<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="conformance-expectation"/>
  <meta>
    <lastUpdated value="2026-04-01T17:59:15.240+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b>Generated Narrative: CodeSystem conformance-expectation</b>
      </p>
      <a name="conformance-expectation"> </a>
      <a name="hcconformance-expectation"> </a>
      <p>This case-sensitive code system 
        <code>http://hl7.org/fhir/conformance-expectation</code> defines the following codes:
      </p>
      <table class="codes">
        <tr>
          <td style="white-space:nowrap">
            <b>Code</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
        </tr>
        <tr>
          <td style="white-space:nowrap">SHALL
            <a name="conformance-expectation-SHALL"> </a>
          </td>
          <td>Support for the specified capability is required to be considered conformant.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">SHOULD
            <a name="conformance-expectation-SHOULD"> </a>
          </td>
          <td>Support for the specified capability/requirement is strongly encouraged, and failure to support it should only occur after careful consideration.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">MAY
            <a name="conformance-expectation-MAY"> </a>
          </td>
          <td>Support for the specified capability/requirement is not necessary to be considered conformant, and the requirement should be considered strictly optional.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">SHOULD-NOT
            <a name="conformance-expectation-SHOULD-NOT"> </a>
          </td>
          <td>Support for the specified capability/requirement is strongly discouraged and should occur only after careful consideration.</td>
        </tr>
        <tr>
          <td style="white-space:nowrap">SHALL-NOT
            <a name="conformance-expectation-SHALL-NOT"> </a>
          </td>
          <td>Support for the specified capability/requirement is prohibited and should not occur only in any circumstance.</td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://hl7.org/fhir/conformance-expectation"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.1271"/>
  </identifier>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.1.839"/>
  </identifier>
  <identifier>
    <use value="old"/>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.2.381"/>
  </identifier>
  <version value="6.0.0-ballot4"/>
  <name value="ConformanceExpectation"/>
  <title value="Conformance Expectation"/>
  <status value="active"/>
  <experimental value="false"/>
  <publisher value="HL7 International / FHIR Infrastructure"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description value="ConformanceExpectation"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <valueSet value="http://hl7.org/fhir/ValueSet/conformance-expectation"/>
  <content value="complete"/>
  <concept>
    <code value="SHALL"/>
    <display value="SHALL"/>
    <definition value="Support for the specified capability is required to be considered conformant."/>
  </concept>
  <concept>
    <code value="SHOULD"/>
    <display value="SHOULD"/>
    <definition value="Support for the specified capability/requirement is strongly encouraged, and failure to support it should only occur after careful consideration."/>
  </concept>
  <concept>
    <code value="MAY"/>
    <display value="MAY"/>
    <definition value="Support for the specified capability/requirement is not necessary to be considered conformant, and the requirement should be considered strictly optional."/>
  </concept>
  <concept>
    <code value="SHOULD-NOT"/>
    <display value="SHOULD-NOT"/>
    <definition value="Support for the specified capability/requirement is strongly discouraged and should occur only after careful consideration."/>
  </concept>
  <concept>
    <code value="SHALL-NOT"/>
    <display value="SHALL-NOT"/>
    <definition value="Support for the specified capability/requirement is prohibited and should not occur only in any circumstance."/>
  </concept>
</CodeSystem>