<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="usage-context-agreement-scope"/><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 usage-context-agreement-scope</b></p><a name="usage-context-agreement-scope"> </a><a name="hcusage-context-agreement-scope"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/CodeSystem/usage-context-agreement-scope</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">realm-base<a name="usage-context-agreement-scope-realm-base"> </a></td><td>Realm Base</td><td>Defines use-case independent foundational expectations for exchange within a particular country or jurisdiction.  Should be accompanied by a jurisdiction.  Commonly used as a 'base' for more restrictive artifacts.</td></tr><tr><td style="white-space:nowrap">knowledge<a name="usage-context-agreement-scope-knowledge"> </a></td><td>Knowledge</td><td>Defines use-case-specific information or guidance that is relevant to a specific business or health domain but is not mandated for particular use.</td></tr><tr><td style="white-space:nowrap">domain<a name="usage-context-agreement-scope-domain"> </a></td><td>Domain</td><td>Defines use-case-specific requirements for a specific business or health domain.  May vary in jurisdictional scope from international to small region and in business scope from broad to narrow.</td></tr><tr><td style="white-space:nowrap">community<a name="usage-context-agreement-scope-community"> </a></td><td>Community</td><td>Sets contractual or business expectations for systems participating in a particular exchange community.</td></tr><tr><td style="white-space:nowrap">system-design<a name="usage-context-agreement-scope-system-design"> </a></td><td>System Design</td><td>Documents the specific capabilities of a single system as 'available' for purchase or use.  May have some variability reflecting options that can be configured.</td></tr><tr><td style="white-space:nowrap">system-implementation<a name="usage-context-agreement-scope-system-implementation"> </a></td><td>System Implementation</td><td>Documents the specific points of a single production system or endpoint.  This may be time-specific - i.e. reflecting the system 'as it is now' or 'as it was at some point in the past'.</td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="fhir"/></extension><url value="http://hl7.org/fhir/CodeSystem/usage-context-agreement-scope"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.4.1798"/></identifier><version value="6.0.0-ballot4"/><name value="UsageContextAgreementScope"/><title value="Usage Context Agreement Scope"/><status value="draft"/><experimental value="false"/><publisher value="HL7 International / FHIR Infrastructure"/><contact><telecom><system value="url"/><value value="http://hl7.org/fhir"/></telecom></contact><contact><telecom><system value="url"/><value value="http://www.hl7.org/Special/committees/fiwg"/></telecom></contact><description value="This codesystem defines codes describing the type of agreement represented by an artifact, for example for use in CanonicalResource.usageContext."/><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/usage-context-agreement-scope"/><content value="complete"/><concept><code value="realm-base"/><display value="Realm Base"/><definition value="Defines use-case independent foundational expectations for exchange within a particular country or jurisdiction.  Should be accompanied by a jurisdiction.  Commonly used as a 'base' for more restrictive artifacts."/></concept><concept><code value="knowledge"/><display value="Knowledge"/><definition value="Defines use-case-specific information or guidance that is relevant to a specific business or health domain but is not mandated for particular use."/></concept><concept><code value="domain"/><display value="Domain"/><definition value="Defines use-case-specific requirements for a specific business or health domain.  May vary in jurisdictional scope from international to small region and in business scope from broad to narrow."/></concept><concept><code value="community"/><display value="Community"/><definition value="Sets contractual or business expectations for systems participating in a particular exchange community."/></concept><concept><code value="system-design"/><display value="System Design"/><definition value="Documents the specific capabilities of a single system as 'available' for purchase or use.  May have some variability reflecting options that can be configured."/></concept><concept><code value="system-implementation"/><display value="System Implementation"/><definition value="Documents the specific points of a single production system or endpoint.  This may be time-specific - i.e. reflecting the system 'as it is now' or 'as it was at some point in the past'."/></concept></CodeSystem>