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Excerpt

The core HL7 FHIR specification identifies resources and their associated attributes, but intentionally stops short of dictating implementation specific details.  This allows for the standard to be adopted in a variety of regions and use-cases, but also introduces ambiguity.  This ambiguity can be a challenge to interoperability.  Profiling picks up where the core FHIR specification leaves off, reducing ambiguity by specifying a security architecture, further defining/constraining resource attributes, and specifying terminologies and value sets.

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