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"strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/care-team-status|4.0.1", "strength": "required" } }, "CareTeam.encounter": { "status": "new" }, "CareTeam.participant.role": { "old-max": "1", "new-max": "*" }, "CareTeam.participant.member": { "removed-types": [ "Reference(Practitioner | RelatedPerson | Patient | Organization | CareTeam)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)" ] }, "CareTeam.telecom": { "status": "new" }, "CareTeam.context": { "status": "deleted" } }, "status": "changed" }, "CatalogEntry": { "status": "new" }, "ChargeItem": { "elements": { "ChargeItem.identifier": { "old-max": "1", "new-max": "*" }, "ChargeItem.definitionUri": { "status": "new" }, "ChargeItem.definitionCanonical": { "status": "new" }, "ChargeItem.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/chargeitem-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1", "strength": "required" } }, "ChargeItem.performer": { "status": "new" }, "ChargeItem.performer.function": { "status": "new" }, "ChargeItem.performer.actor": { "status": "new" }, "ChargeItem.costCenter": { "status": "new" }, "ChargeItem.enterer": { "removed-types": [ "Reference(Practitioner | Organization | Patient | Device | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)" ] }, "ChargeItem.product[x]": { "status": "new" }, "ChargeItem.definition": { "status": "deleted" }, "ChargeItem.participant": { "status": "deleted" } }, "status": "changed" }, "ChargeItemDefinition": { "status": "new" }, "Claim": { "elements": { "Claim.status": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1", "strength": "required" } }, "Claim.type": { "old-min": 0, "new-min": 1, "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-type", "strength": "extensible" } }, "Claim.subType": { "old-max": "*", "new-max": "1" }, "Claim.use": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-use", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-use|4.0.1", "strength": "required" } }, "Claim.patient": { "old-min": 0, "new-min": 1 }, "Claim.created": { "old-min": 0, "new-min": 1 }, "Claim.enterer": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole)" ] }, "Claim.provider": { "old-min": 0, "new-min": 1, "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "Claim.priority": { "old-min": 0, "new-min": 1 }, "Claim.prescription": { "removed-types": [ "Reference(MedicationRequest | VisionPrescription)" ], "added-types": [ "Reference(DeviceRequest | MedicationRequest | VisionPrescription)" ] }, "Claim.originalPrescription": { "removed-types": [ "Reference(MedicationRequest)" ], "added-types": [ "Reference(DeviceRequest | MedicationRequest | VisionPrescription)" ] }, "Claim.payee.party": { "removed-types": [ "Reference(Practitioner | Organization | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)" ] }, "Claim.referral": { "removed-types": [ "Reference(ReferralRequest)" ], "added-types": [ "Reference(ServiceRequest)" ] }, "Claim.careTeam.provider": { "removed-types": [ "Reference(Practitioner | Organization)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "Claim.supportingInfo": { "old-name": "information" }, "Claim.supportingInfo.value[x]": { "added-types": [ "boolean" ] }, "Claim.diagnosis.onAdmission": { "status": "new" }, "Claim.procedure.type": { "status": "new" }, "Claim.procedure.udi": { "status": "new" }, "Claim.insurance": { "old-min": 0, "new-min": 1 }, "Claim.insurance.identifier": { "status": "new" }, "Claim.accident.type": { "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode", "strength": "required" }, "new-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode", "strength": "extensible" } }, "Claim.item.careTeamSequence": { "old-name": "careTeamLinkId" }, "Claim.item.diagnosisSequence": { "old-name": "diagnosisLinkId" }, "Claim.item.procedureSequence": { "old-name": "procedureLinkId" }, "Claim.item.informationSequence": { "old-name": "informationLinkId" }, "Claim.item.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "Claim.item.detail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "Claim.item.detail.subDetail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "Claim.organization": { "status": "deleted" }, "Claim.payee.resourceType": { "status": "deleted" }, "Claim.employmentImpacted": { "status": "deleted" }, "Claim.hospitalization": { "status": "deleted" } }, "status": "changed" }, "ClaimResponse": { "elements": { "ClaimResponse.status": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1", "strength": "required" } }, "ClaimResponse.type": { "status": "new" }, "ClaimResponse.subType": { "status": "new" }, "ClaimResponse.use": { "status": "new" }, "ClaimResponse.patient": { "old-min": 0, "new-min": 1 }, "ClaimResponse.created": { "old-min": 0, "new-min": 1 }, "ClaimResponse.insurer": { "old-min": 0, "new-min": 1 }, "ClaimResponse.requestor": { "old-name": "requestProvider", "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "ClaimResponse.outcome": { "old-min": 0, "new-min": 1, "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1", "strength": "required" } }, "ClaimResponse.preAuthRef": { "old-max": "*", "new-max": "1" }, "ClaimResponse.preAuthPeriod": { "status": "new" }, "ClaimResponse.item.itemSequence": { "old-name": "sequenceLinkId" }, "ClaimResponse.item.adjudication": { "old-min": 0, "new-min": 1 }, "ClaimResponse.item.detail.detailSequence": { "old-name": "sequenceLinkId" }, "ClaimResponse.item.detail.adjudication": { "old-min": 0, "new-min": 1 }, "ClaimResponse.item.detail.subDetail.subDetailSequence": { "old-name": "sequenceLinkId" }, "ClaimResponse.addItem.itemSequence": { "old-name": "sequenceLinkId" }, "ClaimResponse.addItem.detailSequence": { "status": "new" }, "ClaimResponse.addItem.subdetailSequence": { "status": "new" }, "ClaimResponse.addItem.provider": { "status": "new" }, "ClaimResponse.addItem.