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

2.1.12 Differences from Release 4 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 R4 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 4, but changes are noted for Release 4 to Release 5)

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

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

This analysis is available for 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

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
DataRequirement.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
DataType	No Changes
Distance	No Changes
Dosage
Dosage.condition	Added Element
Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration	No Changes
Element	No Changes
ElementDefinition
ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add 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 descriptive
ElementDefinition.binding.additional.key	Added Element
ElementDefinition.binding.additional.purpose	Remove codes preferred , ui , starter , component Add codes current-extensible , best-practice , open
Expression	No Changes
ExtendedContactDetail	No Changes
Extension
Extension.value[x]	Add Type VirtualServiceDetail
HumanName
HumanName.use	Remove code maiden
Identifier	No Changes
MarketingStatus	No Changes
Meta	No Changes
MonetaryComponent
MonetaryComponent.type	Remove code deduction
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
ParameterDefinition.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
Period	No Changes
PrimitiveType	No Changes
ProductShelfLife	No Changes
Quantity	No Changes
Range	No Changes
Ratio	No Changes
RatioRange	No Changes
Reference	No Changes
RelatedArtifact
RelatedArtifact.type	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 1 to 0
Account.guarantor.account	Moved from Account.relatedAccount to 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)
ActivityDefinition
ActivityDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.kind	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
ActorDefinition
ActorDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActorDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|5.0.0 to Actor Definition Actor Type Add codes collective , other
ActorDefinition.category	Added Element
ActorDefinition.baseDefinition	Renamed from derivedFrom to baseDefinition
ActorDefinition.capabilities	Deleted
AdministrableProductDefinition
AdministrableProductDefinition.code	Added Element
AdministrableProductDefinition.property.value[x]	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 Reference(Condition | Observation) to CodeableReference
AdverseEvent.recorder	Type Reference: Removed Target Type ResearchSubject
AdverseEvent.participant.actor	Type Reference: Added Target Type Group Type Reference: Removed Target Type ResearchSubject
AdverseEvent.suspectEntity.instance	Renamed from instance[x] to instance Add Type CodeableReference Remove Types CodeableConcept, Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device | BiologicallyDerivedProduct | ResearchStudy)
AdverseEvent.suspectEntity.causality.author	Type Reference: Removed Target Type ResearchSubject
AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor	Type changed from BackboneElement to 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
AllergyIntolerance.recorder	Added Element Could be migrated from participant depending on participant.function
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)
ArtifactAssessment.relatesTo	Added Element
ArtifactAssessment.relatesTo.type	Added Mandatory Element
ArtifactAssessment.relatesTo.target[x]	Added Mandatory Element
ArtifactAssessment.content.author	Max Cardinality changed from 1 to *
ArtifactAssessment.content.relatesTo	Added Element
ArtifactAssessment.content.informationType	Deleted
ArtifactAssessment.content.relatedArtifact	Deleted
AuditEvent
AuditEvent.type	Renamed from category to type Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1
AuditEvent.subtype	Renamed from code to subtype Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to *
AuditEvent.basedOn	Type Reference: Added 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
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
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.collection.source	Deleted (-> collection.sourcePatient or collection.sourceOrganization depending on reference type)
BodyStructure
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.morphology	Moved from BodyStructure to BodyStructure.includedStructure
Bundle
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
CanonicalResource
CanonicalResource.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement
CapabilityStatement.actorDefinition	Added Element
CapabilityStatement.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.0.2 , 3.3.0 , 3.5.0 , 4.0.0 , 4.0.1 , 4.1.0 , 4.2.0 , 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
CapabilityStatement.format	Change value set from http://hl7.org/fhir/ValueSet/mimetypes|5.0.0 to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from 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 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
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.searchParam.type	Add code resource
CarePlan
CarePlan.status	Remove codes revoked , completed Add code ended
CarePlan.activity.plannedActivityReference	Type Reference: Removed Target Types ImmunizationRecommendation, SupplyRequest
CarePlan.instantiatesCanonical	Deleted
CarePlan.instantiatesUri	Deleted
CareTeam
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 coverage[x] to effective[x]
CareTeam.participant.supportingInfo	Added Element
Claim
Claim.statusReason	Added Element
Claim.subject	Renamed from patient to subject Type Reference: Added Target Type Group
Claim.prescription	Type Reference: Added Target Type ServiceRequest
Claim.originalPrescription	Type Reference: Added Target Type ServiceRequest
Claim.supportingInfo.subCategory	Added Element
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, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Claim.item.subject	Added Element
Claim.item.request	Type Reference: Removed Target Type SupplyRequest
Claim.careTeam.responsible	Deleted
ClaimResponse
ClaimResponse.statusReason	Added Element
ClaimResponse.subject	Renamed from patient to 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
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 CodeableReference
ClinicalUseDefinition.status	Now marked as Modifier
ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalUseDefinition.indication.intendedEffect	Max Cardinality changed from 1 to *
ClinicalUseDefinition.indication.undesirableEffect	Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.indication.otherTherapy.relationshipType	Added Mandatory Element
ClinicalUseDefinition.indication.otherTherapy.treatment	Added Mandatory Element
ClinicalUseDefinition.contraindication.indication	Remove Type Reference(ClinicalUseDefinition)
ClinicalUseDefinition.contraindication.management	Added Element
ClinicalUseDefinition.contraindication.otherTherapy	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
CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type Resource
Communication.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
CommunicationRequest
CommunicationRequest.status	Remove codes revoked , completed Add code ended
CommunicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
CommunicationRequest.requester	Type Reference: Added Target Type Group
CommunicationRequest.informationProvider	Type Reference: Added Target Type Group
CompartmentDefinition
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 codes DeviceAlert , InsuranceProduct
CompartmentDefinition.resource.documentation	Deleted
Composition
Composition.consent	Added Element
Composition.basedOn	Added Element
Composition.status	Remove codes preliminary , corrected , appended
Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.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
ConceptMap
ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ConceptMap.group.element.comment	Added 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
Condition
Condition.clinicalStatus	Remove codes recurrence , relapse , remission , resolved
Condition.verificationStatus	Remove codes provisional , differential
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
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 type
Consent.verification.verifiedWith	Type Reference: Added Target Type Group
Consent.verification.date	Renamed from verificationDate to date
Contract
Contract.author	Type Reference: Added Target Type RelatedPerson
Contract.term.text	Type changed from string to markdown
Coverage
Coverage.statusReason	Added Element
CoverageEligibilityRequest
CoverageEligibilityRequest.statusReason	Added Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
DetectedIssue
DetectedIssue.status	Add code unknown
DetectedIssue.severity	Type changed from code to 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
Device
Device.definition	Type changed from CodeableReference to canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifierSystem	Added Element
Device.status	Add code unknown
Device.name.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
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	Moved from Device.version to Device.deviceVersion
Device.deviceVersion.value	Moved from Device.version to Device.deviceVersion
Device.additive	Added Element
Device.additive.type	Added 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
DeviceAlert	Added Resource
DeviceAssociation
DeviceAssociation.relationship	Added Element
DeviceAssociation.status	Type changed from CodeableConcept to code Remove codes implanted , explanted , attached Add codes active , inactive
DeviceAssociation.statusReason	Change binding strength from required to extensible
DeviceAssociation.associationStatus	Added Element
DeviceAssociation.subject	Type Reference: Added Target Types BiologicallyDerivedProduct, CareTeam, Location, Medication, NutritionProduct, Organization, PractitionerRole, Specimen, Substance
DeviceAssociation.focus	Added Element
DeviceAssociation.category	Deleted
DeviceAssociation.operation	Deleted
DeviceDefinition
DeviceDefinition.url	Added Element
DeviceDefinition.version	Max Cardinality changed from * to 1 Type changed from BackboneElement to string
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
DeviceDefinition.contact	Type changed from ContactPoint to 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
DeviceDefinition.deviceName.type	Type changed from code to 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
DeviceDefinition.productionIdentifierInUDI	Type changed from code to 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)
DeviceMetric
DeviceMetric.status	Added Mandatory Element
DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceRequest
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.product[x]	Renamed from code to product[x] Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition) Remove Type CodeableReference
DeviceRequest.requester	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 instant to dateTime
DiagnosticReport.procedure	Added Element
DiagnosticReport.performer	Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Patient, RelatedPerson
DiagnosticReport.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
DiagnosticReport.recomendation	Added Element
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
DocumentReference.bodyStructure	Renamed from bodySite to bodyStructure
DocumentReference.date	Type changed from instant to dateTime
DocumentReference.author	Type Reference: Added Target Type Group
DocumentReference.attester.party	Type Reference: Added Target Type Group
DomainResource	No Changes
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
Endpoint
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 1 to *
EpisodeOfCare.diagnosis.use	Max Cardinality changed from 1 to *
EpisodeOfCare.subject	Renamed from patient to subject Type Reference: Added Target Type Group
EventDefinition
EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to 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
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
Evidence.variableDefinition.roleSubtype	Added Element
Evidence.variableDefinition.comparatorCategory	Added Element
Evidence.variableDefinition.directnessMatch	Remove Binding `http://terminology.hl7.org/ValueSet/directness` (extensible)
Evidence.synthesisType	Max Cardinality changed from 1 to * Remove Binding `http://terminology.hl7.org/ValueSet/synthesis-type` (extensible)
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 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 code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|5.0.0` (required)
Evidence.statistic.modelCharacteristic.attribute	Renamed from attributeEstimate to attribute
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/jurisdiction to Jurisdiction ValueSet
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|5.0.0 to Actor Definition Actor Type Add codes collective , other
ExampleScenario.actor.definition	Added Element
ExampleScenario.process.step.operation.type	Change value set from http://hl7.org/fhir/ValueSet/testscript-operation-codes to Example Scenario Operation Code
ExplanationOfBenefit
ExplanationOfBenefit.statusReason	Added Element
ExplanationOfBenefit.subject	Renamed from patient to subject Type Reference: Added Target Type Group
ExplanationOfBenefit.related.claim	Type Reference: Added Target Type ExplanationOfBenefit
ExplanationOfBenefit.prescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest
ExplanationOfBenefit.originalPrescription	Type Reference: Added Target Types DeviceRequest, ServiceRequest, VisionPrescription
ExplanationOfBenefit.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 string to markdown
ExplanationOfBenefit.careTeam.responsible	Deleted
FamilyMemberHistory
FamilyMemberHistory.recorder	Added Element Could be migrated from participant depending on participant.function
FamilyMemberHistory.asserter	Added Element 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
Flag.supportingInfo	Added Element
Goal
Goal.lifecycleStatus	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 1 to * Type changed from string to CodeableConcept
Goal.recorder	Added Element
Goal.source	Type Reference: Added Target Type Group
Goal.addresses	Type Reference: Added Target Type NutritionIntake
Goal.outcome	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.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	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 Medication, MedicinalProductDefinition, Substance, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Added Element
Group.active	Deleted
GuidanceResponse
GuidanceResponse.location	Added Element
GuidanceResponse.result	Type Reference: Removed Target Types ImmunizationRecommendation, SupplyRequest
HealthcareService
HealthcareService.eligibility.value[x]	Added Element
HealthcareService.eligibility.period	Added Element
HealthcareService.referralRequired	Added Element
HealthcareService.availability	Max Cardinality changed from * to 1
ImagingSelection
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
ImagingStudy
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	Deleted
ImagingStudy.series.laterality	Deleted
Immunization
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	Type changed from string to CodeableConcept
ImplementationGuide
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
Ingredient	No Changes
InsurancePlan
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)
InsuranceProduct	Added Resource
Invoice
Invoice.period[x]	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
Library
Library.type	Change value set from http://hl7.org/fhir/ValueSet/library-type to LibraryType
Library.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
List
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 * to 1
ManufacturedItemDefinition
ManufacturedItemDefinition.property.value[x]	Add Type Range
Measure
Measure.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Measure.reportingFrequency	Added Element
Measure.group.title	Added Element
Measure.group.type	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
Measure.group.improvementNotationGuidance	Added Element
Measure.group.population.title	Added Element
Measure.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
Measure.group.population.aggregateMethod	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"
Measure.group.stratifier.title	Added Element
Measure.group.stratifier.component.valueSet	Added Element
Measure.group.stratifier.component.unit	Added Element
Measure.supplementalData.usage	Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
Measure.supplementalData.valueSet	Added Element
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
MeasureReport.reporter	Type Reference: Removed Target Type Group
MeasureReport.location	Max Cardinality changed from 1 to *
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
MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MeasureReport.group.population.description	Added Element
MeasureReport.group.population.countQuantity	Added Element
MeasureReport.group.measureScore[x]	Add Types boolean, Ratio
MeasureReport.group.stratifier.title	Added Element
MeasureReport.group.stratifier.description	Added Element
MeasureReport.group.stratifier.stratum.component.description	Added Element
MeasureReport.group.stratifier.stratum.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x]	Add Types boolean, Ratio
MeasureReport.scoring	Deleted
MeasureReport.improvementNotation	Deleted
Medication
Medication.packageSize	Added Element
Medication.packageSize.numberOfItems	Added Element
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
Medication.definition	Type Reference: Added Target Types MedicinalProductDefinition, AdministrableProductDefinition, PackagedProductDefinition, ManufacturedItemDefinition Type Reference: Removed Target Type MedicationKnowledge
Medication.totalVolume	Deleted
MedicationAdministration
MedicationAdministration.occurrence[x]	Renamed from occurence[x] to occurrence[x]
MedicationDispense
MedicationDispense.status	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 * to 1 Type changed from Dosage to DosageDetails
MedicationDispense.doseAdministrationAid	Added Element
MedicationDispense.renderedDosageInstruction	Deleted (-> dosageInstruction.renderedInstruction)
MedicationRequest
MedicationRequest.basedOn	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 * to 1 Type changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenserInstruction	Type changed from Annotation to CodeableConcept
MedicationRequest.dispenseRequest.destination	Added Element
MedicationRequest.renderedDosageInstruction	Deleted
MedicationStatement
MedicationStatement.author	Added Element
MedicationStatement.informationSource	Type Reference: Added Target Types Device, Group
MedicationStatement.dosage	Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationStatement.renderedDosageInstruction	Deleted (-> dosageInstruction.renderedInstruction)
MedicinalProductDefinition
MedicinalProductDefinition.characteristic.value[x]	Add Type Range
MessageDefinition
MessageDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MessageDefinition.focus.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 codes DeviceAlert , InsuranceProduct
MessageDefinition.graph	Deleted
MessageHeader
MessageHeader.event[x]	Add Type uri
MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Patient, RelatedPerson
MessageHeader.source.sender	Moved from MessageHeader to MessageHeader.source Type Reference: Added Target Type Patient
MessageHeader.destination.target	Deleted
MessageHeader.author	Deleted
MessageHeader.responsible	Deleted
MetadataResource
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
NutritionIntake.nutritionItem.type	Added Element
NutritionIntake.nutritionItem.nutritionProduct	Added Element
NutritionIntake.nutritionItem.consumedItem	Added Element
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
NutritionIntake.performer.actor	Type Reference: Added Target Type Group
NutritionIntake.instantiatesCanonical	Deleted
NutritionIntake.instantiatesUri	Deleted
NutritionIntake.consumedItem	Deleted
NutritionIntake.ingredientLabel	Deleted
NutritionOrder
NutritionOrder.basedOn	Type Reference: Added Target Type 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
NutritionOrder.oralDiet.caloricDensity	Added Element
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
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 CodeableConcept, canonical(DeviceDefinition) Remove Type CodeableReference
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 Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.administration.rate[x]	Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.enteralFormula.maxVolumeToAdminister	Renamed from maxVolumeToDeliver to maxVolumeToAdminister Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
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.additive	Deleted
NutritionProduct
NutritionProduct.manufacturer	Type Reference: Added Target Type RelatedPerson
NutritionProduct.nutrient.item	Min Cardinality changed from 0 to 1
NutritionProduct.nutrient.amount[x]	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
NutritionProduct.knownAllergen	Deleted (-> coded allergens can be mapped to ingredient.item and ingredient.allergen)
Observation
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 Reference(BodyStructure) to 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/jurisdiction to Jurisdiction ValueSet
ObservationDefinition.bodyStructure	Renamed from bodySite to bodyStructure Type changed from CodeableConcept to CodeableReference
ObservationDefinition.device[x]	Renamed from device to device[x] Max Cardinality changed from * to 1 Add Type canonical(DeviceDefinition)
ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Renamed from gender to sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.interpretation	Added Element
OperationDefinition
OperationDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
OperationDefinition.synchronicity	Added Element
OperationDefinition.resource	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 , 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 1 to 0
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/plan-definition-type to PlanDefinitionType
PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
PlanDefinition.actor.option.typeCanonical	Type canonical: Added Target Types ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
PlanDefinition.actor.option.typeReference	Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type Reference: Removed Target Types DeviceDefinition, Group
PlanDefinition.action.goalId	Type changed from id to string
PlanDefinition.action.input.relatedData	Type 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 ActorDefinition, DeviceDefinition, Group, SpecimenDefinition, StructureDefinition
PlanDefinition.action.participant.typeReference	Type Reference: Added Target Types BiologicallyDerivedProduct, Medication, MedicinalProductDefinition, Specimen, Substance, SubstanceDefinition Type Reference: Removed Target Types DeviceDefinition, Group
PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
PlanDefinition.action.applicabilityBehavior	Added Element
Practitioner
Practitioner.deceased[x]	Now marked as Modifier
Practitioner.qualification.status	Added Element
PractitionerRole
PractitionerRole.network	Added Element
PractitionerRole.display	Added Element
PractitionerRole.availability	Max Cardinality changed from * to 1
Procedure
Procedure.basedOn	Type Reference: Added Target Type MedicationRequest
Procedure.focus	Now marked as Modifier
Procedure.bodyStructure	Added Element
Procedure.outcome	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Procedure.report	Type Reference: Added Target Type Bundle
Procedure.followUp	Type changed from CodeableConcept to CodeableReference
Procedure.instantiatesCanonical	Deleted
Procedure.instantiatesUri	Deleted
Provenance
Provenance.why	Added Element
Provenance.basedOn	Type Reference: Added Target Type Resource Type Reference: Removed Target Types CarePlan, DeviceRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest, Task
Provenance.agent.who	Type Reference: Added Target Types Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Types Group, HealthcareService
Questionnaire
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/jurisdiction to Jurisdiction ValueSet
Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|5.0.0 to Questionnaire Useable Item Type Remove code question
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 Target Type Group
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
RegulatedAuthorization
RegulatedAuthorization.status	Now marked as Modifier
RelatedPerson
RelatedPerson.role	Added Element
RequestOrchestration
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 Reference: Removed Target Types DeviceDefinition, Group
RequestOrchestration.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
RequestOrchestration.action.applicabilityBehavior	Added Element
Requirements
Requirements.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Requirements.imports	Added Element
Requirements.imports.reference	Added Mandatory Element
Requirements.imports.key	Added Element
Requirements.actor	Type changed from canonical(ActorDefinition) to BackboneElement
Requirements.actor.reference	Added Mandatory Element
Requirements.actor.key	Added Element
Requirements.statement.conformance	Add code SHALL-NOT
Requirements.statement.category	Added Element
Requirements.statement.derivedFrom	Type changed from string to BackboneElement
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
ResearchStudy.label.type	Remove Binding `http://hl7.org/fhir/ValueSet/title-type` (extensible)
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.region	Remove Binding `http://hl7.org/fhir/ValueSet/jurisdiction` (extensible)
ResearchStudy.associatedParty.role	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	Type 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
ResearchStudy.relatedArtifact	Deleted
ResearchStudy.comparisonGroup.linkId	Deleted
ResearchStudy.comparisonGroup.name	Deleted
ResearchStudy.comparisonGroup.type	Deleted
ResearchStudy.comparisonGroup.intendedExposure	Deleted
ResearchStudy.outcomeMeasure	Deleted
ResearchSubject
ResearchSubject.subject	Type Reference: Added Target Type SubstanceDefinition
ResearchSubject.subjectState	Renamed from progress to subjectState (when progress.type=state)
ResearchSubject.subjectState.code	Moved from ResearchSubject.progress.subjectState to 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)
ResearchSubject.subjectState.startDate	Moved from ResearchSubject.progress to 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
ResearchSubject.subjectMilestone.date	Added Element map from ResearchSubject.subjectState.endDate, when progress.type=milestone
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
RiskAssessment
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/jurisdiction to Jurisdiction ValueSet
SearchParameter.aliasCode	Added Element
SearchParameter.base	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.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/search-modifier-code|5.0.0 to 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
ServiceRequest
ServiceRequest.basedOn	Type Reference: Added Target Types DocumentReference, RequestOrchestration, NutritionOrder, DocumentReference
ServiceRequest.replaces	Type Reference: Added Target Types MedicationRequest, RequestOrchestration, CarePlan, DeviceRequest, CommunicationRequest, NutritionOrder, VisionPrescription
ServiceRequest.status	Remove codes revoked , completed Add code ended
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.orderDetail.parameterFocus[x]	Renamed from parameterFocus to parameterFocus[x] Add Types CodeableConcept, Reference(Device | DeviceRequest | Medication | MedicationRequest | BiologicallyDerivedProduct | Substance | SubstanceDefinition | MedicinalProductDefinition), canonical(DeviceDefinition) Remove Type CodeableReference
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ServiceRequest.bodyStructure	Type changed from Reference(BodyStructure) to CodeableReference
ServiceRequest.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.bodySite	Deleted
Slot	No Changes
Specimen
Specimen.subject	Type Reference: Added Target Type NutritionProduct
Specimen.collection.collector	Type Reference: Added Target Type Organization
Specimen.collection.device[x]	Renamed from device to device[x] Add Types CodeableConcept, Reference(Device), canonical(DeviceDefinition) Remove Type CodeableReference
Specimen.processing.performer	Added Element
Specimen.processing.device[x]	Added Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.device[x]	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/jurisdiction to Jurisdiction ValueSet
StructureDefinition
StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
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/jurisdiction to Jurisdiction ValueSet
StructureMap.group.rule.source.min	Type changed from integer to unsignedInt
Subscription
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/jurisdiction to 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
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
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 value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TerminologyCapabilities.implementation.description	Type changed from string to markdown
TerminologyCapabilities.codeSystem.supplement	Added Element
TerminologyCapabilities.codeSystem.version.supplement	Added Element
TerminologyCapabilities.codeSystem.version.language	Change value set from http://hl7.org/fhir/ValueSet/languages|5.0.0 to 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
TerminologyCapabilities.expansion.parameter.documentation	Type changed from string to markdown
TerminologyCapabilities.closure	Deleted
ValueSet
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ValueSet.compose.include.copyright	Type changed from string to 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

Extension.url MarketingStatus.country Min Cardinality changed from 1 to 0 MarketingStatus.dateRange SampledData.period Deleted (-> interval) AdverseEvent.recorder Type Reference: Added Target Type ResearchSubject AllergyIntolerance.participant Added Element AllergyIntolerance.recorder Deleted (-> participant.actor) AllergyIntolerance.asserter Deleted (-> participant.actor) Basic CarePlan CarePlan.activity.plannedActivityReference Renamed from reference to plannedActivityReference Type Reference: Added Target Types RequestOrchestration, ImmunizationRecommendation, SupplyRequest Type Reference: Removed Target Type RequestGroup CarePlan.activity.outcomeCodeableConcept Deleted (-> CarePlan.activity.performedActivity) CarePlan.activity.outcomeReference Deleted (-> CarePlan.activity.performedActivity) CarePlan.activity.detail Deleted (-> CarePlan.activity.plannedActivityReference) CareTeam ChargeItemDefinition ConceptMap.group.unmapped.otherMap Renamed from url to otherMap Contract Device.status Remove code unknown DeviceUsage Moved from DeviceUseStatement to DeviceUsage DeviceUsage.status Change value set from http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0 to Device Usage Status Add code not-done DeviceUsage.category Added Element Evidence.shortTitle Deleted Evidence.subtitle Deleted Evidence.jurisdiction Deleted Evidence.effectivePeriod Deleted Evidence.topic Deleted Evidence.exposureBackground Deleted Evidence.exposureVariant Deleted Evidence.outcome Deleted EvidenceReport Added Resource EvidenceVariable ExampleScenario Immunization.reaction.detail Deleted ImmunizationEvaluation.description Type changed from string to markdown ImmunizationEvaluation.doseNumber ImmunizationRecommendation Measure.subject[x] Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types" MeasureReport Medication MedicationDispense MedicationKnowledge MetadataResource MolecularSequence NamingSystem NutritionOrder Observation ObservationDefinition.qualifiedInterval Deleted Substance SubstancePolymer SubstanceReferenceInformation SupplyDelivery SupplyRequest Task TestScript

Types
Address	No Changes
Age
Age	Change max value set from All UCUM Expression for Time to none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
Attachment.size	Type changed from unsignedInt to integer64
Attachment.height	Added Element
Attachment.width	Added Element
Attachment.frames	Added Element
Attachment.duration	Added Element
Attachment.pages	Added Element
Availability	Added Type
BackboneElement	No Changes
BackboneType	Added Type
Base	Added Type
CodeableConcept	No Changes
CodeableReference	Added Type No Changes
Coding	No Changes
ContactDetail	No Changes
ContactPoint	No Changes
Contributor No Changes Count	No Changes
DataRequirement
DataRequirement.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 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 , SimpleQuantity ProductShelfLife , SubstanceAmount Quantity , CatalogEntry Range , DeviceUseStatement Ratio , DocumentManifest RatioRange , EffectEvidenceSynthesis Reference , Media RelatedArtifact , MedicinalProduct SampledData , MedicinalProductAuthorization Signature , MedicinalProductContraindication SimpleQuantity , MedicinalProductIndication Timing , MedicinalProductIngredient TriggerDefinition , MedicinalProductInteraction UsageContext , MedicinalProductManufactured base64Binary , MedicinalProductPackaged boolean , MedicinalProductPharmaceutical canonical , MedicinalProductUndesirableEffect code , RequestGroup date , ResearchDefinition dateTime , ResearchElementDefinition decimal , RiskEvidenceSynthesis id , SubstanceSpecification instant , Type integer , Any markdown Add codes , Base oid , DataType positiveInt , Availability string , BackboneType time , CodeableReference unsignedInt , ExtendedContactDetail uri , MonetaryComponent url , PrimitiveType uuid , integer64 xhtml , RatioRange Resource , VirtualServiceDetail Binary , ActorDefinition Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , ArtifactAssessment AdverseEvent , BiologicallyDerivedProductDispense AllergyIntolerance , CanonicalResource Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , ConditionDefinition CodeSystem , DeviceAssociation Communication , DeviceDispense CommunicationRequest , DeviceUsage CompartmentDefinition , EncounterHistory 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 , FormularyItem EvidenceVariable , GenomicStudy ExampleScenario , ImagingSelection ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InventoryItem InsurancePlan , InventoryReport Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MetadataResource MessageDefinition , NutritionIntake MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Permission Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RequestOrchestration RelatedPerson , Requirements RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , TestPlan SupplyDelivery , Transport SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
DataRequirement.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter	Added Element
DataRequirement.valueFilter.path	Added Element
DataRequirement.valueFilter.searchParam	Added Element
DataRequirement.valueFilter.comparator	Added Element
DataRequirement.valueFilter.value[x]	Added Element
DataType	Added Type
Distance
Distance	Change max value set from All UCUM Expression for Distance to none
Dosage
Dosage.condition	Added Element
Dosage.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Max Cardinality changed from 1 to * Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration
Duration	Change max value set from All UCUM Expression for Time to none
Element
Element.id	No Changes Type changed from id to string
ElementDefinition
ElementDefinition.slicing.discriminator.type	Add code position
ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/fhir-element-types to Element Definition Types
ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.minValue[x]	Add Type integer64
ElementDefinition.maxValue[x]	Add Type integer64
ElementDefinition.constraint.requirements	Type changed from string to markdown
ElementDefinition.constraint.suppress	Added Element
ElementDefinition.mustHaveValue	Added Element
ElementDefinition.valueAlternatives	Added Element
ElementDefinition.binding.strength	Add code descriptive
ElementDefinition.binding.description	Type changed from string to markdown
ElementDefinition.binding.additional	Added Element
ElementDefinition.binding.additional.key	Added Element
ElementDefinition.binding.additional.purpose	Added Mandatory Element
ElementDefinition.binding.additional.valueSet	Added Mandatory Element
ElementDefinition.binding.additional.documentation	Added Element
ElementDefinition.binding.additional.shortDoco	Added Element
ElementDefinition.binding.additional.usage	Added Element
ElementDefinition.binding.additional.any	Added Element
ElementDefinition.mapping.comment	Type changed from string to markdown
ElementDefinition.constraint.xpath	Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name	Type changed from id to code
Expression.language	Min Cardinality changed from 1 to 0 Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt Mime Types to none Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail	Added Type
Extension	Type changed from string to uri
Extension.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.use	No Changes Remove code maiden
Identifier	No Changes
MarketingStatus	Min Cardinality changed from 1 to 0 No Changes
Meta	No Changes
MonetaryComponent	Added Type
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
ParameterDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 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 , SimpleQuantity ProductShelfLife , SubstanceAmount Quantity , CatalogEntry Range , DeviceUseStatement Ratio , DocumentManifest RatioRange , EffectEvidenceSynthesis Reference , Media RelatedArtifact , MedicinalProduct SampledData , MedicinalProductAuthorization Signature , MedicinalProductContraindication SimpleQuantity , MedicinalProductIndication Timing , MedicinalProductIngredient TriggerDefinition , MedicinalProductInteraction UsageContext , MedicinalProductManufactured base64Binary , MedicinalProductPackaged boolean , MedicinalProductPharmaceutical canonical , MedicinalProductUndesirableEffect code , RequestGroup date , ResearchDefinition dateTime , ResearchElementDefinition decimal , RiskEvidenceSynthesis id , SubstanceSpecification instant , Type integer , Any markdown Add codes , Base oid , DataType positiveInt , Availability string , BackboneType time , CodeableReference unsignedInt , ExtendedContactDetail uri , MonetaryComponent url , PrimitiveType uuid , integer64 xhtml , RatioRange Resource , VirtualServiceDetail Binary , ActorDefinition Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , ArtifactAssessment AdverseEvent , BiologicallyDerivedProductDispense AllergyIntolerance , CanonicalResource Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , ConditionDefinition CodeSystem , DeviceAssociation Communication , DeviceDispense CommunicationRequest , DeviceUsage CompartmentDefinition , EncounterHistory 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 , FormularyItem EvidenceVariable , GenomicStudy ExampleScenario , ImagingSelection ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InventoryItem InsurancePlan , InventoryReport Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MetadataResource MessageDefinition , NutritionIntake MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Permission Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RequestOrchestration RelatedPerson , Requirements RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , TestPlan SupplyDelivery , Transport SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
Period	No Changes
PrimitiveType	Added Type
ProductShelfLife
ProductShelfLife.type	Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]	Renamed from period to period[x] Min Cardinality changed from 1 to 0 Add Types Duration, string Remove Type Quantity
ProductShelfLife.identifier	Deleted (removed, not needed)
Quantity
Quantity.comparator	Add code ad
Range	No Changes
Ratio
Ratio.denominator	Type changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange	Added Type No Changes
Reference
Reference.type	Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.type	Add codes code part-of , amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as RelatedArtifact.classifier Added Element
RelatedArtifact.resourceReference	Added Element
RelatedArtifact.publicationStatus RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.publicationDate RelatedArtifact.url	Added Element Deleted (-> document)
RelatedArtifact.url RelativeTime	Deleted (-> document) Added Type
SampledData
SampledData.interval	Added Element Renamed from period to 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
Signature.when	Min Cardinality changed from 1 to 0
Signature.who	Min Cardinality changed from 1 to 0
SimpleQuantity	No Changes
Timing
Timing.repeat.startOffset	Added Element
Timing.repeat.endOffset	Added Element
Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType
VirtualServiceDetail	Added Type
base64Binary	(No Changes)
boolean	(No Changes)
canonical	(No Changes)
code	(No Changes)
date	(No Changes)
dateTime	(No Changes)
decimal	(No Changes)
id	(No Changes)
instant	(No Changes)
integer	(No Changes)
integer64	Added Type
markdown	(No Changes)
oid	(No Changes)
positiveInt	(No Changes)
string	(No Changes)
time	(No Changes)
unsignedInt	(No Changes)
uri	(No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Population Contributor	Deleted
ProdCharacteristic Population	Deleted
SubstanceAmount ProdCharacteristic	Deleted (removed, content merged with the resources that used it)
Resources
Account
Account.billingStatus	Added Element
Account.covers	Added Element
Account.description	Type changed from string to markdown
Account.guarantor.party	Min Cardinality changed from 1 to 0
Account.diagnosis Account.guarantor.account	Added Element
Account.diagnosis.sequence Account.guarantor.responsibility	Added Element
Account.diagnosis.condition Account.guarantor.limit	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis Account.guarantor.rank	Added Element
Account.diagnosis.type Account.diagnosis	Added Element
Account.diagnosis.onAdmission Account.diagnosis.sequence	Added Element
Account.diagnosis.packageCode Account.diagnosis.condition	Added Mandatory Element
Account.procedure Account.diagnosis.dateOfDiagnosis	Added Element
Account.procedure.sequence Account.diagnosis.type	Added Element
Account.procedure.code Account.diagnosis.onAdmission	Added Mandatory Element
Account.procedure.dateOfService Account.diagnosis.packageCode	Added Element
Account.procedure.type Account.procedure	Added Element
Account.procedure.packageCode Account.procedure.sequence	Added Element
Account.procedure.device Account.procedure.code	Added Mandatory Element
Account.relatedAccount Account.procedure.dateOfService	Added Element
Account.relatedAccount.relationship Account.procedure.type	Added Element
Account.relatedAccount.account Account.procedure.packageCode	Moved from Account.partOf to account Added Element
Account.procedure.device	Min Cardinality changed Added Element
Account.parent	Renamed from 0 partOf to 1 parent
Account.currency	Added Element
Account.balance	Added Element
Account.balance.aggregate	Added Element
Account.balance.term	Added Element
Account.balance.estimate	Added Element
Account.balance.amount	Added Mandatory Element
Account.calculatedAt	Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]	Added Element
ActivityDefinition.subject[x]	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove code codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , Transport reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]	Added Element
ActivityDefinition.location	Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type	Min Cardinality changed from 1 to 0 Remove code related-person Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical	Added Element
ActivityDefinition.participant.typeReference	Added Element
ActivityDefinition.participant.function	Added Element
ActivityDefinition.specimenRequirement	Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement	Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement	Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition	Added Resource
AdministrableProductDefinition
AdministrableProductDefinition.description	Added Resource Element
AdministrableProductDefinition.code	Added Element
AdministrableProductDefinition.property.value[x]	Add Types Range, markdown, Reference(Binary)
AdverseEvent
AdverseEvent.identifier	Max Cardinality changed from 1 to *
AdverseEvent.status	Added Mandatory Element
AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code	Renamed from event to code
AdverseEvent.subject AdverseEvent.effect[x]	Type Reference: Added Target Type ResearchSubject Renamed from date to effect[x] AdverseEvent.occurrence[x] Added Element Add Type Period
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type Reference: Added Target Type Observation changed from Reference(Condition) to CodeableReference
AdverseEvent.outcome	Max Cardinality changed from 1 to * Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0` `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0` (required)
AdverseEvent.participant	Added Element
AdverseEvent.participant.function	Added Element
AdverseEvent.participant.actor	Added Mandatory Element
AdverseEvent.expectedInResearchStudy	Added Element
AdverseEvent.suspectEntity.instance[x] AdverseEvent.suspectEntity.instance	Renamed Type changed from instance Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to instance[x] Add Type CodeableConcept CodeableReference
AdverseEvent.suspectEntity.causality	Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from productRelatedness to entityRelatedness Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types Patient, RelatedPerson, ResearchSubject RelatedPerson
AdverseEvent.contributingFactor AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor.item[x] AdverseEvent.contributingFactor	Added Mandatory Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.preventiveAction.item[x] Added Mandatory Element AdverseEvent.mitigatingAction	Added Element
AdverseEvent.mitigatingAction.item[x] Added Mandatory Element AdverseEvent.supportingInfo	Added Element AdverseEvent.supportingInfo.item[x] Added Mandatory Element Can map from AdverseEvent.referenceDocument and AdverseEvent.subjectMedicalHistory
AdverseEvent.note	Added Element
AdverseEvent.date Deleted AdverseEvent.severity	Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor	Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory	Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument	Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.verificationStatus AllergyIntolerance.clinicalStatus	Add Remove code presumed resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` (required)
AllergyIntolerance.participant.function AllergyIntolerance.recorder	Type Reference: Added Element Target Type Organization
AllergyIntolerance.participant.actor AllergyIntolerance.lastReactionOccurrence	Added Mandatory Element Renamed from lastOccurrence to lastReactionOccurrence
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
Appointment
Appointment.cancellationReason	Renamed from cancelationReason to cancellationReason
Appointment.class	Added Element
Appointment.serviceType	Type changed from CodeableConcept to CodeableReference
Appointment.reason	Renamed from reasonCode to reason Added Element Type changed from CodeableConcept to CodeableReference Merged both reasonCode and reasonReference into reason
Appointment.priority	Type changed from unsignedInt to CodeableConcept
Appointment.replaces	Added Element
Appointment.virtualService	Added Element
Appointment.previousAppointment	Added Element
Appointment.originatingAppointment	Added Element
Appointment.account	Added Element
Appointment.cancellationDate	Added Element
Appointment.note	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation
Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to CodeableReference
Appointment.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Appointment.subject	Added Element
Appointment.participant.actor	Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required	Type changed from code to boolean Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` `http://hl7.org/fhir/ValueSet/participantrequired|4.3.0` (required)
Appointment.recurrenceId	Added Element
Appointment.occurrenceChanged	Added Element
Appointment.recurrenceTemplate	Added Element
Appointment.recurrenceTemplate.timezone	Added Element
Appointment.recurrenceTemplate.recurrenceType	Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate	Added Element
Appointment.recurrenceTemplate.occurrenceCount	Added Element
Appointment.recurrenceTemplate.occurrenceDate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval	Added Element
Appointment.recurrenceTemplate.monthlyTemplate	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval	Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate	Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval	Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate	Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId	Added Element
Appointment.reasonCode	Deleted (-> reason.concept)
Appointment.reasonReference	Deleted (->Appointment.reason.reference) (-> reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime	Added Element
AppointmentResponse.actor	Type Reference: Added Target Type Group
AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 http://hl7.org/fhir/ValueSet/participationstatus|4.3.0 to Appointment Response Status Add code entered-in-error
AppointmentResponse.comment	Type changed from string to markdown
AppointmentResponse.recurring	Added Element
AppointmentResponse.occurrenceDate	Added Element
AppointmentResponse.recurrenceId	Added Element
ArtifactAssessment	Added Resource
AuditEvent
AuditEvent.category AuditEvent.type	Renamed from type to category Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.code AuditEvent.subtype	Renamed from subtype to code Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity	Added Element
