This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). (v5.0.0-snapshot1: R5 Snapshot #1). 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 Differences from Release 3

FHIR Infrastructure Work Group

Maturity Level : N/A

Standards Status : Informative

This is an automatically generated list of all the structural differences between FHIR DSTU3 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 3, but changes are noted for Release 3 to Release 4)

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

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

This analysis is available as XML or JSON .

Dosage.doseAndRate Added Element Dosage.doseAndRate.type Added Element Extension Reference Signature.who Renamed from who[x] to who Remove Type uri Signature.data Renamed from blob to data SubstanceAmount Added Type Account.active deleted Account.balance deleted ActivityDefinition.subtitle Added Element AdverseEvent Appointment.serviceCategory Max Cardinality changed from 1 to * Appointment.reason deleted Appointment.indication deleted Appointment.incomingReferral deleted AppointmentResponse Binary Bundle.type Change value set from http://hl7.org/fhir/ValueSet/bundle-type to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 Bundle.entry.search.mode Change value set from http://hl7.org/fhir/ValueSet/search-entry-mode to http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 Bundle.entry.request.method Change value set from http://hl7.org/fhir/ValueSet/http-verb to http://hl7.org/fhir/ValueSet/http-verb|4.0.1 CapabilityStatement CapabilityStatement Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * CapabilityStatement.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 CapabilityStatement.implementation.url Type changed from uri to url CapabilityStatement.rest.interaction.code Change value set from http://hl7.org/fhir/ValueSet/system-restful-interaction to http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.1 CapabilityStatement.rest.interaction.documentation Type changed from string to markdown CapabilityStatement.rest.operation Remove Type BackboneElement CarePlan.author Max Cardinality changed from * to 1 Type Reference: Added Target Types PractitionerRole, Device CareTeam CareTeam.status Change value set from http://hl7.org/fhir/ValueSet/care-team-status to http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 CareTeam.encounter Added Element CareTeam.participant.role Max Cardinality changed from 1 to * CareTeam.participant.member Type Reference: Added Target Type PractitionerRole CareTeam.telecom Added Element CatalogEntry Added Resource ChargeItem.identifier Max Cardinality changed from 1 to * ChargeItem.enterer Type Reference: Added Target Type PractitionerRole ChargeItemDefinition Added Resource ClinicalImpression.assessor Type Reference: Added Target Type PractitionerRole Communication.instantiatesCanonical Added Element Communication.instantiatesUri Added Element Communication.inResponseTo Added Element ConceptMap Condition.encounter Added Element Condition.abatement[x] Remove Type boolean Condition.recordedDate Renamed from assertedDate to recordedDate Condition.recorder Added Element DetectedIssue.mitigation.author Type Reference: Added Target Type PractitionerRole DetectedIssue.date deleted Device DeviceUseStatement DiagnosticReport Endpoint EnrollmentRequest EnrollmentResponse EpisodeOfCare ExplanationOfBenefit.payee.party Type Reference: Added Target Type PractitionerRole FamilyMemberHistory.estimatedAge No longer marked as Modifier FamilyMemberHistory.reasonReference Type Reference: Added Target Types DiagnosticReport, DocumentReference GuidanceResponse.context deleted GuidanceResponse.reason[x] deleted HealthcareService HealthcareService.active Default Value "true" removed HealthcareService.category Max Cardinality changed from 1 to * HealthcareService.extraDetails Type changed from string to markdown HealthcareService.eligibility Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement HealthcareService.availableTime.daysOfWeek Change value set from http://hl7.org/fhir/ValueSet/days-of-week to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 HealthcareService.eligibilityNote deleted HealthcareService.programName deleted ImagingStudy.status Added Mandatory Element Immunization.status Change value set from http://hl7.org/fhir/ValueSet/immunization-status to http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 ImmunizationRecommendation ImplementationGuide Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * ImplementationGuide.definition.resource.example[x] Moved from ImplementationGuide.package.resource.example to example[x] Min Cardinality changed from 1 to 0 Add Type canonical(StructureDefinition) Library.contributor deleted Linkage Measure Media Medication.isBrand deleted Medication.isOverTheCounter deleted Medication.ingredient.amount deleted MedicationAdministration MedicationDispense MedicationRequest.intent Change value set from http://hl7.org/fhir/ValueSet/medication-request-intent to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 MedicationRequest.category Max Cardinality changed from 1 to * MedicationRequest.priority Change value set from http://hl7.org/fhir/ValueSet/medication-request-priority to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 MedicationRequest.requester Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) MedicationRequest.dispenseRequest.numberOfRepeatsAllowed Type changed from positiveInt to unsignedInt MessageHeader.event[x] Renamed from event to event[x] Add Type uri MetadataResource NutritionOrder NutritionOrder.status Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/nutrition-request-status to http://hl7.org/fhir/ValueSet/request-status|4.0.1 Observation OperationDefinition PlanDefinition.subtitle Added Element Practitioner PractitionerRole Procedure Procedure.performed[x] Add Types string, Age, Range Provenance Questionnaire QuestionnaireResponse RequestGroup ResearchSubject Resource RiskAssessment Schedule SearchParameter Slot StructureMap Substance SupplyRequest VisionPrescription VisionPrescription.patient Min Cardinality changed from 0 to 1 VisionPrescription.dateWritten Min Cardinality changed from 0 to 1

Types
Address
Address.use	Change value set from http://hl7.org/fhir/ValueSet/address-use http://hl7.org/fhir/ValueSet/address-use|4.0.0 to http://hl7.org/fhir/ValueSet/address-use|4.0.1 http://hl7.org/fhir/ValueSet/address-use|5.0.0-snapshot1
Address.type	Change value set from http://hl7.org/fhir/ValueSet/address-type http://hl7.org/fhir/ValueSet/address-type|4.0.0 to http://hl7.org/fhir/ValueSet/address-type|4.0.1 http://hl7.org/fhir/ValueSet/address-type|5.0.0-snapshot1
Age	Age Add Binding http://hl7.org/fhir/ValueSet/age-units (extensible), max = http://hl7.org/fhir/ValueSet/all-time-units No Changes
Annotation	Annotation.text Type changed from string to markdown No Changes
Attachment
Attachment.contentType	Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
Attachment.language Attachment.size	Change binding strength Type changed from extensible unsignedInt to preferred integer64
Attachment.url Attachment.height	Type changed from uri to url Added Element
BackboneElement Attachment.width	No Changes Added Element
CodeableConcept Attachment.frames	No Changes Added Element
Coding Attachment.duration	No Changes Added Element
ContactDetail Attachment.pages	No Changes Added Element
ContactPoint BackboneElement	ContactPoint.system Change value set from http://hl7.org/fhir/ValueSet/contact-point-system to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 No Changes
ContactPoint.use BackboneType	Change value set from http://hl7.org/fhir/ValueSet/contact-point-use to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 Added Type
Contributor Base	Contributor.type Change value set from http://hl7.org/fhir/ValueSet/contributor-type to http://hl7.org/fhir/ValueSet/contributor-type|4.0.1 Added Type
Count CodeableConcept	No Changes
DataRequirement CodeableReference	DataRequirement.type Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 DataRequirement.profile Added Type changed from uri to canonical(StructureDefinition)
DataRequirement.subject[x] Coding	Added Element No Changes
DataRequirement.codeFilter.path ContactDetail	Min Cardinality changed from 1 to 0 No Changes
DataRequirement.codeFilter.searchParam ContactPoint	Added Element
DataRequirement.codeFilter.valueSet ContactPoint.system	Renamed Change value set from valueSet[x] http://hl7.org/fhir/ValueSet/contact-point-system|4.0.0 to valueSet Add Type canonical(ValueSet) Remove Types string, Reference(ValueSet) DataRequirement.codeFilter.code Added Element http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0-snapshot1
DataRequirement.dateFilter.path ContactPoint.use	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/contact-point-use|4.0.0 to 0 DataRequirement.dateFilter.searchParam Added Element http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0-snapshot1
DataRequirement.limit Contributor	Added Element
DataRequirement.sort Contributor.type	Added Element Change value set from http://hl7.org/fhir/ValueSet/contributor-type|4.0.0 to http://hl7.org/fhir/ValueSet/contributor-type|5.0.0-snapshot1
DataRequirement.sort.path Count	Added Mandatory Element No Changes
DataRequirement.sort.direction DataRequirement	Added Mandatory Element
DataRequirement.codeFilter.valueCode DataRequirement.type	deleted Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|5.0.0-snapshot1
DataRequirement.codeFilter.valueCoding DataRequirement.sort.direction	deleted Change value set from http://hl7.org/fhir/ValueSet/sort-direction|4.0.0 to http://hl7.org/fhir/ValueSet/sort-direction|5.0.0-snapshot1
DataRequirement.codeFilter.valueCodeableConcept DataType	deleted Added Type
Distance	Distance Add Binding http://hl7.org/fhir/ValueSet/distance-units (extensible), max = http://hl7.org/fhir/ValueSet/all-distance-units No Changes
Dosage
Dosage.doseAndRate.dose[x]	Added Element Add Type Quantity() Dosage.doseAndRate.rate[x] Added Element Remove Type Quantity()
Dosage.dose[x] Dosage.doseAndRate.rate[x]	deleted Add Type Quantity() Dosage.rate[x] deleted Remove Type Quantity()
Duration	Duration Add Binding http://hl7.org/fhir/ValueSet/duration-units (extensible), max = http://hl7.org/fhir/ValueSet/all-time-units No Changes
Element	No Changes
ElementDefinition
ElementDefinition.representation	Change value set from http://hl7.org/fhir/ValueSet/property-representation http://hl7.org/fhir/ValueSet/property-representation|4.0.0 to http://hl7.org/fhir/ValueSet/property-representation|4.0.1 ElementDefinition.sliceIsConstraining Added Element http://hl7.org/fhir/ValueSet/property-representation|5.0.0-snapshot1
ElementDefinition.slicing.discriminator.type	Change value set from http://hl7.org/fhir/ValueSet/discriminator-type http://hl7.org/fhir/ValueSet/discriminator-type|4.0.0 to http://hl7.org/fhir/ValueSet/discriminator-type|4.0.1 ElementDefinition.slicing.ordered Default Value "false" removed http://hl7.org/fhir/ValueSet/discriminator-type|5.0.0-snapshot1
ElementDefinition.slicing.rules	Change value set from http://hl7.org/fhir/ValueSet/resource-slicing-rules to http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.1 ElementDefinition.type.profile Max Cardinality changed from 1 to * Type changed from uri to canonical(StructureDefinition | ImplementationGuide) ElementDefinition.type.targetProfile Max Cardinality changed from 1 to * Type changed from uri http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.0 to canonical(StructureDefinition | ImplementationGuide) http://hl7.org/fhir/ValueSet/resource-slicing-rules|5.0.0-snapshot1
ElementDefinition.type.aggregation	Change value set from http://hl7.org/fhir/ValueSet/resource-aggregation-mode http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.0 to http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.1 http://hl7.org/fhir/ValueSet/resource-aggregation-mode|5.0.0-snapshot1
ElementDefinition.type.versioning	Change value set from http://hl7.org/fhir/ValueSet/reference-version-rules http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.0 to http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.1 Default Value "either" removed http://hl7.org/fhir/ValueSet/reference-version-rules|5.0.0-snapshot1
ElementDefinition.defaultValue[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, CodeableReference, RatioRange, Meta
ElementDefinition.fixed[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, CodeableReference, RatioRange, Meta
ElementDefinition.pattern[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, CodeableReference, RatioRange, Meta
ElementDefinition.example.value[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, CodeableReference, RatioRange, Meta
ElementDefinition.constraint.severity ElementDefinition.minValue[x]	Change value set from http://hl7.org/fhir/ValueSet/constraint-severity to http://hl7.org/fhir/ValueSet/constraint-severity|4.0.1 Add Type integer64
ElementDefinition.constraint.expression ElementDefinition.maxValue[x]	Min Cardinality changed from 1 to 0 Add Type integer64
ElementDefinition.constraint.source ElementDefinition.constraint.severity	Type changed Change value set from uri http://hl7.org/fhir/ValueSet/constraint-severity|4.0.0 to canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/constraint-severity|5.0.0-snapshot1
ElementDefinition.mustSupport ElementDefinition.binding.strength	Default Value "false" removed Change value set from http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to http://hl7.org/fhir/ValueSet/binding-strength|5.0.0-snapshot1
ElementDefinition.isModifier Default Value "false" removed ElementDefinition.isModifierReason ElementDefinition.mapping.language	Added Element Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
ElementDefinition.isSummary Expression	Default Value "false" removed
ElementDefinition.binding.strength Expression.language	Change max value set from http://hl7.org/fhir/ValueSet/binding-strength http://www.rfc-editor.org/bcp/bcp13.txt to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 http://hl7.org/fhir/ValueSet/all-media-types ElementDefinition.binding.valueSet Renamed Change code system for extensibly bound codes from valueSet[x] "http://hl7.org/fhir/expression-language" to valueSet Add Type canonical(ValueSet) Remove Types uri, Reference(ValueSet) "urn:ietf:bcp:13"
ElementDefinition.mapping.language Extension	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
Expression Extension.url	Added Type changed from string to uri
Extension.value[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, CodeableReference, RatioRange, Meta
HumanName
HumanName.use	Change value set from http://hl7.org/fhir/ValueSet/name-use http://hl7.org/fhir/ValueSet/name-use|4.0.0 to http://hl7.org/fhir/ValueSet/name-use|4.0.1 http://hl7.org/fhir/ValueSet/name-use|5.0.0-snapshot1
Identifier
Identifier.use	Change value set from http://hl7.org/fhir/ValueSet/identifier-use http://hl7.org/fhir/ValueSet/identifier-use|4.0.0 to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 http://hl7.org/fhir/ValueSet/identifier-use|5.0.0-snapshot1
MarketingStatus	Added Type Meta
Meta.source MarketingStatus.country	Added Element Min Cardinality changed from 1 to 0
Meta.profile MarketingStatus.dateRange	Type Min Cardinality changed from uri 1 to canonical(StructureDefinition) 0
Money Meta	No Changes
Money.value Money	Added Element
Money.currency	Added Element Change value set from http://hl7.org/fhir/ValueSet/currencies|4.0.0 to http://hl7.org/fhir/ValueSet/currencies|5.0.0-snapshot1
MoneyQuantity	Added Type No Changes
Narrative
Narrative.status	Change value set from http://hl7.org/fhir/ValueSet/narrative-status http://hl7.org/fhir/ValueSet/narrative-status|4.0.0 to http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 http://hl7.org/fhir/ValueSet/narrative-status|5.0.0-snapshot1
ParameterDefinition
ParameterDefinition.use	Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 http://hl7.org/fhir/ValueSet/operation-parameter-use|5.0.0-snapshot1
ParameterDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 ParameterDefinition.profile Type changed from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|4.0.0 to canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|5.0.0-snapshot1
Period	No Changes
Population	Added Type No Changes
ProdCharacteristic PrimitiveType	Added Type
ProductShelfLife ProdCharacteristic	Added Type No Changes
Quantity ProductShelfLife
Quantity.comparator ProductShelfLife.type	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/quantity-comparator 1 to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 0
Range ProductShelfLife.period[x]	No Changes Added Element
Ratio ProductShelfLife.identifier	No Changes deleted
Reference.type ProductShelfLife.period	Added Element deleted
RelatedArtifact Quantity
RelatedArtifact.type Quantity.comparator	Change value set from http://hl7.org/fhir/ValueSet/related-artifact-type http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 http://hl7.org/fhir/ValueSet/quantity-comparator|5.0.0-snapshot1
RelatedArtifact.label Range	Added Element No Changes
RelatedArtifact.citation Ratio	Type changed from string to markdown
RelatedArtifact.url Ratio.denominator	Type changed from uri Quantity to url Quantity()
RelatedArtifact.resource RatioRange	Added Type changed from Reference(Resource) to canonical(Resource)
SampledData Reference	SampledData.factor Default Value "1" removed SampledData.data Min Cardinality changed from 1 to 0 No Changes
Signature RelatedArtifact
Signature.onBehalfOf RelatedArtifact.type	Renamed Change value set from onBehalfOf[x] http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.0 to onBehalfOf Remove Type uri http://hl7.org/fhir/ValueSet/related-artifact-type|5.0.0-snapshot1
Signature.targetFormat RelatedArtifact.classifier	Added Element
Signature.sigFormat RelatedArtifact.resourceReference	Added Element
Signature.contentType RelatedArtifact.url	deleted
SimpleQuantity SampledData	No Changes
Timing Signature
Timing.repeat.count Signature.targetFormat	Type changed Change value set from integer http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to positiveInt http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
Timing.repeat.countMax Signature.sigFormat	Type changed Change value set from integer http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to positiveInt http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
Timing.repeat.durationUnit SimpleQuantity	Change value set from http://hl7.org/fhir/ValueSet/units-of-time to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 No Changes
Timing.repeat.frequency Timing	Type changed from integer to positiveInt Default Value "1" removed
Timing.repeat.frequencyMax Timing.repeat.durationUnit	Type changed Change value set from integer http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to positiveInt http://hl7.org/fhir/ValueSet/units-of-time|5.0.0-snapshot1
Timing.repeat.periodUnit	Change value set from http://hl7.org/fhir/ValueSet/units-of-time http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 http://hl7.org/fhir/ValueSet/units-of-time|5.0.0-snapshot1
Timing.repeat.dayOfWeek	Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 http://hl7.org/fhir/ValueSet/days-of-week|5.0.0-snapshot1
Timing.repeat.when	Change value set from http://hl7.org/fhir/ValueSet/event-timing http://hl7.org/fhir/ValueSet/event-timing|4.0.0 to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 http://hl7.org/fhir/ValueSet/event-timing|5.0.0-snapshot1
TriggerDefinition
TriggerDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/trigger-type to http://hl7.org/fhir/ValueSet/trigger-type|4.0.1 TriggerDefinition.name Renamed from eventName to name TriggerDefinition.timing[x] Renamed from eventTiming[x] to timing[x] TriggerDefinition.data Renamed from eventData to data Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/trigger-type|4.0.0 to * TriggerDefinition.condition Added Element http://hl7.org/fhir/ValueSet/trigger-type|5.0.0-snapshot1
UsageContext	UsageContext.code Change code system for extensibly bound codes from "http://hl7.org/fhir/usage-context-type" to "http://terminology.hl7.org/CodeSystem/usage-context-type" UsageContext.value[x] Add Type Reference(PlanDefinition | ResearchStudy | InsurancePlan | HealthcareService | Group | Location | Organization) No Changes
base64Binary	(No Changes)
boolean	(No Changes)
canonical	Added Type (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	Added Type (No Changes)
uuid	(No Changes)
xhtml	(No Changes)
SubstanceAmount	deleted
Resources
Account
Account.status	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/account-status to http://hl7.org/fhir/ValueSet/account-status|4.0.1 Account.subject Max Cardinality changed from 1 to * Type Reference: Added Target Type PractitionerRole Account.servicePeriod Renamed from period http://hl7.org/fhir/ValueSet/account-status|4.0.0 to servicePeriod http://hl7.org/fhir/ValueSet/account-status|5.0.0-snapshot1
Account.partOf Account.billingStatus	Added Element
ActivityDefinition
ActivityDefinition.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
ActivityDefinition.experimental No longer marked as Modifier ActivityDefinition.subject[x]	Added Element ActivityDefinition.author Added Element ActivityDefinition.editor Added Element ActivityDefinition.reviewer Added Element ActivityDefinition.endorser Added Element ActivityDefinition.library Add Type changed from Reference(Library) to canonical(Library) canonical
ActivityDefinition.kind	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 ActivityDefinition.profile Added Element http://hl7.org/fhir/ValueSet/request-resource-types|5.0.0-snapshot1
ActivityDefinition.intent	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|5.0.0-snapshot1
ActivityDefinition.priority	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
ActivityDefinition.doNotPerform ActivityDefinition.timing[x]	Added Element Remove Types dateTime, Period
ActivityDefinition.timing[x] ActivityDefinition.location	Add Types Age, Duration Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/action-participant-type http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0-snapshot1
ActivityDefinition.specimenRequirement ActivityDefinition.participant.typeReference	Added Element
ActivityDefinition.observationRequirement ActivityDefinition.participant.function	Added Element
ActivityDefinition.observationResultRequirement AdministrableProductDefinition	Added Element Resource
ActivityDefinition.transform AdverseEvent	Type changed from Reference(StructureMap) to canonical(StructureMap)
ActivityDefinition.dynamicValue.path AdverseEvent.identifier	Min Max Cardinality changed from 0 to 1 to *
ActivityDefinition.dynamicValue.expression AdverseEvent.status	Min Cardinality changed from 0 to 1 Type changed from string to Expression Added Mandatory Element
ActivityDefinition.contributor AdverseEvent.actuality	deleted Change value set from http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0 to http://hl7.org/fhir/ValueSet/adverse-event-actuality|5.0.0-snapshot1
ActivityDefinition.dynamicValue.description AdverseEvent.category	deleted Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-category (extensible)
ActivityDefinition.dynamicValue.language AdverseEvent.code	deleted Added Element
AdverseEvent.actuality AdverseEvent.occurrence[x]	Added Mandatory Element
AdverseEvent.category AdverseEvent.outcome	Max Cardinality changed from 1 to * Type changed from code to CodeableConcept Change binding strength from required to extensible Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0 (required)
AdverseEvent.event AdverseEvent.participant	Added Element
AdverseEvent.subject AdverseEvent.participant.function	Min Cardinality changed from 0 to 1 Type Reference: Added Target Types Group, Practitioner, RelatedPerson Type Reference: Removed Target Types ResearchSubject, Medication, Device Element
AdverseEvent.encounter AdverseEvent.participant.actor	Added Mandatory Element
AdverseEvent.detected AdverseEvent.suspectEntity.instance[x]	Added Mandatory Element
AdverseEvent.recordedDate AdverseEvent.suspectEntity.causality	Added Element Max Cardinality changed from * to 1
AdverseEvent.resultingCondition AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.severity AdverseEvent.suspectEntity.causality.entityRelatedness	Added Element
AdverseEvent.outcome AdverseEvent.suspectEntity.causality.author	Change value set from http://hl7.org/fhir/ValueSet/adverse-event-outcome to http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.1 Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.recorder AdverseEvent.contributingFactor	Type Reference: Added Target Type PractitionerRole Element
AdverseEvent.contributor AdverseEvent.contributingFactor.item[x]	Added Mandatory Element
AdverseEvent.suspectEntity.instance AdverseEvent.preventiveAction	Type Reference: Added Target Types Immunization, Procedure Element
AdverseEvent.suspectEntity.causality AdverseEvent.preventiveAction.item[x]	Max Cardinality changed from 1 to * Type changed from code to BackboneElement Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-causality (required) Added Mandatory Element
AdverseEvent.suspectEntity.causality.assessment AdverseEvent.mitigatingAction	Added Element
AdverseEvent.suspectEntity.causality.productRelatedness AdverseEvent.mitigatingAction.item[x]	Added Mandatory Element
AdverseEvent.suspectEntity.causality.author AdverseEvent.supportingInfo	Added Element
AdverseEvent.suspectEntity.causality.method AdverseEvent.supportingInfo.item[x]	Added Mandatory Element
AdverseEvent.subjectMedicalHistory AdverseEvent.event	Type Reference: Added Target Types Media, DocumentReference deleted
AdverseEvent.type AdverseEvent.date	deleted
AdverseEvent.reaction AdverseEvent.severity	deleted
AdverseEvent.eventParticipant AdverseEvent.contributor	deleted
AdverseEvent.description AdverseEvent.suspectEntity.instance	deleted
AdverseEvent.suspectEntity.causalityAssessment AdverseEvent.suspectEntity.causality.assessment	deleted
AdverseEvent.suspectEntity.causalityProductRelatedness AdverseEvent.suspectEntity.causality.productRelatedness	deleted
AdverseEvent.suspectEntity.causalityMethod AdverseEvent.suspectEntity.causality.method	deleted
AdverseEvent.suspectEntity.causalityAuthor AdverseEvent.subjectMedicalHistory	deleted
AdverseEvent.suspectEntity.causalityResult AdverseEvent.referenceDocument	deleted
AllergyIntolerance
