Release 5 Draft Ballot

This page is part of the FHIR Specification (v4.6.0: R5 Draft Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

2.11 Differences from Release 3

FHIR Infrastructure Work GroupMaturity Level: N/AStandards Status: Informative

This is an automatically generated list of all the structural differences between FHIR DSTU3 and this version. The following possible changes are checked when preparing this list (and others throughout the specification):

  • Addition or deletion of elements, or name change to elements
  • Changes to minimum and maximum cardinality
  • Changes to allowed types
  • Changes to bindings for Extensible/Required bindings, and changes to codes if it's a required binding on a code element
  • Changes to the is-modifier status of an element
  • Changes to the default value for an element (default values were removed after Release 3, but changes are noted for Release 3 to Release 4)

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

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

This analysis is available as XML or JSON.

Types
Address
Address.use
  • Change value set from http://hl7.org/fhir/ValueSet/address-use|4.0.0 to http://hl7.org/fhir/ValueSet/address-use|4.6.0
Address.type
  • Change value set from http://hl7.org/fhir/ValueSet/address-type|4.0.0 to http://hl7.org/fhir/ValueSet/address-type|4.6.0
Age
  • No Changes
Annotation
  • No Changes
Attachment
Attachment.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
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
BackboneElement
  • No Changes
BackboneType
  • Added Type
Base
  • Added Type
CodeableConcept
  • No Changes
CodeableReference
  • Added Type
Coding
  • No Changes
ContactDetail
  • No Changes
ContactPoint
ContactPoint.system
  • Change value set from http://hl7.org/fhir/ValueSet/contact-point-system|4.0.0 to http://hl7.org/fhir/ValueSet/contact-point-system|4.6.0
ContactPoint.use
  • Change value set from http://hl7.org/fhir/ValueSet/contact-point-use|4.0.0 to http://hl7.org/fhir/ValueSet/contact-point-use|4.6.0
Contributor
Contributor.type
  • Change value set from http://hl7.org/fhir/ValueSet/contributor-type|4.0.0 to http://hl7.org/fhir/ValueSet/contributor-type|4.6.0
Count
  • No Changes
DataRequirement
DataRequirement.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|4.6.0
DataRequirement.sort.direction
  • Change value set from http://hl7.org/fhir/ValueSet/sort-direction|4.0.0 to http://hl7.org/fhir/ValueSet/sort-direction|4.6.0
DataType
  • Added Type
Distance
  • No Changes
Dosage
Dosage.doseAndRate.dose[x]
  • Add Type Quantity()
  • Remove Type Quantity()
Dosage.doseAndRate.rate[x]
  • Add Type Quantity()
  • Remove Type Quantity()
Duration
  • No Changes
Element
  • No Changes
ElementDefinition
ElementDefinition.representation
  • Change value set from http://hl7.org/fhir/ValueSet/property-representation|4.0.0 to http://hl7.org/fhir/ValueSet/property-representation|4.6.0
ElementDefinition.slicing.discriminator.type
  • Change value set from http://hl7.org/fhir/ValueSet/discriminator-type|4.0.0 to http://hl7.org/fhir/ValueSet/discriminator-type|4.6.0
ElementDefinition.slicing.rules
  • Change value set from http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.0 to http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.6.0
ElementDefinition.type.aggregation
  • Change value set from http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.0 to http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.6.0
ElementDefinition.type.versioning
  • Change value set from http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.0 to http://hl7.org/fhir/ValueSet/reference-version-rules|4.6.0
ElementDefinition.defaultValue[x]
  • Add Types integer64, Meta
ElementDefinition.fixed[x]
  • Add Types integer64, Meta
ElementDefinition.pattern[x]
  • Add Types integer64, Meta
ElementDefinition.example.value[x]
  • Add Types integer64, Meta
ElementDefinition.minValue[x]
  • Add Type integer64
ElementDefinition.maxValue[x]
  • Add Type integer64
ElementDefinition.constraint.severity
  • Change value set from http://hl7.org/fhir/ValueSet/constraint-severity|4.0.0 to http://hl7.org/fhir/ValueSet/constraint-severity|4.6.0
ElementDefinition.binding.strength
  • Change value set from http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to http://hl7.org/fhir/ValueSet/binding-strength|4.6.0
ElementDefinition.mapping.language
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
Expression
Expression.language
  • Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt to http://hl7.org/fhir/ValueSet/all-media-types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
Extension
Extension.url
  • Type changed from string to uri
Extension.value[x]
  • Add Types integer64, Meta
HumanName
HumanName.use
  • Change value set from http://hl7.org/fhir/ValueSet/name-use|4.0.0 to http://hl7.org/fhir/ValueSet/name-use|4.6.0
Identifier
Identifier.use
  • Change value set from http://hl7.org/fhir/ValueSet/identifier-use|4.0.0 to http://hl7.org/fhir/ValueSet/identifier-use|4.6.0
MarketingStatus
MarketingStatus.country
  • Min Cardinality changed from 1 to 0
MarketingStatus.dateRange
  • Min Cardinality changed from 1 to 0
Meta
  • No Changes
Money
Money.currency
  • Change value set from http://hl7.org/fhir/ValueSet/currencies|4.0.0 to http://hl7.org/fhir/ValueSet/currencies|4.6.0
MoneyQuantity
  • No Changes
Narrative
Narrative.status
  • Change value set from http://hl7.org/fhir/ValueSet/narrative-status|4.0.0 to http://hl7.org/fhir/ValueSet/narrative-status|4.6.0
OrderedDistribution
  • Added Type
ParameterDefinition
ParameterDefinition.use
  • Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.6.0
ParameterDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|4.6.0
Period
  • No Changes
Population
  • No Changes
PrimitiveType
  • Added Type
ProdCharacteristic
  • No Changes
ProductShelfLife
ProductShelfLife.type
  • Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]
  • Added Element
ProductShelfLife.identifier
  • deleted
ProductShelfLife.period
  • deleted
Quantity
Quantity.comparator
  • Change value set from http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/quantity-comparator|4.6.0
Range
  • No Changes
Ratio
Ratio.denominator
  • Type changed from Quantity to Quantity()
RatioRange
  • Added Type
Reference
  • No Changes
RelatedArtifact
RelatedArtifact.type
  • Change value set from http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.0 to http://hl7.org/fhir/ValueSet/related-artifact-type|4.6.0
SampledData
  • No Changes
Signature
Signature.targetFormat
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
Signature.sigFormat
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
SimpleQuantity
  • No Changes
Statistic
  • Added Type
Timing
Timing.repeat.durationUnit
  • Change value set from http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to http://hl7.org/fhir/ValueSet/units-of-time|4.6.0
Timing.repeat.periodUnit
  • Change value set from http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to http://hl7.org/fhir/ValueSet/units-of-time|4.6.0
Timing.repeat.dayOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.6.0
Timing.repeat.when
  • Change value set from http://hl7.org/fhir/ValueSet/event-timing|4.0.0 to http://hl7.org/fhir/ValueSet/event-timing|4.6.0
TriggerDefinition
TriggerDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/trigger-type|4.0.0 to http://hl7.org/fhir/ValueSet/trigger-type|4.6.0
UsageContext
  • 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
  • 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)
SubstanceAmount
  • deleted
Resources
Account
Account.status
  • Change value set from http://hl7.org/fhir/ValueSet/account-status|4.0.0 to http://hl7.org/fhir/ValueSet/account-status|4.6.0
ActivityDefinition
ActivityDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
ActivityDefinition.subject[x]
  • Add Type canonical
ActivityDefinition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/request-resource-types|4.6.0|4.6.0
ActivityDefinition.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.6.0|4.6.0
ActivityDefinition.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0|4.6.0
ActivityDefinition.timing[x]
  • Remove Types dateTime, Period
ActivityDefinition.location
  • Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type
  • Min Cardinality changed from 1 to 0
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.6.0|4.6.0
ActivityDefinition.participant.typeReference
  • Added Element
ActivityDefinition.participant.function
  • Added Element
AdministrableProductDefinition
  • Added Resource
AdverseEvent
AdverseEvent.identifier
  • Max Cardinality changed from 1 to *
AdverseEvent.status
  • Added Mandatory Element
AdverseEvent.actuality
  • Change value set from http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0 to http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.6.0
AdverseEvent.category
  • Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-category (extensible)
AdverseEvent.code
  • Added Element
AdverseEvent.occurrence[x]
  • Added Element
AdverseEvent.outcome
  • Max Cardinality changed from 1 to *
  • Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0 (required)
AdverseEvent.participant
  • Added Element
AdverseEvent.participant.function
  • Added Element
AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.suspectEntity.instance[x]
  • Added Mandatory Element
AdverseEvent.suspectEntity.causality
  • Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness
  • Added Element
AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.contributingFactor.item[x]
  • Added Mandatory Element
AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.preventiveAction.item[x]
  • Added Mandatory Element
AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.mitigatingAction.item[x]
  • Added Mandatory Element
AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.supportingInfo.item[x]
  • Added Mandatory Element
AdverseEvent.event
  • deleted
AdverseEvent.date
  • deleted
AdverseEvent.severity
  • deleted
AdverseEvent.contributor
  • deleted
AdverseEvent.suspectEntity.instance
  • deleted
AdverseEvent.suspectEntity.causality.assessment
  • deleted
AdverseEvent.suspectEntity.causality.productRelatedness
  • deleted
AdverseEvent.suspectEntity.causality.method
  • deleted
AdverseEvent.subjectMedicalHistory
  • deleted
AdverseEvent.referenceDocument
  • deleted
AllergyIntolerance
AllergyIntolerance.clinicalStatus
  • Change value set from http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.6.0
