R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

2.1.12 Differences from Release 4

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

This is an automatically generated list of all the structural differences between FHIR R4 and this version. The following possible changes are checked when preparing this list (and others throughout the specification):

  • Addition or deletion of elements, or name change to elements
  • Changes to minimum and maximum cardinality
  • Changes to allowed types
  • Changes to bindings for Extensible/Required bindings, and changes to codes if it's a required binding on a code element
  • Changes to the is-modifier status of an element
  • Changes to the default value for an element (default values were removed after Release 4, but changes are noted for Release 4 to Release 5)

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

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

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

Types
Address
  • No Changes
Age
Age
Annotation
  • No Changes
Attachment
Attachment.language
Attachment.size
  • Type changed from unsignedInt to integer64
Attachment.height
  • Added Element
Attachment.width
  • Added Element
Attachment.frames
  • Added Element
Attachment.duration
  • Added Element
Attachment.pages
  • Added Element
Availability
  • Added Type
BackboneElement
  • No Changes
BackboneType
  • Added Type
Base
  • Added Type
CodeableConcept
  • No Changes
CodeableReference
  • Added Type
Coding
  • No Changes
ContactDetail
  • No Changes
ContactPoint
  • No Changes
Contributor
  • No Changes
Count
  • No Changes
DataRequirement
DataRequirement.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , SubstanceAmount , CatalogEntry , DeviceUseStatement , DocumentManifest , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , SubstanceSpecification , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , CodeableReference , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , RatioRange , VirtualServiceDetail , ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
DataRequirement.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
DataRequirement.valueFilter
  • Added Element
DataRequirement.valueFilter.path
  • Added Element
DataRequirement.valueFilter.searchParam
  • Added Element
DataRequirement.valueFilter.comparator
  • Added Element
DataRequirement.valueFilter.value[x]
  • Added Element
DataType
  • Added Type
Distance
Distance
Dosage
Dosage.asNeeded
  • Renamed from asNeeded[x] to asNeeded
  • Remove Type CodeableConcept
Dosage.asNeededFor
  • Added Element
Dosage.maxDosePerPeriod
  • Max Cardinality changed from 1 to *
Duration
Duration
Element
  • No Changes
ElementDefinition
ElementDefinition.slicing.discriminator.type
  • Add code position
ElementDefinition.type.code
ElementDefinition.defaultValue[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.fixed[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.pattern[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.example.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
ElementDefinition.minValue[x]
  • Add Type integer64
ElementDefinition.maxValue[x]
  • Add Type integer64
ElementDefinition.constraint.requirements
  • Type changed from string to markdown
ElementDefinition.constraint.suppress
  • Added Element
ElementDefinition.mustHaveValue
  • Added Element
ElementDefinition.valueAlternatives
  • Added Element
ElementDefinition.binding.description
  • Type changed from string to markdown
ElementDefinition.binding.additional
  • Added Element
ElementDefinition.binding.additional.purpose
  • Added Mandatory Element
ElementDefinition.binding.additional.valueSet
  • Added Mandatory Element
ElementDefinition.binding.additional.documentation
  • Added Element
ElementDefinition.binding.additional.shortDoco
  • Added Element
ElementDefinition.binding.additional.usage
  • Added Element
ElementDefinition.binding.additional.any
  • Added Element
ElementDefinition.mapping.comment
  • Type changed from string to markdown
ElementDefinition.constraint.xpath
  • Deleted (XPath removed due to lack of use and maintenance)
Expression
Expression.name
  • Type changed from id to code
Expression.language
  • Min Cardinality changed from 1 to 0
  • Change max value set from http://www.rfc-editor.org/bcp/bcp13.txt to none
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/expression-language" to "urn:ietf:bcp:13"
ExtendedContactDetail
  • Added Type
Extension
Extension.url
  • Type changed from string to uri
Extension.value[x]
  • Add Types integer64, CodeableReference, RatioRange, Availability, ExtendedContactDetail, Meta
  • Remove Type Contributor
HumanName
  • No Changes
Identifier
  • No Changes
MarketingStatus
MarketingStatus.country
  • Min Cardinality changed from 1 to 0
MarketingStatus.dateRange
  • Min Cardinality changed from 1 to 0
Meta
  • No Changes
MonetaryComponent
  • Added Type
Money
  • No Changes
MoneyQuantity
  • No Changes
Narrative
  • No Changes
ParameterDefinition
ParameterDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to All FHIR Types
  • Remove codes MoneyQuantity , Population , ProdCharacteristic , SimpleQuantity , SubstanceAmount , CatalogEntry , DeviceUseStatement , DocumentManifest , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , RiskEvidenceSynthesis , SubstanceSpecification , Type , Any
  • Add codes Base , DataType , Availability , BackboneType , RelativeTime , CodeableReference , ExtendedContactDetail , MonetaryComponent , PrimitiveType , integer64 , RatioRange , VirtualServiceDetail , ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , CanonicalResource , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , MetadataResource , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
Period
  • No Changes
PrimitiveType
  • Added Type
ProductShelfLife
ProductShelfLife.type
  • Min Cardinality changed from 1 to 0
ProductShelfLife.period[x]
  • Renamed from period to period[x]
  • Min Cardinality changed from 1 to 0
  • Add Types Duration, string
  • Remove Type Quantity
ProductShelfLife.identifier
  • Deleted (removed, not needed)
Quantity
Quantity.comparator
  • Add code ad
Range
  • No Changes
Ratio
Ratio.denominator
  • Type changed from Quantity to Quantity(http://hl7.org/fhir/StructureDefinition/SimpleQuantity)
RatioRange
  • Added Type
Reference
Reference.type
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
RelatedArtifact
RelatedArtifact.type
  • Add codes part-of , amends , amended-with , appends , appended-with , cites , cited-by , comments-on , comment-in , contains , contained-in , corrects , correction-in , replaces , replaced-with , retracts , retracted-by , signs , similar-to , supports , supported-with , transforms , transformed-into , transformed-with , documents , specification-of , created-with , cite-as
RelatedArtifact.classifier
  • Added Element
RelatedArtifact.resourceReference
  • Added Element
RelatedArtifact.publicationStatus
  • Added Element
RelatedArtifact.publicationDate
  • Added Element
RelatedArtifact.url
  • Deleted (-> document)
RelativeTime
  • Added Type
SampledData
SampledData.interval
  • Added Element
SampledData.intervalUnit
  • Added Mandatory Element
SampledData.codeMap
  • Added Element
SampledData.offsets
  • Added Element
SampledData.period
  • Deleted (-> interval)
Signature
Signature.type
  • Min Cardinality changed from 1 to 0
Signature.when
  • Min Cardinality changed from 1 to 0
Signature.who
  • Min Cardinality changed from 1 to 0
SimpleQuantity
  • No Changes
Timing
Timing.repeat.when
  • Add code IMD
TriggerDefinition
TriggerDefinition.code
  • Added Element
TriggerDefinition.subscriptionTopic
  • Added Element
UsageContext
UsageContext.code
  • Change value set from http://hl7.org/fhir/ValueSet/usage-context-type to UsageContextType icon
VirtualServiceDetail
  • Added Type
base64Binary (No Changes)
boolean (No Changes)
canonical (No Changes)
code (No Changes)
date (No Changes)
dateTime (No Changes)
decimal (No Changes)
id (No Changes)
instant (No Changes)
integer (No Changes)
integer64
  • Added Type
markdown (No Changes)
oid (No Changes)
positiveInt (No Changes)
string (No Changes)
time (No Changes)
unsignedInt (No Changes)
uri (No Changes)
url (No Changes)
uuid (No Changes)
