29-07-13

Health Level 7 - Wikipedia, the free encyclopedia

Health Level 7
From Wikipedia, the free encyclopedia

(Redirected from HL7) Health Level Seven (HL7), is a non-profit organization involved in the development of international healthcare informatics interoperability standards.[1] "HL7" also refers to some of the specific standards created by the organization (e.g., HL7 v2.x, v3.0, HL7 RIM).[2] HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information. The 2.x versions of the standards, which support clinical practice and the management, delivery, and evaluation of health services, are the most commonly used in the world.[3]

Contents
1 Organization 1.1 Origin 1.1.1 The name "Health Level-7" 1.2 Collaboration 2 HL7 standards 2.1 HL7 version 2.x 2.2 HL7 version 3 2.3 Clinical Document Architecture - ISO/HL7 27932 3 Methods applied by HL7 3.1 Services Aware Interoperability Framework 3.2 Arden syntax 3.3 MLLP 3.4 CCOW 3.5 Functional EHR and PHR specifications 4 Country specific aspects 4.1 Australia 4.2 Canada 4.3 Finland 4.4 Germany 4.5 India 4.6 Italy 4.7 The Netherlands 4.8 Pakistan 4.9 USA 5 See also 6 References 7 External links 7.1 Critical reviews 7.2 Open source tools

Organization
en.wikipedia.org/wiki/HL7 1/13

29-07-13 Health Level 7 . HL7 is now adopted by ISO as a centre of gravity in international standardization and accredited as a partnering organization for mutual issuing of standards. Marketing.wikipedia.) and countryspecific affiliate organizations: Health Level Seven. Inc. Inc. The first mutually published standard is ISO/HL7 21731:2006 Health informatics—HL7 version 3—Reference information model—Release 1.[6] HL7 is one of several American National Standards Institute accredited Standards Developing Organizations (SDOs) operating in the healthcare arena. Those SDOs are consequently not accredited by ANSI. framing the actual language of the specifications. MD. which comprises 10 elected positions and three appointed positions.Wikipedia. The first affiliate organization was created in Germany in 1993. is a standards organization that was accredited in 1994 by the American National Standards Institute (ANSI). imaging or insurance (claims processing) transactions.org/wiki/HL7 2/13 . exist in over 40 countries. Inc. The Chief Technology Officer (currently John Quinn). Michigan. management and integration of electronic healthcare information. Inc. Today. HL7. HL7 has been adopted by several national SDOs outside the United States.[citation needed ] The organizational structure of HL7 Inc. However. the free encyclopedia HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange. Origin HL7 was founded in 1987 to produce a standard for hospital information systems. Standing Administrative committees focus on organizational or promotional activities. PhD) serves as an ex officio member of and reports to the Board of Directors.[4] HL7 promotes the use of such informatics standards within and among healthcare organizations to increase the effectiveness and efficiency of healthcare information delivery for the benefit of all. Implementation.[citation needed ] The HL7 community is organized in the form of a global organization (Health Level Seven. The Working Group is responsible for defining the HL7 standard protocol and is composed of Standing Administrative Committees and Working Groups. Working groups are directly responsible for the content of the Standards. Health Level Seven’s domain is clinical and administrative data. Most SDOs produce standards (sometimes called specifications or protocols) for a particular healthcare domain such as pharmacy. ) is headquartered in Ann Arbor. The name "Health Level-7" en. Outreach Committee for Clinical Research. and the Chief Operations Officer (currently Mark McDougall) report to the CEO and also serve as ex officio members on the Board of Directors. The Chief Executive Officer (currently Charles Jaffe. such as Education. Members of HL7 are known collectively as "The Working Group". not-for-profit organizations incorporated in local jurisdictions. Publishing and Process Improvement and Tooling. is as follows:[citation needed ] The organization is managed by a Board of Directors. (HL7.[5] HL7 affiliate organizations. medical devices.

