBenefit DeviceDefinition.classification	Type Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 0 to Money 1
ClaimResponse.payment DeviceDefinition.classification.justification	Added Element
DeviceDefinition.conformsTo	Renamed from specialization to conformsTo
ClaimResponse.payment.type DeviceDefinition.conformsTo.category	Added Element
ClaimResponse.payment.adjustment DeviceDefinition.conformsTo.specification	Added Mandatory Element
DeviceDefinition.conformsTo.version	Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo Max Cardinality changed from 1 to *
ClaimResponse.payment.adjustmentReason DeviceDefinition.conformsTo.source	Added Element
ClaimResponse.payment.date DeviceDefinition.hasPart	Added Element
ClaimResponse.payment.amount DeviceDefinition.hasPart.definition[x]	Added Mandatory Element
ClaimResponse.payment.identifier DeviceDefinition.hasPart.count	Added Element
ClaimResponse.form DeviceDefinition.packaging	Type Added Element
DeviceDefinition.packaging.identifier	Added Element
DeviceDefinition.packaging.type	Added Element
DeviceDefinition.packaging.count	Added Element
DeviceDefinition.packaging.distributor	Added Element
DeviceDefinition.packaging.distributor.name	Added Element
DeviceDefinition.packaging.distributor.organizationReference	Added Element
DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
DeviceDefinition.packaging.packaging	Added Element
DeviceDefinition.deviceVersion	Added Element
DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	Added Element
DeviceDefinition.property.value[x]	Added Mandatory Element
DeviceDefinition.link	Added Element
DeviceDefinition.link.relation	Added Mandatory Element
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 Coding 1 to CodeableConcept * Remove Binding http://hl7.org/fhir/ValueSet/forms (required) Type changed from uri to RelatedArtifact
ClaimResponse.processNote DeviceDefinition.guideline.indication	Added Element
ClaimResponse.processNote.number DeviceDefinition.guideline.contraindication	Added Element
ClaimResponse.processNote.type DeviceDefinition.guideline.warning	Added Element
ClaimResponse.processNote.text DeviceDefinition.guideline.intendedUse	Added Element
ClaimResponse.processNote.language DeviceDefinition.correctiveAction	Added Element
ClaimResponse.communicationRequest DeviceDefinition.correctiveAction.recall	Added Mandatory Element
ClaimResponse.insurance DeviceDefinition.correctiveAction.scope	Added Element
ClaimResponse.insurance.sequence DeviceDefinition.correctiveAction.period	Added Mandatory Element
ClaimResponse.insurance.focal DeviceDefinition.chargeItem	Added Element
ClaimResponse.insurance.coverage DeviceDefinition.chargeItem.chargeItemCode	Added Mandatory Element
ClaimResponse.insurance.businessArrangement DeviceDefinition.chargeItem.count	Added Mandatory Element
ClaimResponse.insurance.preAuthRef DeviceDefinition.chargeItem.effectivePeriod	Added Element
ClaimResponse.insurance.claimResponse DeviceDefinition.chargeItem.useContext	Added Element
ClaimResponse.ruleset DeviceDefinition.specialization.systemType	deleted Deleted
ClaimResponse.originalRuleset DeviceDefinition.physicalCharacteristics	deleted Deleted (-> DeviceDefinition.property)
ClaimResponse.organization DeviceDefinition.languageCode	deleted Deleted
ClaimResponse.item.adjudication.code DeviceDefinition.capability	deleted Deleted (-> DeviceDefinition.property)
ClaimResponse.item.detail.adjudication.code DeviceDefinition.property.valueQuantity	deleted Deleted
ClaimResponse.item.detail.adjudication.amount DeviceDefinition.property.valueCode	deleted Deleted
ClaimResponse.item.detail.adjudication.value DeviceDefinition.owner	deleted Deleted
ClaimResponse.item.detail.subDetail.adjudication.code DeviceDefinition.quantity	deleted Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
ClaimResponse.item.detail.subDetail.adjudication.amount DeviceDefinition.parentDevice	deleted Deleted (Removed - to establish relations, use hasPArt)
ClaimResponse.item.detail.subDetail.adjudication.value DeviceMetric
DeviceMetric.status	deleted Added Mandatory Element
ClaimResponse.addItem.noteNumberLinkId DeviceMetric.operationalStatus	deleted Remove code entered-in-error Add code unknown
ClaimResponse.addItem.adjudication.code DeviceMetric.category	deleted Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.addItem.adjudication.amount DeviceMetric.device	deleted Added Mandatory Element
ClaimResponse.addItem.adjudication.value DeviceMetric.color	deleted Change value set from http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to Color Codes (Names or RGB Values)
ClaimResponse.addItem.detail.adjudication.code DeviceMetric.measurementFrequency	deleted Added Element
DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.addItem.detail.adjudication.amount DeviceMetric.source	deleted Deleted
ClaimResponse.addItem.detail.adjudication.value DeviceMetric.parent	deleted Deleted
ClaimResponse.paymentAdjustment DeviceMetric.measurementPeriod	deleted Deleted
DeviceRequest
DeviceRequest.replaces	Renamed from priorRequest to replaces Type Reference: Added Target Type DeviceRequest Type Reference: Removed Target Type Resource
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.doNotPerform	Added Element
DeviceRequest.product[x]	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.location	Added Element
DeviceRequest.reason	Added Element
DeviceRequest.asNeeded	Added Element
DeviceRequest.asNeededFor	Added Element
ClaimResponse.paymentAdjustmentReason DeviceRequest.instantiatesCanonical	deleted Deleted
ClaimResponse.paymentDate DeviceRequest.instantiatesUri	deleted Deleted
ClaimResponse.paymentAmount DeviceRequest.code[x]	deleted Deleted
ClaimResponse.paymentRef DeviceRequest.performerType	deleted Deleted (-> performer)
ClaimResponse.note DeviceRequest.reasonCode	deleted Deleted (-> reason)
ClaimResponse.coverage DeviceRequest.reasonReference	deleted Deleted (-> reason)
ClinicalImpression DiagnosticReport
DiagnosticReport.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
DiagnosticReport.status	Remove codes preliminary , corrected , appended
DiagnosticReport.subject	Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
ClinicalImpression.identifier DiagnosticReport.relatesTo	Added Element
ClinicalImpression.status DiagnosticReport.issued	Remove Code in-progress Type changed from instant to dateTime
DiagnosticReport.procedure	Add Code draft Added Element
DiagnosticReport.performer	Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Patient, RelatedPerson
ClinicalImpression.code DiagnosticReport.note	Added Element
DiagnosticReport.study	Added Element
DiagnosticReport.supportingInfo	Added Element
DiagnosticReport.supportingInfo.type	Added Mandatory Element
DiagnosticReport.supportingInfo.reference	Added Mandatory Element
ClinicalImpression.subject DiagnosticReport.media.link	Renamed Type Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition	Added Element
DiagnosticReport.conclusion	Type changed from patient string to subject markdown
DiagnosticReport.conclusionCode	Add Reference(Group) Type changed from CodeableConcept to CodeableReference
ClinicalImpression.context DiagnosticReport.recomendation	Added Element
ClinicalImpression.effective[x] DiagnosticReport.communication	Added Element
ClinicalImpression.investigation DiagnosticReport.comparison	Added Element
DiagnosticReport.imagingStudy	Deleted
DocumentReference
ClinicalImpression.investigation.code DocumentReference.version	Added Element
ClinicalImpression.investigation.item DocumentReference.basedOn	Added Element
ClinicalImpression.protocol DocumentReference.docStatus	Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown Now marked as Modifier
DocumentReference.modality	Added Element
DocumentReference.subject	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context	Max Cardinality changed from 1 to * Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event	Added Element
DocumentReference.related	Added Element
DocumentReference.bodyStructure	Added Element
DocumentReference.facilityType	Added Element
DocumentReference.practiceSetting	Added Element
DocumentReference.period	Added Element
ClinicalImpression.finding.item[x] DocumentReference.date	Renamed Type changed from item instant to item[x] dateTime
DocumentReference.author	Add Reference(Condition), Add Reference(Observation) Type Reference: Added Target Types CareTeam, Group
ClinicalImpression.finding.basis DocumentReference.attester	Added Element
ClinicalImpression.prognosisCodeableConcept DocumentReference.attester.mode	Added Mandatory Element
ClinicalImpression.prognosisReference DocumentReference.attester.time	Added Element
DocumentReference.attester.party	Added Element
ClinicalImpression.action 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 Reference(MedicationOrder), Remove Reference(DiagnosticOrder), Remove Reference(NutritionOrder), Remove Reference(SupplyRequest), Add Reference(MedicationRequest) Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
ClinicalImpression.note DocumentReference.content.profile	Added Element
DocumentReference.content.profile.value[x]	Added Mandatory Element
ClinicalImpression.trigger[x] DocumentReference.masterIdentifier	deleted Deleted (-> identifier)
ClinicalImpression.investigations DocumentReference.authenticator	deleted Deleted (-> attester)
ClinicalImpression.finding.cause DocumentReference.content.format	deleted Deleted (-> content.profile)
ClinicalImpression.resolved DocumentReference.context.encounter	deleted Deleted (-> context)
ClinicalImpression.ruledOut DocumentReference.context.event	deleted Deleted (-> event)
ClinicalImpression.prognosis DocumentReference.context.period	deleted Deleted (-> period)
ClinicalImpression.plan DocumentReference.context.facilityType	deleted Deleted (-> facilityType)
CodeSystem DocumentReference.context.practiceSetting	Deleted (-> practiceSetting)
DocumentReference.context.sourcePatientInfo	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related	Deleted (-> basedOn)
DomainResource	Added Resource No Changes
Communication Encounter
Encounter.status	Remove codes arrived , triaged , onleave , finished Add codes on-hold , discharged , completed , discontinued
Communication.definition Encounter.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
Communication.basedOn Encounter.class	Renamed Min Cardinality changed from requestDetail 1 to basedOn 0 Max Cardinality changed from 1 to * Type changed from Reference(CommunicationRequest) Coding to Reference(Resource) 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
Communication.partOf Encounter.subjectStatus	Added Element
Communication.status Encounter.basedOn	Min Cardinality changed Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Encounter.careTeam	Added Element
Encounter.participant.actor	Renamed from 0 individual to 1 actor Change value set Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService	Added Element
Encounter.actualPeriod	Renamed from http://hl7.org/fhir/ValueSet/communication-status period to http://hl7.org/fhir/ValueSet/event-status actualPeriod
Communication.notDone Encounter.plannedStartDate	Added Element
Communication.notDoneReason 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
Communication.category Encounter.diagnosis.condition	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition | Procedure) to CodeableReference
Communication.subject 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 Reference(Group) 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)
Communication.topic Endpoint.description	Added Element
Communication.context Endpoint.environmentType	Renamed Added Element
Endpoint.availability	Added Element
Endpoint.payload	Added Element
Endpoint.payload.type	Moved from encounter Endpoint.payloadType to context type Add Reference(EpisodeOfCare) Min Cardinality changed from 1 to 0
Communication.reasonCode Endpoint.payload.mimeType	Renamed Moved from reason Endpoint.payloadMimeType to reasonCode mimeType
Communication.reasonReference Endpoint.payload.profileCanonical	Added Element
Communication.note Endpoint.payload.profileUri	Added Element
CommunicationRequest EnrollmentRequest
EnrollmentRequest.candidate	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
CommunicationRequest.basedOn EnrollmentResponse.candidate	Added Element
EpisodeOfCare
CommunicationRequest.replaces EpisodeOfCare.reason	Added Element
CommunicationRequest.groupIdentifier EpisodeOfCare.reason.use	Added Element
EpisodeOfCare.reason.value	Added Element
CommunicationRequest.status EpisodeOfCare.diagnosis.condition	Min Cardinality changed from 0 1 to 0 Max Cardinality changed from 1 to * Change value set Type changed from http://hl7.org/fhir/ValueSet/communication-request-status Reference(Condition) to http://hl7.org/fhir/ValueSet/request-status CodeableReference
CommunicationRequest.category 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
CommunicationRequest.priority EventDefinition.subject[x]	Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/subject-type to code Participant Resource Types Add Binding http://hl7.org/fhir/ValueSet/request-priority (required) Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
CommunicationRequest.subject EventDefinition.jurisdiction	Add Reference(Group) Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CommunicationRequest.recipient EventDefinition.usage	Add Reference(Group), Add Reference(CareTeam) Type changed from string to markdown
CommunicationRequest.topic EventDefinition.copyrightLabel	Added Element
CommunicationRequest.context Evidence
Evidence.versionAlgorithm[x]	Renamed from encounter to context Added Element
Evidence.citeAs	Add Reference(EpisodeOfCare) Added Element
CommunicationRequest.occurrence[x] Evidence.experimental	Added Element
CommunicationRequest.authoredOn Evidence.recorder	Renamed from requestedOn to authoredOn Added Element
CommunicationRequest.requester Evidence.purpose	Remove Reference(Practitioner), Remove Reference(Patient), Remove Reference(RelatedPerson) Added Element
CommunicationRequest.requester.agent Evidence.copyrightLabel	Added Element
CommunicationRequest.requester.onBehalfOf Evidence.relatesTo	Added Element
CommunicationRequest.reasonCode Evidence.relatesTo.type	Renamed from reason to reasonCode Added Mandatory Element
CommunicationRequest.reasonReference Evidence.relatesTo.target[x]	Added Mandatory Element
CommunicationRequest.note Evidence.assertion	Added Element
CommunicationRequest.scheduled[x] Evidence.variableDefinition	deleted Added Element
CompartmentDefinition Evidence.variableDefinition.description	Added Resource 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[x]	Added Element
Evidence.statistic.modelCharacteristic.intended	Added Element
Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.modelCharacteristic.variable	Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition	Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling	Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory	Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity	Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange	Added Element
Evidence.statistic.modelCharacteristic.attribute	Added Element
Evidence.certainty	Added Element
Evidence.certainty.description	Added Element
Evidence.certainty.note	Added Element
Evidence.certainty.type	Added Element
Evidence.certainty.rating	Added Element
Evidence.certainty.rater	Added Element
Evidence.certainty.subcomponent	Added Element
Evidence.shortTitle	Deleted
Evidence.subtitle	Deleted
Evidence.jurisdiction	Deleted
Evidence.effectivePeriod	Deleted
Evidence.topic	Deleted
Evidence.relatedArtifact	Deleted
Evidence.exposureBackground	Deleted
Evidence.exposureVariant	Deleted
Evidence.outcome	Deleted
Composition EvidenceVariable
Composition.confidentiality EvidenceVariable.versionAlgorithm[x]	Change value set from http://hl7.org/fhir/ValueSet/v3-Confidentiality to http://hl7.org/fhir/ValueSet/v3-ConfidentialityClassification Added Element
Composition.relatesTo EvidenceVariable.citeAs	Added Element
Composition.relatesTo.code EvidenceVariable.experimental	Added Element
Composition.relatesTo.target[x] EvidenceVariable.recorder	Added Element
EvidenceVariable.purpose	Added Element
EvidenceVariable.copyrightLabel	Added Element
EvidenceVariable.relatesTo	Added Element
EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.actual	Added Element
EvidenceVariable.definition	Added Element
EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Added Element
EvidenceVariable.category	Added Element
EvidenceVariable.category.name	Added Element
EvidenceVariable.category.value[x]	Added Element
EvidenceVariable.conditional	Added Element
EvidenceVariable.classifier	Added Element
EvidenceVariable.dataStorage	Added Element
EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.timing	Added Element
EvidenceVariable.period	Added Element
EvidenceVariable.constraint	Added Element
EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.constraint.code	Added Element
EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.constraint.expectedUnitsValueSet	Added Element
EvidenceVariable.constraint.anyValueAllowed	Added Element
EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.subtitle	Deleted
EvidenceVariable.jurisdiction	Deleted
EvidenceVariable.topic	Deleted
EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.type	Deleted
EvidenceVariable.characteristic	Deleted
ConceptMap ExampleScenario
ConceptMap.title ExampleScenario.versionAlgorithm[x]	Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
ConceptMap.status ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/publication-status Jurisdiction ValueSet
ConceptMap.experimental ExampleScenario.copyrightLabel	Now marked as Modifier Added Element
ConceptMap.contact ExampleScenario.actor.key	Type changed Renamed from BackboneElement actorId to ContactDetail key
ConceptMap.description ExampleScenario.actor.type	Type Min Cardinality changed from string 1 to markdown 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 codes system , collective , other
ConceptMap.useContext ExampleScenario.actor.title	Type Renamed from name to title Min Cardinality changed from CodeableConcept 0 to UsageContext 1
ExampleScenario.actor.definition	Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) Added Element
ConceptMap.jurisdiction ExampleScenario.instance.key	Renamed from useContext resourceId to jurisdiction 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/use-context http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/jurisdiction 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
ConceptMap.purpose ExampleScenario.instance.version.description	Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content	Added Element
ExampleScenario.instance.containedInstance.instanceReference	Renamed from requirements resourceId to purpose instanceReference
ExampleScenario.instance.containedInstance.versionReference	Type Renamed from versionId to versionReference
ExampleScenario.process.step.number	Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step Min Cardinality changed from string 1 to markdown 0
ConceptMap.copyright 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 markdown Coding Add Binding `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
ConceptMap.source[x] ExplanationOfBenefit.enterer	Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer	Min Cardinality changed from 1 to 0 Remove Reference(StructureDefinition)
ConceptMap.target[x] ExplanationOfBenefit.provider	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.related.claim	Remove Reference(StructureDefinition) 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
ConceptMap.group ExplanationOfBenefit.event	Added Element
ConceptMap.group.source ExplanationOfBenefit.event.type	Added Mandatory Element
ConceptMap.group.sourceVersion ExplanationOfBenefit.event.when[x]	Added Mandatory Element
ConceptMap.group.target 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
ConceptMap.group.targetVersion ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element
ConceptMap.group.element ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type 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 0 to 1 to 0
ConceptMap.group.element.display ExplanationOfBenefit.patientPaid	Added Element
ConceptMap.group.element.target.display ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	Added Element
ConceptMap.group.element.target.equivalence ExplanationOfBenefit.item.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd	Add Code relatedto Added Element
ExplanationOfBenefit.item.request	Default Value "equivalent" added Added Element
ConceptMap.group.element.target.comment ExplanationOfBenefit.item.patientPaid	Added Element
ConceptMap.group.element.target.dependsOn.property ExplanationOfBenefit.item.tax	Added Element
ExplanationOfBenefit.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ConceptMap.group.element.target.dependsOn.system ExplanationOfBenefit.item.bodySite.site	Added Mandatory Element
ConceptMap.group.element.target.dependsOn.display ExplanationOfBenefit.item.bodySite.subSite	Added Element
ConceptMap.group.unmapped ExplanationOfBenefit.item.reviewOutcome	Added Element
ConceptMap.group.unmapped.mode ExplanationOfBenefit.item.reviewOutcome.decision	Added Element
ConceptMap.group.unmapped.code ExplanationOfBenefit.item.reviewOutcome.reason	Added Element
ConceptMap.group.unmapped.display ExplanationOfBenefit.item.reviewOutcome.preAuthRef	Added Element
ConceptMap.group.unmapped.url ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod	Added Element
ConceptMap.contact.name ExplanationOfBenefit.item.adjudication.quantity	deleted Added Element
ConceptMap.contact.telecom ExplanationOfBenefit.item.adjudication.decisionDate	deleted Added Element
ConceptMap.element.codeSystem ExplanationOfBenefit.item.detail.traceNumber	deleted Added Element
ConceptMap.element.target.codeSystem ExplanationOfBenefit.item.detail.productOrService	deleted Min Cardinality changed from 1 to 0
ConceptMap.element.target.comments ExplanationOfBenefit.item.detail.productOrServiceEnd	deleted Added Element
ConceptMap.element.target.dependsOn.element ExplanationOfBenefit.item.detail.patientPaid	deleted Added Element
ConceptMap.element.target.dependsOn.codeSystem ExplanationOfBenefit.item.detail.tax	deleted Added Element
Condition ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
Condition.clinicalStatus ExplanationOfBenefit.item.detail.subDetail.productOrService	Add Binding http://hl7.org/fhir/ValueSet/condition-clinical (required) 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
Condition.verificationStatus ExplanationOfBenefit.addItem.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd	Default Value "unknown" added Added Element
ExplanationOfBenefit.addItem.request	Added Element
ExplanationOfBenefit.addItem.patientPaid	Added Element
ExplanationOfBenefit.addItem.tax	Added Element
Condition.category 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
Condition.code ExplanationOfBenefit.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
Condition.subject ExplanationOfBenefit.addItem.detail.productOrServiceEnd	Renamed from patient to subject Added Element
ExplanationOfBenefit.addItem.detail.patientPaid	Add Reference(Group) 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
Condition.context ExplanationOfBenefit.addItem.detail.subDetail.productOrService	Renamed Min Cardinality changed from encounter 1 to context 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd	Add Reference(EpisodeOfCare) Added Element
Condition.onset[x] ExplanationOfBenefit.addItem.detail.subDetail.patientPaid	Remove Quantity{http://hl7.org/fhir/StructureDefinition/Age}, Add Age Added Element
Condition.abatement[x] ExplanationOfBenefit.addItem.detail.subDetail.tax	Remove Quantity{http://hl7.org/fhir/StructureDefinition/Age}, Add Age Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.processNote.class	Added Element
Condition.assertedDate ExplanationOfBenefit.processNote.type	Renamed Type changed from dateRecorded code to assertedDate CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from date string to dateTime markdown
Condition.asserter ExplanationOfBenefit.processNote.language	Add Reference(RelatedPerson) 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
FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.asserter	Added Element
Condition.evidence.code FamilyMemberHistory.sex	Max 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
Condition.note Flag.subject	Renamed from notes to note Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author	Type Reference: Added Target Type RelatedPerson
Flag.supportingInfo	Added Element
Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Element
Goal.acceptance	Added Element
Goal.acceptance.participant	Added Mandatory Element
Goal.acceptance.status	Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from 1 to * Type changed from string to Annotation CodeableConcept
Consent Goal.recorder	Added Resource Element
Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types CareTeam, Group
