{
  "types": [
    "QuestionnaireResponse"
  ],
  "QuestionnaireResponse": {
    "elements": {
      "QuestionnaireResponse.basedOn": {
        "removed-types": [
          "Reference(ReferralRequest | CarePlan | ProcedureRequest)"
        ],
        "added-types": [
          "Reference(CarePlan | ServiceRequest)"
        ]
      },
      "QuestionnaireResponse.partOf": {
        "old-name": "parent"
      },
      "QuestionnaireResponse.questionnaire": {
        "removed-types": [
          "Reference(Questionnaire)"
        ],
        "added-types": [
          "canonical(Questionnaire)"
        ]
      },
      "QuestionnaireResponse.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.1",
          "strength": "required"
        }
      },
      "QuestionnaireResponse.encounter": {
        "status": "new"
      },
      "QuestionnaireResponse.author": {
        "removed-types": [
          "Reference(Device | Practitioner | Patient | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)"
        ]
      },
      "QuestionnaireResponse.source": {
        "removed-types": [
          "Reference(Patient | Practitioner | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)"
        ]
      },
      "QuestionnaireResponse.context": {
        "status": "deleted"
      },
      "QuestionnaireResponse.item.subject": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}