MyHealth@Eu Hospital Discharge Report
9.1.1 - qa-preview 150

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Home

Official URL: http://fhir.ehdsi.eu/hdr/ImplementationGuide/myhealth.eu.fhir.hdr | Version: 9.1.1
Draft as of 2026-05-05 | Computable Name: MyHealthEuHospitalDischargeReportIg

### Scope

Specify a set of rules to be applied to HL7 FHIR specifying how a Hospital Discharge Report for the European cross-borders exchange can be represented, coherently with the European eHN Guidelines (see the European eHealth - Key documents ).

### MyHealth@EU guides overview

This guide is part of the MyHealth@EU HL7 FHIR Implementation Guides - as of the date of publication of this guide - constituted of:

- a series of content specific implementation guides (e.g. Laboratory Results report, Diagnostic Imaging Report)
- a HL7 FHIR implementaion guides describing how these contents can be exchanged between NCPeH nodes.

Figure 1 - MyHealth@EU IGs overview

### Reletionship with other guides

This guide realizes the MyHealth@EU Functional Requirements (see the HDR Models Overview page), by specializing the HL7 Europe Hospital Discharge Report HL7 FHIR Implementation Guide, that realizes the eHN guidelines aligning with the Joint Action 09 (Xt-EHR) logical models.

A graphical representation is shown in te following figure.

Figure 2 - Relationship with EU standards

### MyHealth@EU

The Use Case originates from the Change Proposal produced by the X-eHealth project/MyHealth@EU New Use Case Workgroup, and the details are available in the corresponding Change Proposal: CP-eHealthDSI-075: Implement the new service Hospital Discharge Report (corresponding to the Wave 9 of MyHealth@EU).

The corresponding eHN guidelines on Hospital Discharge Report (release 1.1) are available here.

### Dependencies

IG | Package | FHIR | Comment
--- | --- | --- | ---
MyHealth@Eu Hospital Discharge Report | myhealth.eu.fhir.hdr#9.1.1 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.1.0 | R4 | Automatically added as a dependency - all IGs depend on HL7 Terminology
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#5.2.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#2.0.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.5.0 | R4 |
International Patient Access | hl7.fhir.uv.ipa#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.2.0 | R4 |
SMART App Launch | hl7.fhir.uv.smart-app-launch#2.0.0 | R4 |
HL7 Europe Laboratory Report | hl7.fhir.eu.laboratory#2.0.0 | R4 |
Extensions for Using Data Elements from FHIR R5 in FHIR R4 | hl7.fhir.uv.xver-r5.r4#0.1.0 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#1.3.0 | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#2.0.0 | R4 |
Medication Prescription and Dispense (MPD) | ihe.pharm.mpd.r4#1.0.0-comment-2 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.3.0 | R4 |
HL7 Europe Hospital Discharge Report | hl7.fhir.eu.hdr#0.1.0-ballot | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#6.4.0 | R4 |
International Patient Summary Implementation Guide | hl7.fhir.uv.ips#1.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.0.0 | R4 |
fhir.dicom | fhir.dicom#2022.4.20221006 | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions.r4#0.1.1-ballot | R4 |
HL7 Europe Laboratory Report | hl7.fhir.eu.laboratory#0.1.1 | R4 |
HL7 Europe Base and Core FHIR IG | hl7.fhir.eu.base#0.1.0-ballot | R4 |
HL7 Europe Extensions | hl7.fhir.eu.extensions#0.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#5.3.0 | R4 |
FHIR Extensions Pack | hl7.fhir.uv.extensions.r4#1.0.0 | R4 |
MyHealthEu MVC package | myhealth.eu.fhir.mvc-package#9.1.0 | R4 |
HL7 Terminology (THO) | hl7.terminology.r4#7.0.1 | R4 |
MyHealth@EU Core | myhealth.eu.fhir.core#1.0.0 | R4 |
EHDS Logical Information Models | xtehr.eu.ehds.models#0.3.0 | R5 |
HL7 Terminology (THO) | hl7.terminology.r5#7.0.1 | R5 |
FHIR Tooling Extensions IG | hl7.fhir.uv.tools.r4#1.1.2 | R4 | for example references

