{
  "types": [
    "ImagingStudy"
  ],
  "ImagingStudy": {
    "elements": {
      "ImagingStudy.status": {
        "status": "new"
      },
      "ImagingStudy.modality": {
        "status": "new"
      },
      "ImagingStudy.subject": {
        "status": "new"
      },
      "ImagingStudy.basedOn": {
        "removed-types": [
          "Reference(ReferralRequest|CarePlan|ProcedureRequest)"
        ],
        "added-types": [
          "Reference(CarePlan|ServiceRequest|Appointment|AppointmentResponse|Task)"
        ]
      },
      "ImagingStudy.procedureReference": {
        "old-max": "*",
        "new-max": "1"
      },
      "ImagingStudy.procedureCode": {
        "binding-status": "added",
        "new-binding": {
          "reference": "http://www.rsna.org/RadLex_Playbook.aspx",
          "strength": "extensible"
        }
      },
      "ImagingStudy.location": {
        "status": "new"
      },
      "ImagingStudy.reasonCode": {
        "status": "new"
      },
      "ImagingStudy.reasonReference": {
        "status": "new"
      },
      "ImagingStudy.note": {
        "status": "new"
      },
      "ImagingStudy.series.identifier": {
        "status": "new"
      },
      "ImagingStudy.series.modality": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/dicom-cid29",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html",
          "strength": "extensible"
        }
      },
      "ImagingStudy.series.specimen": {
        "status": "new"
      },
      "ImagingStudy.series.performer": {
        "removed-types": [
          "Reference(Practitioner)"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "ImagingStudy.series.performer.function": {
        "status": "new"
      },
      "ImagingStudy.series.performer.actor": {
        "status": "new"
      },
      "ImagingStudy.series.instance.identifier": {
        "status": "new"
      },
      "ImagingStudy.series.instance.sopClass": {
        "removed-types": [
          "oid"
        ],
        "added-types": [
          "Coding"
        ],
        "binding-status": "added",
        "new-binding": {
          "reference": "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1",
          "strength": "extensible"
        }
      },
      "ImagingStudy.uid": {
        "status": "deleted"
      },
      "ImagingStudy.accession": {
        "status": "deleted"
      },
      "ImagingStudy.availability": {
        "status": "deleted"
      },
      "ImagingStudy.modalityList": {
        "status": "deleted"
      },
      "ImagingStudy.patient": {
        "status": "deleted"
      },
      "ImagingStudy.reason": {
        "status": "deleted"
      },
      "ImagingStudy.series.uid": {
        "status": "deleted"
      },
      "ImagingStudy.series.availability": {
        "status": "deleted"
      },
      "ImagingStudy.series.instance.uid": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}