AllergyIntolerance.clinicalStatus	Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/allergy-clinical-status http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|5.0.0-snapshot1
AllergyIntolerance.verificationStatus	Min Cardinality changed from 1 to 0 Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/allergy-verification-status http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 http://hl7.org/fhir/ValueSet/allergyintolerance-verification|5.0.0-snapshot1
AllergyIntolerance.type	Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-type http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 http://hl7.org/fhir/ValueSet/allergy-intolerance-type|5.0.0-snapshot1
AllergyIntolerance.category	Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-category http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 http://hl7.org/fhir/ValueSet/allergy-intolerance-category|5.0.0-snapshot1
AllergyIntolerance.criticality	Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality to http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 AllergyIntolerance.encounter Added Element AllergyIntolerance.recordedDate Renamed from assertedDate http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0 to recordedDate http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|5.0.0-snapshot1
AllergyIntolerance.recorder	Type Reference: Added Target Types PractitionerRole, RelatedPerson Type Organization
AllergyIntolerance.asserter AllergyIntolerance.reaction.manifestation	Type Reference: Added Target Type PractitionerRole changed from CodeableConcept to CodeableReference
AllergyIntolerance.reaction.severity	Change value set from http://hl7.org/fhir/ValueSet/reaction-event-severity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0 to http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 http://hl7.org/fhir/ValueSet/reaction-event-severity|5.0.0-snapshot1
Appointment
Appointment.status	Change value set from http://hl7.org/fhir/ValueSet/appointmentstatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0 to http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 http://hl7.org/fhir/ValueSet/appointmentstatus|5.0.0-snapshot1
Appointment.cancelationReason Appointment.cancellationReason	Added Element
Appointment.reasonCode Appointment.reason	Added Element
Appointment.reasonReference Appointment.priority	Added Element Type changed from unsignedInt to CodeableConcept
Appointment.patientInstruction Appointment.replaces	Added Element
Appointment.basedOn Appointment.account	Added Element
Appointment.participant.actor Appointment.note	Type Reference: Added Target Type PractitionerRole Element
Appointment.participant.required Appointment.patientInstruction	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/participantrequired 1 to http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 * Appointment.participant.status Change value set Type changed from http://hl7.org/fhir/ValueSet/participationstatus string to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 CodeableReference
Appointment.participant.period Appointment.subject	Added Element
AppointmentResponse.actor Appointment.participant.actor	Type Reference: Added Target Type PractitionerRole AppointmentResponse.participantStatus Change value set from http://hl7.org/fhir/ValueSet/participationstatus to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 AuditEvent AuditEvent.action Change value set from http://hl7.org/fhir/ValueSet/audit-event-action to http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1 AuditEvent.period Added Element Types Group, CareTeam
AuditEvent.outcome Appointment.participant.required	Change value set Type changed from http://hl7.org/fhir/ValueSet/audit-event-outcome code to http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1 boolean AuditEvent.agent.type Added Element AuditEvent.agent.role Remove Binding http://hl7.org/fhir/ValueSet/security-role-type http://hl7.org/fhir/ValueSet/participantrequired|4.0.0 (extensible) AuditEvent.agent.who Added Element (required)
AuditEvent.agent.network.type Appointment.participant.status	Change value set from http://hl7.org/fhir/ValueSet/network-type to http://hl7.org/fhir/ValueSet/network-type|4.0.1 AuditEvent.source.observer Added Mandatory Element AuditEvent.source.type Change code system for extensibly bound codes from "http://hl7.org/fhir/security-source-type" to "http://terminology.hl7.org/CodeSystem/security-source-type" AuditEvent.entity.what Added Element AuditEvent.entity.role Change code system for extensibly bound codes from "http://hl7.org/fhir/object-role" to "http://terminology.hl7.org/CodeSystem/object-role" AuditEvent.entity.detail.value[x] Renamed from value http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to value[x] Add Type string AuditEvent.agent.reference deleted http://hl7.org/fhir/ValueSet/participationstatus|5.0.0-snapshot1
AuditEvent.agent.userId Appointment.cancelationReason	deleted
AuditEvent.source.identifier Appointment.reasonCode	deleted
AuditEvent.entity.identifier Appointment.reasonReference	deleted
AuditEvent.entity.reference Appointment.comment	deleted
Basic AppointmentResponse
Basic.author AppointmentResponse.actor	Type Reference: Added Target Types PractitionerRole, Organization Type Group
Binary.contentType AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Binary.data Renamed from content to data Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to 0 BiologicallyDerivedProduct Added Resource http://hl7.org/fhir/ValueSet/participationstatus|5.0.0-snapshot1
BodyStructure ArtifactAssessment	Added Resource
Bundle AuditEvent
Bundle.timestamp AuditEvent.category	Added Element
CapabilityStatement.experimental AuditEvent.code	No longer marked as Modifier Added Mandatory Element
CapabilityStatement.kind AuditEvent.action	Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind to http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.1 CapabilityStatement.instantiates Type changed from uri http://hl7.org/fhir/ValueSet/audit-event-action|4.0.0 to canonical(CapabilityStatement) http://hl7.org/fhir/ValueSet/audit-event-action|5.0.0-snapshot1
CapabilityStatement.imports AuditEvent.severity	Added Element
CapabilityStatement.implementation.custodian AuditEvent.occurred[x]	Added Element
CapabilityStatement.fhirVersion AuditEvent.outcome	Type changed from id to code to BackboneElement Add Remove Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0 (required)
CapabilityStatement.format AuditEvent.outcome.code	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Added Mandatory Element
CapabilityStatement.patchFormat AuditEvent.outcome.detail	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Added Element
CapabilityStatement.implementationGuide AuditEvent.authorization	Type changed from uri to canonical(ImplementationGuide) Added Element
CapabilityStatement.rest.mode AuditEvent.basedOn	Change value set from http://hl7.org/fhir/ValueSet/restful-capability-mode to http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.1 Added Element
CapabilityStatement.rest.documentation AuditEvent.encounter	Type changed from string to markdown Added Element
CapabilityStatement.rest.security.service AuditEvent.agent.type	Change code system for extensibly bound codes from "http://hl7.org/fhir/restful-security-service" to "http://terminology.hl7.org/CodeSystem/restful-security-service" Remove Binding http://hl7.org/fhir/ValueSet/participation-role-type (extensible)
CapabilityStatement.rest.security.description AuditEvent.agent.who	Type Min Cardinality changed from string to markdown CapabilityStatement.rest.resource.type Change value set from http://hl7.org/fhir/ValueSet/resource-types 0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 1 CapabilityStatement.rest.resource.profile Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) CapabilityStatement.rest.resource.supportedProfile Moved from CapabilityStatement.profile to supportedProfile Reference: Added Target Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) CareTeam
CapabilityStatement.rest.resource.interaction AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
CapabilityStatement.rest.resource.interaction.code AuditEvent.agent.network[x]	Change value set from http://hl7.org/fhir/ValueSet/type-restful-interaction to http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.1 Added Element
CapabilityStatement.rest.resource.interaction.documentation AuditEvent.agent.authorization	Type changed from string to markdown Added Element
CapabilityStatement.rest.resource.versioning AuditEvent.source.site	Change value set Type changed from http://hl7.org/fhir/ValueSet/versioning-policy string to http://hl7.org/fhir/ValueSet/versioning-policy|4.0.1 Reference(Location)
CapabilityStatement.rest.resource.conditionalRead AuditEvent.source.observer	Change value set from http://hl7.org/fhir/ValueSet/conditional-read-status to http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.1 Type Reference: Added Target Type CareTeam
CapabilityStatement.rest.resource.conditionalDelete AuditEvent.source.type	Change value set Type changed from http://hl7.org/fhir/ValueSet/conditional-delete-status Coding to http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.1 CodeableConcept CapabilityStatement.rest.resource.referencePolicy Change value set from http://hl7.org/fhir/ValueSet/reference-handling-policy to http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.1 Remove Binding http://hl7.org/fhir/ValueSet/audit-source-type (extensible)
CapabilityStatement.rest.resource.searchParam.definition AuditEvent.entity.role	Type changed from uri Coding to canonical(SearchParameter) CodeableConcept
CapabilityStatement.rest.resource.searchParam.type AuditEvent.entity.securityLabel	Change value set Type changed from http://hl7.org/fhir/ValueSet/search-param-type Coding to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 CodeableConcept
CapabilityStatement.rest.resource.searchParam.documentation AuditEvent.entity.detail.type	Type changed from string to markdown CapabilityStatement.rest.resource.operation Added Element CapabilityStatement.rest.resource.operation.name Added Mandatory Element CodeableConcept
CapabilityStatement.rest.resource.operation.definition AuditEvent.entity.detail.value[x]	Added Mandatory Element Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
CapabilityStatement.rest.resource.operation.documentation AuditEvent.entity.agent	Added Element
CapabilityStatement.rest.compartment AuditEvent.type	Type changed from uri to canonical(CompartmentDefinition) deleted
CapabilityStatement.messaging.endpoint.protocol AuditEvent.subtype	Change code system for extensibly bound codes from "http://hl7.org/fhir/message-transport" to "http://terminology.hl7.org/CodeSystem/message-transport" deleted
CapabilityStatement.messaging.endpoint.address AuditEvent.period	Type changed from uri to url deleted
CapabilityStatement.messaging.documentation AuditEvent.outcomeDesc	Type changed from string to markdown deleted
CapabilityStatement.messaging.supportedMessage.mode AuditEvent.purposeOfEvent	Change value set from http://hl7.org/fhir/ValueSet/event-capability-mode to http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.1 deleted
CapabilityStatement.messaging.supportedMessage.definition AuditEvent.agent.altId	Type changed from Reference(MessageDefinition) to canonical(MessageDefinition) deleted
CapabilityStatement.document.mode AuditEvent.agent.name	Change value set from http://hl7.org/fhir/ValueSet/document-mode to http://hl7.org/fhir/ValueSet/document-mode|4.0.1 deleted
CapabilityStatement.document.documentation AuditEvent.agent.media	Type changed from string to markdown deleted
CapabilityStatement.document.profile AuditEvent.agent.network	Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) deleted
CapabilityStatement.acceptUnknown AuditEvent.agent.purposeOfUse	deleted
CapabilityStatement.rest.security.certificate AuditEvent.entity.type	deleted
CapabilityStatement.rest.operation.name AuditEvent.entity.lifecycle	deleted
CapabilityStatement.rest.operation.definition AuditEvent.entity.name	deleted
CapabilityStatement.messaging.event AuditEvent.entity.description	deleted
CarePlan Basic	CarePlan.instantiatesCanonical Added Element No Changes
CarePlan.instantiatesUri Binary	Added Element
CarePlan.status Binary.contentType	Change value set from http://hl7.org/fhir/ValueSet/care-plan-status http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
BiologicallyDerivedProduct
CarePlan.intent BiologicallyDerivedProduct.productCategory	Change value set from http://hl7.org/fhir/ValueSet/care-plan-intent http://hl7.org/fhir/ValueSet/product-category|4.0.0 to http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 http://hl7.org/fhir/ValueSet/product-category|5.0.0-snapshot1
CarePlan.encounter BiologicallyDerivedProduct.biologicalSource	Added Element
CarePlan.created BiologicallyDerivedProduct.processingFacility	Added Element
CarePlan.contributor BiologicallyDerivedProduct.division	Added Element
CarePlan.activity.reference Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest CarePlan.activity.detail.kind BiologicallyDerivedProduct.status	Renamed from category to kind Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/product-status|4.0.0 to code Add Binding http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 (required) http://hl7.org/fhir/ValueSet/biological-product-status|5.0.0-snapshot1
CarePlan.activity.detail.instantiatesCanonical BiologicallyDerivedProduct.expirationDate	Added Element
CarePlan.activity.detail.instantiatesUri BiologicallyDerivedProduct.storageTempRequirements	Added Element
CarePlan.activity.detail.reasonReference BiologicallyDerivedProduct.property	Type Reference: Added Target Types Observation, DiagnosticReport, DocumentReference CarePlan.activity.detail.status Change value set from http://hl7.org/fhir/ValueSet/care-plan-activity-status to http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 CarePlan.activity.detail.statusReason Type changed from string to CodeableConcept Element
CarePlan.activity.detail.doNotPerform BiologicallyDerivedProduct.property.type	Renamed from prohibited to doNotPerform Default Value "false" removed Added Mandatory Element
CarePlan.activity.detail.performer BiologicallyDerivedProduct.property.value[x]	Type Reference: Added Target Types PractitionerRole, HealthcareService, Device Mandatory Element
CarePlan.definition BiologicallyDerivedProduct.quantity	deleted
CarePlan.context BiologicallyDerivedProduct.processing	deleted
CarePlan.activity.detail.definition BiologicallyDerivedProduct.manipulation	deleted
CareTeam.context BiologicallyDerivedProduct.storage	deleted
ChargeItem BodyStructure
ChargeItem.definitionUri BodyStructure.includedStructure	Added Mandatory Element
ChargeItem.definitionCanonical BodyStructure.includedStructure.structure	Added Mandatory Element
ChargeItem.status BodyStructure.includedStructure.laterality	Change value set from http://hl7.org/fhir/ValueSet/chargeitem-status to http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 Added Element
ChargeItem.performer BodyStructure.includedStructure.qualifier	Added Element
ChargeItem.performer.function BodyStructure.excludedStructure	Added Element
ChargeItem.performer.actor BodyStructure.excludedStructure.structure	Added Mandatory Element
ChargeItem.costCenter BodyStructure.excludedStructure.laterality	Added Element
ChargeItem.product[x] BodyStructure.excludedStructure.qualifier	Added Element
ChargeItem.definition deleted ChargeItem.participant BodyStructure.locationQualifier	deleted
Claim Bundle
Claim.status Bundle.type	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/bundle-type|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 http://hl7.org/fhir/ValueSet/bundle-type|5.0.0-snapshot1
Claim.type Bundle.entry.search.mode	Min Cardinality changed from 0 to 1 Change binding strength from required to extensible Claim.subType Max Cardinality changed value set from * http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.0 to 1 http://hl7.org/fhir/ValueSet/search-entry-mode|5.0.0-snapshot1
Claim.use Bundle.entry.request.method	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/claim-use to http://hl7.org/fhir/ValueSet/claim-use|4.0.1 Claim.patient Min Cardinality changed from 0 to 1 Claim.created Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/http-verb|4.0.0 to 1 http://hl7.org/fhir/ValueSet/http-verb|5.0.0-snapshot1
Claim.enterer CanonicalResource	Type Reference: Added Target Type PractitionerRole Resource
Claim.provider CapabilityStatement	Min Cardinality changed from 0 to 1 Type Reference: Added Target Types PractitionerRole, Organization
Claim.priority CapabilityStatement.status	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 Claim.prescription Type Reference: Added Target Type DeviceRequest Claim.originalPrescription Type Reference: Added Target Types DeviceRequest, VisionPrescription Claim.payee.party Type Reference: Added Target Type PractitionerRole Claim.referral Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Claim.careTeam.provider Type Reference: Added Target Type PractitionerRole Claim.supportingInfo Renamed from information to supportingInfo Claim.supportingInfo.sequence CapabilityStatement.kind	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to Claim.supportingInfo http://hl7.org/fhir/ValueSet/capability-statement-kind|5.0.0-snapshot1
Claim.supportingInfo.category CapabilityStatement.fhirVersion	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to Claim.supportingInfo http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-snapshot1
Claim.supportingInfo.code CapabilityStatement.format	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Claim.supportingInfo http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
Claim.supportingInfo.timing[x] CapabilityStatement.patchFormat	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Claim.supportingInfo http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
Claim.supportingInfo.value[x] CapabilityStatement.rest.mode	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.0 to Claim.supportingInfo Add Type boolean http://hl7.org/fhir/ValueSet/restful-capability-mode|5.0.0-snapshot1
Claim.supportingInfo.reason CapabilityStatement.rest.resource.type	Moved Change value set from Claim.information http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Claim.supportingInfo Claim.diagnosis.onAdmission Added Element Claim.procedure.type Added Element Claim.procedure.udi Added Element http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
Claim.insurance CapabilityStatement.rest.resource.interaction.code	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.0 to 1 Claim.insurance.identifier Added Element http://hl7.org/fhir/ValueSet/type-restful-interaction|5.0.0-snapshot1
Claim.accident.type CapabilityStatement.rest.resource.versioning	Change binding strength value set from required http://hl7.org/fhir/ValueSet/versioning-policy|4.0.0 to extensible http://hl7.org/fhir/ValueSet/versioning-policy|5.0.0-snapshot1
Claim.item.careTeamSequence CapabilityStatement.rest.resource.conditionalRead	Renamed Change value set from careTeamLinkId http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.0 to careTeamSequence http://hl7.org/fhir/ValueSet/conditional-read-status|5.0.0-snapshot1
Claim.item.diagnosisSequence CapabilityStatement.rest.resource.conditionalDelete	Renamed Change value set from diagnosisLinkId http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.0 to diagnosisSequence http://hl7.org/fhir/ValueSet/conditional-delete-status|5.0.0-snapshot1
Claim.item.procedureSequence CapabilityStatement.rest.resource.referencePolicy	Renamed Change value set from procedureLinkId http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.0 to procedureSequence http://hl7.org/fhir/ValueSet/reference-handling-policy|5.0.0-snapshot1
Claim.item.informationSequence CapabilityStatement.rest.resource.searchParam.type	Renamed Change value set from informationLinkId http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to informationSequence http://hl7.org/fhir/ValueSet/search-param-type|5.0.0-snapshot1
Claim.item.productOrService CapabilityStatement.rest.interaction.code	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.0 to 1 http://hl7.org/fhir/ValueSet/system-restful-interaction|5.0.0-snapshot1
Claim.item.detail.productOrService CapabilityStatement.messaging.supportedMessage.mode	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.0 to 1 http://hl7.org/fhir/ValueSet/event-capability-mode|5.0.0-snapshot1
Claim.item.detail.subDetail.productOrService CapabilityStatement.document.mode	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/document-mode|4.0.0 to 1 Claim.organization deleted Claim.payee.resourceType deleted Claim.employmentImpacted deleted http://hl7.org/fhir/ValueSet/document-mode|5.0.0-snapshot1
Claim.hospitalization CapabilityStatement2	deleted Added Resource
ClaimResponse CarePlan
ClaimResponse.status CarePlan.status	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 ClaimResponse.type Added Mandatory Element ClaimResponse.subType Added Element ClaimResponse.use Added Mandatory Element ClaimResponse.patient Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/request-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
ClaimResponse.created CarePlan.intent	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.0 to 1 http://hl7.org/fhir/ValueSet/care-plan-intent|5.0.0-snapshot1
ClaimResponse.insurer Min Cardinality changed from 0 to 1 ClaimResponse.requestor CarePlan.addresses	Renamed from requestProvider to requestor Type Reference: Added Target Types PractitionerRole, Organization ClaimResponse.outcome Min Cardinality changed from 0 to 1 Type changed from CodeableConcept to code Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) ClaimResponse.preAuthRef Moved from ClaimResponse.insurance to ClaimResponse Max Cardinality changed from * Reference(Condition) to 1 CodeableReference
ClaimResponse.preAuthPeriod CarePlan.activity.performedActivity	Added Element
ClaimResponse.item.itemSequence CarePlan.activity.plannedActivityReference	Renamed from sequenceLinkId to itemSequence Added Element
ClaimResponse.item.adjudication CarePlan.activity.plannedActivityDetail	Min Cardinality changed from 0 to 1 Added Element
ClaimResponse.item.detail.detailSequence CarePlan.activity.plannedActivityDetail.kind	Renamed from sequenceLinkId to detailSequence Added Element
ClaimResponse.item.detail.adjudication CarePlan.activity.plannedActivityDetail.instantiatesCanonical	Min Cardinality changed from 0 to 1 Added Element
ClaimResponse.item.detail.subDetail.subDetailSequence CarePlan.activity.plannedActivityDetail.instantiatesUri	Renamed from sequenceLinkId to subDetailSequence Added Element
ClaimResponse.addItem.itemSequence CarePlan.activity.plannedActivityDetail.code	Renamed from sequenceLinkId to itemSequence Added Element
ClaimResponse.addItem.detailSequence CarePlan.activity.plannedActivityDetail.reason	Added Element
ClaimResponse.addItem.subdetailSequence CarePlan.activity.plannedActivityDetail.goal	Added Element
ClaimResponse.addItem.provider CarePlan.activity.plannedActivityDetail.status	Added Mandatory Element
ClaimResponse.addItem.productOrService CarePlan.activity.plannedActivityDetail.statusReason	Renamed from service to productOrService Min Cardinality changed from 0 to 1 Added Element
ClaimResponse.addItem.programCode CarePlan.activity.plannedActivityDetail.doNotPerform	Added Element
ClaimResponse.addItem.serviced[x] CarePlan.activity.plannedActivityDetail.scheduled[x]	Added Element
ClaimResponse.addItem.location[x] CarePlan.activity.plannedActivityDetail.location	Added Element
ClaimResponse.addItem.quantity CarePlan.activity.plannedActivityDetail.reported[x]	Added Element
ClaimResponse.addItem.unitPrice CarePlan.activity.plannedActivityDetail.performer	Added Element
ClaimResponse.addItem.factor CarePlan.activity.plannedActivityDetail.product[x]	Added Element
ClaimResponse.addItem.net CarePlan.activity.plannedActivityDetail.dailyAmount	Added Element
ClaimResponse.addItem.bodySite CarePlan.activity.plannedActivityDetail.quantity	Added Element
ClaimResponse.addItem.subSite CarePlan.activity.plannedActivityDetail.description	Added Element
ClaimResponse.addItem.adjudication CarePlan.activity.outcomeCodeableConcept	Min Cardinality changed from 0 to 1 deleted
ClaimResponse.addItem.detail.productOrService CarePlan.activity.outcomeReference	Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ClaimResponse.addItem.detail.quantity CarePlan.activity.reference	Added Element deleted
ClaimResponse.addItem.detail.unitPrice CarePlan.activity.detail	Added Element deleted
ClaimResponse.addItem.detail.factor CareTeam	Added Element
ClaimResponse.addItem.detail.net CareTeam.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/care-team-status|4.0.0 to http://hl7.org/fhir/ValueSet/care-team-status|5.0.0-snapshot1
ClaimResponse.addItem.detail.adjudication CareTeam.participant.role	Min Max Cardinality changed from 0 * to 1
ClaimResponse.addItem.detail.subDetail Added Element ClaimResponse.addItem.detail.subDetail.productOrService Added Mandatory Element ClaimResponse.addItem.detail.subDetail.modifier CareTeam.participant.coverage[x]	Added Element
ClaimResponse.addItem.detail.subDetail.quantity CareTeam.reason	Added Element
ClaimResponse.addItem.detail.subDetail.unitPrice CareTeam.encounter	Added Element deleted
ClaimResponse.addItem.detail.subDetail.factor CareTeam.participant.period	Added Element deleted
ClaimResponse.addItem.detail.subDetail.net CareTeam.reasonCode	Added Element deleted
ClaimResponse.addItem.detail.subDetail.noteNumber CareTeam.reasonReference	Added Element deleted
ClaimResponse.addItem.detail.subDetail.adjudication ChargeItem	Added Mandatory Element
ClaimResponse.adjudication ChargeItem.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0 to http://hl7.org/fhir/ValueSet/chargeitem-status|5.0.0-snapshot1
ClaimResponse.total ChargeItem.product	Added Element
ClaimResponse.total.category ChargeItem.product[x]	Added Mandatory Element deleted
ClaimResponse.total.amount ChargeItemDefinition	Added Mandatory Element
ClaimResponse.payment.type ChargeItemDefinition.status	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
ClaimResponse.payment.amount ChargeItemDefinition.propertyGroup.priceComponent.type	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to 1 http://hl7.org/fhir/ValueSet/invoice-priceComponentType|5.0.0-snapshot1