AuditEvent.occurred[x]	Added Element Renamed from period to occurred[x] Add Type dateTime
AuditEvent.outcome	Type changed from code to BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0` `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0` (required)
AuditEvent.outcome.code	Added Mandatory Element
AuditEvent.outcome.detail	Added Element
AuditEvent.authorization	Renamed from purposeOfEvent to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn	Added Element
AuditEvent.patient	Added Element
AuditEvent.encounter	Added Element
AuditEvent.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who	Min Cardinality changed from 0 to 1 Type Reference: Added Target Type CareTeam Types CareTeam, DeviceDefinition, Group, HealthcareService
AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]	Renamed from network to network[x] Add Types Reference(Endpoint), uri, string Remove Type BackboneElement
AuditEvent.agent.authorization	Renamed from purposeOfUse to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.source.site	Type changed from string to Reference(Location)
AuditEvent.source.observer	Type Reference: Added Target Type CareTeam
AuditEvent.source.type	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type	Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]	Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Element
AuditEvent.period Deleted AuditEvent.outcomeDesc	Deleted (-> outcome) 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 (-> what.type)
AuditEvent.entity.lifecycle	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name	Deleted (-> what.display)
AuditEvent.entity.description Basic
Basic.code	Deleted (-> entity.detail.valueString) Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
Basic.created	Type changed from date to dateTime
Basic.author	Type Reference: Added Target Types Device, CareTeam
Binary	No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type changed from code to Coding CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.0.0` `http://hl7.org/fhir/ValueSet/product-category|4.3.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent	Added Element
BiologicallyDerivedProduct.processingFacility	Added Element
BiologicallyDerivedProduct.division	Added Element
BiologicallyDerivedProduct.productStatus	Added Element
BiologicallyDerivedProduct.expirationDate	Added Element
BiologicallyDerivedProduct.collection.sourcePatient	Added Element 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.processing BiologicallyDerivedProduct.collection.source	Deleted (-> BiologicallyDerivedProduct.collection) collection.sourcePatient or collection.sourceOrganization depending on reference type)
BiologicallyDerivedProduct.manipulation BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements) BiologicallyDerivedProduct.collection)
BiologicallyDerivedProductDispense BiologicallyDerivedProduct.storage	Added Resource Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BodyStructure
BodyStructure.includedStructure	Added Mandatory Element
BodyStructure.includedStructure.structure	Added Mandatory Element
BodyStructure.includedStructure.laterality	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation	Added Element
BodyStructure.includedStructure.spatialReference	Added Element
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.excludedStructure	Added Element
BodyStructure.description	Type changed from string to markdown
BodyStructure.location	Deleted
BodyStructure.locationQualifier	Deleted
Bundle
Bundle.type	Add code subscription-notification
Bundle.link.relation	Type changed from string to code Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|5.0.0` `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
CapabilityStatement.versionAlgorithm[x]	Added Element
CapabilityStatement.copyrightLabel CapabilityStatement.actorDefinition	Added Element
CapabilityStatement.implementation.description CapabilityStatement.jurisdiction	Type changed Change value set from string to markdown CapabilityStatement.fhirVersion Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 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 http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement.acceptLanguage CapabilityStatement.copyrightLabel	Added Element
CapabilityStatement.rest.security.service CapabilityStatement.implementation.description	Change code system for extensibly bound codes Type changed from "http://terminology.hl7.org/CodeSystem/restful-security-service" string to "http://hl7.org/fhir/restful-security-service" markdown
CapabilityStatement.rest.resource.type CapabilityStatement.fhirVersion	Remove codes CatalogEntry 0.0.80 , DeviceUseStatement 0.0.81 , DocumentManifest 0.0.82 , DomainResource 0.4.0 , EffectEvidenceSynthesis 0.5.0 , Media 1.0.0 , MedicinalProduct 1.0.1 , MedicinalProductAuthorization 1.0.2 , MedicinalProductContraindication 1.1.0 , MedicinalProductIndication 1.4.0 , MedicinalProductIngredient 1.6.0 , MedicinalProductInteraction 1.8.0 , MedicinalProductManufactured 3.0.0 , MedicinalProductPackaged 3.0.1 , MedicinalProductPharmaceutical 3.0.2 , MedicinalProductUndesirableEffect 3.3.0 , RequestGroup 3.5.0 , ResearchDefinition 4.0.0 , ResearchElementDefinition 4.0.1 , Resource 4.1.0 , RiskEvidenceSynthesis 4.3.0-cibuild , SubstanceSpecification 4.3.0-snapshot1 , 4.3.0 Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition 0.0 , ConditionDefinition 0.4 , DeviceAssociation 0.5 , DeviceDispense 1.0 , DeviceUsage 1.1 , EncounterHistory 1.4 , EvidenceReport 1.6 , FormularyItem 1.8 , GenomicStudy 3.0 , ImagingSelection 3.3 , Ingredient 3.5 , InventoryItem 4.0 , InventoryReport 4.1 , ManufacturedItemDefinition 4.2 , MedicinalProductDefinition 4.3 , NutritionIntake 4.4 , NutritionProduct 4.5 , PackagedProductDefinition 4.6 , Permission 5.0 , RegulatedAuthorization 6.0 ,
CapabilityStatement.format	Change value set from RequestOrchestration http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 , to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from Requirements http://hl7.org/fhir/ValueSet/mimetypes|4.3.0 , to Patch Mime Types Add codes SubscriptionStatus application/fhir+xml , SubscriptionTopic application/fhir+json , SubstanceDefinition application/fhir+turtle , TestPlan application/json-patch+json , Transport application/xml-patch+xml
CapabilityStatement.rest.resource.conditionalPatch CapabilityStatement.acceptLanguage	Added Element
CapabilityStatement.messaging.endpoint.protocol CapabilityStatement.rest.security.service	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" "http://terminology.hl7.org/CodeSystem/restful-security-service" to "http://hl7.org/fhir/message-transport" "http://hl7.org/fhir/restful-security-service"
CarePlan.basedOn CapabilityStatement.rest.resource.type	Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder CarePlan.intent Add changed from code directive to uri CarePlan.custodian Renamed Change binding strength from author required to custodian extensible CarePlan.addresses Type changed Change value set from Reference(Condition) http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to CodeableReference Extended Resource Types
CarePlan.activity.performedActivity CapabilityStatement.rest.resource.definition	Added Element
CareTeam.participant.role CapabilityStatement.rest.resource.interaction.code	Max Cardinality changed from * to 1 Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CareTeam.participant.coverage[x] CapabilityStatement.rest.resource.conditionalPatch	Added Element
CareTeam.reason CapabilityStatement.rest.resource.searchParam.type	Added Element Add code resource
CareTeam.encounter CapabilityStatement.messaging.endpoint.protocol	Deleted (Avoid circular references since Encounter references CareTeam) Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CareTeam.participant.period CarePlan	Deleted
CareTeam.reasonCode CarePlan.basedOn	Deleted (-> CareTeam.reason) Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CareTeam.reasonReference CarePlan.status	Deleted (-> CareTeam.reason) Remove codes revoked , completed ChargeItem ChargeItem.encounter Added Element Add code ended
ChargeItem.performer.actor Type Reference: Added Target Type HealthcareService ChargeItem.unitPriceComponent CarePlan.intent	Added Element Add code directive
ChargeItem.totalPriceComponent CarePlan.custodian	Added Element Renamed from author to custodian
ChargeItem.overrideReason CarePlan.addresses	Type changed from string Reference(Condition) to CodeableConcept CodeableReference
ChargeItem.service CarePlan.activity.performedActivity	Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference Added Element
ChargeItem.product CarePlan.activity.plannedActivityReference	Renamed from product[x] to product Max Cardinality changed from 1 reference to * plannedActivityReference Add Type CodeableReference Reference: Added Target Type RequestOrchestration Remove Types Reference(Device | Medication | Substance), CodeableConcept Type Reference: Removed Target Type RequestGroup
ChargeItem.context CarePlan.instantiatesCanonical	Deleted
ChargeItem.factorOverride CarePlan.instantiatesUri	Deleted
ChargeItem.priceOverride CarePlan.activity.outcomeCodeableConcept	Deleted (-> CarePlan.activity.performedActivity)
ChargeItemDefinition.url CarePlan.activity.outcomeReference	Min Cardinality changed from 1 to 0 Deleted (-> CarePlan.activity.performedActivity)
ChargeItemDefinition.versionAlgorithm[x] CarePlan.activity.detail	Added Element Deleted (-> CarePlan.activity.plannedActivityReference)
ChargeItemDefinition.name CareTeam	Added Element
ChargeItemDefinition.purpose CareTeam.participant.role	Added Element Max Cardinality changed from * to 1
ChargeItemDefinition.copyrightLabel CareTeam.participant.member	Type Reference: Added Element Target Types Group, HealthcareService
ChargeItemDefinition.instance CareTeam.participant.onBehalfOf	Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
ChargeItemDefinition.applicability.condition CareTeam.participant.effective[x]	Added Element Renamed from period to effective[x] Add Type Timing
ChargeItemDefinition.applicability.effectivePeriod CareTeam.participant.supportingInfo	Added Element
ChargeItemDefinition.applicability.relatedArtifact CareTeam.reason	Added Element ChargeItemDefinition.propertyGroup.priceComponent Type changed from BackboneElement to MonetaryComponent ChargeItemDefinition.effectivePeriod Deleted ChargeItemDefinition.applicability.description Deleted Merged both reasonCode and reasonReference into reason
ChargeItemDefinition.applicability.language CareTeam.encounter	Deleted (Removed to avoid circular references since Encounter references CareTeam)
ChargeItemDefinition.applicability.expression CareTeam.reasonCode	Deleted (-> reason.concept)
ChargeItemDefinition.propertyGroup.priceComponent.type CareTeam.reasonReference	Deleted (-> reason.reference)
ChargeItemDefinition.propertyGroup.priceComponent.code Claim	Deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor Claim.traceNumber	Deleted Added Element
ChargeItemDefinition.propertyGroup.priceComponent.amount Claim.statusReason	Deleted Added Element
Citation Claim.subject	Added Resource Renamed from patient to subject Claim Claim.traceNumber Type Reference: Added Element Target Type Group
Claim.enterer	Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider	Min Cardinality changed from 1 to 0
Claim.priority	Min Cardinality changed from 1 to 0
Claim.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
Claim.careTeam.specialty	Renamed from qualification to specialty
Claim.supportingInfo.subCategory	Added Element
Claim.supportingInfo.value[x] Claim.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type Identifier 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	Added Element
Claim.item.traceNumber	Added Element
Claim.item.subject	Added Element
Claim.item.productOrService	Min Cardinality changed from 1 to 0
Claim.item.productOrServiceEnd	Added Element
Claim.item.request	Added Element
Claim.item.patientPaid	Added Element
Claim.item.tax	Added Element
Claim.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site	Added Mandatory Element
Claim.item.bodySite.subSite	Added Element
Claim.item.detail.traceNumber	Added Element
Claim.item.detail.productOrService	Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd	Added Element
Claim.item.detail.patientPaid	Added Element
Claim.item.detail.tax	Added Element
Claim.item.detail.subDetail.traceNumber	Added Element
Claim.item.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd	Added Element
Claim.item.detail.subDetail.patientPaid	Added Element
Claim.item.detail.subDetail.tax	Added Element
Claim.careTeam.qualification 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/remittance-outcome|4.0.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to 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
ClaimResponse.item.adjudication.quantity	Renamed from value to 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
ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.addItem.traceNumber	Added Element
ClaimResponse.addItem.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 1 to 0
ClaimResponse.addItem.productOrServiceEnd	Added Element
ClaimResponse.addItem.request	Added Element
ClaimResponse.addItem.tax	Added Element
ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site	Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite	Added Element
ClaimResponse.addItem.reviewOutcome	Added Element
ClaimResponse.addItem.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber	Added Element
ClaimResponse.addItem.detail.revenue	Added Element
ClaimResponse.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.tax	Added Element
ClaimResponse.addItem.detail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber	Added Element
ClaimResponse.addItem.detail.subDetail.revenue	Added Element
ClaimResponse.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.subDetail.tax	Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.subDetail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.processNote.class	Added Element
ClaimResponse.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.processNote.text	Type changed from string to markdown
ClaimResponse.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ClaimResponse.error.expression	Added Element
ClaimResponse.item.adjudication.value ClaimResponse.addItem.subSite	Deleted
ClaimResponse.addItem.subSite ClinicalUseDefinition
ClinicalUseDefinition.subject	Deleted Min Cardinality changed from 0 to 1 Type changed from Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance) to CodeableReference
ClinicalImpression ClinicalUseDefinition.status	Now marked as Modifier
ClinicalUseDefinition.undesirableEffect.management	Added Element
ClinicalImpression.status ClinicalUseDefinition.indication.intendedEffect	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 1 to EventStatus *
ClinicalUseDefinition.indication.undesirableEffect	Add codes preparation , not-done , on-hold , stopped , unknown Remove Type Reference(ClinicalUseDefinition)
ClinicalImpression.performer ClinicalUseDefinition.indication.applicability	Renamed from assessor to performer Added Element
ClinicalImpression.changePattern ClinicalUseDefinition.indication.otherTherapy.relationshipType	Added Mandatory Element
ClinicalImpression.finding.item ClinicalUseDefinition.indication.otherTherapy.treatment	Added Mandatory Element
ClinicalImpression.code ClinicalUseDefinition.contraindication.indication	Deleted (No known use case for this element) Remove Type Reference(ClinicalUseDefinition)
ClinicalImpression.investigation ClinicalUseDefinition.contraindication.applicability	Deleted (-> ClinicalImpression.supportingInfo) Added Element
ClinicalImpression.finding.itemCodeableConcept ClinicalUseDefinition.contraindication.management	Deleted (-> ClinicalImpression.finding.item) Added Element
ClinicalUseDefinition.contraindication.otherTherapy	Remove Type BackboneElement
ClinicalUseDefinition.interaction.interactant.route	Added Element
ClinicalUseDefinition.interaction.severity	Added Element
ClinicalUseDefinition.library	Added Element
ClinicalImpression.finding.itemReference ClinicalUseDefinition.contraindication.otherTherapy.relationshipType	Deleted (-> ClinicalImpression.finding.item)
ClinicalUseDefinition ClinicalUseDefinition.contraindication.otherTherapy.therapy	Added Resource Deleted
CodeSystem
CodeSystem.versionAlgorithm[x]	Added Element
CodeSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CodeSystem.copyrightLabel	Added Element
CodeSystem.approvalDate	Added Element
CodeSystem.lastReviewDate	Added Element
CodeSystem.effectivePeriod	Added Element
CodeSystem.topic	Added Element
CodeSystem.author	Added Element
CodeSystem.editor	Added Element
CodeSystem.reviewer	Added Element
CodeSystem.endorser	Added Element
CodeSystem.relatedArtifact	Added Element
CodeSystem.filter.operator	Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type Resource
Communication.recipient	Type Reference: Added Target Types Location, Endpoint
Communication.sender	Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason	Added Element Merged both reasonCode and reasonReference into reason
Communication.payload.content[x]	Add Type CodeableConcept Remove Type string
Communication.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
Communication.reasonCode	Deleted (-> Communication.reason) reason.concept)
Communication.reasonReference	Deleted (-> Communication.reason) 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 Type Endpoint Types Endpoint, Group
CommunicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
CommunicationRequest.reasonCode	Deleted (-> CommunicationRequest.reason) reason.concept)
CommunicationRequest.reasonReference	Deleted (-> CommunicationRequest.reason) reason.reference)
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]	Added Element
CompartmentDefinition.title	Added Element
CompartmentDefinition.code	Add code EpisodeOfCare
CompartmentDefinition.resource.code	Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest Resource , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication CatalogEntry , MedicinalProductIndication ChargeItem , MedicinalProductIngredient ChargeItemDefinition , MedicinalProductInteraction Citation , MedicinalProductManufactured ClinicalImpression , MedicinalProductPackaged DeviceUseStatement , MedicinalProductPharmaceutical DocumentManifest , MedicinalProductUndesirableEffect EvidenceReport , RequestGroup GraphDefinition , ResearchDefinition ImmunizationEvaluation , ResearchElementDefinition ImmunizationRecommendation , Resource Linkage , RiskEvidenceSynthesis Media , SubstanceSpecification Add codes ActorDefinition MedicationKnowledge , AdministrableProductDefinition MolecularSequence , ArtifactAssessment RequestGroup , BiologicallyDerivedProductDispense ResearchDefinition , Citation ResearchElementDefinition , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult , Add codes EncounterHistory ActorDefinition , EvidenceReport ArtifactAssessment , FormularyItem DeviceAlert , GenomicStudy DeviceAssociation , ImagingSelection , Ingredient , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition InsuranceProduct , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CompartmentDefinition.resource.startParam	Added Element
CompartmentDefinition.resource.endParam	Added Element
CompartmentDefinition.resource.documentation	Deleted
Composition
Composition.url	Added Element
Composition.identifier	Max Cardinality changed from 1 to *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
Composition.status	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from 1 to *
Composition.useContext	Added Element
Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Composition.title	Min Cardinality changed from 1 to 0
Composition.note	Added Element
Composition.attester.mode	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0` (required)
Composition.relatesTo Composition.attester.party	Type changed from BackboneElement to RelatedArtifact Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Composition.relatesTo.type	Added Mandatory Element
Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality Composition.section.author	Deleted Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.relatesTo.code Composition.confidentiality	Deleted
Composition.relatesTo.target[x] Composition.relatesTo.code	Deleted
Composition.event.code	Deleted
Composition.section.mode	Deleted
ConceptMap
ConceptMap.identifier	Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]	Added Element
ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ConceptMap.copyrightLabel	Added Element
ConceptMap.approvalDate	Added Element
ConceptMap.lastReviewDate	Added Element
ConceptMap.effectivePeriod	Added Element
ConceptMap.topic	Added Element
ConceptMap.author	Added Element
ConceptMap.editor	Added Element
ConceptMap.reviewer	Added Element
ConceptMap.endorser	Added Element
ConceptMap.relatedArtifact	Added Element
ConceptMap.property	Added Element
ConceptMap.property.code	Added Mandatory Element
ConceptMap.property.uri	Added Element
ConceptMap.property.description	Added Element
ConceptMap.property.type	Added Mandatory Element
ConceptMap.property.system	Added Element
ConceptMap.additionalAttribute	Added Element
ConceptMap.additionalAttribute.code	Added Mandatory Element
ConceptMap.additionalAttribute.uri	Added Element
ConceptMap.additionalAttribute.description	Added Element
ConceptMap.additionalAttribute.type	Added Mandatory Element
ConceptMap.sourceScope[x]	Added Element Renamed from source[x] to sourceScope[x]
ConceptMap.targetScope[x]	Added Element Renamed from target[x] to targetScope[x]
ConceptMap.group.source	Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target	Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet	Added Element
ConceptMap.group.element.noMap	Added Element
ConceptMap.group.element.comment	Added Element
ConceptMap.group.element.target.valueSet	Added Element
ConceptMap.group.element.target.relationship	Added Mandatory Element
ConceptMap.group.element.target.property	Added Element
ConceptMap.group.element.target.property.code	Added Mandatory Element
ConceptMap.group.element.target.property.value[x]	Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute	Renamed from property to attribute Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]	Renamed from value to value[x] Min Cardinality changed from 1 to 0 Add Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet	Added Element
ConceptMap.group.unmapped.mode	Remove code provided Add code use-source-code
ConceptMap.group.unmapped.valueSet ConceptMap.group.unmapped.comment	Added Element
ConceptMap.group.unmapped.relationship ConceptMap.group.unmapped.valueSet	Added Element
ConceptMap.source[x] ConceptMap.group.unmapped.relationship	Deleted Added Element
ConceptMap.target[x] ConceptMap.group.unmapped.otherMap	Deleted Renamed from url to otherMap
ConceptMap.group.sourceVersion	Deleted (-> canonical version in .group.source) group.source)
ConceptMap.group.targetVersion	Deleted (-> canonical version in .group.target) group.target)
ConceptMap.group.element.target.equivalence	Deleted (-> relationship)
ConceptMap.group.element.target.dependsOn.system	Deleted (-> value as Coding) Coding - system value)
ConceptMap.group.element.target.dependsOn.display	Deleted (-> value as Coding) Coding - display value)
Condition
Condition.clinicalStatus	Min Cardinality changed from 0 to 1 Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.category Condition.verificationStatus	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible) codes provisional , differential
Condition.participant Condition.category	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.participant.function Condition.bodyStructure	Added Element
Condition.participant.actor Condition.recorder	Type Reference: Added Mandatory Element Target Type Group
Condition.evidence Condition.asserter	Type changed from BackboneElement to CodeableReference Reference: Added Target Types Device, Group
Condition.recorder Condition.stage.assessment	Deleted (-> Condition.participant.actor) Type Reference: Removed Target Type ClinicalImpression
Condition.asserter Condition.evidence	Deleted (-> Condition.participant.actor) Type changed from BackboneElement to CodeableReference
Condition.evidence.code	Deleted (-> Condition.evidence) Condition.evidence.concept)
Condition.evidence.detail	Deleted (-> Condition.evidence) ConditionDefinition Added Resource Condition.evidence.reference)
Consent
Consent.status	Remove codes proposed , rejected Add codes not-done , unknown
Consent.category	Min Cardinality changed from 1 to 0 Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Consent.subject	Renamed from patient to subject Type Reference: Added Target Types Practitioner, ResearchSubject, Group
Consent.date	Renamed from dateTime to date Type changed from dateTime to date
Consent.period	Added Element
Consent.grantor	Added Element
Consent.grantee	Renamed from performer to grantee Type Reference: Added Target Types CareTeam, Group, HealthcareService
Consent.manager	Added Element
Consent.controller	Added Element
Consent.sourceAttachment	Added Element
Consent.sourceReference	Added Element
Consent.regulatoryBasis	Added Element
Consent.policyBasis	Renamed from policy to policyBasis Max Cardinality changed from * to 1
Consent.policyBasis.reference	Added Element
Consent.policyBasis.url Consent.policyBasis.uri	Added Element Moved from Consent.policy to Consent.policyBasis
Consent.policyText	Added Element Renamed from policyRule to policyText Max Cardinality changed from 1 to * Type changed from CodeableConcept to Reference(DocumentReference) Remove Binding `http://hl7.org/fhir/ValueSet/consent-policy` (extensible)
Consent.verification.verificationType Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
Consent.verification.verificationDate Consent.verification.verifiedWith	Type Reference: Added Target Type Group
Consent.verification.date	Renamed from verificationDate to date Max Cardinality changed from 1 to *
Consent.decision	Moved from Consent.provision.type to decision Now marked as Modifier
Consent.provision	Max Cardinality changed from 1 to *
Consent.provision.actor.role	Min Cardinality changed from 1 to 0 Change value set from Security Role Type http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
Consent.provision.actor.reference	Min Cardinality changed from 1 to 0
Consent.provision.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType	Added Element
Consent.provision.resourceType	Renamed from class to resourceType Change value set from Consent Content Class to Resource Types
Consent.provision.expression	Added Element
Consent.scope	Deleted (-> Merged with Consent.category)
Consent.organization	Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]	Deleted (-> split into Consent.sourceAttachement and Consent.sourceReference)
Consent.policy.authority	Deleted
Consent.policy.uri Contract
Contract.author	Deleted Type Reference: Added Target Type RelatedPerson
Consent.policyRule Contract.term.text	Deleted Type changed from string to markdown
Contract.term.action.reason	Type changed from string to CodeableReference
Contract.term.action.reasonCode	Deleted (-> reason) reason.concept)
Contract.term.action.reasonReference	Deleted (-> reason) 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
Coverage.subscriberId	Max Cardinality changed from 1 to * Type changed from string to Identifier
Coverage.insurer	Added Element
Coverage.class.value	Type changed from string to Identifier
Coverage.costToBeneficiary.category	Added Element
Coverage.costToBeneficiary.network	Added Element
Coverage.costToBeneficiary.unit	Added Element
Coverage.costToBeneficiary.term	Added Element
Coverage.costToBeneficiary.value[x]	Min Cardinality changed from 1 to 0
Coverage.insurancePlan	Added Element
Coverage.payor	Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Eligibility Outcome
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
CoverageEligibilityResponse.error.expression	Added Element
DetectedIssue
DetectedIssue.status	Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 http://hl7.org/fhir/ValueSet/observation-status|4.3.0 to Detected Issue Status Remove codes registered , amended , corrected , cancelled , unknown Add code mitigated
DetectedIssue.category	Added Element
DetectedIssue.severity	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.3.0` (required)
DetectedIssue.subject	Renamed from patient to subject Type Reference: Added Element Target Types Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
DetectedIssue.encounter	Added Element
DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
DetectedIssue.mitigation.note DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.patient DetectedIssue.expectedOnsetType	Deleted Added Element
Device DetectedIssue.medicationClass	Added Element
Device.displayName DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
Device
Device.definition	Type changed from Reference(DeviceDefinition) to CodeableReference canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifier	Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem	Added Element
Device.udiCarrier.issuer	Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType	Add code electronic-transmission
Device.availabilityStatus	Added Element
Device.biologicalSourceEvent	Added Element Renamed from distinctIdentifier to biologicalSourceEvent Type changed from string to Identifier
Device.name	Renamed from deviceName to name
Device.name.value	Added Mandatory Element Moved from Device.deviceName.name to value
Device.name.type	Moved from Device.deviceName to Device.name Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name Change binding strength from required to extensible
Device.name.display	Added Element
Device.category	Added Element
Device.type	Max Cardinality changed from 1 to *
Device.version.installDate Device.deviceVersion	Added Element Renamed from version to deviceVersion
Device.conformsTo Device.deviceVersion.type	Renamed Moved from specialization Device.version to conformsTo Device.deviceVersion
Device.conformsTo.category Device.deviceVersion.component	Added Element Moved from Device.version to Device.deviceVersion
Device.conformsTo.specification Device.deviceVersion.installDate	Added Mandatory Element
Device.conformsTo.version Device.deviceVersion.value	Moved from Device.specialization Device.version to Device.deviceVersion
Device.conformsTo	Renamed from specialization to conformsTo
Device.property.value[x] Device.conformsTo.category	Added Mandatory Element
Device.mode Device.conformsTo.specification	Added Element Moved from Device.specialization.systemType to specification
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.cycle Device.property.value[x]	Added Mandatory Element
Device.duration Device.additive	Added Element
Device.endpoint Device.additive.type	Added Mandatory Element
Device.gateway Device.additive.quantity	Added Element
Device.statusReason	Deleted (-> reason was removed. DeviceAssociation can be used)
Device.distinctIdentifier Device.property.valueQuantity	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.deviceName.name Device.property.valueCode	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.specialization.systemType Device.patient	Deleted (-> patient association is in DeviceAssociation)
Device.property.valueQuantity Device.owner	Deleted
Device.property.valueCode Device.url	Deleted
Device.patient DeviceAlert	Deleted (-> patient association is in DeviceAssociation) Added Resource
DeviceAssociation	Added Resource
DeviceDefinition
DeviceDefinition.version	Max Cardinality changed from * to 1
DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.date	Added Element
DeviceDefinition.publisher	Added Element
DeviceDefinition.contact	Type changed from ContactPoint to ContactDetail
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.regulatoryIdentifier DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier.type DeviceDefinition.regulatoryIdentifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.partNumber DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.manufacturer DeviceDefinition.regulatoryIdentifier.identifierSystem	Renamed from manufacturer[x] to manufacturer Remove Type string Added Element
DeviceDefinition.deviceName.type	Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name Change binding strength from required to extensible
DeviceDefinition.classification	Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification	Added Element
DeviceDefinition.conformsTo	Renamed from specialization to conformsTo
DeviceDefinition.conformsTo.category	Added Element
DeviceDefinition.conformsTo.specification	Added Mandatory Element 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.reference DeviceDefinition.hasPart.definition[x]	Added Mandatory Element
DeviceDefinition.hasPart.count	Added Element
DeviceDefinition.packaging	Added Element
DeviceDefinition.packaging.identifier	Added Element
DeviceDefinition.packaging.type	Added Element
DeviceDefinition.packaging.count	Added Element
DeviceDefinition.packaging.distributor	Added Element
DeviceDefinition.packaging.distributor.name	Added Element
DeviceDefinition.packaging.distributor.organizationReference	Added Element
DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
DeviceDefinition.packaging.packaging	Added Element
DeviceDefinition.version DeviceDefinition.deviceVersion	Type changed from string to BackboneElement Added Element
DeviceDefinition.version.type DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.version.component DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.version.value DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	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]	Added Mandatory Element 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 DeviceDefinition.link.relatedDevice[x]	Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI	Added Element
DeviceDefinition.guideline	Added Element
DeviceDefinition.guideline.useContext	Added Element
DeviceDefinition.guideline.usageInstruction	Added Element
DeviceDefinition.guideline.relatedArtifact	Moved from DeviceDefinition.onlineInformation to relatedArtifact Max Cardinality changed from 1 to * Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication	Added Element
DeviceDefinition.guideline.contraindication	Added Element
DeviceDefinition.guideline.warning	Added Element
DeviceDefinition.guideline.intendedUse	Added Element
DeviceDefinition.correctiveAction	Added Element
DeviceDefinition.correctiveAction.recall	Added Mandatory Element
DeviceDefinition.correctiveAction.scope	Added Element
DeviceDefinition.correctiveAction.period	Added Mandatory Element
DeviceDefinition.chargeItem	Added Element
DeviceDefinition.chargeItem.chargeItemCode	Added Mandatory Element
DeviceDefinition.chargeItem.count	Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod	Added Element
DeviceDefinition.chargeItem.useContext	Added Element
DeviceDefinition.specialization.systemType Deleted DeviceDefinition.physicalCharacteristics	Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability	Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity Deleted DeviceDefinition.property.valueCode	Deleted
DeviceDefinition.url DeviceDefinition.owner	Deleted (Removed (This could be a packaging.distributor.organiationReference or manufacturer or neither - only instances have addressable endpoints) no direct mapping)
DeviceDefinition.quantity	Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice	Deleted (Removed - to establish relations, use hasPArt) hasPart)
DeviceDispense DeviceMetric
DeviceMetric.status	Added Resource Mandatory Element
DeviceMetric DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.device	Added Mandatory Element 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 http://hl7.org/fhir/ValueSet/metric-color|4.3.0 to Color Codes (Names or RGB Values)
DeviceMetric.measurementFrequency	Added Element
DeviceMetric.availability	Added Element
DeviceMetric.calibration.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.source	Deleted (-> 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
DeviceRequest.doNotPerform	Added Element
DeviceRequest.code DeviceRequest.product[x]	Renamed from code[x] to code product[x] Add Type CodeableReference Remove Types Reference(Device), CodeableConcept canonical(DeviceDefinition)
DeviceRequest.quantity	Added Element
DeviceRequest.requester	Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason DeviceRequest.location	Added Element
DeviceRequest.asNeeded DeviceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
DeviceRequest.asNeededFor DeviceRequest.asNeeded	Added Element
DeviceRequest.performerType DeviceRequest.asNeededFor	Deleted (-> performer) Added Element
DeviceRequest.reasonCode DeviceRequest.instantiatesCanonical	Deleted (-> reason)
DeviceRequest.reasonReference DeviceRequest.instantiatesUri	Deleted (-> reason) DeviceUsage Name Changed from DeviceUseStatement to DeviceUsage
DeviceUsage.patient DeviceRequest.performerType	Added Mandatory Element Deleted (-> performer.concept)
DeviceUsage.context DeviceRequest.reasonCode	Added Element Deleted (-> reason.concept)
DeviceUsage.dateAsserted DeviceRequest.reasonReference	Added Element Deleted (-> reason.reference)
DeviceUsage.usageStatus DiagnosticReport	Added Element
DeviceUsage.usageReason DiagnosticReport.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
DeviceUsage.adherence DiagnosticReport.status	Added Element Remove codes preliminary , corrected , appended
DeviceUsage.adherence.code DiagnosticReport.subject	Type Reference: Added Mandatory Element Target Type BiologicallyDerivedProduct DeviceUsage.adherence.reason Added Mandatory Element Type Reference: Removed Target Type Procedure
DeviceUsage.informationSource DiagnosticReport.relatesTo	Added Element
DeviceUsage.device DiagnosticReport.issued	Type changed from Reference(Device) instant to CodeableReference dateTime
DeviceUsage.reason DiagnosticReport.procedure	Added Element
DeviceUsage.bodySite DiagnosticReport.performer	Type changed from CodeableConcept to CodeableReference DeviceUseStatement.subject Deleted DeviceUseStatement.recordedOn Deleted DeviceUseStatement.source Deleted DeviceUseStatement.reasonCode Deleted DeviceUseStatement.reasonReference Deleted DiagnosticReport DiagnosticReport.status Add code modified Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.subject DiagnosticReport.resultsInterpreter	Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct Patient, RelatedPerson
DiagnosticReport.note	Added Element
DiagnosticReport.study	Added Element Renamed from imagingStudy to study
DiagnosticReport.supportingInfo	Added Element
DiagnosticReport.supportingInfo.type	Added Mandatory Element
DiagnosticReport.supportingInfo.reference	Added Mandatory Element
DiagnosticReport.media.link	Type Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition	Added Element
DiagnosticReport.conclusion	Type changed from string to markdown
DiagnosticReport.imagingStudy DiagnosticReport.conclusionCode	Deleted Type changed from CodeableConcept to CodeableReference
DiagnosticReport.recomendation	Added Element
DiagnosticReport.communication	Added Element
DiagnosticReport.comparison	Added Element
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown Now marked as Modifier
DocumentReference.modality	Added Element
DocumentReference.subject	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context	Max Cardinality changed from 1 to * Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event	Added Element
DocumentReference.bodySite DocumentReference.related	Added Element
DocumentReference.facilityType DocumentReference.bodyStructure	Added Element
DocumentReference.facilityType	Moved from DocumentReference.context to DocumentReference
DocumentReference.practiceSetting	Added Element Moved from DocumentReference.context to DocumentReference
DocumentReference.period	Added Element Moved from DocumentReference.context to DocumentReference
DocumentReference.date	Type changed from instant to dateTime
DocumentReference.author	Type Reference: Added Target Type CareTeam Types CareTeam, Group
DocumentReference.attester	Added Element
DocumentReference.attester.mode	Added Mandatory Element
DocumentReference.attester.time	Added Element
DocumentReference.attester.party	Added Element
DocumentReference.relatesTo.code	Type changed from code to CodeableConcept Change binding strength from required to extensible
DocumentReference.description	Type changed from string to markdown
DocumentReference.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
DocumentReference.content.profile	Added Element
DocumentReference.content.profile.value[x]	Added Mandatory Element
DocumentReference.masterIdentifier	Deleted (-> identifier) DocumentReference.identifier)
DocumentReference.authenticator	Deleted (-> attester) DocumentReference.attester)
DocumentReference.content.format	Deleted (-> content.profile)
DocumentReference.context.encounter	Deleted (-> context)
DocumentReference.context.event	Deleted (-> event)
DocumentReference.context.period Deleted (-> period) DocumentReference.context.facilityType Deleted (-> facilityType) DocumentReference.context.practiceSetting Deleted (-> practiceSetting) DocumentReference.context.sourcePatientInfo	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related	Deleted (-> basedOn)
DomainResource	No Changes
Encounter
Encounter.status	Remove codes arrived , triaged , onleave , finished Add codes on-hold , discharged , completed , discontinued
Encounter.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
Encounter.class	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus	Added Element
Encounter.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Encounter.careTeam	Added Element
Encounter.participant.actor	Renamed from individual to actor Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService	Added Element
Encounter.actualPeriod	Renamed from period to actualPeriod
Encounter.plannedStartDate	Added Element
Encounter.plannedEndDate	Added Element
Encounter.reason	Renamed from reasonCode to reason Type changed from CodeableConcept to BackboneElement Added Element
Encounter.reason.use	Added Element
Encounter.reason.value	Added 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.class) EncounterHistory)
Encounter.reasonReference Encounter.reasonCode	Deleted (-> Encounter.reason.reference) reason.concept.value)
Encounter.diagnosis.rank Encounter.reasonReference	Deleted (-> Account.diagnosis.sequence) reason.reference.value)
EncounterHistory Encounter.diagnosis.rank	Added Resource Deleted (-> Account.diagnosis.sequence)
Endpoint
Endpoint.status	Remove code test Add code limited
Endpoint.connectionType	Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Endpoint.description	Added Element
Endpoint.environmentType	Added Element
Endpoint.availability	Added Element
Endpoint.payload	Added Element
Endpoint.payload.type	Moved from Endpoint.payloadType to type Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType	Moved from Endpoint.payloadMimeType to mimeType
Endpoint.payload.profileCanonical	Added Element
Endpoint.payload.profileUri	Added Element
EnrollmentRequest
EnrollmentRequest.candidate	No Changes Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Enrollment Outcome
EnrollmentResponse.candidate	Added Element
EpisodeOfCare
EpisodeOfCare.reason	Added Element
EpisodeOfCare.reason.use	Added Element
EpisodeOfCare.reason.value	Added Element
EpisodeOfCare.diagnosis.condition	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use	Renamed from role to use Max Cardinality changed from 1 to *
EpisodeOfCare.subject	Renamed from patient to subject Type Reference: Added Target Type Group
EpisodeOfCare.careTeam	Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank	Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]	Added Element
EventDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
EventDefinition.usage	Type changed from string to markdown
EventDefinition.copyrightLabel	Added Element
Evidence
Evidence.versionAlgorithm[x]	Added Element
Evidence.citeAs[x] Evidence.name	Added Element
Evidence.experimental Evidence.citeAs	Added Element Renamed from citeAs[x] to citeAs Remove Type Reference(Citation)
Evidence.purpose Evidence.experimental	Added Element
Evidence.copyrightLabel Evidence.recorder	Added Element
Evidence.assertion Evidence.purpose	Added Element
Evidence.variableDefinition Evidence.copyright	Added Mandatory Element
Evidence.variableDefinition.description Evidence.copyrightLabel	Added Element
Evidence.variableDefinition.note Evidence.relatesTo	Added Element
Evidence.variableDefinition.variableRole Evidence.relatesTo.type	Added Mandatory Element
Evidence.variableDefinition.observed Evidence.relatesTo.target[x]	Added Mandatory Element
Evidence.variableDefinition.intended Evidence.variableDefinition	Added Element Min Cardinality changed from 1 to 0
Evidence.variableDefinition.directnessMatch Evidence.variableDefinition.variableRole	Added Element Type changed from CodeableConcept to code Evidence.synthesisType Added Element Change binding strength from extensible to required
Evidence.studyDesign Evidence.variableDefinition.roleSubtype	Added Element
Evidence.statistic Evidence.variableDefinition.comparatorCategory	Added Element
Evidence.statistic.description Evidence.variableDefinition.directnessMatch	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/directness` (extensible)
Evidence.statistic.note Evidence.synthesisType	Added Element Max Cardinality changed from 1 to * Evidence.statistic.statisticType Added Element Remove Binding `http://hl7.org/fhir/ValueSet/synthesis-type` (extensible)
Evidence.statistic.category Evidence.studyDesign	Added Element
Evidence.statistic.quantity Evidence.statistic.description	Added Element Type changed from string to markdown
Evidence.statistic.numberOfEvents Evidence.statistic.statisticType	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/statistic-type` (extensible)
Evidence.statistic.numberAffected Evidence.statistic.sampleSize.description	Added Element Type changed from string to markdown
Evidence.statistic.sampleSize Evidence.statistic.sampleSize.numberAnalyzed	Added Element
Evidence.statistic.sampleSize.description Evidence.statistic.attributeEstimate.description	Added Element Type changed from string to markdown
Evidence.statistic.sampleSize.note Evidence.statistic.attributeEstimate.type	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/attribute-estimate-type` (extensible)
Evidence.statistic.sampleSize.numberOfStudies Evidence.statistic.modelCharacteristic.code	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/statistic-model-code` (extensible)
Evidence.statistic.sampleSize.numberOfParticipants Evidence.statistic.modelCharacteristic.value[x]	Added Element Renamed from value to value[x] Evidence.statistic.sampleSize.knownDataCount Added Element Add Types Range, CodeableConcept
Evidence.statistic.attributeEstimate Evidence.statistic.modelCharacteristic.intended	Added Element
Evidence.statistic.attributeEstimate.description Evidence.statistic.modelCharacteristic.applied	Added Element
Evidence.statistic.attributeEstimate.note Evidence.statistic.modelCharacteristic.variable.handling	Added Element Type changed from code to CodeableConcept Evidence.statistic.attributeEstimate.type Added Element Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
Evidence.statistic.attributeEstimate.quantity Evidence.statistic.modelCharacteristic.attribute	Added Element
Evidence.statistic.attributeEstimate.level Evidence.certainty.description	Added Element Type changed from string to markdown
Evidence.statistic.attributeEstimate.range Evidence.certainty.type	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/certainty-type` (extensible)
Evidence.statistic.attributeEstimate.attributeEstimate Evidence.certainty.rating	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/certainty-rating` (extensible)
Evidence.statistic.modelCharacteristic Evidence.certainty.rater	Added Element Max Cardinality changed from 1 to *
Evidence.statistic.modelCharacteristic.code Evidence.relatedArtifact	Added Mandatory Element Deleted
Evidence.statistic.modelCharacteristic.value Evidence.studyType	Added Element Deleted
Evidence.statistic.modelCharacteristic.variable Evidence.statistic.modelCharacteristic.attributeEstimate	Added Element Deleted
Evidence.statistic.modelCharacteristic.variable.variableDefinition EvidenceVariable	Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling EvidenceVariable.versionAlgorithm[x]	Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory EvidenceVariable.citeAs	Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity EvidenceVariable.experimental	Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange EvidenceVariable.recorder	Added Element
Evidence.statistic.modelCharacteristic.attributeEstimate EvidenceVariable.purpose	Added Element
Evidence.certainty EvidenceVariable.copyright	Added Element
Evidence.certainty.description EvidenceVariable.copyrightLabel	Added Element
Evidence.certainty.note EvidenceVariable.approvalDate	Added Element
Evidence.certainty.type EvidenceVariable.lastReviewDate	Added Element
Evidence.certainty.rating EvidenceVariable.effectivePeriod	Added Element
Evidence.certainty.rater EvidenceVariable.relatesTo	Added Element
Evidence.certainty.subcomponent EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.versionAlgorithm[x] EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.experimental EvidenceVariable.definition	Added Element
EvidenceVariable.purpose EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.copyrightLabel EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.actual EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.characteristic EvidenceVariable.handling	Min Cardinality Type changed from 1 code to 0 CodeableConcept EvidenceVariable.characteristic.linkId Added Element Remove Binding `http://hl7.org/fhir/ValueSet/variable-handling|4.3.0` (required)
EvidenceVariable.characteristic.description EvidenceVariable.category.value[x]	Add Type changed from string to markdown EvidenceVariable.characteristic.note Added Element EvidenceVariable.characteristic.definitionReference Added Element EvidenceVariable.characteristic.definitionCanonical Added Element EvidenceVariable.characteristic.definitionCodeableConcept Added Element Reference(Group)
EvidenceVariable.characteristic.definitionExpression EvidenceVariable.conditional	Added Element
