{
  "types": [
    "ActivityDefinition"
  ],
  "ActivityDefinition": {
    "elements": {
      "ActivityDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "ActivityDefinition.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|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ActivityDefinition.subject[x]": {
        "added-types": [
          "canonical(EvidenceVariable)"
        ],
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/subject-type",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/participant-resource-types",
          "strength": "extensible"
        }
      },
      "ActivityDefinition.jurisdiction": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/jurisdiction",
          "strength": "extensible"
        },
        "new-binding": {
          "reference": "http://terminology.hl7.org/ValueSet/jurisdiction",
          "strength": "extensible"
        }
      },
      "ActivityDefinition.usage": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "ActivityDefinition.copyrightLabel": {
        "status": "new"
      },
      "ActivityDefinition.kind": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "AppointmentResponse",
          "Contract",
          "ImmunizationRecommendation",
          "SupplyRequest"
        ],
        "added-codes": [
          "CoverageEligibilityRequest",
          "RequestOrchestration"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-resource-types|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ActivityDefinition.intent": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "original-order",
          "reflex-order",
          "filler-order",
          "instance-order"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-intent|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ActivityDefinition.priority": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/request-priority|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ActivityDefinition.timing[x]": {
        "removed-types": [
          "dateTime",
          "Period"
        ],
        "added-types": [
          "RelativeTime"
        ]
      },
      "ActivityDefinition.asNeeded[x]": {
        "status": "new"
      },
      "ActivityDefinition.location": {
        "removed-types": [
          "Reference(Location)"
        ],
        "added-types": [
          "CodeableReference"
        ]
      },
      "ActivityDefinition.participant.type": {
        "old-min": 1,
        "new-min": 0,
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "related-person"
        ],
        "added-codes": [
          "careteam",
          "group",
          "healthcareservice",
          "location",
          "organization",
          "practitionerrole",
          "relatedperson"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/action-participant-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "ActivityDefinition.participant.typeCanonical": {
        "status": "new"
      },
      "ActivityDefinition.participant.typeReference": {
        "status": "new"
      },
      "ActivityDefinition.participant.function": {
        "status": "new"
      },
      "ActivityDefinition.specimenRequirement": {
        "removed-types": [
          "Reference(SpecimenDefinition)"
        ],
        "added-types": [
          "canonical(SpecimenDefinition)"
        ]
      },
      "ActivityDefinition.observationRequirement": {
        "removed-types": [
          "Reference(ObservationDefinition)"
        ],
        "added-types": [
          "canonical(ObservationDefinition)"
        ]
      },
      "ActivityDefinition.observationResultRequirement": {
        "removed-types": [
          "Reference(ObservationDefinition)"
        ],
        "added-types": [
          "canonical(ObservationDefinition)"
        ]
      }
    },
    "status": "changed"
  }
}