This page is part of the Continuous Integration Build of FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see times).
See the Directory of published versions . Page versions: R5 R4B R4 R3

2.11 2.1.12 Differences from Release 3 4/5

Maturity Level : N/A

Responsible Owner: FHIR Infrastructure Work Group

Standards Status : Informative

This page has only partially been updated for R6 at this time; this will be addressed prior to the next ballot. None of the content here is worth commenting on for ballot purposes (as content is likely to change before the next ballot).

This is an automatically generated list of all the structural differences between FHIR DSTU3 R4, R4B, R5 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, 4, but changes are noted for Release 3 4 to Release 4) 5)

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

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

This analysis is available for R5 as XML or JSON . or for R4 as XML or JSON or for R4B as XML or JSON

• Differences between R5 and R6
• Differences between R4B and R6
• Differences between R4 and R6

2.1.12.1 Differences between R5 and R6

Resources

Types
Address	No Changes
Age	No Changes
Annotation	No Changes
Attachment	No Changes
Availability
Availability.period	Added Element
BackboneElement	No Changes
BackboneType	No Changes
Base	No Changes
CodeableConcept	No Changes
CodeableReference	No Changes
Coding	No Changes
ContactDetail	No Changes
ContactPoint	No Changes
Count	No Changes
DataRequirement
Address.use DataRequirement.type	Change value set from http://hl7.org/fhir/ValueSet/address-use to http://hl7.org/fhir/ValueSet/address-use|4.0.1 Remove codes Element , BackboneElement , DataType , Address , Annotation , Attachment , Availability , BackboneType , Dosage , ElementDefinition , MarketingStatus , ProductShelfLife , Timing , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , DataRequirement , Expression , ExtendedContactDetail , Extension , HumanName , Identifier , Meta , MonetaryComponent , Money , Narrative , ParameterDefinition , Period , PrimitiveType , base64Binary , boolean , date , dateTime , decimal , instant , integer , positiveInt , unsignedInt , integer64 , string , code , id , markdown , time , uri , canonical , oid , url , uuid , Quantity , Age , Count , Distance , Duration , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , TriggerDefinition , UsageContext , VirtualServiceDetail , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , BiologicallyDerivedProduct , BiologicallyDerivedProductDispense , BodyStructure , CanonicalResource , CapabilityStatement , CarePlan , CareTeam , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , ConditionDefinition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAssociation , DeviceDefinition , DeviceDispense , DeviceMetric , DeviceRequest , DeviceUsage , DiagnosticReport , DocumentReference , Encounter , EncounterHistory , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , FormularyItem , GenomicStudy , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , InventoryItem , InventoryReport , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MetadataResource , MolecularSequence , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Permission , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestPlan , TestReport , TestScript , Transport , ValueSet , VerificationResult , VisionPrescription , Parameters
DataType	No Changes
Distance	No Changes
Dosage
Dosage.condition	Added Element
Address.type Dosage.doseAndRate.dose[x]	Change value set from http://hl7.org/fhir/ValueSet/address-type to http://hl7.org/fhir/ValueSet/address-type|4.0.1 Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Age Duration	No Changes
Element	No Changes
ElementDefinition
Age ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Binding Type VirtualServiceDetail
ElementDefinition.fixed[x]	Add Type VirtualServiceDetail
ElementDefinition.pattern[x]	Add Type VirtualServiceDetail
ElementDefinition.example.value[x]	Add Type VirtualServiceDetail
ElementDefinition.binding.strength	Add code http://hl7.org/fhir/ValueSet/age-units descriptive (extensible), max =
ElementDefinition.binding.additional.key	Added Element
ElementDefinition.binding.additional.purpose	Remove codes http://hl7.org/fhir/ValueSet/all-time-units preferred , ui , starter , component Add codes current-extensible , best-practice , open
Annotation Expression	No Changes
ExtendedContactDetail	No Changes
Extension
Annotation.text Extension.value[x]	Add Type changed from string to markdown VirtualServiceDetail
Attachment HumanName
Attachment.contentType HumanName.use	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Remove code maiden
Identifier	No Changes
MarketingStatus	No Changes
Meta	No Changes
MonetaryComponent
Attachment.language MonetaryComponent.type	Change binding strength from extensible to preferred Remove code deduction
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
Attachment.url ParameterDefinition.type	Type changed from Remove codes Element , BackboneElement , DataType , Address , Annotation , Attachment , Availability , BackboneType , Dosage , ElementDefinition , MarketingStatus , ProductShelfLife , Timing , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , DataRequirement , Expression , ExtendedContactDetail , Extension , HumanName , Identifier , Meta , MonetaryComponent , Money , Narrative , ParameterDefinition , Period , PrimitiveType , base64Binary , boolean , date , dateTime , decimal , instant , integer , positiveInt , unsignedInt , integer64 , string , code , id , markdown , time , uri to , canonical , oid , url , uuid , Quantity , Age , Count , Distance , Duration , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , TriggerDefinition , UsageContext , VirtualServiceDetail , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , BiologicallyDerivedProduct , BiologicallyDerivedProductDispense , BodyStructure , CanonicalResource , CapabilityStatement , CarePlan , CareTeam , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , ConditionDefinition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAssociation , DeviceDefinition , DeviceDispense , DeviceMetric , DeviceRequest , DeviceUsage , DiagnosticReport , DocumentReference , Encounter , EncounterHistory , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , FormularyItem , GenomicStudy , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , InventoryItem , InventoryReport , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MetadataResource , MolecularSequence , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Permission , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestPlan , TestReport , TestScript , Transport , ValueSet , VerificationResult , VisionPrescription , Parameters
BackboneElement Period	No Changes
CodeableConcept PrimitiveType	No Changes
Coding ProductShelfLife	No Changes
ContactDetail Quantity	No Changes
ContactPoint Range	No Changes
Ratio	No Changes
RatioRange	No Changes
Reference	No Changes
RelatedArtifact
ContactPoint.system RelatedArtifact.type	Change value set Remove codes amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as
RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.classifier	Deleted
RelatedArtifact.publicationStatus	Deleted
RelatedArtifact.publicationDate	Deleted
RelativeTime	Added Type
SampledData	No Changes
Signature	No Changes
SimpleQuantity	No Changes
Timing
Timing.repeat.startOffset	Added Element
Timing.repeat.endOffset	Added Element
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext	No Changes
VirtualServiceDetail	No Changes
base64Binary	(No Changes)
boolean	(No Changes)
canonical	(No Changes)
code	(No Changes)
date	(No Changes)
dateTime	(No Changes)
decimal	(No Changes)
id	(No Changes)
instant	(No Changes)
integer	(No Changes)
integer64	(No Changes)
markdown	(No Changes)
oid	(No Changes)
positiveInt	(No Changes)
string	(No Changes)
time	(No Changes)
unsignedInt	(No Changes)
uri	(No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Contributor	Deleted
Resources
Account
Account.covers	Added Element
Account.guarantor.party	Min Cardinality changed from http://hl7.org/fhir/ValueSet/contact-point-system 1 to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 0
ContactPoint.use Account.guarantor.account	Change value set Moved from http://hl7.org/fhir/ValueSet/contact-point-use Account.relatedAccount to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 Account.guarantor (where type=guarantor) Min Cardinality changed from 1 to 0
Account.guarantor.responsibility	Added Element
Account.guarantor.limit	Added Element
Account.guarantor.rank	Added Element
Account.parent	Added Element copy from relatedAccount where type=parent
Account.relatedAccount	Deleted (-> moved to guarantor or parent depending on type)
Contributor ActivityDefinition
Contributor.type ActivityDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/contributor-type http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/contributor-type|4.0.1 Jurisdiction ValueSet
Count ActivityDefinition.kind	No Changes Remove codes AppointmentResponse , ImmunizationRecommendation , SupplyRequest , Transport
ActivityDefinition.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime
ActivityDefinition.participant.typeCanonical	Type canonical: Added Target Types ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
ActivityDefinition.participant.typeReference	Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type Reference: Removed Target Types DeviceDefinition, Group
DataRequirement ActorDefinition
DataRequirement.type ActorDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/all-types http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/all-types|4.0.1 Jurisdiction ValueSet
DataRequirement.profile ActorDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|5.0.0 to Actor Definition Actor Type changed Add codes collective , other
ActorDefinition.category	Added Element
ActorDefinition.baseDefinition	Renamed from uri derivedFrom to canonical(StructureDefinition) baseDefinition
ActorDefinition.capabilities	Deleted
AdministrableProductDefinition
DataRequirement.subject[x] AdministrableProductDefinition.code	Added Element
DataRequirement.codeFilter.path AdministrableProductDefinition.property.value[x]	Min Cardinality Add Type Range
AdverseEvent
AdverseEvent.subject	Type Reference: Removed Target Type ResearchSubject
AdverseEvent.effect[x]	Renamed from occurrence[x] to effect[x] Remove Type Timing
AdverseEvent.resultingEffect	Type changed from 1 Reference(Condition | Observation) to 0 CodeableReference
DataRequirement.codeFilter.searchParam AdverseEvent.recorder	Type Reference: Removed Target Type ResearchSubject
AdverseEvent.participant.actor	Type Reference: Added Element Target Type Group Type Reference: Removed Target Type ResearchSubject
DataRequirement.codeFilter.valueSet AdverseEvent.suspectEntity.instance	Renamed from valueSet[x] instance[x] to valueSet instance Add Type canonical(ValueSet) CodeableReference Remove Types string, Reference(ValueSet) CodeableConcept, Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device | BiologicallyDerivedProduct | ResearchStudy)
AdverseEvent.suspectEntity.causality.author	Type Reference: Removed Target Type ResearchSubject
DataRequirement.codeFilter.code AdverseEvent.suspectEntity.occurrence[x]	Added Element
DataRequirement.dateFilter.path AdverseEvent.contributingFactor	Min Cardinality Type changed from 1 BackboneElement to 0 CodeableReference
AdverseEvent.preventiveAction	Type changed from BackboneElement to CodeableReference
AdverseEvent.mitigatingAction	Type changed from BackboneElement to CodeableReference
AdverseEvent.supportingInfo	Type changed from BackboneElement to CodeableReference
AdverseEvent.contributingFactor.item[x]	Deleted
AdverseEvent.preventiveAction.item[x]	Deleted
AdverseEvent.mitigatingAction.item[x]	Deleted
AdverseEvent.supportingInfo.item[x]	Deleted
AllergyIntolerance
AllergyIntolerance.clinicalStatus	Remove code resolved
AllergyIntolerance.verificationStatus	Remove code presumed
DataRequirement.dateFilter.searchParam AllergyIntolerance.recorder	Added Element Could be migrated from participant depending on participant.function
DataRequirement.limit AllergyIntolerance.asserter	Added Element Could be migrated from participant depending on participant.function
AllergyIntolerance.lastReactionOccurrence	Renamed from lastOccurrence to lastReactionOccurrence
AllergyIntolerance.participant	Deleted (-> recorder or asserter depending on function)
Appointment
Appointment.basedOn	Type Reference: Added Target Types RequestOrchestration, NutritionOrder, VisionPrescription
AppointmentResponse	No Changes
ArtifactAssessment
ArtifactAssessment.citeAs	Renamed from citeAs[x] to citeAs Remove Type Reference(Citation)
DataRequirement.sort ArtifactAssessment.relatesTo	Added Element
DataRequirement.sort.path ArtifactAssessment.relatesTo.type	Added Mandatory Element
DataRequirement.sort.direction ArtifactAssessment.relatesTo.target[x]	Added Mandatory Element
DataRequirement.codeFilter.valueCode ArtifactAssessment.content.author	deleted Max Cardinality changed from 1 to *
ArtifactAssessment.content.relatesTo	Added Element
DataRequirement.codeFilter.valueCoding ArtifactAssessment.content.informationType	deleted Deleted
DataRequirement.codeFilter.valueCodeableConcept ArtifactAssessment.content.relatedArtifact	deleted Deleted
Distance AuditEvent
Distance AuditEvent.type	Add Binding http://hl7.org/fhir/ValueSet/distance-units (extensible), max = http://hl7.org/fhir/ValueSet/all-distance-units Renamed from category to type Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1
Dosage AuditEvent.subtype	Renamed from code to subtype Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to *
Dosage.doseAndRate AuditEvent.basedOn	Type Reference: Added Element Target Type Resource Type Reference: Removed Target Types CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, Task
AuditEvent.agent.who	Type Reference: Added Target Types DeviceDefinition, Group, HealthcareService
Dosage.doseAndRate.type AuditEvent.entity.description	Added Element
Basic
Basic.code	Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
Binary	No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept
Dosage.doseAndRate.dose[x] BiologicallyDerivedProduct.collection.sourcePatient	Added Element maps from BiologicallyDerivedProduct.collection.source depending on reference type
Dosage.doseAndRate.rate[x] BiologicallyDerivedProduct.collection.sourceOrganization	Added Element maps from BiologicallyDerivedProduct.collection.source depending on reference type
Dosage.dose[x] BiologicallyDerivedProduct.collection.procedure	deleted Added Element
Dosage.rate[x] BiologicallyDerivedProduct.collection.source	deleted Deleted (-> collection.sourcePatient or collection.sourceOrganization depending on reference type)
Duration BodyStructure
Duration BodyStructure.includedStructure.image	Add Binding http://hl7.org/fhir/ValueSet/duration-units (extensible), max = http://hl7.org/fhir/ValueSet/all-time-units Added Element
BodyStructure.includedStructure.morphology	Moved from BodyStructure to BodyStructure.includedStructure
Element Bundle
Bundle.entry.response.outcome	No Changes Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
ElementDefinition CanonicalResource
ElementDefinition.representation CanonicalResource.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/property-representation http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/property-representation|4.0.1 Jurisdiction ValueSet
CapabilityStatement
ElementDefinition.sliceIsConstraining CapabilityStatement.actorDefinition	Added Element
ElementDefinition.slicing.discriminator.type CapabilityStatement.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/discriminator-type http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/discriminator-type|4.0.1 Jurisdiction ValueSet
ElementDefinition.slicing.ordered CapabilityStatement.fhirVersion	Default Value "false" removed Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.2.0 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4.0 , 4.5.0 , 4.6.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final Add code 6.0
ElementDefinition.slicing.rules CapabilityStatement.format	Change value set from http://hl7.org/fhir/ValueSet/resource-slicing-rules http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 to http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.1 Supplemented Mime Types
ElementDefinition.type.profile CapabilityStatement.patchFormat	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 to * Patch Mime Types Add codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
CapabilityStatement.rest.resource.type	Type changed from code to uri Change binding strength from required to canonical(StructureDefinition | ImplementationGuide) extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|5.0.0 to Extended Resource Types
CapabilityStatement.rest.resource.definition	Added Element
ElementDefinition.type.targetProfile CapabilityStatement.rest.resource.interaction.code	Max Cardinality changed from 1 to * Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.searchParam.type	Add code resource
CarePlan
CarePlan.status	Remove codes revoked , completed Add code ended
CarePlan.activity.plannedActivityReference	Type changed from uri to canonical(StructureDefinition | ImplementationGuide) Reference: Removed Target Types ImmunizationRecommendation, SupplyRequest
CarePlan.instantiatesCanonical	Deleted
CarePlan.instantiatesUri	Deleted
CareTeam
ElementDefinition.type.aggregation CareTeam.participant.member	Change value set Type Reference: Added Target Types Group, HealthcareService
CareTeam.participant.onBehalfOf	Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
CareTeam.participant.effective[x]	Renamed from http://hl7.org/fhir/ValueSet/resource-aggregation-mode coverage[x] to http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.1 effective[x]
ElementDefinition.type.versioning CareTeam.participant.supportingInfo	Change value set Added Element
Claim
Claim.statusReason	Added Element
Claim.subject	Renamed from http://hl7.org/fhir/ValueSet/reference-version-rules patient to http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.1 subject Default Value "either" removed Type Reference: Added Target Type Group
ElementDefinition.defaultValue[x] Claim.prescription	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Type Reference: Added Target Type ServiceRequest
ElementDefinition.fixed[x] Claim.originalPrescription	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Type Reference: Added Target Type ServiceRequest
Claim.supportingInfo.subCategory	Added Element
ElementDefinition.pattern[x] Claim.supportingInfo.timing[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage dateTime, Timing Remove Type date
ElementDefinition.example.value[x] Claim.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Claim.item.subject	Added Element
ElementDefinition.constraint.severity Claim.item.request	Change value set Type Reference: Removed Target Type SupplyRequest
Claim.careTeam.responsible	Deleted
ClaimResponse
ClaimResponse.statusReason	Added Element
ClaimResponse.subject	Renamed from http://hl7.org/fhir/ValueSet/constraint-severity patient to http://hl7.org/fhir/ValueSet/constraint-severity|4.0.1 subject Type Reference: Added Target Type Group
ClaimResponse.supportingInfo	Added Element
ClaimResponse.supportingInfo.sequence	Added Mandatory Element
ClaimResponse.supportingInfo.category	Added Mandatory Element
ClaimResponse.supportingInfo.code	Added Element
ClaimResponse.supportingInfo.timing[x]	Added Element
ClaimResponse.supportingInfo.value[x]	Added Element
ClaimResponse.supportingInfo.reason	Added Element
ClaimResponse.item.informationSequence	Added Element
ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.addItem.subject	Added Element
ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.category	Added Element
ElementDefinition.constraint.expression ClaimResponse.addItem.request	Type Reference: Removed Target Type SupplyRequest
ClaimResponse.processNote.class	Added Element
ClaimResponse.processNote.text	Type changed from string to markdown
ClinicalUseDefinition
ClinicalUseDefinition.subject	Min Cardinality changed from 0 to 1 Type changed from Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance | NutritionProduct | BiologicallyDerivedProduct) to 0 CodeableReference
ElementDefinition.constraint.source ClinicalUseDefinition.status	Type Now marked as Modifier
ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalUseDefinition.indication.intendedEffect	Max Cardinality changed from uri 1 to canonical(StructureDefinition) *
ElementDefinition.mustSupport ClinicalUseDefinition.indication.undesirableEffect	Default Value "false" removed Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.indication.otherTherapy.relationshipType	Added Mandatory Element
ClinicalUseDefinition.indication.otherTherapy.treatment	Added Mandatory Element
ElementDefinition.isModifier ClinicalUseDefinition.contraindication.indication	Default Value "false" removed Remove Type Reference(ClinicalUseDefinition)
ElementDefinition.isModifierReason ClinicalUseDefinition.contraindication.management	Added Element
ElementDefinition.isSummary ClinicalUseDefinition.contraindication.otherTherapy	Default Value "false" removed Remove Type BackboneElement
ClinicalUseDefinition.interaction.interactant.route	Added Element
ClinicalUseDefinition.interaction.severity	Added Element
ClinicalUseDefinition.contraindication.otherTherapy.relationshipType	Deleted
ClinicalUseDefinition.contraindication.otherTherapy.treatment	Deleted
CodeSystem
ElementDefinition.binding.strength CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/binding-strength http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 Jurisdiction ValueSet
ElementDefinition.binding.valueSet Communication
Communication.basedOn	Renamed from valueSet[x] to valueSet Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Add Type canonical(ValueSet) Reference: Removed Target Type Resource
Communication.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
CommunicationRequest
CommunicationRequest.status	Remove Types uri, Reference(ValueSet) codes revoked , completed Add code ended
ElementDefinition.mapping.language CommunicationRequest.intent	Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Remove codes original-order , reflex-order , filler-order , instance-order
Expression CommunicationRequest.requester	Type Reference: Added Target Type Group
CommunicationRequest.informationProvider	Type Reference: Added Target Type Group
Extension CompartmentDefinition
Extension.value[x] CompartmentDefinition.resource.code	Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage codes DeviceAlert , InsuranceProduct
CompartmentDefinition.resource.documentation	Deleted
HumanName Composition
Composition.consent	Added Element
Composition.basedOn	Added Element
HumanName.use Composition.status	Change value set Remove codes preliminary , corrected , appended
Composition.author	Min Cardinality changed from http://hl7.org/fhir/ValueSet/name-use 1 to http://hl7.org/fhir/ValueSet/name-use|4.0.1 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.title	Min Cardinality changed from 1 to 0
Composition.attester.party	Type Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Composition.relatesTo	Type changed from RelatedArtifact to BackboneElement
Composition.relatesTo.type	Added Mandatory Element
Composition.relatesTo.target[x]	Added Mandatory Element
Composition.section.author	Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Identifier ConceptMap
Identifier.use ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/identifier-use http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 Jurisdiction ValueSet
MarketingStatus ConceptMap.group.element.comment	Added Type Element
ConceptMap.group.element.target.relationship	Remove codes equivalent , source-is-narrower-than-target , source-is-broader-than-target
ConceptMap.group.unmapped.comment	Added Element
ConceptMap.group.unmapped.relationship	Remove codes equivalent , source-is-narrower-than-target , source-is-broader-than-target
Meta Condition
Condition.clinicalStatus	Remove codes recurrence , relapse , remission , resolved
Condition.verificationStatus	Remove codes provisional , differential
Meta.source Condition.bodyStructure	Added Element
Condition.recorder	Added Element Could be migrated from participant depending on participant.function
Condition.asserter	Added Element Could be migrated from participant depending on participant.function
Meta.profile Condition.stage.assessment	Type Reference: Removed Target Type ClinicalImpression
Condition.participant	Deleted (-> recorder or asserter depending on function)
Consent
Consent.subject	Type Reference: Added Target Type ResearchSubject
Consent.grantor	Type Reference: Added Target Type Group
Consent.grantee	Type Reference: Added Target Type Group
Consent.policyBasis.uri	Renamed from url to uri Type changed from url to uri
Consent.verification.type	Renamed from verificationType to canonical(StructureDefinition) type
Consent.verification.verifiedWith	Type Reference: Added Target Type Group
Consent.verification.date	Renamed from verificationDate to date
Money Contract
Contract.author	Type Reference: Added Target Type RelatedPerson
Contract.term.text	Type changed from string to markdown
Coverage
Money.value Coverage.statusReason	Added Element
CoverageEligibilityRequest
Money.currency CoverageEligibilityRequest.statusReason	Added Element
MoneyQuantity CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
Narrative DetectedIssue
Narrative.status DetectedIssue.status	Change value set Add code unknown
DetectedIssue.severity	Type changed from http://hl7.org/fhir/ValueSet/narrative-status code to http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|5.0.0` (required)
DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.expectedOnsetType	Added Element
DetectedIssue.medicationClass	Added Element
DetectedIssue.managementCode	Added Element
ParameterDefinition Device
ParameterDefinition.use Device.definition	Change value set Type changed from http://hl7.org/fhir/ValueSet/operation-parameter-use CodeableReference to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifierSystem	Added Element
ParameterDefinition.type Device.status	Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 Add code unknown
ParameterDefinition.profile Device.name.type	Type changed from Reference(StructureDefinition) code to canonical(StructureDefinition) CodeableConcept Change binding strength from required to extensible
Period Device.deviceVersion	No Changes Renamed from version to deviceVersion
Population Device.deviceVersion.type	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.component	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.installDate	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.value	Moved from Device.version to Device.deviceVersion
Device.additive	Added Type Element
ProdCharacteristic Device.additive.type	Added Type Mandatory Element
Device.additive.quantity	Added Element
Device.displayName	Deleted
Device.mode	Deleted
Device.cycle	Deleted
Device.duration	Deleted
Device.owner	Deleted
Device.url	Deleted
Device.endpoint	Deleted
Device.gateway	Deleted
ProductShelfLife DeviceAlert	Added Type Resource
Quantity DeviceAssociation
DeviceAssociation.relationship	Added Element
Quantity.comparator DeviceAssociation.status	Change value set Type changed from http://hl7.org/fhir/ValueSet/quantity-comparator CodeableConcept to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 code Remove codes implanted , explanted , attached Add codes active , inactive
Range DeviceAssociation.statusReason	No Changes Change binding strength from required to extensible
Ratio DeviceAssociation.associationStatus	No Changes Added Element
Reference DeviceAssociation.subject	Type Reference: Added Target Types BiologicallyDerivedProduct, CareTeam, Location, Medication, NutritionProduct, Organization, PractitionerRole, Specimen, Substance
Reference.type DeviceAssociation.focus	Added Element
DeviceAssociation.category	Deleted
DeviceAssociation.operation	Deleted
RelatedArtifact DeviceDefinition
DeviceDefinition.url	Added Element
RelatedArtifact.type DeviceDefinition.version	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/related-artifact-type * to http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 1 Type changed from BackboneElement to string
RelatedArtifact.label DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.date	Added Element
DeviceDefinition.publisher	Added Element
RelatedArtifact.citation DeviceDefinition.contact	Type changed from string ContactPoint to markdown ContactDetail
DeviceDefinition.useContext	Added Element
DeviceDefinition.jurisdiction	Added Element
DeviceDefinition.purpose	Added Element
DeviceDefinition.copyright	Added Element
DeviceDefinition.copyrightLabel	Added Element
DeviceDefinition.approvalDate	Added Element
DeviceDefinition.lastReviewDate	Added Element
DeviceDefinition.effectivePeriod	Added Element
DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier.identifier	Renamed from deviceIdentifier to identifier
DeviceDefinition.regulatoryIdentifier.identifierSystem	Added Element
RelatedArtifact.url DeviceDefinition.deviceName.type	Type changed from uri code to url CodeableConcept Change binding strength from required to extensible
DeviceDefinition.hasPart.definition[x]	Renamed from reference to definition[x] Add Types canonical(DeviceDefinition), CodeableConcept Remove Type Reference(DeviceDefinition)
DeviceDefinition.deviceVersion	Added Element
DeviceDefinition.deviceVersion.type	Moved from DeviceDefinition.version to DeviceDefinition.deviceVersion
DeviceDefinition.deviceVersion.component	Moved from DeviceDefinition.version to DeviceDefinition.deviceVersion
DeviceDefinition.deviceVersion.value	Moved from DeviceDefinition.version to DeviceDefinition.deviceVersion
DeviceDefinition.outputLanguage	Renamed from languageCode to outputLanguage Type changed from CodeableConcept to code Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
DeviceDefinition.link.relatedDevice[x]	Renamed from relatedDevice to relatedDevice[x] Add Types canonical(DeviceDefinition), CodeableConcept Remove Type CodeableReference
RelatedArtifact.resource DeviceDefinition.productionIdentifierInUDI	Type changed from Reference(Resource) code to canonical(Resource) CodeableConcept Change binding strength from required to extensible
DeviceDefinition.owner	Deleted (This could be a packaging.distributor.organiationReference or manufacturer or neither - no direct mapping)
SampledData DeviceMetric
DeviceMetric.status	Added Mandatory Element
SampledData.factor DeviceMetric.operationalStatus	Default Value "1" removed Remove code entered-in-error Add code unknown
SampledData.data DeviceMetric.category	Min Cardinality Type changed from 1 code to 0 CodeableConcept Change binding strength from required to extensible
DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
Signature DeviceRequest
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
Signature.who DeviceRequest.product[x]	Renamed from who[x] code to who product[x] Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition) Remove Type uri CodeableReference
Signature.onBehalfOf DeviceRequest.requester	Renamed Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.location	Added Element
DeviceRequest.instantiatesCanonical	Deleted
DeviceRequest.instantiatesUri	Deleted
DiagnosticReport
DiagnosticReport.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
DiagnosticReport.status	Remove codes preliminary , modified , corrected , appended
DiagnosticReport.relatesTo	Added Element
DiagnosticReport.issued	Type changed from onBehalfOf[x] instant to onBehalfOf dateTime
DiagnosticReport.procedure	Added Element
DiagnosticReport.performer	Remove Type uri Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Patient, RelatedPerson
DiagnosticReport.study	Type Reference: Removed Target Type GenomicStudy
DiagnosticReport.supportingInfo.reference	Type Reference: Added Target Types ImagingStudy, FamilyMemberHistory, AllergyIntolerance, Condition, DocumentReference Type Reference: Removed Target Type Citation
DiagnosticReport.conclusionCode	Type changed from CodeableConcept to CodeableReference
Signature.targetFormat DiagnosticReport.recomendation	Added Element
Signature.sigFormat DiagnosticReport.communication	Added Element
DiagnosticReport.comparison	Added Element
DocumentReference
DocumentReference.basedOn	Type Reference: Removed Target Types ImmunizationRecommendation, SupplyRequest
DocumentReference.docStatus	Remove codes preliminary , corrected , appended Now marked as Modifier
DocumentReference.related	Added Element
Signature.data DocumentReference.bodyStructure	Renamed from blob bodySite to data bodyStructure
Signature.contentType DocumentReference.date	deleted Type changed from instant to dateTime
DocumentReference.author	Type Reference: Added Target Type Group
DocumentReference.attester.party	Type Reference: Added Target Type Group
SimpleQuantity DomainResource	No Changes
SubstanceAmount Encounter
Encounter.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
Encounter.basedOn	Type Reference: Added Target Types RequestOrchestration, NutritionOrder, VisionPrescription
Timing Endpoint
Timing.repeat.count Endpoint.status	Add code limited
Endpoint.availability	Added Element
Endpoint.payload.profileCanonical	Added Element
Endpoint.payload.profileUri	Added Element
EnrollmentRequest
EnrollmentRequest.candidate	Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.candidate	Added Element
EpisodeOfCare
EpisodeOfCare.reason.use	Max Cardinality changed from integer 1 to positiveInt *
Timing.repeat.countMax EpisodeOfCare.diagnosis.use	Type Max Cardinality changed from integer 1 to positiveInt *
EpisodeOfCare.subject	Renamed from patient to subject Type Reference: Added Target Type Group
EventDefinition
Timing.repeat.durationUnit EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/units-of-time http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 Jurisdiction ValueSet
Evidence
Evidence.citeAs	Renamed from citeAs[x] to citeAs Remove Type Reference(Citation)
Evidence.recorder	Added Element
Evidence.relatesTo	Added Element
Evidence.relatesTo.type	Added Mandatory Element
Evidence.relatesTo.target[x]	Added Mandatory Element
Timing.repeat.frequency Evidence.variableDefinition	Min Cardinality changed from 1 to 0
Evidence.variableDefinition.variableRole	Type changed from integer CodeableConcept to positiveInt code Default Value "1" removed Change binding strength from extensible to required
Evidence.variableDefinition.roleSubtype	Added Element
Evidence.variableDefinition.comparatorCategory	Added Element
Timing.repeat.frequencyMax Evidence.variableDefinition.directnessMatch	Type Remove Binding `http://terminology.hl7.org/ValueSet/directness` (extensible)
Evidence.synthesisType	Max Cardinality changed from integer 1 to positiveInt * Remove Binding `http://terminology.hl7.org/ValueSet/synthesis-type` (extensible)
Timing.repeat.periodUnit Evidence.studyDesign	Change code system for extensibly bound codes from "http://hl7.org/fhir/study-design" to "https://fevir.net/sevco"
Evidence.statistic.statisticType	Remove Binding `http://hl7.org/fhir/ValueSet/statistic-type` (extensible)
Evidence.statistic.sampleSize.numberAnalyzed	Added Element
Evidence.statistic.attributeEstimate.type	Remove Binding `http://hl7.org/fhir/ValueSet/attribute-estimate-type` (extensible)
Evidence.statistic.modelCharacteristic.code	Remove Binding `http://hl7.org/fhir/ValueSet/statistic-model-code` (extensible)
Evidence.statistic.modelCharacteristic.value[x]	Renamed from value set to value[x] Add Types Range, CodeableConcept
Evidence.statistic.modelCharacteristic.intended	Added Element
Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.modelCharacteristic.variable.handling	Type changed from http://hl7.org/fhir/ValueSet/units-of-time code to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|5.0.0` (required)
Evidence.statistic.modelCharacteristic.attribute	Renamed from attributeEstimate to attribute
Timing.repeat.dayOfWeek Evidence.certainty.type	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-type` (extensible)
Evidence.certainty.rating	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-rating` (extensible)
Evidence.certainty.rater	Max Cardinality changed from 1 to *
Evidence.relatedArtifact	Deleted
EvidenceVariable
EvidenceVariable.citeAs	Added Element
EvidenceVariable.recorder	Added Element
EvidenceVariable.relatesTo	Added Element
EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.definition	Added Element
EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|5.0.0` (required)
EvidenceVariable.category.value[x]	Add Type Reference(Group)
EvidenceVariable.conditional	Added Element
EvidenceVariable.classifier	Added Element
EvidenceVariable.dataStorage	Added Element
EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.timing	Added Element
EvidenceVariable.period	Added Element
EvidenceVariable.constraint	Added Element
EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.constraint.code	Added Element
EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.constraint.expectedUnitsValueSet	Added Element
EvidenceVariable.constraint.anyValueAllowed	Added Element
EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.characteristic	Deleted
ExampleScenario
ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 Jurisdiction ValueSet
Timing.repeat.when ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/event-timing http://hl7.org/fhir/ValueSet/examplescenario-actor-type|5.0.0 to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 Actor Definition Actor Type Add codes collective , other
TriggerDefinition ExampleScenario.actor.definition	Added Element
TriggerDefinition.type ExampleScenario.process.step.operation.type	Change value set from http://hl7.org/fhir/ValueSet/trigger-type http://hl7.org/fhir/ValueSet/testscript-operation-codes to http://hl7.org/fhir/ValueSet/trigger-type|4.0.1 Example Scenario Operation Code
ExplanationOfBenefit
ExplanationOfBenefit.statusReason	Added Element
TriggerDefinition.name ExplanationOfBenefit.subject	Renamed from eventName patient to name subject Type Reference: Added Target Type Group
TriggerDefinition.timing[x] ExplanationOfBenefit.related.claim	Renamed Type Reference: Added Target Type ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest
ExplanationOfBenefit.originalPrescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest, VisionPrescription
ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.item.subject	Added Element
ExplanationOfBenefit.item.request	Type Reference: Removed Target Type SupplyRequest
ExplanationOfBenefit.item.adjudication.decisionDate	Added Element
ExplanationOfBenefit.addItem.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.category	Added Element
ExplanationOfBenefit.addItem.request	Type Reference: Removed Target Type SupplyRequest
ExplanationOfBenefit.processNote.class	Added Element
ExplanationOfBenefit.processNote.text	Type changed from eventTiming[x] string to timing[x] markdown
TriggerDefinition.data ExplanationOfBenefit.careTeam.responsible	Renamed Deleted
FamilyMemberHistory
FamilyMemberHistory.recorder	Added Element Could be migrated from eventData to data participant depending on participant.function
FamilyMemberHistory.asserter	Added Element Max Could be migrated from participant depending on participant.function
FamilyMemberHistory.instantiatesCanonical	Deleted
FamilyMemberHistory.instantiatesUri	Deleted
FamilyMemberHistory.participant	Deleted (-> recorder or asserter depending on function)
Flag
Flag.status	Min Cardinality changed from 1 to * 0
TriggerDefinition.condition Flag.supportingInfo	Added Element
UsageContext Goal
UsageContext.code Goal.lifecycleStatus	Change code system for extensibly bound Remove codes active , on-hold , completed
Goal.acceptance	Added Element
Goal.acceptance.participant	Added Mandatory Element
Goal.acceptance.status	Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from "http://hl7.org/fhir/usage-context-type" 1 to "http://terminology.hl7.org/CodeSystem/usage-context-type" * Type changed from string to CodeableConcept
Goal.recorder	Added Element
UsageContext.value[x] Goal.source	Add Type Reference(PlanDefinition | ResearchStudy | InsurancePlan | HealthcareService | Reference: Added Target Type Group | Location | Organization)
base64Binary Goal.addresses	(No Changes) Type Reference: Added Target Type NutritionIntake
Goal.outcome	Deleted
boolean Group	(No Changes)
canonical Group.url	Added Type Element
Group.version	Added Element
Group.versionAlgorithm[x]	Added Element
Group.title	Added Element
Group.status	Added Element
Group.experimental	Added Element
Group.date	Added Element
Group.publisher	Added Element
Group.contact	Added Element
Group.useContext	Added Element
Group.purpose	Added Element
Group.copyright	Added Element
Group.copyrightLabel	Added Element
Group.type	Min Cardinality changed from 1 to 0 Add codes medication , medicinalproductdefinition , substance , substancedefinition , biologicallyDerivedProduct , nutritionProduct
Group.membership	Add code conceptual
Group.code	(No Changes) Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
date Group.combinationMethod	(No Changes) Added Element
dateTime Group.combinationThreshold	(No Changes) Added Element
decimal Group.characteristic.value[x]	(No Changes) Add Types uri, Expression
Group.characteristic.description	Added Element
Group.characteristic.method	Added Element
Group.characteristic.formula	Added Element
Group.characteristic.determiner	Added Element
Group.characteristic.offset	Added Element
Group.characteristic.instances[x]	Added Element
Group.characteristic.duration[x]	Added Element
Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types Medication, MedicinalProductDefinition, Substance, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Added Element
Group.active	Deleted
id GuidanceResponse	(No Changes)
GuidanceResponse.location	Added Element
GuidanceResponse.result	Type Reference: Removed Target Types ImmunizationRecommendation, SupplyRequest
instant HealthcareService	(No Changes)
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
HealthcareService.referralRequired	Added Element
HealthcareService.availability	Max Cardinality changed from * to 1
integer ImagingSelection	(No Changes)
ImagingSelection.status	Add code inactive
ImagingSelection.modality	Added Element
ImagingSelection.subject	Type Reference: Removed Target Types Location, Organization
ImagingSelection.performer.actor	Min Cardinality changed from 0 to 1
ImagingSelection.basedOn	Type Reference: Removed Target Type AppointmentResponse
ImagingSelection.derivedFrom	Max Cardinality changed from * to 1
ImagingSelection.bodySite	Max Cardinality changed from 1 to *
ImagingSelection.instance.sopClass	Type changed from Coding to oid Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingSelection.instance.frameNumber	Added Element
ImagingSelection.instance.referencedContentItemIdentifier	Added Element
ImagingSelection.instance.segmentNumber	Added Element
ImagingSelection.instance.regionOfInterest	Added Element
ImagingSelection.instance.waveFormChannel	Added Element
ImagingSelection.instance.imageRegion2D.regionType	Remove code interpolated Add code multipoint
ImagingSelection.imageRegion3D	Added Element
ImagingSelection.imageRegion3D.regionType	Added Mandatory Element
ImagingSelection.imageRegion3D.coordinate	Added Mandatory Element
ImagingSelection.instance.subset	Deleted
ImagingSelection.instance.imageRegion3D	Deleted
markdown ImagingStudy	(No Changes)
ImagingStudy.status	Add code inactive
ImagingStudy.basedOn	Type Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Type changed from CodeableReference to Reference(Procedure)
ImagingStudy.series.instance.sopClass	Type changed from Coding to oid Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingStudy.partOf	(No Changes) Deleted
ImagingStudy.series.laterality	Deleted
positiveInt Immunization	(No Changes)
Immunization.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
Immunization.protocolApplied.doseNumber	Min Cardinality changed from 1 to 0 Type changed from string to CodeableConcept
Immunization.protocolApplied.seriesDoses	(No Changes) Type changed from string to CodeableConcept
time ImplementationGuide	(No Changes)
ImplementationGuide.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ImplementationGuide.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.2.0 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4.0 , 4.5.0 , 4.6.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final Add code 6.0
ImplementationGuide.global.type	Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
ImplementationGuide.definition.resource.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.2.0 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4.0 , 4.5.0 , 4.6.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final Add code 6.0
unsignedInt Ingredient	(No Changes) No Changes
uri InsurancePlan	(No Changes)
InsurancePlan.identifier	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.type	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.product	Added Element reference to the new InsuranceProduct resource that contained the plan details previously
InsurancePlan.coverageArea	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.network	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.generalCost	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.specificCost	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.specificCost.benefit.cost.qualifier	Added Element
InsurancePlan.identifier	Deleted (-> InsuranceProduct.identifier)
InsurancePlan.status	Deleted (-> InsuranceProduct.status)
InsurancePlan.type	Deleted (-> InsuranceProduct.type)
