# Home - HL7 Europe Extensions v1.3.0

* [**Table of Contents**](toc.md)
* **Home**

## Home

| | |
| :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/extensions/ImplementationGuide/hl7.fhir.eu.extensions | *Version*:1.3.0 |
| Active as of 2026-03-27 | *Computable Name*:Hl7EuExtensions |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). | |

### Scope

This guide sets out a collection of HL7 Europe extensions designed for applicability within the EU realm for both HL7 FHIR R4 and R5.

This includes extensions defined for HL7 Europe implementation guides, such as:

* HL7 Europe Laboratory Report
* HL7 Europe Medication Prescription and Dispense
* HL7 Europe Hospital Discharge Report
* HL7 Europe Imaging Study Report
* HL7 Europe European Patient Summary
* HL7 Europe Base and Core

### About this guide

This is an HL7 FHIR R5 Implementation Guide intended for generating packages for both HL7 FHIR R4 and R5.

Release-specific NPM Package and Definitions can be downloaded from the [Download page](downloads.md) of this guide

### How to use this package

HL7 FHIR Implementation guides aiming to use the extensions defined by this guide has to declare dependecy to this package version as follows (the example shows how it should be declared in the sushi-config.yaml file):

#### HL7 FHIR R4

```
dependencies:
  hl7.fhir.eu.extensions.r4: 1.3.0

```

#### HL7 FHIR R5

```
dependencies:
  hl7.fhir.eu.extensions.r5: 1.3.0

```



## Resource Content

```json
{
  "resourceType" : "ImplementationGuide",
  "id" : "hl7.fhir.eu.extensions",
  "url" : "http://hl7.eu/fhir/extensions/ImplementationGuide/hl7.fhir.eu.extensions",
  "version" : "1.3.0",
  "name" : "Hl7EuExtensions",
  "title" : "HL7 Europe Extensions",
  "status" : "active",
  "date" : "2026-03-27T19:47:05+01:00",
  "publisher" : "HL7 Europe",
  "contact" : [{
    "name" : "HL7 Europe",
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.eu"
    }]
  }],
  "description" : "This guide lists the extensions specified for the European REALM.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "150",
      "display" : "Europe"
    }]
  }],
  "copyright" : "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).",
  "packageId" : "hl7.fhir.eu.extensions",
  "license" : "CC0-1.0",
  "fhirVersion" : ["5.0.0"],
  "dependsOn" : [{
    "id" : "hl7tx",
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
      "valueMarkdown" : "Automatically added as a dependency - all IGs depend on HL7 Terminology"
    }],
    "uri" : "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
    "packageId" : "hl7.terminology.r5",
    "version" : "7.1.0"
  },
  {
    "id" : "hl7ext",
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
      "valueMarkdown" : "Automatically added as a dependency - all IGs depend on the HL7 Extension Pack"
    }],
    "uri" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
    "packageId" : "hl7.fhir.uv.extensions.r5",
    "version" : "5.2.0"
  }],
  "definition" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.uv.tools.r5#1.1.2"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/composition-basedOn-order-or-requisition"
      },
      "name" : "Composition: Based On Order",
      "description" : "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.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Composition"
      }],
      "reference" : {
        "reference" : "Composition/comp-example"
      },
      "name" : "Composition: example with extensions",
      "description" : "Example of Composition with InformationRecipient and CompositionBasedOnOrderOrRequisition extensions.",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/information-recipient"
      },
      "name" : "Composition: Information recipient",
      "description" : "This extension applies to the Composition resource and is used to represent an intended recipient of the composition.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Condition"
      }],
      "reference" : {
        "reference" : "Condition/condition-example"
      },
      "name" : "Condition: example with extensions",
      "description" : "Example of Condition with periodOfLife extensions.",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Consent"
      }],
      "reference" : {
        "reference" : "Consent/consent-example"
      },
      "name" : "Consent: example with extensions",
      "description" : "Example of Consent with related condition.",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/consent-relatedCondition"
      },
      "name" : "Consent: Related Condition",
      "description" : "The problem or disorder to which the living will applies.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "DiagnosticReport"
      }],
      "reference" : {
        "reference" : "DiagnosticReport/DiagnosticReportStructured"
      },
      "name" : "DiagnosticReport: structured report",
      "description" : "Example of a DiagnosticReportEuImaging showing the report for a stress echo",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/composition-diagnosticReportReference"
      },
      "name" : "Document DiagnosticReport Reference",
      "description" : "This extension provides a reference to the DiagnosticReport instance that is associated with this Composition.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Encounter"
      }],
      "reference" : {
        "reference" : "Encounter/enc-example"
      },
      "name" : "Encounter: example with extensions.",
      "description" : "Example of Encounter with legal status.",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/encounter-legalStatus"
      },
      "name" : "Encounter: Legal Status",
      "description" : "Legal status/situation at admission. This extension may be used for representing the basis on which the patient is staying in 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).",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/example-legal-status-vs"
      },
      "name" : "Example of Legal Status at admission Value Set",
      "description" : "This is an example value set representing the Legal status / Situation at admission.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/anatomical-region"
      },
      "name" : "Many: Anatomical Region",
      "description" : "The anatomical region to which the imaging study or diagnostic report applies.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/periods-of-life"
      },
      "name" : "Many: Periods of Life",
      "description" : "Extensions used to indicate a time period in a person's life as a reference to a coded value for that life period.",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Medication"
      }],
      "reference" : {
        "reference" : "Medication/04A-FirmagonBranded"
      },
      "name" : "Medication: example with extensions.",
      "description" : "Example of Medication resource implementing the MPD extensions documented in this guide.",
      "isExample" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/medication-package-type"
      },
      "name" : "Medication: Package type",