EvidenceVariable.characteristic.definitionId EvidenceVariable.classifier	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue EvidenceVariable.dataStorage	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.type EvidenceVariable.dataStorage.datatype	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.method EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.device EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.value[x] EvidenceVariable.dataStorage.component	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.offset EvidenceVariable.timing	Added Element
EvidenceVariable.characteristic.definitionByCombination EvidenceVariable.period	Added Element
EvidenceVariable.characteristic.definitionByCombination.code EvidenceVariable.constraint	Added Mandatory Element
EvidenceVariable.characteristic.definitionByCombination.threshold EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.characteristic.definitionByCombination.characteristic EvidenceVariable.constraint.minimumQuantity	Added Mandatory Element
EvidenceVariable.characteristic.instances[x] EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.characteristic.duration[x] EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.description EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.characteristic.timeFromEvent.note EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.characteristic.timeFromEvent.event[x] EvidenceVariable.constraint.code	Added Element
EvidenceVariable.characteristic.timeFromEvent.quantity EvidenceVariable.constraint.expression	Added Element
EvidenceVariable.characteristic.timeFromEvent.range EvidenceVariable.constraint.expectedValueSet	Added Element
EvidenceVariable.handling EvidenceVariable.constraint.expectedUnitsValueSet	Added Element
EvidenceVariable.category EvidenceVariable.constraint.anyValueAllowed	Added Element
EvidenceVariable.category.name EvidenceVariable.missingDataMeaning	Added Element
EvidenceVariable.category.value[x] EvidenceVariable.unacceptableDataHandling	Added Element
EvidenceVariable.subtitle	Deleted
EvidenceVariable.jurisdiction Deleted EvidenceVariable.topic Deleted EvidenceVariable.type Deleted EvidenceVariable.characteristic.definition[x] EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.characteristic.usageContext EvidenceVariable.characteristicCombination	Deleted
EvidenceVariable.characteristic.participantEffective[x] EvidenceVariable.characteristic	Deleted
EvidenceVariable.characteristic.timeFromStart ExampleScenario	Deleted
EvidenceVariable.characteristic.groupMeasure ExampleScenario.versionAlgorithm[x]	Deleted Added Element
ExampleScenario.versionAlgorithm[x] ExampleScenario.title	Added Element
ExampleScenario.title ExampleScenario.description	Added Element
ExampleScenario.description ExampleScenario.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExampleScenario.copyrightLabel	Added Element
ExampleScenario.actor.key	Renamed from actorId to key
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.3.0 to Actor Definition Actor Type Remove code entity Add code codes system , collective , other
ExampleScenario.actor.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.actor.definition	Added Element
ExampleScenario.instance.key	Renamed from resourceId to key
ExampleScenario.instance.structureType	Renamed from resourceType to structureType Type changed from code to Coding Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Example Scenario Resource Type
ExampleScenario.instance.structureVersion	Added Element
ExampleScenario.instance.structureProfile[x]	Added Element
ExampleScenario.instance.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.content	Added Element
ExampleScenario.instance.version.key	Added Mandatory Element Renamed from versionId to key
ExampleScenario.instance.version.title	Added Mandatory Element
ExampleScenario.instance.version.description	Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content	Added Element
ExampleScenario.instance.containedInstance.instanceReference	Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference	Renamed from versionId to versionReference
ExampleScenario.process.step.number	Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step Min Cardinality changed from 1 to 0 Added Element
ExampleScenario.process.step.process	Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow	Moved from ExampleScenario to ExampleScenario.process.step Max Cardinality changed from * to 1 Added Element
ExampleScenario.process.step.operation.type	Type changed from string to Coding Add Binding `http://hl7.org/fhir/ValueSet/testscript-operation-codes` `http://hl7.org/fhir/ValueSet/examplescenario-operation-codes` (extensible)
ExampleScenario.process.step.operation.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.version.versionId ExampleScenario.process.step.operation.number	Deleted
ExampleScenario.workflow	Deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber	Added Element
ExplanationOfBenefit.statusReason	Added Element
ExplanationOfBenefit.subject	Renamed from patient to subject 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
ExplanationOfBenefit.event	Added Element
ExplanationOfBenefit.event.type	Added Mandatory Element
ExplanationOfBenefit.event.when[x]	Added Mandatory Element
ExplanationOfBenefit.encounter	Added Element
ExplanationOfBenefit.facility	Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Claim Processing Codes
ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element Renamed from qualification to specialty
ExplanationOfBenefit.supportingInfo.value[x] ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type Identifier date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid	Added Element
ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	Added Element
ExplanationOfBenefit.item.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.request	Added Element
ExplanationOfBenefit.item.patientPaid	Added Element
ExplanationOfBenefit.item.tax	Added Element
ExplanationOfBenefit.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.item.bodySite.site	Added Mandatory Element
ExplanationOfBenefit.item.bodySite.subSite	Added Element
ExplanationOfBenefit.item.reviewOutcome	Added Element
ExplanationOfBenefit.item.reviewOutcome.decision	Added Element
ExplanationOfBenefit.item.reviewOutcome.reason	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod	Added Element
ExplanationOfBenefit.item.adjudication.quantity	Renamed from value to quantity Type changed from decimal to Quantity
ExplanationOfBenefit.item.adjudication.decisionDate	Added Element
ExplanationOfBenefit.item.detail.traceNumber	Added Element
ExplanationOfBenefit.item.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.tax	Added Element
ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
ExplanationOfBenefit.item.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.subDetail.tax	Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.traceNumber	Added Element
ExplanationOfBenefit.addItem.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	Added Element
ExplanationOfBenefit.addItem.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.request	Added Element
ExplanationOfBenefit.addItem.patientPaid	Added Element
ExplanationOfBenefit.addItem.tax	Added Element
ExplanationOfBenefit.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site	Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite	Added Element
ExplanationOfBenefit.addItem.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.detail.patientPaid	Added Element
ExplanationOfBenefit.addItem.detail.tax	Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.processNote.class	Added Element
ExplanationOfBenefit.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from string to markdown
ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ExplanationOfBenefit.careTeam.qualification ExplanationOfBenefit.careTeam.responsible	Deleted
ExplanationOfBenefit.diagnosis.packageCode	Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.item.adjudication.value Deleted ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory
FamilyMemberHistory.participant FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.participant.function FamilyMemberHistory.asserter	Added Element
FamilyMemberHistory.participant.actor FamilyMemberHistory.reason	Added Mandatory Element Merged both reasonCode and reasonReference into reason
FamilyMemberHistory.sex FamilyMemberHistory.procedure	Change value set from http://build.fhir.org/valueset-administrative-gender.html to AdministrativeGender Added Element
FamilyMemberHistory.reason FamilyMemberHistory.procedure.code	Added Mandatory Element
FamilyMemberHistory.procedure FamilyMemberHistory.procedure.outcome	Added Element
FamilyMemberHistory.procedure.code FamilyMemberHistory.procedure.contributedToDeath	Added Mandatory Element
FamilyMemberHistory.procedure.outcome FamilyMemberHistory.procedure.performed[x]	Added Element
FamilyMemberHistory.procedure.contributedToDeath FamilyMemberHistory.procedure.note	Added Element
FamilyMemberHistory.procedure.performed[x] FamilyMemberHistory.instantiatesCanonical	Added Element Deleted
FamilyMemberHistory.procedure.note FamilyMemberHistory.instantiatesUri	Added Element Deleted
FamilyMemberHistory.reasonCode	Deleted (-> FamilyMemberHistory.reason) reason.concept)
FamilyMemberHistory.reasonReference	Deleted (-> FamilyMemberHistory.reason) 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
FormularyItem Flag.supportingInfo	Added Resource Element
GenomicStudy Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Resource Element
Goal Goal.acceptance	Added Element
Goal.continuous Goal.acceptance.participant	Added Mandatory Element
Goal.source Goal.acceptance.status	Renamed Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from expressedBy 1 to source * Type Reference: changed from string to CodeableConcept
Goal.recorder	Added Target Type CareTeam Element
Goal.addresses Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types MedicationRequest, Procedure CareTeam, Group
Goal.outcome Goal.addresses	Type Reference: Added Element Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
GraphDefinition Group
GraphDefinition.identifier Group.url	Added Element
GraphDefinition.versionAlgorithm[x] Group.version	Added Element
GraphDefinition.title Group.versionAlgorithm[x]	Added Element
GraphDefinition.copyright Group.title	Added Element
GraphDefinition.copyrightLabel Group.status	Added Element
GraphDefinition.start Group.experimental	Min Cardinality changed from 1 to 0 Type changed from code to id Remove Binding `http://hl7.org/fhir/ValueSet/resource-types|4.0.0` (required) Added Element
GraphDefinition.node Group.date	Added Element
GraphDefinition.node.nodeId Group.publisher	Added Mandatory Element
GraphDefinition.node.description Group.contact	Added Element
GraphDefinition.node.type Group.description	Added Mandatory Element
GraphDefinition.node.profile Group.useContext	Added Element
GraphDefinition.link.sourceId Group.purpose	Added Mandatory Element
GraphDefinition.link.targetId Group.copyright	Added Mandatory Element
GraphDefinition.link.params Group.copyrightLabel	Added Element
GraphDefinition.link.compartment Group.type	Added Element Min Cardinality changed from 1 to 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
GraphDefinition.link.compartment.use Group.membership	Added Mandatory Element
GraphDefinition.link.compartment.rule Group.code	Added Mandatory Element Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
GraphDefinition.link.compartment.code Group.combinationMethod	Added Mandatory Element
GraphDefinition.link.compartment.expression Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
GraphDefinition.link.compartment.description Group.characteristic.description	Added Element
GraphDefinition.profile Group.characteristic.method	Deleted (-> .node.profile) Added Element
GraphDefinition.link.target Group.characteristic.formula	Deleted (-> .link.targetId / .node.nodeId) Added Element
Group Group.characteristic.determiner	Added Element
Group.active Group.characteristic.offset	Now marked as Modifier Added Element
Group.type Group.characteristic.instances[x]	Remove codes medication , substance Add codes careteam , healthcareservice , location , organization , relatedperson , specimen Added Element
Group.membership Group.characteristic.duration[x]	Added Mandatory Element
Group.description Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, RelatedPerson, Specimen Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Type Reference: Removed Target Types Medication, Substance Added Element
Group.active	Deleted (-> 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 * to 1
GuidanceResponse.result	Max Cardinality changed from 1 to * Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, SupplyRequest, Task, VisionPrescription Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode	Deleted (-> reason) reason.concept)
GuidanceResponse.reasonReference	Deleted (-> reason) 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.availability HealthcareService.referralRequired	Added Element
HealthcareService.telecom HealthcareService.availability	Deleted (-> HealthcareService.contact.telecom) Added Element Changed to a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
HealthcareService.availableTime	Deleted (-> HealthcareService.availability.availabileTime) HealthcareService.availability (now part of a datatype))
HealthcareService.notAvailable	Deleted (-> HealthcareService.availability.notAvailabileTime) HealthcareService.availability.notAvailableTime (now part of a datatype))
HealthcareService.availabilityExceptions	Deleted (-> HealthcareService.availability.notAvailabileTime.description) HealthcareService.availability.notAvailabileTime.description (now part of a datatype))
ImagingSelection	Added Resource
ImagingStudy
ImagingStudy.status	Add code inactive
ImagingStudy.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.partOf ImagingStudy.basedOn	Added Element Type Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Added Element Merged both procedureCode and procedureReference into procedure
ImagingStudy.reason	Added Element Merged both reasonCode and reasonReference into reason
ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.series.bodySite	Type changed from Coding to CodeableReference
ImagingStudy.series.laterality ImagingStudy.series.performer.actor	Type changed from Coding to CodeableConcept Reference: Added Target Type HealthcareService
ImagingStudy.series.performer.actor ImagingStudy.series.instance.sopClass	Type Reference: Added Target Type HealthcareService changed from Coding to oid Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingStudy.interpreter	Deleted (-> series.performer)
ImagingStudy.procedureReference	Deleted (-> procedure) ImagingStudy.procedure)
ImagingStudy.procedureCode	Deleted (-> procedure) ImagingStudy.procedure)
ImagingStudy.reasonCode	Deleted (-> reason) reason.concept)
ImagingStudy.reasonReference	Deleted (-> reason) reason.reference)
ImagingStudy.series.laterality	Deleted
Immunization
Immunization.basedOn	Added Element
Immunization.administeredProduct	Added Element
Immunization.manufacturer	Type changed from Reference(Organization) to CodeableReference
Immunization.supportingInformation	Added Element
Immunization.informationSource	Added Element
Immunization.performer.actor	Type Reference: Added Target Types Patient, RelatedPerson
Immunization.reason	Added Element 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
Immunization.reaction.manifestation	Added Element Renamed from detail to manifestation Type changed from Reference(Observation) to CodeableReference
Immunization.protocolApplied.doseNumber	Renamed from doseNumber[x] to doseNumber Remove Min Cardinality changed from 1 to 0 Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Remove Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.recorded	Deleted
Immunization.reportOrigin	Deleted
Immunization.reasonCode	Deleted (-> reason) reason.concept)
Immunization.reasonReference	Deleted (-> reason) reason.reference)
Immunization.education	Deleted
ImmunizationEvaluation ImplementationGuide	Renamed from doseNumber[x] to doseNumber Remove Type positiveInt
ImmunizationEvaluation.seriesDoses ImplementationGuide.identifier	Renamed from seriesDoses[x] to seriesDoses Remove Type positiveInt Added Element
ImmunizationRecommendation.recommendation.targetDisease ImplementationGuide.versionAlgorithm[x]	Max Cardinality changed from 1 to * Added Element
ImmunizationRecommendation.recommendation.description Type changed from string to markdown ImmunizationRecommendation.recommendation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt ImmunizationRecommendation.recommendation.seriesDoses ImplementationGuide.jurisdiction	Renamed Change value set from seriesDoses[x] http://hl7.org/fhir/ValueSet/jurisdiction to seriesDoses Remove Type positiveInt ImplementationGuide Jurisdiction ValueSet ImplementationGuide.identifier Added Element ImplementationGuide.versionAlgorithm[x] Added Element
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
ImplementationGuide.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.0.2 , 4.1.0 3.3.0 , 4.2 3.5.0 , 4.2.0 4.0.0 , 4.3 4.0.1 , 4.3.0 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 4.3.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	Added Element
ImplementationGuide.global.type	Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest Resource , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication CatalogEntry , MedicinalProductIndication ChargeItem , MedicinalProductIngredient ChargeItemDefinition , MedicinalProductInteraction Citation , MedicinalProductManufactured ClinicalImpression , MedicinalProductPackaged DeviceUseStatement , MedicinalProductPharmaceutical DocumentManifest , MedicinalProductUndesirableEffect EvidenceReport , RequestGroup GraphDefinition , ResearchDefinition ImmunizationEvaluation , ResearchElementDefinition ImmunizationRecommendation , Resource Linkage , RiskEvidenceSynthesis Media , SubstanceSpecification Add codes ActorDefinition MedicationKnowledge , AdministrableProductDefinition MolecularSequence , ArtifactAssessment RequestGroup , BiologicallyDerivedProductDispense ResearchDefinition , Citation ResearchElementDefinition , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult , Add codes EncounterHistory ActorDefinition , EvidenceReport ArtifactAssessment , FormularyItem DeviceAlert , GenomicStudy DeviceAssociation , ImagingSelection , Ingredient , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition InsuranceProduct , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
ImplementationGuide.definition.grouping.description	Type changed from string to markdown
ImplementationGuide.definition.resource	Min Cardinality changed from 1 to 0
ImplementationGuide.definition.resource.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.0.2 , 4.1.0 3.3.0 , 4.2 3.5.0 , 4.2.0 4.0.0 , 4.3 4.0.1 , 4.3.0 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 4.3.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.definition.resource.description	Type changed from string to markdown
ImplementationGuide.definition.resource.isExample	Added Element Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.definition.resource.profile	Added Element
ImplementationGuide.definition.page.source[x]	Added Element
ImplementationGuide.definition.page.name	Renamed from name[x] to name Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code	Type changed from code to Coding Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample	Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.manifest.resource.profile	Added Element
Ingredient
ImplementationGuide.manifest.resource.profile Ingredient.group	Added Element
ImplementationGuide.definition.resource.example[x] Ingredient.comment	Deleted Added Element
ImplementationGuide.manifest.resource.example[x] Ingredient.substance.strength.presentation[x]	Deleted Add Types CodeableConcept, Quantity
Ingredient Ingredient.substance.strength.concentration[x]	Add Types CodeableConcept, Quantity
Ingredient.substance.strength.basis	Added Resource Element
Ingredient.substance.strength.referenceStrength.substance	Min Cardinality changed from 0 to 1
Ingredient.substance.strength.referenceStrength.strength[x]	Add Type Quantity
InsurancePlan
InsurancePlan.contact InsurancePlan.identifier	Type changed Moved from BackboneElement InsurancePlan.plan to ExtendedContactDetail 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	Moved from InsurancePlan.plan.specificCost.benefit.cost.qualifiers to qualifier
InsurancePlan.contact.purpose InsurancePlan.identifier	Deleted (-> InsurancePlan.contact.purpose) InsuranceProduct.identifier)
InsurancePlan.contact.name InsurancePlan.status	Deleted (-> InsurancePlan.contact.name) InsuranceProduct.status)
InsurancePlan.contact.telecom InsurancePlan.type	Deleted (-> InsurancePlan.contact.telecom) InsuranceProduct.type)
InsurancePlan.contact.address InsurancePlan.name	Deleted (-> InsurancePlan.contact.address) InsuranceProduct.name)
InventoryItem InsurancePlan.alias	Added Resource 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)
InventoryReport InsuranceProduct	Added Resource
Invoice
Invoice.creation	Added Element
Invoice.period[x]	Renamed from date to period[x] Add Types date, Period Remove Type dateTime
Invoice.issuer	Type Reference: Added Element Target Types Practitioner, PractitionerRole
Invoice.lineItem.serviced[x]	Added Element
Invoice.lineItem.priceComponent	Type changed from BackboneElement to 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
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 http://hl7.org/fhir/ValueSet/library-type to LibraryType
Library.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.usage Library.jurisdiction	Type changed Change value set from string http://hl7.org/fhir/ValueSet/jurisdiction to markdown Jurisdiction ValueSet
Library.copyrightLabel Library.usage	Added Element Type changed from string to markdown
Linkage Library.copyrightLabel	No Changes Added Element
List
List.subject	Max Cardinality changed from 1 to * Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Group, Device, Location
List.source	Type Reference: Added Target Types Organization, RelatedPerson, CareTeam CareTeam, Group
Location
Location.code	Added Element
Location.description	Type changed from string to markdown
Location.type	Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact	Added Element 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
Location.telecom Deleted (-> Location.contact.telecom) Location.hoursOfOperation.daysOfWeek	Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek) Location.hoursOfOperation.availableTime.daysOfWeek (now part of a datatype))
Location.hoursOfOperation.allDay	Deleted (-> Location.hoursOfOperation.availableTime.allDay) Location.hoursOfOperation.availableTime.allDay (now part of a datatype))
Location.hoursOfOperation.openingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime) Location.hoursOfOperation.availableTime.availableStartTime (now part of a datatype))
Location.hoursOfOperation.closingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime) Location.hoursOfOperation.availableTime.availableEndTime (now part of a datatype))
Location.availabilityExceptions	Deleted (-> Location.hoursOfOperation.notAvailable.description) Location.hoursOfOperation.notAvailableTime.description (now part of a datatype))
ManufacturedItemDefinition	Added Resource Measure
Measure.versionAlgorithm[x] ManufacturedItemDefinition.name	Added Element
Measure.basis ManufacturedItemDefinition.marketingStatus	Added Element
Measure.usage ManufacturedItemDefinition.property.value[x]	Type changed from string to markdown Add Types Range, markdown, Reference(Binary)
Measure.copyrightLabel ManufacturedItemDefinition.component	Added Element
Measure.scoring ManufacturedItemDefinition.component.type	Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to MeasureScoring Added Mandatory Element
Measure.scoringUnit ManufacturedItemDefinition.component.function	Added Element
Measure.riskAdjustment ManufacturedItemDefinition.component.amount	Type changed from string to markdown Added Element
Measure.rateAggregation ManufacturedItemDefinition.component.constituent	Type changed from string to markdown Added Element
Measure.term ManufacturedItemDefinition.component.constituent.amount	Added Element
Measure.term.code ManufacturedItemDefinition.component.constituent.location	Added Element
Measure.term.definition ManufacturedItemDefinition.component.constituent.function	Added Element
Measure.group.linkId ManufacturedItemDefinition.component.constituent.hasIngredient	Added Element
Measure.group.description ManufacturedItemDefinition.component.property	Type changed from string to markdown Added Element
Measure.group.type ManufacturedItemDefinition.component.component	Added Element
Measure.group.subject[x] Measure	Added Element
Measure.group.basis Measure.versionAlgorithm[x]	Added Element
Measure.group.scoring Measure.subject[x]	Added Element Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Measure.group.scoringUnit Measure.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Measure.group.rateAggregation Measure.usage	Added Element Type changed from string to markdown
Measure.group.improvementNotation Measure.copyrightLabel	Added Element
Measure.group.library Measure.reportingFrequency	Added Element
Measure.group.population.linkId Measure.riskAdjustment	Added Element Type changed from string to markdown
Measure.group.population.description Measure.rateAggregation	Type changed from string to markdown
Measure.group.population.criteria Measure.term	Min Cardinality changed from 1 to 0 Added Element
Measure.group.population.groupDefinition Measure.term.code	Added Element
Measure.group.population.inputPopulationId Measure.term.definition	Added Element
Measure.group.population.aggregateMethod Measure.group.linkId	Added Element
Measure.group.stratifier.linkId Measure.group.title	Added Element
Measure.group.stratifier.description Measure.group.description	Type changed from string to markdown
Measure.group.stratifier.groupDefinition Measure.group.type	Added Element
Measure.group.stratifier.component.linkId Measure.group.subject[x]	Added Element
Measure.group.stratifier.component.description Measure.group.basis	Type changed from string to markdown Added Element
Measure.group.stratifier.component.criteria Measure.group.basisRequirement	Min Cardinality changed from 1 to 0 Added Element
Measure.group.stratifier.component.groupDefinition Measure.group.scoring	Added Element
Measure.supplementalData.linkId Measure.group.scoringUnit	Added Element
Measure.supplementalData.description Measure.group.scoringPrecision	Type changed from string to markdown Added Element
Measure.definition Measure.group.compositeScoring	Deleted (->term.definition term is code and definition now) Added Element
MeasureReport.type Measure.group.component	Remove code data-collection Add code data-exchange Added Element
MeasureReport.dataUpdateType Measure.group.component.measure	Added Element
MeasureReport.measure Measure.group.component.groupId	Min Cardinality changed from 1 to 0 Added Element
MeasureReport.subject Measure.group.component.weight	Type Reference: Added Target Types CareTeam, HealthcareService, Organization Element
MeasureReport.reporter Measure.group.rateAggregation	Type Reference: Added Target Type Group Type Reference: Removed Target Type Location Element
MeasureReport.reportingVendor Measure.group.improvementNotation	Added Element
MeasureReport.location Measure.group.improvementNotationGuidance	Added Element
MeasureReport.inputParameters Measure.group.library	Added Element
MeasureReport.scoring Measure.group.population.linkId	Added Element
MeasureReport.group.linkId Measure.group.population.title	Added Element
MeasureReport.group.subject Measure.group.population.code	Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
Measure.group.population.description	Type changed from string to markdown
Measure.group.population.criteria	Min Cardinality changed from 1 to 0
MeasureReport.group.population.linkId Measure.group.population.groupDefinition	Added Element
MeasureReport.group.population.subjectReport Measure.group.population.inputPopulationId	Added Element
MeasureReport.group.population.subjects Measure.group.population.aggregateMethod	Added Element
MeasureReport.group.measureScore[x] Measure.group.stratifier.linkId	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration Added Element
MeasureReport.group.stratifier.linkId Measure.group.stratifier.title	Added Element
MeasureReport.group.stratifier.code Measure.group.stratifier.description	Max Cardinality Type changed from * string to 1 markdown
MeasureReport.group.stratifier.stratum.value[x] Measure.group.stratifier.groupDefinition	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Added Element
MeasureReport.group.stratifier.stratum.component.linkId Measure.group.stratifier.component.linkId	Added Element
MeasureReport.group.stratifier.stratum.component.value[x] Measure.group.stratifier.component.description	Renamed Type changed from value string to value[x] Add Types boolean, Quantity, Range, Reference markdown
MeasureReport.group.stratifier.stratum.population.linkId Measure.group.stratifier.component.criteria	Added Element Min Cardinality changed from 1 to 0
MeasureReport.group.stratifier.stratum.population.subjectReport Measure.group.stratifier.component.groupDefinition	Added Element
MeasureReport.group.stratifier.stratum.population.subjects Measure.group.stratifier.component.valueSet	Added Element
MeasureReport.group.stratifier.stratum.measureScore[x] Measure.group.stratifier.component.unit	Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration Added Element
MeasureReport.supplementalData Measure.supplementalData.linkId	Added Element
Medication.marketingAuthorizationHolder Measure.supplementalData.usage	Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-data-usage to MeasureDataUsage
Medication.doseForm Measure.supplementalData.description	Added Element Type changed from string to markdown
Medication.totalVolume Measure.supplementalData.valueSet	Added Element
Medication.ingredient.item Measure.supplementalData.unit	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication) Added Element
Medication.ingredient.strength[x] Measure.scoring	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity Deleted
Medication.definition Measure.compositeScoring	Added Element Deleted
Medication.manufacturer Measure.type	Deleted
Medication.form Measure.improvementNotation	Deleted
Medication.amount Measure.definition	Deleted
MedicationAdministration MeasureReport
MedicationAdministration.basedOn MeasureReport.category	Added Element
MeasureReport.messages	Added Element
MedicationAdministration.partOf MeasureReport.type	Remove code data-collection Add code data-exchange
MeasureReport.dataUpdateType	Type Reference: Added Target Type MedicationDispense Element
MedicationAdministration.category MeasureReport.measure	Max Min Cardinality changed from 1 to * 0
MedicationAdministration.medication MeasureReport.subject	Renamed from medication[x] to medication Add Type CodeableReference Reference: Added Target Types CareTeam, HealthcareService, Organization
MeasureReport.reporter	Remove Types CodeableConcept, Reference(Medication) Type Reference: Removed Target Type Location
MedicationAdministration.encounter MeasureReport.reportingVendor	Added Element
MedicationAdministration.occurence[x] MeasureReport.location	Added Mandatory Element
MedicationAdministration.recorded MeasureReport.inputParameters	Added Element
MedicationAdministration.isSubPotent MeasureReport.group.linkId	Added Element
MedicationAdministration.subPotentReason MeasureReport.group.title	Added Element
MedicationAdministration.performer.actor MeasureReport.group.calculatedDate	Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference Added Element
MedicationAdministration.reason MeasureReport.group.description	Added Element
MedicationAdministration.device MeasureReport.group.type	Type changed from Reference(Device) to CodeableReference Added Element
MedicationAdministration.instantiates MeasureReport.group.subject	Deleted Added Element
MedicationAdministration.context MeasureReport.group.scoring	Deleted Added Element
MedicationAdministration.effective[x] MeasureReport.group.improvementNotation	Deleted Added Element
MedicationAdministration.reasonCode MeasureReport.group.improvementNotationGuidance	Deleted (-> reason) Added Element
MedicationAdministration.reasonReference MeasureReport.group.population.linkId	Deleted (-> reason) Added Element
MedicationDispense.basedOn MeasureReport.group.population.title	Added Element
MedicationDispense.partOf MeasureReport.group.population.code	Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MeasureReport.group.population.description	Type Reference: Added Target Type MedicationAdministration Element
MedicationDispense.notPerformedReason MeasureReport.group.population.countQuantity	Added Element
MedicationDispense.statusChanged MeasureReport.group.population.subjectReport	Added Element
MedicationDispense.category MeasureReport.group.population.subjects	Max Cardinality changed from 1 to * Added Element
MedicationDispense.medication MeasureReport.group.measureScore[x]	Renamed from medication[x] measureScore to medication measureScore[x] Add Type CodeableReference Remove Types dateTime, CodeableConcept, Reference(Medication) Period, Range, Duration, boolean, Ratio
MedicationDispense.subject MeasureReport.group.stratifier.linkId	Min Cardinality changed from 0 to 1 Added Element
MedicationDispense.encounter MeasureReport.group.stratifier.title	Added Element
MedicationDispense.performer.actor MeasureReport.group.stratifier.code	Type Reference: Added Target Type CareTeam Max Cardinality changed from * to 1
MedicationDispense.recorded MeasureReport.group.stratifier.description	Added Element
MedicationDispense.receiver MeasureReport.group.stratifier.stratum.value[x]	Type Reference: Added Target Renamed from value to value[x] Add Types RelatedPerson, Location, PractitionerRole boolean, Quantity, Range, Reference
MedicationDispense.renderedDosageInstruction MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MedicationDispense.substitution.responsibleParty MeasureReport.group.stratifier.stratum.component.description	Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization Element
MedicationDispense.statusReason[x] MeasureReport.group.stratifier.stratum.component.value[x]	Deleted Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MedicationDispense.context MeasureReport.group.stratifier.stratum.population.linkId	Deleted Added Element
MedicationDispense.detectedIssue MeasureReport.group.stratifier.stratum.population.code	Deleted Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MedicationKnowledge.identifier MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MedicationKnowledge.author MeasureReport.group.stratifier.stratum.population.subjectReport	Added Element
MedicationKnowledge.intendedJurisdiction MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MedicationKnowledge.name MeasureReport.group.stratifier.stratum.measureScore[x]	Added Element Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationKnowledge.monograph.source MeasureReport.supplementalData	Type Reference: Removed Target Type Media Added Element
MedicationKnowledge.cost.effectiveDate MeasureReport.improvementNotation	Added Element Deleted
Medication
MedicationKnowledge.cost.cost[x] Medication.marketingAuthorizationHolder	Renamed from cost manufacturer to cost[x] Add Type CodeableConcept marketingAuthorizationHolder
MedicationKnowledge.indicationGuideline Medication.doseForm	Added Element Renamed from form to doseForm
MedicationKnowledge.indicationGuideline.indication Medication.packageSize	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline Medication.packageSize.numberOfItems	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent Medication.packageSize.amountPerItem	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage Medication.ingredient.item	Added Element Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication)
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type Medication.ingredient.role	Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage Medication.ingredient.strength[x]	Added Mandatory Element Renamed from strength to strength[x] Add Types CodeableConcept, Quantity
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment Medication.instance	Added Element Renamed from batch to instance
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic Medication.instance.identifier	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type Medication.instance.lotNumber	Added Mandatory Element Moved from Medication.batch to Medication.instance
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x] Medication.instance.expirationDate	Added Element Moved from Medication.batch to Medication.instance
MedicationKnowledge.medicineClassification.source[x] Medication.definition	Added Element
MedicationKnowledge.packaging Medication.amount	Max Cardinality changed from 1 to * Deleted
MedicationKnowledge.packaging.cost MedicationAdministration	Added Element
MedicationKnowledge.packaging.packagedProduct MedicationAdministration.basedOn	Added Element
MedicationKnowledge.clinicalUseIssue MedicationAdministration.partOf	Type Reference: Added Element Target Type MedicationDispense
MedicationKnowledge.storageGuideline MedicationAdministration.category	Added Element Max Cardinality changed from 1 to *
MedicationKnowledge.storageGuideline.reference MedicationAdministration.medication	Added Element Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.storageGuideline.note MedicationAdministration.encounter	Added Element Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationKnowledge.storageGuideline.stabilityDuration MedicationAdministration.occurrence[x]	Added Element Renamed from effective[x] to occurrence[x] Add Type Timing
MedicationKnowledge.storageGuideline.environmentalSetting MedicationAdministration.recorded	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting.type MedicationAdministration.isSubPotent	Added Mandatory Element
MedicationKnowledge.storageGuideline.environmentalSetting.value[x] MedicationAdministration.subPotentReason	Added Mandatory Element
MedicationKnowledge.regulatory.schedule MedicationAdministration.performer.actor	Type changed from BackboneElement Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableConcept CodeableReference
MedicationKnowledge.definitional MedicationAdministration.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationKnowledge.definitional.definition MedicationAdministration.device	Added Element Type changed from Reference(Device) to CodeableReference
MedicationKnowledge.definitional.doseForm MedicationAdministration.instantiates	Added Element Deleted
MedicationKnowledge.definitional.intendedRoute MedicationAdministration.reasonCode	Added Element Deleted (-> reason.concept)
MedicationKnowledge.definitional.ingredient MedicationAdministration.reasonReference	Added Element Deleted (-> reason.reference)
MedicationKnowledge.definitional.ingredient.item MedicationDispense	Added Mandatory Element
MedicationKnowledge.definitional.ingredient.type MedicationDispense.basedOn	Added Element
MedicationKnowledge.definitional.ingredient.strength[x] MedicationDispense.partOf	Type Reference: Added Element Target Type MedicationAdministration
MedicationKnowledge.definitional.drugCharacteristic MedicationDispense.status	Added Element Remove code stopped Add code unfulfilled
MedicationKnowledge.definitional.drugCharacteristic.type MedicationDispense.notPerformedReason	Added Element Renamed from statusReason[x] to notPerformedReason Add Type CodeableReference Remove Types CodeableConcept, Reference(DetectedIssue)
MedicationKnowledge.definitional.drugCharacteristic.value[x] MedicationDispense.statusChanged	Added Element
MedicationKnowledge.manufacturer MedicationDispense.category	Deleted Max Cardinality changed from 1 to *
MedicationKnowledge.doseForm MedicationDispense.medication	Deleted Renamed from medication[x] to medication MedicationKnowledge.amount Deleted Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.synonym MedicationDispense.subject	Deleted Min Cardinality changed from 0 to 1
MedicationKnowledge.ingredient MedicationDispense.encounter	Deleted Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationKnowledge.intendedRoute MedicationDispense.performer.actor	Deleted Type Reference: Added Target Types CareTeam, Group
MedicationKnowledge.administrationGuidelines MedicationDispense.fillNumber	Deleted Added Element
MedicationKnowledge.packaging.type MedicationDispense.recorded	Deleted Added Element
MedicationKnowledge.packaging.quantity MedicationDispense.receiver	Deleted Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationKnowledge.drugCharacteristic MedicationDispense.dosageInstruction	Deleted Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationKnowledge.contraindication MedicationDispense.doseAdministrationAid	Deleted Added Element
MedicationKnowledge.regulatory.schedule.schedule MedicationDispense.substitution.responsibleParty	Deleted Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization
MedicationKnowledge.kinetics MedicationDispense.detectedIssue	Deleted
MedicationRequest
MedicationRequest.basedOn	Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.reported MedicationRequest.isRecordOfRequest	Renamed from reported[x] to reported isRecordOfRequest Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.performerType	Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer	Max Cardinality changed from 1 to * Type Reference: Added Target Types DeviceDefinition, HealthcareService HealthcareService, Group Type Reference: Removed Target Type Device
MedicationRequest.device	Added Element
MedicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationRequest.courseOfTherapyType	Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.renderedDosageInstruction MedicationRequest.effectiveTiming[x]	Added Element
MedicationRequest.effectiveDosePeriod MedicationRequest.dosageInstruction	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Added Element Renamed from performer to dispenser
MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.reasonCode MedicationRequest.dispenseRequest.destination	Deleted (-> reason) Added Element
MedicationRequest.reasonReference MedicationRequest.reasonCode	Deleted (-> reason) reason.concept)
MedicationRequest.instantiatesCanonical MedicationRequest.reasonReference	Deleted (-> reason.reference)
MedicationRequest.instantiatesUri MedicationRequest.instantiatesCanonical	Deleted
MedicationRequest.dispenseRequest.performer MedicationRequest.instantiatesUri	Deleted
MedicationRequest.detectedIssue	Deleted
MedicationStatement
MedicationStatement.partOf	Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status	Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken Add codes recorded , draft
MedicationStatement.category	Max Cardinality changed from 1 to *
MedicationStatement.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter	Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationStatement.effective[x]	Add Type Timing
MedicationStatement.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.renderedDosageInstruction MedicationStatement.dosage	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationStatement.adherence	Added Element
MedicationStatement.adherence.code	Added Mandatory Element
MedicationStatement.adherence.reason	Added Element
MedicationStatement.basedOn	Deleted
MedicationStatement.statusReason	Deleted
MedicationStatement.reasonCode	Deleted (-> reason) reason.concept)
MedicationStatement.reasonReference	Deleted (-> reason) reason.reference)
MedicinalProductDefinition
MedicinalProductDefinition.comprisedOf	Added Resource Element
MedicinalProductDefinition.name.part	Renamed from namePart to part
MedicinalProductDefinition.name.part.part	Moved from MedicinalProductDefinition.name.namePart to MedicinalProductDefinition.name.part
MedicinalProductDefinition.name.part.type	Moved from MedicinalProductDefinition.name.namePart to MedicinalProductDefinition.name.part
MedicinalProductDefinition.name.usage	Renamed from countryLanguage to usage
MedicinalProductDefinition.name.usage.country	Moved from MedicinalProductDefinition.name.countryLanguage to MedicinalProductDefinition.name.usage
MedicinalProductDefinition.name.usage.jurisdiction	Moved from MedicinalProductDefinition.name.countryLanguage to MedicinalProductDefinition.name.usage
MedicinalProductDefinition.name.usage.language	Moved from MedicinalProductDefinition.name.countryLanguage to 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 CatalogEntry , DeviceUseStatement , DocumentManifest Resource , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication CatalogEntry , MedicinalProductIndication ChargeItem , MedicinalProductIngredient ChargeItemDefinition , MedicinalProductInteraction Citation , MedicinalProductManufactured ClinicalImpression , MedicinalProductPackaged DeviceUseStatement , MedicinalProductPharmaceutical DocumentManifest , MedicinalProductUndesirableEffect EvidenceReport , RequestGroup GraphDefinition , ResearchDefinition ImmunizationEvaluation , ResearchElementDefinition ImmunizationRecommendation , Resource Linkage , RiskEvidenceSynthesis Media , SubstanceSpecification Add codes ActorDefinition MedicationKnowledge , AdministrableProductDefinition MolecularSequence , ArtifactAssessment RequestGroup , BiologicallyDerivedProductDispense ResearchDefinition , Citation ResearchElementDefinition , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult , Add codes EncounterHistory ActorDefinition , EvidenceReport ArtifactAssessment , FormularyItem DeviceAlert , GenomicStudy DeviceAssociation , ImagingSelection , Ingredient , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition InsuranceProduct , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
MessageDefinition.graph	Max Cardinality changed from * to 1 Deleted
MessageHeader
MessageHeader.event[x]	Add Type canonical(EventDefinition) Remove Type uri canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MessageHeader.sender Type Reference: Added Target Type Device MessageHeader.author MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Organization Patient, RelatedPerson
MessageHeader.source.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MessageHeader.source.sender	Moved from MessageHeader to MessageHeader.source Type Reference: Added Target Types Device, Patient
MessageHeader.response.identifier	Type changed from id to Identifier
MessageHeader.enterer MessageHeader.destination.target	Deleted
MetadataResource.approvalDate MessageHeader.enterer	Added Element Deleted
MetadataResource.lastReviewDate MessageHeader.author	Added Element Deleted
MetadataResource.effectivePeriod MessageHeader.responsible	Added Element Deleted
MetadataResource.topic MetadataResource	Added Element Resource
MetadataResource.author NamingSystem	Added Element
MetadataResource.editor NamingSystem.url	Added Element
MetadataResource.reviewer NamingSystem.identifier	Added Element
MetadataResource.endorser NamingSystem.version	Added Element
MetadataResource.relatedArtifact NamingSystem.versionAlgorithm[x]	Added Element
MetadataResource.url NamingSystem.title	Deleted (-> CanonicalResource) Added Element
MetadataResource.version NamingSystem.experimental	Deleted (-> CanonicalResource) Added Element
MetadataResource.name NamingSystem.type	Deleted (-> CanonicalResource) Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
MetadataResource.title NamingSystem.jurisdiction	Deleted (-> CanonicalResource) Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
MetadataResource.status NamingSystem.purpose	Deleted (-> CanonicalResource) Added Element
MetadataResource.experimental NamingSystem.copyright	Deleted (-> CanonicalResource) Added Element
MetadataResource.date NamingSystem.copyrightLabel	Deleted (-> CanonicalResource) Added Element
MetadataResource.publisher NamingSystem.approvalDate	Deleted (-> CanonicalResource) Added Element
MetadataResource.contact NamingSystem.lastReviewDate	Deleted (-> CanonicalResource) Added Element
MetadataResource.description NamingSystem.effectivePeriod	Deleted (-> CanonicalResource) Added Element
MetadataResource.useContext NamingSystem.topic	Deleted (-> CanonicalResource) Added Element
MetadataResource.jurisdiction NamingSystem.author	Deleted (-> CanonicalResource) Added Element
MolecularSequence.subject NamingSystem.editor	Renamed from patient to subject Type Reference: Added Target Types Group, Substance, BiologicallyDerivedProduct, NutritionProduct Element
MolecularSequence.focus NamingSystem.reviewer	Added Element
MolecularSequence.literal NamingSystem.endorser	Added Element
MolecularSequence.formatted NamingSystem.relatedArtifact	Added Element
MolecularSequence.relative NamingSystem.uniqueId.type	Added Element Add codes iri-stem , v2csmnemonic
MolecularSequence.relative.coordinateSystem NamingSystem.uniqueId.authoritative	Added Mandatory Element
MolecularSequence.relative.ordinalPosition NutritionIntake	Added Element Resource
MolecularSequence.relative.sequenceRange NutritionOrder	Added Element
MolecularSequence.relative.startingSequence NutritionOrder.basedOn	Added Element
MolecularSequence.relative.startingSequence.genomeAssembly NutritionOrder.groupIdentifier	Added Element
MolecularSequence.relative.startingSequence.chromosome NutritionOrder.status	Added Element Remove codes revoked , completed Add code ended
MolecularSequence.relative.startingSequence.sequence[x] NutritionOrder.intent	Added Element Remove codes original-order , reflex-order , filler-order , instance-order
MolecularSequence.relative.startingSequence.windowStart NutritionOrder.priority	Added Element
MolecularSequence.relative.startingSequence.windowEnd NutritionOrder.subject	Renamed from patient to subject Type Reference: Added Element Target Type Group
MolecularSequence.relative.startingSequence.orientation NutritionOrder.supportingInformation	Added Element
MolecularSequence.relative.startingSequence.strand NutritionOrder.requester	Added Element Renamed from orderer to requester
MolecularSequence.relative.edit NutritionOrder.performer	Added Element
MolecularSequence.relative.edit.start NutritionOrder.outsideFoodAllowed	Added Element
