{
  "types": [
    "Immunization"
  ],
  "Immunization": {
    "elements": {
      "Immunization.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-status",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-status|4.0.1",
          "strength": "required"
        }
      },
      "Immunization.statusReason": {
        "old-name": "notGiven",
        "old-min": 1,
        "new-min": 0,
        "removed-types": [
          "boolean"
        ],
        "added-types": [
          "CodeableConcept"
        ],
        "modifier": "removed"
      },
      "Immunization.occurrence[x]": {
        "old-name": "date",
        "old-min": 0,
        "new-min": 1,
        "added-types": [
          "string"
        ]
      },
      "Immunization.recorded": {
        "status": "new"
      },
      "Immunization.primarySource": {
        "old-min": 1,
        "new-min": 0
      },
      "Immunization.performer": {
        "old-name": "practitioner"
      },
      "Immunization.performer.function": {
        "old-name": "role",
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-role",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/immunization-function",
          "strength": "extensible"
        }
      },
      "Immunization.performer.actor": {
        "removed-types": [
          "Reference(Practitioner)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization)"
        ]
      },
      "Immunization.reasonCode": {
        "old-name": "reason"
      },
      "Immunization.reasonReference": {
        "status": "new"
      },
      "Immunization.isSubpotent": {
        "status": "new"
      },
      "Immunization.subpotentReason": {
        "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.protocolApplied": {
        "old-name": "vaccinationProtocol"
      },
      "Immunization.protocolApplied.targetDisease": {
        "old-min": 1,
        "new-min": 0
      },
      "Immunization.protocolApplied.doseNumber[x]": {
        "old-name": "doseSequence",
        "old-min": 0,
        "new-min": 1,
        "added-types": [
          "string"
        ]
      },
      "Immunization.protocolApplied.seriesDoses[x]": {
        "old-name": "seriesDoses",
        "added-types": [
          "string"
        ]
      },
      "Immunization.explanation": {
        "status": "deleted"
      },
      "Immunization.vaccinationProtocol.description": {
        "status": "deleted"
      },
      "Immunization.vaccinationProtocol.doseStatus": {
        "status": "deleted"
      },
      "Immunization.vaccinationProtocol.doseStatusReason": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}