﻿{
  "types": [
    "Address",
    "Age",
    "Annotation",
    "Attachment",
    "Availability",
    "BackboneElement",
    "BackboneType",
    "Base",
    "CodeableConcept",
    "CodeableReference",
    "Coding",
    "ContactDetail",
    "ContactPoint",
    "Contributor",
    "Count",
    "DataRequirement",
    "DataType",
    "Distance",
    "Dosage",
    "Duration",
    "Element",
    "ElementDefinition",
    "Expression",
    "ExtendedContactDetail",
    "Extension",
    "HumanName",
    "Identifier",
    "MarketingStatus",
    "Meta",
    "MonetaryComponent",
    "Money",
    "MoneyQuantity",
    "Narrative",
    "ParameterDefinition",
    "Period",
    "PrimitiveType",
    "ProductShelfLife",
    "Quantity",
    "Range",
    "Ratio",
    "RatioRange",
    "Reference",
    "RelatedArtifact",
    "RelativeTime",
    "SampledData",
    "Signature",
    "SimpleQuantity",
    "Timing",
    "TriggerDefinition",
    "UsageContext",
    "VirtualServiceDetail",
    "base64Binary",
    "boolean",
    "canonical",
    "code",
    "date",
    "dateTime",
    "decimal",
    "id",
    "instant",
    "integer",
    "integer64",
    "markdown",
    "oid",
    "positiveInt",
    "string",
    "time",
    "unsignedInt",
    "uri",
    "url",
    "uuid",
    "xhtml",
    "Population",
    "ProdCharacteristic",
    "Account",
    "ActivityDefinition",
    "ActorDefinition",
    "AdministrableProductDefinition",
    "AdverseEvent",
    "AllergyIntolerance",
    "Appointment",
    "AppointmentResponse",
    "ArtifactAssessment",
    "AuditEvent",
    "Basic",
    "Binary",
    "BiologicallyDerivedProduct",
    "BiologicallyDerivedProductDispense",
    "BodyStructure",
    "Bundle",
    "CanonicalResource",
    "CapabilityStatement",
    "CarePlan",
    "CareTeam",
    "ChargeItem",
    "ChargeItemDefinition",
    "Citation",
    "Claim",
    "ClaimResponse",
    "ClinicalImpression",
    "ClinicalUseDefinition",
    "CodeSystem",
    "Communication",
    "CommunicationRequest",
    "CompartmentDefinition",
    "Composition",
    "ConceptMap",
    "Condition",
    "ConditionDefinition",
    "Consent",
    "Contract",
    "Coverage",
    "CoverageEligibilityRequest",
    "CoverageEligibilityResponse",
    "DetectedIssue",
    "Device",
    "DeviceAssociation",
    "DeviceDefinition",
    "DeviceDispense",
    "DeviceMetric",
    "DeviceRequest",
    "DeviceUsage",
    "DiagnosticReport",
    "DocumentReference",
    "DomainResource",
    "Encounter",
    "EncounterHistory",
    "Endpoint",
    "EnrollmentRequest",
    "EnrollmentResponse",
    "EpisodeOfCare",
    "EventDefinition",
    "Evidence",
    "EvidenceReport",
    "EvidenceVariable",
    "ExampleScenario",
    "ExplanationOfBenefit",
    "FamilyMemberHistory",
    "Flag",
    "FormularyItem",
    "GenomicStudy",
    "Goal",
    "GraphDefinition",
    "Group",
    "GuidanceResponse",
    "HealthcareService",
    "ImagingSelection",
    "ImagingStudy",
    "Immunization",
    "ImmunizationEvaluation",
    "ImmunizationRecommendation",
    "ImplementationGuide",
    "Ingredient",
    "InsurancePlan",
    "InsuranceProduct",
    "InventoryItem",
    "InventoryReport",
    "Invoice",
    "Library",
    "Linkage",
    "List",
    "Location",
    "ManufacturedItemDefinition",
    "Measure",
    "MeasureReport",
    "Medication",
    "MedicationAdministration",
    "MedicationDispense",
    "MedicationKnowledge",
    "MedicationRequest",
    "MedicationStatement",
    "MedicinalProductDefinition",
    "MessageDefinition",
    "MessageHeader",
    "MetadataResource",
    "MolecularSequence",
    "NamingSystem",
    "NutritionIntake",
    "NutritionOrder",
    "NutritionProduct",
    "Observation",
    "ObservationDefinition",
    "OperationDefinition",
    "OperationOutcome",
    "Organization",
    "OrganizationAffiliation",
    "PackagedProductDefinition",
    "Parameters",
    "Patient",
    "PaymentNotice",
    "PaymentReconciliation",
    "Permission",
    "Person",
    "PlanDefinition",
    "Practitioner",
    "PractitionerRole",
    "Procedure",
    "Provenance",
    "Questionnaire",
    "QuestionnaireResponse",
    "RegulatedAuthorization",
    "RelatedPerson",
    "RequestOrchestration",
    "Requirements",
    "ResearchStudy",
    "ResearchSubject",
    "Resource",
    "RiskAssessment",
    "Schedule",
    "SearchParameter",
    "ServiceRequest",
    "Slot",
    "Specimen",
    "SpecimenDefinition",
    "StructureDefinition",
    "StructureMap",
    "Subscription",
    "SubscriptionStatus",
    "SubscriptionTopic",
    "Substance",
    "SubstanceDefinition",
    "SubstanceNucleicAcid",
    "SubstancePolymer",
    "SubstanceProtein",
    "SubstanceReferenceInformation",
    "SubstanceSourceMaterial",
    "SupplyDelivery",
    "SupplyRequest",
    "Task",
    "TerminologyCapabilities",
    "TestPlan",
    "TestReport",
    "TestScript",
    "Transport",
    "ValueSet",
    "VerificationResult",
    "VisionPrescription",
    "CatalogEntry",
    "DeviceUseStatement",
    "DocumentManifest",
    "Media",
    "RequestGroup",
    "ResearchDefinition",
    "ResearchElementDefinition"
  ],
  "Address": {
    "elements": {
      "Address.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-use|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Address.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/address-type|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Age": {
    "elements": {
      "Age": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/age-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-time-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/age-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Annotation": {
    "status": "no-change"
  },
  "Attachment": {
    "elements": {
      "Attachment.contentType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Attachment.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Attachment.size": {
        "removed-types": [
          "unsignedInt"
        ],
        "added-types": [
          "integer64"
        ]
      },
      "Attachment.height": {
        "status": "new"
      },
      "Attachment.width": {
        "status": "new"
      },
      "Attachment.frames": {
        "status": "new"
      },
      "Attachment.duration": {
        "status": "new"
      },
      "Attachment.pages": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "Availability": {
    "status": "new"
  },
  "BackboneElement": {
    "status": "no-change"
  },
  "BackboneType": {
    "status": "new"
  },
  "Base": {
    "status": "new"
  },
  "CodeableConcept": {
    "status": "no-change"
  },
  "CodeableReference": {
    "status": "no-change"
  },
  "Coding": {
    "status": "no-change"
  },
  "ContactDetail": {
    "status": "no-change"
  },
  "ContactPoint": {
    "elements": {
      "ContactPoint.system": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-system|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-system|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ContactPoint.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contact-point-use|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Contributor": {
    "elements": {
      "Contributor.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contributor-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/contributor-type|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Count": {
    "status": "no-change"
  },
  "DataRequirement": {
    "elements": {
      "DataRequirement.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fhir-types|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DataRequirement.subject[x]": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subject-type",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participant-resource-types",
          "strength": "extensible"
        }
      },
      "DataRequirement.valueFilter": {
        "status": "new"
      },
      "DataRequirement.valueFilter.path": {
        "status": "new"
      },
      "DataRequirement.valueFilter.searchParam": {
        "status": "new"
      },
      "DataRequirement.valueFilter.comparator": {
        "status": "new"
      },
      "DataRequirement.valueFilter.value[x]": {
        "status": "new"
      },
      "DataRequirement.sort.direction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/sort-direction|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/sort-direction|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "DataType": {
    "status": "new"
  },
  "Distance": {
    "elements": {
      "Distance": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/distance-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-distance-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/distance-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Dosage": {
    "elements": {
      "Dosage.asNeeded": {
        "old-name": "asNeeded[x]",
        "removed-types": [
          "CodeableConcept"
        ]
      },
      "Dosage.asNeededFor": {
        "status": "new"
      },
      "Dosage.maxDosePerPeriod": {
        "old-max": "1",
        "new-max": "*"
      }
    },
    "status": "changed"
  },
  "Duration": {
    "elements": {
      "Duration": {
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/duration-units",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-time-units"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/duration-units",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "Element": {
    "elements": {
      "Element.id": {
        "removed-types": [
          "id"
        ],
        "added-types": [
          "string"
        ]
      }
    },
    "status": "changed"
  },
  "ElementDefinition": {
    "elements": {
