Release 4 5 Preview #2
This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
FHIR Infrastructure Work Group Maturity Level : N/A Standards Status : Informative

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

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

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

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

This analysis is available as XML or JSON .

Dosage.doseAndRate Added Element Dosage.doseAndRate.type Added Element Reference Signature.who Renamed from who[x] to who Remove Type uri ActivityDefinition.subtitle Added Element AdverseEvent AdverseEvent.category Max Cardinality changed from 1 to * Type changed from code to CodeableConcept Change binding strength from required to extensible CarePlan.instantiatesCanonical Added Element CarePlan.instantiatesUri Added Element ChargeItem.enterer Type Reference: Added Target Type PractitionerRole ClaimResponse.patient Min Cardinality changed from 0 to 1 ClaimResponse.created Min Cardinality changed from 0 to 1 ClaimResponse.insurer Min Cardinality changed from 0 to 1 ClaimResponse.requestor Renamed from requestProvider to requestor Type Reference: Added Target Types PractitionerRole, Organization ClaimResponse.outcome Min Cardinality changed from 0 to 1 Type changed from CodeableConcept to code Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) ClaimResponse.preAuthRef Moved from ClaimResponse.insurance to ClaimResponse Max Cardinality changed from * to 1 ClaimResponse.preAuthPeriod Added Element ClaimResponse.item.itemSequence Renamed from sequenceLinkId to itemSequence ClaimResponse.item.adjudication Min Cardinality changed from 0 to 1 ClaimResponse.item.detail.detailSequence Renamed from sequenceLinkId to detailSequence ClaimResponse.item.detail.adjudication Min Cardinality changed from 0 to 1 ClaimResponse.item.detail.subDetail.subDetailSequence Renamed from sequenceLinkId to subDetailSequence ClaimResponse.addItem.itemSequence Renamed from sequenceLinkId to itemSequence ClaimResponse.addItem.productOrService Renamed from service to productOrService Min Cardinality changed from 0 to 1 ClinicalImpression.assessor Type Reference: Added Target Type PractitionerRole ClinicalImpression.investigation.item Type Reference: Added Target Type Media Communication.instantiatesCanonical Added Element Communication.instantiatesUri Added Element Communication.inResponseTo Added Element Consent.period deleted Consent.consentingParty deleted Consent.actor deleted Consent.action deleted Consent.securityLabel deleted Consent.purpose deleted Consent.dataPeriod deleted Consent.data deleted Consent.except deleted Contract Contract.url Added Element Contract.version Added Element DeviceDefinition Added Resource DeviceRequest.instantiatesCanonical Added Element DeviceRequest.instantiatesUri Added Element DeviceUseStatement.basedOn Added Element DeviceUseStatement.whenUsed deleted DeviceUseStatement.indication deleted DiagnosticReport DocumentReference.context.related Type changed from BackboneElement to Reference(Resource) DocumentReference.created deleted DocumentReference.indexed deleted DocumentReference.context.related.identifier deleted EffectEvidenceSynthesis Added Resource ExplanationOfBenefit.patient Min Cardinality changed from 0 to 1 ExplanationOfBenefit.created Min Cardinality changed from 0 to 1 FamilyMemberHistory.instantiatesCanonical Added Element GuidanceResponse.requestIdentifier Renamed from requestId to requestIdentifier Type changed from id to Identifier GuidanceResponse.identifier Max Cardinality changed from 1 to * GuidanceResponse.module[x] Renamed from module to module[x] Add Types uri, canonical, CodeableConcept Remove Type Reference(ServiceDefinition) ImagingStudy.series.performer Type changed from Reference(Practitioner) to BackboneElement ImagingStudy.series.instance.uid Type changed from oid to id ImagingStudy.series.instance.sopClass Type changed from oid to Coding Add Binding http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1 (extensible) Immunization.primarySource Min Cardinality changed from 1 to 0 Immunization.performer Renamed from practitioner to performer Immunization.performer.function Moved from Immunization.practitioner.role to function Change value set from http://hl7.org/fhir/ValueSet/immunization-role to http://hl7.org/fhir/ValueSet/immunization-function Immunization.performer.actor Moved from Immunization.practitioner to Immunization.performer Type Reference: Added Target Types PractitionerRole, Organization Immunization.reasonCode Moved from Immunization.explanation.reason to reasonCode ImmunizationRecommendation.date Moved from ImmunizationRecommendation.recommendation to ImmunizationRecommendation InsurancePlan Added Resource Invoice Added Resource Library.contributor deleted Linkage Measure Measure.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Measure.experimental No longer marked as Modifier Measure.group.population.code Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-population" to "http://terminology.hl7.org/CodeSystem/measure-population" MeasureReport.group.stratifier.stratum.measureScore Type changed from decimal to Quantity Medication.identifier Added Element MedicationAdministration MedicationAdministration.instantiates Added Element MedicationAdministration.status Change value set from http://hl7.org/fhir/ValueSet/medication-admin-status to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 MedicationAdministration.statusReason Added Element MedicationAdministration.performer.function Added Element MedicationAdministration.performer.actor Type Reference: Added Target Type PractitionerRole MedicationAdministration.reasonReference Type Reference: Added Target Type DiagnosticReport MedicationRequest MessageHeader.timestamp deleted MetadataResource MetadataResource.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 MetadataResource.experimental No longer marked as Modifier NutritionOrder Observation Observation.encounter Renamed from context to encounter Type Reference: Removed Target Type EpisodeOfCare Observation.effective[x] Add Types Timing, instant Observation.component.value[x] Add Types boolean, integer Remove Type Attachment OperationDefinition.title Added Element PlanDefinition.subtitle Added Element PlanDefinition.type Change code system for extensibly bound codes from "http://hl7.org/fhir/plan-definition-type" to "http://terminology.hl7.org/CodeSystem/plan-definition-type" Procedure.instantiatesCanonical Added Element Procedure.instantiatesUri Added Element Procedure.basedOn Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Provenance Questionnaire.derivedFrom Added Element RequestGroup.instantiatesCanonical Added Element RequestGroup.instantiatesUri Added Element ResearchDefinition Added Resource ResearchElementDefinition Added Resource ResearchStudy.principalInvestigator Type Reference: Added Target Type PractitionerRole RiskAssessment.prediction.outcome Min Cardinality changed from 1 to 0 RiskAssessment.note Renamed from comment to note Max Cardinality changed from 1 to * Type changed from string to Annotation SearchParameter StructureDefinition StructureMap SupplyDelivery SupplyRequest
Types
Address
Address.use
  • Change value set from http://hl7.org/fhir/ValueSet/address-use http://hl7.org/fhir/ValueSet/address-use|4.0.0 to http://hl7.org/fhir/ValueSet/address-use|4.0.1 http://hl7.org/fhir/ValueSet/address-use|4.4.0
Address.type
  • Change value set from http://hl7.org/fhir/ValueSet/address-type http://hl7.org/fhir/ValueSet/address-type|4.0.0 to http://hl7.org/fhir/ValueSet/address-type|4.0.1 http://hl7.org/fhir/ValueSet/address-type|4.4.0
Age Age
  • Add Binding http://hl7.org/fhir/ValueSet/age-units (extensible), max = http://hl7.org/fhir/ValueSet/all-time-units No Changes
Annotation Annotation.text
  • Type changed from string to markdown No Changes
Attachment
Attachment.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
Attachment.language Attachment.size
  • Change binding strength Type changed from extensible unsignedInt to preferred integer64
Attachment.url Attachment.height
  • Type changed from uri to url Added Element
BackboneElement Attachment.width
  • No Changes Added Element
CodeableConcept Attachment.frames
  • No Changes Added Element
Coding Attachment.duration
  • No Changes Added Element
ContactDetail Attachment.pages
  • No Changes Added Element
ContactPoint BackboneElement ContactPoint.system
  • Change value set from http://hl7.org/fhir/ValueSet/contact-point-system to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1 No Changes
ContactPoint.use BackboneType
  • Change value set from http://hl7.org/fhir/ValueSet/contact-point-use to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1 Added Type
Contributor Base Contributor.type
  • Change value set from http://hl7.org/fhir/ValueSet/contributor-type to http://hl7.org/fhir/ValueSet/contributor-type|4.0.1 Added Type
Count CodeableConcept
  • No Changes
DataRequirement CodeableReference DataRequirement.type Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 DataRequirement.profile
  • Added Type changed from uri to canonical(StructureDefinition)
DataRequirement.subject[x] Coding
  • Added Element No Changes
DataRequirement.codeFilter.path ContactDetail
  • Min Cardinality changed from 1 to 0 No Changes
DataRequirement.codeFilter.searchParam ContactPoint Added Element
DataRequirement.codeFilter.valueSet ContactPoint.system
  • Renamed Change value set from valueSet[x] http://hl7.org/fhir/ValueSet/contact-point-system|4.0.0 to valueSet Add Type canonical(ValueSet) Remove Types string, Reference(ValueSet) DataRequirement.codeFilter.code Added Element http://hl7.org/fhir/ValueSet/contact-point-system|4.4.0
DataRequirement.dateFilter.path ContactPoint.use
  • Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/contact-point-use|4.0.0 to 0 DataRequirement.dateFilter.searchParam Added Element http://hl7.org/fhir/ValueSet/contact-point-use|4.4.0
DataRequirement.limit Contributor Added Element
DataRequirement.sort Contributor.type
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/contributor-type|4.0.0 to http://hl7.org/fhir/ValueSet/contributor-type|4.4.0
DataRequirement.sort.path Count
  • Added Mandatory Element No Changes
DataRequirement.sort.direction DataRequirement Added Mandatory Element
DataRequirement.codeFilter.valueCode DataRequirement.type
  • deleted Change value set from http://hl7.org/fhir/ValueSet/all-types|4.0.0 to http://hl7.org/fhir/ValueSet/all-types|4.4.0
DataRequirement.codeFilter.valueCoding DataRequirement.sort.direction
  • deleted Change value set from http://hl7.org/fhir/ValueSet/sort-direction|4.0.0 to http://hl7.org/fhir/ValueSet/sort-direction|4.4.0
DataRequirement.codeFilter.valueCodeableConcept DataType
  • deleted Added Type
Distance Distance
  • Add Binding http://hl7.org/fhir/ValueSet/distance-units (extensible), max = http://hl7.org/fhir/ValueSet/all-distance-units No Changes
Dosage
Dosage.doseAndRate.dose[x]
  • Added Element Add Type Quantity()
  • Dosage.doseAndRate.rate[x]
  • Added Element Remove Type Quantity()
Dosage.dose[x] Dosage.doseAndRate.rate[x]
  • deleted Add Type Quantity()
  • Dosage.rate[x]
  • deleted Remove Type Quantity()
Duration Duration
  • Add Binding http://hl7.org/fhir/ValueSet/duration-units (extensible), max = http://hl7.org/fhir/ValueSet/all-time-units No Changes
Element
  • No Changes
ElementDefinition
ElementDefinition.representation
  • Change value set from http://hl7.org/fhir/ValueSet/property-representation http://hl7.org/fhir/ValueSet/property-representation|4.0.0 to http://hl7.org/fhir/ValueSet/property-representation|4.0.1 ElementDefinition.sliceIsConstraining Added Element http://hl7.org/fhir/ValueSet/property-representation|4.4.0
ElementDefinition.slicing.discriminator.type
  • Change value set from http://hl7.org/fhir/ValueSet/discriminator-type http://hl7.org/fhir/ValueSet/discriminator-type|4.0.0 to http://hl7.org/fhir/ValueSet/discriminator-type|4.0.1 ElementDefinition.slicing.ordered Default Value "false" removed http://hl7.org/fhir/ValueSet/discriminator-type|4.4.0
ElementDefinition.slicing.rules
  • Change value set from http://hl7.org/fhir/ValueSet/resource-slicing-rules to http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.1 ElementDefinition.type.profile Max Cardinality changed from 1 to * Type changed from uri to canonical(StructureDefinition | ImplementationGuide) ElementDefinition.type.targetProfile Max Cardinality changed from 1 to * Type changed from uri http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.0.0 to canonical(StructureDefinition | ImplementationGuide) http://hl7.org/fhir/ValueSet/resource-slicing-rules|4.4.0
ElementDefinition.type.aggregation
  • Change value set from http://hl7.org/fhir/ValueSet/resource-aggregation-mode http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.0 to http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.0.1 http://hl7.org/fhir/ValueSet/resource-aggregation-mode|4.4.0
ElementDefinition.type.versioning
  • Change value set from http://hl7.org/fhir/ValueSet/reference-version-rules http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.0 to http://hl7.org/fhir/ValueSet/reference-version-rules|4.0.1 Default Value "either" removed http://hl7.org/fhir/ValueSet/reference-version-rules|4.4.0
ElementDefinition.defaultValue[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
ElementDefinition.fixed[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
ElementDefinition.pattern[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
ElementDefinition.example.value[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
ElementDefinition.constraint.severity ElementDefinition.minValue[x]
  • Change value set from http://hl7.org/fhir/ValueSet/constraint-severity to http://hl7.org/fhir/ValueSet/constraint-severity|4.0.1 Add Type integer64
ElementDefinition.constraint.expression ElementDefinition.maxValue[x]
  • Min Cardinality changed from 1 to 0 Add Type integer64
ElementDefinition.constraint.source ElementDefinition.constraint.severity
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/constraint-severity|4.0.0 to canonical(StructureDefinition) ElementDefinition.mustSupport Default Value "false" removed ElementDefinition.isModifier Default Value "false" removed ElementDefinition.isModifierReason Added Element ElementDefinition.isSummary Default Value "false" removed http://hl7.org/fhir/ValueSet/constraint-severity|4.4.0
ElementDefinition.binding.strength
  • Change value set from http://hl7.org/fhir/ValueSet/binding-strength to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 ElementDefinition.binding.valueSet Renamed from valueSet[x] http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to valueSet Add Type canonical(ValueSet) Remove Types uri, Reference(ValueSet) http://hl7.org/fhir/ValueSet/binding-strength|4.4.0
ElementDefinition.mapping.language
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
Expression
  • Added Type No Changes
Extension
Extension.url
  • Type changed from string to uri
Extension.value[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
HumanName
HumanName.use
  • Change value set from http://hl7.org/fhir/ValueSet/name-use http://hl7.org/fhir/ValueSet/name-use|4.0.0 to http://hl7.org/fhir/ValueSet/name-use|4.0.1 http://hl7.org/fhir/ValueSet/name-use|4.4.0
Identifier
Identifier.use
  • Change value set from http://hl7.org/fhir/ValueSet/identifier-use http://hl7.org/fhir/ValueSet/identifier-use|4.0.0 to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 http://hl7.org/fhir/ValueSet/identifier-use|4.4.0
MarketingStatus Added Type Meta
Meta.source MarketingStatus.country
  • Added Element Min Cardinality changed from 1 to 0
Meta.profile MarketingStatus.dateRange
  • Type Min Cardinality changed from uri 1 to canonical(StructureDefinition) 0
Money Meta
  • No Changes
Money.value Money Added Element
Money.currency
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/currencies|4.0.0 to http://hl7.org/fhir/ValueSet/currencies|4.4.0
MoneyQuantity
  • Added Type No Changes
Narrative
Narrative.status
  • Change value set from http://hl7.org/fhir/ValueSet/narrative-status http://hl7.org/fhir/ValueSet/narrative-status|4.0.0 to http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 http://hl7.org/fhir/ValueSet/narrative-status|4.4.0
OrderedDistribution
  • Added Type
ParameterDefinition
ParameterDefinition.use
  • Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 http://hl7.org/fhir/ValueSet/operation-parameter-use|4.4.0
ParameterDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 ParameterDefinition.profile Type changed from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|4.0.0 to canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|4.4.0
Period
  • No Changes
Population
  • Added Type No Changes
ProdCharacteristic PrimitiveType
  • Added Type
ProductShelfLife ProdCharacteristic
  • Added Type No Changes
Quantity ProductShelfLife
Quantity.comparator ProductShelfLife.type
  • Change value set Min Cardinality changed from http://hl7.org/fhir/ValueSet/quantity-comparator 1 to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 0
Range ProductShelfLife.period[x]
  • No Changes Added Element
Ratio ProductShelfLife.identifier
  • No Changes deleted
Reference.type ProductShelfLife.period
  • Added Element deleted
RelatedArtifact Quantity
RelatedArtifact.type Quantity.comparator
  • Change value set from http://hl7.org/fhir/ValueSet/related-artifact-type http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 RelatedArtifact.label Added Element http://hl7.org/fhir/ValueSet/quantity-comparator|4.4.0
RelatedArtifact.citation Range
  • Type changed from string to markdown No Changes
RelatedArtifact.url Ratio
  • Type changed from uri to url No Changes
RelatedArtifact.resource Reference
  • Type changed from Reference(Resource) to canonical(Resource) No Changes
SampledData RelatedArtifact
SampledData.factor RelatedArtifact.type
  • Default Value "1" removed Change value set from http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.0 to http://hl7.org/fhir/ValueSet/related-artifact-type|4.4.0
SampledData.data SampledData
  • Min Cardinality changed from 1 to 0 No Changes
Signature
Signature.onBehalfOf Signature.targetFormat
  • Renamed Change value set from onBehalfOf[x] http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to onBehalfOf Remove Type uri Signature.targetFormat Added Element http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
Signature.sigFormat
  • Added Element Signature.data Renamed Change value set from blob http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to data Signature.contentType deleted http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
SimpleQuantity
  • No Changes
SubstanceAmount Statistic
  • Added Type
Timing
Timing.repeat.count Type changed from integer to positiveInt Timing.repeat.countMax Type changed from integer to positiveInt Timing.repeat.durationUnit
  • Change value set from http://hl7.org/fhir/ValueSet/units-of-time to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 Timing.repeat.frequency Type changed from integer to positiveInt Default Value "1" removed Timing.repeat.frequencyMax Type changed from integer http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to positiveInt http://hl7.org/fhir/ValueSet/units-of-time|4.4.0
Timing.repeat.periodUnit
  • Change value set from http://hl7.org/fhir/ValueSet/units-of-time http://hl7.org/fhir/ValueSet/units-of-time|4.0.0 to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 http://hl7.org/fhir/ValueSet/units-of-time|4.4.0
Timing.repeat.dayOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 http://hl7.org/fhir/ValueSet/days-of-week|4.4.0
Timing.repeat.when
  • Change value set from http://hl7.org/fhir/ValueSet/event-timing http://hl7.org/fhir/ValueSet/event-timing|4.0.0 to http://hl7.org/fhir/ValueSet/event-timing|4.0.1 http://hl7.org/fhir/ValueSet/event-timing|4.4.0
TriggerDefinition
TriggerDefinition.type
  • Change value set from http://hl7.org/fhir/ValueSet/trigger-type to http://hl7.org/fhir/ValueSet/trigger-type|4.0.1 TriggerDefinition.name Renamed from eventName to name TriggerDefinition.timing[x] Renamed from eventTiming[x] to timing[x] TriggerDefinition.data Renamed from eventData to data Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/trigger-type|4.0.0 to * TriggerDefinition.condition Added Element http://hl7.org/fhir/ValueSet/trigger-type|4.4.0
UsageContext UsageContext.code
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/usage-context-type" to "http://terminology.hl7.org/CodeSystem/usage-context-type" UsageContext.value[x] Add Type Reference(PlanDefinition | ResearchStudy | InsurancePlan | HealthcareService | Group | Location | Organization) No Changes
base64Binary (No Changes)
boolean (No Changes)
canonical Added Type (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 Added Type (No Changes)
uuid (No Changes)
xhtml (No Changes)
SubstanceAmount
  • deleted
Resources
Account
Account.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/account-status to http://hl7.org/fhir/ValueSet/account-status|4.0.1 Account.subject Max Cardinality changed from 1 to * Type Reference: Added Target Type PractitionerRole Account.servicePeriod Renamed from period http://hl7.org/fhir/ValueSet/account-status|4.0.0 to servicePeriod Account.partOf Added Element Account.active deleted Account.balance deleted http://hl7.org/fhir/ValueSet/account-status|4.4.0
ActivityDefinition
ActivityDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ActivityDefinition.experimental No longer marked as Modifier ActivityDefinition.subject[x] Added Element ActivityDefinition.author Added Element ActivityDefinition.editor Added Element ActivityDefinition.reviewer ActivityDefinition.kind
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/request-resource-types|4.4.0
ActivityDefinition.endorser ActivityDefinition.intent
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.4.0
ActivityDefinition.library ActivityDefinition.priority
  • Type changed Change value set from Reference(Library) http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to canonical(Library) http://hl7.org/fhir/ValueSet/request-priority|4.4.0
ActivityDefinition.kind ActivityDefinition.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/request-resource-types|4.0.1 http://hl7.org/fhir/ValueSet/action-participant-type|4.4.0
ActivityDefinition.profile AdministrableProductDefinition
  • Added Element Resource
ActivityDefinition.intent AdverseEvent Added Element
ActivityDefinition.priority AdverseEvent.identifier
  • Added Element Max Cardinality changed from 1 to *
ActivityDefinition.doNotPerform AdverseEvent.status
  • Added Mandatory Element
ActivityDefinition.timing[x] Add Types Age, Duration ActivityDefinition.participant.type AdverseEvent.actuality
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0 to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.4.0
ActivityDefinition.specimenRequirement AdverseEvent.category
  • Added Element Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-category (extensible)
ActivityDefinition.observationRequirement AdverseEvent.code
  • Added Element
ActivityDefinition.observationResultRequirement AdverseEvent.occurrence[x]
  • Added Element
ActivityDefinition.transform Type changed from Reference(StructureMap) to canonical(StructureMap) ActivityDefinition.dynamicValue.path Min Cardinality changed from 0 to 1 ActivityDefinition.dynamicValue.expression Min Cardinality changed from 0 to 1 Type changed from string to Expression ActivityDefinition.contributor AdverseEvent.outcome
  • deleted Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0 (required)
ActivityDefinition.dynamicValue.description AdverseEvent.participant
  • deleted Added Element
ActivityDefinition.dynamicValue.language AdverseEvent.participant.function
  • deleted Added Element
AdverseEvent.actuality AdverseEvent.participant.actor
  • Added Mandatory Element
AdverseEvent.event AdverseEvent.suspectEntity.instance[x]
  • Added Mandatory Element