Goal.addresses	Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
Contract Group
Contract.status Group.url	Added Element
Contract.topic Group.version	Added Element
Contract.decisionType Group.versionAlgorithm[x]	Added Element
Contract.contentDerivative Group.title	Added Element
Contract.securityLabel Group.status	Added Element
Contract.agent Group.experimental	Added Element
Contract.agent.actor Group.date	Added Element
Contract.agent.role Group.publisher	Added Element
Group.contact	Added Element
Group.description	Added Element
Group.useContext	Added Element
Group.purpose	Added Element
Group.copyright	Added Element
Group.copyrightLabel	Added Element
Contract.signer.signature Group.type	Max Min Cardinality changed from 1 to * 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
Group.membership	Added Mandatory Element
Group.code	Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Group.combinationMethod	Added Element
Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
Group.characteristic.description	Added Element
Group.characteristic.method	Added Element
Group.characteristic.formula	Added Element
Group.characteristic.determiner	Added Element
Group.characteristic.offset	Added Element
Group.characteristic.instances[x]	Added Element
Group.characteristic.duration[x]	Added Element
Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	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 string * to Signature 1
Contract.valuedItem.unitPrice GuidanceResponse.result	Type Max Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} 1 to Money * Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode	Deleted (-> reason)
GuidanceResponse.reasonReference	Deleted (-> reason)
HealthcareService
HealthcareService.offeredIn	Added Element
Contract.valuedItem.net HealthcareService.comment	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} string to Money markdown
HealthcareService.contact	Added Element
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
Contract.term.topic HealthcareService.communication	Renamed Change binding strength from subject preferred to topic required Max Cardinality changed Change value set from 1 Common Languages to * All Languages Change max value set from All Languages to none
Contract.term.securityLabel HealthcareService.referralRequired	Added Element
Contract.term.agent 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.basedOn	Type Reference: Removed Target Type AppointmentResponse
Contract.term.agent.actor ImagingStudy.procedure	Added Element
Contract.term.agent.role ImagingStudy.reason	Added Element
Contract.term.valuedItem.unitPrice ImagingStudy.series.modality	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} Coding to Money CodeableConcept Change value set from AcquisitionModality to Modality
Contract.term.valuedItem.net ImagingStudy.series.bodySite	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} Coding to Money CodeableReference
ImagingStudy.series.performer.actor	Type Reference: Added Target Type HealthcareService
ImagingStudy.series.instance.sopClass	Type changed from Coding to oid Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
Contract.actor ImagingStudy.interpreter	deleted Deleted (-> series.performer)
Contract.term.actor ImagingStudy.procedureReference	deleted Deleted (-> procedure)
ImagingStudy.procedureCode	Deleted (-> procedure)
ImagingStudy.reasonCode	Deleted (-> reason)
ImagingStudy.reasonReference	Deleted (-> reason)
ImagingStudy.series.laterality	Deleted
Coverage Immunization
Coverage.status Immunization.basedOn	Added Element
Immunization.administeredProduct	Added Element
Coverage.type Immunization.manufacturer	Type changed from Coding 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
Coverage.policyHolder Immunization.programEligibility.program	Added Mandatory Element
Immunization.programEligibility.programStatus	Added Mandatory Element
Immunization.reaction.manifestation	Added Element
Immunization.protocolApplied.doseNumber	Renamed from doseNumber[x] to doseNumber Min Cardinality changed from 1 to 0 Add Type CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Add Type 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
ImplementationGuide
ImplementationGuide.identifier	Added Element
ImplementationGuide.versionAlgorithm[x]	Added Element
Coverage.subscriber ImplementationGuide.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
ImplementationGuide.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 , 3.3.0 , 3.5.0 , 4.0.0 Add Reference(RelatedPerson) 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	No longer marked as Modifier Added Element
Coverage.subscriberId 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 , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
ImplementationGuide.definition.grouping.description	Type changed from Identifier string to markdown
ImplementationGuide.definition.resource	Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.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 , 3.3.0 , 3.5.0 , 4.0.0 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.definition.resource.description	Type changed from string to markdown
Coverage.beneficiary ImplementationGuide.definition.resource.isExample	Added Element
Coverage.relationship ImplementationGuide.definition.resource.profile	Added Element
Coverage.payor 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
Coverage.grouping ImplementationGuide.manifest.resource.isExample	Added Element
Coverage.grouping.group ImplementationGuide.manifest.resource.profile	Added Element
ImplementationGuide.definition.resource.example[x]	Deleted
ImplementationGuide.manifest.resource.example[x]	Deleted
Ingredient	Added Resource
InsurancePlan
InsurancePlan.type	Max Cardinality changed from * to 1
Coverage.grouping.groupDisplay InsurancePlan.product	Added Element
Coverage.grouping.subGroup InsurancePlan.generalCost	Added Element
Coverage.grouping.subGroupDisplay InsurancePlan.generalCost.type	Added Element
Coverage.grouping.plan InsurancePlan.generalCost.groupSize	Added Element
Coverage.grouping.planDisplay InsurancePlan.generalCost.cost	Added Element
Coverage.grouping.subPlan InsurancePlan.generalCost.comment	Added Element
Coverage.grouping.subPlanDisplay InsurancePlan.specificCost	Added Element
Coverage.grouping.class InsurancePlan.specificCost.category	Added Mandatory Element
Coverage.grouping.classDisplay InsurancePlan.specificCost.benefit	Added Element
Coverage.grouping.subClass InsurancePlan.specificCost.benefit.type	Added Mandatory Element
Coverage.grouping.subClassDisplay InsurancePlan.specificCost.benefit.cost	Added Element
Coverage.dependent InsurancePlan.specificCost.benefit.cost.type	Type changed from positiveInt to string Added Mandatory Element
InsurancePlan.specificCost.benefit.cost.applicability	Added Element
InsurancePlan.specificCost.benefit.cost.qualifier	Added Element
InsurancePlan.specificCost.benefit.cost.value	Added Element
InsurancePlan.status	Deleted
InsurancePlan.name	Deleted
InsurancePlan.alias	Deleted
InsurancePlan.period	Deleted
InsurancePlan.ownedBy	Deleted
InsurancePlan.administeredBy	Deleted
InsurancePlan.contact	Deleted
InsurancePlan.endpoint	Deleted
InsurancePlan.coverage	Deleted
InsurancePlan.plan	Deleted
InsuranceProduct	Added Resource
Invoice
Invoice.creation	Added Element
Invoice.period[x]	Added Element
Coverage.sequence Invoice.issuer	Type changed from positiveInt to string Reference: Added Target Types Practitioner, PractitionerRole
Coverage.order Invoice.lineItem.serviced[x]	Added Element
Coverage.network Invoice.lineItem.priceComponent	Type changed from Identifier BackboneElement to string MonetaryComponent
Invoice.totalPriceComponent	Add Type MonetaryComponent
Coverage.issuer Invoice.date	deleted Deleted
Coverage.bin Invoice.lineItem.priceComponent.type	deleted Deleted
Coverage.group Invoice.lineItem.priceComponent.code	deleted Deleted
Coverage.plan Invoice.lineItem.priceComponent.factor	deleted Deleted
Coverage.subPlan Invoice.lineItem.priceComponent.amount	deleted Deleted
DataElement Library
Library.versionAlgorithm[x]	Added Element
DataElement.status Library.type	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status http://hl7.org/fhir/ValueSet/library-type to http://hl7.org/fhir/ValueSet/publication-status LibraryType
DataElement.experimental Library.subject[x]	Now marked as Modifier 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"
DataElement.title Library.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
DataElement.contact Library.usage	Type changed from BackboneElement string to ContactDetail markdown
Library.copyrightLabel	Added Element
List
DataElement.useContext List.subject	Type Max Cardinality changed from CodeableConcept 1 to UsageContext * Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) 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, Group
Location
DataElement.jurisdiction Location.code	Added Element
DataElement.copyright Location.description	Type changed from string to markdown
DataElement.mapping.comment Location.type	Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact	Added Element
Location.form	Renamed from comments physicalType to comment form
Location.characteristic	Added Element
Location.hoursOfOperation	Max Cardinality changed from * to 1 Type changed from BackboneElement to Availability
Location.virtualService	Added Element
DataElement.contact.name Location.telecom	deleted Deleted (-> Location.contact.telecom)
DataElement.contact.telecom Location.hoursOfOperation.daysOfWeek	deleted 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
DetectedIssue Measure
DetectedIssue.status Measure.versionAlgorithm[x]	Added Element
Device 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"
Device.udi Measure.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Measure.usage	Type changed from string to BackboneElement markdown
Device.udi.deviceIdentifier Measure.copyrightLabel	Added Element
Device.udi.name Measure.reportingFrequency	Added Element
Measure.riskAdjustment	Type changed from string to markdown
Measure.rateAggregation	Type changed from string to markdown
Measure.term	Added Element
Device.udi.jurisdiction Measure.term.code	Added Element
Device.udi.carrierHRF Measure.term.definition	Added Element
Device.udi.carrierAIDC Measure.group.linkId	Added Element
Device.udi.issuer Measure.group.title	Added Element
Measure.group.description	Type changed from string to markdown
Device.udi.entryType Measure.group.type	Added Element
Measure.group.subject[x]	Added Element
Measure.group.basis	Added Element
Measure.group.basisRequirement	Added Element
Measure.group.scoring	Added Element
Measure.group.scoringUnit	Added Element
Measure.group.scoringPrecision	Added Element
Measure.group.compositeScoring	Added Element
Measure.group.component	Added Element
Measure.group.component.measure	Added Element
Measure.group.component.groupId	Added Element
Measure.group.component.weight	Added Element
Measure.group.rateAggregation	Added Element
Measure.group.improvementNotation	Added Element
Measure.group.improvementNotationGuidance	Added Element
Measure.group.library	Added Element
Measure.group.population.linkId	Added Element
Measure.group.population.title	Added Element
Device.status Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/devicestatus http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/device-status MeasurePopulationType
Device.type Measure.group.population.description	Type changed from string to markdown
Measure.group.population.criteria	Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition	Added Element
Measure.group.population.inputPopulationId	Added Element
Measure.group.population.aggregateMethod	Added Element
Measure.group.stratifier.linkId	Added Element
Measure.group.stratifier.title	Added Element
Device.expirationDate Measure.group.stratifier.description	Renamed Type changed from expiry string to expirationDate markdown
Device.safety Measure.group.stratifier.groupDefinition	Added Element
DeviceComponent Measure.group.stratifier.component.linkId	Added Element
DeviceComponent.lastSystemChange Measure.group.stratifier.component.description	Type changed from string to markdown
Measure.group.stratifier.component.criteria	Min Cardinality changed from 1 to 0
DeviceComponent.operationalStatus Measure.group.stratifier.component.groupDefinition	Add Binding http://hl7.org/fhir/ValueSet/operational-status (extensible) Added Element
DeviceComponent.parameterGroup Measure.group.stratifier.component.valueSet	Add Binding http://hl7.org/fhir/ValueSet/parameter-group (extensible) Added Element
DeviceComponent.productionSpecification.specType Measure.group.stratifier.component.unit	Add Binding http://hl7.org/fhir/ValueSet/specification-type (extensible) Added Element
Measure.supplementalData.linkId	Added Element
DeviceComponent.languageCode Measure.supplementalData.usage	Change binding strength value set from required http://hl7.org/fhir/ValueSet/measure-data-usage to extensible MeasureDataUsage
Measure.supplementalData.description	Change value set Type changed from http://tools.ietf.org/html/bcp47 string to http://hl7.org/fhir/ValueSet/languages markdown
Measure.supplementalData.valueSet	Added Element
Measure.supplementalData.unit	Added Element
Measure.scoring	Deleted
Measure.compositeScoring	Deleted
Measure.type	Deleted
Measure.improvementNotation	Deleted
Measure.definition	Deleted (->term.definition term is code and definition now)
DeviceMetric MeasureReport
MeasureReport.category	Added Element
MeasureReport.messages	Added Element
DeviceMetric.operationalStatus MeasureReport.type	Remove code data-collection Add Code entered-in-error code data-exchange
DeviceRequest MeasureReport.dataUpdateType	Added Element
MeasureReport.measure	Min Cardinality changed from 1 to 0
MeasureReport.subject	Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter	Type Reference: Removed Target Type Location
DeviceRequest.definition MeasureReport.reportingVendor	Added Element
DeviceRequest.basedOn MeasureReport.location	Added Element
DeviceRequest.priorRequest MeasureReport.inputParameters	Added Element
DeviceRequest.groupIdentifier MeasureReport.group.linkId	Added Element
MeasureReport.group.title	Added Element
MeasureReport.group.calculatedDate	Added Element
MeasureReport.group.description	Added Element
MeasureReport.group.type	Added Element
MeasureReport.group.subject	Added Element
MeasureReport.group.scoring	Added Element
MeasureReport.group.improvementNotation	Added Element
MeasureReport.group.improvementNotationGuidance	Added Element
MeasureReport.group.population.linkId	Added Element
MeasureReport.group.population.title	Added Element
DeviceRequest.status MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/device-use-request-status http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/request-status MeasurePopulationType
DeviceRequest.intent MeasureReport.group.population.description	Added Element
DeviceRequest.priority MeasureReport.group.population.countQuantity	Change value set Added Element
MeasureReport.group.population.subjectReport	Added Element
MeasureReport.group.population.subjects	Added Element
MeasureReport.group.measureScore[x]	Renamed from http://hl7.org/fhir/ValueSet/device-use-request-priority measureScore to http://hl7.org/fhir/ValueSet/request-priority measureScore[x] Default Value "If missing, normal priority" added Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
DeviceRequest.code[x] MeasureReport.group.stratifier.linkId	Added Element
MeasureReport.group.stratifier.title	Added Element
DeviceRequest.subject MeasureReport.group.stratifier.code	Max Cardinality changed from * to 1
MeasureReport.group.stratifier.description	Added Element
MeasureReport.group.stratifier.stratum.value[x]	Renamed from value to value[x] Add Reference(Group), Add Reference(Location), Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MeasureReport.group.stratifier.stratum.component.description	Added Element
MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from value to value[x] Add Reference(Device) Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId	Added Element
DeviceRequest.context MeasureReport.group.stratifier.stratum.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport	Added Element
MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]	Renamed from encounter measureScore to context measureScore[x] Add Reference(EpisodeOfCare) Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
DeviceRequest.occurrence[x] MeasureReport.supplementalData	Added Element
MeasureReport.improvementNotation	Deleted
Medication
DeviceRequest.authoredOn Medication.marketingAuthorizationHolder	Added Element
DeviceRequest.requester Medication.doseForm	Added Element
DeviceRequest.requester.agent Medication.packageSize	Added Element
DeviceRequest.requester.onBehalfOf Medication.packageSize.numberOfItems	Added Element
DeviceRequest.performerType Medication.packageSize.amountPerItem	Added Element
Medication.ingredient.item	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
DeviceRequest.performer Medication.ingredient.role	Added Element
DeviceRequest.reasonCode Medication.ingredient.strength[x]	Renamed from indication strength to reasonCode strength[x] Add Types CodeableConcept, Quantity
DeviceRequest.reasonReference Medication.instance	Added Element
DeviceRequest.supportingInfo Medication.instance.identifier	Added Element
Medication.instance.lotNumber	Added Element
Medication.instance.expirationDate	Added Element
Medication.definition	Added Element
Medication.manufacturer	Deleted
Medication.form	Deleted
Medication.amount	Deleted
Medication.batch	Deleted
MedicationAdministration
MedicationAdministration.basedOn	Added Element
DeviceRequest.note MedicationAdministration.partOf	Type Reference: Added Target Type MedicationDispense
MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationAdministration.medication	Renamed from notes medication[x] to note medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter	Added Element
MedicationAdministration.occurrence[x]	Added Mandatory Element
MedicationAdministration.recorded	Added Element
MedicationAdministration.isSubPotent	Added Element
MedicationAdministration.subPotentReason	Added Element
MedicationAdministration.performer.actor	Type changed from string Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to Annotation CodeableReference
DeviceRequest.relevantHistory MedicationAdministration.reason	Added Element
DeviceRequest.bodySite[x] MedicationAdministration.device	deleted Type changed from Reference(Device) to CodeableReference
DeviceRequest.device MedicationAdministration.instantiates	deleted Deleted
DeviceRequest.prnReason MedicationAdministration.context	deleted Deleted
DeviceRequest.orderedOn MedicationAdministration.effective[x]	deleted Deleted
DeviceRequest.recordedOn MedicationAdministration.reasonCode	deleted Deleted (-> reason)
DeviceRequest.timing[x] MedicationAdministration.reasonReference	deleted Deleted (-> reason)
DeviceUseStatement MedicationDispense
DeviceUseStatement.status MedicationDispense.basedOn	Added Element
DeviceUseStatement.subject MedicationDispense.partOf	Type Reference: Added Target Type MedicationAdministration
MedicationDispense.status	Remove code stopped Add Reference(Group) code unfulfilled
DeviceUseStatement.source MedicationDispense.notPerformedReason	Added Element
MedicationDispense.statusChanged	Added Element
DeviceUseStatement.bodySite MedicationDispense.category	Max Cardinality changed from 1 to *
MedicationDispense.medication	Renamed from bodySite[x] medication[x] to bodySite medication Add Type CodeableReference Remove Reference(BodySite) Types CodeableConcept, Reference(Medication)
MedicationDispense.subject	Min Cardinality changed from 0 to 1
DeviceUseStatement.note MedicationDispense.encounter	Added Element
MedicationDispense.performer.actor	Type Reference: Added Target Types CareTeam, Group
MedicationDispense.fillNumber	Added Element
MedicationDispense.recorded	Added Element
MedicationDispense.receiver	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationDispense.dosageInstruction	Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationDispense.doseAdministrationAid	Added Element
MedicationDispense.substitution.responsibleParty	Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization
DeviceUseStatement.notes MedicationDispense.statusReason[x]	deleted Deleted
MedicationDispense.context	Deleted
MedicationDispense.detectedIssue	Deleted
DiagnosticReport MedicationRequest
DiagnosticReport.basedOn 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 request medication[x] to basedOn medication Remove Reference(DiagnosticOrder), Add Reference(CarePlan), Add Reference(ImmunizationRecommendation), Add Reference(MedicationRequest), Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.isRecordOfRequest	Added Element
MedicationRequest.performerType	Add Reference(NutritionOrder) Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
DiagnosticReport.status MedicationRequest.performer	Max Cardinality changed from 1 to * Type Reference: Added Target Types DeviceDefinition, HealthcareService, Group Type Reference: Removed Target Type Device
MedicationRequest.device	Added Element
MedicationRequest.reason	Added Element
MedicationRequest.courseOfTherapyType	Add Codes preliminary, amended, unknown Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.effectiveTiming[x]	Added Element
DiagnosticReport.subject MedicationRequest.dosageInstruction	Min Max Cardinality changed from * to 1 Type changed from Dosage to 0 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
DiagnosticReport.context 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 encounter 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 Reference(EpisodeOfCare) Type Timing
MedicationStatement.author	Added Element
DiagnosticReport.effective[x] MedicationStatement.informationSource	Min Max Cardinality changed from 1 to 0 * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element
MedicationStatement.relatedClinicalInformation	Added Element
DiagnosticReport.issued MedicationStatement.dosage	Min Max Cardinality changed from * to 1 Type changed from Dosage to 0 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
DiagnosticReport.performer 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 , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
MessageDefinition.graph	Deleted
MessageHeader
MessageHeader.event[x]	Add Type canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Max Add Type Reference(Endpoint)
MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to * 0 Remove Reference(Practitioner), Remove Reference(Organization) Add Type Reference(Endpoint)
DiagnosticReport.performer.role 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
DiagnosticReport.performer.actor 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)
NamingSystem
NamingSystem.url	Added Element
NamingSystem.identifier	Added Element
NamingSystem.version	Added Element
NamingSystem.versionAlgorithm[x]	Added Element
NamingSystem.title	Added Element
NamingSystem.experimental	Added Element
DiagnosticReport.imagingStudy NamingSystem.type	Remove Reference(ImagingObjectSelection), Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
NamingSystem.purpose	Added Element
NamingSystem.copyright	Added Element
NamingSystem.copyrightLabel	Added Element
NamingSystem.approvalDate	Added Element
NamingSystem.lastReviewDate	Added Element
NamingSystem.effectivePeriod	Added Element
NamingSystem.topic	Added Element
NamingSystem.author	Added Element
NamingSystem.editor	Added Element
NamingSystem.reviewer	Added Element
NamingSystem.endorser	Added Element
NamingSystem.relatedArtifact	Added Element
NamingSystem.uniqueId.type	Add Reference(ImagingManifest) codes iri-stem , v2csmnemonic
DocumentManifest NamingSystem.uniqueId.authoritative	Added Element
NutritionIntake	No Changes Added Resource
DocumentReference NutritionOrder
NutritionOrder.basedOn	Added Element
NutritionOrder.groupIdentifier	Added Element
DocumentReference.docStatus NutritionOrder.status	Remove codes revoked , completed Add code ended
NutritionOrder.intent	Remove codes original-order , reflex-order , filler-order , instance-order
NutritionOrder.priority	Added Element
NutritionOrder.subject	Added Mandatory Element
NutritionOrder.supportingInformation	Added Element
NutritionOrder.requester	Added Element
NutritionOrder.performer	Added Element
NutritionOrder.outsideFoodAllowed	Added Element
NutritionOrder.oralDiet.schedule	Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
NutritionOrder.oralDiet.schedule.timing	Added Element
NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
NutritionOrder.oralDiet.nutrient.amount	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.oralDiet.texture.type	Added Element
NutritionOrder.oralDiet.caloricDensity	Added Element
NutritionOrder.supplement.type	Type changed from CodeableConcept to code CodeableReference
DocumentReference.content.format NutritionOrder.supplement.schedule	Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
DomainResource NutritionOrder.supplement.schedule.timing	No Changes Added Element