AllergyIntolerance.verificationStatus
  • Change value set from http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.6.0
AllergyIntolerance.type
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.6.0
AllergyIntolerance.category
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.6.0
AllergyIntolerance.criticality
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.6.0
AllergyIntolerance.reaction.manifestation
  • Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.reaction.severity
  • Change value set from http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0 to http://hl7.org/fhir/ValueSet/reaction-event-severity|4.6.0
Appointment
Appointment.status
  • Change value set from http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0 to http://hl7.org/fhir/ValueSet/appointmentstatus|4.6.0
Appointment.reason
  • Added Element
Appointment.priority
  • Type changed from unsignedInt to CodeableConcept
Appointment.participant.required
  • Change value set from http://hl7.org/fhir/ValueSet/participantrequired|4.0.0 to http://hl7.org/fhir/ValueSet/participantrequired|4.6.0
Appointment.participant.status
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/participationstatus|4.6.0
Appointment.reasonCode
  • deleted
Appointment.reasonReference
  • deleted
AppointmentResponse
AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/participationstatus|4.6.0
AuditEvent
AuditEvent.action
  • Change value set from http://hl7.org/fhir/ValueSet/audit-event-action|4.0.0 to http://hl7.org/fhir/ValueSet/audit-event-action|4.6.0
AuditEvent.severity
  • Added Element
AuditEvent.outcome
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/audit-event-outcome
AuditEvent.basedOn
  • Added Element
AuditEvent.encounter
  • Added Element
AuditEvent.agent.media
  • Change value set from http://hl7.org/fhir/ValueSet/dicm-405-mediatype to http://hl7.org/fhir/ValueSet/audit-media-type
AuditEvent.agent.network.type
  • Change value set from http://hl7.org/fhir/ValueSet/network-type|4.0.0 to http://hl7.org/fhir/ValueSet/network-type|4.6.0
AuditEvent.source.type
  • Change value set from http://hl7.org/fhir/ValueSet/audit-source-type to http://hl7.org/fhir/ValueSet/security-source-type
AuditEvent.outcomeDesc
  • deleted
AuditEvent.entity.description
  • deleted
Basic
  • No Changes
Binary
Binary.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory
  • Change value set from http://hl7.org/fhir/ValueSet/product-category|4.0.0 to http://hl7.org/fhir/ValueSet/product-category|4.6.0
BiologicallyDerivedProduct.status
  • Change value set from http://hl7.org/fhir/ValueSet/product-status|4.0.0 to http://hl7.org/fhir/ValueSet/biological-product-status|4.6.0
BiologicallyDerivedProduct.storage.scale
  • Change value set from http://hl7.org/fhir/ValueSet/product-storage-scale|4.0.0 to http://hl7.org/fhir/ValueSet/product-storage-scale|4.6.0
BodyStructure
  • No Changes
Bundle
Bundle.type
  • Change value set from http://hl7.org/fhir/ValueSet/bundle-type|4.0.0 to http://hl7.org/fhir/ValueSet/bundle-type|4.6.0
Bundle.entry.search.mode
  • Change value set from http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.0 to http://hl7.org/fhir/ValueSet/search-entry-mode|4.6.0
Bundle.entry.request.method
  • Change value set from http://hl7.org/fhir/ValueSet/http-verb|4.0.0 to http://hl7.org/fhir/ValueSet/http-verb|4.6.0
CanonicalResource
  • Added Resource
CapabilityStatement
CapabilityStatement.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
CapabilityStatement.kind
  • Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to http://hl7.org/fhir/ValueSet/capability-statement-kind|4.6.0
CapabilityStatement.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/FHIR-version|4.6.0
CapabilityStatement.format
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
CapabilityStatement.patchFormat
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
CapabilityStatement.rest.mode
  • Change value set from http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.0 to http://hl7.org/fhir/ValueSet/restful-capability-mode|4.6.0
CapabilityStatement.rest.resource.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
CapabilityStatement.rest.resource.interaction.code
  • Change value set from http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.0 to http://hl7.org/fhir/ValueSet/type-restful-interaction|4.6.0
CapabilityStatement.rest.resource.versioning
  • Change value set from http://hl7.org/fhir/ValueSet/versioning-policy|4.0.0 to http://hl7.org/fhir/ValueSet/versioning-policy|4.6.0
CapabilityStatement.rest.resource.conditionalRead
  • Change value set from http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.0 to http://hl7.org/fhir/ValueSet/conditional-read-status|4.6.0
CapabilityStatement.rest.resource.conditionalDelete
  • Change value set from http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.0 to http://hl7.org/fhir/ValueSet/conditional-delete-status|4.6.0
CapabilityStatement.rest.resource.referencePolicy
  • Change value set from http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.0 to http://hl7.org/fhir/ValueSet/reference-handling-policy|4.6.0
CapabilityStatement.rest.resource.searchParam.type
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.6.0
CapabilityStatement.rest.interaction.code
  • Change value set from http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.0 to http://hl7.org/fhir/ValueSet/system-restful-interaction|4.6.0
CapabilityStatement.messaging.supportedMessage.mode
  • Change value set from http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.0 to http://hl7.org/fhir/ValueSet/event-capability-mode|4.6.0
CapabilityStatement.document.mode
  • Change value set from http://hl7.org/fhir/ValueSet/document-mode|4.0.0 to http://hl7.org/fhir/ValueSet/document-mode|4.6.0
CapabilityStatement2
  • Added Resource
CarePlan
CarePlan.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
CarePlan.intent
  • Change value set from http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.0 to http://hl7.org/fhir/ValueSet/care-plan-intent|4.6.0
CarePlan.addresses
  • Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity
  • Added Element
CarePlan.activity.plannedActivityReference
  • Added Element
CarePlan.activity.plannedActivityDetail
  • Added Element
CarePlan.activity.plannedActivityDetail.kind
  • Added Element
CarePlan.activity.plannedActivityDetail.instantiatesCanonical
  • Added Element
CarePlan.activity.plannedActivityDetail.instantiatesUri
  • Added Element
CarePlan.activity.plannedActivityDetail.code
  • Added Element
CarePlan.activity.plannedActivityDetail.reason
  • Added Element
CarePlan.activity.plannedActivityDetail.goal
  • Added Element
CarePlan.activity.plannedActivityDetail.status
  • Added Mandatory Element
CarePlan.activity.plannedActivityDetail.statusReason
  • Added Element
CarePlan.activity.plannedActivityDetail.doNotPerform
  • Added Element
CarePlan.activity.plannedActivityDetail.scheduled[x]
  • Added Element
CarePlan.activity.plannedActivityDetail.location
  • Added Element
CarePlan.activity.plannedActivityDetail.reported[x]
  • Added Element
CarePlan.activity.plannedActivityDetail.performer
  • Added Element
CarePlan.activity.plannedActivityDetail.product[x]
  • Added Element
CarePlan.activity.plannedActivityDetail.dailyAmount
  • Added Element
CarePlan.activity.plannedActivityDetail.quantity
  • Added Element
CarePlan.activity.plannedActivityDetail.description
  • Added Element
CarePlan.activity.outcomeCodeableConcept
  • deleted
CarePlan.activity.outcomeReference
  • deleted
CarePlan.activity.reference
  • deleted
CarePlan.activity.detail
  • deleted
CareTeam
CareTeam.status
  • Change value set from http://hl7.org/fhir/ValueSet/care-team-status|4.0.0 to http://hl7.org/fhir/ValueSet/care-team-status|4.6.0
CareTeam.participant.role
  • Max Cardinality changed from * to 1
CareTeam.participant.coverage[x]
  • Added Element
CareTeam.reason
  • Added Element
CareTeam.encounter
  • deleted
CareTeam.participant.period
  • deleted
CareTeam.reasonCode
  • deleted
CareTeam.reasonReference
  • deleted
CatalogEntry
CatalogEntry.name
  • Added Element
CatalogEntry.type
  • Type changed from CodeableConcept to code
  • Add Binding http://hl7.org/fhir/ValueSet/catalogentry-type|4.6.0 (required)
CatalogEntry.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/catalogentry-status|4.6.0
  • Now marked as Modifier
CatalogEntry.effectivePeriod
  • Added Element
CatalogEntry.orderable
  • Now marked as Modifier
CatalogEntry.referencedItem
  • Type Reference: Added Target Types DeviceDefinition, MedicationKnowledge, Substance, Location
  • Type Reference: Removed Target Types Medication, Device, Binary
CatalogEntry.relatedEntry.relationship
  • Added Mandatory Element
CatalogEntry.relatedEntry.target
  • Added Mandatory Element
CatalogEntry.updatedBy
  • Added Element
CatalogEntry.note
  • Added Element
CatalogEntry.estimatedDuration
  • Added Element
CatalogEntry.billingCode
  • Added Element
CatalogEntry.billingSummary
  • Added Element
CatalogEntry.scheduleSummary
  • Added Element
CatalogEntry.limitationSummary
  • Added Element
CatalogEntry.regulatorySummary
  • Added Element
CatalogEntry.additionalIdentifier
  • deleted
CatalogEntry.classification
  • deleted
CatalogEntry.validityPeriod
  • deleted
CatalogEntry.validTo
  • deleted
CatalogEntry.lastUpdated
  • deleted
CatalogEntry.additionalCharacteristic
  • deleted
CatalogEntry.additionalClassification
  • deleted
CatalogEntry.relatedEntry.relationtype
  • deleted
CatalogEntry.relatedEntry.item
  • deleted
ChargeItem
ChargeItem.status
  • Change value set from http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0 to http://hl7.org/fhir/ValueSet/chargeitem-status|4.6.0
ChargeItemDefinition
ChargeItemDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
ChargeItemDefinition.propertyGroup.priceComponent.type
  • Change value set from http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.6.0|4.6.0
Citation
  • Added Resource
Claim
Claim.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
Claim.use
  • Change value set from http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/claim-use|4.6.0
ClaimResponse
ClaimResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
ClaimResponse.use
  • Change value set from http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/claim-use|4.6.0
ClaimResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/claim-outcome|4.6.0
ClaimResponse.processNote.type
  • Change value set from http://hl7.org/fhir/ValueSet/note-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.6.0
