﻿<?xml version="1.0" encoding="UTF-8"?>
<difference>
   <type name="ImagingStudy" status="changed">
      <element path="ImagingStudy.status" status="new"/>
      <element binding-status="changed"
               binding-valueset-changed="true"
               old-name="modalityList"
               path="ImagingStudy.modality">
         <old-binding reference="http://hl7.org/fhir/ValueSet/dicom-cid29"
                      strength="extensible"/>
         <new-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
                      strength="extensible"/>
      </element>
      <element old-name="patient" path="ImagingStudy.subject">
         <removed-type name="Reference(Patient)"/>
         <added-type name="Reference(Patient | Device | Group)"/>
      </element>
      <element path="ImagingStudy.encounter" status="new"/>
      <element path="ImagingStudy.basedOn">
         <removed-type name="Reference(ReferralRequest | CarePlan | ProcedureRequest)"/>
         <added-type name="Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)"/>
      </element>
      <element path="ImagingStudy.referrer">
         <removed-type name="Reference(Practitioner)"/>
         <added-type name="Reference(Practitioner | PractitionerRole)"/>
      </element>
      <element path="ImagingStudy.interpreter">
         <removed-type name="Reference(Practitioner)"/>
         <added-type name="Reference(Practitioner | PractitionerRole)"/>
      </element>
      <element new-max="1" old-max="*" path="ImagingStudy.procedureReference"/>
      <element binding-status="added" path="ImagingStudy.procedureCode">
         <new-binding reference="http://www.rsna.org/RadLex_Playbook.aspx"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.location" status="new"/>
      <element path="ImagingStudy.reasonCode" status="new"/>
      <element path="ImagingStudy.reasonReference" status="new"/>
      <element path="ImagingStudy.note" status="new"/>
      <element path="ImagingStudy.series.uid">
         <removed-type name="oid"/>
         <added-type name="id"/>
      </element>
      <element binding-status="changed"
               binding-valueset-changed="true"
               path="ImagingStudy.series.modality">
         <old-binding reference="http://hl7.org/fhir/ValueSet/dicom-cid29"
                      strength="extensible"/>
         <new-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.series.specimen" status="new"/>
      <element path="ImagingStudy.series.performer">
         <removed-type name="Reference(Practitioner)"/>
         <added-type name="BackboneElement"/>
      </element>
      <element path="ImagingStudy.series.performer.function" status="new"/>
      <element path="ImagingStudy.series.performer.actor" status="new"/>
      <element path="ImagingStudy.series.instance.uid">
         <removed-type name="oid"/>
         <added-type name="id"/>
      </element>
      <element binding-status="added" path="ImagingStudy.series.instance.sopClass">
         <removed-type name="oid"/>
         <added-type name="Coding"/>
         <new-binding reference="http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
                      strength="extensible"/>
      </element>
      <element path="ImagingStudy.uid" status="deleted"/>
      <element path="ImagingStudy.accession" status="deleted"/>
      <element path="ImagingStudy.availability" status="deleted"/>
      <element path="ImagingStudy.context" status="deleted"/>
      <element path="ImagingStudy.reason" status="deleted"/>
      <element path="ImagingStudy.series.availability" status="deleted"/>
   </type>
</difference>