EligibilityRequest NutritionOrder.supplement.schedule.asNeeded	Added Element
EligibilityRequest.status NutritionOrder.supplement.schedule.asNeededFor	Added Element
NutritionOrder.supplement.quantity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
EligibilityRequest.priority NutritionOrder.supplement.caloricDensity	Added Element
EligibilityRequest.patient NutritionOrder.enteralFormula.type	Added Element
EligibilityRequest.serviced[x] NutritionOrder.enteralFormula.productName	Added Element
EligibilityRequest.enterer NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
NutritionOrder.enteralFormula.caloricDensity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
EligibilityRequest.insurer NutritionOrder.enteralFormula.routeOfAdministration	Added Element
NutritionOrder.enteralFormula.administration.schedule	Type changed from Timing to BackboneElement
EligibilityRequest.facility NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
EligibilityRequest.coverage NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
EligibilityRequest.businessArrangement NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NutritionOrder.enteralFormula.administration.quantity	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.enteralFormula.maxVolumeToAdminister	Added Element
NutritionOrder.enteralFormula.administrationInstruction	Type changed from string to markdown
EligibilityRequest.benefitCategory NutritionOrder.additive	Added Element
EligibilityRequest.benefitSubCategory NutritionOrder.additive.modularType	Added Element
NutritionOrder.additive.productName	Added Element
NutritionOrder.additive.quantity	Added Element
NutritionOrder.additive.routeOfAdministration	Added Element
EligibilityRequest.ruleset NutritionOrder.instantiatesCanonical	deleted Deleted
EligibilityRequest.originalRuleset NutritionOrder.instantiatesUri	deleted Deleted
EligibilityRequest.target NutritionOrder.instantiates	deleted Deleted
NutritionOrder.patient	Deleted
NutritionOrder.orderer	Deleted
NutritionOrder.oralDiet.texture.foodType	Deleted
NutritionOrder.oralDiet.fluidConsistencyType	Deleted
NutritionOrder.enteralFormula.baseFormulaType	Deleted
NutritionOrder.enteralFormula.baseFormulaProductName	Deleted
NutritionOrder.enteralFormula.additiveType	Deleted
NutritionOrder.enteralFormula.additiveProductName	Deleted
NutritionOrder.enteralFormula.routeofAdministration	Deleted
NutritionOrder.enteralFormula.maxVolumeToDeliver	Deleted
NutritionProduct	Added Resource
EligibilityResponse Observation
Observation.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
EligibilityResponse.status Observation.triggeredBy	Added Element
Observation.triggeredBy.observation	Added Mandatory Element
Observation.triggeredBy.type	Added Mandatory Element
Observation.triggeredBy.reason	Added Element
EligibilityResponse.outcome Observation.status	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
Observation.interpretationContext	Added Element
Observation.bodyStructure	Added Element
Observation.specimen	Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from code Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to CodeableConcept 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 Type ImagingSelection Type Reference: Removed Target Types Media, MolecularSequence
Observation.component.value[x]	Add Code partial Types Attachment, Reference
ObservationDefinition
EligibilityResponse.insurer ObservationDefinition.url	Added Element
ObservationDefinition.identifier	Max Cardinality changed from * to 1
ObservationDefinition.version	Added Element
EligibilityResponse.inforce ObservationDefinition.versionAlgorithm[x]	Added Element
EligibilityResponse.insurance ObservationDefinition.name	Added Element
EligibilityResponse.insurance.coverage ObservationDefinition.title	Added Element
EligibilityResponse.insurance.contract ObservationDefinition.status	Added Mandatory Element
EligibilityResponse.insurance.benefitBalance ObservationDefinition.experimental	Added Element
EligibilityResponse.insurance.benefitBalance.category ObservationDefinition.date	Added Element
EligibilityResponse.insurance.benefitBalance.subCategory ObservationDefinition.publisher	Added Element
EligibilityResponse.insurance.benefitBalance.excluded ObservationDefinition.contact	Added Element
EligibilityResponse.insurance.benefitBalance.name ObservationDefinition.description	Added Element
EligibilityResponse.insurance.benefitBalance.description ObservationDefinition.useContext	Added Element
EligibilityResponse.insurance.benefitBalance.network ObservationDefinition.jurisdiction	Added Element
EligibilityResponse.insurance.benefitBalance.unit ObservationDefinition.purpose	Added Element
EligibilityResponse.insurance.benefitBalance.term ObservationDefinition.copyright	Added Element
EligibilityResponse.insurance.benefitBalance.financial ObservationDefinition.copyrightLabel	Added Element
EligibilityResponse.insurance.benefitBalance.financial.type ObservationDefinition.approvalDate	Added Element
EligibilityResponse.insurance.benefitBalance.financial.allowed[x] ObservationDefinition.lastReviewDate	Added Element
EligibilityResponse.insurance.benefitBalance.financial.used[x] ObservationDefinition.effectivePeriod	Added Element
EligibilityResponse.form ObservationDefinition.derivedFromCanonical	Added Element
EligibilityResponse.error ObservationDefinition.derivedFromUri	Added Element
EligibilityResponse.error.code ObservationDefinition.subject	Added Element
ObservationDefinition.performerType	Added Element
ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
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.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
EligibilityResponse.ruleset ObservationDefinition.quantitativeDetails	deleted Deleted
EligibilityResponse.originalRuleset ObservationDefinition.qualifiedInterval	deleted Deleted
EligibilityResponse.organization ObservationDefinition.validCodedValueSet	deleted Deleted
ObservationDefinition.normalCodedValueSet	Deleted
ObservationDefinition.abnormalCodedValueSet	Deleted
ObservationDefinition.criticalCodedValueSet	Deleted
Encounter OperationDefinition
OperationDefinition.identifier	Added Element
OperationDefinition.versionAlgorithm[x]	Added Element
Encounter.status OperationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/encounter-state http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/encounter-status Jurisdiction ValueSet
OperationDefinition.copyright	Added Element
OperationDefinition.copyrightLabel	Added Element
OperationDefinition.synchronicity	Added Element
Encounter.statusHistory.status OperationDefinition.resource	Change value set from http://hl7.org/fhir/ValueSet/encounter-state http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , 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 , 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
Encounter.class OperationDefinition.parameter.min	Type changed from code 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 , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , 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	Remove codes 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 extensible All Languages Change max value set from http://hl7.org/fhir/ValueSet/encounter-class All Languages to http://hl7.org/fhir/ValueSet/v3-ActEncounterCode none
PaymentNotice
Encounter.classHistory PaymentNotice.statusReason	Added Element
Encounter.classHistory.class PaymentNotice.reporter	Added Element
PaymentNotice.payment	Min Cardinality changed from 1 to 0
PaymentNotice.provider	Deleted
PaymentReconciliation
Encounter.classHistory.period PaymentReconciliation.type	Added Mandatory Element
Encounter.subject PaymentReconciliation.statusReason	Renamed from patient to subject Added Element
PaymentReconciliation.kind	Add Reference(Group) Added Element
PaymentReconciliation.enterer	Added Element
PaymentReconciliation.issuerType	Added Element
Encounter.length PaymentReconciliation.paymentIssuer	Type changed Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome	Change value set from Quantity{http://hl7.org/fhir/StructureDefinition/Duration} http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Duration Payment Outcome
Encounter.diagnosis PaymentReconciliation.date	Added Mandatory Element
Encounter.diagnosis.condition PaymentReconciliation.location	Added Element
Encounter.diagnosis.role PaymentReconciliation.method	Added Element
Encounter.diagnosis.rank PaymentReconciliation.cardBrand	Added Element
Encounter.account 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 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.allocation.noteNumber	Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
Encounter.indication PaymentReconciliation.paymentDate	deleted Deleted
Encounter.hospitalization.admittingDiagnosis PaymentReconciliation.paymentAmount	deleted Deleted
Encounter.hospitalization.dischargeDiagnosis PaymentReconciliation.detail	deleted Deleted
Endpoint Permission	Added Resource
EnrollmentRequest Person
EnrollmentRequest.status Person.deceased[x]	Added Element
EnrollmentRequest.insurer Person.maritalStatus	Added Element
EnrollmentRequest.subject Person.photo	Min Max Cardinality changed from 1 to 0 *
Person.communication	Added Element
Person.communication.language	Added Mandatory Element
Person.communication.preferred	Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
EnrollmentRequest.coverage 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
EnrollmentRequest.ruleset PlanDefinition.action.participant.typeCanonical	deleted Added Element
EnrollmentRequest.originalRuleset PlanDefinition.action.participant.typeReference	deleted Added Element
EnrollmentRequest.target PlanDefinition.action.participant.function	deleted 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
EnrollmentRequest.relationship PlanDefinition.action.relatedAction.actionId	deleted Deleted (PlanDefinition.action.relatedAction.targetId)
EnrollmentResponse Practitioner
Practitioner.active	Now marked as Modifier
EnrollmentResponse.status Practitioner.deceased[x]	Added Element
Practitioner.qualification.status	Added Element
EnrollmentResponse.outcome Practitioner.communication	Type changed from code to CodeableConcept to BackboneElement Add Code partial 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
EnrollmentResponse.ruleset PractitionerRole.telecom	deleted Deleted (-> PractitionerRole.contact.telecom)
EnrollmentResponse.originalRuleset PractitionerRole.availableTime	deleted Deleted (-> PractitionerRole.availability.availableTime)
PractitionerRole.notAvailable	Deleted (-> PractitionerRole.availability.notAvailableTime)
PractitionerRole.availabilityExceptions	Deleted (-> PractitionerRole.availability.notAvailableTime.description)
EpisodeOfCare Procedure
EpisodeOfCare.status Procedure.basedOn	Add Code entered-in-error Type Reference: Added Target Type MedicationRequest
EpisodeOfCare.statusHistory.status Procedure.category	Add Code entered-in-error Max Cardinality changed from 1 to *
Procedure.subject	Type Reference: Added Target Types Device, Practitioner, Organization, Location
EpisodeOfCare.diagnosis Procedure.focus	Added Element
EpisodeOfCare.diagnosis.condition Procedure.occurrence[x]	Added Element
EpisodeOfCare.diagnosis.role Procedure.recorded	Added Element
EpisodeOfCare.diagnosis.rank Procedure.reported[x]	Added Element
EpisodeOfCare.team Procedure.performer.actor	Renamed 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 careTeam 1 to team * Type changed from BackboneElement CodeableConcept to Reference(CareTeam) 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
EpisodeOfCare.account Procedure.used	Added Element
Procedure.supportingInfo	Added Element
EpisodeOfCare.condition Procedure.instantiatesCanonical	deleted Deleted
EpisodeOfCare.careTeam.role Procedure.instantiatesUri	deleted Deleted
EpisodeOfCare.careTeam.period Procedure.performed[x]	deleted Deleted
EpisodeOfCare.careTeam.member Procedure.asserter	deleted Deleted (-> Procedure.reportedReference)
ExpansionProfile Procedure.reasonCode	Added Resource Deleted (-> Procedure.reason)
Procedure.reasonReference	Deleted (-> Procedure.reason)
Procedure.complicationDetail	Deleted (-> Procedure.complication)
Procedure.usedReference	Deleted (-> Procedure.used)
Procedure.usedCode	Deleted (-> Procedure.used)
ExplanationOfBenefit 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)
ExplanationOfBenefit.status Provenance.why	Added Element
Provenance.activity	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
ExplanationOfBenefit.type Provenance.basedOn	Added Element
ExplanationOfBenefit.subType Provenance.patient	Added Element
ExplanationOfBenefit.patient Provenance.encounter	Added Element
Provenance.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who	Type Reference: Added Target Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Types CareTeam, Group, HealthcareService Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
Questionnaire
ExplanationOfBenefit.billablePeriod 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 , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
Questionnaire.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExplanationOfBenefit.enterer 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 code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
ExplanationOfBenefit.insurer Questionnaire.item.disabledDisplay	Added Element
ExplanationOfBenefit.provider 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
ExplanationOfBenefit.referral 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
ExplanationOfBenefit.facility RequestOrchestration.reason	Added Element
ExplanationOfBenefit.claim RequestOrchestration.goal	Added Element
ExplanationOfBenefit.claimResponse RequestOrchestration.action.linkId	Added Element
ExplanationOfBenefit.outcome RequestOrchestration.action.description	Type changed from code string to CodeableConcept markdown
RequestOrchestration.action.textEquivalent	Remove Binding http://hl7.org/fhir/ValueSet/remittance-outcome (required) Type changed from string to markdown
ExplanationOfBenefit.related RequestOrchestration.action.goal	Added Element
ExplanationOfBenefit.related.claim RequestOrchestration.action.input	Added Element
ExplanationOfBenefit.related.relationship RequestOrchestration.action.input.title	Added Element
ExplanationOfBenefit.related.reference RequestOrchestration.action.input.requirement	Added Element
ExplanationOfBenefit.prescription RequestOrchestration.action.input.relatedData	Added Element
ExplanationOfBenefit.originalPrescription RequestOrchestration.action.output	Added Element
ExplanationOfBenefit.payee RequestOrchestration.action.output.title	Added Element
ExplanationOfBenefit.payee.type RequestOrchestration.action.output.requirement	Added Element
ExplanationOfBenefit.payee.resourceType RequestOrchestration.action.output.relatedData	Added Element
ExplanationOfBenefit.payee.party 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
ExplanationOfBenefit.information RequestOrchestration.action.relatedAction.endRelationship	Added Element
RequestOrchestration.action.timing[x]	Add Type RelativeTime
ExplanationOfBenefit.information.sequence RequestOrchestration.action.location	Added Element
RequestOrchestration.action.participant	Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement
ExplanationOfBenefit.information.category RequestOrchestration.action.participant.type	Added Element
ExplanationOfBenefit.information.code RequestOrchestration.action.participant.typeCanonical	Added Element
ExplanationOfBenefit.information.timing[x] RequestOrchestration.action.participant.typeReference	Added Element
ExplanationOfBenefit.information.value[x] RequestOrchestration.action.participant.role	Added Element
ExplanationOfBenefit.information.reason RequestOrchestration.action.participant.function	Added Element
ExplanationOfBenefit.careTeam RequestOrchestration.action.participant.actor[x]	Added Element
RequestOrchestration.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
ExplanationOfBenefit.careTeam.sequence RequestOrchestration.action.applicabilityBehavior	Added Element
ExplanationOfBenefit.careTeam.provider RequestOrchestration.action.definition[x]	Added Element
ExplanationOfBenefit.careTeam.responsible RequestOrchestration.action.transform	Added Element
ExplanationOfBenefit.careTeam.role RequestOrchestration.action.dynamicValue	Added Element
ExplanationOfBenefit.careTeam.qualification RequestOrchestration.action.dynamicValue.path	Added Element
ExplanationOfBenefit.diagnosis RequestOrchestration.action.dynamicValue.expression	Added Element
RequestGroup.reasonCode	Deleted
RequestGroup.reasonReference	Deleted
RequestGroup.action.relatedAction.actionId	Deleted
Requirements	Added Resource
ResearchStudy
ExplanationOfBenefit.diagnosis.sequence ResearchStudy.url	Added Element
ExplanationOfBenefit.diagnosis.diagnosis[x] ResearchStudy.version	Added Element
ExplanationOfBenefit.diagnosis.type ResearchStudy.name	Added Element
ExplanationOfBenefit.diagnosis.packageCode ResearchStudy.label	Added Element
ExplanationOfBenefit.procedure ResearchStudy.label.type	Added Element
ExplanationOfBenefit.procedure.sequence ResearchStudy.label.value	Added Element
ExplanationOfBenefit.procedure.date ResearchStudy.label.language	Added Element
ExplanationOfBenefit.procedure.procedure[x] ResearchStudy.citeAs	Added Element
ExplanationOfBenefit.precedence ResearchStudy.relatesTo	Added Element
ExplanationOfBenefit.insurance ResearchStudy.relatesTo.type	Added Mandatory Element
ExplanationOfBenefit.insurance.coverage ResearchStudy.relatesTo.target[x]	Added Mandatory Element
ExplanationOfBenefit.insurance.preAuthRef 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)
ExplanationOfBenefit.accident ResearchStudy.studyDesign	Added Element
ResearchStudy.focus	Type changed from CodeableConcept to CodeableReference
ExplanationOfBenefit.accident.date ResearchStudy.region	Added Element
ExplanationOfBenefit.accident.type ResearchStudy.descriptionSummary	Added Element
ResearchStudy.site	Type Reference: Added Target Types ResearchStudy, Organization
ExplanationOfBenefit.accident.location[x] ResearchStudy.classifier	Added Element
ExplanationOfBenefit.employmentImpacted ResearchStudy.associatedParty	Added Element
ExplanationOfBenefit.hospitalization ResearchStudy.associatedParty.name	Added Element
ExplanationOfBenefit.item ResearchStudy.associatedParty.role	Added Mandatory Element
ExplanationOfBenefit.item.sequence ResearchStudy.associatedParty.period	Added Element
ExplanationOfBenefit.item.careTeamLinkId ResearchStudy.associatedParty.classifier	Added Element
ExplanationOfBenefit.item.diagnosisLinkId ResearchStudy.associatedParty.party	Added Element
ExplanationOfBenefit.item.procedureLinkId ResearchStudy.progressStatus	Added Element
ExplanationOfBenefit.item.informationLinkId ResearchStudy.progressStatus.state	Added Mandatory Element
ExplanationOfBenefit.item.revenue ResearchStudy.progressStatus.actual	Added Element
ExplanationOfBenefit.item.category ResearchStudy.progressStatus.period	Added Element
ExplanationOfBenefit.item.service ResearchStudy.whyStopped	Added Element
ExplanationOfBenefit.item.modifier ResearchStudy.recruitment	Added Element
ExplanationOfBenefit.item.programCode ResearchStudy.recruitment.targetNumber	Added Element
ExplanationOfBenefit.item.serviced[x] ResearchStudy.recruitment.actualNumber	Added Element
ExplanationOfBenefit.item.location[x] ResearchStudy.recruitment.eligibility	Added Element
ExplanationOfBenefit.item.quantity ResearchStudy.recruitment.actualGroup	Added Element
ExplanationOfBenefit.item.unitPrice ResearchStudy.recruitment.description	Added Element
ExplanationOfBenefit.item.factor ResearchStudy.comparisonGroup	Added Element
ExplanationOfBenefit.item.net ResearchStudy.comparisonGroup.targetNumber	Added Element
ExplanationOfBenefit.item.udi ResearchStudy.comparisonGroup.actualNumber	Added Element
ExplanationOfBenefit.item.bodySite ResearchStudy.comparisonGroup.eligibility	Added Element
ExplanationOfBenefit.item.subSite ResearchStudy.comparisonGroup.observedGroup	Added Element
ExplanationOfBenefit.item.encounter ResearchStudy.comparisonGroup.description	Added Element
ExplanationOfBenefit.item.noteNumber ResearchStudy.objective.description	Added Element
ExplanationOfBenefit.item.adjudication ResearchStudy.objective.outcomeMeasure	Added Element
ExplanationOfBenefit.item.adjudication.category ResearchStudy.objective.outcomeMeasure.name	Added Element
ExplanationOfBenefit.item.adjudication.reason ResearchStudy.objective.outcomeMeasure.type	Added Element
ExplanationOfBenefit.item.adjudication.amount ResearchStudy.objective.outcomeMeasure.description	Added Element
ExplanationOfBenefit.item.adjudication.value ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ExplanationOfBenefit.item.detail ResearchStudy.objective.outcomeMeasure.population	Added Element
ExplanationOfBenefit.item.detail.sequence ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ExplanationOfBenefit.item.detail.type ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ExplanationOfBenefit.item.detail.revenue ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ExplanationOfBenefit.item.detail.category ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ExplanationOfBenefit.item.detail.service ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ExplanationOfBenefit.item.detail.modifier ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ExplanationOfBenefit.item.detail.programCode ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ExplanationOfBenefit.item.detail.quantity ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ExplanationOfBenefit.item.detail.unitPrice ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ExplanationOfBenefit.item.detail.factor 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
ExplanationOfBenefit.item.detail.net ResearchSubject.subject	Added Mandatory Element
ExplanationOfBenefit.item.detail.udi ResearchSubject.subjectState	Added Element
ExplanationOfBenefit.item.detail.noteNumber ResearchSubject.subjectState.code	Added Mandatory Element
ExplanationOfBenefit.item.detail.adjudication ResearchSubject.subjectState.startDate	Added Mandatory Element
ExplanationOfBenefit.item.detail.subDetail ResearchSubject.subjectState.endDate	Added Element
ExplanationOfBenefit.item.detail.subDetail.sequence ResearchSubject.subjectState.reason	Added Element
ExplanationOfBenefit.item.detail.subDetail.type ResearchSubject.subjectMilestone	Added Element
ExplanationOfBenefit.item.detail.subDetail.revenue ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ExplanationOfBenefit.item.detail.subDetail.category ResearchSubject.subjectMilestone.date	Added Element
ExplanationOfBenefit.item.detail.subDetail.service ResearchSubject.subjectMilestone.reason	Added Element
ExplanationOfBenefit.item.detail.subDetail.modifier 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
ExplanationOfBenefit.item.detail.subDetail.programCode 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
ExplanationOfBenefit.item.detail.subDetail.quantity Schedule.name	Added Element
Schedule.actor	Type Reference: Added Target Type CareTeam
Schedule.comment	Type changed from string to markdown
SearchParameter
ExplanationOfBenefit.item.detail.subDetail.unitPrice SearchParameter.identifier	Added Element
ExplanationOfBenefit.item.detail.subDetail.factor SearchParameter.versionAlgorithm[x]	Added Element
ExplanationOfBenefit.item.detail.subDetail.net SearchParameter.title	Added Element
SearchParameter.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExplanationOfBenefit.item.detail.subDetail.udi SearchParameter.copyright	Added Element
ExplanationOfBenefit.item.detail.subDetail.noteNumber SearchParameter.copyrightLabel	Added Element
ExplanationOfBenefit.item.detail.subDetail.adjudication 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) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , 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 , 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
ExplanationOfBenefit.addItem 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) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , 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 , 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
ExplanationOfBenefit.addItem.sequenceLinkId 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
ExplanationOfBenefit.addItem.revenue ServiceRequest.orderDetail.parameterFocus[x]	Added Element
ExplanationOfBenefit.addItem.category ServiceRequest.orderDetail.parameter	Added Mandatory Element
ExplanationOfBenefit.addItem.service ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
ExplanationOfBenefit.addItem.modifier ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
ExplanationOfBenefit.addItem.fee ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ExplanationOfBenefit.addItem.noteNumber ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ExplanationOfBenefit.addItem.adjudication ServiceRequest.location	Added Element
ExplanationOfBenefit.addItem.detail ServiceRequest.reason	Added Element
