{
  "types": [
    "Medication"
  ],
  "Medication": {
    "elements": {
      "Medication.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medication-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medication-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Medication.marketingAuthorizationHolder": {
        "old-name": "manufacturer"
      },
      "Medication.doseForm": {
        "old-name": "form"
      },
      "Medication.packageSize": {
        "status": "new"
      },
      "Medication.packageSize.numberOfItems": {
        "status": "new"
      },
      "Medication.packageSize.amountPerItem": {
        "status": "new"
      },
      "Medication.ingredient.item": {
        "old-name": "item[x]",
        "removed-types": [
          "CodeableConcept",
          "Reference(Substance | Medication)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Medication.ingredient.role": {
        "status": "new"
      },
      "Medication.ingredient.strength[x]": {
        "old-name": "strength",
        "added-types": [
          "CodeableConcept",
          "Quantity"
        ]
      },
      "Medication.instance": {
        "old-name": "batch"
      },
      "Medication.instance.identifier": {
        "status": "new"
      },
      "Medication.definition": {
        "status": "new"
      },
      "Medication.amount": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}