ClinicalImpression
ClinicalImpression.status
  • Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.6.0
ClinicalImpression.performer
  • Added Element
ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.code
  • deleted
ClinicalImpression.assessor
  • deleted
ClinicalImpression.investigation
  • deleted
ClinicalImpression.finding.itemCodeableConcept
  • deleted
ClinicalImpression.finding.itemReference
  • deleted
ClinicalUseIssue
  • Added Resource
CodeSystem
CodeSystem.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
CodeSystem.hierarchyMeaning
  • Change value set from http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.6.0|4.6.0
CodeSystem.content
  • Change value set from http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.6.0|4.6.0
CodeSystem.filter.operator
  • Change value set from http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to http://hl7.org/fhir/ValueSet/filter-operator|4.6.0|4.6.0
CodeSystem.property.type
  • Change value set from http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0 to http://hl7.org/fhir/ValueSet/concept-property-type|4.6.0|4.6.0
Communication
Communication.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.6.0
Communication.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
Communication.recipient
  • Type Reference: Added Target Types Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason
  • Added Element
Communication.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
Communication.reasonCode
  • deleted
Communication.reasonReference
  • deleted
CommunicationRequest
CommunicationRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
CommunicationRequest.intent
  • Added Mandatory Element
CommunicationRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
CommunicationRequest.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
CommunicationRequest.recipient
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider
  • Added Element
CommunicationRequest.reason
  • Added Element
CommunicationRequest.sender
  • deleted
CommunicationRequest.reasonCode
  • deleted
CommunicationRequest.reasonReference
  • deleted
CompartmentDefinition
CompartmentDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
CompartmentDefinition.code
  • Change value set from http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to http://hl7.org/fhir/ValueSet/compartment-type|4.6.0
CompartmentDefinition.resource.code
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
Composition
Composition.status
  • Change value set from http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to http://hl7.org/fhir/ValueSet/composition-status|4.6.0
Composition.confidentiality
  • Change value set from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|4.0.0 to http://terminology.hl7.org/ValueSet/v3-Confidentiality|2.0.0|2.0.0
Composition.attester.mode
  • Change value set from http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0 to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.6.0
Composition.relatesTo.code
  • Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/document-relationship-type|4.6.0
Composition.section.mode
  • Change value set from http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/list-mode|4.6.0
ConceptMap
ConceptMap.identifier
  • Max Cardinality changed from 1 to *
ConceptMap.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
ConceptMap.group.source
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.noMap
  • Added Element
ConceptMap.group.element.target.relationship
  • Added Mandatory Element
ConceptMap.group.unmapped.mode
  • Change value set from http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.0 to http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.6.0|4.6.0
ConceptMap.group.sourceVersion
  • deleted
ConceptMap.group.targetVersion
  • deleted
ConceptMap.group.element.target.equivalence
  • deleted
Condition
Condition.clinicalStatus
  • Min Cardinality changed from 0 to 1
  • Change value set from http://hl7.org/fhir/ValueSet/condition-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/condition-clinical|4.6.0
Condition.verificationStatus
  • Change value set from http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.0 to http://hl7.org/fhir/ValueSet/condition-ver-status|4.6.0
Condition.category
  • Remove Binding http://hl7.org/fhir/ValueSet/condition-category (extensible)
Condition.asserter
  • Type Reference: Added Target Type Device
ConditionDefinition
  • Added Resource
Consent
Consent.status
  • Change value set from http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.0 to http://hl7.org/fhir/ValueSet/consent-state-codes|4.6.0
Consent.subject
  • Added Element
Consent.performer
  • Type Reference: Added Target Types CareTeam, HealthcareService
Consent.manager
  • Added Element
Consent.controller
  • Added Element
Consent.sourceAttachment
  • Added Element
Consent.sourceReference
  • Added Element
Consent.verification.verificationType
  • Added Element
Consent.verification.verifiedBy
  • Added Element
Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Consent.provision.type
  • Change value set from http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.0 to http://hl7.org/fhir/ValueSet/consent-provision-type|4.6.0
Consent.provision.data.meaning
  • Change value set from http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.0 to http://hl7.org/fhir/ValueSet/consent-data-meaning|4.6.0
Consent.patient
  • deleted
Consent.organization
  • deleted
Consent.source[x]
  • deleted
Contract
Contract.status
  • Change value set from http://hl7.org/fhir/ValueSet/contract-status|4.0.0 to http://hl7.org/fhir/ValueSet/contract-status|4.6.0
Contract.contentDefinition.publicationStatus
  • Change value set from http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.6.0
Contract.term.action.reason
  • Type changed from string to CodeableReference
Contract.term.action.reasonCode
  • deleted
Contract.term.action.reasonReference
  • deleted
Coverage
Coverage.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
Coverage.subscriberId
  • Type changed from string to Identifier
Coverage.costToBeneficiary.value[x]
  • Add Type Quantity()
  • Remove Type Quantity()
CoverageEligibilityRequest
CoverageEligibilityRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
CoverageEligibilityRequest.purpose
  • Change value set from http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.0 to http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.6.0
CoverageEligibilityResponse
CoverageEligibilityResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
CoverageEligibilityResponse.purpose
  • Change value set from http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.0.0 to http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.6.0
CoverageEligibilityResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/eligibility-outcome|4.6.0|4.6.0
DetectedIssue
DetectedIssue.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.6.0
DetectedIssue.severity
  • Change value set from http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-severity|4.6.0
Device
Device.displayName
  • Added Element
Device.udiCarrier.entryType
  • Change value set from http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0 to http://hl7.org/fhir/ValueSet/udi-entry-type|4.6.0
Device.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-status|4.0.0 to http://hl7.org/fhir/ValueSet/device-status|4.6.0
Device.deviceName.type
  • Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|4.6.0
Device.type
  • Max Cardinality changed from 1 to *
Device.property.value[x]
  • Added Element
Device.operationalStatus
  • Added Element
Device.operationalStatus.value
  • Added Element
Device.operationalStatus.reason
  • Added Element
Device.associationStatus
  • Added Element
Device.associationStatus.value
  • Added Element
Device.associationStatus.reason
  • Added Element
Device.property.valueQuantity
  • deleted
Device.property.valueCode
  • deleted
DeviceDefinition
DeviceDefinition.deviceName.type
  • Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|4.6.0
DeviceDefinition.type
  • Max Cardinality changed from 1 to *
DeviceDefinition.hasPart
  • Added Element
DeviceDefinition.hasPart.reference
  • Added Mandatory Element
DeviceDefinition.hasPart.count
  • Added Element
DeviceDefinition.packaging
  • Added Element
DeviceDefinition.packaging.identifier
  • Added Element
DeviceDefinition.packaging.type
  • Added Element
DeviceDefinition.packaging.count
  • Added Element
DeviceDefinition.packaging.distributor
  • Added Element
DeviceDefinition.packaging.distributor.name
  • Added Element
DeviceDefinition.packaging.distributor.organizationReference
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier.deviceIdentifier
  • Added Mandatory Element
DeviceDefinition.packaging.udiDeviceIdentifier.issuer
  • Added Mandatory Element
DeviceDefinition.packaging.udiDeviceIdentifier.jurisdiction
  • Added Mandatory Element
DeviceDefinition.packaging.packaging
  • Added Element
DeviceDefinition.version
  • Type changed from string to BackboneElement
DeviceDefinition.version.type
  • Added Element
DeviceDefinition.version.component
  • Added Element
DeviceDefinition.version.value
  • Added Mandatory Element
DeviceDefinition.url
  • deleted
DeviceDefinition.quantity
  • deleted
DeviceMetric
DeviceMetric.operationalStatus
  • Change value set from http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-operational-status|4.6.0
DeviceMetric.color
  • Change value set from http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to http://hl7.org/fhir/ValueSet/metric-color|4.6.0
DeviceMetric.category
  • Change value set from http://hl7.org/fhir/ValueSet/metric-category|4.0.0 to http://hl7.org/fhir/ValueSet/metric-category|4.6.0
DeviceMetric.calibration.type
  • Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-type|4.6.0
DeviceMetric.calibration.state
  • Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-state|4.6.0
DeviceRequest
DeviceRequest.priorRequest
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
DeviceRequest.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.6.0
DeviceRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.code
  • Added Mandatory Element
DeviceRequest.quantity
  • Added Element
DeviceRequest.reason
  • Added Element
DeviceRequest.code[x]
  • deleted
DeviceRequest.reasonCode
  • deleted
DeviceRequest.reasonReference
  • deleted
DeviceUsage
  • Added Resource
DiagnosticReport
DiagnosticReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0 to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.6.0