      "description" : "This extension applies to Medication and expresses the type of the container for the product (e.g. bottle, unit-dose blister, pre-filled pen).",
      "isExample" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/periods-of-life-vs"
      },
      "name" : "Periods of Life Value Set",
      "description" : "A value set of periods of life extension ([SNOMED tree](https://browser.ihtsdotools.org/?perspective=full&conceptId1=767023003&edition=MAIN/2025-04-01&release=&languages=en)).",
      "isExample" : false
    }],
    "page" : {
      "sourceUrl" : "toc.html",
      "name" : "toc.html",
      "title" : "Table of Contents",
      "generation" : "html",
      "page" : [{
        "sourceUrl" : "index.html",
        "name" : "index.html",
        "title" : "Home",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "authors.html",
        "name" : "authors.html",
        "title" : "Authors and Contributors",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "copyright.html",
        "name" : "copyright.html",
        "title" : "Copyright",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "crossversionanalysis.html",
        "name" : "crossversionanalysis.html",
        "title" : "Cross-version Analysis",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "downloads.html",
        "name" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "dependencies.html",
        "name" : "dependencies.html",
        "title" : "Dependencies",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "knownissues.html",
        "name" : "knownissues.html",
        "title" : "Known Issues",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "scope.html",
        "name" : "scope.html",
        "title" : "Scope and Content",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "changes.html",
        "name" : "changes.html",
        "title" : "Change Log",
        "generation" : "markdown"
      },
      {
        "sourceUrl" : "design.html",
        "name" : "design.html",
        "title" : "Design Choices",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "copyrightyear"
      },
      "value" : "2023+"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "releaselabel"
      },
      "value" : "trial-use"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "generate-version"
      },
      "value" : "r4"
    },
    {
      "code" : {
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        "code" : "generate-version"
      },
      "value" : "r5"
    },
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/information-recipient"
    },
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        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/medication-package-type"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus"
    },
    {
      "code" : {
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        "code" : "special-url"
      },
      "value" : "http://hl7.eu/fhir/StructureDefinition/presentedForm"
    },
    {
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "special-url"
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      "value" : "http://hl7.eu/fhir/StructureDefinition/anatomical-region"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-contact"
      },
      "value" : "true"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-jurisdiction"
      },
      "value" : "true"
    },
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      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-publisher"
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        "code" : "show-inherited-invariants"
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        "code" : "usage-stats-opt-out"
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      "value" : "input/examples"
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      "value" : "input/extensions"
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        "code" : "path-resource"
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      "value" : "input/models"
    },
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-resource"
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      "value" : "input/operations"
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    {
      "code" : {
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      "value" : "input/profiles"
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      "value" : "input/resources"
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      "value" : "input/maps"
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      "value" : "input/testing"
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    {
      "code" : {
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      "value" : "input/history"
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        "code" : "path-qa"
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      "value" : "temp/qa"
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        "code" : "path-temp"
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        "system" : "http://hl7.org/fhir/guide-parameter-code",
        "code" : "path-tx-cache"
      },
      "value" : "input-cache/txcache"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-suppressed-warnings"
      },
      "value" : "input/ignoreWarnings.txt"
    },
    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "path-history"
      },
      "value" : "http://hl7.eu/fhir/extensions/history.html"
    },
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      "value" : "true"
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        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-copyright"
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      "value" : "true"
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      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-license"
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      "value" : "true"
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    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "apply-wg"
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      "value" : "true"
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    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "active-tables"
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      "value" : "true"
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      "code" : {
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        "code" : "fmm-definition"
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      "code" : {
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        "code" : "propagate-status"
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      "value" : "true"
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    {
      "code" : {
        "system" : "http://hl7.org/fhir/tools/CodeSystem/ig-parameters",
        "code" : "excludelogbinaryformat"
      },
      "value" : "true"
    },
    {
      "code" : {
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        "code" : "tabbed-snapshots"
      },
      "value" : "true"
    }]
  }
}

```
