{
  "types": [
    "Procedure"
  ],
  "Procedure": {
    "elements": {
      "Procedure.definition": {
        "status": "new"
      },
      "Procedure.basedOn": {
        "old-name": "request",
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Reference(DiagnosticOrder)"
        ]
      },
      "Procedure.partOf": {
        "status": "new"
      },
      "Procedure.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/procedure-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/event-status",
          "strength": "required"
        }
      },
      "Procedure.notDone": {
        "old-name": "notPerformed"
      },
      "Procedure.notDoneReason": {
        "old-name": "reasonNotPerformed",
        "old-max": "*",
        "new-max": "1"
      },
      "Procedure.code": {
        "old-min": 1,
        "new-min": 0
      },
      "Procedure.context": {
        "old-name": "encounter",
        "added-types": [
          "Reference(EpisodeOfCare)"
        ]
      },
      "Procedure.performer.actor": {
        "old-min": 0,
        "new-min": 1,
        "added-types": [
          "Reference(Device)"
        ]
      },
      "Procedure.performer.onBehalfOf": {
        "status": "new"
      },
      "Procedure.reasonCode": {
        "status": "new"
      },
      "Procedure.reasonReference": {
        "status": "new"
      },
      "Procedure.complicationDetail": {
        "status": "new"
      },
      "Procedure.note": {
        "old-name": "notes"
      },
      "Procedure.focalDevice.action": {
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/device-action",
          "strength": "required"
        }
      },
      "Procedure.usedReference": {
        "old-name": "used"
      },
      "Procedure.usedCode": {
        "status": "new"
      },
      "Procedure.reason[x]": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}