DiagnosticReport.subject
  • Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance
DiagnosticReport.media.link
  • Type Reference: Added Target Type DocumentReference
  • Type Reference: Removed Target Type Media
DiagnosticReport.composition
  • Added Element
DocumentManifest
DocumentManifest.status
  • Change value set from http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|4.6.0
DocumentReference
DocumentReference.basedOn
  • Added Element
DocumentReference.status
  • Change value set from http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|4.6.0
DocumentReference.docStatus
  • Change value set from http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to http://hl7.org/fhir/ValueSet/composition-status|4.6.0
DocumentReference.subject
  • Type Reference: Added Target Types PractitionerRole, Specimen, Organization, Location
DocumentReference.encounter
  • Added Element
DocumentReference.event
  • Added Element
DocumentReference.facilityType
  • Added Element
DocumentReference.practiceSetting
  • Added Element
DocumentReference.period
  • Added Element
DocumentReference.author
  • Type Reference: Added Target Type CareTeam
DocumentReference.attester
  • Added Element
DocumentReference.attester.mode
  • Added Mandatory Element
DocumentReference.attester.time
  • Added Element
DocumentReference.attester.party
  • Added Element
DocumentReference.relatesTo.code
  • Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/document-relationship-type|4.6.0
DocumentReference.description
  • Type changed from string to markdown
DocumentReference.content.identifier
  • Added Element
DocumentReference.sourcePatientInfo
  • Added Element
DocumentReference.related
  • Added Element
DocumentReference.masterIdentifier
  • deleted
DocumentReference.authenticator
  • deleted
DocumentReference.context
  • deleted
DomainResource
  • No Changes
Encounter
Encounter.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status|4.6.0
Encounter.statusHistory.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status|4.6.0
Encounter.subjectStatus
  • Added Element
Encounter.reason
  • Added Element
Encounter.location.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-location-status|4.6.0
Encounter.reasonCode
  • deleted
Encounter.reasonReference
  • deleted
Endpoint
Endpoint.status
  • Change value set from http://hl7.org/fhir/ValueSet/endpoint-status|4.0.0 to http://hl7.org/fhir/ValueSet/endpoint-status|4.6.0
Endpoint.payloadMimeType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
EnrollmentRequest
EnrollmentRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
EnrollmentResponse
EnrollmentResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/enrollment-outcome|4.6.0|4.6.0
EpisodeOfCare
EpisodeOfCare.status
  • Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.6.0
EpisodeOfCare.statusHistory.status
  • Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.6.0
EventDefinition
EventDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
Evidence
Evidence.citeAs[x]
  • Added Element
Evidence.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyType
  • Added Element
Evidence.statistic
  • Added Element
Evidence.distribution
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.name
  • deleted
Evidence.shortTitle
  • deleted
Evidence.subtitle
  • deleted
Evidence.jurisdiction
  • deleted
Evidence.copyright
  • deleted
Evidence.effectivePeriod
  • deleted
Evidence.topic
  • deleted
Evidence.exposureBackground
  • deleted
Evidence.exposureVariant
  • deleted
Evidence.outcome
  • deleted
EvidenceReport
  • Added Resource
EvidenceVariable
EvidenceVariable.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
EvidenceVariable.actual
  • Added Element
EvidenceVariable.characteristicCombination
  • Added Element
EvidenceVariable.characteristic
  • Min Cardinality changed from 1 to 0
EvidenceVariable.characteristic.definition[x]
  • Remove Types DataRequirement, TriggerDefinition
EvidenceVariable.characteristic.method
  • Added Element
EvidenceVariable.characteristic.device
  • Added Element
EvidenceVariable.characteristic.timeFromStart
  • Type changed from Duration to BackboneElement
EvidenceVariable.characteristic.timeFromStart.description
  • Added Element
EvidenceVariable.characteristic.timeFromStart.quantity
  • Added Element
EvidenceVariable.characteristic.timeFromStart.range
  • Added Element
EvidenceVariable.characteristic.timeFromStart.note
  • Added Element
EvidenceVariable.characteristic.groupMeasure
  • Change value set from http://hl7.org/fhir/ValueSet/group-measure|4.0.0 to http://hl7.org/fhir/ValueSet/group-measure|4.6.0
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.jurisdiction
  • deleted
EvidenceVariable.copyright
  • deleted
EvidenceVariable.approvalDate
  • deleted
EvidenceVariable.lastReviewDate
  • deleted
EvidenceVariable.effectivePeriod
  • deleted
EvidenceVariable.topic
  • deleted
EvidenceVariable.type
  • deleted
EvidenceVariable.characteristic.usageContext
  • deleted
EvidenceVariable.characteristic.participantEffective[x]
  • deleted
ExampleScenario
ExampleScenario.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
ExampleScenario.actor.type
  • Change value set from http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.6.0
ExampleScenario.instance.resourceType
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
ExplanationOfBenefit
ExplanationOfBenefit.status
  • Change value set from http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0 to http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.6.0
ExplanationOfBenefit.use
  • Change value set from http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/claim-use|4.6.0
ExplanationOfBenefit.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/claim-outcome|4.6.0
ExplanationOfBenefit.processNote.type
  • Change value set from http://hl7.org/fhir/ValueSet/note-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.6.0
FamilyMemberHistory
FamilyMemberHistory.status
  • Change value set from http://hl7.org/fhir/ValueSet/history-status|4.0.0 to http://hl7.org/fhir/ValueSet/history-status|4.6.0
FamilyMemberHistory.sex
  • Change value set from http://build.fhir.org/valueset-administrative-gender.html to http://hl7.org/fhir/ValueSet/administrative-gender
FamilyMemberHistory.reason
  • Added Element
FamilyMemberHistory.procedure
  • Added Element
FamilyMemberHistory.procedure.code
  • Added Mandatory Element
FamilyMemberHistory.procedure.outcome
  • Added Element
FamilyMemberHistory.procedure.contributedToDeath
  • Added Element
FamilyMemberHistory.procedure.performed[x]
  • Added Element
FamilyMemberHistory.procedure.note
  • Added Element
FamilyMemberHistory.reasonCode
  • deleted
FamilyMemberHistory.reasonReference
  • deleted
Flag
Flag.status
  • Change value set from http://hl7.org/fhir/ValueSet/flag-status|4.0.0 to http://hl7.org/fhir/ValueSet/flag-status|4.6.0
Flag.subject
  • Type Reference: Added Target Type PractitionerRole
Goal
Goal.lifecycleStatus
  • Change value set from http://hl7.org/fhir/ValueSet/goal-status|4.0.0 to http://hl7.org/fhir/ValueSet/goal-status|4.6.0
Goal.continuous
  • Added Element
Goal.source
  • Added Element
Goal.addresses
  • Type Reference: Added Target Types MedicationUsage, MedicationRequest
  • Type Reference: Removed Target Type MedicationStatement
Goal.outcome
  • Added Element
Goal.expressedBy
  • deleted
Goal.outcomeCode
  • deleted
Goal.outcomeReference
  • deleted
GraphDefinition
GraphDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
GraphDefinition.start
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
GraphDefinition.link.target.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
GraphDefinition.link.target.compartment.use
  • Change value set from http://hl7.org/fhir/ValueSet/graph-compartment-use|4.0.0 to http://hl7.org/fhir/ValueSet/graph-compartment-use|4.6.0
GraphDefinition.link.target.compartment.code
  • Change value set from http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to http://hl7.org/fhir/ValueSet/compartment-type|4.6.0
GraphDefinition.link.target.compartment.rule
  • Change value set from http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.0 to http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.6.0
Group
Group.type
  • Change value set from http://hl7.org/fhir/ValueSet/group-type|4.0.0 to http://hl7.org/fhir/ValueSet/group-type|4.6.0
GuidanceResponse
GuidanceResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.0 to http://hl7.org/fhir/ValueSet/guidance-response-status|4.6.0
GuidanceResponse.reason
  • Added Element
GuidanceResponse.reasonCode
  • deleted
GuidanceResponse.reasonReference
  • deleted
HealthcareService
HealthcareService.availableTime.daysOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.6.0
ImagingStudy
ImagingStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0 to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.6.0
ImagingStudy.modality
  • Change value set from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ImagingStudy.procedure
  • Added Element
ImagingStudy.procedure.value[x]
  • Added Mandatory Element
ImagingStudy.reason
  • Added Element
ImagingStudy.series.modality
  • Change value set from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ImagingStudy.series.performer.actor
  • Type Reference: Added Target Type HealthcareService
ImagingStudy.procedureReference
  • deleted
ImagingStudy.procedureCode
  • deleted
ImagingStudy.reasonCode
  • deleted
ImagingStudy.reasonReference
  • deleted
Immunization
Immunization.instantiatesCanonical
  • Added Element
Immunization.instantiatesUri
  • Added Element
Immunization.basedOn
  • Added Element
Immunization.status
  • Change value set from http://hl7.org/fhir/ValueSet/immunization-status|4.0.0 to http://hl7.org/fhir/ValueSet/immunization-status|4.6.0
Immunization.informationSource[x]
  • Added Element
Immunization.reason
  • Added Element
Immunization.protocolApplied.doseNumber
  • Added Mandatory Element
Immunization.protocolApplied.seriesDoses
  • Added Element
Immunization.reportOrigin
  • deleted
Immunization.reasonCode
  • deleted
Immunization.reasonReference
  • deleted
Immunization.protocolApplied.doseNumber[x]
  • deleted
Immunization.protocolApplied.seriesDoses[x]
  • deleted
ImmunizationEvaluation
ImmunizationEvaluation.status
  • Change value set from http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.0 to http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.6.0
ImmunizationEvaluation.doseNumber
  • Added Element
ImmunizationEvaluation.seriesDoses
  • Added Element
ImmunizationEvaluation.doseNumber[x]
  • deleted