ClaimResponse.fundsReserve Citation	Renamed from reserved to fundsReserve Type changed from Coding to CodeableConcept Added Resource
ClaimResponse.formCode Claim	Added Element
ClaimResponse.form Claim.status	Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to Attachment http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
ClaimResponse.processNote.type Claim.use	Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 http://hl7.org/fhir/ValueSet/claim-use|5.0.0-snapshot1
ClaimResponse.processNote.text ClaimResponse	Min Cardinality changed from 0 to 1
ClaimResponse.processNote.language ClaimResponse.status	Change binding strength value set from extensible http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to preferred http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
ClaimResponse.error.itemSequence ClaimResponse.use	Renamed Change value set from sequenceLinkId http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to itemSequence http://hl7.org/fhir/ValueSet/claim-use|5.0.0-snapshot1
ClaimResponse.error.detailSequence ClaimResponse.outcome	Renamed Change value set from detailSequenceLinkId http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to detailSequence http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0-snapshot1
ClaimResponse.error.subDetailSequence ClaimResponse.processNote.type	Renamed Change value set from subdetailSequenceLinkId http://hl7.org/fhir/ValueSet/note-type|4.0.0 to subDetailSequence ClaimResponse.requestOrganization deleted ClaimResponse.addItem.revenue deleted ClaimResponse.addItem.category deleted ClaimResponse.addItem.fee deleted ClaimResponse.addItem.detail.revenue deleted ClaimResponse.addItem.detail.category deleted ClaimResponse.addItem.detail.fee deleted ClaimResponse.totalCost deleted ClaimResponse.unallocDeductable deleted ClaimResponse.totalBenefit deleted http://hl7.org/fhir/ValueSet/note-type|5.0.0-snapshot1
ClinicalImpression
ClinicalImpression.status	Change value set from http://hl7.org/fhir/ValueSet/clinical-impression-status http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 http://hl7.org/fhir/ValueSet/event-status|5.0.0-snapshot1
ClinicalImpression.statusReason ClinicalImpression.performer	Added Element
ClinicalImpression.encounter ClinicalImpression.finding.item	Added Element
ClinicalImpression.investigation.item ClinicalImpression.code	Type Reference: Added Target Type Media deleted
ClinicalImpression.finding.itemCodeableConcept ClinicalImpression.assessor	Added Element deleted
ClinicalImpression.finding.itemReference ClinicalImpression.investigation	Added Element deleted
ClinicalImpression.supportingInfo ClinicalImpression.finding.itemCodeableConcept	Added Element deleted
ClinicalImpression.context ClinicalImpression.finding.itemReference	deleted
ClinicalImpression.finding.item[x] ClinicalUseDefinition	deleted Added Resource
ClinicalImpression.action ClinicalUseIssue	deleted Added Resource
CodeSystem
CodeSystem.identifier Max Cardinality changed from 1 to * CodeSystem.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 CodeSystem.experimental No longer marked as Modifier CodeSystem.valueSet Type changed from uri http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to canonical(ValueSet) http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
CodeSystem.hierarchyMeaning	Change value set from http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1 http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|5.0.0-snapshot1
CodeSystem.content	Change value set from http://hl7.org/fhir/ValueSet/codesystem-content-mode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 CodeSystem.supplements Added Element http://hl7.org/fhir/ValueSet/codesystem-content-mode|5.0.0-snapshot1
CodeSystem.filter.operator	Change value set from http://hl7.org/fhir/ValueSet/filter-operator http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 http://hl7.org/fhir/ValueSet/filter-operator|5.0.0-snapshot1
CodeSystem.property.type	Change value set from http://hl7.org/fhir/ValueSet/concept-property-type to http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1 CodeSystem.concept.designation.language Change binding strength from extensible http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0 to preferred CodeSystem.concept.property.value[x] Add Type decimal http://hl7.org/fhir/ValueSet/concept-property-type|5.0.0-snapshot1
Communication
Communication.status	Change value set from http://hl7.org/fhir/ValueSet/event-status http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.0.1 Communication.statusReason Added Element Communication.priority Added Element http://hl7.org/fhir/ValueSet/event-status|5.0.0-snapshot1
Communication.topic Communication.priority	Max Cardinality changed from * to 1 Type changed Change value set from Reference(Resource) http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to CodeableConcept Communication.about Added Element Communication.encounter Added Element http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
Communication.recipient	Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService Location, Endpoint
Communication.sender	Type Reference: Added Target Types PractitionerRole, HealthcareService Endpoint, CareTeam
Communication.reasonReference Communication.reason	Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
Communication.definition Communication.payload.content[x]	deleted Add Type CodeableConcept Communication.notDone deleted Remove Type string
Communication.notDoneReason Communication.reasonCode	deleted
Communication.context Communication.reasonReference	deleted
CommunicationRequest
CommunicationRequest.status	Change value set from http://hl7.org/fhir/ValueSet/request-status http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
CommunicationRequest.statusReason CommunicationRequest.intent	Added Mandatory Element
CommunicationRequest.priority	Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 CommunicationRequest.doNotPerform Added Element CommunicationRequest.about Added Element CommunicationRequest.encounter Added Element http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
CommunicationRequest.requester CommunicationRequest.payload.content[x]	Add Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) CodeableConcept CommunicationRequest.recipient Remove Type Reference: Added Target Types PractitionerRole, HealthcareService string
CommunicationRequest.sender CommunicationRequest.recipient	Type Reference: Added Target Types PractitionerRole, HealthcareService Type Endpoint
CommunicationRequest.reasonReference CommunicationRequest.informationProvider	Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
CommunicationRequest.topic CommunicationRequest.reason	deleted Added Element
CommunicationRequest.context CommunicationRequest.sender	deleted
CommunicationRequest.requester.agent CommunicationRequest.reasonCode	deleted
CommunicationRequest.requester.onBehalfOf CommunicationRequest.reasonReference	deleted
CompartmentDefinition
CompartmentDefinition Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * CompartmentDefinition.version Added Element CompartmentDefinition.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 CompartmentDefinition.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
CompartmentDefinition.code	Change value set from http://hl7.org/fhir/ValueSet/compartment-type http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1 http://hl7.org/fhir/ValueSet/compartment-type|5.0.0-snapshot1
CompartmentDefinition.resource.code	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 CompartmentDefinition.title deleted CompartmentDefinition.jurisdiction deleted http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
Composition
Composition.status	Change value set from http://hl7.org/fhir/ValueSet/composition-status http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 http://hl7.org/fhir/ValueSet/composition-status|5.0.0-snapshot1
Composition.category Composition.confidentiality	Renamed from class to category Max Cardinality changed Change value set from 1 http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|4.0.0 to * http://terminology.hl7.org/ValueSet/v3-Confidentiality|2.0.0
Composition.subject Composition.attester.mode	Min Cardinality Type changed from 1 code to 0 CodeableConcept Composition.author Type Reference: Added Target Types PractitionerRole, Organization Remove Binding http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0 (required)
Composition.confidentiality Composition.relatesTo	Change value set Type changed from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification BackboneElement to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 No longer marked as Modifier RelatedArtifact
Composition.attester.mode Composition.section.mode	Max Cardinality changed from * to 1 Change value set from http://hl7.org/fhir/ValueSet/composition-attestation-mode http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 http://hl7.org/fhir/ValueSet/list-mode|5.0.0-snapshot1
Composition.attester.party Composition.relatesTo.code	Type Reference: Added Target Types RelatedPerson, PractitionerRole deleted
Composition.relatesTo.code Composition.relatesTo.target[x]	Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 deleted
Composition.section.author ConceptMap	Added Element
Composition.section.focus ConceptMap.identifier	Added Element Max Cardinality changed from 1 to *
Composition.section.mode ConceptMap.status	Change value set from http://hl7.org/fhir/ValueSet/list-mode http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
ConceptMap.status ConceptMap.group.source	Change value set Type changed from http://hl7.org/fhir/ValueSet/publication-status uri to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 canonical(CodeSystem)
ConceptMap.experimental ConceptMap.group.target	No longer marked as Modifier Type changed from uri to canonical(CodeSystem)
ConceptMap.source[x] ConceptMap.group.element.noMap	Add Type canonical(ValueSet) Remove Type Reference(ValueSet) Added Element
ConceptMap.target[x] ConceptMap.group.element.target.relationship	Add Type canonical(ValueSet) Remove Type Reference(ValueSet) Added Mandatory Element
ConceptMap.group.element.target.equivalence ConceptMap.group.unmapped.mode	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/concept-map-equivalence http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.0 to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1 Default Value "equivalent" removed http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|5.0.0-snapshot1
ConceptMap.group.element.target.dependsOn.system ConceptMap.group.sourceVersion	Type changed from uri to canonical(CodeSystem) deleted
ConceptMap.group.element.target.dependsOn.value ConceptMap.group.targetVersion	Renamed from code to value deleted
ConceptMap.group.unmapped.mode ConceptMap.group.element.target.equivalence	Change value set from http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode to http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.1 deleted
ConceptMap.group.unmapped.url ConceptMap2	Type changed from uri to canonical(ConceptMap) Added Resource
Condition
Condition.clinicalStatus	Type Min Cardinality changed from code 0 to CodeableConcept 1 Change value set from http://hl7.org/fhir/ValueSet/condition-clinical http://hl7.org/fhir/ValueSet/condition-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 http://hl7.org/fhir/ValueSet/condition-clinical|5.0.0-snapshot1
Condition.verificationStatus	Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/condition-ver-status http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.0 to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 Default Value "unknown" removed http://hl7.org/fhir/ValueSet/condition-ver-status|5.0.0-snapshot1
Condition.category	Add Remove Binding http://hl7.org/fhir/ValueSet/condition-category (extensible)
Condition.asserter	Type Reference: Added Target Type PractitionerRole Condition.stage Max Cardinality changed from 1 to * Device
Condition.stage.type ConditionDefinition	Added Element Condition.context deleted Resource
Consent
Consent.identifier Max Cardinality changed from 1 to * Consent.status	Change value set from http://hl7.org/fhir/ValueSet/consent-state-codes http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.0 to http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 Consent.scope Added Mandatory Element http://hl7.org/fhir/ValueSet/consent-state-codes|5.0.0-snapshot1
Consent.category	Min Cardinality changed from 0 to 1 Add Binding http://hl7.org/fhir/ValueSet/consent-category (extensible) Consent.patient Min Cardinality changed from 1 to 0 Consent.performer Added Element Consent.source[x] Remove Type Identifier Consent.policyRule Type changed from uri to CodeableConcept Add Binding http://hl7.org/fhir/ValueSet/consent-policy http://hl7.org/fhir/ValueSet/consent-category (extensible)
Consent.verification Added Element Consent.verification.verified Added Mandatory Element Consent.verification.verifiedWith Consent.subject	Added Element
Consent.verification.verificationDate Consent.grantor	Added Element
Consent.provision Consent.grantee	Added Element
Consent.provision.type Consent.manager	Added Element
Consent.provision.period Consent.controller	Added Element
Consent.provision.actor Consent.sourceAttachment	Added Element
Consent.provision.actor.role Consent.sourceReference	Added Mandatory Element
Consent.provision.actor.reference Consent.policyRule	Added Mandatory Element Remove Binding http://hl7.org/fhir/ValueSet/consent-policy (extensible)
Consent.provision.action Consent.verification.verificationType	Added Element
Consent.provision.securityLabel Consent.verification.verifiedBy	Added Element
Consent.provision.purpose Consent.verification.verificationDate	Added Element Max Cardinality changed from 1 to *
Consent.provision.class Consent.provision.type	Added Element Change value set from http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.0 to http://hl7.org/fhir/ValueSet/consent-provision-type|5.0.0-snapshot1
Consent.provision.code Consent.provision.actor.role	Added Element Min Cardinality changed from 1 to 0 Consent.provision.dataPeriod Added Element Change value set from http://hl7.org/fhir/ValueSet/security-role-type to http://hl7.org/fhir/ValueSet/participation-role-type
Consent.provision.data Consent.provision.actor.reference	Added Element Min Cardinality changed from 1 to 0
Consent.provision.data.meaning	Added Mandatory Element Consent.provision.data.reference Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.0 to http://hl7.org/fhir/ValueSet/consent-data-meaning|5.0.0-snapshot1
Consent.provision.provision Consent.provision.expression	Added Element
Consent.period deleted Consent.consentingParty deleted Consent.actor deleted Consent.action deleted Consent.securityLabel Consent.scope	deleted
Consent.purpose Consent.patient	deleted
Consent.dataPeriod Consent.performer	deleted
Consent.data Consent.organization	deleted
Consent.except Consent.source[x]	deleted
Contract
Contract.identifier Contract.status	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/contract-status|4.0.0 to * Contract.url Added Element http://hl7.org/fhir/ValueSet/contract-status|5.0.0-snapshot1
Contract.version Contract.contentDefinition.publicationStatus	Added Element Change value set from http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/contract-publicationstatus|5.0.0-snapshot1
Contract.status Contract.term.action.reason	Change value set Type changed from http://hl7.org/fhir/ValueSet/contract-status string to http://hl7.org/fhir/ValueSet/contract-status|4.0.1 CodeableReference
Contract.legalState Contract.term.action.reasonCode	Added Element deleted
Contract.instantiatesCanonical Contract.term.action.reasonReference	Added Element deleted
Contract.instantiatesUri Coverage	Added Element
Contract.expirationType Coverage.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
Contract.site Coverage.subscriberId	Added Element Type changed from string to Identifier
Contract.name Coverage.costToBeneficiary.value[x]	Added Element Add Type Quantity() Remove Type Quantity()
Contract.title CoverageEligibilityRequest	Added Element
Contract.subtitle CoverageEligibilityRequest.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
Contract.alias CoverageEligibilityRequest.purpose	Added Element Change value set from http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.0 to http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|5.0.0-snapshot1
Contract.author CoverageEligibilityResponse	Added Element
Contract.scope CoverageEligibilityResponse.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
Contract.topic[x] CoverageEligibilityResponse.purpose	Renamed from topic to topic[x] Max Cardinality changed Change value set from * http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.0.0 to 1 Add Type CodeableConcept http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|5.0.0-snapshot1
Contract.contentDefinition CoverageEligibilityResponse.outcome	Added Element 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-snapshot1
Contract.contentDefinition.type DetectedIssue	Added Mandatory Element
Contract.contentDefinition.subType DetectedIssue.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|5.0.0-snapshot1
Contract.contentDefinition.publisher DetectedIssue.severity	Added Element Change value set from http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-severity|5.0.0-snapshot1
Contract.contentDefinition.publicationDate Device	Added Element
Contract.contentDefinition.publicationStatus Device.displayName	Added Mandatory Element
Contract.contentDefinition.copyright Device.definition	Added Element Type changed from Reference(DeviceDefinition) to CodeableReference
Contract.term.topic[x] Device.udiCarrier.deviceIdentifier	Renamed from topic to topic[x] Max Min Cardinality changed from * 0 to 1 Add Type CodeableConcept
Contract.term.securityLabel Device.udiCarrier.entryType	Type changed Change value set from Coding http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0 to BackboneElement Remove Binding http://hl7.org/fhir/ValueSet/security-labels (extensible) http://hl7.org/fhir/ValueSet/udi-entry-type|5.0.0-snapshot1
Contract.term.securityLabel.number Device.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/device-status|4.0.0 to http://hl7.org/fhir/ValueSet/device-status|5.0.0-snapshot1
Contract.term.securityLabel.classification Device.biologicalSource	Added Mandatory Element
Contract.term.securityLabel.category Device.deviceName.type	Added Element Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|5.0.0-snapshot1
Contract.term.securityLabel.control Device.type	Added Element Max Cardinality changed from 1 to *
Contract.term.offer Device.property.value[x]	Added Mandatory Element
Contract.term.offer.identifier Device.subject	Added Element
Contract.term.offer.party Device.operationalStatus	Added Element
Contract.term.offer.party.reference Device.operationalStatus.value	Added Mandatory Element
Contract.term.offer.party.role Device.operationalStatus.reason	Added Mandatory Element
Contract.term.offer.topic Device.associationStatus	Added Element
Contract.term.offer.type Device.associationStatus.value	Added Mandatory Element
Contract.term.offer.decision Device.associationStatus.reason	Added Element
Contract.term.offer.decisionMode Device.endpoint	Added Element
Contract.term.offer.answer Device.link	Added Element
Contract.term.offer.answer.value[x] Device.link.relation	Added Mandatory Element
Contract.term.offer.text Added Element Contract.term.offer.linkId Device.link.relatedDevice	Added Mandatory Element
Contract.term.offer.securityLabelNumber Device.distinctIdentifier	Added Element deleted
Contract.term.asset Device.specialization	Added Element deleted
Contract.term.asset.scope Device.property.valueQuantity	Added Element deleted
Contract.term.asset.type Device.property.valueCode	Added Element deleted
Contract.term.asset.typeReference Device.patient	Added Element deleted
Contract.term.asset.subtype DeviceDefinition	Added Element
Contract.term.asset.relationship DeviceDefinition.description	Added Element
Contract.term.asset.context DeviceDefinition.udiDeviceIdentifier.marketDistribution	Added Element
Contract.term.asset.context.reference DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Mandatory Element
Contract.term.asset.context.code DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Mandatory Element
Contract.term.asset.context.text DeviceDefinition.partNumber	Added Element
Contract.term.asset.condition DeviceDefinition.deviceName.type	Added Element Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|5.0.0-snapshot1
Contract.term.asset.periodType DeviceDefinition.classification	Added Element
Contract.term.asset.period DeviceDefinition.classification.type	Added Mandatory Element
Contract.term.asset.usePeriod DeviceDefinition.classification.justification	Added Element
Contract.term.asset.text DeviceDefinition.specialization	Added Element Type changed from BackboneElement to RelatedArtifact
Contract.term.asset.linkId DeviceDefinition.hasPart	Added Element
Contract.term.asset.answer DeviceDefinition.hasPart.reference	Added Mandatory Element
Contract.term.asset.securityLabelNumber DeviceDefinition.hasPart.count	Added Element
Contract.term.asset.valuedItem DeviceDefinition.packaging	Added Element
Contract.term.asset.valuedItem.entity[x] DeviceDefinition.packaging.identifier	Added Element
Contract.term.asset.valuedItem.identifier DeviceDefinition.packaging.type	Added Element
Contract.term.asset.valuedItem.effectiveTime DeviceDefinition.packaging.count	Added Element
Contract.term.asset.valuedItem.quantity DeviceDefinition.packaging.distributor	Added Element
Contract.term.asset.valuedItem.unitPrice DeviceDefinition.packaging.distributor.name	Added Element
Contract.term.asset.valuedItem.factor DeviceDefinition.packaging.distributor.organizationReference	Added Element
Contract.term.asset.valuedItem.points DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
Contract.term.asset.valuedItem.net DeviceDefinition.packaging.udiDeviceIdentifier.deviceIdentifier	Added Mandatory Element
Contract.term.asset.valuedItem.payment DeviceDefinition.packaging.udiDeviceIdentifier.issuer	Added Mandatory Element
Contract.term.asset.valuedItem.paymentDate DeviceDefinition.packaging.udiDeviceIdentifier.jurisdiction	Added Mandatory Element
Contract.term.asset.valuedItem.responsible DeviceDefinition.packaging.udiDeviceIdentifier.marketDistribution	Added Element
Contract.term.asset.valuedItem.recipient DeviceDefinition.packaging.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Element
Contract.term.asset.valuedItem.linkId DeviceDefinition.packaging.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Element
Contract.term.asset.valuedItem.securityLabelNumber DeviceDefinition.packaging.packaging	Added Element
Contract.term.action DeviceDefinition.version	Type changed from CodeableConcept string to BackboneElement
Contract.term.action.doNotPerform Added Element Contract.term.action.type DeviceDefinition.version.type	Added Mandatory Element
Contract.term.action.subject DeviceDefinition.version.component	Added Element
Contract.term.action.subject.reference DeviceDefinition.version.value	Added Mandatory Element
Contract.term.action.subject.role DeviceDefinition.property.value[x]	Added Element
Contract.term.action.intent DeviceDefinition.link	Added Mandatory Element
Contract.term.action.linkId DeviceDefinition.link.relation	Added Mandatory Element
Contract.term.action.status DeviceDefinition.link.relatedDevice	Added Mandatory Element
Contract.term.action.context DeviceDefinition.productionIdentifierInUDI	Added Element
Contract.term.action.contextLinkId DeviceDefinition.guideline	Added Element
Contract.term.action.occurrence[x] DeviceDefinition.guideline.useContext	Added Element
Contract.term.action.requester DeviceDefinition.guideline.usageInstruction	Added Element
Contract.term.action.requesterLinkId DeviceDefinition.guideline.relatedArtifact	Added Element
Contract.term.action.performerType DeviceDefinition.guideline.indication	Added Element
Contract.term.action.performerRole DeviceDefinition.guideline.contraindication	Added Element
Contract.term.action.performer DeviceDefinition.guideline.warning	Added Element
Contract.term.action.performerLinkId DeviceDefinition.guideline.intendedUse	Added Element
Contract.term.action.reasonCode DeviceDefinition.correctiveAction	Added Element
Contract.term.action.reasonReference DeviceDefinition.correctiveAction.recall	Added Mandatory Element
Contract.term.action.reason DeviceDefinition.correctiveAction.scope	Added Element
Contract.term.action.reasonLinkId DeviceDefinition.correctiveAction.period	Added Mandatory Element
Contract.term.action.note DeviceDefinition.chargeItem	Added Element
Contract.term.action.securityLabelNumber DeviceDefinition.chargeItem.chargeItemCode	Added Mandatory Element
Contract.supportingInfo DeviceDefinition.chargeItem.count	Added Mandatory Element
Contract.relevantHistory DeviceDefinition.chargeItem.effectivePeriod	Added Element
Contract.signer.party DeviceDefinition.chargeItem.useContext	Type Reference: Added Target Type PractitionerRole Element
Contract.legallyBinding[x] DeviceDefinition.type	Added Element deleted
Contract.action DeviceDefinition.specialization.systemType	deleted
Contract.actionReason DeviceDefinition.specialization.version	deleted
Contract.decisionType DeviceDefinition.physicalCharacteristics	deleted
Contract.securityLabel DeviceDefinition.capability	deleted
Contract.agent DeviceDefinition.property.valueQuantity	deleted
Contract.valuedItem DeviceDefinition.property.valueCode	deleted
Contract.term.actionReason DeviceDefinition.url	deleted
Contract.term.agent DeviceDefinition.onlineInformation	deleted
Contract.term.valuedItem DeviceDefinition.quantity	deleted
Contract.binding[x] DeviceDispense	deleted Added Resource
Coverage DeviceMetric
Coverage.status DeviceMetric.operationalStatus	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 http://hl7.org/fhir/ValueSet/metric-operational-status|5.0.0-snapshot1
Coverage.beneficiary DeviceMetric.color	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to 1 http://hl7.org/fhir/ValueSet/metric-color|5.0.0-snapshot1
Coverage.relationship DeviceMetric.category	Add Binding http://hl7.org/fhir/ValueSet/subscriber-relationship (extensible) Change value set from http://hl7.org/fhir/ValueSet/metric-category|4.0.0 to http://hl7.org/fhir/ValueSet/metric-category|5.0.0-snapshot1
