EU Core, extensions and dependencies
The HL7 Europe guides for the EHDS categories are built on a shared foundation: the EU Core profiles, the HL7 Europe extensions and a set of other guides they depend on. This page shows what each package contains and what it needs.
Guides and dependencies 10
The packages read for this reference, with what each one contains. Dependencies are the versions a guide declares; the version loaded here can differ.
| Guide | Version | Profiles | Extensions | Value sets | Logical models | Examples | Depends on |
|---|---|---|---|---|---|---|---|
HL7 Europe Base and Core FHIR IG hl7.fhir.eu.base | 2.0.1 published | 21 | 0 | 5 | 0 | 19 | hl7.fhir.uv.xver-r5.r4 0.1.0hl7.fhir.eu.extensions.r4 1.3.1ihe.pharm.mpd.r4 1.0.0-comment-2 |
HL7 Europe Patient Summary hl7.fhir.eu.eps | 1.0.0-ballot ballot | 23 | 0 | 1 | 0 | 21 | hl7.fhir.uv.ips 2.0.0hl7.fhir.eu.base 2.0.0hl7.fhir.uv.xver-r5.r4 0.1.0hl7.fhir.eu.extensions.r4 1.3.0ihe.pharm.mpd.r4 1.0.0-comment-2 |
HL7 Europe Extensions hl7.fhir.eu.extensions.r4 | 1.3.1 published | 0 | 9 | 2 | 0 | 6 | |
HL7 Europe Hospital Discharge Report hl7.fhir.eu.hdr | 1.0.0 published | 33 | 0 | 5 | 0 | 0 | xtehr.eu.ehds.models 1.0.0hl7.fhir.uv.ips 2.0.1hl7.fhir.eu.base 2.0.1hl7.fhir.uv.xver-r5.r4 0.1.0hl7.fhir.eu.extensions.r4 1.3.1ihe.pharm.mpd.r4 1.0.0-comment-2 |
EU Health Data API hl7.fhir.eu.health-data-api | 1.0.0-ballot ballot | 1 | 0 | 5 | 0 | 8 | hl7.fhir.eu.base 2.0.0-ballotihe.iti.pdqm 3.2.xihe.iti.mhd 4.2.xhl7.fhir.uv.ipa 1.1.x |
HL7 Europe Imaging Report R4 hl7.fhir.eu.imaging | 1.0.0-ballot ballot | 27 | 13 | 8 | 0 | 70 | hl7.fhir.eu.health-data-api 1.0.0-ballothl7.fhir.eu.base 2.0.0-ballothl7.fhir.eu.extensions.r4 1.2.0hl7.fhir.uv.xver-r5.r4 0.0.1-snapshot-2ihe.iti.mhd 4.2.3fhir.dicom 2025.3.20250714 |
EU Imaging Manifest and Access (IHE-MADO additions) hl7.fhir.eu.imaging-manifest | 1.0.0-ballot ballot | 11 | 0 | 0 | 0 | 0 | ihe.rad.mado 1.0.0ihe.iti.mhd 4.2.3hl7.fhir.eu.base 2.0.1hl7.fhir.eu.extensions.r4 1.3.1hl7.fhir.uv.xver-r5.r4 0.1.0 |
HL7 Europe Laboratory Report hl7.fhir.eu.laboratory | 2.1.0 published | 11 | 6 | 17 | 0 | 0 | hl7.fhir.uv.ips 2.0.1hl7.fhir.uv.xver-r5.r4 0.1.0hl7.fhir.eu.extensions.r4 1.3.1hl7.fhir.eu.base 2.0.1 |
HL7 Europe Medication Prescription and Dispense hl7.fhir.eu.mpd | 1.0.0 published | 3 | 0 | 0 | 0 | 36 | hl7.fhir.eu.base 2.0.0hl7.fhir.uv.xver-r5.r4 0.1.0ihe.pharm.mpd.r4 1.0.0-comment-2 |
EHDS Logical Information Models xtehr.eu.ehds.models | 1.0.0 published | 0 | 0 | 0 | 82 | 2 |
EU Core profiles 21
Base profiles of HL7 Europe that the category guides build on. They are not tied to one category.
