{
  "types": [
    "AppointmentResponse"
  ],
  "AppointmentResponse": {
    "elements": {
      "AppointmentResponse.proposedNewTime": {
        "status": "new"
      },
      "AppointmentResponse.actor": {
        "removed-types": [
          "Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"
        ],
        "added-types": [
          "Reference(Patient | Group | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)"
        ]
      },
      "AppointmentResponse.participantStatus": {
        "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/appointmentresponse-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "AppointmentResponse.comment": {
        "removed-types": [
          "string"
        ],
        "added-types": [
          "markdown"
        ]
      },
      "AppointmentResponse.recurring": {
        "status": "new"
      },
      "AppointmentResponse.occurrenceDate": {
        "status": "new"
      },
      "AppointmentResponse.recurrenceId": {
        "status": "new"
      }
    },
    "status": "changed"
  }
}