Coverage.payor DeviceMetric.calibration.type	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.0 to 1 http://hl7.org/fhir/ValueSet/metric-calibration-type|5.0.0-snapshot1
Coverage.class DeviceMetric.calibration.state	Renamed from grouping to class Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.0 to * http://hl7.org/fhir/ValueSet/metric-calibration-state|5.0.0-snapshot1
Coverage.class.type DeviceRequest	Added Mandatory Element
Coverage.class.value DeviceRequest.priorRequest	Type Reference: Added Mandatory Element Target Type DeviceRequest Coverage.class.name Added Element Type Reference: Removed Target Type Resource
Coverage.costToBeneficiary DeviceRequest.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
Coverage.costToBeneficiary.type DeviceRequest.intent	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|5.0.0-snapshot1
Coverage.costToBeneficiary.value[x] DeviceRequest.priority	Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
Coverage.costToBeneficiary.exception DeviceRequest.doNotPerform	Added Element
Coverage.costToBeneficiary.exception.type DeviceRequest.code	Added Mandatory Element
Coverage.costToBeneficiary.exception.period DeviceRequest.quantity	Added Element
Coverage.subrogation DeviceRequest.reason	Added Element
Coverage.grouping.group deleted Coverage.grouping.groupDisplay deleted Coverage.grouping.subGroup DeviceRequest.code[x]	deleted
Coverage.grouping.subGroupDisplay DeviceRequest.reasonCode	deleted
Coverage.grouping.plan DeviceRequest.reasonReference	deleted
Coverage.grouping.planDisplay DeviceUsage	deleted Added Resource
Coverage.grouping.subPlan DiagnosticReport	deleted
Coverage.grouping.subPlanDisplay DiagnosticReport.status	deleted Change value set from http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0 to http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0-snapshot1
Coverage.grouping.class DiagnosticReport.subject	deleted Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct
Coverage.grouping.classDisplay DiagnosticReport.note	deleted Added Element
Coverage.grouping.subClass DiagnosticReport.media.link	deleted Type Reference: Added Target Type DocumentReference Coverage.grouping.subClassDisplay deleted Type Reference: Removed Target Type Media
Coverage.sequence DiagnosticReport.composition	deleted Added Element
CoverageEligibilityRequest DocumentManifest	Added Resource
CoverageEligibilityResponse DocumentManifest.status	Added Resource Change value set from http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0-snapshot1
DetectedIssue DocumentReference
DetectedIssue.identifier DocumentReference.basedOn	Max Cardinality changed from 1 to * Added Element
DetectedIssue.status DocumentReference.status	Change value set from http://hl7.org/fhir/ValueSet/observation-status to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 DetectedIssue.code Renamed from category http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to code http://hl7.org/fhir/ValueSet/document-reference-status|5.0.0-snapshot1
DetectedIssue.severity DocumentReference.docStatus	Change value set from http://hl7.org/fhir/ValueSet/detectedissue-severity http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 DetectedIssue.identified[x] Added Element http://hl7.org/fhir/ValueSet/composition-status|5.0.0-snapshot1
DetectedIssue.author DocumentReference.subject	Type Reference: Added Target Type PractitionerRole Types PractitionerRole, Specimen, Organization, Location
DetectedIssue.evidence DocumentReference.encounter	Added Element
DetectedIssue.evidence.code DocumentReference.event	Added Element
DetectedIssue.evidence.detail DocumentReference.facilityType	Added Element
Device.definition DocumentReference.practiceSetting	Added Element
Device.udiCarrier DocumentReference.period	Added Element
Device.udiCarrier.deviceIdentifier DocumentReference.author	Type Reference: Added Element Target Type CareTeam
Device.udiCarrier.issuer DocumentReference.attester	Added Element
Device.udiCarrier.jurisdiction DocumentReference.attester.mode	Added Mandatory Element
Device.udiCarrier.carrierAIDC DocumentReference.attester.time	Added Element
Device.udiCarrier.carrierHRF DocumentReference.attester.party	Added Element
Device.udiCarrier.entryType DocumentReference.relatesTo.code	Added Element Type changed from code to CodeableConcept Change binding strength from required to extensible Device.status Change value set from http://hl7.org/fhir/ValueSet/device-status http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/device-status|4.0.1 http://hl7.org/fhir/ValueSet/document-relationship-type
Device.statusReason DocumentReference.description	Added Element Type changed from string to markdown
Device.distinctIdentifier DocumentReference.securityLabel	Added Element Remove Binding http://hl7.org/fhir/ValueSet/security-labels (extensible)
Device.serialNumber DocumentReference.content.identifier	Added Element
Device.deviceName DocumentReference.sourcePatientInfo	Added Element
Device.deviceName.name DocumentReference.related	Added Mandatory Element
Device.deviceName.type DocumentReference.masterIdentifier	Added Mandatory Element deleted
Device.modelNumber DocumentReference.authenticator	Added Element deleted
Device.partNumber DocumentReference.context	Added Element deleted
Device.specialization DomainResource	Added Element No Changes
Device.specialization.systemType Encounter	Added Mandatory Element
Device.specialization.version Encounter.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status|5.0.0-snapshot1
Device.version Encounter.statusHistory.status	Max Cardinality changed from 1 to * Type changed Change value set from string http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to BackboneElement http://hl7.org/fhir/ValueSet/encounter-status|5.0.0-snapshot1
Device.version.type Encounter.subjectStatus	Added Element
Device.version.component Encounter.participant.actor	Added Element
Device.version.value Encounter.actualPeriod	Added Mandatory Element
Device.property Encounter.plannedStartDate	Added Element
Device.property.type Encounter.plannedEndDate	Added Mandatory Element
Device.property.valueQuantity Encounter.reason	Added Element
Device.property.valueCode Encounter.location.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-location-status|5.0.0-snapshot1
Device.parent Encounter.participant.individual	Added Element deleted
Device.udi Encounter.period	deleted
Device.model Encounter.reasonCode	deleted
DeviceDefinition Encounter.reasonReference	Added Resource deleted
DeviceMetric Endpoint
DeviceMetric.identifier Endpoint.status	Min Cardinality changed from 1 to 0 Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/endpoint-status|4.0.0 to * http://hl7.org/fhir/ValueSet/endpoint-status|5.0.0-snapshot1
DeviceMetric.parent Endpoint.payloadMimeType	Type Reference: Added Target Type Device Type Reference: Removed Target Type DeviceComponent Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
EnrollmentRequest
DeviceMetric.operationalStatus EnrollmentRequest.status	Change value set from http://hl7.org/fhir/ValueSet/metric-operational-status http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.1 http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
EnrollmentResponse
DeviceMetric.color EnrollmentResponse.status	Change value set from http://hl7.org/fhir/ValueSet/metric-color http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-color|4.0.1 http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
DeviceMetric.category EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/metric-category http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/metric-category|4.0.1 http://hl7.org/fhir/ValueSet/enrollment-outcome|5.0.0-snapshot1
EpisodeOfCare
DeviceMetric.calibration.type EpisodeOfCare.status	Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-type http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.1 http://hl7.org/fhir/ValueSet/episode-of-care-status|5.0.0-snapshot1
DeviceMetric.calibration.state EpisodeOfCare.statusHistory.status	Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-state http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.1 http://hl7.org/fhir/ValueSet/episode-of-care-status|5.0.0-snapshot1
DeviceRequest EventDefinition
DeviceRequest.instantiatesCanonical EventDefinition.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Evidence
DeviceRequest.instantiatesUri Evidence.citeAs[x]	Added Element
DeviceRequest.status Evidence.status	Change value set from http://hl7.org/fhir/ValueSet/request-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
DeviceRequest.intent Evidence.assertion	Type changed from CodeableConcept to code Change value set from http://build.fhir.org/valueset-request-intent.html to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 Added Element
DeviceRequest.priority Evidence.variableDefinition	Change value set from http://hl7.org/fhir/ValueSet/request-priority to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Default Value "If missing, normal priority" removed Added Mandatory Element
DeviceRequest.parameter Evidence.variableDefinition.description	Added Element
DeviceRequest.parameter.code Evidence.variableDefinition.note	Added Element
DeviceRequest.parameter.value[x] Evidence.variableDefinition.variableRole	Added Mandatory Element
DeviceRequest.encounter Evidence.variableDefinition.observed	Added Element
DeviceRequest.requester Evidence.variableDefinition.intended	Type changed from BackboneElement to Reference(Device | Practitioner | PractitionerRole | Organization) Added Element
DeviceRequest.performer Evidence.variableDefinition.directnessMatch	Type Reference: Added Target Types PractitionerRole, CareTeam Element
DeviceRequest.reasonReference Evidence.synthesisType	Type Reference: Added Target Types Condition, Observation, DiagnosticReport, DocumentReference Type Reference: Removed Target Type Resource Element
DeviceRequest.insurance Evidence.studyType	Added Element
DeviceRequest.definition Evidence.statistic	deleted Added Element
DeviceRequest.context Evidence.statistic.description	deleted Added Element
DeviceRequest.requester.agent Evidence.statistic.note	deleted Added Element
DeviceRequest.requester.onBehalfOf Evidence.statistic.statisticType	deleted Added Element
DeviceUseStatement.basedOn Evidence.statistic.category	Added Element
DeviceUseStatement.status Evidence.statistic.quantity	Change value set from http://hl7.org/fhir/ValueSet/device-statement-status to http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 Added Element
DeviceUseStatement.derivedFrom Evidence.statistic.numberOfEvents	Added Element
DeviceUseStatement.source Evidence.statistic.numberAffected	Type Reference: Added Target Type PractitionerRole Element
DeviceUseStatement.reasonCode Evidence.statistic.sampleSize	Added Element
DeviceUseStatement.reasonReference Evidence.statistic.sampleSize.description	Added Element
DeviceUseStatement.whenUsed Evidence.statistic.sampleSize.note	deleted Added Element
DeviceUseStatement.indication Evidence.statistic.sampleSize.numberOfStudies	deleted Added Element
DiagnosticReport.basedOn Evidence.statistic.sampleSize.numberOfParticipants	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Element
DiagnosticReport.status Evidence.statistic.sampleSize.knownDataCount	Change value set from http://hl7.org/fhir/ValueSet/diagnostic-report-status to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 Added Element
DiagnosticReport.category Evidence.statistic.attributeEstimate	Max Cardinality changed from 1 to * Added Element
DiagnosticReport.encounter Evidence.statistic.attributeEstimate.description	Added Element
DiagnosticReport.performer Evidence.statistic.attributeEstimate.note	Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | CareTeam) Added Element
DiagnosticReport.resultsInterpreter Evidence.statistic.attributeEstimate.type	Added Element
DiagnosticReport.imagingStudy Evidence.statistic.attributeEstimate.quantity	Type Reference: Removed Target Type ImagingManifest Added Element
DiagnosticReport.media Evidence.statistic.attributeEstimate.level	Renamed from image to media Added Element
DiagnosticReport.media.comment Evidence.statistic.attributeEstimate.range	Moved from DiagnosticReport.image to DiagnosticReport.media Added Element
DiagnosticReport.media.link Evidence.statistic.attributeEstimate.attributeEstimate	Moved from DiagnosticReport.image to DiagnosticReport.media Added Element
DiagnosticReport.conclusionCode Evidence.statistic.modelCharacteristic	Renamed from codedDiagnosis to conclusionCode Added Element
DiagnosticReport.context Evidence.statistic.modelCharacteristic.code	deleted Added Mandatory Element
DiagnosticReport.performer.role Evidence.statistic.modelCharacteristic.value	deleted Added Element
DiagnosticReport.performer.actor Evidence.statistic.modelCharacteristic.variable	deleted Added Element
DocumentManifest Evidence.statistic.modelCharacteristic.variable.variableDefinition	Added Mandatory Element
DocumentManifest.status Evidence.statistic.modelCharacteristic.variable.handling	Change value set from http://hl7.org/fhir/ValueSet/document-reference-status to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 Added Element
DocumentManifest.author Evidence.statistic.modelCharacteristic.variable.valueCategory	Type Reference: Added Target Type PractitionerRole Element
DocumentManifest.recipient Evidence.statistic.modelCharacteristic.variable.valueQuantity	Type Reference: Added Target Type PractitionerRole Element
DocumentManifest.content Evidence.statistic.modelCharacteristic.variable.valueRange	Type changed from BackboneElement to Reference(Resource) Added Element
DocumentManifest.content.p[x] Evidence.statistic.modelCharacteristic.attributeEstimate	deleted Added Element
DocumentReference Evidence.certainty	Added Element
DocumentReference.status Evidence.certainty.description	Change value set from http://hl7.org/fhir/ValueSet/document-reference-status to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 Added Element
DocumentReference.docStatus Evidence.certainty.note	Change value set from http://hl7.org/fhir/ValueSet/composition-status to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 Added Element
DocumentReference.type Evidence.certainty.type	Min Cardinality changed from 1 to 0 Added Element
DocumentReference.category Evidence.certainty.rating	Renamed from class to category Max Cardinality changed from 1 to * Added Element
DocumentReference.date Evidence.certainty.rater	Added Element
DocumentReference.author Evidence.certainty.subcomponent	Type Reference: Added Target Type PractitionerRole Element
DocumentReference.authenticator Evidence.name	Type Reference: Added Target Type PractitionerRole deleted
DocumentReference.relatesTo Evidence.shortTitle	No longer marked as Modifier deleted
DocumentReference.relatesTo.code Evidence.subtitle	Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 deleted
DocumentReference.context.encounter Evidence.jurisdiction	Max Cardinality changed from 1 to * Type Reference: Added Target Type EpisodeOfCare deleted
DocumentReference.context.related Evidence.copyright	Type changed from BackboneElement to Reference(Resource) deleted
DocumentReference.created Evidence.effectivePeriod	deleted
DocumentReference.indexed Evidence.topic	deleted
DocumentReference.context.related.identifier Evidence.exposureBackground	deleted
DocumentReference.context.related.ref Evidence.exposureVariant	deleted
DomainResource Evidence.outcome	No Changes deleted
EffectEvidenceSynthesis EvidenceReport	Added Resource
Encounter EvidenceVariable
Encounter.status Change value set from http://hl7.org/fhir/ValueSet/encounter-status to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Encounter.statusHistory.status EvidenceVariable.status	Change value set from http://hl7.org/fhir/ValueSet/encounter-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Encounter.class EvidenceVariable.actual	Min Cardinality changed from 0 to 1 Added Element
Encounter.serviceType EvidenceVariable.characteristicCombination	Added Element
Encounter.basedOn EvidenceVariable.characteristicCombination.code	Renamed from incomingReferral to basedOn Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest Mandatory Element
Encounter.participant.individual EvidenceVariable.characteristicCombination.threshold	Type Reference: Added Target Type PractitionerRole Element
Encounter.appointment EvidenceVariable.characteristic	Max Min Cardinality changed from 1 to * 0
Encounter.reasonCode EvidenceVariable.characteristic.type	Added Element
Encounter.reasonReference EvidenceVariable.characteristic.definition[x]	Added Element Remove Types DataRequirement, TriggerDefinition
Encounter.diagnosis.use EvidenceVariable.characteristic.method	Added Element
Encounter.hospitalization.origin EvidenceVariable.characteristic.device	Type Reference: Added Target Type Organization Element
Encounter.hospitalization.destination EvidenceVariable.characteristic.timeFromEvent	Type Reference: Added Target Type Organization Element
Encounter.location.status EvidenceVariable.characteristic.timeFromEvent.description	Change value set from http://hl7.org/fhir/ValueSet/encounter-location-status to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 Added Element
Encounter.location.physicalType EvidenceVariable.characteristic.timeFromEvent.event	Added Element
Encounter.reason EvidenceVariable.characteristic.timeFromEvent.quantity	deleted Added Element
Encounter.diagnosis.role EvidenceVariable.characteristic.timeFromEvent.range	deleted Added Element
Endpoint.status EvidenceVariable.characteristic.timeFromEvent.note	Change value set from http://hl7.org/fhir/ValueSet/endpoint-status to http://hl7.org/fhir/ValueSet/endpoint-status|4.0.1 Added Element
Endpoint.connectionType EvidenceVariable.characteristic.groupMeasure	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/endpoint-connection-type" http://hl7.org/fhir/ValueSet/group-measure|4.0.0 to "http://terminology.hl7.org/CodeSystem/endpoint-connection-type" http://hl7.org/fhir/ValueSet/group-measure|5.0.0-snapshot1
Endpoint.payloadMimeType EvidenceVariable.handling	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Added Element
Endpoint.address EvidenceVariable.category	Type changed from uri to url Added Element
EnrollmentRequest.status EvidenceVariable.category.name	Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Added Element
EnrollmentRequest.provider EvidenceVariable.category.value[x]	Type Reference: Added Target Types PractitionerRole, Organization Element
EnrollmentRequest.candidate EvidenceVariable.jurisdiction	Renamed from subject to candidate deleted
EnrollmentRequest.organization EvidenceVariable.copyright	deleted
EnrollmentResponse.status EvidenceVariable.approvalDate	Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 deleted
EnrollmentResponse.outcome EvidenceVariable.lastReviewDate	Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 deleted
EnrollmentResponse.requestProvider EvidenceVariable.effectivePeriod	Type Reference: Added Target Types PractitionerRole, Organization deleted
EnrollmentResponse.requestOrganization EvidenceVariable.topic	deleted
EpisodeOfCare.status EvidenceVariable.type	Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 deleted
EpisodeOfCare.statusHistory.status EvidenceVariable.characteristic.usageContext	Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 deleted
EpisodeOfCare.referralRequest EvidenceVariable.characteristic.participantEffective[x]	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest deleted
EpisodeOfCare.careManager EvidenceVariable.characteristic.timeFromStart	Type Reference: Added Target Type PractitionerRole deleted
EventDefinition ExampleScenario	Added Resource
Evidence ExampleScenario.status	Added Resource Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
EvidenceVariable ExampleScenario.actor.type	Added Resource Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to http://hl7.org/fhir/ValueSet/examplescenario-actor-type|5.0.0-snapshot1
ExampleScenario ExampleScenario.instance.resourceType	Added Resource Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
ExplanationOfBenefit
ExplanationOfBenefit.status	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/explanationofbenefit-status http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0 to http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1 http://hl7.org/fhir/ValueSet/explanationofbenefit-status|5.0.0-snapshot1
ExplanationOfBenefit.type ExplanationOfBenefit.use	Min Cardinality changed from 0 to 1 Change binding strength from required to extensible ExplanationOfBenefit.subType Max Cardinality changed value set from * http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to 1 ExplanationOfBenefit.use Added Mandatory Element http://hl7.org/fhir/ValueSet/claim-use|5.0.0-snapshot1
ExplanationOfBenefit.patient ExplanationOfBenefit.outcome	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to 1 http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0-snapshot1
ExplanationOfBenefit.created ExplanationOfBenefit.processNote.type	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/note-type|4.0.0 to 1 http://hl7.org/fhir/ValueSet/note-type|5.0.0-snapshot1
ExplanationOfBenefit.enterer FamilyMemberHistory	Type Reference: Added Target Type PractitionerRole
ExplanationOfBenefit.insurer FamilyMemberHistory.status	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/history-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/history-status|5.0.0-snapshot1
ExplanationOfBenefit.provider FamilyMemberHistory.sex	Min Cardinality changed Change value set from 0 http://build.fhir.org/valueset-administrative-gender.html to 1 Type Reference: Added Target Types PractitionerRole, Organization http://hl7.org/fhir/ValueSet/administrative-gender
ExplanationOfBenefit.priority FamilyMemberHistory.reason	Added Element
ExplanationOfBenefit.fundsReserveRequested FamilyMemberHistory.procedure	Added Element
ExplanationOfBenefit.fundsReserve FamilyMemberHistory.procedure.code	Added Mandatory Element
ExplanationOfBenefit.referral FamilyMemberHistory.procedure.outcome	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest ExplanationOfBenefit.outcome Min Cardinality changed from 0 to 1 Type changed from CodeableConcept to code Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) Element
ExplanationOfBenefit.preAuthRef FamilyMemberHistory.procedure.contributedToDeath	Added Element
ExplanationOfBenefit.preAuthRefPeriod FamilyMemberHistory.procedure.performed[x]	Added Element
ExplanationOfBenefit.careTeam.provider FamilyMemberHistory.procedure.note	Type Reference: Added Target Type PractitionerRole Element
ExplanationOfBenefit.supportingInfo FamilyMemberHistory.reasonCode	Renamed from information to supportingInfo deleted
ExplanationOfBenefit.supportingInfo.sequence FamilyMemberHistory.reasonReference	Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo deleted
ExplanationOfBenefit.supportingInfo.category Flag	Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo
ExplanationOfBenefit.supportingInfo.code Flag.status	Moved Change value set from ExplanationOfBenefit.information http://hl7.org/fhir/ValueSet/flag-status|4.0.0 to ExplanationOfBenefit.supportingInfo http://hl7.org/fhir/ValueSet/flag-status|5.0.0-snapshot1
ExplanationOfBenefit.supportingInfo.timing[x] Flag.subject	Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Type Reference: Added Target Type PractitionerRole
ExplanationOfBenefit.supportingInfo.value[x] Goal	Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Add Type boolean
ExplanationOfBenefit.supportingInfo.reason Goal.lifecycleStatus	Moved Change value set from ExplanationOfBenefit.information http://hl7.org/fhir/ValueSet/goal-status|4.0.0 to ExplanationOfBenefit.supportingInfo ExplanationOfBenefit.diagnosis.onAdmission Added Element http://hl7.org/fhir/ValueSet/goal-status|5.0.0-snapshot1
ExplanationOfBenefit.procedure.type Goal.continuous	Added Element
ExplanationOfBenefit.procedure.udi Goal.source	Added Element
ExplanationOfBenefit.insurance Goal.addresses	Min Cardinality changed from 0 to 1 Type Reference: Added Target Types MedicationUsage, MedicationRequest Max Cardinality changed from 1 to * Type Reference: Removed Target Type MedicationStatement
ExplanationOfBenefit.insurance.focal Goal.outcome	Added Mandatory Element
ExplanationOfBenefit.insurance.coverage Goal.expressedBy	Min Cardinality changed from 0 to 1 deleted
ExplanationOfBenefit.accident.type Goal.outcomeCode	Change binding strength from required to extensible deleted
ExplanationOfBenefit.item.careTeamSequence Goal.outcomeReference	Renamed from careTeamLinkId to careTeamSequence deleted
ExplanationOfBenefit.item.diagnosisSequence GraphDefinition	Renamed from diagnosisLinkId to diagnosisSequence
ExplanationOfBenefit.item.procedureSequence GraphDefinition.status	Renamed Change value set from procedureLinkId http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to procedureSequence http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
ExplanationOfBenefit.item.informationSequence GraphDefinition.start	Renamed Change value set from informationLinkId http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to informationSequence http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
ExplanationOfBenefit.item.productOrService GraphDefinition.link.target.type	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to 1 http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
ExplanationOfBenefit.item.detail.productOrService GraphDefinition.link.target.compartment.use	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/graph-compartment-use|4.0.0 to 1 http://hl7.org/fhir/ValueSet/graph-compartment-use|5.0.0-snapshot1
ExplanationOfBenefit.item.detail.subDetail.productOrService GraphDefinition.link.target.compartment.code	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to 1 http://hl7.org/fhir/ValueSet/compartment-type|5.0.0-snapshot1
ExplanationOfBenefit.addItem.itemSequence GraphDefinition.link.target.compartment.rule	Renamed Change value set from sequenceLinkId http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.0 to itemSequence ExplanationOfBenefit.addItem.detailSequence Added Element ExplanationOfBenefit.addItem.subDetailSequence Added Element http://hl7.org/fhir/ValueSet/graph-compartment-rule|5.0.0-snapshot1
ExplanationOfBenefit.addItem.provider Group	Added Element
ExplanationOfBenefit.addItem.productOrService Group.type	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/group-type|4.0.0 to 1 http://hl7.org/fhir/ValueSet/group-type|5.0.0-snapshot1
ExplanationOfBenefit.addItem.programCode GuidanceResponse	Added Element
