{
  "types": [
    "ClinicalUseDefinition"
  ],
  "ClinicalUseDefinition": {
    "elements": {
      "ClinicalUseDefinition.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/clinical-use-definition-type|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/clinical-use-definition-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ClinicalUseDefinition.subject": {
        "old-min": 0,
        "new-min": 1,
        "removed-types": [
          "Reference(MedicinalProductDefinition | Medication | ActivityDefinition | PlanDefinition | Device | DeviceDefinition | Substance)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "ClinicalUseDefinition.status": {
        "modifier": "added"
      },
      "ClinicalUseDefinition.undesirableEffect.management": {
        "status": "new"
      },
      "ClinicalUseDefinition.indication.intendedEffect": {
        "old-max": "1",
        "new-max": "*"
      },
      "ClinicalUseDefinition.indication.undesirableEffect": {
        "removed-types": [
          "Reference(ClinicalUseDefinition)"
        ]
      },
      "ClinicalUseDefinition.indication.applicability": {
        "status": "new"
      },
      "ClinicalUseDefinition.indication.otherTherapy.relationshipType": {
        "status": "new"
      },
      "ClinicalUseDefinition.indication.otherTherapy.treatment": {
        "status": "new"
      },
      "ClinicalUseDefinition.contraindication.indication": {
        "removed-types": [
          "Reference(ClinicalUseDefinition)"
        ]
      },
      "ClinicalUseDefinition.contraindication.applicability": {
        "status": "new"
      },
      "ClinicalUseDefinition.contraindication.management": {
        "status": "new"
      },
      "ClinicalUseDefinition.contraindication.otherTherapy": {
        "removed-types": [
          "BackboneElement"
        ]
      },
      "ClinicalUseDefinition.interaction.interactant.route": {
        "status": "new"
      },
      "ClinicalUseDefinition.interaction.severity": {
        "status": "new"
      },
      "ClinicalUseDefinition.library": {
        "status": "new"
      },
      "ClinicalUseDefinition.contraindication.otherTherapy.relationshipType": {
        "status": "deleted"
      },
      "ClinicalUseDefinition.contraindication.otherTherapy.therapy": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}