InsurancePlan.name	Deleted (-> InsuranceProduct.name)
InsurancePlan.alias	Deleted (-> InsuranceProduct.alias)
InsurancePlan.period	Deleted (-> InsuranceProduct.period)
InsurancePlan.ownedBy	Deleted (-> InsuranceProduct.ownedBy)
InsurancePlan.administeredBy	Deleted (-> InsuranceProduct.administeredBy)
InsurancePlan.coverageArea	Deleted (-> InsuranceProduct.coverageArea)
InsurancePlan.contact	Deleted (-> InsuranceProduct.contact)
InsurancePlan.endpoint	Deleted (-> InsuranceProduct.endpoint)
InsurancePlan.network	Deleted (-> InsuranceProduct.network)
InsurancePlan.coverage	Deleted (-> InsuranceProduct.coverage)
InsurancePlan.plan	Deleted (all propertied migrated to top level of resource - core properties migrate to InsuranceProduct)
url InsuranceProduct	Added Type Resource
uuid Invoice	(No Changes)
xhtml Invoice.period[x]	(No Changes) Renamed from date to period[x] Add Types date, Period Remove Type dateTime
Invoice.issuer	Type Reference: Added Target Types Practitioner, PractitionerRole
Invoice.period[x]	Deleted
Account Library
Account.status Library.type	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/library-type to 1 LibraryType
Library.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/account-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/account-status|4.0.1 Jurisdiction ValueSet
List
Account.subject List.source	Type Reference: Added Target Type Group
Location
Location.code	Added Element
Location.type	Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.hoursOfOperation	Max Cardinality changed from 1 to * to 1
ManufacturedItemDefinition
ManufacturedItemDefinition.property.value[x]	Add Type Reference: Added Target Type PractitionerRole Range
Account.servicePeriod Measure
Measure.jurisdiction	Renamed Change value set from period http://hl7.org/fhir/ValueSet/jurisdiction to servicePeriod Jurisdiction ValueSet
Account.partOf Measure.reportingFrequency	Added Element
Account.active Measure.group.title	deleted Added Element
Account.balance Measure.group.type	deleted Change value set from http://hl7.org/fhir/ValueSet/measure-type to MeasureType
Measure.group.basis	Remove codes Element , BackboneElement , DataType , Address , Annotation , Attachment , Availability , BackboneType , Dosage , ElementDefinition , MarketingStatus , ProductShelfLife , Timing , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , DataRequirement , Expression , ExtendedContactDetail , Extension , HumanName , Identifier , Meta , MonetaryComponent , Money , Narrative , ParameterDefinition , Period , PrimitiveType , base64Binary , boolean , date , dateTime , decimal , instant , integer , positiveInt , unsignedInt , integer64 , string , code , id , markdown , time , uri , canonical , oid , url , uuid , Quantity , Age , Count , Distance , Duration , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , TriggerDefinition , UsageContext , VirtualServiceDetail , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , BiologicallyDerivedProduct , BiologicallyDerivedProductDispense , BodyStructure , CanonicalResource , CapabilityStatement , CarePlan , CareTeam , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , ConditionDefinition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAssociation , DeviceDefinition , DeviceDispense , DeviceMetric , DeviceRequest , DeviceUsage , DiagnosticReport , DocumentReference , Encounter , EncounterHistory , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , FormularyItem , GenomicStudy , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , InventoryItem , InventoryReport , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MetadataResource , MolecularSequence , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Permission , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestPlan , TestReport , TestScript , Transport , ValueSet , VerificationResult , VisionPrescription , Parameters
Measure.group.basisRequirement	Added Element
Measure.group.scoringPrecision	Added Element
Measure.group.compositeScoring	Added Element
Measure.group.component	Added Element
Measure.group.component.measure	Added Element
Measure.group.component.groupId	Added Element
Measure.group.component.weight	Added Element
Measure.group.improvementNotation	Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0 to MeasureImprovementNotation
ActivityDefinition.subtitle Measure.group.improvementNotationGuidance	Added Element
Measure.group.population.title	Added Element
ActivityDefinition.status Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 MeasurePopulationType
ActivityDefinition.experimental Measure.group.population.aggregateMethod	No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/measure-aggregate-method to Measure Aggregate Method Change code system for extensibly bound codes from "http://hl7.org/fhir/CodeSystem/measure-aggregate-method" to "http://terminology.hl7.org/CodeSystem/measure-aggregate-method"
ActivityDefinition.subject[x] Measure.group.stratifier.title	Added Element
ActivityDefinition.author Measure.group.stratifier.component.valueSet	Added Element
ActivityDefinition.editor Measure.group.stratifier.component.unit	Added Element
Measure.supplementalData.usage	Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
ActivityDefinition.reviewer Measure.supplementalData.valueSet	Added Element
ActivityDefinition.endorser Measure.supplementalData.unit	Added Element
Measure.basis	Deleted
Measure.scoring	Deleted
Measure.scoringUnit	Deleted
Measure.compositeScoring	Deleted
Measure.type	Deleted
Measure.improvementNotation	Deleted
MeasureReport
MeasureReport.category	Added Element
MeasureReport.messages	Added Element
ActivityDefinition.library MeasureReport.reporter	Type Reference: Removed Target Type Group
MeasureReport.location	Max Cardinality changed from Reference(Library) 1 to canonical(Library) *
MeasureReport.group.title	Added Element
MeasureReport.group.calculatedDate	Added Element
MeasureReport.group.description	Added Element
MeasureReport.group.type	Added Element
MeasureReport.group.scoring	Added Element
MeasureReport.group.improvementNotation	Added Element
MeasureReport.group.improvementNotationGuidance	Added Element
MeasureReport.group.population.title	Added Element
ActivityDefinition.kind MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 MeasurePopulationType
ActivityDefinition.profile MeasureReport.group.population.description	Added Element
ActivityDefinition.intent MeasureReport.group.population.countQuantity	Added Element
MeasureReport.group.measureScore[x]	Add Types boolean, Ratio
ActivityDefinition.priority MeasureReport.group.stratifier.title	Added Element
ActivityDefinition.doNotPerform MeasureReport.group.stratifier.description	Added Element
ActivityDefinition.timing[x] MeasureReport.group.stratifier.stratum.component.description	Add Types Age, Duration Added Element
ActivityDefinition.participant.type MeasureReport.group.stratifier.stratum.population.code	Change value set from http://hl7.org/fhir/ValueSet/action-participant-type http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 MeasurePopulationType
ActivityDefinition.specimenRequirement MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]	Add Types boolean, Ratio
MeasureReport.scoring	Deleted
MeasureReport.improvementNotation	Deleted
Medication
Medication.packageSize	Added Element
ActivityDefinition.observationRequirement Medication.packageSize.numberOfItems	Added Element
ActivityDefinition.observationResultRequirement Medication.packageSize.amountPerItem	Added Element
Medication.ingredient.role	Added Element
Medication.instance	Renamed from batch to instance
Medication.instance.identifier	Added Element
Medication.instance.lotNumber	Moved from Medication.batch to Medication.instance
Medication.instance.expirationDate	Moved from Medication.batch to Medication.instance
ActivityDefinition.transform Medication.definition	Type changed Reference: Added Target Types MedicinalProductDefinition, AdministrableProductDefinition, PackagedProductDefinition, ManufacturedItemDefinition Type Reference: Removed Target Type MedicationKnowledge
Medication.totalVolume	Deleted
MedicationAdministration
MedicationAdministration.occurrence[x]	Renamed from Reference(StructureMap) occurence[x] to canonical(StructureMap) occurrence[x]
MedicationDispense
ActivityDefinition.dynamicValue.path MedicationDispense.status	Min Remove code stopped Add code unfulfilled
MedicationDispense.performer.actor	Type Reference: Added Target Type Group
MedicationDispense.fillNumber	Added Element
MedicationDispense.receiver	Type Reference: Added Target Types Organization, Group
MedicationDispense.dosageInstruction	Max Cardinality changed from 0 * to 1 Type changed from Dosage to DosageDetails
MedicationDispense.doseAdministrationAid	Added Element
MedicationDispense.renderedDosageInstruction	Deleted (-> dosageInstruction.renderedInstruction)
MedicationRequest
ActivityDefinition.dynamicValue.expression MedicationRequest.basedOn	Min Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes stopped , completed , cancelled
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.informationSource	Type Reference: Added Target Type Group
MedicationRequest.isRecordOfRequest	Renamed from reported to isRecordOfRequest
MedicationRequest.performer	Type Reference: Added Target Type Group
MedicationRequest.effectiveTiming[x]	Renamed from effectiveDosePeriod to effectiveTiming[x] Add Types Duration, Range
MedicationRequest.dosageInstruction	Max Cardinality changed from 0 * to 1 Type changed from string Dosage to Expression DosageDetails
ActivityDefinition.contributor MedicationRequest.dispenseRequest.dispenserInstruction	deleted Type changed from Annotation to CodeableConcept
ActivityDefinition.dynamicValue.description MedicationRequest.dispenseRequest.destination	deleted Added Element
ActivityDefinition.dynamicValue.language MedicationRequest.renderedDosageInstruction	deleted Deleted
AdverseEvent MedicationStatement
AdverseEvent.actuality MedicationStatement.author	Added Mandatory Element
AdverseEvent.category MedicationStatement.informationSource	Type Reference: Added Target Types Device, Group
MedicationStatement.dosage	Max Cardinality changed from 1 to * to 1 Type changed from code Dosage to CodeableConcept DosageDetails
MedicationStatement.renderedDosageInstruction	Deleted (-> dosageInstruction.renderedInstruction)
MedicinalProductDefinition
MedicinalProductDefinition.characteristic.value[x]	Add Type Range
MessageDefinition
MessageDefinition.jurisdiction	Change binding strength value set from required http://hl7.org/fhir/ValueSet/jurisdiction to extensible Jurisdiction ValueSet
AdverseEvent.event MessageDefinition.focus.code	Added Element Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
MessageDefinition.graph	Deleted
MessageHeader
AdverseEvent.subject MessageHeader.event[x]	Min Cardinality changed from 0 to 1 Add Type uri
MessageHeader.destination.receiver	Type Reference: Added Target Types Group, Practitioner, Device, Patient, RelatedPerson
MessageHeader.source.sender	Moved from MessageHeader to MessageHeader.source Type Reference: Removed Added Target Types ResearchSubject, Medication, Device Type Patient
MessageHeader.destination.target	Deleted
MessageHeader.author	Deleted
MessageHeader.responsible	Deleted
MetadataResource
AdverseEvent.encounter MetadataResource.usage	Added Element
NamingSystem
NamingSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
NutritionIntake
NutritionIntake.nutritionItem	Added Element
AdverseEvent.detected NutritionIntake.nutritionItem.type	Added Element
AdverseEvent.recordedDate NutritionIntake.nutritionItem.nutritionProduct	Added Element
AdverseEvent.resultingCondition NutritionIntake.nutritionItem.consumedItem	Added Element
AdverseEvent.severity NutritionIntake.nutritionItem.consumedItem.schedule	Added Element
NutritionIntake.nutritionItem.consumedItem.amount	Added Element
NutritionIntake.nutritionItem.consumedItem.rate[x]	Added Element
NutritionIntake.nutritionItem.consumedItem.totalIntake	Added Element
NutritionIntake.nutritionItem.consumedItem.totalIntake.nutrient	Added Mandatory Element
NutritionIntake.nutritionItem.consumedItem.totalIntake.amount	Added Mandatory Element
NutritionIntake.nutritionItem.consumedItem.totalIntake.energy	Added Element
NutritionIntake.nutritionItem.notConsumedItem	Added Element
NutritionIntake.nutritionItem.notConsumedItem.reason	Added Element
NutritionIntake.nutritionItem.notConsumedItem.schedule	Added Element
NutritionIntake.nutritionItem.notConsumedItem.amount	Added Element
AdverseEvent.outcome NutritionIntake.performer.actor	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 Type Group
NutritionIntake.instantiatesCanonical	Deleted
NutritionIntake.instantiatesUri	Deleted
NutritionIntake.consumedItem	Deleted
NutritionIntake.ingredientLabel	Deleted
NutritionOrder
AdverseEvent.recorder NutritionOrder.basedOn	Type Reference: Added Target Type PractitionerRole RequestOrchestration
NutritionOrder.status	Remove codes revoked , completed Add code ended
NutritionOrder.intent	Remove codes original-order , reflex-order , filler-order , instance-order
NutritionOrder.requester	Renamed from orderer to requester
NutritionOrder.oralDiet.nutrient.amount	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.oralDiet.texture.type	Renamed from foodType to type
AdverseEvent.contributor NutritionOrder.oralDiet.caloricDensity	Added Element
AdverseEvent.suspectEntity.instance NutritionOrder.supplement.quantity	Type Reference: changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.supplement.caloricDensity	Added Target Element
NutritionOrder.enteralFormula.type	Renamed from baseFormulaType to type
NutritionOrder.enteralFormula.productName	Renamed from baseFormulaProductName to productName
NutritionOrder.enteralFormula.deliveryDevice[x]	Renamed from deliveryDevice to deliveryDevice[x] Max Cardinality changed from * to 1 Add Types Immunization, Procedure CodeableConcept, canonical(DeviceDefinition) Remove Type CodeableReference
AdverseEvent.suspectEntity.causality NutritionOrder.enteralFormula.caloricDensity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.routeOfAdministration	Max Cardinality changed from 1 to *
NutritionOrder.enteralFormula.administration.quantity	Type changed from code Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to BackboneElement Quantity
NutritionOrder.enteralFormula.administration.rate[x]	Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-causality (required) Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.enteralFormula.maxVolumeToAdminister	Renamed from maxVolumeToDeliver to maxVolumeToAdminister Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
AdverseEvent.suspectEntity.causality.assessment NutritionOrder.additive	Added Element
AdverseEvent.suspectEntity.causality.productRelatedness NutritionOrder.additive.modularType	Added Element
AdverseEvent.suspectEntity.causality.author NutritionOrder.additive.productName	Added Element
AdverseEvent.suspectEntity.causality.method NutritionOrder.additive.quantity	Added Element
AdverseEvent.subjectMedicalHistory NutritionOrder.additive.routeOfAdministration	Type Reference: Added Target Types Media, DocumentReference Element
AdverseEvent.type NutritionOrder.instantiatesCanonical	deleted Deleted
AdverseEvent.reaction NutritionOrder.instantiatesUri	deleted Deleted
AdverseEvent.eventParticipant NutritionOrder.instantiates	deleted Deleted
AdverseEvent.description NutritionOrder.oralDiet.fluidConsistencyType	deleted Deleted
AdverseEvent.suspectEntity.causalityAssessment NutritionOrder.enteralFormula.additive	deleted Deleted
AdverseEvent.suspectEntity.causalityProductRelatedness NutritionProduct
NutritionProduct.manufacturer	deleted Type Reference: Added Target Type RelatedPerson
AdverseEvent.suspectEntity.causalityMethod NutritionProduct.nutrient.item	deleted Min Cardinality changed from 0 to 1
AdverseEvent.suspectEntity.causalityAuthor NutritionProduct.nutrient.amount[x]	deleted Renamed from amount to amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionProduct.ingredientSummary	Added Element
NutritionProduct.ingredient.amount[x]	Renamed from amount to amount[x] Max Cardinality changed from * to 1 Add Type Quantity
NutritionProduct.ingredient.allergen	Added Element
NutritionProduct.energy	Added Element
AdverseEvent.suspectEntity.causalityResult NutritionProduct.knownAllergen	deleted Deleted (-> coded allergens can be mapped to ingredient.item and ingredient.allergen)
AllergyIntolerance Observation
AllergyIntolerance.clinicalStatus Observation.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
Observation.partOf	Type Reference: Removed Target Type GenomicStudy
Observation.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
Observation.performer	Type Reference: Added Target Types HealthcareService, Group
Observation.value[x]	Remove Type Reference(MolecularSequence)
Observation.interpretationContext	Added Element
Observation.bodyStructure	Type changed from code Reference(BodyStructure) to CodeableConcept CodeableReference
Observation.referenceRange.low	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Remove Binding `http://hl7.org/fhir/ValueSet/observation-referencerange-normalvalue` (extensible)
Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Removed Target Types MolecularSequence, GenomicStudy
Observation.component.value[x]	Remove Type Reference(MolecularSequence)
Observation.instantiates[x]	Deleted (Removed trial use property)
ObservationDefinition
ObservationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/allergy-clinical-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 Jurisdiction ValueSet
AllergyIntolerance.verificationStatus ObservationDefinition.bodyStructure	Min Renamed from bodySite to bodyStructure Type changed from CodeableConcept to CodeableReference
ObservationDefinition.device[x]	Renamed from device to device[x] Max Cardinality changed from 1 * to 0 1 Add Type changed canonical(DeviceDefinition)
ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Renamed from code gender to CodeableConcept sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.interpretation	Added Element
OperationDefinition
OperationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/allergy-verification-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 Jurisdiction ValueSet
OperationDefinition.synchronicity	Added Element
AllergyIntolerance.type OperationDefinition.resource	Change Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
OperationDefinition.parameter.min	Type changed from integer to unsignedInt
OperationDefinition.parameter.type	Remove codes Element , BackboneElement , DataType , Address , Annotation , Attachment , Availability , BackboneType , Dosage , ElementDefinition , MarketingStatus , ProductShelfLife , Timing , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , DataRequirement , Expression , ExtendedContactDetail , Extension , HumanName , Identifier , Meta , MonetaryComponent , Money , Narrative , ParameterDefinition , Period , PrimitiveType , base64Binary , boolean , date , dateTime , decimal , instant , integer , positiveInt , unsignedInt , integer64 , string , code , id , markdown , time , uri , canonical , oid , url , uuid , Quantity , Age , Count , Distance , Duration , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , TriggerDefinition , UsageContext , VirtualServiceDetail , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , BiologicallyDerivedProduct , BiologicallyDerivedProductDispense , BodyStructure , CanonicalResource , CapabilityStatement , CarePlan , CareTeam , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , ConditionDefinition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAssociation , DeviceDefinition , DeviceDispense , DeviceMetric , DeviceRequest , DeviceUsage , DiagnosticReport , DocumentReference , Encounter , EncounterHistory , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , FormularyItem , GenomicStudy , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , InventoryItem , InventoryReport , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MetadataResource , MolecularSequence , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Permission , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestPlan , TestReport , TestScript , Transport , ValueSet , VerificationResult , VisionPrescription , Parameters
OperationDefinition.parameter.allowedType	Remove codes Element , BackboneElement , DataType , Address , Annotation , Attachment , Availability , BackboneType , Dosage , ElementDefinition , MarketingStatus , ProductShelfLife , Timing , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , DataRequirement , Expression , ExtendedContactDetail , Extension , HumanName , Identifier , Meta , MonetaryComponent , Money , Narrative , ParameterDefinition , Period , PrimitiveType , base64Binary , boolean , date , dateTime , decimal , instant , integer , positiveInt , unsignedInt , integer64 , string , code , id , markdown , time , uri , canonical , oid , url , uuid , Quantity , Age , Count , Distance , Duration , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , TriggerDefinition , UsageContext , VirtualServiceDetail , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , BiologicallyDerivedProduct , BiologicallyDerivedProductDispense , BodyStructure , CanonicalResource , CapabilityStatement , CarePlan , CareTeam , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , ConditionDefinition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAssociation , DeviceDefinition , DeviceDispense , DeviceMetric , DeviceRequest , DeviceUsage , DiagnosticReport , DocumentReference , Encounter , EncounterHistory , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , FormularyItem , GenomicStudy , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , InventoryItem , InventoryReport , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MetadataResource , MolecularSequence , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Permission , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestPlan , TestReport , TestScript , Transport , ValueSet , VerificationResult , VisionPrescription , Parameters
OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.code	Remove codes structure , required , value set , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , limited-filter , lock-error , no-store , exception , timeout , incomplete , throttled
Organization
Organization.qualification.status	Added Element
OrganizationAffiliation	No Changes
PackagedProductDefinition	No Changes
Parameters
Parameters.parameter.value[x]	Add Type VirtualServiceDetail
Patient
Patient.contact.relationship	Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role	Added Element
Patient.contact.additionalName	Added Element
Patient.contact.additionalAddress	Added Element
PaymentNotice
PaymentNotice.statusReason	Added Element
PaymentReconciliation
PaymentReconciliation.statusReason	Added Element
PaymentReconciliation.amount	Min Cardinality changed from http://hl7.org/fhir/ValueSet/allergy-intolerance-type 1 to http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 0
AllergyIntolerance.category PaymentReconciliation.allocation.target	Type Reference: Removed Target Type ChargeItem
PaymentReconciliation.allocation.noteNumber	Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
Person	No Changes
PlanDefinition
PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-category http://hl7.org/fhir/ValueSet/plan-definition-type to http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 PlanDefinitionType
AllergyIntolerance.criticality PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 Jurisdiction ValueSet
AllergyIntolerance.encounter PlanDefinition.actor.option.typeCanonical	Type canonical: Added Element Target Types ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
AllergyIntolerance.recordedDate PlanDefinition.actor.option.typeReference	Renamed Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type Reference: Removed Target Types DeviceDefinition, Group
PlanDefinition.action.goalId	Type changed from assertedDate id to recordedDate string
AllergyIntolerance.recorder PlanDefinition.action.input.relatedData	Type Reference: changed from id to string
PlanDefinition.action.relatedAction.targetId	Type changed from id to string
PlanDefinition.action.relatedAction.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.relatedAction.endRelationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.timing[x]	Add Type RelativeTime
PlanDefinition.action.participant.typeCanonical	Type canonical: Added Target Types PractitionerRole, RelatedPerson ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
AllergyIntolerance.asserter PlanDefinition.action.participant.typeReference	Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type PractitionerRole Reference: Removed Target Types DeviceDefinition, Group
AllergyIntolerance.reaction.severity PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/reaction-event-severity http://hl7.org/fhir/ValueSet/action-type to http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 ActionType
PlanDefinition.action.applicabilityBehavior	Added Element
Appointment Practitioner
Appointment.status Practitioner.deceased[x]	Change value set Now marked as Modifier
Practitioner.qualification.status	Added Element
PractitionerRole
PractitionerRole.network	Added Element
PractitionerRole.display	Added Element
PractitionerRole.availability	Max Cardinality changed from http://hl7.org/fhir/ValueSet/appointmentstatus * to http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 1
Procedure
Procedure.basedOn	Type Reference: Added Target Type MedicationRequest
Procedure.focus	Now marked as Modifier
Appointment.cancelationReason Procedure.bodyStructure	Added Element
Appointment.serviceCategory Procedure.outcome	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Appointment.reasonCode Procedure.report	Type Reference: Added Element Target Type Bundle
Appointment.reasonReference Procedure.followUp	Added Element Type changed from CodeableConcept to CodeableReference
Procedure.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
Provenance
Appointment.patientInstruction Provenance.why	Added Element
Appointment.basedOn Provenance.basedOn	Type Reference: Added Element Target Type Resource Type Reference: Removed Target Types CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, Task
Appointment.participant.actor Provenance.agent.who	Type Reference: Added Target Types Group, HealthcareService
Provenance.agent.onBehalfOf	Type PractitionerRole Reference: Added Target Types Group, HealthcareService
Questionnaire
Appointment.participant.required Questionnaire.subjectType	Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
Questionnaire.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/participantrequired http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 Jurisdiction ValueSet
Appointment.participant.status Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/participationstatus http://hl7.org/fhir/ValueSet/item-type|5.0.0 to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 Questionnaire Useable Item Type Remove code question
Appointment.participant.period Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
Questionnaire.item.answerOption.value[x]	Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Questionnaire.item.initial.value[x]	Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
QuestionnaireResponse
QuestionnaireResponse.author	Type Reference: Added Element Target Type Group
Appointment.reason QuestionnaireResponse.item.definition	deleted Max Cardinality changed from 1 to *
Appointment.indication RegulatedAuthorization
RegulatedAuthorization.status	deleted Now marked as Modifier
Appointment.incomingReferral RelatedPerson
RelatedPerson.role	deleted Added Element
AppointmentResponse RequestOrchestration
AppointmentResponse.actor RequestOrchestration.status	Remove codes revoked , completed Add code ended
RequestOrchestration.intent	Remove codes original-order , reflex-order , filler-order , instance-order
RequestOrchestration.action.relatedAction.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
RequestOrchestration.action.relatedAction.endRelationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
RequestOrchestration.action.timing[x]	Add Type RelativeTime
RequestOrchestration.action.participant.typeCanonical	Type canonical: Added Target Types ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
RequestOrchestration.action.participant.typeReference	Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type PractitionerRole Reference: Removed Target Types DeviceDefinition, Group
AppointmentResponse.participantStatus RequestOrchestration.action.type	Change value set from http://hl7.org/fhir/ValueSet/participationstatus http://hl7.org/fhir/ValueSet/action-type to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 ActionType
RequestOrchestration.action.applicabilityBehavior	Added Element
AuditEvent Requirements
AuditEvent.action Requirements.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/audit-event-action http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1 Jurisdiction ValueSet
AuditEvent.period Requirements.imports	Added Element
Requirements.imports.reference	Added Mandatory Element
Requirements.imports.key	Added Element
AuditEvent.outcome Requirements.actor	Change value set Type changed from http://hl7.org/fhir/ValueSet/audit-event-outcome canonical(ActorDefinition) to http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1 BackboneElement
AuditEvent.agent.type Requirements.actor.reference	Added Mandatory Element
Requirements.actor.key	Added Element
AuditEvent.agent.role Requirements.statement.conformance	Remove Binding Add code http://hl7.org/fhir/ValueSet/security-role-type SHALL-NOT (extensible)
AuditEvent.agent.who Requirements.statement.category	Added Element
AuditEvent.agent.network.type Requirements.statement.derivedFrom	Change value set Type changed from http://hl7.org/fhir/ValueSet/network-type string to http://hl7.org/fhir/ValueSet/network-type|4.0.1 BackboneElement
AuditEvent.source.observer Requirements.statement.derivedFrom.reference	Added Element
Requirements.statement.derivedFrom.key	Added Mandatory Element
Requirements.statement.partOf	Added Element
Requirements.statement.partOf.reference	Added Element
Requirements.statement.partOf.key	Added Mandatory Element
Requirements.statement.actor	Added Element
Requirements.statement.parent	Deleted (-> partOf - though not directly mappable)
ResearchStudy
AuditEvent.source.type ResearchStudy.label.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" Remove Binding `http://hl7.org/fhir/ValueSet/title-type` (extensible)
AuditEvent.entity.what ResearchStudy.label.language	Added Element
ResearchStudy.citeAs	Added Element
ResearchStudy.relatesTo	Added Element
ResearchStudy.relatesTo.type	Added Mandatory Element
ResearchStudy.relatesTo.target[x]	Added Mandatory Element
AuditEvent.entity.role ResearchStudy.region	Change code system for extensibly bound codes from "http://hl7.org/fhir/object-role" to "http://terminology.hl7.org/CodeSystem/object-role" Remove Binding `http://hl7.org/fhir/ValueSet/jurisdiction` (extensible)
AuditEvent.entity.detail.value[x] ResearchStudy.associatedParty.role	Renamed from value to value[x] Remove Binding `http://hl7.org/fhir/ValueSet/research-study-party-role` (extensible)
ResearchStudy.progressStatus.state	Remove Binding `http://hl7.org/fhir/ValueSet/research-study-status` (extensible)
ResearchStudy.recruitment.eligibility	Add Type string Reference: Removed Target Type EvidenceVariable
ResearchStudy.recruitment.description	Added Element
ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.actualNumber	Added Element
ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ResearchStudy.result	Type Reference: Added Target Types Composition, Evidence Type Reference: Removed Target Types EvidenceReport, Citation
AuditEvent.agent.reference ResearchStudy.relatedArtifact	deleted Deleted
AuditEvent.agent.userId ResearchStudy.comparisonGroup.linkId	deleted Deleted
AuditEvent.source.identifier ResearchStudy.comparisonGroup.name	deleted Deleted
AuditEvent.entity.identifier ResearchStudy.comparisonGroup.type	deleted Deleted
AuditEvent.entity.reference ResearchStudy.comparisonGroup.intendedExposure	deleted Deleted
ResearchStudy.outcomeMeasure	Deleted
Basic ResearchSubject
Basic.author ResearchSubject.subject	Type Reference: Added Target Types PractitionerRole, Organization Type SubstanceDefinition
Binary ResearchSubject.subjectState	Renamed from progress to subjectState (when progress.type=state)
Binary.contentType ResearchSubject.subjectState.code	Change value set Moved from http://hl7.org/fhir/ValueSet/mimetypes ResearchSubject.progress.subjectState to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 code (when progress.type=state) Min Cardinality changed from 0 to 1 Remove Binding `http://hl7.org/fhir/ValueSet/research-subject-state|5.0.0` (required)
Binary.data ResearchSubject.subjectState.startDate	Renamed Moved from content ResearchSubject.progress to data ResearchSubject.subjectState (when progress.type=state) Min Cardinality changed from 0 to 1
ResearchSubject.subjectState.endDate	Moved from ResearchSubject.progress to ResearchSubject.subjectState (when progress.type=state)
ResearchSubject.subjectState.reason	Moved from ResearchSubject.progress to ResearchSubject.subjectState (when progress.type=state)
ResearchSubject.subjectMilestone	Added Element Can map from progress when progress.type=milestone
ResearchSubject.subjectMilestone.milestone	Moved from ResearchSubject.progress to ResearchSubject.subjectMilestone (when progress.type=milestone) Min Cardinality changed from 0 to 1
BiologicallyDerivedProduct ResearchSubject.subjectMilestone.date	Added Resource Element map from ResearchSubject.subjectState.endDate, when progress.type=milestone
BodyStructure ResearchSubject.subjectMilestone.reason	Added Element map from ResearchSubject.subjectState.reason when progress.type=milestone
ResearchSubject.comparisonGroup	Added Element
ResearchSubject.progress.type	Deleted (partially indicates to map other properties to ResearchSubject.subjectState or ResearchSubject.subjectMilestone)
ResearchSubject.assignedComparisonGroup	Deleted
ResearchSubject.actualComparisonGroup	Deleted
Resource	No Changes
Bundle RiskAssessment
Bundle.type RiskAssessment.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
RiskAssessment.prediction.probability[x]	Add Type Quantity
Schedule	No Changes
SearchParameter
SearchParameter.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/bundle-type http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 Jurisdiction ValueSet
Bundle.timestamp SearchParameter.aliasCode	Added Element
Bundle.entry.search.mode SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/search-entry-mode to http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
Bundle.entry.request.method SearchParameter.type	Add code resource
SearchParameter.target	Remove codes BiologicallyDerivedProductDispense , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , ConditionDefinition , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , InventoryItem , InventoryReport , Linkage , MedicationKnowledge , MolecularSequence , Permission , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestPlan , TestReport , TestScript , Transport , VerificationResult Add codes DeviceAlert , InsuranceProduct
SearchParameter.modifier	Change value set from http://hl7.org/fhir/ValueSet/http-verb http://hl7.org/fhir/ValueSet/search-modifier-code|5.0.0 to http://hl7.org/fhir/ValueSet/http-verb|4.0.1 Search Modifier All Codes Add codes Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , Claim , ClaimResponse , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAlert , DeviceAssociation , DeviceDefinition , DeviceMetric , DeviceRequest , DiagnosticReport , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImplementationGuide , Ingredient , InsurancePlan , InsuranceProduct , Invoice , Library , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , Task , TerminologyCapabilities , ValueSet , VisionPrescription , BodySite , CatalogEntry , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DeviceUseStatement , DiagnosticOrder , DocumentManifest , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , Media , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , ViewDefinition
CapabilityStatement ServiceRequest
CapabilityStatement ServiceRequest.basedOn	Min Cardinality changed from 1 to 0 Type Reference: Added Target Types DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
ServiceRequest.replaces	Max Cardinality changed Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
ServiceRequest.status	Remove codes revoked , completed Add code ended
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.orderDetail.parameterFocus[x]	Renamed from 1 parameterFocus to * parameterFocus[x] Add Types CodeableConcept, Reference(Device | DeviceRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance | SubstanceDefinition | MedicinalProductDefinition), canonical(DeviceDefinition) Remove Type CodeableReference
CapabilityStatement.status ServiceRequest.asNeeded	Change value set Renamed from http://hl7.org/fhir/ValueSet/publication-status asNeeded[x] to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
CapabilityStatement.experimental ServiceRequest.requester	No longer marked as Modifier Type Reference: Added Target Type Group
CapabilityStatement.kind ServiceRequest.performer	Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind to http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.1 Type Reference: Added Target Type Group
CapabilityStatement.instantiates ServiceRequest.bodyStructure	Type changed from uri Reference(BodyStructure) to canonical(CapabilityStatement) CodeableReference
CapabilityStatement.imports ServiceRequest.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.bodySite	Deleted
Slot	No Changes
Specimen
Specimen.subject	Type Reference: Added Element Target Type NutritionProduct
CapabilityStatement.implementation.url Specimen.collection.collector	Type changed Reference: Added Target Type Organization
Specimen.collection.device[x]	Renamed from uri device to url device[x] Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition) Remove Type CodeableReference
CapabilityStatement.implementation.custodian Specimen.processing.performer	Added Element
Specimen.processing.device[x]	Added Element
CapabilityStatement.fhirVersion Specimen.processing.additive	Type changed from id Reference(Substance) to code CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.device[x]	Renamed from device to device[x] Add Types CodeableConcept, canonical(DeviceDefinition)
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.accessionIdentifier	Deleted (-> Specimen.identifier (along with all the other identifiers))
Specimen.container.location	Deleted
SpecimenDefinition
SpecimenDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 http://hl7.org/fhir/ValueSet/jurisdiction (required) to Jurisdiction ValueSet
StructureDefinition
CapabilityStatement.format StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Jurisdiction ValueSet
CapabilityStatement.patchFormat StructureDefinition.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.2.0 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4.0 , 4.5.0 , 4.6.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final Add code 6.0
StructureMap
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Jurisdiction ValueSet
CapabilityStatement.implementationGuide StructureMap.group.rule.source.min	Type changed from uri integer to canonical(ImplementationGuide) unsignedInt
Subscription
CapabilityStatement.rest.mode Subscription.managingEntity	Type Reference: Added Target Types Device, Group
Subscription.filterBy.resource	Renamed from resourceType to resource
Subscription.filterBy.event	Added Element
SubscriptionStatus
SubscriptionStatus.notificationEvent.triggerEvent	Added Element
SubscriptionStatus.notificationEvent.relatedQuery	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.queryType	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.query	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint	Added Element
SubscriptionStatus.notificationEvent.authorizationHint.authorizationType	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint.value	Added Element
SubscriptionTopic
SubscriptionTopic.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/restful-capability-mode http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.1 Jurisdiction ValueSet
SubscriptionTopic.trigger	Renamed from resourceTrigger to trigger
SubscriptionTopic.trigger.description	Added Element
SubscriptionTopic.trigger.resource	Added Mandatory Element
SubscriptionTopic.trigger.supportedInteraction	Added Element
SubscriptionTopic.trigger.queryCriteria	Moved from SubscriptionTopic.resourceTrigger to SubscriptionTopic.trigger
SubscriptionTopic.trigger.fhirPathCriteria	Moved from SubscriptionTopic.resourceTrigger to SubscriptionTopic.trigger
SubscriptionTopic.trigger.event	Added Element
SubscriptionTopic.trigger.canFilterBy	Moved from SubscriptionTopic to SubscriptionTopic.trigger
SubscriptionTopic.trigger.notificationShape	Moved from SubscriptionTopic to SubscriptionTopic.trigger
SubscriptionTopic.trigger.notificationShape.include	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.query	Added Mandatory Element
SubscriptionTopic.resourceTrigger.description	Deleted
SubscriptionTopic.resourceTrigger.resource	Deleted
SubscriptionTopic.resourceTrigger.supportedInteraction	Deleted
SubscriptionTopic.eventTrigger	Deleted
SubscriptionTopic.notificationShape.include	Deleted
Substance
Substance.instance	Deleted
Substance.ingredient	Deleted
SubstanceDefinition
CapabilityStatement.rest.documentation SubstanceDefinition.status	Now marked as Modifier
SubstanceDefinition.property.value[x]	Add Type Range
SubstanceDefinition.informationSource	Deleted
SubstanceDefinition.referenceInformation	Deleted
SubstanceDefinition.nucleicAcid	Deleted
SubstanceDefinition.polymer	Deleted
SubstanceDefinition.protein	Deleted
Task
Task.statusReason	Max Cardinality changed from 1 to *
Task.code	Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
Task.description	Type changed from string to markdown
CapabilityStatement.rest.security.service Task.focus	Max Cardinality changed from 1 to * Type changed from Reference(Resource) to BackboneElement
Task.focus.value[x]	Added Mandatory Element
Task.requester	Type Reference: Added Target Type Group
Task.owner	Type Reference: Added Target Type Group
Task.performer.actor	Type Reference: Added Target Types Device, Group
Task.restriction.recipient	Type Reference: Added Target Type Device
Task.input.value[x]	Add Type VirtualServiceDetail
Task.output.value[x]	Add Type VirtualServiceDetail
Task.instantiatesCanonical	Deleted
Task.instantiatesUri	Deleted
TerminologyCapabilities
TerminologyCapabilities.jurisdiction	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/restful-security-service" http://hl7.org/fhir/ValueSet/jurisdiction to "http://terminology.hl7.org/CodeSystem/restful-security-service" Jurisdiction ValueSet
CapabilityStatement.rest.security.description TerminologyCapabilities.implementation.description	Type changed from string to markdown
TerminologyCapabilities.codeSystem.supplement	Added Element
TerminologyCapabilities.codeSystem.version.supplement	Added Element
CapabilityStatement.rest.resource.type TerminologyCapabilities.codeSystem.version.language	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/languages|5.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 All Languages Remove codes ar , bg , bg-BG , bn , cs , cs-CZ , bs , bs-BA , da , da-DK , de , de-AT , de-CH , de-DE , el , el-GR , en , en-AU , en-CA , en-GB , en-IN , en-NZ , en-SG , en-US , es , es-AR , es-ES , es-UY , et , et-EE , fi , fr , fr-BE , fr-CH , fr-FR , fi-FI , fr-CA , fy , fy-NL , hi , hr , hr-HR , is , is-IS , it , it-CH , it-IT , ja , ko , lt , lt-LT , lv , lv-LV , nl , nl-BE , nl-NL , no , no-NO , pa , pl , pl-PL , pt , pt-PT , pt-BR , ro , ro-RO , ru , ru-RU , sk , sk-SK , sl , sl-SI , sr , sr-RS , sv , sv-SE , te , zh , zh-CN , zh-HK , zh-SG , zh-TW
TerminologyCapabilities.supplements	Added Element
TerminologyCapabilities.supplements.globals	Added Element
CapabilityStatement.rest.resource.profile TerminologyCapabilities.expansion.parameter.documentation	Type changed from Reference(StructureDefinition) string to canonical(StructureDefinition) markdown
CapabilityStatement.rest.resource.supportedProfile TerminologyCapabilities.closure	Moved Deleted
ValueSet
ValueSet.jurisdiction	Change value set from CapabilityStatement.profile http://hl7.org/fhir/ValueSet/jurisdiction to supportedProfile Jurisdiction ValueSet
ValueSet.compose.include.copyright	Type changed from Reference(StructureDefinition) string to canonical(StructureDefinition) markdown
ValueSet.scope	Deleted
VisionPrescription
VisionPrescription.basedOn	Added Element
VisionPrescription.groupIdentifier	Added Element
VisionPrescription.priority	Added Element
BiologicallyDerivedProductDispense	Deleted
ChargeItem	Deleted
ChargeItemDefinition	Deleted
Citation	Deleted
ClinicalImpression	Deleted
ConditionDefinition	Deleted
DeviceDispense	Deleted
DeviceUsage	Deleted
EncounterHistory	Deleted
EvidenceReport	Deleted
FormularyItem	Deleted
GenomicStudy	Deleted
GraphDefinition	Deleted
ImmunizationEvaluation	Deleted
ImmunizationRecommendation	Deleted
InventoryItem	Deleted
InventoryReport	Deleted
Linkage	Deleted
MedicationKnowledge	Deleted
MolecularSequence	Deleted
Permission	Deleted
SubstanceNucleicAcid	Deleted
SubstancePolymer	Deleted
SubstanceProtein	Deleted
SubstanceReferenceInformation	Deleted
SubstanceSourceMaterial	Deleted
SupplyDelivery	Deleted
SupplyRequest	Deleted
TestPlan	Deleted
TestReport	Deleted
TestScript	Deleted
Transport	Deleted
VerificationResult	Deleted

