{
  "types": [
    "CodeSystem"
  ],
  "CodeSystem": {
    "elements": {
      "CodeSystem.versionAlgorithm[x]": {
        "status": "new"
      },
      "CodeSystem.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"
        }
      },
      "CodeSystem.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"
        }
      },
      "CodeSystem.copyrightLabel": {
        "status": "new"
      },
      "CodeSystem.approvalDate": {
        "status": "new"
      },
      "CodeSystem.lastReviewDate": {
        "status": "new"
      },
      "CodeSystem.effectivePeriod": {
        "status": "new"
      },
      "CodeSystem.topic": {
        "status": "new"
      },
      "CodeSystem.author": {
        "status": "new"
      },
      "CodeSystem.editor": {
        "status": "new"
      },
      "CodeSystem.reviewer": {
        "status": "new"
      },
      "CodeSystem.endorser": {
        "status": "new"
      },
      "CodeSystem.relatedArtifact": {
        "status": "new"
      },
      "CodeSystem.hierarchyMeaning": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CodeSystem.content": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/codesystem-content-mode|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CodeSystem.filter.operator": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "added-codes": [
          "child-of",
          "descendent-leaf"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/filter-operator|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/filter-operator|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CodeSystem.property.type": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/concept-property-type|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CodeSystem.concept.designation.language": {
        "binding-strength-changed": true,
        "binding-valueset-changed": true,
        "max-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/languages",
          "strength": "preferred",
          "max": "http://hl7.org/fhir/ValueSet/all-languages"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "CodeSystem.concept.designation.additionalUse": {
        "status": "new"
      }
    },
    "status": "changed"
  }
}