{
  "types": [
    "DetectedIssue"
  ],
  "DetectedIssue": {
    "elements": {
      "DetectedIssue.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/observation-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/detectedissue-status|5.0.0",
          "strength": "required"
        }
      },
      "DetectedIssue.category": {
        "status": "new"
      },
      "DetectedIssue.severity": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/detectedissue-severity|5.0.0",
          "strength": "required"
        }
      },
      "DetectedIssue.subject": {
        "status": "new"
      },
      "DetectedIssue.encounter": {
        "status": "new"
      },
      "DetectedIssue.author": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Device)"
        ],
        "added-types": [
          "Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device)"
        ]
      },
      "DetectedIssue.detail": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "DetectedIssue.mitigation.note": {
        "status": "new"
      },
      "DetectedIssue.patient": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}