{
  "types": [
    "Patient"
  ],
  "Patient": {
    "elements": {
      "Patient.active": {
        "default": "removed",
        "old-default": "\"true\""
      },
      "Patient.gender": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
          "strength": "required"
        }
      },
      "Patient.contact.relationship": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/v2-0131",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
          "strength": "extensible"
        }
      },
      "Patient.contact.gender": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
          "strength": "required"
        }
      },
      "Patient.communication.language": {
        "binding-strength-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "extensible",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      "Patient.generalPractitioner": {
        "removed-types": [
          "Reference(Organization | Practitioner)"
        ],
        "added-types": [
          "Reference(Organization | Practitioner | PractitionerRole)"
        ]
      },
      "Patient.link.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/link-type",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/link-type|4.0.1",
          "strength": "required"
        }
      },
      "Patient.animal": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}