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ClaimResponse.addItem.programCode": { "status": "new" }, "ClaimResponse.addItem.serviced[x]": { "status": "new" }, "ClaimResponse.addItem.location[x]": { "status": "new" }, "ClaimResponse.addItem.quantity": { "status": "new" }, "ClaimResponse.addItem.unitPrice": { "status": "new" }, "ClaimResponse.addItem.factor": { "status": "new" }, "ClaimResponse.addItem.net": { "status": "new" }, "ClaimResponse.addItem.bodySite": { "status": "new" }, "ClaimResponse.addItem.subSite": { "status": "new" }, "ClaimResponse.addItem.adjudication": { "old-min": 0, "new-min": 1 }, "ClaimResponse.addItem.detail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ClaimResponse.addItem.detail.quantity": { "status": "new" }, "ClaimResponse.addItem.detail.unitPrice": { "status": "new" }, "ClaimResponse.addItem.detail.factor": { "status": "new" }, "ClaimResponse.addItem.detail.net": { "status": "new" }, "ClaimResponse.addItem.detail.adjudication": { "old-min": 0, "new-min": 1 }, "ClaimResponse.addItem.detail.subDetail": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.productOrService": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.modifier": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.quantity": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.unitPrice": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.factor": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.net": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.noteNumber": { "status": "new" }, "ClaimResponse.addItem.detail.subDetail.adjudication": { "status": "new" }, "ClaimResponse.adjudication": { "status": "new" }, "ClaimResponse.total": { "status": "new" }, "ClaimResponse.total.category": { "status": "new" }, "ClaimResponse.total.amount": { "status": "new" }, "ClaimResponse.payment.type": { "old-min": 0, "new-min": 1 }, "ClaimResponse.payment.amount": { "old-min": 0, "new-min": 1 }, "ClaimResponse.fundsReserve": { "old-name": "reserved", "removed-types": [ "Coding" ], "added-types": [ "CodeableConcept" ] }, "ClaimResponse.formCode": { "status": "new" }, "ClaimResponse.form": { "removed-types": [ "CodeableConcept" ], "added-types": [ "Attachment" ] }, "ClaimResponse.processNote.type": { "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/note-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/note-type|4.0.1", "strength": "required" } }, "ClaimResponse.processNote.text": { "old-min": 0, "new-min": 1 }, "ClaimResponse.processNote.language": { "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "extensible", "max": "http://hl7.org/fhir/ValueSet/all-languages" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "preferred", "max": "http://hl7.org/fhir/ValueSet/all-languages" } }, "ClaimResponse.error.itemSequence": { "old-name": "sequenceLinkId" }, "ClaimResponse.error.detailSequence": { "old-name": "detailSequenceLinkId" }, "ClaimResponse.error.subDetailSequence": { "old-name": "subdetailSequenceLinkId" }, "ClaimResponse.requestOrganization": { "status": "deleted" }, "ClaimResponse.addItem.revenue": { "status": "deleted" }, "ClaimResponse.addItem.category": { "status": "deleted" }, "ClaimResponse.addItem.fee": { "status": "deleted" }, "ClaimResponse.addItem.detail.revenue": { "status": "deleted" }, "ClaimResponse.addItem.detail.category": { "status": "deleted" }, "ClaimResponse.addItem.detail.fee": { "status": "deleted" }, "ClaimResponse.totalCost": { "status": "deleted" }, "ClaimResponse.unallocDeductable": { "status": "deleted" }, "ClaimResponse.totalBenefit": { "status": "deleted" } }, "status": "changed" }, "ClinicalImpression": { "elements": { "ClinicalImpression.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/clinical-impression-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1", "strength": "required" } }, "ClinicalImpression.statusReason": { "status": "new" }, "ClinicalImpression.encounter": { "status": "new" }, "ClinicalImpression.assessor": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole)" ] }, "ClinicalImpression.investigation.item": { "removed-types": [ "Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy)" ], "added-types": [ "Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)" ] }, "ClinicalImpression.finding.itemCodeableConcept": { "status": "new" }, "ClinicalImpression.finding.itemReference": { "status": "new" }, "ClinicalImpression.supportingInfo": { "status": "new" }, "ClinicalImpression.context": { "status": "deleted" }, "ClinicalImpression.finding.item[x]": { "status": "deleted" }, "ClinicalImpression.action": { "status": "deleted" } }, "status": "changed" }, "CodeSystem": { "elements": { "CodeSystem.identifier": { "old-max": "1", "new-max": "*" }, "CodeSystem.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.0.1", "strength": "required" } }, "CodeSystem.experimental": { "modifier": "removed" }, "CodeSystem.valueSet": { "removed-types": [ "uri" ], "added-types": [ "canonical(ValueSet)" ] }, "CodeSystem.hierarchyMeaning": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1", "strength": "required" } }, "CodeSystem.content": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/codesystem-content-mode", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1", "strength": "required" } }, "CodeSystem.supplements": { "status": "new" }, "CodeSystem.filter.operator": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/filter-operator", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/filter-operator|4.0.1", "strength": "required" } }, "CodeSystem.property.type": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/concept-property-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1", "strength": "required" } }, "CodeSystem.concept.designation.language": { "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "extensible", "max": "http://hl7.org/fhir/ValueSet/all-languages" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "preferred", "max": "http://hl7.org/fhir/ValueSet/all-languages" } }, "CodeSystem.concept.property.value[x]": { "added-types": [ "decimal" ] } }, "status": "changed" }, "Communication": { "elements": { "Communication.instantiatesCanonical": { "status": "new" }, "Communication.instantiatesUri": { "status": "new" }, "Communication.inResponseTo": { "status": "new" }, "Communication.