{
  "types": [
    "EpisodeOfCare"
  ],
  "EpisodeOfCare": {
    "elements": {
      "EpisodeOfCare.referralRequest": {
        "removed-types": [
          "Reference(ReferralRequest)"
        ],
        "added-types": [
          "Reference(ServiceRequest)"
        ]
      }
    },
    "status": "changed"
  }
}