xhtml (No Changes)
Population
  • Deleted
ProdCharacteristic
  • Deleted
SubstanceAmount
  • Deleted (removed, content merged with the resources that used it)
Resources
Account
Account.billingStatus
  • Added Element
Account.covers
  • Added Element
Account.description
  • Type changed from string to markdown
Account.diagnosis
  • Added Element
Account.diagnosis.sequence
  • Added Element
Account.diagnosis.condition
  • Added Mandatory Element
Account.diagnosis.dateOfDiagnosis
  • Added Element
Account.diagnosis.type
  • Added Element
Account.diagnosis.onAdmission
  • Added Element
Account.diagnosis.packageCode
  • Added Element
Account.procedure
  • Added Element
Account.procedure.sequence
  • Added Element
Account.procedure.code
  • Added Mandatory Element
Account.procedure.dateOfService
  • Added Element
Account.procedure.type
  • Added Element
Account.procedure.packageCode
  • Added Element
Account.procedure.device
  • Added Element
Account.relatedAccount
  • Added Element
Account.relatedAccount.relationship
  • Added Element
Account.relatedAccount.account
  • Moved from Account.partOf to account
  • Min Cardinality changed from 0 to 1
Account.currency
  • Added Element
Account.balance
  • Added Element
Account.balance.aggregate
  • Added Element
Account.balance.term
  • Added Element
Account.balance.estimate
  • Added Element
Account.balance.amount
  • Added Mandatory Element
Account.calculatedAt
  • Added Element
ActivityDefinition
ActivityDefinition.versionAlgorithm[x]
  • Added Element
ActivityDefinition.subject[x]
  • Add Type canonical(EvidenceVariable)
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
ActivityDefinition.usage
  • Type changed from string to markdown
ActivityDefinition.copyrightLabel
  • Added Element
ActivityDefinition.kind
  • Remove code Contract
  • Add codes CoverageEligibilityRequest , RequestOrchestration , Transport
ActivityDefinition.timing[x]
  • Remove Types dateTime, Period
ActivityDefinition.asNeeded[x]
  • Added Element
ActivityDefinition.location
  • Type changed from Reference(Location) to CodeableReference
ActivityDefinition.participant.type
  • Min Cardinality changed from 1 to 0
  • Remove code related-person
  • Add codes careteam , group , healthcareservice , location , organization , practitionerrole , relatedperson
ActivityDefinition.participant.typeCanonical
  • Added Element
ActivityDefinition.participant.typeReference
  • Added Element
ActivityDefinition.participant.function
  • Added Element
ActivityDefinition.specimenRequirement
  • Type changed from Reference(SpecimenDefinition) to canonical(SpecimenDefinition)
ActivityDefinition.observationRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActivityDefinition.observationResultRequirement
  • Type changed from Reference(ObservationDefinition) to canonical(ObservationDefinition)
ActorDefinition
  • Added Resource
AdministrableProductDefinition
  • Added Resource
AdverseEvent
AdverseEvent.identifier
  • Max Cardinality changed from 1 to *
AdverseEvent.status
  • Added Mandatory Element
AdverseEvent.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-category` (extensible)
AdverseEvent.code
  • Renamed from event to code
AdverseEvent.cause[x]
  • Added Element
AdverseEvent.effect[x]
  • Added Element
AdverseEvent.resultingEffect
  • Renamed from resultingCondition to resultingEffect
  • Type Reference: Added Target Type Observation
AdverseEvent.outcome
  • Max Cardinality changed from 1 to *
  • Remove Binding `http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0` (required)
AdverseEvent.participant
  • Added Element
AdverseEvent.participant.function
  • Added Element
AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.expectedInResearchStudy
  • Added Element
AdverseEvent.suspectEntity.instance[x]
  • Renamed from instance to instance[x]
  • Add Type CodeableConcept
AdverseEvent.suspectEntity.causality
  • Max Cardinality changed from * to 1
AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.suspectEntity.causality.entityRelatedness
  • Renamed from productRelatedness to entityRelatedness
  • Type changed from string to CodeableConcept
AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Target Types Patient, RelatedPerson
AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.contributingFactor.item[x]
  • Added Mandatory Element
AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.preventiveAction.item[x]
  • Added Mandatory Element
AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.mitigatingAction.item[x]
  • Added Mandatory Element
AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.supportingInfo.item[x]
  • Added Mandatory Element
AdverseEvent.note
  • Added Element
AdverseEvent.date
  • Deleted
AdverseEvent.severity
  • Deleted (AdverseEvent.severity is redundant with Condition.severity referenced via AdverseEvent.resultingEffect)
AdverseEvent.contributor
  • Deleted (-> AdverseEvent.participant.actor)
AdverseEvent.suspectEntity.causality.assessment
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.suspectEntity.causality.method
  • Deleted (-> AdverseEvent.suspectEntity.causality.assessmentMethod)
AdverseEvent.subjectMedicalHistory
  • Deleted (-> AdverseEvent.supportingInfo)
AdverseEvent.referenceDocument
  • Deleted (-> AdverseEvent.supportingInfo)
AllergyIntolerance
AllergyIntolerance.verificationStatus
  • Add code presumed
AllergyIntolerance.type
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0` (required)
AllergyIntolerance.participant
  • Added Element
AllergyIntolerance.participant.function
  • Added Element
AllergyIntolerance.participant.actor
  • Added Mandatory Element
AllergyIntolerance.reaction.manifestation
  • Type changed from CodeableConcept to CodeableReference
AllergyIntolerance.recorder
  • Deleted (-> participant.actor)
AllergyIntolerance.asserter
  • Deleted (-> participant.actor)
Appointment
Appointment.cancellationReason
  • Renamed from cancelationReason to cancellationReason
Appointment.class
  • Added Element
Appointment.serviceType
  • Type changed from CodeableConcept to CodeableReference
Appointment.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to CodeableReference
Appointment.priority
  • Type changed from unsignedInt to CodeableConcept
Appointment.replaces
  • Added Element
Appointment.virtualService
  • Added Element
Appointment.previousAppointment
  • Added Element
Appointment.originatingAppointment
  • Added Element
Appointment.account
  • Added Element
Appointment.cancellationDate
  • Added Element
Appointment.note
  • Renamed from comment to note
  • Max Cardinality changed from 1 to *
  • Type changed from string to Annotation
Appointment.patientInstruction
  • Max Cardinality changed from 1 to *
  • Type changed from string to CodeableReference
Appointment.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Appointment.subject
  • Added Element
Appointment.participant.actor
  • Type Reference: Added Target Types Group, CareTeam
Appointment.participant.required
  • Type changed from code to boolean
  • Remove Binding `http://hl7.org/fhir/ValueSet/participantrequired|4.0.0` (required)
Appointment.recurrenceId
  • Added Element
Appointment.occurrenceChanged
  • Added Element
Appointment.recurrenceTemplate
  • Added Element
Appointment.recurrenceTemplate.timezone
  • Added Element
Appointment.recurrenceTemplate.recurrenceType
  • Added Mandatory Element
Appointment.recurrenceTemplate.lastOccurrenceDate
  • Added Element
Appointment.recurrenceTemplate.occurrenceCount
  • Added Element
Appointment.recurrenceTemplate.occurrenceDate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.monday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.tuesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.wednesday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.thursday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.friday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.saturday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.sunday
  • Added Element
Appointment.recurrenceTemplate.weeklyTemplate.weekInterval
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.nthWeekOfMonth
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.dayOfWeek
  • Added Element
Appointment.recurrenceTemplate.monthlyTemplate.monthInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.yearlyTemplate