ExplanationOfBenefit.addItem.serviced[x] GuidanceResponse.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.0 to http://hl7.org/fhir/ValueSet/guidance-response-status|5.0.0-snapshot1
ExplanationOfBenefit.addItem.location[x] GuidanceResponse.reason	Added Element
ExplanationOfBenefit.addItem.quantity GuidanceResponse.reasonCode	Added Element deleted
ExplanationOfBenefit.addItem.unitPrice GuidanceResponse.reasonReference	Added Element deleted
ExplanationOfBenefit.addItem.factor HealthcareService	Added Element
ExplanationOfBenefit.addItem.net HealthcareService.availableTime.daysOfWeek	Renamed Change value set from fee http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to net http://hl7.org/fhir/ValueSet/days-of-week|5.0.0-snapshot1
ExplanationOfBenefit.addItem.bodySite ImagingSelection	Added Element Resource
ExplanationOfBenefit.addItem.subSite ImagingStudy	Added Element
ExplanationOfBenefit.addItem.detail.productOrService ImagingStudy.status	Renamed from service to productOrService Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/imagingstudy-status|5.0.0-snapshot1
ExplanationOfBenefit.addItem.detail.quantity ImagingStudy.modality	Added Element 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
ExplanationOfBenefit.addItem.detail.unitPrice ImagingStudy.procedure	Added Element
ExplanationOfBenefit.addItem.detail.factor ImagingStudy.reason	Added Element
ExplanationOfBenefit.addItem.detail.net ImagingStudy.series.modality	Renamed Change value set from fee http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to net http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ExplanationOfBenefit.addItem.detail.subDetail ImagingStudy.series.performer.actor	Type Reference: Added Element Target Type HealthcareService
ExplanationOfBenefit.addItem.detail.subDetail.productOrService ImagingStudy.procedureReference	Added Mandatory Element deleted
ExplanationOfBenefit.addItem.detail.subDetail.modifier ImagingStudy.procedureCode	Added Element deleted
ExplanationOfBenefit.addItem.detail.subDetail.quantity ImagingStudy.reasonCode	Added Element deleted
ExplanationOfBenefit.addItem.detail.subDetail.unitPrice ImagingStudy.reasonReference	Added Element deleted
ExplanationOfBenefit.addItem.detail.subDetail.factor Immunization	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.net Immunization.instantiatesCanonical	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.noteNumber Immunization.instantiatesUri	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.adjudication Immunization.basedOn	Added Element
ExplanationOfBenefit.adjudication Immunization.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/immunization-status|4.0.0 to http://hl7.org/fhir/ValueSet/immunization-status|5.0.0-snapshot1
ExplanationOfBenefit.total Immunization.informationSource[x]	Added Element
ExplanationOfBenefit.total.category Immunization.reason	Added Mandatory Element
ExplanationOfBenefit.total.amount Immunization.protocolApplied.doseNumber	Added Mandatory Element
ExplanationOfBenefit.formCode Added Element ExplanationOfBenefit.form Type changed from CodeableConcept to Attachment ExplanationOfBenefit.processNote.type Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type to http://hl7.org/fhir/ValueSet/note-type|4.0.1 ExplanationOfBenefit.processNote.language Change binding strength from extensible to preferred ExplanationOfBenefit.benefitPeriod Immunization.protocolApplied.seriesDoses	Added Element
ExplanationOfBenefit.organization deleted ExplanationOfBenefit.payee.resourceType deleted ExplanationOfBenefit.employmentImpacted deleted ExplanationOfBenefit.hospitalization Immunization.reportOrigin	deleted
ExplanationOfBenefit.item.detail.type Immunization.reasonCode	deleted
ExplanationOfBenefit.item.detail.subDetail.type Immunization.reasonReference	deleted
ExplanationOfBenefit.addItem.revenue Immunization.protocolApplied.doseNumber[x]	deleted
ExplanationOfBenefit.addItem.category Immunization.protocolApplied.seriesDoses[x]	deleted
ExplanationOfBenefit.addItem.detail.revenue ImmunizationEvaluation	deleted
ExplanationOfBenefit.addItem.detail.category ImmunizationEvaluation.status	deleted Change value set from http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.0 to http://hl7.org/fhir/ValueSet/immunization-evaluation-status|5.0.0-snapshot1
ExplanationOfBenefit.totalCost ImmunizationEvaluation.doseNumber	deleted Added Element
ExplanationOfBenefit.unallocDeductable ImmunizationEvaluation.seriesDoses	deleted Added Element
ExplanationOfBenefit.totalBenefit ImmunizationEvaluation.doseNumber[x]	deleted
ExplanationOfBenefit.benefitBalance.subCategory ImmunizationEvaluation.seriesDoses[x]	deleted
FamilyMemberHistory ImmunizationRecommendation
FamilyMemberHistory.instantiatesCanonical ImmunizationRecommendation.instantiatesCanonical	Added Element
FamilyMemberHistory.instantiatesUri ImmunizationRecommendation.instantiatesUri	Added Element
FamilyMemberHistory.status ImmunizationRecommendation.recommendation.targetDisease	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/history-status 1 to http://hl7.org/fhir/ValueSet/history-status|4.0.1 FamilyMemberHistory.dataAbsentReason Added Element *
FamilyMemberHistory.sex ImmunizationRecommendation.recommendation.doseNumber	Added Element
FamilyMemberHistory.condition.contributedToDeath ImmunizationRecommendation.recommendation.seriesDoses	Added Element
FamilyMemberHistory.definition deleted FamilyMemberHistory.notDone deleted FamilyMemberHistory.notDoneReason ImmunizationRecommendation.recommendation.doseNumber[x]	deleted
FamilyMemberHistory.gender ImmunizationRecommendation.recommendation.seriesDoses[x]	deleted
Flag ImplementationGuide
Flag.status ImplementationGuide.status	Change value set from http://hl7.org/fhir/ValueSet/flag-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/flag-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Flag.category ImplementationGuide.license	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/spdx-license|4.0.0 to * Flag.author Type Reference: Added Target Type PractitionerRole Goal Goal.lifecycleStatus Added Mandatory Element Goal.achievementStatus Added Element http://hl7.org/fhir/ValueSet/spdx-license|5.0.0-snapshot1
Goal.subject ImplementationGuide.fhirVersion	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to 1 http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-snapshot1
Goal.target ImplementationGuide.global.type	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to * http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
Goal.target.detail[x] ImplementationGuide.definition.resource.fhirVersion	Add Types string, boolean, integer, Ratio Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-snapshot1
Goal.expressedBy ImplementationGuide.definition.page.generation	Type Reference: Added Target Type PractitionerRole Change value set from http://hl7.org/fhir/ValueSet/guide-page-generation|4.0.0 to http://hl7.org/fhir/ValueSet/guide-page-generation|5.0.0-snapshot1
Goal.addresses ImplementationGuide.definition.parameter.code	Type Reference: Added Target Type ServiceRequest changed from code to string Type Reference: Removed Target Type ProcedureRequest Remove Binding http://hl7.org/fhir/ValueSet/guide-parameter-code|4.0.0 (required)
Goal.status Ingredient	deleted Added Resource
GraphDefinition InsurancePlan
GraphDefinition.status InsurancePlan.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 GraphDefinition.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
GraphDefinition.start InsurancePlan.plan.specificCost.benefit.cost.applicability	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/insuranceplan-applicability|5.0.0-snapshot1
GraphDefinition.profile InventoryReport	Type changed from uri to canonical(StructureDefinition) Added Resource
GraphDefinition.link.path Invoice	Min Cardinality changed from 1 to 0
GraphDefinition.link.target Invoice.status	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/invoice-status|4.0.0 to 0 http://hl7.org/fhir/ValueSet/invoice-status|5.0.0-snapshot1
GraphDefinition.link.target.type Invoice.lineItem.priceComponent.type	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/invoice-priceComponentType|5.0.0-snapshot1
GraphDefinition.link.target.params Library	Added Element
GraphDefinition.link.target.profile Library.status	Type changed Change value set from uri http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to canonical(StructureDefinition) GraphDefinition.link.target.compartment.use Added Mandatory Element http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
GraphDefinition.link.target.compartment.code Linkage	Change value set from http://hl7.org/fhir/ValueSet/compartment-type to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1
GraphDefinition.link.target.compartment.rule Linkage.item.type	Change value set from http://hl7.org/fhir/ValueSet/graph-compartment-rule http://hl7.org/fhir/ValueSet/linkage-type|4.0.0 to http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.1 http://hl7.org/fhir/ValueSet/linkage-type|5.0.0-snapshot1
Group List
Group.active List.status	Default Value "true" removed Change value set from http://hl7.org/fhir/ValueSet/list-status|4.0.0 to http://hl7.org/fhir/ValueSet/list-status|5.0.0-snapshot1
Group.type List.mode	Change value set from http://hl7.org/fhir/ValueSet/group-type http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/group-type|4.0.1 http://hl7.org/fhir/ValueSet/list-mode|5.0.0-snapshot1
Group.managingEntity Location	Added Element
Group.characteristic.value[x] Location.status	Add Type Reference Change value set from http://hl7.org/fhir/ValueSet/location-status|4.0.0 to http://hl7.org/fhir/ValueSet/location-status|5.0.0-snapshot1
Group.characteristic.exclude Location.mode	No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/location-mode|4.0.0 to http://hl7.org/fhir/ValueSet/location-mode|5.0.0-snapshot1
Group.member.entity Location.hoursOfOperation.daysOfWeek	Type Reference: Added Target Types PractitionerRole, Group Change value set from http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|5.0.0-snapshot1
Group.member.inactive ManufacturedItemDefinition	Default Value "false" removed Added Resource
GuidanceResponse Measure
GuidanceResponse.requestIdentifier Measure.status	Renamed from requestId to requestIdentifier Type changed Change value set from id http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to Identifier http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
GuidanceResponse.identifier Measure.basis	Max Cardinality changed from 1 to * Added Element
GuidanceResponse.module[x] Measure.scoringUnit	Renamed from module to module[x] Add Types uri, canonical, CodeableConcept Remove Type Reference(ServiceDefinition) Added Element
GuidanceResponse.status Measure.improvementNotation	Change value set from http://hl7.org/fhir/ValueSet/guidance-response-status http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.1 http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0-snapshot1
GuidanceResponse.encounter Measure.group.type	Added Element
GuidanceResponse.reasonCode Measure.group.basis	Added Element
GuidanceResponse.reasonReference Measure.group.scoring	Added Element
HealthcareService.eligibility.code Measure.group.scoringUnit	Added Element
HealthcareService.eligibility.comment Measure.group.improvementNotation	Added Element
HealthcareService.program Measure.group.population.inputPopulationId	Added Element
HealthcareService.communication Measure.group.population.aggregateMethod	Added Element
ImagingStudy MeasureReport
ImagingStudy.modality MeasureReport.status	Renamed from modalityList to modality Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html http://hl7.org/fhir/ValueSet/measure-report-status|5.0.0-snapshot1
ImagingStudy.subject MeasureReport.type	Renamed Change value set from patient http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0 to subject Type Reference: Added Target Types Device, Group http://hl7.org/fhir/ValueSet/measure-report-type|5.0.0-snapshot1
ImagingStudy.encounter MeasureReport.dataUpdateType	Added Element
ImagingStudy.basedOn MeasureReport.reporter	Type Reference: Added Target Types ServiceRequest, Appointment, AppointmentResponse, Task Type Reference: Removed Target Types ReferralRequest, ProcedureRequest Group
ImagingStudy.referrer MeasureReport.reportingVendor	Type Reference: Added Target Type PractitionerRole Element
ImagingStudy.interpreter MeasureReport.scoring	Type Reference: Added Target Type PractitionerRole Element
ImagingStudy.procedureReference MeasureReport.improvementNotation	Max Cardinality changed Change value set from * http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to 1 http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0-snapshot1
ImagingStudy.procedureCode MeasureReport.group.measureScore[x]	Add Binding http://www.rsna.org/RadLex_Playbook.aspx (extensible) Added Element
ImagingStudy.location MeasureReport.group.stratifier.stratum.value[x]	Added Element
ImagingStudy.reasonCode MeasureReport.group.stratifier.stratum.component.value[x]	Added Mandatory Element
ImagingStudy.reasonReference MeasureReport.group.stratifier.stratum.measureScore[x]	Added Element
ImagingStudy.note MeasureReport.group.measureScore	Added Element deleted
ImagingStudy.series.uid MeasureReport.group.stratifier.stratum.value	Type changed from oid to id deleted
ImagingStudy.series.modality MeasureReport.group.stratifier.stratum.component.value	Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html deleted
ImagingStudy.series.specimen MeasureReport.group.stratifier.stratum.measureScore	Added Element deleted
Medication
ImagingStudy.series.performer Medication.status	Type changed Change value set from Reference(Practitioner) http://hl7.org/fhir/ValueSet/medication-status|4.0.0 to BackboneElement http://hl7.org/fhir/ValueSet/medication-status|5.0.0-snapshot1
ImagingStudy.series.performer.function Medication.marketingAuthorizationHolder	Added Element
ImagingStudy.series.performer.actor Medication.doseForm	Added Mandatory Element
ImagingStudy.series.instance.uid Medication.totalVolume	Type changed from oid to id Added Element
ImagingStudy.series.instance.sopClass Medication.ingredient.item	Type changed from oid to Coding Add Binding http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Added Mandatory Element
ImagingStudy.uid Medication.ingredient.strength[x]	deleted Added Element
ImagingStudy.accession Medication.manufacturer	deleted
ImagingStudy.availability Medication.form	deleted
ImagingStudy.context Medication.amount	deleted
ImagingStudy.reason Medication.ingredient.item[x]	deleted
ImagingStudy.series.availability Medication.ingredient.strength	deleted
Immunization MedicationAdministration
Immunization.statusReason MedicationAdministration.instantiatesCanonical	Renamed from notGiven to statusReason Min Cardinality changed from 1 to 0 Type changed from boolean to CodeableConcept No longer marked as Modifier Added Element
Immunization.occurrence[x] MedicationAdministration.instantiatesUri	Renamed from date to occurrence[x] Min Cardinality changed from 0 to 1 Add Type string Added Element
Immunization.recorded MedicationAdministration.basedOn	Added Element
Immunization.primarySource Min Cardinality changed from 1 to 0 Immunization.performer Renamed from practitioner to performer Immunization.performer.function MedicationAdministration.status	Moved from Immunization.practitioner.role to function Change value set from http://hl7.org/fhir/ValueSet/immunization-role to http://hl7.org/fhir/ValueSet/immunization-function Immunization.performer.actor Moved from Immunization.practitioner http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.0 to Immunization.performer Type Reference: Added Target Types PractitionerRole, Organization http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0-snapshot1
Immunization.reasonCode MedicationAdministration.category	Moved Max Cardinality changed from Immunization.explanation.reason 1 to reasonCode *
Immunization.reasonReference MedicationAdministration.medication	Added Mandatory Element
Immunization.isSubpotent MedicationAdministration.encounter	Added Element
Immunization.subpotentReason MedicationAdministration.occurence[x]	Added Mandatory Element
Immunization.education MedicationAdministration.recorded	Added Element
Immunization.education.documentType MedicationAdministration.reason	Added Element
Immunization.education.reference MedicationAdministration.dosage.rate[x]	Added Element Add Type Quantity() Immunization.education.publicationDate Added Element Remove Type Quantity()
Immunization.education.presentationDate MedicationAdministration.instantiates	Added Element deleted
Immunization.programEligibility MedicationAdministration.medication[x]	Added Element deleted
Immunization.fundingSource MedicationAdministration.context	Added Element deleted
Immunization.protocolApplied MedicationAdministration.effective[x]	Renamed from vaccinationProtocol to protocolApplied deleted
Immunization.protocolApplied.series MedicationAdministration.reasonCode	Moved from Immunization.vaccinationProtocol to Immunization.protocolApplied deleted
Immunization.protocolApplied.authority MedicationAdministration.reasonReference	Moved from Immunization.vaccinationProtocol to Immunization.protocolApplied deleted
Immunization.protocolApplied.targetDisease MedicationDispense	Moved from Immunization.vaccinationProtocol to Immunization.protocolApplied Min Cardinality changed from 1 to 0
Immunization.protocolApplied.doseNumber[x] MedicationDispense.basedOn	Moved from Immunization.vaccinationProtocol.doseSequence to doseNumber[x] Min Cardinality changed from 0 to 1 Add Type string Added Element
Immunization.protocolApplied.seriesDoses[x] MedicationDispense.partOf	Moved from Immunization.vaccinationProtocol.seriesDoses to seriesDoses[x] Add Type string Immunization.explanation deleted Immunization.vaccinationProtocol.description deleted Reference: Added Target Type MedicationAdministration
Immunization.vaccinationProtocol.doseStatus MedicationDispense.status	deleted Change value set from http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0 to http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0-snapshot1
Immunization.vaccinationProtocol.doseStatusReason MedicationDispense.statusReason	deleted Added Element
ImmunizationEvaluation MedicationDispense.statusChanged	Added Resource Element
ImmunizationRecommendation.date MedicationDispense.category	Moved Max Cardinality changed from ImmunizationRecommendation.recommendation 1 to ImmunizationRecommendation *
ImmunizationRecommendation.authority MedicationDispense.medication	Moved from ImmunizationRecommendation.recommendation.protocol to ImmunizationRecommendation Added Mandatory Element
ImmunizationRecommendation.recommendation.vaccineCode MedicationDispense.subject	Max Min Cardinality changed from 1 0 to * 1
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode MedicationDispense.encounter	Added Element
ImmunizationRecommendation.recommendation.forecastStatus MedicationDispense.performer.actor	Now marked as Modifier Type Reference: Added Target Type CareTeam
ImmunizationRecommendation.recommendation.forecastReason MedicationDispense.recorded	Added Element
ImmunizationRecommendation.recommendation.description MedicationDispense.receiver	Moved from ImmunizationRecommendation.recommendation.protocol to ImmunizationRecommendation.recommendation Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole
ImmunizationRecommendation.recommendation.series MedicationDispense.renderedDosageInstruction	Moved from ImmunizationRecommendation.recommendation.protocol to ImmunizationRecommendation.recommendation Added Element
ImmunizationRecommendation.recommendation.doseNumber[x] MedicationDispense.substitution.responsibleParty	Renamed Max Cardinality changed from doseNumber * to doseNumber[x] 1 Add Type string ImmunizationRecommendation.recommendation.seriesDoses[x] Moved from ImmunizationRecommendation.recommendation.protocol.doseSequence to seriesDoses[x] Add Reference: Added Target Type string Organization
ImmunizationRecommendation.recommendation.supportingImmunization MedicationDispense.statusReason[x]	Type Reference: Added Target Type ImmunizationEvaluation deleted
ImmunizationRecommendation.recommendation.supportingPatientInformation MedicationDispense.medication[x]	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Observation, AllergyIntolerance deleted
ImmunizationRecommendation.recommendation.protocol MedicationDispense.context	deleted
ImplementationGuide MedicationKnowledge
ImplementationGuide.title MedicationKnowledge.identifier	Added Element
ImplementationGuide.status MedicationKnowledge.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/medicationknowledge-status|5.0.0-snapshot1
ImplementationGuide.experimental MedicationKnowledge.author	No longer marked as Modifier Added Element
ImplementationGuide.packageId MedicationKnowledge.intendedJurisdiction	Added Mandatory Element
ImplementationGuide.license MedicationKnowledge.name	Added Element
ImplementationGuide.fhirVersion MedicationKnowledge.monograph.source	Min Cardinality changed from 0 to 1 Max Cardinality changed from 1 to * Type changed from id to code Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) Reference: Removed Target Type Media
ImplementationGuide.dependsOn MedicationKnowledge.cost.effectiveDate	Renamed from dependency to dependsOn Added Element
ImplementationGuide.dependsOn.uri MedicationKnowledge.cost.cost[x]	Moved from ImplementationGuide.dependency to ImplementationGuide.dependsOn Type changed from uri to canonical(ImplementationGuide) Added Mandatory Element
ImplementationGuide.dependsOn.packageId MedicationKnowledge.indicationGuideline	Added Element
ImplementationGuide.dependsOn.version MedicationKnowledge.indicationGuideline.indication	Added Element
ImplementationGuide.global.type MedicationKnowledge.indicationGuideline.dosingGuideline	Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Added Element
ImplementationGuide.global.profile MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent	Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) Added Element
ImplementationGuide.definition MedicationKnowledge.indicationGuideline.dosingGuideline.dosage	Added Element
ImplementationGuide.definition.grouping MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type	Added Mandatory Element
ImplementationGuide.definition.grouping.name MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage	Added Mandatory Element
ImplementationGuide.definition.grouping.description MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment	Added Element
ImplementationGuide.definition.resource MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic	Moved from ImplementationGuide.package to ImplementationGuide.definition Added Element
ImplementationGuide.definition.resource.reference MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type	Added Mandatory Element
ImplementationGuide.definition.resource.fhirVersion MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]	Added Element
ImplementationGuide.definition.resource.groupingId MedicationKnowledge.medicineClassification.source[x]	Added Element
ImplementationGuide.definition.page MedicationKnowledge.packaging	Moved Max Cardinality changed from ImplementationGuide 1 to ImplementationGuide.definition ImplementationGuide.definition.page.name[x] Added Mandatory Element ImplementationGuide.definition.page.generation Added Mandatory Element *
ImplementationGuide.definition.parameter MedicationKnowledge.packaging.cost	Added Element
ImplementationGuide.definition.parameter.code MedicationKnowledge.packaging.packagedProduct	Added Mandatory Element
ImplementationGuide.definition.parameter.value MedicationKnowledge.clinicalUseIssue	Added Mandatory Element
ImplementationGuide.definition.template MedicationKnowledge.regulatory.schedule	Added Element Type changed from BackboneElement to CodeableConcept
ImplementationGuide.definition.template.code MedicationKnowledge.definitional	Added Mandatory Element
ImplementationGuide.definition.template.source MedicationKnowledge.definitional.definition	Added Mandatory Element
ImplementationGuide.definition.template.scope MedicationKnowledge.definitional.doseForm	Added Element
ImplementationGuide.manifest MedicationKnowledge.definitional.intendedRoute	Added Element
ImplementationGuide.manifest.rendering MedicationKnowledge.definitional.ingredient	Added Element
ImplementationGuide.manifest.resource MedicationKnowledge.definitional.ingredient.item	Added Mandatory Element
ImplementationGuide.manifest.resource.reference MedicationKnowledge.definitional.ingredient.type	Added Mandatory Element
ImplementationGuide.manifest.resource.example[x] MedicationKnowledge.definitional.ingredient.strength[x]	Added Element
ImplementationGuide.manifest.resource.relativePath MedicationKnowledge.definitional.drugCharacteristic	Added Element
ImplementationGuide.manifest.page MedicationKnowledge.definitional.drugCharacteristic.type	Added Element
ImplementationGuide.manifest.page.name MedicationKnowledge.definitional.drugCharacteristic.value[x]	Added Mandatory Element
ImplementationGuide.manifest.page.title MedicationKnowledge.manufacturer	Added Element deleted
ImplementationGuide.manifest.page.anchor MedicationKnowledge.doseForm	Added Element deleted
ImplementationGuide.manifest.image MedicationKnowledge.amount	Added Element deleted
ImplementationGuide.manifest.other MedicationKnowledge.synonym	Added Element deleted
ImplementationGuide.dependency.type MedicationKnowledge.ingredient	deleted
ImplementationGuide.package MedicationKnowledge.intendedRoute	deleted
ImplementationGuide.binary MedicationKnowledge.cost.cost	deleted
ImplementationGuide.page.source MedicationKnowledge.administrationGuidelines	deleted
ImplementationGuide.page.kind MedicationKnowledge.packaging.type	deleted
ImplementationGuide.page.type MedicationKnowledge.packaging.quantity	deleted
ImplementationGuide.page.package MedicationKnowledge.drugCharacteristic	deleted
ImplementationGuide.page.format MedicationKnowledge.contraindication	deleted
InsurancePlan MedicationKnowledge.regulatory.schedule.schedule	Added Resource deleted
Invoice MedicationKnowledge.kinetics	Added Resource deleted
Library MedicationRequest
Library.subtitle MedicationRequest.instantiatesCanonical	Added Element Type changed from canonical to canonical(PlanDefinition | ActivityDefinition)
Library.status MedicationRequest.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0-snapshot1
