{
  "types": [
    "DocumentManifest"
  ],
  "DocumentManifest": {
    "elements": {
      "DocumentManifest.agent": {
        "status": "new"
      },
      "DocumentManifest.agent.type": {
        "status": "new"
      },
      "DocumentManifest.agent.who": {
        "status": "new"
      },
      "DocumentManifest.recipient": {
        "removed-types": [
          "Reference(Patient|Practitioner|RelatedPerson|Organization)"
        ],
        "added-types": [
          "Reference(Patient|Practitioner|PractitionerRole|RelatedPerson|Organization)"
        ]
      },
      "DocumentManifest.content": {
        "removed-types": [
          "BackboneElement"
        ],
        "added-types": [
          "Reference(Resource)"
        ]
      },
      "DocumentManifest.author": {
        "status": "deleted"
      },
      "DocumentManifest.content.p[x]": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}