Package hl7.fhir.uv.extensions.r4#5.2.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.uv.ipa#1.1.0 This IG describes how an application acting on behalf of a patient can access information about the patient from an clinical records system using a FHIR based API. The clinical records system may be supporting a clinical care provider (e.g. a hospital, or a general practitioner), or a health data exchange, including a national health record system. (built Wed, Mar 19, 2025 14:34+0000+00:00)

Package hl7.fhir.uv.xver-r5.r4#0.1.0 Extensions for Using Data Elements from FHIR R5 in FHIR R4 (built Fri, Mar 20, 2026 15:40+1100+11:00)

Package hl7.fhir.eu.extensions.r4#1.3.0 This guide lists the extensions specified for the European REALM. (built Fri, Mar 27, 2026 19:47+0100+01:00)

Package ihe.pharm.mpd.r4#1.0.0-comment-2 ImplementationGuide for IHE Pharmacy Medication Prescription and Dispense (MPD) profile (built Tue, May 27, 2025 16:32+0200+02:00)

Package hl7.fhir.eu.base#2.0.0 This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, Apr 27, 2026 22:40+0300+03:00)

Package hl7.fhir.eu.laboratory#2.0.0 This guide describes how the Laboratory Report can be represented in the European REALM. (built Mon, May 4, 2026 09:04+0200+02:00)

Package hl7.fhir.uv.ips#1.1.0 International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.eu.extensions.r4#0.1.1-ballot This guide lists the extensions speciifed for the European REALM. (built Wed, Apr 30, 2025 13:56+0200+02:00)

Package hl7.fhir.eu.laboratory#0.1.1 This guide describes how the Laboratory Report can be represented in the European REALM. (built Tue, Mar 25, 2025 12:00+0100+01:00)

Package hl7.fhir.eu.base#0.1.0-ballot This guide collects base and core profiles to be used in the European context. It also includes common artifacts, such as the profiles describing the European Health Insurance Card. (built Mon, May 5, 2025 21:42+0200+02:00)

Package hl7.fhir.eu.hdr#0.1.0-ballot This implementation guide specifies the Hospital Discharge Report in the European context, as defined in eHN Hospital Discharge Report guidelines. (built Tue, Jun 3, 2025 12:48+0200+02:00)

Package hl7.fhir.uv.extensions.r4#1.0.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.eu.extensions#0.1.0 This guide lists the extensions speciifed for the European REALM. (built Tue, Feb 20, 2024 08:56+0100+01:00)

Package myhealth.eu.fhir.mvc-package#9.1.0 MyHealthEu Master Value Sets Catalog (built Fri, Feb 13, 2026 16:03+0000+00:00)

Package xtehr.eu.ehds.models#0.3.0 EHDS Logical Information Models (built Fri, Feb 6, 2026 19:33+0100+01:00)

Package myhealth.eu.fhir.core#1.0.0 This guide describes how the Core can be represented for the purpose of the MyHealth@EU. (built Mon, May 4, 2026 16:10+0200+02:00)

Package hl7.fhir.uv.tools.r4#1.1.2 This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Mar 24, 2026 11:13+1100+11:00)

### Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (myhealth.eu.fhir.hdr.r4) and R4B (myhealth.eu.fhir.hdr.r4b) are available.

### Global Profiles

There are no Global profiles defined

### IP statements

This publication includes IP covered under the following statements.

