{
  "types": [
    "Composition"
  ],
  "Composition": {
    "elements": {
      "Composition.url": {
        "status": "new"
      },
      "Composition.identifier": {
        "old-max": "1",
        "new-max": "*"
      },
      "Composition.version": {
        "status": "new"
      },
      "Composition.consent": {
        "status": "new"
      },
      "Composition.basedOn": {
        "status": "new"
      },
      "Composition.status": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "preliminary"
        ],
        "added-codes": [
          "registered",
          "partial",
          "cancelled",
          "deprecated",
          "unknown"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Composition.subject": {
        "old-max": "1",
        "new-max": "*"
      },
      "Composition.useContext": {
        "status": "new"
      },
      "Composition.author": {
        "old-min": 1,
        "new-min": 0,
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"
        ]
      },
      "Composition.participant": {
        "status": "new"
      },
      "Composition.participant.type": {
        "status": "new"
      },
      "Composition.participant.function": {
        "status": "new"
      },
      "Composition.participant.time": {
        "status": "new"
      },
      "Composition.participant.party": {
        "status": "new"
      },
      "Composition.name": {
        "status": "new"
      },
      "Composition.title": {
        "old-min": 1,
        "new-min": 0
      },
      "Composition.note": {
        "status": "new"
      },
      "Composition.attester.mode": {
        "removed-types": [
          "code"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0",
          "strength": "required"
        }
      },
      "Composition.attester.party": {
        "removed-types": [
          "Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)"
        ],
        "added-types": [
          "Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization | Group)"
        ]
      },
      "Composition.custodian": {
        "removed-types": [
          "Reference(Organization)"
        ],
        "added-types": [
          "Reference(Organization | Patient | Group)"
        ]
      },
      "Composition.relatesTo.type": {
        "status": "new"
      },
      "Composition.relatesTo.target[x]": {
        "removed-types": [
          "Identifier"
        ],
        "added-types": [
          "uri",
          "Attachment",
          "canonical(Resource)",
          "markdown"
        ]
      },
      "Composition.event.detail": {
        "removed-types": [
          "Reference(Resource)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "Composition.section.author": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | CareTeam | Device | Patient | RelatedPerson | Organization)"
        ]
      },
      "Composition.section.note": {
        "status": "new"
      },
      "Composition.confidentiality": {
        "status": "deleted"
      },
      "Composition.relatesTo.code": {
        "status": "deleted"
      },
      "Composition.event.code": {
        "status": "deleted"
      },
      "Composition.section.mode": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}