2.1.12.2 Differences between R4B and R6

Types
Address	No Changes
Age
CapabilityStatement.rest.resource.interaction Age	Min Cardinality changed Change max value set from 1 All UCUM Expression for Time to 0 none
Annotation	No Changes
Attachment
CapabilityStatement.rest.resource.interaction.code Attachment.language	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/type-restful-interaction Common Languages to http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.1 All Languages Change max value set from All Languages to none
CapabilityStatement.rest.resource.interaction.documentation Attachment.size	Type changed from string unsignedInt to markdown integer64
Attachment.height	Added Element
Attachment.width	Added Element
Attachment.frames	Added Element
Attachment.duration	Added Element
Attachment.pages	Added Element
Availability	Added Type
BackboneElement	No Changes
BackboneType	Added Type
Base	Added Type
CodeableConcept	No Changes
CodeableReference	No Changes
Coding	No Changes
ContactDetail	No Changes
ContactPoint	No Changes
Count	No Changes
DataRequirement
CapabilityStatement.rest.resource.versioning DataRequirement.type	Change value set from http://hl7.org/fhir/ValueSet/versioning-policy http://hl7.org/fhir/ValueSet/all-types|4.3.0 to http://hl7.org/fhir/ValueSet/versioning-policy|4.0.1 All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
CapabilityStatement.rest.resource.conditionalRead DataRequirement.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/conditional-read-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter	Added Element
DataRequirement.valueFilter.path	Added Element
DataRequirement.valueFilter.searchParam	Added Element
DataRequirement.valueFilter.comparator	Added Element
DataRequirement.valueFilter.value[x]	Added Element
DataType	Added Type
Distance
CapabilityStatement.rest.resource.conditionalDelete Distance	Change max value set from http://hl7.org/fhir/ValueSet/conditional-delete-status All UCUM Expression for Distance to http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.1 none
Dosage
Dosage.condition	Added Element
Dosage.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
CapabilityStatement.rest.resource.referencePolicy Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration
Duration	Change max value set from http://hl7.org/fhir/ValueSet/reference-handling-policy All UCUM Expression for Time to http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.1 none
Element
CapabilityStatement.rest.resource.searchParam.definition Element.id	Type changed from uri id to canonical(SearchParameter) string
ElementDefinition
ElementDefinition.slicing.discriminator.type	Add code position
CapabilityStatement.rest.resource.searchParam.type ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/fhir-element-types to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 Element Definition Types
CapabilityStatement.rest.resource.searchParam.documentation ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.minValue[x]	Add Type integer64
ElementDefinition.maxValue[x]	Add Type integer64
ElementDefinition.constraint.requirements	Type changed from string to markdown
CapabilityStatement.rest.resource.operation ElementDefinition.constraint.suppress	Added Element
CapabilityStatement.rest.resource.operation.name ElementDefinition.mustHaveValue	Added Element
ElementDefinition.valueAlternatives	Added Element
ElementDefinition.binding.strength	Add code descriptive
ElementDefinition.binding.description	Type changed from string to markdown
ElementDefinition.binding.additional	Added Element
ElementDefinition.binding.additional.key	Added Element
ElementDefinition.binding.additional.purpose	Added Mandatory Element
CapabilityStatement.rest.resource.operation.definition ElementDefinition.binding.additional.valueSet	Added Mandatory Element
CapabilityStatement.rest.resource.operation.documentation ElementDefinition.binding.additional.documentation	Added Element
ElementDefinition.binding.additional.shortDoco	Added Element
ElementDefinition.binding.additional.usage	Added Element
ElementDefinition.binding.additional.any	Added Element
CapabilityStatement.rest.interaction.code ElementDefinition.mapping.comment	Type changed from string to markdown
ElementDefinition.constraint.xpath	Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name	Type changed from id to code
Expression.language	Min Cardinality changed from 1 to 0 Change max value set from http://hl7.org/fhir/ValueSet/system-restful-interaction Mime Types to http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.1 none Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail	Added Type
Extension
CapabilityStatement.rest.interaction.documentation Extension.value[x]	Add Types integer64, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed Contributor
HumanName
HumanName.use	Remove code maiden
Identifier	No Changes
MarketingStatus	No Changes
Meta	No Changes
MonetaryComponent	Added Type
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
ParameterDefinition.type	Change value set from string http://hl7.org/fhir/ValueSet/all-types|4.3.0 to All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
Period	No Changes
PrimitiveType	Added Type
ProductShelfLife
CapabilityStatement.rest.operation ProductShelfLife.type	Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]	Renamed from period to period[x] Min Cardinality changed from 1 to 0 Add Types Duration, string Remove Type BackboneElement Quantity
ProductShelfLife.identifier	Deleted
Quantity
CapabilityStatement.rest.compartment Quantity.comparator	Add code ad
Range	No Changes
Ratio
Ratio.denominator	Type changed from uri Quantity to canonical(CompartmentDefinition) Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange	No Changes
Reference
CapabilityStatement.messaging.endpoint.protocol Reference.type	Change code system for extensibly bound codes from "http://hl7.org/fhir/message-transport" "http://hl7.org/fhir/resource-types" to "http://terminology.hl7.org/CodeSystem/message-transport" "http://hl7.org/fhir/fhir-types"
RelatedArtifact
CapabilityStatement.messaging.endpoint.address RelatedArtifact.type	Add code part-of
RelatedArtifact.resourceReference	Added Element
RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.url	Deleted (-> document)
RelativeTime	Added Type
SampledData
SampledData.interval	Renamed from period to interval Min Cardinality changed from uri 1 to url 0
SampledData.intervalUnit	Added Mandatory Element
SampledData.codeMap	Added Element
SampledData.offsets	Added Element
Signature
CapabilityStatement.messaging.documentation Signature.type	Type Min Cardinality changed from string 1 to markdown 0
CapabilityStatement.messaging.supportedMessage.mode Signature.when	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/event-capability-mode 1 to http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.1 0
CapabilityStatement.messaging.supportedMessage.definition Signature.who	Type Min Cardinality changed from Reference(MessageDefinition) 1 to canonical(MessageDefinition) 0
SimpleQuantity	No Changes
Timing
Timing.repeat.startOffset	Added Element
Timing.repeat.endOffset	Added Element
CapabilityStatement.document.mode Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/document-mode http://hl7.org/fhir/ValueSet/usage-context-type to http://hl7.org/fhir/ValueSet/document-mode|4.0.1 UsageContextType
VirtualServiceDetail	Added Type
base64Binary	(No Changes)
boolean	(No Changes)
canonical	(No Changes)
code	(No Changes)
date	(No Changes)
dateTime	(No Changes)
decimal	(No Changes)
id	(No Changes)
instant	(No Changes)
integer	(No Changes)
integer64	Added Type
markdown	(No Changes)
oid	(No Changes)
positiveInt	(No Changes)
string	(No Changes)
time	(No Changes)
unsignedInt	(No Changes)
uri	(No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Contributor	Deleted
Population	Deleted
ProdCharacteristic	Deleted
Resources
Account
Account.billingStatus	Added Element
Account.covers	Added Element
CapabilityStatement.document.documentation Account.description	Type changed from string to markdown
CapabilityStatement.document.profile Account.guarantor.party	Type Min Cardinality changed from Reference(StructureDefinition) 1 to canonical(StructureDefinition) 0
CapabilityStatement.acceptUnknown Account.guarantor.account	deleted Added Element
CapabilityStatement.rest.security.certificate Account.guarantor.responsibility	deleted Added Element
CapabilityStatement.rest.operation.name Account.guarantor.limit	deleted Added Element
CapabilityStatement.rest.operation.definition Account.guarantor.rank	deleted Added Element
CapabilityStatement.messaging.event Account.diagnosis	deleted Added Element
CarePlan Account.diagnosis.sequence	Added Element
CarePlan.instantiatesCanonical Account.diagnosis.condition	Added Mandatory Element
CarePlan.instantiatesUri Account.diagnosis.dateOfDiagnosis	Added Element
Account.diagnosis.type	Added Element
Account.diagnosis.onAdmission	Added Element
Account.diagnosis.packageCode	Added Element
Account.procedure	Added Element
Account.procedure.sequence	Added Element
Account.procedure.code	Added Mandatory Element
Account.procedure.dateOfService	Added Element
Account.procedure.type	Added Element
Account.procedure.packageCode	Added Element
Account.procedure.device	Added Element
Account.parent	Renamed from partOf to parent
Account.currency	Added Element
Account.balance	Added Element
Account.balance.aggregate	Added Element
Account.balance.term	Added Element
Account.balance.estimate	Added Element
Account.balance.amount	Added Mandatory Element
Account.calculatedAt	Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]	Added Element
CarePlan.status ActivityDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/care-plan-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/request-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
CarePlan.intent ActivityDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/care-plan-intent http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
CarePlan.encounter ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
CarePlan.created ActivityDefinition.asNeeded[x]	Added Element
CarePlan.author ActivityDefinition.location	Max Cardinality Type changed from * Reference(Location) to CodeableReference
ActivityDefinition.participant.type	Min Cardinality changed from 1 to 0 Type Reference: Remove code related-person Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical	Added Target Types PractitionerRole, Device Element
CarePlan.contributor ActivityDefinition.participant.typeReference	Added Element
ActivityDefinition.participant.function	Added Element
CarePlan.activity.reference ActivityDefinition.specimenRequirement	Type Reference: Added Target changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement	Type ServiceRequest changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement	Type Reference: Removed Target changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition	Added Resource
AdministrableProductDefinition
AdministrableProductDefinition.description	Added Element
AdministrableProductDefinition.code	Added Element
AdministrableProductDefinition.property.value[x]	Add Types ProcedureRequest, ReferralRequest Range, markdown, Reference(Binary)
AdverseEvent
AdverseEvent.identifier	Max Cardinality changed from 1 to *
AdverseEvent.status	Added Mandatory Element
AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
CarePlan.activity.detail.kind AdverseEvent.code	Renamed from category event to kind code
AdverseEvent.effect[x]	Renamed from date to effect[x] Add Type Period
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type changed from CodeableConcept Reference(Condition) to code CodeableReference
AdverseEvent.outcome	Add Max Cardinality changed from 1 to * Remove Binding http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0` (required)
CarePlan.activity.detail.instantiatesCanonical AdverseEvent.participant	Added Element
CarePlan.activity.detail.instantiatesUri AdverseEvent.participant.function	Added Element
CarePlan.activity.detail.reasonReference AdverseEvent.participant.actor	Type Reference: Added Target Types Observation, DiagnosticReport, DocumentReference Mandatory Element
AdverseEvent.expectedInResearchStudy	Added Element
CarePlan.activity.detail.status AdverseEvent.suspectEntity.instance	Change value set Type changed from http://hl7.org/fhir/ValueSet/care-plan-activity-status Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 CodeableReference
CarePlan.activity.detail.statusReason AdverseEvent.suspectEntity.causality	Type Max Cardinality changed from string * to CodeableConcept 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
CarePlan.activity.detail.doNotPerform AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from prohibited productRelatedness to doNotPerform entityRelatedness Default Value "false" removed Type changed from string to CodeableConcept
CarePlan.activity.detail.performer AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types PractitionerRole, HealthcareService, Device Patient, RelatedPerson
AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor	Added Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.mitigatingAction	Added Element
AdverseEvent.supportingInfo	Added Element Can map from AdverseEvent.referenceDocument and AdverseEvent.subjectMedicalHistory
AdverseEvent.note	Added Element
CarePlan.definition AdverseEvent.severity	deleted Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
CarePlan.context AdverseEvent.contributor	deleted Deleted (-> AdverseEvent.participant.actor)
CarePlan.activity.detail.definition AdverseEvent.suspectEntity.causality.assessment	deleted Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory	Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument	Deleted (-> AdverseEvent.supportingInfo)
CareTeam AllergyIntolerance
CareTeam.status AllergyIntolerance.clinicalStatus	Change value set Remove code resolved
AllergyIntolerance.type	Type changed from http://hl7.org/fhir/ValueSet/care-team-status code to http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` (required)
AllergyIntolerance.recorder	Type Reference: Added Target Type Organization
AllergyIntolerance.lastReactionOccurrence	Renamed from lastOccurrence to lastReactionOccurrence
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
Appointment
Appointment.cancellationReason	Renamed from cancelationReason to cancellationReason
CareTeam.encounter Appointment.class	Added Element
CareTeam.participant.role Appointment.serviceType	Max Cardinality Type changed from 1 CodeableConcept to * CodeableReference
Appointment.reason	Added Element Merged both reasonCode and reasonReference into reason
CareTeam.participant.member Appointment.priority	Type Reference: changed from unsignedInt to CodeableConcept
Appointment.replaces	Added Target Type PractitionerRole Element
CareTeam.telecom Appointment.virtualService	Added Element
CareTeam.context Appointment.previousAppointment	deleted Added Element
CatalogEntry Appointment.originatingAppointment	Added Resource Element
ChargeItem Appointment.account	Added Element
Appointment.cancellationDate	Added Element
Appointment.note	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation
ChargeItem.identifier Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to CodeableReference
ChargeItem.definitionUri Appointment.basedOn	Type Reference: Added Element Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
ChargeItem.definitionCanonical Appointment.subject	Added Element
ChargeItem.status Appointment.participant.actor	Change value set Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required	Type changed from http://hl7.org/fhir/ValueSet/chargeitem-status code to http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 boolean Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.3.0` (required)
ChargeItem.performer Appointment.recurrenceId	Added Element
ChargeItem.performer.function Appointment.occurrenceChanged	Added Element
ChargeItem.performer.actor Appointment.recurrenceTemplate	Added Element
Appointment.recurrenceTemplate.timezone	Added Element
Appointment.recurrenceTemplate.recurrenceType	Added Mandatory Element
ChargeItem.costCenter Appointment.recurrenceTemplate.lastOccurrenceDate	Added Element
Appointment.recurrenceTemplate.occurrenceCount	Added Element
Appointment.recurrenceTemplate.occurrenceDate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval	Added Element
Appointment.recurrenceTemplate.monthlyTemplate	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval	Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate	Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval	Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate	Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId	Added Element
Appointment.reasonCode	Deleted (-> reason.concept)
Appointment.reasonReference	Deleted (-> reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime	Added Element
ChargeItem.enterer AppointmentResponse.actor	Type Reference: Added Target Type PractitionerRole Group
AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.3.0 to Appointment Response Status Add code entered-in-error
AppointmentResponse.comment	Type changed from string to markdown
ChargeItem.product[x] AppointmentResponse.recurring	Added Element
ChargeItem.definition AppointmentResponse.occurrenceDate	deleted Added Element
ChargeItem.participant AppointmentResponse.recurrenceId	deleted Added Element
ChargeItemDefinition ArtifactAssessment	Added Resource
Claim AuditEvent
Claim.status AuditEvent.type	Min Cardinality Type changed from 0 Coding to 1 CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
Claim.type AuditEvent.subtype	Min Cardinality Type changed from 0 Coding to 1 CodeableConcept Change binding strength Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity	Added Element
AuditEvent.occurred[x]	Renamed from required period to extensible occurred[x] Add Type dateTime
Claim.subType AuditEvent.outcome	Max Cardinality Type changed from * code to 1 BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0` (required)
AuditEvent.outcome.code	Added Mandatory Element
AuditEvent.outcome.detail	Added Element
AuditEvent.authorization	Renamed from purposeOfEvent to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn	Added Element
AuditEvent.patient	Added Element
AuditEvent.encounter	Added Element
Claim.use AuditEvent.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who	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 Type Reference: Added Target Types CareTeam, DeviceDefinition, Group, HealthcareService
Claim.patient AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]	Renamed from network to 1 network[x] Add Types Reference(Endpoint), uri, string Remove Type BackboneElement
AuditEvent.agent.authorization	Renamed from purposeOfUse to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Claim.created AuditEvent.source.site	Min Cardinality Type changed from 0 string to 1 Reference(Location)
Claim.enterer AuditEvent.source.observer	Type Reference: Added Target Type PractitionerRole CareTeam
Claim.provider AuditEvent.source.type	Min Cardinality Type changed from 0 Coding to 1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role	Type Reference: Added Target Types PractitionerRole, Organization changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
Claim.priority AuditEvent.entity.securityLabel	Min Cardinality Type changed from 0 Coding to 1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Claim.prescription AuditEvent.entity.detail.type	Type Reference: changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]	Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Target Element
AuditEvent.outcomeDesc	Deleted (-> outcome.detail.text)
AuditEvent.agent.altId	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
AuditEvent.agent.name	Deleted (-> who.display)
AuditEvent.agent.media	Deleted (-> AuditEvent.entity)
AuditEvent.agent.network.address	Deleted (-> network[x])
AuditEvent.agent.network.type	Deleted (-> network[x])
AuditEvent.entity.type	Deleted
AuditEvent.entity.lifecycle	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name	Deleted (-> what.display)
Basic
Basic.code	Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
Basic.created	Type DeviceRequest changed from date to dateTime
Claim.originalPrescription Basic.author	Type Reference: Added Target Types DeviceRequest, VisionPrescription Device, CareTeam
Binary	No Changes
BiologicallyDerivedProduct
Claim.payee.party BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type Reference: changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.3.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent	Added Target Type PractitionerRole Element
Claim.referral BiologicallyDerivedProduct.processingFacility	Type Reference: Added Target Type ServiceRequest Element
BiologicallyDerivedProduct.division	Type Reference: Removed Target Type ReferralRequest Added Element
Claim.careTeam.provider BiologicallyDerivedProduct.productStatus	Type Reference: Added Target Type PractitionerRole Element
Claim.supportingInfo BiologicallyDerivedProduct.expirationDate	Renamed from information to supportingInfo Added Element
Claim.supportingInfo.sequence BiologicallyDerivedProduct.collection.sourcePatient	Moved Added Element maps from Claim.information to Claim.supportingInfo BiologicallyDerivedProduct.collection.source depending on reference type
Claim.supportingInfo.category BiologicallyDerivedProduct.collection.sourceOrganization	Moved Added Element maps from Claim.information to Claim.supportingInfo BiologicallyDerivedProduct.collection.source depending on reference type
BiologicallyDerivedProduct.collection.procedure	Added Element
BiologicallyDerivedProduct.storageTempRequirements	Added Element
BiologicallyDerivedProduct.property	Added Element
BiologicallyDerivedProduct.property.type	Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]	Added Mandatory Element
BiologicallyDerivedProduct.status	Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity	Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.collection.source	Deleted (-> collection.sourcePatient or collection.sourceOrganization depending on reference type)
BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BodyStructure
BodyStructure.includedStructure	Added Mandatory Element
BodyStructure.includedStructure.structure	Added Mandatory Element
BodyStructure.includedStructure.laterality	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation	Added Element
BodyStructure.includedStructure.spatialReference	Added Element
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
Claim.supportingInfo.code BodyStructure.includedStructure.morphology	Moved from Claim.information BodyStructure to Claim.supportingInfo BodyStructure.includedStructure
Claim.supportingInfo.timing[x] BodyStructure.excludedStructure	Moved Added Element
BodyStructure.description	Type changed from Claim.information string to Claim.supportingInfo markdown
Claim.supportingInfo.value[x] BodyStructure.location	Moved Deleted
BodyStructure.locationQualifier	Deleted
Bundle
Bundle.type	Add code subscription-notification
Bundle.link.relation	Type changed from Claim.information string to Claim.supportingInfo code Add Type boolean Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Claim.supportingInfo.reason Bundle.entry.response.outcome	Moved Type changed from Claim.information Resource to Claim.supportingInfo Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Claim.diagnosis.onAdmission Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
Claim.procedure.type CapabilityStatement.versionAlgorithm[x]	Added Element
Claim.procedure.udi CapabilityStatement.actorDefinition	Added Element
Claim.insurance CapabilityStatement.jurisdiction	Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/jurisdiction to 1 Jurisdiction ValueSet
Claim.insurance.identifier CapabilityStatement.copyrightLabel	Added Element
Claim.accident.type CapabilityStatement.implementation.description	Change binding strength Type changed from required string to extensible markdown
Claim.item.careTeamSequence CapabilityStatement.fhirVersion	Renamed from careTeamLinkId to careTeamSequence Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.3.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
Claim.item.diagnosisSequence CapabilityStatement.format	Renamed Change value set from diagnosisLinkId http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 to diagnosisSequence Supplemented Mime Types
Claim.item.procedureSequence CapabilityStatement.patchFormat	Renamed Change value set from procedureLinkId http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 to procedureSequence Patch Mime Types Add codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
Claim.item.informationSequence CapabilityStatement.acceptLanguage	Renamed Added Element
CapabilityStatement.rest.security.service	Change code system for extensibly bound codes from informationLinkId "http://terminology.hl7.org/CodeSystem/restful-security-service" to informationSequence "http://hl7.org/fhir/restful-security-service"
Claim.item.productOrService CapabilityStatement.rest.resource.type	Renamed Type changed from service code to productOrService uri Min Cardinality changed Change binding strength from 0 required to 1 extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Extended Resource Types
CapabilityStatement.rest.resource.definition	Added Element
CapabilityStatement.rest.resource.interaction.code	Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.conditionalPatch	Added Element
CapabilityStatement.rest.resource.searchParam.type	Add code resource
CapabilityStatement.messaging.endpoint.protocol	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn	Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.status	Remove codes revoked , completed Add code ended
CarePlan.intent	Add code directive
Claim.item.detail.productOrService CarePlan.custodian	Renamed from service author to productOrService custodian
CarePlan.addresses	Min Cardinality Type changed from 0 Reference(Condition) to 1 CodeableReference
CarePlan.activity.performedActivity	Added Element
Claim.item.detail.subDetail.productOrService CarePlan.activity.plannedActivityReference	Renamed from service reference to productOrService plannedActivityReference Min Cardinality changed from 0 to 1 Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type RequestGroup
Claim.organization CarePlan.instantiatesCanonical	deleted Deleted
Claim.payee.resourceType CarePlan.instantiatesUri	deleted Deleted
Claim.employmentImpacted CarePlan.activity.outcomeCodeableConcept	deleted Deleted (-> CarePlan.activity.performedActivity)
Claim.hospitalization CarePlan.activity.outcomeReference	deleted Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail	Deleted (-> CarePlan.activity.plannedActivityReference)
ClaimResponse CareTeam
ClaimResponse.status CareTeam.participant.role	Min Max Cardinality changed from 0 * to 1
CareTeam.participant.member	Change value set Type Reference: Added Target Types Group, HealthcareService
CareTeam.participant.onBehalfOf	Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
CareTeam.participant.effective[x]	Renamed from http://hl7.org/fhir/ValueSet/fm-status period to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 effective[x] Add Type Timing
ClaimResponse.type CareTeam.participant.supportingInfo	Added Mandatory Element
ClaimResponse.subType CareTeam.reason	Added Element Merged both reasonCode and reasonReference into reason
CareTeam.encounter	Deleted (Removed to avoid circular references since Encounter references CareTeam)
CareTeam.reasonCode	Deleted (-> reason.concept)
CareTeam.reasonReference	Deleted (-> reason.reference)
Claim
Claim.traceNumber	Added Element
ClaimResponse.use Claim.statusReason	Added Mandatory Element
ClaimResponse.patient Claim.subject	Min Cardinality changed Renamed from 0 patient to 1 subject Type Reference: Added Target Type Group
ClaimResponse.created Claim.enterer	Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.insurer Claim.priority	Min Cardinality changed from 0 to 1 to 0
Claim.prescription	Type Reference: Added Target Type ServiceRequest
Claim.originalPrescription	Type Reference: Added Target Type ServiceRequest
Claim.encounter	Added Element
Claim.facility	Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup	Added Element
Claim.event	Added Element
Claim.event.type	Added Mandatory Element
Claim.event.when[x]	Added Mandatory Element
ClaimResponse.requestor Claim.careTeam.specialty	Renamed from requestProvider qualification to requestor specialty
Claim.supportingInfo.subCategory	Type Reference: Added Target Element
Claim.supportingInfo.timing[x]	Add Types PractitionerRole, Organization dateTime, Timing Remove Type date
ClaimResponse.outcome Claim.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Claim.insurance	Min Cardinality changed from 0 to 1 to 0
Claim.patientPaid	Added Element
Claim.item.traceNumber	Type Added Element
Claim.item.subject	Added Element
Claim.item.productOrService	Min Cardinality changed from CodeableConcept 1 to code 0
Claim.item.productOrServiceEnd	Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) Added Element
ClaimResponse.preAuthRef Claim.item.request	Moved from ClaimResponse.insurance to ClaimResponse Added Element
Claim.item.patientPaid	Added Element
Claim.item.tax	Added Element
Claim.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to 1 BackboneElement
ClaimResponse.preAuthPeriod Claim.item.bodySite.site	Added Mandatory Element
ClaimResponse.item.itemSequence Claim.item.bodySite.subSite	Renamed from sequenceLinkId to itemSequence Added Element
Claim.item.detail.traceNumber	Added Element
ClaimResponse.item.adjudication Claim.item.detail.productOrService	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.item.detail.detailSequence Claim.item.detail.productOrServiceEnd	Renamed from sequenceLinkId to detailSequence Added Element
Claim.item.detail.patientPaid	Added Element
Claim.item.detail.tax	Added Element
Claim.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.item.detail.adjudication Claim.item.detail.subDetail.productOrService	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.item.detail.subDetail.subDetailSequence Claim.item.detail.subDetail.productOrServiceEnd	Renamed from sequenceLinkId to subDetailSequence Added Element
ClaimResponse.addItem.itemSequence Claim.item.detail.subDetail.patientPaid	Renamed from sequenceLinkId to itemSequence Added Element
ClaimResponse.addItem.detailSequence Claim.item.detail.subDetail.tax	Added Element
Claim.careTeam.responsible	Deleted
Claim.diagnosis.packageCode	Deleted
Claim.item.subSite	Deleted
ClaimResponse
ClaimResponse.addItem.subdetailSequence ClaimResponse.traceNumber	Added Element
ClaimResponse.addItem.provider ClaimResponse.statusReason	Added Element
ClaimResponse.addItem.productOrService ClaimResponse.subject	Renamed from service patient to productOrService subject Type Reference: Added Target Type Group
ClaimResponse.insurer	Min Cardinality changed from 1 to 0
ClaimResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to 1 Claim Processing Codes
ClaimResponse.addItem.programCode ClaimResponse.decision	Added Element
ClaimResponse.addItem.serviced[x] ClaimResponse.event	Added Element
ClaimResponse.addItem.location[x] ClaimResponse.event.type	Added Mandatory Element
ClaimResponse.addItem.quantity ClaimResponse.event.when[x]	Added Mandatory Element
ClaimResponse.encounter	Added Element
ClaimResponse.addItem.unitPrice ClaimResponse.diagnosisRelatedGroup	Added Element
ClaimResponse.addItem.factor ClaimResponse.supportingInfo	Added Element
ClaimResponse.addItem.net ClaimResponse.supportingInfo.sequence	Added Mandatory Element
ClaimResponse.addItem.bodySite ClaimResponse.supportingInfo.category	Added Mandatory Element
ClaimResponse.addItem.subSite ClaimResponse.supportingInfo.code	Added Element
ClaimResponse.supportingInfo.timing[x]	Added Element
ClaimResponse.supportingInfo.value[x]	Added Element
ClaimResponse.supportingInfo.reason	Added Element
ClaimResponse.item.traceNumber	Added Element
ClaimResponse.item.informationSequence	Added Element
ClaimResponse.item.reviewOutcome	Added Element
ClaimResponse.item.reviewOutcome.decision	Added Element
ClaimResponse.item.reviewOutcome.reason	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
ClaimResponse.addItem.adjudication ClaimResponse.item.adjudication	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.addItem.detail.productOrService ClaimResponse.item.adjudication.quantity	Renamed from service value to productOrService quantity Min Cardinality Type changed from 0 decimal to 1 Quantity
ClaimResponse.addItem.detail.quantity ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.addItem.detail.unitPrice ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.addItem.detail.factor ClaimResponse.item.detail.reviewOutcome	Added Element
ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.net ClaimResponse.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.addItem.detail.adjudication ClaimResponse.item.detail.subDetail.reviewOutcome	Min Cardinality changed from 0 to 1 Added Element
ClaimResponse.addItem.detail.subDetail ClaimResponse.addItem.traceNumber	Added Element
ClaimResponse.addItem.detail.subDetail.productOrService ClaimResponse.addItem.subject	Added Mandatory Element
ClaimResponse.addItem.detail.subDetail.modifier ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.detail.subDetail.quantity ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.detail.subDetail.unitPrice ClaimResponse.addItem.category	Added Element
ClaimResponse.addItem.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.factor ClaimResponse.addItem.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.subDetail.net ClaimResponse.addItem.request	Added Element
ClaimResponse.addItem.detail.subDetail.noteNumber ClaimResponse.addItem.tax	Added Element
ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.detail.subDetail.adjudication ClaimResponse.addItem.bodySite.site	Added Mandatory Element
ClaimResponse.adjudication ClaimResponse.addItem.bodySite.subSite	Added Element
ClaimResponse.total ClaimResponse.addItem.reviewOutcome	Added Element
ClaimResponse.addItem.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.total.category ClaimResponse.addItem.detail.traceNumber	Added Mandatory Element
ClaimResponse.total.amount ClaimResponse.addItem.detail.revenue	Added Mandatory Element
ClaimResponse.payment.type ClaimResponse.addItem.detail.productOrService	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.tax	Added Element
ClaimResponse.addItem.detail.reviewOutcome	Added Element
ClaimResponse.payment.amount ClaimResponse.addItem.detail.adjudication	Min Cardinality changed from 0 to 1 to 0
ClaimResponse.fundsReserve ClaimResponse.addItem.detail.subDetail.traceNumber	Renamed from reserved to fundsReserve Added Element
ClaimResponse.addItem.detail.subDetail.revenue	Type Added Element
ClaimResponse.addItem.detail.subDetail.productOrService	Min Cardinality changed from Coding 1 to CodeableConcept 0
ClaimResponse.formCode ClaimResponse.addItem.detail.subDetail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.subDetail.tax	Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.form ClaimResponse.addItem.detail.subDetail.adjudication	Type Min Cardinality changed from CodeableConcept 1 to Attachment 0
ClaimResponse.processNote.class	Added Element
ClaimResponse.processNote.type	Type changed from CodeableConcept to code to CodeableConcept Change value set binding strength from http://hl7.org/fhir/ValueSet/note-type required to http://hl7.org/fhir/ValueSet/note-type|4.0.1 extensible
ClaimResponse.processNote.text	Min Cardinality Type changed from 0 string to 1 markdown
ClaimResponse.processNote.language	Change binding strength from extensible to preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ClaimResponse.error.itemSequence ClaimResponse.error.expression	Renamed from sequenceLinkId to itemSequence Added Element
ClaimResponse.error.detailSequence ClaimResponse.addItem.subSite	Renamed Deleted
ClinicalUseDefinition
ClinicalUseDefinition.subject	Min Cardinality changed from detailSequenceLinkId 0 to detailSequence 1 Type changed from Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance) to CodeableReference
ClaimResponse.error.subDetailSequence ClinicalUseDefinition.status	Renamed Now marked as Modifier
ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalUseDefinition.indication.intendedEffect	Max Cardinality changed from subdetailSequenceLinkId 1 to subDetailSequence *
ClaimResponse.requestOrganization ClinicalUseDefinition.indication.undesirableEffect	deleted Remove Type Reference(ClinicalUseDefinition)
ClaimResponse.addItem.revenue ClinicalUseDefinition.indication.applicability	deleted Added Element
ClaimResponse.addItem.category ClinicalUseDefinition.indication.otherTherapy.relationshipType	deleted Added Mandatory Element
ClaimResponse.addItem.fee ClinicalUseDefinition.indication.otherTherapy.treatment	deleted Added Mandatory Element
ClaimResponse.addItem.detail.revenue ClinicalUseDefinition.contraindication.indication	deleted Remove Type Reference(ClinicalUseDefinition)
ClaimResponse.addItem.detail.category ClinicalUseDefinition.contraindication.applicability	deleted Added Element
ClaimResponse.addItem.detail.fee ClinicalUseDefinition.contraindication.management	deleted Added Element
ClaimResponse.totalCost ClinicalUseDefinition.contraindication.otherTherapy	deleted Remove Type BackboneElement
ClinicalUseDefinition.interaction.interactant.route	Added Element
ClinicalUseDefinition.interaction.severity	Added Element
ClinicalUseDefinition.library	Added Element
ClaimResponse.unallocDeductable ClinicalUseDefinition.contraindication.otherTherapy.relationshipType	deleted Deleted
ClaimResponse.totalBenefit ClinicalUseDefinition.contraindication.otherTherapy.therapy	deleted Deleted
ClinicalImpression CodeSystem
CodeSystem.versionAlgorithm[x]	Added Element
ClinicalImpression.status CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/clinical-impression-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 Jurisdiction ValueSet
ClinicalImpression.statusReason CodeSystem.copyrightLabel	Added Element
ClinicalImpression.encounter CodeSystem.approvalDate	Added Element
CodeSystem.lastReviewDate	Added Element
CodeSystem.effectivePeriod	Added Element
CodeSystem.topic	Added Element
CodeSystem.author	Added Element
CodeSystem.editor	Added Element
CodeSystem.reviewer	Added Element
CodeSystem.endorser	Added Element
CodeSystem.relatedArtifact	Added Element
ClinicalImpression.assessor CodeSystem.filter.operator	Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Type PractitionerRole Reference: Removed Target Type Resource
ClinicalImpression.investigation.item Communication.recipient	Type Reference: Added Target Type Media Types Location, Endpoint
ClinicalImpression.finding.itemCodeableConcept Communication.sender	Type Reference: Added Element Target Types Endpoint, CareTeam
ClinicalImpression.finding.itemReference Communication.reason	Added Element Merged both reasonCode and reasonReference into reason
ClinicalImpression.supportingInfo Communication.payload.content[x]	Added Element Add Type CodeableConcept Remove Type string
ClinicalImpression.context Communication.instantiatesCanonical	deleted Deleted
ClinicalImpression.finding.item[x] Communication.instantiatesUri	deleted Deleted
ClinicalImpression.action Communication.reasonCode	deleted Deleted (-> reason.concept)
Communication.reasonReference	Deleted (-> reason.reference)
CodeSystem CommunicationRequest
CodeSystem.identifier CommunicationRequest.status	Max Cardinality changed from 1 to * Remove codes revoked , completed Add code ended
CodeSystem.status CommunicationRequest.intent	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
CodeSystem.experimental CommunicationRequest.payload.content[x]	No longer marked as Modifier Add Type CodeableConcept Remove Type string
CodeSystem.valueSet CommunicationRequest.requester	Type changed from uri to canonical(ValueSet) Reference: Added Target Type Group
CodeSystem.hierarchyMeaning CommunicationRequest.recipient	Change value set from http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning to http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1 Type Reference: Added Target Type Endpoint
CodeSystem.content CommunicationRequest.informationProvider	Change value set Renamed from http://hl7.org/fhir/ValueSet/codesystem-content-mode sender to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 informationProvider Max Cardinality changed from 1 to * Type Reference: Added Target Types Endpoint, Group
CodeSystem.supplements CommunicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
CodeSystem.filter.operator CommunicationRequest.reasonCode	Change value set from http://hl7.org/fhir/ValueSet/filter-operator to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 Deleted (-> reason.concept)
CodeSystem.property.type CommunicationRequest.reasonReference	Change value set from http://hl7.org/fhir/ValueSet/concept-property-type to http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1 Deleted (-> reason.reference)
CodeSystem.concept.designation.language CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]	Change binding strength from extensible to preferred Added Element
CompartmentDefinition.title	Added Element
CodeSystem.concept.property.value[x] CompartmentDefinition.code	Add Type decimal code EpisodeOfCare
Communication CompartmentDefinition.resource.code	Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , RequestOrchestration , Requirements
Communication.instantiatesCanonical CompartmentDefinition.resource.startParam	Added Element
Communication.instantiatesUri CompartmentDefinition.resource.endParam	Added Element
CompartmentDefinition.resource.documentation	Deleted
Composition
Communication.inResponseTo Composition.url	Added Element
Communication.status Composition.identifier	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/event-status 1 to http://hl7.org/fhir/ValueSet/event-status|4.0.1 *
Communication.statusReason Composition.version	Added Element
Communication.priority Composition.consent	Added Element
Composition.basedOn	Added Element
Communication.topic Composition.status	Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from * to 1 to *
Composition.useContext	Type Added Element
Composition.author	Min Cardinality changed from Reference(Resource) 1 to CodeableConcept 0 Type Reference: Added Target Type CareTeam
Communication.about Composition.participant	Added Element
Communication.encounter Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Communication.recipient Composition.title	Min Cardinality changed from 1 to 0
Composition.note	Added Element
Composition.attester.mode	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0` (required)
Composition.attester.party	Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService Type Group
Communication.sender Composition.custodian	Type Reference: Added Target Types PractitionerRole, HealthcareService Patient, Group
Composition.relatesTo.type	Added Mandatory Element
Communication.reasonReference Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from Reference(Resource) to CodeableReference
Composition.section.author	Type Reference: Added Target Types DiagnosticReport, DocumentReference Type CareTeam
Composition.section.note	Added Element
Communication.definition Composition.confidentiality	deleted Deleted
Communication.notDone Composition.relatesTo.code	deleted Deleted
Communication.notDoneReason Composition.event.code	deleted Deleted
Communication.context Composition.section.mode	deleted Deleted
CommunicationRequest ConceptMap
CommunicationRequest.status ConceptMap.identifier	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/request-status 1 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 *
CommunicationRequest.statusReason ConceptMap.versionAlgorithm[x]	Added Element
CommunicationRequest.priority ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Jurisdiction ValueSet
CommunicationRequest.doNotPerform ConceptMap.copyrightLabel	Added Element
CommunicationRequest.about ConceptMap.approvalDate	Added Element
CommunicationRequest.encounter ConceptMap.lastReviewDate	Added Element
ConceptMap.effectivePeriod	Added Element
ConceptMap.topic	Added Element
ConceptMap.author	Added Element
ConceptMap.editor	Added Element
ConceptMap.reviewer	Added Element
ConceptMap.endorser	Added Element
ConceptMap.relatedArtifact	Added Element
ConceptMap.property	Added Element
ConceptMap.property.code	Added Mandatory Element
ConceptMap.property.uri	Added Element
ConceptMap.property.description	Added Element
ConceptMap.property.type	Added Mandatory Element
ConceptMap.property.system	Added Element
ConceptMap.additionalAttribute	Added Element
ConceptMap.additionalAttribute.code	Added Mandatory Element
ConceptMap.additionalAttribute.uri	Added Element
ConceptMap.additionalAttribute.description	Added Element
ConceptMap.additionalAttribute.type	Added Mandatory Element
ConceptMap.sourceScope[x]	Renamed from source[x] to sourceScope[x]
ConceptMap.targetScope[x]	Renamed from target[x] to targetScope[x]
CommunicationRequest.requester ConceptMap.group.source	Type changed from BackboneElement uri to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) canonical(CodeSystem)
CommunicationRequest.recipient ConceptMap.group.target	Type Reference: changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet	Added Target Types PractitionerRole, HealthcareService Element
CommunicationRequest.sender ConceptMap.group.element.noMap	Type Reference: Added Target Element
ConceptMap.group.element.comment	Added Element
ConceptMap.group.element.target.valueSet	Added Element
ConceptMap.group.element.target.relationship	Added Mandatory Element
ConceptMap.group.element.target.property	Added Element
ConceptMap.group.element.target.property.code	Added Mandatory Element
ConceptMap.group.element.target.property.value[x]	Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute	Renamed from property to attribute Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]	Renamed from value to value[x] Min Cardinality changed from 1 to 0 Add Types PractitionerRole, HealthcareService code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet	Added Element
CommunicationRequest.reasonReference ConceptMap.group.unmapped.mode	Remove code provided Add code use-source-code
ConceptMap.group.unmapped.comment	Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
ConceptMap.group.unmapped.valueSet	Added Element
ConceptMap.group.unmapped.relationship	Added Element
ConceptMap.group.unmapped.otherMap	Renamed from url to otherMap
CommunicationRequest.topic ConceptMap.group.sourceVersion	deleted Deleted (-> canonical version in group.source)
CommunicationRequest.context ConceptMap.group.targetVersion	deleted Deleted (-> canonical version in group.target)
CommunicationRequest.requester.agent ConceptMap.group.element.target.equivalence	deleted Deleted (-> relationship)
CommunicationRequest.requester.onBehalfOf ConceptMap.group.element.target.dependsOn.system	deleted Deleted (-> value as Coding - system value)
ConceptMap.group.element.target.dependsOn.display	Deleted (-> value as Coding - display value)
CompartmentDefinition Condition
CompartmentDefinition Condition.clinicalStatus	Min Cardinality changed from 1 to 0 to 1 Max Cardinality changed from 1 to * Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.verificationStatus	Remove codes provisional , differential
Condition.category	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
CompartmentDefinition.version Condition.bodyStructure	Added Element
CompartmentDefinition.status Condition.recorder	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Type Reference: Added Target Type Group
CompartmentDefinition.experimental Condition.asserter	No longer marked as Modifier Type Reference: Added Target Types Device, Group
CompartmentDefinition.code Condition.stage.assessment	Change value set from http://hl7.org/fhir/ValueSet/compartment-type to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1 Type Reference: Removed Target Type ClinicalImpression
CompartmentDefinition.resource.code Condition.evidence	Change value set Type changed from http://hl7.org/fhir/ValueSet/resource-types BackboneElement to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 CodeableReference
CompartmentDefinition.title Condition.evidence.code	deleted Deleted (-> Condition.evidence.concept)
CompartmentDefinition.jurisdiction Condition.evidence.detail	deleted Deleted (-> Condition.evidence.reference)
Composition Consent
Composition.status Consent.status	Change value set Remove codes proposed , rejected Add codes not-done , unknown
Consent.category	Min Cardinality changed from http://hl7.org/fhir/ValueSet/composition-status 1 to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 0 Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Composition.category Consent.subject	Renamed from class patient to category subject Type Reference: Added Target Types Practitioner, ResearchSubject, Group
Consent.date	Renamed from dateTime to date Type changed from dateTime to date
Consent.period	Added Element
Consent.grantor	Added Element
Consent.grantee	Renamed from performer to grantee Type Reference: Added Target Types CareTeam, Group, HealthcareService
Consent.manager	Added Element
Consent.controller	Added Element
Consent.sourceAttachment	Added Element
Consent.sourceReference	Added Element
Consent.regulatoryBasis	Added Element
Consent.policyBasis	Renamed from policy to policyBasis Max Cardinality changed from * to 1
Consent.policyBasis.reference	Added Element
Consent.policyBasis.uri	Moved from Consent.policy to * Consent.policyBasis
Composition.subject Consent.policyText	Min Renamed from policyRule to policyText Max Cardinality changed from 1 to 0 * Type changed from CodeableConcept to Reference(DocumentReference) Remove Binding `http://hl7.org/fhir/ValueSet/consent-policy` (extensible)
Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
Composition.author Consent.verification.verifiedWith	Type Reference: Added Target Types PractitionerRole, Organization Type Group
Composition.confidentiality Consent.verification.date	Change value set Renamed from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification verificationDate to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26 date No longer Max Cardinality changed from 1 to *
Consent.decision	Moved from Consent.provision.type to decision Now marked as Modifier
Composition.attester.mode Consent.provision	Max Cardinality changed from * 1 to *
Consent.provision.actor.role	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/composition-attestation-mode http://hl7.org/fhir/ValueSet/security-role-type to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 Participation Role Type
Composition.attester.party Consent.provision.actor.reference	Type Reference: Added Target Types RelatedPerson, PractitionerRole Min Cardinality changed from 1 to 0
Composition.relatesTo.code Consent.provision.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType	Added Element
Consent.provision.resourceType	Renamed from class to resourceType Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type Consent Content Class to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 Resource Types
Composition.section.author Consent.provision.expression	Added Element
Composition.section.focus Consent.scope	Added Element Deleted (-> Merged with Consent.category)
Composition.section.mode Consent.organization	Change value set from http://hl7.org/fhir/ValueSet/list-mode to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]	Deleted (-> split into Consent.sourceAttachement and Consent.sourceReference)
Consent.policy.authority	No longer marked as Modifier Deleted
ConceptMap Contract
ConceptMap.status Contract.author	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Type Reference: Added Target Type RelatedPerson
ConceptMap.experimental Contract.term.text	No longer marked as Modifier Type changed from string to markdown
ConceptMap.source[x] Contract.term.action.reason	Add Type canonical(ValueSet) changed from string to CodeableReference
Contract.term.action.reasonCode	Remove Type Reference(ValueSet) Deleted (-> reason.concept)
ConceptMap.target[x] Contract.term.action.reasonReference	Add Type canonical(ValueSet) Deleted (-> reason.reference)
Coverage
Coverage.statusReason	Added Element
Coverage.kind	Remove Type Reference(ValueSet) Added Mandatory Element
Coverage.paymentBy	Added Element
Coverage.paymentBy.party	Added Mandatory Element
Coverage.paymentBy.responsibility	Added Element
ConceptMap.group.element.target.equivalence Coverage.subscriberId	Min Max Cardinality changed from 0 to 1 to * Change value set Type changed from http://hl7.org/fhir/ValueSet/concept-map-equivalence string to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1 Identifier
Coverage.insurer	Default Value "equivalent" removed Added Element
ConceptMap.group.element.target.dependsOn.system Coverage.class.value	Type changed from uri string to canonical(CodeSystem) Identifier
ConceptMap.group.element.target.dependsOn.value Coverage.costToBeneficiary.category	Renamed Added Element
Coverage.costToBeneficiary.network	Added Element
Coverage.costToBeneficiary.unit	Added Element
Coverage.costToBeneficiary.term	Added Element
Coverage.costToBeneficiary.value[x]	Min Cardinality changed from code 1 to value 0
Coverage.insurancePlan	Added Element
Coverage.payor	Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
ConceptMap.group.unmapped.mode CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.1 Eligibility Outcome
ConceptMap.group.unmapped.url CoverageEligibilityResponse.insurance.item.description	Type changed from uri string to canonical(ConceptMap) markdown
CoverageEligibilityResponse.error.expression	Added Element
Condition DetectedIssue
Condition.clinicalStatus DetectedIssue.status	Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.3.0 to Detected Issue Status Remove codes registered , amended , corrected , cancelled Add code mitigated
DetectedIssue.category	Added Element
DetectedIssue.severity	Type changed from code to CodeableConcept Change value set Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0` (required)
DetectedIssue.subject	Renamed from http://hl7.org/fhir/ValueSet/condition-clinical patient to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 subject Type Reference: Added Target Types Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
DetectedIssue.encounter	Added Element
Condition.verificationStatus DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from code string to CodeableConcept markdown
DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.expectedOnsetType	Change value set Added Element
DetectedIssue.medicationClass	Added Element
DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
Device
Device.definition	Type changed from http://hl7.org/fhir/ValueSet/condition-ver-status Reference(DeviceDefinition) to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifier	Default Value "unknown" removed Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem	Added Element
Condition.category Device.udiCarrier.issuer	Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType	Add Binding code http://hl7.org/fhir/ValueSet/condition-category electronic-transmission (extensible)
Condition.encounter Device.availabilityStatus	Added Element
Condition.abatement[x] Device.biologicalSourceEvent	Remove Renamed from distinctIdentifier to biologicalSourceEvent Type boolean changed from string to Identifier
Condition.recordedDate Device.name	Renamed from assertedDate deviceName to recordedDate name
Device.name.value	Moved from Device.deviceName.name to value
Device.name.type	Moved from Device.deviceName to Device.name Type changed from code to CodeableConcept Change binding strength from required to extensible
Condition.recorder Device.name.display	Added Element
Condition.asserter Device.category	Type Reference: Added Target Type PractitionerRole Element
Condition.stage Device.type	Max Cardinality changed from 1 to *
Device.deviceVersion	Renamed from version to deviceVersion
Device.deviceVersion.type	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.component	Moved from Device.version to Device.deviceVersion
Condition.stage.type Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Moved from Device.version to Device.deviceVersion
Device.conformsTo	Renamed from specialization to conformsTo
Device.conformsTo.category	Added Element
Device.conformsTo.specification	Moved from Device.specialization.systemType to specification
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.property.value[x]	Added Mandatory Element
Device.additive	Added Element
Device.additive.type	Added Mandatory Element
Device.additive.quantity	Added Element
Condition.context Device.statusReason	deleted Deleted (-> reason was removed. DeviceAssociation can be used)
Device.property.valueQuantity	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.property.valueCode	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.patient	Deleted (-> patient association is in DeviceAssociation)
Device.owner	Deleted
Device.url	Deleted
DeviceAlert	Added Resource
DeviceAssociation	Added Resource
Consent DeviceDefinition
Consent.identifier DeviceDefinition.version	Max Cardinality changed from 1 to * to 1
DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.date	Added Element
DeviceDefinition.publisher	Added Element
Consent.status DeviceDefinition.contact	Change value set Type changed from http://hl7.org/fhir/ValueSet/consent-state-codes ContactPoint to http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 ContactDetail
Consent.scope DeviceDefinition.description	Added Element
DeviceDefinition.useContext	Added Element
DeviceDefinition.jurisdiction	Added Element
DeviceDefinition.purpose	Added Element
DeviceDefinition.copyright	Added Element
DeviceDefinition.copyrightLabel	Added Element
DeviceDefinition.approvalDate	Added Element
DeviceDefinition.lastReviewDate	Added Element
DeviceDefinition.effectivePeriod	Added Element
DeviceDefinition.partNumber	Added Element
DeviceDefinition.manufacturer	Renamed from manufacturer[x] to manufacturer Remove Type string
DeviceDefinition.udiDeviceIdentifier.marketDistribution	Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier	Added Element
DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifierSystem	Added Element
Consent.category DeviceDefinition.deviceName.type	Min Cardinality Type changed from 0 code to 1 CodeableConcept Add Binding http://hl7.org/fhir/ValueSet/consent-category (extensible) Change binding strength from required to extensible
Consent.patient DeviceDefinition.classification	Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from 1 to 0 to 1
Consent.performer DeviceDefinition.classification.justification	Added Element
Consent.source[x] DeviceDefinition.conformsTo	Remove Type Identifier Renamed from specialization to conformsTo
Consent.policyRule DeviceDefinition.conformsTo.category	Added Element
DeviceDefinition.conformsTo.specification	Moved from DeviceDefinition.specialization.systemType to specification Type changed from uri string to CodeableConcept
DeviceDefinition.conformsTo.version	Add Binding http://hl7.org/fhir/ValueSet/consent-policy (extensible) Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo Max Cardinality changed from 1 to *
Consent.verification DeviceDefinition.conformsTo.source	Added Element
Consent.verification.verified DeviceDefinition.hasPart	Added Element
DeviceDefinition.hasPart.definition[x]	Added Mandatory Element
Consent.verification.verifiedWith DeviceDefinition.hasPart.count	Added Element
Consent.verification.verificationDate DeviceDefinition.packaging	Added Element
Consent.provision DeviceDefinition.packaging.identifier	Added Element
Consent.provision.type DeviceDefinition.packaging.type	Added Element
Consent.provision.period DeviceDefinition.packaging.count	Added Element
Consent.provision.actor DeviceDefinition.packaging.distributor	Added Element
Consent.provision.actor.role DeviceDefinition.packaging.distributor.name	Added Element
DeviceDefinition.packaging.distributor.organizationReference	Added Element
DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
DeviceDefinition.packaging.packaging	Added Element
DeviceDefinition.deviceVersion	Added Element
DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	Renamed from languageCode to outputLanguage Type changed from CodeableConcept to code Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
DeviceDefinition.property.value[x]	Renamed from valueQuantity to value[x] Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Add Types CodeableConcept, string, boolean, integer, Range, Attachment
Consent.provision.actor.reference DeviceDefinition.link	Added Element
DeviceDefinition.link.relation	Added Mandatory Element
Consent.provision.action DeviceDefinition.link.relatedDevice[x]	Added Mandatory Element
Consent.provision.securityLabel DeviceDefinition.productionIdentifierInUDI	Added Element
Consent.provision.purpose DeviceDefinition.guideline	Added Element
Consent.provision.class DeviceDefinition.guideline.useContext	Added Element
Consent.provision.code DeviceDefinition.guideline.usageInstruction	Added Element
DeviceDefinition.guideline.relatedArtifact	Moved from DeviceDefinition.onlineInformation to relatedArtifact Max Cardinality changed from 1 to * Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication	Added Element
Consent.provision.dataPeriod DeviceDefinition.guideline.contraindication	Added Element
Consent.provision.data DeviceDefinition.guideline.warning	Added Element
Consent.provision.data.meaning DeviceDefinition.guideline.intendedUse	Added Element
DeviceDefinition.correctiveAction	Added Element
DeviceDefinition.correctiveAction.recall	Added Mandatory Element
Consent.provision.data.reference DeviceDefinition.correctiveAction.scope	Added Element
DeviceDefinition.correctiveAction.period	Added Mandatory Element
Consent.provision.provision DeviceDefinition.chargeItem	Added Element
Consent.period DeviceDefinition.chargeItem.chargeItemCode	deleted Added Mandatory Element
Consent.consentingParty DeviceDefinition.chargeItem.count	deleted Added Mandatory Element
Consent.actor DeviceDefinition.chargeItem.effectivePeriod	deleted Added Element
DeviceDefinition.chargeItem.useContext	Added Element
Consent.action DeviceDefinition.physicalCharacteristics	deleted Deleted (-> DeviceDefinition.property)
Consent.securityLabel DeviceDefinition.capability	deleted Deleted (-> DeviceDefinition.property)
Consent.purpose DeviceDefinition.property.valueCode	deleted Deleted
