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guides/UK-Core-Implementation-Guide-STU3-Sequence/Home/ProfilesandExtensions/Extensions-Index/HL7-Backport-Elements.page.md

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topic: Library-Extensions-PreAdopt
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## Pre-adopted R5/R6 Elements
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## Cross Version Extensions
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Elements from other FHIR versions can be used within R4 by applying the relevant cross‑version extension packages. This enables implementers to incorporate newer elements without fully upgrading to a newer FHIR release.
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The following <a href="https://hl7.org/fhir/versions.html#extensions" class="external">R5 elements</a> have been agreed as suitable to be included for use with the UK Core {{pagelink:Library-Profiles,text:Profiles}} because the use case for pre-adopting an R5 element as an Extension, rather than creating a UK Core specific extension is fully met.
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Links for the R5 elements to R4 can be found at https://hl7.org/fhir/uv/xver-r5.r4/0.1.0/
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<div class="NewAddedItem">Rules and examples for creating and using extensions between versions can be found within <a href="https://build.fhir.org/versions.html#extensions class="external">FHIR Build - Version Management Policy</a>.</div><br>
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See <a href="https://confluence.hl7.org/spaces/FHIRI/pages/413256623/FAQs">HL7 Confluence: Cross Version Extensions FAQs</a> for more details
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### R6 Cross-version extensions
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<i>As of 19/05/2023, the package to enable pre-adopted elements to function as per the guidance, is not available. To enable rendering and validation of these pre-adopted elements, we have provided UK Core proxy extensions, as per the current threads on <a href="https://chat.fhir.org/#narrow/stream/179166-implementers/topic/R5.20Extensions.20for.20R4.3F" class="external">chat.fhir.org</a>, with the R5 canonical urls. These proxy extensions will be retired once the HL7 package is released.</i>
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A cross version extension package is expected to be released when R6 has become normative. Until then extensions will have to be created manually. Below is a list that have been created. Note: these extensions will be removed once the new xver-r6.r4 extension package has been released.
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