  • Added Element
Appointment.recurrenceTemplate.yearlyTemplate.yearInterval
  • Added Mandatory Element
Appointment.recurrenceTemplate.excludingDate
  • Added Element
Appointment.recurrenceTemplate.excludingRecurrenceId
  • Added Element
Appointment.reasonReference
  • Deleted (->Appointment.reason.reference)
AppointmentResponse
AppointmentResponse.proposedNewTime
  • Added Element
AppointmentResponse.actor
  • Type Reference: Added Target Type Group
AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to Appointment Response Status
  • Add code entered-in-error
AppointmentResponse.comment
  • Type changed from string to markdown
AppointmentResponse.recurring
  • Added Element
AppointmentResponse.occurrenceDate
  • Added Element
AppointmentResponse.recurrenceId
  • Added Element
ArtifactAssessment
  • Added Resource
AuditEvent
AuditEvent.category
  • Renamed from type to category
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-type` (extensible)
AuditEvent.code
  • Renamed from subtype to code
  • Min Cardinality changed from 0 to 1
  • Max Cardinality changed from * to 1
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-sub-type` (extensible)
AuditEvent.severity
  • Added Element
AuditEvent.occurred[x]
  • Added Element
AuditEvent.outcome
  • Type changed from code to BackboneElement
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0` (required)
AuditEvent.outcome.code
  • Added Mandatory Element
AuditEvent.outcome.detail
  • Added Element
AuditEvent.authorization
  • Renamed from purposeOfEvent to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.basedOn
  • Added Element
AuditEvent.patient
  • Added Element
AuditEvent.encounter
  • Added Element
AuditEvent.agent.type
  • Remove Binding `http://hl7.org/fhir/ValueSet/participation-role-type` (extensible)
AuditEvent.agent.who
  • Min Cardinality changed from 0 to 1
  • Type Reference: Added Target Type CareTeam
AuditEvent.agent.requestor
  • Min Cardinality changed from 1 to 0
AuditEvent.agent.network[x]
  • Renamed from network to network[x]
  • Add Types Reference(Endpoint), uri, string
  • Remove Type BackboneElement
AuditEvent.agent.authorization
  • Renamed from purposeOfUse to authorization
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse` (extensible)
AuditEvent.source.site
  • Type changed from string to Reference(Location)
AuditEvent.source.observer
  • Type Reference: Added Target Type CareTeam
AuditEvent.source.type
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/audit-source-type` (extensible)
AuditEvent.entity.role
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/object-role` (extensible)
AuditEvent.entity.securityLabel
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
AuditEvent.entity.detail.type
  • Type changed from string to CodeableConcept
AuditEvent.entity.detail.value[x]
  • Add Types Quantity, CodeableConcept, boolean, integer, Range, Ratio, time, dateTime, Period
AuditEvent.entity.agent
  • Added Element
AuditEvent.period
  • Deleted
AuditEvent.outcomeDesc
  • Deleted (-> outcome)
AuditEvent.agent.altId
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-AlternativeUserID)
AuditEvent.agent.name
  • Deleted (-> who.display)
AuditEvent.agent.media
  • Deleted (-> AuditEvent.entity)
AuditEvent.agent.network.address
  • Deleted (-> network[x])
AuditEvent.agent.network.type
  • Deleted (-> network[x])
AuditEvent.entity.type
  • Deleted (-> what.type)
AuditEvent.entity.lifecycle
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/auditevent-Lifecycle)
AuditEvent.entity.name
  • Deleted (-> what.display)
AuditEvent.entity.description
  • Deleted (-> entity.detail.valueString)
Basic
Basic.created
  • Type changed from date to dateTime
Basic.author
  • Type Reference: Added Target Types Device, CareTeam
Binary
  • No Changes
BiologicallyDerivedProduct
BiologicallyDerivedProduct.productCategory
  • Type changed from code to Coding
  • Remove Binding `http://hl7.org/fhir/ValueSet/product-category|4.0.0` (required)
BiologicallyDerivedProduct.biologicalSourceEvent
  • Added Element
BiologicallyDerivedProduct.processingFacility
  • Added Element
BiologicallyDerivedProduct.division
  • Added Element
BiologicallyDerivedProduct.productStatus
  • Added Element
BiologicallyDerivedProduct.expirationDate
  • Added Element
BiologicallyDerivedProduct.storageTempRequirements
  • Added Element
BiologicallyDerivedProduct.property
  • Added Element
BiologicallyDerivedProduct.property.type
  • Added Mandatory Element
BiologicallyDerivedProduct.property.value[x]
  • Added Mandatory Element
BiologicallyDerivedProduct.status
  • Deleted (-> BiologicallyDerivedProduct.productStatus)
BiologicallyDerivedProduct.quantity
  • Deleted (-> BiologicallyDerivedProduct.property.valueQuantity)
BiologicallyDerivedProduct.processing
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.manipulation
  • Deleted (-> BiologicallyDerivedProduct.collection)
BiologicallyDerivedProduct.storage
  • Deleted (-> BiologicallyDerivedProduct.storageTempRequirements)
BiologicallyDerivedProductDispense
  • Added Resource
BodyStructure
BodyStructure.includedStructure
  • Added Mandatory Element
BodyStructure.includedStructure.structure
  • Added Mandatory Element
BodyStructure.includedStructure.laterality
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.landmarkDescription
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.clockFacePosition
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.device
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.distanceFromLandmark.value
  • Added Element
BodyStructure.includedStructure.bodyLandmarkOrientation.surfaceOrientation
  • Added Element
BodyStructure.includedStructure.spatialReference
  • Added Element
BodyStructure.includedStructure.qualifier
  • Added Element
BodyStructure.excludedStructure
  • Added Element
BodyStructure.description
  • Type changed from string to markdown
BodyStructure.location
  • Deleted
BodyStructure.locationQualifier
  • Deleted
Bundle
Bundle.type
  • Add code subscription-notification
Bundle.link.relation
  • Type changed from string to code
  • Add Binding `http://hl7.org/fhir/ValueSet/iana-link-relations|6.0.0-ballot1` (required)
Bundle.issues
  • Added Element
CanonicalResource
  • Added Resource
CapabilityStatement
CapabilityStatement.identifier
  • Added Element
CapabilityStatement.versionAlgorithm[x]
  • Added Element
CapabilityStatement.copyrightLabel
  • Added Element
CapabilityStatement.implementation.description
  • Type changed from string to markdown
CapabilityStatement.fhirVersion
  • Add codes 0.0 , 0.4 , 0.5 , 1.0 , 1.1 , 1.4 , 1.6 , 1.8 , 3.0 , 3.0.2 , 3.3 , 3.5 , 4.0 , 4.0.1 , 4.1 , 4.1.0 , 4.2 , 4.2.0 , 4.3 , 4.3.0 , 4.3.0-cibuild , 4.3.0-snapshot1 , 4.4 , 4.4.0 , 4.5 , 4.5.0 , 4.6 , 4.6.0 , 5.0 , 5.0.0 , 5.0.0-cibuild , 5.0.0-snapshot1 , 5.0.0-snapshot2 , 5.0.0-ballot , 5.0.0-snapshot3 , 5.0.0-draft-final , 6.0 , 6.0.0 , 6.0.0-ballot1
CapabilityStatement.acceptLanguage
  • Added Element
CapabilityStatement.rest.security.service
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/restful-security-service" to "http://hl7.org/fhir/restful-security-service"
CapabilityStatement.rest.resource.type
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CapabilityStatement.rest.resource.interaction.code
  • Add codes update-conditional , patch-conditional , delete-conditional-single , delete-conditional-multiple , delete-history , delete-history-version , create-conditional
CapabilityStatement.rest.resource.conditionalPatch
  • Added Element
CapabilityStatement.messaging.endpoint.protocol
  • Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/message-transport" to "http://hl7.org/fhir/message-transport"
CarePlan
CarePlan.basedOn
  • Type Reference: Added Target Types ServiceRequest, RequestOrchestration, NutritionOrder
CarePlan.intent
  • Add code directive
CarePlan.custodian
  • Renamed from author to custodian
CarePlan.addresses
  • Type changed from Reference(Condition) to CodeableReference
CarePlan.activity.performedActivity
  • Added Element
CarePlan.activity.plannedActivityReference
  • Renamed from reference to plannedActivityReference
  • Type Reference: Added Target Types RequestOrchestration, ImmunizationRecommendation, SupplyRequest