Consent.dataPeriod DeviceDefinition.owner	deleted Deleted (This could be a packaging.distributor.organiationReference or manufacturer or neither - no direct mapping)
Consent.data DeviceDefinition.quantity	deleted Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
Consent.except DeviceDefinition.parentDevice	deleted Deleted (Removed - to establish relations, use hasPart)
Contract DeviceMetric
DeviceMetric.status	Added Mandatory Element
Contract.identifier DeviceMetric.operationalStatus	Max Cardinality changed from 1 to * Remove code entered-in-error Add code unknown
Contract.url DeviceMetric.category	Added Element Type changed from code to CodeableConcept Change binding strength from required to extensible
Contract.version DeviceMetric.device	Added Mandatory Element This is the only link to the device, could be mapped from DeviceMetric.parent or DeviceMetric.source
Contract.status DeviceMetric.color	Change value set from http://hl7.org/fhir/ValueSet/contract-status http://hl7.org/fhir/ValueSet/metric-color|4.3.0 to http://hl7.org/fhir/ValueSet/contract-status|4.0.1 Color Codes (Names or RGB Values)
Contract.legalState DeviceMetric.measurementFrequency	Added Element
Contract.instantiatesCanonical DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.source	Deleted (-> could be DeviceMetric.device)
DeviceMetric.parent	Deleted (-> could be DeviceMetric.device)
DeviceMetric.measurementPeriod	Deleted
DeviceRequest
DeviceRequest.replaces	Renamed from priorRequest to replaces Type Reference: Added Target Type DeviceRequest Type Reference: Removed Target Type Resource
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
Contract.instantiatesUri DeviceRequest.doNotPerform	Added Element
DeviceRequest.product[x]	Renamed from code[x] to product[x] Add Type canonical(DeviceDefinition)
Contract.expirationType DeviceRequest.quantity	Added Element
DeviceRequest.requester	Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
Contract.site DeviceRequest.location	Added Element
Contract.name DeviceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
Contract.title DeviceRequest.asNeeded	Added Element
Contract.subtitle DeviceRequest.asNeededFor	Added Element
DeviceRequest.instantiatesCanonical	Deleted
DeviceRequest.instantiatesUri	Deleted
DeviceRequest.performerType	Deleted (-> performer.concept)
DeviceRequest.reasonCode	Deleted (-> reason.concept)
DeviceRequest.reasonReference	Deleted (-> reason.reference)
DiagnosticReport
DiagnosticReport.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
DiagnosticReport.status	Remove codes preliminary , corrected , appended
DiagnosticReport.subject	Type Reference: Added Target Type BiologicallyDerivedProduct Type Reference: Removed Target Type Procedure
Contract.alias DiagnosticReport.relatesTo	Added Element
DiagnosticReport.issued	Type changed from instant to dateTime
Contract.author DiagnosticReport.procedure	Added Element
DiagnosticReport.performer	Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Patient, RelatedPerson
Contract.scope DiagnosticReport.note	Added Element
Contract.topic[x] DiagnosticReport.study	Renamed from topic imagingStudy to topic[x] study
DiagnosticReport.supportingInfo	Added Element
DiagnosticReport.supportingInfo.type	Max Cardinality Added Mandatory Element
DiagnosticReport.supportingInfo.reference	Added Mandatory Element
DiagnosticReport.media.link	Type Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition	Added Element
DiagnosticReport.conclusion	Type changed from * string to 1 markdown
DiagnosticReport.conclusionCode	Add Type changed from CodeableConcept to CodeableReference
Contract.contentDefinition DiagnosticReport.recomendation	Added Element
Contract.contentDefinition.type DiagnosticReport.communication	Added Mandatory Element
Contract.contentDefinition.subType DiagnosticReport.comparison	Added Element
DocumentReference
Contract.contentDefinition.publisher DocumentReference.version	Added Element
Contract.contentDefinition.publicationDate DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown Now marked as Modifier
Contract.contentDefinition.publicationStatus DocumentReference.modality	Added Mandatory Element
DocumentReference.subject	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context	Max Cardinality changed from 1 to * Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
Contract.contentDefinition.copyright DocumentReference.event	Added Element
DocumentReference.related	Added Element
DocumentReference.bodyStructure	Added Element
Contract.term.topic[x] DocumentReference.facilityType	Renamed Moved from topic DocumentReference.context to topic[x] DocumentReference
DocumentReference.practiceSetting	Max Cardinality Moved from DocumentReference.context to DocumentReference
DocumentReference.period	Moved from DocumentReference.context to DocumentReference
DocumentReference.date	Type changed from * instant to 1 dateTime
DocumentReference.author	Type Reference: Added Target Types CareTeam, Group
DocumentReference.attester	Added Element
DocumentReference.attester.mode	Added Mandatory Element
DocumentReference.attester.time	Added Element
DocumentReference.attester.party	Added Element
DocumentReference.relatesTo.code	Add Type changed from code to CodeableConcept Change binding strength from required to extensible
Contract.term.securityLabel DocumentReference.description	Type changed from Coding string to BackboneElement markdown
DocumentReference.securityLabel	Remove Binding http://hl7.org/fhir/ValueSet/security-labels `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Contract.term.securityLabel.number DocumentReference.content.profile	Added Element
Contract.term.securityLabel.classification DocumentReference.content.profile.value[x]	Added Mandatory Element
Contract.term.securityLabel.category DocumentReference.masterIdentifier	Added Element Deleted (-> DocumentReference.identifier)
DocumentReference.authenticator	Deleted (-> DocumentReference.attester)
DocumentReference.content.format	Deleted (-> content.profile)
DocumentReference.context.encounter	Deleted (-> context)
DocumentReference.context.event	Deleted (-> event)
DocumentReference.context.sourcePatientInfo	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related	Deleted (-> basedOn)
DomainResource	No Changes
Encounter
Encounter.status	Remove codes arrived , triaged , onleave , finished Add codes on-hold , discharged , completed , discontinued
Contract.term.securityLabel.control Encounter.businessStatus	Added Element
Contract.term.offer Encounter.businessStatus.code	Added Mandatory Element
Contract.term.offer.identifier Encounter.businessStatus.type	Added Element
Contract.term.offer.party Encounter.businessStatus.effectiveDate	Added Element
Encounter.class	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Contract.term.offer.party.reference Encounter.subjectStatus	Added Mandatory Element
Encounter.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Contract.term.offer.party.role Encounter.careTeam	Added Mandatory Element
Encounter.participant.actor	Renamed from individual to actor Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Contract.term.offer.topic Encounter.virtualService	Added Element
Encounter.actualPeriod	Renamed from period to actualPeriod
Contract.term.offer.type Encounter.plannedStartDate	Added Element
Contract.term.offer.decision Encounter.plannedEndDate	Added Element
Contract.term.offer.decisionMode Encounter.reason	Added Element
Contract.term.offer.answer Encounter.reason.use	Added Element
Contract.term.offer.answer.value[x] Encounter.reason.value	Added Mandatory Element Merged both reasonCode and reasonReference into reason.value
Encounter.diagnosis.condition	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition | Procedure) to CodeableReference
Encounter.diagnosis.use	Max Cardinality changed from 1 to *
Encounter.dietPreference	Moved from Encounter.hospitalization to Encounter
Encounter.specialArrangement	Moved from Encounter.hospitalization to Encounter
Encounter.specialCourtesy	Moved from Encounter.hospitalization to Encounter
Encounter.admission	Renamed from hospitalization to admission
Encounter.admission.preAdmissionIdentifier	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.origin	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.admitSource	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.reAdmission	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.destination	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.dischargeDisposition	Moved from Encounter.hospitalization to Encounter.admission
Encounter.location.form	Renamed from physicalType to form
Encounter.statusHistory	Deleted (-> EncounterHistory.status)
Encounter.classHistory	Deleted (-> EncounterHistory)
Encounter.reasonCode	Deleted (-> reason.concept.value)
Encounter.reasonReference	Deleted (-> reason.reference.value)
Encounter.diagnosis.rank	Deleted (-> Account.diagnosis.sequence)
Endpoint
Endpoint.status	Remove code test Add code limited
Endpoint.connectionType	Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Contract.term.offer.text Endpoint.description	Added Element
Contract.term.offer.linkId Endpoint.environmentType	Added Element
Contract.term.offer.securityLabelNumber Endpoint.availability	Added Element
Contract.term.asset Endpoint.payload	Added Element
Endpoint.payload.type	Moved from Endpoint.payloadType to type Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType	Moved from Endpoint.payloadMimeType to mimeType
Contract.term.asset.scope Endpoint.payload.profileCanonical	Added Element
Contract.term.asset.type Endpoint.payload.profileUri	Added Element
EnrollmentRequest
EnrollmentRequest.candidate	Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Enrollment Outcome
Contract.term.asset.typeReference EnrollmentResponse.candidate	Added Element
EpisodeOfCare
Contract.term.asset.subtype EpisodeOfCare.reason	Added Element
Contract.term.asset.relationship EpisodeOfCare.reason.use	Added Element
Contract.term.asset.context EpisodeOfCare.reason.value	Added Element
EpisodeOfCare.diagnosis.condition	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use	Renamed from role to use Max Cardinality changed from 1 to *
EpisodeOfCare.subject	Renamed from patient to subject Type Reference: Added Target Type Group
EpisodeOfCare.careTeam	Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank	Deleted
EventDefinition
Contract.term.asset.context.reference EventDefinition.versionAlgorithm[x]	Added Element
EventDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
EventDefinition.usage	Type changed from string to markdown
Contract.term.asset.context.code EventDefinition.copyrightLabel	Added Element
Evidence
Contract.term.asset.context.text Evidence.versionAlgorithm[x]	Added Element
Contract.term.asset.condition Evidence.name	Added Element
Evidence.citeAs	Renamed from citeAs[x] to citeAs Remove Type Reference(Citation)
Contract.term.asset.periodType Evidence.experimental	Added Element
Contract.term.asset.period Evidence.recorder	Added Element
Contract.term.asset.usePeriod Evidence.purpose	Added Element
Contract.term.asset.text Evidence.copyright	Added Element
Contract.term.asset.linkId Evidence.copyrightLabel	Added Element
Contract.term.asset.answer Evidence.relatesTo	Added Element
Contract.term.asset.securityLabelNumber Evidence.relatesTo.type	Added Mandatory Element
Contract.term.asset.valuedItem Evidence.relatesTo.target[x]	Added Mandatory Element
Evidence.variableDefinition	Min Cardinality changed from 1 to 0
Evidence.variableDefinition.variableRole	Type changed from CodeableConcept to code Change binding strength from extensible to required
Contract.term.asset.valuedItem.entity[x] Evidence.variableDefinition.roleSubtype	Added Element
Contract.term.asset.valuedItem.identifier Evidence.variableDefinition.comparatorCategory	Added Element
Evidence.variableDefinition.directnessMatch	Remove Binding `http://hl7.org/fhir/ValueSet/directness` (extensible)
Evidence.synthesisType	Max Cardinality changed from 1 to * Remove Binding `http://hl7.org/fhir/ValueSet/synthesis-type` (extensible)
Contract.term.asset.valuedItem.effectiveTime Evidence.studyDesign	Added Element
Evidence.statistic.description	Type changed from string to markdown
Evidence.statistic.statisticType	Remove Binding `http://hl7.org/fhir/ValueSet/statistic-type` (extensible)
Evidence.statistic.sampleSize.description	Type changed from string to markdown
Contract.term.asset.valuedItem.quantity Evidence.statistic.sampleSize.numberAnalyzed	Added Element
Evidence.statistic.attributeEstimate.description	Type changed from string to markdown
Evidence.statistic.attributeEstimate.type	Remove Binding `http://hl7.org/fhir/ValueSet/attribute-estimate-type` (extensible)
Evidence.statistic.modelCharacteristic.code	Remove Binding `http://hl7.org/fhir/ValueSet/statistic-model-code` (extensible)
Evidence.statistic.modelCharacteristic.value[x]	Renamed from value to value[x] Add Types Range, CodeableConcept
Contract.term.asset.valuedItem.unitPrice Evidence.statistic.modelCharacteristic.intended	Added Element
Contract.term.asset.valuedItem.factor Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.modelCharacteristic.variable.handling	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
Contract.term.asset.valuedItem.points Evidence.statistic.modelCharacteristic.attribute	Added Element
Evidence.certainty.description	Type changed from string to markdown
Evidence.certainty.type	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-type` (extensible)
Evidence.certainty.rating	Remove Binding `http://hl7.org/fhir/ValueSet/certainty-rating` (extensible)
Evidence.certainty.rater	Max Cardinality changed from 1 to *
Evidence.relatedArtifact	Deleted
Evidence.studyType	Deleted
Evidence.statistic.modelCharacteristic.attributeEstimate	Deleted
EvidenceVariable
Contract.term.asset.valuedItem.net EvidenceVariable.versionAlgorithm[x]	Added Element
Contract.term.asset.valuedItem.payment EvidenceVariable.citeAs	Added Element
Contract.term.asset.valuedItem.paymentDate EvidenceVariable.experimental	Added Element
Contract.term.asset.valuedItem.responsible EvidenceVariable.recorder	Added Element
Contract.term.asset.valuedItem.recipient EvidenceVariable.purpose	Added Element
Contract.term.asset.valuedItem.linkId EvidenceVariable.copyright	Added Element
Contract.term.asset.valuedItem.securityLabelNumber EvidenceVariable.copyrightLabel	Added Element
Contract.term.action EvidenceVariable.approvalDate	Type changed from CodeableConcept to BackboneElement Added Element
Contract.term.action.doNotPerform EvidenceVariable.lastReviewDate	Added Element
Contract.term.action.type EvidenceVariable.effectivePeriod	Added Mandatory Element
Contract.term.action.subject EvidenceVariable.relatesTo	Added Element
Contract.term.action.subject.reference EvidenceVariable.relatesTo.type	Added Mandatory Element
Contract.term.action.subject.role EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
Contract.term.action.intent EvidenceVariable.definition	Added Mandatory Element
Contract.term.action.linkId EvidenceVariable.definitionModifier	Added Element
Contract.term.action.status EvidenceVariable.definitionModifier.code	Added Mandatory Element
Contract.term.action.context EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
EvidenceVariable.category.value[x]	Add Type Reference(Group)
Contract.term.action.contextLinkId EvidenceVariable.conditional	Added Element
Contract.term.action.occurrence[x] EvidenceVariable.classifier	Added Element
Contract.term.action.requester EvidenceVariable.dataStorage	Added Element
Contract.term.action.requesterLinkId EvidenceVariable.dataStorage.datatype	Added Element
Contract.term.action.performerType EvidenceVariable.dataStorage.path	Added Element
Contract.term.action.performerRole EvidenceVariable.dataStorage.delimiter	Added Element
Contract.term.action.performer EvidenceVariable.dataStorage.component	Added Element
Contract.term.action.performerLinkId EvidenceVariable.timing	Added Element
Contract.term.action.reasonCode EvidenceVariable.period	Added Element
Contract.term.action.reasonReference EvidenceVariable.constraint	Added Element
Contract.term.action.reason EvidenceVariable.constraint.conditional	Added Element
Contract.term.action.reasonLinkId EvidenceVariable.constraint.minimumQuantity	Added Element
Contract.term.action.note EvidenceVariable.constraint.maximumQuantity	Added Element
Contract.term.action.securityLabelNumber EvidenceVariable.constraint.earliestDateTime	Added Element
Contract.supportingInfo EvidenceVariable.constraint.latestDateTime	Added Element
Contract.relevantHistory EvidenceVariable.constraint.minimumStringLength	Added Element
Contract.signer.party EvidenceVariable.constraint.maximumStringLength	Type Reference: Added Target Type PractitionerRole Element
Contract.legallyBinding[x] EvidenceVariable.constraint.code	Added Element
Contract.action EvidenceVariable.constraint.expression	deleted Added Element
Contract.actionReason EvidenceVariable.constraint.expectedValueSet	deleted Added Element
Contract.decisionType EvidenceVariable.constraint.expectedUnitsValueSet	deleted Added Element
Contract.securityLabel EvidenceVariable.constraint.anyValueAllowed	deleted Added Element
Contract.agent EvidenceVariable.missingDataMeaning	deleted Added Element
Contract.valuedItem EvidenceVariable.unacceptableDataHandling	deleted Added Element
Contract.term.actionReason EvidenceVariable.subtitle	deleted Deleted
Contract.term.agent EvidenceVariable.relatedArtifact	deleted Deleted
Contract.term.valuedItem EvidenceVariable.characteristicCombination	deleted Deleted
Contract.binding[x] EvidenceVariable.characteristic	deleted Deleted
Coverage ExampleScenario
ExampleScenario.versionAlgorithm[x]	Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
Coverage.status ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExampleScenario.copyrightLabel	Added Element
ExampleScenario.actor.key	Renamed from actorId to key
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.3.0 to Actor Definition Actor Type Remove code entity Add codes system , collective , other
ExampleScenario.actor.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.actor.definition	Added Element
ExampleScenario.instance.key	Renamed from resourceId to key
ExampleScenario.instance.structureType	Renamed from resourceType to structureType Type changed from code to Coding Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Example Scenario Resource Type
ExampleScenario.instance.structureVersion	Added Element
ExampleScenario.instance.structureProfile[x]	Added Element
ExampleScenario.instance.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.content	Added Element
ExampleScenario.instance.version.key	Renamed from versionId to key
ExampleScenario.instance.version.title	Added Mandatory Element
Coverage.beneficiary ExampleScenario.instance.version.description	Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content	Added Element
ExampleScenario.instance.containedInstance.instanceReference	Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference	Renamed from versionId to versionReference
ExampleScenario.process.step.number	Added Element
ExampleScenario.process.step.process	Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow	Added Element
Coverage.relationship ExampleScenario.process.step.operation.type	Type changed from string to Coding Add Binding http://hl7.org/fhir/ValueSet/subscriber-relationship `http://hl7.org/fhir/ValueSet/examplescenario-operation-codes` (extensible)
Coverage.payor ExampleScenario.process.step.operation.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.process.step.operation.number	Deleted
ExampleScenario.workflow	Deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber	Added Element
ExplanationOfBenefit.statusReason	Added Element
Coverage.class ExplanationOfBenefit.subject	Renamed from grouping patient to class subject Max Type Reference: Added Target Type Group
ExplanationOfBenefit.enterer	Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer	Min Cardinality changed from 1 to * 0
ExplanationOfBenefit.provider	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.related.claim	Type Reference: Added Target Type ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest
ExplanationOfBenefit.originalPrescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest, VisionPrescription
Coverage.class.type ExplanationOfBenefit.event	Added Element
ExplanationOfBenefit.event.type	Added Mandatory Element
Coverage.class.value ExplanationOfBenefit.event.when[x]	Added Mandatory Element
Coverage.class.name ExplanationOfBenefit.encounter	Added Element
ExplanationOfBenefit.facility	Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Claim Processing Codes
Coverage.costToBeneficiary ExplanationOfBenefit.decision	Added Element
Coverage.costToBeneficiary.type ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Renamed from qualification to specialty
ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 1 to 0
Coverage.costToBeneficiary.value[x] ExplanationOfBenefit.patientPaid	Added Mandatory Element
Coverage.costToBeneficiary.exception ExplanationOfBenefit.item.traceNumber	Added Element
Coverage.costToBeneficiary.exception.type ExplanationOfBenefit.item.subject	Added Mandatory Element
ExplanationOfBenefit.item.productOrService	Min Cardinality changed from 1 to 0
Coverage.costToBeneficiary.exception.period ExplanationOfBenefit.item.productOrServiceEnd	Added Element
Coverage.subrogation ExplanationOfBenefit.item.request	Added Element
Coverage.grouping.group ExplanationOfBenefit.item.patientPaid	deleted Added Element
Coverage.grouping.groupDisplay ExplanationOfBenefit.item.tax	deleted Added Element
Coverage.grouping.subGroup ExplanationOfBenefit.item.bodySite	deleted Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
Coverage.grouping.subGroupDisplay ExplanationOfBenefit.item.bodySite.site	deleted Added Mandatory Element
Coverage.grouping.plan ExplanationOfBenefit.item.bodySite.subSite	deleted Added Element
Coverage.grouping.planDisplay ExplanationOfBenefit.item.reviewOutcome	deleted Added Element
Coverage.grouping.subPlan ExplanationOfBenefit.item.reviewOutcome.decision	deleted Added Element
Coverage.grouping.subPlanDisplay ExplanationOfBenefit.item.reviewOutcome.reason	deleted Added Element
Coverage.grouping.class ExplanationOfBenefit.item.reviewOutcome.preAuthRef	deleted Added Element
Coverage.grouping.classDisplay ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod	deleted Added Element
Coverage.grouping.subClass ExplanationOfBenefit.item.adjudication.quantity	deleted Renamed from value to quantity Type changed from decimal to Quantity
Coverage.grouping.subClassDisplay ExplanationOfBenefit.item.adjudication.decisionDate	deleted Added Element
Coverage.sequence ExplanationOfBenefit.item.detail.traceNumber	deleted Added Element
CoverageEligibilityRequest ExplanationOfBenefit.item.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd	Added Resource Element
CoverageEligibilityResponse ExplanationOfBenefit.item.detail.patientPaid	Added Resource Element
DetectedIssue ExplanationOfBenefit.item.detail.tax	Added Element
ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
DetectedIssue.identifier ExplanationOfBenefit.item.detail.subDetail.productOrService	Max Min Cardinality changed from 1 to * 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.subDetail.tax	Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.traceNumber	Added Element
ExplanationOfBenefit.addItem.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	Added Element
DetectedIssue.status ExplanationOfBenefit.addItem.productOrService	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/observation-status 1 to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 0
DetectedIssue.code ExplanationOfBenefit.addItem.productOrServiceEnd	Renamed from category to code Added Element
ExplanationOfBenefit.addItem.request	Added Element
ExplanationOfBenefit.addItem.patientPaid	Added Element
ExplanationOfBenefit.addItem.tax	Added Element
DetectedIssue.severity ExplanationOfBenefit.addItem.bodySite	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/detectedissue-severity 1 to http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 * Type changed from CodeableConcept to BackboneElement
DetectedIssue.identified[x] ExplanationOfBenefit.addItem.bodySite.site	Added Mandatory Element
DetectedIssue.author ExplanationOfBenefit.addItem.bodySite.subSite	Type Reference: Added Target Type PractitionerRole Element
DetectedIssue.evidence ExplanationOfBenefit.addItem.reviewOutcome	Added Element
DetectedIssue.evidence.code ExplanationOfBenefit.addItem.detail.traceNumber	Added Element
DetectedIssue.evidence.detail ExplanationOfBenefit.addItem.detail.revenue	Added Element
DetectedIssue.mitigation.author ExplanationOfBenefit.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd	Type Reference: Added Target Type PractitionerRole Element
DetectedIssue.date ExplanationOfBenefit.addItem.detail.patientPaid	deleted Added Element
Device ExplanationOfBenefit.addItem.detail.tax	Added Element
Device.definition ExplanationOfBenefit.addItem.detail.reviewOutcome	Added Element
Device.udiCarrier ExplanationOfBenefit.addItem.detail.subDetail.traceNumber	Added Element
Device.udiCarrier.deviceIdentifier ExplanationOfBenefit.addItem.detail.subDetail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
Device.udiCarrier.issuer ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd	Added Element
Device.udiCarrier.jurisdiction ExplanationOfBenefit.addItem.detail.subDetail.patientPaid	Added Element
Device.udiCarrier.carrierAIDC ExplanationOfBenefit.addItem.detail.subDetail.tax	Added Element
Device.udiCarrier.carrierHRF ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome	Added Element
Device.udiCarrier.entryType ExplanationOfBenefit.processNote.class	Added Element
Device.status ExplanationOfBenefit.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from string to markdown
ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/device-status Common Languages to http://hl7.org/fhir/ValueSet/device-status|4.0.1 All Languages Change max value set from All Languages to none
ExplanationOfBenefit.careTeam.responsible	Deleted
ExplanationOfBenefit.diagnosis.packageCode	Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory
Device.statusReason FamilyMemberHistory.recorder	Added Element
Device.distinctIdentifier FamilyMemberHistory.asserter	Added Element
Device.serialNumber FamilyMemberHistory.reason	Added Element Merged both reasonCode and reasonReference into reason
Device.deviceName FamilyMemberHistory.procedure	Added Element
Device.deviceName.name FamilyMemberHistory.procedure.code	Added Mandatory Element
Device.deviceName.type FamilyMemberHistory.procedure.outcome	Added Mandatory Element
Device.modelNumber FamilyMemberHistory.procedure.contributedToDeath	Added Element
Device.partNumber FamilyMemberHistory.procedure.performed[x]	Added Element
Device.specialization FamilyMemberHistory.procedure.note	Added Element
FamilyMemberHistory.instantiatesCanonical	Deleted
FamilyMemberHistory.instantiatesUri	Deleted
FamilyMemberHistory.reasonCode	Deleted (-> reason.concept)
FamilyMemberHistory.reasonReference	Deleted (-> reason.reference)
Flag
Flag.status	Min Cardinality changed from 1 to 0
Flag.subject	Type Reference: Added Target Types RelatedPerson, PractitionerRole
Flag.author	Type Reference: Added Target Type RelatedPerson
Flag.supportingInfo	Added Element
Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Element
Device.specialization.systemType Goal.acceptance	Added Element
Goal.acceptance.participant	Added Mandatory Element
Device.specialization.version Goal.acceptance.status	Added Element
Goal.acceptance.priority	Added Element
Device.version Goal.statusReason	Max Cardinality changed from 1 to * Type changed from string to BackboneElement CodeableConcept
Device.version.type Goal.recorder	Added Element
Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types CareTeam, Group
Goal.addresses	Type Reference: Added Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted
Goal.outcomeReference	Deleted
Group
Group.url	Added Element
Device.version.component Group.version	Added Element
Device.version.value Group.versionAlgorithm[x]	Added Mandatory Element
Device.property Group.title	Added Element
Device.property.type Group.status	Added Mandatory Element
Device.property.valueQuantity Group.experimental	Added Element
Device.property.valueCode Group.date	Added Element
Device.parent Group.publisher	Added Element
Device.udi Group.contact	deleted Added Element
Device.model Group.description	deleted Added Element
DeviceDefinition Group.useContext	Added Resource Element
DeviceMetric Group.purpose	Added Element
Group.copyright	Added Element
Group.copyrightLabel	Added Element
DeviceMetric.identifier Group.type	Min Cardinality changed from 1 to 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
Group.membership	Added Mandatory Element
Group.code	Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Group.combinationMethod	Added Element
Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
Group.characteristic.description	Added Element
Group.characteristic.method	Added Element
Group.characteristic.formula	Added Element
Group.characteristic.determiner	Added Element
Group.characteristic.offset	Added Element
Group.characteristic.instances[x]	Added Element
Group.characteristic.duration[x]	Added Element
Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Added Element
Group.active	Deleted (-> use Group.status instead)
Group.actual	Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.location	Added Element
GuidanceResponse.reason	Added Element Merged both reasonCode and reasonReference into reason
GuidanceResponse.evaluationMessage	Max Cardinality changed from 1 to * to 1
DeviceMetric.parent GuidanceResponse.result	Max Cardinality changed from 1 to * Type Reference: Added Target Type Device Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type DeviceComponent RequestGroup
GuidanceResponse.reasonCode	Deleted (-> reason.concept)
GuidanceResponse.reasonReference	Deleted (-> reason.reference)
HealthcareService
HealthcareService.offeredIn	Added Element
DeviceMetric.operationalStatus HealthcareService.comment	Change value set Type changed from http://hl7.org/fhir/ValueSet/metric-operational-status string to http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.1 markdown
DeviceMetric.color HealthcareService.contact	Change value set Renamed from http://hl7.org/fhir/ValueSet/metric-color telecom to http://hl7.org/fhir/ValueSet/metric-color|4.0.1 contact Type changed from ContactPoint to ExtendedContactDetail
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
DeviceMetric.category HealthcareService.communication	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/metric-category Common Languages to http://hl7.org/fhir/ValueSet/metric-category|4.0.1 All Languages Change max value set from All Languages to none
DeviceMetric.calibration.type HealthcareService.referralRequired	Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-type Added Element
HealthcareService.availability	Added Element Changed to http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.1 a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
HealthcareService.availableTime	Deleted (-> HealthcareService.availability (now part of a datatype))
HealthcareService.notAvailable	Deleted (-> HealthcareService.availability.notAvailableTime (now part of a datatype))
HealthcareService.availabilityExceptions	Deleted (-> HealthcareService.availability.notAvailabileTime.description (now part of a datatype))
ImagingSelection	Added Resource
ImagingStudy
ImagingStudy.status	Add code inactive
DeviceMetric.calibration.state ImagingStudy.modality	Type changed from Coding to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-state AcquisitionModality to http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.1 Modality
DeviceRequest ImagingStudy.basedOn	Type Reference: Removed Target Type AppointmentResponse
DeviceRequest.instantiatesCanonical ImagingStudy.procedure	Added Element Merged both procedureCode and procedureReference into procedure
DeviceRequest.instantiatesUri ImagingStudy.reason	Added Element Merged both reasonCode and reasonReference into reason
DeviceRequest.status ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/request-status AcquisitionModality to http://hl7.org/fhir/ValueSet/request-status|4.0.1 Modality
DeviceRequest.intent ImagingStudy.series.bodySite	Type changed from CodeableConcept Coding to code CodeableReference
ImagingStudy.series.performer.actor	Change value set from http://build.fhir.org/valueset-request-intent.html to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 Type Reference: Added Target Type HealthcareService
DeviceRequest.priority ImagingStudy.series.instance.sopClass	Change value set Type changed from http://hl7.org/fhir/ValueSet/request-priority Coding to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 oid Default Value "If missing, normal priority" removed Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
DeviceRequest.parameter ImagingStudy.interpreter	Added Element Deleted
DeviceRequest.parameter.code ImagingStudy.procedureReference	Added Element Deleted (-> ImagingStudy.procedure)
ImagingStudy.procedureCode	Deleted (-> ImagingStudy.procedure)
ImagingStudy.reasonCode	Deleted (-> reason.concept)
ImagingStudy.reasonReference	Deleted (-> reason.reference)
ImagingStudy.series.laterality	Deleted
Immunization
DeviceRequest.parameter.value[x] Immunization.basedOn	Added Element
DeviceRequest.encounter Immunization.administeredProduct	Added Element
DeviceRequest.requester Immunization.manufacturer	Type changed from BackboneElement Reference(Organization) to Reference(Device | Practitioner | PractitionerRole | Organization) CodeableReference
DeviceRequest.performer Immunization.supportingInformation	Type Reference: Added Target Types PractitionerRole, CareTeam Element
Immunization.informationSource	Added Element
DeviceRequest.reasonReference Immunization.performer.actor	Type Reference: Added Target Types Condition, Observation, DiagnosticReport, DocumentReference Patient, RelatedPerson
Immunization.reason	Added Element Merged both reasonCode and reasonReference into reason
Immunization.programEligibility	Type Reference: Removed Target Type Resource changed from CodeableConcept to BackboneElement
DeviceRequest.insurance Immunization.programEligibility.program	Added Mandatory Element
Immunization.programEligibility.programStatus	Added Mandatory Element
Immunization.reaction.manifestation	Renamed from detail to manifestation Type changed from Reference(Observation) to CodeableReference
Immunization.protocolApplied.doseNumber	Renamed from doseNumber[x] to doseNumber Min Cardinality changed from 1 to 0 Add Type CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Add Type CodeableConcept Remove Types positiveInt, string
DeviceRequest.definition Immunization.recorded	deleted Deleted
DeviceRequest.context Immunization.reportOrigin	deleted Deleted
DeviceRequest.requester.agent Immunization.reasonCode	deleted Deleted (-> reason.concept)
DeviceRequest.requester.onBehalfOf Immunization.reasonReference	deleted Deleted (-> reason.reference)
Immunization.education	Deleted
DeviceUseStatement ImplementationGuide
DeviceUseStatement.basedOn ImplementationGuide.identifier	Added Element
ImplementationGuide.versionAlgorithm[x]	Added Element
DeviceUseStatement.status ImplementationGuide.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/device-statement-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 Jurisdiction ValueSet
DeviceUseStatement.derivedFrom ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
DeviceUseStatement.source ImplementationGuide.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.3.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	Type Reference: Added Target Element
ImplementationGuide.global.type	Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , RequestOrchestration , Requirements
ImplementationGuide.definition.grouping.description	Type PractitionerRole changed from string to markdown
ImplementationGuide.definition.resource	Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.3.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.definition.resource.description	Type changed from string to markdown
ImplementationGuide.definition.resource.isExample	Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
DeviceUseStatement.reasonCode ImplementationGuide.definition.resource.profile	Added Element
DeviceUseStatement.reasonReference ImplementationGuide.definition.page.source[x]	Added Element
DeviceUseStatement.whenUsed ImplementationGuide.definition.page.name	deleted Renamed from name[x] to name Remove Type Reference(Binary)
DeviceUseStatement.indication ImplementationGuide.definition.parameter.code	deleted Type changed from code to Coding Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample	Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.manifest.resource.profile	Added Element
DiagnosticReport Ingredient
DiagnosticReport.basedOn Ingredient.group	Type Reference: Added Target Type ServiceRequest Element
Ingredient.comment	Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Added Element
DiagnosticReport.status Ingredient.substance.strength.presentation[x]	Change value set from http://hl7.org/fhir/ValueSet/diagnostic-report-status to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 Add Types CodeableConcept, Quantity
DiagnosticReport.category Ingredient.substance.strength.concentration[x]	Max Cardinality changed from 1 to * Add Types CodeableConcept, Quantity
DiagnosticReport.encounter Ingredient.substance.strength.basis	Added Element
DiagnosticReport.performer Ingredient.substance.strength.referenceStrength.substance	Type Min Cardinality changed from BackboneElement 0 to Reference(Practitioner | PractitionerRole | Organization | CareTeam) 1
Ingredient.substance.strength.referenceStrength.strength[x]	Add Type Quantity
InsurancePlan
InsurancePlan.identifier	Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.type	Moved from InsurancePlan.plan to InsurancePlan
DiagnosticReport.resultsInterpreter InsurancePlan.product	Added Element reference to the new InsuranceProduct resource that contained the plan details previously
DiagnosticReport.imagingStudy InsurancePlan.coverageArea	Type Reference: Removed Target Type ImagingManifest Moved from InsurancePlan.plan to InsurancePlan
DiagnosticReport.media InsurancePlan.network	Renamed Moved from image InsurancePlan.plan to media InsurancePlan
DiagnosticReport.media.comment InsurancePlan.generalCost	Moved from DiagnosticReport.image InsurancePlan.plan to DiagnosticReport.media InsurancePlan
DiagnosticReport.media.link InsurancePlan.specificCost	Moved from DiagnosticReport.image InsurancePlan.plan to DiagnosticReport.media InsurancePlan
DiagnosticReport.conclusionCode InsurancePlan.specificCost.benefit.cost.qualifier	Renamed Moved from codedDiagnosis InsurancePlan.plan.specificCost.benefit.cost.qualifiers to conclusionCode qualifier
DiagnosticReport.context InsurancePlan.identifier	deleted Deleted (-> InsuranceProduct.identifier)
DiagnosticReport.performer.role InsurancePlan.status	deleted Deleted (-> InsuranceProduct.status)
DiagnosticReport.performer.actor InsurancePlan.type	deleted Deleted (-> InsuranceProduct.type)
InsurancePlan.name	Deleted (-> InsuranceProduct.name)
InsurancePlan.alias	Deleted (-> InsuranceProduct.alias)
InsurancePlan.period	Deleted (-> InsuranceProduct.period)
InsurancePlan.ownedBy	Deleted (-> InsuranceProduct.ownedBy)
InsurancePlan.administeredBy	Deleted (-> InsuranceProduct.administeredBy)
InsurancePlan.coverageArea	Deleted (-> InsuranceProduct.coverageArea)
InsurancePlan.contact	Deleted (-> InsuranceProduct.contact)
InsurancePlan.endpoint	Deleted (-> InsuranceProduct.endpoint)
InsurancePlan.network	Deleted (-> InsuranceProduct.network)
InsurancePlan.coverage	Deleted (-> InsuranceProduct.coverage)
InsurancePlan.plan	Deleted (all propertied migrated to top level of resource - core properties migrate to InsuranceProduct)
InsuranceProduct	Added Resource
DocumentManifest Invoice
DocumentManifest.status Invoice.creation	Change value set Added Element
Invoice.period[x]	Renamed from http://hl7.org/fhir/ValueSet/document-reference-status date to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 period[x] Add Types date, Period Remove Type dateTime
DocumentManifest.author Invoice.issuer	Type Reference: Added Target Type Types Practitioner, PractitionerRole
DocumentManifest.recipient Invoice.lineItem.serviced[x]	Type Reference: Added Target Type PractitionerRole Element
DocumentManifest.content Invoice.lineItem.priceComponent	Type changed from BackboneElement to Reference(Resource) MonetaryComponent Changed to a datatype: type, code, factor, and amount are now properties of the datatype
Invoice.totalPriceComponent	Add Type MonetaryComponent Changed to a datatype: type, code, factor, and amount are now properties of the datatype
DocumentManifest.content.p[x] Invoice.lineItem.priceComponent.type	deleted Deleted (-> Invoice.lineItem.priceComponent.type (now part of a datatype))
Invoice.lineItem.priceComponent.code	Deleted (-> Invoice.lineItem.priceComponent.code (now part of a datatype))
Invoice.lineItem.priceComponent.factor	Deleted (-> Invoice.lineItem.priceComponent.factor (now part of a datatype))
Invoice.lineItem.priceComponent.amount	Deleted (-> Invoice.lineItem.priceComponent.amount (now part of a datatype))
DocumentReference Library
Library.versionAlgorithm[x]	Added Element
DocumentReference.status Library.type	Change value set from http://hl7.org/fhir/ValueSet/document-reference-status http://hl7.org/fhir/ValueSet/library-type to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 LibraryType
DocumentReference.docStatus Library.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/composition-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DocumentReference.type Library.jurisdiction	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/jurisdiction to 0 Jurisdiction ValueSet
DocumentReference.category Library.usage	Renamed from class to category Max Cardinality Type changed from 1 string to * markdown
DocumentReference.date Library.copyrightLabel	Added Element
List
DocumentReference.author List.subject	Max Cardinality changed from 1 to * Type Reference: Added Target Type PractitionerRole Resource Type Reference: Removed Target Types Patient, Group, Device, Location
DocumentReference.authenticator List.source	Type Reference: Added Target Type PractitionerRole Types Organization, RelatedPerson, CareTeam, Group
DocumentReference.relatesTo Location
Location.code	No longer marked as Modifier Added Element
DocumentReference.relatesTo.code Location.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/document-relationship-type string to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 markdown
DocumentReference.context.encounter Location.type	Max Cardinality changed Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact	Renamed from 1 telecom to * contact Type Reference: changed from ContactPoint to ExtendedContactDetail
Location.form	Renamed from physicalType to form
Location.characteristic	Added Target Type EpisodeOfCare Element
DocumentReference.context.related Location.hoursOfOperation	Max Cardinality changed from * to 1 Type changed from BackboneElement to Reference(Resource) Availability Changed to a datatype: daysOfWeek, allDay, openingTime, closingTime and availabilityExceptions are now properties of the datatype
Location.virtualService	Added Element
DocumentReference.created Location.hoursOfOperation.daysOfWeek	deleted Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek (now part of a datatype))
DocumentReference.indexed Location.hoursOfOperation.allDay	deleted Deleted (-> Location.hoursOfOperation.availableTime.allDay (now part of a datatype))
DocumentReference.context.related.identifier Location.hoursOfOperation.openingTime	deleted Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime (now part of a datatype))
DocumentReference.context.related.ref Location.hoursOfOperation.closingTime	deleted Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime (now part of a datatype))
Location.availabilityExceptions	Deleted (-> Location.hoursOfOperation.notAvailableTime.description (now part of a datatype))
DomainResource ManufacturedItemDefinition
ManufacturedItemDefinition.name	No Changes Added Element
EffectEvidenceSynthesis ManufacturedItemDefinition.marketingStatus	Added Resource Element
ManufacturedItemDefinition.property.value[x]	Add Types Range, markdown, Reference(Binary)
ManufacturedItemDefinition.component	Added Element
ManufacturedItemDefinition.component.type	Added Mandatory Element
ManufacturedItemDefinition.component.function	Added Element
ManufacturedItemDefinition.component.amount	Added Element
ManufacturedItemDefinition.component.constituent	Added Element
ManufacturedItemDefinition.component.constituent.amount	Added Element
ManufacturedItemDefinition.component.constituent.location	Added Element
ManufacturedItemDefinition.component.constituent.function	Added Element
ManufacturedItemDefinition.component.constituent.hasIngredient	Added Element
ManufacturedItemDefinition.component.property	Added Element
ManufacturedItemDefinition.component.component	Added Element
Encounter Measure
Measure.versionAlgorithm[x]	Added Element
Encounter.status Measure.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/encounter-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Encounter.statusHistory.status Measure.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/encounter-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Jurisdiction ValueSet
Encounter.class Measure.usage	Min Cardinality Type changed from 0 string to 1 markdown
Encounter.serviceType Measure.copyrightLabel	Added Element
Encounter.basedOn Measure.reportingFrequency	Renamed Added Element
Measure.riskAdjustment	Type changed from incomingReferral string to basedOn markdown
Measure.rateAggregation	Type Reference: changed from string to markdown
Measure.term	Added Target Type ServiceRequest Element
Measure.term.code	Type Reference: Removed Target Type ReferralRequest Added Element
Encounter.participant.individual Measure.term.definition	Type Reference: Added Target Type PractitionerRole Element
Measure.group.linkId	Added Element
Measure.group.title	Added Element
Encounter.appointment Measure.group.description	Max Cardinality Type changed from 1 string to * markdown
Encounter.reasonCode Measure.group.type	Added Element
Encounter.reasonReference Measure.group.subject[x]	Added Element
Encounter.diagnosis.use Measure.group.basis	Added Element
Encounter.hospitalization.origin Measure.group.basisRequirement	Type Reference: Added Target Type Organization Element
Encounter.hospitalization.destination Measure.group.scoring	Type Reference: Added Target Type Organization Element
Measure.group.scoringUnit	Added Element
Measure.group.scoringPrecision	Added Element
Measure.group.compositeScoring	Added Element
Measure.group.component	Added Element
Measure.group.component.measure	Added Element
Measure.group.component.groupId	Added Element
Measure.group.component.weight	Added Element
Measure.group.rateAggregation	Added Element
Measure.group.improvementNotation	Added Element
Measure.group.improvementNotationGuidance	Added Element
Measure.group.library	Added Element
Measure.group.population.linkId	Added Element
Measure.group.population.title	Added Element
Encounter.location.status Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/encounter-location-status http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 MeasurePopulationType
Measure.group.population.description	Type changed from string to markdown
Measure.group.population.criteria	Min Cardinality changed from 1 to 0
Encounter.location.physicalType Measure.group.population.groupDefinition	Added Element
Encounter.reason Measure.group.population.inputPopulationId	deleted Added Element
Encounter.diagnosis.role Measure.group.population.aggregateMethod	deleted Added Element
Endpoint Measure.group.stratifier.linkId	Added Element
Measure.group.stratifier.title	Added Element
Endpoint.status Measure.group.stratifier.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/endpoint-status string to http://hl7.org/fhir/ValueSet/endpoint-status|4.0.1 markdown
Measure.group.stratifier.groupDefinition	Added Element
Measure.group.stratifier.component.linkId	Added Element
Endpoint.connectionType Measure.group.stratifier.component.description	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/endpoint-connection-type" string to "http://terminology.hl7.org/CodeSystem/endpoint-connection-type" markdown
Endpoint.payloadMimeType Measure.group.stratifier.component.criteria	Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition	Added Element
Measure.group.stratifier.component.valueSet	Added Element
Measure.group.stratifier.component.unit	Added Element
Measure.supplementalData.linkId	Added Element
Measure.supplementalData.usage	Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/measure-data-usage to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 MeasureDataUsage
Endpoint.address Measure.supplementalData.description	Type changed from uri string to url markdown
Measure.supplementalData.valueSet	Added Element
Measure.supplementalData.unit	Added Element
Measure.scoring	Deleted
Measure.compositeScoring	Deleted
Measure.type	Deleted
Measure.improvementNotation	Deleted
Measure.definition	Deleted
EnrollmentRequest MeasureReport
MeasureReport.category	Added Element
MeasureReport.messages	Added Element
EnrollmentRequest.status MeasureReport.type	Change value set Remove code data-collection Add code data-exchange
MeasureReport.dataUpdateType	Added Element
MeasureReport.measure	Min Cardinality changed from http://hl7.org/fhir/ValueSet/fm-status 1 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 0
EnrollmentRequest.provider MeasureReport.subject	Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService, Organization
EnrollmentRequest.candidate MeasureReport.reporter	Renamed from subject to candidate Type Reference: Removed Target Type Location
EnrollmentRequest.organization MeasureReport.reportingVendor	deleted Added Element
EnrollmentResponse MeasureReport.location	Added Element
MeasureReport.inputParameters	Added Element
MeasureReport.group.linkId	Added Element
MeasureReport.group.title	Added Element
MeasureReport.group.calculatedDate	Added Element
MeasureReport.group.description	Added Element
MeasureReport.group.type	Added Element
MeasureReport.group.subject	Added Element
MeasureReport.group.scoring	Added Element
MeasureReport.group.improvementNotation	Added Element
MeasureReport.group.improvementNotationGuidance	Added Element
MeasureReport.group.population.linkId	Added Element
MeasureReport.group.population.title	Added Element
EnrollmentResponse.status MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 MeasurePopulationType
MeasureReport.group.population.description	Added Element
MeasureReport.group.population.countQuantity	Added Element
MeasureReport.group.population.subjectReport	Added Element
MeasureReport.group.population.subjects	Added Element
MeasureReport.group.measureScore[x]	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MeasureReport.group.stratifier.linkId	Added Element
MeasureReport.group.stratifier.title	Added Element
EnrollmentResponse.outcome MeasureReport.group.stratifier.code	Type Max Cardinality changed from CodeableConcept * to code 1
MeasureReport.group.stratifier.description	Added Element
MeasureReport.group.stratifier.stratum.value[x]	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MeasureReport.group.stratifier.stratum.component.description	Added Element
MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId	Added Element
MeasureReport.group.stratifier.stratum.population.code	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 MeasurePopulationType
EnrollmentResponse.requestProvider MeasureReport.group.stratifier.stratum.population.countQuantity	Type Reference: Added Target Element
MeasureReport.group.stratifier.stratum.population.subjectReport	Added Element
MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]	Renamed from measureScore to measureScore[x] Add Types PractitionerRole, Organization dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MeasureReport.supplementalData	Added Element
EnrollmentResponse.requestOrganization MeasureReport.improvementNotation	deleted Deleted
EpisodeOfCare Medication
EpisodeOfCare.status Medication.marketingAuthorizationHolder	Change value set Renamed from http://hl7.org/fhir/ValueSet/episode-of-care-status manufacturer to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 marketingAuthorizationHolder
EpisodeOfCare.statusHistory.status Medication.doseForm	Change value set Renamed from http://hl7.org/fhir/ValueSet/episode-of-care-status form to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 doseForm
Medication.packageSize	Added Element
Medication.packageSize.numberOfItems	Added Element
Medication.packageSize.amountPerItem	Added Element
Medication.ingredient.item	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
Medication.ingredient.role	Added Element
Medication.ingredient.strength[x]	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity
Medication.instance	Renamed from batch to instance
Medication.instance.identifier	Added Element
Medication.instance.lotNumber	Moved from Medication.batch to Medication.instance
Medication.instance.expirationDate	Moved from Medication.batch to Medication.instance
Medication.definition	Added Element
Medication.amount	Deleted
MedicationAdministration
MedicationAdministration.basedOn	Added Element
EpisodeOfCare.referralRequest MedicationAdministration.partOf	Type Reference: Added Target Type ServiceRequest MedicationDispense
MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationAdministration.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter	Renamed from context to encounter Type Reference: Removed Target Type ReferralRequest EpisodeOfCare
EpisodeOfCare.careManager MedicationAdministration.occurrence[x]	Renamed from effective[x] to occurrence[x] Add Type Reference: Added Target Type PractitionerRole Timing
EventDefinition MedicationAdministration.recorded	Added Resource Element
Evidence MedicationAdministration.isSubPotent	Added Resource Element
EvidenceVariable MedicationAdministration.subPotentReason	Added Resource Element
ExampleScenario MedicationAdministration.performer.actor	Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationAdministration.reason	Added Resource Element Merged both reasonCode and reasonReference into reason
MedicationAdministration.device	Type changed from Reference(Device) to CodeableReference
MedicationAdministration.instantiates	Deleted
MedicationAdministration.reasonCode	Deleted (-> reason.concept)
MedicationAdministration.reasonReference	Deleted (-> reason.reference)
ExplanationOfBenefit MedicationDispense
MedicationDispense.basedOn	Added Element
ExplanationOfBenefit.status MedicationDispense.partOf	Min Type Reference: Added Target Type MedicationAdministration
MedicationDispense.status	Remove code stopped Add code unfulfilled
MedicationDispense.notPerformedReason	Renamed from statusReason[x] to notPerformedReason Add Type CodeableReference Remove Types CodeableConcept, Reference(DetectedIssue)
MedicationDispense.statusChanged	Added Element
MedicationDispense.category	Max Cardinality changed from 0 to 1 to *
MedicationDispense.medication	Change value set Renamed from http://hl7.org/fhir/ValueSet/explanationofbenefit-status medication[x] to http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1 medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
ExplanationOfBenefit.type MedicationDispense.subject	Min Cardinality changed from 0 to 1
MedicationDispense.encounter	Change binding strength Renamed from required context to extensible encounter Type Reference: Removed Target Type EpisodeOfCare
ExplanationOfBenefit.subType MedicationDispense.performer.actor	Type Reference: Added Target Types CareTeam, Group
MedicationDispense.fillNumber	Added Element
MedicationDispense.recorded	Added Element
MedicationDispense.receiver	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationDispense.dosageInstruction	Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
ExplanationOfBenefit.use MedicationDispense.doseAdministrationAid	Added Mandatory Element
ExplanationOfBenefit.patient MedicationDispense.substitution.responsibleParty	Min Max Cardinality changed from 0 * to 1 Type Reference: Added Target Type Organization
ExplanationOfBenefit.created MedicationDispense.detectedIssue	Min Cardinality changed from 0 to 1 Deleted
MedicationRequest
ExplanationOfBenefit.enterer MedicationRequest.basedOn	Type Reference: Added Target Type PractitionerRole RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
ExplanationOfBenefit.insurer MedicationRequest.status	Min Cardinality changed Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from 0 medication[x] to 1 medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.isRecordOfRequest	Renamed from reported[x] to isRecordOfRequest Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
ExplanationOfBenefit.provider MedicationRequest.performerType	Min Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer	Max Cardinality changed from 0 to 1 to * Type Reference: Added Target Types PractitionerRole, Organization DeviceDefinition, HealthcareService, Group Type Reference: Removed Target Type Device
ExplanationOfBenefit.priority MedicationRequest.device	Added Element
ExplanationOfBenefit.fundsReserveRequested MedicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationRequest.courseOfTherapyType	Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
ExplanationOfBenefit.fundsReserve MedicationRequest.effectiveTiming[x]	Added Element
ExplanationOfBenefit.payee.party MedicationRequest.dosageInstruction	Max Cardinality changed from * to 1 Type Reference: changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Renamed from performer to dispenser
MedicationRequest.dispenseRequest.dispenserInstruction	Added Target Type PractitionerRole Element
MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.dispenseRequest.destination	Added Element
MedicationRequest.reasonCode	Deleted (-> reason.concept)
MedicationRequest.reasonReference	Deleted (-> reason.reference)
MedicationRequest.instantiatesCanonical	Deleted
MedicationRequest.instantiatesUri	Deleted
MedicationRequest.detectedIssue	Deleted
MedicationStatement
ExplanationOfBenefit.referral MedicationStatement.partOf	Type Reference: Added Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status	Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken Add codes recorded , draft
MedicationStatement.category	Max Cardinality changed from 1 to *
MedicationStatement.medication	Renamed from medication[x] to medication Add Type ServiceRequest CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter	Renamed from context to encounter Type Reference: Removed Target Type ReferralRequest EpisodeOfCare
ExplanationOfBenefit.outcome MedicationStatement.effective[x]	Min Add Type Timing
MedicationStatement.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 0 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.dosage	Max Cardinality changed from * to 1 Type changed from CodeableConcept Dosage to code DosageDetails
MedicationStatement.adherence	Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) Added Element
ExplanationOfBenefit.preAuthRef MedicationStatement.adherence.code	Added Mandatory Element
ExplanationOfBenefit.preAuthRefPeriod MedicationStatement.adherence.reason	Added Element
ExplanationOfBenefit.careTeam.provider MedicationStatement.basedOn	Deleted
MedicationStatement.statusReason	Deleted
MedicationStatement.reasonCode	Deleted (-> reason.concept)
MedicationStatement.reasonReference	Deleted (-> reason.reference)
MedicinalProductDefinition
MedicinalProductDefinition.comprisedOf	Type Reference: Added Target Type PractitionerRole Element
ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.part	Renamed from information namePart to supportingInfo part
ExplanationOfBenefit.supportingInfo.sequence MedicinalProductDefinition.name.part.part	Moved from ExplanationOfBenefit.information MedicinalProductDefinition.name.namePart to ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.part
ExplanationOfBenefit.supportingInfo.category MedicinalProductDefinition.name.part.type	Moved from ExplanationOfBenefit.information MedicinalProductDefinition.name.namePart to ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.part
ExplanationOfBenefit.supportingInfo.code MedicinalProductDefinition.name.usage	Renamed from countryLanguage to usage
MedicinalProductDefinition.name.usage.country	Moved from ExplanationOfBenefit.information MedicinalProductDefinition.name.countryLanguage to ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.usage
ExplanationOfBenefit.supportingInfo.timing[x] MedicinalProductDefinition.name.usage.jurisdiction	Moved from ExplanationOfBenefit.information MedicinalProductDefinition.name.countryLanguage to ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.usage
ExplanationOfBenefit.supportingInfo.value[x] MedicinalProductDefinition.name.usage.language	Moved from ExplanationOfBenefit.information MedicinalProductDefinition.name.countryLanguage to ExplanationOfBenefit.supportingInfo MedicinalProductDefinition.name.usage Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
MedicinalProductDefinition.characteristic.value[x]	Add Types markdown, Range, integer
MessageDefinition
MessageDefinition.versionAlgorithm[x]	Added Element
MessageDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MessageDefinition.copyrightLabel	Added Element
MessageDefinition.focus.code	Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , RequestOrchestration , Requirements
MessageDefinition.graph	Deleted
MessageHeader
MessageHeader.event[x]	Add Type boolean canonical(EventDefinition | SubscriptionTopic)
ExplanationOfBenefit.supportingInfo.reason MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MessageHeader.source.sender	Moved from ExplanationOfBenefit.information MessageHeader to ExplanationOfBenefit.supportingInfo MessageHeader.source Type Reference: Added Target Types Device, Patient
MessageHeader.response.identifier	Type changed from id to Identifier
MessageHeader.destination.target	Deleted
MessageHeader.enterer	Deleted
MessageHeader.author	Deleted
MessageHeader.responsible	Deleted
MetadataResource	Added Resource
NamingSystem
ExplanationOfBenefit.diagnosis.onAdmission NamingSystem.url	Added Element
ExplanationOfBenefit.procedure.type NamingSystem.identifier	Added Element
