{
  "types": [
    "MedicinalProductDefinition"
  ],
  "MedicinalProductDefinition": {
    "old-name": "MedicinalProduct",
    "elements": {
      "MedicinalProductDefinition.domain": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "MedicinalProductDefinition.version": {
        "status": "new"
      },
      "MedicinalProductDefinition.status": {
        "status": "new"
      },
      "MedicinalProductDefinition.statusDate": {
        "status": "new"
      },
      "MedicinalProductDefinition.description": {
        "status": "new"
      },
      "MedicinalProductDefinition.route": {
        "status": "new"
      },
      "MedicinalProductDefinition.indication": {
        "status": "new"
      },
      "MedicinalProductDefinition.specialMeasures": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "MedicinalProductDefinition.pediatricUseIndicator": {
        "status": "new"
      },
      "MedicinalProductDefinition.classification": {
        "status": "new"
      },
      "MedicinalProductDefinition.packagedMedicinalProduct": {
        "removed-types": [
          "Reference(MedicinalProductPackaged)"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "MedicinalProductDefinition.ingredient": {
        "status": "new"
      },
      "MedicinalProductDefinition.impurity": {
        "status": "new"
      },
      "MedicinalProductDefinition.contact": {
        "removed-types": [
          "Reference(Organization | PractitionerRole)"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "MedicinalProductDefinition.contact.type": {
        "status": "new"
      },
      "MedicinalProductDefinition.contact.contact": {
        "status": "new"
      },
      "MedicinalProductDefinition.code": {
        "status": "new"
      },
      "MedicinalProductDefinition.name.type": {
        "status": "new"
      },
      "MedicinalProductDefinition.name.namePart.type": {
        "removed-types": [
          "Coding"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "MedicinalProductDefinition.name.countryLanguage.language": {
        "binding-status": "added",
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        }
      },
      "MedicinalProductDefinition.crossReference": {
        "removed-types": [
          "Identifier"
        ],
        "added-types": [
          "BackboneElement"
        ]
      },
      "MedicinalProductDefinition.crossReference.product": {
        "status": "new"
      },
      "MedicinalProductDefinition.crossReference.type": {
        "status": "new"
      },
      "MedicinalProductDefinition.operation": {
        "status": "new"
      },
      "MedicinalProductDefinition.operation.type": {
        "status": "new"
      },
      "MedicinalProductDefinition.operation.effectiveDate": {
        "status": "new"
      },
      "MedicinalProductDefinition.operation.organization": {
        "status": "new"
      },
      "MedicinalProductDefinition.operation.confidentialityIndicator": {
        "status": "new"
      },
      "MedicinalProductDefinition.characteristic": {
        "status": "new"
      },
      "MedicinalProductDefinition.characteristic.type": {
        "status": "new"
      },
      "MedicinalProductDefinition.characteristic.value[x]": {
        "status": "new"
      },
      "MedicinalProduct.paediatricUseIndicator": {
        "status": "deleted"
      },
      "MedicinalProduct.productClassification": {
        "status": "deleted"
      },
      "MedicinalProduct.pharmaceuticalProduct": {
        "status": "deleted"
      },
      "MedicinalProduct.manufacturingBusinessOperation": {
        "status": "deleted"
      },
      "MedicinalProduct.specialDesignation": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}