  • Type Reference: Removed Target Type RequestGroup
CarePlan.activity.outcomeCodeableConcept
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.outcomeReference
  • Deleted (-> CarePlan.activity.performedActivity)
CarePlan.activity.detail
  • Deleted (-> CarePlan.activity.plannedActivityReference)
CareTeam
CareTeam.participant.role
  • Max Cardinality changed from * to 1
CareTeam.participant.coverage[x]
  • Added Element
CareTeam.reason
  • Added Element
CareTeam.encounter
  • Deleted (Avoid circular references since Encounter references CareTeam)
CareTeam.participant.period
  • Deleted
CareTeam.reasonCode
  • Deleted (-> CareTeam.reason)
CareTeam.reasonReference
  • Deleted (-> CareTeam.reason)
ChargeItem
ChargeItem.encounter
  • Added Element
ChargeItem.performer.actor
  • Type Reference: Added Target Type HealthcareService
ChargeItem.unitPriceComponent
  • Added Element
ChargeItem.totalPriceComponent
  • Added Element
ChargeItem.overrideReason
  • Type changed from string to CodeableConcept
ChargeItem.service
  • Type changed from Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) to CodeableReference
ChargeItem.product
  • Renamed from product[x] to product
  • Max Cardinality changed from 1 to *
  • Add Type CodeableReference
  • Remove Types Reference(Device | Medication | Substance), CodeableConcept
ChargeItem.context
  • Deleted
ChargeItem.factorOverride
  • Deleted
ChargeItem.priceOverride
  • Deleted
ChargeItemDefinition
ChargeItemDefinition.url
  • Min Cardinality changed from 1 to 0
ChargeItemDefinition.versionAlgorithm[x]
  • Added Element
ChargeItemDefinition.name
  • Added Element
ChargeItemDefinition.purpose
  • Added Element
ChargeItemDefinition.copyrightLabel
  • Added Element
ChargeItemDefinition.instance
  • Type Reference: Added Target Types DeviceDefinition, ActivityDefinition, PlanDefinition, HealthcareService
ChargeItemDefinition.applicability.condition
  • Added Element
ChargeItemDefinition.applicability.effectivePeriod
  • Added Element
ChargeItemDefinition.applicability.relatedArtifact
  • Added Element
ChargeItemDefinition.propertyGroup.priceComponent
  • Type changed from BackboneElement to MonetaryComponent
ChargeItemDefinition.effectivePeriod
  • Deleted
ChargeItemDefinition.applicability.description
  • Deleted
ChargeItemDefinition.applicability.language
  • Deleted
ChargeItemDefinition.applicability.expression
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.type
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.code
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.factor
  • Deleted
ChargeItemDefinition.propertyGroup.priceComponent.amount
  • Deleted
Citation
  • Added Resource
Claim
Claim.traceNumber
  • Added Element
Claim.enterer
  • Type Reference: Added Target Types Patient, RelatedPerson
Claim.provider
  • Min Cardinality changed from 1 to 0
Claim.priority
  • Min Cardinality changed from 1 to 0
Claim.encounter
  • Added Element
Claim.facility
  • Type Reference: Added Target Type Organization
Claim.diagnosisRelatedGroup
  • Added Element
Claim.event
  • Added Element
Claim.event.type
  • Added Mandatory Element
Claim.event.when[x]
  • Added Mandatory Element
Claim.careTeam.specialty
  • Added Element
Claim.supportingInfo.value[x]
  • Add Type Identifier
Claim.insurance
  • Min Cardinality changed from 1 to 0
Claim.patientPaid
  • Added Element
Claim.item.traceNumber
  • Added Element
Claim.item.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.productOrServiceEnd
  • Added Element
Claim.item.request
  • Added Element
Claim.item.patientPaid
  • Added Element
Claim.item.tax
  • Added Element
Claim.item.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
Claim.item.bodySite.site
  • Added Mandatory Element
Claim.item.bodySite.subSite
  • Added Element
Claim.item.detail.traceNumber
  • Added Element
Claim.item.detail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.productOrServiceEnd
  • Added Element
Claim.item.detail.patientPaid
  • Added Element
Claim.item.detail.tax
  • Added Element
Claim.item.detail.subDetail.traceNumber
  • Added Element
Claim.item.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
Claim.item.detail.subDetail.productOrServiceEnd
  • Added Element
Claim.item.detail.subDetail.patientPaid
  • Added Element
Claim.item.detail.subDetail.tax
  • Added Element
Claim.careTeam.qualification
  • Deleted
Claim.diagnosis.packageCode
  • Deleted
Claim.item.subSite
  • Deleted
ClaimResponse
ClaimResponse.traceNumber
  • Added Element
ClaimResponse.insurer
  • Min Cardinality changed from 1 to 0
ClaimResponse.outcome
ClaimResponse.decision
  • Added Element
ClaimResponse.event
  • Added Element
ClaimResponse.event.type
  • Added Mandatory Element
ClaimResponse.event.when[x]
  • Added Mandatory Element
ClaimResponse.encounter
  • Added Element
ClaimResponse.diagnosisRelatedGroup
  • Added Element
ClaimResponse.item.traceNumber
  • Added Element
ClaimResponse.item.reviewOutcome
  • Added Element
ClaimResponse.item.reviewOutcome.decision
  • Added Element
ClaimResponse.item.reviewOutcome.reason
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthRef
  • Added Element
ClaimResponse.item.reviewOutcome.preAuthPeriod
  • Added Element
ClaimResponse.item.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.adjudication.quantity
  • Added Element
ClaimResponse.item.detail.traceNumber
  • Added Element
ClaimResponse.item.detail.reviewOutcome
  • Added Element
ClaimResponse.item.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.item.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.item.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.traceNumber
  • Added Element
ClaimResponse.addItem.revenue
  • Added Element
ClaimResponse.addItem.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.request
  • Added Element
ClaimResponse.addItem.tax
  • Added Element
ClaimResponse.addItem.bodySite
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to BackboneElement
ClaimResponse.addItem.bodySite.site
  • Added Mandatory Element
ClaimResponse.addItem.bodySite.subSite
  • Added Element
ClaimResponse.addItem.reviewOutcome
  • Added Element
ClaimResponse.addItem.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.revenue
  • Added Element
ClaimResponse.addItem.detail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.tax
  • Added Element
ClaimResponse.addItem.detail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.traceNumber
  • Added Element
ClaimResponse.addItem.detail.subDetail.revenue
  • Added Element
ClaimResponse.addItem.detail.subDetail.productOrService
  • Min Cardinality changed from 1 to 0
ClaimResponse.addItem.detail.subDetail.productOrServiceEnd
  • Added Element
ClaimResponse.addItem.detail.subDetail.tax
  • Added Element
ClaimResponse.addItem.detail.subDetail.reviewOutcome
  • Added Element
ClaimResponse.addItem.detail.subDetail.adjudication
  • Min Cardinality changed from 1 to 0
ClaimResponse.processNote.type
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
ClaimResponse.processNote.language
ClaimResponse.error.expression
  • Added Element
ClaimResponse.item.adjudication.value
  • Deleted
ClaimResponse.addItem.subSite
  • Deleted
ClinicalImpression
ClinicalImpression.status
  • Change value set from http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to EventStatus
  • Add codes preparation , not-done , on-hold , stopped , unknown
ClinicalImpression.performer
  • Renamed from assessor to performer
ClinicalImpression.changePattern
  • Added Element
ClinicalImpression.summary
  • Type changed from string to markdown
ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.code
  • Deleted (No known use case for this element)
ClinicalImpression.investigation
  • Deleted (-> ClinicalImpression.supportingInfo)
ClinicalImpression.finding.itemCodeableConcept
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalImpression.finding.itemReference
  • Deleted (-> ClinicalImpression.finding.item)
ClinicalUseDefinition
  • Added Resource
CodeSystem
CodeSystem.versionAlgorithm[x]
  • Added Element
CodeSystem.copyrightLabel
  • Added Element
CodeSystem.approvalDate
  • Added Element
CodeSystem.lastReviewDate
  • Added Element
CodeSystem.effectivePeriod
  • Added Element
CodeSystem.topic
  • Added Element