      "ElementDefinition.representation": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/property-representation|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/property-representation|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.slicing.discriminator.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "position"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/discriminator-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/discriminator-type|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.slicing.rules": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-slicing-rules|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.type.code": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fhir-element-types",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/elementdefinition-types",
          "strength": "extensible"
        }
      },
      "ElementDefinition.type.aggregation": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-aggregation-mode|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.type.versioning": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-version-rules|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/reference-version-rules|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.defaultValue[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "Meta"
        ]
      },
      "ElementDefinition.fixed[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "Meta"
        ]
      },
      "ElementDefinition.pattern[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "Meta"
        ]
      },
      "ElementDefinition.example.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "Meta"
        ]
      },
      "ElementDefinition.minValue[x]": {
        "added-types": [
          "integer64"
        ]
      },
      "ElementDefinition.maxValue[x]": {
        "added-types": [
          "integer64"
        ]
      },
      "ElementDefinition.constraint.requirements": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.constraint.severity": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/constraint-severity|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/constraint-severity|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.constraint.suppress": {
        "status": "new"
      },
      "ElementDefinition.mustHaveValue": {
        "status": "new"
      },
      "ElementDefinition.valueAlternatives": {
        "status": "new"
      },
      "ElementDefinition.binding.strength": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/binding-strength|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.binding.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.binding.additional": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.purpose": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.valueSet": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.documentation": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.shortDoco": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.usage": {
        "status": "new"
      },
      "ElementDefinition.binding.additional.any": {
        "status": "new"
      },
      "ElementDefinition.mapping.language": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ElementDefinition.mapping.comment": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ElementDefinition.constraint.xpath": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "Expression": {
    "elements": {
      "Expression.name": {
        "removed-types": [
          "id"
        ],
        "added-types": [
          "code"
        ]
      },
      "Expression.language": {
        "old-min": 1,
        "new-min": 0,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/expression-language",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/mimetypes"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/expression-language",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
  "ExtendedContactDetail": {
    "status": "new"
  },
  "Extension": {
    "elements": {
      "Extension.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "Availability",
          "ExtendedContactDetail",
          "Meta"
        ]
      }
    },
    "status": "changed"
  },
  "HumanName": {
    "elements": {
      "HumanName.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/name-use|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "Identifier": {
    "elements": {
      "Identifier.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-use|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "MarketingStatus": {
    "status": "no-change"
  },
  "Meta": {
    "status": "no-change"
  },
  "MonetaryComponent": {
    "status": "new"
  },
  "Money": {
    "elements": {
      "Money.currency": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/currencies|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/currencies|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "MoneyQuantity": {
    "status": "no-change"
  },
  "Narrative": {
    "elements": {
      "Narrative.status": {
        "binding-valueset-changed": true,
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      "AuditEvent.occurred[x]": {
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        "removed-codes": [
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        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Device.availabilityStatus": {
        "status": "new"
      },
      "Device.biologicalSourceEvent": {
        "status": "new"
      },
      "Device.name": {
        "old-name": "deviceName"
      },
      "Device.name.value": {
        "status": "new"
      },
      "Device.name.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "udi-label-name",
          "manufacturer-name",
          "model-name",
          "other"
        ],
        "added-codes": [
          "registered-name"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-nametype|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-nametype|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Device.name.display": {
        "status": "new"
      },
      "Device.category": {
        "status": "new"
      },
      "Device.type": {
        "old-max": "1",
        "new-max": "*"
      },
      "Device.version.installDate": {
        "status": "new"
      },
      "Device.conformsTo": {
        "old-name": "specialization"
      },
      "Device.conformsTo.category": {
        "status": "new"
      },
      "Device.conformsTo.specification": {
        "status": "new"
      },
      "Device.property.value[x]": {
        "status": "new"
      },
      "Device.mode": {
        "status": "new"
      },
      "Device.cycle": {
        "status": "new"
      },
      "Device.duration": {
        "status": "new"
      },
      "Device.endpoint": {
        "status": "new"
      },
      "Device.gateway": {
        "status": "new"
      },
      "Device.statusReason": {
        "status": "deleted"
      },
      "Device.distinctIdentifier": {
        "status": "deleted"
      },
      "Device.deviceName.name": {
        "status": "deleted"
      },
      "Device.specialization.systemType": {
        "status": "deleted"
      },
      "Device.property.valueQuantity": {
        "status": "deleted"
      },
      "Device.property.valueCode": {
        "status": "deleted"
      },
      "Device.patient": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DeviceAssociation": {
    "status": "new"
  },
  "DeviceDefinition": {
    "elements": {
      "DeviceDefinition.description": {
        "status": "new"
      },
      "DeviceDefinition.udiDeviceIdentifier.marketDistribution": {
        "status": "new"
      },
      "DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod": {
        "status": "new"
      },
      "DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction": {
        "status": "new"
      },
      "DeviceDefinition.regulatoryIdentifier": {
        "status": "new"
      },
      "DeviceDefinition.regulatoryIdentifier.type": {
        "status": "new"
      },
      "DeviceDefinition.regulatoryIdentifier.deviceIdentifier": {
        "status": "new"
      },
      "DeviceDefinition.regulatoryIdentifier.issuer": {
        "status": "new"
      },
      "DeviceDefinition.regulatoryIdentifier.jurisdiction": {
        "status": "new"
      },
      "DeviceDefinition.partNumber": {
        "status": "new"
      },
      "DeviceDefinition.manufacturer": {
        "old-name": "manufacturer[x]",
        "removed-types": [
          "string"
        ]
      },
      "DeviceDefinition.deviceName.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "udi-label-name",
          "manufacturer-name",
          "model-name",
          "other"
        ],
        "added-codes": [
          "registered-name"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-nametype|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-nametype|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceDefinition.classification": {
        "status": "new"
      },
      "DeviceDefinition.classification.type": {
        "old-min": 0,
        "new-min": 1
      },
      "DeviceDefinition.classification.justification": {
        "status": "new"
      },
      "DeviceDefinition.conformsTo": {
        "old-name": "specialization"
      },
      "DeviceDefinition.conformsTo.category": {
        "status": "new"
      },
      "DeviceDefinition.conformsTo.specification": {
        "status": "new"
      },
      "DeviceDefinition.conformsTo.version": {
        "old-max": "1",
        "new-max": "*"
      },
      "DeviceDefinition.conformsTo.source": {
        "status": "new"
      },
      "DeviceDefinition.hasPart": {
        "status": "new"
      },
      "DeviceDefinition.hasPart.reference": {
        "status": "new"
      },
      "DeviceDefinition.hasPart.count": {
        "status": "new"
      },
      "DeviceDefinition.packaging": {
        "status": "new"
      },
      "DeviceDefinition.packaging.identifier": {
        "status": "new"
      },
      "DeviceDefinition.packaging.type": {
        "status": "new"
      },
      "DeviceDefinition.packaging.count": {
        "status": "new"
      },
      "DeviceDefinition.packaging.distributor": {
        "status": "new"
      },
      "DeviceDefinition.packaging.distributor.name": {
        "status": "new"
      },
      "DeviceDefinition.packaging.distributor.organizationReference": {
        "status": "new"
      },
