{
  "types": [
    "ImmunizationRecommendation"
  ],
  "ImmunizationRecommendation": {
    "elements": {
      "ImmunizationRecommendation.date": {
        "status": "new"
      },
      "ImmunizationRecommendation.authority": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.vaccineCode": {
        "old-max": "1",
        "new-max": "*"
      },
      "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.forecastStatus": {
        "modifier": "added"
      },
      "ImmunizationRecommendation.recommendation.forecastReason": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.description": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.series": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.doseNumber[x]": {
        "old-name": "doseNumber",
        "added-types": [
          "string"
        ]
      },
      "ImmunizationRecommendation.recommendation.seriesDoses[x]": {
        "status": "new"
      },
      "ImmunizationRecommendation.recommendation.supportingImmunization": {
        "removed-types": [
          "Reference(Immunization)"
        ],
        "added-types": [
          "Reference(Immunization|ImmunizationEvaluation)"
        ]
      },
      "ImmunizationRecommendation.recommendation.supportingPatientInformation": {
        "removed-types": [
          "Reference(Observation|AllergyIntolerance)"
        ],
        "added-types": [
          "Reference(Resource)"
        ]
      },
      "ImmunizationRecommendation.recommendation.date": {
        "status": "deleted"
      },
      "ImmunizationRecommendation.recommendation.protocol": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}