{
  "types": [
    "Appointment"
  ],
  "Appointment": {
    "elements": {
      "Appointment.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/appointmentstatus|4.3.0",
          "strength": "required"
        }
      },
      "Appointment.participant.required": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participantrequired|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participantrequired|4.3.0",
          "strength": "required"
        }
      },
      "Appointment.participant.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participationstatus|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participationstatus|4.3.0",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  }
}