{
  "types": [
    "DiagnosticReport"
  ],
  "DiagnosticReport": {
    "elements": {
      "DiagnosticReport.basedOn": {
        "old-name": "request",
        "removed-types": [
          "Reference(DiagnosticOrder)"
        ],
        "added-types": [
          "Reference(CarePlan)",
          "Reference(ImmunizationRecommendation)",
          "Reference(MedicationRequest)",
          "Reference(NutritionOrder)"
        ]
      },
      "DiagnosticReport.subject": {
        "old-min": 1,
        "new-min": 0
      },
      "DiagnosticReport.context": {
        "old-name": "encounter",
        "added-types": [
          "Reference(EpisodeOfCare)"
        ]
      },
      "DiagnosticReport.effective[x]": {
        "old-min": 1,
        "new-min": 0
      },
      "DiagnosticReport.issued": {
        "old-min": 1,
        "new-min": 0
      },
      "DiagnosticReport.performer": {
        "old-min": 1,
        "new-min": 0,
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Reference(Practitioner)",
          "Reference(Organization)"
        ]
      },
      "DiagnosticReport.performer.role": {
        "status": "new"
      },
      "DiagnosticReport.performer.actor": {
        "status": "new"
      },
      "DiagnosticReport.imagingStudy": {
        "removed-types": [
          "Reference(ImagingObjectSelection)"
        ],
        "added-types": [
          "Reference(ImagingManifest)"
        ]
      }
    },
    "status": "changed"
  }
}