{
  "types": [
    "ExplanationOfBenefit"
  ],
  "ExplanationOfBenefit": {
    "elements": {
      "ExplanationOfBenefit.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|5.0.0",
          "strength": "required"
        }
      },
      "ExplanationOfBenefit.use": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-use|5.0.0",
          "strength": "required"
        }
      },
      "ExplanationOfBenefit.enterer": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)"
        ]
      },
      "ExplanationOfBenefit.insurer": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.provider": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.event": {
        "status": "new"
      },
      "ExplanationOfBenefit.event.type": {
        "status": "new"
      },
      "ExplanationOfBenefit.event.when[x]": {
        "status": "new"
      },
      "ExplanationOfBenefit.encounter": {
        "status": "new"
      },
      "ExplanationOfBenefit.facility": {
        "removed-types": [
          "Reference(Location)"
        ],
        "added-types": [
          "Reference(Location | Organization)"
        ]
      },
      "ExplanationOfBenefit.outcome": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/claim-outcome|5.0.0",
          "strength": "required"
        }
      },
      "ExplanationOfBenefit.decision": {
        "status": "new"
      },
      "ExplanationOfBenefit.diagnosisRelatedGroup": {
        "status": "new"
      },
      "ExplanationOfBenefit.careTeam.specialty": {
        "status": "new"
      },
      "ExplanationOfBenefit.supportingInfo.value[x]": {
        "added-types": [
          "Identifier"
        ]
      },
      "ExplanationOfBenefit.insurance": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.item.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.request": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.bodySite": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "ExplanationOfBenefit.item.bodySite.site": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.bodySite.subSite": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.decision": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.reason": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.preAuthRef": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.reviewOutcome.preAuthPeriod": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.adjudication.quantity": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.item.detail.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.subDetail.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.subDetail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.item.detail.subDetail.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.subDetail.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.subDetail.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.item.detail.subDetail.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.revenue": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.addItem.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.request": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.bodySite": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "ExplanationOfBenefit.addItem.bodySite.site": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.bodySite.subSite": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.revenue": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.addItem.detail.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.traceNumber": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.revenue": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.productOrService": {
        "old-min": 1,
        "new-min": 0
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.patientPaid": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.tax": {
        "status": "new"
      },
      "ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome": {
        "status": "new"
      },
      "ExplanationOfBenefit.processNote.type": {
        "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/note-type|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/note-type",
          "strength": "extensible"
        }
      },
      "ExplanationOfBenefit.processNote.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|5.0.0",
          "strength": "required"
        }
      },
      "ExplanationOfBenefit.careTeam.qualification": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.diagnosis.packageCode": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.item.subSite": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.item.adjudication.value": {
        "status": "deleted"
      },
      "ExplanationOfBenefit.addItem.subSite": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}