{
  "types": [
    "ImagingStudy"
  ],
  "ImagingStudy": {
    "elements": {
      "ImagingStudy.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "inactive"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/imagingstudy-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ImagingStudy.modality": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html",
          "strength": "extensible"
        }
      },
      "ImagingStudy.basedOn": {
        "removed-types": [
          "Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)"
        ],
        "added-types": [
          "Reference(CarePlan | ServiceRequest | Appointment | Task)"
        ]
      },
      "ImagingStudy.procedure": {
        "status": "new"
      },
      "ImagingStudy.reason": {
        "status": "new"
      },
      "ImagingStudy.series.modality": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html",
          "strength": "extensible"
        }
      },
      "ImagingStudy.series.bodySite": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "ImagingStudy.series.performer.actor": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson | HealthcareService)"
        ]
      },
      "ImagingStudy.series.instance.sopClass": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "oid"
        ],
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1",
          "strength": "extensible"
        }
      },
      "ImagingStudy.interpreter": {
        "status": "deleted"
      },
      "ImagingStudy.procedureReference": {
        "status": "deleted"
      },
      "ImagingStudy.procedureCode": {
        "status": "deleted"
      },
      "ImagingStudy.reasonCode": {
        "status": "deleted"
      },
      "ImagingStudy.reasonReference": {
        "status": "deleted"
      },
      "ImagingStudy.series.laterality": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}