{
  "types": [
    "DocumentReference"
  ],
  "DocumentReference": {
    "elements": {
      "DocumentReference.version": {
        "status": "new"
      },
      "DocumentReference.basedOn": {
        "status": "new"
      },
      "DocumentReference.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-reference-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "DocumentReference.docStatus": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "preliminary"
        ],
        "added-codes": [
          "registered",
          "partial",
          "cancelled",
          "deprecated",
          "unknown"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot4",
          "strength": "required"
        },
        "modifier": "added"
      },
      "DocumentReference.modality": {
        "status": "new"
      },
      "DocumentReference.subject": {
        "removed-types": [
          "Reference(Patient | Practitioner | Group | Device)"
        ],
        "added-types": [
          "Reference(Resource)"
        ]
      },
      "DocumentReference.context": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "Reference(Appointment | Encounter | EpisodeOfCare)"
        ]
      },
      "DocumentReference.event": {
        "status": "new"
      },
      "DocumentReference.related": {
        "status": "new"
      },
      "DocumentReference.bodyStructure": {
        "status": "new"
      },
      "DocumentReference.date": {
        "removed-types": [
          "instant"
        ],
        "added-types": [
          "dateTime"
        ]
      },
      "DocumentReference.author": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam | Group)"
        ]
      },
      "DocumentReference.attester": {
        "status": "new"
      },
      "DocumentReference.attester.mode": {
        "status": "new"
      },
      "DocumentReference.attester.time": {
        "status": "new"
      },
      "DocumentReference.attester.party": {
        "status": "new"
      },
      "DocumentReference.relatesTo.code": {
        "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/document-relationship-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/document-relationship-type",
          "strength": "extensible"
        }
      },
      "DocumentReference.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "DocumentReference.securityLabel": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/security-labels",
          "strength": "extensible"
        }
      },
      "DocumentReference.content.profile": {
        "status": "new"
      },
      "DocumentReference.content.profile.value[x]": {
        "status": "new"
      },
      "DocumentReference.masterIdentifier": {
        "status": "deleted"
      },
      "DocumentReference.authenticator": {
        "status": "deleted"
      },
      "DocumentReference.content.format": {
        "status": "deleted"
      },
      "DocumentReference.context.encounter": {
        "status": "deleted"
      },
      "DocumentReference.context.event": {
        "status": "deleted"
      },
      "DocumentReference.context.sourcePatientInfo": {
        "status": "deleted"
      },
      "DocumentReference.context.related": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}