Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

2.11 2.1.12 Differences from Release 4

FHIR Infrastructure icon Work Group Maturity Level : N/A Standards Status : Informative

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

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

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

See also the version transforms (which are for R3 to R4, not R4 to R4B) and the note about version specific extensions .

This analysis is available as XML or JSON .

Types
Address
  • No Changes
Age
Age
  • No Changes Change max value set from http://hl7.org/fhir/ValueSet/all-time-units to n/a
Annotation
  • No Changes
Attachment
Attachment.language
  • No Changes Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
Attachment.size
  • Type changed from unsignedInt to integer64
Attachment.height
  • Added Element
Attachment.width
  • Added Element
Attachment.frames
  • Added Element
Attachment.duration
  • Added Element
Attachment.pages
  • Added Element
Availability
  • Added Type
BackboneElement
  • No Changes
BackboneType
  • Added Type
Base
  • Added Type
CodeableConcept
  • No Changes
CodeableReference
  • Added Type
Coding
  • No Changes
ContactDetail
  • No Changes
ContactPoint
  • No Changes
Contributor
  • No Changes
Count
  • No Changes
DataRequirement
DataRequirement.type
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/fhir-types|5.0.0-draft-final
DataRequirement.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter
  • Added Element
DataRequirement.valueFilter.path
  • Added Element
DataRequirement.valueFilter.searchParam
  • Added Element
DataRequirement.valueFilter.comparator
  • Added Element
DataRequirement.valueFilter.value[x]
  • Added Element
DataType
  • Added Type
Distance
Distance
  • No Changes Change max value set from http://hl7.org/fhir/ValueSet/all-distance-units to n/a
Dosage
Dosage.asNeeded
  • No Changes Added Element
Duration Dosage.asNeededFor
  • No Changes Added Element
Element Dosage.maxDosePerPeriod
  • Max Cardinality changed from 1 to *
Dosage.asNeeded[x]
  • deleted
Duration
Element.id Duration
  • Type changed Change max value set from string http://hl7.org/fhir/ValueSet/all-time-units to id n/a
ElementDefinition Element
  • No Changes
ElementDefinition
ElementDefinition.type.code
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types to http://hl7.org/fhir/ValueSet/fhir-element-types http://hl7.org/fhir/ValueSet/elementdefinition-types
ElementDefinition.defaultValue[x]
  • Add Types integer64, CodeableReference, RatioRange RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.fixed[x]
  • Add Types integer64, CodeableReference, RatioRange RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.pattern[x]
  • Add Types integer64, CodeableReference, RatioRange RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.example.value[x]
  • Add Types integer64, CodeableReference, RatioRange RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.minValue[x]
  • Add Type integer64
ElementDefinition.maxValue[x]
  • Add Type integer64
ElementDefinition.constraint.requirements
  • Type changed from string to markdown
ElementDefinition.constraint.suppress
  • Added Element
ElementDefinition.mustHaveValue
  • Added Element
ElementDefinition.valueAlternatives
  • Added Element
ElementDefinition.binding.description
  • Type changed from string to markdown
ElementDefinition.binding.additional
  • Added Element
ElementDefinition.binding.additional.purpose
  • Added Mandatory Element
ElementDefinition.binding.additional.valueSet
  • Added Mandatory Element
ElementDefinition.binding.additional.documentation
  • Added Element
ElementDefinition.binding.additional.shortDoco
  • Added Element
ElementDefinition.binding.additional.usage
  • Added Element
ElementDefinition.binding.additional.any
  • Added Element
ElementDefinition.mapping.comment
  • Type changed from string to markdown
ElementDefinition.constraint.xpath
  • deleted
Expression
Expression.name
  • Type changed from id to code
Expression.language
  • Min Cardinality changed from 1 to 0
  • Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt to http://hl7.org/fhir/ValueSet/mimetypes n/a
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail
  • Added Type
Extension
Extension.url
  • Type changed from string to uri
Extension.value[x]
  • Add Types integer64, CodeableReference, RatioRange RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
HumanName
  • No Changes
Identifier
  • No Changes
MarketingStatus
MarketingStatus.country
  • Min Cardinality changed from 1 to 0
MarketingStatus.dateRange
  • Min Cardinality changed from 1 to 0
Meta
  • No Changes
MonetaryComponent
  • Added Type
Money
  • No Changes
MoneyQuantity
  • No Changes
Narrative
  • No Changes
ParameterDefinition
ParameterDefinition.type
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/fhir-types|5.0.0-draft-final
Period
  • No Changes
Population
  • No Changes
ProdCharacteristic PrimitiveType
  • No Changes Added Type
ProductShelfLife
ProductShelfLife.type
  • No Changes Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]
  • Added Element
ProductShelfLife.identifier
  • deleted
ProductShelfLife.period
  • deleted
Quantity
  • No Changes
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
  • No Changes Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.classifier
  • No Changes Added Element
RelatedArtifact.resourceReference
  • Added Element
RelatedArtifact.publicationStatus
  • Added Element
RelatedArtifact.publicationDate
  • Added Element
RelatedArtifact.url
  • deleted
SampledData
SampledData.interval
  • No Changes Added Element
SampledData.intervalUnit
  • Added Mandatory Element
SampledData.codeMap
  • Added Element
SampledData.offsets
  • Added Element
SampledData.period
  • deleted
Signature
Signature.type
  • No Changes Min Cardinality changed from 1 to 0
Signature.when
  • Min Cardinality changed from 1 to 0
Signature.who
  • Min Cardinality changed from 1 to 0
SimpleQuantity
  • No Changes
Timing
  • No Changes
TriggerDefinition
TriggerDefinition.code
  • No Changes Added Element
TriggerDefinition.subscriptionTopic
  • Added Element
UsageContext
  • No Changes
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)
ProdCharacteristic
  • deleted
SubstanceAmount
  • deleted
Resources
Account
Account.billingStatus
  • No Changes Added Element
Account.description
  • Type changed from string to markdown
Account.diagnosis
  • Added Element
Account.diagnosis.sequence
  • Added Element
Account.diagnosis.condition
  • Added Mandatory Element
Account.diagnosis.dateOfDiagnosis
  • Added Element
Account.diagnosis.type
  • Added Element
Account.diagnosis.onAdmission
  • Added Element
Account.diagnosis.packageCode
  • Added Element
Account.procedure
  • Added Element
Account.procedure.sequence
  • Added Element
Account.procedure.code
  • Added Mandatory Element
Account.procedure.dateOfService
  • Added Element
Account.procedure.type
  • Added Element
Account.procedure.packageCode
  • Added Element
Account.procedure.device
  • Added Element
Account.relatedAccount
  • Added Element
Account.relatedAccount.relationship
  • Added Element
Account.relatedAccount.account
  • Added Mandatory Element
Account.currency
  • Added Element
Account.balance
  • Added Element
Account.balance.aggregate
  • Added Element
Account.balance.term
  • Added Element
Account.balance.estimate
  • Added Element
Account.balance.amount
  • Added Mandatory Element
Account.calculatedAt
  • Added Element
Account.partOf
  • deleted
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]
  • Added Element
ActivityDefinition.subject[x]
  • Add Type canonical canonical(EvidenceVariable)
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.usage
  • Type changed from string to markdown
ActivityDefinition.copyrightLabel
  • Added Element
ActivityDefinition.timing[x]
  • Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]
  • Added Element
ActivityDefinition.location
  • Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type
  • Min Cardinality changed from 1 to 0
ActivityDefinition.participant.typeCanonical
  • Added Element
ActivityDefinition.participant.typeReference
  • Added Element
ActivityDefinition.participant.function
  • Added Element
ActivityDefinition.specimenRequirement
  • Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition
  • Added Resource
AdministrableProductDefinition
  • Added Resource
AdverseEvent
AdverseEvent.identifier
  • No Changes Max Cardinality changed from 1 to *
AdverseEvent.status
  • Added Mandatory Element
AdverseEvent.category
  • Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-category (extensible)
AdverseEvent.code
  • Added Element
AdverseEvent.subject
  • Type Reference: Added Target Type ResearchSubject
AdverseEvent.occurrence[x]
  • Added Element
AdverseEvent.resultingEffect
  • Added Element
AdverseEvent.outcome
  • Max Cardinality changed from 1 to *
  • Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0 (required)
AdverseEvent.recorder
  • Type Reference: Added Target Type ResearchSubject
AdverseEvent.participant
  • Added Element
AdverseEvent.participant.function
  • Added Element
AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.expectedInResearchStudy
  • Added Element
AdverseEvent.suspectEntity.instance[x]
  • Added Mandatory Element
AdverseEvent.suspectEntity.causality
  • Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness
  • Added Element
AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Target Types Patient, RelatedPerson, ResearchSubject
AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.contributingFactor.item[x]
  • Added Mandatory Element
AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.preventiveAction.item[x]
  • Added Mandatory Element
AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.mitigatingAction.item[x]
  • Added Mandatory Element
AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.supportingInfo.item[x]
  • Added Mandatory Element
AdverseEvent.note
  • Added Element
AdverseEvent.event
  • deleted
AdverseEvent.date
  • deleted
AdverseEvent.resultingCondition
  • deleted
AdverseEvent.severity
  • deleted
AdverseEvent.contributor
  • deleted
AdverseEvent.suspectEntity.instance
  • deleted
AdverseEvent.suspectEntity.causality.assessment
  • deleted
AdverseEvent.suspectEntity.causality.productRelatedness
  • deleted
AdverseEvent.suspectEntity.causality.method
  • deleted
AdverseEvent.subjectMedicalHistory
  • deleted
AdverseEvent.referenceDocument
  • deleted
AllergyIntolerance
AllergyIntolerance.type
  • No Changes Type changed from code to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0 (required)
AllergyIntolerance.participant
  • Added Element
AllergyIntolerance.participant.function
  • Added Element
AllergyIntolerance.participant.actor
  • Added Mandatory Element
AllergyIntolerance.reaction.manifestation
  • Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.recorder
  • deleted
AllergyIntolerance.asserter
  • deleted
Appointment
Appointment.cancellationReason
  • No Changes Added Element
Appointment.class
  • Added Element
Appointment.serviceType
  • Type changed from CodeableConcept to CodeableReference
Appointment.reason
  • Added Element
Appointment.priority
  • Type changed from unsignedInt to CodeableConcept
Appointment.replaces
  • Added Element
Appointment.virtualService
  • Added Element
Appointment.previousAppointment
  • Added Element
Appointment.originatingAppointment
  • Added Element
Appointment.account
  • Added Element
Appointment.cancellationDate
  • Added Element
Appointment.note
  • Added Element
Appointment.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableReference
Appointment.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest
Appointment.subject
  • Added Element
Appointment.participant.actor
  • Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required
  • Type changed from code to boolean
  • Remove Binding http://hl7.org/fhir/ValueSet/participantrequired|4.0.0 (required)
Appointment.recurrenceId
  • Added Element
Appointment.occurrenceChanged
  • Added Element
Appointment.recurrenceTemplate
  • Added Element
Appointment.recurrenceTemplate.timezone
  • Added Element
Appointment.recurrenceTemplate.recurrenceType
  • Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate
  • Added Element
Appointment.recurrenceTemplate.occurrenceCount
  • Added Element
Appointment.recurrenceTemplate.occurrenceDate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate
  • Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate
  • Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId
  • Added Element
Appointment.cancelationReason
  • deleted
Appointment.reasonCode
  • deleted
Appointment.reasonReference
  • deleted
Appointment.comment
  • deleted
AppointmentResponse
AppointmentResponse.proposedNewTime
  • No Changes Added Element
AppointmentResponse.actor
  • Type Reference: Added Target Type Group
AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/appointmentresponse-status|5.0.0-draft-final
AppointmentResponse.comment
  • Type changed from string to markdown
AppointmentResponse.recurring
  • Added Element
AppointmentResponse.occurrenceDate
  • Added Element
AppointmentResponse.recurrenceId
  • Added Element
ArtifactAssessment
  • Added Resource
AuditEvent
AuditEvent.category
  • No Changes Added Element
AuditEvent.code
  • Added Mandatory Element
AuditEvent.severity
  • Added Element
AuditEvent.occurred[x]
  • Added Element
AuditEvent.outcome
  • Type changed from code to BackboneElement
  • Remove Binding http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0 (required)
AuditEvent.outcome.code
  • Added Mandatory Element
AuditEvent.outcome.detail
  • Added Element
AuditEvent.authorization
  • Added Element
AuditEvent.basedOn
  • Added Element
AuditEvent.patient
  • Added Element
AuditEvent.encounter
  • Added Element
AuditEvent.agent.type
  • Remove Binding http://hl7.org/fhir/ValueSet/participation-role-type (extensible)
AuditEvent.agent.who
  • Min Cardinality changed from 0 to 1
  • Type Reference: Added Target Type CareTeam
AuditEvent.agent.requestor
  • Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]
  • Added Element
AuditEvent.agent.authorization
  • Added Element
AuditEvent.source.site
  • Type changed from string to Reference(Location)
AuditEvent.source.observer
  • Type Reference: Added Target Type CareTeam
AuditEvent.source.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/audit-source-type (extensible)
AuditEvent.entity.role
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/object-role (extensible)
AuditEvent.entity.securityLabel
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/security-labels (extensible)
AuditEvent.entity.detail.type
  • Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]
  • Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent
  • Added Element
AuditEvent.type
  • deleted
AuditEvent.subtype
  • deleted
