{
  "types": [
    "ChargeItem"
  ],
  "ChargeItem": {
    "elements": {
      "ChargeItem.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/chargeitem-status|5.0.0",
          "strength": "required"
        }
      },
      "ChargeItem.encounter": {
        "status": "new"
      },
      "ChargeItem.performer.actor": {
        "removed-types": [
          "Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)"
        ],
        "added-types": [
          "Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam | Patient | Device | RelatedPerson)"
        ]
      },
      "ChargeItem.unitPriceComponent": {
        "status": "new"
      },
      "ChargeItem.totalPriceComponent": {
        "status": "new"
      },
      "ChargeItem.overrideReason": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "CodeableConcept"
        ]
      },
      "ChargeItem.service": {
        "removed-types": [
          "Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "ChargeItem.product": {
        "old-name": "product[x]",
        "old-max": "1",
        "new-max": "*",
        "removed-types": [
          "Reference(Device | Medication | Substance)",
          "CodeableConcept"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "ChargeItem.context": {
        "status": "deleted"
      },
      "ChargeItem.factorOverride": {
        "status": "deleted"
      },
      "ChargeItem.priceOverride": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}