MolecularSequence.relative.edit.end NutritionOrder.oralDiet.schedule	Added Element Max Cardinality changed from * to 1 Type changed from Timing to BackboneElement
MolecularSequence.relative.edit.replacementSequence NutritionOrder.oralDiet.schedule.timing	Added Element
MolecularSequence.relative.edit.replacedSequence NutritionOrder.oralDiet.schedule.asNeeded	Added Element
MolecularSequence.coordinateSystem NutritionOrder.oralDiet.schedule.asNeededFor	Deleted (>relative.coordinateSystem) Added Element
MolecularSequence.quantity NutritionOrder.oralDiet.nutrient.amount	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
MolecularSequence.referenceSeq NutritionOrder.oralDiet.texture.type	Deleted (->relative.startingSequence.sequence[x]) Renamed from foodType to type
MolecularSequence.variant NutritionOrder.oralDiet.caloricDensity	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.observedSeq NutritionOrder.supplement.type	Deleted (->relative.startingSequence.sequenceString) Type changed from CodeableConcept to CodeableReference
MolecularSequence.quality NutritionOrder.supplement.schedule	Deleted (Removed Max Cardinality changed from the resource.) * to 1 Type changed from Timing to BackboneElement
MolecularSequence.readCoverage NutritionOrder.supplement.schedule.timing	Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Added Element
MolecularSequence.repository NutritionOrder.supplement.schedule.asNeeded	Deleted (->formatted) Added Element
MolecularSequence.pointer NutritionOrder.supplement.schedule.asNeededFor	Deleted (->relative) Added Element
MolecularSequence.structureVariant NutritionOrder.supplement.quantity	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.url NutritionOrder.supplement.caloricDensity	Added Element
NamingSystem.identifier NutritionOrder.enteralFormula.type	Added Element Renamed from baseFormulaType to type Type changed from CodeableConcept to CodeableReference
NamingSystem.version NutritionOrder.enteralFormula.productName	Added Element Renamed from baseFormulaProductName to productName
NamingSystem.versionAlgorithm[x] NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
NamingSystem.title NutritionOrder.enteralFormula.caloricDensity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.experimental NutritionOrder.enteralFormula.routeOfAdministration	Added Element Renamed from routeofAdministration to routeOfAdministration Max Cardinality changed from 1 to *
NamingSystem.type NutritionOrder.enteralFormula.administration.schedule	Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible) Type changed from Timing to BackboneElement
NamingSystem.purpose NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NamingSystem.copyright NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
NamingSystem.copyrightLabel NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NamingSystem.approvalDate NutritionOrder.enteralFormula.administration.quantity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.lastReviewDate NutritionOrder.enteralFormula.administration.rate[x]	Added Element Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NamingSystem.effectivePeriod NutritionOrder.enteralFormula.maxVolumeToAdminister	Added Element Renamed from maxVolumeToDeliver to maxVolumeToAdminister Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NamingSystem.topic NutritionOrder.enteralFormula.administrationInstruction	Added Element Type changed from string to markdown
NamingSystem.author NutritionOrder.additive	Added Element
NamingSystem.editor NutritionOrder.additive.modularType	Added Element
NamingSystem.reviewer NutritionOrder.additive.productName	Added Element
NamingSystem.endorser NutritionOrder.additive.quantity	Added Element
NamingSystem.relatedArtifact NutritionOrder.additive.routeOfAdministration	Added Element
NamingSystem.uniqueId.type NutritionOrder.instantiatesCanonical	Add codes iri-stem , v2csmnemonic Deleted
NamingSystem.uniqueId.authoritative NutritionOrder.instantiatesUri	Added Element Deleted
NutritionIntake NutritionOrder.instantiates	Added Resource Deleted
NutritionOrder.basedOn NutritionOrder.oralDiet.fluidConsistencyType	Added Element Deleted
NutritionOrder.groupIdentifier NutritionOrder.enteralFormula.additiveType	Added Element Deleted
NutritionOrder.priority NutritionOrder.enteralFormula.additiveProductName	Added Element Deleted
NutritionOrder.subject NutritionProduct	Added Mandatory Element
NutritionOrder.supportingInformation NutritionProduct.manufacturer	Type Reference: Added Element Target Type RelatedPerson
NutritionOrder.performer NutritionProduct.nutrient.item	Added Element Min Cardinality changed from 0 to 1
NutritionOrder.outsideFoodAllowed NutritionProduct.nutrient.amount[x]	Added Element Renamed from amount to amount[x] NutritionOrder.oralDiet.schedule Max Cardinality changed from * to 1 Add Type changed from Timing to BackboneElement NutritionOrder.oralDiet.schedule.timing Added Element NutritionOrder.oralDiet.schedule.asNeeded Added Element Quantity
NutritionOrder.oralDiet.schedule.asNeededFor NutritionProduct.ingredientSummary	Added Element
NutritionOrder.supplement.type NutritionProduct.ingredient.amount[x]	Type changed Renamed from CodeableConcept amount to CodeableReference amount[x] NutritionOrder.supplement.schedule Max Cardinality changed from * to 1 Add Type changed from Timing to BackboneElement Quantity
NutritionOrder.supplement.schedule.timing NutritionProduct.ingredient.allergen	Added Element
NutritionOrder.supplement.schedule.asNeeded NutritionProduct.energy	Added Element
NutritionOrder.supplement.schedule.asNeededFor NutritionProduct.characteristic	Added Element
NutritionOrder.enteralFormula.baseFormulaType NutritionProduct.characteristic.type	Type changed from CodeableConcept to CodeableReference Added Mandatory Element
NutritionOrder.enteralFormula.deliveryDevice NutritionProduct.characteristic.value[x]	Added Mandatory Element
NutritionOrder.enteralFormula.additive NutritionProduct.instance	Added Element Max Cardinality changed from 1 to *
NutritionOrder.enteralFormula.additive.type NutritionProduct.instance.name	Added Element
NutritionOrder.enteralFormula.additive.productName NutritionProduct.instance.biologicalSourceEvent	Added Element
NutritionOrder.enteralFormula.additive.quantity NutritionProduct.knownAllergen	Added Element Deleted
NutritionOrder.enteralFormula.routeOfAdministration NutritionProduct.productCharacteristic	Added Element Deleted
NutritionOrder.enteralFormula.administration.schedule Observation	Type changed from Timing to BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing Observation.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
NutritionOrder.enteralFormula.administration.schedule.asNeeded Observation.triggeredBy	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor Observation.triggeredBy.observation	Added Mandatory Element
NutritionOrder.enteralFormula.administrationInstruction Observation.triggeredBy.type	Type changed from string to markdown Added Mandatory Element
NutritionOrder.patient Observation.triggeredBy.reason	Deleted Added Element
NutritionOrder.enteralFormula.additiveType Observation.status	Deleted Remove code corrected NutritionOrder.enteralFormula.additiveProductName Deleted Add codes specimen-in-process , cannot-be-obtained
NutritionOrder.enteralFormula.routeofAdministration Observation.subject	Deleted Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct
NutritionProduct Observation.focus	Added Resource Now marked as Modifier
Observation.instantiates[x] Observation.organizer	Added Element
Observation.triggeredBy Observation.performer	Type Reference: Added Element Target Types HealthcareService, Group
Observation.triggeredBy.observation Observation.value[x]	Added Mandatory Element Add Type Attachment
Observation.triggeredBy.type Observation.interpretationContext	Added Mandatory Element
Observation.triggeredBy.reason Observation.bodyStructure	Added Element
Observation.partOf Observation.specimen	Type Reference: Added Target Type GenomicStudy Group
Observation.subject Observation.referenceRange.low	Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.value[x] Observation.referenceRange.high	Add Types Attachment, Reference(MolecularSequence) Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.bodyStructure Observation.referenceRange.normalValue	Added Element
Observation.specimen Observation.referenceRange.text	Type Reference: Added Target Type Group Observation.referenceRange.normalValue Added Element changed from string to markdown
Observation.referenceRange.text Observation.hasMember	Type changed from string to markdown Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Types ImagingSelection, GenomicStudy Type ImagingSelection Type Reference: Removed Target Type Media Types Media, MolecularSequence
Observation.component.value[x]	Add Types Attachment, Reference(MolecularSequence) Type Attachment
ObservationDefinition
ObservationDefinition.url	Added Element
ObservationDefinition.identifier	Max Cardinality changed from * to 1
ObservationDefinition.version	Added Element
ObservationDefinition.versionAlgorithm[x]	Added Element
ObservationDefinition.name	Added Element
ObservationDefinition.title	Added Element
ObservationDefinition.status	Added Mandatory Element
ObservationDefinition.experimental	Added Element
ObservationDefinition.date	Added Element
ObservationDefinition.publisher	Added Element
ObservationDefinition.contact	Added Element
ObservationDefinition.description	Added Element
ObservationDefinition.useContext	Added Element
ObservationDefinition.jurisdiction	Added Element
ObservationDefinition.purpose	Added Element
ObservationDefinition.copyright	Added Element
ObservationDefinition.copyrightLabel	Added Element
ObservationDefinition.approvalDate	Added Element
ObservationDefinition.lastReviewDate	Added Element
ObservationDefinition.effectivePeriod	Added Element
ObservationDefinition.derivedFromCanonical	Added Element
ObservationDefinition.derivedFromUri	Added Element
ObservationDefinition.subject	Added Element
ObservationDefinition.performerType	Added Element
ObservationDefinition.bodySite ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Added Element Renamed from qualifiedInterval to qualifiedValue
ObservationDefinition.qualifiedValue.context	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.appliesTo	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gender ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Added Element Moved from ObservationDefinition.qualifiedInterval.gender to sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.age	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gestationalAge	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.condition	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.rangeCategory	Added Element Moved from ObservationDefinition.qualifiedInterval.category to rangeCategory
ObservationDefinition.qualifiedValue.range	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.validCodedValueSet	Added Element Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.normalCodedValueSet	Added Element Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.abnormalCodedValueSet	Added Element 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
ObservationDefinition.validCodedValueSet OperationDefinition	Deleted
ObservationDefinition.normalCodedValueSet OperationDefinition.identifier	Deleted Added Element
ObservationDefinition.abnormalCodedValueSet OperationDefinition.versionAlgorithm[x]	Deleted Added Element
ObservationDefinition.criticalCodedValueSet OperationDefinition.jurisdiction	Deleted OperationDefinition Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet OperationDefinition.identifier Added Element
OperationDefinition.versionAlgorithm[x] OperationDefinition.copyright	Added Element
OperationDefinition.copyright OperationDefinition.copyrightLabel	Added Element
OperationDefinition.copyrightLabel OperationDefinition.synchronicity	Added Element
OperationDefinition.resource	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Add Remove codes ActorDefinition ChargeItem , AdministrableProductDefinition ChargeItemDefinition , ArtifactAssessment Citation , BiologicallyDerivedProductDispense ClinicalImpression , CanonicalResource EvidenceReport , Citation GraphDefinition , ClinicalUseDefinition ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense MedicationKnowledge , DeviceUsage MolecularSequence , EncounterHistory SupplyDelivery , EvidenceReport SupplyRequest , FormularyItem TestReport , GenomicStudy TestScript , ImagingSelection VerificationResult Add codes ActorDefinition , Ingredient ArtifactAssessment , InventoryItem CanonicalResource , InventoryReport DeviceAlert , ManufacturedItemDefinition DeviceAssociation , MedicinalProductDefinition ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , NutritionProduct RequestOrchestration , PackagedProductDefinition Requirements , Permission BodySite , RegulatedAuthorization Conformance , RequestOrchestration DataElement , Requirements DeviceComponent , SubscriptionStatus DeviceUseRequest , SubscriptionTopic DiagnosticOrder , SubstanceDefinition EffectEvidenceSynthesis , TestPlan EligibilityRequest , Transport EligibilityResponse , BodySite ExpansionProfile , Conformance ImagingManifest , DataElement ImagingObjectSelection , DeviceComponent MedicationOrder , DeviceUseRequest MedicationUsage , DiagnosticOrder MedicinalProduct , EligibilityRequest MedicinalProductAuthorization , EligibilityResponse MedicinalProductContraindication , ExpansionProfile MedicinalProductIndication , ImagingManifest MedicinalProductIngredient , ImagingObjectSelection MedicinalProductInteraction , MedicationOrder MedicinalProductManufactured , MedicationUsage MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification
OperationDefinition.parameter.scope	Added Element
OperationDefinition.parameter.min	Type changed from integer to unsignedInt
OperationDefinition.parameter.documentation	Type changed from string to markdown
OperationDefinition.parameter.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 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 , SimpleQuantity ProductShelfLife , SubstanceAmount Quantity , CatalogEntry Range , DeviceUseStatement Ratio , DocumentManifest RatioRange , EffectEvidenceSynthesis Reference , Media RelatedArtifact , MedicinalProduct SampledData , MedicinalProductAuthorization Signature , MedicinalProductContraindication SimpleQuantity , MedicinalProductIndication Timing , MedicinalProductIngredient TriggerDefinition , MedicinalProductInteraction UsageContext , MedicinalProductManufactured base64Binary , MedicinalProductPackaged boolean , MedicinalProductPharmaceutical canonical , MedicinalProductUndesirableEffect code , RequestGroup date , ResearchDefinition dateTime , ResearchElementDefinition decimal , RiskEvidenceSynthesis id , SubstanceSpecification instant , Type integer , Any markdown Add codes , Base oid , DataType positiveInt , Availability string , BackboneType time , CodeableReference unsignedInt , ExtendedContactDetail uri , MonetaryComponent url , PrimitiveType uuid , integer64 xhtml , RatioRange Resource , VirtualServiceDetail Binary , ActorDefinition Bundle , DomainResource , Account , ActivityDefinition , AdministrableProductDefinition , ArtifactAssessment AdverseEvent , BiologicallyDerivedProductDispense AllergyIntolerance , CanonicalResource Appointment , AppointmentResponse , AuditEvent , Basic , BiologicallyDerivedProduct , BodyStructure , CapabilityStatement , CarePlan , CareTeam , CatalogEntry , ChargeItem , ChargeItemDefinition , Citation , Claim , ClaimResponse , ClinicalImpression , ClinicalUseDefinition , ConditionDefinition CodeSystem , DeviceAssociation Communication , DeviceDispense CommunicationRequest , DeviceUsage CompartmentDefinition , EncounterHistory 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 , FormularyItem EvidenceVariable , GenomicStudy ExampleScenario , ImagingSelection ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , GraphDefinition , Group , GuidanceResponse , HealthcareService , ImagingStudy , Immunization , ImmunizationEvaluation , ImmunizationRecommendation , ImplementationGuide , Ingredient , InventoryItem InsurancePlan , InventoryReport Invoice , Library , Linkage , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Media , Medication , MedicationAdministration , MedicationDispense , MedicationKnowledge , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MetadataResource MessageDefinition , NutritionIntake MessageHeader , MolecularSequence , NamingSystem , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Permission Patient , PaymentNotice , PaymentReconciliation , Person , PlanDefinition , Practitioner , PractitionerRole , Procedure , Provenance , Questionnaire , QuestionnaireResponse , RegulatedAuthorization , RequestOrchestration RelatedPerson , Requirements RequestGroup , ResearchDefinition , ResearchElementDefinition , ResearchStudy , ResearchSubject , RiskAssessment , Schedule , SearchParameter , ServiceRequest , Slot , Specimen , SpecimenDefinition , StructureDefinition , StructureMap , Subscription , SubscriptionStatus , SubscriptionTopic , Substance , SubstanceDefinition , TestPlan SupplyDelivery , Transport SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Parameters , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Add Remove codes limited-filter structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code success
Organization
Organization.description	Added Element
Organization.contact	Type changed from BackboneElement to ExtendedContactDetail
Organization.qualification	Added Element
Organization.qualification.identifier	Added Element
Organization.qualification.code	Added Mandatory Element
Organization.qualification.status	Added Element
Organization.qualification.period	Added Element
Organization.qualification.issuer	Added Element
Organization.telecom	Deleted (-> Use contact.telecom to provide context of use)
Organization.address	Deleted (-> Use contact.address to provide context of use)
Organization.contact.purpose	Deleted (-> Organization.contact.purpose)
Organization.contact.name	Deleted (-> Organization.contact.name)
Organization.contact.telecom	Deleted (-> Organization.contact.telecom)
Organization.contact.address	Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact	Added Element
OrganizationAffiliation.telecom	Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition
PackagedProductDefinition.attachedDocument	Added Resource Element
PackagedProductDefinition.packaging	Added Element
PackagedProductDefinition.packaging.identifier	Added Element
PackagedProductDefinition.packaging.type	Added Element
PackagedProductDefinition.packaging.componentPart	Added Element
PackagedProductDefinition.packaging.quantity	Added Element
PackagedProductDefinition.packaging.material	Added Element
PackagedProductDefinition.packaging.alternateMaterial	Added Element
PackagedProductDefinition.packaging.shelfLifeStorage	Added Element
PackagedProductDefinition.packaging.manufacturer	Added Element
PackagedProductDefinition.packaging.property	Added Element
PackagedProductDefinition.packaging.property.type	Added Mandatory Element
PackagedProductDefinition.packaging.property.value[x]	Added Element
PackagedProductDefinition.packaging.containedItem	Added Element
PackagedProductDefinition.packaging.containedItem.item	Added Mandatory Element
PackagedProductDefinition.packaging.containedItem.amount	Added Element
PackagedProductDefinition.packaging.packaging	Added Element
PackagedProductDefinition.characteristic	Remove Type CodeableConcept
PackagedProductDefinition.package	Deleted
Parameters
Parameters.parameter.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta VirtualServiceDetail Remove Type Contributor
Patient
Patient.contact.relationship	Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
Patient.contact.role	Added Element
Patient.contact.additionalName	Added Element
Patient.contact.additionalAddress	Added Element
Patient.communication.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.reporter PaymentNotice.statusReason	Added Element
PaymentNotice.payment PaymentNotice.reporter	Min Cardinality changed Renamed from 1 provider to 0 reporter
PaymentNotice.provider PaymentNotice.payment	Deleted 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
PaymentReconciliation.paymentIssuer	Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 to Payment Outcome
PaymentReconciliation.date	Added Mandatory Element Renamed from paymentDate to date
PaymentReconciliation.location	Added Element
PaymentReconciliation.method	Added Element
PaymentReconciliation.cardBrand	Added Element
PaymentReconciliation.accountNumber	Added Element
PaymentReconciliation.expirationDate	Added Element
PaymentReconciliation.processor	Added Element
PaymentReconciliation.referenceNumber	Added Element
PaymentReconciliation.authorization	Added Element
PaymentReconciliation.tenderedAmount	Added Element
PaymentReconciliation.returnedAmount	Added Element
PaymentReconciliation.amount	Added Mandatory Element Renamed from paymentAmount to amount Min Cardinality changed from 1 to 0
PaymentReconciliation.allocation	Added Element Renamed from detail to allocation
PaymentReconciliation.allocation.identifier	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.predecessor	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.target	Moved from PaymentReconciliation.detail.request to target Type Reference: Added Element 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	Added Element 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	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.response	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Type Reference: Added Element Target Type ClaimResponse Type Reference: Removed Target Type Resource
PaymentReconciliation.allocation.date	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.responsible	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.payee	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.amount	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.paymentDate PaymentReconciliation.allocation.noteNumber	Deleted Added Element
PaymentReconciliation.paymentAmount PaymentReconciliation.processNote.class	Deleted Added Element
PaymentReconciliation.detail PaymentReconciliation.processNote.number	Deleted Added Element
Permission PaymentReconciliation.processNote.text	Added Resource Type changed from string to markdown
Person
Person.deceased[x]	Added Element
Person.maritalStatus	Added Element
Person.photo	Max Cardinality changed from 1 to *
Person.communication	Added Element
Person.communication.language	Added Mandatory Element
Person.communication.preferred	Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
PlanDefinition.subject[x] PlanDefinition.type	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/plan-definition-type to PlanDefinitionType
PlanDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
PlanDefinition.usage	Type changed from string to markdown
PlanDefinition.copyrightLabel	Added Element
PlanDefinition.goal.target.detail[x]	Add Types string, boolean, integer, Ratio
PlanDefinition.actor	Added Element
PlanDefinition.actor.title	Added Element
PlanDefinition.actor.description	Added Element
PlanDefinition.actor.option	Added Mandatory Element
PlanDefinition.actor.option.type	Added Element
PlanDefinition.actor.option.typeCanonical	Added Element
PlanDefinition.actor.option.typeReference	Added Element
PlanDefinition.actor.option.role	Added Element
PlanDefinition.action.linkId	Added Element
PlanDefinition.action.description	Type changed from string to markdown
PlanDefinition.action.textEquivalent	Type changed from string to markdown
PlanDefinition.action.code	Max Cardinality changed from * to 1
PlanDefinition.action.subject[x] PlanDefinition.action.goalId	Add Type canonical changed from id to string
PlanDefinition.action.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input	Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title	Added Element
PlanDefinition.action.input.requirement	Added Element
PlanDefinition.action.input.relatedData	Added Element
PlanDefinition.action.output	Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title	Added Element
PlanDefinition.action.output.requirement	Added Element
PlanDefinition.action.output.relatedData	Added Element
PlanDefinition.action.relatedAction.targetId	Added Mandatory Element 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 codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
PlanDefinition.action.participant.typeCanonical	Added Element
PlanDefinition.action.participant.typeReference	Added Element
PlanDefinition.action.participant.function	Added Element
PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
PlanDefinition.asNeeded[x] PlanDefinition.action.applicabilityBehavior	Added Element
PlanDefinition.action.relatedAction.actionId PlanDefinition.asNeeded[x]	Deleted (PlanDefinition.action.relatedAction.targetId) Added Element
Practitioner
Practitioner.active	Now marked as Modifier
Practitioner.deceased[x]	Added Element
Practitioner.qualification.status	Added Element
Practitioner.communication	Type changed from CodeableConcept to BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
Practitioner.communication.language	Added Mandatory Element
Practitioner.communication.preferred	Added Element
PractitionerRole
PractitionerRole.network	Added Element
PractitionerRole.display	Added Element
PractitionerRole.contact	Added Element
PractitionerRole.characteristic	Added Element
PractitionerRole.communication	Added Element
PractitionerRole.availability	Added Element 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.availableTime) PractitionerRole.availability (now part of a datatype))
PractitionerRole.notAvailable	Deleted (-> PractitionerRole.availability.notAvailableTime) PractitionerRole.availability.notAvailableTime (now part of a datatype))
PractitionerRole.availabilityExceptions	Deleted (-> PractitionerRole.availability.notAvailableTime.description) PractitionerRole.availability.notAvailabileTime.description (now part of a datatype))
Procedure
Procedure.basedOn	Type Reference: Added Target Type MedicationRequest
Procedure.category	Max Cardinality changed from 1 to *
Procedure.subject	Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus	Added Element
Procedure.occurrence[x]	Added Element Renamed from performed[x] to occurrence[x] Add Type Timing
Procedure.recorded	Added Element
Procedure.reported[x]	Added Element Renamed from asserter to 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 CodeableConcept to CodeableReference
Procedure.report	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.performed[x] Procedure.instantiatesCanonical	Deleted
Procedure.asserter Procedure.instantiatesUri	Deleted (-> Procedure.reportedReference)
Procedure.reasonCode	Deleted (-> Procedure.reason) reason.concept)
Procedure.reasonReference	Deleted (-> Procedure.reason) reason.reference)
Procedure.complicationDetail	Deleted (-> Procedure.complication) 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 Type CareTeam Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Type CareTeam Types CareTeam, Group, HealthcareService Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
Questionnaire
Questionnaire.versionAlgorithm[x]	Added Element
Questionnaire.subjectType	Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest Resource , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication CatalogEntry , MedicinalProductIndication ChargeItem , MedicinalProductIngredient ChargeItemDefinition , MedicinalProductInteraction Citation , MedicinalProductManufactured ClinicalImpression , MedicinalProductPackaged DeviceUseStatement , MedicinalProductPharmaceutical DocumentManifest , MedicinalProductUndesirableEffect EvidenceReport , RequestGroup GraphDefinition , ResearchDefinition ImmunizationEvaluation , ResearchElementDefinition ImmunizationRecommendation , Resource Linkage , RiskEvidenceSynthesis Media , SubstanceSpecification Add codes ActorDefinition MedicationKnowledge , AdministrableProductDefinition MolecularSequence , ArtifactAssessment RequestGroup , BiologicallyDerivedProductDispense ResearchDefinition , Citation ResearchElementDefinition , ClinicalUseDefinition SupplyDelivery , ConditionDefinition SupplyRequest , DeviceAssociation TestReport , DeviceDispense TestScript , DeviceUsage VerificationResult , Add codes EncounterHistory ActorDefinition , EvidenceReport ArtifactAssessment , FormularyItem DeviceAlert , GenomicStudy DeviceAssociation , ImagingSelection , Ingredient , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition InsuranceProduct , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan ,
Questionnaire.jurisdiction	Change value set from Transport http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Questionnaire.copyrightLabel	Added Element
Questionnaire.item.definition	Max Cardinality changed from 1 to *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|4.3.0 to Questionnaire Useable Item Type Remove codes question , choice , open-choice Add codes question , code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
Questionnaire.item.disabledDisplay	Added Element
Questionnaire.item.answerConstraint	Added Element
Questionnaire.item.answerOption.value[x]	Add Types decimal, dateTime, uri, Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
Questionnaire.item.initial.value[x]	Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
QuestionnaireResponse
QuestionnaireResponse.identifier	Max Cardinality changed from 1 to *
QuestionnaireResponse.questionnaire	Min Cardinality changed from 0 to 1
QuestionnaireResponse.author	Type Reference: Added Target Type Group
QuestionnaireResponse.source	Type Reference: Added Target Types Device, Organization
QuestionnaireResponse.item.definition	Max Cardinality changed from 1 to *
QuestionnaireResponse.item.answer.value[x]	Min Cardinality changed from 0 to 1 Add Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RegulatedAuthorization
RegulatedAuthorization.subject	Type Reference: Added Resource Target Types ManufacturedItemDefinition, Ingredient
RegulatedAuthorization.status	Now marked as Modifier
RegulatedAuthorization.indication	Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument	Added Element
RelatedPerson
RelatedPerson.role	Added Element
RelatedPerson.communication.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
RequestOrchestration.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
RequestOrchestration.intent	Added Mandatory Element
RequestOrchestration.priority	Added Element
RequestOrchestration.code	Added Element
RequestOrchestration.subject	Type Reference: Added Target Types CareTeam, Device, HealthcareService, Location, Organization, Practitioner, PractitionerRole, RelatedPerson 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	Type changed from string to markdown Added Element
RequestOrchestration.action.textEquivalent	Type changed from string to markdown 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	Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement 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.action.relatedAction.actionId 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
ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 http://hl7.org/fhir/ValueSet/research-study-status|4.3.0 to PublicationStatus Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn Add codes draft , retired , unknown
ResearchStudy.primaryPurposeType	Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
ResearchStudy.studyDesign	Added Element Renamed from category to studyDesign
ResearchStudy.focus	Type changed from CodeableConcept to CodeableReference
ResearchStudy.region	Added Element
ResearchStudy.descriptionSummary	Added Element
ResearchStudy.site	Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier	Added Element
ResearchStudy.associatedParty	Added Element
ResearchStudy.associatedParty.name	Added Element
ResearchStudy.associatedParty.role	Added Mandatory Element
ResearchStudy.associatedParty.period	Added Element
ResearchStudy.associatedParty.classifier	Added Element
ResearchStudy.associatedParty.party	Added Element
ResearchStudy.progressStatus	Added Element
ResearchStudy.progressStatus.state	Added Mandatory Element
ResearchStudy.progressStatus.actual	Added Element
ResearchStudy.progressStatus.period	Added Element
ResearchStudy.whyStopped	Added Element Renamed from reasonStopped to 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.linkId ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.name ResearchStudy.comparisonGroup.actualNumber	Added Mandatory Element
ResearchStudy.comparisonGroup.type ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.comparisonGroup.intendedExposure ResearchStudy.objective.description	Added Element
ResearchStudy.comparisonGroup.observedGroup ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.description ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.outcomeMeasure ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.outcomeMeasure.name ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.outcomeMeasure.type ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.outcomeMeasure.description ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.outcomeMeasure.reference ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.result ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.category ResearchStudy.objective.outcomeMeasure.summaryMeasure	Deleted 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.location ResearchStudy.relatedArtifact	Deleted
ResearchStudy.enrollment ResearchStudy.location	Deleted
ResearchStudy.sponsor ResearchStudy.enrollment	Deleted
ResearchStudy.principalInvestigator ResearchStudy.sponsor	Deleted (-> ResearchStudy.associatedPart.party (with role='sponsor'))
ResearchStudy.reasonStopped 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/research-subject-status|4.0.0 http://hl7.org/fhir/ValueSet/research-subject-status|4.3.0 to PublicationStatus Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn Add codes draft , active , retired , unknown
ResearchSubject.progress ResearchSubject.subject	Renamed from individual to subject Type Reference: Added Element Target Types Group, Specimen, Device, Medication, Substance, SubstanceDefinition, BiologicallyDerivedProduct
ResearchSubject.progress.type ResearchSubject.subjectState	Added Element
ResearchSubject.progress.subjectState ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.progress.milestone ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.progress.reason ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.progress.startDate ResearchSubject.subjectState.reason	Added Element
ResearchSubject.progress.endDate ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subject ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.assignedComparisonGroup ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.actualComparisonGroup ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.consent ResearchSubject.comparisonGroup	Max Cardinality changed from 1 to * Added Element
ResearchSubject.individual ResearchSubject.consent	Deleted 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 Patient, RelatedPerson
RiskAssessment.reason	Added Element Merged both reasonCode and reasonReference into reason
RiskAssessment.prediction.probability[x]	Add Type Quantity
RiskAssessment.reasonCode	Deleted (-> reason) reason.concept)
RiskAssessment.reasonReference	Deleted (-> reason) reason.reference)
Schedule
Schedule.serviceType	Type changed from CodeableConcept to CodeableReference
Schedule.name	Added Element
Schedule.actor	Type Reference: Added Target Type CareTeam
Schedule.comment	Type changed from string to markdown
SearchParameter
SearchParameter.identifier	Added Element
SearchParameter.versionAlgorithm[x]	Added Element
SearchParameter.title	Added Element
SearchParameter.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
SearchParameter.copyright	Added Element
SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	Added Element
SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 http://hl7.org/fhir/ValueSet/resource-types|4.3.0 to Version Independent Resource Types (All) Add Remove codes ActorDefinition ChargeItem , AdministrableProductDefinition ChargeItemDefinition , ArtifactAssessment Citation , BiologicallyDerivedProductDispense ClinicalImpression , CanonicalResource EvidenceReport , Citation GraphDefinition , ClinicalUseDefinition ImmunizationEvaluation , ConditionDefinition ImmunizationRecommendation , DeviceAssociation Linkage , DeviceDispense MedicationKnowledge , DeviceUsage MolecularSequence , EncounterHistory SupplyDelivery , EvidenceReport SupplyRequest , FormularyItem TestReport , GenomicStudy TestScript , ImagingSelection VerificationResult Add codes ActorDefinition , Ingredient ArtifactAssessment , InventoryItem CanonicalResource , InventoryReport DeviceAlert , ManufacturedItemDefinition DeviceAssociation , MedicinalProductDefinition ImagingSelection , InsuranceProduct , MetadataResource , NutritionIntake , NutritionProduct RequestOrchestration , PackagedProductDefinition Requirements , Permission BodySite , RegulatedAuthorization Conformance , RequestOrchestration DataElement , Requirements DeviceComponent , SubscriptionStatus DeviceUseRequest , SubscriptionTopic DiagnosticOrder , SubstanceDefinition EffectEvidenceSynthesis , TestPlan EligibilityRequest , Transport EligibilityResponse , BodySite ExpansionProfile , Conformance ImagingManifest , DataElement ImagingObjectSelection , DeviceComponent MedicationOrder , DeviceUseRequest MedicationUsage , DiagnosticOrder MedicinalProduct , EligibilityRequest MedicinalProductAuthorization , EligibilityResponse MedicinalProductContraindication , ExpansionProfile MedicinalProductIndication , ImagingManifest MedicinalProductIngredient , ImagingObjectSelection MedicinalProductInteraction , MedicationOrder MedicinalProductManufactured , MedicationUsage 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|4.0.0 http://hl7.org/fhir/ValueSet/search-xpath-usage|4.3.0 to Search Processing Mode Type Remove codes nearby , distance
SearchParameter.constraint	Added Element
SearchParameter.target	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 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.modifier	Change value set from http://hl7.org/fhir/ValueSet/search-modifier-code|4.3.0 to 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 , BiologicallyDerivedProductDispense AuditEvent , CanonicalResource Basic , Citation Binary , BiologicallyDerivedProduct , BodyStructure , Bundle , CapabilityStatement , CarePlan , CareTeam , Claim , ClaimResponse , ClinicalUseDefinition , ConditionDefinition CodeSystem , Communication , CommunicationRequest , CompartmentDefinition , Composition , ConceptMap , Condition , Consent , Contract , Coverage , CoverageEligibilityRequest , CoverageEligibilityResponse , DetectedIssue , Device , DeviceAlert , DeviceAssociation , DeviceDispense DeviceDefinition , DeviceUsage DeviceMetric , EncounterHistory DeviceRequest , EvidenceReport DiagnosticReport , FormularyItem DocumentReference , GenomicStudy Encounter , Endpoint , EnrollmentRequest , EnrollmentResponse , EpisodeOfCare , EventDefinition , Evidence , EvidenceVariable , ExampleScenario , ExplanationOfBenefit , FamilyMemberHistory , Flag , Goal , Group , GuidanceResponse , HealthcareService , ImagingSelection , ImagingStudy , Immunization , ImplementationGuide , Ingredient , InventoryItem InsurancePlan , InventoryReport InsuranceProduct , Invoice , Library , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MetadataResource MessageDefinition , MessageHeader , NamingSystem , NutritionIntake , NutritionOrder , NutritionProduct , Observation , ObservationDefinition , OperationDefinition , OperationOutcome , Organization , OrganizationAffiliation , PackagedProductDefinition , Permission 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 , TestPlan Task , Transport 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 , Sequence RequestGroup , ServiceDefinition ResearchDefinition SearchParameter.modifier Remove code , ofType ResearchElementDefinition Add codes , of-type RiskEvidenceSynthesis , code-text Sequence , text-advanced ServiceDefinition , iterate 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
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail	Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus ServiceRequest.orderDetail.parameterFocus[x]	Added Element
ServiceRequest.orderDetail.parameter	Added Mandatory Element
ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ServiceRequest.location	Added Element Merged both locationCode and locationReference into location
ServiceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
ServiceRequest.supportingInfo	Type changed from Reference(Resource) to CodeableReference
ServiceRequest.bodyStructure	Added Element
ServiceRequest.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]	Added Element
ServiceRequest.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.locationCode	Deleted (-> ServiceRequest.location.concept)
ServiceRequest.locationReference	Deleted (-> ServiceRequest.location.reference)
ServiceRequest.reasonCode	Deleted (-> reason) reason.concept)
ServiceRequest.reasonReference	Deleted (-> reason) reason.reference)
ServiceRequest.bodySite	Deleted
Slot
Slot.serviceType	Type changed from CodeableConcept to CodeableReference
Slot.appointmentType	Max Cardinality changed from 1 to *
Specimen
Specimen.subject	Type Reference: Added Target Type BiologicallyDerivedProduct Types BiologicallyDerivedProduct, NutritionProduct
Specimen.combined	Added Element
Specimen.role	Added Element
Specimen.feature	Added Element
Specimen.feature.type	Added Mandatory Element
Specimen.feature.description	Added Mandatory Element
Specimen.collection.collector	Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from CodeableConcept to CodeableReference
Specimen.processing.method	Renamed from procedure to method
Specimen.processing.performer	Added Element
Specimen.container.device Specimen.processing.device[x]	Added Mandatory Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.location Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.processing.procedure 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 string to markdown
SpecimenDefinition.typeTested.container.preparation	Type changed from string to markdown
SpecimenDefinition.typeTested.requirement	Type changed from string to markdown
SpecimenDefinition.typeTested.singleUse	Added Element
SpecimenDefinition.typeTested.handling.instruction	Type changed from string to markdown
SpecimenDefinition.typeTested.testingDestination	Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]	Added Element
StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.0.2 1.4.0 , 3.3 1.6.0 , 3.5 1.8.0 , 4.0 3.0.0 , 4.0.1 3.0.1 , 4.1 3.0.2 , 4.1.0 3.3.0 , 4.2 3.5.0 , 4.2.0 4.0.0 , 4.3 4.0.1 , 4.3.0 4.1.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 4.3.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureMap.copyrightLabel	Added Element
StructureMap.const	Added Element
StructureMap.const.name	Added Element
StructureMap.const.value	Added Element
StructureMap.group.typeMode	Min Cardinality changed from 1 to 0 Remove code none
StructureMap.group.rule	Min Cardinality changed from 1 to 0
StructureMap.group.rule.name	Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.min	Type changed from integer to unsignedInt
StructureMap.group.rule.source.defaultValue	Renamed from defaultValue[x] to defaultValue Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage Dosage, Meta
StructureMap.group.rule.target.context	Type changed from id to string
StructureMap.group.rule.target.listMode	Remove code collate Add code single
StructureMap.group.rule.target.parameter.value[x]	Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter	Renamed from variable to parameter Remove Type string
StructureMap.group.rule.target.contextType	Deleted (now implied by context)
Subscription
Subscription.identifier	Added Element
Subscription.name	Added Element
Subscription.status	Add code entered-in-error
Subscription.topic	Added Mandatory Element
Subscription.managingEntity	Added Element
Subscription.reason	Min Cardinality changed from 1 to 0
Subscription.filterBy	Added Element
Subscription.filterBy.resourceType Subscription.filterBy.resource	Added Element
Subscription.filterBy.filterParameter	Added Mandatory Element
Subscription.filterBy.comparator	Added Element
Subscription.filterBy.modifier	Added Element
Subscription.filterBy.value	Added Mandatory Element
Subscription.filterBy.event	Added Element
Subscription.channelType	Added Mandatory Element
Subscription.endpoint	Added Element
Subscription.parameter	Added Element
Subscription.parameter.name	Added Mandatory Element
Subscription.parameter.value	Added Mandatory Element
Subscription.heartbeatPeriod	Added Element
Subscription.timeout	Added Element
Subscription.contentType	Added Element
Subscription.content	Added Element
Subscription.maxCount	Added Element
Subscription.criteria	Deleted
Subscription.error	Deleted
Subscription.channel	Deleted
SubscriptionStatus	Added Resource
SubscriptionTopic SubscriptionStatus.status	Added Resource Add code entered-in-error
Substance.instance SubscriptionStatus.eventsSinceSubscriptionStart	Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Type changed from BackboneElement string to boolean Now marked as Modifier integer64
Substance.code SubscriptionStatus.notificationEvent.eventNumber	Type changed from CodeableConcept string to CodeableReference integer64
Substance.description SubscriptionStatus.notificationEvent.triggerEvent	Type changed from string to markdown Added Element
Substance.expiry SubscriptionStatus.notificationEvent.relatedQuery	Moved from Substance.instance to Substance Added Element
Substance.quantity SubscriptionStatus.notificationEvent.relatedQuery.queryType	Moved from Substance.instance to Substance Added Element
Substance.instance.identifier SubscriptionStatus.notificationEvent.relatedQuery.query	Deleted (-> Substance.instance.identifier) Added Mandatory Element
SubstanceDefinition SubscriptionStatus.notificationEvent.authorizationHint	Added Resource Element
SubstanceNucleicAcid SubscriptionStatus.notificationEvent.authorizationHint.authorizationType	No Changes Added Mandatory Element
SubstancePolymer.identifier SubscriptionStatus.notificationEvent.authorizationHint.value	Added Element
SubstancePolymer.modification SubscriptionTopic	Max Cardinality changed from * to 1
SubstancePolymer.monomerSet.startingMaterial.code SubscriptionTopic.versionAlgorithm[x]	Renamed from material to code Added Element
SubstancePolymer.monomerSet.startingMaterial.category SubscriptionTopic.name	Renamed from type to category Added Element
SubstancePolymer.monomerSet.startingMaterial.amount SubscriptionTopic.experimental	Type changed from SubstanceAmount to Quantity No longer marked as Modifier
SubstancePolymer.repeat.repeatUnit.unit SubscriptionTopic.jurisdiction	Renamed Change value set from repeatUnit http://hl7.org/fhir/ValueSet/jurisdiction to unit Jurisdiction ValueSet
SubstancePolymer.repeat.repeatUnit.orientation SubscriptionTopic.copyrightLabel	Renamed from orientationOfPolymerisation to orientation Added Element
SubstancePolymer.repeat.repeatUnit.amount SubscriptionTopic.trigger	Type changed from SubstanceAmount to integer Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type SubscriptionTopic.trigger.description	Renamed from degree to type Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average SubscriptionTopic.trigger.resource	Added Mandatory Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low SubscriptionTopic.trigger.supportedInteraction	Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high SubscriptionTopic.trigger.queryCriteria	Added Element
SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format SubscriptionTopic.trigger.queryCriteria.previous	Added Element
SubstancePolymer.repeat.numberOfUnits SubscriptionTopic.trigger.queryCriteria.resultForCreate	Deleted (not needed because this is the count of RepeatUnit children) Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount SubscriptionTopic.trigger.queryCriteria.current	Deleted (split into low, high, average) Added Element
SubstanceProtein SubscriptionTopic.trigger.queryCriteria.resultForDelete	No Changes Added Element
SubstanceReferenceInformation.classification SubscriptionTopic.trigger.queryCriteria.requireBoth	Deleted (attributes moved to SubstanceDefinition resource, then subtype removed (use classification), source renamed to informationSource) Added Element
SubstanceSourceMaterial SubscriptionTopic.trigger.fhirPathCriteria	No Changes Added Element
SupplyDelivery.type SubscriptionTopic.trigger.event	Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to Supply Delivery Supply Item Type Remove codes medication , device Add codes medication , device , biologicallyderivedproduct Added Element
SupplyDelivery.suppliedItem SubscriptionTopic.trigger.canFilterBy	Max Cardinality changed from 1 to * Added Element
SupplyDelivery.receiver SubscriptionTopic.trigger.canFilterBy.description	Type Reference: Added Target Type Organization Element
SupplyRequest.basedOn SubscriptionTopic.trigger.canFilterBy.resource	Added Element
SupplyRequest.deliverFor SubscriptionTopic.trigger.canFilterBy.filterParameter	Added Mandatory Element
SupplyRequest.item SubscriptionTopic.trigger.canFilterBy.filterDefinition	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication | Substance | Device) Added Element
SupplyRequest.requester SubscriptionTopic.trigger.canFilterBy.comparator	Type Reference: Added Target Type CareTeam Element
SupplyRequest.reason SubscriptionTopic.trigger.canFilterBy.modifier	Added Element
SupplyRequest.deliverTo SubscriptionTopic.trigger.notificationShape	Type Reference: Added Target Type RelatedPerson Element
SupplyRequest.reasonCode SubscriptionTopic.trigger.notificationShape.resource	Deleted (-> reason) Added Mandatory Element
SupplyRequest.reasonReference SubscriptionTopic.trigger.notificationShape.include	Deleted (-> reason) Added Element
Task.statusReason SubscriptionTopic.trigger.notificationShape.revInclude	Type changed from CodeableConcept to CodeableReference Added Element
Task.doNotPerform SubscriptionTopic.trigger.notificationShape.relatedQuery	Added Element