| Profile | Resource | Rules checked | Slices checked / defined |
|---|---|---|---|
AllergyIntolerance (EU core) http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core | AllergyIntolerance | 1 | 0 / 3 |
BodyStructure (EU core) http://hl7.eu/fhir/base/StructureDefinition/bodyStructure-eu-core | BodyStructure | 3 | 1 / 15 |
Composition (EU core) http://hl7.eu/fhir/base/StructureDefinition/composition-eu-core | Composition | 5 | 0 / 6 |
Condition (EU core) http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core | Condition | 1 | 0 / 5 |
DiagnosticReport (EU core) http://hl7.eu/fhir/base/StructureDefinition/diagnosticReport-eu-core | DiagnosticReport | 1 | 0 / 6 |
Flag: Patient (EU core) http://hl7.eu/fhir/base/StructureDefinition/flag-patient-eu-core | Flag | 0 | 0 / 3 |
Immunization (EU core) http://hl7.eu/fhir/base/StructureDefinition/immunization-eu-core | Immunization | 0 | 0 / 11 |
Location (EU core) http://hl7.eu/fhir/base/StructureDefinition/location-eu-core | Location | 0 | 0 / 0 |
Medication (EU core) http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core | Medication | 0 | 0 / 12 |
MedicationRequest (EU core) http://hl7.eu/fhir/base/StructureDefinition/medicationRequest-eu-core | MedicationRequest | 0 | 0 / 4 |
MedicationStatement (EU core) http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core | MedicationStatement | 0 | 0 / 4 |
Observation: Medical Test Result (EU core) http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core | Observation | 3 | 0 / 12 |
Organization (EU base) http://hl7.eu/fhir/base/StructureDefinition/organization-eu | Organization | 0 | 0 / 0 |
Organization (EU core) http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core | Organization | 1 | 0 / 0 |
Patient (EU base) http://hl7.eu/fhir/base/StructureDefinition/patient-eu | Patient | 0 | 0 / 7 |
Patient (EU core) http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core | Patient | 2 | 0 / 7 |
Practitioner (EU base) http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu | Practitioner | 0 | 0 / 0 |
Practitioner (EU core) http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core | Practitioner | 1 | 0 / 0 |
PractitionerRole (EU base) http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu | PractitionerRole | 0 | 0 / 0 |
PractitionerRole (EU core) http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core | PractitionerRole | 0 | 0 / 0 |
Procedure (EU core) http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core | Procedure | 2 | 0 / 2 |
HL7 Europe extensions 28
Extensions the guides define, with the elements they extend and the value they carry. A complex extension has no value of its own: its parts carry the content.
| Extension | Context | Value | Guide | Description |
|---|---|---|---|---|
Many: Anatomical Region anatomical-region | ImagingStudyDiagnosticReport | CodeableConcept | extensions.r4 | The anatomical region to which the imaging study or diagnostic report applies. |
Composition: Based On Order composition-basedOn-order-or-requisition | Composition | IdentifierReference | extensions.r4 | This extension provides a link to the order [(Reference(ServiceRequest)] or requisition [ServiceRequest.requisition (i.e., 'Request.groupIdentifier')] that this report document is based on and fulfills. |
Consent: Related Condition consent-relatedCondition | Consent | Reference | extensions.r4 | The problem or disorder to which the living will applies. |
Document DiagnosticReport Reference composition-diagnosticReportReference | Composition | Reference | extensions.r4 | This extension provides a reference to the DiagnosticReport instance that is associated with this Composition. |
Encounter: Legal Status encounter-legalStatus | Encounter | complexParts: _datatype, concept, reference | extensions.r4 | Legal status/situation at admission. This extension may be used for representing the legal status of the admission of a patient to a healthcare organisation. This can be either voluntary or involuntary. A patient can also receive healthcare based on a forensic status. (voluntary, involuntary, admission by legal authority). |
Composition: Information recipient information-recipient | Composition | Reference | extensions.r4 | This extension applies to the Composition resource and is used to represent an intended recipient of the composition. |
