HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

Scope and content

The HL7 Europe Hospital Discharge Report FHIR Implementation Guide defines a standard approach for representing hospital discharge reports using HL7 FHIR (Fast Healthcare Interoperability Resources) within the European context (transport and exchange mechanisms are out of scope). It is based on the Xt-EHR EHDS logical models, which refine the eHealth Network Guideline on Hospital Discharge Report (eHN HDR Guidelines), supporting the European Health Data Space (EHDS) and ensuring interoperability across EU Member States.

This Implementation Guide aims to enable the consistent and interoperable exchange of hospital discharge information using the HL7 FHIR standard. It supports healthcare providers, IT vendors, and public health authorities in implementing national and cross-border exchange of hospital discharge data. The guide addresses the representation of structured and narrative clinical information to ensure the continuity of care in cross-border and national healthcare settings.

The scope of this guide includes:

• Defining FHIR profiles and extensions necessary for representing hospital discharge reports as structured and narrative documents.
• Providing alignment with the existing eHN HDR Guidelines, the EHDS logical models (v1.0.0) published by the Xt-EHR Joint Action and international standards (like HL7 IPS).
• Supporting the use of internationally recognised coding systems (e.g., SNOMED CT, ICD-10, LOINC) to ensure semantic interoperability.