AuditEvent.period
  • deleted
AuditEvent.outcomeDesc
  • deleted
AuditEvent.purposeOfEvent
  • deleted
AuditEvent.agent.altId
  • deleted
AuditEvent.agent.name
  • deleted
AuditEvent.agent.media
  • deleted
AuditEvent.agent.network
  • deleted
AuditEvent.agent.purposeOfUse
  • deleted
AuditEvent.entity.type
  • deleted
AuditEvent.entity.lifecycle
  • deleted
AuditEvent.entity.name
  • deleted
AuditEvent.entity.description
  • deleted
Basic
Basic.created
  • No Changes Type changed from date to dateTime
Basic.author
  • Type Reference: Added Target Types Device, CareTeam
Binary
  • No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory
  • No Changes Type changed from code to Coding
  • Remove Binding http://hl7.org/fhir/ValueSet/product-category|4.0.0 (required)
BiologicallyDerivedProduct.biologicalSourceEvent
  • Added Element
BiologicallyDerivedProduct.processingFacility
  • Added Element
BiologicallyDerivedProduct.division
  • Added Element
BiologicallyDerivedProduct.productStatus
  • Added Element
BiologicallyDerivedProduct.expirationDate
  • Added Element
BiologicallyDerivedProduct.storageTempRequirements
  • Added Element
BiologicallyDerivedProduct.property
  • Added Element
BiologicallyDerivedProduct.property.type
  • Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]
  • Added Mandatory Element
BiologicallyDerivedProduct.status
  • deleted
BiologicallyDerivedProduct.quantity
  • deleted
BiologicallyDerivedProduct.processing
  • deleted
BiologicallyDerivedProduct.manipulation
  • deleted
BiologicallyDerivedProduct.storage
  • deleted
BiologicallyDerivedProductDispense
  • Added Resource
BodyStructure
BodyStructure.includedStructure
  • No Changes Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.location
  • deleted
BodyStructure.locationQualifier
  • deleted
Bundle
Bundle.link.relation
  • Type changed from string to code
  • Add Binding http://hl7.org/fhir/ValueSet/iana-link-relations|5.0.0-draft-final (required)
Bundle.issues
  • Added Element
CanonicalResource
  • No Changes Added Resource
CapabilityStatement
CapabilityStatement.identifier
  • No Changes Added Element
CapabilityStatement.versionAlgorithm[x]
  • Added Element
CapabilityStatement.copyrightLabel
  • Added Element
CapabilityStatement.implementation.description
  • Type changed from string to markdown
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.conditionalPatch
  • Added Element
CapabilityStatement.messaging.endpoint.protocol
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn
  • No Changes Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.custodian
  • Added Element
CarePlan.addresses
  • Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity
  • Added Element
CarePlan.activity.plannedActivityReference
  • Added Element
CarePlan.author
  • deleted
CarePlan.activity.outcomeCodeableConcept
  • deleted
CarePlan.activity.outcomeReference
  • deleted
CarePlan.activity.reference
  • deleted
CarePlan.activity.detail
  • deleted
CareTeam
CareTeam.participant.role
  • No Changes Max Cardinality changed from * to 1
CatalogEntry CareTeam.participant.coverage[x]
  • No Changes Added Element
CareTeam.reason
  • Added Element
CareTeam.encounter
  • deleted
CareTeam.participant.period
  • deleted
CareTeam.reasonCode
  • deleted
CareTeam.reasonReference
  • deleted
ChargeItem
ChargeItem.encounter
  • No Changes Added Element
ChargeItem.performer.actor
  • Type Reference: Added Target Type HealthcareService
ChargeItem.unitPriceComponent
  • Added Element
ChargeItem.totalPriceComponent
  • Added Element
ChargeItem.overrideReason
  • Type changed from string to CodeableConcept
ChargeItem.service
  • Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference
ChargeItem.product
  • Added Element
ChargeItem.context
  • deleted
ChargeItem.factorOverride
  • deleted
ChargeItem.priceOverride
  • deleted
ChargeItem.product[x]
  • deleted
ChargeItemDefinition
ChargeItemDefinition.url
  • No Changes Min Cardinality changed from 1 to 0
ChargeItemDefinition.versionAlgorithm[x]
  • Added Element
ChargeItemDefinition.name
  • Added Element
ChargeItemDefinition.purpose
  • Added Element
ChargeItemDefinition.copyrightLabel
  • Added Element
ChargeItemDefinition.instance
  • Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService
ChargeItemDefinition.applicability.condition
  • Added Element
ChargeItemDefinition.applicability.effectivePeriod
  • Added Element
ChargeItemDefinition.applicability.relatedArtifact
  • Added Element
ChargeItemDefinition.propertyGroup.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
ChargeItemDefinition.effectivePeriod
  • deleted
ChargeItemDefinition.applicability.description
  • deleted
ChargeItemDefinition.applicability.language
  • deleted
ChargeItemDefinition.applicability.expression
  • deleted
ChargeItemDefinition.propertyGroup.priceComponent.type
  • deleted
ChargeItemDefinition.propertyGroup.priceComponent.code
  • deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor
  • deleted
ChargeItemDefinition.propertyGroup.priceComponent.amount
  • deleted
Citation
  • Added Resource
Claim
Claim.traceNumber
  • No Changes Added Element
Claim.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider
  • Min Cardinality changed from 1 to 0
Claim.priority
  • Min Cardinality changed from 1 to 0
Claim.encounter
  • Added Element
Claim.facility
  • Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup
  • Added Element
Claim.event
  • Added Element
Claim.event.type
  • Added Mandatory Element
Claim.event.when[x]
  • Added Mandatory Element
Claim.careTeam.specialty
  • Added Element
Claim.supportingInfo.value[x]
  • Add Type Identifier
Claim.insurance
  • Min Cardinality changed from 1 to 0
Claim.patientPaid
  • Added Element
Claim.item.traceNumber
  • Added Element
Claim.item.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.productOrServiceEnd
  • Added Element
Claim.item.request
  • Added Element
Claim.item.patientPaid
  • Added Element
Claim.item.tax
  • Added Element
Claim.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site
  • Added Mandatory Element
Claim.item.bodySite.subSite
  • Added Element
Claim.item.detail.traceNumber
  • Added Element
Claim.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd
  • Added Element
Claim.item.detail.patientPaid
  • Added Element
Claim.item.detail.tax
  • Added Element
Claim.item.detail.subDetail.traceNumber
  • Added Element
Claim.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd
  • Added Element
Claim.item.detail.subDetail.patientPaid
  • Added Element
Claim.item.detail.subDetail.tax
  • Added Element
Claim.careTeam.qualification
  • deleted
Claim.diagnosis.packageCode
  • deleted
Claim.item.subSite
  • deleted
ClaimResponse
ClaimResponse.traceNumber
  • No Changes Added Element
ClaimResponse.insurer
  • Min Cardinality changed from 1 to 0
ClaimResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0-draft-final
ClaimResponse.decision
  • Added Element
ClaimResponse.event
  • Added Element
ClaimResponse.event.type
  • Added Mandatory Element
ClaimResponse.event.when[x]
  • Added Mandatory Element
ClaimResponse.encounter
  • Added Element
ClaimResponse.diagnosisRelatedGroup
  • Added Element
ClaimResponse.item.traceNumber
  • Added Element
ClaimResponse.item.reviewOutcome
  • Added Element
ClaimResponse.item.reviewOutcome.decision
  • Added Element
ClaimResponse.item.reviewOutcome.reason
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthRef
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod
  • Added Element
ClaimResponse.item.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity
  • Added Element
ClaimResponse.item.detail.traceNumber
  • Added Element
ClaimResponse.item.detail.reviewOutcome
  • Added Element
ClaimResponse.item.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.traceNumber
  • Added Element
ClaimResponse.addItem.revenue
  • Added Element
ClaimResponse.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.request
  • Added Element
ClaimResponse.addItem.tax
  • Added Element
ClaimResponse.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site
  • Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite
  • Added Element
ClaimResponse.addItem.reviewOutcome
  • Added Element
ClaimResponse.addItem.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.revenue
  • Added Element
ClaimResponse.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.tax
  • Added Element
ClaimResponse.addItem.detail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.subDetail.revenue
  • Added Element
ClaimResponse.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.subDetail.tax
  • Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.subDetail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ClaimResponse.processNote.language
  • Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
ClaimResponse.error.expression
  • Added Element
ClaimResponse.item.adjudication.value
  • deleted
ClaimResponse.addItem.subSite
  • deleted
ClinicalImpression
ClinicalImpression.status
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|5.0.0-draft-final
ClinicalImpression.performer
  • Added Element
ClinicalImpression.changePattern
  • Added Element
ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.code
  • deleted
ClinicalImpression.assessor
  • deleted
ClinicalImpression.investigation
  • deleted
ClinicalImpression.finding.itemCodeableConcept
  • deleted
ClinicalImpression.finding.itemReference
  • deleted
ClinicalUseDefinition
  • Added Resource
CodeSystem
CodeSystem.versionAlgorithm[x]
  • No Changes Added Element
CodeSystem.copyrightLabel
  • Added Element
CodeSystem.approvalDate
  • Added Element
CodeSystem.lastReviewDate
  • Added Element
CodeSystem.effectivePeriod
  • Added Element
CodeSystem.topic
  • Added Element
CodeSystem.author
  • Added Element
CodeSystem.editor
  • Added Element
CodeSystem.reviewer
  • Added Element
CodeSystem.endorser
  • Added Element
CodeSystem.relatedArtifact
  • Added Element
CodeSystem.concept.designation.language
  • Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
CodeSystem.concept.designation.additionalUse
  • Added Element
Communication
Communication.recipient
  • No Changes Type Reference: Added Target Types Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason
  • Added Element
Communication.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
Communication.reasonCode
  • deleted
Communication.reasonReference
  • deleted
CommunicationRequest
CommunicationRequest.intent
  • No Changes Added Mandatory Element
CommunicationRequest.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
CommunicationRequest.recipient
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider
  • Added Element
CommunicationRequest.reason
  • Added Element
CommunicationRequest.sender
  • deleted
CommunicationRequest.reasonCode
  • deleted
CommunicationRequest.reasonReference
  • deleted
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]
  • No Changes Added Element
CompartmentDefinition.title
  • Added Element
CompartmentDefinition.resource.startParam
  • Added Element
CompartmentDefinition.resource.endParam
  • Added Element
Composition
Composition.url
  • Added Element
Composition.confidentiality Composition.identifier
  • Change value set Max Cardinality changed from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|4.0.0 1 to http://terminology.hl7.org/ValueSet/v3-Confidentiality|2.0.0 *
Composition.version
  • Added Element
Composition.subject
  • Max Cardinality changed from 1 to *
Composition.useContext
  • Added Element
Composition.name
  • Added Element
Composition.note
  • Added Element
Composition.attester.mode
  • Type changed from code to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0 (required)
Composition.relatesTo
  • Type changed from BackboneElement to RelatedArtifact
Composition.confidentiality
  • deleted
Composition.relatesTo.code
  • deleted
Composition.relatesTo.target[x]
  • deleted
ConceptMap
ConceptMap.identifier
  • No Changes Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]
  • Added Element
ConceptMap.copyrightLabel
  • Added Element
ConceptMap.approvalDate
  • Added Element
ConceptMap.lastReviewDate
  • Added Element
ConceptMap.effectivePeriod
  • Added Element
ConceptMap.topic
  • Added Element
ConceptMap.author
  • Added Element
ConceptMap.editor
  • Added Element
ConceptMap.reviewer
  • Added Element
ConceptMap.endorser
  • Added Element
ConceptMap.relatedArtifact
  • Added Element
ConceptMap.property
  • Added Element
ConceptMap.property.code
  • Added Mandatory Element
ConceptMap.property.uri
  • Added Element
ConceptMap.property.description
  • Added Element
ConceptMap.property.type
  • Added Mandatory Element
ConceptMap.property.system
  • Added Element
ConceptMap.additionalAttribute
  • Added Element
ConceptMap.additionalAttribute.code
  • Added Mandatory Element
ConceptMap.additionalAttribute.uri
  • Added Element
ConceptMap.additionalAttribute.description
  • Added Element
ConceptMap.additionalAttribute.type
  • Added Mandatory Element
ConceptMap.sourceScope[x]
  • Added Element
ConceptMap.targetScope[x]
  • Added Element
ConceptMap.group.source
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet
  • Added Element
ConceptMap.group.element.noMap
  • Added Element
ConceptMap.group.element.target.valueSet
  • Added Element
ConceptMap.group.element.target.relationship
  • Added Mandatory Element
ConceptMap.group.element.target.property
  • Added Element
ConceptMap.group.element.target.property.code
  • Added Mandatory Element
ConceptMap.group.element.target.property.value[x]
  • Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute
  • Added Mandatory Element
ConceptMap.group.element.target.dependsOn.value[x]
  • Added Element
ConceptMap.group.element.target.dependsOn.valueSet
  • Added Element
ConceptMap.group.unmapped.valueSet
  • Added Element
ConceptMap.group.unmapped.relationship
  • Added Element
ConceptMap.group.unmapped.otherMap
  • Added Element
ConceptMap.source[x]
  • deleted
ConceptMap.target[x]
  • deleted
ConceptMap.group.sourceVersion
  • deleted
ConceptMap.group.targetVersion
  • deleted
ConceptMap.group.element.target.equivalence
  • deleted
ConceptMap.group.element.target.dependsOn.property
  • deleted
ConceptMap.group.element.target.dependsOn.system
  • deleted
ConceptMap.group.element.target.dependsOn.value
  • deleted
ConceptMap.group.element.target.dependsOn.display
  • deleted
ConceptMap.group.unmapped.url
  • deleted
Condition
Condition.clinicalStatus
  • No Changes Min Cardinality changed from 0 to 1
Condition.category
  • Remove Binding http://hl7.org/fhir/ValueSet/condition-category (extensible)
Condition.participant
  • Added Element
Condition.participant.function
  • Added Element
Condition.participant.actor
  • Added Mandatory Element
Condition.evidence
  • Type changed from BackboneElement to CodeableReference
Condition.recorder
  • deleted
Condition.asserter
  • deleted
Condition.evidence.code
