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

MyHealth@Eu Hospital Discharge Report - Local Development build (v9.1.0) 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: 9.1.0
Draft as of 2026-04-22 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.
MyHealth@EU IGs overview

Figure 1 - MyHealth@EU IGs overview

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.

MyHealth@EU IGs overview

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

IGPackageFHIRComment
.. MyHealth@Eu Hospital Discharge Reportmyhealth.eu.fhir.hdr#9.1.0R4
... HL7 Terminology (THO)hl7.terminology.r4#7.1.0R4Automatically added as a dependency - all IGs depend on HL7 Terminology
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4
... International Patient Summary Implementation Guidehl7.fhir.uv.ips#2.0.0R4
.... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4
.... International Patient Accesshl7.fhir.uv.ipa#1.1.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#6.2.0R4
..... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.3.0-ballot-tc1R4
.... HL7 Terminology (THO)hl7.terminology.r4#7.0.1R4
.... FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2R4
.... HL7 Europe Extensionshl7.fhir.eu.extensions.r4#1.2.0R4
.... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#2.0.0-gammaR4
..... Medication Prescription and Dispense (MPD)ihe.pharm.mpd.r4#1.0.0-comment-2R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.3.0R4
... HL7 Europe Hospital Discharge Reporthl7.fhir.eu.hdr#0.1.0-ballotR4
.... HL7 Terminology (THO)hl7.terminology.r4#6.4.0R4
.... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.1.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
..... fhir.dicomfhir.dicom#2022.4.20221006R4
.... HL7 Europe Extensionshl7.fhir.eu.extensions.r4#0.1.1-ballotR4
.... HL7 Europe Laboratory Reporthl7.fhir.eu.laboratory#0.1.1R4
.... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#0.1.0-ballotR4
... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#2.0.0R4
.... Extensions for Using Data Elements from FHIR R5 in FHIR R4hl7.fhir.uv.xver-r5.r4#0.1.0R4
.... HL7 Europe Extensionshl7.fhir.eu.extensions.r4#1.3.0R4
... MyHealthEu MVC packagemyhealth.eu.fhir.mvc-package#9.1.0R4
... MyHealth@Eu Coremyhealth.eu.fhir.core#devR4
.... HL7 Europe Base and Core FHIR IGhl7.fhir.eu.base#2.0.0-ballotR4
.... EHDS Logical Information Modelsxtehr.eu.ehds.models#0.3.0R5
..... HL7 Terminology (THO)hl7.terminology.r5#7.0.1R5
... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r4#1.1.2R4for 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.extensions.r4#5.3.0-ballot-tc1

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Aug 3, 2025 06:28+1000+10:00)

Package hl7.fhir.uv.xver-r5.r4#0.0.1-snapshot-2

The cross-version extensions available in FHIR R4 from FHIR R5 (built Sat, Sep 13, 2025 16:55-0400-04:00)

Package hl7.fhir.eu.extensions.r4#1.2.0

This guide lists the extensions specified for the European REALM. (built Fri, Dec 19, 2025 11:52+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-gamma

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 Wed, Feb 25, 2026 10:00+0100+01:00)

Package hl7.fhir.eu.laboratory#2.0.0-alpha

This guide describes how the Laboratory Report can be represented in the European REALM. (built Wed, Feb 25, 2026 15:28+0100+01:00)

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.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 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 Fri, Apr 17, 2026 15:48+0000+00:00)

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 hl7.fhir.eu.base#2.0.0-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 Fri, Dec 19, 2025 18:28+0100+01:00)

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#dev

This guide describes how the Core can be represented for the purpose of the MyHealthEu. (built Wed, Apr 22, 2026 09:47+0000+00:00)

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.