{
  "types": [
    "Immunization"
  ],
  "Immunization": {
    "elements": {
      "Immunization.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medication-admin-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-status",
          "strength": "required"
        }
      },
      "Immunization.primarySource": {
        "status": "new"
      },
      "Immunization.reportOrigin": {
        "status": "new"
      },
      "Immunization.practitioner": {
        "status": "new"
      },
      "Immunization.practitioner.role": {
        "status": "new"
      },
      "Immunization.practitioner.actor": {
        "status": "new"
      },
      "Immunization.reason": {
        "status": "new"
      },
      "Immunization.education": {
        "status": "new"
      },
      "Immunization.education.documentType": {
        "status": "new"
      },
      "Immunization.education.reference": {
        "status": "new"
      },
      "Immunization.education.publicationDate": {
        "status": "new"
      },
      "Immunization.education.presentationDate": {
        "status": "new"
      },
      "Immunization.programEligibility": {
        "status": "new"
      },
      "Immunization.fundingSource": {
        "status": "new"
      },
      "Immunization.wasNotGiven": {
        "status": "deleted"
      },
      "Immunization.reported": {
        "status": "deleted"
      },
      "Immunization.performer": {
        "status": "deleted"
      },
      "Immunization.requester": {
        "status": "deleted"
      },
      "Immunization.explanation": {
        "status": "deleted"
      },
      "Immunization.reaction": {
        "status": "deleted"
      },
      "Immunization.vaccinationProtocol": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}