Library.experimental MedicationRequest.statusChanged	No longer marked as Modifier Added Element
Library.type MedicationRequest.intent	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/library-type" http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.0 to "http://terminology.hl7.org/CodeSystem/library-type" Library.subject[x] Added Element http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0-snapshot1
Library.author MedicationRequest.priority	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
Library.editor MedicationRequest.medication	Added Mandatory Element
Library.reviewer MedicationRequest.informationSource	Added Element
Library.endorser MedicationRequest.reported	Added Element
Linkage.active MedicationRequest.performerType	Default Value "true" removed Add Binding http://hl7.org/fhir/ValueSet/medication-intended-performer-role (extensible)
Linkage.author MedicationRequest.performer	Type Reference: Added Target Type PractitionerRole Linkage.item.type Change value set from http://hl7.org/fhir/ValueSet/linkage-type to http://hl7.org/fhir/ValueSet/linkage-type|4.0.1 Linkage.item.resource Type changed from Reference to Reference(Resource) List List.status Change value set from http://hl7.org/fhir/ValueSet/list-status to http://hl7.org/fhir/ValueSet/list-status|4.0.1 List.mode Change value set from http://hl7.org/fhir/ValueSet/list-mode to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 HealthcareService
List.source MedicationRequest.reason	Type Reference: Added Target Type PractitionerRole List.entry.deleted Default Value "false" removed Location Location.status Change value set from http://hl7.org/fhir/ValueSet/location-status to http://hl7.org/fhir/ValueSet/location-status|4.0.1 Element
Location.mode MedicationRequest.courseOfTherapyType	Change value set from http://hl7.org/fhir/ValueSet/location-mode to http://hl7.org/fhir/ValueSet/location-mode|4.0.1 No longer marked as Modifier Add Binding http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy (extensible)
Location.type MedicationRequest.dose	Max Cardinality changed from 1 to * Added Element
Location.hoursOfOperation MedicationRequest.dose.renderedDosageInstruction	Added Element
Location.hoursOfOperation.daysOfWeek MedicationRequest.dose.effectiveDosePeriod	Added Element
Location.hoursOfOperation.allDay MedicationRequest.dose.dosageInstruction	Added Element
Location.hoursOfOperation.openingTime MedicationRequest.dispenseRequest.dispenser	Added Element
Location.hoursOfOperation.closingTime MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
Location.availabilityExceptions MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
Measure.subtitle MedicationRequest.reported[x]	Added Element deleted
Measure.status MedicationRequest.medication[x]	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 deleted
Measure.experimental MedicationRequest.reasonCode	No longer marked as Modifier deleted
Measure.subject[x] MedicationRequest.reasonReference	Added Element deleted
Measure.author MedicationRequest.dosageInstruction	Added Element deleted
Measure.editor MedicationRequest.dispenseRequest.performer	Added Element deleted
Measure.reviewer MedicationUsage	Added Element Resource
Measure.endorser MedicinalProductDefinition	Added Element Resource
Measure.library MessageDefinition	Type changed from Reference(Library) to canonical(Library)
Measure.scoring MessageDefinition.status	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-scoring" http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/measure-scoring" http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Measure.compositeScoring MessageDefinition.category	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/composite-measure-scoring" http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0 to "http://terminology.hl7.org/CodeSystem/composite-measure-scoring" http://hl7.org/fhir/ValueSet/message-significance-category|5.0.0-snapshot1
Measure.type MessageDefinition.focus.code	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-type" http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to "http://terminology.hl7.org/CodeSystem/measure-type" http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
Measure.improvementNotation MessageDefinition.responseRequired	Type changed Change value set from string http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0 to CodeableConcept Add Binding http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 (required) http://hl7.org/fhir/ValueSet/messageheader-response-request|5.0.0-snapshot1
Measure.group.code MessageHeader	Added Element
Measure.group.population.code MessageHeader.response.code	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-population" http://hl7.org/fhir/ValueSet/response-code|4.0.0 to "http://terminology.hl7.org/CodeSystem/measure-population" http://hl7.org/fhir/ValueSet/response-code|5.0.0-snapshot1
Measure.group.population.criteria MetadataResource	Type changed from string to Expression
Measure.group.stratifier.code MetadataResource.approvalDate	Added Element
Measure.group.stratifier.description MetadataResource.lastReviewDate	Added Element
Measure.group.stratifier.criteria MetadataResource.effectivePeriod	Type changed from string to Expression Added Element
Measure.group.stratifier.component MetadataResource.topic	Added Element
Measure.group.stratifier.component.code MetadataResource.author	Added Element
Measure.group.stratifier.component.description MetadataResource.editor	Added Element
Measure.group.stratifier.component.criteria MetadataResource.reviewer	Added Mandatory Element
Measure.supplementalData.code MetadataResource.endorser	Added Element
Measure.supplementalData.usage MetadataResource.relatedArtifact	Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-data-usage" to "http://terminology.hl7.org/CodeSystem/measure-data-usage" Added Element
Measure.supplementalData.description MetadataResource.url	Added Element deleted
Measure.supplementalData.criteria MetadataResource.version	Min Cardinality changed from 0 to 1 Type changed from string to Expression deleted
Measure.contributor MetadataResource.name	deleted
Measure.set MetadataResource.title	deleted
Measure.group.identifier MetadataResource.status	deleted
Measure.group.name MetadataResource.experimental	deleted
Measure.group.population.identifier MetadataResource.date	deleted
Measure.group.population.name MetadataResource.publisher	deleted
Measure.group.stratifier.identifier MetadataResource.contact	deleted
Measure.group.stratifier.path MetadataResource.description	deleted
Measure.supplementalData.identifier MetadataResource.useContext	deleted
Measure.supplementalData.path MetadataResource.jurisdiction	deleted
MeasureReport MolecularSequence
MeasureReport.identifier MolecularSequence.type	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/sequence-type|4.0.0 to * http://hl7.org/fhir/ValueSet/sequence-type|5.0.0-snapshot1
MeasureReport.status MolecularSequence.referenceSeq.orientation	Change value set from http://hl7.org/fhir/ValueSet/measure-report-status http://hl7.org/fhir/ValueSet/orientation-type|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 http://hl7.org/fhir/ValueSet/orientation-type|5.0.0-snapshot1
MeasureReport.type MolecularSequence.referenceSeq.strand	Change value set from http://hl7.org/fhir/ValueSet/measure-report-type http://hl7.org/fhir/ValueSet/strand-type|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 http://hl7.org/fhir/ValueSet/strand-type|5.0.0-snapshot1
MeasureReport.measure MolecularSequence.quality.type	Type changed Change value set from Reference(Measure) http://hl7.org/fhir/ValueSet/quality-type|4.0.0 to canonical(Measure) MeasureReport.subject Added Element MeasureReport.reporter Added Element MeasureReport.improvementNotation Added Element MeasureReport.group.code Added Element http://hl7.org/fhir/ValueSet/quality-type|5.0.0-snapshot1
MeasureReport.group.population.code MolecularSequence.repository.type	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-population" http://hl7.org/fhir/ValueSet/repository-type|4.0.0 to "http://terminology.hl7.org/CodeSystem/measure-population" MeasureReport.group.population.subjectResults Added Element http://hl7.org/fhir/ValueSet/repository-type|5.0.0-snapshot1
MeasureReport.group.measureScore MolecularSequence.structureVariant.variantType	Type changed Change value set from decimal http://loinc.org/vs/LL379-9|4.0.0 to Quantity MeasureReport.group.stratifier.code Added Element http://loinc.org/vs/LL379-9|5.0.0-snapshot1
MeasureReport.group.stratifier.stratum.value NamingSystem	Min Cardinality changed from 1 to 0 Type changed from string to CodeableConcept
MeasureReport.group.stratifier.stratum.component NamingSystem.url	Added Element
MeasureReport.group.stratifier.stratum.component.code NamingSystem.version	Added Mandatory Element
MeasureReport.group.stratifier.stratum.component.value NamingSystem.title	Added Mandatory Element
MeasureReport.group.stratifier.stratum.population.code NamingSystem.status	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-population" http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/measure-population" http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
MeasureReport.group.stratifier.stratum.population.subjectResults NamingSystem.kind	Added Element Change value set from http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.0 to http://hl7.org/fhir/ValueSet/namingsystem-type|5.0.0-snapshot1
MeasureReport.group.stratifier.stratum.measureScore NamingSystem.uniqueId.type	Type changed Change value set from decimal http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0 to Quantity http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|5.0.0-snapshot1
MeasureReport.evaluatedResource NamingSystem.uniqueId.authoritative	Added Element
MeasureReport.patient NutritionIntake	deleted Added Resource
MeasureReport.reportingOrganization NutritionOrder	deleted
MeasureReport.group.identifier NutritionOrder.status	deleted Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
MeasureReport.group.population.identifier NutritionOrder.intent	deleted Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|5.0.0-snapshot1
MeasureReport.group.population.patients NutritionOrder.enteralFormula.administration.rate[x]	deleted Add Type Quantity() MeasureReport.group.stratifier.identifier deleted Remove Type Quantity()
MeasureReport.group.stratifier.stratum.population.identifier NutritionProduct	deleted Added Resource
MeasureReport.group.stratifier.stratum.population.patients Observation	deleted
MeasureReport.evaluatedResources Observation.instantiates[x]	deleted Added Element
Media.basedOn Observation.partOf	Type Reference: Added Target Types ServiceRequest, CarePlan Type MedicationUsage Type Reference: Removed Target Type ProcedureRequest Media.partOf Added Element Media.status Added Mandatory Element MedicationStatement
Media.type Observation.status	Min Cardinality changed from 1 to 0 Type changed from code to CodeableConcept Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/digital-media-type to http://hl7.org/fhir/ValueSet/media-type Media.modality Renamed from subtype http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to modality http://hl7.org/fhir/ValueSet/observation-status|5.0.0-snapshot1
Media.subject Observation.subject	Type Reference: Added Target Types PractitionerRole, Location Media.encounter Added Element Media.created[x] Renamed from occurrence[x] to created[x] Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
Media.issued Observation.value[x]	Added Element Add Type Attachment
Media.operator Observation.derivedFrom	Type Reference: Added Removed Target Types PractitionerRole, Organization, CareTeam, Patient, Device, RelatedPerson Media.deviceName Added Element Media.frames Default Value "1" removed Type Media
Media.duration Observation.component.value[x]	Add Type changed from unsignedInt to decimal Media.context deleted Attachment
Medication ObservationDefinition
Medication.identifier ObservationDefinition.url	Added Element
Medication.status ObservationDefinition.identifier	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/medication-status * to http://hl7.org/fhir/ValueSet/medication-status|4.0.1 Now marked as Modifier 1
Medication.amount ObservationDefinition.version	Added Element
Medication.ingredient.strength ObservationDefinition.name	Added Element
Medication.batch ObservationDefinition.title	Added Element
Medication.batch.lotNumber ObservationDefinition.status	Added Mandatory Element
Medication.batch.expirationDate ObservationDefinition.experimental	Added Element
Medication.package ObservationDefinition.date	deleted Added Element
Medication.image ObservationDefinition.publisher	deleted Added Element
MedicationAdministration.instantiates ObservationDefinition.contact	Added Element
MedicationAdministration.status ObservationDefinition.description	Change value set from http://hl7.org/fhir/ValueSet/medication-admin-status to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 Added Element
MedicationAdministration.statusReason ObservationDefinition.useContext	Added Element
MedicationAdministration.performer.function ObservationDefinition.jurisdiction	Added Element
MedicationAdministration.performer.actor ObservationDefinition.purpose	Type Reference: Added Target Type PractitionerRole Element
MedicationAdministration.reasonReference ObservationDefinition.copyright	Type Reference: Added Target Type DiagnosticReport Element
MedicationAdministration.request ObservationDefinition.approvalDate	Added Element
MedicationAdministration.dosage.rate[x] ObservationDefinition.lastReviewDate	Add Type Quantity() Remove Type Quantity() Added Element
MedicationAdministration.definition ObservationDefinition.effectivePeriod	deleted Added Element
MedicationAdministration.performer.onBehalfOf ObservationDefinition.derivedFromCanonical	deleted Added Element
MedicationAdministration.notGiven ObservationDefinition.derivedFromUri	deleted Added Element
MedicationAdministration.reasonNotGiven ObservationDefinition.subject	deleted Added Element
MedicationAdministration.prescription ObservationDefinition.performerType	deleted Added Element
MedicationDispense.status ObservationDefinition.permittedDataType	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/medication-dispense-status http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0 to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 http://hl7.org/fhir/ValueSet/permitted-data-type|5.0.0-snapshot1
MedicationDispense.statusReason[x] ObservationDefinition.bodySite	Added Element
MedicationDispense.performer.function ObservationDefinition.specimen	Added Element
MedicationDispense.performer.actor ObservationDefinition.device	Type Reference: Added Target Type PractitionerRole Element
MedicationDispense.location ObservationDefinition.qualifiedValue	Added Element
MedicationDispense.substitution.responsibleParty ObservationDefinition.qualifiedValue.context	Type Reference: Added Target Type PractitionerRole MedicationDispense.performer.onBehalfOf deleted MedicationDispense.notDone deleted MedicationDispense.notDoneReason[x] deleted Element
MedicationKnowledge ObservationDefinition.qualifiedValue.appliesTo	Added Resource MedicationRequest MedicationRequest.status Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/medication-request-status to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 Element
MedicationRequest.statusReason ObservationDefinition.qualifiedValue.gender	Added Element
MedicationRequest.doNotPerform ObservationDefinition.qualifiedValue.age	Added Element
MedicationRequest.reported[x] ObservationDefinition.qualifiedValue.gestationalAge	Added Element
MedicationRequest.encounter ObservationDefinition.qualifiedValue.condition	Added Element
MedicationRequest.performer ObservationDefinition.qualifiedValue.rangeCategory	Added Element
MedicationRequest.performerType ObservationDefinition.qualifiedValue.range	Added Element
MedicationRequest.recorder ObservationDefinition.qualifiedValue.validCodedValueSet	Type Reference: Added Target Type PractitionerRole Element
MedicationRequest.instantiatesCanonical ObservationDefinition.qualifiedValue.normalCodedValueSet	Added Element
MedicationRequest.instantiatesUri ObservationDefinition.qualifiedValue.abnormalCodedValueSet	Added Element
MedicationRequest.basedOn ObservationDefinition.qualifiedValue.criticalCodedValueSet	Type Reference: Added Target Types ServiceRequest, ImmunizationRecommendation Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Element
MedicationRequest.courseOfTherapyType ObservationDefinition.hasMember	Added Element
MedicationRequest.insurance ObservationDefinition.component	Added Element
MedicationRequest.dispenseRequest.initialFill ObservationDefinition.component.code	Added Mandatory Element
MedicationRequest.dispenseRequest.initialFill.quantity ObservationDefinition.component.permittedDataType	Added Element
MedicationRequest.dispenseRequest.initialFill.duration ObservationDefinition.component.quantitativeDetails	Added Element
MedicationRequest.dispenseRequest.dispenseInterval ObservationDefinition.component.qualifiedValue	Added Element
MedicationRequest.substitution.allowed[x] ObservationDefinition.qualifiedInterval	Renamed from allowed to allowed[x] Add Type CodeableConcept No longer marked as Modifier deleted
MedicationRequest.definition ObservationDefinition.validCodedValueSet	deleted
MedicationRequest.context ObservationDefinition.normalCodedValueSet	deleted
MedicationRequest.requester.agent ObservationDefinition.abnormalCodedValueSet	deleted
MedicationRequest.requester.onBehalfOf ObservationDefinition.criticalCodedValueSet	deleted
MedicationStatement OperationDefinition
MedicationStatement.basedOn OperationDefinition.status	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
MedicationStatement.status OperationDefinition.kind	Change value set from http://hl7.org/fhir/ValueSet/medication-statement-status http://hl7.org/fhir/ValueSet/operation-kind|4.0.0 to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 MedicationStatement.statusReason Added Element http://hl7.org/fhir/ValueSet/operation-kind|5.0.0-snapshot1
MedicationStatement.informationSource OperationDefinition.resource	Type Reference: Added Target Type PractitionerRole Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
MedicationStatement.reasonReference Type Reference: Added Target Type DiagnosticReport MedicationStatement.taken OperationDefinition.parameter.use	deleted Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|5.0.0-snapshot1
MedicationStatement.reasonNotTaken OperationDefinition.parameter.type	deleted Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|5.0.0-snapshot1
MedicinalProduct OperationDefinition.parameter.searchType	Added Resource Change value set from http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|5.0.0-snapshot1
MedicinalProductAuthorization OperationDefinition.parameter.binding.strength	Added Resource Change value set from http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to http://hl7.org/fhir/ValueSet/binding-strength|5.0.0-snapshot1
MedicinalProductContraindication OperationOutcome	Added Resource
MedicinalProductIndication OperationOutcome.issue.severity	Added Resource Change value set from http://hl7.org/fhir/ValueSet/issue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/issue-severity|5.0.0-snapshot1
MedicinalProductIngredient OperationOutcome.issue.code	Added Resource Change value set from http://hl7.org/fhir/ValueSet/issue-type|4.0.0 to http://hl7.org/fhir/ValueSet/issue-type|5.0.0-snapshot1
MedicinalProductInteraction Organization	Added Resource No Changes
MedicinalProductManufactured OrganizationAffiliation	Added Resource No Changes
MedicinalProductPackaged PackagedProductDefinition	Added Resource
MedicinalProductPharmaceutical Parameters	Added Resource
MedicinalProductUndesirableEffect Parameters.parameter.value[x]	Added Resource Add Types integer64, CodeableReference, RatioRange, Meta
MessageDefinition Patient
MessageDefinition.identifier Patient.gender	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to * http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0-snapshot1
MessageDefinition.replaces Patient.contact.gender	Type changed Change value set from Reference(MessageDefinition) http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to canonical(MessageDefinition) http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0-snapshot1
MessageDefinition.status Patient.link.type	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/link-type|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 MessageDefinition.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/link-type|5.0.0-snapshot1
MessageDefinition.base PaymentNotice	Type changed from Reference(MessageDefinition) to canonical(MessageDefinition)
MessageDefinition.parent PaymentNotice.status	Type changed Change value set from Reference(ActivityDefinition | PlanDefinition) http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to canonical(ActivityDefinition | PlanDefinition) http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
MessageDefinition.event[x] PaymentReconciliation	Renamed from event to event[x] Add Type uri
MessageDefinition.category PaymentReconciliation.status	Change value set from http://hl7.org/fhir/ValueSet/message-significance-category http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/message-significance-category|4.0.1 http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
MessageDefinition.focus.code PaymentReconciliation.outcome	Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 MessageDefinition.focus.profile Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) MessageDefinition.focus.min Min Cardinality changed from 0 to 1 Default Value "0" removed MessageDefinition.responseRequired Type changed from boolean http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to code Add Binding http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1 (required) Default Value "false" removed http://hl7.org/fhir/ValueSet/payment-outcome|5.0.0-snapshot1
MessageDefinition.allowedResponse.message PaymentReconciliation.processNote.type	Type changed Change value set from Reference(MessageDefinition) http://hl7.org/fhir/ValueSet/note-type|4.0.0 to canonical(MessageDefinition) http://hl7.org/fhir/ValueSet/note-type|5.0.0-snapshot1
MessageDefinition.graph Permission	Added Element Resource
MessageHeader Person
MessageHeader.destination.endpoint Type changed from uri to url MessageHeader.destination.receiver Person.gender	Moved Change value set from MessageHeader http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to MessageHeader.destination Type Reference: Added Target Type PractitionerRole MessageHeader.sender Type Reference: Added Target Type PractitionerRole http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0-snapshot1
MessageHeader.enterer Person.deceased[x]	Type Reference: Added Target Type PractitionerRole Element
MessageHeader.author Person.maritalStatus	Type Reference: Added Target Type PractitionerRole Element
MessageHeader.source.endpoint Person.photo	Type Max Cardinality changed from uri 1 to url *
MessageHeader.responsible Person.communication	Type Reference: Added Target Type PractitionerRole MessageHeader.response.code Change value set from http://hl7.org/fhir/ValueSet/response-code to http://hl7.org/fhir/ValueSet/response-code|4.0.1 Element
MessageHeader.definition Person.communication.language	Added Mandatory Element
MessageHeader.timestamp Person.communication.preferred	deleted Added Element
MetadataResource.status Person.link.assurance	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 MetadataResource.experimental No longer marked as Modifier MolecularSequence Added Resource http://hl7.org/fhir/ValueSet/identity-assuranceLevel|5.0.0-snapshot1
NamingSystem PlanDefinition
NamingSystem.status PlanDefinition.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
NamingSystem.kind PlanDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/namingsystem-type to http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.1 Add Type canonical(MedicinalProductDefinition | SubstanceDefinition | AdministrableProductDefinition | ManufacturedItemDefinition | PackagedProductDefinition)
NamingSystem.uniqueId.type Change value set from http://hl7.org/fhir/ValueSet/namingsystem-identifier-type to http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.1 NamingSystem.replacedBy PlanDefinition.goal.target.detail[x]	deleted Add Types string, boolean, integer, Ratio
NutritionOrder.instantiatesCanonical PlanDefinition.actor	Added Element
NutritionOrder.instantiatesUri PlanDefinition.actor.title	Added Element
NutritionOrder.instantiates PlanDefinition.actor.description	Added Element
NutritionOrder.intent PlanDefinition.actor.option	Added Mandatory Element
NutritionOrder.orderer PlanDefinition.actor.option.type	Type Reference: Added Target Type PractitionerRole NutritionOrder.enteralFormula.administration.rate[x] Add Type Quantity() Remove Type Quantity() Element
NutritionOrder.note PlanDefinition.actor.option.typeReference	Added Element
Observation.basedOn PlanDefinition.actor.option.role	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Element
Observation.partOf PlanDefinition.action.linkId	Added Element
Observation.status PlanDefinition.action.priority	Change value set from http://hl7.org/fhir/ValueSet/observation-status http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 Observation.focus Added Element http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
Observation.encounter PlanDefinition.action.code	Renamed Max Cardinality changed from context * to encounter Type Reference: Removed Target Type EpisodeOfCare Observation.effective[x] Add Types Timing, instant Observation.performer Type Reference: Added Target Types PractitionerRole, CareTeam 1
Observation.value[x] PlanDefinition.action.subject[x]	Add Type integer Remove Type Attachment canonical
Observation.dataAbsentReason PlanDefinition.action.condition.kind	Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to "http://terminology.hl7.org/CodeSystem/data-absent-reason" http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0-snapshot1
Observation.interpretation Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" Observation.note PlanDefinition.action.input	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string DataRequirement to Annotation BackboneElement