CodeSystem.author
  • Added Element
CodeSystem.editor
  • Added Element
CodeSystem.reviewer
  • Added Element
CodeSystem.endorser
  • Added Element
CodeSystem.relatedArtifact
  • Added Element
CodeSystem.filter.operator
  • Add codes child-of , descendent-leaf
CodeSystem.concept.designation.language
CodeSystem.concept.designation.additionalUse
  • Added Element
Communication
Communication.recipient
  • Type Reference: Added Target Types Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types Endpoint, CareTeam
Communication.reason
  • Added Element
Communication.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
Communication.reasonCode
  • Deleted (-> Communication.reason)
Communication.reasonReference
  • Deleted (-> Communication.reason)
CommunicationRequest
CommunicationRequest.intent
  • Added Mandatory Element
CommunicationRequest.payload.content[x]
  • Add Type CodeableConcept
  • Remove Type string
CommunicationRequest.recipient
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.informationProvider
  • Renamed from sender to informationProvider
  • Max Cardinality changed from 1 to *
  • Type Reference: Added Target Type Endpoint
CommunicationRequest.reason
  • Added Element
CommunicationRequest.reasonCode
  • Deleted (-> CommunicationRequest.reason)
CommunicationRequest.reasonReference
  • Deleted (-> CommunicationRequest.reason)
CompartmentDefinition
CompartmentDefinition.versionAlgorithm[x]
  • Added Element
CompartmentDefinition.title
  • Added Element
CompartmentDefinition.code
  • Add code EpisodeOfCare
CompartmentDefinition.resource.code
  • Remove codes CatalogEntry , DeviceUseStatement , DocumentManifest , DomainResource , EffectEvidenceSynthesis , Media , MedicinalProduct , MedicinalProductAuthorization , MedicinalProductContraindication , MedicinalProductIndication , MedicinalProductIngredient , MedicinalProductInteraction , MedicinalProductManufactured , MedicinalProductPackaged , MedicinalProductPharmaceutical , MedicinalProductUndesirableEffect , RequestGroup , ResearchDefinition , ResearchElementDefinition , Resource , RiskEvidenceSynthesis , SubstanceSpecification
  • Add codes ActorDefinition , AdministrableProductDefinition , ArtifactAssessment , BiologicallyDerivedProductDispense , Citation , ClinicalUseDefinition , ConditionDefinition , DeviceAssociation , DeviceDispense , DeviceUsage , EncounterHistory , EvidenceReport , FormularyItem , GenomicStudy , ImagingSelection , Ingredient , InsuranceProduct , InventoryItem , InventoryReport , ManufacturedItemDefinition , MedicinalProductDefinition , NutritionIntake , NutritionProduct , PackagedProductDefinition , Permission , RegulatedAuthorization , RequestOrchestration , Requirements , SubscriptionStatus , SubscriptionTopic , SubstanceDefinition , TestPlan , Transport
CompartmentDefinition.resource.startParam
  • Added Element
CompartmentDefinition.resource.endParam
  • Added Element
Composition
Composition.url
  • Added Element
Composition.identifier
  • Max Cardinality changed from 1 to *
Composition.version
  • Added Element
Composition.status
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
Composition.subject
  • Max Cardinality changed from 1 to *
Composition.useContext
  • Added Element
Composition.name
  • Added Element
Composition.note
  • Added Element
Composition.attester.mode
  • Type changed from code to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0` (required)
Composition.relatesTo
  • Type changed from BackboneElement to RelatedArtifact
Composition.event.detail
  • Type changed from Reference(Resource) to CodeableReference
Composition.confidentiality
  • Deleted
Composition.relatesTo.code
  • Deleted
Composition.relatesTo.target[x]
  • Deleted
Composition.event.code
  • Deleted
Composition.section.mode
  • Deleted
ConceptMap
ConceptMap.identifier
  • Max Cardinality changed from 1 to *
ConceptMap.versionAlgorithm[x]
  • Added Element
ConceptMap.copyrightLabel
  • Added Element
ConceptMap.approvalDate
  • Added Element
ConceptMap.lastReviewDate
  • Added Element
ConceptMap.effectivePeriod
  • Added Element
ConceptMap.topic
  • Added Element
ConceptMap.author
  • Added Element
ConceptMap.editor
  • Added Element
ConceptMap.reviewer
  • Added Element
ConceptMap.endorser
  • Added Element
ConceptMap.relatedArtifact
  • Added Element
ConceptMap.property
  • Added Element
ConceptMap.property.code
  • Added Mandatory Element
ConceptMap.property.uri
  • Added Element
ConceptMap.property.description
  • Added Element
ConceptMap.property.type
  • Added Mandatory Element
ConceptMap.property.system
  • Added Element
ConceptMap.additionalAttribute
  • Added Element
ConceptMap.additionalAttribute.code
  • Added Mandatory Element
ConceptMap.additionalAttribute.uri
  • Added Element
ConceptMap.additionalAttribute.description
  • Added Element
ConceptMap.additionalAttribute.type
  • Added Mandatory Element
ConceptMap.sourceScope[x]
  • Added Element
ConceptMap.targetScope[x]
  • Added Element
ConceptMap.group.source
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.target
  • Type changed from uri to canonical(CodeSystem)
ConceptMap.group.element.valueSet
  • Added Element
ConceptMap.group.element.noMap
  • Added Element
ConceptMap.group.element.target.valueSet
  • Added Element
ConceptMap.group.element.target.relationship
  • Added Mandatory Element
ConceptMap.group.element.target.property
  • Added Element
ConceptMap.group.element.target.property.code
  • Added Mandatory Element
ConceptMap.group.element.target.property.value[x]
  • Added Mandatory Element
ConceptMap.group.element.target.dependsOn.attribute
  • Renamed from property to attribute
  • Type changed from uri to code
ConceptMap.group.element.target.dependsOn.value[x]
  • Renamed from value to value[x]
  • Min Cardinality changed from 1 to 0
  • Add Types code, Coding, boolean, Quantity
ConceptMap.group.element.target.dependsOn.valueSet
  • Added Element
ConceptMap.group.unmapped.mode
  • Remove code provided
  • Add code use-source-code
ConceptMap.group.unmapped.valueSet
  • Added Element
ConceptMap.group.unmapped.relationship
  • Added Element
ConceptMap.group.unmapped.otherMap
  • Renamed from url to otherMap
ConceptMap.source[x]
  • Deleted
ConceptMap.target[x]
  • Deleted
ConceptMap.group.sourceVersion
  • Deleted (-> canonical version in .group.source)
ConceptMap.group.targetVersion
  • Deleted (-> canonical version in .group.target)
ConceptMap.group.element.target.equivalence
  • Deleted (-> relationship)
ConceptMap.group.element.target.dependsOn.system
  • Deleted (-> value as Coding)
ConceptMap.group.element.target.dependsOn.display
  • Deleted (-> value as Coding)
Condition
Condition.clinicalStatus
  • Min Cardinality changed from 0 to 1
  • Add code unknown
Condition.category
  • Remove Binding `http://hl7.org/fhir/ValueSet/condition-category` (extensible)
Condition.bodyStructure
  • Added Element
Condition.participant
  • Added Element
Condition.participant.function
  • Added Element
Condition.participant.actor
  • Added Mandatory Element
Condition.evidence
  • Type changed from BackboneElement to CodeableReference
Condition.recorder
  • Deleted (-> Condition.participant.actor)
Condition.asserter
  • Deleted (-> Condition.participant.actor)
Condition.evidence.code
  • Deleted (-> Condition.evidence)
Condition.evidence.detail
  • Deleted (-> Condition.evidence)
ConditionDefinition
  • Added Resource
Consent
Consent.status
  • Remove codes proposed , rejected
  • Add codes not-done , unknown
Consent.category
  • Min Cardinality changed from 1 to 0
  • Remove Binding `http://hl7.org/fhir/ValueSet/consent-category` (extensible)
Consent.subject
  • Renamed from patient to subject
  • Type Reference: Added Target Types Practitioner, Group
Consent.date
  • Renamed from dateTime to date
  • Type changed from dateTime to date
Consent.period
  • Added Element
Consent.grantor
  • Added Element
Consent.grantee
  • Renamed from performer to grantee
  • Type Reference: Added Target Types CareTeam, HealthcareService
Consent.manager
  • Added Element
Consent.controller
  • Added Element
Consent.sourceAttachment
  • Added Element
Consent.sourceReference
  • Added Element
Consent.regulatoryBasis
  • Added Element
Consent.policyBasis
  • Renamed from policy to policyBasis