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/event-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/event-status|4.0.1", "strength": "required" } }, "Communication.statusReason": { "status": "new" }, "Communication.priority": { "status": "new" }, "Communication.topic": { "old-max": "*", "new-max": "1", "removed-types": [ "Reference(Resource)" ], "added-types": [ "CodeableConcept" ] }, "Communication.about": { "status": "new" }, "Communication.encounter": { "status": "new" }, "Communication.recipient": { "removed-types": [ "Reference(Device | Organization | Patient | Practitioner | RelatedPerson | Group)" ], "added-types": [ "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)" ] }, "Communication.sender": { "removed-types": [ "Reference(Device | Organization | Patient | Practitioner | RelatedPerson)" ], "added-types": [ "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)" ] }, "Communication.reasonReference": { "removed-types": [ "Reference(Condition | Observation)" ], "added-types": [ "Reference(Condition | Observation | DiagnosticReport | DocumentReference)" ] }, "Communication.definition": { "status": "deleted" }, "Communication.notDone": { "status": "deleted" }, "Communication.notDoneReason": { "status": "deleted" }, "Communication.context": { "status": "deleted" } }, "status": "changed" }, "CommunicationRequest": { "elements": { "CommunicationRequest.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-status|4.0.1", "strength": "required" } }, "CommunicationRequest.statusReason": { "status": "new" }, "CommunicationRequest.priority": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-priority", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1", "strength": "required" } }, "CommunicationRequest.doNotPerform": { "status": "new" }, "CommunicationRequest.about": { "status": "new" }, "CommunicationRequest.encounter": { "status": "new" }, "CommunicationRequest.requester": { "removed-types": [ "BackboneElement" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)" ] }, "CommunicationRequest.recipient": { "removed-types": [ "Reference(Device | Organization | Patient | Practitioner | RelatedPerson | Group | CareTeam)" ], "added-types": [ "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)" ] }, "CommunicationRequest.sender": { "removed-types": [ "Reference(Device | Organization | Patient | Practitioner | RelatedPerson)" ], "added-types": [ "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)" ] }, "CommunicationRequest.reasonReference": { "removed-types": [ "Reference(Condition | Observation)" ], "added-types": [ "Reference(Condition | Observation | DiagnosticReport | DocumentReference)" ] }, "CommunicationRequest.topic": { "status": "deleted" }, "CommunicationRequest.context": { "status": "deleted" }, "CommunicationRequest.requester.agent": { "status": "deleted" }, "CommunicationRequest.requester.onBehalfOf": { "status": "deleted" } }, "status": "changed" }, "CompartmentDefinition": { "elements": { "CompartmentDefinition": { "old-min": 1, "new-min": 0, "old-max": "1", "new-max": "*" }, "CompartmentDefinition.version": { "status": "new" }, "CompartmentDefinition.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.0.1", "strength": "required" } }, "CompartmentDefinition.experimental": { "modifier": "removed" }, "CompartmentDefinition.code": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/compartment-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/compartment-type|4.0.1", "strength": "required" } }, "CompartmentDefinition.resource.code": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/resource-types", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.0.1", "strength": "required" } }, "CompartmentDefinition.title": { "status": "deleted" }, "CompartmentDefinition.jurisdiction": { "status": "deleted" } }, "status": "changed" }, "Composition": { "elements": { "Composition.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-status|4.0.1", "strength": "required" } }, "Composition.category": { "old-name": "class", "old-max": "1", "new-max": "*" }, "Composition.subject": { "old-min": 1, "new-min": 0 }, "Composition.author": { "removed-types": [ "Reference(Practitioner | Device | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)" ] }, "Composition.confidentiality": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification", "strength": "required" }, "new-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26", "strength": "required" }, "modifier": "removed" }, "Composition.attester.mode": { "old-max": "*", "new-max": "1", "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1", "strength": "required" } }, "Composition.attester.party": { "removed-types": [ "Reference(Patient | Practitioner | Organization)" ], "added-types": [ "Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)" ] }, "Composition.relatesTo.code": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1", "strength": "required" } }, "Composition.section.author": { "status": "new" }, "Composition.section.focus": { "status": "new" }, "Composition.section.mode": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/list-mode", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/list-mode|4.0.1", "strength": "required" }, "modifier": "removed" } }, "status": "changed" }, "ConceptMap": { "elements": { "ConceptMap.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.0.1", "strength": "required" } }, "ConceptMap.experimental": { "modifier": "removed" }, "ConceptMap.source[x]": { "removed-types": [ "Reference(ValueSet)" ], "added-types": [ "canonical(ValueSet)" ] }, "ConceptMap.target[x]": { "removed-types": [ "Reference(ValueSet)" ], "added-types": [ "canonical(ValueSet)" ] }, "ConceptMap.group.element.target.equivalence": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/concept-map-equivalence", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1", "strength": "required" }, "default": "removed", "old-default": "\"equivalent\"" }, "ConceptMap.group.element.target.dependsOn.system": { "removed-types": [ "uri" ], "added-types": [ "canonical(CodeSystem)" ] }, "ConceptMap.group.element.target.dependsOn.value": { "old-name": "code" }, "ConceptMap.group.unmapped.mode": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.1", "strength": "required" } }, "ConceptMap.group.unmapped.url": { "removed-types": [ "uri" ], "added-types": [ "canonical(ConceptMap)" ] } }, "status": "changed" }, "Condition": { "elements": { "Condition.clinicalStatus": { "removed-types": [ "code" ], "added-types": [ "CodeableConcept" ], "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/condition-clinical", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1", "strength": "required" } }, "Condition.verificationStatus": { "removed-types": [ "code" ], "added-types": [ "CodeableConcept" ], "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/condition-ver-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1", "strength": "required" }, "default": "removed", "old-default": "\"unknown\"" }, "Condition.category": { "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/condition-category", "strength": "extensible" } }, "Condition.encounter": { "status": "new" }, "Condition.abatement[x]": { "removed-types": [ "boolean" ] }, "Condition.recordedDate": { "old-name": "assertedDate" }, "Condition.recorder": { "status": "new" }, "Condition.asserter": { "removed-types": [ "Reference(Practitioner | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)" ] }, "Condition.stage": { "old-max": "1", "new-max": "*" }, "Condition.stage.type": { "status": "new" }, "Condition.context": { "status": "deleted" } }, "status": "changed" }, "Consent": { "elements": { "Consent.identifier": { "old-max": "1", "new-max": "*" }, "Consent.