AdverseEvent.subject AdverseEvent.suspectEntity.causality
  • Min Max Cardinality changed from 0 * to 1
  • Type Reference: Added Target Types Group, Practitioner, RelatedPerson Type Reference: Removed Target Types ResearchSubject, Medication, Device
AdverseEvent.encounter AdverseEvent.suspectEntity.causality.assessmentMethod
  • Added Element
AdverseEvent.detected AdverseEvent.suspectEntity.causality.entityRelatedness
  • Added Element
AdverseEvent.recordedDate AdverseEvent.suspectEntity.causality.author
  • Type Reference: Added Element Target Types Patient, RelatedPerson
AdverseEvent.resultingCondition AdverseEvent.contributingFactor
  • Added Element
AdverseEvent.severity AdverseEvent.contributingFactor.item[x]
  • Added Mandatory Element AdverseEvent.outcome Change value set from http://hl7.org/fhir/ValueSet/adverse-event-outcome to http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.1 AdverseEvent.recorder Type Reference: Added Target Type PractitionerRole
AdverseEvent.contributor AdverseEvent.preventiveAction
  • Added Element
AdverseEvent.suspectEntity.instance AdverseEvent.preventiveAction.item[x]
  • Type Reference: Added Target Types Immunization, Procedure AdverseEvent.suspectEntity.causality Max Cardinality changed from 1 to * Type changed from code to BackboneElement Remove Binding http://hl7.org/fhir/ValueSet/adverse-event-causality (required) Mandatory Element
AdverseEvent.suspectEntity.causality.assessment AdverseEvent.mitigatingAction
  • Added Element
AdverseEvent.suspectEntity.causality.productRelatedness AdverseEvent.mitigatingAction.item[x]
  • Added Mandatory Element
AdverseEvent.suspectEntity.causality.author AdverseEvent.supportingInfo
  • Added Element
AdverseEvent.suspectEntity.causality.method AdverseEvent.supportingInfo.item[x]
  • Added Mandatory Element
AdverseEvent.subjectMedicalHistory AdverseEvent.event
  • Type Reference: Added Target Types Media, DocumentReference deleted
AdverseEvent.type AdverseEvent.date
  • deleted
AdverseEvent.reaction AdverseEvent.severity
  • deleted
AdverseEvent.eventParticipant AdverseEvent.contributor
  • deleted
AdverseEvent.description AdverseEvent.suspectEntity.instance
  • deleted
AdverseEvent.suspectEntity.causalityAssessment AdverseEvent.suspectEntity.causality.assessment
  • deleted
AdverseEvent.suspectEntity.causalityProductRelatedness AdverseEvent.suspectEntity.causality.productRelatedness
  • deleted
AdverseEvent.suspectEntity.causalityMethod AdverseEvent.suspectEntity.causality.method
  • deleted
AdverseEvent.suspectEntity.causalityAuthor AdverseEvent.subjectMedicalHistory
  • deleted
AdverseEvent.suspectEntity.causalityResult AdverseEvent.referenceDocument
  • deleted
AllergyIntolerance
AllergyIntolerance.clinicalStatus
  • Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/allergy-clinical-status http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.1 http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.4.0
AllergyIntolerance.verificationStatus
  • Min Cardinality changed from 1 to 0 Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/allergy-verification-status http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.0 to http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.1 http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.4.0
AllergyIntolerance.type
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-type http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.1 http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.4.0
AllergyIntolerance.category
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-category http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0 to http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.1 http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.4.0
AllergyIntolerance.criticality
  • Change value set from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality to http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.1 AllergyIntolerance.encounter Added Element AllergyIntolerance.recordedDate Renamed from assertedDate http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0 to recordedDate AllergyIntolerance.recorder Type Reference: Added Target Types PractitionerRole, RelatedPerson AllergyIntolerance.asserter Type Reference: Added Target Type PractitionerRole http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.4.0
AllergyIntolerance.reaction.severity
  • Change value set from http://hl7.org/fhir/ValueSet/reaction-event-severity http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0 to http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.1 http://hl7.org/fhir/ValueSet/reaction-event-severity|4.4.0
Appointment
Appointment.status
  • Change value set from http://hl7.org/fhir/ValueSet/appointmentstatus to http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 Appointment.cancelationReason Added Element Appointment.serviceCategory Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0 to * Appointment.reasonCode Added Element Appointment.reasonReference Added Element Appointment.patientInstruction Added Element http://hl7.org/fhir/ValueSet/appointmentstatus|4.4.0
Appointment.basedOn Appointment.reason
  • Added Element
Appointment.participant.actor Type Reference: Added Target Type PractitionerRole Appointment.participant.required
  • Change value set from http://hl7.org/fhir/ValueSet/participantrequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.0 to http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 http://hl7.org/fhir/ValueSet/participantrequired|4.4.0
Appointment.participant.status
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 Appointment.participant.period Added Element Appointment.reason deleted http://hl7.org/fhir/ValueSet/participationstatus|4.4.0
Appointment.indication Appointment.reasonCode
  • deleted
Appointment.incomingReferral Appointment.reasonReference
  • deleted
AppointmentResponse
AppointmentResponse.actor Type Reference: Added Target Type PractitionerRole AppointmentResponse.participantStatus
  • Change value set from http://hl7.org/fhir/ValueSet/participationstatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.0 to http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 http://hl7.org/fhir/ValueSet/participationstatus|4.4.0
AuditEvent
AuditEvent.action
  • Change value set from http://hl7.org/fhir/ValueSet/audit-event-action http://hl7.org/fhir/ValueSet/audit-event-action|4.0.0 to http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1 http://hl7.org/fhir/ValueSet/audit-event-action|4.4.0
AuditEvent.period AuditEvent.severity
  • Added Element
AuditEvent.outcome
  • Change value set Type changed from http://hl7.org/fhir/ValueSet/audit-event-outcome code to http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1 AuditEvent.agent.type Added Element AuditEvent.agent.role Remove Binding http://hl7.org/fhir/ValueSet/security-role-type (extensible) AuditEvent.agent.who Added Element CodeableConcept
  • AuditEvent.agent.network.type
  • Change value set binding strength from http://hl7.org/fhir/ValueSet/network-type required to http://hl7.org/fhir/ValueSet/network-type|4.0.1 AuditEvent.source.observer Added Mandatory Element extensible
  • AuditEvent.source.type
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/security-source-type" http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0 to "http://terminology.hl7.org/CodeSystem/security-source-type" AuditEvent.entity.what Added Element http://hl7.org/fhir/ValueSet/audit-event-outcome
AuditEvent.entity.role AuditEvent.agent.network.type
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/object-role" to "http://terminology.hl7.org/CodeSystem/object-role" AuditEvent.entity.detail.value[x] Renamed from value set from http://hl7.org/fhir/ValueSet/network-type|4.0.0 to value[x] Add Type string AuditEvent.agent.reference deleted AuditEvent.agent.userId deleted AuditEvent.source.identifier deleted http://hl7.org/fhir/ValueSet/network-type|4.4.0
AuditEvent.entity.identifier AuditEvent.outcomeDesc
  • deleted
AuditEvent.entity.reference AuditEvent.entity.description
  • deleted
Basic Basic.author
  • Type Reference: Added Target Types PractitionerRole, Organization No Changes
Binary
Binary.contentType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Binary.data Renamed from content to data Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to 0 http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
BiologicallyDerivedProduct Added Resource BodyStructure Added Resource Bundle
Bundle.type BiologicallyDerivedProduct.productCategory
  • Change value set from http://hl7.org/fhir/ValueSet/bundle-type http://hl7.org/fhir/ValueSet/product-category|4.0.0 to http://hl7.org/fhir/ValueSet/bundle-type|4.0.1 Bundle.timestamp Added Element http://hl7.org/fhir/ValueSet/product-category|4.4.0
Bundle.entry.search.mode BiologicallyDerivedProduct.status
  • Change value set from http://hl7.org/fhir/ValueSet/search-entry-mode http://hl7.org/fhir/ValueSet/product-status|4.0.0 to http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 http://hl7.org/fhir/ValueSet/product-status|4.4.0
Bundle.entry.request.method BiologicallyDerivedProduct.storage.scale
  • Change value set from http://hl7.org/fhir/ValueSet/http-verb http://hl7.org/fhir/ValueSet/product-storage-scale|4.0.0 to http://hl7.org/fhir/ValueSet/http-verb|4.0.1 http://hl7.org/fhir/ValueSet/product-storage-scale|4.4.0
CapabilityStatement BodyStructure CapabilityStatement
  • Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * CapabilityStatement.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 No Changes
CapabilityStatement.experimental Bundle No longer marked as Modifier
CapabilityStatement.kind Bundle.type
  • Change value set from http://hl7.org/fhir/ValueSet/capability-statement-kind http://hl7.org/fhir/ValueSet/bundle-type|4.0.0 to http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.1 http://hl7.org/fhir/ValueSet/bundle-type|4.4.0
CapabilityStatement.instantiates Bundle.entry.search.mode
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.0 to canonical(CapabilityStatement) CapabilityStatement.imports Added Element http://hl7.org/fhir/ValueSet/search-entry-mode|4.4.0
CapabilityStatement.implementation.url Bundle.entry.request.method
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/http-verb|4.0.0 to url http://hl7.org/fhir/ValueSet/http-verb|4.4.0
CapabilityStatement.implementation.custodian CanonicalResource
  • Added Element Resource
CapabilityStatement.fhirVersion CapabilityStatement Type changed from id to code Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required)
CapabilityStatement.format CapabilityStatement.status
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
CapabilityStatement.patchFormat CapabilityStatement.kind
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 CapabilityStatement.implementationGuide Type changed from uri http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to canonical(ImplementationGuide) http://hl7.org/fhir/ValueSet/capability-statement-kind|4.4.0
CapabilityStatement.rest.mode CapabilityStatement.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/restful-capability-mode http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.1 http://hl7.org/fhir/ValueSet/FHIR-version|4.4.0
CapabilityStatement.rest.documentation CapabilityStatement.format
  • Type changed Change value set from string http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to markdown http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
CapabilityStatement.rest.security.service CapabilityStatement.patchFormat
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/restful-security-service" http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to "http://terminology.hl7.org/CodeSystem/restful-security-service" http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
CapabilityStatement.rest.security.description CapabilityStatement.rest.mode
  • Type changed Change value set from string http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.0 to markdown http://hl7.org/fhir/ValueSet/restful-capability-mode|4.4.0
CapabilityStatement.rest.resource.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 CapabilityStatement.rest.resource.profile Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) CapabilityStatement.rest.resource.supportedProfile Moved from CapabilityStatement.profile to supportedProfile Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) CapabilityStatement.rest.resource.interaction Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to 0 http://hl7.org/fhir/ValueSet/resource-types|4.4.0
CapabilityStatement.rest.resource.interaction.code
  • Change value set from http://hl7.org/fhir/ValueSet/type-restful-interaction to http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.1 CapabilityStatement.rest.resource.interaction.documentation Type changed from string http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.0 to markdown http://hl7.org/fhir/ValueSet/type-restful-interaction|4.4.0
CapabilityStatement.rest.resource.versioning
  • Change value set from http://hl7.org/fhir/ValueSet/versioning-policy http://hl7.org/fhir/ValueSet/versioning-policy|4.0.0 to http://hl7.org/fhir/ValueSet/versioning-policy|4.0.1 http://hl7.org/fhir/ValueSet/versioning-policy|4.4.0
CapabilityStatement.rest.resource.conditionalRead
  • Change value set from http://hl7.org/fhir/ValueSet/conditional-read-status http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.0 to http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.1 http://hl7.org/fhir/ValueSet/conditional-read-status|4.4.0
CapabilityStatement.rest.resource.conditionalDelete
  • Change value set from http://hl7.org/fhir/ValueSet/conditional-delete-status http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.0 to http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.1 http://hl7.org/fhir/ValueSet/conditional-delete-status|4.4.0
CapabilityStatement.rest.resource.referencePolicy
  • Change value set from http://hl7.org/fhir/ValueSet/reference-handling-policy to http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.1 CapabilityStatement.rest.resource.searchParam.definition Type changed from uri http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.0 to canonical(SearchParameter) http://hl7.org/fhir/ValueSet/reference-handling-policy|4.4.0
CapabilityStatement.rest.resource.searchParam.type
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 CapabilityStatement.rest.resource.searchParam.documentation Type changed from string http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to markdown CapabilityStatement.rest.resource.operation Added Element CapabilityStatement.rest.resource.operation.name Added Mandatory Element CapabilityStatement.rest.resource.operation.definition Added Mandatory Element CapabilityStatement.rest.resource.operation.documentation Added Element http://hl7.org/fhir/ValueSet/search-param-type|4.4.0
CapabilityStatement.rest.interaction.code
  • Change value set from http://hl7.org/fhir/ValueSet/system-restful-interaction to http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.1 CapabilityStatement.rest.interaction.documentation Type changed from string to markdown CapabilityStatement.rest.operation Remove Type BackboneElement CapabilityStatement.rest.compartment Type changed from uri to canonical(CompartmentDefinition) CapabilityStatement.messaging.endpoint.protocol Change code system for extensibly bound codes from "http://hl7.org/fhir/message-transport" to "http://terminology.hl7.org/CodeSystem/message-transport" CapabilityStatement.messaging.endpoint.address Type changed from uri to url CapabilityStatement.messaging.documentation Type changed from string http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.0 to markdown http://hl7.org/fhir/ValueSet/system-restful-interaction|4.4.0
CapabilityStatement.messaging.supportedMessage.mode
  • Change value set from http://hl7.org/fhir/ValueSet/event-capability-mode to http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.1 CapabilityStatement.messaging.supportedMessage.definition Type changed from Reference(MessageDefinition) http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.0 to canonical(MessageDefinition) http://hl7.org/fhir/ValueSet/event-capability-mode|4.4.0
CapabilityStatement.document.mode
  • Change value set from http://hl7.org/fhir/ValueSet/document-mode to http://hl7.org/fhir/ValueSet/document-mode|4.0.1 CapabilityStatement.document.documentation Type changed from string to markdown CapabilityStatement.document.profile Type changed from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/document-mode|4.0.0 to canonical(StructureDefinition) CapabilityStatement.acceptUnknown deleted CapabilityStatement.rest.security.certificate deleted CapabilityStatement.rest.operation.name deleted CapabilityStatement.rest.operation.definition deleted http://hl7.org/fhir/ValueSet/document-mode|4.4.0
CapabilityStatement.messaging.event CapabilityStatement2
  • deleted Added Resource
CarePlan
CarePlan.status
  • Change value set from http://hl7.org/fhir/ValueSet/care-plan-status http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/request-status|4.4.0
CarePlan.intent
  • Change value set from http://hl7.org/fhir/ValueSet/care-plan-intent http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.0 to http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.1 CarePlan.encounter Added Element CarePlan.created Added Element http://hl7.org/fhir/ValueSet/care-plan-intent|4.4.0
CarePlan.author CarePlan.addresses
  • Max Cardinality Type changed from * Reference(Condition) to 1 Type Reference: Added Target Types PractitionerRole, Device CodeableReference
CarePlan.contributor CarePlan.activity.outcome
  • Added Element
CarePlan.activity.reference
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest ImmunizationRecommendation
CarePlan.activity.detail.kind
  • Renamed from category to kind Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.0 to code Add Binding http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.1 (required) CarePlan.activity.detail.instantiatesCanonical Added Element http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.4.0
CarePlan.activity.detail.instantiatesUri CarePlan.activity.detail.reason
  • Added Element
CarePlan.activity.detail.reasonReference Type Reference: Added Target Types Observation, DiagnosticReport, DocumentReference CarePlan.activity.detail.status
  • Change value set from http://hl7.org/fhir/ValueSet/care-plan-activity-status http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.0 to http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.1 http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.4.0
CarePlan.activity.detail.statusReason CarePlan.activity.detail.location
  • Type changed from string Reference(Location) to CodeableConcept CodeableReference
  • Add Binding http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType (extensible)
CarePlan.activity.detail.doNotPerform CarePlan.activity.detail.reported[x]
  • Renamed from prohibited to doNotPerform Default Value "false" removed Added Element
CarePlan.activity.detail.performer CarePlan.activity.outcomeCodeableConcept
  • Type Reference: Added Target Types PractitionerRole, HealthcareService, Device deleted
CarePlan.definition CarePlan.activity.outcomeReference
  • deleted
CarePlan.context CarePlan.activity.detail.reasonCode
  • deleted
CarePlan.activity.detail.definition CarePlan.activity.detail.reasonReference
  • deleted
CareTeam
CareTeam.status
  • Change value set from http://hl7.org/fhir/ValueSet/care-team-status http://hl7.org/fhir/ValueSet/care-team-status|4.0.0 to http://hl7.org/fhir/ValueSet/care-team-status|4.0.1 CareTeam.encounter Added Element http://hl7.org/fhir/ValueSet/care-team-status|4.4.0
CareTeam.participant.role
  • Max Cardinality changed from 1 to * CareTeam.participant.member Type Reference: Added Target Type PractitionerRole CareTeam.telecom Added Element CareTeam.context deleted CatalogEntry Added Resource ChargeItem ChargeItem.identifier Max Cardinality changed from 1 to * ChargeItem.definitionUri Added Element ChargeItem.definitionCanonical Added Element ChargeItem.status Change value set from http://hl7.org/fhir/ValueSet/chargeitem-status to http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 ChargeItem.performer Added Element ChargeItem.performer.function Added Element 1
ChargeItem.performer.actor CareTeam.participant.coverage[x]
  • Added Mandatory Element
ChargeItem.costCenter CareTeam.reason
  • Added Element
ChargeItem.product[x] CareTeam.encounter
  • Added Element deleted
ChargeItem.definition CareTeam.participant.period
  • deleted
ChargeItem.participant CareTeam.reasonCode
  • deleted
ChargeItemDefinition CareTeam.reasonReference
  • Added Resource deleted
Claim CatalogEntry
Claim.status CatalogEntry.name
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Added Element
Claim.type CatalogEntry.type
  • Min Cardinality Type changed from 0 to 1 Change binding strength from required CodeableConcept to extensible code
  • Claim.subType
  • Max Cardinality changed from * to 1 Add Binding http://hl7.org/fhir/ValueSet/catalogentry-type|4.4.0 (required)
Claim.use CatalogEntry.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/claim-use to http://hl7.org/fhir/ValueSet/claim-use|4.0.1 Claim.patient Min Cardinality changed from 0 to 1 Claim.created Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/catalogentry-status|4.4.0
  • Claim.enterer
  • Type Reference: Added Target Type PractitionerRole Now marked as Modifier
Claim.provider CatalogEntry.effectivePeriod
  • Min Cardinality changed from 0 to 1 Type Reference: Added Target Types PractitionerRole, Organization Claim.priority Min Cardinality changed from 0 to 1 Element
Claim.prescription CatalogEntry.orderable
  • Type Reference: Added Target Type DeviceRequest Now marked as Modifier
Claim.originalPrescription CatalogEntry.referencedItem
  • Type Reference: Added Target Types DeviceRequest, VisionPrescription Claim.payee.party Type Reference: Added Target Type PractitionerRole Claim.referral Type Reference: Added Target Type ServiceRequest DeviceDefinition, MedicationKnowledge, Substance, Location
  • Type Reference: Removed Target Type ReferralRequest Claim.careTeam.provider Type Reference: Added Target Type PractitionerRole Claim.supportingInfo Renamed from information to supportingInfo Claim.supportingInfo.sequence Moved from Claim.information to Claim.supportingInfo Claim.supportingInfo.category Moved from Claim.information to Claim.supportingInfo Claim.supportingInfo.code Moved from Claim.information to Claim.supportingInfo Claim.supportingInfo.timing[x] Moved from Claim.information to Claim.supportingInfo Claim.supportingInfo.value[x] Moved from Claim.information to Claim.supportingInfo Add Type boolean Claim.supportingInfo.reason Moved from Claim.information to Claim.supportingInfo Claim.diagnosis.onAdmission Added Element Claim.procedure.type Added Element Claim.procedure.udi Added Element Claim.insurance Min Cardinality changed from 0 to 1 Claim.insurance.identifier Added Element Claim.accident.type Change binding strength from required to extensible Claim.item.careTeamSequence Renamed from careTeamLinkId to careTeamSequence Claim.item.diagnosisSequence Renamed from diagnosisLinkId to diagnosisSequence Claim.item.procedureSequence Renamed from procedureLinkId to procedureSequence Claim.item.informationSequence Renamed from informationLinkId to informationSequence Claim.item.productOrService Renamed from service to productOrService Min Cardinality changed from 0 to 1 Claim.item.detail.productOrService Renamed from service to productOrService Min Cardinality changed from 0 to 1 Claim.item.detail.subDetail.productOrService Renamed from service to productOrService Min Cardinality changed from 0 to 1 Claim.organization deleted Claim.payee.resourceType deleted Claim.employmentImpacted deleted Claim.hospitalization deleted ClaimResponse ClaimResponse.status Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 Types Medication, Device, Binary