  • Max Cardinality changed from * to 1
Consent.policyBasis.reference
  • Added Element
Consent.policyBasis.url
  • Added Element
Consent.policyText
  • Added Element
Consent.verification.verificationType
  • Added Element
Consent.verification.verifiedBy
  • Added Element
Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Consent.decision
  • Moved from Consent.provision.type to decision
  • Now marked as Modifier
Consent.provision
  • Max Cardinality changed from 1 to *
Consent.provision.actor.role
Consent.provision.actor.reference
  • Min Cardinality changed from 1 to 0
Consent.provision.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
Consent.provision.documentType
  • Added Element
Consent.provision.resourceType
Consent.provision.expression
  • Added Element
Consent.scope
  • Deleted (-> Merged with Consent.category)
Consent.organization
  • Deleted (-> split into Consent.manager and Consent.controller)
Consent.source[x]
  • Deleted
Consent.policy.authority
  • Deleted
Consent.policy.uri
  • Deleted
Consent.policyRule
  • Deleted
Contract
Contract.term.action.reason
  • Type changed from string to CodeableReference
Contract.term.action.reasonCode
  • Deleted (-> reason)
Contract.term.action.reasonReference
  • Deleted (-> reason)
Coverage
Coverage.kind
  • Added Mandatory Element
Coverage.paymentBy
  • Added Element
Coverage.paymentBy.party
  • Added Mandatory Element
Coverage.paymentBy.responsibility
  • Added Element
Coverage.subscriberId
  • Max Cardinality changed from 1 to *
  • Type changed from string to Identifier
Coverage.insurer
  • Added Element
Coverage.class.value
  • Type changed from string to Identifier
Coverage.costToBeneficiary.category
  • Added Element
Coverage.costToBeneficiary.network
  • Added Element
Coverage.costToBeneficiary.unit
  • Added Element
Coverage.costToBeneficiary.term
  • Added Element
Coverage.costToBeneficiary.value[x]
  • Min Cardinality changed from 1 to 0
Coverage.insurancePlan
  • Added Element
Coverage.payor
  • Deleted
CoverageEligibilityRequest
CoverageEligibilityRequest.event
  • Added Element
CoverageEligibilityRequest.event.type
  • Added Mandatory Element
CoverageEligibilityRequest.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse
CoverageEligibilityResponse.event
  • Added Element
CoverageEligibilityResponse.event.type
  • Added Mandatory Element
CoverageEligibilityResponse.event.when[x]
  • Added Mandatory Element
CoverageEligibilityResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Eligibility Outcome
CoverageEligibilityResponse.error.expression
  • Added Element
DetectedIssue
DetectedIssue.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to Detected Issue Status
  • Remove codes registered , amended , corrected , cancelled , unknown
  • Add code mitigated
DetectedIssue.category
  • Added Element
DetectedIssue.subject
  • Added Element
DetectedIssue.encounter
  • Added Element
DetectedIssue.author
  • Type Reference: Added Target Types Patient, RelatedPerson
DetectedIssue.detail
  • Type changed from string to markdown
DetectedIssue.mitigation.note
  • Added Element
DetectedIssue.patient
  • Deleted
Device
Device.displayName
  • Added Element
Device.definition
  • Type changed from Reference(DeviceDefinition) to CodeableReference
Device.udiCarrier.deviceIdentifier
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.issuer
  • Min Cardinality changed from 0 to 1
Device.udiCarrier.entryType
  • Add code electronic-transmission
Device.status
  • Remove code unknown
Device.availabilityStatus
  • Added Element
Device.biologicalSourceEvent
  • Added Element
Device.name
  • Renamed from deviceName to name
Device.name.value
  • Added Mandatory Element
Device.name.type
  • Moved from Device.deviceName to Device.name
  • Remove codes udi-label-name , manufacturer-name , model-name , other
  • Add code registered-name
Device.name.display
  • Added Element
Device.category
  • Added Element
Device.type
  • Max Cardinality changed from 1 to *
Device.version.installDate
  • Added Element
Device.conformsTo
  • Renamed from specialization to conformsTo
Device.conformsTo.category
  • Added Element
Device.conformsTo.specification
  • Added Mandatory Element
Device.conformsTo.version
  • Moved from Device.specialization to Device.conformsTo
Device.property.value[x]
  • Added Mandatory Element
Device.mode
  • Added Element
Device.cycle
  • Added Element
Device.duration
  • Added Element
Device.endpoint
  • Added Element
Device.gateway
  • Added Element
Device.statusReason
  • Deleted (-> reason was removed. DeviceAssociation can be used)
Device.distinctIdentifier
  • Deleted
Device.deviceName.name
  • Deleted
Device.specialization.systemType
  • Deleted
Device.property.valueQuantity
  • Deleted
Device.property.valueCode
  • Deleted
Device.patient
  • Deleted (-> patient association is in DeviceAssociation)
DeviceAssociation
  • Added Resource
DeviceDefinition
DeviceDefinition.description
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution
  • Added Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.marketPeriod
  • Added Mandatory Element
DeviceDefinition.udiDeviceIdentifier.marketDistribution.subJurisdiction
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier
  • Added Element
DeviceDefinition.regulatoryIdentifier.type
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.deviceIdentifier
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.issuer
  • Added Mandatory Element
DeviceDefinition.regulatoryIdentifier.jurisdiction
  • Added Mandatory Element
DeviceDefinition.partNumber
  • Added Element
DeviceDefinition.manufacturer
  • Renamed from manufacturer[x] to manufacturer
  • Remove Type string
DeviceDefinition.deviceName.type
  • Remove codes udi-label-name , manufacturer-name , model-name , other
  • Add code registered-name
DeviceDefinition.classification
  • Added Element
DeviceDefinition.classification.type
  • Moved from DeviceDefinition to DeviceDefinition.classification
  • Min Cardinality changed from 0 to 1
DeviceDefinition.classification.justification
  • Added Element
DeviceDefinition.conformsTo
  • Renamed from specialization to conformsTo
DeviceDefinition.conformsTo.category
  • Added Element
DeviceDefinition.conformsTo.specification
  • Added Mandatory Element
DeviceDefinition.conformsTo.version
  • Moved from DeviceDefinition.specialization to DeviceDefinition.conformsTo
  • Max Cardinality changed from 1 to *
DeviceDefinition.conformsTo.source
  • Added Element
DeviceDefinition.hasPart
  • Added Element
DeviceDefinition.hasPart.reference
  • Added Mandatory Element
DeviceDefinition.hasPart.count
  • Added Element
DeviceDefinition.packaging
  • Added Element
DeviceDefinition.packaging.identifier
  • Added Element
DeviceDefinition.packaging.type
  • Added Element
DeviceDefinition.packaging.count
  • Added Element
DeviceDefinition.packaging.distributor
  • Added Element
DeviceDefinition.packaging.distributor.name
  • Added Element
DeviceDefinition.packaging.distributor.organizationReference
  • Added Element
DeviceDefinition.packaging.udiDeviceIdentifier
  • Added Element
DeviceDefinition.packaging.packaging
  • Added Element
DeviceDefinition.version
  • Type changed from string to BackboneElement
DeviceDefinition.version.type
  • Added Element
DeviceDefinition.version.component
  • Added Element
DeviceDefinition.version.value
  • Added Mandatory Element
DeviceDefinition.property.value[x]
  • Added Mandatory Element
DeviceDefinition.link
  • Added Element
DeviceDefinition.link.relation
  • Added Mandatory Element
DeviceDefinition.link.relatedDevice
  • Added Mandatory Element
DeviceDefinition.productionIdentifierInUDI
  • Added Element
DeviceDefinition.guideline
  • Added Element
DeviceDefinition.guideline.useContext
  • Added Element
DeviceDefinition.guideline.usageInstruction
  • Added Element
DeviceDefinition.guideline.relatedArtifact
  • Moved from DeviceDefinition.onlineInformation to relatedArtifact
  • Max Cardinality changed from 1 to *
  • Type changed from uri to RelatedArtifact
DeviceDefinition.guideline.indication
  • Added Element
DeviceDefinition.guideline.contraindication
  • Added Element
DeviceDefinition.guideline.warning
  • Added Element
DeviceDefinition.guideline.intendedUse
  • Added Element
DeviceDefinition.correctiveAction