ImmunizationEvaluation.seriesDoses[x]
  • deleted
ImmunizationRecommendation
ImmunizationRecommendation.instantiatesCanonical
  • Added Element
ImmunizationRecommendation.instantiatesUri
  • Added Element
ImmunizationRecommendation.recommendation.targetDisease
  • Max Cardinality changed from 1 to *
ImmunizationRecommendation.recommendation.doseNumber
  • Added Element
ImmunizationRecommendation.recommendation.seriesDoses
  • Added Element
ImmunizationRecommendation.recommendation.doseNumber[x]
  • deleted
ImmunizationRecommendation.recommendation.seriesDoses[x]
  • deleted
ImplementationGuide
ImplementationGuide.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
ImplementationGuide.license
  • Change value set from http://hl7.org/fhir/ValueSet/spdx-license|4.0.0 to http://hl7.org/fhir/ValueSet/spdx-license|4.6.0
ImplementationGuide.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/FHIR-version|4.6.0
ImplementationGuide.global.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
ImplementationGuide.definition.resource.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/FHIR-version|4.6.0
ImplementationGuide.definition.page.generation
  • Change value set from http://hl7.org/fhir/ValueSet/guide-page-generation|4.0.0 to http://hl7.org/fhir/ValueSet/guide-page-generation|4.6.0
ImplementationGuide.definition.parameter.code
  • Type changed from code to string
  • Remove Binding http://hl7.org/fhir/ValueSet/guide-parameter-code|4.0.0 (required)
Ingredient
  • Added Resource
InsurancePlan
InsurancePlan.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
InsurancePlan.plan.specificCost.benefit.cost.applicability
  • Change value set from http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.0 to http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.6.0
InventoryReport
  • Added Resource
Invoice
Invoice.status
  • Change value set from http://hl7.org/fhir/ValueSet/invoice-status|4.0.0 to http://hl7.org/fhir/ValueSet/invoice-status|4.6.0
Invoice.lineItem.priceComponent.type
  • Change value set from http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.6.0
Library
Library.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
Linkage
Linkage.item.type
  • Change value set from http://hl7.org/fhir/ValueSet/linkage-type|4.0.0 to http://hl7.org/fhir/ValueSet/linkage-type|4.6.0
List
List.status
  • Change value set from http://hl7.org/fhir/ValueSet/list-status|4.0.0 to http://hl7.org/fhir/ValueSet/list-status|4.6.0|4.6.0
List.mode
  • Change value set from http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/list-mode|4.6.0|4.6.0
Location
Location.status
  • Change value set from http://hl7.org/fhir/ValueSet/location-status|4.0.0 to http://hl7.org/fhir/ValueSet/location-status|4.6.0
Location.mode
  • Change value set from http://hl7.org/fhir/ValueSet/location-mode|4.0.0 to http://hl7.org/fhir/ValueSet/location-mode|4.6.0
Location.hoursOfOperation.daysOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.6.0
ManufacturedItemDefinition
  • Added Resource
Measure
Measure.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
Measure.basis
  • Added Element
Measure.scoringUnit
  • Added Element
Measure.improvementNotation
  • Change value set from http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.6.0
Measure.group.type
  • Added Element
Measure.group.basis
  • Added Element
Measure.group.scoring
  • Added Element
Measure.group.scoringUnit
  • Added Element
Measure.group.improvementNotation
  • Added Element
Measure.group.population.inputPopulationId
  • Added Element
Measure.group.population.aggregateMethod
  • Added Element
MeasureReport
MeasureReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-status|4.6.0
MeasureReport.type
  • Change value set from http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-type|4.6.0
MeasureReport.dataUpdateType
  • Added Element
MeasureReport.reporter
  • Type Reference: Added Target Type Group
MeasureReport.reportingVendor
  • Added Element
MeasureReport.scoring
  • Added Element
MeasureReport.improvementNotation
  • Change value set from http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.6.0
MeasureReport.group.measureScore[x]
  • Added Element
MeasureReport.group.stratifier.stratum.value[x]
  • Added Element
MeasureReport.group.stratifier.stratum.component.value[x]
  • Added Mandatory Element
MeasureReport.group.stratifier.stratum.measureScore[x]
  • Added Element
MeasureReport.group.measureScore
  • deleted
MeasureReport.group.stratifier.stratum.value
  • deleted
MeasureReport.group.stratifier.stratum.component.value
  • deleted
MeasureReport.group.stratifier.stratum.measureScore
  • deleted
Medication
Medication.status
  • Change value set from http://hl7.org/fhir/ValueSet/medication-status|4.0.0 to http://hl7.org/fhir/ValueSet/medication-status|4.6.0
Medication.sponsor
  • Added Element
Medication.doseForm
  • Added Element
Medication.ingredient.item
  • Added Mandatory Element
Medication.ingredient.strength[x]
  • Added Element
Medication.manufacturer
  • deleted
Medication.form
  • deleted
Medication.ingredient.item[x]
  • deleted
Medication.ingredient.strength
  • deleted
MedicationAdministration
MedicationAdministration.instantiatesCanonical
  • Added Element
MedicationAdministration.instantiatesUri
  • Added Element
MedicationAdministration.basedOn
  • Added Element
MedicationAdministration.status
  • Change value set from http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.0 to http://hl7.org/fhir/ValueSet/medication-admin-status|4.6.0
MedicationAdministration.category
  • Max Cardinality changed from 1 to *
MedicationAdministration.medication
  • Added Mandatory Element
MedicationAdministration.encounter
  • Added Element
MedicationAdministration.occurence[x]
  • Added Mandatory Element
MedicationAdministration.recorded
  • Added Element
MedicationAdministration.reason
  • Added Element
MedicationAdministration.dosage.rate[x]
  • Add Type Quantity()
  • Remove Type Quantity()
MedicationAdministration.instantiates
  • deleted
MedicationAdministration.medication[x]
  • deleted
MedicationAdministration.context
  • deleted
MedicationAdministration.effective[x]
  • deleted
MedicationAdministration.reasonCode
  • deleted
MedicationAdministration.reasonReference
  • deleted
MedicationDispense
MedicationDispense.basedOn
  • Added Element
MedicationDispense.partOf
  • Type Reference: Added Target Type MedicationAdministration
MedicationDispense.status
  • Change value set from http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0 to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.6.0
MedicationDispense.statusReason
  • Added Element
MedicationDispense.category
  • Max Cardinality changed from 1 to *
MedicationDispense.medication
  • Added Mandatory Element
MedicationDispense.subject
  • Min Cardinality changed from 0 to 1
MedicationDispense.encounter
  • Added Element
MedicationDispense.performer.actor
  • Type Reference: Added Target Type CareTeam
MedicationDispense.receiver
  • Type Reference: Added Target Types RelatedPerson, Location, PractitionerRole
MedicationDispense.renderedDosageInstruction
  • Added Element
MedicationDispense.substitution.responsibleParty
  • Max Cardinality changed from * to 1
  • Type Reference: Added Target Type Organization
MedicationDispense.statusReason[x]
  • deleted
MedicationDispense.medication[x]
  • deleted
MedicationDispense.context
  • deleted
MedicationKnowledge
MedicationKnowledge.identifier
  • Added Element
MedicationKnowledge.status
  • Change value set from http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0 to http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.6.0
MedicationKnowledge.author
  • Added Element
MedicationKnowledge.sponsor
  • Added Element
MedicationKnowledge.associatedDefinition
  • Added Element
MedicationKnowledge.monograph.source
  • Type Reference: Removed Target Type Media
MedicationKnowledge.ingredient.item
  • Added Mandatory Element
MedicationKnowledge.ingredient.isActive
  • Type changed from boolean to CodeableConcept
MedicationKnowledge.ingredient.strength[x]
  • Added Element
MedicationKnowledge.device
  • Added Element
MedicationKnowledge.cost.effectiveDate
  • Added Element
MedicationKnowledge.cost.cost[x]
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.indication
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.treatmentIntent
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.dosage.dosage
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.administrationTreatment
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic
  • Added Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.type
  • Added Mandatory Element
MedicationKnowledge.indicationGuideline.dosingGuideline.patientCharacteristic.value[x]
  • Added Element
MedicationKnowledge.packaging
  • Max Cardinality changed from 1 to *
MedicationKnowledge.packaging.identifier
  • Added Element
MedicationKnowledge.packaging.cost
  • Added Element
MedicationKnowledge.packaging.device
  • Added Element
MedicationKnowledge.packaging.material
  • Added Element
MedicationKnowledge.packaging.packaging
  • Added Element
MedicationKnowledge.drugCharacteristic.value[x]
  • Add Types Quantity(), Attachment
  • Remove Type Quantity()
MedicationKnowledge.clinicalUseIssue
  • Added Element
MedicationKnowledge.regulatory.schedule
  • Type changed from BackboneElement to CodeableConcept
MedicationKnowledge.kineticCharacteristic
  • Added Element
MedicationKnowledge.kineticCharacteristic.type
  • Added Element
MedicationKnowledge.kineticCharacteristic.value[x]
  • Added Element
MedicationKnowledge.manufacturer
  • deleted
MedicationKnowledge.ingredient.item[x]
  • deleted
MedicationKnowledge.ingredient.strength
  • deleted
MedicationKnowledge.cost.cost
  • deleted
MedicationKnowledge.administrationGuidelines
  • deleted
MedicationKnowledge.contraindication
  • deleted
MedicationKnowledge.regulatory.schedule.schedule
  • deleted
MedicationKnowledge.kinetics
  • deleted
MedicationRequest
MedicationRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.6.0
MedicationRequest.intent
  • Change value set from http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.0 to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.6.0
MedicationRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
MedicationRequest.reported
  • Added Element
MedicationRequest.informationSource
  • Added Element
MedicationRequest.medication
  • Added Mandatory Element
MedicationRequest.performer
  • Type Reference: Added Target Type HealthcareService
MedicationRequest.reason
  • Added Element