ClaimResponse.type CatalogEntry.relatedEntry.relationship
  • Added Mandatory Element
ClaimResponse.subType Added Element ClaimResponse.use CatalogEntry.relatedEntry.target
  • Added Mandatory Element
ClaimResponse.addItem.detailSequence CatalogEntry.updatedBy
  • Added Element
ClaimResponse.addItem.subdetailSequence CatalogEntry.note
  • Added Element
ClaimResponse.addItem.provider CatalogEntry.estimatedDuration
  • Added Element
ClaimResponse.addItem.programCode CatalogEntry.billingCode
  • Added Element
ClaimResponse.addItem.serviced[x] CatalogEntry.billingSummary
  • Added Element
ClaimResponse.addItem.location[x] CatalogEntry.scheduleSummary
  • Added Element
ClaimResponse.addItem.quantity CatalogEntry.limitationSummary
  • Added Element
ClaimResponse.addItem.unitPrice CatalogEntry.regulatorySummary
  • Added Element
ClaimResponse.addItem.factor CatalogEntry.additionalIdentifier
  • Added Element deleted
ClaimResponse.addItem.net CatalogEntry.classification
  • Added Element deleted
ClaimResponse.addItem.bodySite CatalogEntry.validityPeriod
  • Added Element deleted
ClaimResponse.addItem.subSite CatalogEntry.validTo
  • Added Element deleted
ClaimResponse.addItem.adjudication CatalogEntry.lastUpdated
  • Min Cardinality changed from 0 to 1 deleted
ClaimResponse.addItem.detail.productOrService CatalogEntry.additionalCharacteristic
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ClaimResponse.addItem.detail.quantity CatalogEntry.additionalClassification
  • Added Element deleted
ClaimResponse.addItem.detail.unitPrice CatalogEntry.relatedEntry.relationtype
  • Added Element deleted
ClaimResponse.addItem.detail.factor CatalogEntry.relatedEntry.item
  • Added Element deleted
ClaimResponse.addItem.detail.net ChargeItem Added Element
ClaimResponse.addItem.detail.adjudication ChargeItem.status
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0 to 1 ClaimResponse.addItem.detail.subDetail Added Element ClaimResponse.addItem.detail.subDetail.productOrService Added Mandatory Element ClaimResponse.addItem.detail.subDetail.modifier Added Element ClaimResponse.addItem.detail.subDetail.quantity Added Element ClaimResponse.addItem.detail.subDetail.unitPrice Added Element ClaimResponse.addItem.detail.subDetail.factor Added Element ClaimResponse.addItem.detail.subDetail.net Added Element ClaimResponse.addItem.detail.subDetail.noteNumber Added Element ClaimResponse.addItem.detail.subDetail.adjudication Added Mandatory Element ClaimResponse.adjudication Added Element ClaimResponse.total Added Element ClaimResponse.total.category Added Mandatory Element http://hl7.org/fhir/ValueSet/chargeitem-status|4.4.0
ClaimResponse.total.amount ChargeItemDefinition Added Mandatory Element
ClaimResponse.payment.type ChargeItemDefinition.status
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ClaimResponse.payment.amount ChargeItemDefinition.propertyGroup.priceComponent.type
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to 1 http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.4.0
ClaimResponse.fundsReserve Citation
  • Renamed from reserved to fundsReserve Type changed from Coding to CodeableConcept Added Resource
ClaimResponse.formCode Claim Added Element
ClaimResponse.form Claim.status
  • Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to Attachment http://hl7.org/fhir/ValueSet/fm-status|4.4.0
ClaimResponse.processNote.type Claim.use
  • Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 http://hl7.org/fhir/ValueSet/claim-use|4.4.0
ClaimResponse.processNote.text ClaimResponse Min Cardinality changed from 0 to 1
ClaimResponse.processNote.language ClaimResponse.status
  • Change binding strength value set from extensible http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to preferred http://hl7.org/fhir/ValueSet/fm-status|4.4.0
ClaimResponse.error.itemSequence ClaimResponse.use
  • Renamed Change value set from sequenceLinkId http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to itemSequence http://hl7.org/fhir/ValueSet/claim-use|4.4.0
ClaimResponse.error.detailSequence ClaimResponse.outcome
  • Renamed Change value set from detailSequenceLinkId http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to detailSequence http://hl7.org/fhir/ValueSet/remittance-outcome|4.4.0
ClaimResponse.error.subDetailSequence ClaimResponse.processNote.type
  • Renamed Change value set from subdetailSequenceLinkId http://hl7.org/fhir/ValueSet/note-type|4.0.0 to subDetailSequence ClaimResponse.requestOrganization deleted ClaimResponse.addItem.revenue deleted ClaimResponse.addItem.category deleted ClaimResponse.addItem.fee deleted ClaimResponse.addItem.detail.revenue deleted ClaimResponse.addItem.detail.category deleted ClaimResponse.addItem.detail.fee deleted ClaimResponse.totalCost deleted ClaimResponse.unallocDeductable deleted ClaimResponse.totalBenefit deleted http://hl7.org/fhir/ValueSet/note-type|4.4.0
ClinicalImpression
ClinicalImpression.status
  • Change value set from http://hl7.org/fhir/ValueSet/clinical-impression-status http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0 to http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.1 http://hl7.org/fhir/ValueSet/event-status|4.4.0
ClinicalImpression.statusReason ClinicalImpression.performer
  • Added Element
ClinicalImpression.encounter ClinicalImpression.finding.item
  • Added Element
ClinicalImpression.finding.itemCodeableConcept ClinicalImpression.code
  • Added Element deleted
ClinicalImpression.finding.itemReference ClinicalImpression.assessor
  • Added Element deleted
ClinicalImpression.supportingInfo ClinicalImpression.investigation
  • Added Element deleted
ClinicalImpression.context ClinicalImpression.finding.itemCodeableConcept
  • deleted
ClinicalImpression.finding.item[x] ClinicalImpression.finding.itemReference
  • deleted
ClinicalImpression.action ClinicalUseIssue
  • deleted Added Resource
CodeSystem
CodeSystem.identifier Max Cardinality changed from 1 to * CodeSystem.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 CodeSystem.experimental No longer marked as Modifier CodeSystem.valueSet Type changed from uri http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to canonical(ValueSet) http://hl7.org/fhir/ValueSet/publication-status|4.4.0
CodeSystem.hierarchyMeaning
  • Change value set from http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.1 http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.4.0
CodeSystem.content
  • Change value set from http://hl7.org/fhir/ValueSet/codesystem-content-mode http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0 to http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.1 CodeSystem.supplements Added Element http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.4.0
CodeSystem.filter.operator
  • Change value set from http://hl7.org/fhir/ValueSet/filter-operator http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 http://hl7.org/fhir/ValueSet/filter-operator|4.4.0
CodeSystem.property.type
  • Change value set from http://hl7.org/fhir/ValueSet/concept-property-type to http://hl7.org/fhir/ValueSet/concept-property-type|4.0.1 CodeSystem.concept.designation.language Change binding strength from extensible http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0 to preferred CodeSystem.concept.property.value[x] Add Type decimal http://hl7.org/fhir/ValueSet/concept-property-type|4.4.0
Communication
Communication.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.0.1 Communication.statusReason Added Element Communication.priority Added Element http://hl7.org/fhir/ValueSet/event-status|4.4.0
Communication.topic Communication.priority
  • Max Cardinality changed from * to 1 Type changed Change value set from Reference(Resource) http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to CodeableConcept Communication.about Added Element Communication.encounter Added Element http://hl7.org/fhir/ValueSet/request-priority|4.4.0
Communication.recipient
  • Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService Location, Endpoint
Communication.sender
  • Type Reference: Added Target Types PractitionerRole, HealthcareService Type Endpoint
Communication.reasonReference Communication.reason
  • Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
Communication.definition Communication.payload.content[x]
  • deleted Add Type CodeableConcept
  • Communication.notDone
  • deleted Remove Type string
Communication.notDoneReason Communication.reasonCode
  • deleted
Communication.context Communication.reasonReference
  • deleted
CommunicationRequest
CommunicationRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 CommunicationRequest.statusReason Added Element http://hl7.org/fhir/ValueSet/request-status|4.4.0
CommunicationRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 CommunicationRequest.doNotPerform Added Element CommunicationRequest.about Added Element CommunicationRequest.encounter Added Element http://hl7.org/fhir/ValueSet/request-priority|4.4.0
CommunicationRequest.requester CommunicationRequest.payload.content[x]
  • Add Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) CodeableConcept
  • CommunicationRequest.recipient
  • Remove Type Reference: Added Target Types PractitionerRole, HealthcareService string
CommunicationRequest.sender CommunicationRequest.recipient
  • Type Reference: Added Target Types PractitionerRole, HealthcareService Type Endpoint
CommunicationRequest.reasonReference CommunicationRequest.informationProvider
  • Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
CommunicationRequest.topic CommunicationRequest.reason
  • deleted Added Element
CommunicationRequest.context CommunicationRequest.sender
  • deleted
CommunicationRequest.requester.agent CommunicationRequest.reasonCode
  • deleted
CommunicationRequest.requester.onBehalfOf CommunicationRequest.reasonReference
  • deleted
CompartmentDefinition
CompartmentDefinition Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * CompartmentDefinition.version Added Element CompartmentDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 CompartmentDefinition.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|4.4.0
CompartmentDefinition.code
  • Change value set from http://hl7.org/fhir/ValueSet/compartment-type http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1 http://hl7.org/fhir/ValueSet/compartment-type|4.4.0
CompartmentDefinition.resource.code
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 CompartmentDefinition.title deleted CompartmentDefinition.jurisdiction deleted http://hl7.org/fhir/ValueSet/resource-types|4.4.0
Composition
Composition.status
  • Change value set from http://hl7.org/fhir/ValueSet/composition-status to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 Composition.category Renamed from class to category Max Cardinality changed from 1 to * Composition.subject Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to 0 Composition.author Type Reference: Added Target Types PractitionerRole, Organization http://hl7.org/fhir/ValueSet/composition-status|4.4.0
Composition.confidentiality
  • Change value set from http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|4.0.0 to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
  • No longer marked as Modifier
Composition.attester.mode
  • Max Cardinality changed from * to 1 Change value set from http://hl7.org/fhir/ValueSet/composition-attestation-mode http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0 to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1 Composition.attester.party Type Reference: Added Target Types RelatedPerson, PractitionerRole http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.4.0
Composition.relatesTo.code
  • Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 Composition.section.author Added Element Composition.section.focus Added Element http://hl7.org/fhir/ValueSet/document-relationship-type|4.4.0
Composition.section.mode
  • Change value set from http://hl7.org/fhir/ValueSet/list-mode http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 No longer marked as Modifier http://hl7.org/fhir/ValueSet/list-mode|4.4.0
ConceptMap
ConceptMap.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 ConceptMap.experimental No longer marked as Modifier ConceptMap.source[x] Add Type canonical(ValueSet) Remove Type Reference(ValueSet) ConceptMap.target[x] Add Type canonical(ValueSet) Remove Type Reference(ValueSet) ConceptMap.group.element.target.equivalence Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/concept-map-equivalence http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.1 Default Value "equivalent" removed http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ConceptMap.group.element.target.dependsOn.system ConceptMap.group.element.noMap
  • Type changed from uri to canonical(CodeSystem) Added Element
ConceptMap.group.element.target.dependsOn.value ConceptMap.group.element.target.relationship
  • Renamed from code to value Added Mandatory Element
ConceptMap.group.unmapped.mode
  • Change value set from http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.0 to http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.1 http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.4.0
ConceptMap.group.unmapped.url ConceptMap.group.element.target.equivalence
  • Type changed from uri to canonical(ConceptMap) deleted
Condition
Condition.clinicalStatus
  • Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/condition-clinical http://hl7.org/fhir/ValueSet/condition-clinical|4.0.0 to http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 http://hl7.org/fhir/ValueSet/condition-clinical|4.4.0
Condition.verificationStatus
  • Type changed from code to CodeableConcept Change value set from http://hl7.org/fhir/ValueSet/condition-ver-status to http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 Default Value "unknown" removed Condition.category Add Binding http://hl7.org/fhir/ValueSet/condition-category (extensible) Condition.encounter Added Element Condition.abatement[x] Remove Type boolean Condition.recordedDate Renamed from assertedDate http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.0 to recordedDate Condition.recorder Added Element http://hl7.org/fhir/ValueSet/condition-ver-status|4.4.0
Condition.asserter
  • Type Reference: Added Target Type PractitionerRole Condition.stage Max Cardinality changed from 1 to * Device
Condition.stage.type ConditionDefinition
  • Added Element Condition.context deleted Resource
Consent
Consent.identifier Max Cardinality changed from 1 to * Consent.status
  • Change value set from http://hl7.org/fhir/ValueSet/consent-state-codes http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.0 to http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 http://hl7.org/fhir/ValueSet/consent-state-codes|4.4.0
Consent.scope Consent.subject
  • Added Mandatory Element
Consent.category Min Cardinality changed from 0 to 1 Add Binding http://hl7.org/fhir/ValueSet/consent-category (extensible) Consent.patient Min Cardinality changed from 1 to 0 Consent.performer
  • Added Element Consent.source[x] Remove Type Identifier Consent.policyRule Type changed from uri to CodeableConcept Add Binding http://hl7.org/fhir/ValueSet/consent-policy (extensible) Consent.verification Added Element Consent.verification.verified Added Mandatory Element Consent.verification.verifiedWith Added Element Consent.verification.verificationDate Added Element Consent.provision Added Element Consent.provision.type Added Element Consent.provision.period Added Element Consent.provision.actor Added Element Consent.provision.actor.role Added Mandatory Element Consent.provision.actor.reference Added Mandatory Element Consent.provision.action Added Element Consent.provision.securityLabel Added Element Consent.provision.purpose Added Element Consent.provision.class Added Element Consent.provision.code Added Element Consent.provision.dataPeriod Reference: Added Element Target Types CareTeam, HealthcareService
Consent.provision.data Consent.sourceAttachment
  • Added Element
Consent.provision.data.meaning Consent.sourceReference
  • Added Mandatory Element
Consent.provision.data.reference Consent.verification.verificationType
  • Added Mandatory Element
Consent.provision.provision Consent.verification.verifiedBy
  • Added Element
Contract.identifier Consent.verification.verificationDate
  • Max Cardinality changed from 1 to *
Contract.status Consent.provision.type
  • Change value set from http://hl7.org/fhir/ValueSet/contract-status http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.0 to http://hl7.org/fhir/ValueSet/contract-status|4.0.1 Contract.legalState Added Element Contract.instantiatesCanonical Added Element Contract.instantiatesUri Added Element Contract.expirationType Added Element Contract.site Added Element Contract.name Added Element Contract.title Added Element Contract.subtitle Added Element Contract.alias Added Element Contract.author Added Element Contract.scope Added Element http://hl7.org/fhir/ValueSet/consent-provision-type|4.4.0
Contract.topic[x] Consent.provision.data.meaning
  • Renamed from topic to topic[x] Max Cardinality changed Change value set from * http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.0 to 1 Add Type CodeableConcept Contract.contentDefinition Added Element Contract.contentDefinition.type Added Mandatory Element Contract.contentDefinition.subType Added Element Contract.contentDefinition.publisher Added Element http://hl7.org/fhir/ValueSet/consent-data-meaning|4.4.0
Contract.contentDefinition.publicationDate Consent.patient
  • Added Element deleted
Contract.contentDefinition.publicationStatus Consent.source[x]
  • Added Mandatory Element deleted
Contract.contentDefinition.copyright Contract Added Element
Contract.term.topic[x] Contract.status
  • Renamed from topic to topic[x] Max Cardinality changed Change value set from * http://hl7.org/fhir/ValueSet/contract-status|4.0.0 to 1 Add Type CodeableConcept http://hl7.org/fhir/ValueSet/contract-status|4.4.0
Contract.term.securityLabel Contract.contentDefinition.publicationStatus
  • Type changed Change value set from Coding http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.0.0 to BackboneElement Remove Binding http://hl7.org/fhir/ValueSet/security-labels (extensible) Contract.term.securityLabel.number Added Element Contract.term.securityLabel.classification Added Mandatory Element Contract.term.securityLabel.category Added Element Contract.term.securityLabel.control Added Element Contract.term.offer Added Mandatory Element Contract.term.offer.identifier Added Element Contract.term.offer.party Added Element Contract.term.offer.party.reference Added Mandatory Element Contract.term.offer.party.role Added Mandatory Element Contract.term.offer.topic Added Element Contract.term.offer.type Added Element Contract.term.offer.decision Added Element Contract.term.offer.decisionMode Added Element Contract.term.offer.answer Added Element Contract.term.offer.answer.value[x] Added Mandatory Element Contract.term.offer.text Added Element Contract.term.offer.linkId Added Element Contract.term.offer.securityLabelNumber Added Element Contract.term.asset Added Element Contract.term.asset.scope Added Element Contract.term.asset.type Added Element Contract.term.asset.typeReference Added Element Contract.term.asset.subtype Added Element Contract.term.asset.relationship Added Element Contract.term.asset.context Added Element Contract.term.asset.context.reference Added Element Contract.term.asset.context.code Added Element Contract.term.asset.context.text Added Element Contract.term.asset.condition Added Element Contract.term.asset.periodType Added Element Contract.term.asset.period Added Element Contract.term.asset.usePeriod Added Element Contract.term.asset.text Added Element Contract.term.asset.linkId Added Element Contract.term.asset.answer Added Element Contract.term.asset.securityLabelNumber Added Element Contract.term.asset.valuedItem Added Element Contract.term.asset.valuedItem.entity[x] Added Element Contract.term.asset.valuedItem.identifier Added Element Contract.term.asset.valuedItem.effectiveTime Added Element Contract.term.asset.valuedItem.quantity Added Element Contract.term.asset.valuedItem.unitPrice Added Element Contract.term.asset.valuedItem.factor Added Element Contract.term.asset.valuedItem.points Added Element Contract.term.asset.valuedItem.net Added Element Contract.term.asset.valuedItem.payment Added Element Contract.term.asset.valuedItem.paymentDate Added Element Contract.term.asset.valuedItem.responsible Added Element Contract.term.asset.valuedItem.recipient Added Element Contract.term.asset.valuedItem.linkId Added Element Contract.term.asset.valuedItem.securityLabelNumber Added Element http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.4.0
Contract.term.action Contract.term.action.reason
  • Type changed from CodeableConcept string to BackboneElement Contract.term.action.doNotPerform Added Element Contract.term.action.type Added Mandatory Element Contract.term.action.subject Added Element Contract.term.action.subject.reference Added Mandatory Element Contract.term.action.subject.role Added Element Contract.term.action.intent Added Mandatory Element Contract.term.action.linkId Added Element Contract.term.action.status Added Mandatory Element Contract.term.action.context Added Element Contract.term.action.contextLinkId Added Element Contract.term.action.occurrence[x] Added Element Contract.term.action.requester Added Element Contract.term.action.requesterLinkId Added Element Contract.term.action.performerType Added Element Contract.term.action.performerRole Added Element Contract.term.action.performer Added Element Contract.term.action.performerLinkId Added Element Contract.term.action.reasonCode Added Element Contract.term.action.reasonReference Added Element Contract.term.action.reason Added Element Contract.term.action.reasonLinkId Added Element Contract.term.action.note Added Element Contract.term.action.securityLabelNumber Added Element Contract.supportingInfo Added Element Contract.relevantHistory Added Element Contract.signer.party Type Reference: Added Target Type PractitionerRole Contract.legallyBinding[x] Added Element Contract.action deleted Contract.actionReason deleted Contract.decisionType deleted Contract.securityLabel deleted Contract.agent deleted Contract.valuedItem deleted Contract.term.actionReason deleted Contract.term.agent deleted CodeableReference
Contract.term.valuedItem Contract.term.action.reasonCode
  • deleted
Contract.binding[x] Contract.term.action.reasonReference
  • deleted
Coverage
Coverage.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 http://hl7.org/fhir/ValueSet/fm-status|4.4.0
Coverage.beneficiary Coverage.subscriberId
  • Min Cardinality Type changed from 0 string to 1 Coverage.relationship Add Binding http://hl7.org/fhir/ValueSet/subscriber-relationship (extensible) Identifier
Coverage.payor Min Cardinality changed from 0 to 1 Coverage.class Renamed from grouping to class Max Cardinality changed from 1 to * Coverage.class.type Added Mandatory Element Coverage.class.value Added Mandatory Element Coverage.class.name Added Element Coverage.costToBeneficiary Added Element Coverage.costToBeneficiary.type Added Element Coverage.costToBeneficiary.value[x]
  • Added Mandatory Element Coverage.costToBeneficiary.exception Added Element Coverage.costToBeneficiary.exception.type Added Mandatory Element Coverage.costToBeneficiary.exception.period Added Element Coverage.subrogation Added Element Coverage.grouping.group deleted Coverage.grouping.groupDisplay deleted Coverage.grouping.subGroup deleted Coverage.grouping.subGroupDisplay deleted Coverage.grouping.plan deleted Coverage.grouping.planDisplay deleted Coverage.grouping.subPlan deleted Coverage.grouping.subPlanDisplay deleted Coverage.grouping.class deleted Coverage.grouping.classDisplay deleted Coverage.grouping.subClass deleted Coverage.grouping.subClassDisplay deleted Add Type Quantity()
  • Coverage.sequence
  • deleted Remove Type Quantity()
CoverageEligibilityRequest Added Resource CoverageEligibilityResponse Added Resource DetectedIssue
