This page is part of the HL7 Europe Hospital Discharge Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Design Approach

Sections structure

To address the Hospital Discharge Report Structure Challenge, we have opted for a flexible approach rather than imposing a rigid format.

The "flat structure" documented in the guide should be understood as a sort of "section library" that can be reused in both flat and nested structures. This approach allows implementers to organize the report according to local or institutional needs while maintaining a standardized content model.

In practice:

1. A few sections are required.
2. Section slices are open, meaning that implementers have the freedom to include additional "first-level" sections.
3. With the exception of a few specific cases, sub-sections are allowed, giving healthcare providers the ability to create a structure that best fits their clinical context.

By offering this level of flexibility, the implementation guide supports diverse healthcare environments while promoting consistency in content and interoperability.

Section entry optionality

In order to support the different maturity levels foreseen for the European EHR eXchange format (structured, text-only, unstructured), this version of the guide does not impose the mandatory presence of entries in the HDR sections.

However, the presence of entries in the HDR sections is generally recommended to ensure a more structured and interoperable document.

This recommendation is expressed in this guide through specific obligations, which guide implementers toward achieving a higher level of data quality and interoperability.