  • deleted
Condition.evidence.detail
  • deleted
ConditionDefinition
  • Added Resource
Consent
Consent.category
  • No Changes Min Cardinality changed from 1 to 0
  • Remove Binding http://hl7.org/fhir/ValueSet/consent-category (extensible)
Consent.subject
  • Added Element
Consent.date
  • Added Element
Consent.period
  • Added Element
Consent.grantor
  • Added Element
Consent.grantee
  • Added Element
Consent.manager
  • Added Element
Consent.controller
  • Added Element
Consent.sourceAttachment
  • Added Element
Consent.sourceReference
  • Added Element
Consent.regulatoryBasis
  • Added Element
Consent.policyBasis
  • Added Element
Consent.policyBasis.reference
  • Added Element
Consent.policyBasis.url
  • Added Element
Consent.policyText
  • Added Element
Consent.verification.verificationType
  • Added Element
Consent.verification.verifiedBy
  • Added Element
Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Consent.decision
  • 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 http://hl7.org/fhir/ValueSet/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
  • Added Element
Consent.provision.expression
  • Added Element
Consent.scope
  • deleted
Consent.patient
  • deleted
Consent.dateTime
  • deleted
Consent.performer
  • deleted
Consent.organization
  • deleted
Consent.source[x]
  • deleted
Consent.policy
  • deleted
Consent.policyRule
  • deleted
Consent.provision.type
  • deleted
Consent.provision.class
  • deleted
Contract
Contract.term.action.reason
  • No Changes Type changed from string to CodeableReference
Contract.term.action.reasonCode
  • deleted
Contract.term.action.reasonReference
  • deleted
Coverage
Coverage.kind
  • No Changes Added Mandatory Element
Coverage.paymentBy
  • Added Element
Coverage.paymentBy.party
  • Added Mandatory Element
Coverage.paymentBy.responsibility
  • Added Element
Coverage.subscriberId
  • Max Cardinality changed from 1 to *
  • Type changed from string to Identifier
Coverage.insurer
  • Added Element
Coverage.class.value
  • Type changed from string to Identifier
Coverage.costToBeneficiary.category
  • Added Element
Coverage.costToBeneficiary.network
  • Added Element
Coverage.costToBeneficiary.unit
  • Added Element
Coverage.costToBeneficiary.term
  • Added Element
Coverage.costToBeneficiary.value[x]
  • Min Cardinality changed from 1 to 0
Coverage.insurancePlan
  • Added Element
Coverage.payor
  • deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.event
  • No Changes Added Element
CoverageEligibilityRequest.event.type
  • Added Mandatory Element
CoverageEligibilityRequest.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.event
  • No Changes Added Element
CoverageEligibilityResponse.event.type
  • Added Mandatory Element
CoverageEligibilityResponse.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/eligibility-outcome|5.0.0-draft-final
CoverageEligibilityResponse.error.expression
  • Added Element
DetectedIssue
DetectedIssue.status
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-status|5.0.0-draft-final
DetectedIssue.category
  • Added Element
DetectedIssue.subject
  • Added Element
DetectedIssue.encounter
  • Added Element
DetectedIssue.author
  • Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail
  • Type changed from string to markdown
DetectedIssue.mitigation.note
  • Added Element
DetectedIssue.patient
  • deleted
Device
Device.displayName
  • No Changes Added Element
Device.definition
  • Type changed from Reference(DeviceDefinition) to CodeableReference
Device.udiCarrier.deviceIdentifier
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.issuer
  • Min Cardinality changed from 0 to 1
Device.availabilityStatus
  • Added Element
Device.biologicalSourceEvent
  • Added Element
Device.name
  • Added Element
Device.name.value
  • Added Mandatory Element
Device.name.type
  • Added Mandatory Element
Device.name.display
  • Added Element
Device.category
  • Added Element
Device.type
  • Max Cardinality changed from 1 to *
Device.version.installDate
  • Added Element
Device.conformsTo
  • Added Element
Device.conformsTo.category
  • Added Element
Device.conformsTo.specification
  • Added Mandatory Element
Device.conformsTo.version
  • Added Element
Device.property.value[x]
  • Added Mandatory Element
Device.mode
  • Added Element
Device.cycle
  • Added Element
Device.duration
  • Added Element
Device.endpoint
  • Added Element
Device.gateway
  • Added Element
Device.statusReason
  • deleted
Device.distinctIdentifier
  • deleted
Device.deviceName
  • deleted
Device.specialization
  • deleted
Device.property.valueQuantity
  • deleted
Device.property.valueCode
  • deleted
Device.patient
  • deleted
DeviceAssociation
  • Added Resource
DeviceDefinition
DeviceDefinition.description
  • No Changes Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod
  • Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier
  • Added Element
DeviceDefinition.regulatoryIdentifier.type
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction
  • Added Mandatory Element
DeviceDefinition.partNumber
  • Added Element
DeviceDefinition.manufacturer
  • Added Element
DeviceDefinition.classification
  • Added Element
DeviceDefinition.classification.type
  • Added Mandatory Element
DeviceDefinition.classification.justification
  • Added Element
DeviceDefinition.conformsTo
  • Added Element
DeviceDefinition.conformsTo.category
  • Added Element
DeviceDefinition.conformsTo.specification
  • Added Mandatory Element
DeviceDefinition.conformsTo.version
  • Added Element
DeviceDefinition.conformsTo.source
  • Added Element
DeviceDefinition.hasPart
  • Added Element
DeviceDefinition.hasPart.reference
  • Added Mandatory Element
DeviceDefinition.hasPart.count
  • Added Element
DeviceDefinition.packaging
  • Added Element
DeviceDefinition.packaging.identifier
  • Added Element
DeviceDefinition.packaging.type
  • Added Element
DeviceDefinition.packaging.count
  • Added Element
DeviceDefinition.packaging.distributor
  • Added Element
DeviceDefinition.packaging.distributor.name
  • Added Element
DeviceDefinition.packaging.distributor.organizationReference
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier
  • Added Element
DeviceDefinition.packaging.packaging
  • Added Element
DeviceDefinition.version
  • Type changed from string to BackboneElement
DeviceDefinition.version.type
  • Added Element
DeviceDefinition.version.component
  • Added Element
DeviceDefinition.version.value
  • Added Mandatory Element
DeviceDefinition.property.value[x]
  • Added Mandatory Element
DeviceDefinition.link
  • Added Element
DeviceDefinition.link.relation
  • Added Mandatory Element
DeviceDefinition.link.relatedDevice
  • Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI
  • Added Element
DeviceDefinition.guideline
  • Added Element
DeviceDefinition.guideline.useContext
  • Added Element
DeviceDefinition.guideline.usageInstruction
  • Added Element
DeviceDefinition.guideline.relatedArtifact
  • Added Element
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.manufacturer[x]
  • deleted
DeviceDefinition.type
  • deleted
DeviceDefinition.specialization
  • deleted
DeviceDefinition.physicalCharacteristics
  • deleted
DeviceDefinition.capability
  • deleted
DeviceDefinition.property.valueQuantity
  • deleted
DeviceDefinition.property.valueCode
  • deleted
DeviceDefinition.url
  • deleted
DeviceDefinition.onlineInformation
  • deleted
DeviceDefinition.quantity
  • deleted
DeviceDefinition.parentDevice
  • deleted
DeviceDispense
  • Added Resource
DeviceMetric
DeviceMetric.device
  • No Changes Added Mandatory Element
DeviceMetric.measurementFrequency
  • Added Element
DeviceMetric.source
  • deleted
DeviceMetric.parent
  • deleted
DeviceMetric.measurementPeriod
  • deleted
DeviceRequest
DeviceRequest.replaces
  • No Changes Added Element
DeviceUseStatement DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.code
  • Added Mandatory Element
DeviceRequest.quantity
  • Added Element
DeviceRequest.performer
  • Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason
  • Added Element
DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.priorRequest
  • deleted
DeviceRequest.code[x]
  • deleted
DeviceRequest.performerType
  • deleted
DeviceRequest.reasonCode
  • deleted
DeviceRequest.reasonReference
  • deleted
DeviceUsage
  • No Changes Added Resource
DiagnosticReport
DiagnosticReport.subject
  • Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance Substance, BiologicallyDerivedProduct
DocumentManifest DiagnosticReport.note
  • No Changes 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.imagingStudy
  • deleted
DocumentReference
DocumentReference.version
  • No Changes Added Element
DocumentReference.basedOn
  • Added Element
DocumentReference.modality
  • Added Element
DocumentReference.subject
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context
  • Max Cardinality changed from 1 to *
  • Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event
  • Added Element
DocumentReference.bodySite
  • Added Element
DocumentReference.facilityType
  • Added Element
DocumentReference.practiceSetting
  • Added Element
DocumentReference.period
  • Added Element
DocumentReference.author
  • Type Reference: Added Target Type CareTeam
DocumentReference.attester
  • Added Element
DocumentReference.attester.mode
  • Added Mandatory Element
DocumentReference.attester.time
  • Added Element
DocumentReference.attester.party
  • Added Element
DocumentReference.relatesTo.code
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DocumentReference.description
  • Type changed from string to markdown
DocumentReference.securityLabel
  • Remove Binding http://hl7.org/fhir/ValueSet/security-labels (extensible)
DocumentReference.content.profile
  • Added Element
DocumentReference.content.profile.value[x]
  • Added Mandatory Element
DocumentReference.masterIdentifier
  • deleted
DocumentReference.authenticator
  • deleted
DocumentReference.content.format
  • deleted
DocumentReference.context.encounter
  • deleted
DocumentReference.context.event
  • deleted
DocumentReference.context.period
  • deleted
DocumentReference.context.facilityType
  • deleted
DocumentReference.context.practiceSetting
  • deleted
DocumentReference.context.sourcePatientInfo
  • deleted
DocumentReference.context.related
  • deleted
DomainResource
  • No Changes
Encounter
Encounter.class
  • No Changes Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://terminology.hl7.org/ValueSet/v3-ActEncounterCode (extensible)
Encounter.serviceType
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus
  • Added Element
Encounter.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest
Encounter.careTeam
  • Added Element
Encounter.participant.actor
  • Added Element
Encounter.virtualService
  • Added Element
Encounter.actualPeriod
  • Added Element
Encounter.plannedStartDate
  • Added Element
Encounter.plannedEndDate
  • Added Element
Encounter.reason
  • Added Element
Encounter.reason.use
  • Added Element
Encounter.reason.value
  • Added Element
Encounter.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition | Procedure) to CodeableReference
Encounter.diagnosis.use
  • Max Cardinality changed from 1 to *
Encounter.dietPreference
  • Added Element
Encounter.specialArrangement
  • Added Element
Encounter.specialCourtesy
  • Added Element
Encounter.admission
  • Added Element
Encounter.admission.preAdmissionIdentifier
  • Added Element
Encounter.admission.origin
  • Added Element
Encounter.admission.admitSource
  • Added Element
Encounter.admission.reAdmission
  • Added Element
Encounter.admission.destination
  • Added Element
Encounter.admission.dischargeDisposition
  • Added Element
Encounter.location.form
  • Added Element
Encounter.statusHistory
  • deleted
Encounter.classHistory
  • deleted
Encounter.participant.individual
  • deleted
Encounter.period
  • deleted
Encounter.reasonCode
  • deleted
Encounter.reasonReference
  • deleted
Encounter.diagnosis.rank
  • deleted
Encounter.hospitalization
  • deleted
Encounter.location.physicalType
  • deleted
EncounterHistory
  • Added Resource
Endpoint
Endpoint.connectionType
  • No Changes Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding http://hl7.org/fhir/ValueSet/endpoint-connection-type (extensible)
Endpoint.description
  • Added Element
Endpoint.environmentType
  • Added Element
Endpoint.payload
  • Added Element
Endpoint.payload.type
  • Added Element
Endpoint.payload.mimeType
  • Added Element
Endpoint.payloadType
  • deleted
Endpoint.payloadMimeType
  • deleted
EnrollmentRequest
  • No Changes
EnrollmentResponse
EnrollmentResponse.outcome
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/enrollment-outcome|5.0.0-draft-final
EpisodeOfCare
EpisodeOfCare.reason
  • No Changes Added Element
EpisodeOfCare.reason.use
  • Added Element
EpisodeOfCare.reason.value
  • Added Element
EpisodeOfCare.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use
  • Added Element
EpisodeOfCare.careTeam
  • Added Element
EpisodeOfCare.diagnosis.role
  • deleted
EpisodeOfCare.diagnosis.rank
  • deleted
EpisodeOfCare.team
  • deleted
EventDefinition
EventDefinition.versionAlgorithm[x]
  • No Changes Added Element
EventDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.usage
  • Type changed from string to markdown
EventDefinition.copyrightLabel
  • Added Element
Evidence
Evidence.versionAlgorithm[x]
  • Added Element
Evidence.citeAs[x]
  • Added Element
Evidence.experimental
  • Added Element
Evidence.purpose
  • Added Element
Evidence.copyrightLabel
  • Added Element
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType Evidence.studyDesign
  • Added Element
Evidence.statistic
  • Added Element
Evidence.statistic.description
  • Added Element
Evidence.statistic.note
  • Added Element
Evidence.statistic.statisticType
  • Added Element
Evidence.statistic.category
  • Added Element
Evidence.statistic.quantity
  • Added Element
Evidence.statistic.numberOfEvents
  • Added Element
Evidence.statistic.numberAffected
  • Added Element
Evidence.statistic.sampleSize
  • Added Element
Evidence.statistic.sampleSize.description
  • Added Element
Evidence.statistic.sampleSize.note
  • Added Element
Evidence.statistic.sampleSize.numberOfStudies
  • Added Element
Evidence.statistic.sampleSize.numberOfParticipants
  • Added Element
Evidence.statistic.sampleSize.knownDataCount
  • Added Element
Evidence.statistic.attributeEstimate
  • Added Element
Evidence.statistic.attributeEstimate.description
  • Added Element
Evidence.statistic.attributeEstimate.note
  • Added Element
Evidence.statistic.attributeEstimate.type
  • Added Element
Evidence.statistic.attributeEstimate.quantity
  • Added Element
Evidence.statistic.attributeEstimate.level
  • Added Element
Evidence.statistic.attributeEstimate.range
  • Added Element
Evidence.statistic.attributeEstimate.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic
  • Added Element
Evidence.statistic.modelCharacteristic.code