DetectedIssue.identifier CoverageEligibilityRequest.status
  • Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to * http://hl7.org/fhir/ValueSet/fm-status|4.4.0
DetectedIssue.status CoverageEligibilityRequest.purpose
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.4.0
DetectedIssue.code CoverageEligibilityResponse Renamed from category to code
DetectedIssue.severity CoverageEligibilityResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/detectedissue-severity http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 DetectedIssue.identified[x] Added Element http://hl7.org/fhir/ValueSet/fm-status|4.4.0
DetectedIssue.author Type Reference: Added Target Type PractitionerRole DetectedIssue.evidence CoverageEligibilityResponse.purpose
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.0.0 to http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.4.0
DetectedIssue.evidence.code CoverageEligibilityResponse.outcome
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/remittance-outcome|4.4.0
DetectedIssue.evidence.detail DetectedIssue Added Element
DetectedIssue.mitigation.author DetectedIssue.status
  • Type Reference: Added Target Type PractitionerRole Change value set from http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.4.0
DetectedIssue.date DetectedIssue.severity
  • deleted Change value set from http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/detectedissue-severity|4.4.0
Device
Device.definition Added Element Device.udiCarrier Added Element Device.udiCarrier.deviceIdentifier Added Element Device.udiCarrier.issuer Added Element Device.udiCarrier.jurisdiction Added Element Device.udiCarrier.carrierAIDC Added Element Device.udiCarrier.carrierHRF Device.displayName
  • Added Element
Device.udiCarrier.entryType
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0 to http://hl7.org/fhir/ValueSet/udi-entry-type|4.4.0
Device.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-status http://hl7.org/fhir/ValueSet/device-status|4.0.0 to http://hl7.org/fhir/ValueSet/device-status|4.0.1 Device.statusReason Added Element Device.distinctIdentifier Added Element Device.serialNumber Added Element Device.deviceName Added Element Device.deviceName.name Added Mandatory Element http://hl7.org/fhir/ValueSet/device-status|4.4.0
Device.deviceName.type
  • Added Mandatory Element Device.modelNumber Added Element Device.partNumber Added Element Device.specialization Added Element Device.specialization.systemType Added Mandatory Element Device.specialization.version Added Element Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|4.4.0
Device.version Device.type
  • Max Cardinality changed from 1 to *
  • Type changed from string to BackboneElement
Device.version.type Device.operationalStatus
  • Added Element
Device.version.component Device.operationalStatus.value
  • Added Element
Device.version.value Device.operationalStatus.reason
  • Added Mandatory Element
Device.property Device.associationStatus
  • Added Element
Device.property.type Added Mandatory Element Device.property.valueQuantity Device.associationStatus.value
  • Added Element
Device.property.valueCode Device.associationStatus.reason
  • Added Element
Device.parent DeviceDefinition Added Element
Device.udi DeviceDefinition.deviceName.type
  • deleted Change value set from http://hl7.org/fhir/ValueSet/device-nametype|4.0.0 to http://hl7.org/fhir/ValueSet/device-nametype|4.4.0
Device.model DeviceDefinition.url
  • deleted
DeviceMetric
DeviceMetric.identifier Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * DeviceMetric.parent Type Reference: Added Target Type Device Type Reference: Removed Target Type DeviceComponent DeviceMetric.operationalStatus
  • Change value set from http://hl7.org/fhir/ValueSet/metric-operational-status http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.0 to http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.1 http://hl7.org/fhir/ValueSet/metric-operational-status|4.4.0
DeviceMetric.color
  • Change value set from http://hl7.org/fhir/ValueSet/metric-color http://hl7.org/fhir/ValueSet/metric-color|4.0.0 to http://hl7.org/fhir/ValueSet/metric-color|4.0.1 http://hl7.org/fhir/ValueSet/metric-color|4.4.0
DeviceMetric.category
  • Change value set from http://hl7.org/fhir/ValueSet/metric-category http://hl7.org/fhir/ValueSet/metric-category|4.0.0 to http://hl7.org/fhir/ValueSet/metric-category|4.0.1 http://hl7.org/fhir/ValueSet/metric-category|4.4.0
DeviceMetric.calibration.type
  • Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-type http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.1 http://hl7.org/fhir/ValueSet/metric-calibration-type|4.4.0
DeviceMetric.calibration.state
  • Change value set from http://hl7.org/fhir/ValueSet/metric-calibration-state http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.0 to http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.1 http://hl7.org/fhir/ValueSet/metric-calibration-state|4.4.0
DeviceRequest
DeviceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/request-status|4.4.0
DeviceRequest.intent
  • Type changed from CodeableConcept to code Change value set from http://build.fhir.org/valueset-request-intent.html http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 http://hl7.org/fhir/ValueSet/request-intent|4.4.0
DeviceRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Default Value "If missing, normal priority" removed DeviceRequest.parameter Added Element DeviceRequest.parameter.code Added Element DeviceRequest.parameter.value[x] Added Element http://hl7.org/fhir/ValueSet/request-priority|4.4.0
DeviceRequest.encounter DeviceRequest.code
  • Added Mandatory Element DeviceRequest.requester Type changed from BackboneElement to Reference(Device | Practitioner | PractitionerRole | Organization) DeviceRequest.performer Type Reference: Added Target Types PractitionerRole, CareTeam DeviceRequest.reasonReference Type Reference: Added Target Types Condition, Observation, DiagnosticReport, DocumentReference Type Reference: Removed Target Type Resource
DeviceRequest.insurance DeviceRequest.reason
  • Added Element
DeviceRequest.definition deleted DeviceRequest.context DeviceRequest.code[x]
  • deleted
DeviceRequest.requester.agent DeviceRequest.reasonCode
  • deleted
DeviceRequest.requester.onBehalfOf DeviceRequest.reasonReference
  • deleted
DeviceUseStatement
DeviceUseStatement.status
  • Change value set from http://hl7.org/fhir/ValueSet/device-statement-status http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0 to http://hl7.org/fhir/ValueSet/device-statement-status|4.0.1 http://hl7.org/fhir/ValueSet/device-statement-status|4.4.0
DeviceUseStatement.derivedFrom DeviceUseStatement.category
  • Added Element
DeviceUseStatement.source DeviceUseStatement.context
  • Type Reference: Added Target Type PractitionerRole Element
DeviceUseStatement.reasonCode DeviceUseStatement.dateAsserted
  • Added Element
DeviceUseStatement.reasonReference DeviceUseStatement.usageStatus
  • Added Element
DiagnosticReport.basedOn DeviceUseStatement.usageReason
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest DiagnosticReport.status Change value set from http://hl7.org/fhir/ValueSet/diagnostic-report-status to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 DiagnosticReport.category Max Cardinality changed from 1 to * Element
DiagnosticReport.encounter DeviceUseStatement.informationSource
  • Added Element
DiagnosticReport.performer DeviceUseStatement.device
  • Type changed from BackboneElement Reference(Device) to Reference(Practitioner | PractitionerRole | Organization | CareTeam) CodeableReference
DiagnosticReport.resultsInterpreter DeviceUseStatement.reason
  • Added Element
DiagnosticReport.imagingStudy DeviceUseStatement.bodySite
  • Type Reference: Removed Target Type ImagingManifest DiagnosticReport.media Renamed from image to media DiagnosticReport.media.comment Moved from DiagnosticReport.image to DiagnosticReport.media DiagnosticReport.media.link Moved changed from DiagnosticReport.image CodeableConcept to DiagnosticReport.media CodeableReference
DiagnosticReport.conclusionCode DeviceUseStatement.recordedOn
  • Renamed from codedDiagnosis to conclusionCode deleted
DiagnosticReport.context DeviceUseStatement.source
  • deleted
DiagnosticReport.performer.role DeviceUseStatement.reasonCode
  • deleted
DiagnosticReport.performer.actor DeviceUseStatement.reasonReference
  • deleted
DocumentManifest DiagnosticReport
DocumentManifest.status DiagnosticReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/document-reference-status http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.4.0
DocumentManifest.author DiagnosticReport.media.link
  • Type Reference: Added Target Type PractitionerRole DocumentReference
  • DocumentManifest.recipient
  • Type Reference: Added Removed Target Type PractitionerRole Media
DocumentManifest.content DocumentManifest Type changed from BackboneElement to Reference(Resource)
DocumentManifest.content.p[x] DocumentManifest.status
  • deleted Change value set from http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|4.4.0
DocumentReference
DocumentReference.status
  • Change value set from http://hl7.org/fhir/ValueSet/document-reference-status http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0 to http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 http://hl7.org/fhir/ValueSet/document-reference-status|4.4.0
DocumentReference.docStatus
  • Change value set from http://hl7.org/fhir/ValueSet/composition-status to http://hl7.org/fhir/ValueSet/composition-status|4.0.1 DocumentReference.type Min Cardinality changed from 1 to 0 DocumentReference.category Renamed from class to category Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/composition-status|4.0.0 to * DocumentReference.date Added Element http://hl7.org/fhir/ValueSet/composition-status|4.4.0
DocumentReference.author DocumentReference.subject
  • Type Reference: Added Target Type PractitionerRole Types PractitionerRole, Specimen, Organization, Location
DocumentReference.authenticator DocumentReference.author
  • Type Reference: Added Target Type PractitionerRole DocumentReference.relatesTo No longer marked as Modifier CareTeam
DocumentReference.relatesTo.code
  • Change value set from http://hl7.org/fhir/ValueSet/document-relationship-type http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 http://hl7.org/fhir/ValueSet/document-relationship-type|4.4.0
DocumentReference.context.encounter
  • Max Cardinality changed from 1 to * Type Reference: Added Removed Target Type EpisodeOfCare
DocumentReference.context.related.ref DocumentReference.context.basedOn
  • deleted Added Element
DomainResource
  • No Changes
Encounter
Encounter.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-status http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 http://hl7.org/fhir/ValueSet/encounter-status|4.4.0
Encounter.statusHistory.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-status to http://hl7.org/fhir/ValueSet/encounter-status|4.0.1 Encounter.class Min Cardinality changed from 0 to 1 Encounter.serviceType Added Element Encounter.basedOn Renamed from incomingReferral to basedOn Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest Encounter.participant.individual Type Reference: Added Target Type PractitionerRole Encounter.appointment Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/encounter-status|4.0.0 to * Encounter.reasonCode Added Element http://hl7.org/fhir/ValueSet/encounter-status|4.4.0
Encounter.reasonReference Encounter.subjectStatus
  • Added Element
Encounter.diagnosis.use Encounter.reason
  • Added Element
Encounter.hospitalization.origin Type Reference: Added Target Type Organization Encounter.hospitalization.destination Type Reference: Added Target Type Organization Encounter.location.status
  • Change value set from http://hl7.org/fhir/ValueSet/encounter-location-status http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0 to http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1 Encounter.location.physicalType Added Element http://hl7.org/fhir/ValueSet/encounter-location-status|4.4.0
Encounter.reason Encounter.reasonCode
  • deleted
Encounter.diagnosis.role Encounter.reasonReference
  • deleted
Endpoint
Endpoint.status
  • Change value set from http://hl7.org/fhir/ValueSet/endpoint-status to http://hl7.org/fhir/ValueSet/endpoint-status|4.0.1 Endpoint.connectionType Change code system for extensibly bound codes from "http://hl7.org/fhir/endpoint-connection-type" http://hl7.org/fhir/ValueSet/endpoint-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/endpoint-connection-type" http://hl7.org/fhir/ValueSet/endpoint-status|4.4.0
Endpoint.payloadMimeType
  • Change value set from http://hl7.org/fhir/ValueSet/mimetypes to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Endpoint.address Type changed from uri http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to url http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
EnrollmentRequest
EnrollmentRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 EnrollmentRequest.provider Type Reference: Added Target Types PractitionerRole, Organization EnrollmentRequest.candidate Renamed from subject http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to candidate EnrollmentRequest.organization deleted http://hl7.org/fhir/ValueSet/fm-status|4.4.0
EnrollmentResponse
EnrollmentResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/fm-status http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 http://hl7.org/fhir/ValueSet/fm-status|4.4.0
EnrollmentResponse.outcome
  • Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 EnrollmentResponse.requestProvider Type Reference: Added Target Types PractitionerRole, Organization EnrollmentResponse.requestOrganization deleted http://hl7.org/fhir/ValueSet/remittance-outcome|4.4.0
EpisodeOfCare
EpisodeOfCare.status
  • Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 http://hl7.org/fhir/ValueSet/episode-of-care-status|4.4.0
EpisodeOfCare.statusHistory.status
  • Change value set from http://hl7.org/fhir/ValueSet/episode-of-care-status http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0 to http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.1 EpisodeOfCare.referralRequest Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest EpisodeOfCare.careManager Type Reference: Added Target Type PractitionerRole http://hl7.org/fhir/ValueSet/episode-of-care-status|4.4.0
EventDefinition Added Resource Evidence Added Resource EvidenceVariable Added Resource
ExampleScenario EventDefinition.status
  • Added Resource Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ExplanationOfBenefit Evidence
ExplanationOfBenefit.status Evidence.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/explanationofbenefit-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ExplanationOfBenefit.type Evidence.contributor
  • Min Cardinality changed from 0 to 1 Change binding strength from required to extensible Added Element
ExplanationOfBenefit.subType Evidence.assertion
  • Max Cardinality changed from * to 1 Added Element
ExplanationOfBenefit.use Evidence.variableDefinition
  • Added Mandatory Element
ExplanationOfBenefit.enterer Evidence.variableDefinition.description
  • Type Reference: Added Target Type PractitionerRole ExplanationOfBenefit.insurer Min Cardinality changed from 0 to 1 Element
ExplanationOfBenefit.provider Evidence.variableDefinition.note
  • Min Cardinality changed from 0 to 1 Type Reference: Added Target Types PractitionerRole, Organization Element
ExplanationOfBenefit.priority Evidence.variableDefinition.variableRole
  • Added Mandatory Element
ExplanationOfBenefit.fundsReserveRequested Evidence.variableDefinition.observed
  • Added Element
ExplanationOfBenefit.fundsReserve Evidence.variableDefinition.intended
  • Added Element
ExplanationOfBenefit.payee.party Evidence.variableDefinition.directnessMatch
  • Type Reference: Added Target Type PractitionerRole Element
ExplanationOfBenefit.referral Evidence.synthesisType
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ReferralRequest ExplanationOfBenefit.outcome Min Cardinality changed from 0 to 1 Type changed from CodeableConcept to code Add Binding http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 (required) Element
ExplanationOfBenefit.preAuthRef Evidence.studyType
  • Added Element
ExplanationOfBenefit.preAuthRefPeriod Evidence.statistic
  • Added Element
ExplanationOfBenefit.careTeam.provider Evidence.distribution
  • Type Reference: Added Target Type PractitionerRole ExplanationOfBenefit.supportingInfo Renamed from information to supportingInfo ExplanationOfBenefit.supportingInfo.sequence Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo ExplanationOfBenefit.supportingInfo.category Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo ExplanationOfBenefit.supportingInfo.code Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Element
ExplanationOfBenefit.supportingInfo.timing[x] Evidence.certainty
  • Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Added Element
ExplanationOfBenefit.supportingInfo.value[x] Evidence.certainty.description
  • Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Add Type boolean Added Element
ExplanationOfBenefit.supportingInfo.reason Evidence.certainty.note
  • Moved from ExplanationOfBenefit.information to ExplanationOfBenefit.supportingInfo Added Element
ExplanationOfBenefit.diagnosis.onAdmission Evidence.certainty.rating
  • Added Element
ExplanationOfBenefit.procedure.type Evidence.certainty.certaintySubcomponent
  • Added Element
ExplanationOfBenefit.procedure.udi Evidence.certainty.certaintySubcomponent.description
  • Added Element
ExplanationOfBenefit.insurance Evidence.certainty.certaintySubcomponent.note
  • Min Cardinality changed from 0 to 1 Max Cardinality changed from 1 to * Added Element
ExplanationOfBenefit.insurance.focal Evidence.certainty.certaintySubcomponent.type
  • Added Mandatory Element
ExplanationOfBenefit.insurance.coverage Evidence.certainty.certaintySubcomponent.rating
  • Min Cardinality changed from 0 to 1 Added Element
ExplanationOfBenefit.accident.type Evidence.name
  • Change binding strength from required to extensible deleted
ExplanationOfBenefit.item.careTeamSequence Evidence.shortTitle
  • Renamed from careTeamLinkId to careTeamSequence deleted
ExplanationOfBenefit.item.diagnosisSequence Evidence.subtitle
  • Renamed from diagnosisLinkId to diagnosisSequence deleted
ExplanationOfBenefit.item.procedureSequence Evidence.publisher
  • Renamed from procedureLinkId to procedureSequence deleted
ExplanationOfBenefit.item.informationSequence Evidence.contact
  • Renamed from informationLinkId to informationSequence deleted
ExplanationOfBenefit.item.productOrService Evidence.jurisdiction
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ExplanationOfBenefit.item.detail.productOrService Evidence.copyright
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ExplanationOfBenefit.item.detail.subDetail.productOrService Evidence.effectivePeriod
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ExplanationOfBenefit.addItem.itemSequence Evidence.topic
  • Renamed from sequenceLinkId to itemSequence deleted
ExplanationOfBenefit.addItem.detailSequence Evidence.author
  • Added Element deleted
ExplanationOfBenefit.addItem.subDetailSequence Evidence.editor
  • Added Element deleted
ExplanationOfBenefit.addItem.provider Evidence.reviewer
  • Added Element deleted
ExplanationOfBenefit.addItem.productOrService Evidence.endorser
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 deleted
ExplanationOfBenefit.addItem.programCode Evidence.exposureBackground
  • Added Element deleted
ExplanationOfBenefit.addItem.serviced[x] Evidence.exposureVariant
  • Added Element deleted
ExplanationOfBenefit.addItem.location[x] Evidence.outcome
  • Added Element deleted
ExplanationOfBenefit.addItem.quantity EvidenceReport
  • Added Element Resource
ExplanationOfBenefit.addItem.unitPrice EvidenceVariable Added Element
ExplanationOfBenefit.addItem.factor EvidenceVariable.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ExplanationOfBenefit.addItem.net EvidenceVariable.type
  • Renamed Change value set from fee http://hl7.org/fhir/ValueSet/variable-type|4.0.0 to net http://hl7.org/fhir/ValueSet/variable-type|4.4.0
ExplanationOfBenefit.addItem.bodySite EvidenceVariable.actual
  • Added Element
ExplanationOfBenefit.addItem.subSite EvidenceVariable.characteristicCombination
  • Added Element
ExplanationOfBenefit.addItem.detail.productOrService EvidenceVariable.characteristic
  • Renamed from service to productOrService Min Cardinality changed from 0 to 1 to 0
ExplanationOfBenefit.addItem.detail.quantity EvidenceVariable.characteristic.definition[x]
  • Added Element Remove Types DataRequirement, TriggerDefinition
ExplanationOfBenefit.addItem.detail.unitPrice EvidenceVariable.characteristic.method
  • Added Element
ExplanationOfBenefit.addItem.detail.factor EvidenceVariable.characteristic.device
  • Added Element
ExplanationOfBenefit.addItem.detail.net EvidenceVariable.characteristic.timeFromStart
  • Renamed Type changed from fee Duration to net ExplanationOfBenefit.addItem.detail.subDetail Added Element ExplanationOfBenefit.addItem.detail.subDetail.productOrService Added Mandatory Element ExplanationOfBenefit.addItem.detail.subDetail.modifier Added Element ExplanationOfBenefit.addItem.detail.subDetail.quantity Added Element ExplanationOfBenefit.addItem.detail.subDetail.unitPrice Added Element ExplanationOfBenefit.addItem.detail.subDetail.factor Added Element BackboneElement
ExplanationOfBenefit.addItem.detail.subDetail.net EvidenceVariable.characteristic.timeFromStart.description
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.noteNumber EvidenceVariable.characteristic.timeFromStart.quantity
  • Added Element
ExplanationOfBenefit.addItem.detail.subDetail.adjudication EvidenceVariable.characteristic.timeFromStart.range
  • Added Element
ExplanationOfBenefit.adjudication EvidenceVariable.characteristic.timeFromStart.note
  • Added Element
ExplanationOfBenefit.total EvidenceVariable.characteristic.groupMeasure
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/group-measure|4.0.0 to http://hl7.org/fhir/ValueSet/group-measure|4.4.0
ExplanationOfBenefit.total.category EvidenceVariable.characteristic.usageContext
  • Added Mandatory Element deleted
ExplanationOfBenefit.total.amount EvidenceVariable.characteristic.participantEffective[x]
  • Added Mandatory Element deleted
ExplanationOfBenefit.formCode ExampleScenario Added Element
ExplanationOfBenefit.form ExampleScenario.status
  • Type changed Change value set from CodeableConcept http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to Attachment http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ExplanationOfBenefit.processNote.type ExampleScenario.actor.type
  • Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.4.0
ExplanationOfBenefit.processNote.language ExampleScenario.instance.resourceType
  • Change binding strength value set from extensible http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to preferred ExplanationOfBenefit.benefitPeriod Added Element ExplanationOfBenefit.organization deleted ExplanationOfBenefit.payee.resourceType deleted ExplanationOfBenefit.employmentImpacted deleted ExplanationOfBenefit.hospitalization deleted ExplanationOfBenefit.item.detail.type deleted ExplanationOfBenefit.item.detail.subDetail.type deleted ExplanationOfBenefit.addItem.revenue deleted ExplanationOfBenefit.addItem.category deleted ExplanationOfBenefit.addItem.detail.revenue deleted http://hl7.org/fhir/ValueSet/resource-types|4.4.0
ExplanationOfBenefit.addItem.detail.category ExplanationOfBenefit deleted
ExplanationOfBenefit.totalCost ExplanationOfBenefit.status
  • deleted Change value set from http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0 to http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.4.0
ExplanationOfBenefit.unallocDeductable ExplanationOfBenefit.use
  • deleted Change value set from http://hl7.org/fhir/ValueSet/claim-use|4.0.0 to http://hl7.org/fhir/ValueSet/claim-use|4.4.0