Most HL7 standards can now be deemed Open Standards. HL7 effectively considers all lower layers merely as tools. Messaging standards are particularly important because they define how information is packaged and communicated from one party to another.g.. procedure.0).g. adoption. process. and that appropriate standards development efforts are initiated by HL7 to meet emergent requirements. as since April 2013 they are available for free download. principle. independent of lower layers. ANSI and ISO).[citation needed ] Prior to April 2013. and messaging standards (e. HL7 CDA). HL7 specifies a number of flexible standards. HL7 International asserted that business use of the HL7 standards required a paid organizational membership in HL7. or discovery". HL7 CCOW). Theoretically. HL7 RIM).[8] On Sept 4. 35% in North America. or an HL7 affiliate) is located in Europe.[citation needed ] HL7 develops conceptual standards (e.g.[12] However. HL7 v2.29-07-13 Health Level 7 . Inc.x and v3.[7] HL7 standards HL7 encompasses the complete life cycle of a standards specification including the development. Such guidelines or data standards are a set of rules that allow information to be shared and processed in a uniform and consistent manner. the HL7 Board of Directors had announced its intention to relax the HL7 IP policy and allow free access and implementation to promote adoption and interoperability. and under 17 USC § 102[14] there is no copyright protection for an "idea. These data standards are meant to allow healthcare organizations to easily share clinical information. Hospitals and other healthcare provider organizations typically have many different computer systems used for everything from billing records to patient tracking. HL7 Members could access standards for free. ANSI.g. this ability to exchange information should help to minimize the tendency for medical care to be geographically isolated and highly variable. and methodologies by which various healthcare systems can communicate with each other..Wikipedia.[citation needed ] About 45% of the global membership (of either HL7 Inc. in both the healthcare and information infrastructure domains to promote the use of supportive and compatible standards. or for some standards. since the earlier policy as described in the Bylaws of October 2002[13] placed the HL7 protocol specifications in the Public Domain. ISO. document standards (e.[1] Collaboration HL7 collaborates with other standards development organizations and national and international sanctioning bodies (e. and adherence.[15] en. 2012.wikipedia. structure and data types required for seamless integration from one system to another.[10][11] The revenue model and business plan of HL7 is discussed in HL7's Strategic Initiatives and Implementation Proposal. application standards (e. this revised policy may not be enforceable. market recognition. utilization.. HL7 collaborates with healthcare information technology users to ensure that HL7 standards meet real-world requirements.g. The name indicates that HL7 focuses on application layer protocols for the health care domain. method of operation.[9] as described in their press release. and non-members could buy the standards from HL7. All of these systems should communicate with each other (or "interface") when they receive new information but not all do so. Such standards set the language.org/wiki/HL7 3/13 . 15% in Asia-Oceania and 5% elsewhere. guidelines. the free encyclopedia The name "Health Level-7" is a reference to the seventh layer of the ISO OSI Reference model also known as the application layer.. concept. system.

MSH is the header record. The following is an example of an admission record. financial as well as clinical processes. The default delimiters are vertical bar or pipe (|) for the field separator.[21] The segment names for a particular message type are specified by the segment grammar notation used in the HL7 standards.x messages use a human-readable (ASCII). etc.1. Since 1987 the standard has been updated regularly. and subcomposites can have sub-sub-composites (subcomponents) separated by the sub-sub-composite delimiter. 2.3. based on HL7 Version 3 Electronic Health Record (EHR) / Personal Health Record (PHR) – in support of these records. caret (^) for the component separator.6).x Messaging HL7 version 2 defines a series of electronic messages to support administrative. RIM is the representation of the HL7 clinical data (domains) and the life cycle of messages or groups of messages. a standardized description of health and medical functions sought for or available Structured Product Labeling (SPL) – the published information that accompanies a medicine.3 will be understood by an application that supports version 2. 2. standard approval process.5. The tilde (~) is the default repetition separator. a message based on version 2. resulting in versions 2. PID the Patient Identity. the free encyclopedia The Reference Information Model (RIM) and the HL7 Development Framework (HDF) are the basis of the HL7 Version 3 standards development process.6.4.g. A composite can have sub-composites (subcomponents) separated by the sub-composite delimiter.Wikipedia.x Messaging Standard – an interoperability specification for health and medical transactions Version 3 Messaging Standard – an interoperability specification for health and medical transactions. etc. 2. Every message has MSH as its first segment. logistical. based on HL7 Version 3 HL7 version 2.29-07-13 Health Level 7 .org/wiki/HL7 4/13 .. The first field (composite) in each segment contains the 3-character segment name.x standards are backward compatible (e. The 5th field for the PID record is the patient's name. It was originally created in 1989.1. The message type determines the expected segment names in the message.3.[16] HDF is a project to specify the processes and methodology used by all the HL7 committees for project initiation. standard design. requirements analysis.5.[19] V2. HL7 v2. en. based on RIM Version 3 Rules/GELLO – a standard expression language used for clinical decision support Arden Syntax – a grammar for representing medical conditions and recommendations as a Medical Logic Module (MLM) Clinical Context Object Workgroup (CCOW) – an interoperability specification for the visual integration of user applications Claims Attachments – a Standard Healthcare Attachment to augment another healthcare transaction Clinical Document Architecture (CDA) – an exchange model for clinical documents. and ampersand (&) for the subcomponent separator. 2. Each segment of the message contains one specific category of information.[17] HL7 standards:[18] Version 2. The v2. 2.[20] Segments have composites (fields) separated by the composite delimiter. which includes a field that identifies the message type.x The HL7 version 2 standard (also known as Pipehat) has the aim to support hospital workflows. 2.wikipedia.1 and 2.2. non-XML encoding syntax based on segments (lines) and one-character delimiters. implementation.

