diff --git a/input/examples/Library-manifest-example.json b/input/examples/Library-manifest-example.json
index 86ddb9f..2c22508 100644
--- a/input/examples/Library-manifest-example.json
+++ b/input/examples/Library-manifest-example.json
@@ -135,10 +135,26 @@
         "display": "Danger signs Profile"
       },
       {
-        "extension": [{
-          "url": "http://hl7.org/fhir/StructureDefinition/artifact-isOwned",
-          "valueBoolean": true
-        }],
+        "extension": [ {
+            "url": "http://hl7.org/fhir/StructureDefinition/artifact-isOwned",
+            "valueBoolean": true
+        }, 
+        {
+            "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-intendedUsageContext",
+            "valueUsageContext": {
+                    "code": {
+                        "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
+                        "code": "focus"
+                    },
+                    "valueCodeableConcept": {
+                    "coding": [ {
+                        "system": "http://snomed.info/sct",
+                        "code": "95821001"
+                    } ],
+                    "text": "Neonatal hearing loss (disorder)"
+                    }
+                }
+        } ],
         "type": "composed-of",
         "resource": "http://hl7.org/fhir/uv/crmi/PlanDefinition/publishable-example",
         "_resource": {
diff --git a/input/extensions/StructureDefinition-crmi-intendedUsageContext.json b/input/extensions/StructureDefinition-crmi-intendedUsageContext.json
new file mode 100644
index 0000000..8005100
--- /dev/null
+++ b/input/extensions/StructureDefinition-crmi-intendedUsageContext.json
@@ -0,0 +1,85 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "crmi-intendedUsageContext",
+  "extension" : [{
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
+    "valueInteger" : 1
+  },
+  {
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
+    "valueCode" : "cds"
+  },
+  {
+    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
+    "valueCode" : "trial-use"
+  }],
+  "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-intendedUsageContext",
+  "name": "CRMIIntendedUsageContext",
+  "title": "CRMI Intended Usage Context",
+  "status": "active",
+  "experimental": false,
+  "date": "2025-10-24",
+  "publisher": "HL7 International / Clinical Decision Support",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://www.hl7.org/Special/committees/dss"
+        }
+      ]
+    }
+  ],
+  "description": "An intended usage context associated with the dependency on which it appears. When the dependency is packaged, this usageContext will be applied to the packaged artifact.",
+  "purpose": "This extension allows for the specification of an intended usage context associated with the dependency on which it appears. This allows for usage contexts to be defined in a context-specific way and then applied to the artifact when packaged.",
+  "fhirVersion": "4.0.1",
+  "mapping": [
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    }
+  ],
+  "kind": "complex-type",
+  "abstract": false,
+  "context": [
+    {
+      "type": "element",
+      "expression": "RelatedArtifact"
+    }
+  ],
+  "type": "Extension",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
+  "derivation": "constraint",
+  "differential": {
+    "element": [
+      {
+        "id": "Extension",
+        "path": "Extension",
+        "short": "Intended Usage Context",
+        "definition": "An intended usage context associated with the dependency on which it appears. When the dependency is packaged, this usageContext will be applied to the packaged artifact.",
+        "min": 0,
+        "max": "1"
+      },
+      {
+        "id": "Extension.url",
+        "path": "Extension.url",
+        "type": [
+          {
+            "code": "uri"
+          }
+        ],
+        "fixedUri": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-intendedUsageContext"
+      },
+      {
+        "id": "Extension.value[x]",
+        "path": "Extension.value[x]",
+        "type": [
+          {
+            "code": "UsageContext"
+          }
+        ]
+      }
+    ]
+  }
+}
diff --git a/input/profiles/StructureDefinition-crmi-manifestlibrary.json b/input/profiles/StructureDefinition-crmi-manifestlibrary.json
index 13bdc99..8619a8c 100644
--- a/input/profiles/StructureDefinition-crmi-manifestlibrary.json
+++ b/input/profiles/StructureDefinition-crmi-manifestlibrary.json
@@ -289,6 +289,18 @@
         }],
         "mustSupport": true
       },
+      {
+        "id": "Library.relatedArtifact:component.intendedUsageContext",
+        "path": "Library.relatedArtifact.extension",
+        "sliceName": "intendedUsageContext",
+        "min": 0,
+        "max": "*",
+        "type": [{
+          "code" : "Extension",
+          "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-intendedUsageContext"]
+        }],
+        "mustSupport": true
+      },
       {
         "id": "Library.relatedArtifact:component.type",
         "path": "Library.relatedArtifact.type",
@@ -363,6 +375,18 @@
         "max": "*",
         "mustSupport": true
       },
+      {
+        "id": "Library.relatedArtifact:component.intendedUsageContext",
+        "path": "Library.relatedArtifact.extension",
+        "sliceName": "intendedUsageContext",
+        "min": 0,
+        "max": "*",
+        "type": [{
+          "code" : "Extension",
+          "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-intendedUsageContext"]
+        }],
+        "mustSupport": true
+      },
       {
         "id": "Library.relatedArtifact:dependency.type",
         "path": "Library.relatedArtifact.type",