ExplanationOfBenefit.totalBenefit ExplanationOfBenefit.outcome
  • deleted Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to http://hl7.org/fhir/ValueSet/remittance-outcome|4.4.0
ExplanationOfBenefit.benefitBalance.subCategory ExplanationOfBenefit.processNote.type
  • deleted Change value set from http://hl7.org/fhir/ValueSet/note-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.4.0
FamilyMemberHistory
FamilyMemberHistory.instantiatesUri FamilyMemberHistory.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/history-status|4.0.0 to http://hl7.org/fhir/ValueSet/history-status|4.4.0
FamilyMemberHistory.status FamilyMemberHistory.sex
  • Change value set from http://hl7.org/fhir/ValueSet/history-status http://build.fhir.org/valueset-administrative-gender.html to http://hl7.org/fhir/ValueSet/history-status|4.0.1 http://hl7.org/fhir/ValueSet/administrative-gender
FamilyMemberHistory.dataAbsentReason FamilyMemberHistory.reason
  • Added Element
FamilyMemberHistory.sex FamilyMemberHistory.procedure
  • Added Element
FamilyMemberHistory.estimatedAge FamilyMemberHistory.procedure.code
  • No longer marked as Modifier Added Mandatory Element
FamilyMemberHistory.reasonReference FamilyMemberHistory.procedure.outcome
  • Type Reference: Added Target Types DiagnosticReport, DocumentReference Element
FamilyMemberHistory.condition.contributedToDeath FamilyMemberHistory.procedure.contributedToDeath
  • Added Element
FamilyMemberHistory.definition FamilyMemberHistory.procedure.performed[x]
  • deleted Added Element
FamilyMemberHistory.notDone FamilyMemberHistory.procedure.note
  • deleted Added Element
FamilyMemberHistory.notDoneReason FamilyMemberHistory.reasonCode
  • deleted
FamilyMemberHistory.gender FamilyMemberHistory.reasonReference
  • deleted
Flag
Flag.status
  • Change value set from http://hl7.org/fhir/ValueSet/flag-status to http://hl7.org/fhir/ValueSet/flag-status|4.0.1 Flag.category Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/flag-status|4.0.0 to * http://hl7.org/fhir/ValueSet/flag-status|4.4.0
Flag.author Flag.subject
  • Type Reference: Added Target Type PractitionerRole
Goal
Goal.lifecycleStatus
  • Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/goal-status|4.0.0 to http://hl7.org/fhir/ValueSet/goal-status|4.4.0
Goal.achievementStatus Goal.continuous
  • Added Element
Goal.subject Min Cardinality changed from 0 to 1 Goal.target Goal.addresses
  • Max Cardinality changed from 1 to * Type Reference: Added Target Types MedicationUsage, MedicationRequest
  • Goal.target.detail[x]
  • Add Types string, boolean, integer, Ratio Type Reference: Removed Target Type MedicationStatement
Goal.expressedBy Goal.outcome
  • Type Reference: Added Target Type PractitionerRole Element
Goal.addresses Goal.outcomeCode
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ProcedureRequest deleted
Goal.status Goal.outcomeReference
  • deleted
GraphDefinition
GraphDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 GraphDefinition.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|4.4.0
GraphDefinition.start
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 GraphDefinition.profile Type changed from uri to canonical(StructureDefinition) GraphDefinition.link.path Min Cardinality changed from 1 to 0 GraphDefinition.link.target Min Cardinality changed from 1 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to 0 http://hl7.org/fhir/ValueSet/resource-types|4.4.0
GraphDefinition.link.target.type
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 GraphDefinition.link.target.params Added Element http://hl7.org/fhir/ValueSet/resource-types|4.4.0
GraphDefinition.link.target.profile GraphDefinition.link.target.compartment.use
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/graph-compartment-use|4.0.0 to canonical(StructureDefinition) GraphDefinition.link.target.compartment.use Added Mandatory Element http://hl7.org/fhir/ValueSet/graph-compartment-use|4.4.0
GraphDefinition.link.target.compartment.code
  • Change value set from http://hl7.org/fhir/ValueSet/compartment-type http://hl7.org/fhir/ValueSet/compartment-type|4.0.0 to http://hl7.org/fhir/ValueSet/compartment-type|4.0.1 http://hl7.org/fhir/ValueSet/compartment-type|4.4.0
GraphDefinition.link.target.compartment.rule
  • Change value set from http://hl7.org/fhir/ValueSet/graph-compartment-rule http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.0 to http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.1 http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.4.0
Group
Group.active Default Value "true" removed Group.type
  • Change value set from http://hl7.org/fhir/ValueSet/group-type http://hl7.org/fhir/ValueSet/group-type|4.0.0 to http://hl7.org/fhir/ValueSet/group-type|4.0.1 Group.managingEntity Added Element Group.characteristic.value[x] Add Type Reference Group.characteristic.exclude No longer marked as Modifier Group.member.entity Type Reference: Added Target Types PractitionerRole, Group Group.member.inactive Default Value "false" removed http://hl7.org/fhir/ValueSet/group-type|4.4.0
GuidanceResponse
GuidanceResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/guidance-response-status http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.0 to http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.1 GuidanceResponse.encounter Added Element GuidanceResponse.reasonCode Added Element http://hl7.org/fhir/ValueSet/guidance-response-status|4.4.0
GuidanceResponse.reasonReference GuidanceResponse.reason
  • Added Element
GuidanceResponse.context GuidanceResponse.reasonCode
  • deleted
GuidanceResponse.reason[x] GuidanceResponse.reasonReference
  • deleted
HealthcareService
HealthcareService.active Default Value "true" removed HealthcareService.category Max Cardinality changed from 1 to * HealthcareService.extraDetails Type changed from string to markdown HealthcareService.eligibility Max Cardinality changed from 1 to * Type changed from CodeableConcept to BackboneElement HealthcareService.eligibility.code Added Element HealthcareService.eligibility.comment Added Element HealthcareService.program Added Element HealthcareService.communication Added Element HealthcareService.availableTime.daysOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 HealthcareService.eligibilityNote deleted HealthcareService.programName deleted http://hl7.org/fhir/ValueSet/days-of-week|4.4.0
ImagingStudy
ImagingStudy.status
  • Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0 to http://hl7.org/fhir/ValueSet/imagingstudy-status|4.4.0
ImagingStudy.modality
  • Renamed from modalityList to modality Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ImagingStudy.subject ImagingStudy.procedure
  • Renamed from patient to subject Type Reference: Added Target Types Device, Group Element
ImagingStudy.encounter ImagingStudy.procedure.value[x]
  • Added Mandatory Element
ImagingStudy.basedOn ImagingStudy.reason
  • Type Reference: Added Target Types ServiceRequest, Appointment, AppointmentResponse, Task Type Reference: Removed Target Types ReferralRequest, ProcedureRequest Element
ImagingStudy.referrer ImagingStudy.series.modality
  • Type Reference: Added Target Type PractitionerRole Change value set from http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html
ImagingStudy.interpreter ImagingStudy.series.performer.actor
  • Type Reference: Added Target Type PractitionerRole HealthcareService
ImagingStudy.procedureReference
  • Max Cardinality changed from * to 1 deleted
ImagingStudy.procedureCode
  • Add Binding http://www.rsna.org/RadLex_Playbook.aspx (extensible) ImagingStudy.location Added Element deleted
ImagingStudy.reasonCode
  • Added Element deleted
ImagingStudy.reasonReference
  • Added Element ImagingStudy.note Added Element deleted
ImagingStudy.series.uid Immunization Type changed from oid to id
ImagingStudy.series.modality Immunization.status
  • Change value set from http://hl7.org/fhir/ValueSet/dicom-cid29 http://hl7.org/fhir/ValueSet/immunization-status|4.0.0 to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html http://hl7.org/fhir/ValueSet/immunization-status|4.4.0
ImagingStudy.series.specimen Immunization.informationSource[x]
  • Added Element
ImagingStudy.series.performer.function Immunization.reason
  • Added Element
ImagingStudy.series.performer.actor Immunization.protocolApplied.doseNumber
  • Added Mandatory Element
ImagingStudy.uid Immunization.protocolApplied.seriesDoses
  • deleted Added Element
ImagingStudy.accession Immunization.reportOrigin
  • deleted
ImagingStudy.availability Immunization.reasonCode
  • deleted
ImagingStudy.context Immunization.reasonReference
  • deleted
ImagingStudy.reason Immunization.protocolApplied.doseNumber[x]
  • deleted
ImagingStudy.series.availability Immunization.protocolApplied.seriesDoses[x]
  • deleted
Immunization ImmunizationEvaluation
Immunization.status ImmunizationEvaluation.status
  • Change value set from http://hl7.org/fhir/ValueSet/immunization-status to http://hl7.org/fhir/ValueSet/immunization-status|4.0.1 Immunization.statusReason Renamed from notGiven to statusReason Min Cardinality changed from 1 to 0 Type changed from boolean to CodeableConcept No longer marked as Modifier Immunization.occurrence[x] Renamed from date to occurrence[x] Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.0 to 1 Add Type string http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.4.0
Immunization.recorded ImmunizationEvaluation.doseNumber
  • Added Element
Immunization.reasonReference ImmunizationEvaluation.seriesDoses
  • Added Element
Immunization.isSubpotent ImmunizationEvaluation.doseNumber[x]
  • Added Element deleted
Immunization.subpotentReason ImmunizationEvaluation.seriesDoses[x]
  • Added Element deleted
Immunization.education ImmunizationRecommendation Added Element
Immunization.education.documentType ImmunizationRecommendation.recommendation.targetDisease
  • Added Element Max Cardinality changed from 1 to *
Immunization.education.reference ImmunizationRecommendation.recommendation.doseNumber
  • Added Element
Immunization.education.publicationDate ImmunizationRecommendation.recommendation.seriesDoses
  • Added Element
Immunization.education.presentationDate ImmunizationRecommendation.recommendation.doseNumber[x]
  • Added Element deleted
Immunization.programEligibility ImmunizationRecommendation.recommendation.seriesDoses[x]
  • Added Element deleted
Immunization.fundingSource ImplementationGuide Added Element
Immunization.protocolApplied ImplementationGuide.status
  • Renamed Change value set from vaccinationProtocol http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to protocolApplied http://hl7.org/fhir/ValueSet/publication-status|4.4.0
Immunization.protocolApplied.series ImplementationGuide.license
  • Moved Change value set from Immunization.vaccinationProtocol http://hl7.org/fhir/ValueSet/spdx-license|4.0.0 to Immunization.protocolApplied http://hl7.org/fhir/ValueSet/spdx-license|4.4.0
Immunization.protocolApplied.authority ImplementationGuide.fhirVersion
  • Moved Change value set from Immunization.vaccinationProtocol http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to Immunization.protocolApplied http://hl7.org/fhir/ValueSet/FHIR-version|4.4.0
Immunization.protocolApplied.targetDisease ImplementationGuide.global.type
  • Moved from Immunization.vaccinationProtocol to Immunization.protocolApplied Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to 0 http://hl7.org/fhir/ValueSet/resource-types|4.4.0
Immunization.protocolApplied.doseNumber[x] ImplementationGuide.definition.resource.fhirVersion
  • Moved from Immunization.vaccinationProtocol.doseSequence to doseNumber[x] Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to 1 Add Type string http://hl7.org/fhir/ValueSet/FHIR-version|4.4.0
Immunization.protocolApplied.seriesDoses[x] ImplementationGuide.definition.page.generation
  • Moved Change value set from Immunization.vaccinationProtocol.seriesDoses http://hl7.org/fhir/ValueSet/guide-page-generation|4.0.0 to seriesDoses[x] Add Type string Immunization.explanation deleted Immunization.vaccinationProtocol.description deleted http://hl7.org/fhir/ValueSet/guide-page-generation|4.4.0
Immunization.vaccinationProtocol.doseStatus ImplementationGuide.definition.parameter.code
  • deleted Type changed from code to string
  • Immunization.vaccinationProtocol.doseStatusReason
  • deleted Remove Binding http://hl7.org/fhir/ValueSet/guide-parameter-code|4.0.0 (required)
ImmunizationEvaluation Ingredient
  • Added Resource
ImmunizationRecommendation InsurancePlan
ImmunizationRecommendation.authority InsurancePlan.status
  • Moved Change value set from ImmunizationRecommendation.recommendation.protocol http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to ImmunizationRecommendation http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ImmunizationRecommendation.recommendation.vaccineCode InsurancePlan.plan.specificCost.benefit.cost.applicability
  • Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.0 to * http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.4.0
ImmunizationRecommendation.recommendation.contraindicatedVaccineCode Invoice Added Element
ImmunizationRecommendation.recommendation.forecastStatus Now marked as Modifier ImmunizationRecommendation.recommendation.forecastReason Added Element ImmunizationRecommendation.recommendation.description Invoice.status
  • Moved Change value set from ImmunizationRecommendation.recommendation.protocol http://hl7.org/fhir/ValueSet/invoice-status|4.0.0 to ImmunizationRecommendation.recommendation http://hl7.org/fhir/ValueSet/invoice-status|4.4.0
ImmunizationRecommendation.recommendation.series Invoice.lineItem.priceComponent.type
  • Moved Change value set from ImmunizationRecommendation.recommendation.protocol http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0 to ImmunizationRecommendation.recommendation http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.4.0
ImmunizationRecommendation.recommendation.doseNumber[x] Library Renamed from doseNumber to doseNumber[x] Add Type string
ImmunizationRecommendation.recommendation.seriesDoses[x] Library.status
  • Moved Change value set from ImmunizationRecommendation.recommendation.protocol.doseSequence http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to seriesDoses[x] Add Type string ImmunizationRecommendation.recommendation.supportingImmunization Type Reference: Added Target Type ImmunizationEvaluation ImmunizationRecommendation.recommendation.supportingPatientInformation Type Reference: Added Target Type Resource Type Reference: Removed Target Types Observation, AllergyIntolerance ImmunizationRecommendation.recommendation.protocol deleted http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ImplementationGuide Linkage
ImplementationGuide Linkage.item.type
  • Min Cardinality changed from 1 to 0 Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/linkage-type|4.0.0 to * http://hl7.org/fhir/ValueSet/linkage-type|4.4.0
ImplementationGuide.title List Added Element
ImplementationGuide.status List.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/list-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/list-status|4.4.0
ImplementationGuide.experimental No longer marked as Modifier ImplementationGuide.packageId List.mode
  • Added Mandatory Element Change value set from http://hl7.org/fhir/ValueSet/list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/list-mode|4.4.0
ImplementationGuide.license Location Added Element
ImplementationGuide.fhirVersion Location.status
  • Min Cardinality changed from 0 to 1 Max Cardinality changed from 1 to * Type changed Change value set from id http://hl7.org/fhir/ValueSet/location-status|4.0.0 to code Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) http://hl7.org/fhir/ValueSet/location-status|4.4.0
ImplementationGuide.dependsOn Location.mode
  • Renamed Change value set from dependency http://hl7.org/fhir/ValueSet/location-mode|4.0.0 to dependsOn http://hl7.org/fhir/ValueSet/location-mode|4.4.0
ImplementationGuide.dependsOn.uri Location.hoursOfOperation.daysOfWeek
  • Moved from ImplementationGuide.dependency to ImplementationGuide.dependsOn Type changed Change value set from uri http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to canonical(ImplementationGuide) http://hl7.org/fhir/ValueSet/days-of-week|4.4.0
ImplementationGuide.dependsOn.packageId ManufacturedItemDefinition
  • Added Element Resource
ImplementationGuide.dependsOn.version Measure Added Element
ImplementationGuide.global.type Measure.status
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ImplementationGuide.global.profile Measure.improvementNotation
  • Type changed Change value set from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to canonical(StructureDefinition) ImplementationGuide.definition Added Element ImplementationGuide.definition.grouping Added Element ImplementationGuide.definition.grouping.name Added Mandatory Element http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.4.0
ImplementationGuide.definition.grouping.description MeasureReport Added Element
ImplementationGuide.definition.resource MeasureReport.status
  • Moved Change value set from ImplementationGuide.package http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0 to ImplementationGuide.definition ImplementationGuide.definition.resource.reference Added Mandatory Element http://hl7.org/fhir/ValueSet/measure-report-status|4.4.0
ImplementationGuide.definition.resource.fhirVersion MeasureReport.type
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-type|4.4.0
ImplementationGuide.definition.resource.example[x] MeasureReport.improvementNotation
  • Moved from ImplementationGuide.package.resource.example to example[x] Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0 to 0 Add Type canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.4.0
ImplementationGuide.definition.resource.groupingId Medication Added Element
ImplementationGuide.definition.page Medication.status
  • Moved Change value set from ImplementationGuide http://hl7.org/fhir/ValueSet/medication-status|4.0.0 to ImplementationGuide.definition http://hl7.org/fhir/ValueSet/medication-status|4.4.0
ImplementationGuide.definition.page.name[x] Medication.doseForm
  • Added Mandatory Element
ImplementationGuide.definition.page.generation Medication.ingredient.item
  • Added Mandatory Element
ImplementationGuide.definition.parameter Medication.ingredient.strength[x]
  • Added Element
ImplementationGuide.definition.parameter.code Medication.form
  • Added Mandatory Element deleted
ImplementationGuide.definition.parameter.value Medication.ingredient.item[x]
  • Added Mandatory Element deleted
ImplementationGuide.definition.template Medication.ingredient.strength
  • Added Element deleted
ImplementationGuide.definition.template.code MedicationAdministration Added Mandatory Element
ImplementationGuide.definition.template.source MedicationAdministration.instantiatesCanonical
  • Added Mandatory Element
ImplementationGuide.definition.template.scope MedicationAdministration.instantiatesUri
  • Added Element
ImplementationGuide.manifest MedicationAdministration.basedOn
  • Added Element
ImplementationGuide.manifest.rendering MedicationAdministration.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.0 to http://hl7.org/fhir/ValueSet/medication-admin-status|4.4.0
ImplementationGuide.manifest.resource MedicationAdministration.category
  • Added Mandatory Element Max Cardinality changed from 1 to *
ImplementationGuide.manifest.resource.reference MedicationAdministration.medication
  • Added Mandatory Element
ImplementationGuide.manifest.resource.example[x] Added Element ImplementationGuide.manifest.resource.relativePath Added Element ImplementationGuide.manifest.page MedicationAdministration.encounter
  • Added Element
ImplementationGuide.manifest.page.name MedicationAdministration.occurence[x]
  • Added Mandatory Element
ImplementationGuide.manifest.page.title Added Element ImplementationGuide.manifest.page.anchor Added Element ImplementationGuide.manifest.image MedicationAdministration.recorded
  • Added Element
ImplementationGuide.manifest.other MedicationAdministration.reason
  • Added Element
ImplementationGuide.dependency.type MedicationAdministration.dosage.rate[x]
  • deleted Add Type Quantity()
  • ImplementationGuide.package
  • deleted Remove Type Quantity()
ImplementationGuide.binary MedicationAdministration.instantiates
  • deleted
ImplementationGuide.page.source MedicationAdministration.medication[x]
  • deleted
ImplementationGuide.page.kind MedicationAdministration.context
  • deleted
ImplementationGuide.page.type MedicationAdministration.effective[x]
  • deleted
ImplementationGuide.page.package MedicationAdministration.reasonCode
  • deleted
ImplementationGuide.page.format MedicationAdministration.reasonReference
  • deleted
Library MedicationDispense
Library.subtitle MedicationDispense.basedOn
  • Added Element
Library.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Library.experimental MedicationDispense.partOf
  • No longer marked as Modifier Type Reference: Added Target Type MedicationAdministration
Library.type MedicationDispense.status
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/library-type" http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/library-type" http://hl7.org/fhir/ValueSet/medicationdispense-status|4.4.0
Library.subject[x] MedicationDispense.statusReason
  • Added Element
Library.author MedicationDispense.category
  • Added Element Max Cardinality changed from 1 to *
Library.editor MedicationDispense.medication
  • Added Mandatory Element
Library.reviewer MedicationDispense.subject
  • Added Element Min Cardinality changed from 0 to 1
Library.endorser MedicationDispense.encounter
  • Added Element
Linkage.active MedicationDispense.performer.actor
  • Default Value "true" removed Type Reference: Added Target Type CareTeam
Linkage.author MedicationDispense.receiver
  • Type Reference: Added Target Type Types RelatedPerson, Location, PractitionerRole
Linkage.item.type MedicationDispense.renderedDosageInstruction
  • Change value set from http://hl7.org/fhir/ValueSet/linkage-type to http://hl7.org/fhir/ValueSet/linkage-type|4.0.1 Added Element
Linkage.item.resource MedicationDispense.substitution.responsibleParty
  • Type Max Cardinality changed from Reference * to Reference(Resource) 1
  • List List.status
  • Change value set from http://hl7.org/fhir/ValueSet/list-status to http://hl7.org/fhir/ValueSet/list-status|4.0.1 Type Reference: Added Target Type Organization
List.mode MedicationDispense.statusReason[x]
  • Change value set from http://hl7.org/fhir/ValueSet/list-mode to http://hl7.org/fhir/ValueSet/list-mode|4.0.1 deleted
List.source MedicationDispense.medication[x]
  • Type Reference: Added Target Type PractitionerRole deleted
List.entry.deleted MedicationDispense.context
  • Default Value "false" removed deleted
Location MedicationKnowledge
Location.status MedicationKnowledge.identifier
  • Change value set from http://hl7.org/fhir/ValueSet/location-status to http://hl7.org/fhir/ValueSet/location-status|4.0.1 Added Element
Location.mode MedicationKnowledge.status
  • Change value set from http://hl7.org/fhir/ValueSet/location-mode to http://hl7.org/fhir/ValueSet/location-mode|4.0.1 No longer marked as Modifier Location.type Max Cardinality changed from 1 http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0 to * http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.4.0
Location.hoursOfOperation MedicationKnowledge.author
  • Added Element
Location.hoursOfOperation.daysOfWeek MedicationKnowledge.associatedDefinition
  • Added Element
Location.hoursOfOperation.allDay MedicationKnowledge.monograph.source
  • Added Element Type Reference: Removed Target Type Media
Location.hoursOfOperation.openingTime MedicationKnowledge.ingredient.item
  • Added Mandatory Element
Location.hoursOfOperation.closingTime MedicationKnowledge.ingredient.strength[x]
  • Added Element
Location.availabilityExceptions MedicationKnowledge.device
  • Added Element