ServiceRequest.supportingInfo	Type changed from Reference(Resource) to CodeableReference
ExplanationOfBenefit.addItem.detail.revenue ServiceRequest.bodyStructure	Added Element
ServiceRequest.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to BackboneElement
ExplanationOfBenefit.addItem.detail.category 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 Types BiologicallyDerivedProduct, NutritionProduct
ExplanationOfBenefit.addItem.detail.service Specimen.combined	Added Element
ExplanationOfBenefit.addItem.detail.modifier Specimen.role	Added Element
ExplanationOfBenefit.addItem.detail.fee Specimen.feature	Added Element
ExplanationOfBenefit.addItem.detail.noteNumber Specimen.feature.type	Added Mandatory Element
ExplanationOfBenefit.addItem.detail.adjudication Specimen.feature.description	Added Mandatory Element
Specimen.collection.collector	Type Reference: Added Target Types Organization, Patient, RelatedPerson
ExplanationOfBenefit.totalCost Specimen.collection.device[x]	Added Element
ExplanationOfBenefit.unallocDeductable Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from CodeableConcept to CodeableReference
ExplanationOfBenefit.totalBenefit Specimen.processing.method	Added Element
ExplanationOfBenefit.payment Specimen.processing.performer	Added Element
ExplanationOfBenefit.payment.type Specimen.processing.device[x]	Added Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
ExplanationOfBenefit.payment.adjustment 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
ExplanationOfBenefit.payment.adjustmentReason SpecimenDefinition.url	Added Element
ExplanationOfBenefit.payment.date SpecimenDefinition.version	Added Element
ExplanationOfBenefit.payment.amount SpecimenDefinition.versionAlgorithm[x]	Added Element
ExplanationOfBenefit.payment.identifier SpecimenDefinition.name	Added Element
ExplanationOfBenefit.form SpecimenDefinition.title	Added Element
ExplanationOfBenefit.processNote SpecimenDefinition.derivedFromCanonical	Added Element
ExplanationOfBenefit.processNote.number SpecimenDefinition.derivedFromUri	Added Element
ExplanationOfBenefit.processNote.type SpecimenDefinition.status	Added Mandatory Element
ExplanationOfBenefit.processNote.text SpecimenDefinition.experimental	Added Element
ExplanationOfBenefit.processNote.language SpecimenDefinition.subject[x]	Added Element
ExplanationOfBenefit.benefitBalance SpecimenDefinition.date	Added Element
ExplanationOfBenefit.benefitBalance.category SpecimenDefinition.publisher	Added Element
ExplanationOfBenefit.benefitBalance.subCategory SpecimenDefinition.contact	Added Element
ExplanationOfBenefit.benefitBalance.excluded SpecimenDefinition.description	Added Element
ExplanationOfBenefit.benefitBalance.name SpecimenDefinition.useContext	Added Element
ExplanationOfBenefit.benefitBalance.description SpecimenDefinition.jurisdiction	Added Element
ExplanationOfBenefit.benefitBalance.network SpecimenDefinition.purpose	Added Element
ExplanationOfBenefit.benefitBalance.unit SpecimenDefinition.copyright	Added Element
ExplanationOfBenefit.benefitBalance.term SpecimenDefinition.copyrightLabel	Added Element
ExplanationOfBenefit.benefitBalance.financial SpecimenDefinition.approvalDate	Added Element
ExplanationOfBenefit.benefitBalance.financial.type SpecimenDefinition.lastReviewDate	Added Element
ExplanationOfBenefit.benefitBalance.financial.allowed[x] 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
ExplanationOfBenefit.benefitBalance.financial.used[x] SpecimenDefinition.typeTested.singleUse	Added Element
ExplanationOfBenefit.request SpecimenDefinition.typeTested.handling.instruction	deleted Type changed from string to markdown
ExplanationOfBenefit.ruleset SpecimenDefinition.typeTested.testingDestination	deleted Added Element
ExplanationOfBenefit.originalRuleset StructureDefinition
StructureDefinition.versionAlgorithm[x]	deleted Added Element
ExplanationOfBenefit.requestProvider StructureDefinition.jurisdiction	deleted Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExplanationOfBenefit.requestOrganization StructureDefinition.copyrightLabel	deleted Added Element
StructureDefinition.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 , 3.3.0 , 3.5.0 , 4.0.0 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 , 4.3 , 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
FamilyMemberHistory StructureMap
FamilyMemberHistory.definition StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
FamilyMemberHistory.notDone StructureMap.copyrightLabel	Added Element
FamilyMemberHistory.notDoneReason StructureMap.const	Added Element
StructureMap.const.name	Added Element
StructureMap.const.value	Added Element
FamilyMemberHistory.age[x] StructureMap.group.typeMode	Min Cardinality changed from 1 to 0 Remove Quantity{http://hl7.org/fhir/StructureDefinition/Age}, 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 Age 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
FamilyMemberHistory.estimatedAge Subscription.identifier	Added Element
Subscription.name	Added Element
FamilyMemberHistory.deceased[x] Subscription.status	Remove Quantity{http://hl7.org/fhir/StructureDefinition/Age}, Add Age code entered-in-error
FamilyMemberHistory.reasonCode Subscription.topic	Added Mandatory Element
FamilyMemberHistory.reasonReference Subscription.managingEntity	Added Element
FamilyMemberHistory.note Subscription.reason	Min Cardinality changed from 1 to 0
Subscription.filterBy	Added Element
Subscription.filterBy.resource	Added Element
Subscription.filterBy.filterParameter	Added Mandatory Element
Subscription.filterBy.comparator	Added Element
Subscription.filterBy.modifier	Added Element
Subscription.filterBy.value	Added Mandatory Element
Subscription.filterBy.event	Added Element
Subscription.channelType	Added Mandatory Element
Subscription.endpoint	Added Element
Subscription.parameter	Added Element
Subscription.parameter.name	Added Mandatory Element
Subscription.parameter.value	Added Mandatory Element
Subscription.heartbeatPeriod	Added Element
Subscription.timeout	Added Element
Subscription.contentType	Added Element
Subscription.content	Added Element
Subscription.maxCount	Added Element
Subscription.criteria	Deleted
Subscription.error	Deleted
Subscription.channel	Deleted
SubscriptionStatus	Added Resource
SubscriptionTopic	Added Resource
Substance
Substance.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	Deleted
Substance.ingredient	Deleted
SubstanceDefinition	Added Resource
Task
Task.statusReason	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Task.doNotPerform	Added Element
FamilyMemberHistory.condition.onset[x] Task.code	Remove Quantity{http://hl7.org/fhir/StructureDefinition/Age}, Add Age Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
FamilyMemberHistory.condition.note Task.description	Type changed from string to markdown
Task.focus	Max Cardinality changed from 1 to * Type changed from Reference(Resource) to BackboneElement
Flag Task.focus.value[x]	Added Mandatory Element
Task.requestedPeriod	Added Element
Flag.subject Task.requester	Type Reference: Added Target Type Group
Task.requestedPerformer	Added Element
Task.owner	Type Reference: Added Target Type Group 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 Reference(PlanDefinition), Add Reference(Medication), Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.output.value[x]	Add Reference(Procedure) Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.instantiatesCanonical	Deleted
Task.instantiatesUri	Deleted
Task.performerType	Deleted (->Task.requestedPerformer)
Task.reasonCode	Deleted (-> reason)
Task.reasonReference	Deleted (-> reason)
Goal TerminologyCapabilities
TerminologyCapabilities.identifier	Added Element
TerminologyCapabilities.versionAlgorithm[x]	Added Element
Goal.status TerminologyCapabilities.jurisdiction	Add Codes on-target, ahead-of-target, behind-target, entered-in-error Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TerminologyCapabilities.copyrightLabel	Added Element
Goal.description TerminologyCapabilities.implementation.description	Type changed from string to CodeableConcept markdown
TerminologyCapabilities.codeSystem.supplement	Added Element
TerminologyCapabilities.codeSystem.version.supplement	Added Element
Goal.target TerminologyCapabilities.codeSystem.version.language	Renamed Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TerminologyCapabilities.codeSystem.content	Added Mandatory Element
TerminologyCapabilities.supplements	Added Element
TerminologyCapabilities.supplements.globals	Added Element
TerminologyCapabilities.expansion.parameter.documentation	Type changed from target[x] string to target markdown
TerminologyCapabilities.codeSearch	Remove date, Remove Quantity{http://hl7.org/fhir/StructureDefinition/Duration} codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion
TerminologyCapabilities.closure	Deleted
ValueSet
Goal.target.measure ValueSet.versionAlgorithm[x]	Added Element
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ValueSet.copyrightLabel	Added Element
Goal.target.detail[x] ValueSet.approvalDate	Added Element
Goal.target.due[x] 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
Goal.statusReason 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
VisionPrescription.basedOn	Added Element
VisionPrescription.groupIdentifier	Added Element
VisionPrescription.priority	Added Element
CatalogEntry	Deleted (removed in favor of definitional resources)
ChargeItem	Deleted
ChargeItemDefinition	Deleted
ClinicalImpression	Deleted
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

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
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 , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , 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
Goal.expressedBy DataRequirement.subject[x]	Renamed Change value set from author http://hl7.org/fhir/ValueSet/subject-type to expressedBy Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Goal.outcomeCode DataRequirement.valueFilter	Added Element
Goal.outcomeReference DataRequirement.valueFilter.path	Added Element
Goal.outcome DataRequirement.valueFilter.searchParam	deleted Added Element
DataRequirement.valueFilter.comparator	Added Element
DataRequirement.valueFilter.value[x]	Added Element
GraphDefinition DataType	Added Resource Type
Group Distance
Distance	Change max value set from All UCUM Expression for Distance to none
Dosage
Group.active 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	Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
GuidanceResponse DosageCondition	Added Resource Type
DosageDetails	Added Type
DosageSafety	Added Type
HealthcareService 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
HealthcareService.active ElementDefinition.constraint.suppress	Added Element
ElementDefinition.mustHaveValue	Added Element
ElementDefinition.valueAlternatives	Added Element
HealthcareService.category ElementDefinition.binding.strength	Renamed Add code descriptive
ElementDefinition.binding.description	Type changed from serviceCategory string to category markdown
HealthcareService.type ElementDefinition.binding.additional	Added Element
HealthcareService.specialty 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
HealthcareService.location 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 Max 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	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 , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , 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
HealthcareService.name ProductShelfLife.period[x]	Renamed from serviceName period to name 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 code part-of
HealthcareService.endpoint RelatedArtifact.resourceReference	Added Element
HealthcareService.serviceType RelatedArtifact.artifact[x]	deleted Added Element
HealthcareService.publicKey RelatedArtifact.url	deleted Deleted (-> document)
ImagingManifest RelativeTime	Added Resource Type
ImagingStudy SampledData
SampledData.interval	Added Element
SampledData.intervalUnit	Added Mandatory Element
SampledData.codeMap	Added Element
SampledData.offsets	Added Element
SampledData.period	Deleted (-> interval)
Signature
ImagingStudy.context Signature.type	Renamed Min Cardinality changed from order 1 to context 0
Signature.when	Max 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	Remove Reference(DiagnosticOrder), Add Reference(Encounter), code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add Reference(EpisodeOfCare) code subscription-topic
ImagingStudy.basedOn TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
ImagingStudy.interpreter TriggerDefinition.timing[x]	Max Cardinality changed Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from 1 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
ImagingStudy.endpoint Account.billingStatus	Added Element
Account.covers	Added Element
ImagingStudy.numberOfSeries Account.description	Min Cardinality Type changed from 1 string to 0 markdown
ImagingStudy.numberOfInstances Account.guarantor.party	Min Cardinality changed from 1 to 0
ImagingStudy.procedureReference Account.guarantor.account	Added Element
Account.guarantor.responsibility	Added Element
Account.guarantor.limit	Added Element
Account.guarantor.rank	Added Element
Account.diagnosis	Added Element
Account.diagnosis.sequence	Added Element
Account.diagnosis.condition	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis	Added Element
Account.diagnosis.type	Added Element
Account.diagnosis.onAdmission	Added Element
Account.diagnosis.packageCode	Added Element
Account.procedure	Added Element
Account.procedure.sequence	Added Element
Account.procedure.code	Added Mandatory Element
Account.procedure.dateOfService	Added Element
Account.procedure.type	Added Element
Account.procedure.packageCode	Added Element
Account.procedure.device	Added Element
Account.parent	Renamed from procedure partOf to procedureReference parent
ImagingStudy.procedureCode Account.currency	Added Element
ImagingStudy.reason 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
ImagingStudy.series.numberOfInstances 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 codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , 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
ImagingStudy.series.endpoint ActivityDefinition.participant.typeCanonical	Added Element
ImagingStudy.series.performer ActivityDefinition.participant.typeReference	Added Element
ImagingStudy.url ActivityDefinition.participant.function	deleted Added Element
ImagingStudy.series.url ActivityDefinition.specimenRequirement	deleted Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ImagingStudy.series.instance.type ActivityDefinition.observationRequirement	deleted Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ImagingStudy.series.instance.content ActivityDefinition.observationResultRequirement	deleted Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition	Added Resource
Immunization AdministrableProductDefinition
AdministrableProductDefinition.description	Added Element
AdministrableProductDefinition.code	Added Element
Immunization.status AdministrableProductDefinition.property.value[x]	Change value set Add Types Range, markdown, Reference(Binary)
AdverseEvent
AdverseEvent.identifier	Max Cardinality changed from http://hl7.org/fhir/ValueSet/medication-admin-status 1 to http://hl7.org/fhir/ValueSet/immunization-status *
AdverseEvent.status	Added Mandatory Element
Immunization.notGiven AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code	Renamed from wasNotGiven event to notGiven code
Immunization.primarySource AdverseEvent.effect[x]	Added Element
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type 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)
Immunization.reportOrigin AdverseEvent.participant	Added Element
Immunization.practitioner AdverseEvent.participant.function	Added Element
Immunization.practitioner.role AdverseEvent.participant.actor	Added Mandatory Element
Immunization.practitioner.actor AdverseEvent.expectedInResearchStudy	Added Element
Immunization.vaccinationProtocol.doseSequence AdverseEvent.suspectEntity.instance	Min Type changed from Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to CodeableReference
AdverseEvent.suspectEntity.causality	Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from productRelatedness to 0 entityRelatedness Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor	Added Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.mitigatingAction	Added Element
AdverseEvent.supportingInfo	Added Element
AdverseEvent.note	Added Element
Immunization.reported AdverseEvent.date	deleted Deleted
Immunization.performer AdverseEvent.severity	deleted Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
Immunization.requester AdverseEvent.contributor	deleted 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)
ImmunizationRecommendation AllergyIntolerance
ImmunizationRecommendation.recommendation.vaccineCode AllergyIntolerance.clinicalStatus	Min Cardinality Remove code resolved
AllergyIntolerance.type	Type changed from 1 code to 0 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` (required)
AllergyIntolerance.recorder	Type Reference: Added Target Type Organization
ImmunizationRecommendation.recommendation.targetDisease AllergyIntolerance.lastReactionOccurrence	Added Element
ImmunizationRecommendation.recommendation.protocol.doseSequence AllergyIntolerance.reaction.manifestation	Type changed from integer CodeableConcept to positiveInt CodeableReference
AllergyIntolerance.lastOccurrence	Deleted
ImplementationGuide Appointment
ImplementationGuide.status Appointment.cancellationReason	Change value set Renamed from http://hl7.org/fhir/ValueSet/conformance-resource-status cancelationReason to http://hl7.org/fhir/ValueSet/publication-status cancellationReason
Appointment.class	Added Element
ImplementationGuide.experimental Appointment.serviceType	Now marked as Modifier Type changed from CodeableConcept to CodeableReference
Appointment.reason	Renamed from reasonCode to reason Type changed from CodeableConcept to CodeableReference
ImplementationGuide.contact Appointment.priority	Type changed from BackboneElement unsignedInt to ContactDetail 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
ImplementationGuide.description Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to markdown CodeableReference
ImplementationGuide.useContext Appointment.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Appointment.subject	Added Element
Appointment.participant.actor	Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required	Type changed from CodeableConcept code to UsageContext boolean Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) `http://hl7.org/fhir/ValueSet/participantrequired|4.3.0` (required)
ImplementationGuide.jurisdiction 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
ImplementationGuide.copyright 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
ImplementationGuide.package AuditEvent.type	Min Cardinality Type changed from 1 Coding to 0 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.subtype	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
ImplementationGuide.package.resource.example AuditEvent.severity	Added Element
AuditEvent.occurred[x]	Added Element
ImplementationGuide.global.type AuditEvent.outcome	Type changed from code to BackboneElement Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0` (required)
AuditEvent.outcome.code	Add Codes ActivityDefinition, AdverseEvent, CapabilityStatement, 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 Types CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport DeviceDefinition, Group, HealthcareService
ImplementationGuide.page AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
ImplementationGuide.page.title AuditEvent.agent.network[x]	Renamed from name network to title 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)
ImplementationGuide.page.type 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 Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse 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 Codes ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Element
ImplementationGuide.contact.name AuditEvent.period	deleted Deleted
ImplementationGuide.contact.telecom AuditEvent.outcomeDesc	deleted Deleted (-> outcome)
ImplementationGuide.package.resource.purpose AuditEvent.agent.altId	deleted Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
Library 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)
Basic
Basic.code	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 Resource Target Types Device, CareTeam
Linkage Binary	Added Resource No Changes
List BiologicallyDerivedProduct
List.note BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type changed from string code to Annotation CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.3.0` (required)
Location BiologicallyDerivedProduct.biologicalSourceEvent	Added Element
Location.operationalStatus BiologicallyDerivedProduct.processingFacility	Added Element
Location.alias BiologicallyDerivedProduct.division	Added Element
Location.endpoint BiologicallyDerivedProduct.productStatus	Added Element
Measure BiologicallyDerivedProduct.expirationDate	Added Resource Element
MeasureReport BiologicallyDerivedProduct.collection.sourcePatient	Added Resource Element
Media BiologicallyDerivedProduct.collection.sourceOrganization	Added Element
Media.basedOn BiologicallyDerivedProduct.collection.procedure	Added Element
Media.context BiologicallyDerivedProduct.storageTempRequirements	Added Element
Media.occurrence[x] BiologicallyDerivedProduct.property	Added Element
Media.reasonCode BiologicallyDerivedProduct.property.type	Added Mandatory Element
Media.bodySite BiologicallyDerivedProduct.property.value[x]	Added Mandatory Element
BiologicallyDerivedProduct.status	Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity	Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.collection.source	Deleted
BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BodyStructure
Media.device BodyStructure.includedStructure	Added Mandatory Element
Media.note BodyStructure.includedStructure.structure	Added Mandatory Element
Media.deviceName BodyStructure.includedStructure.laterality	deleted Added Element
Medication BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
Medication.status BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Added Element
Medication.isOverTheCounter BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Added Element
Medication.form BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
Medication.ingredient BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device	Added Element
Medication.ingredient.item[x] BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value	Added Element
Medication.ingredient.isActive BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation	Added Element
Medication.ingredient.amount BodyStructure.includedStructure.spatialReference	Added Element
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Added Element
BodyStructure.excludedStructure	Added Element
Medication.package.content.item[x] BodyStructure.description	Renamed Type changed from item string to item[x] markdown
BodyStructure.morphology	Deleted
BodyStructure.location	Deleted
BodyStructure.locationQualifier	Deleted
Bundle
Bundle.type	Add CodeableConcept code subscription-notification
Bundle.link.relation	Type changed from string to code Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Medication.package.batch Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
Medication.package.batch.lotNumber CapabilityStatement.identifier	Added Element
Medication.package.batch.expirationDate CapabilityStatement.versionAlgorithm[x]	Added Element
Medication.image CapabilityStatement.actorDefinition	Added Element
Medication.product CapabilityStatement.jurisdiction	deleted Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MedicationAdministration 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
CapabilityStatement.format	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 to Patch Mime Types Add codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
MedicationAdministration.definition 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	Type changed from code to uri Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Extended Resource Types
MedicationAdministration.partOf CapabilityStatement.rest.resource.definition	Added Element
MedicationAdministration.status CapabilityStatement.rest.resource.interaction.code	Add Code unknown codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
MedicationAdministration.category CapabilityStatement.rest.resource.conditionalPatch	Added Element
MedicationAdministration.subject CapabilityStatement.rest.resource.searchParam.type	Renamed Add code resource
CapabilityStatement.messaging.endpoint.protocol	Change code system for extensibly bound codes from patient "http://terminology.hl7.org/CodeSystem/message-transport" to subject "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn	Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.status	Remove codes revoked , completed Add Reference(Group) code ended
