{
  "types": [
    "MessageDefinition"
  ],
  "MessageDefinition": {
    "elements": {
      "MessageDefinition.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        }
      },
      "MessageDefinition.category": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/message-significance-category|4.3.0",
          "strength": "required"
        }
      },
      "MessageDefinition.focus.code": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.3.0",
          "strength": "required"
        }
      },
      "MessageDefinition.responseRequired": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.3.0",
          "strength": "required"
        }
      }
    },
    "status": "changed"
  }
}