Measure.subtitle MedicationKnowledge.cost.effectiveDate
  • Added Element
Measure.subject[x] MedicationKnowledge.cost.cost[x]
  • Added Mandatory Element
Measure.author MedicationKnowledge.administrationGuideline
  • Added Element
Measure.editor MedicationKnowledge.administrationGuideline.dosage
  • Added Element
Measure.reviewer MedicationKnowledge.administrationGuideline.dosage.type
  • Added Mandatory Element
Measure.endorser MedicationKnowledge.administrationGuideline.dosage.dosage
  • Added Mandatory Element Measure.library Type changed from Reference(Library) to canonical(Library) Measure.scoring Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-scoring" to "http://terminology.hl7.org/CodeSystem/measure-scoring" Measure.compositeScoring Change code system for extensibly bound codes from "http://hl7.org/fhir/composite-measure-scoring" to "http://terminology.hl7.org/CodeSystem/composite-measure-scoring" Measure.type Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-type" to "http://terminology.hl7.org/CodeSystem/measure-type" Measure.improvementNotation Type changed from string to CodeableConcept Add Binding http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 (required)
Measure.group.code MedicationKnowledge.administrationGuideline.indication
  • Added Element
Measure.group.population.criteria MedicationKnowledge.administrationGuideline.patientCharacteristic
  • Type changed from string to Expression Added Element
Measure.group.stratifier.code MedicationKnowledge.administrationGuideline.patientCharacteristic.type
  • Added Mandatory Element
Measure.group.stratifier.description MedicationKnowledge.administrationGuideline.patientCharacteristic.value[x]
  • Added Element
Measure.group.stratifier.criteria MedicationKnowledge.packaging
  • Type Max Cardinality changed from string 1 to Expression *
Measure.group.stratifier.component MedicationKnowledge.packaging.identifier
  • Added Element
Measure.group.stratifier.component.code MedicationKnowledge.packaging.cost
  • Added Element
Measure.group.stratifier.component.description MedicationKnowledge.packaging.device
  • Added Element
Measure.group.stratifier.component.criteria MedicationKnowledge.packaging.material
  • Added Mandatory Element
Measure.supplementalData.code MedicationKnowledge.packaging.packaging
  • Added Element
Measure.supplementalData.usage MedicationKnowledge.drugCharacteristic.value[x]
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-data-usage" to "http://terminology.hl7.org/CodeSystem/measure-data-usage" Add Types Quantity(), Attachment
  • Remove Type Quantity()
Measure.supplementalData.description MedicationKnowledge.clinicalUseIssue
  • Added Element
Measure.supplementalData.criteria MedicationKnowledge.regulatory.schedule
  • Min Cardinality changed from 0 to 1 Type changed from string BackboneElement to Expression CodeableConcept
Measure.contributor MedicationKnowledge.kineticCharacteristic
  • deleted Added Element
Measure.set MedicationKnowledge.kineticCharacteristic.type
  • deleted Added Element
Measure.group.identifier MedicationKnowledge.kineticCharacteristic.value[x]
  • deleted Added Element
Measure.group.name MedicationKnowledge.ingredient.item[x]
  • deleted
Measure.group.population.identifier MedicationKnowledge.ingredient.strength
  • deleted
Measure.group.population.name MedicationKnowledge.cost.cost
  • deleted
Measure.group.stratifier.identifier MedicationKnowledge.administrationGuidelines
  • deleted
Measure.group.stratifier.path MedicationKnowledge.contraindication
  • deleted
Measure.supplementalData.identifier MedicationKnowledge.regulatory.schedule.schedule
  • deleted
Measure.supplementalData.path MedicationKnowledge.kinetics
  • deleted
MeasureReport MedicationRequest
MeasureReport.identifier Max Cardinality changed from 1 to * MeasureReport.status MedicationRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/measure-report-status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 http://hl7.org/fhir/ValueSet/medicationrequest-status|4.4.0
MeasureReport.type MedicationRequest.intent
  • Change value set from http://hl7.org/fhir/ValueSet/measure-report-type http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.0 to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.4.0
MeasureReport.measure MedicationRequest.priority
  • Type changed Change value set from Reference(Measure) http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to canonical(Measure) MeasureReport.subject Added Element http://hl7.org/fhir/ValueSet/request-priority|4.4.0
MeasureReport.reporter MedicationRequest.reported
  • Added Element
MeasureReport.improvementNotation MedicationRequest.informationSource
  • Added Element
MeasureReport.group.code MedicationRequest.medication
  • Added Mandatory Element
MeasureReport.group.population.code Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-population" to "http://terminology.hl7.org/CodeSystem/measure-population" MeasureReport.group.population.subjectResults MedicationRequest.performer
  • Type Reference: Added Element MeasureReport.group.measureScore Target Type changed from decimal to Quantity HealthcareService
MeasureReport.group.stratifier.code MedicationRequest.reason
  • Added Element
MeasureReport.group.stratifier.stratum.value MedicationRequest.instantiatesCanonical
  • Min Cardinality changed from 1 to 0 Type changed from string to CodeableConcept MeasureReport.group.stratifier.stratum.component Added Element MeasureReport.group.stratifier.stratum.component.code Added Mandatory Element MeasureReport.group.stratifier.stratum.component.value Added Mandatory Element MeasureReport.group.stratifier.stratum.population.code Change code system for extensibly bound codes from "http://hl7.org/fhir/measure-population" canonical to "http://terminology.hl7.org/CodeSystem/measure-population" canonical(PlanDefinition | ActivityDefinition)
MeasureReport.group.stratifier.stratum.population.subjectResults MedicationRequest.renderedDosageInstruction
  • Added Element
MeasureReport.evaluatedResource MedicationRequest.dispenseRequest.dispenser
  • Added Element
MeasureReport.patient deleted MeasureReport.reportingOrganization deleted MeasureReport.group.identifier deleted MeasureReport.group.population.identifier deleted MeasureReport.group.population.patients MedicationRequest.reported[x]
  • deleted
MeasureReport.group.stratifier.identifier MedicationRequest.medication[x]
  • deleted
MeasureReport.group.stratifier.stratum.population.identifier MedicationRequest.reasonCode
  • deleted
MeasureReport.group.stratifier.stratum.population.patients MedicationRequest.reasonReference
  • deleted
MeasureReport.evaluatedResources MedicationRequest.dispenseRequest.performer
  • deleted
Media MedicationUsage Media.basedOn
  • Type Reference: Added Target Types ServiceRequest, CarePlan Type Reference: Removed Target Type ProcedureRequest Resource
Media.partOf MedicinalProductDefinition
  • Added Element Resource
Media.status MessageDefinition Added Mandatory Element
Media.type MessageDefinition.status
  • Min Cardinality changed from 1 to 0 Type changed from code to CodeableConcept Change binding strength from required to extensible Change value set from http://hl7.org/fhir/ValueSet/digital-media-type http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/media-type http://hl7.org/fhir/ValueSet/publication-status|4.4.0
Media.modality MessageDefinition.category
  • Renamed Change value set from subtype http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0 to modality http://hl7.org/fhir/ValueSet/message-significance-category|4.4.0
Media.subject Type Reference: Added Target Types PractitionerRole, Location Media.encounter Added Element Media.created[x] MessageDefinition.focus.code
  • Renamed Change value set from occurrence[x] http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to created[x] Media.issued Added Element Media.operator Type Reference: Added Target Types PractitionerRole, Organization, CareTeam, Patient, Device, RelatedPerson Media.deviceName Added Element Media.frames Default Value "1" removed http://hl7.org/fhir/ValueSet/resource-types|4.4.0
Media.duration MessageDefinition.responseRequired
  • Type changed Change value set from unsignedInt http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0 to decimal Media.context deleted http://hl7.org/fhir/ValueSet/messageheader-response-request|4.4.0
Medication MessageHeader
Medication.status MessageHeader.response.code
  • Change value set from http://hl7.org/fhir/ValueSet/medication-status http://hl7.org/fhir/ValueSet/response-code|4.0.0 to http://hl7.org/fhir/ValueSet/medication-status|4.0.1 Now marked as Modifier Medication.amount Added Element http://hl7.org/fhir/ValueSet/response-code|4.4.0
Medication.ingredient.strength MetadataResource Added Element
Medication.batch MetadataResource.approvalDate
  • Added Element
Medication.batch.lotNumber MetadataResource.lastReviewDate
  • Added Element
Medication.batch.expirationDate MetadataResource.effectivePeriod
  • Added Element
Medication.isBrand MetadataResource.url
  • deleted
Medication.isOverTheCounter MetadataResource.version
  • deleted
Medication.ingredient.amount MetadataResource.name
  • deleted
Medication.package MetadataResource.title
  • deleted
Medication.image MetadataResource.status
  • deleted
MedicationAdministration.request MetadataResource.experimental
  • Added Element deleted
MedicationAdministration.dosage.rate[x] MetadataResource.date
  • Add Type Quantity() Remove Type Quantity() deleted
MedicationAdministration.definition MetadataResource.publisher
  • deleted
MedicationAdministration.performer.onBehalfOf MetadataResource.contact
  • deleted
MedicationAdministration.notGiven MetadataResource.description
  • deleted
MedicationAdministration.reasonNotGiven MetadataResource.useContext
  • deleted
MedicationAdministration.prescription MetadataResource.jurisdiction
  • deleted
MedicationDispense MolecularSequence
MedicationDispense.status MolecularSequence.type
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/medication-dispense-status http://hl7.org/fhir/ValueSet/sequence-type|4.0.0 to http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.1 MedicationDispense.statusReason[x] Added Element MedicationDispense.performer.function Added Element MedicationDispense.performer.actor Type Reference: Added Target Type PractitionerRole MedicationDispense.location Added Element MedicationDispense.substitution.responsibleParty Type Reference: Added Target Type PractitionerRole MedicationDispense.performer.onBehalfOf deleted MedicationDispense.notDone deleted MedicationDispense.notDoneReason[x] deleted MedicationKnowledge Added Resource http://hl7.org/fhir/ValueSet/sequence-type|4.4.0
MedicationRequest.status MolecularSequence.referenceSeq.orientation
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/medication-request-status http://hl7.org/fhir/ValueSet/orientation-type|4.0.0 to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 MedicationRequest.statusReason Added Element http://hl7.org/fhir/ValueSet/orientation-type|4.4.0
MedicationRequest.intent MolecularSequence.referenceSeq.strand
  • Change value set from http://hl7.org/fhir/ValueSet/medication-request-intent http://hl7.org/fhir/ValueSet/strand-type|4.0.0 to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 http://hl7.org/fhir/ValueSet/strand-type|4.4.0
MedicationRequest.category MolecularSequence.quality.type
  • Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/quality-type|4.0.0 to * http://hl7.org/fhir/ValueSet/quality-type|4.4.0
MedicationRequest.priority MolecularSequence.repository.type
  • Change value set from http://hl7.org/fhir/ValueSet/medication-request-priority http://hl7.org/fhir/ValueSet/repository-type|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 MedicationRequest.doNotPerform Added Element MedicationRequest.reported[x] Added Element MedicationRequest.encounter Added Element http://hl7.org/fhir/ValueSet/repository-type|4.4.0
MedicationRequest.requester MolecularSequence.structureVariant.variantType
  • Type changed Change value set from BackboneElement http://loinc.org/vs/LL379-9|4.0.0 to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) MedicationRequest.performer Added Element MedicationRequest.performerType Added Element http://loinc.org/vs/LL379-9|4.4.0
MedicationRequest.recorder NamingSystem Type Reference: Added Target Type PractitionerRole
MedicationRequest.instantiatesCanonical NamingSystem.url
  • Added Element
MedicationRequest.instantiatesUri NamingSystem.version
  • Added Element
MedicationRequest.basedOn Type Reference: Added Target Types ServiceRequest, ImmunizationRecommendation Type Reference: Removed Target Types ProcedureRequest, ReferralRequest MedicationRequest.courseOfTherapyType Added Element MedicationRequest.insurance Added Element MedicationRequest.dispenseRequest.initialFill Added Element MedicationRequest.dispenseRequest.initialFill.quantity Added Element MedicationRequest.dispenseRequest.initialFill.duration Added Element MedicationRequest.dispenseRequest.dispenseInterval NamingSystem.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.4.0
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed NamingSystem.kind
  • Type changed Change value set from positiveInt http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.0 to unsignedInt http://hl7.org/fhir/ValueSet/namingsystem-type|4.4.0
MedicationRequest.substitution.allowed[x] NamingSystem.uniqueId.type
  • Renamed Change value set from allowed http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0 to allowed[x] Add Type CodeableConcept No longer marked as Modifier MedicationRequest.definition deleted MedicationRequest.context deleted MedicationRequest.requester.agent deleted http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.4.0
MedicationRequest.requester.onBehalfOf NutritionIntake
  • deleted Added Resource
MedicationStatement NutritionOrder
MedicationStatement.basedOn NutritionOrder.status
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Change value set from http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.4.0
MedicationStatement.status NutritionOrder.intent
  • Change value set from http://hl7.org/fhir/ValueSet/medication-statement-status http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.1 MedicationStatement.statusReason Added Element http://hl7.org/fhir/ValueSet/request-intent|4.4.0
MedicationStatement.informationSource NutritionOrder.enteralFormula.administration.rate[x]
  • Add Type Reference: Added Target Type PractitionerRole Quantity()
  • MedicationStatement.reasonReference
  • Remove Type Reference: Added Target Type DiagnosticReport MedicationStatement.taken deleted MedicationStatement.reasonNotTaken deleted MedicinalProduct Added Resource MedicinalProductAuthorization Added Resource MedicinalProductContraindication Added Resource MedicinalProductIndication Added Resource MedicinalProductIngredient Added Resource MedicinalProductInteraction Added Resource MedicinalProductManufactured Added Resource MedicinalProductPackaged Added Resource MedicinalProductPharmaceutical Added Resource Quantity()
MedicinalProductUndesirableEffect NutritionProduct
  • Added Resource
MessageDefinition Observation
MessageDefinition.identifier Max Cardinality changed from 1 to * MessageDefinition.replaces Observation.partOf
  • Type changed from Reference(MessageDefinition) to canonical(MessageDefinition) MessageDefinition.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 MessageDefinition.experimental No longer marked as Modifier MessageDefinition.base Reference: Added Target Type changed from Reference(MessageDefinition) to canonical(MessageDefinition) MedicationUsage
  • MessageDefinition.parent
  • Type changed from Reference(ActivityDefinition | PlanDefinition) to canonical(ActivityDefinition | PlanDefinition) MessageDefinition.event[x] Renamed from event to event[x] Add Reference: Removed Target Type uri MessageDefinition.category Change value set from http://hl7.org/fhir/ValueSet/message-significance-category to http://hl7.org/fhir/ValueSet/message-significance-category|4.0.1 MedicationStatement
MessageDefinition.focus.code Observation.status
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/observation-status|4.4.0
MessageDefinition.focus.profile Observation.value[x]
  • Add Type changed from Reference(StructureDefinition) to canonical(StructureDefinition) MessageDefinition.focus.min Min Cardinality changed from 0 to 1 Default Value "0" removed Attachment
MessageDefinition.responseRequired Observation.derivedFrom
  • Type changed from boolean to code Add Binding http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.1 (required) Default Value "false" removed Reference: Removed Target Type Media
MessageDefinition.allowedResponse.message Observation.component.value[x]
  • Add Type changed from Reference(MessageDefinition) to canonical(MessageDefinition) MessageDefinition.graph Added Element Attachment
MessageHeader ObservationDefinition
MessageHeader.event[x] ObservationDefinition.url
  • Renamed from event to event[x] Add Type uri Added Element
MessageHeader.destination.endpoint ObservationDefinition.identifier
  • Type Max Cardinality changed from uri * to url 1
MessageHeader.destination.receiver ObservationDefinition.version
  • Moved from MessageHeader to MessageHeader.destination Type Reference: Added Target Type PractitionerRole Element
MessageHeader.sender ObservationDefinition.title
  • Type Reference: Added Target Type PractitionerRole Element
MessageHeader.enterer ObservationDefinition.derivedFromCanonical
  • Type Reference: Added Target Type PractitionerRole Element
MessageHeader.author ObservationDefinition.derivedFromUri
  • Type Reference: Added Target Type PractitionerRole MessageHeader.source.endpoint Type changed from uri to url Element
MessageHeader.responsible ObservationDefinition.status
  • Type Reference: Added Target Type PractitionerRole MessageHeader.response.code Change value set from http://hl7.org/fhir/ValueSet/response-code to http://hl7.org/fhir/ValueSet/response-code|4.0.1 Mandatory Element
MessageHeader.definition ObservationDefinition.experimental
  • Added Element
MolecularSequence ObservationDefinition.subject[x]
  • Added Resource NamingSystem NamingSystem.status Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 NamingSystem.kind Change value set from http://hl7.org/fhir/ValueSet/namingsystem-type to http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.1 Element
NamingSystem.uniqueId.type ObservationDefinition.date
  • Change value set from http://hl7.org/fhir/ValueSet/namingsystem-identifier-type to http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.1 Added Element
NamingSystem.replacedBy ObservationDefinition.publisher
  • deleted Added Element
NutritionOrder.instantiatesCanonical ObservationDefinition.contact
  • Added Element
NutritionOrder.instantiatesUri ObservationDefinition.description
  • Added Element
NutritionOrder.instantiates ObservationDefinition.useContext
  • Added Element
NutritionOrder.status ObservationDefinition.jurisdiction
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/nutrition-request-status to http://hl7.org/fhir/ValueSet/request-status|4.0.1 Added Element
NutritionOrder.intent ObservationDefinition.purpose
  • Added Mandatory Element
NutritionOrder.orderer ObservationDefinition.copyright
  • Type Reference: Added Target Type PractitionerRole Element
NutritionOrder.enteralFormula.administration.rate[x] ObservationDefinition.approvalDate
  • Add Type Quantity() Remove Type Quantity() Added Element
NutritionOrder.note ObservationDefinition.lastReviewDate
  • Added Element
Observation.basedOn ObservationDefinition.effectivePeriod
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ProcedureRequest, ReferralRequest Element
Observation.partOf ObservationDefinition.performerType
  • Added Element
Observation.status ObservationDefinition.permittedDataType
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0 to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 http://hl7.org/fhir/ValueSet/permitted-data-type|4.4.0
Observation.focus ObservationDefinition.bodySite
  • Added Element
Observation.performer ObservationDefinition.specimen
  • Type Reference: Added Target Types PractitionerRole, CareTeam Element
Observation.value[x] ObservationDefinition.device
  • Add Type integer Remove Type Attachment Added Element
Observation.dataAbsentReason ObservationDefinition.qualifiedInterval.category
  • Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" http://hl7.org/fhir/ValueSet/observation-range-category|4.0.0 to "http://terminology.hl7.org/CodeSystem/data-absent-reason" http://hl7.org/fhir/ValueSet/observation-range-category|4.4.0
Observation.interpretation ObservationDefinition.qualifiedInterval.gender
  • Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" Observation.note Renamed from comment to note Max Cardinality changed from 1 to * Type changed value set from string http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to Annotation Observation.referenceRange.type Remove Binding http://hl7.org/fhir/ValueSet/referencerange-meaning (extensible) http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
Observation.hasMember ObservationDefinition.hasMember
  • Added Element
Observation.derivedFrom ObservationDefinition.component
  • Added Element
Observation.component.dataAbsentReason ObservationDefinition.component.code
  • Change value set from http://hl7.org/fhir/ValueSet/observation-valueabsentreason to http://hl7.org/fhir/ValueSet/data-absent-reason Change code system for extensibly bound codes from "http://hl7.org/fhir/data-absent-reason" to "http://terminology.hl7.org/CodeSystem/data-absent-reason" Added Mandatory Element
Observation.component.interpretation ObservationDefinition.component.permittedDataType
  • Max Cardinality changed from 1 to * Change code system for extensibly bound codes from "http://terminology.hl7.org/CodeSystem/v2-0078" to "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" Added Element
Observation.related ObservationDefinition.component.quantitativeDetails
  • deleted Added Element
ObservationDefinition ObservationDefinition.component.qualifiedInterval
  • Added Resource Element
OperationDefinition
OperationDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
OperationDefinition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/operation-kind to http://hl7.org/fhir/ValueSet/operation-kind|4.0.1 OperationDefinition.experimental No longer marked as Modifier OperationDefinition.affectsState Renamed from idempotent to affectsState OperationDefinition.comment Type changed from string to markdown OperationDefinition.base Type changed from Reference(OperationDefinition) http://hl7.org/fhir/ValueSet/operation-kind|4.0.0 to canonical(OperationDefinition) http://hl7.org/fhir/ValueSet/operation-kind|4.4.0
OperationDefinition.resource
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 OperationDefinition.inputProfile Added Element OperationDefinition.outputProfile Added Element http://hl7.org/fhir/ValueSet/resource-types|4.4.0
OperationDefinition.parameter.use
  • Change value set from http://hl7.org/fhir/ValueSet/operation-parameter-use http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0 to http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.1 http://hl7.org/fhir/ValueSet/operation-parameter-use|4.4.0
OperationDefinition.parameter.type
  • Change value set from http://hl7.org/fhir/ValueSet/all-types to http://hl7.org/fhir/ValueSet/all-types|4.0.1 OperationDefinition.parameter.targetProfile Renamed from profile to targetProfile Max Cardinality changed from 1 to * Type changed from Reference(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|4.0.0 to canonical(StructureDefinition) http://hl7.org/fhir/ValueSet/all-types|4.4.0
OperationDefinition.parameter.searchType
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 http://hl7.org/fhir/ValueSet/search-param-type|4.4.0
OperationDefinition.parameter.binding.strength
