HL7 AROUND THE WORLD

HL7 International HL7 AROUND THE WORLD Updated by the HL7 International Mentoring Committee, September 2014 Original version by Klaus Veil (2009) / Edited by Diego Kaminker IMC HL7 Around the World 1

What is HL7 International? Overview A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements HL7 Around the World Contact Information HL7 Around the World 2

HL7 International: Mission global To create the best and most widely used standards in healthcare. HL7 international provides standards for interoperability that improve care delivery, optimize workflow, reduce ambiguity and enhance knowledge transfer among all of stakeholders, including healthcare providers, government agencies, the vendor community, fellow SDOs and patients. In all its processes HL7 exhibits timeliness, scientific rigor and technical expertise without compromising transparency, accountability, practicality, or the willingness to put the needs of the stakeholders first. HL7 Around the World 4

Interoperability Interoperability Ability of two or more systems or components to exchange information and to use the information that has been exchanged [IEEE Standard Computer Dictionary: A Compilation of IEEE Standard Computer Glossaries, IEEE, 1990] Functional interoperability Semantic interoperability HL7 Around the World 5

What is HL7 International? Founding Member of the Joint Initiative Council on SDO Global Health Informatics Standardization ANSI-approved Standards Developing Organisation (SDO) Not-for-profit >8000 members globally >500 corporate members Local organisations in 35 countries Three 6-day Working Meetings per year Web site: www.hl7.org HL7 International Foundation in Europe, www.hl7.eu HL7 Around the World 6

Why Health Level Seven? Function 7 Application (clinical) 6 Presentation (encryption) 5 Session (session set-up & termination) 4 Transport (error recovery & flow control) Communicatio n 3 Network (switching & routing) 2 Data Link (MAC& LLC) 1 Physical (hardware, Ethernet, RS232) 7-layer ISO Communication Model HL7 Around the World 8

HL7: Messages and More... Electronic Health Record functional model (EHR) Clinical Document Architecture (CDA) Decision Support Arden Syntax Standard Guideline Interchange Format (GLIF) GELLO Visual Integration ( CCOW ) Standards Help Desk Support Conformance Testing SHARE project: sharing guides and experiences HL7 Around the World 9

Are there Alternatives to HL7? UN/EDIFACT Originated from CEN in Europe. Large number of messages: Transport, Customs, Supply Chain, etc. Healthcare messages have found only limited use HL7 and CEN have a Memorandum of Understanding XML a set of rules for encoding documents electronically Not a content standard HL7 V2.x, V3 and CDA use XML Anyone can make their own specification, but they would not be global standards, be supported by training, certification, and a vibrant international community! HL7 Around the World 10

HL7 activity in Europe (2012): 18 affiliates, European office TURKEY ROMANIA CROATIA CZECH REPUBLIC BOSNIA & HERZEGOVINA CZECH REPUBLIC ROMANIA BOSNIA & HERZEGOVINA CROATIA TURKEY 11

36 Members HL7 International Council Argentina China France Japan Romania Switzerland Uruguay Australia Colombia Germany Luxembourg Russia Taiwan Bosnia-Herzegovina Austria Croatia Greece New Zealand Singapore The Netherlands Brazil Czech Republic Hong Kong Norway South Korea Turkey Canada Denmark India Pakistan Spain United Kingdom Chile Finland Italy Puerto Rico Sweden United States

HL7 Affiliates: Background Information 1987: Work on HL7 starts in US 1993/94: Germany and The Netherlands become the first International Affiliates 1997: Australia the first government to acknowledge HL7 as the healthcare messaging standard 2000: 1 st International Affiliates Meeting held in Dresden, Germany 2005: 1 st HL7 Working Group Meeting held in Europe. September 2014: International Council has 36 members and growing.. HL7 Around the World 14

Affiliates: Achievements (1) 100s of published documents! Translations: German, Spanish, Japanese, Dutch, Finnish, etc. Implementation Guides: Local variances Interpretation of Terms International HL7 Interoperability Conference (IHIC) since 2000 HL7 Fundamentals Course created by HL7 Argentina, taken by more than 3000 students in 80 countries, translated to English, Japanese and Portuguese HL7 Around the World 15

Affiliates: Achievements (2) HL7 is endorsed by Governments in: United Kingdom Canada (Health InfoWay) USA (NCVHS / CCHIT) Australia (Dept. of Health / NEHTA) New Zealand The Netherlands (NEN) Japan France (AFNOR) Mexico Brazil Localizations Define the rules for local variations while maintaining a global standard! HL7 Around the World 16

Affiliates: Achievements (3) HL7 Introductory Booklet V2.x (HL7 Germany) V3 (HL7 United Kingdom) HL7 Access Database Created and maintained by a member of HL7 Germany and is available through the store on www.hl7.org Message Compliance Testing Australian Healthcare Messaging Laboratory HL7 Around the World 17

HL7 International Council Meeting HL7 Around the World 18

Web Site: www.hl7.org Contact Information Affiliates: www.hl7.org/special/committees/international/overview.cfm HL Introduction: www.hl7.org/about/index.cfm HL7 Events: www.hl7.org/events/index.cfm HL7 Tools: www.hl7.org/participate/toolsandresources.cfm HL7 on Twitter: http://twitter.com/hl7 HL7 Tools on Twitter: http://twitter.com/hl7tools HL7 International Directors on the HL7 International Board of Directors: Diego Kaminker (kaminker.diego@gmail.com ) Helmut Koenig (helmut.koenig@siemens.com) HL7 Around the World 19