0.1.0 - ci-build

EUAITransparencyIG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

EU AI Act Model Card

A DocumentReference profile representing technical documentation about an AI system, such as intended use, limitations, risk-related information, performance-related information, and model documentation.

EU AI Execution Audit Event

An AuditEvent profile documenting execution-related metadata of an AI-supported processing event to support retrospective reconstruction and auditability.

EU AI Generated Observation

An Observation profile representing a clinical output generated by an AI system, including AI-related transparency metadata and links to the relevant patient, encounter, and AI system.

EU AI Human Oversight Assessment

An ArtifactAssessment profile documenting professional review of an AI-generated output, including whether the result was accepted, corrected, modified, or overridden.

EU AI Patient Explanation Communication

A Communication profile documenting that an explanation regarding an AI-supported clinical decision was provided to a patient. The explanation may describe the role of the AI system, the related human oversight, and the key elements of the resulting clinical decision in accordance with Article 86 of the EU AI Act.

EU AI Practitioner Role

A PractitionerRole profile representing the role, qualification context, specialty, and AI-related training information of the human reviewer involved in oversight of an AI-supported workflow.

EU AI Provenance

A Provenance profile linking an AI-generated output to the contributing AI system, source data, and relevant processing or governance context.

EU AI Responsible Organization

An Organization profile representing an organization involved in manufacturing, providing, deploying, or operating an AI system, including relevant accountability and contact information.

EU AI System Device

A Device profile representing an AI system or software component, including system identification, versioning, intended purpose, and selected regulatory documentation metadata.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

AI Clinical Validation Status

Records the documented validation status of the AI system, such as clinically validated, under clinical validation, technically validated only, or not clinically validated.

AI Performance Metrics

Documents quantitative performance measures and optional disclosures concerning bias, subgroup performance, or limitations of the evaluation.

AI Retention Information

Documents the stated retention duration for AI-related data, outputs, logs, or documentation.

AI System-Specific Training Status

Records whether the practitioner acting in the documented role has completed training specific to the relevant AI system.

AI Training Data Metadata

Documents the origin, relevant EHDS-related classifications, applicable permit identifiers, secondary-use purposes, and reported quality characteristics of data used to train or develop the AI system.

Automated Decision-Making Flag

Indicates whether the documented AI-supported processing resulted in a decision made solely by automated means.

Case-Specific Indication

Records the clinical indication or case-specific reason for applying the AI system in the documented patient context.

EHDS Data Permit

Records the identifier of an EHDS data permit associated with the documented secondary use, where applicable.

EHDS Secondary Use Purpose

Records the documented purpose for secondary use of electronic health data in the EHDS context.

EHDS Usage Category

Classifies the documented use of electronic health data as primary use or secondary use in the EHDS context.

EU AI Log Integrity Signature

Provides a digital signature and associated metadata to support verification of the integrity and origin of the AI execution audit record.

Model Card Reference

References the model card that documents the AI system's intended purpose, limitations, performance, risks, and other relevant technical information.

Third-Country Data Transfer

Documents whether use of the AI system involves a transfer of personal data to a third country or an international organisation and identifies the destination country or countries where applicable.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

EHDS Data Category Value Set

Categories of electronic health data that may be documented for secondary-use and AI-development contexts.

EHDS Secondary-Use Purpose Value Set

Purpose categories used to document the secondary use of electronic health data under the EHDS.

EHDS Usage Category Value Set

Categories distinguishing primary and secondary use of electronic health data in the EHDS context.

EU AI Audit Entity Role Value Set

Roles of entities involved in an AI execution audit event.

EU AI Case-Specific Indication Value Set

Clinical purposes for applying an AI system in an individual care context.

EU AI Clinical Validation Status Value Set

Clinical validation statuses applicable to an AI system and its documented intended use.

EU AI Data Quality Value Set

Assessed data-quality characteristics relevant to AI-system development, validation, testing, or evaluation.

EU AI Human Oversight Action Value Set

Human oversight actions that may be documented in relation to an AI-generated output or recommendation.

EU AI Involvement Value Set

Codes used to classify how an AI system contributed to the content of a FHIR resource.

EU AI Performance Metric Value Set

Performance characteristics that may be documented for an AI system.

GDPR Article 6 Legal Basis Value Set

Legal bases listed in Article 6(1) GDPR for documenting the asserted lawful basis for processing personal data.

GDPR Article 9 Condition Value Set

Selected Article 9(2) GDPR conditions relevant to processing health data and other special categories of personal data in this implementation guide.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

EHDS Data Category Code System

Codes representing categories of electronic health data that may be made available for secondary use under the EHDS.

EHDS Secondary-Use Purpose Code System

Codes representing permitted categories of purpose for the secondary use of electronic health data under the EHDS.

EHDS Usage Category Code System

Codes distinguishing primary use from secondary use of electronic health data in the context of the European Health Data Space.

EU AI Artifact Type Code System

Codes identifying AI-related documentation artifacts represented by this implementation guide.

EU AI Audit Entity Role Code System

Roles used to distinguish entities involved in an AI execution audit event.

EU AI Case-Specific Indication Code System

Codes describing the clinical purpose for which an AI system was applied in an individual case.

EU AI Clinical Validation Status Code System

Codes indicating the documented clinical validation status of an AI system for its intended clinical use.