Task.requestedPeriod SubscriptionTopic.trigger.notificationShape.relatedQuery.queryType	Added Element
Task.requestedPerformer SubscriptionTopic.trigger.notificationShape.relatedQuery.query	Added Mandatory Element
Task.owner SubscriptionTopic.resourceTrigger	Type Reference: Removed Target Types HealthcareService, Device Deleted
Task.performer SubscriptionTopic.eventTrigger	Added Element Deleted
Task.performer.function SubscriptionTopic.canFilterBy	Added Element Deleted
Task.performer.actor SubscriptionTopic.notificationShape	Added Mandatory Element Deleted
Task.reason Substance
Substance.code	Added Element Type changed from CodeableConcept to CodeableReference
Task.input.value[x] Substance.description	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta Remove Type Contributor changed from string to markdown
Task.output.value[x] Substance.expiry	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta Remove Type Contributor Added Element
Task.performerType Substance.quantity	Deleted (->Task.requestedPerformer) Added Element
Task.reasonCode Substance.instance	Deleted (-> reason) consider if this should be multiple Substance resource instances)
Task.reasonReference Substance.ingredient	Deleted (-> reason)
TerminologyCapabilities SubstanceDefinition
SubstanceDefinition.status	Now marked as Modifier
TerminologyCapabilities.identifier SubstanceDefinition.characterization	Added Element
TerminologyCapabilities.versionAlgorithm[x] SubstanceDefinition.characterization.technique	Added Element
TerminologyCapabilities.copyrightLabel SubstanceDefinition.characterization.form	Added Element
TerminologyCapabilities.codeSystem.version.language SubstanceDefinition.characterization.description	Add Binding `http://hl7.org/fhir/ValueSet/languages|5.0.0` (required) Added Element
TerminologyCapabilities.codeSystem.content SubstanceDefinition.characterization.file	Added Mandatory Element
TerminologyCapabilities.codeSearch SubstanceDefinition.property.value[x]	Remove codes explicit , all Add Type Range
SubstanceDefinition.name.language	Add codes in-compose , in-expansion , Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to in-compose-or-expansion none
TestPlan SubstanceDefinition.informationSource	Added Resource Deleted
TestReport Task
TestReport.testScript Task.statusReason	Max Cardinality changed from 1 to * Type changed from Reference(TestScript) CodeableConcept to canonical(TestScript) CodeableReference
TestReport.setup.action.assert.requirement Task.doNotPerform	Added Element
TestReport.setup.action.assert.requirement.link[x] Task.code	Added Element Add Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
TestScript.url Task.description	Min Cardinality Type changed from 1 string to 0 markdown
TestScript.identifier Task.focus	Max Cardinality changed from 1 to * Type changed from Reference(Resource) to BackboneElement
TestScript.versionAlgorithm[x] Task.focus.value[x]	Added Mandatory Element
TestScript.copyrightLabel Task.requestedPeriod	Added Element
Task.requester	Type Reference: Added Target Type Group
TestScript.origin.url Task.requestedPerformer	Added Element
Task.owner	Type Reference: Added Target Type Group Type Reference: Removed Target Types HealthcareService, Device
TestScript.destination.url Task.performer	Added Element
TestScript.scope Task.performer.function	Added Element
TestScript.scope.artifact Task.performer.actor	Added Mandatory Element
TestScript.scope.conformance Task.reason	Added Element Merged both reasonCode and reasonReference into reason
TestScript.scope.phase Task.restriction.recipient	Type Reference: Added Element Target Type Device
TestScript.profile Task.input.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type changed from Reference(Resource) to canonical(StructureDefinition) Contributor
TestScript.setup.action.operation.type Task.output.value[x]	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction" Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail Remove Type Contributor
TestScript.setup.action.operation.resource Task.instantiatesCanonical	Type changed from code to uri Deleted
Task.instantiatesUri	Change binding strength from required to extensible Deleted
Task.performerType	Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to Concrete FHIR Types Deleted (->Task.requestedPerformer.concept)
Task.reasonCode	Deleted (-> reason.concept)
Task.reasonReference	Deleted (-> reason.reference)
TerminologyCapabilities
TerminologyCapabilities.identifier	Added Element
TestScript.setup.action.assert.defaultManualCompletion TerminologyCapabilities.versionAlgorithm[x]	Added Element
TestScript.setup.action.assert.operator TerminologyCapabilities.jurisdiction	Add code Change value set from manualEval http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
TerminologyCapabilities.copyrightLabel	Added Element
TestScript.setup.action.assert.resource TerminologyCapabilities.implementation.description	Type changed from code string to uri markdown
TerminologyCapabilities.codeSystem.supplement	Change binding strength from required to extensible Added Element
TerminologyCapabilities.codeSystem.version.supplement	Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to Concrete FHIR Types Added Element
TestScript.setup.action.assert.response TerminologyCapabilities.codeSystem.version.language	Remove codes bad , unprocessable Add codes continue , switchingProtocols , accepted , nonAuthoritativeInformation , resetContent , partialContent , multipleChoices , movedPermanently , found , seeOther , useProxy , temporaryRedirect , permanentRedirect , badRequest , unauthorized , paymentRequired , notAcceptable , proxyAuthenticationRequired , requestTimeout , lengthRequired , contentTooLarge , uriTooLong , unsupportedMediaType , rangeNotSatisfiable , expectationFailed , misdirectedRequest , unprocessableContent , upgradeRequired , internalServerError , notImplemented , badGateway , serviceUnavailable , gatewayTimeout , httpVersionNotSupported Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
TestScript.setup.action.assert.stopTestOnFail TerminologyCapabilities.codeSystem.content	Added Mandatory Element
TestScript.setup.action.assert.requirement TerminologyCapabilities.supplements	Added Element
TestScript.setup.action.assert.requirement.link[x] TerminologyCapabilities.supplements.globals	Added Element
Transport TerminologyCapabilities.expansion.parameter.documentation	Added Resource Type changed from string to markdown
TerminologyCapabilities.codeSearch	Remove codes explicit , all Add codes in-compose , in-expansion , in-compose-or-expansion
TerminologyCapabilities.closure	Deleted
ValueSet
ValueSet.versionAlgorithm[x]	Added Element
ValueSet.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ValueSet.copyrightLabel	Added Element
ValueSet.approvalDate	Added Element
ValueSet.lastReviewDate	Added Element
ValueSet.effectivePeriod	Added Element
ValueSet.topic	Added Element
ValueSet.author	Added Element
ValueSet.editor	Added Element
ValueSet.reviewer	Added Element
ValueSet.endorser	Added Element
ValueSet.relatedArtifact	Added Element
ValueSet.compose.include.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ValueSet.compose.include.concept.designation.additionalUse	Added Element
ValueSet.compose.include.filter.op	Add codes child-of , descendent-leaf
ValueSet.compose.include.copyright	Added Element
ValueSet.compose.property	Added Element
ValueSet.expansion.next	Added Element
ValueSet.expansion.property	Added Element
ValueSet.expansion.property.code	Added Mandatory Element
ValueSet.expansion.property.uri	Added Element
ValueSet.expansion.contains.property	Added Element
ValueSet.expansion.contains.property.code	Added Mandatory Element
ValueSet.expansion.contains.property.value[x]	Added Mandatory Element
ValueSet.expansion.contains.property.subProperty	Added Element
ValueSet.expansion.contains.property.subProperty.code	Added Mandatory Element
ValueSet.expansion.contains.property.subProperty.value[x]	Added Mandatory Element
VisionPrescription
ValueSet.scope VisionPrescription.basedOn	Added Element
ValueSet.scope.inclusionCriteria VisionPrescription.groupIdentifier	Added Element
ValueSet.scope.exclusionCriteria VisionPrescription.priority	Added Element
VerificationResult CatalogEntry	Deleted
VerificationResult.status ChargeItem	Add code entered-in-error Deleted
VisionPrescription ChargeItemDefinition	No Changes Deleted
CatalogEntry Citation	Deleted (removed in favor of definitional resources)
DeviceUseStatement ClinicalImpression	Deleted
DocumentManifest DeviceUseStatement	Deleted (-> List)
EffectEvidenceSynthesis DocumentManifest	Deleted
Media EvidenceReport	Deleted (-> DocumentReference)
MedicinalProduct GraphDefinition	Deleted (-> MedicinalProductDefinition)
MedicinalProductAuthorization ImmunizationEvaluation	Deleted (-> RegulatedAuthorization)
MedicinalProductContraindication ImmunizationRecommendation	Deleted (-> ClinicalUseDefinition)
MedicinalProductIndication Linkage	Deleted (-> ClinicalUseDefinition)
MedicinalProductIngredient Media	Deleted (-> Ingredient)
MedicinalProductInteraction MedicationKnowledge	Deleted (-> ClinicalUseDefinition)
MedicinalProductManufactured MolecularSequence	Deleted (-> ManufacturedItemDefinition)
MedicinalProductPackaged RequestGroup	Deleted (-> ProductPackagedDefinition)
MedicinalProductPharmaceutical ResearchDefinition	Deleted (-> AdmininistrableProductDefinition)
MedicinalProductUndesirableEffect ResearchElementDefinition	Deleted (-> ClinicalUseDefinition)
RequestGroup SupplyDelivery	Deleted
ResearchDefinition SupplyRequest	Deleted
ResearchElementDefinition TestReport	Deleted
RiskEvidenceSynthesis TestScript	Deleted
SubstanceSpecification VerificationResult	Deleted

2.1.12.3 Differences between R4 and R6

Element.id SampledData.period Deleted (-> interval) AdministrableProductDefinition.description AdverseEvent.recorder Type Reference: Added Target Type ResearchSubject AllergyIntolerance.participant Added Element AllergyIntolerance.recorder Deleted (-> participant.actor) AllergyIntolerance.asserter Deleted (-> participant.actor) Basic ChargeItemDefinition.url Citation Citation.citedArtifact.contributorship.summary.type Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-type" to "http://hl7.org/fhir/contributor-summary-type" Citation.citedArtifact.contributorship.summary.style Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-style" to "http://hl7.org/fhir/contributor-summary-style" Citation.citedArtifact.contributorship.summary.source Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-summary-source" to "http://hl7.org/fhir/contributor-summary-source" Citation.relatesTo Deleted Citation.citedArtifact.relatesTo.relationshipType Deleted Citation.citedArtifact.relatesTo.targetClassifier Deleted Citation.citedArtifact.relatesTo.target[x] Deleted Citation.citedArtifact.publicationForm.periodicRelease Deleted Citation.citedArtifact.webLocation.type Deleted Citation.citedArtifact.classification.whoClassified Deleted Citation.citedArtifact.contributorship.entry.name Deleted Claim Claim.item.detail.productOrService Min Cardinality changed from 1 to 0 Claim.item.detail.subDetail.productOrService Min Cardinality changed from 1 to 0 Claim.careTeam.qualification Deleted Claim.diagnosis.packageCode Deleted ClaimResponse ClaimResponse.item.detail.adjudication Min Cardinality changed from 1 to 0 ClinicalImpression ClinicalImpression.status Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.3.0 to EventStatus Add codes preparation , not-done , on-hold , stopped , unknown ClinicalImpression.performer Renamed from assessor to performer ClinicalImpression.changePattern Added Element ClinicalImpression.finding.item Added Element ClinicalImpression.code Deleted (No known use case for this element) ClinicalImpression.investigation Deleted (-> ClinicalImpression.supportingInfo) ClinicalImpression.finding.itemCodeableConcept Deleted (-> ClinicalImpression.finding.item) ClinicalImpression.finding.itemReference Deleted (-> ClinicalImpression.finding.item) ClinicalUseDefinition.subject Type Reference: Added Target Types NutritionProduct, BiologicallyDerivedProduct ClinicalUseDefinition.contraindication.applicability ConceptMap.group.unmapped.otherMap Renamed from url to otherMap Contract Device.status Remove code unknown DiagnosticReport Immunization.reaction.detail Deleted ImmunizationEvaluation.description ImmunizationRecommendation ManufacturedItemDefinition.name Measure Measure.subject[x] Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types" Measure.supplementalData.description Type changed from string to markdown Measure.definition Deleted (->term.definition term is code and definition now) MeasureReport MeasureReport.group.stratifier.stratum.measureScore[x] Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration Medication Medication.ingredient.item Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Substance | Medication) MedicationAdministration MedicationDispense MedicationDispense.category Max Cardinality changed from 1 to * MedicationKnowledge.monograph.source Type Reference: Removed Target Type Media MedicationRequest MedicinalProductDefinition.comprisedOf Added Element MedicinalProductDefinition.name.part Added Element MedicinalProductDefinition.name.part.part Added Mandatory Element MedicinalProductDefinition.name.part.type Added Mandatory Element MedicinalProductDefinition.name.usage MedicinalProductDefinition.name.usage.language Added Mandatory Element MessageHeader.response.identifier Type changed from id to Identifier MessageHeader.enterer Deleted MetadataResource Added Resource MolecularSequence ObservationDefinition.qualifiedInterval Deleted PackagedProductDefinition.attachedDocument Added Element PackagedProductDefinition.packaging Added Element PackagedProductDefinition.packaging.identifier Added Element PackagedProductDefinition.packaging.type Added Element PackagedProductDefinition.packaging.componentPart Added Element PackagedProductDefinition.packaging.quantity Added Element PackagedProductDefinition.packaging.material Added Element PackagedProductDefinition.packaging.alternateMaterial Added Element PackagedProductDefinition.packaging.shelfLifeStorage RegulatedAuthorization.subject RelatedPerson SubscriptionTopic Substance SubstanceDefinition SupplyDelivery SupplyRequest Task.input.value[x] Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail Remove Type Contributor Task.output.value[x] Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail Remove Type Contributor TerminologyCapabilities TestScript TestScript.url Min Cardinality changed from 1 to 0 TestScript.identifier Max Cardinality changed from 1 to * TestScript.setup.action.assert.operator Add code manualEval ValueSet VerificationResult

Types
Address	No Changes
Age
Age	Change max value set from All UCUM Expression for Time to none
Annotation	No Changes
Attachment
Attachment.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
Attachment.size	Type changed from unsignedInt to integer64
Attachment.height	Added Element
Attachment.width	Added Element
Attachment.frames	Added Element
Attachment.duration	Added Element
Attachment.pages	Added Element
Availability	Added Type
BackboneElement	No Changes
BackboneType	Added Type
Base	Added Type
CodeableConcept	No Changes
CodeableReference	No Changes Added Type
Coding	No Changes
ContactDetail	No Changes
ContactPoint	No Changes
Contributor No Changes Count	No Changes
DataRequirement
DataRequirement.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 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 , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProduct , Availability MedicinalProductAuthorization , BackboneType MedicinalProductContraindication , ExtendedContactDetail MedicinalProductIndication , MonetaryComponent MedicinalProductIngredient , PrimitiveType MedicinalProductInteraction , integer64 MedicinalProductManufactured , VirtualServiceDetail MedicinalProductPackaged , ActorDefinition MedicinalProductPharmaceutical , ArtifactAssessment MedicinalProductUndesirableEffect , BiologicallyDerivedProductDispense MessageDefinition , CanonicalResource MessageHeader , ConditionDefinition MolecularSequence , DeviceAssociation NamingSystem , DeviceDispense NutritionOrder , DeviceUsage Observation , EncounterHistory ObservationDefinition , FormularyItem OperationDefinition , GenomicStudy OperationOutcome , ImagingSelection Organization , InventoryItem OrganizationAffiliation , InventoryReport Parameters , MetadataResource Patient , NutritionIntake PaymentNotice , Permission PaymentReconciliation , RequestOrchestration Person , Requirements 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 , TestPlan SubstanceSpecification , Transport 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"
DataRequirement.valueFilter	Added Element
DataRequirement.valueFilter.path	Added Element
DataRequirement.valueFilter.searchParam	Added Element
DataRequirement.valueFilter.comparator	Added Element
DataRequirement.valueFilter.value[x]	Added Element
DataType	Added Type
Distance
Distance	Change max value set from All UCUM Expression for Distance to none
Dosage
Dosage.condition	Added Element
Dosage.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
Dosage.asNeededFor	Added Element
Dosage.doseAndRate.dose[x]	Add Type Expression
Dosage.doseAndRate.rate[x]	Add Type Expression
Dosage.safety	Added Element
Dosage.sequence	Deleted
Dosage.maxDosePerPeriod	Max Cardinality changed from 1 to * Deleted
Dosage.maxDosePerAdministration	Deleted
Dosage.maxDosePerLifetime	Deleted
DosageCondition	Added Type
DosageDetails	Added Type
DosageSafety	Added Type
Duration
Duration	Change max value set from All UCUM Expression for Time to none
Element	Type changed from id to string No Changes
ElementDefinition
ElementDefinition.slicing.discriminator.type	Add code position
ElementDefinition.type.code	Change value set from http://hl7.org/fhir/ValueSet/fhir-element-types http://hl7.org/fhir/ValueSet/defined-types to Element Definition Types
ElementDefinition.type.aggregation	Remove code bundled
ElementDefinition.defaultValue[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.fixed[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.pattern[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.example.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
ElementDefinition.minValue[x]	Add Type integer64
ElementDefinition.maxValue[x]	Add Type integer64
ElementDefinition.constraint.requirements	Type changed from string to markdown
ElementDefinition.constraint.suppress	Added Element
ElementDefinition.mustHaveValue	Added Element
ElementDefinition.valueAlternatives	Added Element
ElementDefinition.binding.strength	Add code descriptive
ElementDefinition.binding.description	Type changed from string to markdown
ElementDefinition.binding.additional	Added Element
ElementDefinition.binding.additional.key	Added Element
ElementDefinition.binding.additional.purpose	Added Mandatory Element
ElementDefinition.binding.additional.valueSet	Added Mandatory Element
ElementDefinition.binding.additional.documentation	Added Element
ElementDefinition.binding.additional.shortDoco	Added Element
ElementDefinition.binding.additional.usage	Added Element
ElementDefinition.binding.additional.any	Added Element
ElementDefinition.mapping.comment	Type changed from string to markdown
ElementDefinition.constraint.xpath	Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name	Type changed from id to code
Expression.language	Min Cardinality changed from 1 to 0 Change max value set from Mime Types http://www.rfc-editor.org/bcp/bcp13.txt to none Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail	Added Type
Extension
Extension.url	Type changed from string to uri
Extension.value[x]	Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
HumanName
HumanName.use	No Changes Remove code maiden
Identifier	No Changes
MarketingStatus
MarketingStatus.country	No Changes Min Cardinality changed from 1 to 0
MarketingStatus.dateRange	Min Cardinality changed from 1 to 0
Meta	No Changes
MonetaryComponent	Added Type
Money	No Changes
MoneyQuantity	No Changes
Narrative	No Changes
ParameterDefinition
ParameterDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 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 , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProduct , Availability MedicinalProductAuthorization , BackboneType MedicinalProductContraindication , ExtendedContactDetail MedicinalProductIndication , MonetaryComponent MedicinalProductIngredient , PrimitiveType MedicinalProductInteraction , integer64 MedicinalProductManufactured , VirtualServiceDetail MedicinalProductPackaged , ActorDefinition MedicinalProductPharmaceutical , ArtifactAssessment MedicinalProductUndesirableEffect , BiologicallyDerivedProductDispense MessageDefinition , CanonicalResource MessageHeader , ConditionDefinition MolecularSequence , DeviceAssociation NamingSystem , DeviceDispense NutritionOrder , DeviceUsage Observation , EncounterHistory ObservationDefinition , FormularyItem OperationDefinition , GenomicStudy OperationOutcome , ImagingSelection Organization , InventoryItem OrganizationAffiliation , InventoryReport Parameters , MetadataResource Patient , NutritionIntake PaymentNotice , Permission PaymentReconciliation , RequestOrchestration Person , Requirements 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 , TestPlan SubstanceSpecification , Transport SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
Period	No Changes
PrimitiveType	Added Type
ProductShelfLife
ProductShelfLife.type	Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]	Renamed from period to period[x] Min Cardinality changed from 1 to 0 Add Types Duration, string Remove Type Quantity
ProductShelfLife.identifier	Deleted (removed, not needed)
Quantity
Quantity.comparator	Add code ad
Range	No Changes
Ratio
Ratio.denominator	Type changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange	No Changes Added Type
Reference
Reference.type	Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.type	Add codes code part-of , amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as RelatedArtifact.classifier Added Element
RelatedArtifact.resourceReference	Added Element
RelatedArtifact.publicationStatus RelatedArtifact.artifact[x]	Added Element
RelatedArtifact.publicationDate RelatedArtifact.url	Added Element Deleted (-> document)
RelatedArtifact.url RelativeTime	Deleted (-> document) Added Type
SampledData
SampledData.interval	Added Element Renamed from period to 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
Signature.when	Min Cardinality changed from 1 to 0
Signature.who	Min Cardinality changed from 1 to 0
SimpleQuantity	No Changes
Timing
Timing.repeat.startOffset	Added Element
Timing.repeat.endOffset	Added Element
Timing.repeat.when	Add code IMD
TriggerDefinition
TriggerDefinition.type	Remove codes data-added , data-modified , data-removed Add code subscription-topic
TriggerDefinition.code	Added Element
TriggerDefinition.subscriptionTopic	Added Element
TriggerDefinition.timing[x]	Remove Type Reference(Schedule)
UsageContext
UsageContext.code	Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType
VirtualServiceDetail	Added Type
base64Binary	(No Changes)
boolean	(No Changes)
canonical	(No Changes)
code	(No Changes)
date	(No Changes)
dateTime	(No Changes)
decimal	(No Changes)
id	(No Changes)
instant	(No Changes)
integer	(No Changes)
integer64	Added Type
markdown	(No Changes)
oid	(No Changes)
positiveInt	(No Changes)
string	(No Changes)
time	(No Changes)
unsignedInt	(No Changes)
uri	(No Changes)
url	(No Changes)
uuid	(No Changes)
xhtml	(No Changes)
Contributor	Deleted
Population	Deleted
ProdCharacteristic	Deleted
SubstanceAmount	Deleted
Resources
Account
Account.billingStatus	Added Element
Account.covers	Added Element
Account.description	Type changed from string to markdown
Account.guarantor.party	Min Cardinality changed from 1 to 0
Account.diagnosis Account.guarantor.account	Added Element
Account.diagnosis.sequence Account.guarantor.responsibility	Added Element
Account.diagnosis.condition Account.guarantor.limit	Added Mandatory Element
Account.diagnosis.dateOfDiagnosis Account.guarantor.rank	Added Element
Account.diagnosis.type Account.diagnosis	Added Element
Account.diagnosis.onAdmission Account.diagnosis.sequence	Added Element
Account.diagnosis.packageCode Account.diagnosis.condition	Added Mandatory Element
Account.procedure Account.diagnosis.dateOfDiagnosis	Added Element
Account.procedure.sequence Account.diagnosis.type	Added Element
Account.procedure.code Account.diagnosis.onAdmission	Added Mandatory Element
Account.procedure.dateOfService Account.diagnosis.packageCode	Added Element
Account.procedure.type Account.procedure	Added Element
Account.procedure.packageCode Account.procedure.sequence	Added Element
Account.procedure.device Account.procedure.code	Added Mandatory Element
Account.relatedAccount Account.procedure.dateOfService	Added Element
Account.relatedAccount.relationship Account.procedure.type	Added Element
Account.relatedAccount.account Account.procedure.packageCode	Moved from Account.partOf to account Added Element
Account.procedure.device	Min Cardinality changed Added Element
Account.parent	Renamed from 0 partOf to 1 parent
Account.currency	Added Element
Account.balance	Added Element
Account.balance.aggregate	Added Element
Account.balance.term	Added Element
Account.balance.estimate	Added Element
Account.balance.amount	Added Mandatory Element
Account.calculatedAt	Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]	Added Element
ActivityDefinition.subject[x]	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ActivityDefinition.usage	Type changed from string to markdown
ActivityDefinition.copyrightLabel	Added Element
ActivityDefinition.kind	Remove code codes AppointmentResponse , Contract , ImmunizationRecommendation , SupplyRequest Add codes CoverageEligibilityRequest , RequestOrchestration
ActivityDefinition.intent	Remove codes original-order , Transport reflex-order , filler-order , instance-order
ActivityDefinition.timing[x]	Add Type RelativeTime Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]	Added Element
ActivityDefinition.location	Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type	Min Cardinality changed from 1 to 0 Remove code related-person Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical	Added Element
ActivityDefinition.participant.typeReference	Added Element
ActivityDefinition.participant.function	Added Element
ActivityDefinition.specimenRequirement	Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement	Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement	Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition	Added Resource
AdministrableProductDefinition	Added Element AdministrableProductDefinition.property.value[x] Add Types markdown, Reference(Binary) Resource
AdverseEvent
AdverseEvent.identifier	Max Cardinality changed from 1 to *
AdverseEvent.status	Added Mandatory Element
AdverseEvent.category	Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code	Renamed from event to code
AdverseEvent.subject AdverseEvent.effect[x]	Type Reference: Added Target Type ResearchSubject Renamed from date to effect[x] AdverseEvent.occurrence[x] Added Element Add Type Period
AdverseEvent.resultingEffect	Renamed from resultingCondition to resultingEffect Type Reference: Added Target Type Observation changed from Reference(Condition) to CodeableReference
AdverseEvent.outcome	Max Cardinality changed from 1 to * Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.3.0` `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0` (required)
AdverseEvent.participant	Added Element
AdverseEvent.participant.function	Added Element
AdverseEvent.participant.actor	Added Mandatory Element
AdverseEvent.expectedInResearchStudy	Added Element
AdverseEvent.suspectEntity.instance[x] AdverseEvent.suspectEntity.instance	Renamed Type changed from instance Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device) to instance[x] Add Type CodeableConcept CodeableReference
AdverseEvent.suspectEntity.causality	Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod	Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness	Renamed from productRelatedness to entityRelatedness Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author	Type Reference: Added Target Types Patient, RelatedPerson, ResearchSubject RelatedPerson
AdverseEvent.contributingFactor AdverseEvent.suspectEntity.occurrence[x]	Added Element
AdverseEvent.contributingFactor.item[x] AdverseEvent.contributingFactor	Added Mandatory Element
AdverseEvent.preventiveAction	Added Element
AdverseEvent.preventiveAction.item[x] Added Mandatory Element AdverseEvent.mitigatingAction	Added Element
AdverseEvent.mitigatingAction.item[x] Added Mandatory Element AdverseEvent.supportingInfo	Added Element AdverseEvent.supportingInfo.item[x] Added Mandatory Element Can map from AdverseEvent.referenceDocument and AdverseEvent.subjectMedicalHistory
AdverseEvent.note	Added Element
AdverseEvent.date Deleted AdverseEvent.severity	Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor	Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method	Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory	Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument	Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.verificationStatus AllergyIntolerance.clinicalStatus	Add Remove code presumed resolved
AllergyIntolerance.type	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.3.0` `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.participant.function AllergyIntolerance.recorder	Type Reference: Added Element Target Type Organization
AllergyIntolerance.participant.actor AllergyIntolerance.lastReactionOccurrence	Added Mandatory Element Renamed from lastOccurrence to lastReactionOccurrence
AllergyIntolerance.reaction.manifestation	Type changed from CodeableConcept to CodeableReference
Appointment
Appointment.cancellationReason	Renamed from cancelationReason to cancellationReason
Appointment.class	Added Element
Appointment.serviceType	Type changed from CodeableConcept to CodeableReference
Appointment.reason	Renamed from reasonCode to reason Added Element Type changed from CodeableConcept to CodeableReference Merged both reasonCode and reasonReference into reason
Appointment.priority	Type changed from unsignedInt to CodeableConcept
Appointment.replaces	Added Element
Appointment.virtualService	Added Element
Appointment.previousAppointment	Added Element
Appointment.originatingAppointment	Added Element
Appointment.account	Added Element
Appointment.cancellationDate	Added Element
Appointment.note	Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation
Appointment.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to CodeableReference
Appointment.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Appointment.subject	Added Element
Appointment.participant.actor	Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required	Type changed from code to boolean Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.3.0` `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` (required)
Appointment.recurrenceId	Added Element
Appointment.occurrenceChanged	Added Element
Appointment.recurrenceTemplate	Added Element
Appointment.recurrenceTemplate.timezone	Added Element
Appointment.recurrenceTemplate.recurrenceType	Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate	Added Element
Appointment.recurrenceTemplate.occurrenceCount	Added Element
Appointment.recurrenceTemplate.occurrenceDate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday	Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval	Added Element
Appointment.recurrenceTemplate.monthlyTemplate	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek	Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval	Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate	Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval	Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate	Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId	Added Element
Appointment.reasonCode	Deleted (-> reason.concept)
Appointment.reasonReference	Deleted (->Appointment.reason.reference) (-> reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime	Added Element
AppointmentResponse.actor	Type Reference: Added Target Type Group
AppointmentResponse.participantStatus	Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.3.0 http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to Appointment Response Status Add code entered-in-error
AppointmentResponse.comment	Type changed from string to markdown
AppointmentResponse.recurring	Added Element
AppointmentResponse.occurrenceDate	Added Element
AppointmentResponse.recurrenceId	Added Element
ArtifactAssessment	Added Resource
AuditEvent
AuditEvent.category AuditEvent.type	Renamed from type to category Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.code AuditEvent.subtype	Renamed from subtype to code Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity	Added Element
AuditEvent.occurred[x]	Added Element Renamed from period to occurred[x] Add Type dateTime
AuditEvent.outcome	Type changed from code to BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.3.0` `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0` (required)
AuditEvent.outcome.code	Added Mandatory Element
AuditEvent.outcome.detail	Added Element
AuditEvent.authorization	Renamed from purposeOfEvent to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn	Added Element
AuditEvent.patient	Added Element
AuditEvent.encounter	Added Element
AuditEvent.agent.type	Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who	Min Cardinality changed from 0 to 1 Type Reference: Added Target Type CareTeam Types CareTeam, DeviceDefinition, Group, HealthcareService
AuditEvent.agent.requestor	Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]	Renamed from network to network[x] Add Types Reference(Endpoint), uri, string Remove Type BackboneElement
AuditEvent.agent.authorization	Renamed from purposeOfUse to authorization Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.source.site	Type changed from string to Reference(Location)
AuditEvent.source.observer	Type Reference: Added Target Type CareTeam
AuditEvent.source.type	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel	Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type	Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]	Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent	Added Element
AuditEvent.period Deleted AuditEvent.outcomeDesc	Deleted (-> outcome) 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 (-> what.type)
AuditEvent.entity.lifecycle	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name	Deleted (-> what.display)
AuditEvent.entity.description Basic
Basic.code	Deleted (-> entity.detail.valueString) Add Binding `http://hl7.org/fhir/ValueSet/version-independent-resource-types` (extensible)
Basic.created	Type changed from date to dateTime
Basic.author	Type Reference: Added Target Types Device, CareTeam
Binary	No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory	Max Cardinality changed from 1 to * Type changed from code to Coding CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.3.0` `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.processing BiologicallyDerivedProduct.collection.source	Deleted (-> BiologicallyDerivedProduct.collection) collection.sourcePatient or collection.sourceOrganization depending on reference type)
BiologicallyDerivedProduct.manipulation BiologicallyDerivedProduct.processing	Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage BiologicallyDerivedProduct.manipulation	Deleted (-> BiologicallyDerivedProduct.storageTempRequirements) BiologicallyDerivedProduct.collection)
BiologicallyDerivedProductDispense BiologicallyDerivedProduct.storage	Added Resource Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BodyStructure
BodyStructure.includedStructure	Added Mandatory Element
BodyStructure.includedStructure.structure	Added Mandatory Element
BodyStructure.includedStructure.laterality	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value	Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation	Added Element
BodyStructure.includedStructure.spatialReference	Added Element
BodyStructure.includedStructure.image	Added Element
BodyStructure.includedStructure.qualifier	Added Element
BodyStructure.includedStructure.morphology	Moved from BodyStructure to BodyStructure.includedStructure
BodyStructure.excludedStructure	Added Element
BodyStructure.description	Type changed from string to markdown
BodyStructure.location	Deleted
BodyStructure.locationQualifier	Deleted
Bundle
Bundle.type	Add code subscription-notification
Bundle.link.relation	Type changed from string to code Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|5.0.0` `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot3` (required)
Bundle.entry.response.outcome	Type changed from Resource to Resource(http://hl7.org/fhir/StructureDefinition/OperationOutcome)
Bundle.issues	Added Element
CanonicalResource	Added Resource
CapabilityStatement
CapabilityStatement.identifier	Added Element
CapabilityStatement.versionAlgorithm[x]	Added Element
CapabilityStatement.actorDefinition	Added Element
CapabilityStatement.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
CapabilityStatement.copyrightLabel	Added Element
CapabilityStatement.implementation.description	Type changed from string to markdown
CapabilityStatement.fhirVersion	Remove codes 0.0.80 , 0.0.81 , 0.0.82 , 0.4.0 , 0.5.0 , 1.0.0 , 1.0.1 , 1.0.2 , 1.1.0 , 1.4.0 , 1.6.0 , 1.8.0 , 3.0.0 , 3.0.1 , 3.3.0 , 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 , 4.2.0 , 4.3 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 5.0 , 5.0 6.0 ,
CapabilityStatement.format	Change value set from 5.0.0 http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 , to Supplemented Mime Types
CapabilityStatement.patchFormat	Change value set from 5.0.0-cibuild http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 , to Patch Mime Types Add codes 5.0.0-snapshot1 application/fhir+xml , 5.0.0-snapshot2 application/fhir+json , 5.0.0-ballot application/fhir+turtle , 5.0.0-snapshot3 application/json-patch+json , 5.0.0-draft-final application/xml-patch+xml
CapabilityStatement.acceptLanguage	Added Element
CapabilityStatement.rest.security.service	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/restful-security-service" to "http://hl7.org/fhir/restful-security-service"
CapabilityStatement.rest.resource.type	Remove codes Resource , DomainResource , CatalogEntry , DeviceUseStatement , DocumentManifest , Media , RequestGroup , ResearchDefinition , Type changed from code to uri Change binding strength from required to extensible Change value set from ResearchElementDefinition http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Extended Resource Types
CapabilityStatement.rest.resource.definition	Added Element
CapabilityStatement.rest.resource.interaction.code	Add codes ActorDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , FormularyItem , GenomicStudy , ImagingSelection , InventoryItem , InventoryReport , NutritionIntake , Permission , RequestOrchestration , Requirements , SubstanceNucleicAcid update-conditional , SubstancePolymer patch-conditional , SubstanceProtein delete-conditional-single , SubstanceReferenceInformation delete-conditional-multiple , SubstanceSourceMaterial delete-history , TestPlan delete-history-version , Transport create-conditional
CapabilityStatement.rest.resource.conditionalPatch	Added Element
CapabilityStatement.rest.resource.searchParam.type	Add code resource
CapabilityStatement.messaging.endpoint.protocol	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn	Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.status	Remove codes revoked , completed Add code ended
CarePlan.intent	Add code directive
CarePlan.custodian	Renamed from author to custodian
CarePlan.addresses	Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity	Added Element
CarePlan.activity.plannedActivityReference	Renamed from reference to plannedActivityReference Type Reference: Added Target Types RequestOrchestration, ImmunizationRecommendation, SupplyRequest Type RequestOrchestration Type Reference: Removed Target Type RequestGroup
CarePlan.activity.outcomeCodeableConcept CarePlan.instantiatesCanonical	Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.outcomeReference CarePlan.instantiatesUri	Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail CarePlan.activity.outcomeCodeableConcept	Deleted (-> CarePlan.activity.plannedActivityReference) CareTeam CareTeam.participant.role Max Cardinality changed from * to 1 CareTeam.participant.coverage[x] Added Element CareTeam.reason Added Element CareTeam.encounter Deleted (Avoid circular references since Encounter references CareTeam) CareTeam.participant.period Deleted CarePlan.activity.performedActivity)
CareTeam.reasonCode CarePlan.activity.outcomeReference	Deleted (-> CareTeam.reason) CarePlan.activity.performedActivity)
CareTeam.reasonReference CarePlan.activity.detail	Deleted (-> CareTeam.reason) CarePlan.activity.plannedActivityReference)
ChargeItem CareTeam
ChargeItem.encounter CareTeam.participant.role	Added Element Max Cardinality changed from * to 1
ChargeItem.performer.actor CareTeam.participant.member	Type Reference: Added Target Type Types Group, HealthcareService
ChargeItem.unitPriceComponent CareTeam.participant.onBehalfOf	Type Reference: Added Element Target Types Practitioner, PractitionerRole, RelatedPerson, Patient, CareTeam, Group, HealthcareService
ChargeItem.totalPriceComponent CareTeam.participant.effective[x]	Added Element Renamed from period to effective[x] ChargeItem.overrideReason Add Type changed from string to CodeableConcept Timing
ChargeItem.service CareTeam.participant.supportingInfo	Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference Added Element
ChargeItem.product CareTeam.reason	Renamed from product[x] to product Max Cardinality changed from 1 to * Add Type CodeableReference Added Element Remove Types Reference(Device | Medication | Substance), CodeableConcept Merged both reasonCode and reasonReference into reason
ChargeItem.context CareTeam.encounter	Deleted (Removed to avoid circular references since Encounter references CareTeam)
ChargeItem.factorOverride CareTeam.reasonCode	Deleted (-> reason.concept)
ChargeItem.priceOverride CareTeam.reasonReference	Deleted (-> reason.reference)
ChargeItemDefinition Claim	Min Cardinality changed from 1 to 0
ChargeItemDefinition.versionAlgorithm[x] Claim.traceNumber	Added Element
ChargeItemDefinition.name Claim.statusReason	Added Element
ChargeItemDefinition.purpose Claim.subject	Added Element Renamed from patient to subject ChargeItemDefinition.copyrightLabel Type Reference: Added Element Target Type Group
ChargeItemDefinition.instance Claim.enterer	Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService ChargeItemDefinition.applicability.condition Added Element ChargeItemDefinition.applicability.effectivePeriod Added Element ChargeItemDefinition.applicability.relatedArtifact Added Element Patient, RelatedPerson
ChargeItemDefinition.propertyGroup.priceComponent Claim.provider	Type Min Cardinality changed from BackboneElement 1 to MonetaryComponent ChargeItemDefinition.effectivePeriod Deleted ChargeItemDefinition.applicability.description Deleted 0
ChargeItemDefinition.applicability.language Claim.priority	Deleted Min Cardinality changed from 1 to 0
ChargeItemDefinition.applicability.expression Claim.prescription	Deleted Type Reference: Added Target Type ServiceRequest
ChargeItemDefinition.propertyGroup.priceComponent.type Claim.originalPrescription	Deleted Type Reference: Added Target Type ServiceRequest
ChargeItemDefinition.propertyGroup.priceComponent.code Claim.encounter	Deleted Added Element
ChargeItemDefinition.propertyGroup.priceComponent.factor Claim.facility	Deleted Type Reference: Added Target Type Organization
ChargeItemDefinition.propertyGroup.priceComponent.amount Claim.diagnosisRelatedGroup	Deleted Added Element
Citation.versionAlgorithm[x] Claim.event	Added Element
Citation.copyrightLabel Claim.event.type	Added Mandatory Element
Citation.summary.style Claim.event.when[x]	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/citation-summary-style" to "http://hl7.org/fhir/citation-summary-style" Added Mandatory Element
Citation.classification.type Claim.careTeam.specialty	Change code system for extensibly bound codes Renamed from "http://terminology.hl7.org/CodeSystem/citation-classification-type" qualification to "http://hl7.org/fhir/citation-classification-type" specialty
Citation.relatedArtifact Claim.supportingInfo.subCategory	Added Element
Citation.citedArtifact.currentState Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type" to "http://hl7.org/fhir/cited-artifact-status-type" Citation.citedArtifact.statusDate.activity Claim.supportingInfo.timing[x]	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-status-type" to "http://hl7.org/fhir/cited-artifact-status-type" Add Types dateTime, Timing Citation.citedArtifact.title.type Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/title-type" to "http://hl7.org/fhir/title-type" Remove Type date
Citation.citedArtifact.abstract.type Claim.supportingInfo.value[x]	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/cited-artifact-abstract-type" to "http://hl7.org/fhir/cited-artifact-abstract-type" Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
Citation.citedArtifact.part.type Claim.insurance	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/cited-artifact-part-type" 1 to "http://hl7.org/fhir/cited-artifact-part-type" 0
Citation.citedArtifact.relatesTo.type Claim.patientPaid	Added Mandatory Element
Citation.citedArtifact.relatesTo.classifier Claim.item.traceNumber	Added Element
Citation.citedArtifact.relatesTo.label Claim.item.subject	Added Element
Citation.citedArtifact.relatesTo.display Claim.item.productOrService	Added Element Min Cardinality changed from 1 to 0
Citation.citedArtifact.relatesTo.citation Claim.item.productOrServiceEnd	Added Element
Citation.citedArtifact.relatesTo.document Claim.item.request	Added Element
Citation.citedArtifact.relatesTo.resource Claim.item.patientPaid	Added Element
Citation.citedArtifact.relatesTo.resourceReference Claim.item.tax	Added Element
Citation.citedArtifact.publicationForm.publishedIn.type Claim.item.bodySite	Change code system for extensibly bound codes Max Cardinality changed from "http://terminology.hl7.org/CodeSystem/published-in-type" 1 to "http://hl7.org/fhir/published-in-type" * Citation.citedArtifact.publicationForm.citedMedium Added Element Citation.citedArtifact.publicationForm.volume Added Element Citation.citedArtifact.publicationForm.issue Added Element Type changed from CodeableConcept to BackboneElement
Citation.citedArtifact.publicationForm.publicationDateText Claim.item.bodySite.site	Added Mandatory Element
Citation.citedArtifact.publicationForm.publicationDateSeason Claim.item.bodySite.subSite	Added Element
Citation.citedArtifact.webLocation.classifier Claim.item.detail.traceNumber	Added Element
Citation.citedArtifact.classification.type Claim.item.detail.productOrService	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/cited-artifact-classification-type" 1 to "http://hl7.org/fhir/cited-artifact-classification-type" 0
Citation.citedArtifact.classification.artifactAssessment Claim.item.detail.productOrServiceEnd	Added Element
Citation.citedArtifact.contributorship.entry.contributor Claim.item.detail.patientPaid	Added Mandatory Element
Citation.citedArtifact.contributorship.entry.forenameInitials Claim.item.detail.tax	Added Element
Citation.citedArtifact.contributorship.entry.affiliation Claim.item.detail.subDetail.traceNumber	Added Element
Citation.citedArtifact.contributorship.entry.contributionType Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/artifact-contribution-type" to "http://hl7.org/fhir/artifact-contribution-type" Citation.citedArtifact.contributorship.entry.role Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/contributor-role" to "http://hl7.org/fhir/contributor-role" Citation.citedArtifact.contributorship.entry.contributionInstance.type Claim.item.detail.subDetail.productOrService	Change code system for extensibly bound codes Min Cardinality changed from "http://terminology.hl7.org/CodeSystem/artifact-contribution-instance-type" 1 to "http://hl7.org/fhir/artifact-contribution-instance-type" 0
Citation.citedArtifact.contributorship.entry.rankingOrder Claim.item.detail.subDetail.productOrServiceEnd	Added Element
Citation.citedArtifact.contributorship.entry.initials Claim.item.detail.subDetail.patientPaid	Deleted Added Element
Citation.citedArtifact.contributorship.entry.collectiveName Claim.item.detail.subDetail.tax	Deleted Added Element
Citation.citedArtifact.contributorship.entry.identifier Claim.careTeam.responsible	Deleted
Citation.citedArtifact.contributorship.entry.affiliationInfo Claim.diagnosis.packageCode	Deleted
Citation.citedArtifact.contributorship.entry.address Claim.item.subSite	Deleted
Citation.citedArtifact.contributorship.entry.telecom ClaimResponse	Deleted
Citation.citedArtifact.contributorship.entry.listOrder ClaimResponse.traceNumber	Deleted Added Element
Claim.traceNumber ClaimResponse.statusReason	Added Element
Claim.enterer ClaimResponse.subject	Renamed from patient to subject Type Reference: Added Target Types Patient, RelatedPerson Type Group
Claim.provider ClaimResponse.insurer	Min Cardinality changed from 1 to 0
Claim.priority ClaimResponse.outcome	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to 0 Claim.encounter Added Element Claim.facility Type Reference: Added Target Type Organization Claim Processing Codes
Claim.diagnosisRelatedGroup ClaimResponse.decision	Added Element
Claim.event ClaimResponse.event	Added Element
Claim.event.type ClaimResponse.event.type	Added Mandatory Element
Claim.event.when[x] ClaimResponse.event.when[x]	Added Mandatory Element
Claim.careTeam.specialty Added Element Claim.supportingInfo.value[x] Add Type Identifier Claim.insurance Min Cardinality changed from 1 to 0 Claim.patientPaid Added Element Claim.item.traceNumber Added Element Claim.item.productOrService Min Cardinality changed from 1 to 0 Claim.item.productOrServiceEnd ClaimResponse.encounter	Added Element
Claim.item.request ClaimResponse.diagnosisRelatedGroup	Added Element
Claim.item.patientPaid ClaimResponse.supportingInfo	Added Element
