{
  "types": [
    "VisionPrescription"
  ],
  "VisionPrescription": {
    "elements": {
      "VisionPrescription.status": {
        "old-min": 0,
        "new-min": 1,
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/fm-status|4.0.1",
          "strength": "required"
        }
      },
      "VisionPrescription.created": {
        "status": "new"
      },
      "VisionPrescription.patient": {
        "old-min": 0,
        "new-min": 1
      },
      "VisionPrescription.dateWritten": {
        "old-min": 0,
        "new-min": 1
      },
      "VisionPrescription.prescriber": {
        "old-min": 0,
        "new-min": 1,
        "removed-types": [
          "Reference(Practitioner)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole)"
        ]
      },
      "VisionPrescription.lensSpecification": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.product": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.eye": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.sphere": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.cylinder": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.axis": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.prism": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.prism.amount": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.prism.base": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.add": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.power": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.backCurve": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.diameter": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.duration": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.color": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.brand": {
        "status": "new"
      },
      "VisionPrescription.lensSpecification.note": {
        "status": "new"
      },
      "VisionPrescription.reason[x]": {
        "status": "deleted"
      },
      "VisionPrescription.dispense": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}