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    <strong>Acknowledgment</strong><br/>
    The development of this Implementation Guide version has been supported by the
    <strong>Xt-EHR Joint Action</strong>.  
    Xt-EHR provided expertise, alignment with European health policy priorities,
    and validation of specifications to enable consistency with EHDS requirements.
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### Scope

This Implementation Guide (IG) brings together **base** and **core** HL7® FHIR® artifacts designed specifically for the European context.

It provides a foundation for interoperability and reusability across national projects, European initiatives, and derived HL7 Europe guides.

The guide supports:

* Developers and implementers who need common building blocks.

* Policymakers and program leads who require consistent definitions for EHDS-aligned projects.

* Standards experts who wish to build on a harmonized European foundation.

### Introduction

The HL7 Europe Base and Core Implementation Guide provides a **layered approach to FHIR interoperability** in the European context; and it aims to support a coherent and reusable set of FHIR specifications across Europe.

It includes:

* **Base profiles.**  Loosely constrained baseline definitions of common European concepts (e.g., Patient, Practitioner). They provide flexibility and serve as the foundation for Core and derived profiles.

* **Core profiles.**  More constrained profiles designed for reuse across most European IGs. They introduce essential constraints, can often be used directly, and pursue alignment with IPS.

See the [**Introduction** page](introduction.html) for detailed explanations of Base and Core profiles, their relationship with Extensions and scoped IGs, and their alignment with EHDS and IPS.

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    <figcaption><strong>Fig. 1 - European Base and Core profiles</strong></figcaption>
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### Guide Publication

This guide is published for two HL7 FHIR versions:

* **HL7 FHIR R4 Base IG** (hl7.fhir.eu.base). This Guide.
* **HL7 FHIR R5 Base IG** (hl7.fhir.eu.base-r5). Published at the [HL7 Europe Base R5 page](https://hl7.eu/fhir/base-r5).


Both versions are maintained by HL7 Europe and evolve based on community feedback and EHDS requirements.