  • Change value set from http://hl7.org/fhir/ValueSet/binding-strength to http://hl7.org/fhir/ValueSet/binding-strength|4.0.1 OperationDefinition.parameter.binding.valueSet Renamed from valueSet[x] http://hl7.org/fhir/ValueSet/binding-strength|4.0.0 to valueSet Add Type canonical(ValueSet) Remove Types uri, Reference(ValueSet) OperationDefinition.parameter.referencedFrom Added Element OperationDefinition.parameter.referencedFrom.source Added Mandatory Element OperationDefinition.parameter.referencedFrom.sourceId Added Element http://hl7.org/fhir/ValueSet/binding-strength|4.4.0
OperationOutcome
OperationOutcome.issue.severity
  • Change value set from http://hl7.org/fhir/ValueSet/issue-severity http://hl7.org/fhir/ValueSet/issue-severity|4.0.0 to http://hl7.org/fhir/ValueSet/issue-severity|4.0.1 No longer marked as Modifier http://hl7.org/fhir/ValueSet/issue-severity|4.4.0
OperationOutcome.issue.code
  • Change value set from http://hl7.org/fhir/ValueSet/issue-type http://hl7.org/fhir/ValueSet/issue-type|4.0.0 to http://hl7.org/fhir/ValueSet/issue-type|4.0.1 http://hl7.org/fhir/ValueSet/issue-type|4.4.0
Organization Organization.active
  • Default Value "true" removed No Changes
Organization.contact.purpose OrganizationAffiliation
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/contactentity-type" to "http://terminology.hl7.org/CodeSystem/contactentity-type" No Changes
OrganizationAffiliation PackagedProductDefinition
  • Added Resource
Parameters
Parameters.parameter.value[x]
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage integer64, Meta
Patient
Patient.active Default Value "true" removed Patient.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Patient.contact.relationship Change value set from http://terminology.hl7.org/ValueSet/v2-0131 http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/patient-contactrelationship http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
Patient.contact.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Patient.communication.language Change binding strength from extensible http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to preferred Patient.generalPractitioner Type Reference: Added Target Type PractitionerRole http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
Patient.link.type
  • Change value set from http://hl7.org/fhir/ValueSet/link-type http://hl7.org/fhir/ValueSet/link-type|4.0.0 to http://hl7.org/fhir/ValueSet/link-type|4.0.1 Patient.animal deleted http://hl7.org/fhir/ValueSet/link-type|4.4.0
PaymentNotice
PaymentNotice.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 PaymentNotice.created Min Cardinality changed from 0 to 1 PaymentNotice.provider Renamed from organization to provider Type Reference: Added Target Types Practitioner, PractitionerRole PaymentNotice.payment Added Mandatory Element PaymentNotice.paymentDate Renamed from statusDate to paymentDate PaymentNotice.payee Added Element PaymentNotice.recipient Renamed from target to recipient Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to 1 PaymentNotice.amount Added Mandatory Element PaymentNotice.provider deleted http://hl7.org/fhir/ValueSet/fm-status|4.4.0
PaymentReconciliation
PaymentReconciliation.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 PaymentReconciliation.created Min Cardinality changed from 0 to 1 PaymentReconciliation.paymentIssuer Renamed from organization to paymentIssuer PaymentReconciliation.request Type Reference: Added Target Type Task Type Reference: Removed Target Type ProcessRequest PaymentReconciliation.requestor Renamed from requestOrganization http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to requestor Type Reference: Added Target Types Practitioner, PractitionerRole http://hl7.org/fhir/ValueSet/fm-status|4.4.0
PaymentReconciliation.outcome
  • Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/remittance-outcome to http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.1 PaymentReconciliation.paymentDate Added Mandatory Element PaymentReconciliation.paymentAmount Renamed from total to paymentAmount Min Cardinality changed from 0 to 1 PaymentReconciliation.paymentIdentifier Added Element PaymentReconciliation.detail.identifier Added Element PaymentReconciliation.detail.predecessor Added Element PaymentReconciliation.detail.submitter Type Reference: Added Target Types Practitioner, PractitionerRole PaymentReconciliation.detail.responsible Added Element PaymentReconciliation.detail.payee Type Reference: Added Target Types Practitioner, PractitionerRole PaymentReconciliation.formCode Renamed from form http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0 to formCode http://hl7.org/fhir/ValueSet/remittance-outcome|4.4.0
PaymentReconciliation.processNote.type
  • Type changed from CodeableConcept to code Change value set from http://hl7.org/fhir/ValueSet/note-type http://hl7.org/fhir/ValueSet/note-type|4.0.0 to http://hl7.org/fhir/ValueSet/note-type|4.0.1 http://hl7.org/fhir/ValueSet/note-type|4.4.0
PaymentReconciliation.requestProvider Permission
  • deleted Added Resource
Person
Person.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
Person.link.assurance
  • Change value set from http://hl7.org/fhir/ValueSet/identity-assuranceLevel http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.0 to http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.1 http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.4.0
PlanDefinition
PlanDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 PlanDefinition.experimental No longer marked as Modifier PlanDefinition.subject[x] Added Element PlanDefinition.author Added Element PlanDefinition.editor Added Element PlanDefinition.reviewer Added Element PlanDefinition.endorser Added Element http://hl7.org/fhir/ValueSet/publication-status|4.4.0
PlanDefinition.library Type changed from Reference(Library) to canonical(Library) PlanDefinition.action.prefix Added Element PlanDefinition.action.priority
  • Added Element PlanDefinition.action.subject[x] Added Element PlanDefinition.action.trigger Added Element PlanDefinition.action.condition.kind Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 http://hl7.org/fhir/ValueSet/request-priority|4.4.0
PlanDefinition.action.condition.expression PlanDefinition.action.condition.kind
  • Type changed Change value set from string http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to Expression http://hl7.org/fhir/ValueSet/action-condition-kind|4.4.0
PlanDefinition.action.relatedAction.relationship
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 PlanDefinition.action.timing[x] Add Type Age http://hl7.org/fhir/ValueSet/action-relationship-type|4.4.0
PlanDefinition.action.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/action-participant-type to http://hl7.org/fhir/ValueSet/action-participant-type|4.0.1 PlanDefinition.action.type Type changed from Coding to CodeableConcept Change binding strength from required http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0 to extensible http://hl7.org/fhir/ValueSet/action-participant-type|4.4.0
PlanDefinition.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.4.0
PlanDefinition.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-selection-behavior|4.4.0
PlanDefinition.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-required-behavior|4.4.0
PlanDefinition.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.4.0
PlanDefinition.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 PlanDefinition.action.definition[x] Renamed from definition to definition[x] Add Types canonical(ActivityDefinition | PlanDefinition | Questionnaire), uri Remove Type Reference(ActivityDefinition | PlanDefinition) PlanDefinition.action.transform Type changed from Reference(StructureMap) to canonical(StructureMap) PlanDefinition.action.dynamicValue.expression Type changed from string http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to Expression PlanDefinition.contributor deleted PlanDefinition.action.label deleted PlanDefinition.action.triggerDefinition deleted PlanDefinition.action.condition.description deleted PlanDefinition.action.condition.language deleted PlanDefinition.action.dynamicValue.description deleted PlanDefinition.action.dynamicValue.language deleted http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.4.0
Practitioner
Practitioner.active Default Value "true" removed Practitioner.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 Practitioner.communication Change binding strength from extensible http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to preferred http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
PractitionerRole
PractitionerRole.active Default Value "true" removed PractitionerRole.availableTime.daysOfWeek
  • Change value set from http://hl7.org/fhir/ValueSet/days-of-week http://hl7.org/fhir/ValueSet/days-of-week|4.0.0 to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 http://hl7.org/fhir/ValueSet/days-of-week|4.4.0
Procedure
Procedure.status
  • Change value set from http://hl7.org/fhir/ValueSet/event-status http://hl7.org/fhir/ValueSet/event-status|4.0.0 to http://hl7.org/fhir/ValueSet/event-status|4.0.1 Procedure.statusReason Added Element Procedure.encounter Added Element http://hl7.org/fhir/ValueSet/event-status|4.4.0
Procedure.performed[x] Procedure.category
  • Add Types string, Age, Range Max Cardinality changed from 1 to *
Procedure.recorder Procedure.occurrence[x]
  • Added Element
Procedure.asserter Procedure.recorded
  • Added Element
Procedure.performer.function Procedure.reported[x]
  • Added Element
Procedure.performer.actor
  • Type Reference: Added Target Type PractitionerRole Types CareTeam, HealthcareService
Procedure.reasonReference Procedure.reason
  • Type Reference: Added Target Types Procedure, DiagnosticReport, DocumentReference Element
Procedure.report Procedure.used
  • Type Reference: Added Target Types DocumentReference, Composition Element
Procedure.definition Procedure.performed[x]
  • deleted
Procedure.notDone Procedure.asserter
  • deleted
Procedure.notDoneReason Procedure.reasonCode
  • deleted
Procedure.context Procedure.reasonReference
  • deleted
Procedure.performer.role Procedure.usedReference
  • deleted
Provenance.occurred[x] Procedure.usedCode
  • Renamed from period to occurred[x] Add Type dateTime deleted
Provenance.reason Provenance Type changed from Coding to CodeableConcept
Provenance.activity Type changed from Coding to CodeableConcept Provenance.agent.type
  • Added Element Provenance.agent.role Remove Binding http://hl7.org/fhir/ValueSet/security-role-type (extensible) Provenance.agent.who Renamed from who[x] to who Remove Type uri Provenance.agent.onBehalfOf Renamed Change value set from onBehalfOf[x] http://hl7.org/fhir/ValueSet/provenance-agent-type to onBehalfOf Remove Type uri http://hl7.org/fhir/ValueSet/participation-role-type
Provenance.entity.role
  • Change value set from http://hl7.org/fhir/ValueSet/provenance-entity-role to http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 Provenance.entity.what Renamed from what[x] http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0 to what Remove Types uri, Identifier Provenance.agent.relatedAgentType deleted http://hl7.org/fhir/ValueSet/provenance-entity-role|4.4.0
Questionnaire
Questionnaire.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Questionnaire.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/publication-status|4.4.0
Questionnaire.subjectType
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/resource-types|4.4.0
Questionnaire.item.type
  • Change value set from http://hl7.org/fhir/ValueSet/item-type http://hl7.org/fhir/ValueSet/item-type|4.0.0 to http://hl7.org/fhir/ValueSet/item-type|4.0.1 Questionnaire.item.enableWhen.operator Added Mandatory Element http://hl7.org/fhir/ValueSet/item-type|4.4.0
Questionnaire.item.enableWhen.answer[x] Questionnaire.item.enableWhen.operator
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.0 to 1 Remove Types uri, Attachment Questionnaire.item.enableBehavior Added Element Questionnaire.item.required Default Value "false" removed http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.4.0
Questionnaire.item.repeats Default Value "false" removed Questionnaire.item.answerValueSet Renamed from options to answerValueSet Type changed from Reference(ValueSet) to canonical(ValueSet) Questionnaire.item.answerOption Renamed from option to answerOption Questionnaire.item.answerOption.value[x] Moved from Questionnaire.item.option to Questionnaire.item.answerOption Add Type Reference(Resource) Questionnaire.item.answerOption.initialSelected Added Element Questionnaire.item.initial Questionnaire.item.enableBehavior
  • Renamed from initial[x] to initial Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.0 to * Remove Types boolean, decimal, integer, date, dateTime, time, string, uri, Attachment, Coding, Quantity, Reference(Resource) Questionnaire.item.initial.value[x] Added Mandatory Element Questionnaire.item.enableWhen.hasAnswer deleted http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.4.0
QuestionnaireResponse
QuestionnaireResponse.basedOn Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Types ReferralRequest, ProcedureRequest QuestionnaireResponse.partOf Renamed from parent to partOf QuestionnaireResponse.questionnaire Type changed from Reference(Questionnaire) to canonical(Questionnaire) QuestionnaireResponse.status
  • Change value set from http://hl7.org/fhir/ValueSet/questionnaire-answers-status http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.0 to http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1 QuestionnaireResponse.encounter Added Element QuestionnaireResponse.author Type Reference: Added Target Types PractitionerRole, Organization http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.4.0
QuestionnaireResponse.source RegulatedAuthorization
  • Type Reference: Added Target Type PractitionerRole QuestionnaireResponse.context deleted QuestionnaireResponse.item.subject deleted Resource
RelatedPerson
RelatedPerson.active Default Value "true" removed RelatedPerson.relationship Max Cardinality changed from 1 to * RelatedPerson.gender
  • Change value set from http://hl7.org/fhir/ValueSet/administrative-gender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0 to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 RelatedPerson.communication Added Element RelatedPerson.communication.language Added Mandatory Element RelatedPerson.communication.preferred Added Element http://hl7.org/fhir/ValueSet/administrative-gender|4.4.0
RequestGroup
RequestGroup.status
  • Change value set from http://hl7.org/fhir/ValueSet/request-status http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/request-status|4.0.1 http://hl7.org/fhir/ValueSet/request-status|4.4.0
RequestGroup.intent
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/request-intent|4.0.1 http://hl7.org/fhir/ValueSet/request-intent|4.4.0
RequestGroup.priority
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 RequestGroup.code Added Element http://hl7.org/fhir/ValueSet/request-priority|4.4.0
RequestGroup.encounter RequestGroup.reason
  • Added Element
RequestGroup.author Type Reference: Added Target Type PractitionerRole RequestGroup.reasonCode Added Element RequestGroup.reasonReference Added Element RequestGroup.action.prefix Added Element RequestGroup.action.priority
  • Added Element RequestGroup.action.condition.kind Change value set from http://hl7.org/fhir/ValueSet/action-condition-kind to http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.1 RequestGroup.action.condition.expression Type changed from string http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to Expression http://hl7.org/fhir/ValueSet/request-priority|4.4.0
RequestGroup.action.relatedAction.relationship RequestGroup.action.condition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/action-relationship-type http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.1 RequestGroup.action.timing[x] Add Type Age RequestGroup.action.participant Type Reference: Added Target Types PractitionerRole, Device Type Reference: Removed Target Type Person http://hl7.org/fhir/ValueSet/action-condition-kind|4.4.0
RequestGroup.action.type RequestGroup.action.relatedAction.relationship
  • Type changed from Coding to CodeableConcept Change code system for extensibly bound codes value set from "http://hl7.org/fhir/action-type" http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0 to "http://terminology.hl7.org/CodeSystem/action-type" http://hl7.org/fhir/ValueSet/action-relationship-type|4.4.0
RequestGroup.action.groupingBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-grouping-behavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.4.0
RequestGroup.action.selectionBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-selection-behavior http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-selection-behavior|4.4.0
RequestGroup.action.requiredBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-required-behavior http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-required-behavior|4.4.0
RequestGroup.action.precheckBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-precheck-behavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.1 http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.4.0
RequestGroup.action.cardinalityBehavior
  • Change value set from http://hl7.org/fhir/ValueSet/action-cardinality-behavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0 to http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.1 RequestGroup.definition deleted RequestGroup.context deleted RequestGroup.reason[x] deleted RequestGroup.action.label deleted http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.4.0
RequestGroup.action.condition.description RequestGroup.reasonCode
  • deleted
RequestGroup.action.condition.language RequestGroup.reasonReference
  • deleted
ResearchStudy
ResearchStudy.status
  • Change value set from http://hl7.org/fhir/ValueSet/research-study-status http://hl7.org/fhir/ValueSet/research-study-status|4.0.0 to http://hl7.org/fhir/ValueSet/research-study-status|4.0.1 http://hl7.org/fhir/ValueSet/research-study-status|4.4.0
ResearchStudy.primaryPurposeType ResearchSubject Added Element
ResearchStudy.phase ResearchSubject.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0 to http://hl7.org/fhir/ValueSet/research-subject-status|4.4.0
ResearchStudy.condition ResearchSubject.progress
  • Added Element
ResearchStudy.location ResearchSubject.progress.type
  • Added Element
ResearchStudy.arm.type ResearchSubject.progress.state
  • Added Element
ResearchStudy.objective ResearchSubject.progress.milestone
  • Added Element
ResearchStudy.objective.name ResearchSubject.progress.reason
  • Added Element
ResearchStudy.objective.type ResearchSubject.progress.startDate
  • Added Mandatory Element ResearchStudy.jurisdiction deleted ResearchStudy.arm.code deleted ResearchSubject ResearchSubject.identifier Max Cardinality changed from 1 to * ResearchSubject.status Change value set from http://hl7.org/fhir/ValueSet/research-subject-status to http://hl7.org/fhir/ValueSet/research-subject-status|4.0.1
Resource Resource.id
  • Type changed from id to string Resource.language Change binding strength from extensible to preferred No Changes
RiskAssessment
RiskAssessment.identifier Max Cardinality changed from 1 to * RiskAssessment.status
  • Change value set from http://hl7.org/fhir/ValueSet/observation-status to http://hl7.org/fhir/ValueSet/observation-status|4.0.1 RiskAssessment.subject Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/observation-status|4.0.0 to 1 RiskAssessment.encounter Added Element RiskAssessment.performer Type Reference: Added Target Type PractitionerRole RiskAssessment.reasonCode Added Element http://hl7.org/fhir/ValueSet/observation-status|4.4.0
RiskAssessment.reasonReference RiskAssessment.reason
  • Added Element
RiskAssessment.context RiskAssessment.reasonCode
  • deleted
RiskAssessment.reason[x] RiskAssessment.reasonReference
  • deleted
RiskEvidenceSynthesis Schedule
  • Added Resource No Changes
Schedule SearchParameter
Schedule.active SearchParameter.status
  • Default Value "true" removed Change value set from http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.4.0
Schedule.serviceCategory SearchParameter.base
  • Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to * http://hl7.org/fhir/ValueSet/resource-types|4.4.0
SearchParameter SearchParameter.type
  • Min Cardinality changed from 1 to 0 Max Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/search-param-type|4.0.0 to * http://hl7.org/fhir/ValueSet/search-param-type|4.4.0
SearchParameter.derivedFrom SearchParameter.xpathUsage
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0 to canonical(SearchParameter) http://hl7.org/fhir/ValueSet/search-xpath-usage|4.4.0
SearchParameter.status SearchParameter.target
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/resource-types|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/resource-types|4.4.0
SearchParameter.experimental SearchParameter.comparator
  • No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/search-comparator|4.0.0 to http://hl7.org/fhir/ValueSet/search-comparator|4.4.0
SearchParameter.base SearchParameter.modifier
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/search-modifier-code|4.4.0
ServiceRequest
SearchParameter.type ServiceRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/search-param-type http://hl7.org/fhir/ValueSet/request-status|4.0.0 to http://hl7.org/fhir/ValueSet/search-param-type|4.0.1 http://hl7.org/fhir/ValueSet/request-status|4.4.0
SearchParameter.xpathUsage ServiceRequest.intent
  • Change value set from http://hl7.org/fhir/ValueSet/search-xpath-usage http://hl7.org/fhir/ValueSet/request-intent|4.0.0 to http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.1 http://hl7.org/fhir/ValueSet/request-intent|4.4.0
SearchParameter.target ServiceRequest.priority
  • Change value set from http://hl7.org/fhir/ValueSet/resource-types http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/resource-types|4.0.1 http://hl7.org/fhir/ValueSet/request-priority|4.4.0
SearchParameter.multipleOr ServiceRequest.location
  • Added Element
SearchParameter.multipleAnd ServiceRequest.reason
  • Added Element
SearchParameter.comparator ServiceRequest.locationCode
  • Change value set from http://hl7.org/fhir/ValueSet/search-comparator to http://hl7.org/fhir/ValueSet/search-comparator|4.0.1 deleted
SearchParameter.modifier ServiceRequest.locationReference
  • Change value set from http://hl7.org/fhir/ValueSet/search-modifier-code to http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.1 deleted
SearchParameter.component.definition ServiceRequest.reasonCode
  • Type changed from Reference(SearchParameter) to canonical(SearchParameter) deleted
ServiceRequest ServiceRequest.reasonReference
  • Added Resource deleted
Slot
Slot.serviceCategory Max Cardinality changed from 1 to * Slot.status
  • Change value set from http://hl7.org/fhir/ValueSet/slotstatus http://hl7.org/fhir/ValueSet/slotstatus|4.0.0 to http://hl7.org/fhir/ValueSet/slotstatus|4.0.1 http://hl7.org/fhir/ValueSet/slotstatus|4.4.0
Specimen
Specimen.status
  • Change value set from http://hl7.org/fhir/ValueSet/specimen-status http://hl7.org/fhir/ValueSet/specimen-status|4.0.0 to http://hl7.org/fhir/ValueSet/specimen-status|4.0.1 http://hl7.org/fhir/ValueSet/specimen-status|4.4.0
Specimen.subject SpecimenDefinition Min Cardinality changed from 1 to 0 Type Reference: Added Target Type Location
Specimen.request SpecimenDefinition.url
  • Type Reference: Added Target Type ServiceRequest Type Reference: Removed Target Type ProcedureRequest Element
Specimen.collection.collector SpecimenDefinition.version
  • Type Reference: Added Target Type PractitionerRole Element
Specimen.collection.duration SpecimenDefinition.title
  • Added Element
Specimen.collection.fastingStatus[x] SpecimenDefinition.derivedFromCanonical
  • Added Element
Specimen.condition SpecimenDefinition.derivedFromUri
  • Added Element
SpecimenDefinition SpecimenDefinition.status
  • Added Resource Mandatory Element