The v3 standard. 5 E V N | | 2 0 0 6 0 5 2 9 0 9 0 1 | | | | 2 0 0 6 0 5 2 9 0 9 0 0 P I D | | | 5 6 7 8 2 4 4 5 ^ ^ ^ U A R e g ^ P I | | K L E I N S A M P L E ^ B A R R Y ^ Q ^ J R | | 1 9 6 2 0 9 1 0 | M | | 2 0 2 8 9 ^ ^ H L 7 0 0 0 5 ^ R A 9 9 1 1 3 ^ ^ X Y Z | 2 6 0G O O D W I NC R E S TD R I V E ^ ^ B I R M I N G H A M ^ A L ^ 3 52 0 9 ^ ^ M ~ N I C K E L L ’ S P I C K L E S ^ 1 0 0 0 0W1 0 0 T HA V E ^ B I R M I N G H A M ^ A L ^ 3 5 2 0 0 ^ ^ O| | | | | | | 0 1 0 5 I 3 0 0 0 1 ^ ^ ^ 9 9 D E F ^ A N P V 1 | | I | W ^ 3 8 9 ^ 1 ^ U A B H ^ ^ ^ ^ 3 | | | | 1 2 3 4 5 ^ M O R G A N ^ R E X ^ J ^ ^ ^ M D ^ 0 0 1 0 ^ U A M C ^ L | | 6 7 8 9 0 ^ G R A I N G E R ^ L U C Y ^ X ^ ^ ^ M D ^ 0 0 1 0 ^ U A M C ^ L | M E D | | | | | A 0 | | 1 3 5 7 9 ^ P O T T E R ^ S H E R M A N ^ T ^ ^ ^ M D ^ 0 0 1 0 ^ U A M C ^ L | | | | | | | | | | | | | | | | | | | | | | | | | | | 2 0 0 6 0 5 2 9 0 9 0 0 O B X | 1 | N M | ^ B o d yH e i g h t | | 1 .x has allowed for the interoperability between electronic Patient Administration Systems (PAS). RIM . en. rules. resulting in an initial standard publication in 2005. Electronic Practice Management (EPM) systems.Wikipedia. 5 0 ^ C H E S TP A I N . and artifacts relevant to development of all HL7 standard specifications. Models are available. RIM expresses the data content needed in a specific clinical or administrative context and provides an explicit representation of the semantic and lexical connections that exist between the information carried in the fields of HL7 messages.[22] HL7 version 3 The HL7 version 3 standard has the aim to support all healthcare workflows.ISO/HL7 27931 The HL7 Version 3 Development Framework (HDF) is a continuously evolving process that seeks to develop specifications that facilitate interoperability between healthcare systems.x messaging standard is supported by every major medical information systems vendor in the United States. including any new standards resulting from analysis of electronic health record architectures and requirements.ISO/HL7 21731 The Reference Information Model[16] (RIM) is the cornerstone of the HL7 Version 3 development process and an essential part of the HL7 V3 development methodology. Pharmacy and Billing systems as well as Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.U N S P E C I F I E D ^ I 9 | | | A HL7 v2. the free encyclopedia M S H | ^ ~ \ & | M e g a R e g | X Y Z H o s p C | S u p e r O E | X Y Z I m g C t r | 2 0 0 6 0 5 2 9 0 9 0 1 3 1 0 5 0 0 | | A D T ^ A 0 1 ^ A D T _ A 0 1 | 0 1 0 5 2 9 0 1 | P | 2 . Currently. actors. The HDF is the most current edition of the HL7 V3 development methodology.29-07-13 Health Level 7 . is based on a formal methodology (the HDF) and object-oriented principles. Dietary. Eventually. The RIM is essential to increase precision and reduce implementation costs. HL7 specifications draw upon codes and vocabularies from a variety of sources.wikipedia. vocabulary specifications. but also the processes. The HL7 RIM. tools. 8 0 | m ^ M e t e r ^ I S O + | | | | | F O B X | 2 | N M | ^ B o d yW e i g h t | | 7 9 | k g ^ K i l o g r a m ^ I S O + | | | | | F A L 1 | 1 | | ^ A S P I R I N D G 1 | 1 | | 7 8 6 . and model-driven process of analysis and design combine to make HL7 Version 3 one methodology for development of consensus-based standards for healthcare information system interoperability.[23] HL7 Development Framework . as opposed to version 2. Development of version 3 started around 1995. the HDF will encompass all of the HL7 standard specifications. The V3 vocabulary work ensures that the systems implementing HL7 specifications have an unambiguous understanding of the code sources and code value domains they are using. The HDF not only documents messaging. HL7’s v2.org/wiki/HL7 5/13 . Laboratory Information Systems (LIS).