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.value
  • Added Element
Evidence.statistic.modelCharacteristic.variable
  • Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange
  • Added Element
Evidence.statistic.modelCharacteristic.attributeEstimate
  • 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.name Evidence.shortTitle
  • deleted
Evidence.shortTitle Evidence.subtitle
  • deleted
Evidence.subtitle Evidence.jurisdiction
  • deleted
Evidence.jurisdiction Evidence.effectivePeriod
  • deleted
Evidence.copyright Evidence.topic
  • deleted
Evidence.effectivePeriod Evidence.exposureBackground
  • deleted
Evidence.topic Evidence.exposureVariant
  • deleted
Evidence.exposureBackground Evidence.outcome
  • deleted
Evidence.exposureVariant EvidenceReport
  • deleted Added Resource
Evidence.outcome EvidenceVariable
EvidenceVariable.versionAlgorithm[x]
  • deleted Added Element
EvidenceReport EvidenceVariable.experimental
  • Added Resource Element
EvidenceVariable EvidenceVariable.purpose
  • Added Element
EvidenceVariable.actual EvidenceVariable.copyrightLabel
  • Added Element
EvidenceVariable.characteristicCombination EvidenceVariable.actual
  • Added Element
EvidenceVariable.characteristic
  • Min Cardinality changed from 1 to 0
EvidenceVariable.characteristic.linkId
  • Added Element
EvidenceVariable.characteristic.definition[x] EvidenceVariable.characteristic.description
  • Remove Types DataRequirement, TriggerDefinition Type changed from string to markdown
EvidenceVariable.characteristic.method EvidenceVariable.characteristic.note
  • Added Element
EvidenceVariable.characteristic.device EvidenceVariable.characteristic.definitionReference
  • Added Element
EvidenceVariable.characteristic.timeFromStart EvidenceVariable.characteristic.definitionCanonical
  • Type changed from Duration to BackboneElement Added Element
EvidenceVariable.characteristic.timeFromStart.description EvidenceVariable.characteristic.definitionCodeableConcept
  • Added Element
EvidenceVariable.characteristic.timeFromStart.quantity EvidenceVariable.characteristic.definitionExpression
  • Added Element
EvidenceVariable.characteristic.timeFromStart.range EvidenceVariable.characteristic.definitionId
  • Added Element
EvidenceVariable.characteristic.timeFromStart.note EvidenceVariable.characteristic.definitionByTypeAndValue
  • Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.type
  • Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.method
  • Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.device
  • Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.value[x]
  • Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.offset
  • Added Element
EvidenceVariable.characteristic.definitionByCombination
  • Added Element
EvidenceVariable.characteristic.definitionByCombination.code
  • Added Mandatory Element
EvidenceVariable.characteristic.definitionByCombination.threshold
  • Added Element
EvidenceVariable.characteristic.definitionByCombination.characteristic
  • Added Mandatory Element
EvidenceVariable.characteristic.instances[x]
  • Added Element
EvidenceVariable.characteristic.duration[x]
  • Added Element
EvidenceVariable.characteristic.timeFromEvent
  • Added Element
EvidenceVariable.characteristic.timeFromEvent.description
  • Added Element
EvidenceVariable.characteristic.timeFromEvent.note
  • Added Element
EvidenceVariable.characteristic.timeFromEvent.event[x]
  • Added Element
EvidenceVariable.characteristic.timeFromEvent.quantity
  • Added Element
EvidenceVariable.characteristic.timeFromEvent.range
  • Added Element
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.jurisdiction EvidenceVariable.subtitle
  • deleted
EvidenceVariable.copyright EvidenceVariable.jurisdiction
  • deleted
EvidenceVariable.approvalDate EvidenceVariable.topic
  • deleted
EvidenceVariable.lastReviewDate EvidenceVariable.type
  • deleted
EvidenceVariable.effectivePeriod EvidenceVariable.characteristic.definition[x]
  • deleted
EvidenceVariable.topic EvidenceVariable.characteristic.usageContext
  • deleted
EvidenceVariable.type EvidenceVariable.characteristic.participantEffective[x]
  • deleted
EvidenceVariable.characteristic.usageContext EvidenceVariable.characteristic.timeFromStart
  • deleted
EvidenceVariable.characteristic.participantEffective[x] EvidenceVariable.characteristic.groupMeasure
  • deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]
  • No Changes Added Element
ExampleScenario.title
  • Added Element
ExampleScenario.description
  • Added Element
ExampleScenario.copyrightLabel
  • Added Element
ExampleScenario.actor.key
  • Added Mandatory Element
ExampleScenario.actor.title
  • Added Mandatory Element
ExampleScenario.instance.key
  • Added Mandatory Element
ExampleScenario.instance.structureType
  • Added Mandatory Element
ExampleScenario.instance.structureVersion
  • Added Element
ExampleScenario.instance.structureProfile[x]
  • Added Element
ExampleScenario.instance.title
  • Added Mandatory Element
ExampleScenario.instance.content
  • Added Element
ExampleScenario.instance.version.key
  • Added Mandatory Element
ExampleScenario.instance.version.title
  • Added Mandatory Element
ExampleScenario.instance.version.description
  • Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content
  • Added Element
ExampleScenario.instance.containedInstance.instanceReference
  • Added Mandatory Element
ExampleScenario.instance.containedInstance.versionReference
  • Added Element
ExampleScenario.process.step.number
  • Added Element
ExampleScenario.process.step.process
  • Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow
  • Added Element
ExampleScenario.process.step.operation.type
  • Type changed from string to Coding
  • Add Binding http://hl7.org/fhir/ValueSet/testscript-operation-codes (extensible)
ExampleScenario.process.step.operation.title
  • Added Mandatory Element
ExampleScenario.actor.actorId
  • deleted
ExampleScenario.actor.name
  • deleted
ExampleScenario.instance.resourceId
  • deleted
ExampleScenario.instance.resourceType
  • deleted
ExampleScenario.instance.name
  • deleted
ExampleScenario.instance.version.versionId
  • deleted
ExampleScenario.instance.containedInstance.resourceId
  • deleted
ExampleScenario.instance.containedInstance.versionId
  • deleted
ExampleScenario.process.step.operation.number
  • deleted
ExampleScenario.process.step.operation.name
  • deleted
ExampleScenario.workflow
  • deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber
  • No Changes Added Element
ExplanationOfBenefit.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.provider
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.event
  • Added Element
ExplanationOfBenefit.event.type
  • Added Mandatory Element
ExplanationOfBenefit.event.when[x]
  • Added Mandatory Element
ExplanationOfBenefit.encounter
  • Added Element
ExplanationOfBenefit.facility
  • Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0-draft-final
ExplanationOfBenefit.decision
  • Added Element
ExplanationOfBenefit.diagnosisRelatedGroup
  • Added Element
ExplanationOfBenefit.careTeam.specialty
  • Added Element
ExplanationOfBenefit.supportingInfo.value[x]
  • Add Type Identifier
ExplanationOfBenefit.insurance
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid
  • Added Element
ExplanationOfBenefit.item.traceNumber
  • Added Element
ExplanationOfBenefit.item.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.request
  • Added Element
ExplanationOfBenefit.item.patientPaid
  • Added Element
ExplanationOfBenefit.item.tax
  • Added Element
ExplanationOfBenefit.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.item.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.item.bodySite.subSite
  • Added Element
ExplanationOfBenefit.item.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.decision
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.reason
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef
  • Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod
  • Added Element
ExplanationOfBenefit.item.adjudication.quantity
  • Added Element
ExplanationOfBenefit.item.detail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.tax
  • Added Element
ExplanationOfBenefit.item.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.revenue
  • Added Element
ExplanationOfBenefit.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.request
  • Added Element
ExplanationOfBenefit.addItem.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.tax
  • Added Element
ExplanationOfBenefit.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site
  • Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite
  • Added Element
ExplanationOfBenefit.addItem.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome
  • Added Element
ExplanationOfBenefit.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ExplanationOfBenefit.processNote.language
  • Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
ExplanationOfBenefit.careTeam.qualification
  • deleted
ExplanationOfBenefit.diagnosis.packageCode
  • deleted
ExplanationOfBenefit.item.subSite
  • deleted
ExplanationOfBenefit.item.adjudication.value
  • deleted
ExplanationOfBenefit.addItem.subSite
  • deleted
FamilyMemberHistory
FamilyMemberHistory.participant
  • Added Element
FamilyMemberHistory.participant.function
  • Added Element
FamilyMemberHistory.participant.actor
  • Added Mandatory Element
FamilyMemberHistory.sex
  • Change value set from http://build.fhir.org/valueset-administrative-gender.html to http://hl7.org/fhir/ValueSet/administrative-gender
FamilyMemberHistory.reason
  • Added Element
FamilyMemberHistory.procedure
  • Added Element
FamilyMemberHistory.procedure.code
  • Added Mandatory Element
FamilyMemberHistory.procedure.outcome
  • Added Element
FamilyMemberHistory.procedure.contributedToDeath
  • Added Element
FamilyMemberHistory.procedure.performed[x]
  • Added Element
FamilyMemberHistory.procedure.note
  • Added Element
FamilyMemberHistory.reasonCode
  • deleted
FamilyMemberHistory.reasonReference
  • deleted
Flag
Flag.subject
  • No Changes Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author
  • Type Reference: Added Target Type RelatedPerson
FormularyItem
  • Added Resource
GenomicStudy
  • Added Resource
Goal
Goal.continuous
  • No Changes Added Element
Goal.source
  • Added Element
Goal.addresses
  • Type Reference: Added Target Types MedicationRequest, Procedure
Goal.outcome
  • Added Element
Goal.expressedBy
  • deleted
Goal.outcomeCode
  • deleted
Goal.outcomeReference
  • deleted
GraphDefinition
GraphDefinition.identifier
  • No Changes Added Element
GraphDefinition.versionAlgorithm[x]
  • Added Element
GraphDefinition.title
  • Added Element
GraphDefinition.copyright
  • Added Element
GraphDefinition.copyrightLabel
  • Added Element
GraphDefinition.start
  • Min Cardinality changed from 1 to 0
  • Type changed from code to id
  • Remove Binding http://hl7.org/fhir/ValueSet/resource-types|4.0.0 (required)
GraphDefinition.node
  • Added Element
GraphDefinition.node.nodeId
  • Added Mandatory Element
GraphDefinition.node.description
  • Added Element
GraphDefinition.node.type
  • Added Mandatory Element
GraphDefinition.node.profile
  • Added Element
GraphDefinition.link.sourceId
  • Added Mandatory Element
GraphDefinition.link.targetId
  • Added Mandatory Element
GraphDefinition.link.params
  • Added Element
GraphDefinition.link.compartment
  • Added Element
GraphDefinition.link.compartment.use
  • Added Mandatory Element
GraphDefinition.link.compartment.rule
  • Added Mandatory Element
GraphDefinition.link.compartment.code
  • Added Mandatory Element
GraphDefinition.link.compartment.expression
  • Added Element
GraphDefinition.link.compartment.description
  • Added Element
GraphDefinition.profile
  • deleted
GraphDefinition.link.target
  • deleted
Group
Group.active
  • Now marked as Modifier
Group.membership
  • Added Mandatory Element
Group.description
  • Added Element
Group.member.entity
  • Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen
  • Type RelatedPerson Reference: Removed Target Types Medication, Substance
Group.actual
  • deleted
GuidanceResponse
GuidanceResponse.reason
  • No Changes Added Element
GuidanceResponse.evaluationMessage
  • Max Cardinality changed from * to 1
GuidanceResponse.result
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, SupplyRequest, Task, VisionPrescription
  • Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode
  • deleted
GuidanceResponse.reasonReference
  • deleted
HealthcareService
HealthcareService.offeredIn
  • No Changes Added Element
HealthcareService.comment
  • Type changed from string to markdown
HealthcareService.contact
  • Added Element
HealthcareService.communication
  • Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
HealthcareService.availability
  • Added Element
HealthcareService.telecom
  • deleted
HealthcareService.availableTime
  • deleted
HealthcareService.notAvailable
  • deleted
HealthcareService.availabilityExceptions
  • deleted
ImagingSelection
  • Added Resource
ImagingStudy
ImagingStudy.modality
  • No Changes Type changed from Coding to CodeableConcept
  • Change value set from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
Immunization ImagingStudy.partOf
  • No Changes Added Element
ImmunizationEvaluation ImagingStudy.procedure
  • No Changes Added Element
ImmunizationRecommendation ImagingStudy.reason
  • No Changes Added Element
ImplementationGuide ImagingStudy.series.modality
  • No Changes Type changed from Coding to CodeableConcept
  • Change value set from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ImagingStudy.series.bodySite
  • Type changed from Coding to CodeableReference
ImagingStudy.series.laterality
  • Type changed from Coding to CodeableConcept
ImagingStudy.series.performer.actor
  • Type Reference: Added Target Type HealthcareService
ImagingStudy.interpreter
  • deleted
ImagingStudy.procedureReference
  • deleted
ImagingStudy.procedureCode
  • deleted
ImagingStudy.reasonCode
  • deleted
ImagingStudy.reasonReference
  • deleted
Ingredient Immunization
Immunization.basedOn
  • Name Changed Added Element
Immunization.administeredProduct
  • Added Element
Immunization.manufacturer
  • Type changed from MedicinalProductIngredient Reference(Organization) to Ingredient CodeableReference
Ingredient Immunization.supportingInformation
  • Moved 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 MedicinalProductIngredient CodeableConcept to Ingredient BackboneElement
Ingredient.status Immunization.programEligibility.program
  • Added Mandatory Element
Ingredient.for Immunization.programEligibility.programStatus
  • Added Mandatory Element
Ingredient.function Immunization.reaction.manifestation
  • Added Element
Immunization.protocolApplied.doseNumber
  • Added Mandatory Element
Immunization.protocolApplied.seriesDoses
  • Added Element
Immunization.recorded
  • deleted
Immunization.reportOrigin
  • deleted