Claim.item.tax ClaimResponse.supportingInfo.sequence	Added Mandatory Element Claim.item.bodySite Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site ClaimResponse.supportingInfo.category	Added Mandatory Element
Claim.item.bodySite.subSite ClaimResponse.supportingInfo.code	Added Element
Claim.item.detail.traceNumber ClaimResponse.supportingInfo.timing[x]	Added Element
Claim.item.detail.productOrServiceEnd ClaimResponse.supportingInfo.value[x]	Added Element
Claim.item.detail.patientPaid ClaimResponse.supportingInfo.reason	Added Element
Claim.item.detail.tax ClaimResponse.item.traceNumber	Added Element
Claim.item.detail.subDetail.traceNumber ClaimResponse.item.informationSequence	Added Element
Claim.item.detail.subDetail.productOrServiceEnd ClaimResponse.item.reviewOutcome	Added Element
Claim.item.detail.subDetail.patientPaid ClaimResponse.item.reviewOutcome.decision	Added Element
Claim.item.detail.subDetail.tax ClaimResponse.item.reviewOutcome.reason	Added Element
Claim.item.subSite ClaimResponse.item.reviewOutcome.preAuthRef	Deleted Added Element
ClaimResponse.traceNumber ClaimResponse.item.reviewOutcome.preAuthPeriod	Added Element
ClaimResponse.insurer ClaimResponse.item.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.outcome ClaimResponse.item.adjudication.quantity	Change value set Renamed from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 value to 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.item.traceNumber Added Element ClaimResponse.item.reviewOutcome Added Element quantity ClaimResponse.item.reviewOutcome.decision Added Element Type changed from decimal to Quantity
ClaimResponse.item.reviewOutcome.reason ClaimResponse.item.adjudication.decisionDate	Added Element
ClaimResponse.item.reviewOutcome.preAuthRef ClaimResponse.item.detail.traceNumber	Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod ClaimResponse.item.detail.reviewOutcome	Added Element
ClaimResponse.item.adjudication ClaimResponse.item.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity ClaimResponse.item.detail.subDetail.traceNumber	Added Element
ClaimResponse.item.detail.traceNumber ClaimResponse.item.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.item.detail.reviewOutcome ClaimResponse.addItem.traceNumber	Added Element
ClaimResponse.item.detail.subDetail.traceNumber ClaimResponse.addItem.subject	Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome ClaimResponse.addItem.informationSequence	Added Element
ClaimResponse.addItem.traceNumber ClaimResponse.addItem.revenue	Added Element
ClaimResponse.addItem.revenue ClaimResponse.addItem.category	Added Element
ClaimResponse.addItem.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.productOrServiceEnd	Added Element
ClaimResponse.addItem.request	Added Element
ClaimResponse.addItem.tax	Added Element
ClaimResponse.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site	Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite	Added Element
ClaimResponse.addItem.reviewOutcome	Added Element
ClaimResponse.addItem.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber	Added Element
ClaimResponse.addItem.detail.revenue	Added Element
ClaimResponse.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.tax	Added Element
ClaimResponse.addItem.detail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber	Added Element
ClaimResponse.addItem.detail.subDetail.revenue	Added Element
ClaimResponse.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd	Added Element
ClaimResponse.addItem.detail.subDetail.tax	Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome	Added Element
ClaimResponse.addItem.detail.subDetail.adjudication	Min Cardinality changed from 1 to 0
ClaimResponse.processNote.class	Added Element
ClaimResponse.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ClaimResponse.processNote.text	Type changed from string to markdown
ClaimResponse.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ClaimResponse.error.expression	Added Element
ClaimResponse.item.adjudication.value Deleted ClaimResponse.addItem.subSite	Deleted
ClinicalUseDefinition	Added Element ClinicalUseDefinition.contraindication.otherTherapy.treatment Added Mandatory Element Resource
ClinicalUseDefinition.indication.applicability CodeSystem	Added Element
ClinicalUseDefinition.library CodeSystem.versionAlgorithm[x]	Added Element
ClinicalUseDefinition.contraindication.otherTherapy.therapy CodeSystem.jurisdiction	Deleted CodeSystem Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet CodeSystem.versionAlgorithm[x] Added Element
CodeSystem.copyrightLabel	Added Element
CodeSystem.approvalDate	Added Element
CodeSystem.lastReviewDate	Added Element
CodeSystem.effectivePeriod	Added Element
CodeSystem.topic	Added Element
CodeSystem.author	Added Element
CodeSystem.editor	Added Element
CodeSystem.reviewer	Added Element
CodeSystem.endorser	Added Element
CodeSystem.relatedArtifact	Added Element
CodeSystem.filter.operator	Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
CodeSystem.concept.designation.additionalUse	Added Element
Communication
Communication.basedOn	Type Reference: Added Target Types CarePlan, CommunicationRequest, DeviceRequest, MedicationRequest, NutritionOrder, ServiceRequest, Task, VisionPrescription Type Reference: Removed Target Type Resource
Communication.recipient	Type Reference: Added Target Types Location, Endpoint
Communication.sender	Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason	Added Element Merged both reasonCode and reasonReference into reason
Communication.payload.content[x]	Add Type CodeableConcept Remove Type string
Communication.instantiatesCanonical	Deleted
Communication.instantiatesUri	Deleted
Communication.reasonCode	Deleted (-> Communication.reason) reason.concept)
Communication.reasonReference	Deleted (-> Communication.reason) 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 Type Endpoint Types Endpoint, Group
CommunicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
CommunicationRequest.reasonCode	Deleted (-> CommunicationRequest.reason) reason.concept)
CommunicationRequest.reasonReference	Deleted (-> CommunicationRequest.reason) reason.reference)
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]	Added Element
CompartmentDefinition.title	Added Element
CompartmentDefinition.code	Add code EpisodeOfCare
CompartmentDefinition.resource.code	Remove codes Resource CatalogEntry , DomainResource ChargeItem , CatalogEntry ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , Media DomainResource , RequestGroup EffectEvidenceSynthesis , ResearchDefinition GraphDefinition , ResearchElementDefinition ImmunizationEvaluation Add codes , ActorDefinition ImmunizationRecommendation , ArtifactAssessment Linkage , BiologicallyDerivedProductDispense Media , ConditionDefinition MedicationKnowledge , DeviceAssociation MedicinalProduct , DeviceDispense MedicinalProductAuthorization , DeviceUsage MedicinalProductContraindication , EncounterHistory MedicinalProductIndication , FormularyItem MedicinalProductIngredient , GenomicStudy MedicinalProductInteraction , ImagingSelection MedicinalProductManufactured , InventoryItem MedicinalProductPackaged , InventoryReport MedicinalProductPharmaceutical , NutritionIntake MedicinalProductUndesirableEffect , Permission MolecularSequence , RequestOrchestration RequestGroup , Requirements ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan SubstanceSpecification , Transport 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 1 to *
Composition.version	Added Element
Composition.consent	Added Element
Composition.basedOn	Added Element
Composition.status	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject	Max Cardinality changed from 1 to *
Composition.useContext	Added Element
Composition.author	Min Cardinality changed from 1 to 0 Type Reference: Added Target Type CareTeam
Composition.participant	Added Element
Composition.participant.type	Added Mandatory Element
Composition.participant.function	Added Element
Composition.participant.time	Added Element
Composition.participant.party	Added Mandatory Element
Composition.name	Added Element
Composition.title	Min Cardinality changed from 1 to 0
Composition.note	Added Element
Composition.attester.mode	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.3.0` `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` (required)
Composition.relatesTo Composition.attester.party	Type changed from BackboneElement to RelatedArtifact Reference: Added Target Type Group
Composition.custodian	Type Reference: Added Target Types Patient, Group
Composition.relatesTo.type	Added Mandatory Element
Composition.relatesTo.target[x]	Add Types uri, Attachment, canonical(Resource), markdown Remove Type Identifier
Composition.event.detail	Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality Composition.section.author	Deleted Type Reference: Added Target Type CareTeam
Composition.section.note	Added Element
Composition.relatesTo.code Composition.confidentiality	Deleted
Composition.relatesTo.target[x] Composition.relatesTo.code	Deleted
Composition.event.code	Deleted
Composition.section.mode	Deleted
ConceptMap
ConceptMap.identifier	Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]	Added Element
ConceptMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ConceptMap.copyrightLabel	Added Element
ConceptMap.approvalDate	Added Element
ConceptMap.lastReviewDate	Added Element
ConceptMap.effectivePeriod	Added Element
ConceptMap.topic	Added Element
ConceptMap.author	Added Element
ConceptMap.editor	Added Element
ConceptMap.reviewer	Added Element
ConceptMap.endorser	Added Element
ConceptMap.relatedArtifact	Added Element
ConceptMap.property	Added Element
ConceptMap.property.code	Added Mandatory Element
ConceptMap.property.uri	Added Element
ConceptMap.property.description	Added Element
ConceptMap.property.type	Added Mandatory Element
ConceptMap.property.system	Added Element
ConceptMap.additionalAttribute	Added Element
ConceptMap.additionalAttribute.code	Added Mandatory Element
ConceptMap.additionalAttribute.uri	Added Element
ConceptMap.additionalAttribute.description	Added Element
ConceptMap.additionalAttribute.type	Added Mandatory Element
ConceptMap.sourceScope[x]	Added Element Renamed from source[x] to sourceScope[x]
ConceptMap.targetScope[x]	Added Element Renamed from target[x] to targetScope[x]
ConceptMap.group.source	Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target	Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet	Added Element
ConceptMap.group.element.noMap	Added Element
ConceptMap.group.element.comment	Added Element
ConceptMap.group.element.target.valueSet	Added Element
ConceptMap.group.element.target.relationship	Added Mandatory Element
ConceptMap.group.element.target.property	Added Element
ConceptMap.group.element.target.property.code	Added Mandatory Element
ConceptMap.group.element.target.property.value[x]	Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute	Renamed from property to attribute Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]	Renamed from value to value[x] Min Cardinality changed from 1 to 0 Add Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet	Added Element
ConceptMap.group.unmapped.mode	Remove code provided Add code use-source-code
ConceptMap.group.unmapped.valueSet ConceptMap.group.unmapped.comment	Added Element
ConceptMap.group.unmapped.relationship ConceptMap.group.unmapped.valueSet	Added Element
ConceptMap.source[x] ConceptMap.group.unmapped.relationship	Deleted Added Element
ConceptMap.target[x] ConceptMap.group.unmapped.otherMap	Deleted Renamed from url to otherMap
ConceptMap.group.sourceVersion	Deleted (-> canonical version in .group.source) group.source)
ConceptMap.group.targetVersion	Deleted (-> canonical version in .group.target) group.target)
ConceptMap.group.element.target.equivalence	Deleted (-> relationship)
ConceptMap.group.element.target.dependsOn.system	Deleted (-> value as Coding) Coding - system value)
ConceptMap.group.element.target.dependsOn.display	Deleted (-> value as Coding) Coding - display value)
Condition
Condition.clinicalStatus	Min Cardinality changed from 0 to 1 Remove codes recurrence , relapse , remission , resolved Add code unknown
Condition.category Condition.verificationStatus	Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible) codes provisional , differential
Condition.participant Condition.category	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.participant.function Condition.bodyStructure	Added Element
Condition.participant.actor Condition.recorder	Type Reference: Added Mandatory Element Target Type Group
Condition.evidence Condition.asserter	Type changed from BackboneElement to CodeableReference Reference: Added Target Types Device, Group
Condition.recorder Condition.stage.assessment	Deleted (-> Condition.participant.actor) Type Reference: Removed Target Type ClinicalImpression
Condition.asserter Condition.evidence	Deleted (-> Condition.participant.actor) Type changed from BackboneElement to CodeableReference
Condition.evidence.code	Deleted (-> Condition.evidence) Condition.evidence.concept)
Condition.evidence.detail	Deleted (-> Condition.evidence) ConditionDefinition Added Resource Condition.evidence.reference)
Consent
Consent.status	Remove codes proposed , rejected Add codes not-done , unknown
Consent.category	Min Cardinality changed from 1 to 0 Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Consent.subject	Renamed from patient to subject Type Reference: Added Target Types Practitioner, ResearchSubject, Group
Consent.date	Renamed from dateTime to date Type changed from dateTime to date
Consent.period	Added Element
Consent.grantor	Added Element
Consent.grantee	Renamed from performer to grantee Type Reference: Added Target Types CareTeam, Group, HealthcareService
Consent.manager	Added Element
Consent.controller	Added Element
Consent.sourceAttachment	Added Element
Consent.sourceReference	Added Element
Consent.regulatoryBasis	Added Element
Consent.policyBasis	Renamed from policy to policyBasis Max Cardinality changed from * to 1
Consent.policyBasis.reference	Added Element
Consent.policyBasis.url Consent.policyBasis.uri	Added Element Moved from Consent.policy to Consent.policyBasis
Consent.policyText	Added Element Renamed from policyRule to policyText Max Cardinality changed from 1 to * Type changed from CodeableConcept to Reference(DocumentReference) Remove Binding `http://hl7.org/fhir/ValueSet/consent-policy` (extensible)
Consent.verification.verificationType Consent.verification.type	Added Element
Consent.verification.verifiedBy	Added Element
Consent.verification.verificationDate Consent.verification.verifiedWith	Type Reference: Added Target Type Group
Consent.verification.date	Renamed from verificationDate to date Max Cardinality changed from 1 to *
Consent.decision	Moved from Consent.provision.type to decision Now marked as Modifier
Consent.provision	Max Cardinality changed from 1 to *
Consent.provision.actor.role	Min Cardinality changed from 1 to 0 Change value set from Security Role Type http://hl7.org/fhir/ValueSet/security-role-type to Participation Role Type
Consent.provision.actor.reference	Min Cardinality changed from 1 to 0
Consent.provision.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType	Added Element
Consent.provision.resourceType	Renamed from class to resourceType Change value set from Consent Content Class to Resource Types
Consent.provision.expression	Added Element
Consent.scope	Deleted (-> Merged with Consent.category)
Consent.organization	Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]	Deleted (-> split into Consent.sourceAttachement and Consent.sourceReference)
Consent.policy.authority	Deleted
Consent.policy.uri Contract
Contract.author	Deleted Type Reference: Added Target Type RelatedPerson
Consent.policyRule Contract.term.text	Deleted Type changed from string to markdown
Contract.term.action.reason	Type changed from string to CodeableReference
Contract.term.action.reasonCode	Deleted (-> reason) reason.concept)
Contract.term.action.reasonReference	Deleted (-> reason) 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
Coverage.subscriberId	Max Cardinality changed from 1 to * Type changed from string to Identifier
Coverage.insurer	Added Element
Coverage.class.value	Type changed from string to Identifier
Coverage.costToBeneficiary.category	Added Element
Coverage.costToBeneficiary.network	Added Element
Coverage.costToBeneficiary.unit	Added Element
Coverage.costToBeneficiary.term	Added Element
Coverage.costToBeneficiary.value[x]	Min Cardinality changed from 1 to 0
Coverage.insurancePlan	Added Element
Coverage.payor	Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.statusReason	Added Element
CoverageEligibilityRequest.event	Added Element
CoverageEligibilityRequest.event.type	Added Mandatory Element
CoverageEligibilityRequest.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.statusReason	Added Element
CoverageEligibilityResponse.event	Added Element
CoverageEligibilityResponse.event.type	Added Mandatory Element
CoverageEligibilityResponse.event.when[x]	Added Mandatory Element
CoverageEligibilityResponse.request	Min Cardinality changed from 1 to 0
CoverageEligibilityResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Eligibility Outcome
CoverageEligibilityResponse.insurance.item.description	Type changed from string to markdown
CoverageEligibilityResponse.error.expression	Added Element
DetectedIssue
DetectedIssue.status	Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.3.0 http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to Detected Issue Status Remove codes registered , amended , corrected , cancelled , unknown Add code mitigated
DetectedIssue.category	Added Element
DetectedIssue.severity	Type changed from code to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0` (required)
DetectedIssue.subject	Renamed from patient to subject Type Reference: Added Element Target Types Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
DetectedIssue.encounter	Added Element
DetectedIssue.identified[x]	Add Type Timing
DetectedIssue.author	Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail	Type changed from string to markdown
DetectedIssue.mitigation.note DetectedIssue.qualityOfEvidence	Added Element
DetectedIssue.patient DetectedIssue.expectedOnsetType	Deleted Added Element
Device DetectedIssue.medicationClass	Added Element
Device.displayName DetectedIssue.managementCode	Added Element
DetectedIssue.mitigation.note	Added Element
Device
Device.definition	Type changed from Reference(DeviceDefinition) to CodeableReference canonical(DeviceDefinition)
Device.udiCarrier.deviceIdentifier	Min Cardinality changed from 0 to 1
Device.udiCarrier.deviceIdentifierSystem	Added Element
Device.udiCarrier.issuer	Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType	Add code electronic-transmission
Device.availabilityStatus	Added Element
Device.biologicalSourceEvent	Added Element Renamed from distinctIdentifier to biologicalSourceEvent Type changed from string to Identifier
Device.name	Renamed from deviceName to name
Device.name.value	Added Mandatory Element Moved from Device.deviceName.name to value
Device.name.type	Moved from Device.deviceName to Device.name Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name Change binding strength from required to extensible
Device.name.display	Added Element
Device.category	Added Element
Device.type	Max Cardinality changed from 1 to *
Device.version.installDate Device.deviceVersion	Added Element Renamed from version to deviceVersion
Device.conformsTo Device.deviceVersion.type	Renamed Moved from specialization Device.version to conformsTo Device.deviceVersion
Device.conformsTo.category Device.deviceVersion.component	Added Element Moved from Device.version to Device.deviceVersion
Device.conformsTo.specification Device.deviceVersion.installDate	Added Mandatory Element
Device.conformsTo.version Device.deviceVersion.value	Moved from Device.specialization Device.version to Device.deviceVersion
Device.conformsTo	Renamed from specialization to conformsTo
Device.property.value[x] Device.conformsTo.category	Added Mandatory Element
Device.mode Device.conformsTo.specification	Added Element Moved from Device.specialization.systemType to specification
Device.conformsTo.version	Moved from Device.specialization to Device.conformsTo
Device.cycle Device.property.value[x]	Added Mandatory Element
Device.duration Device.additive	Added Element
Device.endpoint Device.additive.type	Added Mandatory Element
Device.gateway Device.additive.quantity	Added Element
Device.statusReason	Deleted (-> reason was removed. DeviceAssociation can be used)
Device.distinctIdentifier Device.property.valueQuantity	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.deviceName.name Device.property.valueCode	Deleted (-> Device.property.value[x] (as a new Device.property iteration))
Device.specialization.systemType Device.patient	Deleted (-> patient association is in DeviceAssociation)
Device.property.valueQuantity Device.owner	Deleted
Device.property.valueCode Device.url	Deleted
Device.patient DeviceAlert	Deleted (-> patient association is in DeviceAssociation) Added Resource
DeviceAssociation	Added Resource
DeviceDefinition
DeviceDefinition.version	Max Cardinality changed from * to 1
DeviceDefinition.versionAlgorithm[x]	Added Element
DeviceDefinition.name	Added Element
DeviceDefinition.title	Added Element
DeviceDefinition.status	Added Mandatory Element
DeviceDefinition.experimental	Added Element
DeviceDefinition.date	Added Element
DeviceDefinition.publisher	Added Element
DeviceDefinition.contact	Type changed from ContactPoint to ContactDetail
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.regulatoryIdentifier DeviceDefinition.udiDeviceIdentifier.deviceIdentifierSystem	Added Element
DeviceDefinition.regulatoryIdentifier.type DeviceDefinition.regulatoryIdentifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier DeviceDefinition.regulatoryIdentifier.type	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer DeviceDefinition.regulatoryIdentifier.identifier	Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction DeviceDefinition.regulatoryIdentifier.issuer	Added Mandatory Element
DeviceDefinition.partNumber DeviceDefinition.regulatoryIdentifier.jurisdiction	Added Mandatory Element
DeviceDefinition.manufacturer DeviceDefinition.regulatoryIdentifier.identifierSystem	Renamed from manufacturer[x] to manufacturer Remove Type string Added Element
DeviceDefinition.deviceName.type	Remove codes udi-label-name , manufacturer-name , model-name , other Type changed from code to CodeableConcept Add code registered-name Change binding strength from required to extensible
DeviceDefinition.classification	Added Element
DeviceDefinition.classification.type	Moved from DeviceDefinition to DeviceDefinition.classification Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification	Added Element
DeviceDefinition.conformsTo	Renamed from specialization to conformsTo
DeviceDefinition.conformsTo.category	Added Element
DeviceDefinition.conformsTo.specification	Added Mandatory Element 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.reference DeviceDefinition.hasPart.definition[x]	Added Mandatory Element
DeviceDefinition.hasPart.count	Added Element
DeviceDefinition.packaging	Added Element
DeviceDefinition.packaging.identifier	Added Element
DeviceDefinition.packaging.type	Added Element
DeviceDefinition.packaging.count	Added Element
DeviceDefinition.packaging.distributor	Added Element
DeviceDefinition.packaging.distributor.name	Added Element
DeviceDefinition.packaging.distributor.organizationReference	Added Element
DeviceDefinition.packaging.udiDeviceIdentifier	Added Element
DeviceDefinition.packaging.packaging	Added Element
DeviceDefinition.version DeviceDefinition.deviceVersion	Type changed from string to BackboneElement Added Element
DeviceDefinition.version.type DeviceDefinition.deviceVersion.type	Added Element
DeviceDefinition.version.component DeviceDefinition.deviceVersion.component	Added Element
DeviceDefinition.version.value DeviceDefinition.deviceVersion.value	Added Mandatory Element
DeviceDefinition.outputLanguage	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]	Added Mandatory Element 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 DeviceDefinition.link.relatedDevice[x]	Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI	Added Element
DeviceDefinition.guideline	Added Element
DeviceDefinition.guideline.useContext	Added Element
DeviceDefinition.guideline.usageInstruction	Added Element
DeviceDefinition.guideline.relatedArtifact	Moved from DeviceDefinition.onlineInformation to relatedArtifact Max Cardinality changed from 1 to * Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication	Added Element
DeviceDefinition.guideline.contraindication	Added Element
DeviceDefinition.guideline.warning	Added Element
DeviceDefinition.guideline.intendedUse	Added Element
DeviceDefinition.correctiveAction	Added Element
DeviceDefinition.correctiveAction.recall	Added Mandatory Element
DeviceDefinition.correctiveAction.scope	Added Element
DeviceDefinition.correctiveAction.period	Added Mandatory Element
DeviceDefinition.chargeItem	Added Element
DeviceDefinition.chargeItem.chargeItemCode	Added Mandatory Element
DeviceDefinition.chargeItem.count	Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod	Added Element
DeviceDefinition.chargeItem.useContext	Added Element
DeviceDefinition.specialization.systemType Deleted DeviceDefinition.physicalCharacteristics	Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability	Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity Deleted DeviceDefinition.property.valueCode	Deleted
DeviceDefinition.url DeviceDefinition.owner	Deleted (Removed (This could be a packaging.distributor.organiationReference or manufacturer or neither - only instances have addressable endpoints) no direct mapping)
DeviceDefinition.quantity	Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice	Deleted (Removed - to establish relations, use hasPArt) hasPart)
DeviceDispense DeviceMetric
DeviceMetric.status	Added Resource Mandatory Element
DeviceMetric DeviceMetric.operationalStatus	Remove code entered-in-error Add code unknown
DeviceMetric.category	Type changed from code to CodeableConcept Change binding strength from required to extensible
DeviceMetric.device	Added Mandatory Element 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|4.3.0 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
DeviceRequest
DeviceRequest.replaces	Renamed from priorRequest to replaces Type Reference: Added Target Type DeviceRequest Type Reference: Removed Target Type Resource
DeviceRequest.status	Remove codes revoked , completed Add code ended
DeviceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
DeviceRequest.doNotPerform	Added Element
DeviceRequest.code DeviceRequest.product[x]	Renamed from code[x] to code product[x] Add Type CodeableReference Remove Types Reference(Device), CodeableConcept canonical(DeviceDefinition)
DeviceRequest.quantity	Added Element
DeviceRequest.requester	Type Reference: Added Target Types CareTeam, Group, Patient, RelatedPerson
DeviceRequest.performer	Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason Added Element DeviceRequest.asNeeded DeviceRequest.location	Added Element
DeviceRequest.asNeededFor DeviceRequest.reason	Added Element DeviceRequest.performerType Deleted (-> performer) DeviceRequest.reasonCode Deleted (-> reason) DeviceRequest.reasonReference Deleted (-> reason) DeviceUsage Name Changed from DeviceUseStatement to DeviceUsage DeviceUsage Moved from DeviceUseStatement to DeviceUsage DeviceUsage.status Change value set from http://hl7.org/fhir/ValueSet/device-statement-status|4.3.0 to Device Usage Status Add code not-done Merged both reasonCode and reasonReference into reason
DeviceUsage.category DeviceRequest.asNeeded	Added Element
DeviceUsage.patient DeviceRequest.asNeededFor	Added Mandatory Element
DeviceUsage.context DeviceRequest.instantiatesCanonical	Added Element Deleted
DeviceUsage.dateAsserted DeviceRequest.instantiatesUri	Added Element Deleted
DeviceUsage.usageStatus DeviceRequest.performerType	Added Element Deleted (-> performer.concept)
DeviceUsage.usageReason DeviceRequest.reasonCode	Added Element Deleted (-> reason.concept)
DeviceUsage.adherence DeviceRequest.reasonReference	Added Element Deleted (-> reason.reference)
DeviceUsage.adherence.code DiagnosticReport	Added Mandatory Element
DeviceUsage.adherence.reason DiagnosticReport.basedOn	Added Mandatory Element Type Reference: Removed Target Type ImmunizationRecommendation
DeviceUsage.informationSource DiagnosticReport.status	Added Element Remove codes preliminary , corrected , appended
DeviceUsage.device DiagnosticReport.subject	Type changed from Reference(Device) to CodeableReference Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
DeviceUsage.reason DiagnosticReport.relatesTo	Added Element
DeviceUsage.bodySite DiagnosticReport.issued	Type changed from CodeableConcept instant to CodeableReference DeviceUseStatement.subject Deleted DeviceUseStatement.recordedOn Deleted DeviceUseStatement.source Deleted DeviceUseStatement.reasonCode Deleted dateTime
DeviceUseStatement.reasonReference DiagnosticReport.procedure	Deleted Added Element
DiagnosticReport.status DiagnosticReport.performer	Add code modified Type Reference: Added Target Types HealthcareService, Device, Patient, RelatedPerson
DiagnosticReport.subject DiagnosticReport.resultsInterpreter	Type Reference: Added Target Type BiologicallyDerivedProduct Type Reference: Removed Target Type Procedure Types Patient, RelatedPerson
DiagnosticReport.note	Added Element
DiagnosticReport.study	Added Element Renamed from imagingStudy to study
DiagnosticReport.supportingInfo	Added Element
DiagnosticReport.supportingInfo.type	Added Mandatory Element
DiagnosticReport.supportingInfo.reference	Added Mandatory Element
DiagnosticReport.media.link	Type Reference: Added Target Type DocumentReference Type Reference: Removed Target Type Media
DiagnosticReport.composition	Added Element
DiagnosticReport.conclusion	Type changed from string to markdown
DiagnosticReport.imagingStudy DiagnosticReport.conclusionCode	Deleted Type changed from CodeableConcept to CodeableReference
DiagnosticReport.recomendation	Added Element
DiagnosticReport.communication	Added Element
DiagnosticReport.comparison	Added Element
DocumentReference
DocumentReference.version	Added Element
DocumentReference.basedOn	Added Element
DocumentReference.docStatus	Remove code preliminary Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown Now marked as Modifier
DocumentReference.modality	Added Element
DocumentReference.subject	Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context	Max Cardinality changed from 1 to * Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event	Added Element
DocumentReference.bodySite DocumentReference.related	Added Element
DocumentReference.facilityType DocumentReference.bodyStructure	Added Element
DocumentReference.facilityType	Moved from DocumentReference.context to DocumentReference
DocumentReference.practiceSetting	Added Element Moved from DocumentReference.context to DocumentReference
DocumentReference.period	Added Element Moved from DocumentReference.context to DocumentReference
DocumentReference.date	Type changed from instant to dateTime
DocumentReference.author	Type Reference: Added Target Type CareTeam Types CareTeam, Group
DocumentReference.attester	Added Element
DocumentReference.attester.mode	Added Mandatory Element
DocumentReference.attester.time	Added Element
DocumentReference.attester.party	Added Element
DocumentReference.relatesTo.code	Type changed from code to CodeableConcept Change binding strength from required to extensible
DocumentReference.description	Type changed from string to markdown
DocumentReference.securityLabel	Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
DocumentReference.content.profile	Added Element
DocumentReference.content.profile.value[x]	Added Mandatory Element
DocumentReference.masterIdentifier	Deleted (-> identifier) DocumentReference.identifier)
DocumentReference.authenticator	Deleted (-> attester) DocumentReference.attester)
DocumentReference.content.format	Deleted (-> content.profile)
DocumentReference.context.encounter	Deleted (-> context)
DocumentReference.context.event	Deleted (-> event)
DocumentReference.context.period Deleted (-> period) DocumentReference.context.facilityType Deleted (-> facilityType) DocumentReference.context.practiceSetting Deleted (-> practiceSetting) DocumentReference.context.sourcePatientInfo	Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related	Deleted (-> basedOn)
DomainResource	No Changes
Encounter
Encounter.status	Remove codes arrived , triaged , onleave , finished Add codes on-hold , discharged , completed , discontinued
Encounter.businessStatus	Added Element
Encounter.businessStatus.code	Added Mandatory Element
Encounter.businessStatus.type	Added Element
Encounter.businessStatus.effectiveDate	Added Element
Encounter.class	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType	Max Cardinality changed from 1 to * Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus	Added Element
Encounter.basedOn	Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription
Encounter.careTeam	Added Element
Encounter.participant.actor	Renamed from individual to actor Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService	Added Element
Encounter.actualPeriod	Renamed from period to actualPeriod
Encounter.plannedStartDate	Added Element
Encounter.plannedEndDate	Added Element
Encounter.reason	Renamed from reasonCode to reason Type changed from CodeableConcept to BackboneElement Added Element
Encounter.reason.use	Added Element
Encounter.reason.value	Added 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.class) EncounterHistory)
Encounter.reasonReference Encounter.reasonCode	Deleted (-> Encounter.reason.reference) reason.concept.value)
Encounter.diagnosis.rank Encounter.reasonReference	Deleted (-> Account.diagnosis.sequence) reason.reference.value)
EncounterHistory Encounter.diagnosis.rank	Added Resource Deleted (-> Account.diagnosis.sequence)
Endpoint
Endpoint.status	Remove code test Add code limited
Endpoint.connectionType	Max Cardinality changed from 1 to * Type changed from Coding to CodeableConcept Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Endpoint.description	Added Element
Endpoint.environmentType	Added Element
Endpoint.availability	Added Element
Endpoint.payload	Added Element
Endpoint.payload.type	Moved from Endpoint.payloadType to type Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType	Moved from Endpoint.payloadMimeType to mimeType
Endpoint.payload.profileCanonical	Added Element
Endpoint.payload.profileUri	Added Element
EnrollmentRequest
EnrollmentRequest.candidate	No Changes Type Reference: Added Target Type Group
EnrollmentResponse
EnrollmentResponse.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome
EnrollmentResponse.candidate	Added Element
EpisodeOfCare
EpisodeOfCare.reason	Added Element
EpisodeOfCare.reason.use	Added Element
EpisodeOfCare.reason.value	Added Element
EpisodeOfCare.diagnosis.condition	Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use	Renamed from role to use Max Cardinality changed from 1 to *
EpisodeOfCare.subject	Renamed from patient to subject Type Reference: Added Target Type Group
EpisodeOfCare.careTeam	Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank	Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]	Added Element
EventDefinition.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
EventDefinition.usage	Type changed from string to markdown
EventDefinition.copyrightLabel	Added Element
Evidence
Evidence.versionAlgorithm[x]	Added Element
Evidence.name Evidence.citeAs	Added Element
Evidence.experimental	Added Element
Evidence.purpose Evidence.recorder	Added Element
Evidence.copyright Evidence.purpose	Added Element
Evidence.copyrightLabel	Added Element
Evidence.relatesTo	Added Element
Evidence.relatesTo.type	Added Mandatory Element
Evidence.relatesTo.target[x]	Added Mandatory Element
Evidence.assertion	Added Element
Evidence.variableDefinition	Added Element
Evidence.variableDefinition.description	Added Element
Evidence.variableDefinition.note	Added Element
Evidence.variableDefinition.variableRole	Added Mandatory Element
Evidence.variableDefinition.roleSubtype	Added Element
Evidence.variableDefinition.comparatorCategory	Added Element
Evidence.variableDefinition.observed	Added Element
Evidence.variableDefinition.intended	Added Element
Evidence.variableDefinition.directnessMatch	Change value set from http://hl7.org/fhir/ValueSet/directness to EvidenceDirectness Added Element
Evidence.synthesisType	Change value set from http://hl7.org/fhir/ValueSet/synthesis-type to StatisticSynthesisType Added Element
Evidence.studyDesign	Added Element
Evidence.statistic	Added Element
Evidence.statistic.description	Type changed from string to markdown 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	Type changed from string to markdown 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	Type changed from string to markdown 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	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/statistic-model-code" to "http://hl7.org/fhir/statistic-model-code" Added Mandatory Element
Evidence.certainty.description Evidence.statistic.modelCharacteristic.value[x]	Type changed from string to markdown Added Element
Evidence.certainty.type Evidence.statistic.modelCharacteristic.intended	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/certainty-type" to "http://hl7.org/fhir/certainty-type" Added Element
Evidence.certainty.rating Evidence.statistic.modelCharacteristic.applied	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/certainty-rating" to "http://hl7.org/fhir/certainty-rating" Added Element
Evidence.studyType Evidence.statistic.modelCharacteristic.variable	Deleted Added Element
EvidenceReport Evidence.statistic.modelCharacteristic.variable.variableDefinition	Added Mandatory Element
EvidenceReport.subject.characteristic.code Evidence.statistic.modelCharacteristic.variable.handling	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/focus-characteristic-code" to "http://hl7.org/fhir/focus-characteristic-code" Added Element
EvidenceReport.relatesTo.target Evidence.statistic.modelCharacteristic.variable.valueCategory	Renamed from target[x] to target Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity	Remove Types Identifier, Reference(EvidenceReport) Added Element
EvidenceReport.relatesTo.target.url Evidence.statistic.modelCharacteristic.variable.valueRange	Added Element
EvidenceReport.relatesTo.target.identifier Evidence.statistic.modelCharacteristic.attribute	Added Element
EvidenceReport.relatesTo.target.display Evidence.certainty	Added Element
EvidenceReport.relatesTo.target.resource Evidence.certainty.description	Added Element
EvidenceReport.section.focus Evidence.certainty.note	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/evidence-report-section" to "http://hl7.org/fhir/evidence-report-section" Added Element
EvidenceReport.section.author Evidence.certainty.type	Type Reference: Added Target Types Patient, Practitioner, PractitionerRole, RelatedPerson Element
Evidence.certainty.rating	Type Reference: Removed Target Type Person Added Element
EvidenceReport.section.entryClassifier Evidence.certainty.rater	Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/evidence-classifier-code" to "http://hl7.org/fhir/evidence-classifier-code" 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
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]	Added Element
EvidenceVariable.citeAs	Added Element
EvidenceVariable.experimental	Added Element
EvidenceVariable.purpose EvidenceVariable.recorder	Added Element
EvidenceVariable.copyright EvidenceVariable.purpose	Added Element
EvidenceVariable.copyrightLabel	Added Element
EvidenceVariable.approvalDate EvidenceVariable.relatesTo	Added Element
EvidenceVariable.lastReviewDate EvidenceVariable.relatesTo.type	Added Mandatory Element
EvidenceVariable.effectivePeriod EvidenceVariable.relatesTo.target[x]	Added Mandatory Element
EvidenceVariable.characteristic.linkId EvidenceVariable.actual	Added Element
EvidenceVariable.characteristic.description EvidenceVariable.definition	Type changed from string to markdown Added Element
EvidenceVariable.characteristic.note EvidenceVariable.definitionModifier	Added Element
EvidenceVariable.characteristic.definitionReference EvidenceVariable.definitionModifier.code	Added Mandatory Element
EvidenceVariable.characteristic.definitionCanonical EvidenceVariable.definitionModifier.value[x]	Added Mandatory Element
EvidenceVariable.characteristic.definitionCodeableConcept EvidenceVariable.handling	Added Element
EvidenceVariable.characteristic.definitionExpression EvidenceVariable.category	Added Element
EvidenceVariable.characteristic.definitionId EvidenceVariable.category.name	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue EvidenceVariable.category.value[x]	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.type EvidenceVariable.conditional	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.method EvidenceVariable.classifier	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.device EvidenceVariable.dataStorage	Added Element
EvidenceVariable.characteristic.definitionByTypeAndValue.value[x] EvidenceVariable.dataStorage.datatype	Added Mandatory Element
EvidenceVariable.characteristic.definitionByTypeAndValue.offset EvidenceVariable.dataStorage.path	Added Element
EvidenceVariable.characteristic.definitionByCombination EvidenceVariable.dataStorage.delimiter	Added Element
EvidenceVariable.characteristic.definitionByCombination.code EvidenceVariable.dataStorage.component	Added Mandatory Element
EvidenceVariable.characteristic.definitionByCombination.threshold EvidenceVariable.timing	Added Element
EvidenceVariable.characteristic.definitionByCombination.characteristic EvidenceVariable.period	Added Mandatory Element
EvidenceVariable.characteristic.instances[x] EvidenceVariable.constraint	Added Element
EvidenceVariable.characteristic.duration[x] EvidenceVariable.constraint.conditional	Added Element
EvidenceVariable.characteristic.timeFromEvent EvidenceVariable.constraint.minimumQuantity	Added Element
EvidenceVariable.characteristic.timeFromEvent.description EvidenceVariable.constraint.maximumQuantity	Added Element
EvidenceVariable.characteristic.timeFromEvent.note EvidenceVariable.constraint.earliestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.event[x] EvidenceVariable.constraint.latestDateTime	Added Element
EvidenceVariable.characteristic.timeFromEvent.quantity EvidenceVariable.constraint.minimumStringLength	Added Element
EvidenceVariable.characteristic.timeFromEvent.range EvidenceVariable.constraint.maximumStringLength	Added Element
EvidenceVariable.subtitle EvidenceVariable.constraint.code	Deleted 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.characteristicCombination EvidenceVariable.subtitle	Deleted
EvidenceVariable.characteristic.definition[x] EvidenceVariable.jurisdiction	Deleted
EvidenceVariable.characteristic.method EvidenceVariable.topic	Deleted
EvidenceVariable.characteristic.device EvidenceVariable.relatedArtifact	Deleted
EvidenceVariable.characteristic.timeFromStart EvidenceVariable.type	Deleted
EvidenceVariable.characteristic.groupMeasure EvidenceVariable.characteristic	Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]	Added Element
ExampleScenario.title	Added Element
ExampleScenario.description	Added Element
ExampleScenario.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ExampleScenario.copyrightLabel	Added Element
ExampleScenario.actor.key	Renamed from actorId to key
ExampleScenario.actor.type	Min Cardinality changed from 1 to 0 Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to Actor Definition Actor Type Remove code entity Add code codes system , collective , other
ExampleScenario.actor.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.actor.definition	Added Element
ExampleScenario.instance.key	Renamed from resourceId to key
ExampleScenario.instance.structureType	Renamed from resourceType to structureType Type changed from code to Coding Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Example Scenario Resource Type
ExampleScenario.instance.structureVersion	Added Element
ExampleScenario.instance.structureProfile[x]	Added Element
ExampleScenario.instance.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.content	Added Element
ExampleScenario.instance.version.key	Added Mandatory Element Renamed from versionId to key
ExampleScenario.instance.version.title	Added Mandatory Element
ExampleScenario.instance.version.description	Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content	Added Element
ExampleScenario.instance.containedInstance.instanceReference	Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference	Renamed from versionId to versionReference
ExampleScenario.process.step.number	Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step Min Cardinality changed from 1 to 0 Added Element
ExampleScenario.process.step.process	Max Cardinality changed from * to 1
ExampleScenario.process.step.workflow	Moved from ExampleScenario to ExampleScenario.process.step Max Cardinality changed from * to 1 Added Element
ExampleScenario.process.step.operation.type	Type changed from string to Coding Add Binding `http://hl7.org/fhir/ValueSet/testscript-operation-codes` `http://hl7.org/fhir/ValueSet/examplescenario-operation-codes` (extensible)
ExampleScenario.process.step.operation.title	Renamed from name to title Min Cardinality changed from 0 to 1
ExampleScenario.instance.version.versionId ExampleScenario.process.step.operation.number	Deleted
ExampleScenario.workflow	Deleted
ExplanationOfBenefit
ExplanationOfBenefit.traceNumber	Added Element
ExplanationOfBenefit.statusReason	Added Element
ExplanationOfBenefit.subject	Renamed from patient to subject 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
ExplanationOfBenefit.event	Added Element
ExplanationOfBenefit.event.type	Added Mandatory Element
ExplanationOfBenefit.event.when[x]	Added Mandatory Element
ExplanationOfBenefit.encounter	Added Element
ExplanationOfBenefit.facility	Type Reference: Added Target Type Organization
ExplanationOfBenefit.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Claim Processing Codes
ExplanationOfBenefit.decision	Added Element
ExplanationOfBenefit.diagnosisRelatedGroup	Added Element
ExplanationOfBenefit.careTeam.specialty	Added Element Renamed from qualification to specialty
ExplanationOfBenefit.supportingInfo.value[x] ExplanationOfBenefit.supportingInfo.timing[x]	Add Types dateTime, Timing Remove Type Identifier date
ExplanationOfBenefit.supportingInfo.value[x]	Add Types base64Binary, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Range, Ratio, RatioRange, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, VirtualServiceDetail, Dosage, Meta
ExplanationOfBenefit.insurance	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.patientPaid	Added Element
ExplanationOfBenefit.item.traceNumber	Added Element
ExplanationOfBenefit.item.subject	Added Element
ExplanationOfBenefit.item.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.request	Added Element
ExplanationOfBenefit.item.patientPaid	Added Element
ExplanationOfBenefit.item.tax	Added Element
ExplanationOfBenefit.item.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.item.bodySite.site	Added Mandatory Element
ExplanationOfBenefit.item.bodySite.subSite	Added Element
ExplanationOfBenefit.item.reviewOutcome	Added Element
ExplanationOfBenefit.item.reviewOutcome.decision	Added Element
ExplanationOfBenefit.item.reviewOutcome.reason	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthRef	Added Element
ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod	Added Element
ExplanationOfBenefit.item.adjudication.quantity	Renamed from value to quantity Type changed from decimal to Quantity
ExplanationOfBenefit.item.adjudication.decisionDate	Added Element
ExplanationOfBenefit.item.detail.traceNumber	Added Element
ExplanationOfBenefit.item.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.tax	Added Element
ExplanationOfBenefit.item.detail.reviewOutcome	Added Element
ExplanationOfBenefit.item.detail.subDetail.traceNumber	Added Element
ExplanationOfBenefit.item.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.item.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.item.detail.subDetail.tax	Added Element
ExplanationOfBenefit.item.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.traceNumber	Added Element
ExplanationOfBenefit.addItem.subject	Added Element
ExplanationOfBenefit.addItem.informationSequence	Added Element
ExplanationOfBenefit.addItem.revenue	Added Element
ExplanationOfBenefit.addItem.category	Added Element
ExplanationOfBenefit.addItem.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.request	Added Element
ExplanationOfBenefit.addItem.patientPaid	Added Element
ExplanationOfBenefit.addItem.tax	Added Element
ExplanationOfBenefit.addItem.bodySite	Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement
ExplanationOfBenefit.addItem.bodySite.site	Added Mandatory Element
ExplanationOfBenefit.addItem.bodySite.subSite	Added Element
ExplanationOfBenefit.addItem.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.detail.patientPaid	Added Element
ExplanationOfBenefit.addItem.detail.tax	Added Element
ExplanationOfBenefit.addItem.detail.reviewOutcome	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.revenue	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.productOrService	Min Cardinality changed from 1 to 0
ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.patientPaid	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.tax	Added Element
ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome	Added Element
ExplanationOfBenefit.processNote.class	Added Element
ExplanationOfBenefit.processNote.type	Type changed from code to CodeableConcept Change binding strength from required to extensible
ExplanationOfBenefit.processNote.text	Type changed from string to markdown
ExplanationOfBenefit.processNote.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
ExplanationOfBenefit.careTeam.qualification ExplanationOfBenefit.careTeam.responsible	Deleted
ExplanationOfBenefit.diagnosis.packageCode	Deleted
ExplanationOfBenefit.item.subSite	Deleted
ExplanationOfBenefit.item.adjudication.value Deleted ExplanationOfBenefit.addItem.subSite	Deleted