Many: Laboratory Accredited laboratory-accredited | ObservationServiceRequest | boolean | extensions.r4 | Simple accreditation extension. For Observation it indicates that the laboratory test was/is accredited. For ServiceRequest it indicates that the request shall be fulfilled by an accredited laboratory. |
Medication: Package type medication-package-type | Medication | CodeableConcept | extensions.r4 | This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen). |
Many: Periods of Life periods-of-life | AgePeriodRangeRange.lowRange.highdateTime | CodeableConcept | extensions.r4 | Extensions used to indicate a time period in a person's life as a reference to a coded value for that life period. |
Extension: Anatomical Region AnatomicalRegionExtension | DiagnosticReportImagingStudy | CodeableConcept | imaging | The anatomical region in an ImagingStudy instance. This is additional information next to ImagingStudy.series.bodySite. |
Extension: Device Attester DeviceAttesterExt | Composition.attester.party | Reference | imaging | Attester of type Device who validated the document |
Extension: HL7IDR Communication HL7IDRCommunication | DiagnosticReport | Reference | imaging | Communications captures what communications have been made with other care providers |
Extension: HL7IDR DiagnosticReport Comparison Study HL7IDRComparisonStudy | DiagnosticReport | Reference | imaging | Studies used for comparison in part of diagnostic reporting |
Extension: HL7IDR KeyImage Finding HL7IDRFinding | DiagnosticReport | Reference | imaging | KeyImage in the imaging report |
Extension: HL7IDR Imaging Procedure HL7IDRImagingProcedure | DiagnosticReport | Reference | imaging | Imaging procedure used for the imaging acquisition and procedure specific information. |
Extension: HL7IDR Impression HL7IDRImpression | DiagnosticReport | Reference | imaging | Impression in the imaging report |
Extension: HL7IDR Patient History HL7IDRPatientHistory | DiagnosticReport | Reference | imaging | Patient history that are relevant for the report |
Extension: HL7IDR Recommendation HL7IDRRecommendation | DiagnosticReport | Reference | imaging | Recommendations for any follow up actions |
Extension: DocumentReference content profile im-documentreference-content-profile | DocumentReference.content | canonical | imaging | Canonical URL of the profile represented by the referenced content. |
Extension: Instance Description ImagingStudyEuImagingInstanceDescription | ImagingStudy.series.instance | string | imaging | A description of the instance in an ImagingStudy. |
Extension: Number of Frames NumberOfFrames | ImagingStudy.series.instance | integer | imaging | The number of frames in an ImagingStudy instance as required by Xt-EHR logical ImagingStudy logical model. |
Extension: Radiation Dose RadiationDose | Composition.sectionDiagnosticReport | string | imaging | Radiation dose information in the imaging report |
Device Laboratory Test Kit observation-deviceLabTestKit | Observation | Reference | laboratory | This extension links this observation with the laboratory test kit used for this test. Usually only one laboratory test kit is referred |
Certified Reference Material: CodeableConcept observation-certifiedRefMaterialCodeable | Observation | CodeableConcept | laboratory | This extension links this observation with the certified reference material used for the calibration. The certified reference material is identified by using a CodeableConcept. This extension should be used when the unit is UCUM [IU]. |
Certified Reference Material: Identifier observation-certifiedRefMaterialIdentifer | Observation | Identifier | laboratory | This extension links this observation with the certified reference material used for the calibration. The certified reference material is identified by using an Identifier. This extension should be used when the unit is UCUM [IU]. |
Observation Reference Range High Comparator observation-reference-range-high-comparator | Observation.referenceRange | code | laboratory | The comparator for Observation.referenceRange.high. This modifier extension pre-adopts the R6 comparator on the high reference-range bound. |
Observation Reference Range Low Comparator observation-reference-range-low-comparator | Observation.referenceRange | code | laboratory | The comparator for Observation.referenceRange.low. This modifier extension pre-adopts the R6 comparator on the low reference-range bound. |
Specimen Focus specimen-focus | Specimen | Reference | laboratory | Specimen focus, Extension to represent the entity from which the specimen is collected when it is not the subject of record. |