ExplanationOfBenefit.procedure.udi NamingSystem.version	Added Element
NamingSystem.versionAlgorithm[x]	Added Element
NamingSystem.title	Added Element
NamingSystem.experimental	Added Element
ExplanationOfBenefit.insurance NamingSystem.type	Min Cardinality changed Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.jurisdiction	Change value set from 0 http://hl7.org/fhir/ValueSet/jurisdiction to 1 Jurisdiction ValueSet
NamingSystem.purpose	Added Element
NamingSystem.copyright	Added Element
NamingSystem.copyrightLabel	Added Element
NamingSystem.approvalDate	Added Element
NamingSystem.lastReviewDate	Added Element
NamingSystem.effectivePeriod	Added Element
NamingSystem.topic	Added Element
NamingSystem.author	Added Element
NamingSystem.editor	Added Element
NamingSystem.reviewer	Added Element
NamingSystem.endorser	Added Element
NamingSystem.relatedArtifact	Added Element
NamingSystem.uniqueId.type	Add codes iri-stem , v2csmnemonic
NamingSystem.uniqueId.authoritative	Added Element
NutritionIntake	Added Resource
NutritionOrder
NutritionOrder.basedOn	Added Element
NutritionOrder.groupIdentifier	Added Element
NutritionOrder.status	Remove codes revoked , completed Add code ended
NutritionOrder.intent	Remove codes original-order , reflex-order , filler-order , instance-order
NutritionOrder.priority	Added Element
NutritionOrder.subject	Renamed from patient to subject Type Reference: Added Target Type Group
NutritionOrder.supportingInformation	Added Element
NutritionOrder.requester	Renamed from orderer to requester
NutritionOrder.performer	Added Element
NutritionOrder.outsideFoodAllowed	Added Element
NutritionOrder.oralDiet.schedule	Max Cardinality changed from * to 1 Type changed from Timing to * BackboneElement
ExplanationOfBenefit.insurance.focal NutritionOrder.oralDiet.schedule.timing	Added Element
NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor	Added Mandatory Element
ExplanationOfBenefit.insurance.coverage NutritionOrder.oralDiet.nutrient.amount	Min Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.oralDiet.texture.type	Renamed from foodType to type
NutritionOrder.oralDiet.caloricDensity	Added Element
NutritionOrder.supplement.type	Type changed from CodeableConcept to CodeableReference
NutritionOrder.supplement.schedule	Max Cardinality changed from 0 * to 1 Type changed from Timing to BackboneElement
NutritionOrder.supplement.schedule.timing	Added Element
NutritionOrder.supplement.schedule.asNeeded	Added Element
NutritionOrder.supplement.schedule.asNeededFor	Added Element
ExplanationOfBenefit.accident.type NutritionOrder.supplement.quantity	Change binding strength Type changed from required Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to extensible Quantity
NutritionOrder.supplement.caloricDensity	Added Element
ExplanationOfBenefit.item.careTeamSequence NutritionOrder.enteralFormula.type	Renamed from careTeamLinkId baseFormulaType to careTeamSequence type Type changed from CodeableConcept to CodeableReference
ExplanationOfBenefit.item.diagnosisSequence NutritionOrder.enteralFormula.productName	Renamed from diagnosisLinkId baseFormulaProductName to diagnosisSequence productName
ExplanationOfBenefit.item.procedureSequence NutritionOrder.enteralFormula.deliveryDevice[x]	Renamed Added Element
NutritionOrder.enteralFormula.caloricDensity	Type changed from procedureLinkId Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to procedureSequence Quantity
ExplanationOfBenefit.item.informationSequence NutritionOrder.enteralFormula.routeOfAdministration	Renamed from informationLinkId routeofAdministration to informationSequence routeOfAdministration Max Cardinality changed from 1 to *
ExplanationOfBenefit.item.productOrService NutritionOrder.enteralFormula.administration.schedule	Renamed Type changed from service Timing to productOrService BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded	Min Cardinality Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NutritionOrder.enteralFormula.administration.quantity	Type changed from 0 Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to 1 Quantity
NutritionOrder.enteralFormula.administration.rate[x]	Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
ExplanationOfBenefit.item.detail.productOrService NutritionOrder.enteralFormula.maxVolumeToAdminister	Renamed from service maxVolumeToDeliver to productOrService maxVolumeToAdminister Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.administrationInstruction	Type changed from string to markdown
NutritionOrder.additive	Added Element
NutritionOrder.additive.modularType	Added Element
NutritionOrder.additive.productName	Added Element
NutritionOrder.additive.quantity	Added Element
NutritionOrder.additive.routeOfAdministration	Added Element
NutritionOrder.instantiatesCanonical	Deleted
NutritionOrder.instantiatesUri	Deleted
NutritionOrder.instantiates	Deleted
NutritionOrder.oralDiet.fluidConsistencyType	Deleted
NutritionOrder.enteralFormula.additiveType	Deleted
NutritionOrder.enteralFormula.additiveProductName	Deleted
NutritionProduct
NutritionProduct.manufacturer	Type Reference: Added Target Type RelatedPerson
NutritionProduct.nutrient.item	Min Cardinality changed from 0 to 1
ExplanationOfBenefit.item.detail.subDetail.productOrService NutritionProduct.nutrient.amount[x]	Renamed from service amount to productOrService amount[x] Min Max Cardinality changed from 0 * to 1 Add Type Quantity
NutritionProduct.ingredientSummary	Added Element
ExplanationOfBenefit.addItem.itemSequence NutritionProduct.ingredient.amount[x]	Renamed from sequenceLinkId amount to itemSequence amount[x] Max Cardinality changed from * to 1 Add Type Quantity
ExplanationOfBenefit.addItem.detailSequence NutritionProduct.ingredient.allergen	Added Element
ExplanationOfBenefit.addItem.subDetailSequence NutritionProduct.energy	Added Element
ExplanationOfBenefit.addItem.provider NutritionProduct.characteristic	Added Element
ExplanationOfBenefit.addItem.productOrService NutritionProduct.characteristic.type	Renamed from service to productOrService Added Mandatory Element
NutritionProduct.characteristic.value[x]	Min Added Mandatory Element
NutritionProduct.instance	Max Cardinality changed from 0 to 1 to *
ExplanationOfBenefit.addItem.programCode NutritionProduct.instance.name	Added Element
ExplanationOfBenefit.addItem.serviced[x] NutritionProduct.instance.biologicalSourceEvent	Added Element
NutritionProduct.knownAllergen	Deleted
NutritionProduct.productCharacteristic	Deleted
Observation
Observation.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
ExplanationOfBenefit.addItem.location[x] Observation.triggeredBy	Added Element
ExplanationOfBenefit.addItem.quantity Observation.triggeredBy.observation	Added Mandatory Element
ExplanationOfBenefit.addItem.unitPrice Observation.triggeredBy.type	Added Mandatory Element
ExplanationOfBenefit.addItem.factor Observation.triggeredBy.reason	Added Element
ExplanationOfBenefit.addItem.net Observation.status	Renamed from fee to net Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
Observation.focus	Now marked as Modifier
ExplanationOfBenefit.addItem.bodySite Observation.organizer	Added Element
Observation.performer	Type Reference: Added Target Types HealthcareService, Group
Observation.value[x]	Add Type Attachment
ExplanationOfBenefit.addItem.subSite Observation.interpretationContext	Added Element
ExplanationOfBenefit.addItem.detail.productOrService Observation.bodyStructure	Renamed Added Element
Observation.specimen	Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from service Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to productOrService Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Min Cardinality Added Element
Observation.referenceRange.text	Type changed from 0 string to 1 markdown
Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Type ImagingSelection Type Reference: Removed Target Types Media, MolecularSequence
Observation.component.value[x]	Add Type Attachment
ObservationDefinition
ExplanationOfBenefit.addItem.detail.quantity ObservationDefinition.url	Added Element
ObservationDefinition.identifier	Max Cardinality changed from * to 1
ExplanationOfBenefit.addItem.detail.unitPrice ObservationDefinition.version	Added Element
ExplanationOfBenefit.addItem.detail.factor ObservationDefinition.versionAlgorithm[x]	Added Element
ExplanationOfBenefit.addItem.detail.net ObservationDefinition.name	Renamed from fee to net Added Element
ExplanationOfBenefit.addItem.detail.subDetail ObservationDefinition.title	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService ObservationDefinition.status	Added Mandatory Element
ExplanationOfBenefit.addItem.detail.subDetail.modifier ObservationDefinition.experimental	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.quantity ObservationDefinition.date	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.unitPrice ObservationDefinition.publisher	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.factor ObservationDefinition.contact	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.net ObservationDefinition.description	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.noteNumber ObservationDefinition.useContext	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.adjudication ObservationDefinition.jurisdiction	Added Element
ExplanationOfBenefit.adjudication ObservationDefinition.purpose	Added Element
ExplanationOfBenefit.total ObservationDefinition.copyright	Added Element
ExplanationOfBenefit.total.category ObservationDefinition.copyrightLabel	Added Mandatory Element
ExplanationOfBenefit.total.amount ObservationDefinition.approvalDate	Added Element
ObservationDefinition.lastReviewDate	Added Element
ObservationDefinition.effectivePeriod	Added Element
ObservationDefinition.derivedFromCanonical	Added Element
ObservationDefinition.derivedFromUri	Added Element
ObservationDefinition.subject	Added Element
ObservationDefinition.performerType	Added Element
ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Renamed from qualifiedInterval to qualifiedValue
ObservationDefinition.qualifiedValue.context	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.appliesTo	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Moved from ObservationDefinition.qualifiedInterval.gender to sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.age	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gestationalAge	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.condition	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.rangeCategory	Moved from ObservationDefinition.qualifiedInterval.category to rangeCategory
ObservationDefinition.qualifiedValue.range	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.validCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.normalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.abnormalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.criticalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.interpretation	Added Element
ObservationDefinition.hasMember	Added Element
ObservationDefinition.component	Added Element
ObservationDefinition.component.code	Added Mandatory Element
ExplanationOfBenefit.formCode ObservationDefinition.component.permittedDataType	Added Element
ObservationDefinition.component.permittedUnit	Added Element
ObservationDefinition.component.qualifiedValue	Added Element
ObservationDefinition.quantitativeDetails	Deleted
OperationDefinition
OperationDefinition.identifier	Added Element
OperationDefinition.versionAlgorithm[x]	Added Element
ExplanationOfBenefit.form OperationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
OperationDefinition.copyright	Added Element
OperationDefinition.copyrightLabel	Added Element
OperationDefinition.synchronicity	Added Element
OperationDefinition.resource	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , RequestOrchestration , Requirements , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification
OperationDefinition.parameter.scope	Added Element
OperationDefinition.parameter.min	Type changed from CodeableConcept integer to Attachment unsignedInt
ExplanationOfBenefit.processNote.type OperationDefinition.parameter.documentation	Type changed from CodeableConcept string to code markdown
OperationDefinition.parameter.type	Change value set from http://hl7.org/fhir/ValueSet/note-type http://hl7.org/fhir/ValueSet/all-types|4.3.0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , CodeableReference , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , RatioRange , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Resource , Binary , Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceReport , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InsurancePlan , Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
ExplanationOfBenefit.processNote.language OperationDefinition.parameter.searchType	Change binding strength from extensible to preferred Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Remove codes structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code success
Organization
ExplanationOfBenefit.benefitPeriod Organization.description	Added Element
ExplanationOfBenefit.organization Organization.contact	deleted Type changed from BackboneElement to ExtendedContactDetail
ExplanationOfBenefit.payee.resourceType Organization.qualification	deleted Added Element
ExplanationOfBenefit.employmentImpacted Organization.qualification.identifier	deleted Added Element
ExplanationOfBenefit.hospitalization Organization.qualification.code	deleted Added Mandatory Element
ExplanationOfBenefit.item.detail.type Organization.qualification.status	deleted Added Element
ExplanationOfBenefit.item.detail.subDetail.type Organization.qualification.period	deleted Added Element
ExplanationOfBenefit.addItem.revenue Organization.qualification.issuer	deleted Added Element
ExplanationOfBenefit.addItem.category Organization.telecom	deleted Deleted (-> Use contact.telecom to provide context of use)
ExplanationOfBenefit.addItem.detail.revenue Organization.address	deleted Deleted (-> Use contact.address to provide context of use)
ExplanationOfBenefit.addItem.detail.category Organization.contact.purpose	deleted Deleted (-> Organization.contact.purpose)
ExplanationOfBenefit.totalCost Organization.contact.name	deleted Deleted (-> Organization.contact.name)
ExplanationOfBenefit.unallocDeductable Organization.contact.telecom	deleted Deleted (-> Organization.contact.telecom)
ExplanationOfBenefit.totalBenefit Organization.contact.address	deleted Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact	Added Element
ExplanationOfBenefit.benefitBalance.subCategory OrganizationAffiliation.telecom	deleted Deleted (-> OrganizationAffiliation.contact.telecom)
FamilyMemberHistory PackagedProductDefinition
FamilyMemberHistory.instantiatesCanonical PackagedProductDefinition.attachedDocument	Added Element
FamilyMemberHistory.instantiatesUri PackagedProductDefinition.packaging	Added Element
FamilyMemberHistory.status PackagedProductDefinition.packaging.identifier	Change value set from http://hl7.org/fhir/ValueSet/history-status to http://hl7.org/fhir/ValueSet/history-status|4.0.1 Added Element
FamilyMemberHistory.dataAbsentReason PackagedProductDefinition.packaging.type	Added Element
FamilyMemberHistory.sex PackagedProductDefinition.packaging.componentPart	Added Element
FamilyMemberHistory.estimatedAge PackagedProductDefinition.packaging.quantity	No longer marked as Modifier Added Element
FamilyMemberHistory.reasonReference PackagedProductDefinition.packaging.material	Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
FamilyMemberHistory.condition.contributedToDeath PackagedProductDefinition.packaging.alternateMaterial	Added Element
FamilyMemberHistory.definition PackagedProductDefinition.packaging.shelfLifeStorage	deleted Added Element
FamilyMemberHistory.notDone PackagedProductDefinition.packaging.manufacturer	deleted Added Element
FamilyMemberHistory.notDoneReason PackagedProductDefinition.packaging.property	deleted Added Element
PackagedProductDefinition.packaging.property.type	Added Mandatory Element
PackagedProductDefinition.packaging.property.value[x]	Added Element
PackagedProductDefinition.packaging.containedItem	Added Element
PackagedProductDefinition.packaging.containedItem.item	Added Mandatory Element
PackagedProductDefinition.packaging.containedItem.amount	Added Element
PackagedProductDefinition.packaging.packaging	Added Element
PackagedProductDefinition.characteristic	Remove Type CodeableConcept
FamilyMemberHistory.gender PackagedProductDefinition.package	deleted Deleted
Flag Parameters
Flag.status Parameters.parameter.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
Patient
Patient.contact.relationship	Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role	Added Element
Patient.contact.additionalName	Added Element
Patient.contact.additionalAddress	Added Element
Patient.communication.language	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/flag-status Common Languages to http://hl7.org/fhir/ValueSet/flag-status|4.0.1 All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.statusReason	Added Element
PaymentNotice.reporter	Renamed from provider to reporter
Flag.category PaymentNotice.payment	Max Min Cardinality changed from 1 to * 0
PaymentReconciliation
PaymentReconciliation.type	Added Mandatory Element
PaymentReconciliation.statusReason	Added Element
PaymentReconciliation.kind	Added Element
PaymentReconciliation.enterer	Added Element
PaymentReconciliation.issuerType	Added Element
Flag.author PaymentReconciliation.paymentIssuer	Type Reference: Added Target Type PractitionerRole Types Patient, RelatedPerson
Goal PaymentReconciliation.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Payment Outcome
PaymentReconciliation.date	Renamed from paymentDate to date
Goal.lifecycleStatus PaymentReconciliation.location	Added Mandatory Element
Goal.achievementStatus PaymentReconciliation.method	Added Element
Goal.subject PaymentReconciliation.cardBrand	Added Element
PaymentReconciliation.accountNumber	Added Element
PaymentReconciliation.expirationDate	Added Element
PaymentReconciliation.processor	Added Element
PaymentReconciliation.referenceNumber	Added Element
PaymentReconciliation.authorization	Added Element
PaymentReconciliation.tenderedAmount	Added Element
PaymentReconciliation.returnedAmount	Added Element
PaymentReconciliation.amount	Renamed from paymentAmount to amount Min Cardinality changed from 1 to 0
PaymentReconciliation.allocation	Renamed from detail to 1 allocation
Goal.target PaymentReconciliation.allocation.identifier	Max Cardinality changed Moved from 1 PaymentReconciliation.detail to * PaymentReconciliation.allocation
Goal.target.detail[x] PaymentReconciliation.allocation.predecessor	Add Types string, boolean, integer, Ratio Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
Goal.expressedBy PaymentReconciliation.allocation.target	Moved from PaymentReconciliation.detail.request to target Type Reference: Added Target Types Claim, Account, Invoice, Encounter, Contract Type PractitionerRole Reference: Removed Target Type Resource
Goal.addresses PaymentReconciliation.allocation.targetItem[x]	Added Element
PaymentReconciliation.allocation.encounter	Added Element
PaymentReconciliation.allocation.account	Added Element
PaymentReconciliation.allocation.type	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Min Cardinality changed from 1 to 0 Add Binding `http://hl7.org/fhir/ValueSet/payment-type` (extensible)
PaymentReconciliation.allocation.submitter	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.response	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Type Reference: Added Target Type ServiceRequest ClaimResponse Type Reference: Removed Target Type ProcedureRequest Resource
Goal.status PaymentReconciliation.allocation.date	deleted Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.responsible	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.payee	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.amount	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.noteNumber	Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
PaymentReconciliation.processNote.text	Type changed from string to markdown
GraphDefinition Person
Person.deceased[x]	Added Element
Person.maritalStatus	Added Element
GraphDefinition.status Person.photo	Max Cardinality changed from 1 to *
Person.communication	Added Element
Person.communication.language	Added Mandatory Element
Person.communication.preferred	Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/plan-definition-type to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 PlanDefinitionType
GraphDefinition.experimental PlanDefinition.subject[x]	No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
GraphDefinition.start PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Jurisdiction ValueSet
GraphDefinition.profile PlanDefinition.usage	Type changed from uri string to canonical(StructureDefinition) markdown
PlanDefinition.copyrightLabel	Added Element
GraphDefinition.link.path PlanDefinition.goal.target.detail[x]	Min Cardinality Add Types string, boolean, integer, Ratio
PlanDefinition.actor	Added Element
PlanDefinition.actor.title	Added Element
PlanDefinition.actor.description	Added Element
PlanDefinition.actor.option	Added Mandatory Element
PlanDefinition.actor.option.type	Added Element
PlanDefinition.actor.option.typeCanonical	Added Element
PlanDefinition.actor.option.typeReference	Added Element
PlanDefinition.actor.option.role	Added Element
PlanDefinition.action.linkId	Added Element
PlanDefinition.action.description	Type changed from 1 string to 0 markdown
GraphDefinition.link.target PlanDefinition.action.textEquivalent	Min Type changed from string to markdown
PlanDefinition.action.code	Max Cardinality changed from * to 1
PlanDefinition.action.goalId	Type changed from id to 0 string
GraphDefinition.link.target.type PlanDefinition.action.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input	Type changed from DataRequirement to BackboneElement
GraphDefinition.link.target.params PlanDefinition.action.input.title	Added Element
PlanDefinition.action.input.requirement	Added Element
PlanDefinition.action.input.relatedData	Added Element
GraphDefinition.link.target.profile PlanDefinition.action.output	Type changed from uri DataRequirement to canonical(StructureDefinition) BackboneElement
GraphDefinition.link.target.compartment.use PlanDefinition.action.output.title	Added Mandatory Element
PlanDefinition.action.output.requirement	Added Element
PlanDefinition.action.output.relatedData	Added Element
PlanDefinition.action.relatedAction.targetId	Renamed from actionId to targetId Type changed from id to string
GraphDefinition.link.target.compartment.code PlanDefinition.action.relatedAction.relationship	Change value set Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.relatedAction.endRelationship	Added Element
PlanDefinition.action.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
PlanDefinition.action.location	Added Element
PlanDefinition.action.participant.actorId	Added Element
PlanDefinition.action.participant.type	Min Cardinality changed from http://hl7.org/fhir/ValueSet/compartment-type 1 to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1 0 Remove code related-person Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
PlanDefinition.action.participant.typeCanonical	Added Element
PlanDefinition.action.participant.typeReference	Added Element
PlanDefinition.action.participant.function	Added Element
GraphDefinition.link.target.compartment.rule PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/graph-compartment-rule http://hl7.org/fhir/ValueSet/action-type to http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.1 ActionType
PlanDefinition.action.applicabilityBehavior	Added Element
PlanDefinition.asNeeded[x]	Added Element
Group Practitioner
Group.active Practitioner.active	Default Value "true" removed Now marked as Modifier
Practitioner.deceased[x]	Added Element
Practitioner.qualification.status	Added Element
Group.type Practitioner.communication	Change value set Type changed from http://hl7.org/fhir/ValueSet/group-type CodeableConcept to http://hl7.org/fhir/ValueSet/group-type|4.0.1 BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
Group.managingEntity Practitioner.communication.language	Added Mandatory Element
Practitioner.communication.preferred	Added Element
PractitionerRole
PractitionerRole.network	Added Element
PractitionerRole.display	Added Element
PractitionerRole.contact	Added Element
PractitionerRole.characteristic	Added Element
PractitionerRole.communication	Added Element
PractitionerRole.availability	Added Element Changed to a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
PractitionerRole.telecom	Deleted (-> PractitionerRole.contact.telecom)
PractitionerRole.availableTime	Deleted (-> PractitionerRole.availability (now part of a datatype))
PractitionerRole.notAvailable	Deleted (-> PractitionerRole.availability.notAvailableTime (now part of a datatype))
PractitionerRole.availabilityExceptions	Deleted (-> PractitionerRole.availability.notAvailabileTime.description (now part of a datatype))
Procedure
Group.characteristic.value[x] Procedure.basedOn	Add Type Reference Reference: Added Target Type MedicationRequest
Group.characteristic.exclude Procedure.category	No longer marked as Modifier Max Cardinality changed from 1 to *
Group.member.entity Procedure.subject	Type Reference: Added Target Types PractitionerRole, Group Device, Practitioner, Organization, Location
Group.member.inactive Procedure.focus	Default Value "false" removed Added Element
GuidanceResponse Procedure.occurrence[x]	Renamed from performed[x] to occurrence[x] Add Type Timing
Procedure.recorded	Added Element
GuidanceResponse.requestIdentifier Procedure.reported[x]	Renamed from requestId asserter to requestIdentifier reported[x] Add Type boolean
Procedure.performer.actor	Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.performer.period	Added Element
Procedure.reason	Added Element Merged both reasonCode and reasonReference into reason
Procedure.bodyStructure	Added Element
Procedure.outcome	Max Cardinality changed from 1 to * Type changed from id CodeableConcept to Identifier CodeableReference
GuidanceResponse.identifier Procedure.report	Max Type Reference: Added Target Type Bundle
Procedure.complication	Type changed from CodeableConcept to CodeableReference Merged both Procedure.complication into the Procedure.complication.concept, and Procedure.complicationDetail into Procedure.complication.reference
Procedure.followUp	Type changed from CodeableConcept to CodeableReference
Procedure.used	Added Element
Procedure.supportingInfo	Added Element
Procedure.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
Procedure.reasonCode	Deleted (-> reason.concept)
Procedure.reasonReference	Deleted (-> reason.reference)
Procedure.complicationDetail	Deleted (-> Procedure.complication.reference)
Procedure.usedReference	Deleted (-> Procedure.used)
Procedure.usedCode	Deleted (-> Procedure.used)
Provenance
Provenance.recorded	Min Cardinality changed from 1 to * 0
GuidanceResponse.module[x] Provenance.authorization	Renamed from module reason to module[x] authorization Add Types uri, canonical, Type changed from CodeableConcept to CodeableReference Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Provenance.why	Added Element
Provenance.activity	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
Provenance.basedOn	Added Element
Provenance.patient	Added Element
Provenance.encounter	Added Element
Provenance.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who	Type Reference(ServiceDefinition) Reference: Added Target Types CareTeam, Group, HealthcareService
GuidanceResponse.status Provenance.agent.onBehalfOf	Type Reference: Added Target Types CareTeam, Group, HealthcareService Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
Questionnaire
Questionnaire.versionAlgorithm[x]	Added Element
Questionnaire.subjectType	Remove codes Resource , DomainResource , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , DeviceUseStatement , DocumentManifest , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , NutritionIntake , RequestOrchestration , Requirements
Questionnaire.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/guidance-response-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.1 Jurisdiction ValueSet
GuidanceResponse.encounter Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|4.3.0 to Questionnaire Useable Item Type Remove codes question , choice , open-choice Add code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
GuidanceResponse.reasonCode Questionnaire.item.disabledDisplay	Added Element
GuidanceResponse.reasonReference Questionnaire.item.answerConstraint	Added Element
GuidanceResponse.context Questionnaire.item.answerOption.value[x]	deleted Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
GuidanceResponse.reason[x] Questionnaire.item.initial.value[x]	deleted Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
HealthcareService QuestionnaireResponse
HealthcareService.active QuestionnaireResponse.identifier	Default Value "true" removed Max Cardinality changed from 1 to *
HealthcareService.category QuestionnaireResponse.questionnaire	Min Cardinality changed from 0 to 1
QuestionnaireResponse.author	Type Reference: Added Target Type Group
QuestionnaireResponse.source	Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
HealthcareService.extraDetails QuestionnaireResponse.item.answer.value[x]	Type Min Cardinality changed from string 0 to markdown 1 Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization
HealthcareService.eligibility RegulatedAuthorization.subject	Type Reference: Added Target Types ManufacturedItemDefinition, Ingredient
RegulatedAuthorization.status	Now marked as Modifier
RegulatedAuthorization.indication	Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument	Type changed Added Element
RelatedPerson
RelatedPerson.role	Added Element
RelatedPerson.communication.language	Change binding strength from CodeableConcept preferred to BackboneElement required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
HealthcareService.eligibility.code RequestOrchestration.identifier	Added Element
HealthcareService.eligibility.comment RequestOrchestration.instantiatesCanonical	Added Element
HealthcareService.program RequestOrchestration.instantiatesUri	Added Element
HealthcareService.communication RequestOrchestration.basedOn	Added Element
RequestOrchestration.replaces	Added Element
RequestOrchestration.groupIdentifier	Added Element
RequestOrchestration.status	Added Mandatory Element
RequestOrchestration.intent	Added Mandatory Element
RequestOrchestration.priority	Added Element
RequestOrchestration.code	Added Element
RequestOrchestration.subject	Added Element
RequestOrchestration.encounter	Added Element
RequestOrchestration.authoredOn	Added Element
RequestOrchestration.author	Added Element
RequestOrchestration.reason	Added Element
RequestOrchestration.goal	Added Element
RequestOrchestration.note	Added Element
RequestOrchestration.action	Added Element
RequestOrchestration.action.linkId	Added Element
RequestOrchestration.action.prefix	Added Element
RequestOrchestration.action.title	Added Element
RequestOrchestration.action.description	Added Element
RequestOrchestration.action.textEquivalent	Added Element
RequestOrchestration.action.priority	Added Element
RequestOrchestration.action.code	Added Element
RequestOrchestration.action.documentation	Added Element
RequestOrchestration.action.goal	Added Element
RequestOrchestration.action.condition	Added Element
RequestOrchestration.action.condition.kind	Added Mandatory Element
RequestOrchestration.action.condition.expression	Added Element
RequestOrchestration.action.input	Added Element
RequestOrchestration.action.input.title	Added Element
RequestOrchestration.action.input.requirement	Added Element
RequestOrchestration.action.input.relatedData	Added Element
RequestOrchestration.action.output	Added Element
RequestOrchestration.action.output.title	Added Element
RequestOrchestration.action.output.requirement	Added Element
RequestOrchestration.action.output.relatedData	Added Element
RequestOrchestration.action.relatedAction	Added Element
RequestOrchestration.action.relatedAction.targetId	Added Mandatory Element
RequestOrchestration.action.relatedAction.relationship	Added Mandatory Element
RequestOrchestration.action.relatedAction.endRelationship	Added Element
RequestOrchestration.action.relatedAction.offset[x]	Added Element
RequestOrchestration.action.timing[x]	Added Element
RequestOrchestration.action.location	Added Element
RequestOrchestration.action.participant	Added Element
RequestOrchestration.action.participant.type	Added Element
RequestOrchestration.action.participant.typeCanonical	Added Element
RequestOrchestration.action.participant.typeReference	Added Element
RequestOrchestration.action.participant.role	Added Element
RequestOrchestration.action.participant.function	Added Element
RequestOrchestration.action.participant.actor[x]	Added Element
RequestOrchestration.action.type	Added Element
RequestOrchestration.action.applicabilityBehavior	Added Element
RequestOrchestration.action.groupingBehavior	Added Element
RequestOrchestration.action.selectionBehavior	Added Element
RequestOrchestration.action.requiredBehavior	Added Element
RequestOrchestration.action.precheckBehavior	Added Element
RequestOrchestration.action.cardinalityBehavior	Added Element
RequestOrchestration.action.resource	Added Element
RequestOrchestration.action.definition[x]	Added Element
RequestOrchestration.action.transform	Added Element
RequestOrchestration.action.dynamicValue	Added Element
RequestOrchestration.action.dynamicValue.path	Added Element
RequestOrchestration.action.dynamicValue.expression	Added Element
RequestOrchestration.action.action	Added Element
RequestGroup.identifier	Deleted
RequestGroup.instantiatesCanonical	Deleted
RequestGroup.instantiatesUri	Deleted
RequestGroup.basedOn	Deleted
RequestGroup.replaces	Deleted
RequestGroup.groupIdentifier	Deleted
RequestGroup.status	Deleted
RequestGroup.intent	Deleted
RequestGroup.priority	Deleted
RequestGroup.code	Deleted
RequestGroup.subject	Deleted
RequestGroup.encounter	Deleted
RequestGroup.authoredOn	Deleted
RequestGroup.author	Deleted
RequestGroup.reasonCode	Deleted
RequestGroup.reasonReference	Deleted
RequestGroup.note	Deleted
RequestGroup.action	Deleted
Requirements	Added Resource
ResearchStudy
ResearchStudy.url	Added Element
ResearchStudy.version	Added Element
ResearchStudy.name	Added Element
ResearchStudy.label	Added Element
ResearchStudy.label.type	Added Element
ResearchStudy.label.value	Added Element
ResearchStudy.label.language	Added Element
ResearchStudy.citeAs	Added Element
ResearchStudy.relatesTo	Added Element
ResearchStudy.relatesTo.type	Added Mandatory Element
ResearchStudy.relatesTo.target[x]	Added Mandatory Element
ResearchStudy.date	Added Element
HealthcareService.availableTime.daysOfWeek ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/research-study-status|4.3.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 PublicationStatus Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn Add codes draft , retired , unknown
HealthcareService.eligibilityNote ResearchStudy.primaryPurposeType	deleted Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
HealthcareService.programName ResearchStudy.studyDesign	deleted Renamed from category to studyDesign
ImagingStudy ResearchStudy.focus	Type changed from CodeableConcept to CodeableReference
ImagingStudy.status ResearchStudy.region	Added Element
ResearchStudy.descriptionSummary	Added Element
ResearchStudy.site	Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier	Added Element
ResearchStudy.associatedParty	Added Element
ResearchStudy.associatedParty.name	Added Element
ResearchStudy.associatedParty.role	Added Mandatory Element
ResearchStudy.associatedParty.period	Added Element
ResearchStudy.associatedParty.classifier	Added Element
ResearchStudy.associatedParty.party	Added Element
ResearchStudy.progressStatus	Added Element
ResearchStudy.progressStatus.state	Added Mandatory Element
ResearchStudy.progressStatus.actual	Added Element
ResearchStudy.progressStatus.period	Added Element
ImagingStudy.modality ResearchStudy.whyStopped	Renamed from modalityList reasonStopped to modality whyStopped
ResearchStudy.recruitment	Added Element
ResearchStudy.recruitment.targetNumber	Added Element
ResearchStudy.recruitment.actualNumber	Added Element
ResearchStudy.recruitment.eligibility	Added Element
ResearchStudy.recruitment.actualGroup	Added Element
ResearchStudy.recruitment.description	Added Element
ResearchStudy.comparisonGroup	Added Element
ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.actualNumber	Added Element
ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.objective.description	Added Element
ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ResearchStudy.result	Added Element
ResearchStudy.contact	Deleted
ResearchStudy.relatedArtifact	Deleted
ResearchStudy.location	Deleted
ResearchStudy.enrollment	Deleted
ResearchStudy.sponsor	Deleted (-> ResearchStudy.associatedPart.party (with role='sponsor'))
ResearchStudy.principalInvestigator	Deleted (-> ResearchStudy.associatedPart.party (with role='primary-investigator'))
ResearchStudy.arm	Deleted
ResearchSubject
ResearchSubject.status	Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 http://hl7.org/fhir/ValueSet/research-subject-status|4.3.0 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html PublicationStatus Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn Add codes draft , active , retired , unknown
ImagingStudy.subject ResearchSubject.subject	Renamed from patient individual to subject Type Reference: Added Target Types Group, Specimen, Device, Group Medication, Substance, SubstanceDefinition, BiologicallyDerivedProduct
ImagingStudy.encounter ResearchSubject.subjectState	Added Element
ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.subjectState.reason	Added Element
ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.comparisonGroup	Added Element
ImagingStudy.basedOn ResearchSubject.consent	Max Cardinality changed from 1 to *
ResearchSubject.assignedArm	Deleted
ResearchSubject.actualArm	Deleted
Resource
Resource.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RiskAssessment
RiskAssessment.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
RiskAssessment.performer	Type Reference: Added Target Types ServiceRequest, Appointment, AppointmentResponse, Task Patient, RelatedPerson
RiskAssessment.reason	Added Element Merged both reasonCode and reasonReference into reason
RiskAssessment.prediction.probability[x]	Add Type Reference: Removed Target Types ReferralRequest, ProcedureRequest Quantity
RiskAssessment.reasonCode	Deleted (-> reason.concept)
RiskAssessment.reasonReference	Deleted (-> reason.reference)
Schedule
ImagingStudy.referrer Schedule.serviceType	Type Reference: changed from CodeableConcept to CodeableReference
Schedule.name	Added Target Type PractitionerRole Element
ImagingStudy.interpreter Schedule.actor	Type Reference: Added Target Type PractitionerRole CareTeam
ImagingStudy.procedureReference Schedule.comment	Max Cardinality Type changed from * string to 1 markdown
SearchParameter
SearchParameter.identifier	Added Element
SearchParameter.versionAlgorithm[x]	Added Element
SearchParameter.title	Added Element
ImagingStudy.procedureCode SearchParameter.jurisdiction	Add Binding Change value set from http://www.rsna.org/RadLex_Playbook.aspx http://hl7.org/fhir/ValueSet/jurisdiction (extensible) to Jurisdiction ValueSet
ImagingStudy.location SearchParameter.copyright	Added Element
ImagingStudy.reasonCode SearchParameter.copyrightLabel	Added Element
ImagingStudy.reasonReference SearchParameter.aliasCode	Added Element
SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , RequestOrchestration , Requirements , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification
SearchParameter.type	Add code resource
SearchParameter.processingMode	Renamed from xpathUsage to processingMode Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.3.0 to Search Processing Mode Type Remove codes nearby , distance
ImagingStudy.note SearchParameter.constraint	Added Element
ImagingStudy.series.uid SearchParameter.target	Type changed Change value set from oid http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to id Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , Citation , ClinicalImpression , EvidenceReport , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment , CanonicalResource , DeviceAlert , DeviceAssociation , ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , RequestOrchestration , Requirements , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification
ImagingStudy.series.modality SearchParameter.modifier	Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 http://hl7.org/fhir/ValueSet/search-modifier-code|4.3.0 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html Search Modifier All Codes Remove code ofType Add codes of-type , code-text , text-advanced , iterate , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , Claim , ClaimResponse , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAlert , DeviceAssociation , DeviceDefinition , DeviceMetric , DeviceRequest , DiagnosticReport , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImplementationGuide , Ingredient , InsurancePlan , InsuranceProduct , Invoice , Library , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , Task , TerminologyCapabilities , ValueSet , VisionPrescription , BodySite , CatalogEntry , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DeviceUseStatement , DiagnosticOrder , DocumentManifest , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , Media , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , ViewDefinition
SearchParameter.xpath	Deleted (XPath removed due to lack of use and maintenance)
ServiceRequest
ServiceRequest.basedOn	Type Reference: Added Target Types DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
ServiceRequest.replaces	Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
ServiceRequest.status	Remove codes revoked , completed Add code ended
ImagingStudy.series.specimen ServiceRequest.statusReason	Added Element
ImagingStudy.series.performer ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from Reference(Practitioner) CodeableConcept to CodeableReference
ServiceRequest.orderDetail	Type changed from CodeableConcept to BackboneElement
ImagingStudy.series.performer.function ServiceRequest.orderDetail.parameterFocus[x]	Added Element
ImagingStudy.series.performer.actor ServiceRequest.orderDetail.parameter	Added Mandatory Element
ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ImagingStudy.series.instance.uid ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ServiceRequest.location	Added Element Merged both locationCode and locationReference into location
ServiceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
ServiceRequest.supportingInfo	Type changed from oid Reference(Resource) to id CodeableReference
ServiceRequest.bodyStructure	Added Element
ImagingStudy.series.instance.sopClass ServiceRequest.patientInstruction	Max Cardinality changed from 1 to * Type changed from oid string to Coding BackboneElement
ServiceRequest.patientInstruction.instruction[x]	Add Binding http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Added Element
ImagingStudy.uid ServiceRequest.instantiatesCanonical	deleted Deleted
ImagingStudy.accession ServiceRequest.instantiatesUri	deleted Deleted
ImagingStudy.availability ServiceRequest.locationCode	deleted Deleted (-> ServiceRequest.location.concept)
ImagingStudy.context ServiceRequest.locationReference	deleted Deleted (-> ServiceRequest.location.reference)
ImagingStudy.reason ServiceRequest.reasonCode	deleted Deleted (-> reason.concept)
ImagingStudy.series.availability ServiceRequest.reasonReference	deleted Deleted (-> reason.reference)
ServiceRequest.bodySite	Deleted
Immunization Slot
Immunization.status Slot.serviceType	Change value set Type changed from http://hl7.org/fhir/ValueSet/immunization-status CodeableConcept to http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 CodeableReference
Immunization.statusReason Slot.appointmentType	Renamed from notGiven to statusReason Min Max Cardinality changed from 1 to 0 *
Specimen
Specimen.subject	Type changed from boolean to CodeableConcept Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
Specimen.combined	No longer marked as Modifier Added Element
Immunization.occurrence[x] Specimen.role	Renamed from date to occurrence[x] Added Element
Specimen.feature	Min Cardinality changed from 0 to 1 Added Element
Specimen.feature.type	Added Mandatory Element
Specimen.feature.description	Added Mandatory Element
Specimen.collection.collector	Add Type string Reference: Added Target Types Organization, Patient, RelatedPerson
Immunization.recorded Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Immunization.primarySource Specimen.collection.bodySite	Min Cardinality Type changed from 1 CodeableConcept to 0 CodeableReference
Immunization.performer Specimen.processing.method	Renamed from practitioner procedure to performer method
Immunization.performer.function Specimen.processing.performer	Moved from Immunization.practitioner.role to function Added Element
Specimen.processing.device[x]	Change value set from http://hl7.org/fhir/ValueSet/immunization-role to http://hl7.org/fhir/ValueSet/immunization-function Added Element
Immunization.performer.actor Specimen.processing.additive	Moved Type changed from Immunization.practitioner Reference(Substance) to Immunization.performer CodeableReference
Specimen.processing.time[x]	Add Type Reference: Duration
Specimen.container.device[x]	Added Target Types PractitionerRole, Organization Mandatory Element
Immunization.reasonCode Specimen.condition	Moved from Immunization.explanation.reason to reasonCode Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.accessionIdentifier	Deleted (-> Specimen.identifier (along with all the other identifiers))
Specimen.container.identifier	Deleted
Specimen.container.description	Deleted
Specimen.container.type	Deleted
Specimen.container.capacity	Deleted
Specimen.container.additive[x]	Deleted
SpecimenDefinition
SpecimenDefinition.url	Added Element
Immunization.reasonReference SpecimenDefinition.version	Added Element
Immunization.isSubpotent SpecimenDefinition.versionAlgorithm[x]	Added Element
Immunization.subpotentReason SpecimenDefinition.name	Added Element
Immunization.education SpecimenDefinition.title	Added Element
Immunization.education.documentType SpecimenDefinition.derivedFromCanonical	Added Element
Immunization.education.reference SpecimenDefinition.derivedFromUri	Added Element
Immunization.education.publicationDate SpecimenDefinition.status	Added Mandatory Element
Immunization.education.presentationDate SpecimenDefinition.experimental	Added Element
Immunization.programEligibility SpecimenDefinition.subject[x]	Added Element
Immunization.fundingSource SpecimenDefinition.date	Added Element
Immunization.protocolApplied SpecimenDefinition.publisher	Renamed Added Element
SpecimenDefinition.contact	Added Element
SpecimenDefinition.description	Added Element
SpecimenDefinition.useContext	Added Element
SpecimenDefinition.jurisdiction	Added Element
SpecimenDefinition.purpose	Added Element
SpecimenDefinition.copyright	Added Element
SpecimenDefinition.copyrightLabel	Added Element
SpecimenDefinition.approvalDate	Added Element
SpecimenDefinition.lastReviewDate	Added Element
SpecimenDefinition.effectivePeriod	Added Element
SpecimenDefinition.typeTested.container.description	Type changed from vaccinationProtocol string to protocolApplied markdown
Immunization.protocolApplied.series SpecimenDefinition.typeTested.container.preparation	Moved Type changed from Immunization.vaccinationProtocol string to Immunization.protocolApplied markdown
Immunization.protocolApplied.authority SpecimenDefinition.typeTested.requirement	Moved Type changed from Immunization.vaccinationProtocol string to Immunization.protocolApplied markdown
Immunization.protocolApplied.targetDisease SpecimenDefinition.typeTested.singleUse	Moved Added Element
SpecimenDefinition.typeTested.handling.instruction	Type changed from Immunization.vaccinationProtocol string to Immunization.protocolApplied markdown
SpecimenDefinition.typeTested.testingDestination	Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]	Added Element
StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.3.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureMap.copyrightLabel	Added Element
StructureMap.const	Added Element
StructureMap.const.name	Added Element
StructureMap.const.value	Added Element
StructureMap.group.typeMode	Min Cardinality changed from 1 to 0 Remove code none
Immunization.protocolApplied.doseNumber[x] StructureMap.group.rule	Moved Min Cardinality changed from Immunization.vaccinationProtocol.doseSequence 1 to doseNumber[x] 0
StructureMap.group.rule.name	Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.min	Type changed from integer to 1 unsignedInt
StructureMap.group.rule.source.defaultValue	Renamed from defaultValue[x] to defaultValue Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
StructureMap.group.rule.target.context	Add Type changed from id to string
StructureMap.group.rule.target.listMode	Remove code collate Add code single
StructureMap.group.rule.target.parameter.value[x]	Add Types date, time, dateTime
Immunization.protocolApplied.seriesDoses[x] StructureMap.group.rule.dependent.parameter	Moved Renamed from Immunization.vaccinationProtocol.seriesDoses variable to seriesDoses[x] parameter Add Remove Type string
Immunization.explanation StructureMap.group.rule.target.contextType	deleted Deleted (now implied by context)
Immunization.vaccinationProtocol.description Subscription
Subscription.identifier	deleted Added Element
Subscription.name	Added Element
Subscription.status	Add code entered-in-error
Subscription.topic	Added Mandatory Element
Subscription.managingEntity	Added Element
Subscription.reason	Min Cardinality changed from 1 to 0
Subscription.filterBy	Added Element
Subscription.filterBy.resource	Added Element
Subscription.filterBy.filterParameter	Added Mandatory Element
Subscription.filterBy.comparator	Added Element
Subscription.filterBy.modifier	Added Element
Subscription.filterBy.value	Added Mandatory Element
Subscription.filterBy.event	Added Element
Subscription.channelType	Added Mandatory Element
Subscription.endpoint	Added Element
Subscription.parameter	Added Element
Subscription.parameter.name	Added Mandatory Element
Subscription.parameter.value	Added Mandatory Element
Subscription.heartbeatPeriod	Added Element
Subscription.timeout	Added Element
Subscription.contentType	Added Element
Subscription.content	Added Element
Subscription.maxCount	Added Element
Immunization.vaccinationProtocol.doseStatus Subscription.criteria	deleted Deleted
Immunization.vaccinationProtocol.doseStatusReason Subscription.error	deleted Deleted
ImmunizationEvaluation Subscription.channel	Added Resource Deleted
ImmunizationRecommendation SubscriptionStatus
ImmunizationRecommendation.date SubscriptionStatus.status	Moved from ImmunizationRecommendation.recommendation to ImmunizationRecommendation Add code entered-in-error
ImmunizationRecommendation.authority SubscriptionStatus.eventsSinceSubscriptionStart	Moved Type changed from ImmunizationRecommendation.recommendation.protocol string to ImmunizationRecommendation integer64
ImmunizationRecommendation.recommendation.vaccineCode SubscriptionStatus.notificationEvent.eventNumber	Max Cardinality Type changed from 1 string to * integer64
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode SubscriptionStatus.notificationEvent.triggerEvent	Added Element
SubscriptionStatus.notificationEvent.relatedQuery	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.queryType	Added Element
SubscriptionStatus.notificationEvent.relatedQuery.query	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint	Added Element
SubscriptionStatus.notificationEvent.authorizationHint.authorizationType	Added Mandatory Element
SubscriptionStatus.notificationEvent.authorizationHint.value	Added Element
SubscriptionTopic
SubscriptionTopic.versionAlgorithm[x]	Added Element
SubscriptionTopic.name	Added Element
ImmunizationRecommendation.recommendation.forecastStatus SubscriptionTopic.experimental	Now No longer marked as Modifier
SubscriptionTopic.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ImmunizationRecommendation.recommendation.forecastReason SubscriptionTopic.copyrightLabel	Added Element
ImmunizationRecommendation.recommendation.description SubscriptionTopic.trigger	Moved from ImmunizationRecommendation.recommendation.protocol to ImmunizationRecommendation.recommendation Added Element
ImmunizationRecommendation.recommendation.series SubscriptionTopic.trigger.description	Moved from ImmunizationRecommendation.recommendation.protocol to ImmunizationRecommendation.recommendation Added Element
ImmunizationRecommendation.recommendation.doseNumber[x] SubscriptionTopic.trigger.resource	Renamed from doseNumber to doseNumber[x] Added Mandatory Element
SubscriptionTopic.trigger.supportedInteraction	Add Type string Added Element
ImmunizationRecommendation.recommendation.seriesDoses[x] SubscriptionTopic.trigger.queryCriteria	Moved from ImmunizationRecommendation.recommendation.protocol.doseSequence to seriesDoses[x] Added Element
SubscriptionTopic.trigger.queryCriteria.previous	Add Type string Added Element
ImmunizationRecommendation.recommendation.supportingImmunization SubscriptionTopic.trigger.queryCriteria.resultForCreate	Type Reference: Added Target Type ImmunizationEvaluation Element
ImmunizationRecommendation.recommendation.supportingPatientInformation SubscriptionTopic.trigger.queryCriteria.current	Type Reference: Added Target Type Resource Element
SubscriptionTopic.trigger.queryCriteria.resultForDelete	Type Reference: Removed Target Types Observation, AllergyIntolerance Added Element
SubscriptionTopic.trigger.queryCriteria.requireBoth	Added Element
SubscriptionTopic.trigger.fhirPathCriteria	Added Element
SubscriptionTopic.trigger.event	Added Element
SubscriptionTopic.trigger.canFilterBy	Added Element
SubscriptionTopic.trigger.canFilterBy.description	Added Element
SubscriptionTopic.trigger.canFilterBy.resource	Added Element
SubscriptionTopic.trigger.canFilterBy.filterParameter	Added Mandatory Element
SubscriptionTopic.trigger.canFilterBy.filterDefinition	Added Element
SubscriptionTopic.trigger.canFilterBy.comparator	Added Element
SubscriptionTopic.trigger.canFilterBy.modifier	Added Element
SubscriptionTopic.trigger.notificationShape	Added Element
SubscriptionTopic.trigger.notificationShape.resource	Added Mandatory Element
SubscriptionTopic.trigger.notificationShape.include	Added Element
SubscriptionTopic.trigger.notificationShape.revInclude	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType	Added Element
SubscriptionTopic.trigger.notificationShape.relatedQuery.query	Added Mandatory Element
ImmunizationRecommendation.recommendation.protocol SubscriptionTopic.resourceTrigger	deleted Deleted
SubscriptionTopic.eventTrigger	Deleted
SubscriptionTopic.canFilterBy	Deleted
SubscriptionTopic.notificationShape	Deleted
ImplementationGuide Substance
ImplementationGuide Substance.code	Min Cardinality Type changed from 1 CodeableConcept to 0 CodeableReference
Substance.description	Max Cardinality Type changed from 1 string to * markdown
ImplementationGuide.title Substance.expiry	Added Element
ImplementationGuide.status Substance.quantity	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Element
Substance.instance	Deleted (-> consider if this should be multiple Substance resource instances)
Substance.ingredient	Deleted
SubstanceDefinition
ImplementationGuide.experimental SubstanceDefinition.status	No longer Now marked as Modifier
ImplementationGuide.packageId SubstanceDefinition.characterization	Added Mandatory Element
ImplementationGuide.license SubstanceDefinition.characterization.technique	Added Element
SubstanceDefinition.characterization.form	Added Element
SubstanceDefinition.characterization.description	Added Element
SubstanceDefinition.characterization.file	Added Element
ImplementationGuide.fhirVersion SubstanceDefinition.property.value[x]	Min Cardinality changed Add Type Range
SubstanceDefinition.name.language	Change binding strength from 0 preferred to 1 required Change value set from Common Languages to All Languages Change max value set from All Languages to none
SubstanceDefinition.informationSource	Deleted
Task
Task.statusReason	Max Cardinality changed from 1 to * Type changed from id CodeableConcept to code CodeableReference
Task.doNotPerform	Added Element
Task.code	Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) `http://hl7.org/fhir/ValueSet/task-code` (extensible)
ImplementationGuide.dependsOn Task.description	Renamed Type changed from dependency string to dependsOn markdown
ImplementationGuide.dependsOn.uri Task.focus	Moved Max Cardinality changed from ImplementationGuide.dependency 1 to ImplementationGuide.dependsOn * Type changed from uri Reference(Resource) to canonical(ImplementationGuide) BackboneElement
ImplementationGuide.dependsOn.packageId Task.focus.value[x]	Added Mandatory Element
ImplementationGuide.dependsOn.version Task.requestedPeriod	Added Element
ImplementationGuide.global.type Task.requester	Type Reference: Added Target Type Group
Task.requestedPerformer	Added Element
Task.owner	Type Reference: Added Target Type Group Type Reference: Removed Target Types HealthcareService, Device
Task.performer	Added Element
Task.performer.function	Added Element
Task.performer.actor	Added Mandatory Element
Task.reason	Added Element Merged both reasonCode and reasonReference into reason
Task.restriction.recipient	Type Reference: Added Target Type Device
Task.input.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
Task.output.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
Task.instantiatesCanonical	Deleted
Task.instantiatesUri	Deleted
Task.performerType	Deleted (->Task.requestedPerformer.concept)
Task.reasonCode	Deleted (-> reason.concept)
Task.reasonReference	Deleted (-> reason.reference)
TerminologyCapabilities
TerminologyCapabilities.identifier	Added Element
TerminologyCapabilities.versionAlgorithm[x]	Added Element
TerminologyCapabilities.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Jurisdiction ValueSet
TerminologyCapabilities.copyrightLabel	Added Element
ImplementationGuide.global.profile TerminologyCapabilities.implementation.description	Type changed from Reference(StructureDefinition) string to canonical(StructureDefinition) markdown
ImplementationGuide.definition TerminologyCapabilities.codeSystem.supplement	Added Element
ImplementationGuide.definition.grouping TerminologyCapabilities.codeSystem.version.supplement	Added Element
TerminologyCapabilities.codeSystem.version.language	Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
ImplementationGuide.definition.grouping.name TerminologyCapabilities.codeSystem.content	Added Mandatory Element
ImplementationGuide.definition.grouping.description TerminologyCapabilities.supplements	Added Element
ImplementationGuide.definition.resource TerminologyCapabilities.supplements.globals	Moved Added Element
TerminologyCapabilities.expansion.parameter.documentation	Type changed from ImplementationGuide.package string to ImplementationGuide.definition markdown
TerminologyCapabilities.codeSearch	Remove codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion
TerminologyCapabilities.closure	Deleted
ValueSet
ImplementationGuide.definition.resource.reference ValueSet.versionAlgorithm[x]	Added Mandatory Element
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ImplementationGuide.definition.resource.fhirVersion ValueSet.copyrightLabel	Added Element
ImplementationGuide.definition.resource.example[x] ValueSet.approvalDate	Moved Added Element
ValueSet.lastReviewDate	Added Element
ValueSet.effectivePeriod	Added Element
ValueSet.topic	Added Element
ValueSet.author	Added Element
ValueSet.editor	Added Element
ValueSet.reviewer	Added Element
ValueSet.endorser	Added Element
ValueSet.relatedArtifact	Added Element
ValueSet.compose.include.concept.designation.language	Change binding strength from ImplementationGuide.package.resource.example preferred to example[x] required Min Cardinality changed Change value set from 1 Common Languages to 0 All Languages Change max value set from All Languages to none
ValueSet.compose.include.concept.designation.additionalUse	Added Element
ValueSet.compose.include.filter.op	Add Type canonical(StructureDefinition) codes child-of , descendent-leaf
ImplementationGuide.definition.resource.groupingId ValueSet.compose.include.copyright	Added Element
ImplementationGuide.definition.page ValueSet.compose.property	Moved from ImplementationGuide to ImplementationGuide.definition Added Element
ImplementationGuide.definition.page.name[x] ValueSet.expansion.next	Added Mandatory Element
ImplementationGuide.definition.page.generation ValueSet.expansion.property	Added Element
ValueSet.expansion.property.code	Added Mandatory Element
ImplementationGuide.definition.parameter ValueSet.expansion.property.uri	Added Element
ImplementationGuide.definition.parameter.code ValueSet.expansion.contains.property	Added Element
ValueSet.expansion.contains.property.code	Added Mandatory Element
ImplementationGuide.definition.parameter.value ValueSet.expansion.contains.property.value[x]	Added Mandatory Element
ImplementationGuide.definition.template ValueSet.expansion.contains.property.subProperty	Added Element
ImplementationGuide.definition.template.code ValueSet.expansion.contains.property.subProperty.code	Added Mandatory Element
ImplementationGuide.definition.template.source ValueSet.expansion.contains.property.subProperty.value[x]	Added Mandatory Element
VisionPrescription
ImplementationGuide.definition.template.scope VisionPrescription.basedOn	Added Element
ImplementationGuide.manifest VisionPrescription.groupIdentifier	Added Element
ImplementationGuide.manifest.rendering VisionPrescription.priority	Added Element
CatalogEntry	Deleted
ChargeItem	Deleted
ChargeItemDefinition	Deleted
Citation	Deleted
ClinicalImpression	Deleted
DeviceUseStatement	Deleted
DocumentManifest	Deleted
EvidenceReport	Deleted
GraphDefinition	Deleted
ImmunizationEvaluation	Deleted
ImmunizationRecommendation	Deleted
Linkage	Deleted
Media	Deleted
MedicationKnowledge	Deleted
MolecularSequence	Deleted
RequestGroup	Deleted
ResearchDefinition	Deleted
ResearchElementDefinition	Deleted
SupplyDelivery	Deleted
SupplyRequest	Deleted
TestReport	Deleted
TestScript	Deleted
VerificationResult	Deleted