- The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
  Show Usage
  - Unified Code for Units of Measure (UCUM): Bundle/BundleExampleHdr, Medication/1234567890... Show 5 more, MedicationAdministration/ADM-001, MedicationDispense/DISP-001, MedicationRequest/ExampleMedicationRequestHdr, Observation/67944ca3-521a-41c6-9878-08f2a4980eab and Observation/9c72df9a-c459-45ea-bedf-b89568a8378a
- This artifact includes content from International Standard Classification of Occupations (ISCO). ISCO is copyright International Labour Organization (ILO). Terms & Conditions in http://www.ilo.org/global/copyright/lang--en/index.htm
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  - International Standard Classification of Occupations (ISCO): Bundle/BundleExampleHdr and PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530
- This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
  Show Usage
  - LOINC: Bundle/BundleExampleHdr, Composition/ExampleCompositionHdr... Show 6 more, CompositionHdrMyHealthEu, Observation/0234c232-a2e7-4bd5-b803-e5f290f19425, Observation/67944ca3-521a-41c6-9878-08f2a4980eab, Observation/9c72df9a-c459-45ea-bedf-b89568a8378a, Observation/d532c253-9bd1-433a-a08e-fb6384f4a6b6 and ObservationImgFindingHdrMyHealthEu
- This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  - SNOMED Clinical Terms&reg; (SNOMED CT&reg;): AllergyIntolerance/5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec, Bundle/BundleExampleHdr... Show 8 more, Condition/ExampleConditionHdr, Device/ExampleDeviceHdr, MedicationAdministration/ADM-001, Observation/0234c232-a2e7-4bd5-b803-e5f290f19425, Observation/9c72df9a-c459-45ea-bedf-b89568a8378a, Observation/ExampleProcedureImagingHdr, Observation/d532c253-9bd1-433a-a08e-fb6384f4a6b6 and PractitionerRole/b975ec26-4ecf-4588-9fa2-afbb0d9fc530
- This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  - AllergyIntolerance Clinical Status Codes: AllergyIntolerance/5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec and Bundle/BundleExampleHdr
  - AllergyIntolerance Verification Status: AllergyIntolerance/5b87ea1e-01ad-4239-81ec-3a16b5c4f4ec and Bundle/BundleExampleHdr
  - Condition Category Codes: Condition/ExampleConditionHdr
  - Condition Clinical Status Codes: Condition/ExampleConditionHdr
  - ConditionVerificationStatus: Condition/ExampleConditionHdr
  - Observation Category Codes: Bundle/BundleExampleHdr, Observation/0234c232-a2e7-4bd5-b803-e5f290f19425... Show 5 more, Observation/67944ca3-521a-41c6-9878-08f2a4980eab, Observation/9c72df9a-c459-45ea-bedf-b89568a8378a, Observation/ExampleProcedureImagingHdr, Observation/d532c253-9bd1-433a-a08e-fb6384f4a6b6 and ObservationImgFindingHdrMyHealthEu
  - Observation Reference Range Meaning Codes: Bundle/BundleExampleHdr and Observation/9c72df9a-c459-45ea-bedf-b89568a8378a
  - identifierType: ObservationImgFindingHdrMyHealthEu
  - ActCode: Bundle/BundleExampleHdr, Encounter/b49cdbed-299c-4b95-aa9d-273811521147 and EncounterHdrMyHealthEu
  - ActPriority: EncounterHdrMyHealthEu
  - NullFlavor: MedicationDispense/DISP-001 and MedicationRequest/ExampleMedicationRequestHdr
  - ObservationInterpretation: Bundle/BundleExampleHdr and Observation/9c72df9a-c459-45ea-bedf-b89568a8378a
  - ParticipationType: EncounterHdrMyHealthEu
  - TimingEvent: MedicationDispense/DISP-001 and MedicationRequest/ExampleMedicationRequestHdr
- Unless otherwise indicated, reproduction of material posted on Council of Europe websites, and reproduction of photographs for which the Council of Europe holds copyright – see legal notice \“photo credits\” – is authorised for private use and for informational and educational uses relating to the Council of Europe’s work. This authorisation is subject to the condition that the source be indicated and no charge made for reproduction. Persons wishing to make some other use than those specified above, including commercial use, of information and text posted on these sites are asked to apply for prior written authorisation to the Council of Europe, Directorate of Communication.
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  - EDQM Standard Terms: DosageHdrMyHealthEu, Medication/1234567890... Show 4 more, MedicationAdministrationHdrMyHealthEu, MedicationDispense/DISP-001, MedicationHdrMyHealthEu and MedicationRequest/ExampleMedicationRequestHdr
- Used by permission of HL7 Europe, all rights reserved Creative Commons License
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  - Temporary HDR Code System: CompositionHdrMyHealthEu