MedicationRequest.instantiatesCanonical
  • Type changed from canonical to canonical(PlanDefinition | ActivityDefinition)
MedicationRequest.renderedDosageInstruction
  • Added Element
MedicationRequest.dispenseRequest.dispenser
  • Added Element
MedicationRequest.dispenseRequest.dispenserInstruction
  • Added Element
MedicationRequest.dispenseRequest.doseAdministrationAid
  • Added Element
MedicationRequest.reported[x]
  • deleted
MedicationRequest.medication[x]
  • deleted
MedicationRequest.reasonCode
  • deleted
MedicationRequest.reasonReference
  • deleted
MedicationRequest.dispenseRequest.performer
  • deleted
MedicationUsage
  • Added Resource
MedicinalProductDefinition
  • Added Resource
MessageDefinition
MessageDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
MessageDefinition.category
  • Change value set from http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0 to http://hl7.org/fhir/ValueSet/message-significance-category|4.6.0
MessageDefinition.focus.code
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
MessageDefinition.responseRequired
  • Change value set from http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0 to http://hl7.org/fhir/ValueSet/messageheader-response-request|4.6.0
MessageHeader
MessageHeader.response.code
  • Change value set from http://hl7.org/fhir/ValueSet/response-code|4.0.0 to http://hl7.org/fhir/ValueSet/response-code|4.6.0
MetadataResource
MetadataResource.approvalDate
  • Added Element
MetadataResource.lastReviewDate
  • Added Element
MetadataResource.effectivePeriod
  • Added Element
MetadataResource.topic
  • Added Element
MetadataResource.author
  • Added Element
MetadataResource.editor
  • Added Element
MetadataResource.reviewer
  • Added Element
MetadataResource.endorser
  • Added Element
MetadataResource.relatedArtifact
  • Added Element
MetadataResource.url
  • deleted
MetadataResource.version
  • deleted
MetadataResource.name
  • deleted
MetadataResource.title
  • deleted
MetadataResource.status
  • deleted
MetadataResource.experimental
  • deleted
MetadataResource.date
  • deleted
MetadataResource.publisher
  • deleted
MetadataResource.contact
  • deleted
MetadataResource.description
  • deleted
MetadataResource.useContext
  • deleted
MetadataResource.jurisdiction
  • deleted
MolecularSequence
MolecularSequence.type
  • Change value set from http://hl7.org/fhir/ValueSet/sequence-type|4.0.0 to http://hl7.org/fhir/ValueSet/sequence-type|4.6.0
MolecularSequence.referenceSeq.orientation
  • Change value set from http://hl7.org/fhir/ValueSet/orientation-type|4.0.0 to http://hl7.org/fhir/ValueSet/orientation-type|4.6.0
MolecularSequence.referenceSeq.strand
  • Change value set from http://hl7.org/fhir/ValueSet/strand-type|4.0.0 to http://hl7.org/fhir/ValueSet/strand-type|4.6.0
MolecularSequence.quality.type
  • Change value set from http://hl7.org/fhir/ValueSet/quality-type|4.0.0 to http://hl7.org/fhir/ValueSet/quality-type|4.6.0
MolecularSequence.repository.type
  • Change value set from http://hl7.org/fhir/ValueSet/repository-type|4.0.0 to http://hl7.org/fhir/ValueSet/repository-type|4.6.0
MolecularSequence.structureVariant.variantType
  • Change value set from http://loinc.org/vs/LL379-9|4.0.0 to http://loinc.org/vs/LL379-9|4.6.0
NamingSystem
NamingSystem.url
  • Added Element
NamingSystem.version
  • Added Element
NamingSystem.title
  • Added Element
NamingSystem.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
NamingSystem.kind
  • Change value set from http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.0 to http://hl7.org/fhir/ValueSet/namingsystem-type|4.6.0
NamingSystem.uniqueId.type
  • Change value set from http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0 to http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.6.0
NamingSystem.uniqueId.authoritative
  • Added Element
NutritionIntake
  • Added Resource
NutritionOrder
NutritionOrder.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
NutritionOrder.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.6.0
NutritionOrder.enteralFormula.administration.rate[x]
  • Add Type Quantity()
  • Remove Type Quantity()
NutritionProduct
  • Added Resource
Observation
Observation.instantiates[x]
  • Added Element
Observation.partOf
  • Type Reference: Added Target Type MedicationUsage
  • Type Reference: Removed Target Type MedicationStatement
Observation.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.6.0
Observation.subject
  • Type Reference: Added Target Types Organization, Procedure, Practitioner, Medication, Substance
Observation.value[x]
  • Add Type Attachment
Observation.derivedFrom
  • Type Reference: Removed Target Type Media
Observation.component.value[x]
  • Add Type Attachment
ObservationDefinition
ObservationDefinition.url
  • Added Element
ObservationDefinition.identifier
  • Max Cardinality changed from * to 1
ObservationDefinition.version
  • 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.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.permittedDataType
  • Change value set from http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0 to http://hl7.org/fhir/ValueSet/permitted-data-type|4.6.0
ObservationDefinition.bodySite
  • Added Element
ObservationDefinition.specimen
  • Added Element
ObservationDefinition.device
  • Added Element
ObservationDefinition.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedValue.context
  • Added Element
ObservationDefinition.qualifiedValue.appliesTo
  • Added Element
ObservationDefinition.qualifiedValue.gender
  • Added Element
ObservationDefinition.qualifiedValue.age
  • Added Element
ObservationDefinition.qualifiedValue.gestationalAge
  • Added Element
ObservationDefinition.qualifiedValue.condition
  • Added Element
ObservationDefinition.qualifiedValue.rangeCategory
  • Added Element
ObservationDefinition.qualifiedValue.range
  • Added Element
ObservationDefinition.qualifiedValue.validCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.normalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.abnormalCodedValueSet
  • Added Element
ObservationDefinition.qualifiedValue.criticalCodedValueSet
  • Added Element
ObservationDefinition.hasMember
  • Added Element
ObservationDefinition.component
  • Added Element
ObservationDefinition.component.code
  • Added Mandatory Element
ObservationDefinition.component.permittedDataType
  • Added Element
ObservationDefinition.component.quantitativeDetails
  • Added Element
ObservationDefinition.component.qualifiedValue
  • Added Element
ObservationDefinition.qualifiedInterval
  • deleted
ObservationDefinition.validCodedValueSet
  • deleted
ObservationDefinition.normalCodedValueSet
  • deleted
ObservationDefinition.abnormalCodedValueSet
  • deleted
ObservationDefinition.criticalCodedValueSet
  • deleted
OperationDefinition
OperationDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
OperationDefinition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/operation-kind|4.0.0 to http://hl7.org/fhir/ValueSet/operation-kind|4.6.0
OperationDefinition.resource
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
OperationDefinition.parameter.use
  • Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.6.0
OperationDefinition.parameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|4.6.0
OperationDefinition.parameter.searchType
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.6.0
OperationDefinition.parameter.binding.strength
  • Change value set from http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to http://hl7.org/fhir/ValueSet/binding-strength|4.6.0
OperationOutcome
OperationOutcome.issue.severity
  • Change value set from http://hl7.org/fhir/ValueSet/issue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/issue-severity|4.6.0
OperationOutcome.issue.code
  • Change value set from http://hl7.org/fhir/ValueSet/issue-type|4.0.0 to http://hl7.org/fhir/ValueSet/issue-type|4.6.0
Organization
  • No Changes
OrganizationAffiliation
  • No Changes
PackagedProductDefinition
  • Added Resource
Parameters
Parameters.parameter.value[x]
  • Add Types integer64, Meta
Patient
Patient.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.6.0|4.6.0
Patient.contact.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.6.0|4.6.0
Patient.link.type
  • Change value set from http://hl7.org/fhir/ValueSet/link-type|4.0.0 to http://hl7.org/fhir/ValueSet/link-type|4.6.0|4.6.0
PaymentNotice
PaymentNotice.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
PaymentReconciliation
PaymentReconciliation.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
PaymentReconciliation.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/payment-outcome|4.6.0|4.6.0
PaymentReconciliation.processNote.type
  • Change value set from http://hl7.org/fhir/ValueSet/note-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.6.0
Permission
  • Added Resource
Person
Person.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.6.0
Person.link.assurance
  • Change value set from http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.0 to http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.6.0
PlanDefinition
PlanDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
PlanDefinition.subject[x]
  • Add Type canonical(MedicinalProductDefinition | SubstanceDefinition | AdministrableProductDefinition | ManufacturedItemDefinition | PackagedProductDefinition)
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.typeReference
  • Added Element
PlanDefinition.actor.option.role
  • Added Element
PlanDefinition.action.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0|4.6.0
PlanDefinition.action.code
  • Max Cardinality changed from * to 1
PlanDefinition.action.subject[x]
  • Add Type canonical
PlanDefinition.action.condition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.6.0|4.6.0
PlanDefinition.action.input
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.input.title
  • Added Element
PlanDefinition.action.input.requirement
  • Added Element
PlanDefinition.action.input.relatedData
  • Added Element
PlanDefinition.action.output
  • Type changed from DataRequirement to BackboneElement
PlanDefinition.action.output.title
  • Added Element
PlanDefinition.action.output.requirement
  • Added Element
PlanDefinition.action.output.relatedData
  • Added Element
PlanDefinition.action.relatedAction.targetId
  • Added Mandatory Element
PlanDefinition.action.relatedAction.relationship
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.6.0|4.6.0
PlanDefinition.action.timing[x]
  • Remove Types dateTime, Period
PlanDefinition.action.location
  • Added Element
PlanDefinition.action.participant.actorId
