{
  "types": [
    "DiagnosticReport"
  ],
  "DiagnosticReport": {
    "elements": {
      "DiagnosticReport.basedOn": {
        "removed-types": [
          "Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | MedicationRequest | NutritionOrder | ServiceRequest)"
        ]
      },
      "DiagnosticReport.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "preliminary",
          "corrected",
          "appended"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "DiagnosticReport.subject": {
        "removed-types": [
          "Reference(Patient | Group | Device | Location | Organization | Procedure | Practitioner | Medication | Substance)"
        ],
        "added-types": [
          "Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct)"
        ]
      },
      "DiagnosticReport.relatesTo": {
        "status": "new"
      },
      "DiagnosticReport.issued": {
        "removed-types": [
          "instant"
        ],
        "added-types": [
          "dateTime"
        ]
      },
      "DiagnosticReport.procedure": {
        "status": "new"
      },
      "DiagnosticReport.performer": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device | Patient | RelatedPerson)"
        ]
      },
      "DiagnosticReport.resultsInterpreter": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)"
        ]
      },
      "DiagnosticReport.note": {
        "status": "new"
      },
      "DiagnosticReport.study": {
        "old-name": "imagingStudy"
      },
      "DiagnosticReport.supportingInfo": {
        "status": "new"
      },
      "DiagnosticReport.supportingInfo.type": {
        "status": "new"
      },
      "DiagnosticReport.supportingInfo.reference": {
        "status": "new"
      },
      "DiagnosticReport.media.link": {
        "removed-types": [
          "Reference(Media)"
        ],
        "added-types": [
          "Reference(DocumentReference)"
        ]
      },
      "DiagnosticReport.composition": {
        "status": "new"
      },
      "DiagnosticReport.conclusion": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "DiagnosticReport.conclusionCode": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "DiagnosticReport.recomendation": {
        "status": "new"
      },
      "DiagnosticReport.communication": {
        "status": "new"
      },
      "DiagnosticReport.comparison": {
        "status": "new"
      }
    },
    "status": "changed"
  }
}