{
  "package" : "hl7.fhir.uv.extensions.r5@5.2.0",
  "definition" : "Conformant applications SHALL ensure that this element does not change between receiving and transfer.\\nNotes: This does not mean that the element value cannot change, only that changing the element value for an element marked with this obligation moves an application from being an exchanger to a Consumer and a Producer, and those obligations apply",
  "system" : "http://hl7.org/fhir/CodeSystem/obligation",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/CodeSystem/obligation#qualifier",
    "code" : "qualifier",
    "valueCode" : "SHALL"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "valueCode" : "no-alter"
  }, {
    "_uri" : "http://hl7.org/fhir/CodeSystem/obligation#converse",
    "code" : "converse",
    "valueCode" : "MAY:alter"
  } ],
  "codesystem" : "813e5283-dd72-55c1-85d0-0204146e8979",
  "concept_id" : "24eb930f-3b71-5a58-9493-bbd36f403f34",
  "ancestors" : {
    "no-alter" : 1,
    "SHALL:no-alter" : 0,
    "ResourceExchangerObligations" : 2
  },
  "id" : "1993b591-c99c-4f56-af98-f5a67cae14dd",
  "code" : "SHALL:no-alter",
  "display" : "SHALL not alter",
  "version" : "5.2.0"
}