{
  "types": [
    "ClaimResponse"
  ],
  "ClaimResponse": {
    "elements": {
      "ClaimResponse.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.statusReason": {
        "status": "new"
      },
      "ClaimResponse.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.subject": {
        "old-name": "patient",
        "removed-types": [
          "Reference(Patient)"
        ],
        "added-types": [
          "Reference(Patient | Group)"
        ]
      },
      "ClaimResponse.insurer": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.outcome": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-outcome|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.decision": {
        "status": "new"
      },
      "ClaimResponse.event": {
        "status": "new"
      },
      "ClaimResponse.event.type": {
        "status": "new"
      },
      "ClaimResponse.event.when[x]": {
        "status": "new"
      },
      "ClaimResponse.encounter": {
        "status": "new"
      },
      "ClaimResponse.diagnosisRelatedGroup": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.sequence": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.category": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.code": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.timing[x]": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.value[x]": {
        "status": "new"
      },
      "ClaimResponse.supportingInfo.reason": {
        "status": "new"
      },
      "ClaimResponse.item.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.item.informationSequence": {
        "status": "new"
      },
      "ClaimResponse.item.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.item.reviewOutcome.decision": {
        "status": "new"
      },
      "ClaimResponse.item.reviewOutcome.reason": {
        "status": "new"
      },
      "ClaimResponse.item.reviewOutcome.preAuthRef": {
        "status": "new"
      },
      "ClaimResponse.item.reviewOutcome.preAuthPeriod": {
        "status": "new"
      },
      "ClaimResponse.item.adjudication": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.item.adjudication.quantity": {
        "old-name": "value",
        "removed-types": [
          "decimal"
        ],
        "added-types": [
          "Quantity"
        ]
      },
      "ClaimResponse.item.adjudication.decisionDate": {
        "status": "new"
      },
      "ClaimResponse.item.detail.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.item.detail.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.item.detail.adjudication": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.item.detail.subDetail.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.item.detail.subDetail.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.addItem.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.addItem.subject": {
        "status": "new"
      },
      "ClaimResponse.addItem.informationSequence": {
        "status": "new"
      },
      "ClaimResponse.addItem.revenue": {
        "status": "new"
      },
      "ClaimResponse.addItem.category": {
        "status": "new"
      },
      "ClaimResponse.addItem.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.addItem.productOrServiceEnd": {
        "status": "new"
      },
      "ClaimResponse.addItem.request": {
        "status": "new"
      },
      "ClaimResponse.addItem.tax": {
        "status": "new"
      },
      "ClaimResponse.addItem.bodySite": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "ClaimResponse.addItem.bodySite.site": {
        "status": "new"
      },
      "ClaimResponse.addItem.bodySite.subSite": {
        "status": "new"
      },
      "ClaimResponse.addItem.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.addItem.adjudication": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.addItem.detail.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.revenue": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.addItem.detail.productOrServiceEnd": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.tax": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.adjudication": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.addItem.detail.subDetail.traceNumber": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.subDetail.revenue": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.subDetail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.addItem.detail.subDetail.productOrServiceEnd": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.subDetail.tax": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.subDetail.reviewOutcome": {
        "status": "new"
      },
      "ClaimResponse.addItem.detail.subDetail.adjudication": {
        "old-min": 1,
        "new-min": 0
      },
      "ClaimResponse.processNote.class": {
        "status": "new"
      },
      "ClaimResponse.processNote.type": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type",
          "strength": "extensible"
        }
      },
      "ClaimResponse.processNote.text": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ClaimResponse.processNote.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClaimResponse.error.expression": {
        "status": "new"
      },
      "ClaimResponse.addItem.subSite": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}