{
  "types": [
    "OperationOutcome"
  ],
  "OperationOutcome": {
    "elements": {
      "OperationOutcome.issue.severity": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-severity",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-severity|4.0.1",
          "strength": "required"
        },
        "modifier": "removed"
      },
      "OperationOutcome.issue.code": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-type",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/issue-type|4.0.1",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  }
}