{
  "types": [
    "SpecimenDefinition"
  ],
  "SpecimenDefinition": {
    "elements": {
      "SpecimenDefinition.url": {
        "status": "new"
      },
      "SpecimenDefinition.identifier": {
        "old-max": "1",
        "new-max": "*"
      },
      "SpecimenDefinition.version": {
        "status": "new"
      },
      "SpecimenDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "SpecimenDefinition.name": {
        "status": "new"
      },
      "SpecimenDefinition.title": {
        "status": "new"
      },
      "SpecimenDefinition.derivedFromCanonical": {
        "status": "new"
      },
      "SpecimenDefinition.derivedFromUri": {
        "status": "new"
      },
      "SpecimenDefinition.status": {
        "status": "new"
      },
      "SpecimenDefinition.experimental": {
        "status": "new"
      },
      "SpecimenDefinition.subject[x]": {
        "status": "new"
      },
      "SpecimenDefinition.date": {
        "status": "new"
      },
      "SpecimenDefinition.publisher": {
        "status": "new"
      },
      "SpecimenDefinition.contact": {
        "status": "new"
      },
      "SpecimenDefinition.description": {
        "status": "new"
      },
      "SpecimenDefinition.useContext": {
        "status": "new"
      },
      "SpecimenDefinition.jurisdiction": {
        "status": "new"
      },
      "SpecimenDefinition.purpose": {
        "status": "new"
      },
      "SpecimenDefinition.copyright": {
        "status": "new"
      },
      "SpecimenDefinition.copyrightLabel": {
        "status": "new"
      },
      "SpecimenDefinition.approvalDate": {
        "status": "new"
      },
      "SpecimenDefinition.lastReviewDate": {
        "status": "new"
      },
      "SpecimenDefinition.effectivePeriod": {
        "status": "new"
      },
      "SpecimenDefinition.typeTested.preference": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/specimen-contained-preference|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "SpecimenDefinition.typeTested.container.description": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "SpecimenDefinition.typeTested.container.preparation": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "SpecimenDefinition.typeTested.requirement": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "SpecimenDefinition.typeTested.singleUse": {
        "status": "new"
      },
      "SpecimenDefinition.typeTested.handling.instruction": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "SpecimenDefinition.typeTested.testingDestination": {
        "status": "new"
      }
    },
    "status": "changed"
  }
}