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/consent-state-codes", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1", "strength": "required" } }, "Consent.scope": { "status": "new" }, "Consent.category": { "old-min": 0, "new-min": 1, "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/consent-category", "strength": "extensible" } }, "Consent.patient": { "old-min": 1, "new-min": 0 }, "Consent.performer": { "status": "new" }, "Consent.source[x]": { "removed-types": [ "Identifier" ] }, "Consent.policyRule": { "removed-types": [ "uri" ], "added-types": [ "CodeableConcept" ], "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/consent-policy", "strength": "extensible" } }, "Consent.verification": { "status": "new" }, "Consent.verification.verified": { "status": "new" }, "Consent.verification.verifiedWith": { "status": "new" }, "Consent.verification.verificationDate": { "status": "new" }, "Consent.provision": { "status": "new" }, "Consent.provision.type": { "status": "new" }, "Consent.provision.period": { "status": "new" }, "Consent.provision.actor": { "status": "new" }, "Consent.provision.actor.role": { "status": "new" }, "Consent.provision.actor.reference": { "status": "new" }, "Consent.provision.action": { "status": "new" }, "Consent.provision.securityLabel": { "status": "new" }, "Consent.provision.purpose": { "status": "new" }, "Consent.provision.class": { "status": "new" }, "Consent.provision.code": { "status": "new" }, "Consent.provision.dataPeriod": { "status": "new" }, "Consent.provision.data": { "status": "new" }, "Consent.provision.data.meaning": { "status": "new" }, "Consent.provision.data.reference": { "status": "new" }, "Consent.provision.provision": { "status": "new" }, "Consent.period": { "status": "deleted" }, "Consent.consentingParty": { "status": "deleted" }, "Consent.actor": { "status": "deleted" }, "Consent.action": { "status": "deleted" }, "Consent.securityLabel": { "status": "deleted" }, "Consent.purpose": { "status": "deleted" }, "Consent.dataPeriod": { "status": "deleted" }, "Consent.data": { "status": "deleted" }, "Consent.except": { "status": "deleted" } }, "status": "changed" }, "Contract": { "elements": { "Contract.identifier": { "old-max": "1", "new-max": "*" }, "Contract.url": { "status": "new" }, "Contract.version": { "status": "new" }, "Contract.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/contract-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/contract-status|4.0.1", "strength": "required" } }, "Contract.legalState": { "status": "new" }, "Contract.instantiatesCanonical": { "status": "new" }, "Contract.instantiatesUri": { "status": "new" }, "Contract.expirationType": { "status": "new" }, "Contract.site": { "status": "new" }, "Contract.name": { "status": "new" }, "Contract.title": { "status": "new" }, "Contract.subtitle": { "status": "new" }, "Contract.alias": { "status": "new" }, "Contract.author": { "status": "new" }, "Contract.scope": { "status": "new" }, "Contract.topic[x]": { "old-name": 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"Contract.term.securityLabel.category": { "status": "new" }, "Contract.term.securityLabel.control": { "status": "new" }, "Contract.term.offer": { "status": "new" }, "Contract.term.offer.identifier": { "status": "new" }, "Contract.term.offer.party": { "status": "new" }, "Contract.term.offer.party.reference": { "status": "new" }, "Contract.term.offer.party.role": { "status": "new" }, "Contract.term.offer.topic": { "status": "new" }, "Contract.term.offer.type": { "status": "new" }, "Contract.term.offer.decision": { "status": "new" }, "Contract.term.offer.decisionMode": { "status": "new" }, "Contract.term.offer.answer": { "status": "new" }, "Contract.term.offer.answer.value[x]": { "status": "new" }, "Contract.term.offer.text": { "status": "new" }, "Contract.term.offer.linkId": { "status": "new" }, "Contract.term.offer.securityLabelNumber": { "status": "new" }, "Contract.term.asset": { "status": "new" }, "Contract.term.asset.scope": { "status": "new" }, "Contract.term.asset.type": { "status": "new" }, "Contract.term.asset.typeReference": { "status": "new" }, "Contract.term.asset.subtype": { "status": "new" }, "Contract.term.asset.relationship": { "status": "new" }, "Contract.term.asset.context": { "status": "new" }, "Contract.term.asset.context.reference": { "status": "new" }, "Contract.term.asset.context.code": { "status": "new" }, "Contract.term.asset.context.text": { "status": "new" }, "Contract.term.asset.condition": { "status": "new" }, "Contract.term.asset.periodType": { "status": "new" }, "Contract.term.asset.period": { "status": "new" }, "Contract.term.asset.usePeriod": { "status": "new" }, "Contract.term.asset.text": { "status": "new" }, "Contract.term.asset.linkId": { "status": "new" }, "Contract.term.asset.answer": { "status": "new" }, "Contract.term.asset.securityLabelNumber": { "status": "new" }, "Contract.term.asset.valuedItem": { "status": "new" }, "Contract.term.asset.valuedItem.entity[x]": { "status": "new" }, "Contract.term.asset.valuedItem.identifier": { "status": "new" }, "Contract.term.asset.valuedItem.effectiveTime": { "status": "new" }, "Contract.term.asset.valuedItem.quantity": { "status": "new" }, "Contract.term.asset.valuedItem.unitPrice": { "status": "new" }, "Contract.term.asset.valuedItem.factor": { "status": "new" }, "Contract.term.asset.valuedItem.points": { "status": "new" }, "Contract.term.asset.valuedItem.net": { "status": "new" }, "Contract.term.asset.valuedItem.payment": { "status": "new" }, "Contract.term.asset.valuedItem.paymentDate": { "status": "new" }, "Contract.term.asset.valuedItem.responsible": { "status": "new" }, "Contract.term.asset.valuedItem.recipient": { "status": "new" }, "Contract.term.asset.valuedItem.linkId": { "status": "new" }, "Contract.term.asset.valuedItem.securityLabelNumber": { "status": "new" }, "Contract.term.action": { "removed-types": [ "CodeableConcept" ], "added-types": [ "BackboneElement" ] }, "Contract.term.action.doNotPerform": { "status": "new" }, "Contract.term.action.type": { "status": "new" }, "Contract.term.action.subject": { "status": "new" }, "Contract.term.action.subject.reference": { "status": "new" }, "Contract.term.action.subject.role": { "status": "new" }, "Contract.term.action.intent": { "status": "new" }, "Contract.term.action.linkId": { "status": "new" }, "Contract.term.action.status": { "status": "new" }, "Contract.term.action.context": { "status": "new" }, "Contract.term.action.contextLinkId": { "status": "new" }, "Contract.term.action.occurrence[x]": { "status": "new" }, "Contract.term.action.requester": { "status": "new" }, "Contract.term.action.requesterLinkId": { "status": "new" }, "Contract.term.action.performerType": { "status": "new" }, "Contract.term.action.performerRole": { "status": "new" }, "Contract.term.action.performer": { "status": "new" }, "Contract.term.action.performerLinkId": { "status": "new" }, "Contract.term.action.reasonCode": { "status": "new" }, "Contract.term.action.reasonReference": { "status": "new" }, "Contract.term.action.reason": { "status": "new" }, "Contract.term.action.reasonLinkId": { "status": "new" }, "Contract.term.action.note": { "status": "new" }, "Contract.term.action.securityLabelNumber": { "status": "new" }, "Contract.supportingInfo": { "status": "new" }, "Contract.relevantHistory": { "status": "new" }, "Contract.signer.party": { "removed-types": [ "Reference(Organization | Patient | Practitioner | RelatedPerson)" ], "added-types": [ "Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)" ] }, "Contract.legallyBinding[x]": { "status": "new" }, "Contract.action": { "status": "deleted" }, "Contract.actionReason": { "status": "deleted" }, "Contract.decisionType": { "status": "deleted" }, "Contract.securityLabel": { "status": "deleted" }, "Contract.agent": { "status": "deleted" }, "Contract.valuedItem": { "status": "deleted" }, "Contract.term.actionReason": { "status": "deleted" }, "Contract.term.agent": { "status": "deleted" }, "Contract.term.valuedItem": { "status": "deleted" }, "Contract.binding[x]": { "status": "deleted" } }, "status": "changed" }, "Coverage": { "elements": { "Coverage.status": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1", "strength": "required" } }, "Coverage.beneficiary": { "old-min": 0, "new-min": 1 }, "Coverage.relationship": { "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/subscriber-relationship", "strength": "extensible" } }, "Coverage.payor": { "old-min": 0, "new-min": 1 }, "Coverage.class": { "old-name": "grouping", "old-max": "1", "new-max": "*" }, "Coverage.class.type": { "status": "new" }, "Coverage.class.value": { "status": "new" }, "Coverage.class.name": { "status": "new" }, "Coverage.costToBeneficiary": { "status": "new" }, "Coverage.costToBeneficiary.type": { "status": "new" }, "Coverage.costToBeneficiary.value[x]": { "status": "new" }, "Coverage.costToBeneficiary.exception": { "status": "new" }, "Coverage.costToBeneficiary.exception.type": { "status": "new" }, "Coverage.costToBeneficiary.exception.period": { "status": "new" }, "Coverage.subrogation": { "status": "new" }, "Coverage.grouping.group": { "status": "deleted" }, "Coverage.grouping.groupDisplay": { "status": "deleted" }, "Coverage.grouping.subGroup": { "status": "deleted" }, "Coverage.grouping.subGroupDisplay": { "status": "deleted" }, "Coverage.grouping.plan": { "status": "deleted" }, "Coverage.grouping.planDisplay": { "status": "deleted" }, "Coverage.grouping.subPlan": { "status": "deleted" }, "Coverage.grouping.subPlanDisplay": { "status": "deleted" }, "Coverage.grouping.class": { "status": "deleted" }, "Coverage.grouping.classDisplay": { "status": "deleted" }, "Coverage.grouping.subClass": { "status": "deleted" }, "Coverage.grouping.subClassDisplay": { "status": "deleted" }, "Coverage.sequence": { "status": "deleted" } }, "status": "changed" }, "CoverageEligibilityRequest": { "status": "new" }, "CoverageEligibilityResponse": { "status": "new" }, "DetectedIssue": { "elements": { "DetectedIssue.identifier": { "old-max": "1", "new-max": "*" }, "DetectedIssue.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/observation-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/observation-status|4.0.1", "strength": "required" } }, "DetectedIssue.code": { "old-name": "category" }, "DetectedIssue.severity": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/detectedissue-severity", "strength": "required" }, "new-binding": { "reference": 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}, "Device.udiCarrier.carrierHRF": { "status": "new" }, "Device.udiCarrier.entryType": { "status": "new" }, "Device.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/device-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/device-status|4.0.1", "strength": "required" } }, "Device.statusReason": { "status": "new" }, "Device.distinctIdentifier": { "status": "new" }, "Device.serialNumber": { "status": "new" }, "Device.deviceName": { "status": "new" }, "Device.deviceName.name": { "status": "new" }, "Device.deviceName.type": { "status": "new" }, "Device.modelNumber": { "status": "new" }, "Device.partNumber": { "status": "new" }, "Device.specialization": { "status": "new" }, "Device.specialization.systemType": { "status": "new" }, "Device.specialization.version": { "status": "new" }, "Device.version": { "old-max": "1", "new-max": "*", "removed-types": [ "string" ], "added-types": [ "BackboneElement" ] }, "Device.version.type": { "status": "new" }, "Device.version.component": { "status": "new" }, "Device.version.value": { "status": "new" }, "Device.property": { "status": "new" }, "Device.property.type": { "status": "new" }, "Device.property.valueQuantity": { "status": "new" }, "Device.property.valueCode": { "status": "new" }, "Device.parent": { "status": "new" }, "Device.udi": { "status": "deleted" }, "Device.model": { "status": "deleted" } }, "status": "changed" }, "DeviceDefinition": { "status": "new" }, "DeviceMetric": { "elements": { "DeviceMetric.identifier": { "old-min": 1, "new-min": 0, "old-max": "1", "new-max": "*" }, "DeviceMetric.parent": { "removed-types": [ "Reference(DeviceComponent)" ], "added-types": [ "Reference(Device)" ] }, "DeviceMetric.operationalStatus": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-operational-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.1", "strength": "required" } }, "DeviceMetric.color": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-color", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-color|4.0.1", "strength": "required" } }, "DeviceMetric.category": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-category", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-category|4.0.1", "strength": "required" } }, "DeviceMetric.calibration.type": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.1", "strength": "required" } }, "DeviceMetric.calibration.state": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-state", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.1", "strength": "required" } } }, "status": "changed" }, "DeviceRequest": { "elements": { "DeviceRequest.instantiatesCanonical": { "status": "new" }, "DeviceRequest.instantiatesUri": { "status": "new" }, "DeviceRequest.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/request-status|4.0.1", "strength": "required" } }, "DeviceRequest.intent": { "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], 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PractitionerRole | Organization)" ] }, "DeviceRequest.performer": { "removed-types": [ "Reference(Practitioner | Organization | Patient | Device | RelatedPerson | HealthcareService)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)" ] }, "DeviceRequest.reasonReference": { "removed-types": [ "Reference(Resource)" ], "added-types": [ "Reference(Condition | Observation | DiagnosticReport | DocumentReference)" ] }, "DeviceRequest.insurance": { "status": "new" }, "DeviceRequest.definition": { "status": "deleted" }, "DeviceRequest.context": { "status": "deleted" }, "DeviceRequest.requester.agent": { "status": "deleted" }, "DeviceRequest.requester.onBehalfOf": { "status": "deleted" } }, "status": "changed" }, "DeviceUseStatement": { "elements": { "DeviceUseStatement.basedOn": { "status": "new" }, "DeviceUseStatement.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/device-statement-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1", "strength": "required" } }, "DeviceUseStatement.derivedFrom": { "status": "new" }, "DeviceUseStatement.source": { "removed-types": [ "Reference(Patient | Practitioner | RelatedPerson)" ], "added-types": [ "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)" ] }, "DeviceUseStatement.reasonCode": { "status": "new" }, "DeviceUseStatement.reasonReference": { "status": "new" }, "DeviceUseStatement.whenUsed": { "status": "deleted" }, "DeviceUseStatement.indication": { "status": "deleted" } }, "status": "changed" }, "DiagnosticReport": { "elements": { "DiagnosticReport.basedOn": { "removed-types": [ "Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)" ], "added-types": [ "Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)" ] }, "DiagnosticReport.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1", "strength": "required" } }, "DiagnosticReport.category": { "old-max": "1", "new-max": "*" }, "DiagnosticReport.encounter": { "status": "new" }, "DiagnosticReport.performer": { "removed-types": [ "BackboneElement" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | CareTeam)" ] }, "DiagnosticReport.resultsInterpreter": { "status": "new" }, "DiagnosticReport.imagingStudy": { "removed-types": [ "Reference(ImagingStudy | ImagingManifest)" ], "added-types": [ "Reference(ImagingStudy)" ] }, "DiagnosticReport.media": { "old-name": "image" }, "DiagnosticReport.conclusionCode": { "old-name": "codedDiagnosis" }, "DiagnosticReport.context": { "status": "deleted" }, "DiagnosticReport.performer.role": { "status": "deleted" }, "DiagnosticReport.performer.actor": { "status": "deleted" } }, "status": "changed" }, "DocumentManifest": { "elements": { "DocumentManifest.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-reference-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1", "strength": "required" } }, "DocumentManifest.author": { "removed-types": [ "Reference(Practitioner | Organization | Device | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)" ] }, "DocumentManifest.recipient": { "removed-types": [ "Reference(Patient | Practitioner | RelatedPerson | Organization)" ], "added-types": [ "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)" ] }, "DocumentManifest.content": { "removed-types": [ "BackboneElement" ], "added-types": [ "Reference(Resource)" ] }, "DocumentManifest.content.p[x]": { "status": "deleted" } }, "status": "changed" }, "DocumentReference": { "elements": { "DocumentReference.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-reference-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1", "strength": "required" } }, "DocumentReference.docStatus": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/composition-status|4.0.1", "strength": "required" } }, "DocumentReference.type": { "old-min": 1, "new-min": 0 }, "DocumentReference.category": { "old-name": "class", "old-max": "1", "new-max": "*" }, "DocumentReference.date": { "status": "new" }, "DocumentReference.author": { "removed-types": [ "Reference(Practitioner | Organization | Device | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)" ] }, "DocumentReference.authenticator": { "removed-types": [ "Reference(Practitioner | Organization)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "DocumentReference.relatesTo": { "modifier": "removed" }, "DocumentReference.relatesTo.code": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1", "strength": "required" } }, "DocumentReference.context.encounter": { "old-max": "1", "new-max": "*", "removed-types": [ "Reference(Encounter)" ], "added-types": [ "Reference(Encounter | EpisodeOfCare)" ] }, "DocumentReference.context.related": { "removed-types": [ "BackboneElement" ], "added-types": [ "Reference(Resource)" ] }, "DocumentReference.created": { "status": "deleted" }, "DocumentReference.indexed": { "status": "deleted" }, "DocumentReference.context.related.identifier": { "status": "deleted" }, "DocumentReference.context.related.ref": { "status": "deleted" } }, "status": "changed" }, "DomainResource": { "status": "no-change" }, "EffectEvidenceSynthesis": { "status": "new" }, "Encounter": { "elements": { "Encounter.