{
  "types": [
    "Practitioner"
  ],
  "Practitioner": {
    "elements": {
      "Practitioner.active": {
        "modifier": "added"
      },
      "Practitioner.gender": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/administrative-gender|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "Practitioner.deceased[x]": {
        "status": "new"
      },
      "Practitioner.qualification.status": {
        "status": "new"
      },
      "Practitioner.communication": {
        "removed-types": [
          "CodeableConcept"
        ],
        "added-types": [
          "BackboneElement"
        ],
        "binding-status": "removed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      "Practitioner.communication.language": {
        "status": "new"
      },
      "Practitioner.communication.preferred": {
        "status": "new"
      }
    },
    "status": "changed"
  }
}