  • Added Element
DeviceDefinition.correctiveAction.recall
  • Added Mandatory Element
DeviceDefinition.correctiveAction.scope
  • Added Element
DeviceDefinition.correctiveAction.period
  • Added Mandatory Element
DeviceDefinition.chargeItem
  • Added Element
DeviceDefinition.chargeItem.chargeItemCode
  • Added Mandatory Element
DeviceDefinition.chargeItem.count
  • Added Mandatory Element
DeviceDefinition.chargeItem.effectivePeriod
  • Added Element
DeviceDefinition.chargeItem.useContext
  • Added Element
DeviceDefinition.specialization.systemType
  • Deleted
DeviceDefinition.physicalCharacteristics
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.capability
  • Deleted (-> DeviceDefinition.property)
DeviceDefinition.property.valueQuantity
  • Deleted
DeviceDefinition.property.valueCode
  • Deleted
DeviceDefinition.url
  • Deleted (Removed - only instances have addressable endpoints)
DeviceDefinition.quantity
  • Deleted (-> DeviceDefinition.packaging.count or DeviceDefinition.hasPart.count)
DeviceDefinition.parentDevice
  • Deleted (Removed - to establish relations, use hasPArt)
DeviceDispense
  • Added Resource
DeviceMetric
DeviceMetric.device
  • Added Mandatory Element
DeviceMetric.color
DeviceMetric.measurementFrequency
  • Added Element
DeviceMetric.source
  • Deleted
DeviceMetric.parent
  • Deleted
DeviceMetric.measurementPeriod
  • Deleted
DeviceRequest
DeviceRequest.replaces
  • Renamed from priorRequest to replaces
  • Type Reference: Added Target Type DeviceRequest
  • Type Reference: Removed Target Type Resource
DeviceRequest.doNotPerform
  • Added Element
DeviceRequest.code
  • Renamed from code[x] to code
  • Add Type CodeableReference
  • Remove Types Reference(Device), CodeableConcept
DeviceRequest.quantity
  • Added Element
DeviceRequest.performer
  • Type changed from Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) to CodeableReference
DeviceRequest.reason
  • Added Element
DeviceRequest.asNeeded
  • Added Element
DeviceRequest.asNeededFor
  • Added Element
DeviceRequest.performerType
  • Deleted (-> performer)
DeviceRequest.reasonCode
  • Deleted (-> reason)
DeviceRequest.reasonReference
  • Deleted (-> reason)
DeviceUsage
  • Name Changed from DeviceUseStatement to DeviceUsage
DeviceUsage
  • Moved from DeviceUseStatement to DeviceUsage
DeviceUsage.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0 to Device Usage Status
  • Add code not-done
DeviceUsage.category
  • Added Element
DeviceUsage.patient
  • Added Mandatory Element
DeviceUsage.context
  • Added Element
DeviceUsage.dateAsserted
  • Added Element
DeviceUsage.usageStatus
  • Added Element
DeviceUsage.usageReason
  • Added Element
DeviceUsage.adherence
  • Added Element
DeviceUsage.adherence.code
  • Added Mandatory Element
DeviceUsage.adherence.reason
  • Added Mandatory Element
DeviceUsage.informationSource
  • Added Element
DeviceUsage.device
  • Type changed from Reference(Device) to CodeableReference
DeviceUsage.reason
  • Added Element
DeviceUsage.bodySite
  • Type changed from CodeableConcept to CodeableReference
DeviceUseStatement.subject
  • Deleted
DeviceUseStatement.recordedOn
  • Deleted
DeviceUseStatement.source
  • Deleted
DeviceUseStatement.reasonCode
  • Deleted
DeviceUseStatement.reasonReference
  • Deleted
DiagnosticReport
DiagnosticReport.status
  • Add code modified
DiagnosticReport.subject
  • Type Reference: Added Target Types Organization, Practitioner, Medication, Substance, BiologicallyDerivedProduct
DiagnosticReport.note
  • Added Element
DiagnosticReport.study
  • Added Element
DiagnosticReport.supportingInfo
  • Added Element
DiagnosticReport.supportingInfo.type
  • Added Mandatory Element
DiagnosticReport.supportingInfo.reference
  • Added Mandatory Element
DiagnosticReport.media.link
  • Type Reference: Added Target Type DocumentReference
  • Type Reference: Removed Target Type Media
DiagnosticReport.composition
  • Added Element
DiagnosticReport.conclusion
  • Type changed from string to markdown
DiagnosticReport.imagingStudy
  • Deleted
DocumentReference
DocumentReference.version
  • Added Element
DocumentReference.basedOn
  • Added Element
DocumentReference.docStatus
  • Add codes registered , partial , corrected , appended , cancelled , deprecated , unknown
DocumentReference.modality
  • Added Element
DocumentReference.subject
  • Type Reference: Added Target Type Resource
  • Type Reference: Removed Target Types Patient, Practitioner, Group, Device
DocumentReference.context
  • Max Cardinality changed from 1 to *
  • Type changed from BackboneElement to Reference(Appointment | Encounter | EpisodeOfCare)
DocumentReference.event
  • Added Element
DocumentReference.bodySite
  • Added Element
DocumentReference.facilityType
  • Added Element
DocumentReference.practiceSetting
  • Added Element
DocumentReference.period
  • Added Element
DocumentReference.author
  • Type Reference: Added Target Type CareTeam
DocumentReference.attester
  • Added Element
DocumentReference.attester.mode
  • Added Mandatory Element
DocumentReference.attester.time
  • Added Element
DocumentReference.attester.party
  • Added Element
DocumentReference.relatesTo.code
  • Type changed from code to CodeableConcept
  • Change binding strength from required to extensible
DocumentReference.description
  • Type changed from string to markdown
DocumentReference.securityLabel
  • Remove Binding `http://hl7.org/fhir/ValueSet/security-labels` (extensible)
DocumentReference.content.profile
  • Added Element
DocumentReference.content.profile.value[x]
  • Added Mandatory Element
DocumentReference.masterIdentifier
  • Deleted (-> identifier)
DocumentReference.authenticator
  • Deleted (-> attester)
DocumentReference.content.format
  • Deleted (-> content.profile)
DocumentReference.context.encounter
  • Deleted (-> context)
DocumentReference.context.event
  • Deleted (-> event)
DocumentReference.context.period
  • Deleted (-> period)
DocumentReference.context.facilityType
  • Deleted (-> facilityType)
DocumentReference.context.practiceSetting
  • Deleted (-> practiceSetting)
DocumentReference.context.sourcePatientInfo
  • Deleted (-> use extension http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient)
DocumentReference.context.related
  • Deleted (-> basedOn)
DomainResource
  • No Changes
Encounter
Encounter.status
  • Remove codes arrived , triaged , onleave , finished
  • Add codes on-hold , discharged , completed , discontinued
Encounter.class
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode` (extensible)
Encounter.serviceType
  • Max Cardinality changed from 1 to *
  • Type changed from CodeableConcept to CodeableReference
Encounter.subjectStatus
  • Added Element
Encounter.basedOn
  • Type Reference: Added Target Types CarePlan, DeviceRequest, MedicationRequest, RequestOrchestration, NutritionOrder, VisionPrescription, ImmunizationRecommendation
Encounter.careTeam
  • Added Element
Encounter.participant.actor
  • Renamed from individual to actor
  • Type Reference: Added Target Types Patient, Group, Device, HealthcareService
Encounter.virtualService
  • Added Element
Encounter.actualPeriod
  • Renamed from period to actualPeriod
Encounter.plannedStartDate
  • Added Element
Encounter.plannedEndDate
  • Added Element
Encounter.reason
  • Renamed from reasonCode to reason
  • Type changed from CodeableConcept to BackboneElement
Encounter.reason.use
  • Added Element
Encounter.reason.value
  • Added Element
Encounter.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition | Procedure) to CodeableReference
Encounter.diagnosis.use
  • Max Cardinality changed from 1 to *
Encounter.dietPreference
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialArrangement
  • Moved from Encounter.hospitalization to Encounter
Encounter.specialCourtesy
  • Moved from Encounter.hospitalization to Encounter
Encounter.admission
  • Renamed from hospitalization to admission
Encounter.admission.preAdmissionIdentifier
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.origin
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.admitSource
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.reAdmission
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.destination
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.admission.dischargeDisposition
