﻿<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="Observation" status="changed">
      <element path="Observation.basedOn">
         <removed-type name="Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)"/>
         <added-type name="Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"/>
      </element>
      <element path="Observation.partOf" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Observation.status">
         <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"/>
      </element>
      <element path="Observation.focus" status="new"/>
      <element old-name="context" path="Observation.encounter">
         <removed-type name="Reference(Encounter | EpisodeOfCare)"/>
         <added-type name="Reference(Encounter)"/>
      </element>
      <element path="Observation.effective[x]">
         <added-type name="Timing"/>
         <added-type name="instant"/>
      </element>
      <element path="Observation.performer">
         <removed-type name="Reference(Practitioner | Organization | Patient | RelatedPerson)"/>
         <added-type name="Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"/>
      </element>
      <element path="Observation.value[x]">
         <removed-type name="Attachment"/>
         <added-type name="integer"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Observation.dataAbsentReason">
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/data-absent-reason"
                      strength="extensible"/>
      </element>
      <element new-max="*" old-max="1" path="Observation.interpretation"/>
      <element new-max="*"
               old-max="1"
               old-name="comment"
               path="Observation.note">
         <removed-type name="string"/>
         <added-type name="Annotation"/>
      </element>
      <element binding-status="removed" path="Observation.referenceRange.type">
         <old-binding reference="http://hl7.org/fhir/ValueSet/referencerange-meaning"
                      strength="extensible"/>
      </element>
      <element path="Observation.hasMember" status="new"/>
      <element path="Observation.derivedFrom" status="new"/>
      <element path="Observation.component.value[x]">
         <removed-type name="Attachment"/>
         <added-type name="boolean"/>
         <added-type name="integer"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="Observation.component.dataAbsentReason">
         <old-binding reference="http://hl7.org/fhir/ValueSet/observation-valueabsentreason"
                      strength="extensible"/>
         <new-binding reference="http://hl7.org/fhir/ValueSet/data-absent-reason"
                      strength="extensible"/>
      </element>
      <element new-max="*" old-max="1" path="Observation.component.interpretation"/>
      <element path="Observation.related" status="deleted"/>
   </type>
</difference>