Observation.referenceRange.type PlanDefinition.action.input.title	Remove Binding http://hl7.org/fhir/ValueSet/referencerange-meaning (extensible) Added Element
Observation.hasMember PlanDefinition.action.input.requirement	Added Element
Observation.derivedFrom PlanDefinition.action.input.relatedData	Added Element
Observation.component.value[x] PlanDefinition.action.output	Add Types boolean, integer Remove Type Attachment Observation.component.dataAbsentReason Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" to "http://terminology.hl7.org/CodeSystem/data-absent-reason" Observation.component.interpretation Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" DataRequirement to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" BackboneElement
Observation.related PlanDefinition.action.output.title	deleted Added Element
ObservationDefinition PlanDefinition.action.output.requirement	Added Resource Element
OperationDefinition.title PlanDefinition.action.output.relatedData	Added Element
OperationDefinition.status PlanDefinition.action.relatedAction.targetId	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Mandatory Element
OperationDefinition.kind PlanDefinition.action.relatedAction.relationship	Change value set from http://hl7.org/fhir/ValueSet/operation-kind http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/operation-kind|4.0.1 http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0-snapshot1
OperationDefinition.experimental PlanDefinition.action.timing[x]	No longer marked as Modifier Remove Types dateTime, Period
OperationDefinition.affectsState PlanDefinition.action.location	Renamed from idempotent to affectsState Added Element
OperationDefinition.comment PlanDefinition.action.participant.actorId	Type changed from string to markdown Added Element
OperationDefinition.base PlanDefinition.action.participant.type	Type Min Cardinality changed from Reference(OperationDefinition) 1 to canonical(OperationDefinition) 0 OperationDefinition.resource Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0-snapshot1
OperationDefinition.inputProfile PlanDefinition.action.participant.typeReference	Added Element
OperationDefinition.outputProfile PlanDefinition.action.participant.function	Added Element
OperationDefinition.parameter.use PlanDefinition.action.groupingBehavior	Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0-snapshot1
OperationDefinition.parameter.type PlanDefinition.action.selectionBehavior	Change value set from http://hl7.org/fhir/ValueSet/all-types http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|4.0.1 http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0-snapshot1
OperationDefinition.parameter.targetProfile PlanDefinition.action.requiredBehavior	Renamed from profile to targetProfile Max Cardinality changed from 1 to * Type changed Change value set from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0-snapshot1
OperationDefinition.parameter.searchType PlanDefinition.action.precheckBehavior	Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0-snapshot1
OperationDefinition.parameter.binding.strength PlanDefinition.action.cardinalityBehavior	Change value set from http://hl7.org/fhir/ValueSet/binding-strength http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0-snapshot1
OperationDefinition.parameter.binding.valueSet PlanDefinition.action.relatedAction.actionId	Renamed from valueSet[x] to valueSet Add Type canonical(ValueSet) Remove Types uri, Reference(ValueSet) deleted
OperationDefinition.parameter.referencedFrom Practitioner	Added Element
OperationDefinition.parameter.referencedFrom.source Practitioner.deceased[x]	Added Mandatory Element
OperationDefinition.parameter.referencedFrom.sourceId Practitioner.gender	Added Element Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0-snapshot1
OperationOutcome PractitionerRole
OperationOutcome.issue.severity PractitionerRole.availableTime.daysOfWeek	Change value set from http://hl7.org/fhir/ValueSet/issue-severity http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 No longer marked as Modifier http://hl7.org/fhir/ValueSet/days-of-week|5.0.0-snapshot1
Procedure
OperationOutcome.issue.code Procedure.status	Change value set from http://hl7.org/fhir/ValueSet/issue-type http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/issue-type|4.0.1 http://hl7.org/fhir/ValueSet/event-status|5.0.0-snapshot1
Organization Procedure.category	Max Cardinality changed from 1 to *
Organization.active Procedure.subject	Default Value "true" removed Type Reference: Added Target Types Device, Practitioner, Organization, Location
Organization.contact.purpose Procedure.occurrence[x]	Change code system for extensibly bound codes from "http://hl7.org/fhir/contactentity-type" to "http://terminology.hl7.org/CodeSystem/contactentity-type" Added Element
OrganizationAffiliation Procedure.recorded	Added Resource Element
Parameters Procedure.reported[x]	Added Element
Parameters.parameter.value[x] Procedure.performer.actor	Add Type Reference: Added Target Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage CareTeam, HealthcareService
Patient Procedure.reason	Added Element
Patient.active Procedure.used	Default Value "true" removed Added Element
Patient.gender Procedure.supportingInfo	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Added Element
Patient.contact.relationship Procedure.performed[x]	Change value set from http://terminology.hl7.org/ValueSet/v2-0131 to http://hl7.org/fhir/ValueSet/patient-contactrelationship deleted
Patient.contact.gender Procedure.asserter	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 deleted
Patient.communication.language Procedure.reasonCode	Change binding strength from extensible to preferred deleted
Patient.generalPractitioner Procedure.reasonReference	Type Reference: Added Target Type PractitionerRole deleted
Patient.link.type Procedure.usedReference	Change value set from http://hl7.org/fhir/ValueSet/link-type to http://hl7.org/fhir/ValueSet/link-type|4.0.1 deleted
Patient.animal Procedure.usedCode	deleted
PaymentNotice Provenance
PaymentNotice.status Provenance.recorded	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 0
PaymentNotice.created Provenance.authorization	Min Cardinality changed from 0 to 1 Added Element
PaymentNotice.provider Provenance.basedOn	Renamed from organization to provider Type Reference: Added Target Types Practitioner, PractitionerRole Element
PaymentNotice.payment Provenance.encounter	Added Mandatory Element
PaymentNotice.paymentDate Provenance.agent.type	Renamed from statusDate to paymentDate Remove Binding http://hl7.org/fhir/ValueSet/provenance-agent-type (extensible)
PaymentNotice.payee Provenance.agent.who	Type Reference: Added Element Target Type CareTeam
PaymentNotice.recipient Provenance.agent.onBehalfOf	Renamed from target to recipient Type Reference: Added Target Type CareTeam Min Cardinality changed from 0 to 1 Type Reference: Removed Target Type Device
PaymentNotice.amount Provenance.entity.role	Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0 to http://hl7.org/fhir/ValueSet/provenance-entity-role|5.0.0-snapshot1
PaymentNotice.provider Provenance.reason	deleted
PaymentReconciliation Questionnaire
PaymentReconciliation.status Questionnaire.status	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
PaymentReconciliation.created Questionnaire.subjectType	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to 1 http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
PaymentReconciliation.paymentIssuer Questionnaire.item.text	Renamed Type changed from organization string to paymentIssuer markdown
PaymentReconciliation.request Type Reference: Added Target Type Task Type Reference: Removed Target Type ProcessRequest PaymentReconciliation.requestor Questionnaire.item.type	Renamed Change value set from requestOrganization http://hl7.org/fhir/ValueSet/item-type|4.0.0 to requestor Type Reference: Added Target Types Practitioner, PractitionerRole http://hl7.org/fhir/ValueSet/item-type|5.0.0-snapshot1
PaymentReconciliation.outcome Questionnaire.item.enableWhen.operator	Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.0 to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 PaymentReconciliation.paymentDate Added Mandatory Element http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|5.0.0-snapshot1
PaymentReconciliation.paymentAmount Questionnaire.item.enableBehavior	Renamed from total to paymentAmount Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.0 to 1 http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|5.0.0-snapshot1
PaymentReconciliation.paymentIdentifier Questionnaire.item.disabledDisplay	Added Element
PaymentReconciliation.detail.identifier Questionnaire.item.answerConstraint	Added Element
PaymentReconciliation.detail.predecessor QuestionnaireResponse	Added Element
PaymentReconciliation.detail.submitter QuestionnaireResponse.identifier	Type Reference: Added Target Types Practitioner, PractitionerRole Max Cardinality changed from 1 to *
PaymentReconciliation.detail.responsible QuestionnaireResponse.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|5.0.0-snapshot1
PaymentReconciliation.detail.payee QuestionnaireResponse.source	Type Reference: Added Target Types Practitioner, PractitionerRole PaymentReconciliation.formCode Renamed from form to formCode Device, Organization
PaymentReconciliation.processNote.type QuestionnaireResponse.item.answer.value[x]	Type Min Cardinality changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type 0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 1
PaymentReconciliation.requestProvider RegulatedAuthorization	deleted Added Resource
Person RelatedPerson
Person.gender Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Person.link.assurance RelatedPerson.gender	Change value set from http://hl7.org/fhir/ValueSet/identity-assuranceLevel http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.1 http://hl7.org/fhir/ValueSet/administrative-gender|5.0.0-snapshot1
PlanDefinition RequestGroup
PlanDefinition.type RequestGroup.status	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/plan-definition-type" http://hl7.org/fhir/ValueSet/request-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/plan-definition-type" http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
PlanDefinition.status RequestGroup.intent	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/request-intent|5.0.0-snapshot1
PlanDefinition.experimental RequestGroup.priority	No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
PlanDefinition.subject[x] RequestGroup.reason	Added Element
PlanDefinition.author RequestGroup.goal	Added Element
PlanDefinition.editor RequestGroup.action.linkId	Added Element
PlanDefinition.reviewer RequestGroup.action.priority	Added Element Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
PlanDefinition.endorser RequestGroup.action.goal	Added Element
PlanDefinition.library RequestGroup.action.condition.kind	Type changed Change value set from Reference(Library) http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to canonical(Library) PlanDefinition.action.prefix Added Element http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0-snapshot1
PlanDefinition.action.priority RequestGroup.action.relatedAction.targetId	Added Mandatory Element
PlanDefinition.action.subject[x] RequestGroup.action.relatedAction.relationship	Added Element Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0-snapshot1
PlanDefinition.action.trigger RequestGroup.action.location	Added Element
PlanDefinition.action.condition.kind RequestGroup.action.participant	Change value set Type changed from http://hl7.org/fhir/ValueSet/action-condition-kind Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 BackboneElement
PlanDefinition.action.condition.expression RequestGroup.action.participant.type	Type changed from string to Expression Added Element
PlanDefinition.action.relatedAction.relationship RequestGroup.action.participant.typeReference	Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 Added Element
PlanDefinition.action.timing[x] RequestGroup.action.participant.role	Add Type Age Added Element
PlanDefinition.action.participant.type RequestGroup.action.participant.function	Change value set from http://hl7.org/fhir/ValueSet/action-participant-type to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 Added Element
PlanDefinition.action.type RequestGroup.action.participant.actor	Type changed from Coding to CodeableConcept Change binding strength from required to extensible Added Element
PlanDefinition.action.groupingBehavior RequestGroup.action.groupingBehavior	Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0-snapshot1
PlanDefinition.action.selectionBehavior RequestGroup.action.selectionBehavior	Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0-snapshot1
PlanDefinition.action.requiredBehavior RequestGroup.action.requiredBehavior	Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0-snapshot1
PlanDefinition.action.precheckBehavior RequestGroup.action.precheckBehavior	Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0-snapshot1
PlanDefinition.action.cardinalityBehavior RequestGroup.action.cardinalityBehavior	Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0-snapshot1
PlanDefinition.action.definition[x] RequestGroup.reasonCode	Renamed from definition to definition[x] Add Types canonical(ActivityDefinition | PlanDefinition | Questionnaire), uri Remove Type Reference(ActivityDefinition | PlanDefinition) deleted
PlanDefinition.action.transform RequestGroup.reasonReference	Type changed from Reference(StructureMap) to canonical(StructureMap) deleted
PlanDefinition.action.dynamicValue.expression RequestGroup.action.relatedAction.actionId	Type changed from string to Expression deleted
PlanDefinition.contributor ResearchStudy	deleted
PlanDefinition.action.label ResearchStudy.url	deleted Added Element
PlanDefinition.action.triggerDefinition ResearchStudy.version	deleted Added Element
PlanDefinition.action.condition.description ResearchStudy.name	deleted Added Element
PlanDefinition.action.condition.language ResearchStudy.label	deleted Added Element
PlanDefinition.action.dynamicValue.description ResearchStudy.label.type	deleted Added Element
PlanDefinition.action.dynamicValue.language ResearchStudy.label.value	deleted Added Element
Practitioner.active ResearchStudy.date	Default Value "true" removed Added Element
Practitioner.gender ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Practitioner.communication ResearchStudy.focus	Change binding strength Type changed from extensible CodeableConcept to preferred BackboneElement
PractitionerRole.active ResearchStudy.focus.productCode	Default Value "true" removed Added Element
PractitionerRole.availableTime.daysOfWeek ResearchStudy.focus.focusType	Change value set from http://hl7.org/fhir/ValueSet/days-of-week to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 Added Element
Procedure.instantiatesCanonical ResearchStudy.focus.factor	Added Element
Procedure.instantiatesUri ResearchStudy.descriptionSummary	Added Element
Procedure.basedOn ResearchStudy.site	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Procedure.status Change value set from http://hl7.org/fhir/ValueSet/event-status to http://hl7.org/fhir/ValueSet/event-status|4.0.1 ResearchStudy, Organization
Procedure.statusReason ResearchStudy.classification	Added Element
Procedure.encounter ResearchStudy.classification.type	Added Element
Procedure.recorder ResearchStudy.classification.classifier	Added Element
Procedure.asserter ResearchStudy.associatedParty	Added Element
Procedure.performer.function ResearchStudy.associatedParty.name	Added Element
Procedure.performer.actor ResearchStudy.associatedParty.role	Type Reference: Added Target Type PractitionerRole Mandatory Element
Procedure.reasonReference ResearchStudy.associatedParty.classifier	Type Reference: Added Target Types Procedure, DiagnosticReport, DocumentReference Element
Procedure.report ResearchStudy.associatedParty.party	Type Reference: Added Target Types DocumentReference, Composition Procedure.definition deleted Procedure.notDone deleted Procedure.notDoneReason deleted Element
Procedure.context ResearchStudy.currentState	deleted Added Element
Procedure.performer.role ResearchStudy.statusDate	deleted Added Element
Provenance.occurred[x] ResearchStudy.statusDate.activity	Renamed from period to occurred[x] Add Type dateTime Added Mandatory Element
Provenance.reason ResearchStudy.statusDate.actual	Type changed from Coding to CodeableConcept Added Element
Provenance.activity ResearchStudy.statusDate.period	Type changed from Coding to CodeableConcept Added Mandatory Element
Provenance.agent.type ResearchStudy.whyStopped	Added Element
Provenance.agent.role ResearchStudy.recruitment	Remove Binding http://hl7.org/fhir/ValueSet/security-role-type (extensible) Added Element
Provenance.agent.who ResearchStudy.recruitment.targetNumber	Renamed from who[x] to who Remove Type uri Added Element
Provenance.agent.onBehalfOf ResearchStudy.recruitment.actualNumber	Renamed from onBehalfOf[x] to onBehalfOf Remove Type uri Added Element
Provenance.entity.role ResearchStudy.recruitment.eligibility	Change value set from http://hl7.org/fhir/ValueSet/provenance-entity-role to http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 Added Element
Provenance.entity.what ResearchStudy.recruitment.actualGroup	Renamed from what[x] to what Remove Types uri, Identifier Added Element
Provenance.agent.relatedAgentType ResearchStudy.comparisonGroup	deleted Added Element
Questionnaire.derivedFrom ResearchStudy.comparisonGroup.identifier[x]	Added Element
Questionnaire.status ResearchStudy.comparisonGroup.name	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Mandatory Element
Questionnaire.experimental ResearchStudy.comparisonGroup.type	No longer marked as Modifier Added Element
Questionnaire.subjectType ResearchStudy.comparisonGroup.description	Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Added Element
Questionnaire.item.type ResearchStudy.comparisonGroup.intendedExposure	Change value set from http://hl7.org/fhir/ValueSet/item-type to http://hl7.org/fhir/ValueSet/item-type|4.0.1 Added Element
Questionnaire.item.enableWhen.operator ResearchStudy.comparisonGroup.observedGroup	Added Mandatory Element
Questionnaire.item.enableWhen.answer[x] ResearchStudy.objective.description	Min Cardinality changed from 0 to 1 Remove Types uri, Attachment Added Element
Questionnaire.item.enableBehavior ResearchStudy.outcomeMeasure	Added Element
Questionnaire.item.required ResearchStudy.outcomeMeasure.name	Default Value "false" removed Added Element
Questionnaire.item.repeats ResearchStudy.outcomeMeasure.type	Default Value "false" removed Added Element
Questionnaire.item.answerValueSet ResearchStudy.outcomeMeasure.description	Renamed from options to answerValueSet Type changed from Reference(ValueSet) to canonical(ValueSet) Added Element
Questionnaire.item.answerOption ResearchStudy.outcomeMeasure.reference	Renamed from option to answerOption Added Element
Questionnaire.item.answerOption.value[x] ResearchStudy.result	Moved from Questionnaire.item.option to Questionnaire.item.answerOption Add Type Reference(Resource) Added Element
Questionnaire.item.answerOption.initialSelected ResearchStudy.webLocation	Added Element
Questionnaire.item.initial ResearchStudy.webLocation.type	Renamed from initial[x] to initial Max Cardinality changed from 1 to * Remove Types boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) Added Element
Questionnaire.item.initial.value[x] ResearchStudy.webLocation.url	Added Mandatory Element
Questionnaire.item.enableWhen.hasAnswer ResearchStudy.enrollment	deleted
QuestionnaireResponse.basedOn ResearchStudy.reasonStopped	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ReferralRequest, ProcedureRequest deleted
QuestionnaireResponse.partOf ResearchStudy.arm	Renamed from parent to partOf deleted
QuestionnaireResponse.questionnaire ResearchSubject	Type changed from Reference(Questionnaire) to canonical(Questionnaire)
QuestionnaireResponse.status ResearchSubject.status	Change value set from http://hl7.org/fhir/ValueSet/questionnaire-answers-status http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
QuestionnaireResponse.encounter ResearchSubject.progress	Added Element
QuestionnaireResponse.author ResearchSubject.progress.type	Type Reference: Added Target Types PractitionerRole, Organization Element
QuestionnaireResponse.source ResearchSubject.progress.subjectState	Type Reference: Added Target Type PractitionerRole QuestionnaireResponse.context deleted QuestionnaireResponse.item.subject deleted RelatedPerson RelatedPerson.active Default Value "true" removed RelatedPerson.relationship Max Cardinality changed from 1 to * Element
RelatedPerson.gender ResearchSubject.progress.milestone	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Added Element
RelatedPerson.communication ResearchSubject.progress.reason	Added Element
RelatedPerson.communication.language ResearchSubject.progress.startDate	Added Mandatory Element
RelatedPerson.communication.preferred ResearchSubject.progress.endDate	Added Element
RequestGroup.instantiatesCanonical ResearchSubject.subject	Added Mandatory Element
RequestGroup.instantiatesUri ResearchSubject.individual	Added Element deleted
RequestGroup.status Resource	Change value set from http://hl7.org/fhir/ValueSet/request-status to http://hl7.org/fhir/ValueSet/request-status|4.0.1 No Changes
RequestGroup.intent RiskAssessment	Change value set from http://hl7.org/fhir/ValueSet/request-intent to http://hl7.org/fhir/ValueSet/request-intent|4.0.1
RequestGroup.priority RiskAssessment.status	Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 http://hl7.org/fhir/ValueSet/observation-status|5.0.0-snapshot1
RequestGroup.code RiskAssessment.performer	Type Reference: Added Element Target Types Patient, RelatedPerson
RequestGroup.encounter RiskAssessment.reason	Added Element
RequestGroup.author RiskAssessment.reasonCode	Type Reference: Added Target Type PractitionerRole deleted
RequestGroup.reasonCode RiskAssessment.reasonReference	Added Element deleted
RequestGroup.reasonReference Schedule	Added Element
RequestGroup.action.prefix Schedule.actor	Type Reference: Added Element Target Type CareTeam
RequestGroup.action.priority SearchParameter	Added Element
RequestGroup.action.condition.kind SearchParameter.status	Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
RequestGroup.action.condition.expression SearchParameter.base	Type changed Change value set from string http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Expression http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
RequestGroup.action.relatedAction.relationship SearchParameter.type	Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 RequestGroup.action.timing[x] Add Type Age http://hl7.org/fhir/ValueSet/search-param-type|5.0.0-snapshot1
RequestGroup.action.participant SearchParameter.xpathUsage	Type Reference: Added Target Types PractitionerRole, Device Type Reference: Removed Target Type Person Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to http://hl7.org/fhir/ValueSet/search-xpath-usage|5.0.0-snapshot1
RequestGroup.action.type SearchParameter.target	Type changed from Coding to CodeableConcept Change code system for extensibly bound codes value set from "http://hl7.org/fhir/action-type" http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to "http://terminology.hl7.org/CodeSystem/action-type" http://hl7.org/fhir/ValueSet/resource-types|5.0.0-snapshot1
RequestGroup.action.groupingBehavior SearchParameter.comparator	Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior http://hl7.org/fhir/ValueSet/search-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 http://hl7.org/fhir/ValueSet/search-comparator|5.0.0-snapshot1
RequestGroup.action.selectionBehavior SearchParameter.modifier	Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 http://hl7.org/fhir/ValueSet/search-modifier-code|5.0.0-snapshot1
ServiceRequest
RequestGroup.action.requiredBehavior ServiceRequest.status	Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 http://hl7.org/fhir/ValueSet/request-status|5.0.0-snapshot1
RequestGroup.action.precheckBehavior ServiceRequest.intent	Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 http://hl7.org/fhir/ValueSet/request-intent|5.0.0-snapshot1
RequestGroup.action.cardinalityBehavior ServiceRequest.priority	Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
RequestGroup.definition ServiceRequest.location	deleted Added Element
RequestGroup.context ServiceRequest.reason	deleted Added Element
RequestGroup.reason[x] ServiceRequest.locationCode	deleted
RequestGroup.action.label ServiceRequest.locationReference	deleted
RequestGroup.action.condition.description ServiceRequest.reasonCode	deleted
RequestGroup.action.condition.language ServiceRequest.reasonReference	deleted
ResearchDefinition Slot
Slot.appointmentType	Added Resource Max Cardinality changed from 1 to *
ResearchElementDefinition Slot.status	Added Resource Change value set from http://hl7.org/fhir/ValueSet/slotstatus|4.0.0 to http://hl7.org/fhir/ValueSet/slotstatus|5.0.0-snapshot1
ResearchStudy Specimen
ResearchStudy.status Specimen.status	Change value set from http://hl7.org/fhir/ValueSet/research-study-status http://hl7.org/fhir/ValueSet/specimen-status|4.0.0 to http://hl7.org/fhir/ValueSet/research-study-status|4.0.1 http://hl7.org/fhir/ValueSet/specimen-status|5.0.0-snapshot1
ResearchStudy.primaryPurposeType Specimen.subject	Type Reference: Added Element Target Type BiologicallyDerivedProduct
ResearchStudy.phase Specimen.collection.collector	Type Reference: Added Element Target Types Patient, RelatedPerson
ResearchStudy.condition Specimen.collection.device	Added Element
ResearchStudy.location Specimen.collection.procedure	Added Element
ResearchStudy.principalInvestigator Specimen.collection.bodySite	Type Reference: Added Target Type PractitionerRole changed from CodeableConcept to CodeableReference
ResearchStudy.arm.type Specimen.processing.method	Added Element
ResearchStudy.objective Specimen.container.location	Added Element
ResearchStudy.objective.name Specimen.processing.procedure	Added Element deleted
ResearchStudy.objective.type SpecimenDefinition	Added Element
ResearchStudy.jurisdiction SpecimenDefinition.url	deleted Added Element
ResearchStudy.arm.code SpecimenDefinition.version	deleted Added Element
ResearchSubject.identifier SpecimenDefinition.title	Max Cardinality changed from 1 to * Added Element