Immunization.reasonCode
  • deleted
Immunization.reasonReference
  • deleted
Immunization.education
  • deleted
Immunization.reaction.detail
  • deleted
Immunization.protocolApplied.doseNumber[x]
  • deleted
Immunization.protocolApplied.seriesDoses[x]
  • deleted
ImmunizationEvaluation
Ingredient.manufacturer ImmunizationEvaluation.description
  • Type changed from Reference(Organization) string to BackboneElement markdown
Ingredient.manufacturer.role ImmunizationEvaluation.doseNumber
  • Added Element
Ingredient.manufacturer.manufacturer ImmunizationEvaluation.seriesDoses
  • Added Mandatory Element
ImmunizationEvaluation.doseNumber[x]
  • deleted
ImmunizationEvaluation.seriesDoses[x]
  • deleted
ImmunizationRecommendation
Ingredient.substance ImmunizationRecommendation.recommendation.targetDisease
  • Min Max Cardinality changed from 0 to 1 to *
Ingredient.substance.code ImmunizationRecommendation.recommendation.description
  • Type changed from CodeableConcept string to CodeableReference markdown
Ingredient.substance.strength.presentation[x] ImmunizationRecommendation.recommendation.doseNumber
  • Added Element
Ingredient.substance.strength.textPresentation ImmunizationRecommendation.recommendation.seriesDoses
  • Added Element
ImmunizationRecommendation.recommendation.doseNumber[x]
  • deleted
ImmunizationRecommendation.recommendation.seriesDoses[x]
  • deleted
ImplementationGuide
Ingredient.substance.strength.concentration[x] ImplementationGuide.identifier
  • Added Element
Ingredient.substance.strength.textConcentration ImplementationGuide.versionAlgorithm[x]
  • Added Element
Ingredient.substance.strength.measurementPoint ImplementationGuide.purpose
  • Added Element
Ingredient.substance.strength.country ImplementationGuide.copyrightLabel
  • Added Element
Ingredient.substance.strength.referenceStrength ImplementationGuide.dependsOn.reason
  • Added Element
ImplementationGuide.definition.grouping.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource
  • Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.description
  • Type changed from string to markdown
ImplementationGuide.definition.resource.isExample
  • Added Element
Ingredient.substance.strength.referenceStrength.substance ImplementationGuide.definition.resource.profile
  • Added Element
Ingredient.substance.strength.referenceStrength.strength[x] ImplementationGuide.definition.page.source[x]
  • Added Element
ImplementationGuide.definition.page.name
  • Added Mandatory Element
ImplementationGuide.definition.parameter.code
  • Type changed from code to Coding
  • Change binding strength from required to extensible
Ingredient.substance.strength.referenceStrength.measurementPoint ImplementationGuide.manifest.resource.isExample
  • Added Element
Ingredient.substance.strength.referenceStrength.country ImplementationGuide.manifest.resource.profile
  • Added Element
MedicinalProductIngredient.specifiedSubstance ImplementationGuide.definition.resource.example[x]
  • deleted
ImplementationGuide.definition.page.name[x]
  • deleted
ImplementationGuide.manifest.resource.example[x]
  • deleted
Ingredient
  • Added Resource
InsurancePlan
InsurancePlan.contact
  • No Changes Type changed from BackboneElement to ExtendedContactDetail
InsurancePlan.contact.purpose
  • deleted
InsurancePlan.contact.name
  • deleted
InsurancePlan.contact.telecom
  • deleted
InsurancePlan.contact.address
  • deleted
InventoryItem
  • Added Resource
InventoryReport
  • Added Resource
Invoice
Invoice.creation
  • No Changes Added Element
Invoice.period[x]
  • Added Element
Invoice.lineItem.serviced[x]
  • Added Element
Invoice.lineItem.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
Invoice.totalPriceComponent
  • Add Type MonetaryComponent
Invoice.lineItem.priceComponent.type
  • deleted
Invoice.lineItem.priceComponent.code
  • deleted
Invoice.lineItem.priceComponent.factor
  • deleted
Invoice.lineItem.priceComponent.amount
  • deleted
Library
Library.versionAlgorithm[x]
  • No Changes Added Element
Library.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.usage
  • Type changed from string to markdown
Library.copyrightLabel
  • Added Element
Linkage
  • No Changes
List
List.subject
  • No Changes Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Group, Device, Location
List.source
  • Type Reference: Added Target Types Organization, RelatedPerson, CareTeam
Location
Location.description
  • No Changes Type changed from string to markdown
Location.contact
  • Added Element
Location.form
  • Added Element
Location.characteristic
  • Added Element
Location.hoursOfOperation
  • Type changed from BackboneElement to Availability
Location.virtualService
  • Added Element
Location.telecom
  • deleted
Location.physicalType
  • deleted
Location.hoursOfOperation.daysOfWeek
  • deleted
Location.hoursOfOperation.allDay
  • deleted
Location.hoursOfOperation.openingTime
  • deleted
Location.hoursOfOperation.closingTime
  • deleted
Location.availabilityExceptions
  • deleted
ManufacturedItemDefinition
  • Added Resource
Measure
Measure.versionAlgorithm[x]
  • No Changes Added Element
Measure.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Measure.basis
  • Added Element
Measure.usage
  • Type changed from string to markdown
Measure.copyrightLabel
  • Added Element
Measure.scoringUnit
  • Added Element
Measure.riskAdjustment
  • Type changed from string to markdown
Measure.rateAggregation
  • Type changed from string to markdown
Measure.term
  • Added Element
Measure.term.code
  • Added Element
Measure.term.definition
  • Added Element
Measure.group.linkId
  • Added Element
Measure.group.description
  • Type changed from string to markdown
Measure.group.type
  • Added Element
Measure.group.subject[x]
  • Added Element
Measure.group.basis
  • Added Element
Measure.group.scoring
  • Added Element
Measure.group.scoringUnit
  • Added Element
Measure.group.rateAggregation
  • Added Element
Measure.group.improvementNotation
  • Added Element
Measure.group.library
  • Added Element
Measure.group.population.linkId
  • Added Element
Measure.group.population.description
  • Type changed from string to markdown
Measure.group.population.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition
  • Added Element
Measure.group.population.inputPopulationId
  • Added Element
Measure.group.population.aggregateMethod
  • Added Element
Measure.group.stratifier.linkId
  • Added Element
Measure.group.stratifier.description
  • Type changed from string to markdown
Measure.group.stratifier.groupDefinition
  • Added Element
Measure.group.stratifier.component.linkId
  • Added Element
Measure.group.stratifier.component.description
  • Type changed from string to markdown
Measure.group.stratifier.component.criteria
  • Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition
  • Added Element
Measure.supplementalData.linkId
  • Added Element
Measure.supplementalData.description
  • Type changed from string to markdown
Measure.definition
  • deleted
MeasureReport
MeasureReport.dataUpdateType
  • No Changes Added Element
Media MeasureReport.measure
  • No Changes Min Cardinality changed from 1 to 0
MeasureReport.subject
  • Type Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter
  • Type Reference: Added Target Type Group
  • Type Reference: Removed Target Type Location
MeasureReport.reportingVendor
  • Added Element
MeasureReport.location
  • Added Element
MeasureReport.inputParameters
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.group.linkId
  • Added Element
MeasureReport.group.subject
  • Added Element
MeasureReport.group.population.linkId
  • Added Element
MeasureReport.group.population.subjectReport
  • Added Element
MeasureReport.group.population.subjects
  • Added Element
MeasureReport.group.measureScore[x]
  • Added Element
MeasureReport.group.stratifier.linkId
  • Added Element
MeasureReport.group.stratifier.code
  • Max Cardinality changed from * to 1
MeasureReport.group.stratifier.stratum.value[x]
  • Added Element
MeasureReport.group.stratifier.stratum.component.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Added Mandatory Element
MeasureReport.group.stratifier.stratum.population.linkId
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport
  • Added Element
MeasureReport.group.stratifier.stratum.population.subjects
  • Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Added Element
MeasureReport.supplementalData
  • Added Element
MeasureReport.group.measureScore
  • deleted
MeasureReport.group.stratifier.stratum.value
  • deleted
MeasureReport.group.stratifier.stratum.component.value
  • deleted
MeasureReport.group.stratifier.stratum.measureScore
  • deleted
Medication
Medication.marketingAuthorizationHolder
  • No Changes Added Element
Medication.doseForm
  • Added Element
Medication.totalVolume
  • Added Element
Medication.ingredient.item
  • Added Mandatory Element
Medication.ingredient.strength[x]
  • Added Element
Medication.definition
  • Added Element
Medication.manufacturer
  • deleted
Medication.form
  • deleted
Medication.amount
  • deleted
Medication.ingredient.item[x]
  • deleted
Medication.ingredient.strength
  • deleted
MedicationAdministration
MedicationAdministration.basedOn
  • No Changes Added Element
MedicationAdministration.partOf
  • Type Reference: Added Target Type MedicationDispense
MedicationAdministration.category
  • No Changes Max Cardinality changed from 1 to *
MedicationKnowledge MedicationAdministration.medication
  • No Changes Added Mandatory Element
MedicationRequest MedicationAdministration.encounter
  • No Changes Added Element
MedicationStatement MedicationAdministration.occurence[x]
  • No Changes Added Mandatory Element
MedicinalProductDefinition MedicationAdministration.recorded
  • Name Changed from MedicinalProduct to MedicinalProductDefinition Added Element
MedicinalProductDefinition MedicationAdministration.isSubPotent
  • Moved Added Element
MedicationAdministration.subPotentReason
  • Added Element
MedicationAdministration.performer.actor
  • Type changed from MedicinalProduct Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to MedicinalProductDefinition CodeableReference
MedicationAdministration.reason
  • Added Element
MedicinalProductDefinition.domain MedicationAdministration.device
  • Type changed from Coding Reference(Device) to CodeableConcept CodeableReference
MedicationAdministration.instantiates
  • deleted
MedicationAdministration.medication[x]
  • deleted
MedicationAdministration.context
  • deleted
MedicationAdministration.effective[x]
  • deleted
MedicationAdministration.reasonCode
  • deleted
MedicationAdministration.reasonReference
  • deleted
MedicationDispense
MedicinalProductDefinition.version MedicationDispense.basedOn
  • Added Element
MedicationDispense.partOf
  • Type Reference: Added Target Type MedicationAdministration
MedicinalProductDefinition.status MedicationDispense.notPerformedReason
  • Added Element
MedicinalProductDefinition.statusDate MedicationDispense.statusChanged
  • Added Element
MedicationDispense.category
  • Max Cardinality changed from 1 to *
MedicinalProductDefinition.description MedicationDispense.medication
  • Added Mandatory Element
MedicationDispense.subject
  • Min Cardinality changed from 0 to 1
MedicinalProductDefinition.route MedicationDispense.encounter
  • Added Element
MedicationDispense.performer.actor
  • Type Reference: Added Target Type CareTeam
MedicinalProductDefinition.indication MedicationDispense.recorded
  • Added Element
MedicinalProductDefinition.specialMeasures MedicationDispense.receiver
  • Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole
MedicationDispense.renderedDosageInstruction
  • Added Element
MedicationDispense.substitution.responsibleParty
  • Max Cardinality changed from string * to CodeableConcept 1
  • Type Reference: Added Target Type Organization
MedicationDispense.statusReason[x]
  • deleted
MedicationDispense.medication[x]
  • deleted
MedicationDispense.context
  • deleted
MedicationDispense.detectedIssue
  • deleted
MedicationKnowledge
MedicinalProductDefinition.pediatricUseIndicator MedicationKnowledge.identifier
  • Added Element
MedicinalProductDefinition.classification MedicationKnowledge.author
  • Added Element
MedicationKnowledge.intendedJurisdiction
  • Added Element
MedicationKnowledge.name
  • Added Element
MedicinalProductDefinition.packagedMedicinalProduct MedicationKnowledge.monograph.source
  • Type Reference: Removed Target Type Media
MedicationKnowledge.cost.effectiveDate
  • Added Element
MedicationKnowledge.cost.cost[x]
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.indication
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
  • Added Element
MedicationKnowledge.medicineClassification.source[x]
  • Added Element
MedicationKnowledge.packaging
  • Max Cardinality changed from Reference(MedicinalProductPackaged) 1 to CodeableConcept *
MedicinalProductDefinition.ingredient MedicationKnowledge.packaging.cost
  • Added Element
MedicinalProductDefinition.impurity MedicationKnowledge.packaging.packagedProduct
  • Added Element
MedicationKnowledge.clinicalUseIssue
  • Added Element
MedicationKnowledge.storageGuideline
  • Added Element
MedicationKnowledge.storageGuideline.reference
  • Added Element
MedicationKnowledge.storageGuideline.note
  • Added Element
MedicationKnowledge.storageGuideline.stabilityDuration
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting
  • Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type
  • Added Mandatory Element
MedicationKnowledge.storageGuideline.environmentalSetting.value[x]
  • Added Mandatory Element
MedicinalProductDefinition.contact MedicationKnowledge.regulatory.schedule
  • Type changed from Reference(Organization | PractitionerRole) to BackboneElement to CodeableConcept
MedicinalProductDefinition.contact.type MedicationKnowledge.definitional
  • Added Element
MedicinalProductDefinition.contact.contact MedicationKnowledge.definitional.definition
  • Added Element
MedicationKnowledge.definitional.doseForm
  • Added Element
MedicationKnowledge.definitional.intendedRoute
  • Added Element
MedicationKnowledge.definitional.ingredient
  • Added Element
MedicationKnowledge.definitional.ingredient.item
  • Added Mandatory Element
MedicinalProductDefinition.code MedicationKnowledge.definitional.ingredient.type
  • Added Element
MedicinalProductDefinition.name.type MedicationKnowledge.definitional.ingredient.strength[x]
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.type
  • Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x]
  • Added Element
MedicationKnowledge.manufacturer
  • deleted
MedicationKnowledge.doseForm
  • deleted
MedicationKnowledge.amount
  • deleted
MedicationKnowledge.synonym
  • deleted
MedicationKnowledge.ingredient
  • deleted
MedicationKnowledge.intendedRoute
  • deleted
MedicationKnowledge.cost.cost
  • deleted
MedicationKnowledge.administrationGuidelines
  • deleted
MedicationKnowledge.packaging.type
