{
  "types": [
    "Encounter"
  ],
  "Encounter": {
    "elements": {
      "Encounter.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.0.1",
          "strength": "required"
        }
      },
      "Encounter.statusHistory.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-status|4.0.1",
          "strength": "required"
        }
      },
      "Encounter.class": {
        "old-min": 0,
        "new-min": 1
      },
      "Encounter.serviceType": {
        "status": "new"
      },
      "Encounter.basedOn": {
        "old-name": "incomingReferral",
        "removed-types": [
          "Reference(ReferralRequest)"
        ],
        "added-types": [
          "Reference(ServiceRequest)"
        ]
      },
      "Encounter.participant.individual": {
        "removed-types": [
          "Reference(Practitioner | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | RelatedPerson)"
        ]
      },
      "Encounter.appointment": {
        "old-max": "1",
        "new-max": "*"
      },
      "Encounter.reasonCode": {
        "status": "new"
      },
      "Encounter.reasonReference": {
        "status": "new"
      },
      "Encounter.diagnosis.use": {
        "status": "new"
      },
      "Encounter.hospitalization.origin": {
        "removed-types": [
          "Reference(Location)"
        ],
        "added-types": [
          "Reference(Location | Organization)"
        ]
      },
      "Encounter.hospitalization.destination": {
        "removed-types": [
          "Reference(Location)"
        ],
        "added-types": [
          "Reference(Location | Organization)"
        ]
      },
      "Encounter.location.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-location-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.1",
          "strength": "required"
        }
      },
      "Encounter.location.physicalType": {
        "status": "new"
      },
      "Encounter.reason": {
        "status": "deleted"
      },
      "Encounter.diagnosis.role": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}