ResearchSubject.status SpecimenDefinition.derivedFromCanonical	Change value set from http://hl7.org/fhir/ValueSet/research-subject-status to http://hl7.org/fhir/ValueSet/research-subject-status|4.0.1 Added Element
Resource.id SpecimenDefinition.derivedFromUri	Type changed from id to string Added Element
Resource.language SpecimenDefinition.status	Change binding strength from extensible to preferred Added Mandatory Element
RiskAssessment.identifier SpecimenDefinition.experimental	Max Cardinality changed from 1 to * Added Element
RiskAssessment.status SpecimenDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/observation-status to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 Added Element
RiskAssessment.subject SpecimenDefinition.date	Min Cardinality changed from 0 to 1 Added Element
RiskAssessment.encounter SpecimenDefinition.publisher	Added Element
RiskAssessment.performer SpecimenDefinition.contact	Type Reference: Added Target Type PractitionerRole Element
RiskAssessment.reasonCode SpecimenDefinition.description	Added Element
RiskAssessment.reasonReference SpecimenDefinition.useContext	Added Element
RiskAssessment.prediction.outcome SpecimenDefinition.jurisdiction	Min Cardinality changed from 1 to 0 Added Element
RiskAssessment.note SpecimenDefinition.purpose	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation Added Element
RiskAssessment.context SpecimenDefinition.copyright	deleted Added Element
RiskAssessment.reason[x] SpecimenDefinition.approvalDate	deleted Added Element
RiskEvidenceSynthesis SpecimenDefinition.lastReviewDate	Added Resource Element
Schedule.active SpecimenDefinition.effectivePeriod	Default Value "true" removed Added Element
Schedule.serviceCategory SpecimenDefinition.typeTested.preference	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.0.0 to * http://hl7.org/fhir/ValueSet/specimen-contained-preference|5.0.0-snapshot1
SearchParameter SpecimenDefinition.typeTested.container.minimumVolume[x]	Min Cardinality changed from 1 to 0 Add Type Quantity() Max Cardinality changed from 1 to * Remove Type Quantity()
SearchParameter.derivedFrom SpecimenDefinition.typeTested.singleUse	Type changed from uri to canonical(SearchParameter) Added Element
SearchParameter.status SpecimenDefinition.typeTested.testingDestination	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Element
SearchParameter.experimental StructureDefinition	No longer marked as Modifier
SearchParameter.base StructureDefinition.status	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
SearchParameter.type StructureDefinition.fhirVersion	Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 http://hl7.org/fhir/ValueSet/FHIR-version|5.0.0-snapshot1
SearchParameter.xpathUsage StructureDefinition.kind	Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.1 http://hl7.org/fhir/ValueSet/structure-definition-kind|5.0.0-snapshot1
SearchParameter.target StructureDefinition.context.type	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/extension-context-type|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/extension-context-type|5.0.0-snapshot1
SearchParameter.multipleOr StructureDefinition.derivation	Added Element Change value set from http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.0 to http://hl7.org/fhir/ValueSet/type-derivation-rule|5.0.0-snapshot1
SearchParameter.multipleAnd StructureMap	Added Element
SearchParameter.comparator StructureMap.status	Change value set from http://hl7.org/fhir/ValueSet/search-comparator http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/search-comparator|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
SearchParameter.modifier StructureMap.structure.mode	Change value set from http://hl7.org/fhir/ValueSet/search-modifier-code http://hl7.org/fhir/ValueSet/map-model-mode|4.0.0 to http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.1 http://hl7.org/fhir/ValueSet/map-model-mode|5.0.0-snapshot1
SearchParameter.component.definition StructureMap.group.typeMode	Type Min Cardinality changed from Reference(SearchParameter) 1 to canonical(SearchParameter) 0 Change value set from http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-group-type-mode|5.0.0-snapshot1
ServiceRequest StructureMap.group.input.mode	Added Resource Change value set from http://hl7.org/fhir/ValueSet/map-input-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-input-mode|5.0.0-snapshot1
Slot.serviceCategory StructureMap.group.rule	Max Min Cardinality changed from 1 to * 0
Slot.status StructureMap.group.rule.name	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/slotstatus 1 to http://hl7.org/fhir/ValueSet/slotstatus|4.0.1 0
Specimen StructureMap.group.rule.source.defaultValue	Added Element
Specimen.status StructureMap.group.rule.source.listMode	Change value set from http://hl7.org/fhir/ValueSet/specimen-status http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 http://hl7.org/fhir/ValueSet/map-source-list-mode|5.0.0-snapshot1
Specimen.subject StructureMap.group.rule.target.listMode	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.0 to 0 Type Reference: Added Target Type Location http://hl7.org/fhir/ValueSet/map-target-list-mode|5.0.0-snapshot1
Specimen.request StructureMap.group.rule.target.transform	Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ProcedureRequest Change value set from http://hl7.org/fhir/ValueSet/map-transform|4.0.0 to http://hl7.org/fhir/ValueSet/map-transform|5.0.0-snapshot1
Specimen.collection.collector StructureMap.group.rule.target.parameter.value[x]	Type Reference: Added Target Type PractitionerRole Add Types date, time, dateTime
Specimen.collection.duration StructureMap.group.rule.dependent.parameter	Added Mandatory Element
Specimen.collection.fastingStatus[x] StructureMap.group.rule.source.defaultValue[x]	Added Element deleted
Specimen.condition StructureMap.group.rule.target.contextType	Added Element deleted
SpecimenDefinition StructureMap.group.rule.dependent.variable	Added Resource deleted
StructureDefinition Subscription
StructureDefinition.status Subscription.identifier	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Element
StructureDefinition.experimental Subscription.name	No longer marked as Modifier Added Element
StructureDefinition.keyword Subscription.status	Add Binding http://hl7.org/fhir/ValueSet/definition-use (extensible) Change value set from http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 to http://hl7.org/fhir/ValueSet/subscription-state|5.0.0-snapshot1
StructureDefinition.fhirVersion Subscription.topic	Type changed from id to code Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) Added Mandatory Element
StructureDefinition.kind Subscription.reason	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/structure-definition-kind 1 to http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.1 0
StructureDefinition.context Subscription.filterBy	Type changed from string to BackboneElement Added Element
StructureDefinition.context.type Subscription.filterBy.resourceType	Added Mandatory Element
StructureDefinition.context.expression Subscription.filterBy.searchParamName	Added Mandatory Element
StructureDefinition.type Subscription.filterBy.searchModifier	Type changed from code to uri Added Element
StructureDefinition.baseDefinition Subscription.filterBy.value	Type changed from uri to canonical(StructureDefinition) Added Mandatory Element
StructureDefinition.derivation Subscription.channelType	Change value set from http://hl7.org/fhir/ValueSet/type-derivation-rule to http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.1 Added Mandatory Element
StructureDefinition.contextType Subscription.endpoint	deleted Added Element
StructureMap Subscription.header	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Added Element
StructureMap.status Subscription.heartbeatPeriod	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Element
StructureMap.experimental Subscription.timeout	No longer marked as Modifier Added Element
StructureMap.structure.url Subscription.contentType	Type changed from uri to canonical(StructureDefinition) Added Element
StructureMap.structure.mode Subscription.content	Change value set from http://hl7.org/fhir/ValueSet/map-model-mode to http://hl7.org/fhir/ValueSet/map-model-mode|4.0.1 Added Element
StructureMap.import Subscription.notificationUrlLocation	Type changed from uri to canonical(StructureMap) Added Element
StructureMap.group.typeMode Subscription.maxCount	Change value set from http://hl7.org/fhir/ValueSet/map-group-type-mode to http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.1 Added Element
StructureMap.group.input.mode Subscription.criteria	Change value set from http://hl7.org/fhir/ValueSet/map-input-mode to http://hl7.org/fhir/ValueSet/map-input-mode|4.0.1 deleted
StructureMap.group.rule.source.defaultValue[x] Subscription.error	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage deleted
StructureMap.group.rule.source.listMode Subscription.channel	Change value set from http://hl7.org/fhir/ValueSet/map-source-list-mode to http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.1 deleted
StructureMap.group.rule.source.logMessage SubscriptionStatus	Added Element StructureMap.group.rule.target.contextType Change value set from http://hl7.org/fhir/ValueSet/map-context-type to http://hl7.org/fhir/ValueSet/map-context-type|4.0.1 StructureMap.group.rule.target.listMode Change value set from http://hl7.org/fhir/ValueSet/map-target-list-mode to http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.1 Resource
StructureMap.group.rule.target.transform SubscriptionTopic	Change value set from http://hl7.org/fhir/ValueSet/map-transform to http://hl7.org/fhir/ValueSet/map-transform|4.0.1 Added Resource
Subscription Substance
Subscription.status Change value set from http://hl7.org/fhir/ValueSet/subscription-status to http://hl7.org/fhir/ValueSet/subscription-status|4.0.1 Subscription.channel.type Substance.instance	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/subscription-channel-type 0 to http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.1 1 Subscription.channel.endpoint Type Max Cardinality changed from uri * to url 1 Subscription.channel.payload Type changed from string BackboneElement to code boolean Add Binding http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 (required) Now marked as Modifier
Subscription.tag Substance.status	deleted Change value set from http://hl7.org/fhir/ValueSet/substance-status|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|5.0.0-snapshot1
Substance.status Substance.code	Change value set Type changed from http://hl7.org/fhir/ValueSet/substance-status CodeableConcept to http://hl7.org/fhir/ValueSet/substance-status|4.0.1 Now marked as Modifier CodeableReference
Substance.category Substance.expiry	Change code system for extensibly bound codes from "http://hl7.org/fhir/substance-category" to "http://terminology.hl7.org/CodeSystem/substance-category" Added Element
SubstanceNucleicAcid Substance.quantity	Added Resource Element
SubstancePolymer Substance.instance.identifier	Added Resource deleted
SubstanceProtein Substance.instance.expiry	Added Resource deleted
SubstanceReferenceInformation Substance.instance.quantity	Added Resource deleted
SubstanceSourceMaterial SubstanceDefinition	Added Resource
SubstanceSpecification SubstanceNucleicAcid	Added Resource No Changes
SupplyDelivery SubstancePolymer
SupplyDelivery.identifier SubstancePolymer.identifier	Max Cardinality changed from 1 to * Added Element
SupplyDelivery.status SubstancePolymer.modification	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/supplydelivery-status * to http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.1 1
SupplyDelivery.type SubstancePolymer.monomerSet.startingMaterial.code	Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type to http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.1 Added Element
SupplyDelivery.supplier SubstancePolymer.monomerSet.startingMaterial.category	Type Reference: Added Target Type PractitionerRole Element
SupplyDelivery.receiver SubstancePolymer.monomerSet.startingMaterial.amount	Type Reference: Added Target Type PractitionerRole changed from SubstanceAmount to Quantity
SupplyRequest.identifier SubstancePolymer.repeat.repeatUnit.unit	Max Cardinality changed from 1 to * Added Element
SupplyRequest.status SubstancePolymer.repeat.repeatUnit.orientation	Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.1 Added Element
SupplyRequest.priority SubstancePolymer.repeat.repeatUnit.amount	Change value set Type changed from http://hl7.org/fhir/ValueSet/request-priority SubstanceAmount to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 integer
SupplyRequest.item[x] SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type	Added Mandatory Element
SupplyRequest.quantity SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average	Added Mandatory Element
SupplyRequest.parameter SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low	Added Element
SupplyRequest.parameter.code SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high	Added Element
SupplyRequest.parameter.value[x] SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format	Added Element
SupplyRequest.requester SubstancePolymer.monomerSet.startingMaterial.material	Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) deleted
SupplyRequest.supplier SubstancePolymer.monomerSet.startingMaterial.type	Type Reference: Added Target Type HealthcareService deleted
SupplyRequest.reasonCode SubstancePolymer.repeat.numberOfUnits	Added Element deleted
SupplyRequest.reasonReference SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation	Added Element deleted
SupplyRequest.orderedItem SubstancePolymer.repeat.repeatUnit.repeatUnit	deleted
SupplyRequest.requester.agent SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree	deleted
SupplyRequest.requester.onBehalfOf SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount	deleted
SupplyRequest.reason[x] SubstanceProtein	deleted No Changes
Task SubstanceReferenceInformation
Task.instantiatesCanonical SubstanceReferenceInformation.classification	Added Element deleted
Task.instantiatesUri SubstanceSourceMaterial	Added Element No Changes
SupplyDelivery
Task.status SupplyDelivery.status	Change value set from http://hl7.org/fhir/ValueSet/task-status http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.0 to http://hl7.org/fhir/ValueSet/task-status|4.0.1 Now marked as Modifier http://hl7.org/fhir/ValueSet/supplydelivery-status|5.0.0-snapshot1
Task.intent SupplyDelivery.type	Change value set from http://hl7.org/fhir/ValueSet/request-intent http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to http://hl7.org/fhir/ValueSet/task-intent|4.0.1 http://hl7.org/fhir/ValueSet/supplydelivery-type|5.0.0-snapshot1
SupplyRequest
Task.priority SupplyRequest.status	Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 http://hl7.org/fhir/ValueSet/supplyrequest-status|5.0.0-snapshot1
Task.encounter SupplyRequest.basedOn	Added Element
Task.requester SupplyRequest.priority	Type changed Change value set from BackboneElement http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
SupplyRequest.item	Added Mandatory Element
Task.owner SupplyRequest.requester	Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService Type CareTeam
Task.location SupplyRequest.reason	Added Element
Task.reasonCode SupplyRequest.item[x]	Added Element deleted
Task.reasonReference SupplyRequest.reasonCode	Added Element deleted
Task.insurance SupplyRequest.reasonReference	Added Element deleted
Task
Task.restriction.recipient Task.status	Type Reference: Added Target Type PractitionerRole Change value set from http://hl7.org/fhir/ValueSet/task-status|4.0.0 to http://hl7.org/fhir/ValueSet/task-status|5.0.0-snapshot1
Task.input.value[x] Task.intent	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Change value set from http://hl7.org/fhir/ValueSet/task-intent|4.0.0 to http://hl7.org/fhir/ValueSet/task-intent|5.0.0-snapshot1
Task.output.value[x] Task.priority	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|5.0.0-snapshot1
Task.definition[x] Task.input.value[x]	deleted Add Types integer64, CodeableReference, RatioRange, Meta
Task.context Task.output.value[x]	deleted Add Types integer64, CodeableReference, RatioRange, Meta
Task.requester.agent TerminologyCapabilities
TerminologyCapabilities.identifier	deleted Added Element
Task.requester.onBehalfOf TerminologyCapabilities.status	deleted Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
Task.reason TerminologyCapabilities.kind	deleted Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to http://hl7.org/fhir/ValueSet/capability-statement-kind|5.0.0-snapshot1
TerminologyCapabilities TerminologyCapabilities.codeSearch	Added Resource Change value set from http://hl7.org/fhir/ValueSet/code-search-support|4.0.0 to http://hl7.org/fhir/ValueSet/code-search-support|5.0.0-snapshot1
TestReport
TestReport.status	Change value set from http://hl7.org/fhir/ValueSet/report-status-codes http://hl7.org/fhir/ValueSet/report-status-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-status-codes|4.0.1 http://hl7.org/fhir/ValueSet/report-status-codes|5.0.0-snapshot1
TestReport.result	Change value set from http://hl7.org/fhir/ValueSet/report-result-codes http://hl7.org/fhir/ValueSet/report-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-result-codes|4.0.1 http://hl7.org/fhir/ValueSet/report-result-codes|5.0.0-snapshot1
TestReport.participant.type	Change value set from http://hl7.org/fhir/ValueSet/report-participant-type http://hl7.org/fhir/ValueSet/report-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/report-participant-type|4.0.1 http://hl7.org/fhir/ValueSet/report-participant-type|5.0.0-snapshot1
TestReport.setup.action.operation.result	Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 http://hl7.org/fhir/ValueSet/report-action-result-codes|5.0.0-snapshot1
TestReport.setup.action.assert.result	Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 http://hl7.org/fhir/ValueSet/report-action-result-codes|5.0.0-snapshot1
TestScript
TestScript.status TestScript.url	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/publication-status 1 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 TestScript.experimental No longer marked as Modifier 0
TestScript.origin.profile TestScript.identifier	Change code system for extensibly bound codes Max Cardinality changed from "http://hl7.org/fhir/testscript-profile-origin-types" 1 to "http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types" *
TestScript.destination.profile TestScript.status	Change code system for extensibly bound codes from "http://hl7.org/fhir/testscript-profile-destination-types" to "http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types" TestScript.metadata.capability.required Min Cardinality changed value set from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 Default Value "false" removed http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
TestScript.metadata.capability.validated TestScript.scope	Min Cardinality changed from 0 to 1 Default Value "false" removed Added Element
TestScript.metadata.capability.capabilities TestScript.scope.artifact	Type changed from Reference(CapabilityStatement) to canonical(CapabilityStatement) Added Mandatory Element
TestScript.fixture.autocreate TestScript.scope.conformance	Min Cardinality changed from 0 to 1 Default Value "false" removed Added Element
TestScript.fixture.autodelete TestScript.scope.phase	Min Cardinality changed from 0 to 1 Default Value "false" removed Added Element
TestScript.setup.action.operation.type	Change code system for extensibly bound codes from "http://hl7.org/fhir/testscript-operation-codes" to "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction"
TestScript.setup.action.operation.resource	Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 http://hl7.org/fhir/ValueSet/defined-types|5.0.0-snapshot1
TestScript.setup.action.operation.accept	Change value set from http://hl7.org/fhir/ValueSet/content-type http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
TestScript.setup.action.operation.contentType	Change value set from http://hl7.org/fhir/ValueSet/content-type http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
TestScript.setup.action.operation.encodeRequestUrl TestScript.setup.action.operation.method	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to 1 Default Value "true" removed TestScript.setup.action.operation.method Added Element http://hl7.org/fhir/ValueSet/http-operations|5.0.0-snapshot1
TestScript.setup.action.assert.direction	Change value set from http://hl7.org/fhir/ValueSet/assert-direction-codes http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.0 to http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.1 http://hl7.org/fhir/ValueSet/assert-direction-codes|5.0.0-snapshot1
TestScript.setup.action.assert.contentType	Change value set from http://hl7.org/fhir/ValueSet/content-type http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0-snapshot1
TestScript.setup.action.assert.operator	Change value set from http://hl7.org/fhir/ValueSet/assert-operator-codes http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.0 to http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.1 http://hl7.org/fhir/ValueSet/assert-operator-codes|5.0.0-snapshot1
TestScript.setup.action.assert.requestMethod	Change value set from http://hl7.org/fhir/ValueSet/http-operations http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to http://hl7.org/fhir/ValueSet/http-operations|4.0.1 http://hl7.org/fhir/ValueSet/http-operations|5.0.0-snapshot1
TestScript.setup.action.assert.resource	Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 http://hl7.org/fhir/ValueSet/defined-types|5.0.0-snapshot1
TestScript.setup.action.assert.response	Change value set from http://hl7.org/fhir/ValueSet/assert-response-code-types to http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.1 TestScript.setup.action.assert.warningOnly Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.0 to 1 Default Value "false" removed TestScript.rule deleted TestScript.ruleset deleted TestScript.setup.action.assert.rule deleted http://hl7.org/fhir/ValueSet/assert-response-code-types|5.0.0-snapshot1
TestScript.setup.action.assert.ruleset TestScript.setup.action.assert.stopTestOnFail	deleted Added Mandatory Element
ValueSet
ValueSet.status	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 ValueSet.experimental No longer marked as Modifier ValueSet.compose.include.concept.designation.language Change binding strength from extensible http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to preferred ValueSet.compose.include.filter No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|5.0.0-snapshot1
ValueSet.compose.include.filter.op	Change value set from http://hl7.org/fhir/ValueSet/filter-operator to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 ValueSet.compose.include.filter.value Type changed from code to string ValueSet.compose.include.valueSet Type changed from uri to canonical(ValueSet) ValueSet.expansion.identifier Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to 0 ValueSet.expansion.parameter.value[x] Add Type dateTime ValueSet.expansion.contains.abstract Default Value "false" removed ValueSet.expansion.contains.inactive Default Value "false" removed http://hl7.org/fhir/ValueSet/filter-operator|5.0.0-snapshot1
ValueSet.extensible ValueSet.compose.include.copyright	deleted Added Element
VerificationResult ValueSet.compose.property	Added Resource Element
VisionPrescription.status ValueSet.expansion.property	Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Added Element
VisionPrescription.created ValueSet.expansion.property.code	Added Mandatory Element
VisionPrescription.prescriber ValueSet.expansion.property.uri	Min Cardinality changed from 0 to 1 Type Reference: Added Target Type PractitionerRole Element
VisionPrescription.lensSpecification ValueSet.expansion.contains.property	Added Mandatory Element
VisionPrescription.lensSpecification.product ValueSet.expansion.contains.property.code	Added Mandatory Element
VisionPrescription.lensSpecification.eye ValueSet.expansion.contains.property.value[x]	Added Mandatory Element
VisionPrescription.lensSpecification.sphere ValueSet.scope	Added Element
VisionPrescription.lensSpecification.cylinder ValueSet.scope.focus	Added Element
VisionPrescription.lensSpecification.axis ValueSet.scope.inclusionCriteria	Added Element
VisionPrescription.lensSpecification.prism ValueSet.scope.exclusionCriteria	Added Element
VisionPrescription.lensSpecification.prism.amount VerificationResult	Added Mandatory Element
VisionPrescription.lensSpecification.prism.base VerificationResult.status	Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.0 to http://hl7.org/fhir/ValueSet/verificationresult-status|5.0.0-snapshot1
VisionPrescription.lensSpecification.add VisionPrescription	Added Element
VisionPrescription.lensSpecification.power VisionPrescription.status	Added Element Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|5.0.0-snapshot1
VisionPrescription.lensSpecification.backCurve VisionPrescription.lensSpecification.eye	Added Element Change value set from http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-eye-codes|5.0.0-snapshot1
VisionPrescription.lensSpecification.diameter VisionPrescription.lensSpecification.prism.base	Added Element Change value set from http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-base-codes|5.0.0-snapshot1
VisionPrescription.lensSpecification.duration CatalogEntry	Added Element deleted
VisionPrescription.lensSpecification.color DeviceUseStatement	Added Element deleted
VisionPrescription.lensSpecification.brand EffectEvidenceSynthesis	Added Element deleted
VisionPrescription.lensSpecification.note Media	Added Element deleted
VisionPrescription.reason[x] MedicationStatement	deleted
VisionPrescription.dispense MedicinalProduct	deleted
BodySite MedicinalProductAuthorization	deleted
DataElement MedicinalProductContraindication	deleted
DeviceComponent MedicinalProductIndication	deleted
EligibilityRequest MedicinalProductIngredient	deleted
EligibilityResponse MedicinalProductInteraction	deleted
ExpansionProfile MedicinalProductManufactured	deleted
ImagingManifest MedicinalProductPackaged	deleted
ProcedureRequest MedicinalProductPharmaceutical	deleted
ProcessRequest MedicinalProductUndesirableEffect	deleted
ProcessResponse ResearchDefinition	deleted
ReferralRequest ResearchElementDefinition	deleted
Sequence RiskEvidenceSynthesis	deleted
ServiceDefinition SubstanceSpecification	deleted