  • deleted
MedicationKnowledge.packaging.quantity
  • deleted
MedicationKnowledge.drugCharacteristic
  • deleted
MedicationKnowledge.contraindication
  • deleted
MedicationKnowledge.regulatory.schedule.schedule
  • deleted
MedicationKnowledge.kinetics
  • deleted
MedicationRequest
MedicationRequest.statusChanged
  • Added Element
MedicationRequest.medication
  • Added Mandatory Element
MedicationRequest.informationSource
  • Added Element
MedicationRequest.reported
  • Added Element
MedicinalProductDefinition.name.namePart.type MedicationRequest.performerType
  • Type Add Binding http://hl7.org/fhir/ValueSet/medication-intended-performer-role (extensible)
MedicationRequest.performer
  • Max Cardinality changed from Coding 1 to CodeableConcept *
  • Type Reference: Added Target Types DeviceDefinition, HealthcareService
  • Type Reference: Removed Target Type Device
MedicationRequest.device
  • Added Element
MedicationRequest.reason
  • Added Element
MedicinalProductDefinition.name.countryLanguage.language MedicationRequest.courseOfTherapyType
  • Add Binding http://hl7.org/fhir/ValueSet/languages (preferred), max = http://hl7.org/fhir/ValueSet/all-languages http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy (extensible)
MedicationRequest.renderedDosageInstruction
  • Added Element
MedicationRequest.effectiveDosePeriod
  • Added Element
MedicationRequest.dispenseRequest.dispenser
  • Added Element
MedicationRequest.dispenseRequest.dispenserInstruction
  • Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid
  • Added Element
MedicationRequest.reported[x]
  • deleted
MedicationRequest.medication[x]
  • deleted
MedicationRequest.reasonCode
  • deleted
MedicationRequest.reasonReference
  • deleted
MedicationRequest.instantiatesCanonical
  • deleted
MedicationRequest.instantiatesUri
  • deleted
MedicationRequest.dispenseRequest.performer
  • deleted
MedicationRequest.detectedIssue
  • deleted
MedicationStatement
MedicinalProductDefinition.crossReference MedicationStatement.partOf
  • Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.category
  • Max Cardinality changed from Identifier 1 to BackboneElement *
MedicinalProductDefinition.crossReference.product MedicationStatement.medication
  • Added Mandatory Element
MedicinalProductDefinition.crossReference.type MedicationStatement.encounter
  • Added Element
MedicinalProductDefinition.operation MedicationStatement.effective[x]
  • Added Element Add Type Timing
MedicinalProductDefinition.operation.type MedicationStatement.informationSource
  • Added Element Max Cardinality changed from 1 to *
MedicinalProductDefinition.operation.effectiveDate MedicationStatement.reason
  • Added Element
MedicinalProductDefinition.operation.organization MedicationStatement.relatedClinicalInformation
  • Added Element
MedicinalProductDefinition.operation.confidentialityIndicator MedicationStatement.renderedDosageInstruction
  • Added Element
MedicinalProductDefinition.characteristic MedicationStatement.adherence
  • Added Element
MedicinalProductDefinition.characteristic.type MedicationStatement.adherence.code
  • Added Mandatory Element
MedicinalProductDefinition.characteristic.value[x] MedicationStatement.adherence.reason
  • Added Element
MedicinalProduct.paediatricUseIndicator MedicationStatement.basedOn
  • deleted
MedicinalProduct.productClassification MedicationStatement.statusReason
  • deleted
MedicinalProduct.pharmaceuticalProduct MedicationStatement.medication[x]
  • deleted
MedicinalProduct.manufacturingBusinessOperation MedicationStatement.context
  • deleted
MedicinalProduct.specialDesignation MedicationStatement.reasonCode
  • deleted
MedicationStatement.reasonReference
  • deleted
MedicinalProductDefinition
  • Added Resource
MessageDefinition
MessageDefinition.versionAlgorithm[x]
  • No Changes Added Element
MessageDefinition.copyrightLabel
  • Added Element
MessageDefinition.graph
  • Max Cardinality changed from * to 1
MessageHeader
MessageHeader.event[x]
  • No Changes Add Type canonical(EventDefinition)
  • Remove Type uri
MessageHeader.destination.endpoint[x]
  • Added Element
MessageHeader.sender
  • Type Reference: Added Target Type Device
MessageHeader.author
  • Type Reference: Added Target Types Device, Organization
MessageHeader.source.endpoint[x]
  • Added Element
MessageHeader.response.identifier
  • Type changed from id to Identifier
MessageHeader.destination.endpoint
  • deleted
MessageHeader.enterer
  • deleted
MessageHeader.source.endpoint
  • deleted
MetadataResource
MetadataResource.approvalDate
  • Added Element
MetadataResource.lastReviewDate
  • Added Element
MetadataResource.effectivePeriod
  • Added Element
MetadataResource.topic
  • Added Element
MetadataResource.author
  • Added Element
MetadataResource.editor
  • Added Element
MetadataResource.reviewer
  • Added Element
MetadataResource.endorser
  • Added Element
MetadataResource.relatedArtifact
  • Added Element
MetadataResource.url
  • deleted
MetadataResource.version
  • deleted
MetadataResource.name
  • deleted
MetadataResource.title
  • deleted
MetadataResource.status
  • deleted
MetadataResource.experimental
  • deleted
MetadataResource.date
  • deleted
MetadataResource.publisher
  • deleted
MetadataResource.contact
  • deleted
MetadataResource.description
  • deleted
MetadataResource.useContext
  • deleted
MetadataResource.jurisdiction
  • deleted
MolecularSequence
MolecularSequence.subject
  • No Changes Added Element
MolecularSequence.focus
  • Added Element
MolecularSequence.literal
  • Added Element
MolecularSequence.formatted
  • Added Element
MolecularSequence.relative
  • Added Element
MolecularSequence.relative.coordinateSystem
  • Added Mandatory Element
MolecularSequence.relative.ordinalPosition
  • Added Element
MolecularSequence.relative.sequenceRange
  • Added Element
MolecularSequence.relative.startingSequence
  • Added Element
MolecularSequence.relative.startingSequence.genomeAssembly
  • Added Element
MolecularSequence.relative.startingSequence.chromosome
  • Added Element
MolecularSequence.relative.startingSequence.sequence[x]
  • Added Element
MolecularSequence.relative.startingSequence.windowStart
  • Added Element
MolecularSequence.relative.startingSequence.windowEnd
  • Added Element
MolecularSequence.relative.startingSequence.orientation
  • Added Element
MolecularSequence.relative.startingSequence.strand
  • Added Element
MolecularSequence.relative.edit
  • Added Element
MolecularSequence.relative.edit.start
  • Added Element
MolecularSequence.relative.edit.end
  • Added Element
MolecularSequence.relative.edit.replacementSequence
  • Added Element
MolecularSequence.relative.edit.replacedSequence
  • Added Element
MolecularSequence.coordinateSystem
  • deleted
MolecularSequence.patient
  • deleted
MolecularSequence.quantity
  • deleted
MolecularSequence.referenceSeq
  • deleted
MolecularSequence.variant
  • deleted
MolecularSequence.observedSeq
  • deleted
MolecularSequence.quality
  • deleted
MolecularSequence.readCoverage
  • deleted
MolecularSequence.repository
  • deleted
MolecularSequence.pointer
  • deleted
MolecularSequence.structureVariant
  • deleted
NamingSystem
NamingSystem.url
  • No Changes Added Element
NamingSystem.identifier
  • Added Element
NamingSystem.version
  • Added Element
NamingSystem.versionAlgorithm[x]
  • Added Element
NamingSystem.title
  • Added Element
NamingSystem.experimental
  • Added Element
NamingSystem.type
  • Remove Binding http://hl7.org/fhir/ValueSet/identifier-type (extensible)
NamingSystem.purpose
  • Added Element
NamingSystem.copyright
  • Added Element
NamingSystem.copyrightLabel
  • Added Element
NamingSystem.approvalDate
  • Added Element
NamingSystem.lastReviewDate
  • Added Element
NamingSystem.effectivePeriod
  • Added Element
NamingSystem.topic
  • Added Element
NamingSystem.author
  • Added Element
NamingSystem.editor
  • Added Element
NamingSystem.reviewer
  • Added Element
NamingSystem.endorser
  • Added Element
NamingSystem.relatedArtifact
  • Added Element
NamingSystem.uniqueId.authoritative
  • Added Element
NutritionIntake
  • Added Resource
NutritionOrder
NutritionOrder.basedOn
  • No Changes Added Element
NutritionOrder.groupIdentifier
  • Added Element
NutritionOrder.priority
  • Added Element
NutritionOrder.subject
  • Added Mandatory Element
NutritionOrder.supportingInformation
  • Added Element
NutritionOrder.performer
  • Added Element
NutritionOrder.outsideFoodAllowed
  • Added Element
NutritionOrder.oralDiet.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.oralDiet.schedule.timing
  • Added Element
NutritionOrder.oralDiet.schedule.asNeeded
  • Added Element
NutritionOrder.oralDiet.schedule.asNeededFor
  • Added Element
NutritionOrder.supplement.type
  • Type changed from CodeableConcept to CodeableReference
NutritionOrder.supplement.schedule
  • Max Cardinality changed from * to 1
  • Type changed from Timing to BackboneElement
NutritionOrder.supplement.schedule.timing
  • Added Element
NutritionOrder.supplement.schedule.asNeeded
  • Added Element
NutritionOrder.supplement.schedule.asNeededFor
  • Added Element
NutritionOrder.enteralFormula.baseFormulaType
  • Type changed from CodeableConcept to CodeableReference
NutritionOrder.enteralFormula.deliveryDevice
  • Added Element
NutritionOrder.enteralFormula.additive
  • Added Element
NutritionOrder.enteralFormula.additive.type
  • Added Element
NutritionOrder.enteralFormula.additive.productName
  • Added Element
NutritionOrder.enteralFormula.additive.quantity
  • Added Element
NutritionOrder.enteralFormula.routeOfAdministration
  • Added Element
NutritionOrder.enteralFormula.administration.schedule
  • Type changed from Timing to BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded
  • Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor
  • Added Element
NutritionOrder.enteralFormula.administrationInstruction
  • Type changed from string to markdown
NutritionOrder.patient
  • deleted
NutritionOrder.enteralFormula.additiveType
  • deleted
NutritionOrder.enteralFormula.additiveProductName
  • deleted
NutritionOrder.enteralFormula.routeofAdministration
  • deleted
NutritionProduct
  • Added Resource
Observation
Observation.instantiates[x]
  • Added Element
Observation.triggeredBy
  • Added Element
Observation.triggeredBy.observation
  • Added Mandatory Element
Observation.triggeredBy.type
  • Added Mandatory Element
Observation.triggeredBy.reason
  • Added Element
Observation.partOf
  • Type Reference: Added Target Type GenomicStudy
Observation.subject
  • Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance Substance, BiologicallyDerivedProduct, NutritionProduct
Observation.value[x]
  • Add Types markdown, Attachment, Reference(MolecularSequence), canonical
  • Remove Type string
Observation.bodyStructure
  • Added Element
Observation.specimen
  • Type Reference: Added Target Type Group
Observation.referenceRange.normalValue
  • Added Element
Observation.referenceRange.text
  • Type changed from string to markdown
Observation.derivedFrom
  • Type Reference: Added Target Types ImagingSelection, GenomicStudy
  • Type Reference: Removed Target Type Media
Observation.component.value[x]
  • Add Types markdown, Attachment, Reference(MolecularSequence), canonical
  • Remove Type string
ObservationDefinition
ObservationDefinition.url
  • No Changes Added Element
ObservationDefinition.identifier
  • Max Cardinality changed from * to 1
ObservationDefinition.version
  • Added Element
ObservationDefinition.versionAlgorithm[x]
  • Added Element
ObservationDefinition.name
  • Added Element
ObservationDefinition.title
  • Added Element
ObservationDefinition.status
  • Added Mandatory Element
ObservationDefinition.experimental
  • Added Element
ObservationDefinition.date
  • Added Element
ObservationDefinition.publisher
  • Added Element
ObservationDefinition.contact
  • Added Element
ObservationDefinition.description
  • Added Element
ObservationDefinition.useContext
  • Added Element
ObservationDefinition.jurisdiction
  • Added Element
ObservationDefinition.purpose
  • Added Element
ObservationDefinition.copyright
  • Added Element
ObservationDefinition.copyrightLabel
  • Added Element
ObservationDefinition.approvalDate
  • Added Element
ObservationDefinition.lastReviewDate
  • Added Element
ObservationDefinition.effectivePeriod
  • Added Element
ObservationDefinition.derivedFromCanonical
  • Added Element
ObservationDefinition.derivedFromUri
  • Added Element
ObservationDefinition.subject
  • Added Element
ObservationDefinition.performerType
  • Added Element
ObservationDefinition.bodySite
  • Added Element
ObservationDefinition.specimen
  • Added Element
ObservationDefinition.device
  • Added Element
ObservationDefinition.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedValue.context
  • Added Element
ObservationDefinition.qualifiedValue.appliesTo
  • Added Element
ObservationDefinition.qualifiedValue.gender
  • Added Element
ObservationDefinition.qualifiedValue.age
  • Added Element
ObservationDefinition.qualifiedValue.gestationalAge
  • Added Element
ObservationDefinition.qualifiedValue.condition
  • Added Element
ObservationDefinition.qualifiedValue.rangeCategory
  • Added Element
ObservationDefinition.qualifiedValue.range
  • Added Element
ObservationDefinition.qualifiedValue.validCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.normalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.abnormalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.criticalCodedValueSet
  • Added Element
ObservationDefinition.hasMember
  • Added Element
ObservationDefinition.component
  • Added Element
ObservationDefinition.component.code
  • Added Mandatory Element
ObservationDefinition.component.permittedDataType
  • Added Element
ObservationDefinition.component.quantitativeDetails
  • Added Element
ObservationDefinition.component.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedInterval
  • deleted
ObservationDefinition.validCodedValueSet
  • deleted
ObservationDefinition.normalCodedValueSet
  • deleted
ObservationDefinition.abnormalCodedValueSet
  • deleted
ObservationDefinition.criticalCodedValueSet
  • deleted
OperationDefinition
OperationDefinition.identifier
  • No Changes Added Element
OperationDefinition.versionAlgorithm[x]
  • Added Element
OperationDefinition.copyright
  • Added Element
OperationDefinition.copyrightLabel
  • Added Element
OperationDefinition.resource
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|5.0.0-draft-final
OperationDefinition.parameter.scope
  • Added Element
OperationDefinition.parameter.documentation
  • Type changed from string to markdown
OperationDefinition.parameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/fhir-types|5.0.0-draft-final
OperationDefinition.parameter.allowedType
  • Added Element
OperationOutcome
  • No Changes
Organization
Organization.description
  • No Changes 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.period
  • Added Element
