Existing Wording
The final mode - a changes list, may include deleted items. A typical case is a medication list in a discharge summary, where the list includes items that have been both added and deleted.

Comments
The use of medication list in a discharge summary is not a good example. Typically, the Discharge Summary contains an active list of medications at the time of discharge, is identical to Home Medication List. It does not necessarily include meds that were given in the hospital or that the patient took before being admitted but are not to be continued. It is supposed to be what the patient is supposed to take after discharge. And regardless of whether the discharge meds list includes "stop medication XXX," it is still not a "changes list" because some meds may have been on the admission meds list and remain unchanged after discharge. Since those didn't change, they wouldn't be on a changes list, but they have to be included in the discharge meds list. A discharge meds list fits better the definition of "working" list mode.

I appreciate the benefit of a "changes list" mode, but am having difficulty coming up with a good example.

Grahame's Comments
agree to find a better example.