      "DeviceDefinition.packaging.udiDeviceIdentifier": {
        "status": "new"
      },
      "DeviceDefinition.packaging.packaging": {
        "status": "new"
      },
      "DeviceDefinition.version": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "DeviceDefinition.version.type": {
        "status": "new"
      },
      "DeviceDefinition.version.component": {
        "status": "new"
      },
      "DeviceDefinition.version.value": {
        "status": "new"
      },
      "DeviceDefinition.property.value[x]": {
        "status": "new"
      },
      "DeviceDefinition.link": {
        "status": "new"
      },
      "DeviceDefinition.link.relation": {
        "status": "new"
      },
      "DeviceDefinition.link.relatedDevice": {
        "status": "new"
      },
      "DeviceDefinition.productionIdentifierInUDI": {
        "status": "new"
      },
      "DeviceDefinition.guideline": {
        "status": "new"
      },
      "DeviceDefinition.guideline.useContext": {
        "status": "new"
      },
      "DeviceDefinition.guideline.usageInstruction": {
        "status": "new"
      },
      "DeviceDefinition.guideline.relatedArtifact": {
        "old-name": "onlineInformation",
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "uri"
        ],
        "added-types": [
          "RelatedArtifact"
        ]
      },
      "DeviceDefinition.guideline.indication": {
        "status": "new"
      },
      "DeviceDefinition.guideline.contraindication": {
        "status": "new"
      },
      "DeviceDefinition.guideline.warning": {
        "status": "new"
      },
      "DeviceDefinition.guideline.intendedUse": {
        "status": "new"
      },
      "DeviceDefinition.correctiveAction": {
        "status": "new"
      },
      "DeviceDefinition.correctiveAction.recall": {
        "status": "new"
      },
      "DeviceDefinition.correctiveAction.scope": {
        "status": "new"
      },
      "DeviceDefinition.correctiveAction.period": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.chargeItemCode": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.count": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.effectivePeriod": {
        "status": "new"
      },
      "DeviceDefinition.chargeItem.useContext": {
        "status": "new"
      },
      "DeviceDefinition.specialization.systemType": {
        "status": "deleted"
      },
      "DeviceDefinition.physicalCharacteristics": {
        "status": "deleted"
      },
      "DeviceDefinition.capability": {
        "status": "deleted"
      },
      "DeviceDefinition.property.valueQuantity": {
        "status": "deleted"
      },
      "DeviceDefinition.property.valueCode": {
        "status": "deleted"
      },
      "DeviceDefinition.url": {
        "status": "deleted"
      },
      "DeviceDefinition.quantity": {
        "status": "deleted"
      },
      "DeviceDefinition.parentDevice": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DeviceDispense": {
    "status": "new"
  },
  "DeviceMetric": {
    "elements": {
      "DeviceMetric.device": {
        "status": "new"
      },
      "DeviceMetric.operationalStatus": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-operational-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-operational-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceMetric.color": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-color|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/color-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceMetric.category": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-category|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-category|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceMetric.measurementFrequency": {
        "status": "new"
      },
      "DeviceMetric.calibration.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-type|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceMetric.calibration.state": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-state|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-state|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceMetric.source": {
        "status": "deleted"
      },
      "DeviceMetric.parent": {
        "status": "deleted"
      },
      "DeviceMetric.measurementPeriod": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DeviceRequest": {
    "elements": {
      "DeviceRequest.replaces": {
        "old-name": "priorRequest",
        "removed-types": [
          "Reference(Resource)"
        ],
        "added-types": [
          "Reference(DeviceRequest)"
        ]
      },
      "DeviceRequest.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceRequest.intent": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceRequest.priority": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceRequest.doNotPerform": {
        "status": "new"
      },
      "DeviceRequest.code": {
        "old-name": "code[x]",
        "removed-types": [
          "Reference(Device)",
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "DeviceRequest.quantity": {
        "status": "new"
      },
      "DeviceRequest.performer": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "DeviceRequest.reason": {
        "status": "new"
      },
      "DeviceRequest.asNeeded": {
        "status": "new"
      },
      "DeviceRequest.asNeededFor": {
        "status": "new"
      },
      "DeviceRequest.performerType": {
        "status": "deleted"
      },
      "DeviceRequest.reasonCode": {
        "status": "deleted"
      },
      "DeviceRequest.reasonReference": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DeviceUsage": {
    "old-name": "DeviceUseStatement",
    "elements": {
      "DeviceUsage.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-statement-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/deviceusage-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DeviceUsage.category": {
        "status": "new"
      },
      "DeviceUsage.patient": {
        "status": "new"
      },
      "DeviceUsage.context": {
        "status": "new"
      },
      "DeviceUsage.dateAsserted": {
        "status": "new"
      },
      "DeviceUsage.usageStatus": {
        "status": "new"
      },
      "DeviceUsage.usageReason": {
        "status": "new"
      },
      "DeviceUsage.adherence": {
        "status": "new"
      },
      "DeviceUsage.adherence.code": {
        "status": "new"
      },
      "DeviceUsage.adherence.reason": {
        "status": "new"
      },
      "DeviceUsage.informationSource": {
        "status": "new"
      },
      "DeviceUsage.device": {
        "removed-types": [
          "Reference(Device)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "DeviceUsage.reason": {
        "status": "new"
      },
      "DeviceUsage.bodySite": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "DeviceUseStatement.subject": {
        "status": "deleted"
      },
      "DeviceUseStatement.recordedOn": {
        "status": "deleted"
      },
      "DeviceUseStatement.source": {
        "status": "deleted"
      },
      "DeviceUseStatement.reasonCode": {
        "status": "deleted"
      },
      "DeviceUseStatement.reasonReference": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DiagnosticReport": {
    "elements": {
      "DiagnosticReport.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "modified"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DiagnosticReport.subject": {
        "removed-types": [
          "Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)"
        ],
        "added-types": [
          "Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)"
        ]
      },
      "DiagnosticReport.note": {
        "status": "new"
      },
      "DiagnosticReport.study": {
        "status": "new"
      },
      "DiagnosticReport.supportingInfo": {
        "status": "new"
      },
      "DiagnosticReport.supportingInfo.type": {
        "status": "new"
      },
      "DiagnosticReport.supportingInfo.reference": {
        "status": "new"
      },
      "DiagnosticReport.media.link": {
        "removed-types": [
          "Reference(Media)"
        ],
        "added-types": [
          "Reference(DocumentReference)"
        ]
      },
      "DiagnosticReport.composition": {
        "status": "new"
      },
      "DiagnosticReport.conclusion": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "DiagnosticReport.imagingStudy": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DocumentReference": {
    "elements": {
      "DocumentReference.version": {
        "status": "new"
      },
      "DocumentReference.basedOn": {
        "status": "new"
      },
      "DocumentReference.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DocumentReference.docStatus": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "registered",
          "partial",
          "corrected",
          "appended",
          "cancelled",
          "deprecated",
          "unknown"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "DocumentReference.modality": {
        "status": "new"
      },
      "DocumentReference.subject": {
        "removed-types": [
          "Reference(Patient | Practitioner | Group | Device)"
        ],
        "added-types": [
          "Reference(Resource)"
        ]
      },
      "DocumentReference.context": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "Reference(Appointment | Encounter | EpisodeOfCare)"
        ]
      },
      "DocumentReference.event": {
        "status": "new"
      },
      "DocumentReference.bodySite": {
        "status": "new"
      },
      "DocumentReference.facilityType": {
        "status": "new"
      },
      "DocumentReference.practiceSetting": {
        "status": "new"
      },
      "DocumentReference.period": {
        "status": "new"
      },
      "DocumentReference.author": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam)"
        ]
      },
      "DocumentReference.attester": {
        "status": "new"
      },
      "DocumentReference.attester.mode": {
        "status": "new"
      },
