{
  "description": "This guide lists the extensions specified for the European REALM.",
  "_filename": "ImplementationGuide-hl7.fhir.eu.extensions.json",
  "package_name": "hl7.fhir.eu.extensions.r5",
  "definition": {
    "page": {
      "name": "toc.html",
      "page": [ {
        "name": "index.html",
        "title": "Home",
        "sourceUrl": "index.html",
        "generation": "markdown"
      }, {
        "name": "authors.html",
        "title": "Authors and Contributors",
        "sourceUrl": "authors.html",
        "generation": "markdown"
      }, {
        "name": "copyright.html",
        "title": "Copyright",
        "sourceUrl": "copyright.html",
        "generation": "markdown"
      }, {
        "name": "crossversionanalysis.html",
        "title": "Cross-version Analysis",
        "sourceUrl": "crossversionanalysis.html",
        "generation": "markdown"
      }, {
        "name": "downloads.html",
        "title": "Downloads",
        "sourceUrl": "downloads.html",
        "generation": "markdown"
      }, {
        "name": "dependencies.html",
        "title": "Dependencies",
        "sourceUrl": "dependencies.html",
        "generation": "markdown"
      }, {
        "name": "knownissues.html",
        "title": "Known Issues",
        "sourceUrl": "knownissues.html",
        "generation": "markdown"
      }, {
        "name": "scope.html",
        "title": "Scope and Content",
        "sourceUrl": "scope.html",
        "generation": "markdown"
      }, {
        "name": "changes.html",
        "title": "Change Log",
        "sourceUrl": "changes.html",
        "generation": "markdown"
      }, {
        "name": "design.html",
        "title": "Design Choices",
        "sourceUrl": "design.html",
        "generation": "markdown"
      } ],
      "title": "Table of Contents",
      "sourceUrl": "toc.html",
      "generation": "html"
    },
    "resource": [ {
      "name": "Composition: Based On Order",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-composition-basedOn-order-or-requisition.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/composition-basedOn-order-or-requisition"
      },
      "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."
    }, {
      "name": "Composition: example with extensions",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Composition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Composition-comp-example.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Composition/comp-example"
      },
      "description": "Example of Composition with InformationRecipient and CompositionBasedOnOrderOrRequisition extensions."
    }, {
      "name": "Composition: Information recipient",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-information-recipient.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/information-recipient"
      },
      "description": "This extension applies to the Composition resource and is used to represent an intended recipient of the composition."
    }, {
      "name": "Condition: example with extensions",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Condition"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Condition-condition-example.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Condition/condition-example"
      },
      "description": "Example of Condition with periodOfLife extensions."
    }, {
      "name": "Consent: example with extensions",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Consent"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Consent-consent-example.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Consent/consent-example"
      },
      "description": "Example of Consent with related condition."
    }, {
      "name": "Consent: Related Condition",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-consent-relatedCondition.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/consent-relatedCondition"
      },
      "description": "The problem or disorder to which the living will applies."
    }, {
      "name": "DiagnosticReport: structured report",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "DiagnosticReport"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "DiagnosticReport-DiagnosticReportStructured.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "DiagnosticReport/DiagnosticReportStructured"
      },
      "description": "Example of a DiagnosticReportEuImaging showing the report for a stress echo"
    }, {
      "name": "Document DiagnosticReport Reference",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-composition-diagnosticReportReference.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/composition-diagnosticReportReference"
      },
      "description": "This extension provides a reference to the DiagnosticReport instance that is associated with this Composition."
    }, {
      "name": "Encounter: example with extensions.",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Encounter"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Encounter-enc-example.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Encounter/enc-example"
      },
      "description": "Example of Encounter with legal status."
    }, {
      "name": "Encounter: Legal Status",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-encounter-legalStatus.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/encounter-legalStatus"
      },
      "description": "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)."
    }, {
      "name": "Example of Legal Status at admission Value Set",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-example-legal-status-vs.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "ValueSet/example-legal-status-vs"
      },
      "description": "This is an example value set representing the Legal status / Situation at admission."
    }, {
      "name": "Many: Anatomical Region",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-anatomical-region.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/anatomical-region"
      },
      "description": "The anatomical region to which the imaging study or diagnostic report applies."
    }, {
      "name": "Many: Laboratory Accredited",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-laboratory-accredited.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/laboratory-accredited"
      },
      "description": "Simple accreditation extension.\nFor Observation it indicates that the laboratory test was/is accredited.\nFor ServiceRequest it indicates that the request shall be fulfilled by an accredited laboratory."
    }, {
      "name": "Many: Periods of Life",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-periods-of-life.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/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."
    }, {
      "name": "Medication: example with extensions.",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Medication"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Medication-04A-FirmagonBranded.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Medication/04A-FirmagonBranded"
      },
      "description": "Example of Medication resource implementing the MPD extensions documented in this guide."
    }, {
      "name": "Medication: Package type",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-medication-package-type.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "StructureDefinition/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)."
    }, {
      "name": "Observation: result from an accredited laboratory",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Observation"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Observation-obs-laboratory-accredited-example.html"
      } ],
      "isExample": true,
      "reference": {
        "reference": "Observation/obs-laboratory-accredited-example"
      },
      "description": "Example of an Observation carrying the LaboratoryAccredited extension, which states that the test was performed by an accredited laboratory. The extension came to this guide from the HL7 Europe Laboratory Report IG with FHIR-56516."
    }, {
      "name": "Periods of Life Value Set",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-periods-of-life-vs.html"
      } ],
      "isExample": false,
      "reference": {
        "reference": "ValueSet/periods-of-life-vs"
      },
      "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))."
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode": "hl7.fhir.uv.tools.r5#1.1.2"
    } ],
    "parameter": [ {
      "code": {
        "code": "copyrightyear",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "2023+"
    }, {
      "code": {
        "code": "releaselabel",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "trial-use"
    }, {
      "code": {
        "code": "generate-version",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "r4"
    }, {
      "code": {
        "code": "generate-version",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "r5"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/information-recipient"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/medication-package-type"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/encounter-legalStatus"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/presentedForm"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/anatomical-region"
    }, {
      "code": {
        "code": "special-url",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/StructureDefinition/laboratory-accredited"
    }, {
      "code": {
        "code": "apply-contact",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "apply-jurisdiction",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "apply-publisher",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "apply-version",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "show-inherited-invariants",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "usage-stats-opt-out",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "autoload-resources",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/capabilities"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/examples"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/extensions"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/models"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/operations"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/profiles"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/resources"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/vocabulary"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/maps"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/testing"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/history"
    }, {
      "code": {
        "code": "path-resource",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "fsh-generated/resources"
    }, {
      "code": {
        "code": "path-pages",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "template/config"
    }, {
      "code": {
        "code": "path-pages",
        "system": "http://hl7.org/fhir/guide-parameter-code"
      },
      "value": "input/images"
    }, {
      "code": {
        "code": "path-liquid",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "template/liquid"
    }, {
      "code": {
        "code": "path-liquid",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "input/liquid"
    }, {
      "code": {
        "code": "path-qa",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "temp/qa"
    }, {
      "code": {
        "code": "path-temp",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "temp/pages"
    }, {
      "code": {
        "code": "path-output",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "output"
    }, {
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        "code": "path-tx-cache",
        "system": "http://hl7.org/fhir/guide-parameter-code"
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        "code": "path-suppressed-warnings",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "input/ignoreWarnings.txt"
    }, {
      "code": {
        "code": "path-history",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.eu/fhir/extensions/history.html"
    }, {
      "code": {
        "code": "template-html",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "template-page.html"
    }, {
      "code": {
        "code": "template-md",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "template-page-md.html"
    }, {
      "code": {
        "code": "apply-context",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "apply-copyright",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "apply-license",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
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    }, {
      "code": {
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        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
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    }, {
      "code": {
        "code": "active-tables",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
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      "value": "true"
    }, {
      "code": {
        "code": "fmm-definition",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "http://hl7.org/fhir/versions.html#maturity"
    }, {
      "code": {
        "code": "propagate-status",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "excludelogbinaryformat",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    }, {
      "code": {
        "code": "tabbed-snapshots",
        "system": "http://hl7.org/fhir/tools/CodeSystem/ig-parameters"
      },
      "value": "true"
    } ]
  },
  "date": "2026-09-12T11:33:52+02:00",
  "publisher": "HL7 Europe",
  "fhirVersion": [ "5.0.0" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "coding": [ {
      "code": "150",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "Europe"
    } ]
  } ],
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    "uri": "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
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    "packageId": "hl7.terminology.r5"
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  "name": "Hl7EuExtensions",
  "copyright": "Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).",
  "type": null,
  "experimental": null,
  "resourceType": "ImplementationGuide",
  "title": "HL7 Europe Extensions",
  "package_version": "1.3.1",
  "status": "active",
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  "url": "http://hl7.eu/fhir/extensions/ImplementationGuide/hl7.fhir.eu.extensions",
  "version": "1.3.1",
  "packageId": "hl7.fhir.eu.extensions.r5",
  "contact": [ {
    "name": "HL7 Europe",
    "telecom": [ {
      "value": "http://hl7.eu",
      "system": "url"
    } ]
  } ]
}