  • Added Element
PlanDefinition.action.participant.type
  • Min Cardinality changed from 1 to 0
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.6.0|4.6.0
PlanDefinition.action.participant.typeReference
  • Added Element
PlanDefinition.action.participant.function
  • Added Element
PlanDefinition.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.6.0|4.6.0
PlanDefinition.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.6.0|4.6.0
PlanDefinition.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.6.0|4.6.0
PlanDefinition.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.6.0|4.6.0
PlanDefinition.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.6.0|4.6.0
PlanDefinition.action.relatedAction.actionId
  • deleted
Practitioner
Practitioner.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.6.0
PractitionerRole
PractitionerRole.availableTime.daysOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.6.0
Procedure
Procedure.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.6.0
Procedure.category
  • Max Cardinality changed from 1 to *
Procedure.subject
  • Type Reference: Added Target Types Device, Practitioner, Organization, Location
Procedure.occurrence[x]
  • Added Element
Procedure.recorded
  • Added Element
Procedure.reported[x]
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Types CareTeam, HealthcareService
Procedure.reason
  • Added Element
Procedure.used
  • Added Element
Procedure.supportingInfo
  • Added Element
Procedure.performed[x]
  • deleted
Procedure.asserter
  • deleted
Procedure.reasonCode
  • deleted
Procedure.reasonReference
  • deleted
Procedure.usedReference
  • deleted
Procedure.usedCode
  • deleted
Provenance
Provenance.basedOn
  • Added Element
Provenance.encounter
  • Added Element
Provenance.agent.type
  • Change value set from http://hl7.org/fhir/ValueSet/provenance-agent-type to http://hl7.org/fhir/ValueSet/participation-role-type
Provenance.entity.role
  • Change value set from http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0 to http://hl7.org/fhir/ValueSet/provenance-entity-role|4.6.0
Questionnaire
Questionnaire.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
Questionnaire.subjectType
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
Questionnaire.item.text
  • Type changed from string to markdown
Questionnaire.item.type
  • Change value set from http://hl7.org/fhir/ValueSet/item-type|4.0.0 to http://hl7.org/fhir/ValueSet/item-type|4.6.0
Questionnaire.item.enableWhen.operator
  • Change value set from http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.6.0
Questionnaire.item.enableBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.6.0
Questionnaire.item.disabledDisplay
  • Added Element
Questionnaire.item.answerConstraint
  • Added Element
QuestionnaireResponse
QuestionnaireResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.6.0
RegulatedAuthorization
  • Added Resource
RelatedPerson
RelatedPerson.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.6.0
RequestGroup
RequestGroup.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
RequestGroup.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.6.0
RequestGroup.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
RequestGroup.reason
  • Added Element
RequestGroup.action.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
RequestGroup.action.condition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.6.0
RequestGroup.action.relatedAction.targetId
  • Added Mandatory Element
RequestGroup.action.relatedAction.relationship
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.6.0
RequestGroup.action.location
  • Added Element
RequestGroup.action.participant
  • Type changed from Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device) to BackboneElement
RequestGroup.action.participant.type
  • Added Element
RequestGroup.action.participant.typeReference
  • Added Element
RequestGroup.action.participant.role
  • Added Element
RequestGroup.action.participant.function
  • Added Element
RequestGroup.action.participant.actor
  • Added Element
RequestGroup.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.6.0
RequestGroup.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.6.0
RequestGroup.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.6.0
RequestGroup.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.6.0
RequestGroup.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.6.0
RequestGroup.reasonCode
  • deleted
RequestGroup.reasonReference
  • deleted
RequestGroup.action.relatedAction.actionId
  • deleted
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.date
  • Added Element
ResearchStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
ResearchStudy.focus
  • Type changed from CodeableConcept to BackboneElement
ResearchStudy.focus.productCode
  • Added Element
ResearchStudy.focus.focusType
  • Added Element
ResearchStudy.focus.factor
  • Added Element
ResearchStudy.descriptionSummary
  • Added Element
ResearchStudy.site
  • Type Reference: Added Target Types ResearchStudy, Organization
ResearchStudy.classification
  • Added Element
ResearchStudy.classification.type
  • Added Element
ResearchStudy.classification.classifier
  • Added Element
ResearchStudy.associatedParty
  • Added Element
ResearchStudy.associatedParty.name
  • Added Element
ResearchStudy.associatedParty.role
  • Added Mandatory Element
ResearchStudy.associatedParty.classifier
  • Added Element
ResearchStudy.associatedParty.party
  • Added Element
ResearchStudy.currentState
  • Added Element
ResearchStudy.statusDate
  • Added Element
ResearchStudy.statusDate.activity
  • Added Mandatory Element
ResearchStudy.statusDate.actual
  • Added Element
ResearchStudy.statusDate.period
  • Added Mandatory Element
ResearchStudy.whyStopped
  • Added Element
ResearchStudy.recruitment
  • Added Element
ResearchStudy.recruitment.targetNumber
  • Added Element
ResearchStudy.recruitment.actualNumber
  • Added Element
ResearchStudy.recruitment.eligibility
  • Added Element
ResearchStudy.recruitment.actualGroup
  • Added Element
ResearchStudy.comparisonGroup
  • Added Element
ResearchStudy.comparisonGroup.identifier[x]
  • Added Element
ResearchStudy.comparisonGroup.name
  • Added Mandatory Element
ResearchStudy.comparisonGroup.type
  • Added Element
ResearchStudy.comparisonGroup.description
  • Added Element
ResearchStudy.comparisonGroup.intendedExposure
  • Added Element
ResearchStudy.comparisonGroup.observedGroup
  • Added Element
ResearchStudy.objective.description
  • Added Element
ResearchStudy.outcomeMeasure
  • Added Element
ResearchStudy.outcomeMeasure.name
  • Added Element
ResearchStudy.outcomeMeasure.type
  • Added Element
ResearchStudy.outcomeMeasure.description
  • Added Element
ResearchStudy.outcomeMeasure.reference
  • Added Element
ResearchStudy.result
  • Added Element
ResearchStudy.webLocation
  • Added Element
ResearchStudy.webLocation.type
  • Added Element
ResearchStudy.webLocation.url
  • Added Mandatory Element
ResearchStudy.enrollment
  • deleted
ResearchStudy.reasonStopped
  • deleted
ResearchStudy.arm
  • deleted
ResearchSubject
ResearchSubject.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
ResearchSubject.progress
  • Added Element
ResearchSubject.progress.type
  • Added Element
ResearchSubject.progress.subjectState
  • Added Element
ResearchSubject.progress.milestone
  • Added Element
ResearchSubject.progress.reason
  • Added Element
ResearchSubject.progress.startDate
  • Added Element
ResearchSubject.progress.endDate
  • Added Element
ResearchSubject.subject
  • Added Mandatory Element
ResearchSubject.individual
  • deleted
Resource
  • No Changes
RiskAssessment
RiskAssessment.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.6.0
RiskAssessment.reason
  • Added Element
RiskAssessment.reasonCode
  • deleted
RiskAssessment.reasonReference
  • deleted
Schedule
  • No Changes
SearchParameter
SearchParameter.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
SearchParameter.base
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
SearchParameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.6.0
SearchParameter.xpathUsage
  • Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to http://hl7.org/fhir/ValueSet/search-xpath-usage|4.6.0
SearchParameter.target
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.6.0
SearchParameter.comparator
  • Change value set from http://hl7.org/fhir/ValueSet/search-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/search-comparator|4.6.0
SearchParameter.modifier
  • Change value set from http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0 to http://hl7.org/fhir/ValueSet/search-modifier-code|4.6.0
ServiceRequest
ServiceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.6.0
ServiceRequest.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.6.0
ServiceRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
ServiceRequest.location
  • Added Element
ServiceRequest.reason
  • Added Element
ServiceRequest.locationCode
  • deleted
ServiceRequest.locationReference
  • deleted
ServiceRequest.reasonCode
  • deleted
ServiceRequest.reasonReference
  • deleted
Slot
Slot.status
  • Change value set from http://hl7.org/fhir/ValueSet/slotstatus|4.0.0 to http://hl7.org/fhir/ValueSet/slotstatus|4.6.0
Specimen
Specimen.status
  • Change value set from http://hl7.org/fhir/ValueSet/specimen-status|4.0.0 to http://hl7.org/fhir/ValueSet/specimen-status|4.6.0
SpecimenDefinition
SpecimenDefinition.url
  • Added Element
SpecimenDefinition.version
  • 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.approvalDate
  • Added Element
SpecimenDefinition.lastReviewDate
  • Added Element
SpecimenDefinition.effectivePeriod
  • Added Element
SpecimenDefinition.typeTested.preference
  • Change value set from http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.0.0 to http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.6.0
SpecimenDefinition.typeTested.container.minimumVolume[x]
  • Add Type Quantity()
  • Remove Type Quantity()
SpecimenDefinition.typeTested.singleUse
  • Added Element
SpecimenDefinition.typeTested.testingDestination
  • Added Element
StructureDefinition
StructureDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
StructureDefinition.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/FHIR-version|4.6.0|4.6.0
StructureDefinition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/structure-definition-kind|4.6.0|4.6.0
StructureDefinition.context.type
  • Change value set from http://hl7.org/fhir/ValueSet/extension-context-type|4.0.0 to http://hl7.org/fhir/ValueSet/extension-context-type|4.6.0|4.6.0