      "DocumentReference.attester.time": {
        "status": "new"
      },
      "DocumentReference.attester.party": {
        "status": "new"
      },
      "DocumentReference.relatesTo.code": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type",
          "strength": "extensible"
        }
      },
      "DocumentReference.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "DocumentReference.securityLabel": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/security-labels",
          "strength": "extensible"
        }
      },
      "DocumentReference.content.profile": {
        "status": "new"
      },
      "DocumentReference.content.profile.value[x]": {
        "status": "new"
      },
      "DocumentReference.masterIdentifier": {
        "status": "deleted"
      },
      "DocumentReference.authenticator": {
        "status": "deleted"
      },
      "DocumentReference.content.format": {
        "status": "deleted"
      },
      "DocumentReference.context.encounter": {
        "status": "deleted"
      },
      "DocumentReference.context.event": {
        "status": "deleted"
      },
      "DocumentReference.context.period": {
        "status": "deleted"
      },
      "DocumentReference.context.facilityType": {
        "status": "deleted"
      },
      "DocumentReference.context.practiceSetting": {
        "status": "deleted"
      },
      "DocumentReference.context.sourcePatientInfo": {
        "status": "deleted"
      },
      "DocumentReference.context.related": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "DomainResource": {
    "status": "no-change"
  },
  "Encounter": {
    "elements": {
      "Encounter.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "arrived",
          "triaged",
          "onleave",
          "finished"
        ],
        "added-codes": [
          "on-hold",
          "discharged",
          "completed",
          "discontinued"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
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      "Encounter.reasonReference": {
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        "status": "deleted"
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    "status": "changed"
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        "added-types": [
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      "EventDefinition.copyrightLabel": {
        "status": "new"
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        "status": "new"
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        "binding-status": "changed",
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        "new-binding": {
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          "reference": "http://hl7.org/fhir/ValueSet/synthesis-type",
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        "status": "new"
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        "added-types": [
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/report-relation-type|4.3.0",
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      "EvidenceReport.relatesTo.target": {
        "old-name": "target[x]",
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        "status": "new"
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        "status": "deleted"
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        "status": "deleted"
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      "EvidenceVariable.characteristic": {
        "status": "deleted"
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    },
    "status": "changed"
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      "ExampleScenario.actor.title": {
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      "ExampleScenario.process.step.operation.title": {
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      "ExampleScenario.instance.version.versionId": {
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    "status": "changed"
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        "status": "new"
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      "MedicationRequest.reason": {
        "status": "new"
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      "MedicationRequest.courseOfTherapyType": {
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          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy",
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      "MedicationRequest.renderedDosageInstruction": {
        "status": "new"
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      "MedicationRequest.effectiveDosePeriod": {
        "status": "new"
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      "MedicationRequest.dispenseRequest.dispenser": {
        "status": "new"
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      "MedicationRequest.dispenseRequest.dispenserInstruction": {
        "status": "new"
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      "MedicationRequest.dispenseRequest.doseAdministrationAid": {
        "status": "new"
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        "status": "deleted"
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        "status": "deleted"
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      "MedicationRequest.instantiatesCanonical": {
        "status": "deleted"
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      "MedicationRequest.instantiatesUri": {
        "status": "deleted"
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      "MedicationRequest.dispenseRequest.performer": {
        "status": "deleted"
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      "MedicationRequest.detectedIssue": {
        "status": "deleted"
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    },
    "status": "changed"
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        "added-types": [
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        "binding-codes-changed": true,
        "removed-codes": [
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          "reference": "http://hl7.org/fhir/ValueSet/medication-statement-status|4.3.0",
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          "Reference(Medication)"
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        "added-types": [
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          "Reference(Encounter | EpisodeOfCare)"
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        "added-types": [
          "Reference(Encounter)"
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      "MedicationStatement.reason": {
        "status": "new"
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      "MedicationStatement.relatedClinicalInformation": {
        "status": "new"
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      "MedicationStatement.renderedDosageInstruction": {
        "status": "new"
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      "MedicationStatement.adherence": {
        "status": "new"
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      "MedicationStatement.adherence.code": {
        "status": "new"
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      "MedicationStatement.adherence.reason": {
        "status": "new"
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      "MedicationStatement.basedOn": {
        "status": "deleted"
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      "MedicationStatement.statusReason": {
        "status": "deleted"
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      "MedicationStatement.reasonCode": {
        "status": "deleted"
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      "MedicationStatement.reasonReference": {
        "status": "deleted"
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    "status": "changed"
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      "MedicinalProductDefinition.name.part": {
        "status": "new"
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        "status": "new"
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      "MedicinalProductDefinition.name.part.type": {
        "status": "new"
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      "MedicinalProductDefinition.name.usage": {
        "status": "new"
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      "MedicinalProductDefinition.name.usage.country": {
        "status": "new"
      },
      "MedicinalProductDefinition.name.usage.jurisdiction": {
        "status": "new"
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      "MedicinalProductDefinition.name.usage.language": {
        "status": "new"
      },
      "MedicinalProductDefinition.characteristic.value[x]": {
        "added-types": [
          "markdown",
          "integer"
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      "MedicinalProductDefinition.name.namePart": {
        "status": "deleted"
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      "MedicinalProductDefinition.name.countryLanguage": {
        "status": "deleted"
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    },
    "status": "changed"
  },
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        "status": "new"
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          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot1",
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      "MessageDefinition.copyrightLabel": {
        "status": "new"
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        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/message-significance-category|4.3.0",
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        "binding-codes-changed": true,
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          "DeviceUseStatement",
          "DocumentManifest",
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          "RequestGroup",
          "ResearchDefinition",
          "ResearchElementDefinition"
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        "added-codes": [