Hybrid Lower Layer Protocol (HLLP) is a variation of MLLP that includes a checksum to help verify message integrity.[24] Methods applied by HL7 Services Aware Interoperability Framework The HL7 Services-Aware Enterprise Architecture Framework (SAIF) provides consistency between all HL7 artifacts.org/wiki/HL7 6/13 . compliance.[citation needed ] They can produce alerts. SAIF is a way of thinking about producing specifications that explicitly describe the governance. and interpretations along with quality assurance function and administrative support. but it is not a whole-solution design for enterprise architecture management. and enables a standardized approach to Enterprise Architecture (EA) development and implementation.[27] CCOW CCOW. or services approach.ISO/HL7 27932 The HL7 Clinical Document Architecture (CDA) is an XML-based markup standard intended to specify the encoding. the MLM can give advice for when and where it is needed. and at the user-interface level. and a way to measure the consistency. These Medical Logic Modules (MLMs) are used in the clinical setting as they can contain sufficient knowledge to make single medical decisions. and behavioral semantics that are needed to achieve computable semantic working interoperability. or "Clinical Context Object Workgroup." is a standard protocol designed to enable disparate applications to share user context and patient context in real-time. Clinical Document Architecture . diagnoses.29-07-13 Health Level 7 . Functional EHR and PHR specifications en. Arden syntax The Arden syntax is a language for encoding medical knowledge. structure and semantics of clinical documents for exchange. SAIF is the framework that is required to rationalize interoperability of other standards. also known as Lower Layer Protocol (LLP).Wikipedia. The intended information transmission technology might use a messaging. document exchange.[25] For transmitting via TCP/IP. the free encyclopedia V3 Messaging The HL7 version 3 messaging standard defines a series of electronic messages (called interactions) to support all healthcare workflows. MLLP is supported by Microsoft[26] and Oracle. MLLP A large portion of HL7 messaging is transported by Minimal Lower Layer Protocol (MLLP). SAIF is an architecture for achieving interoperability.wikipedia. Then. header and trailer characters are added to the message to identify the beginning and ending of the message because TCP/IP is a continuous stream of bytes. Amongst other software vendors. CCOW implementations typically require a CCOW vault system to manage user security between applications. HL7 v3 messages are based on an XML encoding syntax. HL7 adopted and oversees the standard beginning with Arden syntax 2.0. conformance. An MLM must run on a computer that meets the minimum system requirements and has the correct program installed.

