{
  "types": [
    "DiagnosticReport"
  ],
  "DiagnosticReport": {
    "elements": {
      "DiagnosticReport.basedOn": {
        "removed-types": [
          "Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"
        ]
      },
      "DiagnosticReport.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1",
          "strength": "required"
        }
      },
      "DiagnosticReport.category": {
        "old-max": "1",
        "new-max": "*"
      },
      "DiagnosticReport.encounter": {
        "status": "new"
      },
      "DiagnosticReport.performer": {
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam)"
        ]
      },
      "DiagnosticReport.resultsInterpreter": {
        "status": "new"
      },
      "DiagnosticReport.imagingStudy": {
        "removed-types": [
          "Reference(ImagingStudy | ImagingManifest)"
        ],
        "added-types": [
          "Reference(ImagingStudy)"
        ]
      },
      "DiagnosticReport.media": {
        "old-name": "image"
      },
      "DiagnosticReport.conclusionCode": {
        "old-name": "codedDiagnosis"
      },
      "DiagnosticReport.context": {
        "status": "deleted"
      },
      "DiagnosticReport.performer.role": {
        "status": "deleted"
      },
      "DiagnosticReport.performer.actor": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}