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          "ArtifactAssessment",
          "BiologicallyDerivedProductDispense",
          "ConditionDefinition",
          "DeviceAssociation",
          "DeviceDispense",
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          "EncounterHistory",
          "FormularyItem",
          "GenomicStudy",
          "ImagingSelection",
          "InsuranceProduct",
          "InventoryItem",
          "InventoryReport",
          "NutritionIntake",
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          "RequestOrchestration",
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          "SubstanceNucleicAcid",
          "SubstancePolymer",
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        "new-max": "1"
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    "status": "changed"
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          "canonical(EventDefinition | SubscriptionTopic)"
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      "MessageHeader.destination.endpoint[x]": {
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        "old-min": 1,
        "new-min": 0,
        "added-types": [
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        "new-min": 0,
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          "Reference(Endpoint)"
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      "MessageHeader.source.sender": {
        "status": "new"
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        "added-types": [
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        "binding-status": "changed",
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      "MessageHeader.sender": {
        "status": "deleted"
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      "MessageHeader.enterer": {
        "status": "deleted"
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      "MessageHeader.author": {
        "status": "deleted"
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      "MessageHeader.responsible": {
        "status": "deleted"
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    "status": "changed"
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  "MetadataResource": {
    "status": "new"
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        "binding-status": "changed",
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        "removed-types": [
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        "added-types": [
          "Reference(Patient | Group | Substance | BiologicallyDerivedProduct | NutritionProduct)"
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      "MolecularSequence.focus": {
        "status": "new"
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      "MolecularSequence.literal": {
        "status": "new"
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      "MolecularSequence.formatted": {
        "status": "new"
      },
      "MolecularSequence.relative": {
        "status": "new"
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      "MolecularSequence.relative.coordinateSystem": {
        "status": "new"
      },
      "MolecularSequence.relative.ordinalPosition": {
        "status": "new"
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      "MolecularSequence.relative.sequenceRange": {
        "status": "new"
      },
      "MolecularSequence.relative.startingSequence": {
        "status": "new"
      },
      "MolecularSequence.relative.startingSequence.genomeAssembly": {
        "status": "new"
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      "MolecularSequence.relative.startingSequence.chromosome": {
        "status": "new"
      },
      "MolecularSequence.relative.startingSequence.sequence[x]": {
        "status": "new"
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      "MolecularSequence.relative.startingSequence.windowStart": {
        "status": "new"
      },
      "MolecularSequence.relative.startingSequence.windowEnd": {
        "status": "new"
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      "MolecularSequence.relative.startingSequence.orientation": {
        "status": "new"
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      "MolecularSequence.relative.startingSequence.strand": {
        "status": "new"
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      "MolecularSequence.relative.edit": {
        "status": "new"
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      "MolecularSequence.relative.edit.start": {
        "status": "new"
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      "MolecularSequence.relative.edit.end": {
        "status": "new"
      },
      "MolecularSequence.relative.edit.replacementSequence": {
        "status": "new"
      },
      "MolecularSequence.relative.edit.replacedSequence": {
        "status": "new"
      },
      "MolecularSequence.coordinateSystem": {
        "status": "deleted"
      },
      "MolecularSequence.quantity": {
        "status": "deleted"
      },
      "MolecularSequence.referenceSeq": {
        "status": "deleted"
      },
      "MolecularSequence.variant": {
        "status": "deleted"
      },
      "MolecularSequence.observedSeq": {
        "status": "deleted"
      },
      "MolecularSequence.quality": {
        "status": "deleted"
      },
      "MolecularSequence.readCoverage": {
        "status": "deleted"
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      "MolecularSequence.repository": {
        "status": "deleted"
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      "MolecularSequence.pointer": {
        "status": "deleted"
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      "MolecularSequence.structureVariant": {
        "status": "deleted"
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    "status": "changed"
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        "status": "new"
      },
      "NamingSystem.identifier": {
        "status": "new"
      },
      "NamingSystem.version": {
        "status": "new"
      },
      "NamingSystem.versionAlgorithm[x]": {
        "status": "new"
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      "NamingSystem.title": {
        "status": "new"
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        "binding-status": "changed",
        "old-binding": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-type|4.3.0",
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      "NamingSystem.experimental": {
        "status": "new"
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      "NamingSystem.type": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/identifier-type",
          "strength": "extensible"
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      "NamingSystem.purpose": {
        "status": "new"
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      "NamingSystem.copyright": {
        "status": "new"
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      "NamingSystem.copyrightLabel": {
        "status": "new"
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      "NamingSystem.approvalDate": {
        "status": "new"
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      "NamingSystem.lastReviewDate": {
        "status": "new"
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      "NamingSystem.effectivePeriod": {
        "status": "new"
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      "NamingSystem.topic": {
        "status": "new"
      },
      "NamingSystem.author": {
        "status": "new"
      },
      "NamingSystem.editor": {
        "status": "new"
      },
      "NamingSystem.reviewer": {
        "status": "new"
      },
      "NamingSystem.endorser": {
        "status": "new"
      },
      "NamingSystem.relatedArtifact": {
        "status": "new"
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      "NamingSystem.uniqueId.type": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
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          "v2csmnemonic"
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        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.3.0",
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          "reference": "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|6.0.0-ballot1",
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      "NamingSystem.uniqueId.authoritative": {
        "status": "new"
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    "status": "changed"
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  "NutritionIntake": {
    "status": "new"
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  "NutritionOrder": {
    "elements": {
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        "status": "new"
      },
      "NutritionOrder.groupIdentifier": {
        "status": "new"
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        "binding-status": "changed",
        "old-binding": {
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        "status": "new"
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      "NutritionOrder.subject": {
        "status": "new"
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      "NutritionOrder.supportingInformation": {
        "status": "new"
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      "NutritionOrder.performer": {
        "status": "new"
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      "NutritionOrder.outsideFoodAllowed": {
        "status": "new"
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      "NutritionOrder.oralDiet.schedule": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "Timing"
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        "added-types": [
          "BackboneElement"
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      "NutritionOrder.oralDiet.schedule.timing": {
        "status": "new"