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/encounter-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.0.1", "strength": "required" } }, "Encounter.statusHistory.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/encounter-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.0.1", "strength": "required" } }, "Encounter.class": { "old-min": 0, "new-min": 1 }, "Encounter.serviceType": { "status": "new" }, "Encounter.basedOn": { "old-name": "incomingReferral", "removed-types": [ "Reference(ReferralRequest)" ], "added-types": [ "Reference(ServiceRequest)" ] }, "Encounter.participant.individual": { "removed-types": [ "Reference(Practitioner | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | RelatedPerson)" ] }, "Encounter.appointment": { "old-max": "1", "new-max": "*" }, "Encounter.reasonCode": { "status": "new" }, "Encounter.reasonReference": { "status": "new" }, "Encounter.diagnosis.use": { "status": "new" }, "Encounter.hospitalization.origin": { 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"reference": "http://hl7.org/fhir/ValueSet/endpoint-status|4.0.1", "strength": "required" } }, "Endpoint.payloadMimeType": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/mimetypes", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/mimetypes|4.0.1", "strength": "required" } }, "Endpoint.address": { "removed-types": [ "uri" ], "added-types": [ "url" ] } }, "status": "changed" }, "EnrollmentRequest": { "elements": { "EnrollmentRequest.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1", "strength": "required" } }, "EnrollmentRequest.provider": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "EnrollmentRequest.candidate": { "old-name": "subject" }, "EnrollmentRequest.organization": { "status": "deleted" } }, "status": "changed" }, "EnrollmentResponse": { "elements": { "EnrollmentResponse.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1", "strength": "required" } }, "EnrollmentResponse.outcome": { "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1", "strength": "required" } }, "EnrollmentResponse.requestProvider": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "EnrollmentResponse.requestOrganization": { "status": "deleted" } }, "status": "changed" }, "EpisodeOfCare": { "elements": { "EpisodeOfCare.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1", "strength": "required" } }, "EpisodeOfCare.statusHistory.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1", "strength": "required" } }, "EpisodeOfCare.referralRequest": { "removed-types": [ "Reference(ReferralRequest)" ], "added-types": [ "Reference(ServiceRequest)" ] }, "EpisodeOfCare.careManager": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole)" ] } }, "status": "changed" }, "EventDefinition": { "status": "new" }, "Evidence": { "status": "new" }, "EvidenceVariable": { "status": "new" }, "ExampleScenario": { "status": "new" }, "ExplanationOfBenefit": { "elements": { "ExplanationOfBenefit.status": { "old-min": 0, "new-min": 1, "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/explanationofbenefit-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1", "strength": "required" } }, "ExplanationOfBenefit.type": { "old-min": 0, "new-min": 1, "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/claim-type", "strength": "extensible" } }, "ExplanationOfBenefit.subType": { "old-max": "*", "new-max": "1" }, "ExplanationOfBenefit.use": { "status": "new" }, "ExplanationOfBenefit.patient": { "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.created": { "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.enterer": { "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole)" ] }, "ExplanationOfBenefit.insurer": { "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.provider": { "old-min": 0, "new-min": 1, "removed-types": [ "Reference(Practitioner)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "ExplanationOfBenefit.priority": { "status": "new" }, "ExplanationOfBenefit.fundsReserveRequested": { "status": "new" }, "ExplanationOfBenefit.fundsReserve": { "status": "new" }, "ExplanationOfBenefit.payee.party": { "removed-types": [ "Reference(Practitioner | Organization | Patient | RelatedPerson)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)" ] }, "ExplanationOfBenefit.referral": { "removed-types": [ "Reference(ReferralRequest)" ], "added-types": [ "Reference(ServiceRequest)" ] }, "ExplanationOfBenefit.outcome": { "old-min": 0, "new-min": 1, "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], "binding-status": "added", "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1", "strength": "required" } }, "ExplanationOfBenefit.preAuthRef": { "status": "new" }, "ExplanationOfBenefit.preAuthRefPeriod": { "status": "new" }, "ExplanationOfBenefit.careTeam.provider": { "removed-types": [ "Reference(Practitioner | Organization)" ], "added-types": [ "Reference(Practitioner | PractitionerRole | Organization)" ] }, "ExplanationOfBenefit.supportingInfo": { "old-name": "information" }, "ExplanationOfBenefit.supportingInfo.value[x]": { "added-types": [ "boolean" ] }, "ExplanationOfBenefit.diagnosis.onAdmission": { "status": "new" }, "ExplanationOfBenefit.procedure.type": { "status": "new" }, "ExplanationOfBenefit.procedure.udi": { "status": "new" }, "ExplanationOfBenefit.insurance": { "old-min": 0, "new-min": 1, "old-max": "1", "new-max": "*" }, "ExplanationOfBenefit.insurance.focal": { "status": "new" }, "ExplanationOfBenefit.insurance.coverage": { "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.accident.type": { "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode", "strength": "required" }, "new-binding": { "reference": "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode", "strength": "extensible" } }, "ExplanationOfBenefit.item.careTeamSequence": { "old-name": "careTeamLinkId" }, "ExplanationOfBenefit.item.diagnosisSequence": { "old-name": "diagnosisLinkId" }, "ExplanationOfBenefit.item.procedureSequence": { "old-name": "procedureLinkId" }, "ExplanationOfBenefit.item.informationSequence": { "old-name": "informationLinkId" }, "ExplanationOfBenefit.item.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.item.detail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.item.detail.subDetail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.addItem.itemSequence": { "old-name": "sequenceLinkId" }, "ExplanationOfBenefit.addItem.detailSequence": { "status": "new" }, "ExplanationOfBenefit.addItem.subDetailSequence": { "status": "new" }, "ExplanationOfBenefit.addItem.provider": { "status": "new" }, "ExplanationOfBenefit.addItem.