{
  "types": [
    "Encounter"
  ],
  "Encounter": {
    "elements": {
      "Encounter.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "arrived",
          "triaged",
          "onleave",
          "finished"
        ],
        "added-codes": [
          "on-hold",
          "discharged",
          "completed",
          "discontinued"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Encounter.businessStatus": {
        "status": "new"
      },
      "Encounter.businessStatus.code": {
        "status": "new"
      },
      "Encounter.businessStatus.type": {
        "status": "new"
      },
      "Encounter.businessStatus.effectiveDate": {
        "status": "new"
      },
      "Encounter.class": {
        "old-min": 1,
        "new-min": 0,
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode",
          "strength": "extensible"
        }
      },
      "Encounter.serviceType": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Encounter.subjectStatus": {
        "status": "new"
      },
      "Encounter.basedOn": {
        "removed-types": [
          "Reference(ServiceRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | DeviceRequest | MedicationRequest | ServiceRequest | RequestOrchestration | NutritionOrder | VisionPrescription)"
        ]
      },
      "Encounter.careTeam": {
        "status": "new"
      },
      "Encounter.participant.actor": {
        "old-name": "individual",
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Patient | Group | RelatedPerson | Practitioner | PractitionerRole | Device | HealthcareService)"
        ]
      },
      "Encounter.virtualService": {
        "status": "new"
      },
      "Encounter.actualPeriod": {
        "old-name": "period"
      },
      "Encounter.plannedStartDate": {
        "status": "new"
      },
      "Encounter.plannedEndDate": {
        "status": "new"
      },
      "Encounter.reason": {
        "status": "new"
      },
      "Encounter.reason.use": {
        "status": "new"
      },
      "Encounter.reason.value": {
        "status": "new"
      },
      "Encounter.diagnosis.condition": {
        "old-min": 1,
        "new-min": 0,
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Reference(Condition | Procedure)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Encounter.diagnosis.use": {
        "old-max": "1",
        "new-max": "*"
      },
      "Encounter.admission": {
        "old-name": "hospitalization"
      },
      "Encounter.location.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-location-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Encounter.location.form": {
        "old-name": "physicalType"
      },
      "Encounter.statusHistory": {
        "status": "deleted"
      },
      "Encounter.classHistory": {
        "status": "deleted"
      },
      "Encounter.reasonCode": {
        "status": "deleted"
      },
      "Encounter.reasonReference": {
        "status": "deleted"
      },
      "Encounter.diagnosis.rank": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}