{
  "types": [
    "MedicationRequest"
  ],
  "MedicationRequest": {
    "elements": {
      "MedicationRequest.basedOn": {
        "removed-types": [
          "Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)"
        ],
        "added-types": [
          "Reference(CarePlan | MedicationRequest | ServiceRequest | RequestOrchestration)"
        ]
      },
      "MedicationRequest.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "cancelled",
          "completed",
          "stopped"
        ],
        "added-codes": [
          "ended"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MedicationRequest.statusChanged": {
        "status": "new"
      },
      "MedicationRequest.intent": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "original-order",
          "reflex-order",
          "filler-order",
          "instance-order"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-intent|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MedicationRequest.priority": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MedicationRequest.medication": {
        "old-name": "medication[x]",
        "removed-types": [
          "CodeableConcept",
          "Reference(Medication)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "MedicationRequest.informationSource": {
        "status": "new"
      },
      "MedicationRequest.isRecordOfRequest": {
        "old-name": "reported[x]",
        "removed-types": [
          "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)"
        ]
      },
      "MedicationRequest.performerType": {
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medication-intended-performer-role",
          "strength": "extensible"
        }
      },
      "MedicationRequest.performer": {
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService | Group)"
        ]
      },
      "MedicationRequest.device": {
        "status": "new"
      },
      "MedicationRequest.reason": {
        "status": "new"
      },
      "MedicationRequest.courseOfTherapyType": {
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy",
          "strength": "extensible"
        }
      },
      "MedicationRequest.effectiveTiming[x]": {
        "status": "new"
      },
      "MedicationRequest.dosageInstruction": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "Dosage"
        ],
        "added-types": [
          "DosageDetails"
        ]
      },
      "MedicationRequest.dispenseRequest.dispenser": {
        "old-name": "performer"
      },
      "MedicationRequest.dispenseRequest.dispenserInstruction": {
        "status": "new"
      },
      "MedicationRequest.dispenseRequest.doseAdministrationAid": {
        "status": "new"
      },
      "MedicationRequest.dispenseRequest.destination": {
        "status": "new"
      },
      "MedicationRequest.reasonCode": {
        "status": "deleted"
      },
      "MedicationRequest.reasonReference": {
        "status": "deleted"
      },
      "MedicationRequest.instantiatesCanonical": {
        "status": "deleted"
      },
      "MedicationRequest.instantiatesUri": {
        "status": "deleted"
      },
      "MedicationRequest.detectedIssue": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}