Organization.qualification.issuer
  • Added Element
Organization.telecom
  • deleted
Organization.address
  • deleted
Organization.contact.purpose
  • deleted
Organization.contact.name
  • deleted
Organization.contact.telecom
  • deleted
Organization.contact.address
  • deleted
OrganizationAffiliation
OrganizationAffiliation.contact
  • No Changes Added Element
OrganizationAffiliation.telecom
  • deleted
PackagedProductDefinition
  • Added Resource
Parameters
Parameters.parameter.value[x]
  • Add Type Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Patient
Patient.communication.language
  • No Changes Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
PaymentNotice
PaymentNotice.reporter
  • No Changes Added Element
PaymentNotice.payment
  • Min Cardinality changed from 1 to 0
PaymentNotice.provider
  • deleted
PaymentReconciliation
PaymentReconciliation.type
  • No Changes Added Mandatory Element
PaymentReconciliation.kind
  • Added Element
PaymentReconciliation.enterer
  • Added Element
PaymentReconciliation.issuerType
  • Added Element
PaymentReconciliation.paymentIssuer
  • Type Reference: Added Target Types Patient, Person, RelatedPerson
PaymentReconciliation.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/payment-outcome|5.0.0-draft-final
PaymentReconciliation.date
  • Added Mandatory Element
PaymentReconciliation.location
  • Added Element
PaymentReconciliation.method
  • Added Element
PaymentReconciliation.cardBrand
  • Added Element
PaymentReconciliation.accountNumber
  • Added Element
PaymentReconciliation.expirationDate
  • Added Element
PaymentReconciliation.processor
  • Added Element
PaymentReconciliation.referenceNumber
  • Added Element
PaymentReconciliation.authorization
  • Added Element
PaymentReconciliation.tenderedAmount
  • Added Element
PaymentReconciliation.returnedAmount
  • Added Element
PaymentReconciliation.amount
  • Added Mandatory Element
PaymentReconciliation.allocation
  • Added Element
PaymentReconciliation.allocation.identifier
  • Added Element
PaymentReconciliation.allocation.predecessor
  • Added Element
PaymentReconciliation.allocation.target
  • Added Element
PaymentReconciliation.allocation.targetItem[x]
  • Added Element
PaymentReconciliation.allocation.encounter
  • Added Element
PaymentReconciliation.allocation.account
  • Added Element
PaymentReconciliation.allocation.type
  • Added Element
PaymentReconciliation.allocation.submitter
  • Added Element
PaymentReconciliation.allocation.response
  • Added Element
PaymentReconciliation.allocation.date
  • Added Element
PaymentReconciliation.allocation.responsible
  • Added Element
PaymentReconciliation.allocation.payee
  • Added Element
PaymentReconciliation.allocation.amount
  • Added Element
PaymentReconciliation.paymentDate
  • deleted
PaymentReconciliation.paymentAmount
  • deleted
PaymentReconciliation.detail
  • deleted
Permission
  • Added Resource
Person
Person.deceased[x]
  • No Changes Added Element
Person.maritalStatus
  • Added Element
Person.photo
  • Max Cardinality changed from 1 to *
Person.communication
  • Added Element
Person.communication.language
  • Added Mandatory Element
Person.communication.preferred
  • Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]
  • Added Element
PlanDefinition.subject[x]
  • Add Type canonical(MedicinalProductDefinition | SubstanceDefinition | AdministrableProductDefinition | ManufacturedItemDefinition | PackagedProductDefinition) canonical(EvidenceVariable)
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.usage
  • Type changed from string to markdown
PlanDefinition.copyrightLabel
  • Added Element
PlanDefinition.goal.target.detail[x]
  • Add Types string, boolean, integer, Ratio
PlanDefinition.actor
  • Added Element
PlanDefinition.actor.title
  • Added Element
PlanDefinition.actor.description
  • Added Element
PlanDefinition.actor.option
  • Added Mandatory Element
PlanDefinition.actor.option.type
  • Added Element
PlanDefinition.actor.option.typeCanonical
  • Added Element
PlanDefinition.actor.option.typeReference
  • Added Element
PlanDefinition.actor.option.role
  • Added Element
PlanDefinition.action.linkId
  • Added Element
PlanDefinition.action.description
  • Type changed from string to markdown
PlanDefinition.action.textEquivalent
  • Type changed from string to markdown
PlanDefinition.action.code
  • Max Cardinality changed from * to 1
PlanDefinition.action.subject[x]
  • Add Type canonical
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/participant-resource-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title
  • Added Element
PlanDefinition.action.input.requirement
  • Added Element
PlanDefinition.action.input.relatedData
  • Added Element
PlanDefinition.action.output
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title
  • Added Element
PlanDefinition.action.output.requirement
  • Added Element
PlanDefinition.action.output.relatedData
  • Added Element
PlanDefinition.action.relatedAction.targetId
  • Added Mandatory Element
PlanDefinition.action.relatedAction.endRelationship
  • Added Element
PlanDefinition.action.timing[x]
  • Remove Types dateTime, Period
PlanDefinition.action.location
  • Added Element
PlanDefinition.action.participant.actorId
  • Added Element
PlanDefinition.action.participant.type
  • Min Cardinality changed from 1 to 0
PlanDefinition.action.participant.typeCanonical
  • Added Element
PlanDefinition.action.participant.typeReference
  • Added Element
PlanDefinition.action.participant.function
  • Added Element
PlanDefinition.asNeeded[x]
  • Added Element
PlanDefinition.action.relatedAction.actionId
  • deleted
Practitioner
Practitioner.active
  • No Changes Now marked as Modifier
Practitioner.deceased[x]
  • Added Element
Practitioner.communication
  • Type changed from CodeableConcept to BackboneElement
  • Remove Binding http://hl7.org/fhir/ValueSet/languages (preferred), max = http://hl7.org/fhir/ValueSet/all-languages
Practitioner.communication.language
  • Added Mandatory Element
Practitioner.communication.preferred
  • Added Element
PractitionerRole
PractitionerRole.contact
  • No Changes Added Element
PractitionerRole.characteristic
  • Added Element
PractitionerRole.communication
  • Added Element
PractitionerRole.availability
  • Added Element
PractitionerRole.telecom
  • deleted
PractitionerRole.availableTime
  • deleted
PractitionerRole.notAvailable
  • deleted
PractitionerRole.availabilityExceptions
  • deleted
Procedure
Procedure.category
  • No Changes Max Cardinality changed from 1 to *
Procedure.subject
  • Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus
  • Added Element
Procedure.occurrence[x]
  • Added Element
Procedure.recorded
  • Added Element
Procedure.reported[x]
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.performer.period
  • Added Element
Procedure.reason
  • Added Element
Procedure.complication
  • Type changed from CodeableConcept to CodeableReference
Procedure.used
  • Added Element
Procedure.supportingInfo
  • Added Element
Procedure.performed[x]
  • deleted
Procedure.asserter
  • deleted
Procedure.reasonCode
  • deleted
Procedure.reasonReference
  • deleted
Procedure.complicationDetail
  • deleted
Procedure.usedReference
  • deleted
Procedure.usedCode
  • deleted
Provenance
Provenance.recorded
  • No Changes Min Cardinality changed from 1 to 0
Provenance.authorization
  • Added Element
Provenance.activity
  • Remove Binding http://hl7.org/fhir/ValueSet/provenance-activity-type (extensible)
Provenance.basedOn
  • Added Element
Provenance.patient
  • Added Element
Provenance.encounter
  • Added Element
Provenance.agent.type
  • Remove Binding http://hl7.org/fhir/ValueSet/provenance-agent-type (extensible)
Provenance.agent.who
  • Type Reference: Added Target Type CareTeam
Provenance.agent.onBehalfOf
  • Type Reference: Added Target Type CareTeam
  • Type Reference: Removed Target Types RelatedPerson, Device
Provenance.reason
  • deleted
Questionnaire
Questionnaire.versionAlgorithm[x]
  • No Changes Added Element
Questionnaire.copyrightLabel
  • Added Element
Questionnaire.item.disabledDisplay
  • Added Element
Questionnaire.item.answerConstraint
  • Added Element
QuestionnaireResponse
QuestionnaireResponse.identifier
  • No Changes Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire
  • Min Cardinality changed from 0 to 1
QuestionnaireResponse.source
  • Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.answer.value[x]
  • Min Cardinality changed from 0 to 1
  • Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization
  • Added Resource
RelatedPerson
RelatedPerson.communication.language
  • No Changes Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
RequestGroup RequestOrchestration
  • No Changes Added Resource
ResearchDefinition Requirements
  • No Changes Added Resource
ResearchElementDefinition ResearchStudy
ResearchStudy.url
  • No Changes Added Element
ResearchStudy ResearchStudy.version
  • No Changes Added Element
ResearchStudy.name
  • Added Element
ResearchStudy.label
  • Added Element
ResearchStudy.label.type
  • Added Element
ResearchStudy.label.value
  • Added Element
ResearchStudy.date
  • Added Element
ResearchStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-draft-final
ResearchStudy.primaryPurposeType
  • Remove Binding http://hl7.org/fhir/ValueSet/research-study-prim-purp-type (extensible)
ResearchStudy.studyDesign
  • Added Element
ResearchStudy.focus
  • Type changed from CodeableConcept to CodeableReference
ResearchStudy.region
  • Added Element
ResearchStudy.descriptionSummary
  • Added Element
ResearchStudy.site
  • Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier
  • Added Element
ResearchStudy.associatedParty
  • Added Element
ResearchStudy.associatedParty.name
  • Added Element
ResearchStudy.associatedParty.role
  • Added Mandatory Element
ResearchStudy.associatedParty.period
  • Added Element
ResearchStudy.associatedParty.classifier
  • Added Element
ResearchStudy.associatedParty.party
  • Added Element
ResearchStudy.progressStatus
  • Added Element
ResearchStudy.progressStatus.state
  • Added Mandatory Element
ResearchStudy.progressStatus.actual
  • Added Element
ResearchStudy.progressStatus.period
  • Added Element
ResearchStudy.whyStopped
  • Added Element
ResearchStudy.recruitment
  • Added Element
ResearchStudy.recruitment.targetNumber
  • Added Element
ResearchStudy.recruitment.actualNumber
  • Added Element
ResearchStudy.recruitment.eligibility
  • Added Element
ResearchStudy.recruitment.actualGroup
  • Added Element
ResearchStudy.comparisonGroup
  • Added Element
ResearchStudy.comparisonGroup.linkId
  • Added Element
ResearchStudy.comparisonGroup.name
  • Added Mandatory Element
ResearchStudy.comparisonGroup.type
  • Added Element
ResearchStudy.comparisonGroup.description
  • Added Element
ResearchStudy.comparisonGroup.intendedExposure
  • Added Element
ResearchStudy.comparisonGroup.observedGroup
  • Added Element
ResearchStudy.objective.description
  • Added Element
ResearchStudy.outcomeMeasure
  • Added Element
ResearchStudy.outcomeMeasure.name
  • Added Element
ResearchStudy.outcomeMeasure.type
  • Added Element
ResearchStudy.outcomeMeasure.description
  • Added Element
ResearchStudy.outcomeMeasure.reference
  • Added Element
ResearchStudy.result
  • Added Element
ResearchStudy.category
  • deleted
ResearchStudy.contact
  • deleted
ResearchStudy.location
  • deleted
ResearchStudy.enrollment
  • deleted
ResearchStudy.sponsor
  • deleted
ResearchStudy.principalInvestigator
  • deleted
ResearchStudy.reasonStopped
  • deleted
ResearchStudy.arm
  • deleted
ResearchSubject
ResearchSubject.status
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-draft-final
ResearchSubject.progress
  • Added Element
ResearchSubject.progress.type
  • Added Element
ResearchSubject.progress.subjectState
  • Added Element
ResearchSubject.progress.milestone
  • Added Element
ResearchSubject.progress.reason
  • Added Element
ResearchSubject.progress.startDate
  • Added Element
ResearchSubject.progress.endDate
  • Added Element
ResearchSubject.subject
  • Added Mandatory Element
ResearchSubject.assignedComparisonGroup
  • Added Element
ResearchSubject.actualComparisonGroup
  • Added Element
ResearchSubject.consent
  • Max Cardinality changed from 1 to *
ResearchSubject.individual
  • deleted
ResearchSubject.assignedArm
  • deleted
ResearchSubject.actualArm
  • deleted
Resource
Resource.language
  • No Changes Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
RiskAssessment
RiskAssessment.performer
  • No Changes Type Reference: Added Target Types Patient, RelatedPerson
RiskAssessment.reason
  • Added Element
RiskAssessment.reasonCode
  • deleted
RiskAssessment.reasonReference
  • deleted
Schedule
Schedule.serviceType
  • No Changes Type changed from CodeableConcept to CodeableReference
Schedule.name
  • Added Element
Schedule.actor
  • Type Reference: Added Target Type CareTeam
Schedule.comment
  • Type changed from string to markdown
SearchParameter
SearchParameter.identifier
  • No Changes Added Element
ServiceRequest SearchParameter.versionAlgorithm[x]
  • No Changes Added Element
Slot SearchParameter.title
  • No Changes Added Element
Specimen SearchParameter.copyright
  • No Changes Added Element
SpecimenDefinition SearchParameter.copyrightLabel
  • No Changes Added Element
StructureDefinition SearchParameter.base
  • No Changes Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|5.0.0-draft-final
SearchParameter.processingMode
  • Added Element
SearchParameter.constraint
  • Added Element
SearchParameter.target
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/version-independent-all-resource-types|5.0.0-draft-final
SearchParameter.xpath
  • deleted
SearchParameter.xpathUsage
  • deleted
StructureMap ServiceRequest
ServiceRequest.code
  • Type changed from CodeableConcept to CodeableReference
StructureMap.group.rule.source.defaultValue[x] ServiceRequest.orderDetail
  • Add Type Meta changed from CodeableConcept to BackboneElement
Subscription ServiceRequest.orderDetail.parameterFocus
  • No Changes Added Element
SubscriptionStatus ServiceRequest.orderDetail.parameter
  • Added Resource Element
SubscriptionTopic ServiceRequest.orderDetail.parameter.code
  • Added Resource Mandatory Element
Substance ServiceRequest.orderDetail.parameter.value[x]
  • No Changes Added Element
SubstanceDefinition ServiceRequest.focus
  • Name Changed Added Element
ServiceRequest.location
  • Added Element
ServiceRequest.reason
  • Added Element
ServiceRequest.supportingInfo
  • Type changed from SubstanceSpecification Reference(Resource) to SubstanceDefinition CodeableReference
SubstanceDefinition ServiceRequest.bodyStructure
  • Moved Added Element
ServiceRequest.patientInstruction
  • Max Cardinality changed from SubstanceSpecification 1 to SubstanceDefinition *
  • Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]
  • Added Element
ServiceRequest.locationCode
  • deleted
