{
  "types": [
    "CommunicationRequest"
  ],
  "CommunicationRequest": {
    "elements": {
      "CommunicationRequest.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-status|4.0.1",
          "strength": "required"
        }
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      "CommunicationRequest.statusReason": {
        "status": "new"
      },
      "CommunicationRequest.priority": {
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        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1",
          "strength": "required"
        }
      },
      "CommunicationRequest.doNotPerform": {
        "status": "new"
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      "CommunicationRequest.about": {
        "status": "new"
      },
      "CommunicationRequest.encounter": {
        "status": "new"
      },
      "CommunicationRequest.requester": {
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)"
        ]
      },
      "CommunicationRequest.recipient": {
        "removed-types": [
          "Reference(Device | Organization | Patient | Practitioner | RelatedPerson | Group | CareTeam)"
        ],
        "added-types": [
          "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)"
        ]
      },
      "CommunicationRequest.sender": {
        "removed-types": [
          "Reference(Device | Organization | Patient | Practitioner | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)"
        ]
      },
      "CommunicationRequest.reasonReference": {
        "removed-types": [
          "Reference(Condition | Observation)"
        ],
        "added-types": [
          "Reference(Condition | Observation | DiagnosticReport | DocumentReference)"
        ]
      },
      "CommunicationRequest.topic": {
        "status": "deleted"
      },
      "CommunicationRequest.context": {
        "status": "deleted"
      },
      "CommunicationRequest.requester.agent": {
        "status": "deleted"
      },
      "CommunicationRequest.requester.onBehalfOf": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}