2.1.12.3 Differences between R4 and R6

Types
Address	No Changes
Age
Age	Change max value set from All UCUM Expression for Time to none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
Attachment.size	Type changed from unsignedInt to integer64
Attachment.height	Added Element
ImplementationGuide.manifest.resource Attachment.width	Added Mandatory Element
ImplementationGuide.manifest.resource.reference Attachment.frames	Added Mandatory Element
ImplementationGuide.manifest.resource.example[x] Attachment.duration	Added Element
ImplementationGuide.manifest.resource.relativePath Attachment.pages	Added Element
Availability	Added Type
BackboneElement	No Changes
BackboneType	Added Type
Base	Added Type
CodeableConcept	No Changes
CodeableReference	Added Type
Coding	No Changes
ContactDetail	No Changes
ContactPoint	No Changes
Count	No Changes
DataRequirement
DataRequirement.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
DataRequirement.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ImplementationGuide.manifest.page DataRequirement.valueFilter	Added Element
ImplementationGuide.manifest.page.name DataRequirement.valueFilter.path	Added Mandatory Element
ImplementationGuide.manifest.page.title DataRequirement.valueFilter.searchParam	Added Element
ImplementationGuide.manifest.page.anchor DataRequirement.valueFilter.comparator	Added Element
ImplementationGuide.manifest.image DataRequirement.valueFilter.value[x]	Added Element
DataType	Added Type
Distance
Distance	Change max value set from All UCUM Expression for Distance to none
Dosage
ImplementationGuide.manifest.other Dosage.condition	Added Element
ImplementationGuide.dependency.type Dosage.asNeeded	deleted Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ImplementationGuide.package Dosage.asNeededFor	deleted Added Element
ImplementationGuide.binary Dosage.doseAndRate.dose[x]	deleted Add Type Expression
ImplementationGuide.page.source Dosage.doseAndRate.rate[x]	deleted Add Type Expression
Dosage.safety	Added Element
ImplementationGuide.page.kind Dosage.sequence	deleted Deleted
ImplementationGuide.page.type Dosage.maxDosePerPeriod	deleted Deleted
ImplementationGuide.page.package Dosage.maxDosePerAdministration	deleted Deleted
ImplementationGuide.page.format Dosage.maxDosePerLifetime	deleted Deleted
InsurancePlan DosageCondition	Added Resource Type
Invoice DosageDetails	Added Resource Type
DosageSafety	Added Type
Library Duration
Library.subtitle Duration	Added Change max value set from All UCUM Expression for Time to none
Element	No Changes
ElementDefinition
Library.status ElementDefinition.slicing.discriminator.type	Add code position
ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/defined-types to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Element Definition Types
Library.experimental ElementDefinition.type.aggregation	No longer marked as Modifier Remove code bundled
Library.type ElementDefinition.defaultValue[x]	Change Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.minValue[x]	Add Type integer64
ElementDefinition.maxValue[x]	Add Type integer64
ElementDefinition.constraint.requirements	Type changed from string to markdown
ElementDefinition.constraint.suppress	Added Element
ElementDefinition.mustHaveValue	Added Element
ElementDefinition.valueAlternatives	Added Element
ElementDefinition.binding.strength	Add code system for extensibly bound codes descriptive
ElementDefinition.binding.description	Type changed from "http://hl7.org/fhir/library-type" string to "http://terminology.hl7.org/CodeSystem/library-type" markdown
Library.subject[x] ElementDefinition.binding.additional	Added Element
Library.author ElementDefinition.binding.additional.key	Added Element
Library.editor ElementDefinition.binding.additional.purpose	Added Mandatory Element
Library.reviewer ElementDefinition.binding.additional.valueSet	Added Mandatory Element
Library.endorser ElementDefinition.binding.additional.documentation	Added Element
ElementDefinition.binding.additional.shortDoco	Added Element
ElementDefinition.binding.additional.usage	Added Element
ElementDefinition.binding.additional.any	Added Element
ElementDefinition.mapping.comment	Type changed from string to markdown
Library.contributor ElementDefinition.constraint.xpath	deleted Deleted (XPath removed due to lack of use and maintenance)
Linkage Expression
Linkage.active Expression.name	Default Value "true" removed Type changed from id to code
Linkage.author Expression.language	Min Cardinality changed from 1 to 0 Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt to none Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail	Type Reference: Added Target Type PractitionerRole
Extension
Linkage.item.type Extension.url	Change value set Type changed from http://hl7.org/fhir/ValueSet/linkage-type string to http://hl7.org/fhir/ValueSet/linkage-type|4.0.1 uri
Linkage.item.resource Extension.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.use	Remove code maiden
Identifier	No Changes
MarketingStatus
MarketingStatus.country	Min Cardinality changed from Reference 1 to Reference(Resource) 0
MarketingStatus.dateRange	Min Cardinality changed from 1 to 0
List Meta	No Changes
MonetaryComponent	Added Type
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
List.status ParameterDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/list-status http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/list-status|4.0.1 All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
Period	No Changes
PrimitiveType	Added Type
ProductShelfLife
List.mode ProductShelfLife.type	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/list-mode 1 to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 0
ProductShelfLife.period[x]	Renamed from period to period[x] Min Cardinality changed from 1 to 0 Add Types Duration, string Remove Type Quantity
ProductShelfLife.identifier	Deleted
Quantity
List.source Quantity.comparator	Add code ad
Range	No Changes
Ratio
Ratio.denominator	Type Reference: changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange	Added Target Type PractitionerRole
Reference
List.entry.deleted Reference.type	Default Value "false" removed Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Location RelatedArtifact
Location.status RelatedArtifact.type	Change value set Add code part-of
RelatedArtifact.resourceReference	Added Element
RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.url	Deleted (-> document)
RelativeTime	Added Type
SampledData
SampledData.interval	Renamed from http://hl7.org/fhir/ValueSet/location-status period to http://hl7.org/fhir/ValueSet/location-status|4.0.1 interval Min Cardinality changed from 1 to 0
SampledData.intervalUnit	Added Mandatory Element
SampledData.codeMap	Added Element
SampledData.offsets	Added Element
Signature
Signature.type	Min Cardinality changed from 1 to 0
Location.mode Signature.when	Min Cardinality changed from 1 to 0
Signature.who	Min Cardinality changed from 1 to 0
SimpleQuantity	No Changes
Timing
Timing.repeat.startOffset	Added Element
Timing.repeat.endOffset	Added Element
Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/location-mode http://hl7.org/fhir/ValueSet/usage-context-type to http://hl7.org/fhir/ValueSet/location-mode|4.0.1 UsageContextType
VirtualServiceDetail	No longer marked as Modifier Added Type
base64Binary	(No Changes)
boolean	(No Changes)
canonical	(No Changes)
code	(No Changes)
date	(No Changes)
dateTime	(No Changes)
decimal	(No Changes)
id	(No Changes)
instant	(No Changes)
integer	(No Changes)
integer64	Added Type
markdown	(No Changes)
oid	(No Changes)
positiveInt	(No Changes)
string	(No Changes)
time	(No Changes)
unsignedInt	(No Changes)
uri	(No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Contributor	Deleted
Population	Deleted
ProdCharacteristic	Deleted
SubstanceAmount	Deleted
Resources
Account
Account.billingStatus	Added Element
Account.covers	Added Element
Location.type Account.description	Max Type changed from string to markdown
Account.guarantor.party	Min Cardinality changed from 1 to * 0
Location.hoursOfOperation Account.guarantor.account	Added Element
Location.hoursOfOperation.daysOfWeek Account.guarantor.responsibility	Added Element
Location.hoursOfOperation.allDay Account.guarantor.limit	Added Element
Location.hoursOfOperation.openingTime Account.guarantor.rank	Added Element
Location.hoursOfOperation.closingTime Account.diagnosis	Added Element
Location.availabilityExceptions Account.diagnosis.sequence	Added Element
Account.diagnosis.condition	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis	Added Element
Account.diagnosis.type	Added Element
Account.diagnosis.onAdmission	Added Element
Account.diagnosis.packageCode	Added Element
Account.procedure	Added Element
Account.procedure.sequence	Added Element
Account.procedure.code	Added Mandatory Element
Account.procedure.dateOfService	Added Element
Account.procedure.type	Added Element
Account.procedure.packageCode	Added Element
Account.procedure.device	Added Element
Account.parent	Renamed from partOf to parent
Account.currency	Added Element
Account.balance	Added Element
Account.balance.aggregate	Added Element
Account.balance.term	Added Element
Account.balance.estimate	Added Element
Account.balance.amount	Added Mandatory Element
Account.calculatedAt	Added Element
Measure ActivityDefinition
Measure.subtitle ActivityDefinition.versionAlgorithm[x]	Added Element
Measure.status ActivityDefinition.subject[x]	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Measure.experimental ActivityDefinition.jurisdiction	No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
Measure.subject[x] ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
Measure.author ActivityDefinition.asNeeded[x]	Added Element
ActivityDefinition.location	Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type	Min Cardinality changed from 1 to 0 Remove code related-person Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
Measure.editor ActivityDefinition.participant.typeCanonical	Added Element
Measure.reviewer ActivityDefinition.participant.typeReference	Added Element
Measure.endorser ActivityDefinition.participant.function	Added Element
Measure.library ActivityDefinition.specimenRequirement	Type changed from Reference(Library) Reference(SpecimenDefinition) to canonical(Library) canonical(SpecimenDefinition)
Measure.scoring ActivityDefinition.observationRequirement	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/measure-scoring" Reference(ObservationDefinition) to "http://terminology.hl7.org/CodeSystem/measure-scoring" canonical(ObservationDefinition)
Measure.compositeScoring ActivityDefinition.observationResultRequirement	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/composite-measure-scoring" Reference(ObservationDefinition) to "http://terminology.hl7.org/CodeSystem/composite-measure-scoring" canonical(ObservationDefinition)
ActorDefinition	Added Resource
AdministrableProductDefinition	Added Resource
AdverseEvent
Measure.type AdverseEvent.identifier	Change Max Cardinality changed from 1 to *
AdverseEvent.status	Added Mandatory Element
AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code	Renamed from event to code system for extensibly bound codes
AdverseEvent.effect[x]	Renamed from "http://hl7.org/fhir/measure-type" date to "http://terminology.hl7.org/CodeSystem/measure-type" effect[x] Add Type Period
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type changed from Reference(Condition) to CodeableReference
Measure.improvementNotation AdverseEvent.outcome	Max Cardinality changed from 1 to * Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0` (required)
AdverseEvent.participant	Added Element
AdverseEvent.participant.function	Added Element
AdverseEvent.participant.actor	Added Mandatory Element
AdverseEvent.expectedInResearchStudy	Added Element
AdverseEvent.suspectEntity.instance	Type changed from Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to CodeableReference
AdverseEvent.suspectEntity.causality	Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from productRelatedness to entityRelatedness Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.suspectEntity.occurrence[x]	Add Binding Added Element
AdverseEvent.contributingFactor	Added Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.mitigatingAction	Added Element
AdverseEvent.supportingInfo	Added Element Can map from AdverseEvent.referenceDocument and AdverseEvent.subjectMedicalHistory
AdverseEvent.note	Added Element
AdverseEvent.severity	Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor	Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory	Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument	Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.clinicalStatus	Remove code http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.recorder	Type Reference: Added Target Type Organization
AllergyIntolerance.lastReactionOccurrence	Renamed from lastOccurrence to lastReactionOccurrence
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
Appointment
Appointment.cancellationReason	Renamed from cancelationReason to cancellationReason
Measure.group.code Appointment.class	Added Element
Measure.group.population.code Appointment.serviceType	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/measure-population" CodeableConcept to "http://terminology.hl7.org/CodeSystem/measure-population" CodeableReference
Appointment.reason	Added Element Merged both reasonCode and reasonReference into reason
Measure.group.population.criteria Appointment.priority	Type changed from string unsignedInt to Expression CodeableConcept
Measure.group.stratifier.code Appointment.replaces	Added Element
Measure.group.stratifier.description Appointment.virtualService	Added Element
Appointment.previousAppointment	Added Element
Appointment.originatingAppointment	Added Element
Appointment.account	Added Element
Appointment.cancellationDate	Added Element
Appointment.note	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation
Measure.group.stratifier.criteria Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to Expression CodeableReference
Appointment.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Measure.group.stratifier.component Appointment.subject	Added Element
Appointment.participant.actor	Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required	Type changed from code to boolean Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` (required)
Measure.group.stratifier.component.code Appointment.recurrenceId	Added Element
Measure.group.stratifier.component.description Appointment.occurrenceChanged	Added Element
Measure.group.stratifier.component.criteria Appointment.recurrenceTemplate	Added Element
Appointment.recurrenceTemplate.timezone	Added Element
Appointment.recurrenceTemplate.recurrenceType	Added Mandatory Element
Measure.supplementalData.code Appointment.recurrenceTemplate.lastOccurrenceDate	Added Element
Appointment.recurrenceTemplate.occurrenceCount	Added Element
Appointment.recurrenceTemplate.occurrenceDate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval	Added Element
Appointment.recurrenceTemplate.monthlyTemplate	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval	Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate	Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval	Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate	Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId	Added Element
Appointment.reasonCode	Deleted (-> reason.concept)
Appointment.reasonReference	Deleted (-> reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime	Added Element
Measure.supplementalData.usage AppointmentResponse.actor	Type Reference: Added Target Type Group
AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to Appointment Response Status Add code system for extensibly bound codes entered-in-error
AppointmentResponse.comment	Type changed from "http://hl7.org/fhir/measure-data-usage" string to "http://terminology.hl7.org/CodeSystem/measure-data-usage" markdown
Measure.supplementalData.description AppointmentResponse.recurring	Added Element
AppointmentResponse.occurrenceDate	Added Element
AppointmentResponse.recurrenceId	Added Element
ArtifactAssessment	Added Resource
AuditEvent
AuditEvent.type	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.subtype	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity	Added Element
AuditEvent.occurred[x]	Renamed from period to occurred[x] Add Type dateTime
Measure.supplementalData.criteria AuditEvent.outcome	Type changed from code to BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0` (required)
AuditEvent.outcome.code	Added Mandatory Element
AuditEvent.outcome.detail	Added Element
AuditEvent.authorization	Renamed from purposeOfEvent to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn	Added Element
AuditEvent.patient	Added Element
AuditEvent.encounter	Added Element
AuditEvent.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who	Min Cardinality changed from 0 to 1 Type Reference: Added Target Types CareTeam, DeviceDefinition, Group, HealthcareService
AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]	Renamed from network to network[x] Add Types Reference(Endpoint), uri, string Remove Type BackboneElement
AuditEvent.agent.authorization	Renamed from purposeOfUse to Expression authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Measure.contributor AuditEvent.source.site	deleted Type changed from string to Reference(Location)
AuditEvent.source.observer	Type Reference: Added Target Type CareTeam
AuditEvent.source.type	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type	Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]	Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Element
Measure.set AuditEvent.outcomeDesc	deleted Deleted (-> outcome.detail.text)
Measure.group.identifier AuditEvent.agent.altId	deleted Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
Measure.group.name AuditEvent.agent.name	deleted Deleted (-> who.display)
Measure.group.population.identifier AuditEvent.agent.media	deleted Deleted (-> AuditEvent.entity)
Measure.group.population.name AuditEvent.agent.network.address	deleted Deleted (-> network[x])
Measure.group.stratifier.identifier AuditEvent.agent.network.type	deleted Deleted (-> network[x])
Measure.group.stratifier.path AuditEvent.entity.type	deleted Deleted
Measure.supplementalData.identifier AuditEvent.entity.lifecycle	deleted Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
Measure.supplementalData.path AuditEvent.entity.name	deleted Deleted (-> what.display)
MeasureReport Basic
MeasureReport.identifier Basic.code	Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
Basic.created	Type changed from date to dateTime
Basic.author	Type Reference: Added Target Types Device, CareTeam
Binary	No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.0.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent	Added Element
BiologicallyDerivedProduct.processingFacility	Added Element
BiologicallyDerivedProduct.division	Added Element
BiologicallyDerivedProduct.productStatus	Added Element
BiologicallyDerivedProduct.expirationDate	Added Element
BiologicallyDerivedProduct.collection.sourcePatient	Added Element maps from BiologicallyDerivedProduct.collection.source depending on reference type
BiologicallyDerivedProduct.collection.sourceOrganization	Added Element maps from BiologicallyDerivedProduct.collection.source depending on reference type
BiologicallyDerivedProduct.collection.procedure	Added Element
BiologicallyDerivedProduct.storageTempRequirements	Added Element
BiologicallyDerivedProduct.property	Added Element
BiologicallyDerivedProduct.property.type	Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]	Added Mandatory Element
BiologicallyDerivedProduct.status	Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity	Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.collection.source	Deleted (-> collection.sourcePatient or collection.sourceOrganization depending on reference type)
BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BodyStructure
BodyStructure.includedStructure	Added Mandatory Element
BodyStructure.includedStructure.structure	Added Mandatory Element
BodyStructure.includedStructure.laterality	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation	Added Element
BodyStructure.includedStructure.spatialReference	Added Element
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.excludedStructure	Added Element
MeasureReport.status BodyStructure.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/measure-report-status string to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 markdown
BodyStructure.location	Deleted
BodyStructure.locationQualifier	Deleted
Bundle
Bundle.type	Add code subscription-notification
MeasureReport.type Bundle.link.relation	Change value set Type changed from http://hl7.org/fhir/ValueSet/measure-report-type string to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 code Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
MeasureReport.measure Bundle.entry.response.outcome	Type changed from Reference(Measure) Resource to canonical(Measure) Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
MeasureReport.subject Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
MeasureReport.reporter CapabilityStatement.identifier	Added Element
MeasureReport.improvementNotation CapabilityStatement.versionAlgorithm[x]	Added Element
MeasureReport.group.code CapabilityStatement.actorDefinition	Added Element
MeasureReport.group.population.code CapabilityStatement.jurisdiction	Change code system for extensibly bound codes value set from "http://hl7.org/fhir/measure-population" http://hl7.org/fhir/ValueSet/jurisdiction to "http://terminology.hl7.org/CodeSystem/measure-population" Jurisdiction ValueSet
MeasureReport.group.population.subjectResults CapabilityStatement.copyrightLabel	Added Element
MeasureReport.group.measureScore CapabilityStatement.implementation.description	Type changed from decimal string to Quantity markdown
CapabilityStatement.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.3.0 , 3.5.0 , 4.0.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
CapabilityStatement.format	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to Patch Mime Types Add codes application/fhir+xml , application/fhir+json , application/fhir+turtle , application/json-patch+json , application/xml-patch+xml
MeasureReport.group.stratifier.code CapabilityStatement.acceptLanguage	Added Element
MeasureReport.group.stratifier.stratum.value CapabilityStatement.rest.security.service	Min Cardinality changed Change code system for extensibly bound codes from 1 "http://terminology.hl7.org/CodeSystem/restful-security-service" to 0 "http://hl7.org/fhir/restful-security-service"
CapabilityStatement.rest.resource.type	Type changed from string code to CodeableConcept uri Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Extended Resource Types
MeasureReport.group.stratifier.stratum.component CapabilityStatement.rest.resource.definition	Added Element
MeasureReport.group.stratifier.stratum.component.code CapabilityStatement.rest.resource.interaction.code	Added Mandatory Element Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
MeasureReport.group.stratifier.stratum.component.value CapabilityStatement.rest.resource.conditionalPatch	Added Mandatory Element
MeasureReport.group.stratifier.stratum.population.code CapabilityStatement.rest.resource.searchParam.type	Add code resource
CapabilityStatement.messaging.endpoint.protocol	Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-population" "http://terminology.hl7.org/CodeSystem/message-transport" to "http://terminology.hl7.org/CodeSystem/measure-population" "http://hl7.org/fhir/message-transport"
MeasureReport.group.stratifier.stratum.population.subjectResults CarePlan
CarePlan.basedOn	Type Reference: Added Element Target Types ServiceRequest, RequestOrchestration, NutritionOrder
MeasureReport.group.stratifier.stratum.measureScore CarePlan.status	Remove codes revoked , completed Add code ended
CarePlan.intent	Add code directive
CarePlan.custodian	Renamed from author to custodian
CarePlan.addresses	Type changed from decimal Reference(Condition) to Quantity CodeableReference
MeasureReport.evaluatedResource CarePlan.activity.performedActivity	Added Element
MeasureReport.patient CarePlan.activity.plannedActivityReference	deleted Renamed from reference to plannedActivityReference Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type RequestGroup
MeasureReport.reportingOrganization CarePlan.instantiatesCanonical	deleted Deleted
MeasureReport.group.identifier CarePlan.instantiatesUri	deleted Deleted
MeasureReport.group.population.identifier CarePlan.activity.outcomeCodeableConcept	deleted Deleted (-> CarePlan.activity.performedActivity)
MeasureReport.group.population.patients CarePlan.activity.outcomeReference	deleted Deleted (-> CarePlan.activity.performedActivity)
MeasureReport.group.stratifier.identifier CarePlan.activity.detail	deleted Deleted (-> CarePlan.activity.plannedActivityReference)
CareTeam
CareTeam.participant.role	Max Cardinality changed from * to 1
CareTeam.participant.member	Type Reference: Added Target Types Group, HealthcareService
CareTeam.participant.onBehalfOf	Type Reference: Added Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
CareTeam.participant.effective[x]	Renamed from period to effective[x] Add Type Timing
CareTeam.participant.supportingInfo	Added Element
CareTeam.reason	Added Element Merged both reasonCode and reasonReference into reason
MeasureReport.group.stratifier.stratum.population.identifier CareTeam.encounter	deleted Deleted (Removed to avoid circular references since Encounter references CareTeam)
MeasureReport.group.stratifier.stratum.population.patients CareTeam.reasonCode	deleted Deleted (-> reason.concept)
MeasureReport.evaluatedResources CareTeam.reasonReference	deleted Deleted (-> reason.reference)
Media Claim
Claim.traceNumber	Added Element
Claim.statusReason	Added Element
Claim.subject	Renamed from patient to subject Type Reference: Added Target Type Group
Media.basedOn Claim.enterer	Type Reference: Added Target Types ServiceRequest, CarePlan Patient, RelatedPerson
Claim.provider	Min Cardinality changed from 1 to 0
Claim.priority	Min Cardinality changed from 1 to 0
Claim.prescription	Type Reference: Removed Added Target Type ProcedureRequest ServiceRequest
Claim.originalPrescription	Type Reference: Added Target Type ServiceRequest
Media.partOf Claim.encounter	Added Element
Claim.facility	Type Reference: Added Target Type Organization
Media.status Claim.diagnosisRelatedGroup	Added Element
Claim.event	Added Element
Claim.event.type	Added Mandatory Element
Claim.event.when[x]	Added Mandatory Element
Claim.careTeam.specialty	Renamed from qualification to specialty
Claim.supportingInfo.subCategory	Added Element
Media.type Claim.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type date
Claim.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Claim.insurance	Min Cardinality changed from 1 to 0
Claim.patientPaid	Type Added Element
Claim.item.traceNumber	Added Element
Claim.item.subject	Added Element
Claim.item.productOrService	Min Cardinality changed from code 1 to 0
Claim.item.productOrServiceEnd	Added Element
Claim.item.request	Added Element
Claim.item.patientPaid	Added Element
Claim.item.tax	Added Element
Claim.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site	Change binding strength Added Mandatory Element
Claim.item.bodySite.subSite	Added Element
Claim.item.detail.traceNumber	Added Element
Claim.item.detail.productOrService	Min Cardinality changed from required 1 to extensible 0
Claim.item.detail.productOrServiceEnd	Added Element
Claim.item.detail.patientPaid	Added Element
Claim.item.detail.tax	Added Element
Claim.item.detail.subDetail.traceNumber	Added Element
Claim.item.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd	Added Element
Claim.item.detail.subDetail.patientPaid	Added Element
Claim.item.detail.subDetail.tax	Added Element
Claim.careTeam.responsible	Deleted
Claim.diagnosis.packageCode	Deleted
Claim.item.subSite	Deleted
ClaimResponse
ClaimResponse.traceNumber	Added Element
ClaimResponse.statusReason	Added Element
ClaimResponse.subject	Renamed from patient to subject Type Reference: Added Target Type Group
ClaimResponse.insurer	Min Cardinality changed from 1 to 0
ClaimResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/digital-media-type http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/media-type Claim Processing Codes
ClaimResponse.decision	Added Element
ClaimResponse.event	Added Element
ClaimResponse.event.type	Added Mandatory Element
ClaimResponse.event.when[x]	Added Mandatory Element
ClaimResponse.encounter	Added Element
ClaimResponse.diagnosisRelatedGroup	Added Element
ClaimResponse.supportingInfo	Added Element
ClaimResponse.supportingInfo.sequence	Added Mandatory Element
ClaimResponse.supportingInfo.category	Added Mandatory Element
ClaimResponse.supportingInfo.code	Added Element
ClaimResponse.supportingInfo.timing[x]	Added Element
ClaimResponse.supportingInfo.value[x]	Added Element
ClaimResponse.supportingInfo.reason	Added Element
ClaimResponse.item.traceNumber	Added Element
ClaimResponse.item.informationSequence	Added Element
ClaimResponse.item.reviewOutcome	Added Element
ClaimResponse.item.reviewOutcome.decision	Added Element
ClaimResponse.item.reviewOutcome.reason	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
ClaimResponse.item.adjudication	Min Cardinality changed from 1 to 0
Media.modality ClaimResponse.item.adjudication.quantity	Renamed from subtype value to modality quantity Type changed from decimal to Quantity
ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.item.detail.reviewOutcome	Added Element
Media.subject ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber	Type Reference: Added Target Types PractitionerRole, Location Element
Media.encounter ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
Media.created[x] ClaimResponse.addItem.traceNumber	Renamed Added Element
ClaimResponse.addItem.subject	Added Element
ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.category	Added Element
ClaimResponse.addItem.productOrService	Min Cardinality changed from occurrence[x] 1 to created[x] 0
Media.issued ClaimResponse.addItem.productOrServiceEnd	Added Element
ClaimResponse.addItem.request	Added Element
ClaimResponse.addItem.tax	Added Element
Media.operator ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type Reference: changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site	Added Target Types PractitionerRole, Organization, CareTeam, Patient, Device, RelatedPerson Mandatory Element
Media.deviceName ClaimResponse.addItem.bodySite.subSite	Added Element
ClaimResponse.addItem.reviewOutcome	Added Element
Media.frames ClaimResponse.addItem.adjudication	Default Value "1" removed Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber	Added Element
ClaimResponse.addItem.detail.revenue	Added Element
Media.duration ClaimResponse.addItem.detail.productOrService	Type Min Cardinality changed from unsignedInt 1 to decimal 0
Media.context ClaimResponse.addItem.detail.productOrServiceEnd	deleted Added Element
Medication ClaimResponse.addItem.detail.tax	Added Element
Medication.identifier ClaimResponse.addItem.detail.reviewOutcome	Added Element
Medication.status ClaimResponse.addItem.detail.adjudication	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/medication-status 1 to http://hl7.org/fhir/ValueSet/medication-status|4.0.1 0
ClaimResponse.addItem.detail.subDetail.traceNumber	Now marked as Modifier Added Element
Medication.amount ClaimResponse.addItem.detail.subDetail.revenue	Added Element
ClaimResponse.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
Medication.ingredient.strength ClaimResponse.addItem.detail.subDetail.productOrServiceEnd	Added Element
Medication.batch ClaimResponse.addItem.detail.subDetail.tax	Added Element
Medication.batch.lotNumber ClaimResponse.addItem.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.subDetail.adjudication	Min Cardinality changed from 1 to 0
Medication.batch.expirationDate ClaimResponse.processNote.class	Added Element
Medication.isBrand ClaimResponse.processNote.type	deleted Type changed from code to CodeableConcept Change binding strength from required to extensible
Medication.isOverTheCounter ClaimResponse.processNote.text	deleted Type changed from string to markdown
Medication.ingredient.amount ClaimResponse.processNote.language	deleted Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
Medication.package ClaimResponse.error.expression	deleted Added Element
Medication.image ClaimResponse.addItem.subSite	deleted Deleted
ClinicalUseDefinition	Added Resource
MedicationAdministration CodeSystem
MedicationAdministration.instantiates CodeSystem.versionAlgorithm[x]	Added Element
MedicationAdministration.status CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/medication-admin-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 Jurisdiction ValueSet
MedicationAdministration.statusReason CodeSystem.copyrightLabel	Added Element
MedicationAdministration.performer.function CodeSystem.approvalDate	Added Element
CodeSystem.lastReviewDate	Added Element
CodeSystem.effectivePeriod	Added Element
CodeSystem.topic	Added Element
CodeSystem.author	Added Element
CodeSystem.editor	Added Element
CodeSystem.reviewer	Added Element
CodeSystem.endorser	Added Element
CodeSystem.relatedArtifact	Added Element
MedicationAdministration.performer.actor CodeSystem.filter.operator	Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Type PractitionerRole Reference: Removed Target Type Resource
MedicationAdministration.reasonReference Communication.recipient	Type Reference: Added Target Types Location, Endpoint
Communication.sender	Type DiagnosticReport Reference: Added Target Types Endpoint, CareTeam
MedicationAdministration.request Communication.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationAdministration.dosage.rate[x] Communication.payload.content[x]	Add Type Quantity() CodeableConcept Remove Type Quantity() string
MedicationAdministration.definition Communication.instantiatesCanonical	deleted Deleted
MedicationAdministration.performer.onBehalfOf Communication.instantiatesUri	deleted Deleted
MedicationAdministration.notGiven Communication.reasonCode	deleted Deleted (-> reason.concept)
MedicationAdministration.reasonNotGiven Communication.reasonReference	deleted Deleted (-> reason.reference)
CommunicationRequest
CommunicationRequest.status	Remove codes revoked , completed Add code ended
CommunicationRequest.intent	Added Mandatory Element
CommunicationRequest.payload.content[x]	Add Type CodeableConcept Remove Type string
CommunicationRequest.requester	Type Reference: Added Target Type Group
CommunicationRequest.recipient	Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider	Renamed from sender to informationProvider Max Cardinality changed from 1 to * Type Reference: Added Target Types Endpoint, Group
CommunicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationAdministration.prescription CommunicationRequest.reasonCode	deleted Deleted (-> reason.concept)
CommunicationRequest.reasonReference	Deleted (-> reason.reference)
MedicationDispense CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]	Added Element
CompartmentDefinition.title	Added Element
MedicationDispense.status CompartmentDefinition.code	Min Add code EpisodeOfCare
CompartmentDefinition.resource.code	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
CompartmentDefinition.resource.startParam	Added Element
CompartmentDefinition.resource.endParam	Added Element
CompartmentDefinition.resource.documentation	Deleted
Composition
Composition.url	Added Element
Composition.identifier	Max Cardinality changed from 0 to 1 to *
Composition.version	Change value set from http://hl7.org/fhir/ValueSet/medication-dispense-status to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 Added Element
MedicationDispense.statusReason[x] Composition.consent	Added Element
MedicationDispense.performer.function Composition.basedOn	Added Element
MedicationDispense.performer.actor Composition.status	Type Reference: Added Target Type PractitionerRole Remove code preliminary Add codes registered , partial , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from 1 to *
MedicationDispense.location Composition.useContext	Added Element
MedicationDispense.substitution.responsibleParty Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type PractitionerRole CareTeam
MedicationDispense.performer.onBehalfOf Composition.participant	deleted Added Element
MedicationDispense.notDone Composition.participant.type	deleted Added Mandatory Element
MedicationDispense.notDoneReason[x] Composition.participant.function	deleted Added Element
MedicationKnowledge Composition.participant.time	Added Resource Element
MedicationRequest Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
MedicationRequest.status Composition.title	Min Cardinality changed from 0 to 1 to 0
Composition.note	Change value set Added Element
Composition.attester.mode	Type changed from http://hl7.org/fhir/ValueSet/medication-request-status code to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` (required)
Composition.attester.party	Type Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
MedicationRequest.statusReason Composition.relatesTo.type	Added Mandatory Element
MedicationRequest.intent Composition.relatesTo.target[x]	Change value set Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from http://hl7.org/fhir/ValueSet/medication-request-intent Reference(Resource) to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 CodeableReference
MedicationRequest.category Composition.section.author	Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.confidentiality	Deleted
Composition.relatesTo.code	Deleted
Composition.event.code	Deleted
Composition.section.mode	Deleted
ConceptMap
ConceptMap.identifier	Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]	Added Element
MedicationRequest.priority ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/medication-request-priority http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Jurisdiction ValueSet
MedicationRequest.doNotPerform ConceptMap.copyrightLabel	Added Element
MedicationRequest.reported[x] ConceptMap.approvalDate	Added Element
MedicationRequest.encounter ConceptMap.lastReviewDate	Added Element
MedicationRequest.requester ConceptMap.effectivePeriod	Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Added Element
MedicationRequest.performer ConceptMap.topic	Added Element
MedicationRequest.performerType ConceptMap.author	Added Element
MedicationRequest.recorder ConceptMap.editor	Type Reference: Added Target Type PractitionerRole Element
MedicationRequest.instantiatesCanonical ConceptMap.reviewer	Added Element
MedicationRequest.instantiatesUri ConceptMap.endorser	Added Element
ConceptMap.relatedArtifact	Added Element
ConceptMap.property	Added Element
ConceptMap.property.code	Added Mandatory Element
ConceptMap.property.uri	Added Element
ConceptMap.property.description	Added Element
ConceptMap.property.type	Added Mandatory Element
ConceptMap.property.system	Added Element
ConceptMap.additionalAttribute	Added Element
ConceptMap.additionalAttribute.code	Added Mandatory Element
ConceptMap.additionalAttribute.uri	Added Element
ConceptMap.additionalAttribute.description	Added Element
ConceptMap.additionalAttribute.type	Added Mandatory Element
ConceptMap.sourceScope[x]	Renamed from source[x] to sourceScope[x]
ConceptMap.targetScope[x]	Renamed from target[x] to targetScope[x]
MedicationRequest.basedOn ConceptMap.group.source	Type Reference: Added Target Types ServiceRequest, ImmunizationRecommendation changed from uri to canonical(CodeSystem)
ConceptMap.group.target	Type Reference: Removed Target Types ProcedureRequest, ReferralRequest changed from uri to canonical(CodeSystem)
MedicationRequest.courseOfTherapyType ConceptMap.group.element.valueSet	Added Element
MedicationRequest.insurance ConceptMap.group.element.noMap	Added Element
MedicationRequest.dispenseRequest.initialFill ConceptMap.group.element.comment	Added Element
MedicationRequest.dispenseRequest.initialFill.quantity ConceptMap.group.element.target.valueSet	Added Element
MedicationRequest.dispenseRequest.initialFill.duration ConceptMap.group.element.target.relationship	Added Mandatory Element
MedicationRequest.dispenseRequest.dispenseInterval ConceptMap.group.element.target.property	Added Element
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed ConceptMap.group.element.target.property.code	Added Mandatory Element
ConceptMap.group.element.target.property.value[x]	Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute	Renamed from property to attribute Type changed from positiveInt uri to unsignedInt code
MedicationRequest.substitution.allowed[x] ConceptMap.group.element.target.dependsOn.value[x]	Renamed from allowed value to allowed[x] value[x] Min Cardinality changed from 1 to 0 Add Type CodeableConcept Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet	Added Element
ConceptMap.group.unmapped.mode	No longer marked as Modifier Remove code provided Add code use-source-code
ConceptMap.group.unmapped.comment	Added Element
ConceptMap.group.unmapped.valueSet	Added Element
ConceptMap.group.unmapped.relationship	Added Element
ConceptMap.group.unmapped.otherMap	Renamed from url to otherMap
MedicationRequest.definition ConceptMap.group.sourceVersion	deleted Deleted (-> canonical version in group.source)
MedicationRequest.context ConceptMap.group.targetVersion	deleted Deleted (-> canonical version in group.target)
MedicationRequest.requester.agent ConceptMap.group.element.target.equivalence	deleted Deleted (-> relationship)
MedicationRequest.requester.onBehalfOf ConceptMap.group.element.target.dependsOn.system	deleted Deleted (-> value as Coding - system value)
ConceptMap.group.element.target.dependsOn.display	Deleted (-> value as Coding - display value)
MedicationStatement Condition
MedicationStatement.basedOn Condition.clinicalStatus	Type Reference: Added Target Type ServiceRequest Min Cardinality changed from 0 to 1 Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Remove codes recurrence , relapse , remission , resolved Add code unknown
MedicationStatement.status Condition.verificationStatus	Change value set from http://hl7.org/fhir/ValueSet/medication-statement-status to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 Remove codes provisional , differential
Condition.category	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
MedicationStatement.statusReason Condition.bodyStructure	Added Element
MedicationStatement.informationSource Condition.recorder	Type Reference: Added Target Type PractitionerRole Group
MedicationStatement.reasonReference Condition.asserter	Type Reference: Added Target Types Device, Group
Condition.stage.assessment	Type DiagnosticReport Reference: Removed Target Type ClinicalImpression
Condition.evidence	Type changed from BackboneElement to CodeableReference
MedicationStatement.taken Condition.evidence.code	deleted Deleted (-> Condition.evidence.concept)
MedicationStatement.reasonNotTaken Condition.evidence.detail	deleted Deleted (-> Condition.evidence.reference)
MedicinalProduct Consent
Consent.status	Added Resource Remove codes proposed , rejected Add codes not-done , unknown
MedicinalProductAuthorization Consent.category	Added Resource Min Cardinality changed from 1 to 0 Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
MedicinalProductContraindication Consent.subject	Renamed from patient to subject Type Reference: Added Resource Target Types Practitioner, ResearchSubject, Group
MedicinalProductIndication Consent.date	Renamed from dateTime to date Type changed from dateTime to date
Consent.period	Added Resource Element
MedicinalProductIngredient Consent.grantor	Added Resource Element
MedicinalProductInteraction Consent.grantee	Renamed from performer to grantee Type Reference: Added Resource Target Types CareTeam, Group, HealthcareService
MedicinalProductManufactured Consent.manager	Added Resource Element
MedicinalProductPackaged Consent.controller	Added Resource Element
MedicinalProductPharmaceutical Consent.sourceAttachment	Added Resource Element
MedicinalProductUndesirableEffect Consent.sourceReference	Added Resource Element
MessageDefinition Consent.regulatoryBasis	Added Element
MessageDefinition.identifier Consent.policyBasis	Renamed from policy to policyBasis Max Cardinality changed from * to 1
Consent.policyBasis.reference	Added Element
Consent.policyBasis.uri	Moved from Consent.policy to * Consent.policyBasis
MessageDefinition.replaces Consent.policyText	Renamed from policyRule to policyText Max Cardinality changed from 1 to * Type changed from Reference(MessageDefinition) CodeableConcept to canonical(MessageDefinition) Reference(DocumentReference) Remove Binding `http://hl7.org/fhir/ValueSet/consent-policy` (extensible)
Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
MessageDefinition.status Consent.verification.verifiedWith	Change value set Type Reference: Added Target Type Group
Consent.verification.date	Renamed from http://hl7.org/fhir/ValueSet/publication-status verificationDate to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 date Max Cardinality changed from 1 to *
MessageDefinition.experimental Consent.decision	No longer Moved from Consent.provision.type to decision Now marked as Modifier
MessageDefinition.base Consent.provision	Type Max Cardinality changed from Reference(MessageDefinition) 1 to canonical(MessageDefinition) *
MessageDefinition.parent Consent.provision.actor.role	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
Consent.provision.actor.reference	Min Cardinality changed from Reference(ActivityDefinition | PlanDefinition) 1 to canonical(ActivityDefinition | PlanDefinition) 0
Consent.provision.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType	Added Element
MessageDefinition.event[x] Consent.provision.resourceType	Renamed from event class to event[x] resourceType Add Change value set from Consent Content Class to Resource Types
Consent.provision.expression	Added Element
Consent.scope	Deleted (-> Merged with Consent.category)
Consent.organization	Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]	Deleted (-> split into Consent.sourceAttachement and Consent.sourceReference)
Consent.policy.authority	Deleted
Contract
Contract.author	Type uri Reference: Added Target Type RelatedPerson
MessageDefinition.category Contract.term.text	Change value set Type changed from http://hl7.org/fhir/ValueSet/message-significance-category string to http://hl7.org/fhir/ValueSet/message-significance-category|4.0.1 markdown
MessageDefinition.focus.code Contract.term.action.reason	Change value set Type changed from http://hl7.org/fhir/ValueSet/resource-types string to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 CodeableReference
Contract.term.action.reasonCode	Deleted (-> reason.concept)
Contract.term.action.reasonReference	Deleted (-> reason.reference)
Coverage
Coverage.statusReason	Added Element
Coverage.kind	Added Mandatory Element
Coverage.paymentBy	Added Element
Coverage.paymentBy.party	Added Mandatory Element
Coverage.paymentBy.responsibility	Added Element
MessageDefinition.focus.profile Coverage.subscriberId	Max Cardinality changed from 1 to * Type changed from Reference(StructureDefinition) string to canonical(StructureDefinition) Identifier
Coverage.insurer	Added Element
MessageDefinition.focus.min Coverage.class.value	Type changed from string to Identifier
Coverage.costToBeneficiary.category	Added Element
Coverage.costToBeneficiary.network	Added Element
Coverage.costToBeneficiary.unit	Added Element
Coverage.costToBeneficiary.term	Added Element
Coverage.costToBeneficiary.value[x]	Min Cardinality changed from 0 to 1 to 0
Coverage.insurancePlan	Default Value "0" removed Added Element
Coverage.payor	Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
MessageDefinition.responseRequired CoverageEligibilityResponse.request	Type Min Cardinality changed from boolean 1 to code 0
CoverageEligibilityResponse.outcome	Add Binding Change value set from http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 (required) Default Value "false" removed to Eligibility Outcome
MessageDefinition.allowedResponse.message CoverageEligibilityResponse.insurance.item.description	Type changed from Reference(MessageDefinition) string to canonical(MessageDefinition) markdown
MessageDefinition.graph CoverageEligibilityResponse.error.expression	Added Element
MessageHeader DetectedIssue
MessageHeader.event[x] DetectedIssue.status	Renamed Change value set from event http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to event[x] Detected Issue Status Remove codes registered , amended , corrected , cancelled Add Type uri code mitigated
DetectedIssue.category	Added Element
MessageHeader.destination.endpoint DetectedIssue.severity	Type changed from uri code to url CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0` (required)
MessageHeader.destination.receiver DetectedIssue.subject	Moved Renamed from MessageHeader patient to MessageHeader.destination subject Type Reference: Added Target Type PractitionerRole Types Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
MessageHeader.sender DetectedIssue.encounter	Type Reference: Added Target Element
DetectedIssue.identified[x]	Add Type PractitionerRole Timing
MessageHeader.enterer DetectedIssue.author	Type Reference: Added Target Type PractitionerRole Types Patient, RelatedPerson
MessageHeader.author DetectedIssue.detail	Type Reference: changed from string to markdown
DetectedIssue.qualityOfEvidence	Added Target Type PractitionerRole Element
DetectedIssue.expectedOnsetType	Added Element
DetectedIssue.medicationClass	Added Element
DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
Device
MessageHeader.source.endpoint Device.definition	Type changed from uri Reference(DeviceDefinition) to url canonical(DeviceDefinition)
MessageHeader.responsible Device.udiCarrier.deviceIdentifier	Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem	Type Reference: Added Target Type PractitionerRole Element
MessageHeader.response.code Device.udiCarrier.issuer	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/response-code 0 to http://hl7.org/fhir/ValueSet/response-code|4.0.1 1
Device.udiCarrier.entryType	Add code electronic-transmission
MessageHeader.definition Device.availabilityStatus	Added Element
MessageHeader.timestamp Device.biologicalSourceEvent	deleted Renamed from distinctIdentifier to biologicalSourceEvent Type changed from string to Identifier
MetadataResource Device.name	Renamed from deviceName to name
MetadataResource.status Device.name.value	Change Moved from Device.deviceName.name to value set
Device.name.type	Moved from http://hl7.org/fhir/ValueSet/publication-status Device.deviceName to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Device.name Type changed from code to CodeableConcept Change binding strength from required to extensible
Device.name.display	Added Element
Device.category	Added Element
MetadataResource.experimental Device.type	No longer marked as Modifier Max Cardinality changed from 1 to *
Device.deviceVersion	Renamed from version to deviceVersion
Device.deviceVersion.type	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.component	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.installDate	Added Element
Device.deviceVersion.value	Moved from Device.version to Device.deviceVersion
Device.conformsTo	Renamed from specialization to conformsTo
Device.conformsTo.category	Added Element
Device.conformsTo.specification	Moved from Device.specialization.systemType to specification
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.property.value[x]	Added Mandatory Element
Device.additive	Added Element
Device.additive.type	Added Mandatory Element
Device.additive.quantity	Added Element
Device.statusReason	Deleted (-> reason was removed. DeviceAssociation can be used)
Device.property.valueQuantity	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.property.valueCode	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.patient	Deleted (-> patient association is in DeviceAssociation)
Device.owner	Deleted
Device.url	Deleted
MolecularSequence DeviceAlert	Added Resource
DeviceAssociation	Added Resource
NamingSystem DeviceDefinition
NamingSystem.status DeviceDefinition.version	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/publication-status * to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 1
DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.date	Added Element
DeviceDefinition.publisher	Added Element
NamingSystem.kind DeviceDefinition.contact	Change value set Type changed from http://hl7.org/fhir/ValueSet/namingsystem-type ContactPoint to http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.1 ContactDetail
NamingSystem.uniqueId.type DeviceDefinition.description	Change value set Added Element
DeviceDefinition.useContext	Added Element
DeviceDefinition.jurisdiction	Added Element
DeviceDefinition.purpose	Added Element
DeviceDefinition.copyright	Added Element
DeviceDefinition.copyrightLabel	Added Element
DeviceDefinition.approvalDate	Added Element
DeviceDefinition.lastReviewDate	Added Element
DeviceDefinition.effectivePeriod	Added Element
DeviceDefinition.partNumber	Added Element
DeviceDefinition.manufacturer	Renamed from http://hl7.org/fhir/ValueSet/namingsystem-identifier-type manufacturer[x] to http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.1 manufacturer Remove Type string
NamingSystem.replacedBy DeviceDefinition.udiDeviceIdentifier.marketDistribution	deleted Added Element
NutritionOrder DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod	Added Mandatory Element
NutritionOrder.instantiatesCanonical DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction	Added Mandatory Element
NutritionOrder.instantiatesUri DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
NutritionOrder.instantiates DeviceDefinition.regulatoryIdentifier	Added Element
DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.identifierSystem	Added Element
NutritionOrder.status DeviceDefinition.deviceName.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceDefinition.classification	Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification	Change value set Added Element
DeviceDefinition.conformsTo	Renamed from http://hl7.org/fhir/ValueSet/nutrition-request-status specialization to http://hl7.org/fhir/ValueSet/request-status|4.0.1 conformsTo
NutritionOrder.intent DeviceDefinition.conformsTo.category	Added Element
DeviceDefinition.conformsTo.specification	Moved from DeviceDefinition.specialization.systemType to specification Type changed from string to CodeableConcept
DeviceDefinition.conformsTo.version	Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo Max Cardinality changed from 1 to *
DeviceDefinition.conformsTo.source	Added Element
DeviceDefinition.hasPart	Added Element
DeviceDefinition.hasPart.definition[x]	Added Mandatory Element
NutritionOrder.orderer DeviceDefinition.hasPart.count	Type Reference: Added Target Element
DeviceDefinition.packaging	Added Element
DeviceDefinition.packaging.identifier	Added Element
DeviceDefinition.packaging.type	Added Element
DeviceDefinition.packaging.count	Added Element
DeviceDefinition.packaging.distributor	Added Element
DeviceDefinition.packaging.distributor.name	Added Element
DeviceDefinition.packaging.distributor.organizationReference	Added Element
DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
DeviceDefinition.packaging.packaging	Added Element
DeviceDefinition.deviceVersion	Added Element
DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	Renamed from languageCode to outputLanguage Type PractitionerRole changed from CodeableConcept to code Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
NutritionOrder.enteralFormula.administration.rate[x] DeviceDefinition.property.value[x]	Renamed from valueQuantity to value[x] Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Add Types CodeableConcept, string, boolean, integer, Range, Attachment
DeviceDefinition.link	Added Element
DeviceDefinition.link.relation	Added Mandatory Element
DeviceDefinition.link.relatedDevice[x]	Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI	Added Element
DeviceDefinition.guideline	Added Element
DeviceDefinition.guideline.useContext	Added Element
DeviceDefinition.guideline.usageInstruction	Added Element
DeviceDefinition.guideline.relatedArtifact	Moved from DeviceDefinition.onlineInformation to relatedArtifact Max Cardinality changed from 1 to * Type Quantity() changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication	Added Element
DeviceDefinition.guideline.contraindication	Added Element
DeviceDefinition.guideline.warning	Added Element
DeviceDefinition.guideline.intendedUse	Added Element
DeviceDefinition.correctiveAction	Added Element
DeviceDefinition.correctiveAction.recall	Added Mandatory Element
DeviceDefinition.correctiveAction.scope	Added Element
DeviceDefinition.correctiveAction.period	Added Mandatory Element
DeviceDefinition.chargeItem	Added Element
DeviceDefinition.chargeItem.chargeItemCode	Added Mandatory Element
DeviceDefinition.chargeItem.count	Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod	Added Element
DeviceDefinition.chargeItem.useContext	Added Element
DeviceDefinition.physicalCharacteristics	Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability	Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueCode	Deleted
DeviceDefinition.owner	Deleted (This could be a packaging.distributor.organiationReference or manufacturer or neither - no direct mapping)
DeviceDefinition.quantity	Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice	Deleted (Removed - to establish relations, use hasPart)
DeviceMetric
DeviceMetric.status	Added Mandatory Element
DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type Quantity() changed from code to CodeableConcept Change binding strength from required to extensible
NutritionOrder.note DeviceMetric.device	Added Mandatory Element This is the only link to the device, could be mapped from DeviceMetric.parent or DeviceMetric.source
DeviceMetric.color	Change value set from http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to Color Codes (Names or RGB Values)
DeviceMetric.measurementFrequency	Added Element
DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.source	Deleted (-> could be DeviceMetric.device)
DeviceMetric.parent	Deleted (-> could be DeviceMetric.device)
DeviceMetric.measurementPeriod	Deleted
Observation DeviceRequest
Observation.basedOn DeviceRequest.replaces	Renamed from priorRequest to replaces Type Reference: Added Target Type ServiceRequest DeviceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Type Resource
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
Observation.partOf DeviceRequest.doNotPerform	Added Element
Observation.status DeviceRequest.product[x]	Change value set Renamed from http://hl7.org/fhir/ValueSet/observation-status code[x] to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 product[x] Add Type canonical(DeviceDefinition)
Observation.focus DeviceRequest.quantity	Added Element
Observation.encounter DeviceRequest.requester	Renamed Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from context Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to encounter CodeableReference
DeviceRequest.location	Added Element
DeviceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
DeviceRequest.asNeeded	Added Element
DeviceRequest.asNeededFor	Added Element
DeviceRequest.instantiatesCanonical	Deleted
DeviceRequest.instantiatesUri	Deleted
DeviceRequest.performerType	Deleted (-> performer.concept)
DeviceRequest.reasonCode	Deleted (-> reason.concept)
DeviceRequest.reasonReference	Deleted (-> reason.reference)
DiagnosticReport