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      "NutritionOrder.oralDiet.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.oralDiet.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.supplement.type": {
        "removed-types": [
          "CodeableConcept"
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        "added-types": [
          "CodeableReference"
        ]
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      "NutritionOrder.supplement.schedule": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
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        "added-types": [
          "BackboneElement"
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        "status": "new"
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      "NutritionOrder.supplement.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.supplement.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.baseFormulaType": {
        "removed-types": [
          "CodeableConcept"
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        "added-types": [
          "CodeableReference"
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      "NutritionOrder.enteralFormula.deliveryDevice": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.additive": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.additive.type": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.additive.productName": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.additive.quantity": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.routeOfAdministration": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.schedule": {
        "removed-types": [
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        "added-types": [
          "BackboneElement"
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        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.schedule.asNeeded": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administration.schedule.asNeededFor": {
        "status": "new"
      },
      "NutritionOrder.enteralFormula.administrationInstruction": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
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      "NutritionOrder.patient": {
        "status": "deleted"
      },
      "NutritionOrder.enteralFormula.additiveType": {
        "status": "deleted"
      },
      "NutritionOrder.enteralFormula.additiveProductName": {
        "status": "deleted"
      },
      "NutritionOrder.enteralFormula.routeofAdministration": {
        "status": "deleted"
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    "status": "changed"
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        "binding-status": "removed",
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    "status": "changed"
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        "added-types": [
          "CodeableReference"
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        "binding-status": "removed",
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      "Provenance.activity": {
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        "binding-codes-changed": true,
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        "added-types": [
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "binding-status": "changed",
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      "RequestOrchestration.action.transform": {
        "status": "new"
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      "RequestOrchestration.action.dynamicValue": {
        "status": "new"
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      "RequestOrchestration.action.dynamicValue.path": {
        "status": "new"
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      "RequestOrchestration.action.dynamicValue.expression": {
        "status": "new"
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      "RequestGroup.reasonCode": {
        "status": "deleted"
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      "RequestGroup.reasonReference": {
        "status": "deleted"
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      "RequestGroup.action.relatedAction.actionId": {
        "status": "deleted"
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    "status": "changed"
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  "Requirements": {
    "status": "new"
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        "status": "new"
      },
      "ResearchStudy.version": {
        "status": "new"
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      "ResearchStudy.name": {
        "status": "new"
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        "status": "new"
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        "status": "new"
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      "ResearchStudy.label.value": {
        "status": "new"
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        "status": "new"
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        "binding-valueset-changed": true,
        "binding-status": "changed",
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          "reference": "http://hl7.org/fhir/ValueSet/research-study-prim-purp-type",
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      "ResearchStudy.studyDesign": {
        "status": "new"
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        "added-types": [
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        "status": "new"
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        "status": "new"
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        "added-types": [
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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      "ResearchStudy.progressStatus": {
        "status": "new"
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      "ResearchStudy.progressStatus.state": {
        "status": "new"
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      "ResearchStudy.progressStatus.actual": {
        "status": "new"
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      "ResearchStudy.progressStatus.period": {
        "status": "new"
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      "ResearchStudy.whyStopped": {
        "status": "new"
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      "ResearchStudy.recruitment": {
        "status": "new"
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      "ResearchStudy.recruitment.targetNumber": {
        "status": "new"
      },
      "ResearchStudy.recruitment.actualNumber": {
        "status": "new"
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      "ResearchStudy.recruitment.eligibility": {
        "status": "new"
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      "ResearchStudy.recruitment.actualGroup": {
        "status": "new"
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      "ResearchStudy.comparisonGroup": {
        "status": "new"
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      "ResearchStudy.comparisonGroup.linkId": {
        "status": "new"
      },
      "ResearchStudy.comparisonGroup.name": {
        "status": "new"
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      "ResearchStudy.comparisonGroup.type": {
        "status": "new"
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      "ResearchStudy.comparisonGroup.description": {
        "status": "new"
      },
      "ResearchStudy.comparisonGroup.intendedExposure": {
        "status": "new"
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      "ResearchStudy.comparisonGroup.observedGroup": {
        "status": "new"
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      "ResearchStudy.objective.description": {
        "status": "new"
      },
      "ResearchStudy.outcomeMeasure": {
        "status": "new"
      },
      "ResearchStudy.outcomeMeasure.name": {
        "status": "new"
      },
      "ResearchStudy.outcomeMeasure.type": {
        "status": "new"
      },
      "ResearchStudy.outcomeMeasure.description": {
        "status": "new"
      },
      "ResearchStudy.outcomeMeasure.reference": {
        "status": "new"
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      "ResearchStudy.result": {
        "status": "new"
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      "ResearchStudy.category": {
        "status": "deleted"
      },
      "ResearchStudy.contact": {
        "status": "deleted"
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      "ResearchStudy.location": {
        "status": "deleted"
      },
      "ResearchStudy.enrollment": {
        "status": "deleted"
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      "ResearchStudy.sponsor": {
        "status": "deleted"
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      "ResearchStudy.principalInvestigator": {
        "status": "deleted"
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      "ResearchStudy.reasonStopped": {
        "status": "deleted"
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      "ResearchStudy.arm": {
        "status": "deleted"
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    "status": "changed"
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        "binding-status": "changed",
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        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot1",
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        "status": "new"
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      "ResearchSubject.progress.type": {
        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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        "status": "new"
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      "ResearchSubject.assignedComparisonGroup": {
        "status": "new"
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      "ResearchSubject.actualComparisonGroup": {
        "status": "new"
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      "ResearchSubject.consent": {
        "old-max": "1",
        "new-max": "*"