StructureDefinition.derivation
  • Change value set from http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.0 to http://hl7.org/fhir/ValueSet/type-derivation-rule|4.6.0|4.6.0
StructureMap
StructureMap.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
StructureMap.structure.mode
  • Change value set from http://hl7.org/fhir/ValueSet/map-model-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-model-mode|4.6.0|4.6.0
StructureMap.group.typeMode
  • Min Cardinality changed from 1 to 0
  • Change value set from http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-group-type-mode|4.6.0|4.6.0
StructureMap.group.input.mode
  • Change value set from http://hl7.org/fhir/ValueSet/map-input-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-input-mode|4.6.0|4.6.0
StructureMap.group.rule
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.name
  • Min Cardinality changed from 1 to 0
StructureMap.group.rule.source.defaultValue[x]
  • Add Types integer64, Meta
StructureMap.group.rule.source.listMode
  • Change value set from http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-source-list-mode|4.6.0|4.6.0
StructureMap.group.rule.target.listMode
  • Change value set from http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-target-list-mode|4.6.0|4.6.0
StructureMap.group.rule.target.transform
  • Change value set from http://hl7.org/fhir/ValueSet/map-transform|4.0.0 to http://hl7.org/fhir/ValueSet/map-transform|4.6.0|4.6.0
StructureMap.group.rule.target.contextType
  • deleted
Subscription
Subscription.identifier
  • Added Element
Subscription.name
  • Added Element
Subscription.status
  • Change value set from http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 to http://hl7.org/fhir/ValueSet/subscription-state|4.6.0
Subscription.topic
  • Added Mandatory Element
Subscription.reason
  • Min Cardinality changed from 1 to 0
Subscription.filterBy
  • Added Element
Subscription.filterBy.resourceType
  • Added Element
Subscription.filterBy.searchParamName
  • Added Mandatory Element
Subscription.filterBy.searchModifier
  • Added Element
Subscription.filterBy.value
  • Added Mandatory Element
Subscription.channelType
  • Added Mandatory Element
Subscription.endpoint
  • Added Element
Subscription.header
  • Added Element
Subscription.heartbeatPeriod
  • Added Element
Subscription.timeout
  • Added Element
Subscription.contentType
  • Added Element
Subscription.content
  • Added Element
Subscription.notificationUrlLocation
  • Added Element
Subscription.maxCount
  • Added Element
Subscription.criteria
  • deleted
Subscription.error
  • deleted
Subscription.channel
  • deleted
SubscriptionStatus
  • Added Resource
SubscriptionTopic
  • Added Resource
Substance
Substance.instance
  • Min Cardinality changed from 0 to 1
  • Max Cardinality changed from * to 1
  • Type changed from BackboneElement to boolean
  • Now marked as Modifier
Substance.status
  • Change value set from http://hl7.org/fhir/ValueSet/substance-status|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|4.6.0
Substance.code
  • Type changed from CodeableConcept to CodeableReference
Substance.expiry
  • Added Element
Substance.quantity
  • Added Element
Substance.instance.identifier
  • deleted
Substance.instance.expiry
  • deleted
Substance.instance.quantity
  • deleted
SubstanceDefinition
  • Added Resource
SubstanceNucleicAcid
  • No Changes
SubstancePolymer
SubstancePolymer.identifier
  • Added Element
SubstancePolymer.modification
  • Max Cardinality changed from * to 1
SubstancePolymer.monomerSet.startingMaterial.code
  • Added Element
SubstancePolymer.monomerSet.startingMaterial.category
  • Added Element
SubstancePolymer.monomerSet.startingMaterial.amount
  • Type changed from SubstanceAmount to Quantity
SubstancePolymer.repeat.repeatUnit.unit
  • Added Element
SubstancePolymer.repeat.repeatUnit.orientation
  • Added Element
SubstancePolymer.repeat.repeatUnit.amount
  • Type changed from SubstanceAmount to integer
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low
  • Added Element
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high
  • Added Element
SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format
  • Added Element
SubstancePolymer.monomerSet.startingMaterial.material
  • deleted
SubstancePolymer.monomerSet.startingMaterial.type
  • deleted
SubstancePolymer.repeat.numberOfUnits
  • deleted
SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation
  • deleted
SubstancePolymer.repeat.repeatUnit.repeatUnit
  • deleted
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree
  • deleted
SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount
  • deleted
SubstanceProtein
  • No Changes
SubstanceReferenceInformation
SubstanceReferenceInformation.classification
  • deleted
SubstanceSourceMaterial
  • No Changes
SupplyDelivery
SupplyDelivery.status
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.0 to http://hl7.org/fhir/ValueSet/supplydelivery-status|4.6.0
SupplyDelivery.type
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to http://hl7.org/fhir/ValueSet/supplydelivery-type|4.6.0
SupplyRequest
SupplyRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.6.0
SupplyRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
SupplyRequest.item
  • Added Mandatory Element
SupplyRequest.requester
  • Type Reference: Added Target Type CareTeam
SupplyRequest.reason
  • Added Element
SupplyRequest.item[x]
  • deleted
SupplyRequest.reasonCode
  • deleted
SupplyRequest.reasonReference
  • deleted
Task
Task.status
  • Change value set from http://hl7.org/fhir/ValueSet/task-status|4.0.0 to http://hl7.org/fhir/ValueSet/task-status|4.6.0
Task.intent
  • Change value set from http://hl7.org/fhir/ValueSet/task-intent|4.0.0 to http://hl7.org/fhir/ValueSet/task-intent|4.6.0
Task.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.6.0
Task.input.value[x]
  • Add Types integer64, Meta
Task.output.value[x]
  • Add Types integer64, Meta
TerminologyCapabilities
TerminologyCapabilities.identifier
  • Added Element
TerminologyCapabilities.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
TerminologyCapabilities.kind
  • Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to http://hl7.org/fhir/ValueSet/capability-statement-kind|4.6.0
TerminologyCapabilities.codeSearch
  • Change value set from http://hl7.org/fhir/ValueSet/code-search-support|4.0.0 to http://hl7.org/fhir/ValueSet/code-search-support|4.6.0
TestReport
TestReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/report-status-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-status-codes|4.6.0
TestReport.result
  • Change value set from http://hl7.org/fhir/ValueSet/report-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-result-codes|4.6.0
TestReport.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/report-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/report-participant-type|4.6.0
TestReport.setup.action.operation.result
  • Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.6.0
TestReport.setup.action.assert.result
  • Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.6.0
TestScript
TestScript.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0
TestScript.scope
  • Added Element
TestScript.scope.artifact
  • Added Mandatory Element
TestScript.scope.conformance
  • Added Element
TestScript.scope.phase
  • Added Element
TestScript.setup.action.operation.resource
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.6.0
TestScript.setup.action.operation.accept
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
TestScript.setup.action.operation.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
TestScript.setup.action.operation.method
  • Change value set from http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to http://hl7.org/fhir/ValueSet/http-operations|4.6.0
TestScript.setup.action.assert.direction
  • Change value set from http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.0 to http://hl7.org/fhir/ValueSet/assert-direction-codes|4.6.0
TestScript.setup.action.assert.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.6.0
TestScript.setup.action.assert.operator
  • Change value set from http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.0 to http://hl7.org/fhir/ValueSet/assert-operator-codes|4.6.0
TestScript.setup.action.assert.requestMethod
  • Change value set from http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to http://hl7.org/fhir/ValueSet/http-operations|4.6.0
TestScript.setup.action.assert.resource
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.6.0
TestScript.setup.action.assert.response
  • Change value set from http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.0 to http://hl7.org/fhir/ValueSet/assert-response-code-types|4.6.0
TestScript.setup.action.assert.stopTestOnFail
  • Added Mandatory Element
ValueSet
ValueSet.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.6.0|4.6.0
ValueSet.compose.include.filter.op
  • Change value set from http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to http://hl7.org/fhir/ValueSet/filter-operator|4.6.0|4.6.0
ValueSet.compose.include.copyright
  • Added Element
ValueSet.compose.property
  • 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.scope
  • Added Element
ValueSet.scope.focus
  • Added Element
ValueSet.scope.inclusionCriteria
  • Added Element
ValueSet.scope.exclusionCriteria
  • Added Element
VerificationResult
VerificationResult.status
  • Change value set from http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.0 to http://hl7.org/fhir/ValueSet/verificationresult-status|4.6.0
VisionPrescription
VisionPrescription.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.6.0
VisionPrescription.lensSpecification.eye
  • Change value set from http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-eye-codes|4.6.0
VisionPrescription.lensSpecification.prism.base
  • Change value set from http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-base-codes|4.6.0
DeviceUseStatement
  • deleted
EffectEvidenceSynthesis
  • deleted
Media
  • deleted
MedicationStatement
  • deleted
MedicinalProduct
  • deleted
MedicinalProductAuthorization
  • deleted
MedicinalProductContraindication
  • deleted
MedicinalProductIndication
  • deleted
MedicinalProductIngredient
  • deleted
MedicinalProductInteraction
  • deleted
MedicinalProductManufactured
  • deleted
MedicinalProductPackaged
  • deleted
MedicinalProductPharmaceutical
  • deleted
MedicinalProductUndesirableEffect
  • deleted
ResearchDefinition
  • deleted
ResearchElementDefinition
  • deleted
RiskEvidenceSynthesis
  • deleted
SubstanceSpecification
  • deleted