StructureDefinition.status SpecimenDefinition.experimental
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 Added Element
StructureDefinition.experimental SpecimenDefinition.subject[x]
  • No longer marked as Modifier Added Element
StructureDefinition.keyword SpecimenDefinition.date
  • Add Binding http://hl7.org/fhir/ValueSet/definition-use (extensible) Added Element
StructureDefinition.fhirVersion SpecimenDefinition.publisher
  • Type changed from id to code Add Binding http://hl7.org/fhir/ValueSet/FHIR-version|4.0.1 (required) Added Element
StructureDefinition.kind SpecimenDefinition.contact
  • Change value set from http://hl7.org/fhir/ValueSet/structure-definition-kind to http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.1 Added Element
StructureDefinition.context SpecimenDefinition.description
  • Type changed from string to BackboneElement Added Element
StructureDefinition.context.type SpecimenDefinition.useContext
  • Added Mandatory Element
StructureDefinition.context.expression SpecimenDefinition.jurisdiction
  • Added Mandatory Element
StructureDefinition.type SpecimenDefinition.purpose
  • Type changed from code to uri Added Element
StructureDefinition.baseDefinition SpecimenDefinition.copyright
  • Type changed from uri to canonical(StructureDefinition) Added Element
StructureDefinition.derivation SpecimenDefinition.approvalDate
  • Change value set from http://hl7.org/fhir/ValueSet/type-derivation-rule to http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.1 Added Element
StructureDefinition.contextType SpecimenDefinition.lastReviewDate
  • deleted Added Element
StructureMap SpecimenDefinition.effectivePeriod
  • Min Cardinality changed from 1 to 0 Max Cardinality changed from 1 to * Added Element
StructureMap.status SpecimenDefinition.typeTested.preference
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.4.0
StructureMap.experimental SpecimenDefinition.typeTested.container.minimumVolume[x]
  • No longer marked as Modifier Add Type Quantity()
  • StructureMap.structure.url
  • Remove Type changed from uri to canonical(StructureDefinition) Quantity()
StructureMap.structure.mode SpecimenDefinition.typeTested.singleUse
  • Change value set from http://hl7.org/fhir/ValueSet/map-model-mode to http://hl7.org/fhir/ValueSet/map-model-mode|4.0.1 Added Element
StructureMap.import SpecimenDefinition.typeTested.testingDestination
  • Type changed from uri to canonical(StructureMap) Added Element
StructureMap.group.typeMode StructureDefinition Change value set from http://hl7.org/fhir/ValueSet/map-group-type-mode to http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.1
StructureMap.group.input.mode StructureDefinition.status
  • Change value set from http://hl7.org/fhir/ValueSet/map-input-mode http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/map-input-mode|4.0.1 StructureMap.group.rule.source.defaultValue[x] Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage http://hl7.org/fhir/ValueSet/publication-status|4.4.0
StructureMap.group.rule.source.listMode StructureDefinition.fhirVersion
  • Change value set from http://hl7.org/fhir/ValueSet/map-source-list-mode http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0 to http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.1 StructureMap.group.rule.source.logMessage Added Element http://hl7.org/fhir/ValueSet/FHIR-version|4.4.0
StructureMap.group.rule.target.contextType StructureDefinition.kind
  • Change value set from http://hl7.org/fhir/ValueSet/map-context-type http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.0 to http://hl7.org/fhir/ValueSet/map-context-type|4.0.1 http://hl7.org/fhir/ValueSet/structure-definition-kind|4.4.0
StructureMap.group.rule.target.listMode StructureDefinition.context.type
  • Change value set from http://hl7.org/fhir/ValueSet/map-target-list-mode http://hl7.org/fhir/ValueSet/extension-context-type|4.0.0 to http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.1 http://hl7.org/fhir/ValueSet/extension-context-type|4.4.0
StructureMap.group.rule.target.transform StructureDefinition.derivation
  • Change value set from http://hl7.org/fhir/ValueSet/map-transform http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.0 to http://hl7.org/fhir/ValueSet/map-transform|4.0.1 http://hl7.org/fhir/ValueSet/type-derivation-rule|4.4.0
Subscription StructureMap
Subscription.status StructureMap.status
  • Change value set from http://hl7.org/fhir/ValueSet/subscription-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/subscription-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
Subscription.channel.type StructureMap.structure.mode
  • Change value set from http://hl7.org/fhir/ValueSet/subscription-channel-type http://hl7.org/fhir/ValueSet/map-model-mode|4.0.0 to http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.1 http://hl7.org/fhir/ValueSet/map-model-mode|4.4.0
Subscription.channel.endpoint StructureMap.group.typeMode
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.0 to url http://hl7.org/fhir/ValueSet/map-group-type-mode|4.4.0
Subscription.channel.payload StructureMap.group.input.mode
  • Type changed Change value set from string http://hl7.org/fhir/ValueSet/map-input-mode|4.0.0 to code Add Binding http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 (required) http://hl7.org/fhir/ValueSet/map-input-mode|4.4.0
Subscription.tag StructureMap.group.rule.source.defaultValue[x]
  • deleted Add Types integer64, Meta
Substance StructureMap.group.rule.source.listMode
  • Change value set from http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.0 to http://hl7.org/fhir/ValueSet/map-source-list-mode|4.4.0
Substance.status StructureMap.group.rule.target.contextType
  • Change value set from http://hl7.org/fhir/ValueSet/substance-status http://hl7.org/fhir/ValueSet/map-context-type|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|4.0.1 Now marked as Modifier http://hl7.org/fhir/ValueSet/map-context-type|4.4.0
Substance.category StructureMap.group.rule.target.listMode
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/substance-category" http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.0 to "http://terminology.hl7.org/CodeSystem/substance-category" http://hl7.org/fhir/ValueSet/map-target-list-mode|4.4.0
SubstanceNucleicAcid StructureMap.group.rule.target.transform
  • Added Resource Change value set from http://hl7.org/fhir/ValueSet/map-transform|4.0.0 to http://hl7.org/fhir/ValueSet/map-transform|4.4.0
SubstancePolymer Subscription Added Resource
SubstanceProtein Subscription.identifier
  • Added Resource Element
SubstanceReferenceInformation Subscription.name
  • Added Resource Element
SubstanceSourceMaterial Subscription.status
  • Added Resource Change value set from http://hl7.org/fhir/ValueSet/subscription-status|4.0.0 to http://hl7.org/fhir/ValueSet/subscription-state|4.4.0
SubstanceSpecification Subscription.topic
  • Added Resource Mandatory Element
SupplyDelivery.identifier Subscription.reason
  • Max Min Cardinality changed from 1 to * 0
SupplyDelivery.status Subscription.filterBy
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-status to http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.1 Added Element
SupplyDelivery.type Subscription.filterBy.searchParamName
  • Change value set from http://hl7.org/fhir/ValueSet/supplydelivery-type to http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.1 Added Mandatory Element
SupplyDelivery.supplier Subscription.filterBy.searchModifier
  • Type Reference: Added Target Type PractitionerRole Element
SupplyDelivery.receiver Subscription.filterBy.value
  • Type Reference: Added Target Type PractitionerRole Mandatory Element
SupplyRequest.identifier Subscription.channelType
  • Max Cardinality changed from 1 to * Added Mandatory Element
SupplyRequest.status Subscription.endpoint
  • Change value set from http://hl7.org/fhir/ValueSet/supplyrequest-status to http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.1 Added Element
SupplyRequest.priority Subscription.header
  • Change value set from http://hl7.org/fhir/ValueSet/request-priority to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Added Element
SupplyRequest.item[x] Subscription.heartbeatPeriod
  • Added Mandatory Element
SupplyRequest.quantity Subscription.timeout
  • Added Mandatory Element
SupplyRequest.parameter Subscription.contentType
  • Added Element
SupplyRequest.parameter.code Subscription.content
  • Added Element
SupplyRequest.parameter.value[x] Subscription.criteria
  • Added Element deleted
SupplyRequest.requester Subscription.error
  • Type changed from BackboneElement to Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) deleted
SupplyRequest.supplier Subscription.channel
  • Type Reference: Added Target Type HealthcareService deleted
SupplyRequest.reasonCode SubscriptionStatus
  • Added Element Resource
SupplyRequest.reasonReference SubscriptionTopic
  • Added Element Resource
SupplyRequest.orderedItem Substance deleted
SupplyRequest.requester.agent Substance.status
  • deleted Change value set from http://hl7.org/fhir/ValueSet/substance-status|4.0.0 to http://hl7.org/fhir/ValueSet/substance-status|4.4.0
SupplyRequest.requester.onBehalfOf SubstanceDefinition
  • deleted Added Resource
SupplyRequest.reason[x] SubstanceNucleicAcid
  • deleted No Changes
Task SubstancePolymer
Task.instantiatesCanonical SubstancePolymer.identifier
  • Added Element
Task.instantiatesUri SubstancePolymer.modification
  • Added Element Max Cardinality changed from * to 1
Task.status SubstancePolymer.monomerSet.startingMaterial.code
  • Change value set from http://hl7.org/fhir/ValueSet/task-status to http://hl7.org/fhir/ValueSet/task-status|4.0.1 Now marked as Modifier Added Element
Task.intent SubstancePolymer.monomerSet.startingMaterial.category
  • Change value set from http://hl7.org/fhir/ValueSet/request-intent to http://hl7.org/fhir/ValueSet/task-intent|4.0.1 Added Element
Task.priority SubstancePolymer.monomerSet.startingMaterial.amount
  • Change value set Type changed from http://hl7.org/fhir/ValueSet/request-priority SubstanceAmount to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 Quantity
Task.encounter SubstancePolymer.repeat.repeatUnit.unit
  • Added Element
Task.requester SubstancePolymer.repeat.repeatUnit.orientation
  • Type changed from BackboneElement to Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson) Added Element
Task.owner SubstancePolymer.repeat.repeatUnit.amount
  • Type Reference: Added Target Types PractitionerRole, CareTeam, HealthcareService changed from SubstanceAmount to integer
Task.location SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.type
  • Added Element
Task.reasonCode SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.average
  • Added Element
Task.reasonReference SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.low
  • Added Element
Task.insurance SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.high
  • Added Element
Task.restriction.recipient SubstancePolymer.repeat.repeatUnit.structuralRepresentation.format
  • Type Reference: Added Target Type PractitionerRole Element
Task.input.value[x] SubstancePolymer.monomerSet.startingMaterial.material
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage deleted
Task.output.value[x] SubstancePolymer.monomerSet.startingMaterial.type
  • Add Types canonical, url, uuid, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage deleted
Task.definition[x] SubstancePolymer.repeat.numberOfUnits
  • deleted
Task.context SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation
  • deleted
Task.requester.agent SubstancePolymer.repeat.repeatUnit.repeatUnit
  • deleted
Task.requester.onBehalfOf SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree
  • deleted
Task.reason SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount
  • deleted
TerminologyCapabilities SubstanceProtein
  • Added Resource No Changes
TestReport SubstanceReferenceInformation TestReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/report-status-codes to http://hl7.org/fhir/ValueSet/report-status-codes|4.0.1 No Changes
TestReport.result SubstanceSourceMaterial
  • Change value set from http://hl7.org/fhir/ValueSet/report-result-codes to http://hl7.org/fhir/ValueSet/report-result-codes|4.0.1 No Changes
TestReport.participant.type SupplyDelivery Change value set from http://hl7.org/fhir/ValueSet/report-participant-type to http://hl7.org/fhir/ValueSet/report-participant-type|4.0.1
TestReport.setup.action.operation.result SupplyDelivery.status
  • Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 http://hl7.org/fhir/ValueSet/supplydelivery-status|4.4.0
TestReport.setup.action.assert.result SupplyDelivery.type
  • Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.1 http://hl7.org/fhir/ValueSet/supplydelivery-type|4.4.0
TestScript SupplyRequest
TestScript.status SupplyRequest.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 TestScript.experimental No longer marked as Modifier http://hl7.org/fhir/ValueSet/supplyrequest-status|4.4.0
TestScript.origin.profile SupplyRequest.priority
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/testscript-profile-origin-types" http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to "http://terminology.hl7.org/CodeSystem/testscript-profile-origin-types" http://hl7.org/fhir/ValueSet/request-priority|4.4.0
TestScript.destination.profile SupplyRequest.item
  • Change code system for extensibly bound codes from "http://hl7.org/fhir/testscript-profile-destination-types" to "http://terminology.hl7.org/CodeSystem/testscript-profile-destination-types" Added Mandatory Element
TestScript.metadata.capability.required SupplyRequest.reason
  • Min Cardinality changed from 0 to 1 Default Value "false" removed Added Element
TestScript.metadata.capability.validated SupplyRequest.item[x]
  • Min Cardinality changed from 0 to 1 Default Value "false" removed deleted
TestScript.metadata.capability.capabilities SupplyRequest.reasonCode
  • Type changed from Reference(CapabilityStatement) to canonical(CapabilityStatement) deleted
TestScript.fixture.autocreate SupplyRequest.reasonReference
  • Min Cardinality changed from 0 to 1 Default Value "false" removed deleted
TestScript.fixture.autodelete Task Min Cardinality changed from 0 to 1 Default Value "false" removed
TestScript.setup.action.operation.type Task.status
  • Change code system for extensibly bound codes value set from "http://hl7.org/fhir/testscript-operation-codes" http://hl7.org/fhir/ValueSet/task-status|4.0.0 to "http://terminology.hl7.org/CodeSystem/testscript-operation-codes" http://hl7.org/fhir/ValueSet/task-status|4.4.0
TestScript.setup.action.operation.resource Task.intent
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/task-intent|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 http://hl7.org/fhir/ValueSet/task-intent|4.4.0
TestScript.setup.action.operation.accept Task.priority
  • Change value set from http://hl7.org/fhir/ValueSet/content-type http://hl7.org/fhir/ValueSet/request-priority|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/request-priority|4.4.0
TestScript.setup.action.operation.contentType Task.input.value[x]
  • Change value set from http://hl7.org/fhir/ValueSet/content-type to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 Add Types integer64, Meta
TestScript.setup.action.operation.encodeRequestUrl Task.output.value[x]
  • Min Cardinality changed from 0 to 1 Default Value "true" removed Add Types integer64, Meta
TerminologyCapabilities
TestScript.setup.action.operation.method TerminologyCapabilities.identifier
  • Added Element
TestScript.setup.action.assert.direction TerminologyCapabilities.status
  • Change value set from http://hl7.org/fhir/ValueSet/assert-direction-codes http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
TestScript.setup.action.assert.contentType TerminologyCapabilities.kind
  • Change value set from http://hl7.org/fhir/ValueSet/content-type http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 http://hl7.org/fhir/ValueSet/capability-statement-kind|4.4.0
TestScript.setup.action.assert.operator TerminologyCapabilities.codeSearch
  • Change value set from http://hl7.org/fhir/ValueSet/assert-operator-codes http://hl7.org/fhir/ValueSet/code-search-support|4.0.0 to http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.1 http://hl7.org/fhir/ValueSet/code-search-support|4.4.0
TestReport
TestScript.setup.action.assert.requestMethod TestReport.status
  • Change value set from http://hl7.org/fhir/ValueSet/http-operations http://hl7.org/fhir/ValueSet/report-status-codes|4.0.0 to http://hl7.org/fhir/ValueSet/http-operations|4.0.1 http://hl7.org/fhir/ValueSet/report-status-codes|4.4.0
TestScript.setup.action.assert.resource TestReport.result
  • Change value set from http://hl7.org/fhir/ValueSet/defined-types http://hl7.org/fhir/ValueSet/report-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.0.1 http://hl7.org/fhir/ValueSet/report-result-codes|4.4.0
TestScript.setup.action.assert.response TestReport.participant.type
  • Change value set from http://hl7.org/fhir/ValueSet/assert-response-code-types http://hl7.org/fhir/ValueSet/report-participant-type|4.0.0 to http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.1 http://hl7.org/fhir/ValueSet/report-participant-type|4.4.0
TestScript.setup.action.assert.warningOnly TestReport.setup.action.operation.result
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to 1 Default Value "false" removed TestScript.rule deleted TestScript.ruleset deleted TestScript.setup.action.assert.rule deleted http://hl7.org/fhir/ValueSet/report-action-result-codes|4.4.0
TestScript.setup.action.assert.ruleset TestReport.setup.action.assert.result
  • deleted Change value set from http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0 to http://hl7.org/fhir/ValueSet/report-action-result-codes|4.4.0
ValueSet TestScript
ValueSet.status TestScript.status
  • Change value set from http://hl7.org/fhir/ValueSet/publication-status http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to http://hl7.org/fhir/ValueSet/publication-status|4.0.1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
ValueSet.experimental TestScript.setup.action.operation.resource
  • No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.4.0
ValueSet.compose.include.concept.designation.language TestScript.setup.action.operation.accept
  • Change binding strength value set from extensible http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to preferred http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
ValueSet.compose.include.filter TestScript.setup.action.operation.contentType
  • No longer marked as Modifier Change value set from http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
ValueSet.compose.include.filter.op TestScript.setup.action.operation.method
  • Change value set from http://hl7.org/fhir/ValueSet/filter-operator http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to http://hl7.org/fhir/ValueSet/filter-operator|4.0.1 http://hl7.org/fhir/ValueSet/http-operations|4.4.0
ValueSet.compose.include.filter.value TestScript.setup.action.assert.direction
  • Type changed Change value set from code http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.0 to string http://hl7.org/fhir/ValueSet/assert-direction-codes|4.4.0
ValueSet.compose.include.valueSet TestScript.setup.action.assert.contentType
  • Type changed Change value set from uri http://hl7.org/fhir/ValueSet/mimetypes|4.0.0 to canonical(ValueSet) http://hl7.org/fhir/ValueSet/mimetypes|4.4.0
ValueSet.expansion.identifier TestScript.setup.action.assert.operator
  • Min Cardinality changed Change value set from 1 http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.0 to 0 http://hl7.org/fhir/ValueSet/assert-operator-codes|4.4.0
ValueSet.expansion.parameter.value[x] TestScript.setup.action.assert.requestMethod
  • Add Type dateTime Change value set from http://hl7.org/fhir/ValueSet/http-operations|4.0.0 to http://hl7.org/fhir/ValueSet/http-operations|4.4.0
ValueSet.expansion.contains.abstract TestScript.setup.action.assert.resource
  • Default Value "false" removed Change value set from http://hl7.org/fhir/ValueSet/defined-types|4.0.0 to http://hl7.org/fhir/ValueSet/defined-types|4.4.0
ValueSet.expansion.contains.inactive Default Value "false" removed ValueSet.extensible deleted VerificationResult TestScript.setup.action.assert.response
  • Added Resource Change value set from http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.0 to http://hl7.org/fhir/ValueSet/assert-response-code-types|4.4.0
VisionPrescription ValueSet
VisionPrescription.status ValueSet.status
  • Min Cardinality changed from 0 to 1 Change value set from http://hl7.org/fhir/ValueSet/fm-status to http://hl7.org/fhir/ValueSet/fm-status|4.0.1 VisionPrescription.created Added Mandatory Element VisionPrescription.patient Min Cardinality changed from 0 to 1 VisionPrescription.dateWritten Min Cardinality changed from 0 http://hl7.org/fhir/ValueSet/publication-status|4.0.0 to 1 http://hl7.org/fhir/ValueSet/publication-status|4.4.0
VisionPrescription.prescriber ValueSet.compose.include.filter.op
  • Min Cardinality changed Change value set from 0 http://hl7.org/fhir/ValueSet/filter-operator|4.0.0 to 1 Type Reference: Added Target Type PractitionerRole http://hl7.org/fhir/ValueSet/filter-operator|4.4.0
VisionPrescription.lensSpecification ValueSet.compose.property
  • Added Mandatory Element
VisionPrescription.lensSpecification.product ValueSet.expansion.property
  • Added Mandatory Element
VisionPrescription.lensSpecification.eye ValueSet.expansion.property.code
  • Added Mandatory Element
VisionPrescription.lensSpecification.sphere Added Element VisionPrescription.lensSpecification.cylinder Added Element VisionPrescription.lensSpecification.axis ValueSet.expansion.property.uri
  • Added Element
VisionPrescription.lensSpecification.prism ValueSet.expansion.contains.property
  • Added Element
VisionPrescription.lensSpecification.prism.amount ValueSet.expansion.contains.property.code
  • Added Mandatory Element
VisionPrescription.lensSpecification.prism.base ValueSet.expansion.contains.property.value[x]
  • Added Mandatory Element
VisionPrescription.lensSpecification.add VerificationResult Added Element
VisionPrescription.lensSpecification.power VerificationResult.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.0 to http://hl7.org/fhir/ValueSet/verificationresult-status|4.4.0
VisionPrescription.lensSpecification.backCurve VisionPrescription Added Element
VisionPrescription.lensSpecification.diameter VisionPrescription.status
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/fm-status|4.0.0 to http://hl7.org/fhir/ValueSet/fm-status|4.4.0
VisionPrescription.lensSpecification.duration VisionPrescription.lensSpecification.eye
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-eye-codes|4.4.0
VisionPrescription.lensSpecification.color VisionPrescription.lensSpecification.prism.base
  • Added Element Change value set from http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0 to http://hl7.org/fhir/ValueSet/vision-base-codes|4.4.0
VisionPrescription.lensSpecification.brand EffectEvidenceSynthesis
  • Added Element deleted
VisionPrescription.lensSpecification.note Media
  • Added Element deleted
VisionPrescription.reason[x] MedicationStatement
  • deleted
VisionPrescription.dispense MedicinalProduct
  • deleted
BodySite MedicinalProductAuthorization
  • deleted
DataElement MedicinalProductContraindication
  • deleted
DeviceComponent MedicinalProductIndication
  • deleted
EligibilityRequest MedicinalProductIngredient
  • deleted
EligibilityResponse MedicinalProductInteraction
  • deleted
ExpansionProfile MedicinalProductManufactured
  • deleted
ImagingManifest MedicinalProductPackaged
  • deleted
ProcedureRequest MedicinalProductPharmaceutical
  • deleted
ProcessRequest MedicinalProductUndesirableEffect
  • deleted
ProcessResponse ResearchDefinition
  • deleted
ReferralRequest ResearchElementDefinition
  • deleted
Sequence RiskEvidenceSynthesis
  • deleted
ServiceDefinition SubstanceSpecification
  • deleted