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      "ResearchSubject.actualArm": {
        "status": "deleted"
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    "status": "changed"
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        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
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        "status": "deleted"
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    "status": "changed"
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        "status": "new"
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        "status": "new"
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        "binding-status": "changed",
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        "status": "new"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/defined-types",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subscription-types",
          "strength": "extensible"
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      "SubscriptionTopic.canFilterBy.comparator": {
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      },
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        "binding-codes-changed": true,
        "removed-codes": [
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        "added-codes": [
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          "code-text",
          "text-advanced",
          "iterate"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subscription-search-modifier|4.3.0",
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        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/search-modifier-code|6.0.0-ballot1",
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        }
      },
      "SubscriptionTopic.notificationShape.resource": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/defined-types",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subscription-types",
          "strength": "extensible"
        }
      }
    },
    "status": "changed"
  },
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    "elements": {
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        "old-min": 0,
        "new-min": 1,
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "boolean"
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        "modifier": "added"
      },
      "Substance.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/substance-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/substance-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Substance.code": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Substance.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "Substance.instance.identifier": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "SubstanceDefinition": {
    "elements": {
      "SubstanceDefinition.characterization": {
        "status": "new"
      },
      "SubstanceDefinition.characterization.technique": {
        "status": "new"
      },
      "SubstanceDefinition.characterization.form": {
        "status": "new"
      },
      "SubstanceDefinition.characterization.description": {
        "status": "new"
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      "SubstanceDefinition.characterization.file": {
        "status": "new"
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      "SubstanceDefinition.referenceInformation": {
        "status": "new"
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      "SubstanceDefinition.name.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "SubstanceDefinition.nucleicAcid": {
        "status": "new"
      },
      "SubstanceDefinition.polymer": {
        "status": "new"
      },
      "SubstanceDefinition.protein": {
        "status": "new"
      },
      "SubstanceDefinition.sourceMaterial.countryOfOrigin": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/country|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/country|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "SubstanceNucleicAcid": {
    "status": "new"
  },
  "SubstancePolymer": {
    "status": "new"
  },
  "SubstanceProtein": {
    "status": "new"
  },
  "SubstanceReferenceInformation": {
    "status": "new"
  },
  "SubstanceSourceMaterial": {
    "status": "new"
  },
  "SupplyDelivery": {
    "elements": {
      "SupplyDelivery.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplydelivery-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplydelivery-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "SupplyDelivery.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplydelivery-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplydelivery-supplyitemtype|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "SupplyDelivery.suppliedItem": {
        "old-max": "1",
        "new-max": "*"
      },
      "SupplyDelivery.receiver": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization)"
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      }
    },
    "status": "changed"
  },
  "SupplyRequest": {
    "elements": {
      "SupplyRequest.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplyrequest-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/supplyrequest-status|6.0.0-ballot1",
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      },
      "SupplyRequest.basedOn": {
        "status": "new"
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      "SupplyRequest.priority": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "SupplyRequest.deliverFor": {
        "status": "new"
      },
      "SupplyRequest.item": {
        "old-name": "item[x]",
        "removed-types": [
          "CodeableConcept",
          "Reference(Medication | Substance | Device)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "SupplyRequest.requester": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam)"
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      "SupplyRequest.reason": {
        "status": "new"
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      "SupplyRequest.deliverTo": {
        "removed-types": [
          "Reference(Organization | Location | Patient)"
        ],
        "added-types": [
          "Reference(Organization | Location | Patient | RelatedPerson)"
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      },
      "SupplyRequest.reasonCode": {
        "status": "deleted"
      },
      "SupplyRequest.reasonReference": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "Task": {
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      "Task.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/task-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/task-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Task.statusReason": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
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      "Task.intent": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/task-intent|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/task-intent|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Task.priority": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "Task.doNotPerform": {
        "status": "new"
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      "Task.requestedPeriod": {
        "status": "new"
      },
      "Task.requestedPerformer": {
        "status": "new"
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      "Task.owner": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"
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      },
      "Task.performer": {
        "status": "new"
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      "Task.performer.function": {
        "status": "new"
      },
      "Task.performer.actor": {
        "status": "new"
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      "Task.reason": {
        "status": "new"
      },
      "Task.input.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "CodeableReference",
          "RatioRange",
          "Availability",
          "ExtendedContactDetail"
        ]
      },
      "Task.output.value[x]": {
        "removed-types": [
          "Contributor"
        ],
        "added-types": [
          "integer64",
          "CodeableReference",
          "RatioRange",
          "Availability",
          "ExtendedContactDetail"
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      "Task.performerType": {
        "status": "deleted"
      },
      "Task.reasonCode": {
        "status": "deleted"
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      "Task.reasonReference": {
        "status": "deleted"
      }
    },
    "status": "changed"
  },
  "TerminologyCapabilities": {
    "elements": {
      "TerminologyCapabilities.identifier": {
        "status": "new"
      },
      "TerminologyCapabilities.versionAlgorithm[x]": {
        "status": "new"
      },
      "TerminologyCapabilities.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TerminologyCapabilities.copyrightLabel": {
        "status": "new"
      },
      "TerminologyCapabilities.kind": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/capability-statement-kind|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/capability-statement-kind|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TerminologyCapabilities.implementation.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "TerminologyCapabilities.codeSystem.version.language": {
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TerminologyCapabilities.codeSystem.content": {
        "status": "new"
      },
      "TerminologyCapabilities.expansion.parameter.documentation": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "TerminologyCapabilities.codeSearch": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "explicit",
          "all"
        ],
        "added-codes": [
          "in-compose",
          "in-expansion",
          "in-compose-or-expansion"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/code-search-support|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/code-search-support|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "TestPlan": {