  • Moved from Encounter.hospitalization to Encounter.admission
Encounter.location.form
  • Renamed from physicalType to form
Encounter.statusHistory
  • Deleted (-> EncounterHistory.status)
Encounter.classHistory
  • Deleted (-> EncounterHistory.class)
Encounter.reasonReference
  • Deleted (-> Encounter.reason.reference)
Encounter.diagnosis.rank
  • Deleted (-> Account.diagnosis.sequence)
EncounterHistory
  • Added Resource
Endpoint
Endpoint.status
  • Remove code test
Endpoint.connectionType
  • Max Cardinality changed from 1 to *
  • Type changed from Coding to CodeableConcept
  • Remove Binding `http://hl7.org/fhir/ValueSet/endpoint-connection-type` (extensible)
Endpoint.description
  • Added Element
Endpoint.environmentType
  • Added Element
Endpoint.availability
  • Added Element
Endpoint.payload
  • Added Element
Endpoint.payload.type
  • Moved from Endpoint.payloadType to type
  • Min Cardinality changed from 1 to 0
Endpoint.payload.mimeType
  • Moved from Endpoint.payloadMimeType to mimeType
Endpoint.payload.profileCanonical
  • Added Element
Endpoint.payload.profileUri
  • Added Element
EnrollmentRequest
  • No Changes
EnrollmentResponse
EnrollmentResponse.outcome
  • Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to Enrollment Outcome
EpisodeOfCare
EpisodeOfCare.reason
  • Added Element
EpisodeOfCare.reason.use
  • Added Element
EpisodeOfCare.reason.value
  • Added Element
EpisodeOfCare.diagnosis.condition
  • Min Cardinality changed from 1 to 0
  • Max Cardinality changed from 1 to *
  • Type changed from Reference(Condition) to CodeableReference
EpisodeOfCare.diagnosis.use
  • Renamed from role to use
EpisodeOfCare.subject
  • Added Mandatory Element
EpisodeOfCare.careTeam
  • Renamed from team to careTeam
EpisodeOfCare.diagnosis.rank
  • Deleted
EpisodeOfCare.patient
  • Deleted
EventDefinition
EventDefinition.versionAlgorithm[x]
  • Added Element
EventDefinition.subject[x]
  • Change value set from http://hl7.org/fhir/ValueSet/subject-type to Participant Resource Types
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/resource-types" to "http://hl7.org/fhir/fhir-types"
EventDefinition.usage
  • Type changed from string to markdown
EventDefinition.copyrightLabel
  • Added Element
Evidence
Evidence.versionAlgorithm[x]
  • Added Element
Evidence.citeAs[x]
  • Added Element
Evidence.experimental
  • Added Element
Evidence.purpose
  • Added Element
Evidence.copyrightLabel
  • Added Element
Evidence.assertion
  • Added Element
Evidence.variableDefinition
  • Added Mandatory Element
Evidence.variableDefinition.description
  • Added Element
Evidence.variableDefinition.note
  • Added Element
Evidence.variableDefinition.variableRole
  • Added Mandatory Element
Evidence.variableDefinition.roleSubtype
  • Added Element
Evidence.variableDefinition.comparatorCategory
  • Added Element
Evidence.variableDefinition.observed
  • Added Element
Evidence.variableDefinition.intended
  • Added Element
Evidence.variableDefinition.directnessMatch
  • Added Element
Evidence.synthesisType
  • Added Element
Evidence.studyDesign
  • Added Element
Evidence.statistic
  • Added Element
Evidence.statistic.description
  • Added Element
Evidence.statistic.note
  • Added Element
Evidence.statistic.statisticType
  • Added Element
Evidence.statistic.category
  • Added Element
Evidence.statistic.quantity
  • Added Element
Evidence.statistic.numberOfEvents
  • Added Element
Evidence.statistic.numberAffected
  • Added Element
Evidence.statistic.sampleSize
  • Added Element
Evidence.statistic.sampleSize.description
  • Added Element
Evidence.statistic.sampleSize.note
  • Added Element
Evidence.statistic.sampleSize.numberOfStudies
  • Added Element
Evidence.statistic.sampleSize.numberOfParticipants
  • Added Element
Evidence.statistic.sampleSize.knownDataCount
  • Added Element
Evidence.statistic.attributeEstimate
  • Added Element
Evidence.statistic.attributeEstimate.description
  • Added Element
Evidence.statistic.attributeEstimate.note
  • Added Element
Evidence.statistic.attributeEstimate.type
  • Added Element
Evidence.statistic.attributeEstimate.quantity
  • Added Element
Evidence.statistic.attributeEstimate.level
  • Added Element
Evidence.statistic.attributeEstimate.range
  • Added Element
Evidence.statistic.attributeEstimate.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic
  • Added Element
Evidence.statistic.modelCharacteristic.condition[x]
  • Added Element
Evidence.statistic.modelCharacteristic.code
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.value[x]
  • Added Element
Evidence.statistic.modelCharacteristic.intended
  • Added Element
Evidence.statistic.modelCharacteristic.applied
  • Added Element
Evidence.statistic.modelCharacteristic.variable
  • Added Element
Evidence.statistic.modelCharacteristic.variable.variableDefinition
  • Added Mandatory Element
Evidence.statistic.modelCharacteristic.variable.handling
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueCategory
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueQuantity
  • Added Element
Evidence.statistic.modelCharacteristic.variable.valueRange
  • Added Element
Evidence.statistic.modelCharacteristic.attributeEstimate
  • Added Element
Evidence.statistic.modelCharacteristic.modelCharacteristic
  • Added Element
Evidence.certainty
  • Added Element
Evidence.certainty.description
  • Added Element
Evidence.certainty.note
  • Added Element
Evidence.certainty.type
  • Added Element
Evidence.certainty.rating
  • Added Element
Evidence.certainty.rater
  • Added Element
Evidence.certainty.subcomponent
  • Added Element
Evidence.shortTitle
  • Deleted
Evidence.subtitle
  • Deleted
Evidence.jurisdiction
  • Deleted
Evidence.effectivePeriod
  • Deleted
Evidence.topic
  • Deleted
Evidence.exposureBackground
  • Deleted
Evidence.exposureVariant
  • Deleted
Evidence.outcome
  • Deleted
EvidenceReport
  • Added Resource
EvidenceVariable
EvidenceVariable.versionAlgorithm[x]
  • Added Element
EvidenceVariable.experimental
  • Added Element
EvidenceVariable.purpose
  • Added Element
EvidenceVariable.copyrightLabel
  • Added Element
EvidenceVariable.actual
  • Added Element
EvidenceVariable.definition
  • Added Element
EvidenceVariable.handling
  • Added Element
EvidenceVariable.category
  • Added Element
EvidenceVariable.category.name
  • Added Element
EvidenceVariable.category.value[x]
  • Added Element
EvidenceVariable.subtitle
  • Deleted
EvidenceVariable.jurisdiction
  • Deleted
EvidenceVariable.topic
  • Deleted
EvidenceVariable.type
  • Deleted
EvidenceVariable.characteristic
  • Deleted
ExampleScenario
ExampleScenario.versionAlgorithm[x]
  • Added Element
ExampleScenario.title
  • Added Element
ExampleScenario.description
  • Added Element
ExampleScenario.copyrightLabel
  • Added Element
ExampleScenario.actor.key
  • Renamed from actorId to key
ExampleScenario.actor.type
  • Remove code entity
  • Add code system
ExampleScenario.actor.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.key
  • Renamed from resourceId to key
ExampleScenario.instance.structureType
  • Renamed from resourceType to structureType
  • Type changed from code to Coding
  • Change binding strength from required to extensible
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to Example Scenario Resource Type
ExampleScenario.instance.structureVersion
  • Added Element
ExampleScenario.instance.structureProfile[x]
  • Added Element
ExampleScenario.instance.title
  • Renamed from name to title
  • Min Cardinality changed from 0 to 1
ExampleScenario.instance.content
  • Added Element
ExampleScenario.instance.version.key
  • Added Mandatory Element
ExampleScenario.instance.version.title
  • Added Mandatory Element
ExampleScenario.instance.version.description
  • Min Cardinality changed from 1 to 0
ExampleScenario.instance.version.content
  • Added Element
ExampleScenario.instance.containedInstance.instanceReference
  • Renamed from resourceId to instanceReference
ExampleScenario.instance.containedInstance.versionReference
  • Renamed from versionId to versionReference
ExampleScenario.process.step.number
  • Moved from ExampleScenario.process.step.operation to ExampleScenario.process.step
  • Min Cardinality changed from 1 to 0
ExampleScenario.process.step.process