MedicationAdministration.context CarePlan.intent	Add code directive
CarePlan.custodian	Renamed from encounter author to context custodian
CarePlan.addresses	Add Reference(EpisodeOfCare) Type changed from Reference(Condition) to CodeableReference
MedicationAdministration.supportingInformation CarePlan.activity.performedActivity	Added Element
CarePlan.activity.plannedActivityReference	Renamed from reference to plannedActivityReference Type Reference: Added Target 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
MedicationAdministration.effective[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)
Claim
Claim.traceNumber	Added Element
Claim.statusReason	Added Element
Claim.subject	Added Mandatory Element
MedicationAdministration.performer Claim.enterer	Renamed Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider	Min Cardinality changed from practitioner 1 to performer 0
Claim.priority	Max Min Cardinality changed from 1 to * 0
Claim.prescription	Remove Reference(Practitioner), Remove Reference(Patient), Remove Reference(RelatedPerson) Type Reference: Added Target Type ServiceRequest
Claim.originalPrescription	Type Reference: Added Target Type ServiceRequest
MedicationAdministration.performer.actor Claim.encounter	Added Element
Claim.facility	Type Reference: Added Target Type Organization
MedicationAdministration.performer.onBehalfOf Claim.diagnosisRelatedGroup	Added Element
Claim.event	Added Element
Claim.event.type	Added Mandatory Element
Claim.event.when[x]	Added Mandatory Element
Claim.careTeam.specialty	Added Element
Claim.supportingInfo.subCategory	Added Element
MedicationAdministration.notGiven Claim.supportingInfo.timing[x]	Renamed Add Types dateTime, Timing Remove Type date
Claim.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
Claim.insurance	Min Cardinality changed from wasNotGiven 1 to notGiven 0
MedicationAdministration.reasonCode Claim.patientPaid	Added Element
MedicationAdministration.reasonReference Claim.item.traceNumber	Added Element
Claim.item.subject	Added Element
MedicationAdministration.prescription Claim.item.productOrService	Type Min Cardinality changed from Reference(MedicationOrder) 1 to Reference(MedicationRequest) 0
Claim.item.productOrServiceEnd	Added Element
Claim.item.request	Added Element
Claim.item.patientPaid	Added Element
Claim.item.tax	Added Element
MedicationAdministration.note Claim.item.bodySite	Max Cardinality changed from 1 to * Type changed from string CodeableConcept to Annotation BackboneElement
Claim.item.bodySite.site	Added Mandatory Element
Claim.item.bodySite.subSite	Added Element
Claim.item.detail.traceNumber	Added Element
MedicationAdministration.dosage.site Claim.item.detail.productOrService	Renamed Min Cardinality changed from site[x] 1 to site 0
Claim.item.detail.productOrServiceEnd	Remove Reference(BodySite) Added Element
Claim.item.detail.patientPaid	Added Element
Claim.item.detail.tax	Added Element
Claim.item.detail.subDetail.traceNumber	Added Element
MedicationAdministration.dosage.dose Claim.item.detail.subDetail.productOrService	Renamed Min Cardinality changed from quantity 1 to dose 0
MedicationAdministration.dosage.rate[x] Claim.item.detail.subDetail.productOrServiceEnd	Remove Range, Add Quantity{http://hl7.org/fhir/StructureDefinition/SimpleQuantity} Added Element
MedicationAdministration.eventHistory Claim.item.detail.subDetail.patientPaid	Added Element
Claim.item.detail.subDetail.tax	Added Element
MedicationAdministration.reasonGiven Claim.patient	deleted Deleted
MedicationAdministration.effectiveTime[x] Claim.careTeam.responsible	deleted Deleted
Claim.careTeam.qualification	Deleted
Claim.diagnosis.packageCode	Deleted
Claim.item.subSite	Deleted
MedicationDispense ClaimResponse
ClaimResponse.traceNumber	Added Element
ClaimResponse.statusReason	Added Element
ClaimResponse.subject	Added Mandatory Element
MedicationDispense.identifier ClaimResponse.insurer	Max Min Cardinality changed from 1 to * 0
ClaimResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Claim Processing Codes
MedicationDispense.partOf 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.supportingInfo	Added Element
ClaimResponse.supportingInfo.sequence	Added Mandatory Element
ClaimResponse.supportingInfo.category	Added Mandatory Element
ClaimResponse.supportingInfo.code	Added Element
ClaimResponse.supportingInfo.timing[x]	Added Element
ClaimResponse.supportingInfo.value[x]	Added Element
ClaimResponse.supportingInfo.reason	Added Element
ClaimResponse.item.traceNumber	Added Element
ClaimResponse.item.informationSequence	Added Element
ClaimResponse.item.reviewOutcome	Added Element
ClaimResponse.item.reviewOutcome.decision	Added Element
ClaimResponse.item.reviewOutcome.reason	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
MedicationDispense.status ClaimResponse.item.adjudication	Add Code preparation Min Cardinality changed from 1 to 0
MedicationDispense.category ClaimResponse.item.adjudication.quantity	Added Element
ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.item.detail.reviewOutcome	Added Element
MedicationDispense.subject ClaimResponse.item.detail.adjudication	Renamed Min Cardinality changed from patient 1 to subject 0
ClaimResponse.item.detail.subDetail.traceNumber	Add Reference(Group) Added Element
MedicationDispense.context ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
MedicationDispense.supportingInformation ClaimResponse.addItem.traceNumber	Added Element
MedicationDispense.performer ClaimResponse.addItem.subject	Added Element
MedicationDispense.performer.actor ClaimResponse.addItem.informationSequence	Added Element
MedicationDispense.performer.onBehalfOf ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.category	Added Element
MedicationDispense.authorizingPrescription ClaimResponse.addItem.productOrService	Type Min Cardinality changed from Reference(MedicationOrder) 1 to Reference(MedicationRequest) 0
ClaimResponse.addItem.productOrServiceEnd	Added Element
ClaimResponse.addItem.request	Added Element
ClaimResponse.addItem.tax	Added Element
MedicationDispense.note ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from string CodeableConcept to Annotation BackboneElement
ClaimResponse.addItem.bodySite.site	Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite	Added Element
ClaimResponse.addItem.reviewOutcome	Added Element
MedicationDispense.dosageInstruction ClaimResponse.addItem.adjudication	Type Min Cardinality changed from BackboneElement 1 to Dosage 0
MedicationDispense.substitution.wasSubstituted ClaimResponse.addItem.detail.traceNumber	Added Element
ClaimResponse.addItem.detail.revenue	Added Element
MedicationDispense.substitution.type ClaimResponse.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
MedicationDispense.detectedIssue ClaimResponse.addItem.detail.productOrServiceEnd	Added Element
MedicationDispense.notDone ClaimResponse.addItem.detail.tax	Added Element
MedicationDispense.notDoneReason[x] ClaimResponse.addItem.detail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.adjudication	Min Cardinality changed from 1 to 0
MedicationDispense.eventHistory ClaimResponse.addItem.detail.subDetail.traceNumber	Added Element
MedicationDispense.dispenser ClaimResponse.addItem.detail.subDetail.revenue	deleted Added Element
MedicationDispense.dosageInstruction.text ClaimResponse.addItem.detail.subDetail.productOrService	deleted Min Cardinality changed from 1 to 0
MedicationDispense.dosageInstruction.additionalInstructions ClaimResponse.addItem.detail.subDetail.productOrServiceEnd	deleted Added Element
MedicationDispense.dosageInstruction.timing ClaimResponse.addItem.detail.subDetail.tax	deleted Added Element
MedicationDispense.dosageInstruction.asNeeded[x] ClaimResponse.addItem.detail.subDetail.reviewOutcome	deleted Added Element
MedicationDispense.dosageInstruction.site[x] ClaimResponse.addItem.detail.subDetail.adjudication	deleted Min Cardinality changed from 1 to 0
MedicationDispense.dosageInstruction.route ClaimResponse.processNote.class	deleted Added Element
MedicationDispense.dosageInstruction.method ClaimResponse.processNote.type	deleted 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
MedicationDispense.dosageInstruction.dose[x] ClaimResponse.patient	deleted Deleted
MedicationDispense.dosageInstruction.rate[x] ClaimResponse.item.adjudication.value	deleted Deleted
MedicationDispense.dosageInstruction.maxDosePerPeriod ClaimResponse.addItem.subSite	deleted Deleted
MedicationRequest ClinicalUseDefinition
ClinicalUseDefinition.subject	Name Changed Min Cardinality changed from MedicationOrder 0 to MedicationRequest 1 Type changed from Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance) to CodeableReference
ClinicalUseDefinition.status	Now marked as Modifier
MedicationRequest.definition ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalUseDefinition.indication.intendedEffect	Max Cardinality changed from 1 to *
ClinicalUseDefinition.indication.undesirableEffect	Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.indication.applicability	Added Element
MedicationRequest.basedOn ClinicalUseDefinition.indication.otherTherapy.relationshipType	Added Mandatory Element
MedicationRequest.groupIdentifier ClinicalUseDefinition.indication.otherTherapy.treatment	Added Mandatory Element
MedicationRequest.status ClinicalUseDefinition.contraindication.indication	Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.contraindication.applicability	Added Element
ClinicalUseDefinition.contraindication.management	Added Element
ClinicalUseDefinition.contraindication.otherTherapy	Remove Type BackboneElement
ClinicalUseDefinition.interaction.interactant.route	Added Element
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/medication-order-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/medication-request-status Jurisdiction ValueSet
MedicationRequest.intent CodeSystem.copyrightLabel	Added Element
MedicationRequest.category CodeSystem.approvalDate	Added Element
MedicationRequest.priority CodeSystem.lastReviewDate	Added Element
MedicationRequest.subject CodeSystem.effectivePeriod	Added Element
MedicationRequest.context CodeSystem.topic	Added Element
MedicationRequest.supportingInformation CodeSystem.author	Added Element
MedicationRequest.authoredOn CodeSystem.editor	Added Element
MedicationRequest.requester CodeSystem.reviewer	Added Element
MedicationRequest.requester.agent CodeSystem.endorser	Added Element
MedicationRequest.requester.onBehalfOf 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
MedicationRequest.recorder 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
MedicationRequest.reasonCode 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
MedicationRequest.reasonReference CommunicationRequest.intent	Added Mandatory Element
MedicationRequest.note 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 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 , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , Permission , RequestOrchestration , 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 string 1 to Annotation *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
MedicationRequest.dosageInstruction Composition.status	Type Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from BackboneElement 1 to Dosage *
Composition.useContext	Added Element
MedicationRequest.dispenseRequest.expectedSupplyDuration Composition.author	Type Min Cardinality changed from Quantity{http://hl7.org/fhir/StructureDefinition/Duration} 1 to Duration 0 Type Reference: Added Target Type CareTeam
MedicationRequest.dispenseRequest.performer Composition.participant	Added Element
MedicationRequest.substitution.allowed 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
MedicationRequest.priorPrescription Composition.title	Min Cardinality changed from 1 to 0
Composition.note	Added Element
Composition.attester.mode	Type changed from Reference(MedicationOrder) code to Reference(MedicationRequest) CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0` (required)
Composition.attester.party	Type Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
MedicationRequest.detectedIssue 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.section.author	Type Reference: Added Target Type CareTeam
MedicationRequest.eventHistory Composition.section.note	Added Element
MedicationOrder.dateWritten Composition.confidentiality	deleted Deleted
MedicationOrder.dateEnded Composition.relatesTo.code	deleted Deleted
MedicationOrder.reasonEnded Composition.event.code	deleted Deleted
MedicationOrder.patient Composition.section.mode	deleted Deleted
MedicationOrder.prescriber ConceptMap
ConceptMap.identifier	deleted Max Cardinality changed from 1 to *
MedicationOrder.encounter ConceptMap.versionAlgorithm[x]	deleted Added Element
MedicationOrder.reason[x] ConceptMap.jurisdiction	deleted Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MedicationOrder.dosageInstruction.text ConceptMap.copyrightLabel	deleted Added Element
MedicationOrder.dosageInstruction.additionalInstructions ConceptMap.approvalDate	deleted Added Element
MedicationOrder.dosageInstruction.timing ConceptMap.lastReviewDate	deleted 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
MedicationOrder.dosageInstruction.asNeeded[x] ConceptMap.source[x]	deleted Deleted
MedicationOrder.dosageInstruction.site[x] ConceptMap.target[x]	deleted Deleted
MedicationOrder.dosageInstruction.route ConceptMap.group.sourceVersion	deleted Deleted (-> canonical version in .group.source)
MedicationOrder.dosageInstruction.method ConceptMap.group.targetVersion	deleted Deleted (-> canonical version in .group.target)
MedicationOrder.dosageInstruction.dose[x] ConceptMap.group.element.target.equivalence	deleted Deleted (-> relationship)
MedicationOrder.dosageInstruction.rate[x] ConceptMap.group.element.target.dependsOn.system	deleted Deleted (-> value as Coding)
MedicationOrder.dosageInstruction.maxDosePerPeriod ConceptMap.group.element.target.dependsOn.display	deleted Deleted (-> value as Coding)
Condition
Condition.clinicalStatus	Min Cardinality changed from 0 to 1 Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.verificationStatus	Remove codes provisional , differential
Condition.category	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.bodyStructure	Added Element
Condition.recorder	Type Reference: Added Target Type Group
Condition.asserter	Type Reference: Added Target Types Device, Group
Condition.stage.assessment	Type Reference: Removed Target Type ClinicalImpression
Condition.evidence	Type changed from BackboneElement to CodeableReference
MedicationOrder.dispenseRequest.medication[x] Condition.evidence.code	deleted Deleted (-> Condition.evidence)
MedicationOrder.substitution.type Condition.evidence.detail	deleted Deleted (-> Condition.evidence)
MedicationStatement 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
MedicationStatement.basedOn Consent.period	Added Element
MedicationStatement.partOf Consent.grantor	Added Element
Consent.grantee	Renamed from performer to grantee Type Reference: Added Target Types CareTeam, Group, HealthcareService
MedicationStatement.context Consent.manager	Added Element
MedicationStatement.status Consent.controller	Add Codes stopped, on-hold Added Element
MedicationStatement.category Consent.sourceAttachment	Added Element
MedicationStatement.informationSource Consent.sourceReference	Add Reference(Organization) Added Element
MedicationStatement.subject Consent.regulatoryBasis	Added Element
Consent.policyBasis	Renamed from patient policy to subject policyBasis Add Reference(Group) Max Cardinality changed from * to 1
MedicationStatement.derivedFrom Consent.policyBasis.reference	Renamed Added Element
Consent.policyBasis.uri	Moved from supportingInformation Consent.policy to derivedFrom Consent.policyBasis
MedicationStatement.taken Consent.policyText	Added Element
MedicationStatement.reasonCode Consent.verification.type	Added Element
MedicationStatement.reasonReference Consent.verification.verifiedBy	Added Element
MedicationStatement.note Consent.verification.verifiedWith	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.provisionReference	Added Element
Consent.provision	Max Cardinality changed from 1 to *
Consent.provision.actor.role	Type Min Cardinality changed from string 1 to Annotation 0 Change value set from http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
MedicationStatement.dosage Consent.provision.actor.reference	Type Min Cardinality changed from BackboneElement 1 to Dosage 0
MedicationStatement.wasNotTaken Consent.provision.securityLabel	deleted Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
MedicationStatement.reasonForUse[x] Consent.provision.documentType	deleted Added Element
MedicationStatement.dosage.text Consent.provision.resourceType	deleted Renamed from class to resourceType Change value set from Consent Content Class to Resource Types
Consent.provision.expression	Added Element
MedicationStatement.dosage.timing Consent.scope	deleted Deleted (-> Merged with Consent.category)
MedicationStatement.dosage.asNeeded[x] Consent.organization	deleted Deleted (-> split into Consent.manager and Consent.controller)
MedicationStatement.dosage.site[x] Consent.source[x]	deleted Deleted
MedicationStatement.dosage.route Consent.policy.authority	deleted Deleted
MedicationStatement.dosage.method Consent.policyRule	deleted Deleted
MedicationStatement.dosage.quantity[x] Consent.verification.verificationDate	deleted 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
MedicationStatement.dosage.rate[x] Contract.term.action.reasonCode	deleted Deleted (-> reason)
MedicationStatement.dosage.maxDosePerPeriod Contract.term.action.reasonReference	deleted Deleted (-> reason)
MessageDefinition Coverage
Coverage.statusReason	Added Resource Element
MessageHeader Coverage.kind	Added Mandatory Element
MessageHeader.event Coverage.paymentBy	No longer marked as Modifier Added Element
MessageHeader.sender Coverage.paymentBy.party	Added Mandatory Element
Coverage.paymentBy.responsibility	Added Element
MessageHeader.response Coverage.subscriberId	No longer marked as Modifier Max Cardinality changed from 1 to * Type changed from string to Identifier
Coverage.insurer	Added Element
MessageHeader.response.code Coverage.class.value	No longer marked as Modifier 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
MessageHeader.focus Coverage.costToBeneficiary.value[x]	Renamed Min Cardinality changed from data 1 to focus 0
MetadataResource Coverage.insurancePlan	Added Resource Element
Coverage.payor	Deleted
NamingSystem 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
NamingSystem.status CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to http://hl7.org/fhir/ValueSet/publication-status Eligibility Outcome
NamingSystem.contact CoverageEligibilityResponse.insurance.item.description	Type changed from BackboneElement string to ContactDetail markdown
CoverageEligibilityResponse.error.expression	Added Element
DetectedIssue
NamingSystem.description DetectedIssue.status	Type changed Change value set from string http://hl7.org/fhir/ValueSet/observation-status|4.3.0 to markdown Detected Issue Status Remove codes registered , amended , corrected , cancelled Add code mitigated
DetectedIssue.category	Added Element
NamingSystem.useContext DetectedIssue.severity	Type changed from CodeableConcept code to UsageContext CodeableConcept Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0` (required)
NamingSystem.jurisdiction DetectedIssue.subject	Added Element
NamingSystem.uniqueId.comment DetectedIssue.encounter	Added Element
NamingSystem.contact.name DetectedIssue.identified[x]	deleted Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.expectedOnsetType	Added Element
DetectedIssue.medicationClass	Added Element
DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
NamingSystem.contact.telecom DetectedIssue.patient	deleted Deleted
NutritionOrder Device
NutritionOrder.status Device.definition	Change value set Type changed from http://hl7.org/fhir/ValueSet/nutrition-order-status Reference(DeviceDefinition) to http://hl7.org/fhir/ValueSet/nutrition-request-status canonical(DeviceDefinition)
Observation Device.udiCarrier.deviceIdentifier	Min Cardinality changed from 0 to 1
Observation.basedOn Device.udiCarrier.deviceIdentifierSystem	Added Element
Observation.status Device.udiCarrier.issuer	Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType	Add Code corrected 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 Type changed from code to CodeableConcept Change binding strength from required to extensible
Device.name.display	Added Element
Device.category	Added Element
Observation.category Device.type	Max Cardinality changed from 1 to *
Observation.context Device.deviceVersion	Added Element
Device.deviceVersion.type	Added Element
Device.deviceVersion.component	Added Element
Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Added Mandatory Element
Device.conformsTo	Renamed from encounter specialization to context conformsTo
Device.conformsTo.category	Add Reference(EpisodeOfCare) Added Element
Observation.value[x] Device.conformsTo.specification	Add boolean Added Mandatory Element
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.property.value[x]	Added Mandatory Element
Device.additive	Added Element
Device.additive.type	Added Mandatory Element
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
Observation.comment DeviceDefinition.version	Max Cardinality changed from * to 1
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 comments manufacturer[x] to comment manufacturer Remove Type string
Observation.referenceRange.type DeviceDefinition.date	Added Element
Observation.referenceRange.appliesTo 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.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier	Added Element
DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifierSystem	Added Element
DeviceDefinition.deviceName.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceDefinition.classification	Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification	Added Element
DeviceDefinition.conformsTo	Renamed from meaning specialization to appliesTo 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 *
Observation.related.target DeviceDefinition.conformsTo.source	Add Reference(Sequence) Added Element
Observation.component.interpretation DeviceDefinition.hasPart	Added Element
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.deviceVersion	Added Element
DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.deviceVersion.component	Added Element
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[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.owner	Deleted
DeviceDefinition.quantity	Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice	Deleted (Removed - to establish relations, use hasPArt)
OperationDefinition DeviceMetric
DeviceMetric.status	Added Mandatory Element
OperationDefinition.status 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/conformance-resource-status http://hl7.org/fhir/ValueSet/metric-color|4.3.0 to http://hl7.org/fhir/ValueSet/publication-status Color Codes (Names or RGB Values)
DeviceMetric.measurementFrequency	Added Element
DeviceMetric.availability	Added Element
OperationDefinition.experimental DeviceMetric.calibration.type	Now marked as Modifier 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
OperationDefinition.contact DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.doNotPerform	Added Element
DeviceRequest.product[x]	Added Mandatory Element
DeviceRequest.quantity	Added Element
DeviceRequest.requester	Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from BackboneElement Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to ContactDetail CodeableReference
DeviceRequest.location	Added Element
DeviceRequest.reason	Added Element
DeviceRequest.asNeeded	Added Element
DeviceRequest.asNeededFor	Added Element
DeviceRequest.instantiatesCanonical	Deleted
DeviceRequest.instantiatesUri	Deleted
DeviceRequest.code[x]	Deleted
DeviceRequest.performerType	Deleted (-> performer)
DeviceRequest.reasonCode	Deleted (-> reason)
DeviceRequest.reasonReference	Deleted (-> reason)
DiagnosticReport
OperationDefinition.description DiagnosticReport.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
DiagnosticReport.status	Remove codes preliminary , corrected , appended
DiagnosticReport.subject	Type Reference: Added Target Type BiologicallyDerivedProduct Type Reference: Removed Target Type Procedure
DiagnosticReport.relatesTo	Added Element
DiagnosticReport.issued	Type changed from instant to dateTime
DiagnosticReport.procedure	Added Element
DiagnosticReport.performer	Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types 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
OperationDefinition.useContext DiagnosticReport.recomendation	Added Element
OperationDefinition.jurisdiction DiagnosticReport.communication	Added Element
DiagnosticReport.comparison	Added Element
DiagnosticReport.imagingStudy	Deleted
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
