{
  "types": [
    "Appointment"
  ],
  "Appointment": {
    "elements": {
      "Appointment.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/appointmentstatus",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1",
          "strength": "required"
        }
      },
      "Appointment.cancelationReason": {
        "status": "new"
      },
      "Appointment.serviceCategory": {
        "old-max": "1",
        "new-max": "*"
      },
      "Appointment.reasonCode": {
        "status": "new"
      },
      "Appointment.reasonReference": {
        "status": "new"
      },
      "Appointment.patientInstruction": {
        "status": "new"
      },
      "Appointment.basedOn": {
        "status": "new"
      },
      "Appointment.participant.actor": {
        "removed-types": [
          "Reference(Patient | Practitioner | RelatedPerson | Device | HealthcareService | Location)"
        ],
        "added-types": [
          "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"
        ]
      },
      "Appointment.participant.required": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participantrequired",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participantrequired|4.0.1",
          "strength": "required"
        }
      },
      "Appointment.participant.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participationstatus",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participationstatus|4.0.1",
          "strength": "required"
        }
      },
      "Appointment.participant.period": {
        "status": "new"
      },
      "Appointment.reason": {
        "status": "deleted"
      },
      "Appointment.indication": {
        "status": "deleted"
      },
      "Appointment.incomingReferral": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}