{
  "types": [
    "ObservationDefinition"
  ],
  "ObservationDefinition": {
    "elements": {
      "ObservationDefinition.url": {
        "status": "new"
      },
      "ObservationDefinition.version": {
        "status": "new"
      },
      "ObservationDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "ObservationDefinition.name": {
        "status": "new"
      },
      "ObservationDefinition.title": {
        "status": "new"
      },
      "ObservationDefinition.status": {
        "status": "new"
      },
      "ObservationDefinition.experimental": {
        "status": "new"
      },
      "ObservationDefinition.date": {
        "status": "new"
      },
      "ObservationDefinition.publisher": {
        "status": "new"
      },
      "ObservationDefinition.contact": {
        "status": "new"
      },
      "ObservationDefinition.description": {
        "status": "new"
      },
      "ObservationDefinition.useContext": {
        "status": "new"
      },
      "ObservationDefinition.jurisdiction": {
        "status": "new"
      },
      "ObservationDefinition.purpose": {
        "status": "new"
      },
      "ObservationDefinition.copyright": {
        "status": "new"
      },
      "ObservationDefinition.copyrightLabel": {
        "status": "new"
      },
      "ObservationDefinition.approvalDate": {
        "status": "new"
      },
      "ObservationDefinition.lastReviewDate": {
        "status": "new"
      },
      "ObservationDefinition.effectivePeriod": {
        "status": "new"
      },
      "ObservationDefinition.derivedFromCanonical": {
        "status": "new"
      },
      "ObservationDefinition.derivedFromUri": {
        "status": "new"
      },
      "ObservationDefinition.subject": {
        "status": "new"
      },
      "ObservationDefinition.performerType": {
        "status": "new"
      },
      "ObservationDefinition.permittedDataType": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/permitted-data-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ObservationDefinition.bodyStructure": {
        "status": "new"
      },
      "ObservationDefinition.specimen": {
        "status": "new"
      },
      "ObservationDefinition.device[x]": {
        "status": "new"
      },
      "ObservationDefinition.permittedUnit": {
        "status": "new"
      },
      "ObservationDefinition.qualifiedValue": {
        "old-name": "qualifiedInterval"
      },
      "ObservationDefinition.qualifiedValue.sexParameterForClinicalUse": {
        "old-name": "gender",
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ObservationDefinition.qualifiedValue.rangeCategory": {
        "old-name": "category",
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-range-category|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-range-category|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ObservationDefinition.qualifiedValue.validCodedValueSet": {
        "removed-types": [
          "Reference(ValueSet)"
        ],
        "added-types": [
          "canonical(ValueSet)"
        ]
      },
      "ObservationDefinition.qualifiedValue.normalCodedValueSet": {
        "removed-types": [
          "Reference(ValueSet)"
        ],
        "added-types": [
          "canonical(ValueSet)"
        ]
      },
      "ObservationDefinition.qualifiedValue.abnormalCodedValueSet": {
        "removed-types": [
          "Reference(ValueSet)"
        ],
        "added-types": [
          "canonical(ValueSet)"
        ]
      },
      "ObservationDefinition.qualifiedValue.criticalCodedValueSet": {
        "removed-types": [
          "Reference(ValueSet)"
        ],
        "added-types": [
          "canonical(ValueSet)"
        ]
      },
      "ObservationDefinition.qualifiedValue.interpretation": {
        "status": "new"
      },
      "ObservationDefinition.hasMember": {
        "status": "new"
      },
      "ObservationDefinition.component": {
        "status": "new"
      },
      "ObservationDefinition.component.code": {
        "status": "new"
      },
      "ObservationDefinition.component.permittedDataType": {
        "status": "new"
      },
      "ObservationDefinition.component.permittedUnit": {
        "status": "new"
      },
      "ObservationDefinition.component.qualifiedValue": {
        "status": "new"
      },
      "ObservationDefinition.quantitativeDetails": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}