OperationDefinition.purpose DocumentReference.docStatus	Renamed Remove code preliminary Add codes registered , partial , 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 requirements 1 to purpose * Type changed from string BackboneElement to markdown Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event	Added Element
DocumentReference.related	Added Element
DocumentReference.bodyStructure	Added Element
DocumentReference.facilityType	Added Element
DocumentReference.practiceSetting	Added Element
DocumentReference.period	Added Element
OperationDefinition.comment DocumentReference.date	Renamed Type changed from notes instant to comment dateTime
OperationDefinition.resource DocumentReference.author	Renamed Type Reference: Added Target 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 type code to resource CodeableConcept Change binding strength from required to extensible
DocumentReference.description	Type changed from string to markdown
DocumentReference.securityLabel	Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse 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 ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport 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
OperationDefinition.type Encounter.class	Min Cardinality changed from 0 to 1 to 0 Max Cardinality changed from * to 1 to * Type changed from code Coding to boolean CodeableConcept Remove Binding http://hl7.org/fhir/ValueSet/resource-types (required) `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
OperationDefinition.parameter.type Encounter.serviceType	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/operation-parameter-type 1 to http://hl7.org/fhir/ValueSet/all-types * Type changed from CodeableConcept to CodeableReference
OperationDefinition.parameter.searchType Encounter.subjectStatus	Added Element
Encounter.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
OperationDefinition.overload Encounter.careTeam	Added Element
Encounter.participant.actor	Renamed from individual to actor Type Reference: Added Target Types Patient, Group, Device, HealthcareService
OperationDefinition.overload.parameterName Encounter.virtualService	Added Element
Encounter.actualPeriod	Renamed from period to actualPeriod
OperationDefinition.overload.comment Encounter.plannedStartDate	Added Element
OperationDefinition.contact.name Encounter.plannedEndDate	deleted Added Element
OperationDefinition.contact.telecom Encounter.reason	deleted Renamed from reasonCode to reason Type changed from CodeableConcept to BackboneElement
OperationOutcome Encounter.reason.use	Added Element
OperationOutcome.issue.expression 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)
Organization Endpoint
Organization.type 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)
Organization.alias Endpoint.description	Added Element
Organization.endpoint 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
Parameters EnrollmentRequest
Parameters.parameter.value[x] EnrollmentRequest.candidate	Add Age, Add Count, Add Distance, Add Duration, Add Money Type Reference: Added Target Type Group
Patient EnrollmentResponse
Patient.maritalStatus EnrollmentResponse.outcome	Change binding strength value set from required http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to extensible Enrollment Outcome
EnrollmentResponse.candidate	Added Element
EpisodeOfCare
EpisodeOfCare.reason	Added Element
EpisodeOfCare.reason.use	Added Element
EpisodeOfCare.reason.value	Added Element
Patient.contact.relationship EpisodeOfCare.diagnosis.condition	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/patient-contact-relationship 1 to http://hl7.org/fhir/ValueSet/v2-0131 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
Patient.communication.language EventDefinition.subject[x]	Change binding strength value set from required http://hl7.org/fhir/ValueSet/subject-type to extensible 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://tools.ietf.org/html/bcp47 http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/languages Jurisdiction ValueSet
Patient.generalPractitioner EventDefinition.usage	Renamed Type changed from careProvider string to generalPractitioner markdown
Patient.link.other EventDefinition.copyrightLabel	Add Reference(RelatedPerson) Added Element
Evidence
Evidence.versionAlgorithm[x]	No longer marked as Modifier Added Element
Patient.link.type Evidence.name	Added Element
Evidence.citeAs	Renamed from citeAs[x] to citeAs Remove Code replace Type Reference(Citation)
Evidence.experimental	Add Codes replaced-by, replaces Added Element
Evidence.recorder	No longer marked as Modifier Added Element
PaymentNotice Evidence.purpose	Added Element
PaymentNotice.status Evidence.copyright	Added Element
PaymentNotice.statusDate Evidence.copyrightLabel	Added Element
Evidence.relatesTo	Added Element
Evidence.relatesTo.type	Added Mandatory Element
Evidence.relatesTo.target[x]	Added Mandatory Element
PaymentNotice.paymentStatus Evidence.variableDefinition	Min Cardinality changed from 1 to 0
Evidence.variableDefinition.variableRole	Type changed from Coding to CodeableConcept to code Change binding strength from extensible to required
PaymentNotice.ruleset Evidence.variableDefinition.roleSubtype	deleted Added Element
PaymentNotice.originalRuleset Evidence.variableDefinition.comparatorCategory	deleted Added Element
PaymentReconciliation Evidence.variableDefinition.directnessMatch	Remove Binding `http://hl7.org/fhir/ValueSet/directness` (extensible)
Evidence.synthesisType	Max Cardinality changed from 1 to * Remove Binding `http://hl7.org/fhir/ValueSet/synthesis-type` (extensible)
PaymentReconciliation.status Evidence.studyDesign	Added Element
PaymentReconciliation.outcome Evidence.statistic.description	Type changed from code string to CodeableConcept markdown
Evidence.statistic.statisticType	Add Code partial Remove Binding `http://hl7.org/fhir/ValueSet/statistic-type` (extensible)
PaymentReconciliation.detail.type Evidence.statistic.sampleSize.description	Type changed from Coding string to CodeableConcept markdown
PaymentReconciliation.detail.response Evidence.statistic.sampleSize.numberAnalyzed	Added Element
PaymentReconciliation.detail.amount Evidence.statistic.attributeEstimate.description	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} string to Money markdown
PaymentReconciliation.form Evidence.statistic.attributeEstimate.type	Remove Binding `http://hl7.org/fhir/ValueSet/attribute-estimate-type` (extensible)
Evidence.statistic.modelCharacteristic.code	Remove Binding `http://hl7.org/fhir/ValueSet/statistic-model-code` (extensible)
Evidence.statistic.modelCharacteristic.value[x]	Renamed from value to value[x] Add Types Range, CodeableConcept
Evidence.statistic.modelCharacteristic.intended	Added Element
Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.modelCharacteristic.variable.handling	Type changed from Coding code to CodeableConcept Remove Binding http://hl7.org/fhir/ValueSet/forms `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
Evidence.statistic.modelCharacteristic.attribute	Added Element
PaymentReconciliation.total Evidence.certainty.description	Min Type changed from string to markdown
Evidence.certainty.type	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-type` (extensible)
Evidence.certainty.rating	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-rating` (extensible)
Evidence.certainty.rater	Max Cardinality changed from 1 to 0 *
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.relatesTo	Added Element
EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.definition	Added Element
EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Type changed from Quantity{http://hl7.org/fhir/StructureDefinition/Money} code to Money CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
EvidenceVariable.category.value[x]	Add Type Reference(Group)
PaymentReconciliation.processNote EvidenceVariable.conditional	Added Element
PaymentReconciliation.processNote.type EvidenceVariable.classifier	Added Element
PaymentReconciliation.processNote.text EvidenceVariable.dataStorage	Added Element
EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.timing	Added Element
EvidenceVariable.period	Added Element
EvidenceVariable.constraint	Added Element
EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.constraint.code	Added Element
EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.constraint.expectedUnitsValueSet	Added Element
EvidenceVariable.constraint.anyValueAllowed	Added Element
EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
PaymentReconciliation.ruleset EvidenceVariable.subtitle	deleted Deleted
PaymentReconciliation.originalRuleset EvidenceVariable.relatedArtifact	deleted Deleted
PaymentReconciliation.detail.responce EvidenceVariable.characteristicCombination	deleted Deleted
PaymentReconciliation.note EvidenceVariable.characteristic	deleted Deleted
Person ExampleScenario
ExampleScenario.versionAlgorithm[x]	No Changes Added Element
PlanDefinition ExampleScenario.title	Added Resource Element
Practitioner 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
Practitioner.name ExampleScenario.actor.type	Max 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 codes system , collective , other
Practitioner.communication 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://tools.ietf.org/html/bcp47 http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to http://hl7.org/fhir/ValueSet/languages Example Scenario Resource Type
Practitioner.practitionerRole ExampleScenario.instance.structureVersion	deleted Added Element
PractitionerRole ExampleScenario.instance.structureProfile[x]	Added Resource Element
Procedure ExampleScenario.instance.title	Renamed from name to title Min Cardinality changed from 0 to 1
Procedure.definition ExampleScenario.instance.content	Added Element
ExampleScenario.instance.version.key	Added Mandatory Element
ExampleScenario.instance.version.title	Added Mandatory Element
Procedure.basedOn ExampleScenario.instance.version.description	Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content	Added Element
ExampleScenario.instance.containedInstance.instanceReference	Renamed from request resourceId to basedOn 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	Remove Reference(DiagnosticOrder) Type changed from string to Coding Add Binding `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
Procedure.partOf ExplanationOfBenefit.statusReason	Added Element
ExplanationOfBenefit.subject	Added Mandatory Element
Procedure.status 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/procedure-status http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to http://hl7.org/fhir/ValueSet/event-status Claim Processing Codes
ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element
Procedure.notDone ExplanationOfBenefit.supportingInfo.timing[x]	Renamed Add Types dateTime, Timing Remove Type 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 notPerformed 1 to notDone 0
ExplanationOfBenefit.patientPaid	Added Element
ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	Added Element
Procedure.notDoneReason ExplanationOfBenefit.item.productOrService	Renamed Min Cardinality changed from reasonNotPerformed 1 to notDoneReason 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 1 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
Procedure.code ExplanationOfBenefit.item.detail.productOrService	Min Cardinality changed from 1 to 0
Procedure.context ExplanationOfBenefit.item.detail.productOrServiceEnd	Renamed from encounter to context Added Element
ExplanationOfBenefit.item.detail.patientPaid	Add Reference(EpisodeOfCare) Added Element
ExplanationOfBenefit.item.detail.tax	Added Element
ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
Procedure.performer.actor ExplanationOfBenefit.item.detail.subDetail.productOrService	Min Cardinality changed from 0 to 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd	Add Reference(Device) Added Element
Procedure.performer.onBehalfOf ExplanationOfBenefit.item.detail.subDetail.patientPaid	Added Element
Procedure.reasonCode ExplanationOfBenefit.item.detail.subDetail.tax	Added Element
Procedure.reasonReference ExplanationOfBenefit.item.detail.subDetail.reviewOutcome	Added Element
Procedure.complicationDetail 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
Procedure.note ExplanationOfBenefit.addItem.productOrService	Renamed Min Cardinality changed from notes 1 to note 0
Procedure.focalDevice.action ExplanationOfBenefit.addItem.productOrServiceEnd	Remove Binding http://hl7.org/fhir/ValueSet/device-action (required) Added Element
ExplanationOfBenefit.addItem.request	Added Element
ExplanationOfBenefit.addItem.patientPaid	Added Element
ExplanationOfBenefit.addItem.tax	Added Element
Procedure.usedReference ExplanationOfBenefit.addItem.bodySite	Renamed Max Cardinality changed from used 1 to usedReference * Type changed from CodeableConcept to BackboneElement
Procedure.usedCode ExplanationOfBenefit.addItem.bodySite.site	Added Mandatory Element
Procedure.reason[x] ExplanationOfBenefit.addItem.bodySite.subSite	deleted Added Element
ProcedureRequest ExplanationOfBenefit.addItem.reviewOutcome	Added Element
ProcedureRequest.definition ExplanationOfBenefit.addItem.detail.traceNumber	Added Element
ProcedureRequest.basedOn ExplanationOfBenefit.addItem.detail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd	Added Element
ProcedureRequest.replaces ExplanationOfBenefit.addItem.detail.patientPaid	Added Element
ProcedureRequest.requisition 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
ProcedureRequest.status 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 1 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 http://hl7.org/fhir/ValueSet/procedure-request-status Common Languages to http://hl7.org/fhir/ValueSet/request-status 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
ProcedureRequest.intent FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.asserter	Added 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
ProcedureRequest.priority Flag.status	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/procedure-request-priority 1 to http://hl7.org/fhir/ValueSet/request-priority 0
Flag.subject	Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author	Type Reference: Added Target Type RelatedPerson
ProcedureRequest.doNotPerform Flag.supportingInfo	Added Element
Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
ProcedureRequest.category Goal.continuous	Added Element
ProcedureRequest.subject Goal.acceptance	Add Reference(Location), Add Reference(Device) Added Element
Goal.acceptance.participant	Added Mandatory Element
Goal.acceptance.status	Added Element
Goal.acceptance.priority	Added Element
ProcedureRequest.context Goal.statusReason	Renamed Max Cardinality changed from encounter 1 to context * Add Reference(EpisodeOfCare) Type changed from string to CodeableConcept
ProcedureRequest.occurrence[x] Goal.recorder	Added Element
ProcedureRequest.authoredOn Goal.source	Renamed from orderedOn expressedBy to authoredOn source Type Reference: Added Target Types CareTeam, Group
Goal.addresses	Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
Group
ProcedureRequest.requester Group.url	Added Element
ProcedureRequest.requester.agent Group.version	Added Element
ProcedureRequest.requester.onBehalfOf Group.versionAlgorithm[x]	Added Element
ProcedureRequest.performerType Group.title	Added Element
ProcedureRequest.performer Group.status	Add Reference(Device), Add Reference(HealthcareService) Added Element
ProcedureRequest.reasonCode Group.experimental	Added Element
ProcedureRequest.reasonReference Group.date	Added Element
ProcedureRequest.supportingInfo Group.publisher	Added Element
ProcedureRequest.specimen Group.contact	Added Element
Group.description	Added Element
Group.useContext	Added Element
Group.purpose	Added Element
Group.copyright	Added Element
Group.copyrightLabel	Added Element
ProcedureRequest.note Group.type	Renamed Min Cardinality changed from notes 1 to note 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
ProcedureRequest.relevantHistory Group.membership	Added Mandatory Element
ProcedureRequest.reason[x] Group.code	deleted Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Group.combinationMethod	Added Element
Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
Group.characteristic.description	Added Element
Group.characteristic.method	Added Element
Group.characteristic.formula	Added Element
Group.characteristic.determiner	Added Element
Group.characteristic.offset	Added Element
Group.characteristic.instances[x]	Added Element
Group.characteristic.duration[x]	Added Element
Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Added Element
ProcedureRequest.scheduled[x] Group.active	deleted Deleted
ProcedureRequest.orderer Group.actual	deleted Deleted (-> Group.membership)
ProcessRequest GuidanceResponse
ProcessRequest.status GuidanceResponse.location	Added Element
GuidanceResponse.reason	Added Element
ProcessRequest.action GuidanceResponse.evaluationMessage	Min Max Cardinality changed from * to 1
GuidanceResponse.result	Max Cardinality changed from 1 to 0 * Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type RequestGroup
ProcessRequest.ruleset GuidanceResponse.reasonCode	deleted Deleted (-> reason)
ProcessRequest.originalRuleset GuidanceResponse.reasonReference	deleted Deleted (-> reason)
ProcessResponse HealthcareService
ProcessResponse.status HealthcareService.offeredIn	Added Element
ProcessResponse.outcome HealthcareService.comment	Type changed from Coding string to CodeableConcept markdown
HealthcareService.contact	Added Element
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
ProcessResponse.form 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 Remove Binding http://hl7.org/fhir/ValueSet/forms (required) Change value set from AcquisitionModality to Modality
ProcessResponse.processNote ImagingStudy.basedOn	Added Element Type Reference: Removed Target Type AppointmentResponse
ProcessResponse.processNote.type ImagingStudy.procedure	Added Element
ProcessResponse.processNote.text ImagingStudy.reason	Added Element
ProcessResponse.error 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.performer.actor	Type Reference: Added Target Type HealthcareService
ImagingStudy.series.instance.sopClass	Type changed from Coding to oid Remove Binding http://hl7.org/fhir/ValueSet/adjudication-error (required) `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ProcessResponse.communicationRequest ImagingStudy.interpreter	Added Element Deleted (-> series.performer)
ProcessResponse.ruleset ImagingStudy.procedureReference	deleted Deleted (-> procedure)
ProcessResponse.originalRuleset ImagingStudy.procedureCode	deleted Deleted (-> procedure)
ProcessResponse.notes ImagingStudy.reasonCode	deleted Deleted (-> reason)
ImagingStudy.reasonReference	Deleted (-> reason)
ImagingStudy.series.laterality	Deleted
Provenance Immunization
Immunization.basedOn	Added Element
Immunization.administeredProduct	Added Element
Provenance.reason Immunization.manufacturer	Type changed from CodeableConcept Reference(Organization) to Coding CodeableReference
Immunization.supportingInformation	Added Element
Immunization.informationSource	Added Element
Provenance.activity Immunization.performer.actor	Type Reference: Added Target Types Patient, RelatedPerson
Immunization.reason	Added Element
Immunization.programEligibility	Type changed from CodeableConcept to Coding BackboneElement
Immunization.programEligibility.program	Added Mandatory Element
Immunization.programEligibility.programStatus	Added Mandatory Element
Immunization.reaction.manifestation	Added Element
Immunization.protocolApplied.doseNumber	Renamed from doseNumber[x] to doseNumber Min Cardinality changed from 1 to 0 Add Type CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Add Type 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
ImplementationGuide
ImplementationGuide.identifier	Added Element
ImplementationGuide.versionAlgorithm[x]	Added Element
ImplementationGuide.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/v3-ProvenanceEventCurrentState http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/provenance-activity-type Jurisdiction ValueSet
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
Provenance.agent ImplementationGuide.fhirVersion	Min Cardinality 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	Added Element
ImplementationGuide.global.type	Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , Permission , RequestOrchestration , Requirements
ImplementationGuide.definition.grouping.description	Type changed from 0 string to 1 markdown
Provenance.agent.role ImplementationGuide.definition.resource	Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion	Max Cardinality 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 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.definition.resource.description	Type changed from 1 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 Coding code to CodeableConcept Coding Change value set binding strength from http://hl7.org/fhir/ValueSet/provenance-agent-role required to http://hl7.org/fhir/ValueSet/security-role-type extensible
Provenance.agent.who[x] ImplementationGuide.manifest.resource.isExample	Added Element
Provenance.agent.onBehalfOf[x] ImplementationGuide.manifest.resource.profile	Added Element
ImplementationGuide.definition.resource.example[x]	Deleted
ImplementationGuide.manifest.resource.example[x]	Deleted
Ingredient
Provenance.agent.relatedAgentType Ingredient.group	Added Element
Ingredient.comment	Added Element
Provenance.entity.role Ingredient.substance.strength.presentation[x]	Add Code removal Types CodeableConcept, Quantity
Ingredient.substance.strength.concentration[x]	Add Types CodeableConcept, Quantity
Provenance.entity.what[x] Ingredient.substance.strength.basis	Added Element
Provenance.entity.agent Ingredient.substance.strength.referenceStrength.substance	Max Min Cardinality changed from 1 0 to 1
Ingredient.substance.strength.referenceStrength.strength[x]	Add Type Quantity
InsurancePlan
InsurancePlan.type	Max Cardinality changed from * to 1
InsurancePlan.product	Added Element
InsurancePlan.generalCost	Added Element
InsurancePlan.generalCost.type	Added Element
InsurancePlan.generalCost.groupSize	Added Element
InsurancePlan.generalCost.cost	Added Element
InsurancePlan.generalCost.comment	Added Element
InsurancePlan.specificCost	Added Element
InsurancePlan.specificCost.category	Added Mandatory Element
InsurancePlan.specificCost.benefit	Added Element
InsurancePlan.specificCost.benefit.type	Added Mandatory Element
InsurancePlan.specificCost.benefit.cost	Added Element
InsurancePlan.specificCost.benefit.cost.type	Added Mandatory Element
InsurancePlan.specificCost.benefit.cost.applicability	Added Element
InsurancePlan.specificCost.benefit.cost.qualifier	Added Element
InsurancePlan.specificCost.benefit.cost.value	Added Element
Provenance.agent.actor InsurancePlan.status	deleted Deleted
Provenance.agent.userId InsurancePlan.name	deleted Deleted
Provenance.agent.relatedAgent InsurancePlan.alias	deleted Deleted
Provenance.entity.type InsurancePlan.period	deleted Deleted
Provenance.entity.reference InsurancePlan.ownedBy	deleted Deleted
Provenance.entity.display InsurancePlan.administeredBy	deleted Deleted
InsurancePlan.contact	Deleted
InsurancePlan.endpoint	Deleted
InsurancePlan.coverage	Deleted
InsurancePlan.plan	Deleted
InsuranceProduct	Added Resource
Questionnaire Invoice
Questionnaire.url Invoice.creation	Added Element
Questionnaire.name 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
Questionnaire.title Library.versionAlgorithm[x]	Added Element
Questionnaire.status Library.type	Change value set from http://hl7.org/fhir/ValueSet/questionnaire-status http://hl7.org/fhir/ValueSet/library-type to http://hl7.org/fhir/ValueSet/publication-status 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.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Library.usage	Type changed from string to markdown
Questionnaire.experimental Library.copyrightLabel	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, Group
Location
Questionnaire.description 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
Questionnaire.purpose Location.characteristic	Added Element
Location.hoursOfOperation	Max Cardinality changed from * to 1 Type changed from BackboneElement to Availability
Questionnaire.approvalDate 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
Questionnaire.lastReviewDate ManufacturedItemDefinition.name	Added Element
Questionnaire.effectivePeriod ManufacturedItemDefinition.marketingStatus	Added Element
ManufacturedItemDefinition.property.value[x]	Add Types Range, markdown, Reference(Binary)
Questionnaire.useContext ManufacturedItemDefinition.component	Added Element
Questionnaire.jurisdiction ManufacturedItemDefinition.component.type	Added Mandatory Element
Questionnaire.contact ManufacturedItemDefinition.component.function	Added Element
Questionnaire.copyright ManufacturedItemDefinition.component.amount	Added Element
