HL7 Europe Working Group Meeting, 1-5 December 2025 in Cologne, Germany – Shape the future of FHIR® in Europe
The 3rd HL7 Europe WGM – great opportunities, intense disucssions, and loads of achievements, a successful event
HL7 Europe held its 3rd Working Group Meeting 1-5 December in Cologne, Germany. During the week, 160 individual participants were seen, some of them for the whole week, some for one or two days.
The focus of the meeting was the work for the FHIR specifications for the priority use cases of the European Health Data Space EHDS including the Laboratory Report, the EU Core and Base Profiles, Medication, Patient Summary and Discharge Report. Many additional topics were addressed in the around 60 different sessions and tracks over the week such as EU Project Insights for I2X and MyHealth@MyHands, xShare, Hospitals on FHIR and Gravitate Health, Conformity Framework for the EHDS, Synthetic data, Terminology, an API for Health Data Spaces, Care Plans, FHIR Registries for Rare Diseases.
Whole day tracks covered the Common Cancer Model, the German FHIR and Terminology Community Day, and Imaging manifest and report.
Materials and Presentations
Thanks to all participants for joining our HL7 Europe WGM. Here you can find most of the presentations, additional materials and a videographical review from the Working Group Meeting.
MONDAY 1 December
xShare Yellow Button Early Implementers and Adopters Experiences
Christaan Knaap, Argiris Gkogkidis, Geoffroy Vitoux
Advancing EHDS implementation with FHIR IGs in 2026: towards a roadmap [i2X]
Rutt Lindström, Michael Strübin
Render or Surrender – how to deal with human text in FHIR
Kai Heitmann, Hynek Kružík
Synthetic Data for the EHDS with SYNDERAI – an xShare deliverable / Demo: BabelFHIR-TS
Kai Heitmann, Maximilian Nussbaumer
TUESDAY 2 December
AI, FHIR, EHDS & the AI Act: Impacts on Healthcare Software and Standards
Stefano Micocci
- 202512 AI Consquence-Koln_EU_WGM_Presentation
- 202512 FBK_HL7_Cologne- AI point of view
- 202512 WGM HL7EU Cologne AI-FHIR-EHDS-AIact 2025-12-02
Standards supporting Health System Resilience
Elena Petelos, Licínio Kustra Mano
Federating FHIR Terminology across Europe: Ecosystem, Management and Governance
Rob Hausam, José Costa Teixeira
Multi-Lingual FHIR Specifications, Release Publication Mechanics
José Costa Teixeira
EUDI Wallet Workshop
General principles, first use cases in eHealth, and testing strategy
Alberto Zanini
What are FHIR Obligations, the evolution of Must Support
Tutorial
Ward Weistra
The impact of EHDS on National Infrastructures
Tutorial
René Spronk
WEDNESDAY 3 December
FHIR and Terminology Community Day
(in German)
Kai Heitmann, Danny Ammon
- 202512 PROs_im_nationalen_und_internationalen_Kontext
- 202512 ZTS_FHIRTerminologyAndCommunityDays
- 202512 HL7_FTC-Day_Köln_2025-12-03_Ammon
- 202512 25-12_03_Multiserver_im_KH_gematik
FHIR for Health Data Registries
Catherine Chronaki, Ana Rath, Kai Heitmann, Adam Graefe
Current and Future HL7 Europe Initiatives: Hospital on FHIR
Luc Chatty, Stefano Dalmiati (remote), Rhonda Facile (remote), Kai Heitmann
xShare – Care Plans kick off
Morten Bruun-Rasmussen, Catherine Chronaki, N. Nash-Mendez, E. Panagiotopoulos, G. B. L. Erturkmen
- 202512 20251203_HL7 WGM_XShare
- 202512 20251204_HL7EuropeWGM_CarePath
- 202512 CarePlan_ClinicalGuidelines_FHIR
- 202512 Panagiotopoulos – Post hospital care plan
- 202512 xShare_HL7-WG_Colonia 3dic2025_MFM_wdef
- 202512 Guidelines with FHIR and CQL – Ward Weistra, Firely
THRUSDAY 4 December
Imaging Report
Imaging manifest and report
Bas van den Heuvel, Marc Kämmerer, Ignacio Jauregui
EMA SPOR and IDMP/PhPID services
Andrei Idu, Marcos Fernandez Gomez, Åsa Pärnaste
IDMP/PhPID for EU prescription and dispense
Rutt Lindström, Elin May Merry, Bernd Moeske
Laboratory Report LAB + CORE
How to address EHDS Medical Test Results, Terminology, White Paper
Rob Hausam, Patrick Werner
Hospital Discharge Report HDR
Overview and Status, Scope extension discussion (EHDS)
Kai Heitmann, Hynek Kružík, Affiliates
Conformity framework proposal
for EHDS
Discussion
Alexander Berler
Electronic Product Information
EMA Product Management System
João Almeida, Anne Moen, Frank Ploeg, Bente By Janssen, Glen Hodgeson
FRIDAY 3 December
Laboratory Report LAB
FHIR IG overview, status, panel handling, and further work
Hynek Kružík
- 202512 HL7 Europe WGM Cologne – LAB – EHR Definition
- 202512 HL7 Europe WGM Cologne – LAB – What should be the Observation Device
Medication Prescription and Dispense
Dosage patterns
Patrick Werner, Rutt Lindström
Medication Management in Europe: How to Get Connected in a World of Moving Targets and Complex Legacy
Victor van Hagen, Tom de Jong
VIDEO RETROSPECTIVES
KEYNOTE HENRIQUE MARTINS

