{
  "types": [
    "MedicationDispense"
  ],
  "MedicationDispense": {
    "elements": {
      "MedicationDispense.basedOn": {
        "status": "new"
      },
      "MedicationDispense.partOf": {
        "removed-types": [
          "Reference(Procedure)"
        ],
        "added-types": [
          "Reference(Procedure | MedicationAdministration)"
        ]
      },
      "MedicationDispense.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/medicationdispense-status|5.0.0-snapshot3",
          "strength": "required"
        }
      },
      "MedicationDispense.notPerformedReason": {
        "status": "new"
      },
      "MedicationDispense.statusChanged": {
        "status": "new"
      },
      "MedicationDispense.category": {
        "old-max": "1",
        "new-max": "*"
      },
      "MedicationDispense.medication": {
        "status": "new"
      },
      "MedicationDispense.subject": {
        "old-min": 0,
        "new-min": 1
      },
      "MedicationDispense.encounter": {
        "status": "new"
      },
      "MedicationDispense.performer.actor": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)"
        ]
      },
      "MedicationDispense.recorded": {
        "status": "new"
      },
      "MedicationDispense.receiver": {
        "removed-types": [
          "Reference(Patient | Practitioner)"
        ],
        "added-types": [
          "Reference(Patient | Practitioner | RelatedPerson | Location | PractitionerRole)"
        ]
      },
      "MedicationDispense.renderedDosageInstruction": {
        "status": "new"
      },
      "MedicationDispense.substitution.responsibleParty": {
        "old-max": "*",
        "new-max": "1",
        "removed-types": [
          "Reference(Practitioner | PractitionerRole)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization)"
        ]
      },
      "MedicationDispense.statusReason[x]": {
        "status": "deleted"
      },
      "MedicationDispense.medication[x]": {
        "status": "deleted"
      },
      "MedicationDispense.context": {
        "status": "deleted"
      },
      "MedicationDispense.detectedIssue": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}