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Which type of compatibility do FHIR rules enforce?

Backward compatibility

Forward compatibility

Forward compatibility is the idea that newer implementations can understand data produced by older versions. In FHIR, the rules are designed so that resources created under older versions can still be read by newer servers or clients without breaking, typically by ignoring fields or extensions that aren’t known to the newer implementation while preserving the known content. This allows interoperability across version upgrades: as the standard evolves, older data remains usable and doesn’t force everyone to re-encode everything. For example, if a newer version adds a new extension on a resource, a system that doesn’t recognize that extension can still process the resource and continue functioning, handling the core data correctly, rather than failing. This emphasis on gracefully handling older data explains why forward compatibility is the best fit.

Semantic compatibility

Structural compatibility

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