DiagnosticReport.basedOn	Type Reference: Removed Target Type EpisodeOfCare ImmunizationRecommendation
Observation.effective[x] DiagnosticReport.status	Add Remove codes preliminary , corrected , appended
DiagnosticReport.subject	Type Reference: Added Target Types Timing, Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
DiagnosticReport.relatesTo	Added Element
DiagnosticReport.issued	Type changed from instant to dateTime
DiagnosticReport.procedure	Added Element
Observation.performer DiagnosticReport.performer	Type Reference: Added Target Types PractitionerRole, CareTeam HealthcareService, Device, Patient, RelatedPerson
Observation.value[x] DiagnosticReport.resultsInterpreter	Add Type integer Reference: Added Target Types Patient, RelatedPerson
DiagnosticReport.note	Added Element
DiagnosticReport.study	Renamed from imagingStudy to study
DiagnosticReport.supportingInfo	Added Element
DiagnosticReport.supportingInfo.type	Added Mandatory Element
DiagnosticReport.supportingInfo.reference	Added Mandatory Element
DiagnosticReport.media.link	Remove Type Attachment Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition	Added Element
Observation.dataAbsentReason DiagnosticReport.conclusion	Change value set Type changed from http://hl7.org/fhir/ValueSet/observation-valueabsentreason string to http://hl7.org/fhir/ValueSet/data-absent-reason markdown
DiagnosticReport.conclusionCode	Type changed from CodeableConcept to CodeableReference
DiagnosticReport.recomendation	Change Added Element
DiagnosticReport.communication	Added Element
DiagnosticReport.comparison	Added Element
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code system for extensibly bound preliminary Add codes from "http://hl7.org/fhir/data-absent-reason" to "http://terminology.hl7.org/CodeSystem/data-absent-reason" registered , partial , cancelled , deprecated , unknown Now marked as Modifier
DocumentReference.modality	Added Element
Observation.interpretation DocumentReference.subject	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context	Max Cardinality changed from 1 to * Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/v2-0078" BackboneElement to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event	Added Element
DocumentReference.related	Added Element
DocumentReference.bodyStructure	Added Element
Observation.note DocumentReference.facilityType	Renamed Moved from comment DocumentReference.context to note DocumentReference
DocumentReference.practiceSetting	Moved from DocumentReference.context to DocumentReference
DocumentReference.period	Max Cardinality Moved from DocumentReference.context to DocumentReference
DocumentReference.date	Type changed from 1 instant to * dateTime
DocumentReference.author	Type Reference: Added Target Types CareTeam, Group
DocumentReference.attester	Added Element
DocumentReference.attester.mode	Added Mandatory Element
DocumentReference.attester.time	Added Element
DocumentReference.attester.party	Added Element
DocumentReference.relatesTo.code	Type changed from code to CodeableConcept Change binding strength from required to extensible
DocumentReference.description	Type changed from string to Annotation markdown
Observation.referenceRange.type DocumentReference.securityLabel	Remove Binding http://hl7.org/fhir/ValueSet/referencerange-meaning `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Observation.hasMember DocumentReference.content.profile	Added Element
Observation.derivedFrom DocumentReference.content.profile.value[x]	Added Mandatory Element
DocumentReference.masterIdentifier	Deleted (-> DocumentReference.identifier)
DocumentReference.authenticator	Deleted (-> DocumentReference.attester)
DocumentReference.content.format	Deleted (-> content.profile)
DocumentReference.context.encounter	Deleted (-> context)
DocumentReference.context.event	Deleted (-> event)
DocumentReference.context.sourcePatientInfo	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related	Deleted (-> basedOn)
DomainResource	No Changes
Encounter
Observation.component.value[x] Encounter.status	Remove codes arrived , triaged , onleave , finished Add Types boolean, integer codes on-hold , discharged , completed , discontinued
Encounter.businessStatus	Remove Type Attachment Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
Observation.component.dataAbsentReason Encounter.class	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/observation-valueabsentreason 1 to http://hl7.org/fhir/ValueSet/data-absent-reason 0 Change code system for extensibly bound codes Max Cardinality changed from "http://hl7.org/fhir/data-absent-reason" 1 to "http://terminology.hl7.org/CodeSystem/data-absent-reason" * Type changed from Coding to CodeableConcept Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Observation.component.interpretation Encounter.serviceType	Max Cardinality changed from 1 to * Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/v2-0078" CodeableConcept to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" CodeableReference
Observation.related Encounter.subjectStatus	deleted Added Element
ObservationDefinition Encounter.basedOn	Type Reference: Added Resource Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
OperationDefinition Encounter.careTeam	Added Element
Encounter.participant.actor	Renamed from individual to actor Type Reference: Added Target Types Patient, Group, Device, HealthcareService
OperationDefinition.title Encounter.virtualService	Added Element
OperationDefinition.status Encounter.actualPeriod	Change value set Renamed from http://hl7.org/fhir/ValueSet/publication-status period to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 actualPeriod
Encounter.plannedStartDate	Added Element
Encounter.plannedEndDate	Added Element
Encounter.reason	Added Element
Encounter.reason.use	Added Element
Encounter.reason.value	Added Element Merged both reasonCode and reasonReference into reason.value
OperationDefinition.kind Encounter.diagnosis.condition	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/operation-kind 1 to http://hl7.org/fhir/ValueSet/operation-kind|4.0.1 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition | Procedure) to CodeableReference
OperationDefinition.experimental Encounter.diagnosis.use	No longer marked as Modifier Max Cardinality changed from 1 to *
OperationDefinition.affectsState Encounter.dietPreference	Moved from Encounter.hospitalization to Encounter
Encounter.specialArrangement	Moved from Encounter.hospitalization to Encounter
Encounter.specialCourtesy	Moved from Encounter.hospitalization to Encounter
Encounter.admission	Renamed from idempotent hospitalization to affectsState admission
Encounter.admission.preAdmissionIdentifier	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.origin	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.admitSource	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.reAdmission	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.destination	Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.dischargeDisposition	Moved from Encounter.hospitalization to Encounter.admission
Encounter.location.form	Renamed from physicalType to form
Encounter.statusHistory	Deleted (-> EncounterHistory.status)
Encounter.classHistory	Deleted (-> EncounterHistory)
Encounter.reasonCode	Deleted (-> reason.concept.value)
Encounter.reasonReference	Deleted (-> reason.reference.value)
Encounter.diagnosis.rank	Deleted (-> Account.diagnosis.sequence)
Endpoint
OperationDefinition.comment Endpoint.status	Remove code test Add code limited
Endpoint.connectionType	Max Cardinality changed from 1 to * Type changed from string Coding to markdown CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
OperationDefinition.base Endpoint.description	Type Added Element
Endpoint.environmentType	Added Element
Endpoint.availability	Added Element
Endpoint.payload	Added Element
Endpoint.payload.type	Moved from Endpoint.payloadType to type Min Cardinality changed from Reference(OperationDefinition) 1 to canonical(OperationDefinition) 0
OperationDefinition.resource Endpoint.payload.mimeType	Change value set Moved from http://hl7.org/fhir/ValueSet/resource-types Endpoint.payloadMimeType to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 mimeType
OperationDefinition.inputProfile Endpoint.payload.profileCanonical	Added Element
OperationDefinition.outputProfile Endpoint.payload.profileUri	Added Element
EnrollmentRequest
OperationDefinition.parameter.use EnrollmentRequest.candidate	Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 Enrollment Outcome
EnrollmentResponse.candidate	Added Element
EpisodeOfCare
EpisodeOfCare.reason	Added Element
EpisodeOfCare.reason.use	Added Element
EpisodeOfCare.reason.value	Added Element
OperationDefinition.parameter.type EpisodeOfCare.diagnosis.condition	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/all-types 1 to http://hl7.org/fhir/ValueSet/all-types|4.0.1 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition) to CodeableReference
OperationDefinition.parameter.targetProfile EpisodeOfCare.diagnosis.use	Renamed from profile role to targetProfile use Max Cardinality changed from 1 to *
EpisodeOfCare.subject	Renamed from patient to subject Type changed Reference: Added Target Type Group
EpisodeOfCare.careTeam	Renamed from Reference(StructureDefinition) team to canonical(StructureDefinition) careTeam
EpisodeOfCare.diagnosis.rank	Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]	Added Element
OperationDefinition.parameter.searchType EventDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
OperationDefinition.parameter.binding.strength EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/binding-strength http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 Jurisdiction ValueSet
OperationDefinition.parameter.binding.valueSet EventDefinition.usage	Renamed Type changed from valueSet[x] string to valueSet markdown
EventDefinition.copyrightLabel	Add Type canonical(ValueSet) Added Element
Evidence
Evidence.versionAlgorithm[x]	Remove Types uri, Reference(ValueSet) Added Element
OperationDefinition.parameter.referencedFrom Evidence.citeAs	Added Element
OperationDefinition.parameter.referencedFrom.source Evidence.experimental	Added Element
Evidence.recorder	Added Element
Evidence.purpose	Added Element
Evidence.copyrightLabel	Added Element
Evidence.relatesTo	Added Element
Evidence.relatesTo.type	Added Mandatory Element
OperationDefinition.parameter.referencedFrom.sourceId Evidence.relatesTo.target[x]	Added Mandatory Element
OperationOutcome Evidence.assertion	Added Element
OperationOutcome.issue.severity Evidence.variableDefinition	Change value set from http://hl7.org/fhir/ValueSet/issue-severity to http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 Added Element
Evidence.variableDefinition.description	No longer marked as Modifier Added Element
OperationOutcome.issue.code Evidence.variableDefinition.note	Change value set from http://hl7.org/fhir/ValueSet/issue-type to http://hl7.org/fhir/ValueSet/issue-type|4.0.1 Added Element
Organization Evidence.variableDefinition.variableRole	Added Mandatory Element
Organization.active Evidence.variableDefinition.roleSubtype	Default Value "true" removed Added Element
Organization.contact.purpose Evidence.variableDefinition.comparatorCategory	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 Evidence.variableDefinition.observed	Added Resource Element
Evidence.variableDefinition.intended	Added Element
Evidence.variableDefinition.directnessMatch	Added Element
Evidence.synthesisType	Added Element
Evidence.studyDesign	Added Element
Evidence.statistic	Added Element
Evidence.statistic.description	Added Element
Evidence.statistic.note	Added Element
Evidence.statistic.statisticType	Added Element
Evidence.statistic.category	Added Element
Evidence.statistic.quantity	Added Element
Evidence.statistic.numberOfEvents	Added Element
Evidence.statistic.numberAffected	Added Element
Evidence.statistic.sampleSize	Added Element
Evidence.statistic.sampleSize.description	Added Element
Evidence.statistic.sampleSize.note	Added Element
Evidence.statistic.sampleSize.numberOfStudies	Added Element
Evidence.statistic.sampleSize.numberOfParticipants	Added Element
Evidence.statistic.sampleSize.knownDataCount	Added Element
Evidence.statistic.sampleSize.numberAnalyzed	Added Element
Evidence.statistic.attributeEstimate	Added Element
Evidence.statistic.attributeEstimate.description	Added Element
Evidence.statistic.attributeEstimate.note	Added Element
Evidence.statistic.attributeEstimate.type	Added Element
Evidence.statistic.attributeEstimate.quantity	Added Element
Evidence.statistic.attributeEstimate.level	Added Element
Evidence.statistic.attributeEstimate.range	Added Element
Evidence.statistic.attributeEstimate.attributeEstimate	Added Element
Evidence.statistic.modelCharacteristic	Added Element
Evidence.statistic.modelCharacteristic.code	Added Mandatory Element
Evidence.statistic.modelCharacteristic.value[x]	Added Element
Evidence.statistic.modelCharacteristic.intended	Added Element
Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.modelCharacteristic.variable	Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition	Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling	Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory	Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity	Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange	Added Element
Evidence.statistic.modelCharacteristic.attribute	Added Element
Evidence.certainty	Added Element
Evidence.certainty.description	Added Element
Evidence.certainty.note	Added Element
Evidence.certainty.type	Added Element
Evidence.certainty.rating	Added Element
Evidence.certainty.rater	Added Element
Evidence.certainty.subcomponent	Added Element
Evidence.shortTitle	Deleted
Evidence.subtitle	Deleted
Evidence.jurisdiction	Deleted
Evidence.effectivePeriod	Deleted
Evidence.topic	Deleted
Evidence.relatedArtifact	Deleted
Evidence.exposureBackground	Deleted
Evidence.exposureVariant	Deleted
Evidence.outcome	Deleted
Parameters EvidenceVariable
Parameters.parameter.value[x] EvidenceVariable.versionAlgorithm[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Added Element
EvidenceVariable.citeAs	Added Element
EvidenceVariable.experimental	Added Element
EvidenceVariable.recorder	Added Element
EvidenceVariable.purpose	Added Element
EvidenceVariable.copyrightLabel	Added Element
EvidenceVariable.relatesTo	Added Element
EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.actual	Added Element
EvidenceVariable.definition	Added Element
EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.handling	Added Element
EvidenceVariable.category	Added Element
EvidenceVariable.category.name	Added Element
EvidenceVariable.category.value[x]	Added Element
EvidenceVariable.conditional	Added Element
EvidenceVariable.classifier	Added Element
EvidenceVariable.dataStorage	Added Element
EvidenceVariable.dataStorage.datatype	Added Element
EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.dataStorage.component	Added Element
EvidenceVariable.timing	Added Element
EvidenceVariable.period	Added Element
EvidenceVariable.constraint	Added Element
EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.constraint.code	Added Element
EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.constraint.expectedUnitsValueSet	Added Element
EvidenceVariable.constraint.anyValueAllowed	Added Element
EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.subtitle	Deleted
EvidenceVariable.jurisdiction	Deleted
EvidenceVariable.topic	Deleted
EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.type	Deleted
EvidenceVariable.characteristic	Deleted
Patient ExampleScenario
Patient.active ExampleScenario.versionAlgorithm[x]	Default Value "true" removed Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
Patient.gender ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Jurisdiction ValueSet
Patient.contact.relationship ExampleScenario.copyrightLabel	Change value set Added Element
ExampleScenario.actor.key	Renamed from http://terminology.hl7.org/ValueSet/v2-0131 actorId to http://hl7.org/fhir/ValueSet/patient-contactrelationship key
Patient.contact.gender ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Actor Definition Actor Type Remove code entity Add codes system , collective , other
Patient.communication.language ExampleScenario.actor.title	Change binding strength Renamed from extensible name to preferred title Min Cardinality changed from 0 to 1
Patient.generalPractitioner ExampleScenario.actor.definition	Type Reference: Added Target Type PractitionerRole Element
Patient.link.type ExampleScenario.instance.key	Renamed from resourceId to key
ExampleScenario.instance.structureType	Renamed from resourceType to structureType Type changed from code to Coding Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/link-type http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/link-type|4.0.1 Example Scenario Resource Type
Patient.animal ExampleScenario.instance.structureVersion	deleted Added Element
PaymentNotice ExampleScenario.instance.structureProfile[x]	Added Element
PaymentNotice.status ExampleScenario.instance.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.content	Added Element
ExampleScenario.instance.version.key	Change value set Renamed from http://hl7.org/fhir/ValueSet/fm-status versionId to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 key
ExampleScenario.instance.version.title	Added Mandatory Element
PaymentNotice.created ExampleScenario.instance.version.description	Min Cardinality changed from 0 to 1 to 0
ExampleScenario.instance.version.content	Added Element
PaymentNotice.provider ExampleScenario.instance.containedInstance.instanceReference	Renamed from organization resourceId to provider instanceReference
ExampleScenario.instance.containedInstance.versionReference	Type Reference: Added Target Types Practitioner, PractitionerRole Renamed from versionId to versionReference
PaymentNotice.payment ExampleScenario.process.step.number	Added Mandatory Element
PaymentNotice.paymentDate ExampleScenario.process.step.process	Renamed Max Cardinality changed from statusDate * to paymentDate 1
PaymentNotice.payee ExampleScenario.process.step.workflow	Added Element
ExampleScenario.process.step.operation.type	Type changed from string to Coding Add Binding `http://hl7.org/fhir/ValueSet/examplescenario-operation-codes` (extensible)
PaymentNotice.recipient ExampleScenario.process.step.operation.title	Renamed from target name to recipient title Min Cardinality changed from 0 to 1
PaymentNotice.amount ExampleScenario.process.step.operation.number	Added Mandatory Element Deleted
PaymentNotice.provider ExampleScenario.workflow	deleted Deleted
PaymentReconciliation ExplanationOfBenefit
PaymentReconciliation.status ExplanationOfBenefit.traceNumber	Min Cardinality changed from 0 to 1 Added Element
ExplanationOfBenefit.statusReason	Added Element
ExplanationOfBenefit.subject	Change value set Renamed from http://hl7.org/fhir/ValueSet/fm-status patient to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 subject Type Reference: Added Target Type Group
PaymentReconciliation.created ExplanationOfBenefit.enterer	Type Reference: Added Target Types Patient, RelatedPerson
ExplanationOfBenefit.insurer	Min Cardinality changed from 0 to 1 to 0
PaymentReconciliation.paymentIssuer ExplanationOfBenefit.provider	Renamed Min Cardinality changed from organization 1 to paymentIssuer 0
PaymentReconciliation.request ExplanationOfBenefit.related.claim	Type Reference: Added Target Type Task ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Removed Added Target Type ProcessRequest Types DeviceRequest, ServiceRequest
PaymentReconciliation.requestor ExplanationOfBenefit.originalPrescription	Renamed from requestOrganization to requestor Type Reference: Added Target Types Practitioner, PractitionerRole DeviceRequest, ServiceRequest, VisionPrescription
ExplanationOfBenefit.event	Added Element
ExplanationOfBenefit.event.type	Added Mandatory Element
ExplanationOfBenefit.event.when[x]	Added Mandatory Element
ExplanationOfBenefit.encounter	Added Element
PaymentReconciliation.outcome ExplanationOfBenefit.facility	Type changed from CodeableConcept to code Reference: Added Target Type Organization
ExplanationOfBenefit.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 Claim Processing Codes
PaymentReconciliation.paymentDate ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Mandatory Element
PaymentReconciliation.paymentAmount ExplanationOfBenefit.careTeam.specialty	Renamed from total qualification to paymentAmount specialty
ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 0 to 1 to 0
PaymentReconciliation.paymentIdentifier ExplanationOfBenefit.patientPaid	Added Element
PaymentReconciliation.detail.identifier ExplanationOfBenefit.item.traceNumber	Added Element
PaymentReconciliation.detail.predecessor ExplanationOfBenefit.item.subject	Added Element
PaymentReconciliation.detail.submitter ExplanationOfBenefit.item.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd	Type Reference: Added Target Types Practitioner, PractitionerRole Element
PaymentReconciliation.detail.responsible ExplanationOfBenefit.item.request	Added Element
PaymentReconciliation.detail.payee ExplanationOfBenefit.item.patientPaid	Type Reference: Added Target Types Practitioner, PractitionerRole Element
PaymentReconciliation.formCode ExplanationOfBenefit.item.tax	Renamed from form to formCode Added Element
PaymentReconciliation.processNote.type ExplanationOfBenefit.item.bodySite	Type Max Cardinality changed from CodeableConcept 1 to code * Change value set Type changed from http://hl7.org/fhir/ValueSet/note-type CodeableConcept to http://hl7.org/fhir/ValueSet/note-type|4.0.1 BackboneElement
PaymentReconciliation.requestProvider ExplanationOfBenefit.item.bodySite.site	deleted Added Mandatory Element
Person ExplanationOfBenefit.item.bodySite.subSite	Added Element
Person.gender ExplanationOfBenefit.item.reviewOutcome	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Added Element
Person.link.assurance ExplanationOfBenefit.item.reviewOutcome.decision	Change Added Element
ExplanationOfBenefit.item.reviewOutcome.reason	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod	Added Element
ExplanationOfBenefit.item.adjudication.quantity	Renamed from value set to quantity Type changed from http://hl7.org/fhir/ValueSet/identity-assuranceLevel decimal to http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.1 Quantity
PlanDefinition ExplanationOfBenefit.item.adjudication.decisionDate	Added Element
PlanDefinition.subtitle ExplanationOfBenefit.item.detail.traceNumber	Added Element
PlanDefinition.type ExplanationOfBenefit.item.detail.productOrService	Change code system for extensibly bound codes Min Cardinality changed from "http://hl7.org/fhir/plan-definition-type" 1 to "http://terminology.hl7.org/CodeSystem/plan-definition-type" 0
ExplanationOfBenefit.item.detail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.tax	Added Element
ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
PlanDefinition.status ExplanationOfBenefit.item.detail.subDetail.productOrService	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 0
PlanDefinition.experimental ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd	No longer marked as Modifier Added Element
PlanDefinition.subject[x] ExplanationOfBenefit.item.detail.subDetail.patientPaid	Added Element
PlanDefinition.author ExplanationOfBenefit.item.detail.subDetail.tax	Added Element
PlanDefinition.editor ExplanationOfBenefit.item.detail.subDetail.reviewOutcome	Added Element
PlanDefinition.reviewer ExplanationOfBenefit.addItem.traceNumber	Added Element
PlanDefinition.endorser ExplanationOfBenefit.addItem.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	Added Element
PlanDefinition.library ExplanationOfBenefit.addItem.productOrService	Type Min Cardinality changed from Reference(Library) 1 to canonical(Library) 0
PlanDefinition.action.prefix ExplanationOfBenefit.addItem.productOrServiceEnd	Added Element
PlanDefinition.action.priority ExplanationOfBenefit.addItem.request	Added Element
PlanDefinition.action.subject[x] ExplanationOfBenefit.addItem.patientPaid	Added Element
PlanDefinition.action.trigger ExplanationOfBenefit.addItem.tax	Added Element
PlanDefinition.action.condition.kind ExplanationOfBenefit.addItem.bodySite	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/action-condition-kind 1 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 * Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site	Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite	Added Element
ExplanationOfBenefit.addItem.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.revenue	Added Element
PlanDefinition.action.condition.expression ExplanationOfBenefit.addItem.detail.productOrService	Type Min Cardinality changed from string 1 to Expression 0
PlanDefinition.action.relatedAction.relationship ExplanationOfBenefit.addItem.detail.productOrServiceEnd	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] ExplanationOfBenefit.addItem.detail.patientPaid	Add Type Age Added Element
ExplanationOfBenefit.addItem.detail.tax	Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue	Added Element
PlanDefinition.action.participant.type ExplanationOfBenefit.addItem.detail.subDetail.productOrService	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/action-participant-type 1 to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.processNote.class	Added Element
PlanDefinition.action.type ExplanationOfBenefit.processNote.type	Type changed from Coding code to CodeableConcept Change binding strength from required to extensible
PlanDefinition.action.groupingBehavior ExplanationOfBenefit.processNote.text	Change value set Type changed from http://hl7.org/fhir/ValueSet/action-grouping-behavior string to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 markdown
PlanDefinition.action.selectionBehavior ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior Common Languages to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 All Languages Change max value set from All Languages to none
PlanDefinition.action.requiredBehavior ExplanationOfBenefit.careTeam.responsible	Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 Deleted
PlanDefinition.action.precheckBehavior ExplanationOfBenefit.diagnosis.packageCode	Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory
FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.asserter	Added Element
PlanDefinition.action.cardinalityBehavior FamilyMemberHistory.sex	Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior http://build.fhir.org/valueset-administrative-gender.html to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 AdministrativeGender
PlanDefinition.action.definition[x] FamilyMemberHistory.reason	Renamed from definition to definition[x] Added Element Add Types canonical(ActivityDefinition | PlanDefinition | Questionnaire), uri Merged both reasonCode and reasonReference into reason
FamilyMemberHistory.procedure	Remove Type Reference(ActivityDefinition | PlanDefinition) Added Element
PlanDefinition.action.transform FamilyMemberHistory.procedure.code	Type changed from Reference(StructureMap) to canonical(StructureMap) Added Mandatory Element
PlanDefinition.action.dynamicValue.expression FamilyMemberHistory.procedure.outcome	Type changed from string to Expression Added Element
PlanDefinition.contributor FamilyMemberHistory.procedure.contributedToDeath	deleted Added Element
PlanDefinition.action.label FamilyMemberHistory.procedure.performed[x]	deleted Added Element
PlanDefinition.action.triggerDefinition FamilyMemberHistory.procedure.note	deleted Added Element
PlanDefinition.action.condition.description FamilyMemberHistory.instantiatesCanonical	deleted Deleted
PlanDefinition.action.condition.language FamilyMemberHistory.instantiatesUri	deleted Deleted
PlanDefinition.action.dynamicValue.description FamilyMemberHistory.reasonCode	deleted Deleted (-> reason.concept)
PlanDefinition.action.dynamicValue.language FamilyMemberHistory.reasonReference	deleted Deleted (-> reason.reference)
Practitioner Flag
Practitioner.active Flag.status	Default Value "true" removed Min Cardinality changed from 1 to 0
Practitioner.gender Flag.subject	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Type Reference: Added Target Types RelatedPerson, PractitionerRole
Practitioner.communication Flag.author	Change binding strength from extensible to preferred Type Reference: Added Target Type RelatedPerson
Flag.supportingInfo	Added Element
PractitionerRole Goal
PractitionerRole.active Goal.lifecycleStatus	Default Value "true" removed Remove codes active , on-hold , completed
PractitionerRole.availableTime.daysOfWeek Goal.continuous	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 Goal.acceptance	Added Element
Procedure.instantiatesCanonical Goal.acceptance.participant	Added Mandatory Element
Procedure.instantiatesUri Goal.acceptance.status	Added Element
Goal.acceptance.priority	Added Element
Procedure.basedOn Goal.statusReason	Max Cardinality changed from 1 to * Type changed from string to CodeableConcept
Goal.recorder	Added Element
Goal.source	Renamed from expressedBy to source Type Reference: Added Target Type ServiceRequest Types CareTeam, Group
Goal.addresses	Type Reference: Removed Added Target Types ProcedureRequest, ReferralRequest MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted
Goal.outcomeReference	Deleted
Group
Group.url	Added Element
Group.version	Added Element
Group.versionAlgorithm[x]	Added Element
Group.title	Added Element
Group.status	Added Element
Group.experimental	Added Element
Group.date	Added Element
Group.publisher	Added Element
Group.contact	Added Element
Group.description	Added Element
Group.useContext	Added Element
Group.purpose	Added Element
Group.copyright	Added Element
Group.copyrightLabel	Added Element
Procedure.status Group.type	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/event-status 1 to http://hl7.org/fhir/ValueSet/event-status|4.0.1 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
Procedure.statusReason Group.membership	Added Mandatory Element
Group.code	Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
Procedure.encounter Group.combinationMethod	Added Element
Group.combinationThreshold	Added Element
Procedure.performed[x] Group.characteristic.value[x]	Add Types string, Age, Range uri, Expression
Procedure.recorder Group.characteristic.description	Added Element
Procedure.asserter Group.characteristic.method	Added Element
Procedure.performer.function Group.characteristic.formula	Added Element
Procedure.performer.actor Group.characteristic.determiner	Type Reference: Added Target Type PractitionerRole Element
Group.characteristic.offset	Added Element
Group.characteristic.instances[x]	Added Element
Group.characteristic.duration[x]	Added Element
Group.characteristic.timing	Added Element
Procedure.reasonReference Group.member.entity	Type Reference: Added Target Types Procedure, DiagnosticReport, DocumentReference CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Added Element
Group.active	Deleted (-> use Group.status instead)
Group.actual	Deleted (-> Group.membership)
GuidanceResponse
GuidanceResponse.location	Added Element
GuidanceResponse.reason	Added Element Merged both reasonCode and reasonReference into reason
Procedure.report GuidanceResponse.evaluationMessage	Max Cardinality changed from * to 1
GuidanceResponse.result	Max Cardinality changed from 1 to * Type Reference: Added Target Types DocumentReference, Composition Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type RequestGroup
Procedure.definition GuidanceResponse.reasonCode	deleted Deleted (-> reason.concept)
Procedure.notDone GuidanceResponse.reasonReference	deleted Deleted (-> reason.reference)
HealthcareService
HealthcareService.offeredIn	Added Element
HealthcareService.comment	Type changed from string to markdown
HealthcareService.contact	Renamed from telecom to contact Type changed from ContactPoint to ExtendedContactDetail
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
HealthcareService.communication	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
HealthcareService.referralRequired	Added Element
HealthcareService.availability	Added Element Changed to a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
Procedure.notDoneReason HealthcareService.availableTime	deleted Deleted (-> HealthcareService.availability (now part of a datatype))
Procedure.context HealthcareService.notAvailable	deleted Deleted (-> HealthcareService.availability.notAvailableTime (now part of a datatype))
Procedure.performer.role HealthcareService.availabilityExceptions	deleted Deleted (-> HealthcareService.availability.notAvailabileTime.description (now part of a datatype))
ImagingSelection	Added Resource
Provenance ImagingStudy
Provenance.occurred[x] ImagingStudy.status	Renamed Add code inactive
ImagingStudy.modality	Type changed from period Coding to occurred[x] CodeableConcept Add Change value set from AcquisitionModality to Modality
ImagingStudy.basedOn	Type dateTime Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Added Element Merged both procedureCode and procedureReference into procedure
ImagingStudy.reason	Added Element Merged both reasonCode and reasonReference into reason
Provenance.reason ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
Provenance.activity ImagingStudy.series.bodySite	Type changed from Coding to CodeableConcept CodeableReference
Provenance.agent.type ImagingStudy.series.performer.actor	Type Reference: Added Element Target Type HealthcareService
Provenance.agent.role ImagingStudy.series.instance.sopClass	Type changed from Coding to oid Remove Binding http://hl7.org/fhir/ValueSet/security-role-type `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
Provenance.agent.who ImagingStudy.interpreter	Renamed Deleted
ImagingStudy.procedureReference	Deleted (-> ImagingStudy.procedure)
ImagingStudy.procedureCode	Deleted (-> ImagingStudy.procedure)
ImagingStudy.reasonCode	Deleted (-> reason.concept)
ImagingStudy.reasonReference	Deleted (-> reason.reference)
ImagingStudy.series.laterality	Deleted
Immunization
Immunization.basedOn	Added Element
Immunization.administeredProduct	Added Element
Immunization.manufacturer	Type changed from who[x] Reference(Organization) to who CodeableReference
Immunization.supportingInformation	Added Element
Immunization.informationSource	Added Element
Immunization.performer.actor	Remove Type uri Reference: Added Target Types Patient, RelatedPerson
Immunization.reason	Added Element Merged both reasonCode and reasonReference into reason
Immunization.programEligibility	Type changed from CodeableConcept to BackboneElement
Immunization.programEligibility.program	Added Mandatory Element
Immunization.programEligibility.programStatus	Added Mandatory Element
Provenance.agent.onBehalfOf Immunization.reaction.manifestation	Renamed from onBehalfOf[x] detail to onBehalfOf manifestation Remove Type uri changed from Reference(Observation) to CodeableReference
Provenance.entity.role Immunization.protocolApplied.doseNumber	Change value set Renamed from http://hl7.org/fhir/ValueSet/provenance-entity-role doseNumber[x] to http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 doseNumber Min Cardinality changed from 1 to 0 Add Type CodeableConcept Remove Types positiveInt, string
Provenance.entity.what Immunization.protocolApplied.seriesDoses	Renamed from what[x] seriesDoses[x] to what seriesDoses Add Type CodeableConcept Remove Types uri, Identifier positiveInt, string
Provenance.agent.relatedAgentType Immunization.recorded	deleted Deleted
Immunization.reportOrigin	Deleted
Immunization.reasonCode	Deleted (-> reason.concept)
Immunization.reasonReference	Deleted (-> reason.reference)
Immunization.education	Deleted
Questionnaire ImplementationGuide
Questionnaire.derivedFrom ImplementationGuide.identifier	Added Element
ImplementationGuide.versionAlgorithm[x]	Added Element
Questionnaire.status ImplementationGuide.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Jurisdiction ValueSet
Questionnaire.experimental ImplementationGuide.purpose	No longer marked as Modifier Added Element
Questionnaire.subjectType ImplementationGuide.copyrightLabel	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 ImplementationGuide.fhirVersion	Change value set from http://hl7.org/fhir/ValueSet/item-type to http://hl7.org/fhir/ValueSet/item-type|4.0.1 Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.3.0 , 3.5.0 , 4.0.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
Questionnaire.item.enableWhen.operator ImplementationGuide.dependsOn.reason	Added Mandatory Element
Questionnaire.item.enableWhen.answer[x] ImplementationGuide.global.type	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
ImplementationGuide.definition.grouping.description	Type changed from string to markdown
ImplementationGuide.definition.resource	Min Cardinality changed from 0 to 1 to 0
ImplementationGuide.definition.resource.fhirVersion	Remove Types uri, Attachment codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.3.0 , 3.5.0 , 4.0.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
Questionnaire.item.enableBehavior ImplementationGuide.definition.resource.description	Added Element Type changed from string to markdown
Questionnaire.item.required ImplementationGuide.definition.resource.isExample	Default Value "false" removed Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
Questionnaire.item.repeats ImplementationGuide.definition.resource.profile	Default Value "false" removed Added Element
ImplementationGuide.definition.page.source[x]	Added Element
Questionnaire.item.answerValueSet ImplementationGuide.definition.page.name	Renamed from options name[x] to answerValueSet name Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code	Type changed from Reference(ValueSet) code to canonical(ValueSet) Coding Change binding strength from required to extensible
Questionnaire.item.answerOption ImplementationGuide.manifest.resource.isExample	Renamed from option example[x] to answerOption isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.manifest.resource.profile	Added Element
Ingredient	Added Resource
InsurancePlan
Questionnaire.item.answerOption.value[x] InsurancePlan.identifier	Moved from Questionnaire.item.option InsurancePlan.plan to Questionnaire.item.answerOption InsurancePlan
InsurancePlan.type	Add Type Reference(Resource) Moved from InsurancePlan.plan to InsurancePlan
Questionnaire.item.answerOption.initialSelected InsurancePlan.product	Added Element reference to the new InsuranceProduct resource that contained the plan details previously
Questionnaire.item.initial InsurancePlan.coverageArea	Renamed Moved from initial[x] InsurancePlan.plan to initial InsurancePlan
InsurancePlan.network	Max Cardinality changed Moved from 1 InsurancePlan.plan to * InsurancePlan
InsurancePlan.generalCost	Remove Types boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) Moved from InsurancePlan.plan to InsurancePlan
Questionnaire.item.initial.value[x] InsurancePlan.specificCost	Added Mandatory Element Moved from InsurancePlan.plan to InsurancePlan
InsurancePlan.specificCost.benefit.cost.qualifier	Moved from InsurancePlan.plan.specificCost.benefit.cost.qualifiers to qualifier
Questionnaire.item.enableWhen.hasAnswer InsurancePlan.identifier	deleted Deleted (-> InsuranceProduct.identifier)
InsurancePlan.status	Deleted (-> InsuranceProduct.status)
InsurancePlan.type	Deleted (-> InsuranceProduct.type)
InsurancePlan.name	Deleted (-> InsuranceProduct.name)
InsurancePlan.alias	Deleted (-> InsuranceProduct.alias)
InsurancePlan.period	Deleted (-> InsuranceProduct.period)
InsurancePlan.ownedBy	Deleted (-> InsuranceProduct.ownedBy)
InsurancePlan.administeredBy	Deleted (-> InsuranceProduct.administeredBy)
InsurancePlan.coverageArea	Deleted (-> InsuranceProduct.coverageArea)
InsurancePlan.contact	Deleted (-> InsuranceProduct.contact)
InsurancePlan.endpoint	Deleted (-> InsuranceProduct.endpoint)
InsurancePlan.network	Deleted (-> InsuranceProduct.network)
InsurancePlan.coverage	Deleted (-> InsuranceProduct.coverage)
InsurancePlan.plan	Deleted (all propertied migrated to top level of resource - core properties migrate to InsuranceProduct)
InsuranceProduct	Added Resource
QuestionnaireResponse Invoice
QuestionnaireResponse.basedOn Invoice.creation	Type Reference: Added Target Element
Invoice.period[x]	Renamed from date to period[x] Add Types date, Period Remove Type ServiceRequest dateTime
Invoice.issuer	Type Reference: Removed Added Target Types ReferralRequest, ProcedureRequest Practitioner, PractitionerRole
QuestionnaireResponse.partOf Invoice.lineItem.serviced[x]	Renamed Added Element
Invoice.lineItem.priceComponent	Type changed from parent BackboneElement to partOf MonetaryComponent Changed to a datatype: type, code, factor, and amount are now properties of the datatype
QuestionnaireResponse.questionnaire Invoice.totalPriceComponent	Add Type changed MonetaryComponent Changed to a datatype: type, code, factor, and amount are now properties of the datatype
Invoice.lineItem.priceComponent.type	Deleted (-> Invoice.lineItem.priceComponent.type (now part of a datatype))
Invoice.lineItem.priceComponent.code	Deleted (-> Invoice.lineItem.priceComponent.code (now part of a datatype))
Invoice.lineItem.priceComponent.factor	Deleted (-> Invoice.lineItem.priceComponent.factor (now part of a datatype))
Invoice.lineItem.priceComponent.amount	Deleted (-> Invoice.lineItem.priceComponent.amount (now part of a datatype))
Library
Library.versionAlgorithm[x]	Added Element
Library.type	Change value set from Reference(Questionnaire) http://hl7.org/fhir/ValueSet/library-type to canonical(Questionnaire) LibraryType
QuestionnaireResponse.status Library.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/questionnaire-answers-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Library.usage	Type changed from string to markdown
QuestionnaireResponse.encounter Library.copyrightLabel	Added Element
List
QuestionnaireResponse.author List.subject	Max Cardinality changed from 1 to * Type Reference: Added Target Type Resource Type Reference: Removed Target Types PractitionerRole, Organization Patient, Group, Device, Location
QuestionnaireResponse.source List.source	Type Reference: Added Target Types Organization, RelatedPerson, CareTeam, Group
Location
Location.code	Added Element
Location.description	Type PractitionerRole changed from string to markdown
Location.type	Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact	Renamed from telecom to contact Type changed from ContactPoint to ExtendedContactDetail
Location.form	Renamed from physicalType to form
Location.characteristic	Added Element
Location.hoursOfOperation	Max Cardinality changed from * to 1 Type changed from BackboneElement to Availability Changed to a datatype: daysOfWeek, allDay, openingTime, closingTime and availabilityExceptions are now properties of the datatype
Location.virtualService	Added Element
QuestionnaireResponse.context Location.hoursOfOperation.daysOfWeek	deleted Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek (now part of a datatype))
QuestionnaireResponse.item.subject Location.hoursOfOperation.allDay	deleted Deleted (-> Location.hoursOfOperation.availableTime.allDay (now part of a datatype))
Location.hoursOfOperation.openingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime (now part of a datatype))
Location.hoursOfOperation.closingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime (now part of a datatype))
Location.availabilityExceptions	Deleted (-> Location.hoursOfOperation.notAvailableTime.description (now part of a datatype))
ManufacturedItemDefinition	Added Resource
RelatedPerson Measure
RelatedPerson.active Measure.versionAlgorithm[x]	Default Value "true" removed Added Element
RelatedPerson.relationship Measure.subject[x]	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/subject-type to * Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedPerson.gender Measure.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Jurisdiction ValueSet
Measure.usage	Type changed from string to markdown
RelatedPerson.communication Measure.copyrightLabel	Added Element
RelatedPerson.communication.language Measure.reportingFrequency	Added Mandatory Element
Measure.riskAdjustment	Type changed from string to markdown
Measure.rateAggregation	Type changed from string to markdown
RelatedPerson.communication.preferred Measure.term	Added Element
RequestGroup Measure.term.code	Added Element
RequestGroup.instantiatesCanonical Measure.term.definition	Added Element
RequestGroup.instantiatesUri Measure.group.linkId	Added Element
Measure.group.title	Added Element
RequestGroup.status Measure.group.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/request-status string to http://hl7.org/fhir/ValueSet/request-status|4.0.1 markdown
Measure.group.type	Added Element
Measure.group.subject[x]	Added Element
Measure.group.basis	Added Element
Measure.group.basisRequirement	Added Element
Measure.group.scoring	Added Element
Measure.group.scoringUnit	Added Element
Measure.group.scoringPrecision	Added Element
Measure.group.compositeScoring	Added Element
Measure.group.component	Added Element
Measure.group.component.measure	Added Element
Measure.group.component.groupId	Added Element
Measure.group.component.weight	Added Element
Measure.group.rateAggregation	Added Element
Measure.group.improvementNotation	Added Element
Measure.group.improvementNotationGuidance	Added Element
Measure.group.library	Added Element
Measure.group.population.linkId	Added Element
Measure.group.population.title	Added Element
RequestGroup.intent Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/request-intent http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 MeasurePopulationType
RequestGroup.priority Measure.group.population.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/request-priority string to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 markdown
Measure.group.population.criteria	Min Cardinality changed from 1 to 0
RequestGroup.code Measure.group.population.groupDefinition	Added Element
RequestGroup.encounter Measure.group.population.inputPopulationId	Added Element
Measure.group.population.aggregateMethod	Added Element
Measure.group.stratifier.linkId	Added Element
Measure.group.stratifier.title	Added Element
RequestGroup.author Measure.group.stratifier.description	Type Reference: changed from string to markdown
Measure.group.stratifier.groupDefinition	Added Target Element
Measure.group.stratifier.component.linkId	Added Element
Measure.group.stratifier.component.description	Type PractitionerRole changed from string to markdown
Measure.group.stratifier.component.criteria	Min Cardinality changed from 1 to 0
RequestGroup.reasonCode Measure.group.stratifier.component.groupDefinition	Added Element
RequestGroup.reasonReference Measure.group.stratifier.component.valueSet	Added Element
RequestGroup.action.prefix Measure.group.stratifier.component.unit	Added Element
RequestGroup.action.priority Measure.supplementalData.linkId	Added Element
RequestGroup.action.condition.kind Measure.supplementalData.usage	Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind http://hl7.org/fhir/ValueSet/measure-data-usage to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 MeasureDataUsage
RequestGroup.action.condition.expression Measure.supplementalData.description	Type changed from string to Expression markdown
RequestGroup.action.relatedAction.relationship Measure.supplementalData.valueSet	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
Measure.supplementalData.unit	Added Element
Measure.scoring	Deleted
Measure.compositeScoring	Deleted
Measure.type	Deleted
Measure.improvementNotation	Deleted
Measure.definition	Deleted
MeasureReport
MeasureReport.category	Added Element
MeasureReport.messages	Added Element
RequestGroup.action.timing[x] MeasureReport.type	Remove code data-collection Add Type Age code data-exchange
MeasureReport.dataUpdateType	Added Element
RequestGroup.action.participant MeasureReport.measure	Min Cardinality changed from 1 to 0
MeasureReport.subject	Type Reference: Added Target Types PractitionerRole, Device CareTeam, HealthcareService, Organization
MeasureReport.reporter	Type Reference: Removed Target Type Person Location
RequestGroup.action.type MeasureReport.reportingVendor	Type changed from Coding to CodeableConcept Added Element
MeasureReport.location	Change code system for extensibly bound codes from "http://hl7.org/fhir/action-type" to "http://terminology.hl7.org/CodeSystem/action-type" Added Element
MeasureReport.inputParameters	Added Element
MeasureReport.group.linkId	Added Element
MeasureReport.group.title	Added Element
MeasureReport.group.calculatedDate	Added Element
MeasureReport.group.description	Added Element
MeasureReport.group.type	Added Element
MeasureReport.group.subject	Added Element
MeasureReport.group.scoring	Added Element
MeasureReport.group.improvementNotation	Added Element
MeasureReport.group.improvementNotationGuidance	Added Element
MeasureReport.group.population.linkId	Added Element
MeasureReport.group.population.title	Added Element
RequestGroup.action.groupingBehavior MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 MeasurePopulationType
RequestGroup.action.selectionBehavior MeasureReport.group.population.description	Change value set Added Element
MeasureReport.group.population.countQuantity	Added Element
MeasureReport.group.population.subjectReport	Added Element
MeasureReport.group.population.subjects	Added Element
MeasureReport.group.measureScore[x]	Renamed from http://hl7.org/fhir/ValueSet/action-selection-behavior measureScore to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MeasureReport.group.stratifier.linkId	Added Element
MeasureReport.group.stratifier.title	Added Element
RequestGroup.action.requiredBehavior MeasureReport.group.stratifier.code	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/action-required-behavior * to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 1
RequestGroup.action.precheckBehavior MeasureReport.group.stratifier.description	Change Added Element
MeasureReport.group.stratifier.stratum.value[x]	Renamed from value set to value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MeasureReport.group.stratifier.stratum.component.description	Added Element
MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from http://hl7.org/fhir/ValueSet/action-precheck-behavior value to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 value[x] Add Types boolean, Quantity, Range, Reference
MeasureReport.group.stratifier.stratum.population.linkId	Added Element
RequestGroup.action.cardinalityBehavior MeasureReport.group.stratifier.stratum.population.code	Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior http://hl7.org/fhir/ValueSet/measure-population to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 MeasurePopulationType
RequestGroup.definition MeasureReport.group.stratifier.stratum.population.countQuantity	deleted Added Element
RequestGroup.context MeasureReport.group.stratifier.stratum.population.subjectReport	deleted Added Element
RequestGroup.reason[x] MeasureReport.group.stratifier.stratum.population.subjects	deleted Added Element
RequestGroup.action.label MeasureReport.group.stratifier.stratum.measureScore[x]	deleted Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
RequestGroup.action.condition.description MeasureReport.supplementalData	deleted Added Element
RequestGroup.action.condition.language MeasureReport.improvementNotation	deleted Deleted
ResearchDefinition Medication
Medication.marketingAuthorizationHolder	Renamed from manufacturer to marketingAuthorizationHolder
Medication.doseForm	Renamed from form to doseForm
Medication.packageSize	Added Resource Element
ResearchElementDefinition Medication.packageSize.numberOfItems	Added Resource Element
ResearchStudy Medication.packageSize.amountPerItem	Added Element
ResearchStudy.status Medication.ingredient.item	Change value set Renamed from http://hl7.org/fhir/ValueSet/research-study-status item[x] to http://hl7.org/fhir/ValueSet/research-study-status|4.0.1 item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
ResearchStudy.primaryPurposeType Medication.ingredient.role	Added Element
Medication.ingredient.strength[x]	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity
Medication.instance	Renamed from batch to instance
ResearchStudy.phase Medication.instance.identifier	Added Element
Medication.instance.lotNumber	Moved from Medication.batch to Medication.instance
Medication.instance.expirationDate	Moved from Medication.batch to Medication.instance
ResearchStudy.condition Medication.definition	Added Element
Medication.amount	Deleted
MedicationAdministration
ResearchStudy.location MedicationAdministration.basedOn	Added Element
ResearchStudy.principalInvestigator MedicationAdministration.partOf	Type Reference: Added Target Type PractitionerRole MedicationDispense
MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationAdministration.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationAdministration.encounter	Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationAdministration.occurrence[x]	Renamed from effective[x] to occurrence[x] Add Type Timing
ResearchStudy.arm.type MedicationAdministration.recorded	Added Element
ResearchStudy.objective MedicationAdministration.isSubPotent	Added Element
ResearchStudy.objective.name MedicationAdministration.subPotentReason	Added Element
MedicationAdministration.performer.actor	Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
ResearchStudy.objective.type MedicationAdministration.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationAdministration.device	Type changed from Reference(Device) to CodeableReference
ResearchStudy.jurisdiction MedicationAdministration.instantiates	deleted Deleted
ResearchStudy.arm.code MedicationAdministration.reasonCode	deleted Deleted (-> reason.concept)
MedicationAdministration.reasonReference	Deleted (-> reason.reference)
ResearchSubject MedicationDispense
MedicationDispense.basedOn	Added Element
ResearchSubject.identifier MedicationDispense.partOf	Type Reference: Added Target Type MedicationAdministration
MedicationDispense.status	Remove code stopped Add code unfulfilled
MedicationDispense.notPerformedReason	Renamed from statusReason[x] to notPerformedReason Add Type CodeableReference Remove Types CodeableConcept, Reference(DetectedIssue)
MedicationDispense.statusChanged	Added Element
MedicationDispense.category	Max Cardinality changed from 1 to *
MedicationDispense.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
ResearchSubject.status MedicationDispense.subject	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/research-subject-status 0 to http://hl7.org/fhir/ValueSet/research-subject-status|4.0.1 1
Resource MedicationDispense.encounter	Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
Resource.id MedicationDispense.performer.actor	Type Reference: Added Target Types CareTeam, Group
MedicationDispense.fillNumber	Added Element
MedicationDispense.recorded	Added Element
MedicationDispense.receiver	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationDispense.dosageInstruction	Max Cardinality changed from id * to string 1 Type changed from Dosage to DosageDetails
MedicationDispense.doseAdministrationAid	Added Element
Resource.language MedicationDispense.substitution.responsibleParty	Change binding strength Max Cardinality changed from extensible * to preferred 1 Type Reference: Added Target Type Organization
MedicationDispense.detectedIssue	Deleted
RiskAssessment MedicationRequest
RiskAssessment.identifier MedicationRequest.basedOn	Max Cardinality changed Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from 1 medication[x] to * medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
RiskAssessment.status MedicationRequest.informationSource	Change value set Added Element
MedicationRequest.isRecordOfRequest	Renamed from http://hl7.org/fhir/ValueSet/observation-status reported[x] to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 isRecordOfRequest Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
RiskAssessment.subject MedicationRequest.performerType	Min Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer	Max Cardinality changed from 0 to 1 to * Type Reference: Added Target Types DeviceDefinition, HealthcareService, Group Type Reference: Removed Target Type Device
RiskAssessment.encounter MedicationRequest.device	Added Element
MedicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
RiskAssessment.performer MedicationRequest.courseOfTherapyType	Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.effectiveTiming[x]	Type Reference: Added Target Element
MedicationRequest.dosageInstruction	Max Cardinality changed from * to 1 Type PractitionerRole changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Renamed from performer to dispenser
RiskAssessment.reasonCode MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
RiskAssessment.reasonReference MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.dispenseRequest.destination	Added Element
MedicationRequest.reasonCode	Deleted (-> reason.concept)
MedicationRequest.reasonReference	Deleted (-> reason.reference)
MedicationRequest.instantiatesCanonical	Deleted
MedicationRequest.instantiatesUri	Deleted
MedicationRequest.detectedIssue	Deleted
MedicationStatement
RiskAssessment.prediction.outcome MedicationStatement.partOf	Min Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status	Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken Add codes recorded , draft
MedicationStatement.category	Max Cardinality changed from 1 to 0 *
RiskAssessment.note MedicationStatement.medication	Renamed from comment medication[x] to note medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter	Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationStatement.effective[x]	Add Type Timing
MedicationStatement.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.dosage	Max Cardinality changed from string * to Annotation 1 Type changed from Dosage to DosageDetails
MedicationStatement.adherence	Added Element
MedicationStatement.adherence.code	Added Mandatory Element
MedicationStatement.adherence.reason	Added Element
RiskAssessment.context MedicationStatement.basedOn	deleted Deleted
RiskAssessment.reason[x] MedicationStatement.statusReason	deleted Deleted
MedicationStatement.reasonCode	Deleted (-> reason.concept)
MedicationStatement.reasonReference	Deleted (-> reason.reference)
RiskEvidenceSynthesis MedicinalProductDefinition	Added Resource
Schedule MessageDefinition
Schedule.active MessageDefinition.versionAlgorithm[x]	Default Value "true" removed Added Element
Schedule.serviceCategory MessageDefinition.jurisdiction	Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/jurisdiction to * Jurisdiction ValueSet
MessageDefinition.copyrightLabel	Added Element
MessageDefinition.focus.code	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
MessageDefinition.graph	Deleted
SearchParameter MessageHeader
SearchParameter MessageHeader.event[x]	Add Type canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Max Add Type Reference(Endpoint)
MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to * 0 Add Type Reference(Endpoint)
MessageHeader.source.sender	Moved from MessageHeader to MessageHeader.source Type Reference: Added Target Types Device, Patient
SearchParameter.derivedFrom MessageHeader.response.identifier	Type changed from uri id to canonical(SearchParameter) Identifier
MessageHeader.destination.target	Deleted
MessageHeader.enterer	Deleted
MessageHeader.author	Deleted
MessageHeader.responsible	Deleted
MetadataResource
MetadataResource.usage	Added Element
MetadataResource.approvalDate	Added Element
MetadataResource.lastReviewDate	Added Element
MetadataResource.effectivePeriod	Added Element
