{
  "types": [
    "MeasureReport"
  ],
  "MeasureReport": {
    "elements": {
      "MeasureReport.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/measure-report-status|5.0.0-snapshot3",
          "strength": "required"
        }
      },
      "MeasureReport.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0",
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        },
        "new-binding": {
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          "strength": "required"
        }
      },
      "MeasureReport.dataUpdateType": {
        "status": "new"
      },
      "MeasureReport.measure": {
        "old-min": 1,
        "new-min": 0
      },
      "MeasureReport.subject": {
        "removed-types": [
          "Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)"
        ],
        "added-types": [
          "Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)"
        ]
      },
      "MeasureReport.reporter": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Location | Organization)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Group)"
        ]
      },
      "MeasureReport.reportingVendor": {
        "status": "new"
      },
      "MeasureReport.location": {
        "status": "new"
      },
      "MeasureReport.inputParameters": {
        "status": "new"
      },
      "MeasureReport.scoring": {
        "status": "new"
      },
      "MeasureReport.improvementNotation": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0-snapshot3",
          "strength": "required"
        }
      },
      "MeasureReport.group.measureScore[x]": {
        "status": "new"
      },
      "MeasureReport.group.stratifier.code": {
        "old-max": "*",
        "new-max": "1"
      },
      "MeasureReport.group.stratifier.stratum.value[x]": {
        "status": "new"
      },
      "MeasureReport.group.stratifier.stratum.component.value[x]": {
        "status": "new"
      },
      "MeasureReport.group.stratifier.stratum.measureScore[x]": {
        "status": "new"
      },
      "MeasureReport.group.measureScore": {
        "status": "deleted"
      },
      "MeasureReport.group.stratifier.stratum.value": {
        "status": "deleted"
      },
      "MeasureReport.group.stratifier.stratum.component.value": {
        "status": "deleted"
      },
      "MeasureReport.group.stratifier.stratum.measureScore": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}