{
  "types": [
    "MessageDefinition"
  ],
  "MessageDefinition": {
    "elements": {
      "MessageDefinition.versionAlgorithm[x]": {
        "status": "new"
      },
      "MessageDefinition.status": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/publication-status|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MessageDefinition.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"
        }
      },
      "MessageDefinition.copyrightLabel": {
        "status": "new"
      },
      "MessageDefinition.category": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/message-significance-category|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/message-significance-category|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MessageDefinition.focus.code": {
        "binding-valueset-changed": true,
        "binding-codes-changed": true,
        "removed-codes": [
          "Resource",
          "DomainResource",
          "CatalogEntry",
          "ChargeItem",
          "ChargeItemDefinition",
          "Citation",
          "ClinicalImpression",
          "DeviceUseStatement",
          "DocumentManifest",
          "EvidenceReport",
          "GraphDefinition",
          "ImmunizationEvaluation",
          "ImmunizationRecommendation",
          "Linkage",
          "Media",
          "MedicationKnowledge",
          "MolecularSequence",
          "RequestGroup",
          "ResearchDefinition",
          "ResearchElementDefinition",
          "SupplyDelivery",
          "SupplyRequest",
          "TestReport",
          "TestScript",
          "VerificationResult"
        ],
        "added-codes": [
          "ActorDefinition",
          "ArtifactAssessment",
          "DeviceAlert",
          "DeviceAssociation",
          "ImagingSelection",
          "InsuranceProduct",
          "NutritionIntake",
          "RequestOrchestration",
          "Requirements"
        ],
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/resource-types|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MessageDefinition.responseRequired": {
        "binding-valueset-changed": true,
        "binding-status": "changed",
        "old-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.3.0",
          "strength": "required"
        },
        "new-binding": {
          "reference": "http://hl7.org/fhir/ValueSet/messageheader-response-request|6.0.0-ballot4",
          "strength": "required"
        }
      },
      "MessageDefinition.graph": {
        "status": "deleted"
      }
    },
    "status": "changed"
  }
}