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.addItem.programCode": { "status": "new" }, "ExplanationOfBenefit.addItem.serviced[x]": { "status": "new" }, "ExplanationOfBenefit.addItem.location[x]": { "status": "new" }, "ExplanationOfBenefit.addItem.quantity": { "status": "new" }, "ExplanationOfBenefit.addItem.unitPrice": { "status": "new" }, "ExplanationOfBenefit.addItem.factor": { "status": "new" }, "ExplanationOfBenefit.addItem.net": { "old-name": "fee" }, "ExplanationOfBenefit.addItem.bodySite": { "status": "new" }, "ExplanationOfBenefit.addItem.subSite": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.productOrService": { "old-name": "service", "old-min": 0, "new-min": 1 }, "ExplanationOfBenefit.addItem.detail.quantity": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.unitPrice": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.factor": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.net": { "old-name": "fee" }, "ExplanationOfBenefit.addItem.detail.subDetail": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.productOrService": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.modifier": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.quantity": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.factor": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.net": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber": { "status": "new" }, "ExplanationOfBenefit.addItem.detail.subDetail.adjudication": { "status": "new" }, "ExplanationOfBenefit.adjudication": { "status": "new" }, "ExplanationOfBenefit.total": { "status": "new" }, "ExplanationOfBenefit.total.category": { "status": "new" }, "ExplanationOfBenefit.total.amount": { "status": "new" }, "ExplanationOfBenefit.formCode": { "status": "new" }, "ExplanationOfBenefit.form": { "removed-types": [ "CodeableConcept" ], "added-types": [ "Attachment" ] }, "ExplanationOfBenefit.processNote.type": { "removed-types": [ "CodeableConcept" ], "added-types": [ "code" ], "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/note-type", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/note-type|4.0.1", "strength": "required" } }, "ExplanationOfBenefit.processNote.language": { "binding-strength-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "extensible", "max": "http://hl7.org/fhir/ValueSet/all-languages" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/languages", "strength": "preferred", "max": "http://hl7.org/fhir/ValueSet/all-languages" } }, "ExplanationOfBenefit.benefitPeriod": { "status": "new" }, "ExplanationOfBenefit.organization": { "status": "deleted" }, "ExplanationOfBenefit.payee.resourceType": { "status": "deleted" }, "ExplanationOfBenefit.employmentImpacted": { "status": "deleted" }, "ExplanationOfBenefit.hospitalization": { "status": "deleted" }, "ExplanationOfBenefit.item.detail.type": { "status": "deleted" }, "ExplanationOfBenefit.item.detail.subDetail.type": { "status": "deleted" }, "ExplanationOfBenefit.addItem.revenue": { "status": "deleted" }, "ExplanationOfBenefit.addItem.category": { "status": "deleted" }, "ExplanationOfBenefit.addItem.detail.revenue": { "status": "deleted" }, "ExplanationOfBenefit.addItem.detail.category": { "status": "deleted" }, "ExplanationOfBenefit.totalCost": { "status": "deleted" }, "ExplanationOfBenefit.unallocDeductable": { "status": "deleted" }, "ExplanationOfBenefit.totalBenefit": { "status": "deleted" }, "ExplanationOfBenefit.benefitBalance.subCategory": { "status": "deleted" } }, "status": "changed" }, "FamilyMemberHistory": { "elements": { "FamilyMemberHistory.instantiatesCanonical": { "status": "new" }, "FamilyMemberHistory.instantiatesUri": { "status": "new" }, "FamilyMemberHistory.status": { "binding-valueset-changed": true, "binding-status": "changed", "old-binding": { "reference": "http://hl7.org/fhir/ValueSet/history-status", "strength": "required" }, "new-binding": { "reference": "http://hl7.org/fhir/ValueSet/history-status|4.0.1", "strength": "required" } }, "FamilyMemberHistory.dataAbsentReason": { "status": "new" }, "FamilyMemberHistory.sex": { "status": "new" }, "FamilyMemberHistory.estimatedAge": { "modifier": "removed" }, "FamilyMemberHistory.reasonReference": { "removed-types": [ "Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse)" ], "added-types": [ "Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference)" ] }, "FamilyMemberHistory.condition.contributedToDeath": { "status": "new" }, "FamilyMemberHistory.definition": { "status": "deleted" }, "FamilyMemberHistory.notDone": { "status": "deleted" }, "FamilyMemberHistory.notDoneReason": { "status": "deleted" }, "FamilyMemberHistory.gender": { "status": "deleted" } }, "status": "changed" }, "Flag": { "elements": { 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"VisionPrescription.lensSpecification.prism.amount": { "status": "new" }, "VisionPrescription.lensSpecification.prism.base": { "status": "new" }, "VisionPrescription.lensSpecification.add": { "status": "new" }, "VisionPrescription.lensSpecification.power": { "status": "new" }, "VisionPrescription.lensSpecification.backCurve": { "status": "new" }, "VisionPrescription.lensSpecification.diameter": { "status": "new" }, "VisionPrescription.lensSpecification.duration": { "status": "new" }, "VisionPrescription.lensSpecification.color": { "status": "new" }, "VisionPrescription.lensSpecification.brand": { "status": "new" }, "VisionPrescription.lensSpecification.note": { "status": "new" }, "VisionPrescription.reason[x]": { "status": "deleted" }, "VisionPrescription.dispense": { "status": "deleted" } }, "status": "changed" }, "BodySite": { "status": "deleted" }, "DataElement": { "status": "deleted" }, "DeviceComponent": { "status": "deleted" }, "EligibilityRequest": { "status": "deleted" }, "EligibilityResponse": { "status": "deleted" }, "ExpansionProfile": { "status": "deleted" }, "ImagingManifest": { "status": "deleted" }, "ProcedureRequest": { "status": "deleted" }, "ProcessRequest": { "status": "deleted" }, "ProcessResponse": { "status": "deleted" }, "ReferralRequest": { "status": "deleted" }, "Sequence": { "status": "deleted" }, "ServiceDefinition": { "status": "deleted" } }