{
  "types": [
    "Immunization"
  ],
  "Immunization": {
    "elements": {
      "Immunization.basedOn": {
        "status": "new"
      },
      "Immunization.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Immunization.administeredProduct": {
        "status": "new"
      },
      "Immunization.manufacturer": {
        "removed-types": [
          "Reference(Organization)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Immunization.supportingInformation": {
        "status": "new"
      },
      "Immunization.informationSource": {
        "status": "new"
      },
      "Immunization.performer.function": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-function",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/immunization-function",
          "strength": "extensible"
        }
      },
      "Immunization.performer.actor": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)"
        ]
      },
      "Immunization.reason": {
        "status": "new"
      },
      "Immunization.programEligibility": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "Immunization.programEligibility.program": {
        "status": "new"
      },
      "Immunization.programEligibility.programStatus": {
        "status": "new"
      },
      "Immunization.reaction.manifestation": {
        "old-name": "detail",
        "removed-types": [
          "Reference(Observation)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Immunization.protocolApplied.doseNumber": {
        "old-name": "doseNumber[x]",
        "old-min": 1,
        "new-min": 0,
        "removed-types": [
          "positiveInt",
          "string"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "Immunization.protocolApplied.seriesDoses": {
        "old-name": "seriesDoses[x]",
        "removed-types": [
          "positiveInt",
          "string"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "Immunization.recorded": {
        "status": "deleted"
      },
      "Immunization.reportOrigin": {
        "status": "deleted"
      },
      "Immunization.reasonCode": {
        "status": "deleted"
      },
      "Immunization.reasonReference": {
        "status": "deleted"
      },
      "Immunization.education": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}