ServiceRequest.locationReference
  • deleted
ServiceRequest.reasonCode
  • deleted
ServiceRequest.reasonReference
  • deleted
Slot
SubstanceDefinition.identifier Slot.serviceType
  • Type changed from CodeableConcept to CodeableReference
Slot.appointmentType
  • Max Cardinality changed from 1 to *
Specimen
Specimen.subject
  • Type Reference: Added Target Type BiologicallyDerivedProduct
SubstanceDefinition.version Specimen.combined
  • Added Element
SubstanceDefinition.classification Specimen.role
  • Added Element
SubstanceDefinition.grade Specimen.feature
  • Added Element
Specimen.feature.type
  • Added Mandatory Element
Specimen.feature.description
  • Added Mandatory Element
SubstanceDefinition.description Specimen.collection.collector
  • Type Reference: Added Target Types Patient, RelatedPerson
Specimen.collection.device
  • Added Element
Specimen.collection.procedure
  • Added Element
Specimen.collection.bodySite
  • Type changed from string CodeableConcept to markdown CodeableReference
SubstanceDefinition.informationSource Specimen.processing.method
  • Added Element
SubstanceDefinition.note Specimen.container.device
  • Added Mandatory Element
SubstanceDefinition.manufacturer Specimen.container.location
  • Added Element
Specimen.processing.procedure
  • deleted
Specimen.container.identifier
  • deleted
Specimen.container.description
  • deleted
Specimen.container.type
  • deleted
Specimen.container.capacity
  • deleted
Specimen.container.additive[x]
  • deleted
SpecimenDefinition
SpecimenDefinition.url
  • Added Element
SubstanceDefinition.supplier SpecimenDefinition.version
  • Added Element
SubstanceDefinition.moiety.measurementType SpecimenDefinition.versionAlgorithm[x]
  • Added Element
SubstanceDefinition.property.type SpecimenDefinition.name
  • Added Mandatory Element
SubstanceDefinition.property.value[x] SpecimenDefinition.title
  • Added Element
SubstanceDefinition.molecularWeight.method SpecimenDefinition.derivedFromCanonical
  • Added Element
SubstanceDefinition.molecularWeight.type SpecimenDefinition.derivedFromUri
  • Added Element
SubstanceDefinition.molecularWeight.amount SpecimenDefinition.status
  • Added Mandatory Element
SubstanceDefinition.structure.technique SpecimenDefinition.experimental
  • Added Element
SubstanceDefinition.structure.sourceDocument SpecimenDefinition.subject[x]
  • Added Element
SubstanceDefinition.structure.representation.format SpecimenDefinition.date
  • Added Element
SubstanceDefinition.structure.representation.document SpecimenDefinition.publisher
  • Added Element
SubstanceDefinition.code.note SpecimenDefinition.contact
  • Added Element
SubstanceDefinition.name.language SpecimenDefinition.description
  • Add Binding http://hl7.org/fhir/ValueSet/languages (preferred), max = http://hl7.org/fhir/ValueSet/all-languages Added Element
SubstanceDefinition.relationship.substanceDefinition[x] SpecimenDefinition.useContext
  • Added Element
SubstanceDefinition.relationship.type SpecimenDefinition.jurisdiction
  • Added Mandatory Element
SubstanceDefinition.relationship.amount[x] SpecimenDefinition.purpose
  • Remove Type Range Added Element
SubstanceDefinition.relationship.ratioHighLimitAmount SpecimenDefinition.copyright
  • Added Element
SubstanceDefinition.relationship.comparator SpecimenDefinition.copyrightLabel
  • Added Element
SpecimenDefinition.approvalDate
  • Added Element
SpecimenDefinition.lastReviewDate
  • Added Element
SpecimenDefinition.effectivePeriod
  • Added Element
SubstanceDefinition.sourceMaterial SpecimenDefinition.typeTested.container.description
  • Type changed from Reference(SubstanceSourceMaterial) string to BackboneElement markdown
SpecimenDefinition.typeTested.container.preparation
  • Type changed from string to markdown
SpecimenDefinition.typeTested.requirement
  • Type changed from string to markdown
SubstanceDefinition.sourceMaterial.type SpecimenDefinition.typeTested.singleUse
  • Added Element
SpecimenDefinition.typeTested.handling.instruction
  • Type changed from string to markdown
SubstanceDefinition.sourceMaterial.genus SpecimenDefinition.typeTested.testingDestination
  • Added Element
StructureDefinition
SubstanceDefinition.sourceMaterial.species StructureDefinition.versionAlgorithm[x]
  • Added Element
SubstanceDefinition.sourceMaterial.part StructureDefinition.copyrightLabel
  • Added Element
StructureDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types to http://hl7.org/fhir/ValueSet/fhir-types
StructureMap
SubstanceDefinition.sourceMaterial.countryOfOrigin StructureMap.versionAlgorithm[x]
  • Added Element
SubstanceSpecification.type StructureMap.copyrightLabel
  • deleted Added Element
SubstanceSpecification.source StructureMap.const
  • deleted Added Element
SubstanceSpecification.comment StructureMap.const.name
  • deleted Added Element
StructureMap.const.value
  • Added Element
StructureMap.group.typeMode
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.name
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.defaultValue
  • Added Element
StructureMap.group.rule.target.context
  • Type changed from id to string
StructureMap.group.rule.target.parameter.value[x]
  • Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter
  • Added Mandatory Element
SubstanceSpecification.property.category StructureMap.group.rule.source.defaultValue[x]
  • deleted
SubstanceSpecification.property.code StructureMap.group.rule.target.contextType
  • deleted
SubstanceSpecification.property.parameters StructureMap.group.rule.dependent.variable
  • deleted
Subscription
Subscription.identifier
  • Added Element
Subscription.name
  • Added Element
Subscription.topic
  • Added Mandatory Element
Subscription.managingEntity
  • Added Element
Subscription.reason
  • Min Cardinality changed from 1 to 0
Subscription.filterBy
  • Added Element
Subscription.filterBy.resourceType
  • 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.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
SubstanceSpecification.property.definingSubstance[x] Subscription.criteria
  • deleted
SubstanceSpecification.property.amount[x] Subscription.error
  • deleted
SubstanceSpecification.referenceInformation Subscription.channel
  • deleted
SubscriptionStatus
  • Added Resource
SubscriptionTopic
  • Added Resource
Substance
Substance.instance
  • Min Cardinality changed from 0 to 1
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to boolean
  • Now marked as Modifier
Substance.code
  • Type changed from CodeableConcept to CodeableReference
Substance.description
  • Type changed from string to markdown
Substance.expiry
  • Added Element
Substance.quantity
  • Added Element
SubstanceSpecification.structure.isotope Substance.instance.identifier
  • deleted
SubstanceSpecification.structure.source Substance.instance.expiry
  • deleted
SubstanceSpecification.structure.representation.attachment Substance.instance.quantity
  • deleted
SubstanceDefinition
  • Added Resource
SubstanceNucleicAcid
  • No Changes
SubstancePolymer
SubstancePolymer.identifier
  • Added Element
SubstancePolymer.modification
  • Max Cardinality changed from * to 1
SubstancePolymer.monomerSet.startingMaterial.code
  • Added Element
SubstancePolymer.monomerSet.startingMaterial.category
  • Added Element
SubstancePolymer.monomerSet.startingMaterial.amount
  • Type changed from SubstanceAmount to Quantity
SubstancePolymer.repeat.repeatUnit.unit
  • Added Element
SubstancePolymer.repeat.repeatUnit.orientation
  • Added Element
SubstancePolymer.repeat.repeatUnit.amount
  • Type changed from SubstanceAmount to integer
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high
  • Added Element
SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format
  • Added Element
SubstanceSpecification.code.comment SubstancePolymer.monomerSet.startingMaterial.material
  • deleted
SubstanceSpecification.relationship.substance[x] SubstancePolymer.monomerSet.startingMaterial.type
  • deleted
SubstanceSpecification.relationship.relationship SubstancePolymer.repeat.numberOfUnits
  • deleted
SubstanceSpecification.relationship.amountRatioLowLimit SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation
  • deleted
SubstanceSpecification.relationship.amountType SubstancePolymer.repeat.repeatUnit.repeatUnit
  • deleted
SubstanceSpecification.nucleicAcid SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree
  • deleted
SubstanceSpecification.polymer SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount
  • deleted
SubstanceProtein
  • No Changes
SubstanceReferenceInformation
SubstanceSpecification.protein SubstanceReferenceInformation.classification
  • deleted
SupplyDelivery SubstanceSourceMaterial
  • No Changes
SupplyDelivery
SupplyDelivery.type
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to http://hl7.org/fhir/ValueSet/supplydelivery-supplyitemtype|5.0.0-draft-final
SupplyDelivery.suppliedItem
  • Max Cardinality changed from 1 to *
SupplyDelivery.receiver
  • Type Reference: Added Target Type Organization
SupplyRequest
SupplyRequest.basedOn
  • No Changes Added Element
SupplyRequest.deliverFor
  • Added Element
SupplyRequest.item
  • Added Mandatory Element
SupplyRequest.requester
  • Type Reference: Added Target Type CareTeam
SupplyRequest.reason
  • Added Element
SupplyRequest.deliverTo
  • Type Reference: Added Target Type RelatedPerson
SupplyRequest.item[x]
  • deleted
SupplyRequest.reasonCode
  • deleted
SupplyRequest.reasonReference
  • deleted
Task
Task.statusReason
  • Type changed from CodeableConcept to CodeableReference
Task.doNotPerform
  • Added Element
Task.requestedPeriod
  • Added Element
Task.requestedPerformer
  • Added Element
Task.owner
  • Type Reference: Removed Target Types HealthcareService, Device
Task.performer
  • Added Element
Task.performer.function
  • Added Element
Task.performer.actor
  • Added Mandatory Element
Task.reason
  • Added Element
Task.input.value[x]
  • Add Type Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Task.output.value[x]
  • Add Type Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
Task.performerType
  • deleted
Task.reasonCode
  • deleted
Task.reasonReference
  • deleted
TerminologyCapabilities
TerminologyCapabilities.identifier
  • No Changes Added Element
TerminologyCapabilities.versionAlgorithm[x]
  • Added Element
TerminologyCapabilities.copyrightLabel
  • Added Element
TerminologyCapabilities.codeSystem.version.language
  • Add Binding http://hl7.org/fhir/ValueSet/languages|5.0.0-draft-final (required)
TerminologyCapabilities.codeSystem.content
  • Added Mandatory Element
TestPlan
  • Added Resource
TestReport
TestReport.testScript
  • No Changes Type changed from Reference(TestScript) to canonical(TestScript)
TestReport.setup.action.assert.requirement
  • Added Element
TestReport.setup.action.assert.requirement.link[x]
  • Added Element
TestScript
TestScript.url
  • No Changes Min Cardinality changed from 1 to 0
TestScript.identifier
  • Max Cardinality changed from 1 to *
TestScript.versionAlgorithm[x]
  • Added Element
TestScript.copyrightLabel
  • Added Element
TestScript.origin.url
  • Added Element
TestScript.destination.url
  • Added Element
TestScript.scope
  • Added Element
TestScript.scope.artifact
  • Added Mandatory Element
TestScript.scope.conformance
  • Added Element
TestScript.scope.phase
  • Added Element
TestScript.profile
  • Type changed from Reference(Resource) to canonical(StructureDefinition)
TestScript.setup.action.operation.type
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction"
TestScript.setup.action.operation.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/concrete-fhir-types
TestScript.setup.action.assert.defaultManualCompletion
  • Added Element
TestScript.setup.action.assert.resource
  • Type changed from code to uri
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/concrete-fhir-types
TestScript.setup.action.assert.stopTestOnFail
  • Added Mandatory Element
TestScript.setup.action.assert.requirement
  • Added Element
TestScript.setup.action.assert.requirement.link[x]
  • Added Element
Transport
  • Added Resource
ValueSet
ValueSet.versionAlgorithm[x]
  • No Changes Added Element
ValueSet.copyrightLabel
  • Added Element
ValueSet.approvalDate
  • Added Element
ValueSet.lastReviewDate
  • Added Element
ValueSet.effectivePeriod
  • Added Element
ValueSet.topic
  • Added Element
ValueSet.author
  • Added Element
ValueSet.editor
  • Added Element
ValueSet.reviewer
  • Added Element
ValueSet.endorser
  • Added Element
ValueSet.relatedArtifact
  • Added Element
ValueSet.compose.include.concept.designation.language
  • Change binding strength from preferred to required
  • Change value set from http://hl7.org/fhir/ValueSet/languages to http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final
  • Change max value set from http://hl7.org/fhir/ValueSet/all-languages to n/a
ValueSet.compose.include.concept.designation.additionalUse
  • Added Element
ValueSet.compose.include.copyright
  • Added Element
ValueSet.compose.property
  • Added Element
ValueSet.expansion.next
  • Added Element
ValueSet.expansion.property
  • Added Element
ValueSet.expansion.property.code
  • Added Mandatory Element
ValueSet.expansion.property.uri
  • Added Element
ValueSet.expansion.contains.property
  • Added Element
ValueSet.expansion.contains.property.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.value[x]
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty
  • Added Element
ValueSet.expansion.contains.property.subProperty.code
  • Added Mandatory Element
ValueSet.expansion.contains.property.subProperty.value[x]
  • Added Mandatory Element
ValueSet.scope
  • Added Element
ValueSet.scope.inclusionCriteria
  • Added Element
ValueSet.scope.exclusionCriteria
  • Added Element
VerificationResult
  • No Changes
VisionPrescription
  • No Changes
EffectEvidenceSynthesis CatalogEntry
  • deleted
MedicinalProduct DeviceUseStatement
  • deleted
MedicinalProductAuthorization DocumentManifest
  • deleted
MedicinalProductContraindication EffectEvidenceSynthesis
  • deleted
MedicinalProductIndication Media
  • deleted
MedicinalProductIngredient MedicinalProduct
  • deleted
MedicinalProductInteraction MedicinalProductAuthorization
  • deleted
MedicinalProductManufactured MedicinalProductContraindication
  • deleted
MedicinalProductPackaged MedicinalProductIndication
  • deleted
MedicinalProductPharmaceutical MedicinalProductIngredient
  • deleted
MedicinalProductUndesirableEffect MedicinalProductInteraction
  • deleted
MetadataResource MedicinalProductManufactured
  • deleted
RiskEvidenceSynthesis MedicinalProductPackaged
  • deleted
SubstanceNucleicAcid MedicinalProductPharmaceutical
  • deleted
SubstancePolymer MedicinalProductUndesirableEffect
  • deleted
SubstanceProtein RequestGroup
  • deleted
SubstanceReferenceInformation ResearchDefinition
  • deleted
SubstanceSourceMaterial ResearchElementDefinition
  • deleted
RiskEvidenceSynthesis
  • deleted
SubstanceSpecification
  • deleted