FamilyMemberHistory
FamilyMemberHistory.participant FamilyMemberHistory.recorder	Added Element
FamilyMemberHistory.participant.function FamilyMemberHistory.asserter	Added Element
FamilyMemberHistory.participant.actor FamilyMemberHistory.sex	Added Mandatory Element Change value set from http://build.fhir.org/valueset-administrative-gender.html to AdministrativeGender
FamilyMemberHistory.reason	Added Element Merged both reasonCode and reasonReference into reason
FamilyMemberHistory.procedure	Added Element
FamilyMemberHistory.procedure.code	Added Mandatory Element
FamilyMemberHistory.procedure.outcome	Added Element
FamilyMemberHistory.procedure.contributedToDeath	Added Element
FamilyMemberHistory.procedure.performed[x]	Added Element
FamilyMemberHistory.procedure.note	Added Element
FamilyMemberHistory.instantiatesCanonical	Deleted
FamilyMemberHistory.instantiatesUri	Deleted
FamilyMemberHistory.reasonCode	Deleted (-> FamilyMemberHistory.reason) reason.concept)
FamilyMemberHistory.reasonReference	Deleted (-> FamilyMemberHistory.reason) 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
FormularyItem Flag.supportingInfo	Added Resource Element
GenomicStudy Goal
Goal.lifecycleStatus	Remove codes active , on-hold , completed
Goal.continuous	Added Resource Element
Goal Goal.acceptance	Added Element
Goal.continuous Goal.acceptance.participant	Added Mandatory Element
Goal.source Goal.acceptance.status	Renamed Added Element
Goal.acceptance.priority	Added Element
Goal.statusReason	Max Cardinality changed from expressedBy 1 to source * Type Reference: changed from string to CodeableConcept
Goal.recorder	Added Target Type CareTeam Element
Goal.addresses Goal.source	Renamed from expressedBy to source Type Reference: Added Target Types MedicationRequest, Procedure CareTeam, Group
Goal.outcome Goal.addresses	Type Reference: Added Element Target Types MedicationRequest, Procedure, NutritionIntake
Goal.outcomeCode	Deleted (-> Goal.outcome)
Goal.outcomeReference	Deleted (-> Goal.outcome)
GraphDefinition Group
GraphDefinition.identifier Group.url	Added Element
GraphDefinition.versionAlgorithm[x] Group.version	Added Element
GraphDefinition.title Group.versionAlgorithm[x]	Added Element
GraphDefinition.copyright Group.title	Added Element
GraphDefinition.copyrightLabel Group.status	Added Element
GraphDefinition.start Group.experimental	Min Cardinality changed from 1 to 0 Type changed from code to id Remove Binding `http://hl7.org/fhir/ValueSet/resource-types|4.3.0` (required) Added Element
GraphDefinition.node Group.date	Added Element
GraphDefinition.node.nodeId Group.publisher	Added Mandatory Element
GraphDefinition.node.description Group.contact	Added Element
GraphDefinition.node.type Group.description	Added Mandatory Element
GraphDefinition.node.profile Group.useContext	Added Element
GraphDefinition.link.sourceId Group.purpose	Added Mandatory Element
GraphDefinition.link.targetId Group.copyright	Added Mandatory Element
GraphDefinition.link.params Group.copyrightLabel	Added Element
GraphDefinition.link.compartment Group.type	Added Element Min Cardinality changed from 1 to 0 Add codes careteam , healthcareservice , location , organization , relatedperson , specimen , medicinalproductdefinition , substancedefinition , biologicallyDerivedProduct , nutritionProduct
GraphDefinition.link.compartment.use Group.membership	Added Mandatory Element
GraphDefinition.link.compartment.rule Group.code	Added Mandatory Element Add Binding `http://hl7.org/fhir/ValueSet/group-code` (extensible)
GraphDefinition.link.compartment.code Group.combinationMethod	Added Mandatory Element
GraphDefinition.link.compartment.expression Group.combinationThreshold	Added Element
Group.characteristic.value[x]	Add Types uri, Expression
GraphDefinition.link.compartment.description Group.characteristic.description	Added Element
GraphDefinition.profile Group.characteristic.method	Deleted (-> .node.profile) Added Element
GraphDefinition.link.target Group.characteristic.formula	Deleted (-> .link.targetId / .node.nodeId) Added Element
Group Group.characteristic.determiner	Added Element
Group.active Group.characteristic.offset	Now marked as Modifier Added Element
Group.type Group.characteristic.instances[x]	Remove codes medication , substance Add codes careteam , healthcareservice , location , organization , relatedperson , specimen Added Element
Group.membership Group.characteristic.duration[x]	Added Mandatory Element
Group.description Group.characteristic.timing	Added Element
Group.member.entity	Type Reference: Added Target Types CareTeam, HealthcareService, Location, Organization, Specimen RelatedPerson, Specimen, MedicinalProductDefinition, SubstanceDefinition, BiologicallyDerivedProduct, NutritionProduct
Group.member.involvement	Type Reference: Removed Target Types Medication, Substance 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 * to 1
GuidanceResponse.result	Max Cardinality changed from 1 to * Type Reference: Added Target Types Appointment, AppointmentResponse, Claim, CommunicationRequest, Contract, CoverageEligibilityRequest, DeviceRequest, EnrollmentRequest, ImmunizationRecommendation, MedicationRequest, NutritionOrder, RequestOrchestration, ServiceRequest, SupplyRequest, Task, VisionPrescription Type Reference: Removed Target Type RequestGroup
GuidanceResponse.reasonCode	Deleted (-> reason) reason.concept)
GuidanceResponse.reasonReference	Deleted (-> reason) 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.availability HealthcareService.referralRequired	Added Element
HealthcareService.telecom HealthcareService.availability	Deleted (-> HealthcareService.contact.telecom) Added Element Changed to a datatype: availableTime, notAvailable, and availabilityExceptions are now properties of the datatype
HealthcareService.availableTime	Deleted (-> HealthcareService.availability.availabileTime) HealthcareService.availability (now part of a datatype))
HealthcareService.notAvailable	Deleted (-> HealthcareService.availability.notAvailabileTime) HealthcareService.availability.notAvailableTime (now part of a datatype))
HealthcareService.availabilityExceptions	Deleted (-> HealthcareService.availability.notAvailabileTime.description) HealthcareService.availability.notAvailabileTime.description (now part of a datatype))
ImagingSelection	Added Resource
ImagingStudy
ImagingStudy.status	Add code inactive
ImagingStudy.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.partOf ImagingStudy.basedOn	Added Element Type Reference: Removed Target Type AppointmentResponse
ImagingStudy.procedure	Added Element Merged both procedureCode and procedureReference into procedure
ImagingStudy.reason	Added Element Merged both reasonCode and reasonReference into reason
ImagingStudy.series.modality	Type changed from Coding to CodeableConcept Change value set from AcquisitionModality to Modality
ImagingStudy.series.bodySite	Type changed from Coding to CodeableReference
ImagingStudy.series.laterality ImagingStudy.series.performer.actor	Type changed from Coding to CodeableConcept Reference: Added Target Type HealthcareService
ImagingStudy.series.performer.actor ImagingStudy.series.instance.sopClass	Type Reference: Added Target Type HealthcareService changed from Coding to oid Remove Binding `http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1` (extensible)
ImagingStudy.interpreter	Deleted (-> series.performer)
ImagingStudy.procedureReference	Deleted (-> procedure) ImagingStudy.procedure)
ImagingStudy.procedureCode	Deleted (-> procedure) ImagingStudy.procedure)
ImagingStudy.reasonCode	Deleted (-> reason) reason.concept)
ImagingStudy.reasonReference	Deleted (-> reason) reason.reference)
ImagingStudy.series.laterality	Deleted
Immunization
Immunization.basedOn	Added Element
Immunization.administeredProduct	Added Element
Immunization.manufacturer	Type changed from Reference(Organization) to CodeableReference
Immunization.supportingInformation	Added Element
Immunization.informationSource	Added Element
Immunization.performer.actor	Type Reference: Added Target Types Patient, RelatedPerson
Immunization.reason	Added Element 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
Immunization.reaction.manifestation	Added Element Renamed from detail to manifestation Type changed from Reference(Observation) to CodeableReference
Immunization.protocolApplied.doseNumber	Renamed from doseNumber[x] to doseNumber Remove Min Cardinality changed from 1 to 0 Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.protocolApplied.seriesDoses	Renamed from seriesDoses[x] to seriesDoses Remove Add Type positiveInt CodeableConcept Remove Types positiveInt, string
Immunization.recorded	Deleted
Immunization.reportOrigin	Deleted
Immunization.reasonCode	Deleted (-> reason) reason.concept)
Immunization.reasonReference	Deleted (-> reason) reason.reference)
Immunization.education	Deleted
ImmunizationEvaluation ImplementationGuide	Type changed from string to markdown ImmunizationEvaluation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt
ImmunizationEvaluation.seriesDoses ImplementationGuide.identifier	Renamed from seriesDoses[x] to seriesDoses Remove Type positiveInt Added Element
ImmunizationRecommendation.recommendation.targetDisease ImplementationGuide.versionAlgorithm[x]	Max Cardinality changed from 1 to * Added Element
ImmunizationRecommendation.recommendation.description Type changed from string to markdown ImmunizationRecommendation.recommendation.doseNumber Renamed from doseNumber[x] to doseNumber Remove Type positiveInt ImmunizationRecommendation.recommendation.seriesDoses ImplementationGuide.jurisdiction	Renamed Change value set from seriesDoses[x] http://hl7.org/fhir/ValueSet/jurisdiction to seriesDoses Remove Type positiveInt ImplementationGuide Jurisdiction ValueSet ImplementationGuide.identifier Added Element ImplementationGuide.versionAlgorithm[x] Added Element
ImplementationGuide.purpose	Added Element
ImplementationGuide.copyrightLabel	Added Element
ImplementationGuide.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.3.0 , 4.3 3.5.0 , 4.4 4.0.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.dependsOn.reason	Added Element
ImplementationGuide.global.type	Remove codes Resource CatalogEntry , DomainResource ChargeItem , CatalogEntry ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , Media DomainResource , RequestGroup EffectEvidenceSynthesis , ResearchDefinition GraphDefinition , ResearchElementDefinition ImmunizationEvaluation Add codes , ActorDefinition ImmunizationRecommendation , ArtifactAssessment Linkage , BiologicallyDerivedProductDispense Media , ConditionDefinition MedicationKnowledge , DeviceAssociation MedicinalProduct , DeviceDispense MedicinalProductAuthorization , DeviceUsage MedicinalProductContraindication , EncounterHistory MedicinalProductIndication , FormularyItem MedicinalProductIngredient , GenomicStudy MedicinalProductInteraction , ImagingSelection MedicinalProductManufactured , InventoryItem MedicinalProductPackaged , InventoryReport MedicinalProductPharmaceutical , NutritionIntake MedicinalProductUndesirableEffect , Permission MolecularSequence , RequestOrchestration RequestGroup , Requirements ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan SubstanceSpecification , Transport 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 1 to 0
ImplementationGuide.definition.resource.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.3.0 , 4.3 3.5.0 , 4.4 4.0.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
ImplementationGuide.definition.resource.description	Type changed from string to markdown
ImplementationGuide.definition.resource.isExample	Added Element Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.definition.resource.profile	Added Element
ImplementationGuide.definition.page.source[x]	Added Element
ImplementationGuide.definition.page.name	Renamed from name[x] to name Remove Type Reference(Binary)
ImplementationGuide.definition.parameter.code	Type changed from code to Coding Change binding strength from required to extensible
ImplementationGuide.manifest.resource.isExample	Added Element Renamed from example[x] to isExample Remove Type canonical(StructureDefinition)
ImplementationGuide.manifest.resource.profile	Added Element
ImplementationGuide.definition.resource.example[x] Ingredient	Deleted Added Resource
ImplementationGuide.manifest.resource.example[x] InsurancePlan
InsurancePlan.identifier	Deleted Moved from InsurancePlan.plan to InsurancePlan
Ingredient InsurancePlan.type	Moved from InsurancePlan.plan to InsurancePlan
Ingredient.group InsurancePlan.product	Added Element reference to the new InsuranceProduct resource that contained the plan details previously
Ingredient.comment InsurancePlan.coverageArea	Added Element Moved from InsurancePlan.plan to InsurancePlan
Ingredient.substance.strength.presentation[x] InsurancePlan.network	Add Types CodeableConcept, Quantity Moved from InsurancePlan.plan to InsurancePlan
Ingredient.substance.strength.concentration[x] InsurancePlan.generalCost	Add Types CodeableConcept, Quantity Moved from InsurancePlan.plan to InsurancePlan
Ingredient.substance.strength.basis InsurancePlan.specificCost	Added Element Moved from InsurancePlan.plan to InsurancePlan
Ingredient.substance.strength.referenceStrength.substance InsurancePlan.specificCost.benefit.cost.qualifier	Min Cardinality changed Moved from 0 InsurancePlan.plan.specificCost.benefit.cost.qualifiers to 1 qualifier
Ingredient.substance.strength.referenceStrength.strength[x] InsurancePlan.identifier	Add Type Quantity Deleted (-> InsuranceProduct.identifier)
InsurancePlan InsurancePlan.status	Deleted (-> InsuranceProduct.status)
InsurancePlan.contact InsurancePlan.type	Type changed from BackboneElement to ExtendedContactDetail Deleted (-> InsuranceProduct.type)
InsurancePlan.contact.purpose InsurancePlan.name	Deleted (-> InsurancePlan.contact.purpose) InsuranceProduct.name)
InsurancePlan.contact.name InsurancePlan.alias	Deleted (-> InsurancePlan.contact.name) InsuranceProduct.alias)
InsurancePlan.contact.telecom InsurancePlan.period	Deleted (-> InsurancePlan.contact.telecom) InsuranceProduct.period)
InsurancePlan.contact.address InsurancePlan.ownedBy	Deleted (-> InsurancePlan.contact.address) InsuranceProduct.ownedBy)
InventoryItem InsurancePlan.administeredBy	Added Resource 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)
InventoryReport InsuranceProduct	Added Resource
Invoice
Invoice.creation	Added Element
Invoice.period[x]	Renamed from date to period[x] Add Types date, Period Remove Type dateTime
Invoice.issuer	Type Reference: Added Element Target Types Practitioner, PractitionerRole
Invoice.lineItem.serviced[x]	Added Element
Invoice.lineItem.priceComponent	Type changed from BackboneElement to 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
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 http://hl7.org/fhir/ValueSet/library-type to LibraryType
Library.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
Library.usage Library.jurisdiction	Type changed Change value set from string http://hl7.org/fhir/ValueSet/jurisdiction to markdown Jurisdiction ValueSet
Library.copyrightLabel Library.usage	Added Element Type changed from string to markdown
Linkage Library.copyrightLabel	No Changes Added Element
List
List.subject	Max Cardinality changed from 1 to * Type Reference: Added Target Type Resource Type Reference: Removed Target Types Patient, Group, Device, Location
List.source	Type Reference: Added Target Types Organization, RelatedPerson, CareTeam CareTeam, Group
Location
Location.code	Added Element
Location.description	Type changed from string to markdown
Location.type	Remove Binding `http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType` (extensible)
Location.contact	Added Element 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
Location.telecom Deleted (-> Location.contact.telecom) Location.hoursOfOperation.daysOfWeek	Deleted (-> Location.hoursOfOperation.availableTime.daysOfWeek) Location.hoursOfOperation.availableTime.daysOfWeek (now part of a datatype))
Location.hoursOfOperation.allDay	Deleted (-> Location.hoursOfOperation.availableTime.allDay) Location.hoursOfOperation.availableTime.allDay (now part of a datatype))
Location.hoursOfOperation.openingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableStartTime) Location.hoursOfOperation.availableTime.availableStartTime (now part of a datatype))
Location.hoursOfOperation.closingTime	Deleted (-> Location.hoursOfOperation.availableTime.availableEndTime) Location.hoursOfOperation.availableTime.availableEndTime (now part of a datatype))
Location.availabilityExceptions	Deleted (-> Location.hoursOfOperation.notAvailable.description) Location.hoursOfOperation.notAvailableTime.description (now part of a datatype))
ManufacturedItemDefinition	Added Element ManufacturedItemDefinition.marketingStatus Added Element Resource
ManufacturedItemDefinition.property.value[x] Measure	Add Types markdown, Reference(Binary)
ManufacturedItemDefinition.component Measure.versionAlgorithm[x]	Added Element
ManufacturedItemDefinition.component.type Measure.subject[x]	Added Mandatory Element 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"
ManufacturedItemDefinition.component.function Measure.jurisdiction	Added Element Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
ManufacturedItemDefinition.component.amount Measure.usage	Added Element Type changed from string to markdown
ManufacturedItemDefinition.component.constituent Measure.copyrightLabel	Added Element
ManufacturedItemDefinition.component.constituent.amount Measure.reportingFrequency	Added Element
ManufacturedItemDefinition.component.constituent.location Measure.riskAdjustment	Added Element Type changed from string to markdown
ManufacturedItemDefinition.component.constituent.function Measure.rateAggregation	Added Element Type changed from string to markdown
ManufacturedItemDefinition.component.constituent.hasIngredient Measure.term	Added Element
ManufacturedItemDefinition.component.property Measure.term.code	Added Element
ManufacturedItemDefinition.component.component Measure.term.definition	Added Element
Measure.versionAlgorithm[x] Measure.group.linkId	Added Element
Measure.basis Measure.group.title	Added Element
Measure.usage Measure.group.description	Type changed from string to markdown
Measure.copyrightLabel Measure.group.type	Added Element
Measure.scoring Measure.group.subject[x]	Change value set from http://hl7.org/fhir/ValueSet/measure-scoring to MeasureScoring Added Element
Measure.scoringUnit Measure.group.basis	Added Element
Measure.riskAdjustment Measure.group.basisRequirement	Type changed from string to markdown Added Element
Measure.rateAggregation Measure.group.scoring	Type changed from string to markdown Added Element
Measure.term Measure.group.scoringUnit	Added Element
Measure.term.code Measure.group.scoringPrecision	Added Element
Measure.term.definition Measure.group.compositeScoring	Added Element
Measure.group.linkId Measure.group.component	Added Element
Measure.group.description Measure.group.component.measure	Type changed from string to markdown Added Element
Measure.group.type Measure.group.component.groupId	Added Element
Measure.group.subject[x] Measure.group.component.weight	Added Element
Measure.group.basis Measure.group.rateAggregation	Added Element
Measure.group.scoring Measure.group.improvementNotation	Added Element
Measure.group.scoringUnit Measure.group.improvementNotationGuidance	Added Element
Measure.group.rateAggregation Measure.group.library	Added Element
Measure.group.improvementNotation Measure.group.population.linkId	Added Element
Measure.group.library Measure.group.population.title	Added Element
Measure.group.population.linkId Measure.group.population.code	Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
Measure.group.population.description	Type changed from string to markdown
Measure.group.population.criteria	Min Cardinality changed from 1 to 0
Measure.group.population.groupDefinition	Added Element
Measure.group.population.inputPopulationId	Added Element
Measure.group.population.aggregateMethod	Added Element
Measure.group.stratifier.linkId	Added Element
Measure.group.stratifier.title	Added Element
Measure.group.stratifier.description	Type changed from string to markdown
Measure.group.stratifier.groupDefinition	Added Element
Measure.group.stratifier.component.linkId	Added Element
Measure.group.stratifier.component.description	Type changed from string to markdown
Measure.group.stratifier.component.criteria	Min Cardinality changed from 1 to 0
Measure.group.stratifier.component.groupDefinition	Added Element
Measure.supplementalData.linkId Measure.group.stratifier.component.valueSet	Added Element
MeasureReport.type Measure.group.stratifier.component.unit	Remove code data-collection Add code data-exchange Added Element
MeasureReport.dataUpdateType Measure.supplementalData.linkId	Added Element
MeasureReport.measure Measure.supplementalData.usage	Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/measure-data-usage to 0 MeasureDataUsage
MeasureReport.subject Measure.supplementalData.description	Type Reference: Added Target Types CareTeam, HealthcareService, Organization changed from string to markdown
MeasureReport.reporter Measure.supplementalData.valueSet	Type Reference: Added Target Type Group Type Reference: Removed Target Type Location Element
MeasureReport.reportingVendor Measure.supplementalData.unit	Added Element
MeasureReport.location Measure.scoring	Added Element Deleted
MeasureReport.inputParameters Measure.compositeScoring	Added Element Deleted
MeasureReport.scoring Measure.type	Added Element Deleted
MeasureReport.group.linkId Measure.improvementNotation	Added Element Deleted
MeasureReport.group.subject Measure.definition	Added Element Deleted
MeasureReport.group.population.linkId MeasureReport	Added Element
MeasureReport.group.population.subjectReport MeasureReport.category	Added Element
MeasureReport.group.population.subjects MeasureReport.messages	Added Element
MeasureReport.group.measureScore[x] MeasureReport.type	Renamed from measureScore to measureScore[x] Remove code data-collection Add Types dateTime, CodeableConcept, Period, Range, Duration code data-exchange
MeasureReport.group.stratifier.linkId MeasureReport.dataUpdateType	Added Element
MeasureReport.group.stratifier.code MeasureReport.measure	Max Min Cardinality changed from * to 1 MeasureReport.group.stratifier.stratum.value[x] Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference 0
MeasureReport.group.stratifier.stratum.component.linkId MeasureReport.subject	Type Reference: Added Element Target Types CareTeam, HealthcareService, Organization
MeasureReport.group.stratifier.stratum.component.value[x] MeasureReport.reporter	Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference Type Reference: Removed Target Type Location
MeasureReport.group.stratifier.stratum.population.linkId MeasureReport.reportingVendor	Added Element
MeasureReport.group.stratifier.stratum.population.subjectReport MeasureReport.location	Added Element
MeasureReport.group.stratifier.stratum.population.subjects MeasureReport.inputParameters	Added Element
MeasureReport.supplementalData MeasureReport.group.linkId	Added Element
Medication.marketingAuthorizationHolder MeasureReport.group.title	Added Element
Medication.doseForm MeasureReport.group.calculatedDate	Added Element
Medication.totalVolume MeasureReport.group.description	Added Element
Medication.ingredient.strength[x] MeasureReport.group.type	Renamed from strength to strength[x] Add Types CodeableConcept, Quantity Added Element
Medication.definition MeasureReport.group.subject	Added Element
Medication.manufacturer MeasureReport.group.scoring	Deleted Added Element
Medication.form MeasureReport.group.improvementNotation	Deleted Added Element
Medication.amount MeasureReport.group.improvementNotationGuidance	Deleted Added Element
MedicationAdministration.basedOn MeasureReport.group.population.linkId	Added Element
MedicationAdministration.partOf MeasureReport.group.population.title	Type Reference: Added Target Type MedicationDispense Element
MedicationAdministration.category Max Cardinality changed from 1 to * MedicationAdministration.medication MeasureReport.group.population.code	Renamed Change value set from medication[x] http://hl7.org/fhir/ValueSet/measure-population to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) MeasurePopulationType
MedicationAdministration.encounter MeasureReport.group.population.description	Added Element
MedicationAdministration.occurence[x] MeasureReport.group.population.countQuantity	Added Mandatory Element
MedicationAdministration.recorded MeasureReport.group.population.subjectReport	Added Element
MedicationAdministration.isSubPotent MeasureReport.group.population.subjects	Added Element
MedicationAdministration.subPotentReason MeasureReport.group.measureScore[x]	Added Element Renamed from measureScore to measureScore[x] Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationAdministration.performer.actor MeasureReport.group.stratifier.linkId	Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference Added Element
MedicationAdministration.reason MeasureReport.group.stratifier.title	Added Element
MedicationAdministration.device MeasureReport.group.stratifier.code	Type Max Cardinality changed from Reference(Device) * to CodeableReference MedicationAdministration.instantiates Deleted MedicationAdministration.context Deleted MedicationAdministration.effective[x] Deleted MedicationAdministration.reasonCode Deleted (-> reason) MedicationAdministration.reasonReference Deleted (-> reason) 1
MedicationDispense.basedOn MeasureReport.group.stratifier.description	Added Element
MedicationDispense.partOf MeasureReport.group.stratifier.stratum.value[x]	Type Reference: Added Target Type MedicationAdministration Renamed from value to value[x] Add Types boolean, Quantity, Range, Reference
MedicationDispense.notPerformedReason MeasureReport.group.stratifier.stratum.component.linkId	Added Element
MedicationDispense.statusChanged MeasureReport.group.stratifier.stratum.component.description	Added Element
MedicationDispense.medication MeasureReport.group.stratifier.stratum.component.value[x]	Renamed from medication[x] value to medication value[x] Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication) MedicationDispense.subject Min Cardinality changed from 0 to 1 boolean, Quantity, Range, Reference
MedicationDispense.encounter MeasureReport.group.stratifier.stratum.population.linkId	Added Element
MedicationDispense.performer.actor MeasureReport.group.stratifier.stratum.population.code	Type Reference: Added Target Type CareTeam Change value set from http://hl7.org/fhir/ValueSet/measure-population to MeasurePopulationType
MedicationDispense.recorded MeasureReport.group.stratifier.stratum.population.countQuantity	Added Element
MedicationDispense.receiver MeasureReport.group.stratifier.stratum.population.subjectReport	Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole Element
MedicationDispense.renderedDosageInstruction MeasureReport.group.stratifier.stratum.population.subjects	Added Element
MedicationDispense.substitution.responsibleParty MeasureReport.group.stratifier.stratum.measureScore[x]	Max Cardinality changed Renamed from * measureScore to 1 Type Reference: Added Target Type Organization measureScore[x] MedicationDispense.statusReason[x] Deleted Add Types dateTime, CodeableConcept, Period, Range, Duration, boolean, Ratio
MedicationDispense.context MeasureReport.supplementalData	Deleted Added Element
MedicationDispense.detectedIssue MeasureReport.improvementNotation	Deleted
MedicationKnowledge Medication
MedicationKnowledge.identifier Medication.marketingAuthorizationHolder	Added Element Renamed from manufacturer to marketingAuthorizationHolder
MedicationKnowledge.author Medication.doseForm	Added Element Renamed from form to doseForm
MedicationKnowledge.intendedJurisdiction Medication.packageSize	Added Element
MedicationKnowledge.name Medication.packageSize.numberOfItems	Added Element
MedicationKnowledge.cost.effectiveDate Medication.packageSize.amountPerItem	Added Element
MedicationKnowledge.cost.cost[x] Medication.ingredient.item	Renamed from cost item[x] to cost[x] item Add Type CodeableConcept CodeableReference MedicationKnowledge.indicationGuideline Added Element Remove Types CodeableConcept, Reference(Substance | Medication)
MedicationKnowledge.indicationGuideline.indication Medication.ingredient.role	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline Medication.ingredient.strength[x]	Added Element Renamed from strength to strength[x] Add Types CodeableConcept, Quantity
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent Medication.instance	Added Element Renamed from batch to instance
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage Medication.instance.identifier	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type Medication.instance.lotNumber	Added Mandatory Element Moved from Medication.batch to Medication.instance
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage Medication.instance.expirationDate	Added Mandatory Element Moved from Medication.batch to Medication.instance
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment Medication.definition	Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic Medication.amount	Added Element Deleted
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type MedicationAdministration	Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x] MedicationAdministration.basedOn	Added Element
MedicationKnowledge.medicineClassification.source[x] MedicationAdministration.partOf	Type Reference: Added Element Target Type MedicationDispense
MedicationKnowledge.packaging MedicationAdministration.category	Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.cost MedicationAdministration.medication	Added Element Renamed from medication[x] to medication MedicationKnowledge.packaging.packagedProduct Added Element Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.clinicalUseIssue MedicationAdministration.encounter	Added Element Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationKnowledge.storageGuideline MedicationAdministration.occurrence[x]	Added Element Renamed from effective[x] to occurrence[x] Add Type Timing
MedicationKnowledge.storageGuideline.reference MedicationAdministration.recorded	Added Element
MedicationKnowledge.storageGuideline.note MedicationAdministration.isSubPotent	Added Element
MedicationKnowledge.storageGuideline.stabilityDuration MedicationAdministration.subPotentReason	Added Element
MedicationKnowledge.storageGuideline.environmentalSetting MedicationAdministration.performer.actor	Added Element Type changed from Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) to CodeableReference
MedicationKnowledge.storageGuideline.environmentalSetting.type MedicationAdministration.reason	Added Mandatory Element MedicationKnowledge.storageGuideline.environmentalSetting.value[x] Added Mandatory Element Merged both reasonCode and reasonReference into reason
MedicationKnowledge.regulatory.schedule MedicationAdministration.device	Type changed from BackboneElement Reference(Device) to CodeableConcept CodeableReference
MedicationKnowledge.definitional MedicationAdministration.instantiates	Added Element Deleted
MedicationKnowledge.definitional.definition MedicationAdministration.reasonCode	Added Element Deleted (-> reason.concept)
MedicationKnowledge.definitional.doseForm MedicationAdministration.reasonReference	Added Element Deleted (-> reason.reference)
MedicationKnowledge.definitional.intendedRoute MedicationDispense	Added Element
MedicationKnowledge.definitional.ingredient MedicationDispense.basedOn	Added Element
MedicationKnowledge.definitional.ingredient.item MedicationDispense.partOf	Type Reference: Added Mandatory Element Target Type MedicationAdministration
MedicationKnowledge.definitional.ingredient.type MedicationDispense.status	Added Element Remove code stopped MedicationKnowledge.definitional.ingredient.strength[x] Added Element Add code unfulfilled
MedicationKnowledge.definitional.drugCharacteristic MedicationDispense.notPerformedReason	Added Element Renamed from statusReason[x] to notPerformedReason Add Type CodeableReference Remove Types CodeableConcept, Reference(DetectedIssue)
MedicationKnowledge.definitional.drugCharacteristic.type MedicationDispense.statusChanged	Added Element
MedicationKnowledge.definitional.drugCharacteristic.value[x] MedicationDispense.category	Added Element Max Cardinality changed from 1 to *
MedicationKnowledge.manufacturer MedicationDispense.medication	Deleted Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationKnowledge.doseForm MedicationDispense.subject	Deleted Min Cardinality changed from 0 to 1
MedicationKnowledge.amount MedicationDispense.encounter	Deleted Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationKnowledge.synonym MedicationDispense.performer.actor	Deleted Type Reference: Added Target Types CareTeam, Group
MedicationKnowledge.ingredient MedicationDispense.fillNumber	Deleted Added Element
MedicationKnowledge.intendedRoute MedicationDispense.recorded	Deleted Added Element
MedicationKnowledge.administrationGuidelines MedicationDispense.receiver	Deleted Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole, Organization, Group
MedicationKnowledge.packaging.type MedicationDispense.dosageInstruction	Deleted Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationKnowledge.packaging.quantity MedicationDispense.doseAdministrationAid	Deleted Added Element
MedicationKnowledge.drugCharacteristic MedicationDispense.substitution.responsibleParty	Deleted Max Cardinality changed from * to 1 Type Reference: Added Target Type Organization
MedicationKnowledge.contraindication MedicationDispense.detectedIssue	Deleted
MedicationKnowledge.regulatory.schedule.schedule MedicationRequest	Deleted
MedicationKnowledge.kinetics MedicationRequest.basedOn	Deleted Type Reference: Added Target Type RequestOrchestration Type Reference: Removed Target Type ImmunizationRecommendation
MedicationRequest.status	Remove codes cancelled , completed , stopped Add code ended
MedicationRequest.statusChanged	Added Element
MedicationRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
MedicationRequest.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationRequest.informationSource	Added Element
MedicationRequest.reported MedicationRequest.isRecordOfRequest	Renamed from reported[x] to reported isRecordOfRequest Remove Type Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.performerType	Add Binding `http://hl7.org/fhir/ValueSet/medication-intended-performer-role` (extensible)
MedicationRequest.performer	Max Cardinality changed from 1 to * Type Reference: Added Target Types DeviceDefinition, HealthcareService HealthcareService, Group Type Reference: Removed Target Type Device
MedicationRequest.device	Added Element
MedicationRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationRequest.courseOfTherapyType	Add Binding `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy` (extensible)
MedicationRequest.renderedDosageInstruction MedicationRequest.effectiveTiming[x]	Added Element
MedicationRequest.effectiveDosePeriod MedicationRequest.dosageInstruction	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationRequest.dispenseRequest.dispenser	Added Element Renamed from performer to dispenser
MedicationRequest.dispenseRequest.dispenserInstruction	Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid	Added Element
MedicationRequest.reasonCode MedicationRequest.dispenseRequest.destination	Deleted (-> reason) Added Element
MedicationRequest.reasonReference MedicationRequest.reasonCode	Deleted (-> reason) reason.concept)
MedicationRequest.instantiatesCanonical MedicationRequest.reasonReference	Deleted (-> reason.reference)
MedicationRequest.instantiatesUri MedicationRequest.instantiatesCanonical	Deleted
MedicationRequest.dispenseRequest.performer MedicationRequest.instantiatesUri	Deleted
MedicationRequest.detectedIssue	Deleted
MedicationStatement
MedicationStatement.partOf	Type Reference: Removed Target Types MedicationAdministration, MedicationDispense, Observation
MedicationStatement.status	Remove codes active , completed , intended , stopped , on-hold , unknown , not-taken Add codes recorded , draft
MedicationStatement.category	Max Cardinality changed from 1 to *
MedicationStatement.medication	Renamed from medication[x] to medication Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication)
MedicationStatement.encounter	Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare
MedicationStatement.effective[x]	Add Type Timing
MedicationStatement.author	Added Element
MedicationStatement.informationSource	Max Cardinality changed from 1 to * Type Reference: Added Target Types Device, Group
MedicationStatement.reason	Added Element Merged both reasonCode and reasonReference into reason
MedicationStatement.relatedClinicalInformation	Added Element
MedicationStatement.renderedDosageInstruction MedicationStatement.dosage	Added Element Max Cardinality changed from * to 1 Type changed from Dosage to DosageDetails
MedicationStatement.adherence	Added Element
MedicationStatement.adherence.code	Added Mandatory Element
MedicationStatement.adherence.reason	Added Element
MedicationStatement.basedOn	Deleted
MedicationStatement.statusReason	Deleted
MedicationStatement.reasonCode	Deleted (-> reason) reason.concept)
MedicationStatement.reasonReference	Deleted (-> reason) reason.reference)
MedicinalProductDefinition	Added Element Resource
MedicinalProductDefinition.name.usage.country MessageDefinition	Added Mandatory Element
MedicinalProductDefinition.name.usage.jurisdiction MessageDefinition.versionAlgorithm[x]	Added Element
MedicinalProductDefinition.characteristic.value[x] Add Types markdown, integer MedicinalProductDefinition.name.namePart Deleted MedicinalProductDefinition.name.countryLanguage MessageDefinition.jurisdiction	Deleted MessageDefinition Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet MessageDefinition.versionAlgorithm[x] Added Element
MessageDefinition.copyrightLabel	Added Element
MessageDefinition.focus.code	Remove codes Resource CatalogEntry , DomainResource ChargeItem , CatalogEntry ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , Media DomainResource , RequestGroup EffectEvidenceSynthesis , ResearchDefinition GraphDefinition , ResearchElementDefinition ImmunizationEvaluation Add codes , ActorDefinition ImmunizationRecommendation , ArtifactAssessment Linkage , BiologicallyDerivedProductDispense Media , ConditionDefinition MedicationKnowledge , DeviceAssociation MedicinalProduct , DeviceDispense MedicinalProductAuthorization , DeviceUsage MedicinalProductContraindication , EncounterHistory MedicinalProductIndication , FormularyItem MedicinalProductIngredient , GenomicStudy MedicinalProductInteraction , ImagingSelection MedicinalProductManufactured , InventoryItem MedicinalProductPackaged , InventoryReport MedicinalProductPharmaceutical , NutritionIntake MedicinalProductUndesirableEffect , Permission MolecularSequence , RequestOrchestration RequestGroup , Requirements ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan SubstanceSpecification , Transport 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	Max Cardinality changed from * to 1 Deleted
MessageHeader
MessageHeader.event[x]	Add Type canonical(EventDefinition) Remove Type uri canonical(EventDefinition | SubscriptionTopic)
MessageHeader.destination.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MessageHeader.sender Type Reference: Added Target Type Device MessageHeader.author MessageHeader.destination.receiver	Type Reference: Added Target Types Device, Organization Patient, RelatedPerson
MessageHeader.source.endpoint[x]	Renamed from endpoint to endpoint[x] Min Cardinality changed from 1 to 0 Add Type Reference(Endpoint)
MolecularSequence.subject MessageHeader.source.sender	Renamed Moved from patient MessageHeader to subject MessageHeader.source Type Reference: Added Target Types Group, Substance, BiologicallyDerivedProduct, NutritionProduct MolecularSequence.focus Added Element MolecularSequence.literal Added Element Device, Patient
MolecularSequence.formatted MessageHeader.response.identifier	Added Element Type changed from id to Identifier
MolecularSequence.relative MessageHeader.destination.target	Added Element Deleted
MolecularSequence.relative.coordinateSystem MessageHeader.enterer	Added Mandatory Element Deleted
MolecularSequence.relative.ordinalPosition MessageHeader.author	Added Element Deleted
MolecularSequence.relative.sequenceRange MessageHeader.responsible	Added Element Deleted
MolecularSequence.relative.startingSequence MetadataResource	Added Element
MolecularSequence.relative.startingSequence.genomeAssembly MetadataResource.usage	Added Element
MolecularSequence.relative.startingSequence.chromosome MetadataResource.approvalDate	Added Element
MolecularSequence.relative.startingSequence.sequence[x] MetadataResource.lastReviewDate	Added Element
MolecularSequence.relative.startingSequence.windowStart MetadataResource.effectivePeriod	Added Element
MolecularSequence.relative.startingSequence.windowEnd MetadataResource.topic	Added Element
MolecularSequence.relative.startingSequence.orientation MetadataResource.author	Added Element
MolecularSequence.relative.startingSequence.strand MetadataResource.editor	Added Element
MolecularSequence.relative.edit MetadataResource.reviewer	Added Element
MolecularSequence.relative.edit.start MetadataResource.endorser	Added Element
MolecularSequence.relative.edit.end MetadataResource.relatedArtifact	Added Element
MolecularSequence.relative.edit.replacementSequence MetadataResource.url	Added Element Deleted (-> CanonicalResource.url)
MolecularSequence.relative.edit.replacedSequence MetadataResource.version	Added Element Deleted (-> CanonicalResource.version)
MolecularSequence.coordinateSystem MetadataResource.name	Deleted (>relative.coordinateSystem) (-> CanonicalResource.name)
MolecularSequence.quantity MetadataResource.title	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) (-> CanonicalResource.title)
MolecularSequence.referenceSeq MetadataResource.status	Deleted (->relative.startingSequence.sequence[x]) (-> CanonicalResource.status)
MolecularSequence.variant MetadataResource.experimental	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) (-> CanonicalResource.experimental)
MolecularSequence.observedSeq MetadataResource.date	Deleted (->relative.startingSequence.sequenceString) (-> CanonicalResource.date)
MolecularSequence.quality MetadataResource.publisher	Deleted (Removed from the resource.) (-> CanonicalResource.publisher)
MolecularSequence.readCoverage MetadataResource.contact	Deleted (Removed. Covered by the RegionStudied Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) (-> CanonicalResource)
MolecularSequence.repository MetadataResource.description	Deleted (->formatted) (-> CanonicalResource.description)
MolecularSequence.pointer MetadataResource.useContext	Deleted (->relative) (-> CanonicalResource.useContext)
MolecularSequence.structureVariant MetadataResource.jurisdiction	Deleted (Removed. Covered by the Variant Profile in the CG IG: http://hl7.org/fhir/uv/genomics-reporting/index.html) (-> 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
NamingSystem.type	Remove Binding `http://hl7.org/fhir/ValueSet/identifier-type` (extensible)
NamingSystem.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
NamingSystem.purpose	Added Element
NamingSystem.copyright	Added Element
NamingSystem.copyrightLabel	Added Element
NamingSystem.approvalDate	Added Element
NamingSystem.lastReviewDate	Added Element
NamingSystem.effectivePeriod	Added Element
NamingSystem.topic	Added Element
NamingSystem.author	Added Element
NamingSystem.editor	Added Element
NamingSystem.reviewer	Added Element
NamingSystem.endorser	Added Element
NamingSystem.relatedArtifact	Added Element
NamingSystem.uniqueId.type	Add 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 Mandatory Element 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
NutritionOrder.oralDiet.schedule.timing	Added Element
NutritionOrder.oralDiet.schedule.asNeeded	Added Element
NutritionOrder.oralDiet.schedule.asNeededFor	Added Element
NutritionOrder.oralDiet.nutrient.amount	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.oralDiet.texture.type	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 * to 1 Type changed from Timing to BackboneElement
NutritionOrder.supplement.schedule.timing	Added Element
NutritionOrder.supplement.schedule.asNeeded	Added Element
NutritionOrder.supplement.schedule.asNeededFor	Added Element
NutritionOrder.enteralFormula.baseFormulaType NutritionOrder.supplement.quantity	Type changed from CodeableConcept Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to CodeableReference Quantity
NutritionOrder.enteralFormula.deliveryDevice NutritionOrder.supplement.caloricDensity	Added Element
NutritionOrder.enteralFormula.additive NutritionOrder.enteralFormula.type	Added Element Renamed from baseFormulaType to type Type changed from CodeableConcept to CodeableReference
NutritionOrder.enteralFormula.additive.type NutritionOrder.enteralFormula.productName	Added Element Renamed from baseFormulaProductName to productName
NutritionOrder.enteralFormula.additive.productName NutritionOrder.enteralFormula.deliveryDevice[x]	Added Element
NutritionOrder.enteralFormula.additive.quantity NutritionOrder.enteralFormula.caloricDensity	Added Element Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.routeOfAdministration	Added Element Renamed from routeofAdministration to routeOfAdministration Max Cardinality changed from 1 to *
NutritionOrder.enteralFormula.administration.schedule	Type changed from Timing to BackboneElement
NutritionOrder.enteralFormula.administration.schedule.timing	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeeded	Added Element
NutritionOrder.enteralFormula.administration.schedule.asNeededFor	Added Element
NutritionOrder.enteralFormula.administrationInstruction NutritionOrder.enteralFormula.administration.quantity	Type changed from string Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to markdown Quantity
NutritionOrder.patient NutritionOrder.enteralFormula.administration.rate[x]	Deleted Remove Type Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
NutritionOrder.enteralFormula.additiveType NutritionOrder.enteralFormula.maxVolumeToAdminister	Deleted Renamed from maxVolumeToDeliver to maxVolumeToAdminister Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
NutritionOrder.enteralFormula.additiveProductName NutritionOrder.enteralFormula.administrationInstruction	Deleted Type changed from string to markdown
NutritionOrder.enteralFormula.routeofAdministration NutritionOrder.additive	Deleted Added Element
NutritionProduct NutritionOrder.additive.modularType	Added Element
NutritionProduct.characteristic NutritionOrder.additive.productName	Added Element
NutritionProduct.characteristic.type NutritionOrder.additive.quantity	Added Mandatory Element
NutritionProduct.characteristic.value[x] NutritionOrder.additive.routeOfAdministration	Added Mandatory Element
NutritionProduct.instance NutritionOrder.instantiatesCanonical	Max Cardinality changed from 1 to * Deleted
NutritionProduct.instance.name NutritionOrder.instantiatesUri	Added Element Deleted
NutritionProduct.instance.biologicalSourceEvent NutritionOrder.instantiates	Added Element Deleted
NutritionProduct.productCharacteristic NutritionOrder.oralDiet.fluidConsistencyType	Deleted
NutritionOrder.enteralFormula.additiveType	Deleted
NutritionOrder.enteralFormula.additiveProductName	Deleted
NutritionProduct	Added Resource
Observation
Observation.instantiates[x] Observation.basedOn	Added Element Type Reference: Removed Target Type ImmunizationRecommendation
Observation.triggeredBy	Added Element
Observation.triggeredBy.observation	Added Mandatory Element
Observation.triggeredBy.type	Added Mandatory Element
Observation.triggeredBy.reason	Added Element
Observation.partOf Observation.status	Remove code corrected Add codes specimen-in-process , cannot-be-obtained
Observation.subject	Type Reference: Added Target Type GenomicStudy Types Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct
Observation.subject Observation.focus	Now marked as Modifier
Observation.organizer	Added Element
Observation.performer	Type Reference: Added Target Types BiologicallyDerivedProduct, NutritionProduct HealthcareService, Group
Observation.value[x]	Add Types Attachment, Reference(MolecularSequence) Type Attachment
Observation.interpretationContext	Added Element
Observation.bodyStructure	Added Element
Observation.specimen	Type Reference: Added Target Type Group
Observation.referenceRange.low	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.high	Type changed from Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity) to Quantity
Observation.referenceRange.normalValue	Added Element
Observation.referenceRange.text	Type changed from string to markdown
Observation.hasMember	Type Reference: Removed Target Type MolecularSequence
Observation.derivedFrom	Type Reference: Added Target Types ImagingSelection, GenomicStudy Type ImagingSelection Type Reference: Removed Target Type Media Types Media, MolecularSequence
Observation.component.value[x]	Add Types Attachment, Reference(MolecularSequence) Type Attachment
ObservationDefinition
ObservationDefinition.url	Added Element
ObservationDefinition.identifier	Max Cardinality changed from * to 1
ObservationDefinition.version	Added Element
ObservationDefinition.versionAlgorithm[x]	Added Element
ObservationDefinition.name	Added Element
ObservationDefinition.title	Added Element
ObservationDefinition.status	Added Mandatory Element
ObservationDefinition.experimental	Added Element
ObservationDefinition.date	Added Element
ObservationDefinition.publisher	Added Element
ObservationDefinition.contact	Added Element
ObservationDefinition.description	Added Element
ObservationDefinition.useContext	Added Element
ObservationDefinition.jurisdiction	Added Element
ObservationDefinition.purpose	Added Element
ObservationDefinition.copyright	Added Element
ObservationDefinition.copyrightLabel	Added Element
ObservationDefinition.approvalDate	Added Element
ObservationDefinition.lastReviewDate	Added Element
ObservationDefinition.effectivePeriod	Added Element
ObservationDefinition.derivedFromCanonical	Added Element
ObservationDefinition.derivedFromUri	Added Element