MetadataResource.topic	Added Element
MetadataResource.author	Added Element
MetadataResource.editor	Added Element
MetadataResource.reviewer	Added Element
MetadataResource.endorser	Added Element
MetadataResource.relatedArtifact	Added Element
MetadataResource.url	Deleted (-> CanonicalResource.url)
MetadataResource.version	Deleted (-> CanonicalResource.version)
MetadataResource.name	Deleted (-> CanonicalResource.name)
MetadataResource.title	Deleted (-> CanonicalResource.title)
MetadataResource.status	Deleted (-> CanonicalResource.status)
MetadataResource.experimental	Deleted (-> CanonicalResource.experimental)
MetadataResource.date	Deleted (-> CanonicalResource.date)
MetadataResource.publisher	Deleted (-> CanonicalResource.publisher)
MetadataResource.contact	Deleted (-> CanonicalResource)
MetadataResource.description	Deleted (-> CanonicalResource.description)
MetadataResource.useContext	Deleted (-> CanonicalResource.useContext)
MetadataResource.jurisdiction	Deleted (-> CanonicalResource.jurisdiction)
NamingSystem
NamingSystem.url	Added Element
NamingSystem.identifier	Added Element
NamingSystem.version	Added Element
NamingSystem.versionAlgorithm[x]	Added Element
NamingSystem.title	Added Element
NamingSystem.experimental	Added Element
SearchParameter.status NamingSystem.type	Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Jurisdiction ValueSet
NamingSystem.purpose	Added Element
NamingSystem.copyright	Added Element
NamingSystem.copyrightLabel	Added Element
NamingSystem.approvalDate	Added Element
NamingSystem.lastReviewDate	Added Element
NamingSystem.effectivePeriod	Added Element
NamingSystem.topic	Added Element
NamingSystem.author	Added Element
NamingSystem.editor	Added Element
NamingSystem.reviewer	Added Element
NamingSystem.endorser	Added Element
NamingSystem.relatedArtifact	Added Element
SearchParameter.experimental NamingSystem.uniqueId.type	No longer marked as Modifier Add codes iri-stem , v2csmnemonic
NamingSystem.uniqueId.authoritative	Added Element
NutritionIntake	Added Resource
NutritionOrder
NutritionOrder.basedOn	Added Element
NutritionOrder.groupIdentifier	Added Element
SearchParameter.base NutritionOrder.status	Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 Remove codes revoked , completed Add code ended
SearchParameter.type NutritionOrder.intent	Change value set Remove codes original-order , reflex-order , filler-order , instance-order
NutritionOrder.priority	Added Element
NutritionOrder.subject	Renamed from http://hl7.org/fhir/ValueSet/search-param-type patient to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 subject Type Reference: Added Target Type Group
SearchParameter.xpathUsage NutritionOrder.supportingInformation	Change value set Added Element
NutritionOrder.requester	Renamed from http://hl7.org/fhir/ValueSet/search-xpath-usage orderer to http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.1 requester
NutritionOrder.performer	Added Element
NutritionOrder.outsideFoodAllowed	Added Element
SearchParameter.target NutritionOrder.oralDiet.schedule	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/resource-types * to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 1 Type changed from Timing to BackboneElement
SearchParameter.multipleOr NutritionOrder.oralDiet.schedule.timing	Added Element
SearchParameter.multipleAnd NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
SearchParameter.comparator NutritionOrder.oralDiet.nutrient.amount	Change value set Type changed from http://hl7.org/fhir/ValueSet/search-comparator Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to http://hl7.org/fhir/ValueSet/search-comparator|4.0.1 Quantity
NutritionOrder.oralDiet.texture.type	Renamed from foodType to type
NutritionOrder.oralDiet.caloricDensity	Added Element
SearchParameter.modifier NutritionOrder.supplement.type	Change value set Type changed from http://hl7.org/fhir/ValueSet/search-modifier-code CodeableConcept to http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.1 CodeableReference
SearchParameter.component.definition NutritionOrder.supplement.schedule	Max Cardinality changed from * to 1 Type changed from Reference(SearchParameter) Timing to canonical(SearchParameter) BackboneElement
ServiceRequest NutritionOrder.supplement.schedule.timing	Added Resource Element
Slot NutritionOrder.supplement.schedule.asNeeded	Added Element
NutritionOrder.supplement.schedule.asNeededFor	Added Element
Slot.serviceCategory NutritionOrder.supplement.quantity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.supplement.caloricDensity	Added Element
NutritionOrder.enteralFormula.type	Renamed from baseFormulaType to type Type changed from CodeableConcept to CodeableReference
NutritionOrder.enteralFormula.productName	Renamed from baseFormulaProductName to productName
NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
NutritionOrder.enteralFormula.caloricDensity	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.routeOfAdministration	Renamed from routeofAdministration to routeOfAdministration Max Cardinality changed from 1 to *
Slot.status NutritionOrder.enteralFormula.administration.schedule	Change value set Type changed from http://hl7.org/fhir/ValueSet/slotstatus Timing to http://hl7.org/fhir/ValueSet/slotstatus|4.0.1 BackboneElement
Specimen NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
Specimen.status NutritionOrder.enteralFormula.administration.quantity	Change value set Type changed from http://hl7.org/fhir/ValueSet/specimen-status Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 Quantity
Specimen.subject NutritionOrder.enteralFormula.administration.rate[x]	Min Cardinality Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.enteralFormula.maxVolumeToAdminister	Renamed from maxVolumeToDeliver to maxVolumeToAdminister Type changed from 1 Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to 0 Quantity
NutritionOrder.enteralFormula.administrationInstruction	Type changed from string to markdown
NutritionOrder.additive	Added Element
NutritionOrder.additive.modularType	Added Element
NutritionOrder.additive.productName	Added Element
NutritionOrder.additive.quantity	Added Element
NutritionOrder.additive.routeOfAdministration	Added Element
NutritionOrder.instantiatesCanonical	Deleted
NutritionOrder.instantiatesUri	Deleted
NutritionOrder.instantiates	Deleted
NutritionOrder.oralDiet.fluidConsistencyType	Deleted
NutritionOrder.enteralFormula.additiveType	Deleted
NutritionOrder.enteralFormula.additiveProductName	Deleted
NutritionProduct	Added Resource
Observation
Observation.basedOn	Type Reference: Removed Target Type ImmunizationRecommendation
Observation.triggeredBy	Added Element
Observation.triggeredBy.observation	Added Mandatory Element
Observation.triggeredBy.type	Added Mandatory Element
Observation.triggeredBy.reason	Added Element
Observation.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
Observation.performer	Type Location Reference: Added Target Types HealthcareService, Group
Specimen.request Observation.value[x]	Add Type Attachment
Observation.interpretationContext	Added Element
Observation.bodyStructure	Added Element
Observation.specimen	Type Reference: Added Target Type ServiceRequest Group
Observation.referenceRange.low	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Added Element
Observation.referenceRange.text	Type changed from string to markdown
Observation.hasMember	Type Reference: Removed Target Type ProcedureRequest MolecularSequence
Specimen.collection.collector Observation.derivedFrom	Type Reference: Added Target Type PractitionerRole ImagingSelection Type Reference: Removed Target Types Media, MolecularSequence
Observation.component.value[x]	Add Type Attachment
ObservationDefinition
Specimen.collection.duration ObservationDefinition.url	Added Element
ObservationDefinition.identifier	Max Cardinality changed from * to 1
ObservationDefinition.version	Added Element
Specimen.collection.fastingStatus[x] ObservationDefinition.versionAlgorithm[x]	Added Element
Specimen.condition ObservationDefinition.name	Added Element
SpecimenDefinition ObservationDefinition.title	Added Resource Element
ObservationDefinition.status	Added Mandatory Element
ObservationDefinition.experimental	Added Element
ObservationDefinition.date	Added Element
ObservationDefinition.publisher	Added Element
ObservationDefinition.contact	Added Element
ObservationDefinition.description	Added Element
ObservationDefinition.useContext	Added Element
ObservationDefinition.jurisdiction	Added Element
ObservationDefinition.purpose	Added Element
ObservationDefinition.copyright	Added Element
ObservationDefinition.copyrightLabel	Added Element
ObservationDefinition.approvalDate	Added Element
ObservationDefinition.lastReviewDate	Added Element
ObservationDefinition.effectivePeriod	Added Element
ObservationDefinition.derivedFromCanonical	Added Element
ObservationDefinition.derivedFromUri	Added Element
ObservationDefinition.subject	Added Element
ObservationDefinition.performerType	Added Element
ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Renamed from qualifiedInterval to qualifiedValue
ObservationDefinition.qualifiedValue.context	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.appliesTo	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Moved from ObservationDefinition.qualifiedInterval.gender to sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.age	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gestationalAge	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.condition	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.rangeCategory	Moved from ObservationDefinition.qualifiedInterval.category to rangeCategory
ObservationDefinition.qualifiedValue.range	Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.validCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.normalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.abnormalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.criticalCodedValueSet	Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.interpretation	Added Element
ObservationDefinition.hasMember	Added Element
ObservationDefinition.component	Added Element
ObservationDefinition.component.code	Added Mandatory Element
ObservationDefinition.component.permittedDataType	Added Element
ObservationDefinition.component.permittedUnit	Added Element
ObservationDefinition.component.qualifiedValue	Added Element
ObservationDefinition.quantitativeDetails	Deleted
StructureDefinition OperationDefinition
OperationDefinition.identifier	Added Element
OperationDefinition.versionAlgorithm[x]	Added Element
StructureDefinition.status OperationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Jurisdiction ValueSet
StructureDefinition.experimental OperationDefinition.copyright	No longer marked as Modifier Added Element
OperationDefinition.copyrightLabel	Added Element
OperationDefinition.synchronicity	Added Element
StructureDefinition.keyword OperationDefinition.resource	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add Binding codes http://hl7.org/fhir/ValueSet/definition-use ActorDefinition (extensible) , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition
OperationDefinition.parameter.scope	Added Element
StructureDefinition.fhirVersion OperationDefinition.parameter.min	Type changed from id integer to code unsignedInt
OperationDefinition.parameter.documentation	Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) Type changed from string to markdown
StructureDefinition.kind OperationDefinition.parameter.type	Change value set from http://hl7.org/fhir/ValueSet/structure-definition-kind http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.1 All FHIR Types Remove codes Address , Age , Annotation , Attachment , BackboneElement , CodeableConcept , Coding , ContactDetail , ContactPoint , Contributor , Count , DataRequirement , Distance , Dosage , Duration , Element , ElementDefinition , Expression , Extension , HumanName , Identifier , MarketingStatus , Meta , Money , MoneyQuantity , Narrative , ParameterDefinition , Period , Population , ProdCharacteristic , ProductShelfLife , Quantity , Range , Ratio , Reference , RelatedArtifact , SampledData , Signature , SimpleQuantity , SubstanceAmount , Timing , TriggerDefinition , UsageContext , base64Binary , boolean , canonical , code , date , dateTime , decimal , id , instant , integer , markdown , oid , positiveInt , string , time , unsignedInt , uri , url , uuid , xhtml , Account , ActivityDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Claim , ClaimResponse , ClinicalImpression , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceDefinition , DeviceMetric , DeviceRequest , DeviceUseStatement , DiagnosticReport , DocumentManifest , DocumentReference , DomainResource , EffectEvidenceSynthesis , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , InsurancePlan , Invoice , Library , Linkage , List , Location , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MessageDefinition , MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RelatedPerson , RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , Resource , RiskAssessment , RiskEvidenceSynthesis , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , Substance , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
StructureDefinition.context OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Remove codes structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code success
Organization
Organization.description	Added Element
Organization.contact	Type changed from string to BackboneElement to ExtendedContactDetail
StructureDefinition.context.type Organization.qualification	Added Mandatory Element
StructureDefinition.context.expression Organization.qualification.identifier	Added Element
Organization.qualification.code	Added Mandatory Element
Organization.qualification.status	Added Element
Organization.qualification.period	Added Element
Organization.qualification.issuer	Added Element
Organization.telecom	Deleted (-> Use contact.telecom to provide context of use)
Organization.address	Deleted (-> Use contact.address to provide context of use)
Organization.contact.purpose	Deleted (-> Organization.contact.purpose)
Organization.contact.name	Deleted (-> Organization.contact.name)
Organization.contact.telecom	Deleted (-> Organization.contact.telecom)
Organization.contact.address	Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact	Added Element
OrganizationAffiliation.telecom	Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition	Added Resource
Parameters
StructureDefinition.type Parameters.parameter.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type changed Contributor
Patient
Patient.contact.relationship	Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role	Added Element
Patient.contact.additionalName	Added Element
Patient.contact.additionalAddress	Added Element
Patient.communication.language	Change binding strength from code preferred to uri required Change value set from Common Languages to All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.statusReason	Added Element
PaymentNotice.reporter	Renamed from provider to reporter
StructureDefinition.baseDefinition PaymentNotice.payment	Type Min Cardinality changed from uri 1 to canonical(StructureDefinition) 0
PaymentReconciliation
PaymentReconciliation.type	Added Mandatory Element
PaymentReconciliation.statusReason	Added Element
PaymentReconciliation.kind	Added Element
PaymentReconciliation.enterer	Added Element
PaymentReconciliation.issuerType	Added Element
StructureDefinition.derivation PaymentReconciliation.paymentIssuer	Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome	Change value set from http://hl7.org/fhir/ValueSet/type-derivation-rule http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.1 Payment Outcome
StructureDefinition.contextType PaymentReconciliation.date	deleted Renamed from paymentDate to date
StructureMap PaymentReconciliation.location	Added Element
StructureMap PaymentReconciliation.method	Added Element
PaymentReconciliation.cardBrand	Added Element
PaymentReconciliation.accountNumber	Added Element
PaymentReconciliation.expirationDate	Added Element
PaymentReconciliation.processor	Added Element
PaymentReconciliation.referenceNumber	Added Element
PaymentReconciliation.authorization	Added Element
PaymentReconciliation.tenderedAmount	Added Element
PaymentReconciliation.returnedAmount	Added Element
PaymentReconciliation.amount	Renamed from paymentAmount to amount Min Cardinality changed from 1 to 0
PaymentReconciliation.allocation	Max Renamed from detail to allocation
PaymentReconciliation.allocation.identifier	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.predecessor	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.target	Moved from PaymentReconciliation.detail.request to target Type Reference: Added Target Types Claim, Account, Invoice, Encounter, Contract Type Reference: Removed Target Type Resource
PaymentReconciliation.allocation.targetItem[x]	Added Element
PaymentReconciliation.allocation.encounter	Added Element
PaymentReconciliation.allocation.account	Added Element
PaymentReconciliation.allocation.type	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Min Cardinality changed from 1 to * 0 Add Binding `http://hl7.org/fhir/ValueSet/payment-type` (extensible)
StructureMap.status PaymentReconciliation.allocation.submitter	Change value set Moved from http://hl7.org/fhir/ValueSet/publication-status PaymentReconciliation.detail to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 PaymentReconciliation.allocation
StructureMap.experimental PaymentReconciliation.allocation.response	No longer marked as Modifier Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Type Reference: Added Target Type ClaimResponse Type Reference: Removed Target Type Resource
StructureMap.structure.url PaymentReconciliation.allocation.date	Type changed Moved from uri PaymentReconciliation.detail to canonical(StructureDefinition) PaymentReconciliation.allocation
StructureMap.structure.mode PaymentReconciliation.allocation.responsible	Change value set Moved from http://hl7.org/fhir/ValueSet/map-model-mode PaymentReconciliation.detail to http://hl7.org/fhir/ValueSet/map-model-mode|4.0.1 PaymentReconciliation.allocation
PaymentReconciliation.allocation.payee	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.amount	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.noteNumber	Added Element
PaymentReconciliation.processNote.class	Added Element
PaymentReconciliation.processNote.number	Added Element
StructureMap.import PaymentReconciliation.processNote.text	Type changed from uri string to canonical(StructureMap) markdown
Person
Person.deceased[x]	Added Element
Person.maritalStatus	Added Element
StructureMap.group.typeMode Person.photo	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/map-group-type-mode 1 to http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.1 *
Person.communication	Added Element
Person.communication.language	Added Mandatory Element
Person.communication.preferred	Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
StructureMap.group.input.mode PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/map-input-mode http://hl7.org/fhir/ValueSet/plan-definition-type to http://hl7.org/fhir/ValueSet/map-input-mode|4.0.1 PlanDefinitionType
StructureMap.group.rule.source.defaultValue[x] PlanDefinition.subject[x]	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
StructureMap.group.rule.source.listMode PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/map-source-list-mode http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.1 Jurisdiction ValueSet
PlanDefinition.usage	Type changed from string to markdown
StructureMap.group.rule.source.logMessage PlanDefinition.copyrightLabel	Added Element
StructureMap.group.rule.target.contextType PlanDefinition.goal.target.detail[x]	Change value set Add Types string, boolean, integer, Ratio
PlanDefinition.actor	Added Element
PlanDefinition.actor.title	Added Element
PlanDefinition.actor.description	Added Element
PlanDefinition.actor.option	Added Mandatory Element
PlanDefinition.actor.option.type	Added Element
PlanDefinition.actor.option.typeCanonical	Added Element
PlanDefinition.actor.option.typeReference	Added Element
PlanDefinition.actor.option.role	Added Element
PlanDefinition.action.linkId	Added Element
PlanDefinition.action.description	Type changed from http://hl7.org/fhir/ValueSet/map-context-type string to http://hl7.org/fhir/ValueSet/map-context-type|4.0.1 markdown
StructureMap.group.rule.target.listMode PlanDefinition.action.textEquivalent	Change value set Type changed from http://hl7.org/fhir/ValueSet/map-target-list-mode string to http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.1 markdown
StructureMap.group.rule.target.transform PlanDefinition.action.code	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/map-transform * to http://hl7.org/fhir/ValueSet/map-transform|4.0.1 1
Subscription PlanDefinition.action.goalId	Type changed from id to string
Subscription.status PlanDefinition.action.subject[x]	Add Type canonical Change value set from http://hl7.org/fhir/ValueSet/subscription-status http://hl7.org/fhir/ValueSet/subject-type to http://hl7.org/fhir/ValueSet/subscription-status|4.0.1 Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Subscription.channel.type PlanDefinition.action.input	Change value set Type changed from http://hl7.org/fhir/ValueSet/subscription-channel-type DataRequirement to http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.1 BackboneElement
PlanDefinition.action.input.title	Added Element
PlanDefinition.action.input.requirement	Added Element
PlanDefinition.action.input.relatedData	Added Element
Subscription.channel.endpoint PlanDefinition.action.output	Type changed from uri DataRequirement to url BackboneElement
Subscription.channel.payload PlanDefinition.action.output.title	Added Element
PlanDefinition.action.output.requirement	Added Element
PlanDefinition.action.output.relatedData	Added Element
PlanDefinition.action.relatedAction.targetId	Renamed from actionId to targetId Type changed from id to string
PlanDefinition.action.relatedAction.relationship	Remove codes before-start , before-end , concurrent-with-start , concurrent-with-end , after-start , after-end
PlanDefinition.action.relatedAction.endRelationship	Added Element
PlanDefinition.action.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
PlanDefinition.action.location	Added Element
PlanDefinition.action.participant.actorId	Added Element
PlanDefinition.action.participant.type	Min Cardinality changed from 1 to 0 Remove code related-person Add Binding codes http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson (required)
Subscription.tag PlanDefinition.action.participant.typeCanonical	deleted Added Element
Substance PlanDefinition.action.participant.typeReference	Added Element
PlanDefinition.action.participant.function	Added Element
Substance.status PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/substance-status http://hl7.org/fhir/ValueSet/action-type to http://hl7.org/fhir/ValueSet/substance-status|4.0.1 ActionType
PlanDefinition.action.applicabilityBehavior	Added Element
PlanDefinition.asNeeded[x]	Added Element
Practitioner
Practitioner.active	Now marked as Modifier
Practitioner.deceased[x]	Added Element
Practitioner.qualification.status	Added Element
Substance.category Practitioner.communication	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/substance-category" CodeableConcept to "http://terminology.hl7.org/CodeSystem/substance-category" BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
SubstanceNucleicAcid Practitioner.communication.language	Added Resource Mandatory Element
SubstancePolymer Practitioner.communication.preferred	Added Resource Element
SubstanceProtein PractitionerRole
PractitionerRole.network	Added Resource Element
SubstanceReferenceInformation PractitionerRole.display	Added Resource Element
SubstanceSourceMaterial PractitionerRole.contact	Added Resource Element
SubstanceSpecification PractitionerRole.characteristic	Added Resource Element
PractitionerRole.communication	Added Element
PractitionerRole.availability	Added Element Changed to a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
PractitionerRole.telecom	Deleted (-> PractitionerRole.contact.telecom)
PractitionerRole.availableTime	Deleted (-> PractitionerRole.availability (now part of a datatype))
PractitionerRole.notAvailable	Deleted (-> PractitionerRole.availability.notAvailableTime (now part of a datatype))
PractitionerRole.availabilityExceptions	Deleted (-> PractitionerRole.availability.notAvailabileTime.description (now part of a datatype))
SupplyDelivery Procedure
SupplyDelivery.identifier Procedure.basedOn	Type Reference: Added Target Type MedicationRequest
Procedure.category	Max Cardinality changed from 1 to *
SupplyDelivery.status Procedure.subject	Change value set Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus	Added Element
Procedure.occurrence[x]	Renamed from http://hl7.org/fhir/ValueSet/supplydelivery-status performed[x] to http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.1 occurrence[x] Add Type Timing
Procedure.recorded	Added Element
Procedure.reported[x]	Renamed from asserter to reported[x] Add Type boolean
SupplyDelivery.type Procedure.performer.actor	Change value set Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.performer.period	Added Element
Procedure.reason	Added Element Merged both reasonCode and reasonReference into reason
Procedure.bodyStructure	Added Element
Procedure.outcome	Max Cardinality changed from http://hl7.org/fhir/ValueSet/supplydelivery-type 1 to http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.1 * Type changed from CodeableConcept to CodeableReference
SupplyDelivery.supplier Procedure.report	Type Reference: Added Target Type PractitionerRole Bundle
SupplyDelivery.receiver Procedure.complication	Type changed from CodeableConcept to CodeableReference Merged both Procedure.complication into the Procedure.complication.concept, and Procedure.complicationDetail into Procedure.complication.reference
Procedure.followUp	Type changed from CodeableConcept to CodeableReference
Procedure.used	Added Element
Procedure.supportingInfo	Added Element
Procedure.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
Procedure.reasonCode	Deleted (-> reason.concept)
Procedure.reasonReference	Deleted (-> reason.reference)
Procedure.complicationDetail	Deleted (-> Procedure.complication.reference)
Procedure.usedReference	Deleted (-> Procedure.used)
Procedure.usedCode	Deleted (-> Procedure.used)
Provenance
Provenance.recorded	Min Cardinality changed from 1 to 0
Provenance.authorization	Renamed from reason to authorization Type changed from CodeableConcept to CodeableReference Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
Provenance.why	Added Element
Provenance.activity	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-activity-type` (extensible)
Provenance.basedOn	Added Element
Provenance.patient	Added Element
Provenance.encounter	Added Element
Provenance.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/provenance-agent-type` (extensible)
Provenance.agent.who	Type Reference: Added Target Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Types CareTeam, Group, HealthcareService Type PractitionerRole Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
SupplyRequest Questionnaire
Questionnaire.versionAlgorithm[x]	Added Element
SupplyRequest.identifier Questionnaire.subjectType	Remove codes CatalogEntry , ChargeItem , ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , Media , MedicationKnowledge , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , MolecularSequence , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SubstanceSpecification , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition
Questionnaire.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Max Cardinality changed from 1 to *
SupplyRequest.status Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status http://hl7.org/fhir/ValueSet/item-type|4.0.0 to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.1 Questionnaire Useable Item Type Remove codes choice , open-choice Add code coding
SupplyRequest.priority Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
Questionnaire.item.disabledDisplay	Added Element
Questionnaire.item.answerConstraint	Added Element
Questionnaire.item.answerOption.value[x]	Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Questionnaire.item.initial.value[x]	Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
QuestionnaireResponse
QuestionnaireResponse.identifier	Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire	Min Cardinality changed from 0 to 1
QuestionnaireResponse.author	Type Reference: Added Target Type Group
QuestionnaireResponse.source	Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
QuestionnaireResponse.item.answer.value[x]	Min Cardinality changed from 0 to 1 Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization	Added Resource
RelatedPerson
RelatedPerson.role	Added Element
RelatedPerson.communication.language	Change binding strength from preferred to required Change value set from http://hl7.org/fhir/ValueSet/request-priority Common Languages to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
SupplyRequest.item[x] RequestOrchestration.identifier	Added Element
RequestOrchestration.instantiatesCanonical	Added Element
RequestOrchestration.instantiatesUri	Added Element
RequestOrchestration.basedOn	Added Element
RequestOrchestration.replaces	Added Element
RequestOrchestration.groupIdentifier	Added Element
RequestOrchestration.status	Added Mandatory Element
SupplyRequest.quantity RequestOrchestration.intent	Added Mandatory Element
SupplyRequest.parameter RequestOrchestration.priority	Added Element
SupplyRequest.parameter.code RequestOrchestration.code	Added Element
SupplyRequest.parameter.value[x] RequestOrchestration.subject	Added Element
SupplyRequest.requester RequestOrchestration.encounter	Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Added Element
SupplyRequest.supplier RequestOrchestration.authoredOn	Type Reference: Added Target Type HealthcareService Element
SupplyRequest.reasonCode RequestOrchestration.author	Added Element
SupplyRequest.reasonReference RequestOrchestration.reason	Added Element
RequestOrchestration.goal	Added Element
RequestOrchestration.note	Added Element
RequestOrchestration.action	Added Element
RequestOrchestration.action.linkId	Added Element
RequestOrchestration.action.prefix	Added Element
RequestOrchestration.action.title	Added Element
RequestOrchestration.action.description	Added Element
RequestOrchestration.action.textEquivalent	Added Element
RequestOrchestration.action.priority	Added Element
RequestOrchestration.action.code	Added Element
RequestOrchestration.action.documentation	Added Element
RequestOrchestration.action.goal	Added Element
RequestOrchestration.action.condition	Added Element
RequestOrchestration.action.condition.kind	Added Mandatory Element
RequestOrchestration.action.condition.expression	Added Element
RequestOrchestration.action.input	Added Element
RequestOrchestration.action.input.title	Added Element
RequestOrchestration.action.input.requirement	Added Element
RequestOrchestration.action.input.relatedData	Added Element
RequestOrchestration.action.output	Added Element
RequestOrchestration.action.output.title	Added Element
RequestOrchestration.action.output.requirement	Added Element
RequestOrchestration.action.output.relatedData	Added Element
RequestOrchestration.action.relatedAction	Added Element
RequestOrchestration.action.relatedAction.targetId	Added Mandatory Element
RequestOrchestration.action.relatedAction.relationship	Added Mandatory Element
RequestOrchestration.action.relatedAction.endRelationship	Added Element
RequestOrchestration.action.relatedAction.offset[x]	Added Element
RequestOrchestration.action.timing[x]	Added Element
RequestOrchestration.action.location	Added Element
RequestOrchestration.action.participant	Added Element
RequestOrchestration.action.participant.type	Added Element
RequestOrchestration.action.participant.typeCanonical	Added Element
RequestOrchestration.action.participant.typeReference	Added Element
RequestOrchestration.action.participant.role	Added Element
RequestOrchestration.action.participant.function	Added Element
RequestOrchestration.action.participant.actor[x]	Added Element
RequestOrchestration.action.type	Added Element
RequestOrchestration.action.applicabilityBehavior	Added Element
RequestOrchestration.action.groupingBehavior	Added Element
RequestOrchestration.action.selectionBehavior	Added Element
RequestOrchestration.action.requiredBehavior	Added Element
RequestOrchestration.action.precheckBehavior	Added Element
RequestOrchestration.action.cardinalityBehavior	Added Element
RequestOrchestration.action.resource	Added Element
RequestOrchestration.action.definition[x]	Added Element
RequestOrchestration.action.transform	Added Element
RequestOrchestration.action.dynamicValue	Added Element
RequestOrchestration.action.dynamicValue.path	Added Element
RequestOrchestration.action.dynamicValue.expression	Added Element
RequestOrchestration.action.action	Added Element
SupplyRequest.orderedItem RequestGroup.identifier	deleted Deleted
SupplyRequest.requester.agent RequestGroup.instantiatesCanonical	deleted Deleted
SupplyRequest.requester.onBehalfOf RequestGroup.instantiatesUri	deleted Deleted
SupplyRequest.reason[x] RequestGroup.basedOn	deleted Deleted
RequestGroup.replaces	Deleted
RequestGroup.groupIdentifier	Deleted
RequestGroup.status	Deleted
RequestGroup.intent	Deleted
RequestGroup.priority	Deleted
RequestGroup.code	Deleted
RequestGroup.subject	Deleted
RequestGroup.encounter	Deleted
RequestGroup.authoredOn	Deleted
RequestGroup.author	Deleted
RequestGroup.reasonCode	Deleted
RequestGroup.reasonReference	Deleted
RequestGroup.note	Deleted
RequestGroup.action	Deleted
Requirements	Added Resource
Task ResearchStudy
Task.instantiatesCanonical ResearchStudy.url	Added Element
Task.instantiatesUri ResearchStudy.version	Added Element
ResearchStudy.name	Added Element
ResearchStudy.label	Added Element
ResearchStudy.label.type	Added Element
ResearchStudy.label.value	Added Element
ResearchStudy.label.language	Added Element
ResearchStudy.citeAs	Added Element
ResearchStudy.relatesTo	Added Element
ResearchStudy.relatesTo.type	Added Mandatory Element
ResearchStudy.relatesTo.target[x]	Added Mandatory Element
ResearchStudy.date	Added Element
Task.status ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/task-status http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to http://hl7.org/fhir/ValueSet/task-status|4.0.1 PublicationStatus Now marked as Modifier Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn Add codes draft , retired , unknown
Task.intent ResearchStudy.primaryPurposeType	Change value set Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
ResearchStudy.studyDesign	Renamed from http://hl7.org/fhir/ValueSet/request-intent category to http://hl7.org/fhir/ValueSet/task-intent|4.0.1 studyDesign
Task.priority ResearchStudy.focus	Change value set Type changed from http://hl7.org/fhir/ValueSet/request-priority CodeableConcept to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 CodeableReference
Task.encounter ResearchStudy.region	Added Element
ResearchStudy.descriptionSummary	Added Element
Task.requester ResearchStudy.site	Type changed Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier	Added Element
ResearchStudy.associatedParty	Added Element
ResearchStudy.associatedParty.name	Added Element
ResearchStudy.associatedParty.role	Added Mandatory Element
ResearchStudy.associatedParty.period	Added Element
ResearchStudy.associatedParty.classifier	Added Element
ResearchStudy.associatedParty.party	Added Element
ResearchStudy.progressStatus	Added Element
ResearchStudy.progressStatus.state	Added Mandatory Element
ResearchStudy.progressStatus.actual	Added Element
ResearchStudy.progressStatus.period	Added Element
ResearchStudy.whyStopped	Renamed from BackboneElement reasonStopped to Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) whyStopped
ResearchStudy.recruitment	Added Element
ResearchStudy.recruitment.targetNumber	Added Element
ResearchStudy.recruitment.actualNumber	Added Element
ResearchStudy.recruitment.eligibility	Added Element
ResearchStudy.recruitment.actualGroup	Added Element
ResearchStudy.recruitment.description	Added Element
ResearchStudy.comparisonGroup	Added Element
ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.actualNumber	Added Element
ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.objective.description	Added Element
ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.objective.outcomeMeasure.summaryMeasure	Added Element
ResearchStudy.objective.outcomeMeasure.endpointAnalysisPlan	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.event	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.group	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.handling	Added Element
ResearchStudy.objective.outcomeMeasure.eventHandling.description	Added Element
ResearchStudy.result	Added Element
ResearchStudy.contact	Deleted
ResearchStudy.relatedArtifact	Deleted
ResearchStudy.location	Deleted
ResearchStudy.enrollment	Deleted
ResearchStudy.sponsor	Deleted (-> ResearchStudy.associatedPart.party (with role='sponsor'))
ResearchStudy.principalInvestigator	Deleted (-> ResearchStudy.associatedPart.party (with role='primary-investigator'))
ResearchStudy.arm	Deleted
ResearchSubject
Task.owner ResearchSubject.status	Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to PublicationStatus Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn Add codes draft , active , retired , unknown
ResearchSubject.subject	Renamed from individual to subject Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService Group, Specimen, Device, Medication, Substance, SubstanceDefinition, BiologicallyDerivedProduct
Task.location ResearchSubject.subjectState	Added Element
Task.reasonCode ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.subjectState.startDate	Added Mandatory Element
Task.reasonReference ResearchSubject.subjectState.endDate	Added Element
Task.insurance ResearchSubject.subjectState.reason	Added Element
ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.comparisonGroup	Added Element
Task.restriction.recipient ResearchSubject.consent	Max Cardinality changed from 1 to *
ResearchSubject.assignedArm	Deleted
ResearchSubject.actualArm	Deleted
Resource
Resource.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RiskAssessment
RiskAssessment.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
RiskAssessment.performer	Type Reference: Added Target Type PractitionerRole Types Patient, RelatedPerson
Task.input.value[x] RiskAssessment.reason	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Added Element Merged both reasonCode and reasonReference into reason
Task.output.value[x] RiskAssessment.prediction.probability[x]	Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Type Quantity
Task.definition[x] RiskAssessment.reasonCode	deleted Deleted (-> reason.concept)
Task.context RiskAssessment.reasonReference	deleted Deleted (-> reason.reference)
Task.requester.agent Schedule
Schedule.serviceType	deleted Type changed from CodeableConcept to CodeableReference
Task.requester.onBehalfOf Schedule.name	deleted Added Element
Task.reason Schedule.actor	deleted Type Reference: Added Target Type CareTeam
TerminologyCapabilities Schedule.comment	Added Resource Type changed from string to markdown
TestReport SearchParameter
SearchParameter.identifier	Added Element
SearchParameter.versionAlgorithm[x]	Added Element
SearchParameter.title	Added Element
TestReport.status SearchParameter.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/report-status-codes http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/report-status-codes|4.0.1 Jurisdiction ValueSet
SearchParameter.copyright	Added Element
SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	Added Element
TestReport.result SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/report-result-codes http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/report-result-codes|4.0.1 Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition
TestReport.participant.type SearchParameter.type	Add code resource
SearchParameter.processingMode	Renamed from xpathUsage to processingMode Change value set from http://hl7.org/fhir/ValueSet/report-participant-type http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to http://hl7.org/fhir/ValueSet/report-participant-type|4.0.1 Search Processing Mode Type Remove codes nearby , distance
SearchParameter.constraint	Added Element
TestReport.setup.action.operation.result SearchParameter.target	Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , CanonicalResource , ClinicalUseDefinition , DeviceAlert , DeviceAssociation , ImagingSelection , Ingredient , InsuranceProduct , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , BodySite , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DiagnosticOrder , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , Sequence , ServiceDefinition
TestReport.setup.action.assert.result SearchParameter.modifier	Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 Search Modifier All Codes Remove code ofType Add codes of-type , code-text , text-advanced , iterate , Account , ActivityDefinition , ActorDefinition , AdministrableProductDefinition , AdverseEvent , AllergyIntolerance , Appointment , AppointmentResponse , ArtifactAssessment , AuditEvent , Basic , Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , Claim , ClaimResponse , ClinicalUseDefinition , CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAlert , DeviceAssociation , DeviceDefinition , DeviceMetric , DeviceRequest , DiagnosticReport , DocumentReference , Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImplementationGuide , Ingredient , InsurancePlan , InsuranceProduct , Invoice , Library , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Parameters , Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RelatedPerson , RequestOrchestration , Requirements , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , Task , TerminologyCapabilities , ValueSet , VisionPrescription , BodySite , CatalogEntry , Conformance , DataElement , DeviceComponent , DeviceUseRequest , DeviceUseStatement , DiagnosticOrder , DocumentManifest , EffectEvidenceSynthesis , EligibilityRequest , EligibilityResponse , ExpansionProfile , ImagingManifest , ImagingObjectSelection , Media , MedicationOrder , MedicationUsage , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification , ViewDefinition
SearchParameter.xpath	Deleted (XPath removed due to lack of use and maintenance)
TestScript ServiceRequest
TestScript.status ServiceRequest.basedOn	Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Type Reference: Added Target Types DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
TestScript.experimental ServiceRequest.replaces	No longer marked as Modifier Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
TestScript.origin.profile ServiceRequest.status	Change Remove codes revoked , completed Add code system for extensibly bound ended
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from "http://hl7.org/fhir/testscript-profile-origin-types" CodeableConcept to "http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types" CodeableReference
TestScript.destination.profile ServiceRequest.orderDetail	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/testscript-profile-destination-types" CodeableConcept to "http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types" BackboneElement
ServiceRequest.orderDetail.parameterFocus[x]	Added Element
ServiceRequest.orderDetail.parameter	Added Mandatory Element
ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
TestScript.metadata.capability.required ServiceRequest.requester	Min Cardinality Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ServiceRequest.location	Added Element Merged both locationCode and locationReference into location
ServiceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
ServiceRequest.supportingInfo	Type changed from 0 Reference(Resource) to 1 CodeableReference
ServiceRequest.bodyStructure	Default Value "false" removed Added Element
TestScript.metadata.capability.validated ServiceRequest.patientInstruction	Min Max Cardinality changed from 0 to 1 to * Default Value "false" removed Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]	Added Element
ServiceRequest.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.locationCode	Deleted (-> ServiceRequest.location.concept)
ServiceRequest.locationReference	Deleted (-> ServiceRequest.location.reference)
ServiceRequest.reasonCode	Deleted (-> reason.concept)
ServiceRequest.reasonReference	Deleted (-> reason.reference)
ServiceRequest.bodySite	Deleted
Slot
TestScript.metadata.capability.capabilities Slot.serviceType	Type changed from Reference(CapabilityStatement) CodeableConcept to canonical(CapabilityStatement) CodeableReference
TestScript.fixture.autocreate Slot.appointmentType	Min Max Cardinality changed from 0 to 1 to *
Specimen
Specimen.subject	Default Value "false" removed Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
Specimen.combined	Added Element
Specimen.role	Added Element
Specimen.feature	Added Element
Specimen.feature.type	Added Mandatory Element
Specimen.feature.description	Added Mandatory Element
TestScript.fixture.autodelete Specimen.collection.collector	Min Cardinality Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from 0 CodeableConcept to 1 CodeableReference
Specimen.processing.method	Default Value "false" removed Renamed from procedure to method
Specimen.processing.performer	Added Element
Specimen.processing.device[x]	Added Element
TestScript.setup.action.operation.type Specimen.processing.additive	Change code system for extensibly bound codes Type changed from "http://hl7.org/fhir/testscript-operation-codes" Reference(Substance) to "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" CodeableReference
TestScript.setup.action.operation.resource Specimen.processing.time[x]	Change value set Add Type Duration
Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.accessionIdentifier	Deleted (-> Specimen.identifier (along with all the other identifiers))
Specimen.container.identifier	Deleted
Specimen.container.description	Deleted
Specimen.container.type	Deleted
Specimen.container.capacity	Deleted
Specimen.container.additive[x]	Deleted
SpecimenDefinition
SpecimenDefinition.url	Added Element
SpecimenDefinition.version	Added Element
SpecimenDefinition.versionAlgorithm[x]	Added Element
SpecimenDefinition.name	Added Element
SpecimenDefinition.title	Added Element
SpecimenDefinition.derivedFromCanonical	Added Element
SpecimenDefinition.derivedFromUri	Added Element
SpecimenDefinition.status	Added Mandatory Element
SpecimenDefinition.experimental	Added Element
SpecimenDefinition.subject[x]	Added Element
SpecimenDefinition.date	Added Element
SpecimenDefinition.publisher	Added Element
SpecimenDefinition.contact	Added Element
SpecimenDefinition.description	Added Element
SpecimenDefinition.useContext	Added Element
SpecimenDefinition.jurisdiction	Added Element
SpecimenDefinition.purpose	Added Element
SpecimenDefinition.copyright	Added Element
SpecimenDefinition.copyrightLabel	Added Element
SpecimenDefinition.approvalDate	Added Element
SpecimenDefinition.lastReviewDate	Added Element
SpecimenDefinition.effectivePeriod	Added Element
SpecimenDefinition.typeTested.container.description	Type changed from http://hl7.org/fhir/ValueSet/defined-types string to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 markdown
TestScript.setup.action.operation.accept SpecimenDefinition.typeTested.container.preparation	Change value set Type changed from http://hl7.org/fhir/ValueSet/content-type string to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 markdown
TestScript.setup.action.operation.contentType SpecimenDefinition.typeTested.requirement	Change value set Type changed from http://hl7.org/fhir/ValueSet/content-type string to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 markdown
SpecimenDefinition.typeTested.singleUse	Added Element
TestScript.setup.action.operation.encodeRequestUrl SpecimenDefinition.typeTested.handling.instruction	Min Cardinality Type changed from 0 string to 1 markdown
SpecimenDefinition.typeTested.testingDestination	Default Value "true" removed Added Element
StructureDefinition
TestScript.setup.action.operation.method StructureDefinition.versionAlgorithm[x]	Added Element
TestScript.setup.action.assert.direction StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/assert-direction-codes http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.1 Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
TestScript.setup.action.assert.contentType StructureDefinition.fhirVersion	Change value set from http://hl7.org/fhir/ValueSet/content-type to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.3.0 , 3.5.0 , 4.0.0 Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.3 , 3.5 , 4.0 , 4.1 , 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
TestScript.setup.action.assert.operator StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/assert-operator-codes http://hl7.org/fhir/ValueSet/defined-types to http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.1 All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
TestScript.setup.action.assert.requestMethod StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/http-operations http://hl7.org/fhir/ValueSet/jurisdiction to http://hl7.org/fhir/ValueSet/http-operations|4.0.1 Jurisdiction ValueSet
StructureMap.copyrightLabel	Added Element
StructureMap.const	Added Element
StructureMap.const.name	Added Element
StructureMap.const.value	Added Element
TestScript.setup.action.assert.resource StructureMap.group.typeMode	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/defined-types 1 to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 0 Remove code none
TestScript.setup.action.assert.response StructureMap.group.rule	Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/assert-response-code-types 1 to http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.1 0
TestScript.setup.action.assert.warningOnly StructureMap.group.rule.name	Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.min	Type changed from integer to 1 unsignedInt
StructureMap.group.rule.source.defaultValue	Default Value "false" removed Renamed from defaultValue[x] to defaultValue Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage
TestScript.rule StructureMap.group.rule.target.context	deleted Type changed from id to string
TestScript.ruleset StructureMap.group.rule.target.listMode	deleted Remove code collate Add code single
TestScript.setup.action.assert.rule StructureMap.group.rule.target.parameter.value[x]	deleted Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter	Renamed from variable to parameter Remove Type string
TestScript.setup.action.assert.ruleset StructureMap.group.rule.target.contextType	deleted Deleted (now implied by context)
ValueSet Subscription
ValueSet.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
ValueSet.experimental Subscription.name	No longer marked as Modifier Added Element
ValueSet.compose.include.concept.designation.language Subscription.status	Change binding strength from extensible to preferred Add code entered-in-error
ValueSet.compose.include.filter Subscription.topic	No longer marked as Modifier Added Mandatory Element
ValueSet.compose.include.filter.op Subscription.managingEntity	Change value set from http://hl7.org/fhir/ValueSet/filter-operator to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 Added Element
ValueSet.compose.include.filter.value Subscription.reason	Type Min Cardinality changed from code 1 to string 0
Subscription.filterBy	Added Element
Subscription.filterBy.resource	Added Element
Subscription.filterBy.filterParameter	Added Mandatory Element
Subscription.filterBy.comparator	Added Element
Subscription.filterBy.modifier	Added Element
Subscription.filterBy.value	Added Mandatory Element
Subscription.filterBy.event	Added Element
Subscription.channelType	Added Mandatory Element
Subscription.endpoint	Added Element
Subscription.parameter	Added Element
Subscription.parameter.name	Added Mandatory Element
Subscription.parameter.value	Added Mandatory Element
Subscription.heartbeatPeriod	Added Element
Subscription.timeout	Added Element
Subscription.contentType	Added Element
Subscription.content	Added Element
Subscription.maxCount	Added Element
Subscription.criteria	Deleted
Subscription.error	Deleted
Subscription.channel	Deleted
SubscriptionStatus	Added Resource
SubscriptionTopic	Added Resource
Substance
ValueSet.compose.include.valueSet Substance.code	Type changed from uri CodeableConcept to canonical(ValueSet) CodeableReference
ValueSet.expansion.identifier Substance.description	Min Cardinality Type changed from 1 string to 0 markdown
ValueSet.expansion.parameter.value[x] Substance.expiry	Add Type dateTime Added Element
ValueSet.expansion.contains.abstract Substance.quantity	Default Value "false" removed Added Element
ValueSet.expansion.contains.inactive Substance.instance	Default Value "false" removed Deleted (-> consider if this should be multiple Substance resource instances)
ValueSet.extensible Substance.ingredient	deleted Deleted
VerificationResult SubstanceDefinition	Added Resource
VisionPrescription Task
VisionPrescription.status Task.statusReason	Min Max Cardinality changed from 0 to 1 to * Change value set Type changed from http://hl7.org/fhir/ValueSet/fm-status CodeableConcept to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 CodeableReference
VisionPrescription.created Task.doNotPerform	Added Mandatory Element
VisionPrescription.patient Task.code	Min Cardinality changed from 0 to 1 Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
VisionPrescription.dateWritten Task.description	Min Cardinality Type changed from 0 string to 1 markdown
VisionPrescription.prescriber Task.focus	Min Max Cardinality changed from 0 to 1 to * Type changed from Reference(Resource) to BackboneElement
Task.focus.value[x]	Added Mandatory Element
Task.requestedPeriod	Added Element
Task.requester	Type Reference: Added Target Type PractitionerRole Group
VisionPrescription.lensSpecification Task.requestedPerformer	Added Mandatory Element
Task.owner	Type Reference: Added Target Type Group Type Reference: Removed Target Types HealthcareService, Device
VisionPrescription.lensSpecification.product Task.performer	Added Mandatory Element
VisionPrescription.lensSpecification.eye Task.performer.function	Added Element
Task.performer.actor	Added Mandatory Element
VisionPrescription.lensSpecification.sphere Task.reason	Added Element Merged both reasonCode and reasonReference into reason
Task.restriction.recipient	Type Reference: Added Target Type Device
Task.input.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.output.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
Task.instantiatesCanonical	Deleted
Task.instantiatesUri	Deleted
Task.performerType	Deleted (->Task.requestedPerformer.concept)
Task.reasonCode	Deleted (-> reason.concept)
Task.reasonReference	Deleted (-> reason.reference)
TerminologyCapabilities
TerminologyCapabilities.identifier	Added Element
VisionPrescription.lensSpecification.cylinder TerminologyCapabilities.versionAlgorithm[x]	Added Element
TerminologyCapabilities.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
VisionPrescription.lensSpecification.axis TerminologyCapabilities.copyrightLabel	Added Element
TerminologyCapabilities.implementation.description	Type changed from string to markdown
VisionPrescription.lensSpecification.prism TerminologyCapabilities.codeSystem.supplement	Added Element
VisionPrescription.lensSpecification.prism.amount TerminologyCapabilities.codeSystem.version.supplement	Added Element
TerminologyCapabilities.codeSystem.version.language	Add Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TerminologyCapabilities.codeSystem.content	Added Mandatory Element
VisionPrescription.lensSpecification.prism.base TerminologyCapabilities.supplements	Added Element
TerminologyCapabilities.supplements.globals	Added Element
TerminologyCapabilities.expansion.parameter.documentation	Type changed from string to markdown
TerminologyCapabilities.codeSearch	Remove codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion
TerminologyCapabilities.closure	Deleted
ValueSet
ValueSet.versionAlgorithm[x]	Added Element
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ValueSet.copyrightLabel	Added Element
ValueSet.approvalDate	Added Element
ValueSet.lastReviewDate	Added Element
ValueSet.effectivePeriod	Added Element
ValueSet.topic	Added Element
ValueSet.author	Added Element
ValueSet.editor	Added Element
ValueSet.reviewer	Added Element
ValueSet.endorser	Added Element
ValueSet.relatedArtifact	Added Element
ValueSet.compose.include.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ValueSet.compose.include.concept.designation.additionalUse	Added Element
ValueSet.compose.include.filter.op	Add codes child-of , descendent-leaf
ValueSet.compose.include.copyright	Added Element
ValueSet.compose.property	Added Element
ValueSet.expansion.next	Added Element
ValueSet.expansion.property	Added Element
ValueSet.expansion.property.code	Added Mandatory Element
VisionPrescription.lensSpecification.add ValueSet.expansion.property.uri	Added Element
VisionPrescription.lensSpecification.power ValueSet.expansion.contains.property	Added Element
VisionPrescription.lensSpecification.backCurve ValueSet.expansion.contains.property.code	Added Mandatory Element
VisionPrescription.lensSpecification.diameter ValueSet.expansion.contains.property.value[x]	Added Mandatory Element
VisionPrescription.lensSpecification.duration ValueSet.expansion.contains.property.subProperty	Added Element
VisionPrescription.lensSpecification.color ValueSet.expansion.contains.property.subProperty.code	Added Mandatory Element
VisionPrescription.lensSpecification.brand ValueSet.expansion.contains.property.subProperty.value[x]	Added Mandatory Element
VisionPrescription
VisionPrescription.lensSpecification.note VisionPrescription.basedOn	Added Element
VisionPrescription.reason[x] VisionPrescription.groupIdentifier	deleted Added Element
VisionPrescription.dispense VisionPrescription.priority	deleted Added Element
BodySite CatalogEntry	deleted Deleted
DataElement ChargeItem	deleted Deleted
DeviceComponent ChargeItemDefinition	deleted Deleted
EligibilityRequest ClinicalImpression	deleted Deleted
EligibilityResponse DeviceUseStatement	deleted Deleted
ExpansionProfile DocumentManifest	deleted Deleted
ImagingManifest EffectEvidenceSynthesis	deleted Deleted
ProcedureRequest GraphDefinition	deleted Deleted
ProcessRequest ImmunizationEvaluation	deleted Deleted
ProcessResponse ImmunizationRecommendation	deleted Deleted
ReferralRequest Linkage	deleted Deleted
Sequence Media	deleted Deleted
ServiceDefinition MedicationKnowledge	deleted Deleted
MedicinalProduct	Deleted
MedicinalProductAuthorization	Deleted
MedicinalProductContraindication	Deleted
MedicinalProductIndication	Deleted
MedicinalProductIngredient	Deleted
MedicinalProductInteraction	Deleted
MedicinalProductManufactured	Deleted
MedicinalProductPackaged	Deleted
MedicinalProductPharmaceutical	Deleted
MedicinalProductUndesirableEffect	Deleted
MolecularSequence	Deleted
RequestGroup	Deleted
ResearchDefinition	Deleted
ResearchElementDefinition	Deleted
RiskEvidenceSynthesis	Deleted
SubstanceNucleicAcid	Deleted
SubstancePolymer	Deleted
SubstanceProtein	Deleted
SubstanceReferenceInformation	Deleted
SubstanceSourceMaterial	Deleted
SubstanceSpecification	Deleted
SupplyDelivery	Deleted
SupplyRequest	Deleted
TestReport	Deleted
TestScript	Deleted
VerificationResult	Deleted