Questionnaire.code 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
Questionnaire.subjectType Measure.subject[x]	Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Add Codes ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Questionnaire.item Measure.jurisdiction	Renamed Change value set from group http://hl7.org/fhir/ValueSet/jurisdiction to item Jurisdiction ValueSet
Measure.usage	Min Cardinality Type changed from 1 string to 0 markdown
Measure.copyrightLabel	Added Element
Measure.reportingFrequency	Max Cardinality Added Element
Measure.riskAdjustment	Type changed from 1 string to * markdown
Questionnaire.item.linkId Measure.rateAggregation	Min Cardinality Type changed from 0 string to 1 markdown
Questionnaire.item.definition Measure.term	Added Element
Questionnaire.item.code Measure.term.code	Added Element
Questionnaire.item.prefix Measure.term.definition	Added Element
Questionnaire.item.type Measure.group.linkId	Added Element
Questionnaire.item.enableWhen Measure.group.title	Added Element
Measure.group.description	Type changed from string to markdown
Questionnaire.item.enableWhen.question Measure.group.type	Added Element
Questionnaire.item.enableWhen.hasAnswer Measure.group.subject[x]	Added Element
Questionnaire.item.enableWhen.answer[x] Measure.group.basis	Added Element
Questionnaire.item.readOnly Measure.group.basisRequirement	Added Element
Questionnaire.item.maxLength Measure.group.scoring	Added Element
Questionnaire.item.options Measure.group.scoringUnit	Added Element
Questionnaire.item.option Measure.group.scoringPrecision	Added Element
Questionnaire.item.option.value[x] Measure.group.compositeScoring	Added Element
Questionnaire.item.initial[x] Measure.group.component	Added Element
Questionnaire.item.item Measure.group.component.measure	Added Element
Measure.group.component.groupId	Added Element
Measure.group.component.weight	Added Element
Measure.group.rateAggregation	Added Element
Measure.group.improvementNotation	Added Element
Measure.group.improvementNotationGuidance	Added Element
Measure.group.library	Added Element
Measure.group.population.linkId	Added Element
Measure.group.population.title	Added Element
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.population.criteria	Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition	Added Element
Measure.group.population.inputPopulationId	Added Element
Measure.group.population.aggregateMethod	Added Element
Measure.group.stratifier.linkId	Added Element
Measure.group.stratifier.title	Added Element
Measure.group.stratifier.description	Type changed from string to markdown
Measure.group.stratifier.groupDefinition	Added Element
Measure.group.stratifier.component.linkId	Added Element
Measure.group.stratifier.component.description	Type changed from string to markdown
Measure.group.stratifier.component.criteria	Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition	Added Element
Measure.group.stratifier.component.valueSet	Added Element
Measure.group.stratifier.component.unit	Added Element
Measure.supplementalData.linkId	Added Element
Measure.supplementalData.usage	Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
Measure.supplementalData.description	Type changed from string to markdown
Measure.supplementalData.valueSet	Added Element
Measure.supplementalData.unit	Added Element
Questionnaire.telecom Measure.scoring	deleted Deleted
Questionnaire.group.title Measure.compositeScoring	deleted Deleted
Questionnaire.group.concept Measure.type	deleted Deleted
Questionnaire.group.group Measure.improvementNotation	deleted Deleted
Questionnaire.group.question Measure.definition	deleted Deleted (->term.definition term is code and definition now)
QuestionnaireResponse MeasureReport
QuestionnaireResponse.basedOn MeasureReport.category	Added Element
QuestionnaireResponse.parent MeasureReport.messages	Added Element
QuestionnaireResponse.status MeasureReport.type	Remove code data-collection Add Codes entered-in-error, stopped code data-exchange
MeasureReport.dataUpdateType	Added Element
QuestionnaireResponse.context MeasureReport.measure	Renamed Min Cardinality changed from encounter 1 to context 0
MeasureReport.subject	Add Reference(EpisodeOfCare) Type Reference: Added Target Types CareTeam, HealthcareService, Organization
QuestionnaireResponse.item MeasureReport.reporter	Type Reference: Removed Target Type Location
MeasureReport.reportingVendor	Added Element
MeasureReport.location	Added Element
MeasureReport.inputParameters	Added Element
MeasureReport.group.linkId	Added Element
MeasureReport.group.title	Added Element
MeasureReport.group.calculatedDate	Added Element
MeasureReport.group.description	Added Element
MeasureReport.group.type	Added Element
MeasureReport.group.subject	Added Element
MeasureReport.group.scoring	Added Element
MeasureReport.group.improvementNotation	Added Element
MeasureReport.group.improvementNotationGuidance	Added Element
MeasureReport.group.population.linkId	Added Element
MeasureReport.group.population.title	Added Element
MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MeasureReport.group.population.description	Added Element
MeasureReport.group.population.countQuantity	Added Element
MeasureReport.group.population.subjectReport	Added Element
MeasureReport.group.population.subjects	Added Element
MeasureReport.group.measureScore[x]	Renamed from group measureScore to item measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MeasureReport.group.stratifier.linkId	Added Element
MeasureReport.group.stratifier.title	Added Element
MeasureReport.group.stratifier.code	Max Cardinality changed from * to 1
MeasureReport.group.stratifier.description	Added Element
MeasureReport.group.stratifier.stratum.value[x]	Renamed from value to * value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MeasureReport.group.stratifier.stratum.component.description	Added Element
MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId	Added Element
QuestionnaireResponse.item.linkId MeasureReport.group.stratifier.stratum.population.code	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/measure-population to 1 MeasurePopulationType
QuestionnaireResponse.item.definition MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
QuestionnaireResponse.item.answer MeasureReport.group.stratifier.stratum.population.subjectReport	Added Element
QuestionnaireResponse.item.answer.value[x] MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
QuestionnaireResponse.item.answer.item MeasureReport.supplementalData	Added Element
MeasureReport.improvementNotation	Deleted
Medication
QuestionnaireResponse.item.item Medication.marketingAuthorizationHolder	Added Element
Medication.doseForm	Added Element
Medication.packageSize	Added Element
Medication.packageSize.numberOfItems	Added Element
Medication.packageSize.amountPerItem	Added Element
Medication.ingredient.item	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
Medication.ingredient.role	Added Element
Medication.ingredient.strength[x]	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity
Medication.instance	Added Element
Medication.instance.identifier	Added Element
Medication.instance.lotNumber	Added Element
Medication.instance.expirationDate	Added Element
Medication.definition	Added Element
QuestionnaireResponse.group.title Medication.manufacturer	deleted Deleted
QuestionnaireResponse.group.group Medication.form	deleted Deleted
QuestionnaireResponse.group.question Medication.amount	deleted Deleted
Medication.batch	Deleted
ReferralRequest MedicationAdministration
ReferralRequest.definition MedicationAdministration.basedOn	Added Element
MedicationAdministration.partOf	Type Reference: Added Target Type MedicationDispense
MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationAdministration.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter	Added Element
ReferralRequest.basedOn MedicationAdministration.occurrence[x]	Added Mandatory Element
ReferralRequest.replaces MedicationAdministration.recorded	Added Element
ReferralRequest.groupIdentifier MedicationAdministration.isSubPotent	Added Element
MedicationAdministration.subPotentReason	Added Element
ReferralRequest.status MedicationAdministration.performer.actor	Change value set Type changed from http://hl7.org/fhir/ValueSet/referralstatus Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to http://hl7.org/fhir/ValueSet/request-status CodeableReference
ReferralRequest.intent MedicationAdministration.reason	Added Element
ReferralRequest.priority MedicationAdministration.device	Type changed from CodeableConcept Reference(Device) to CodeableReference
MedicationAdministration.instantiates	Deleted
MedicationAdministration.context	Deleted
MedicationAdministration.effective[x]	Deleted
MedicationAdministration.reasonCode	Deleted (-> reason)
MedicationAdministration.reasonReference	Deleted (-> reason)
MedicationDispense
MedicationDispense.basedOn	Added Element
MedicationDispense.partOf	Type Reference: Added Target Type MedicationAdministration
MedicationDispense.status	Remove code stopped Add Binding http://hl7.org/fhir/ValueSet/request-priority (required) code unfulfilled
MedicationDispense.notPerformedReason	Added Element
MedicationDispense.statusChanged	Added Element
ReferralRequest.subject MedicationDispense.category	Max Cardinality changed from 1 to *
MedicationDispense.medication	Renamed from patient medication[x] to subject medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationDispense.subject	Min Cardinality changed from 0 to 1
MedicationDispense.encounter	Add Reference(Group) Added Element
ReferralRequest.context MedicationDispense.performer.actor	Renamed Type Reference: Added Target Types CareTeam, Group
MedicationDispense.fillNumber	Added Element
MedicationDispense.recorded	Added Element
MedicationDispense.receiver	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationDispense.dosageInstruction	Max Cardinality changed from encounter * to context 1 Add Reference(EpisodeOfCare) Type changed from Dosage to DosageDetails
ReferralRequest.occurrence[x] MedicationDispense.doseAdministrationAid	Added Element
ReferralRequest.authoredOn MedicationDispense.substitution.responsibleParty	Renamed Max Cardinality changed from date * to authoredOn 1 Type Reference: Added Target Type Organization
MedicationDispense.statusReason[x]	Deleted
MedicationDispense.context	Deleted
MedicationDispense.detectedIssue	Deleted
MedicationRequest
ReferralRequest.requester MedicationRequest.basedOn	Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove Reference(Practitioner), codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove Reference(Organization), codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Reference(Patient) Types CodeableConcept, Reference(Medication)
ReferralRequest.requester.agent MedicationRequest.informationSource	Added Element
ReferralRequest.requester.onBehalfOf MedicationRequest.isRecordOfRequest	Added Element
ReferralRequest.recipient MedicationRequest.performerType	Add Reference(HealthcareService) Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
ReferralRequest.reasonCode MedicationRequest.performer	Max Cardinality changed from 1 to * Type Reference: Added Target Types DeviceDefinition, 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.effectiveTiming[x]	Added Element
MedicationRequest.dosageInstruction	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 reason medication[x] to reasonCode 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
ReferralRequest.reasonReference MedicationStatement.reason	Added Element
MedicationStatement.relatedClinicalInformation	Added Element
ReferralRequest.supportingInfo MedicationStatement.dosage	Renamed Max Cardinality changed from supportingInformation * to supportingInfo 1 Type changed from Dosage to DosageDetails
ReferralRequest.note MedicationStatement.adherence	Added Element
ReferralRequest.relevantHistory MedicationStatement.adherence.code	Added Mandatory Element
MedicationStatement.adherence.reason	Added Element
ReferralRequest.dateSent MedicationStatement.basedOn	deleted Deleted
ReferralRequest.fulfillmentTime MedicationStatement.statusReason	deleted Deleted
MedicationStatement.reasonCode	Deleted (-> reason)
MedicationStatement.reasonReference	Deleted (-> reason)
RelatedPerson MedicinalProductDefinition
RelatedPerson.active 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
RelatedPerson.relationship 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 Binding http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype (required) codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , Permission , RequestOrchestration , Requirements
MessageDefinition.graph	Deleted
MessageHeader
RelatedPerson.name MessageHeader.event[x]	Max Add Type canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to * 0 Add Type Reference(Endpoint)
RequestGroup MessageHeader.destination.receiver	Type Reference: Added Resource Target Types Device, Patient, RelatedPerson
ResearchStudy 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 Resource 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
ResearchSubject MetadataResource	Added Resource
Resource NamingSystem
NamingSystem.url	Added Element
NamingSystem.identifier	Added Element
NamingSystem.version	Added Element
NamingSystem.versionAlgorithm[x]	Added Element
NamingSystem.title	Added Element
NamingSystem.experimental	Added Element
Resource.language NamingSystem.type	Change binding strength from required to extensible Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.jurisdiction	Change value set from http://tools.ietf.org/html/bcp47 http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/languages Jurisdiction ValueSet
NamingSystem.purpose	Added Element
NamingSystem.copyright	Added Element
NamingSystem.copyrightLabel	Added Element
NamingSystem.approvalDate	Added Element
NamingSystem.lastReviewDate	Added Element
NamingSystem.effectivePeriod	Added Element
NamingSystem.topic	Added Element
NamingSystem.author	Added Element
NamingSystem.editor	Added Element
NamingSystem.reviewer	Added Element
NamingSystem.endorser	Added Element
NamingSystem.relatedArtifact	Added Element
NamingSystem.uniqueId.type	Add codes iri-stem , v2csmnemonic
NamingSystem.uniqueId.authoritative	Added Element
NutritionIntake	Added Resource
RiskAssessment NutritionOrder
RiskAssessment.basedOn NutritionOrder.basedOn	Added Element
RiskAssessment.parent NutritionOrder.groupIdentifier	Added Element
NutritionOrder.status	Remove codes revoked , completed Add code ended
NutritionOrder.intent	Remove codes original-order , reflex-order , filler-order , instance-order
NutritionOrder.priority	Added Element
RiskAssessment.status NutritionOrder.subject	Added Mandatory Element
NutritionOrder.supportingInformation	Added Element
RiskAssessment.code NutritionOrder.requester	Added Element
NutritionOrder.performer	Added Element
NutritionOrder.outsideFoodAllowed	Added Element
RiskAssessment.context NutritionOrder.oralDiet.schedule	Renamed Max Cardinality changed from encounter * to context 1 Add Reference(EpisodeOfCare) Type changed from Timing to BackboneElement
RiskAssessment.occurrence[x] NutritionOrder.oralDiet.schedule.timing	Added Element
RiskAssessment.reason[x] NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
RiskAssessment.prediction.probability[x] NutritionOrder.oralDiet.nutrient.amount	Remove Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.oralDiet.texture.type	Added Element
NutritionOrder.oralDiet.caloricDensity	Added Element
NutritionOrder.supplement.type	Type changed from CodeableConcept to CodeableReference
NutritionOrder.supplement.schedule	Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
RiskAssessment.prediction.qualitativeRisk NutritionOrder.supplement.schedule.timing	Added Element
RiskAssessment.comment NutritionOrder.supplement.schedule.asNeeded	Added Element
RiskAssessment.date NutritionOrder.supplement.schedule.asNeededFor	deleted Added Element
Schedule NutritionOrder.supplement.quantity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Schedule.active NutritionOrder.supplement.caloricDensity	Added Element
Schedule.serviceCategory NutritionOrder.enteralFormula.type	Added Element
NutritionOrder.enteralFormula.productName	Added Element
NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
Schedule.serviceType NutritionOrder.enteralFormula.caloricDensity	Renamed Type changed from type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to serviceType Quantity
Schedule.specialty NutritionOrder.enteralFormula.routeOfAdministration	Added Element
Schedule.actor NutritionOrder.enteralFormula.administration.schedule	Max Cardinality Type changed from 1 Timing to * BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing	Add Reference(PractitionerRole) Added Element
SearchParameter NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
SearchParameter.version NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
SearchParameter.status NutritionOrder.enteralFormula.administration.quantity	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.enteralFormula.maxVolumeToAdminister	Added Element
NutritionOrder.enteralFormula.administrationInstruction	Type changed from string to markdown
NutritionOrder.additive	Added Element
NutritionOrder.additive.modularType	Added Element
NutritionOrder.additive.productName	Added Element
NutritionOrder.additive.quantity	Added Element
NutritionOrder.additive.routeOfAdministration	Added Element
NutritionOrder.instantiatesCanonical	Deleted
NutritionOrder.instantiatesUri	Deleted
NutritionOrder.instantiates	Deleted
NutritionOrder.patient	Deleted
NutritionOrder.orderer	Deleted
NutritionOrder.oralDiet.texture.foodType	Deleted
NutritionOrder.oralDiet.fluidConsistencyType	Deleted
NutritionOrder.enteralFormula.baseFormulaType	Deleted
NutritionOrder.enteralFormula.baseFormulaProductName	Deleted
NutritionOrder.enteralFormula.additiveType	Deleted
NutritionOrder.enteralFormula.additiveProductName	Deleted
NutritionOrder.enteralFormula.routeofAdministration	Deleted
NutritionOrder.enteralFormula.maxVolumeToDeliver	Deleted
NutritionProduct
NutritionProduct.manufacturer	Type Reference: Added Target Type RelatedPerson
NutritionProduct.nutrient.item	Min Cardinality changed from 0 to 1
NutritionProduct.nutrient.amount[x]	Change value set Renamed from http://hl7.org/fhir/ValueSet/conformance-resource-status amount to http://hl7.org/fhir/ValueSet/publication-status amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionProduct.ingredientSummary	Added Element
NutritionProduct.ingredient.amount[x]	Renamed from amount to amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionProduct.ingredient.allergen	Added Element
NutritionProduct.energy	Added Element
NutritionProduct.characteristic	Added Element
NutritionProduct.characteristic.type	Added Mandatory Element
NutritionProduct.characteristic.value[x]	Added Mandatory Element
SearchParameter.experimental 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.basedOn	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.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
SearchParameter.contact Observation.performer	Type changed from BackboneElement to ContactDetail Reference: Added Target Types HealthcareService, Group
Observation.value[x]	Add Types Attachment, Reference
SearchParameter.useContext Observation.interpretationContext	Added Element
SearchParameter.jurisdiction Observation.bodyStructure	Added Element
SearchParameter.purpose Observation.specimen	Renamed Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from requirements Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to purpose 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
SearchParameter.base Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Type ImagingSelection Type Reference: Removed Target Types Media, MolecularSequence
Observation.component.value[x]	Add Types Attachment, 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.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
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.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) Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add Codes ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , Permission , RequestOrchestration , 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.derivedFrom OperationDefinition.parameter.scope	Added Element
SearchParameter.description 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 , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , 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
SearchParameter.expression OperationDefinition.parameter.allowedType	Added Element
SearchParameter.target OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse codes 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 Codes ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport code success
Organization
SearchParameter.comparator Organization.description	Added Element
Organization.contact	Type changed from BackboneElement to ExtendedContactDetail
SearchParameter.modifier Organization.qualification	Added Element
SearchParameter.chain Organization.qualification.identifier	Added Element
SearchParameter.component Organization.qualification.code	Added Mandatory Element
SearchParameter.component.definition Organization.qualification.status	Added Element
SearchParameter.component.expression Organization.qualification.period	Added Element
Organization.qualification.issuer	Added Element
SearchParameter.contact.name Organization.telecom	deleted Deleted (-> Use contact.telecom to provide context of use)
SearchParameter.contact.telecom Organization.address	deleted Deleted (-> Use contact.address to provide context of use)
Sequence 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 Resource Element
ServiceDefinition OrganizationAffiliation.telecom	Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition
PackagedProductDefinition.attachedDocument	Added Resource 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
Slot Parameters
Parameters.parameter.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
Patient
Patient.contact.relationship	Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Slot.serviceCategory Patient.contact.role	Added Element
Patient.contact.additionalName	Added Element
Patient.contact.additionalAddress	Added Element
Slot.serviceType Patient.communication.language	Renamed Change binding strength from type preferred to serviceType required Max 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
Slot.specialty PaymentReconciliation.type	Added Mandatory Element
Slot.appointmentType PaymentReconciliation.statusReason	Added Element
PaymentReconciliation.kind	Added Element
PaymentReconciliation.enterer	Added Element
PaymentReconciliation.issuerType	Added Element
Slot.status PaymentReconciliation.paymentIssuer	Renamed Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome	Change value set from freeBusyType http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to status Payment Outcome
PaymentReconciliation.date	Add Code entered-in-error Added Mandatory Element
Specimen PaymentReconciliation.location	Added Element
Specimen.request PaymentReconciliation.method	Added Element
Specimen.processing PaymentReconciliation.cardBrand	Added Element
Specimen.processing.description PaymentReconciliation.accountNumber	Added Element
Specimen.processing.procedure PaymentReconciliation.expirationDate	Added Element
Specimen.processing.additive PaymentReconciliation.processor	Added Element
Specimen.processing.time[x] PaymentReconciliation.referenceNumber	Added Element
Specimen.note PaymentReconciliation.authorization	Added Element
PaymentReconciliation.tenderedAmount	Added Element
PaymentReconciliation.returnedAmount	Added Element
PaymentReconciliation.amount	Added 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.allocation.noteNumber	Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
Specimen.collection.comment PaymentReconciliation.paymentDate	deleted Deleted
Specimen.treatment PaymentReconciliation.paymentAmount	deleted Deleted
PaymentReconciliation.detail	Deleted
Permission	Added Resource
StructureDefinition Person
Person.deceased[x]	Added Element
Person.maritalStatus	Added Element
StructureDefinition Person.photo	Min Max Cardinality changed from 1 to 0 *
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 1 to * to 1
StructureDefinition.title PlanDefinition.action.goalId	Renamed Type changed from display id to title string
StructureDefinition.status PlanDefinition.action.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/publication-status Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
StructureDefinition.experimental PlanDefinition.action.input	Now marked as Modifier Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title	Added Element
PlanDefinition.action.input.requirement	Added Element
PlanDefinition.action.input.relatedData	Added Element
StructureDefinition.contact PlanDefinition.action.output	Type changed from BackboneElement DataRequirement to ContactDetail 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