    "status": "new"
  },
  "TestReport": {
    "elements": {
      "TestReport.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-status-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-status-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestReport.testScript": {
        "removed-types": [
          "Reference(TestScript)"
        ],
        "added-types": [
          "canonical(TestScript)"
        ]
      },
      "TestReport.result": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-result-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-result-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestReport.participant.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-participant-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-participant-type|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestReport.setup.action.operation.result": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-action-result-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestReport.setup.action.assert.result": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/report-action-result-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestReport.setup.action.assert.requirement": {
        "status": "new"
      },
      "TestReport.setup.action.assert.requirement.link[x]": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "TestScript": {
    "elements": {
      "TestScript.url": {
        "old-min": 1,
        "new-min": 0
      },
      "TestScript.identifier": {
        "old-max": "1",
        "new-max": "*"
      },
      "TestScript.versionAlgorithm[x]": {
        "status": "new"
      },
      "TestScript.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.copyrightLabel": {
        "status": "new"
      },
      "TestScript.origin.url": {
        "status": "new"
      },
      "TestScript.destination.url": {
        "status": "new"
      },
      "TestScript.scope": {
        "status": "new"
      },
      "TestScript.scope.artifact": {
        "status": "new"
      },
      "TestScript.scope.conformance": {
        "status": "new"
      },
      "TestScript.scope.phase": {
        "status": "new"
      },
      "TestScript.profile": {
        "removed-types": [
          "Reference(Resource)"
        ],
        "added-types": [
          "canonical(StructureDefinition)"
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      "TestScript.setup.action.operation.resource": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "uri"
        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/defined-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/concrete-fhir-types",
          "strength": "extensible"
        }
      },
      "TestScript.setup.action.operation.accept": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.operation.contentType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.operation.method": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-operations|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-operations|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.assert.direction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/assert-direction-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/assert-direction-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.assert.contentType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.assert.defaultManualCompletion": {
        "status": "new"
      },
      "TestScript.setup.action.assert.operator": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "manualEval"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/assert-operator-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/assert-operator-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.assert.requestMethod": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-operations|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/http-operations|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "TestScript.setup.action.assert.resource": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "uri"
        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/defined-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/concrete-fhir-types",
          "strength": "extensible"
        }
      },
      "TestScript.setup.action.assert.response": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "bad",
          "unprocessable"
        ],
        "added-codes": [
          "continue",
          "switchingProtocols",
          "accepted",
          "nonAuthoritativeInformation",
          "resetContent",
          "partialContent",
          "multipleChoices",
          "movedPermanently",
          "found",
          "seeOther",
          "useProxy",
          "temporaryRedirect",
          "permanentRedirect",
          "badRequest",
          "unauthorized",
          "paymentRequired",
          "notAcceptable",
          "proxyAuthenticationRequired",
          "requestTimeout",
          "lengthRequired",
          "contentTooLarge",
          "uriTooLong",
          "unsupportedMediaType",
          "rangeNotSatisfiable",
          "expectationFailed",
          "misdirectedRequest",
          "unprocessableContent",
          "upgradeRequired",
          "internalServerError",
          "notImplemented",
          "badGateway",
          "serviceUnavailable",
          "gatewayTimeout",
          "httpVersionNotSupported"
        ],
        "binding-status": "changed",
        "old-binding": {
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        },
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          "reference": "http://hl7.org/fhir/ValueSet/assert-response-code-types|6.0.0-ballot1",
          "strength": "required"
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      },
      "TestScript.setup.action.assert.stopTestOnFail": {
        "status": "new"
      },
      "TestScript.setup.action.assert.requirement": {
        "status": "new"
      },
      "TestScript.setup.action.assert.requirement.link[x]": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "Transport": {
    "status": "new"
  },
  "ValueSet": {
    "elements": {
      "ValueSet.versionAlgorithm[x]": {
        "status": "new"
      },
      "ValueSet.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ValueSet.copyrightLabel": {
        "status": "new"
      },
      "ValueSet.approvalDate": {
        "status": "new"
      },
      "ValueSet.lastReviewDate": {
        "status": "new"
      },
      "ValueSet.effectivePeriod": {
        "status": "new"
      },
      "ValueSet.topic": {
        "status": "new"
      },
      "ValueSet.author": {
        "status": "new"
      },
      "ValueSet.editor": {
        "status": "new"
      },
      "ValueSet.reviewer": {
        "status": "new"
      },
      "ValueSet.endorser": {
        "status": "new"
      },
      "ValueSet.relatedArtifact": {
        "status": "new"
      },
      "ValueSet.compose.include.concept.designation.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
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          "strength": "required"
        }
      },
      "ValueSet.compose.include.concept.designation.additionalUse": {
        "status": "new"
      },
      "ValueSet.compose.include.filter.op": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
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          "descendent-leaf"
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/filter-operator|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/filter-operator|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ValueSet.compose.include.copyright": {
        "status": "new"
      },
      "ValueSet.compose.property": {
        "status": "new"
      },
      "ValueSet.expansion.next": {
        "status": "new"
      },
      "ValueSet.expansion.property": {
        "status": "new"
      },
      "ValueSet.expansion.property.code": {
        "status": "new"
      },
      "ValueSet.expansion.property.uri": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property.code": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property.value[x]": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property.subProperty": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property.subProperty.code": {
        "status": "new"
      },
      "ValueSet.expansion.contains.property.subProperty.value[x]": {
        "status": "new"
      },
      "ValueSet.scope": {
        "status": "new"
      },
      "ValueSet.scope.inclusionCriteria": {
        "status": "new"
      },
      "ValueSet.scope.exclusionCriteria": {
        "status": "new"
      }
    },
    "status": "changed"
  },
  "VerificationResult": {
    "elements": {
      "VerificationResult.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "entered-in-error"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/verificationresult-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/verificationresult-status|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "VisionPrescription": {
    "elements": {
      "VisionPrescription.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "VisionPrescription.lensSpecification.eye": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/vision-eye-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/vision-eye-codes|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "VisionPrescription.lensSpecification.prism.base": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/vision-base-codes|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/vision-base-codes|6.0.0-ballot1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  },
  "CatalogEntry": {
    "status": "deleted"
  },
  "DeviceUseStatement": {
    "status": "deleted"
  },
  "DocumentManifest": {
    "status": "deleted"
  },
  "Media": {
    "status": "deleted"
  },
  "RequestGroup": {
    "status": "deleted"
  },
  "ResearchDefinition": {
    "status": "deleted"
  },
  "ResearchElementDefinition": {
    "status": "deleted"
  }
}