{
  "types": [
    "DiagnosticReport"
  ],
  "DiagnosticReport": {
    "elements": {
      "DiagnosticReport.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "modified"
        ],
        "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|5.0.0",
          "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.note": {
        "status": "new"
      },
      "DiagnosticReport.study": {
        "status": "new"
      },
      "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.imagingStudy": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}