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Background: Already in 2009 a LANCET comission called the climate crisis "the biggest threat for health in the 21st century". In primary care, we are increasingly confronted with the severe health consequences of the climate crisis, at the same time, patient care contributes significantly to greenhousegas emissions - in Austria even 7% of national emissions.1 Therefore a transformation of patient care is necessary. In addition to climate protection (footprint reduction), climate adaptation in particular is essential to provide a proactive response to the unavoidable climate-health consequences. The provision of sound evidence-based guidance is needed to identify effective implementation measures in order to efficiently implement climate mitigation and adaptation in primary care and thus increase climate resilience of the population. Objective: A scoping review will be conducted with the aim of mapping the available evidence to provide an overview of climate mitigation and adaptation measures in the context of primary care. Methodology: the scoping review will be conducted according to the Joanna Briggs Institute (JBI)2 approach. Reporting will follow the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR)3 scheme. Regarding inclusion of sources, an open format is chosen and grey literature, policy briefs, government documents etc. will be considered. Sources between January 2012 and December 2022 will be included. The search will primarily be conducted via PubMed, MEDLINE, Ovid and Web of Science. Identified evidence will be described and mapped by an interdisciplinary team. A thematic analysis will be performed to evaluate and categorize the study results against the preestablished chart. Iterative adjustment is possible according to the scoping review approach. Expected results/outlook: The results will be used to derive implications for primary care practice in order to support a transformation of patient care. Furthermore, gaps in evidence identified in the scoping review will be investigated in an associated research project. Literature: 1 Weisz U, Pichler PR, Jaccard IS, Haas W, Matej S, Nowak P, Bachner F, Lepuschütz L, Windsperger A, Windsperger B, Weisz H. Der Carbon Fußabdruck des österreichischen Gesundheitssektors. Endbericht. Klima- und Energiefonds, Austrian Climate Research Programme. 2019 2 von Elm E., Schreiber G, Haupt CC. Methodische Anleitung für Scoping Reviews (JBI-Methodologie). Z Evid Fortbild Qual Gesundhwes. 2019 Jun;143:1-7. doi: https://doi.org/10.1016/j.zefq.2019.05.004 3 Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018 Oct 2;169(7):467-473. doi: 10.7326/M18-0850. Epub 2018 Sep 4. PMID: 30178033.