EU AI Contact Purpose Code System

Codes identifying organizational contact responsibilities relevant to data protection and AI-system governance.

EU AI Data Quality Code System

Codes describing assessed data-quality characteristics relevant to the development, validation, testing, or evaluation of an AI system.

EU AI Human Oversight Code System

Codes describing actions taken by a human reviewer in response to an AI-generated output or recommendation.

EU AI Identifier Type Code System

Codes identifying regulatory identifier types associated with an AI system.

EU AI Involvement Code System

Codes indicating the manner in which an AI system contributed to the content represented by a FHIR resource.

EU AI Performance Metric Code System

Codes identifying performance characteristics used to document the evaluation of an AI system.

EU AI System Property Code System

Codes identifying structured properties used to describe regulatory and operational characteristics of an AI system in Device.property.

GDPR Article 6 Legal Basis Code System

Codes representing the legal bases listed in Article 6(1) GDPR for processing personal data.

GDPR Article 9 Condition Code System

Codes representing selected conditions in Article 9(2) GDPR under which special categories of personal data may be processed.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

AI Output: Early Warning Risk Assessment (1)

Synthetic AI-generated high-risk output derived from NEWS2-inspired input parameters.

AI Output: Early Warning Risk Assessment (2)

Synthetic AI-generated high-risk output derived from NEWS2-inspired input parameters.

AI Output: Early Warning Risk Assessment (3)

Synthetic AI-generated low-risk output derived from NEWS2-inspired input parameters.

AI Output: Early Warning Risk Assessment (4)

Synthetic AI-generated low-risk output derived from NEWS2-inspired input parameters.

Assessment: Human Correction of AI Output (4)

Synthetic human oversight assessment documenting the clinician's review of the AI output.

Assessment: Human Override of AI Output (3)

Synthetic human oversight assessment documenting the clinician's review of the AI output.

Assessment: Human Validation of AI Output (2)

Synthetic human oversight assessment documenting the clinician's review of the AI output.

Audit Log: AI Execution Trace (1)

Synthetic audit event documenting the AI execution for PoC traceability.

Audit Log: AI Execution Trace (2)

Synthetic audit event documenting the AI execution for PoC traceability.

Audit Log: AI Execution Trace (3)

Synthetic audit event documenting the AI execution for PoC traceability.

Audit Log: AI Execution Trace (4)

Synthetic audit event documenting the AI execution for PoC traceability.

Communication: Patient-Facing AI Explanation (4)

Synthetic patient-facing explanation about AI-supported processing and human review.

Corrected Clinical Observation: Early Warning Risk Assessment (4)

Human-corrected clinical result preserving traceability to the original AI-generated output.

Device: RiskAssist AI

Synthetic AI system for NEWS2-inspired early-warning risk assessment.

Encounter: Acute Care Assessment

Synthetic encounter for suspected infection and early-warning risk assessment.

Input Observation: Blood Pressure (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Blood Pressure (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Blood Pressure (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Blood Pressure (4)

Synthetic NEWS2-inspired input parameter.

Input Observation: Body Temperature (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Body Temperature (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Body Temperature (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Body Temperature (4)

Synthetic NEWS2-inspired input parameter.

Input Observation: Consciousness Status (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Consciousness Status (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Consciousness Status (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Consciousness Status (4)

Synthetic NEWS2-inspired input parameter.

Input Observation: Heart Rate (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Heart Rate (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Heart Rate (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Heart Rate (4)

Synthetic NEWS2-inspired input parameter.

Input Observation: Oxygen Saturation (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Oxygen Saturation (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Oxygen Saturation (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Oxygen Saturation (4)

Synthetic NEWS2-inspired input parameter.

Input Observation: Respiratory Rate (1)

Synthetic NEWS2-inspired input parameter.

Input Observation: Respiratory Rate (2)

Synthetic NEWS2-inspired input parameter.

Input Observation: Respiratory Rate (3)

Synthetic NEWS2-inspired input parameter.

Input Observation: Respiratory Rate (4)

Synthetic NEWS2-inspired input parameter.

Manufacturer Organization: ExampleMed AI GmbH

The fictional manufacturer/provider of the RiskAssist AI system.

Model Card: RiskAssist AI v1.0.0

Synthetic model card for the deterministic AI-output simulation component used in the PoC.

Operator Organization: Example Hospital

The fictional healthcare organization operating the AI system.

Patient: Synthetic Patient 001

A fictional female patient used in the NEWS2-inspired PoC scenarios.

Practitioner: Human Reviewer

The fictional clinician responsible for reviewing the AI-generated output.

PractitionerRole: Human Reviewer

Synthetic practitioner role representing a trained internal medicine reviewer.

Provenance: AI Output Generation (1)

Synthetic provenance resource linking the AI output to the AI system, input data, and legal processing context.

Provenance: AI Output Generation (2)

Synthetic provenance resource linking the AI output to the AI system, input data, and legal processing context.

Provenance: AI Output Generation (3)

Synthetic provenance resource linking the AI output to the AI system, input data, and legal processing context.

Provenance: AI Output Generation (4)

Synthetic provenance resource linking the AI output to the AI system, input data, and legal processing context.

Provenance: Secondary Use Example

Example showing EHDS secondary use purpose and data permit.