ObservationDefinition.subject	Added Element
ObservationDefinition.performerType	Added Element
ObservationDefinition.bodySite ObservationDefinition.bodyStructure	Added Element
ObservationDefinition.specimen	Added Element
ObservationDefinition.device ObservationDefinition.device[x]	Added Element
ObservationDefinition.permittedUnit	Added Element
ObservationDefinition.qualifiedValue	Added Element Renamed from qualifiedInterval to qualifiedValue
ObservationDefinition.qualifiedValue.context	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.appliesTo	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gender ObservationDefinition.qualifiedValue.sexParameterForClinicalUse	Added Element Moved from ObservationDefinition.qualifiedInterval.gender to sexParameterForClinicalUse
ObservationDefinition.qualifiedValue.age	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.gestationalAge	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.condition	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.rangeCategory	Added Element Moved from ObservationDefinition.qualifiedInterval.category to rangeCategory
ObservationDefinition.qualifiedValue.range	Added Element Moved from ObservationDefinition.qualifiedInterval to ObservationDefinition.qualifiedValue
ObservationDefinition.qualifiedValue.validCodedValueSet	Added Element Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.normalCodedValueSet	Added Element Moved from ObservationDefinition to ObservationDefinition.qualifiedValue Type changed from Reference(ValueSet) to canonical(ValueSet)
ObservationDefinition.qualifiedValue.abnormalCodedValueSet	Added Element 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
ObservationDefinition.validCodedValueSet OperationDefinition	Deleted
ObservationDefinition.normalCodedValueSet OperationDefinition.identifier	Deleted Added Element
ObservationDefinition.abnormalCodedValueSet OperationDefinition.versionAlgorithm[x]	Deleted Added Element
ObservationDefinition.criticalCodedValueSet OperationDefinition.jurisdiction	Deleted OperationDefinition Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet OperationDefinition.identifier Added Element
OperationDefinition.versionAlgorithm[x] OperationDefinition.copyright	Added Element
OperationDefinition.copyright OperationDefinition.copyrightLabel	Added Element
OperationDefinition.copyrightLabel OperationDefinition.synchronicity	Added Element
OperationDefinition.resource	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All) Add Remove codes ActorDefinition ChargeItem , ArtifactAssessment ChargeItemDefinition , BiologicallyDerivedProductDispense ClinicalImpression , CanonicalResource GraphDefinition , ConditionDefinition ImmunizationEvaluation , DeviceAssociation ImmunizationRecommendation , DeviceDispense Linkage , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem SubstanceNucleicAcid , GenomicStudy SubstancePolymer , ImagingSelection SubstanceProtein , InventoryItem SubstanceReferenceInformation , InventoryReport SubstanceSourceMaterial , MetadataResource SupplyDelivery , NutritionIntake SupplyRequest , Permission TestReport , RequestOrchestration TestScript , Requirements VerificationResult Add codes ActorDefinition , SubstanceNucleicAcid AdministrableProductDefinition , SubstancePolymer ArtifactAssessment , SubstanceProtein CanonicalResource , SubstanceReferenceInformation ClinicalUseDefinition , SubstanceSourceMaterial DeviceAlert , TestPlan DeviceAssociation , Transport ImagingSelection , BodySite Ingredient , Conformance InsuranceProduct , DataElement ManufacturedItemDefinition , DeviceComponent MedicinalProductDefinition , DeviceUseRequest MetadataResource , DiagnosticOrder NutritionIntake , EffectEvidenceSynthesis NutritionProduct , EligibilityRequest PackagedProductDefinition , EligibilityResponse RegulatedAuthorization , ExpansionProfile RequestOrchestration , ImagingManifest Requirements , ImagingObjectSelection SubscriptionStatus , MedicationOrder SubscriptionTopic , MedicationUsage SubstanceDefinition , MedicinalProduct BodySite , MedicinalProductAuthorization Conformance , MedicinalProductContraindication DataElement , MedicinalProductIndication DeviceComponent , MedicinalProductIngredient DeviceUseRequest , MedicinalProductInteraction DiagnosticOrder , MedicinalProductManufactured EligibilityRequest , MedicinalProductPackaged EligibilityResponse , MedicinalProductPharmaceutical ExpansionProfile , MedicinalProductUndesirableEffect ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition , SubstanceSpecification
OperationDefinition.parameter.scope	Added Element
OperationDefinition.parameter.min	Type changed from integer to unsignedInt
OperationDefinition.parameter.documentation	Type changed from string to markdown
OperationDefinition.parameter.type	Change value set from http://hl7.org/fhir/ValueSet/all-types|4.3.0 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 , RequestGroup Medication , ResearchDefinition MedicationAdministration , ResearchElementDefinition MedicationDispense , Type MedicationKnowledge , Any MedicationRequest Add codes , Base MedicationStatement , DataType MedicinalProduct , Availability MedicinalProductAuthorization , BackboneType MedicinalProductContraindication , ExtendedContactDetail MedicinalProductIndication , MonetaryComponent MedicinalProductIngredient , PrimitiveType MedicinalProductInteraction , integer64 MedicinalProductManufactured , VirtualServiceDetail MedicinalProductPackaged , ActorDefinition MedicinalProductPharmaceutical , ArtifactAssessment MedicinalProductUndesirableEffect , BiologicallyDerivedProductDispense MessageDefinition , CanonicalResource MessageHeader , ConditionDefinition MolecularSequence , DeviceAssociation NamingSystem , DeviceDispense NutritionOrder , DeviceUsage Observation , EncounterHistory ObservationDefinition , FormularyItem OperationDefinition , GenomicStudy OperationOutcome , ImagingSelection Organization , InventoryItem OrganizationAffiliation , InventoryReport Parameters , MetadataResource Patient , NutritionIntake PaymentNotice , Permission PaymentReconciliation , RequestOrchestration Person , Requirements 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 , TestPlan SubstanceSpecification , Transport SupplyDelivery , SupplyRequest , Task , TerminologyCapabilities , TestReport , TestScript , ValueSet , VerificationResult , VisionPrescription , Type , Any Add code Base
OperationDefinition.parameter.allowedType	Added Element
OperationDefinition.parameter.searchType	Add code resource
OperationDefinition.parameter.binding.strength	Add code descriptive
OperationOutcome
OperationOutcome.issue.severity	Add code success
OperationOutcome.issue.code	Add Remove codes limited-filter structure , required , value , invariant , login , unknown , expired , forbidden , suppressed , not-supported , duplicate , multiple-matches , not-found , deleted , too-long , code-invalid , extension , too-costly , business-rule , conflict , lock-error , no-store , exception , timeout , incomplete , throttled Add code success
Organization
Organization.description	Added Element
Organization.contact	Type changed from BackboneElement to ExtendedContactDetail
Organization.qualification	Added Element
Organization.qualification.identifier	Added Element
Organization.qualification.code	Added Mandatory Element
Organization.qualification.status	Added Element
Organization.qualification.period	Added Element
Organization.qualification.issuer	Added Element
Organization.telecom	Deleted (-> Use contact.telecom to provide context of use)
Organization.address	Deleted (-> Use contact.address to provide context of use)
Organization.contact.purpose	Deleted (-> Organization.contact.purpose)
Organization.contact.name	Deleted (-> Organization.contact.name)
Organization.contact.telecom	Deleted (-> Organization.contact.telecom)
Organization.contact.address	Deleted (-> Organization.contact.address)
OrganizationAffiliation
OrganizationAffiliation.contact	Added Element
OrganizationAffiliation.telecom	Deleted (-> OrganizationAffiliation.contact.telecom)
PackagedProductDefinition	Added Element Resource
PackagedProductDefinition.packaging.manufacturer Parameters	Added Element
PackagedProductDefinition.packaging.property Parameters.parameter.value[x]	Added Element Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta PackagedProductDefinition.packaging.property.type Added Mandatory Element Remove Type Contributor
PackagedProductDefinition.packaging.property.value[x] Patient	Added Element
PackagedProductDefinition.packaging.containedItem Patient.contact.relationship	Added Element Remove Binding `http://hl7.org/fhir/ValueSet/patient-contactrelationship` (extensible)
PackagedProductDefinition.packaging.containedItem.item Patient.contact.role	Added Mandatory Element
PackagedProductDefinition.packaging.containedItem.amount Patient.contact.additionalName	Added Element
PackagedProductDefinition.packaging.packaging Patient.contact.additionalAddress	Added Element
PackagedProductDefinition.characteristic Remove Type CodeableConcept PackagedProductDefinition.package Deleted Parameters Parameters.parameter.value[x] Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail Remove Type Contributor Patient Patient.communication.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
PaymentNotice
PaymentNotice.reporter PaymentNotice.statusReason	Added Element
PaymentNotice.payment PaymentNotice.reporter	Min Cardinality changed Renamed from 1 provider to 0 reporter
PaymentNotice.provider PaymentNotice.payment	Deleted 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
PaymentReconciliation.paymentIssuer	Type Reference: Added Target Types Patient, RelatedPerson
PaymentReconciliation.outcome	Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0 http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Payment Outcome
PaymentReconciliation.date	Added Mandatory Element Renamed from paymentDate to date
PaymentReconciliation.location	Added Element
PaymentReconciliation.method	Added Element
PaymentReconciliation.cardBrand	Added Element
PaymentReconciliation.accountNumber	Added Element
PaymentReconciliation.expirationDate	Added Element
PaymentReconciliation.processor	Added Element
PaymentReconciliation.referenceNumber	Added Element
PaymentReconciliation.authorization	Added Element
PaymentReconciliation.tenderedAmount	Added Element
PaymentReconciliation.returnedAmount	Added Element
PaymentReconciliation.amount	Added Mandatory Element Renamed from paymentAmount to amount Min Cardinality changed from 1 to 0
PaymentReconciliation.allocation	Added Element Renamed from detail to allocation
PaymentReconciliation.allocation.identifier	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.predecessor	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.target	Moved from PaymentReconciliation.detail.request to target Type Reference: Added Element 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	Added Element 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	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.response	Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation Type Reference: Added Element Target Type ClaimResponse Type Reference: Removed Target Type Resource
PaymentReconciliation.allocation.date	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.responsible	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.payee	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.allocation.amount	Added Element Moved from PaymentReconciliation.detail to PaymentReconciliation.allocation
PaymentReconciliation.paymentDate PaymentReconciliation.allocation.noteNumber	Deleted Added Element
PaymentReconciliation.paymentAmount PaymentReconciliation.processNote.class	Deleted Added Element
PaymentReconciliation.detail PaymentReconciliation.processNote.number	Deleted Added Element
Permission PaymentReconciliation.processNote.text	Added Resource Type changed from string to markdown
Person
Person.deceased[x]	Added Element
Person.maritalStatus	Added Element
Person.photo	Max Cardinality changed from 1 to *
Person.communication	Added Element
Person.communication.language	Added Mandatory Element
Person.communication.preferred	Added Element
PlanDefinition
PlanDefinition.versionAlgorithm[x]	Added Element
PlanDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/plan-definition-type to PlanDefinitionType
PlanDefinition.subject[x]	Add Type canonical(EvidenceVariable) Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
PlanDefinition.usage	Type changed from string to markdown
PlanDefinition.copyrightLabel	Added Element
PlanDefinition.goal.target.detail[x]	Add Types string, boolean, integer, Ratio
PlanDefinition.actor	Added Element
PlanDefinition.actor.title	Added Element
PlanDefinition.actor.description	Added Element
PlanDefinition.actor.option	Added Mandatory Element
PlanDefinition.actor.option.type	Added Element
PlanDefinition.actor.option.typeCanonical	Added Element
PlanDefinition.actor.option.typeReference	Added Element
PlanDefinition.actor.option.role	Added Element
PlanDefinition.action.linkId	Added Element
PlanDefinition.action.description	Type changed from string to markdown
PlanDefinition.action.textEquivalent	Type changed from string to markdown
PlanDefinition.action.code	Max Cardinality changed from * to 1
PlanDefinition.action.goalId	Type changed from id to string
PlanDefinition.action.subject[x]	Add Type canonical Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
PlanDefinition.action.input	Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title	Added Element
PlanDefinition.action.input.requirement	Added Element
PlanDefinition.action.input.relatedData	Added Element
PlanDefinition.action.output	Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title	Added Element
PlanDefinition.action.output.requirement	Added Element
PlanDefinition.action.output.relatedData	Added Element
PlanDefinition.action.relatedAction.targetId	Added Mandatory Element 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 codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
PlanDefinition.action.participant.typeCanonical	Added Element
PlanDefinition.action.participant.typeReference	Added Element
PlanDefinition.action.participant.function	Added Element
PlanDefinition.action.type	Change value set from http://hl7.org/fhir/ValueSet/action-type to ActionType
PlanDefinition.asNeeded[x] PlanDefinition.action.applicabilityBehavior	Added Element
PlanDefinition.action.relatedAction.actionId PlanDefinition.asNeeded[x]	Deleted (PlanDefinition.action.relatedAction.targetId) Added Element
Practitioner
Practitioner.active	Now marked as Modifier
Practitioner.deceased[x]	Added Element
Practitioner.qualification.status	Added Element
Practitioner.communication	Type changed from CodeableConcept to BackboneElement Remove Binding `http://hl7.org/fhir/ValueSet/languages` (preferred), max =`http://hl7.org/fhir/ValueSet/all-languages`
Practitioner.communication.language	Added Mandatory Element
Practitioner.communication.preferred	Added Element
PractitionerRole
PractitionerRole.network	Added Element
PractitionerRole.display	Added Element
PractitionerRole.contact	Added Element
PractitionerRole.characteristic	Added Element
PractitionerRole.communication	Added Element
PractitionerRole.availability	Added Element 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.availableTime) PractitionerRole.availability (now part of a datatype))
PractitionerRole.notAvailable	Deleted (-> PractitionerRole.availability.notAvailableTime) PractitionerRole.availability.notAvailableTime (now part of a datatype))
PractitionerRole.availabilityExceptions	Deleted (-> PractitionerRole.availability.notAvailableTime.description) PractitionerRole.availability.notAvailabileTime.description (now part of a datatype))
Procedure
Procedure.basedOn	Type Reference: Added Target Type MedicationRequest
Procedure.category	Max Cardinality changed from 1 to *
Procedure.subject	Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.focus	Added Element
Procedure.occurrence[x]	Added Element Renamed from performed[x] to occurrence[x] Add Type Timing
Procedure.recorded	Added Element
Procedure.reported[x]	Added Element Renamed from asserter to 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 CodeableConcept to CodeableReference
Procedure.report	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.performed[x] Procedure.instantiatesCanonical	Deleted
Procedure.asserter Procedure.instantiatesUri	Deleted (-> Procedure.reportedReference)
Procedure.reasonCode	Deleted (-> Procedure.reason) reason.concept)
Procedure.reasonReference	Deleted (-> Procedure.reason) reason.reference)
Procedure.complicationDetail	Deleted (-> Procedure.complication) 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 Type CareTeam Types CareTeam, Group, HealthcareService
Provenance.agent.onBehalfOf	Type Reference: Added Target Type CareTeam Types CareTeam, Group, HealthcareService Type Reference: Removed Target Types RelatedPerson, Device
Provenance.entity.role	Remove code derivation Add code instantiates
Questionnaire
Questionnaire.versionAlgorithm[x]	Added Element
Questionnaire.subjectType	Remove codes Resource CatalogEntry , DomainResource ChargeItem , CatalogEntry ChargeItemDefinition , ClinicalImpression , DeviceUseStatement , DocumentManifest , Media DomainResource , RequestGroup EffectEvidenceSynthesis , ResearchDefinition GraphDefinition , ResearchElementDefinition ImmunizationEvaluation Add codes , ActorDefinition ImmunizationRecommendation , ArtifactAssessment Linkage , BiologicallyDerivedProductDispense Media , ConditionDefinition MedicationKnowledge , DeviceAssociation MedicinalProduct , DeviceDispense MedicinalProductAuthorization , DeviceUsage MedicinalProductContraindication , EncounterHistory MedicinalProductIndication , FormularyItem MedicinalProductIngredient , GenomicStudy MedicinalProductInteraction , ImagingSelection MedicinalProductManufactured , InventoryItem MedicinalProductPackaged , InventoryReport MedicinalProductPharmaceutical , NutritionIntake MedicinalProductUndesirableEffect , Permission MolecularSequence , RequestOrchestration RequestGroup , Requirements ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , TestPlan SubstanceSpecification , Transport 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 *
Questionnaire.item.type	Change value set from http://hl7.org/fhir/ValueSet/item-type|4.0.0 to Questionnaire Useable Item Type Remove codes choice , open-choice Add code coding
Questionnaire.item.enableWhen.answer[x]	Add Types Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity), uri, Attachment
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	Type Reference: Added Target Types ManufacturedItemDefinition, Ingredient Resource
RegulatedAuthorization.indication RelatedPerson	Max Cardinality changed from 1 to *
RegulatedAuthorization.attachedDocument RelatedPerson.role	Added Element
RelatedPerson.communication.language	Change binding strength from preferred to required Change value set from Common Languages to All Languages Change max value set from All Languages to none
RequestOrchestration	Name Changed from RequestGroup to RequestOrchestration
RequestOrchestration	Moved from RequestGroup to RequestOrchestration
RequestOrchestration.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
RequestOrchestration.intent	Added Mandatory Element
RequestOrchestration.priority	Added Element
RequestOrchestration.code	Added Element
RequestOrchestration.subject	Type Reference: Added Target Types CareTeam, Device, HealthcareService, Location, Organization, Practitioner, PractitionerRole, RelatedPerson 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	Type changed from string to markdown Added Element
RequestOrchestration.action.textEquivalent	Type changed from string to markdown 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	Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement 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.action.relatedAction.actionId 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
ResearchStudy.status	Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.3.0 http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to PublicationStatus Remove codes administratively-completed , approved , closed-to-accrual , closed-to-accrual-and-intervention , completed , disapproved , in-review , temporarily-closed-to-accrual , temporarily-closed-to-accrual-and-intervention , withdrawn Add codes draft , retired , unknown
ResearchStudy.primaryPurposeType	Remove Binding `http://hl7.org/fhir/ValueSet/research-study-prim-purp-type` (extensible)
ResearchStudy.studyDesign	Added Element Renamed from category to studyDesign
ResearchStudy.focus	Type changed from CodeableConcept to CodeableReference
ResearchStudy.region	Added Element
ResearchStudy.descriptionSummary	Added Element
ResearchStudy.site	Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classifier	Added Element
ResearchStudy.associatedParty	Added Element
ResearchStudy.associatedParty.name	Added Element
ResearchStudy.associatedParty.role	Added Mandatory Element
ResearchStudy.associatedParty.period	Added Element
ResearchStudy.associatedParty.classifier	Added Element
ResearchStudy.associatedParty.party	Added Element
ResearchStudy.progressStatus	Added Element
ResearchStudy.progressStatus.state	Added Mandatory Element
ResearchStudy.progressStatus.actual	Added Element
ResearchStudy.progressStatus.period	Added Element
ResearchStudy.whyStopped	Added Element Renamed from reasonStopped to 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.linkId ResearchStudy.comparisonGroup.targetNumber	Added Element
ResearchStudy.comparisonGroup.name ResearchStudy.comparisonGroup.actualNumber	Added Mandatory Element
ResearchStudy.comparisonGroup.type ResearchStudy.comparisonGroup.eligibility	Added Element
ResearchStudy.comparisonGroup.observedGroup	Added Element
ResearchStudy.comparisonGroup.description	Added Element
ResearchStudy.comparisonGroup.intendedExposure ResearchStudy.objective.description	Added Element
ResearchStudy.comparisonGroup.observedGroup ResearchStudy.objective.outcomeMeasure	Added Element
ResearchStudy.objective.description ResearchStudy.objective.outcomeMeasure.name	Added Element
ResearchStudy.outcomeMeasure ResearchStudy.objective.outcomeMeasure.type	Added Element
ResearchStudy.outcomeMeasure.name ResearchStudy.objective.outcomeMeasure.description	Added Element
ResearchStudy.outcomeMeasure.type ResearchStudy.objective.outcomeMeasure.endpoint	Added Mandatory Element
ResearchStudy.outcomeMeasure.description ResearchStudy.objective.outcomeMeasure.population	Added Element
ResearchStudy.outcomeMeasure.reference ResearchStudy.objective.outcomeMeasure.intervention	Added Element
ResearchStudy.result ResearchStudy.objective.outcomeMeasure.comparator	Added Element
ResearchStudy.category ResearchStudy.objective.outcomeMeasure.summaryMeasure	Deleted 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.location ResearchStudy.relatedArtifact	Deleted
ResearchStudy.enrollment ResearchStudy.location	Deleted
ResearchStudy.sponsor ResearchStudy.enrollment	Deleted
ResearchStudy.principalInvestigator ResearchStudy.sponsor	Deleted (-> ResearchStudy.associatedPart.party (with role='sponsor'))
ResearchStudy.reasonStopped 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/research-subject-status|4.3.0 http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to PublicationStatus Remove codes candidate , eligible , follow-up , ineligible , not-registered , off-study , on-study , on-study-intervention , on-study-observation , pending-on-study , potential-candidate , screening , withdrawn Add codes draft , active , retired , unknown
ResearchSubject.progress ResearchSubject.subject	Renamed from individual to subject Type Reference: Added Element Target Types Group, Specimen, Device, Medication, Substance, SubstanceDefinition, BiologicallyDerivedProduct
ResearchSubject.progress.type ResearchSubject.subjectState	Added Element
ResearchSubject.progress.subjectState ResearchSubject.subjectState.code	Added Mandatory Element
ResearchSubject.progress.milestone ResearchSubject.subjectState.startDate	Added Mandatory Element
ResearchSubject.progress.reason ResearchSubject.subjectState.endDate	Added Element
ResearchSubject.progress.startDate ResearchSubject.subjectState.reason	Added Element
ResearchSubject.progress.endDate ResearchSubject.subjectMilestone	Added Element
ResearchSubject.subject ResearchSubject.subjectMilestone.milestone	Added Mandatory Element
ResearchSubject.assignedComparisonGroup ResearchSubject.subjectMilestone.date	Added Element
ResearchSubject.actualComparisonGroup ResearchSubject.subjectMilestone.reason	Added Element
ResearchSubject.consent ResearchSubject.comparisonGroup	Max Cardinality changed from 1 to * Added Element
ResearchSubject.individual ResearchSubject.consent	Deleted 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 Patient, RelatedPerson
RiskAssessment.reason	Added Element Merged both reasonCode and reasonReference into reason
RiskAssessment.prediction.probability[x]	Add Type Quantity
RiskAssessment.reasonCode	Deleted (-> reason) reason.concept)
RiskAssessment.reasonReference	Deleted (-> reason) reason.reference)
Schedule
Schedule.serviceType	Type changed from CodeableConcept to CodeableReference
Schedule.name	Added Element
Schedule.actor	Type Reference: Added Target Type CareTeam
Schedule.comment	Type changed from string to markdown
SearchParameter
SearchParameter.identifier	Added Element
SearchParameter.versionAlgorithm[x]	Added Element
SearchParameter.title	Added Element
SearchParameter.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
SearchParameter.copyright	Added Element
SearchParameter.copyrightLabel	Added Element
SearchParameter.aliasCode	Added Element
SearchParameter.base	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All) Add Remove codes ActorDefinition ChargeItem , ArtifactAssessment ChargeItemDefinition , BiologicallyDerivedProductDispense ClinicalImpression , CanonicalResource GraphDefinition , ConditionDefinition ImmunizationEvaluation , DeviceAssociation ImmunizationRecommendation , DeviceDispense Linkage , DeviceUsage MedicationKnowledge , EncounterHistory MolecularSequence , FormularyItem SubstanceNucleicAcid , GenomicStudy SubstancePolymer , ImagingSelection SubstanceProtein , InventoryItem SubstanceReferenceInformation , InventoryReport SubstanceSourceMaterial , MetadataResource SupplyDelivery , NutritionIntake SupplyRequest , Permission TestReport , RequestOrchestration TestScript , Requirements VerificationResult Add codes ActorDefinition , SubstanceNucleicAcid AdministrableProductDefinition , SubstancePolymer ArtifactAssessment , SubstanceProtein CanonicalResource , SubstanceReferenceInformation ClinicalUseDefinition , SubstanceSourceMaterial DeviceAlert , TestPlan DeviceAssociation , Transport ImagingSelection , BodySite Ingredient , Conformance InsuranceProduct , DataElement ManufacturedItemDefinition , DeviceComponent MedicinalProductDefinition , DeviceUseRequest MetadataResource , DiagnosticOrder NutritionIntake , EffectEvidenceSynthesis NutritionProduct , EligibilityRequest PackagedProductDefinition , EligibilityResponse RegulatedAuthorization , ExpansionProfile RequestOrchestration , ImagingManifest Requirements , ImagingObjectSelection SubscriptionStatus , MedicationOrder SubscriptionTopic , MedicationUsage SubstanceDefinition , MedicinalProduct BodySite , MedicinalProductAuthorization Conformance , MedicinalProductContraindication DataElement , MedicinalProductIndication DeviceComponent , MedicinalProductIngredient DeviceUseRequest , MedicinalProductInteraction DiagnosticOrder , MedicinalProductManufactured EligibilityRequest , MedicinalProductPackaged EligibilityResponse , MedicinalProductPharmaceutical ExpansionProfile , MedicinalProductUndesirableEffect ImagingManifest , ImagingObjectSelection , MedicationOrder , MedicationUsage , Order , OrderResponse , ProcedureRequest , ProcessRequest , ProcessResponse , ReferralRequest , RiskEvidenceSynthesis , Sequence , ServiceDefinition ,
SearchParameter.type	Add code SubstanceSpecification resource
SearchParameter.processingMode	Renamed from xpathUsage to processingMode Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.3.0 http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to Search Processing Mode Type Remove codes nearby , distance
SearchParameter.constraint	Added Element
SearchParameter.target	Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.3.0 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Version Independent Resource Types (All) Remove codes ChargeItem , ChargeItemDefinition , ClinicalImpression , GraphDefinition , ImmunizationEvaluation , ImmunizationRecommendation , Linkage , MedicationKnowledge , MolecularSequence , SubstanceNucleicAcid , SubstancePolymer , SubstanceProtein , SubstanceReferenceInformation , SubstanceSourceMaterial , SupplyDelivery , SupplyRequest , TestReport , TestScript , VerificationResult Add codes ActorDefinition , ArtifactAssessment AdministrableProductDefinition , BiologicallyDerivedProductDispense ArtifactAssessment , CanonicalResource , ConditionDefinition ClinicalUseDefinition , DeviceAlert , DeviceAssociation , DeviceDispense ImagingSelection , DeviceUsage Ingredient , EncounterHistory InsuranceProduct , FormularyItem ManufacturedItemDefinition , GenomicStudy 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
SearchParameter.modifier	Change value set from http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0 to 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 , InventoryItem ImagingStudy , InventoryReport Immunization , MetadataResource ImplementationGuide , Ingredient , InsurancePlan , InsuranceProduct , Invoice , Library , List , Location , ManufacturedItemDefinition , Measure , MeasureReport , Medication , MedicationAdministration , MedicationDispense , MedicationRequest , MedicationStatement , MedicinalProductDefinition , MessageDefinition , MessageHeader , NamingSystem , NutritionIntake , Permission 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 , SubstanceNucleicAcid ResearchStudy , SubstancePolymer ResearchSubject , SubstanceProtein RiskAssessment , SubstanceReferenceInformation Schedule , SubstanceSourceMaterial SearchParameter , TestPlan ServiceRequest , Transport 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 , RiskEvidenceSynthesis RequestGroup , Sequence ResearchDefinition , ServiceDefinition ResearchElementDefinition , SubstanceSpecification SearchParameter.modifier Remove code ofType RiskEvidenceSynthesis Add codes , of-type Sequence , code-text ServiceDefinition , text-advanced SubstanceSpecification , iterate 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
ServiceRequest.statusReason	Added Element
ServiceRequest.intent	Remove codes original-order , reflex-order , filler-order , instance-order
ServiceRequest.code	Type changed from CodeableConcept to CodeableReference
ServiceRequest.orderDetail	Type changed from CodeableConcept to BackboneElement
ServiceRequest.orderDetail.parameterFocus ServiceRequest.orderDetail.parameterFocus[x]	Added Element
ServiceRequest.orderDetail.parameter	Added Mandatory Element
ServiceRequest.orderDetail.parameter.code	Added Mandatory Element
ServiceRequest.orderDetail.parameter.value[x]	Added Mandatory Element
ServiceRequest.focus	Added Element
ServiceRequest.asNeeded	Renamed from asNeeded[x] to asNeeded Remove Type CodeableConcept
ServiceRequest.asNeededFor	Added Element
ServiceRequest.requester	Type Reference: Added Target Type Group
ServiceRequest.performer	Type Reference: Added Target Type Group
ServiceRequest.location	Added Element Merged both locationCode and locationReference into location
ServiceRequest.reason	Added Element Merged both reasonCode and reasonReference into reason
ServiceRequest.supportingInfo	Type changed from Reference(Resource) to CodeableReference
ServiceRequest.bodyStructure	Added Element
ServiceRequest.patientInstruction	Max Cardinality changed from 1 to * Type changed from string to BackboneElement
ServiceRequest.patientInstruction.instruction[x]	Added Element
ServiceRequest.instantiatesCanonical	Deleted
ServiceRequest.instantiatesUri	Deleted
ServiceRequest.locationCode	Deleted (-> ServiceRequest.location.concept)
ServiceRequest.locationReference	Deleted (-> ServiceRequest.location.reference)
ServiceRequest.reasonCode	Deleted (-> reason) reason.concept)
ServiceRequest.reasonReference	Deleted (-> reason) reason.reference)
ServiceRequest.bodySite	Deleted
Slot
Slot.serviceType	Type changed from CodeableConcept to CodeableReference
Slot.appointmentType	Max Cardinality changed from 1 to *
Specimen
Specimen.subject	Type Reference: Added Target Type BiologicallyDerivedProduct Types BiologicallyDerivedProduct, NutritionProduct
Specimen.combined	Added Element
Specimen.role	Added Element
Specimen.feature	Added Element
Specimen.feature.type	Added Mandatory Element
Specimen.feature.description	Added Mandatory Element
Specimen.collection.collector	Type Reference: Added Target Types Organization, Patient, RelatedPerson
Specimen.collection.device Specimen.collection.device[x]	Added Element
Specimen.collection.procedure	Added Element
Specimen.collection.bodySite	Type changed from CodeableConcept to CodeableReference
Specimen.processing.method	Renamed from procedure to method
Specimen.processing.performer	Added Element
Specimen.container.device Specimen.processing.device[x]	Added Mandatory Element
Specimen.processing.additive	Type changed from Reference(Substance) to CodeableReference
Specimen.processing.time[x]	Add Type Duration
Specimen.container.location Specimen.container.device[x]	Added Mandatory Element
Specimen.condition	Remove Binding `http://terminology.hl7.org/ValueSet/v2-0493` (extensible)
Specimen.processing.procedure 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 string to markdown
SpecimenDefinition.typeTested.container.preparation	Type changed from string to markdown
SpecimenDefinition.typeTested.requirement	Type changed from string to markdown
SpecimenDefinition.typeTested.singleUse	Added Element
SpecimenDefinition.typeTested.handling.instruction	Type changed from string to markdown
SpecimenDefinition.typeTested.testingDestination	Added Element
StructureDefinition
StructureDefinition.versionAlgorithm[x]	Added Element
StructureDefinition.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureDefinition.copyrightLabel	Added Element
StructureDefinition.fhirVersion	Add Remove codes 0.0 0.0.80 , 0.4 0.0.81 , 0.5 0.0.82 , 1.0 0.4.0 , 1.1 0.5.0 , 1.4 1.0.0 , 1.6 1.0.1 , 1.8 1.0.2 , 3.0 1.1.0 , 3.3 1.4.0 , 3.5 1.6.0 , 4.0 1.8.0 , 4.1 3.0.0 , 4.2 3.0.1 , 4.2.0 3.3.0 , 4.3 3.5.0 , 4.4 4.0.0 Add codes 0.0 , 4.4.0 0.4 , 4.5 0.5 , 4.5.0 1.0 , 4.6 1.1 , 4.6.0 1.4 , 5.0 1.6 , 5.0.0 1.8 , 5.0.0-cibuild 3.0 , 5.0.0-snapshot1 3.3 , 5.0.0-snapshot2 3.5 , 5.0.0-ballot 4.0 , 5.0.0-snapshot3 4.1 , 5.0.0-draft-final 4.2 , 4.3 , 4.4 , 4.5 , 4.6 , 5.0 , 6.0
StructureDefinition.type	Change value set from http://hl7.org/fhir/ValueSet/defined-types to All FHIR Types
StructureMap
StructureMap.versionAlgorithm[x]	Added Element
StructureMap.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
StructureMap.copyrightLabel	Added Element
StructureMap.const	Added Element
StructureMap.const.name	Added Element
StructureMap.const.value	Added Element
StructureMap.group.typeMode	Min Cardinality changed from 1 to 0 Remove code none
StructureMap.group.rule	Min Cardinality changed from 1 to 0
StructureMap.group.rule.name	Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.min	Type changed from integer to unsignedInt
StructureMap.group.rule.source.defaultValue	Renamed from defaultValue[x] to defaultValue Remove Types base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta Dosage
StructureMap.group.rule.target.context	Type changed from id to string
StructureMap.group.rule.target.listMode	Remove code collate Add code single
StructureMap.group.rule.target.parameter.value[x]	Add Types date, time, dateTime
StructureMap.group.rule.dependent.parameter	Renamed from variable to parameter Remove Type string
StructureMap.group.rule.target.contextType	Deleted (now implied by context)
Subscription
Subscription.identifier	Added Element
Subscription.name	Added Element
Subscription.status	Add code entered-in-error
Subscription.topic	Added Mandatory Element
Subscription.managingEntity	Added Element
Subscription.reason	Min Cardinality changed from 1 to 0
Subscription.filterBy	Added Element
Subscription.filterBy.resourceType Subscription.filterBy.resource	Added Element
Subscription.filterBy.filterParameter	Added Mandatory Element
Subscription.filterBy.comparator	Added Element
Subscription.filterBy.modifier	Added Element
Subscription.filterBy.value	Added Mandatory Element
Subscription.filterBy.event	Added Element
Subscription.channelType	Added Mandatory Element
Subscription.endpoint	Added Element
Subscription.parameter	Added Element
Subscription.parameter.name	Added Mandatory Element
Subscription.parameter.value	Added Mandatory Element
Subscription.heartbeatPeriod	Added Element
Subscription.timeout	Added Element
Subscription.contentType	Added Element
Subscription.content	Added Element
Subscription.maxCount	Added Element
Subscription.criteria	Deleted
Subscription.error	Deleted
Subscription.channel	Deleted
SubscriptionStatus	Added Resource
SubscriptionStatus.status SubscriptionTopic	Add code entered-in-error Added Resource
Substance
SubscriptionStatus.eventsSinceSubscriptionStart Substance.code	Type changed from string CodeableConcept to integer64 CodeableReference
SubscriptionStatus.notificationEvent.eventNumber Substance.description	Type changed from string to integer64 markdown
SubscriptionTopic.versionAlgorithm[x] Substance.expiry	Added Element
SubscriptionTopic.name Substance.quantity	Added Element
SubscriptionTopic.experimental Substance.instance	No longer marked as Modifier Deleted (-> consider if this should be multiple Substance resource instances)
SubscriptionTopic.copyrightLabel Substance.ingredient	Added Element Deleted
SubscriptionTopic.resourceTrigger.resource SubstanceDefinition	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Types used with Subscriptions Added Resource
SubscriptionTopic.eventTrigger.resource Task	Change value set from http://hl7.org/fhir/ValueSet/defined-types to Types used with Subscriptions
SubscriptionTopic.canFilterBy.resource Task.statusReason	Change value set Max Cardinality changed from http://hl7.org/fhir/ValueSet/defined-types 1 to Types used with Subscriptions * Type changed from CodeableConcept to CodeableReference
SubscriptionTopic.canFilterBy.comparator Task.doNotPerform	Added Element
SubscriptionTopic.canFilterBy.modifier Task.code	Change value set from http://hl7.org/fhir/ValueSet/subscription-search-modifier|4.3.0 to Search Modifier Code Remove codes = , eq , ne , gt , lt , ge , le , sa , eb , ap Add codes missing , exact , contains , not , text , type , identifier , code-text , text-advanced , iterate Binding `http://hl7.org/fhir/ValueSet/task-code` (extensible)
SubscriptionTopic.notificationShape.resource Task.description	Change value set Type changed from http://hl7.org/fhir/ValueSet/defined-types string to Types used with Subscriptions markdown
Substance.instance Task.focus	Min Cardinality changed from 0 to 1 Max Cardinality changed from * to 1 to * Type changed from BackboneElement Reference(Resource) to boolean Now marked as Modifier BackboneElement
Substance.code Task.focus.value[x]	Type changed from CodeableConcept to CodeableReference Added Mandatory Element
Substance.description Task.requestedPeriod	Type changed from string to markdown Added Element
Substance.expiry Task.requester	Moved from Substance.instance to Substance Type Reference: Added Target Type Group
Substance.quantity Task.requestedPerformer	Moved from Substance.instance to Substance Added Element
Substance.instance.identifier Task.owner	Deleted (-> Substance.instance.identifier) Type Reference: Added Target Type Group Type Reference: Removed Target Types HealthcareService, Device
SubstanceDefinition.characterization Task.performer	Added Element
SubstanceDefinition.characterization.technique Task.performer.function	Added Element
SubstanceDefinition.characterization.form Task.performer.actor	Added Mandatory Element
SubstanceDefinition.characterization.description Task.reason	Added Element Merged both reasonCode and reasonReference into reason
SubstanceDefinition.characterization.file Task.restriction.recipient	Type Reference: Added Element Target Type Device
SubstanceDefinition.referenceInformation Task.input.value[x]	Added Element Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Remove Type Contributor
SubstanceDefinition.name.language Task.output.value[x]	Change binding strength from preferred to required Change value set from Common Languages to All Languages Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, VirtualServiceDetail, Meta Change max value set from All Languages to none Remove Type Contributor
SubstanceDefinition.nucleicAcid Task.instantiatesCanonical	Added Element Deleted
SubstanceDefinition.polymer Task.instantiatesUri	Added Element Deleted
SubstanceDefinition.protein Task.performerType	Added Element Deleted (->Task.requestedPerformer.concept)
SubstanceNucleicAcid Task.reasonCode	Added Resource Deleted (-> reason.concept)
SubstancePolymer Task.reasonReference	Added Resource Deleted (-> reason.reference)
SubstanceProtein TerminologyCapabilities	Added Resource
SubstanceReferenceInformation TerminologyCapabilities.identifier	Added Resource Element
SubstanceSourceMaterial TerminologyCapabilities.versionAlgorithm[x]	Added Resource Element
SupplyDelivery.type TerminologyCapabilities.jurisdiction	Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.3.0 http://hl7.org/fhir/ValueSet/jurisdiction to Supply Delivery Supply Item Type Jurisdiction ValueSet Remove codes medication , device Add codes medication , device , biologicallyderivedproduct
SupplyDelivery.suppliedItem TerminologyCapabilities.copyrightLabel	Max Cardinality changed from 1 to * Added Element
SupplyDelivery.receiver TerminologyCapabilities.implementation.description	Type Reference: Added Target Type Organization changed from string to markdown
SupplyRequest.basedOn TerminologyCapabilities.codeSystem.supplement	Added Element
SupplyRequest.deliverFor TerminologyCapabilities.codeSystem.version.supplement	Added Element
SupplyRequest.item TerminologyCapabilities.codeSystem.version.language	Renamed from item[x] to item Add Type CodeableReference Remove Types CodeableConcept, Reference(Medication | Substance | Device) Binding `http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3` (required)
SupplyRequest.requester TerminologyCapabilities.codeSystem.content	Type Reference: Added Target Type CareTeam Mandatory Element
SupplyRequest.reason TerminologyCapabilities.supplements	Added Element
SupplyRequest.deliverTo TerminologyCapabilities.supplements.globals	Type Reference: Added Target Type RelatedPerson Element
SupplyRequest.reasonCode TerminologyCapabilities.expansion.parameter.documentation	Deleted (-> reason) Type changed from string to markdown
SupplyRequest.reasonReference TerminologyCapabilities.codeSearch	Deleted (-> reason) Remove codes explicit , all Task Task.statusReason Type changed from CodeableConcept to CodeableReference Add codes in-compose , in-expansion , in-compose-or-expansion
Task.doNotPerform TerminologyCapabilities.closure	Added Element Deleted
Task.requestedPeriod ValueSet	Added Element
Task.requestedPerformer ValueSet.versionAlgorithm[x]	Added Element
Task.owner ValueSet.jurisdiction	Type Reference: Removed Target Types HealthcareService, Device Change value set from http://hl7.org/fhir/ValueSet/jurisdiction to Jurisdiction ValueSet
Task.performer ValueSet.copyrightLabel	Added Element
Task.performer.function ValueSet.approvalDate	Added Element
Task.performer.actor ValueSet.lastReviewDate	Added Mandatory Element
Task.reason ValueSet.effectivePeriod	Added Element
Task.performerType ValueSet.topic	Deleted (->Task.requestedPerformer) Added Element
Task.reasonCode ValueSet.author	Deleted (-> reason) Added Element
Task.reasonReference ValueSet.editor	Deleted (-> reason) Added Element
TerminologyCapabilities.identifier ValueSet.reviewer	Added Element
TerminologyCapabilities.versionAlgorithm[x] ValueSet.endorser	Added Element
TerminologyCapabilities.copyrightLabel ValueSet.relatedArtifact	Added Element
TerminologyCapabilities.codeSystem.version.language ValueSet.compose.include.concept.designation.language	Add Binding `http://hl7.org/fhir/ValueSet/languages|5.0.0` (required) 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
TerminologyCapabilities.codeSystem.content ValueSet.compose.include.concept.designation.additionalUse	Added Mandatory Element
TerminologyCapabilities.codeSearch ValueSet.compose.include.filter.op	Remove codes explicit , all Add codes in-compose , in-expansion child-of , in-compose-or-expansion descendent-leaf
TestPlan ValueSet.compose.include.copyright	Added Resource TestReport TestReport.testScript Type changed from Reference(TestScript) to canonical(TestScript) Element
TestReport.setup.action.assert.requirement ValueSet.compose.property	Added Element
TestReport.setup.action.assert.requirement.link[x] ValueSet.expansion.next	Added Element
TestScript.versionAlgorithm[x] ValueSet.expansion.property	Added Element
TestScript.copyrightLabel ValueSet.expansion.property.code	Added Mandatory Element
TestScript.origin.url ValueSet.expansion.property.uri	Added Element
TestScript.destination.url ValueSet.expansion.contains.property	Added Element
TestScript.scope ValueSet.expansion.contains.property.code	Added Mandatory Element
TestScript.scope.artifact ValueSet.expansion.contains.property.value[x]	Added Mandatory Element
TestScript.scope.conformance ValueSet.expansion.contains.property.subProperty	Added Element
TestScript.scope.phase ValueSet.expansion.contains.property.subProperty.code	Added Mandatory Element TestScript.profile Type changed from Reference(Resource) to canonical(StructureDefinition) TestScript.setup.action.operation.type Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" to "http://hl7.org/fhir/restful-interaction" TestScript.setup.action.operation.resource Type changed from code to uri Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.3.0 to Concrete FHIR Types
TestScript.setup.action.assert.defaultManualCompletion ValueSet.expansion.contains.property.subProperty.value[x]	Added Mandatory Element
TestScript.setup.action.assert.resource Type changed from code to uri Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.3.0 to Concrete FHIR Types VisionPrescription TestScript.setup.action.assert.response	Remove codes bad , unprocessable Add codes continue , switchingProtocols , accepted , nonAuthoritativeInformation , resetContent , partialContent , multipleChoices , movedPermanently , found , seeOther , useProxy , temporaryRedirect , permanentRedirect , badRequest , unauthorized , paymentRequired , notAcceptable , proxyAuthenticationRequired , requestTimeout , lengthRequired , contentTooLarge , uriTooLong , unsupportedMediaType , rangeNotSatisfiable , expectationFailed , misdirectedRequest , unprocessableContent , upgradeRequired , internalServerError , notImplemented , badGateway , serviceUnavailable , gatewayTimeout , httpVersionNotSupported
TestScript.setup.action.assert.stopTestOnFail VisionPrescription.basedOn	Added Mandatory Element
TestScript.setup.action.assert.requirement VisionPrescription.groupIdentifier	Added Element
TestScript.setup.action.assert.requirement.link[x] VisionPrescription.priority	Added Element
Transport CatalogEntry	Added Resource Deleted
ValueSet.versionAlgorithm[x] ChargeItem	Added Element Deleted
ValueSet.copyrightLabel ChargeItemDefinition	Added Element Deleted
ValueSet.approvalDate ClinicalImpression	Added Element Deleted
ValueSet.lastReviewDate DeviceUseStatement	Added Element Deleted
ValueSet.effectivePeriod DocumentManifest	Added Element Deleted
ValueSet.topic EffectEvidenceSynthesis	Added Element Deleted
ValueSet.author GraphDefinition	Added Element Deleted
ValueSet.editor ImmunizationEvaluation	Added Element Deleted
ValueSet.reviewer ImmunizationRecommendation	Added Element Deleted
ValueSet.endorser Linkage	Added Element Deleted
ValueSet.relatedArtifact Media	Added Element Deleted
ValueSet.compose.include.concept.designation.language MedicationKnowledge	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 Deleted
ValueSet.compose.include.concept.designation.additionalUse MedicinalProduct	Added Element Deleted
ValueSet.compose.include.filter.op MedicinalProductAuthorization	Add codes child-of , descendent-leaf Deleted
ValueSet.compose.include.copyright MedicinalProductContraindication	Added Element Deleted
ValueSet.compose.property MedicinalProductIndication	Added Element Deleted
ValueSet.expansion.next MedicinalProductIngredient	Added Element Deleted
ValueSet.expansion.property MedicinalProductInteraction	Added Element Deleted
ValueSet.expansion.property.code MedicinalProductManufactured	Added Mandatory Element Deleted
ValueSet.expansion.property.uri MedicinalProductPackaged	Added Element Deleted
ValueSet.expansion.contains.property MedicinalProductPharmaceutical	Added Element Deleted
ValueSet.expansion.contains.property.code MedicinalProductUndesirableEffect	Added Mandatory Element Deleted
ValueSet.expansion.contains.property.value[x] MolecularSequence	Added Mandatory Element Deleted
ValueSet.expansion.contains.property.subProperty RequestGroup	Added Element Deleted
ValueSet.expansion.contains.property.subProperty.code ResearchDefinition	Added Mandatory Element Deleted
ValueSet.expansion.contains.property.subProperty.value[x] ResearchElementDefinition	Added Mandatory Element Deleted
ValueSet.scope RiskEvidenceSynthesis	Added Element Deleted
ValueSet.scope.inclusionCriteria SubstanceNucleicAcid	Added Element Deleted
ValueSet.scope.exclusionCriteria SubstancePolymer	Added Element Deleted
VerificationResult.status SubstanceProtein	Add code entered-in-error Deleted
VisionPrescription SubstanceReferenceInformation	No Changes Deleted
CatalogEntry SubstanceSourceMaterial	Deleted (removed in favor of definitional resources)
DeviceUseStatement SubstanceSpecification	Deleted
DocumentManifest SupplyDelivery	Deleted (-> List)
Media SupplyRequest	Deleted (-> DocumentReference)
RequestGroup TestReport	Deleted
ResearchDefinition TestScript	Deleted
ResearchElementDefinition VerificationResult	Deleted