{
  "types": [
    "ClinicalImpression"
  ],
  "ClinicalImpression": {
    "elements": {
      "ClinicalImpression.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/event-status|6.0.0-ballot1",
          "strength": "required"
        }
      },
      "ClinicalImpression.performer": {
        "old-name": "assessor"
      },
      "ClinicalImpression.changePattern": {
        "status": "new"
      },
      "ClinicalImpression.summary": {
        "removed-types": [
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        ],
        "added-types": [
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        ]
      },
      "ClinicalImpression.finding.item": {
        "status": "new"
      },
      "ClinicalImpression.code": {
        "status": "deleted"
      },
      "ClinicalImpression.investigation": {
        "status": "deleted"
      },
      "ClinicalImpression.finding.itemCodeableConcept": {
        "status": "deleted"
      },
      "ClinicalImpression.finding.itemReference": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}