StructureDefinition.description 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 string 1 to markdown 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
StructureDefinition.useContext 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 UsageContext BackboneElement Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
StructureDefinition.jurisdiction 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
StructureDefinition.purpose Procedure.basedOn	Renamed Type Reference: Added Target Type MedicationRequest
Procedure.category	Max Cardinality changed from requirements 1 to purpose *
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 string CodeableConcept to markdown CodeableReference
StructureDefinition.copyright Procedure.report	Type Reference: Added Target Type Bundle
Procedure.complication	Type changed from string CodeableConcept to markdown CodeableReference
StructureDefinition.keyword Procedure.followUp	Renamed Type changed from code CodeableConcept to keyword 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
StructureDefinition.mapping.comment Provenance.recorded	Min Cardinality changed from 1 to 0
Provenance.authorization	Renamed from comments reason to comment authorization Type changed from CodeableConcept to CodeableReference Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Provenance.why	Added Element
StructureDefinition.kind Provenance.activity	Remove Code datatype Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
Provenance.basedOn	Add Codes primitive-type, complex-type Added Element
Provenance.patient	Added Element
Provenance.encounter	Added Element
StructureDefinition.contextType Provenance.agent.type	Remove Code mapping Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who	Type Reference: Added Target Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Types CareTeam, Group, HealthcareService Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
Questionnaire
StructureDefinition.contextInvariant Questionnaire.versionAlgorithm[x]	Added Element
StructureDefinition.type Questionnaire.subjectType	Renamed Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , Permission , RequestOrchestration , Requirements
Questionnaire.jurisdiction	Change value set from constrainedType http://hl7.org/fhir/ValueSet/jurisdiction to type Jurisdiction ValueSet
Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Min Max Cardinality changed from 0 to 1 to *
Questionnaire.item.type	Change binding strength value set from required http://hl7.org/fhir/ValueSet/item-type|4.3.0 to extensible Questionnaire Useable Item Type Remove codes question , choice , open-choice Add code coding
StructureDefinition.baseDefinition Questionnaire.item.enableWhen.answer[x]	Renamed from base to baseDefinition Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
StructureDefinition.derivation Questionnaire.item.disabledDisplay	Added Element
StructureDefinition.contact.name Questionnaire.item.answerConstraint	deleted Added Element
StructureDefinition.contact.telecom Questionnaire.item.answerOption.value[x]	deleted Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
StructureMap Questionnaire.item.initial.value[x]	Added Resource Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Subscription QuestionnaireResponse
Subscription.channel.payload 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
Subscription.channel.header RegulatedAuthorization.status	Now marked as Modifier
RegulatedAuthorization.indication	Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument	Added Element
Substance RelatedPerson
Substance.status RelatedPerson.role	Added Element
Substance.ingredient.substance[x] RelatedPerson.communication.language	Renamed Change binding strength from substance preferred to substance[x] required Add CodeableConcept Change value set from Common Languages to All Languages Change max value set from All Languages to none
SupplyDelivery 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
SupplyDelivery.basedOn RequestOrchestration.reason	Added Element
SupplyDelivery.partOf RequestOrchestration.goal	Added Element
RequestOrchestration.action.linkId	Added Element
SupplyDelivery.status RequestOrchestration.action.description	Add Code entered-in-error Type changed from string to markdown
SupplyDelivery.suppliedItem RequestOrchestration.action.textEquivalent	Remove Reference(Medication), Remove Reference(Substance), Remove Reference(Device) Type changed from string to markdown
SupplyDelivery.suppliedItem.quantity RequestOrchestration.action.goal	Added Element
SupplyDelivery.suppliedItem.item[x] RequestOrchestration.action.input	Added Element
SupplyDelivery.occurrence[x] RequestOrchestration.action.input.title	Added Element
SupplyDelivery.supplier RequestOrchestration.action.input.requirement	Add Reference(Organization) Added Element
SupplyDelivery.quantity RequestOrchestration.action.input.relatedData	deleted Added Element
SupplyDelivery.whenPrepared RequestOrchestration.action.output	deleted Added Element
SupplyDelivery.time RequestOrchestration.action.output.title	deleted Added Element
SupplyRequest RequestOrchestration.action.output.requirement	Added Element
RequestOrchestration.action.output.relatedData	Added Element
RequestOrchestration.action.relatedAction.targetId	Added Mandatory Element
SupplyRequest.status RequestOrchestration.action.relatedAction.relationship	Remove Codes requested, failed 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 Codes draft, active, suspended, entered-in-error, unknown Type RelativeTime
RequestOrchestration.action.location	Added Element
SupplyRequest.category RequestOrchestration.action.participant	Renamed Type changed from kind Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to category BackboneElement
RequestOrchestration.action.participant.type	Remove Binding http://hl7.org/fhir/ValueSet/supplyrequest-kind (required) Added Element
SupplyRequest.priority RequestOrchestration.action.participant.typeCanonical	Added Element
SupplyRequest.orderedItem RequestOrchestration.action.participant.typeReference	Remove Reference(Medication), Remove Reference(Substance), Remove Reference(Device) Added Element
SupplyRequest.orderedItem.quantity RequestOrchestration.action.participant.role	Added Element
SupplyRequest.orderedItem.item[x] RequestOrchestration.action.participant.function	Added Element
SupplyRequest.occurrence[x] RequestOrchestration.action.participant.actor[x]	Added Element
SupplyRequest.authoredOn RequestOrchestration.action.type	Renamed Change value set from date http://hl7.org/fhir/ValueSet/action-type to authoredOn ActionType
SupplyRequest.requester RequestOrchestration.action.applicabilityBehavior	Added Element
SupplyRequest.requester.agent RequestOrchestration.action.definition[x]	Added Element
SupplyRequest.requester.onBehalfOf RequestOrchestration.action.transform	Added Element
SupplyRequest.deliverFrom RequestOrchestration.action.dynamicValue	Added Element
SupplyRequest.deliverTo RequestOrchestration.action.dynamicValue.path	Added Element
RequestOrchestration.action.dynamicValue.expression	Added Element
SupplyRequest.patient RequestGroup.reasonCode	deleted Deleted
SupplyRequest.source RequestGroup.reasonReference	deleted Deleted
SupplyRequest.when RequestGroup.action.relatedAction.actionId	deleted Deleted
Task Requirements	Added Resource
TestReport ResearchStudy
ResearchStudy.url	Added Resource Element
TestScript ResearchStudy.version	Added Element
TestScript.title 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
TestScript.status ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status http://hl7.org/fhir/ValueSet/research-study-status|4.3.0 to http://hl7.org/fhir/ValueSet/publication-status 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
TestScript.experimental ResearchStudy.primaryPurposeType	Now marked as Modifier Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
TestScript.contact ResearchStudy.studyDesign	Type changed from BackboneElement to ContactDetail Added Element
TestScript.description ResearchStudy.focus	Type changed from string CodeableConcept to markdown CodeableReference
ResearchStudy.region	Added Element
ResearchStudy.descriptionSummary	Added Element
TestScript.useContext ResearchStudy.site	Type changed from CodeableConcept to UsageContext Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier	Remove Binding http://hl7.org/fhir/ValueSet/use-context (extensible) Added Element
TestScript.jurisdiction ResearchStudy.associatedParty	Added Element
TestScript.purpose ResearchStudy.associatedParty.name	Added Element
TestScript.copyright ResearchStudy.associatedParty.role	Type changed from string to markdown Added Mandatory Element
TestScript.origin ResearchStudy.associatedParty.period	Added Element
TestScript.origin.index ResearchStudy.associatedParty.classifier	Added Element
TestScript.origin.profile ResearchStudy.associatedParty.party	Added Element
TestScript.destination ResearchStudy.progressStatus	Added Element
TestScript.destination.index ResearchStudy.progressStatus.state	Added Mandatory Element
TestScript.destination.profile ResearchStudy.progressStatus.actual	Added Element
TestScript.metadata.capability.origin ResearchStudy.progressStatus.period	Added Element
TestScript.metadata.capability.capabilities ResearchStudy.whyStopped	Added Element
TestScript.fixture.autocreate ResearchStudy.recruitment	Default Value "false" added Added Element
TestScript.fixture.autodelete ResearchStudy.recruitment.targetNumber	Default Value "false" added Added Element
TestScript.variable.defaultValue ResearchStudy.recruitment.actualNumber	Added Element
TestScript.variable.description ResearchStudy.recruitment.eligibility	Added Element
TestScript.variable.expression ResearchStudy.recruitment.actualGroup	Added Element
TestScript.variable.hint ResearchStudy.recruitment.description	Added Element
TestScript.rule ResearchStudy.comparisonGroup	Added Element
TestScript.rule.resource ResearchStudy.comparisonGroup.targetNumber	Added Element
TestScript.rule.param ResearchStudy.comparisonGroup.actualNumber	Added Element
TestScript.rule.param.name ResearchStudy.comparisonGroup.eligibility	Added Element
TestScript.rule.param.value ResearchStudy.comparisonGroup.observedGroup	Added Element
TestScript.ruleset ResearchStudy.comparisonGroup.description	Added Element
TestScript.ruleset.resource ResearchStudy.objective.description	Added Element
TestScript.ruleset.rule ResearchStudy.objective.outcomeMeasure	Added Element
TestScript.ruleset.rule.ruleId ResearchStudy.objective.outcomeMeasure.name	Added Element
TestScript.ruleset.rule.param ResearchStudy.objective.outcomeMeasure.type	Added Element
TestScript.ruleset.rule.param.name ResearchStudy.objective.outcomeMeasure.description	Added Element
TestScript.ruleset.rule.param.value ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
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
TestScript.setup.action.operation.resource ResearchSubject.status	Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.3.0 to PublicationStatus Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, OrderResponse 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 ContactDetail, Contributor, DataRequirement, Dosage, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport codes draft , active , retired , unknown
ResearchSubject.subject	Added Mandatory Element
ResearchSubject.subjectState	Added Element
ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.subjectState.reason	Added Element
ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.comparisonGroup	Added Element
TestScript.setup.action.operation.accept ResearchSubject.consent	Add Codes ttl, 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
TestScript.setup.action.operation.contentType RiskAssessment.status	Remove code corrected Add Codes ttl, none codes specimen-in-process , cannot-be-obtained
TestScript.setup.action.operation.destination RiskAssessment.performer	Default Value "0" removed Type Reference: Added Target Types Patient, RelatedPerson
TestScript.setup.action.operation.origin 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
TestScript.setup.action.operation.requestId Schedule.name	Added Element
Schedule.actor	Type Reference: Added Target Type CareTeam
Schedule.comment	Type changed from string to markdown
SearchParameter
TestScript.setup.action.assert.compareToSourceExpression SearchParameter.identifier	Added Element
TestScript.setup.action.assert.contentType SearchParameter.versionAlgorithm[x]	Add Codes ttl, none Added Element
TestScript.setup.action.assert.expression SearchParameter.title	Added Element
TestScript.setup.action.assert.operator SearchParameter.jurisdiction	Add Code eval Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TestScript.setup.action.assert.requestMethod SearchParameter.copyright	Added Element
TestScript.setup.action.assert.requestURL SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	Added Element
TestScript.setup.action.assert.resource SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Remove Codes Conformance, DiagnosticOrder, ImagingObjectSelection, MedicationOrder, Order, codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , Permission , RequestOrchestration , 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 Codes ContactDetail, Contributor, DataRequirement, Dosage, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, ActivityDefinition, AdverseEvent, CapabilityStatement, CareTeam, ChargeItem, CodeSystem, CompartmentDefinition, Consent, Endpoint, ExpansionProfile, GraphDefinition, GuidanceResponse, ImagingManifest, Library, Linkage, Measure, MeasureReport, MedicationRequest, MessageDefinition, PlanDefinition, PractitionerRole, RequestGroup, ResearchStudy, ResearchSubject, Sequence, ServiceDefinition, StructureMap, Task, TestReport 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
TestScript.setup.action.assert.rule SearchParameter.constraint	Added Element
TestScript.setup.action.assert.rule.ruleId SearchParameter.target	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , Permission , RequestOrchestration , 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 Element 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
TestScript.setup.action.assert.rule.param 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
TestScript.setup.action.assert.rule.param.name ServiceRequest.orderDetail.parameterFocus[x]	Added Element
TestScript.setup.action.assert.rule.param.value ServiceRequest.orderDetail.parameter	Added Mandatory Element
TestScript.setup.action.assert.ruleset ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
TestScript.setup.action.assert.ruleset.rulesetId ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
TestScript.setup.action.assert.ruleset.rule ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
TestScript.setup.action.assert.ruleset.rule.ruleId ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
TestScript.setup.action.assert.ruleset.rule.param ServiceRequest.location	Added Element
TestScript.setup.action.assert.ruleset.rule.param.name ServiceRequest.reason	Added Element
ServiceRequest.supportingInfo	Type changed from Reference(Resource) to CodeableReference
TestScript.setup.action.assert.ruleset.rule.param.value ServiceRequest.bodyStructure	Added Element
TestScript.teardown.action.operation ServiceRequest.patientInstruction	Min Max Cardinality changed from 0 to 1 to * Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]	Added Element
TestScript.contact.name ServiceRequest.instantiatesCanonical	deleted Deleted
TestScript.contact.telecom ServiceRequest.instantiatesUri	deleted Deleted
TestScript.requirements ServiceRequest.locationCode	deleted Deleted
TestScript.metadata.capability.conformance ServiceRequest.locationReference	deleted Deleted
TestScript.multiserver ServiceRequest.reasonCode	deleted Deleted (-> reason)
TestScript.setup.metadata ServiceRequest.reasonReference	deleted Deleted (-> reason)
TestScript.test.metadata ServiceRequest.bodySite	deleted Deleted
ValueSet Slot
ValueSet.identifier Slot.serviceType	Type changed from CodeableConcept to CodeableReference
Slot.appointmentType	Max Cardinality changed from 1 to *
Specimen
Specimen.subject	Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
ValueSet.title Specimen.combined	Added Element
ValueSet.status Specimen.role	Change value set from http://hl7.org/fhir/ValueSet/conformance-resource-status to http://hl7.org/fhir/ValueSet/publication-status Added Element
Specimen.feature	Added Element
Specimen.feature.type	Added Mandatory Element
Specimen.feature.description	Added Mandatory Element
ValueSet.experimental Specimen.collection.collector	Now marked as Modifier Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
ValueSet.contact Specimen.collection.bodySite	Type changed from BackboneElement CodeableConcept to ContactDetail CodeableReference
Specimen.processing.method	Added Element
Specimen.processing.performer	Added Element
Specimen.processing.device[x]	Added Element
ValueSet.description Specimen.processing.additive	Type changed from string Reference(Substance) to markdown CodeableReference
ValueSet.useContext Specimen.processing.time[x]	Add Type changed from CodeableConcept to UsageContext Duration
Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding http://hl7.org/fhir/ValueSet/use-context `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
ValueSet.jurisdiction 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
ValueSet.purpose SpecimenDefinition.typeTested.container.description	Renamed Type changed from requirements string to purpose markdown
SpecimenDefinition.typeTested.container.preparation	Type changed from string to markdown
ValueSet.copyright SpecimenDefinition.typeTested.requirement	Type changed from string to markdown
ValueSet.compose.lockedDate SpecimenDefinition.typeTested.singleUse	Added Element
SpecimenDefinition.typeTested.handling.instruction	Type changed from string to markdown
ValueSet.compose.inactive SpecimenDefinition.typeTested.testingDestination	Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]	Added Element
ValueSet.compose.include StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.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 , 4.3 , 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
ValueSet.compose.include.system 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
ValueSet.compose.include.concept.designation.language Subscription.filterBy	Added Element
ValueSet.compose.include.concept.designation.use Subscription.filterBy.resource	Added Element
ValueSet.compose.include.concept.designation.value 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
ValueSet.compose.include.filter SubscriptionStatus.status	Now Add code entered-in-error
SubscriptionStatus.eventsSinceSubscriptionStart	Type changed from string to integer64
SubscriptionStatus.notificationEvent.eventNumber	Type changed from string to integer64
SubscriptionStatus.notificationEvent.triggerEvent	Added Element
SubscriptionStatus.notificationEvent.relatedQuery	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.queryType	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.query	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint	Added Element
SubscriptionStatus.notificationEvent.authorizationHint.authorizationType	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint.value	Added Element
SubscriptionTopic
SubscriptionTopic.versionAlgorithm[x]	Added Element
SubscriptionTopic.name	Added Element
SubscriptionTopic.experimental	No longer marked as Modifier
ValueSet.compose.include.filter.op SubscriptionTopic.jurisdiction	Add Codes descendent-of, generalizes, exists Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ValueSet.compose.include.valueSet SubscriptionTopic.copyrightLabel	Added Element
ValueSet.expansion.contains.abstract SubscriptionTopic.trigger	Default Value "false" added Added Element
ValueSet.expansion.contains.inactive SubscriptionTopic.trigger.description	Added Element
ValueSet.expansion.contains.designation SubscriptionTopic.trigger.resource	Added Mandatory Element
SubscriptionTopic.trigger.supportedInteraction	Added Element
SubscriptionTopic.trigger.queryCriteria	Added Element
SubscriptionTopic.trigger.queryCriteria.previous	Added Element
SubscriptionTopic.trigger.queryCriteria.resultForCreate	Added Element
SubscriptionTopic.trigger.queryCriteria.current	Added Element
SubscriptionTopic.trigger.queryCriteria.resultForDelete	Added Element
SubscriptionTopic.trigger.queryCriteria.requireBoth	Added Element
SubscriptionTopic.trigger.fhirPathCriteria	Added Element
SubscriptionTopic.trigger.event	Added Element
SubscriptionTopic.trigger.canFilterBy	Added Element
SubscriptionTopic.trigger.canFilterBy.description	Added Element
SubscriptionTopic.trigger.canFilterBy.resource	Added Element
SubscriptionTopic.trigger.canFilterBy.filterParameter	Added Mandatory Element
SubscriptionTopic.trigger.canFilterBy.filterDefinition	Added Element
SubscriptionTopic.trigger.canFilterBy.comparator	Added Element
SubscriptionTopic.trigger.canFilterBy.modifier	Added Element
SubscriptionTopic.trigger.notificationShape	Added Element
SubscriptionTopic.trigger.notificationShape.resource	Added Mandatory Element
SubscriptionTopic.trigger.notificationShape.include	Added Element
SubscriptionTopic.trigger.notificationShape.revInclude	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.query	Added Mandatory Element
ValueSet.contact.name SubscriptionTopic.resourceTrigger	deleted Deleted
ValueSet.contact.telecom SubscriptionTopic.eventTrigger	deleted Deleted
ValueSet.lockedDate SubscriptionTopic.canFilterBy	deleted Deleted
ValueSet.codeSystem SubscriptionTopic.notificationShape	deleted Deleted
Substance
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
ValueSet.compose.import Substance.instance	deleted Deleted
Substance.ingredient	Deleted
VisionPrescription SubstanceDefinition
SubstanceDefinition.status	Now marked as Modifier
VisionPrescription.status SubstanceDefinition.characterization	Added Element
SubstanceDefinition.characterization.technique	Added Element
SubstanceDefinition.characterization.form	Added Element
SubstanceDefinition.characterization.description	Added Element
SubstanceDefinition.characterization.file	Added Element
VisionPrescription.dispense.product SubstanceDefinition.property.value[x]	Min Add Type Range
SubstanceDefinition.name.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
SubstanceDefinition.informationSource	Deleted
Task
Task.statusReason	Max Cardinality changed from 1 to 0 * Type changed from Coding to CodeableConcept to CodeableReference
VisionPrescription.dispense.note Task.doNotPerform	Added Element
Task.code	Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
Task.description	Type changed from string to markdown
Task.focus	Max Cardinality changed from 1 to * Type changed from Reference(Resource) to BackboneElement
Task.focus.value[x]	Added Mandatory Element
Task.requestedPeriod	Added Element
Task.requester	Type Reference: Added Target Type Group
Task.requestedPerformer	Added Element
Task.owner	Type Reference: Added Target Type Group 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 Remove Type Contributor
Task.output.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
VisionPrescription.dispense.notes Task.instantiatesCanonical	deleted Deleted
Task.instantiatesUri	Deleted
Task.performerType	Deleted (->Task.requestedPerformer)
Task.reasonCode	Deleted (-> reason)
Task.reasonReference	Deleted (-> reason)
TerminologyCapabilities
TerminologyCapabilities.identifier	Added Element
TerminologyCapabilities.versionAlgorithm[x]	Added Element
TerminologyCapabilities.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TerminologyCapabilities.copyrightLabel	Added Element
TerminologyCapabilities.implementation.description	Type changed from string to markdown
TerminologyCapabilities.codeSystem.supplement	Added Element
TerminologyCapabilities.codeSystem.version.supplement	Added Element
TerminologyCapabilities.codeSystem.version.language	Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TerminologyCapabilities.codeSystem.content	Added Mandatory Element
TerminologyCapabilities.supplements	Added Element
TerminologyCapabilities.supplements.globals	Added Element
TerminologyCapabilities.expansion.parameter.documentation	Type changed from string to markdown
TerminologyCapabilities.codeSearch	Remove codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion
TerminologyCapabilities.closure	Deleted
ValueSet
ValueSet.versionAlgorithm[x]	Added Element
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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
VisionPrescription.basedOn	Added Element
VisionPrescription.groupIdentifier	Added Element
VisionPrescription.priority	Added Element
Conformance CatalogEntry	deleted Deleted (removed in favor of definitional resources)
DiagnosticOrder ChargeItem	deleted Deleted
ImagingObjectSelection ChargeItemDefinition	deleted Deleted
MedicationOrder Citation	deleted Deleted
Order ClinicalImpression	deleted Deleted
OrderResponse DeviceUseStatement	deleted 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