{
  "types": [
    "Goal"
  ],
  "Goal": {
    "elements": {
      "Goal.subject": {
        "old-min": 0,
        "new-min": 1
      },
      "Goal.addresses": {
        "removed-types": [
          "Reference(Condition|Observation|MedicationStatement|NutritionOrder|ProcedureRequest|RiskAssessment)"
        ],
        "added-types": [
          "Reference(Condition|Observation|MedicationStatement|NutritionOrder|ServiceRequest|RiskAssessment)"
        ]
      }
    },
    "status": "changed"
  }
}