The base FHIR specification describes a set of base resources, frameworks and APIs that are used in many different contexts in healthcare. However there is wide variability between jurisdictions and across the healthcare ecosystem around practices, requirements, regulations, education and what actions are feasible and/or beneficial.
For this reason, the FHIR specification is a "platform specification" - it creates a common platform or foundation on which a variety of different solutions are implemented. As a consequence, this specification usually requires further adaptation to particular contexts of use.
Typically, these adaptations specify: