{
  "types": [
    "Procedure"
  ],
  "Procedure": {
    "elements": {
      "Procedure.basedOn": {
        "removed-types": [
          "Reference(CarePlan | ServiceRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | ServiceRequest | MedicationRequest)"
        ]
      },
      "Procedure.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/event-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Procedure.category": {
        "old-max": "1",
        "new-max": "*"
      },
      "Procedure.subject": {
        "removed-types": [
          "Reference(Patient | Group)"
        ],
        "added-types": [
          "Reference(Patient | Group | Device | Practitioner | Organization | Location)"
        ]
      },
      "Procedure.focus": {
        "status": "new"
      },
      "Procedure.occurrence[x]": {
        "old-name": "performed[x]",
        "added-types": [
          "Timing"
        ]
      },
      "Procedure.recorded": {
        "status": "new"
      },
      "Procedure.reported[x]": {
        "old-name": "asserter",
        "added-types": [
          "boolean"
        ]
      },
      "Procedure.performer.actor": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device | CareTeam | HealthcareService)"
        ]
      },
      "Procedure.performer.period": {
        "status": "new"
      },
      "Procedure.reason": {
        "status": "new"
      },
      "Procedure.bodyStructure": {
        "status": "new"
      },
      "Procedure.outcome": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Procedure.report": {
        "removed-types": [
          "Reference(DiagnosticReport | DocumentReference | Composition)"
        ],
        "added-types": [
          "Reference(DiagnosticReport | DocumentReference | Composition | Bundle)"
        ]
      },
      "Procedure.complication": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Procedure.followUp": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Procedure.used": {
        "status": "new"
      },
      "Procedure.supportingInfo": {
        "status": "new"
      },
      "Procedure.instantiatesCanonical": {
        "status": "deleted"
      },
      "Procedure.instantiatesUri": {
        "status": "deleted"
      },
      "Procedure.reasonCode": {
        "status": "deleted"
      },
      "Procedure.reasonReference": {
        "status": "deleted"
      },
      "Procedure.complicationDetail": {
        "status": "deleted"
      },
      "Procedure.usedReference": {
        "status": "deleted"
      },
      "Procedure.usedCode": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}