Proposed themes for the event include: • HL7/FHIR (Fast Healthcare Interoperability Resources). Providing support to domestic input on international HL7 ballot and comment items. and Administering the HL7 Canada Constituency forum to facilitate member collaboration. Standards Australia.x investment. which is hosted by the Canadian Health Infoway Standards Collaborative. • Leveraging HL7v2. Supporting domestic and international HL7 Canada meetings. HL7 Australia closely cooperates with the National E-Health Transition Authority (NEHTA). Country specific aspects Australia HL7 Australia was established in 1998. Among its support for domestic and international activities are: Liaising with HL7 International.wikipedia. Australia was an early adopter of the HL7 V2. clinical terminology & semantic web Canada HL7 within Canada is supported by the HL7 Canadian Constituency.Wikipedia.org/wiki/HL7 7/13 . which are now used ubiquitously in Australian public and private healthcare organisations. • CDA implementation and innovation. en.[30] Notable HL7 implementations currently include Prince Edward Island's drug information system (DIS). HL7 Australia Standards Australia (IT-014 "Health Informatics")[28] National E-Health Transition Authority (NEHTA)[29] Australia has been selected to host the International HL7 Interoperability Conference in 2013.x standards. Responding to inquiries from HL7 International. The localisation of the HL7 standards is undertaken in cooperation with the national standards body. Planning and execution of HL7 Canada Constituency roles and responsibilities. This will be a two day event in Sydney from 28 – 30 October 2013.29-07-13 Health Level 7 . and • Emerging developments: CIMI. the free encyclopedia Functional specifications for an electronic health record. Supporting communication and correspondence domestically and international for specific HL7 items.

what prescriptions have been collected from which pharmacy and on which date. and what the price paid was. If yes. the standardization aspect is much behind the possibilities of the public economy and due to competitive interests in industry of low normative impact to healthcare information systems development.e. though most are expected to see the benefits of having their records in a permanently available national register. This is an entity for benefit to the public and registered as an association as HL7 e.Wikipedia. By logging into the system. The system is knonn by the acronym KanTa which is an abbreviation of KANsallinen TerveysArkisto (National Health Archive). CDA R1 is used in sharing patient records on a regional level.kanta.[32] The voluntary membership in HL7 relies on personal interest and engagement of clinical users and mainly on industrial interest: Clinical memberships are in minority. V. The system alerts doctors and pharmacies to prevent simultaneous use of incompatible medicines. the pharmacist can ask the patient if he would like the doctor to be asked to repeat issue the prescription. which doctor prescribed them and when. together with other health and welfare bodies in Finland have been rolling out a national health care database based on HL7 CDA R2 and V3 messages. the free encyclopedia Finland National Health Archive http://www. Still being rolled out is the second phase of the project which is to enable the national database to be used to store other patient medical records. on patient data records (EPA = elektronische en. or terminate the prescription within 8 days.wikipedia. the name of the doctor who prescribed the medication. This is subject to the patient consenting for the transfer of data from his home health service station into the national archive. There is low membership of governmental administration and thus low contribution to ongoing discussion e. Currently (as at February 2013) the system holds details of all electronic prescriptions and all pharmacies in Finland are connected to the database. For regular prescriptions. and what quantities of prescribed medications are still available for collection. the patient can see what medicines have been prescribed.g. The latter is useful for patients taking expensive medications because there is a national ceiling on patient medical costs so that the government will 100% of costs over the ceiling under the social insurance program. The system enables prescriptions to be written by any medically qualified doctor into the system and enables the patient to collect prescriptions from any pharmacy nationwide. Patients thus have control over their own records. The word KANTA in Finnish means "base".org/wiki/HL7 8/13 . There is a choice of using a government controlled authorization system or using the same authentication service used for on-line banking. non repeating log in identifiers) which minimizes the risk of phishing or other intercepts. subject to controls around the amount of medication is allowed to store at home. the pharmacy issues the request electronically and the doctor must either renew. modify. "stem" or "heel". Citizens can log into the system via the internet using an authentication service and see their own record. The patient can choose to receive a text message to his/her mobile phone advising of the outcome. These services use one-time (i.fi/en The Social Insurance Institution of Finland. when the last prescription is fulfilled. Due to federal structure of operational administration in German healthcare. HL7 Finland national affiliate[31] Germany The German chapter of HL7 was founded in 1993.29-07-13 Health Level 7 . Currently HL7 in Germany operates as an informal cluster and collaborates with the national standardization body. The record also shows what the dose should be. Version 2 HL7 messaging is widely deployed in most hospitals and healthcare centers.

the free encyclopedia Patientenakte) balancing data availability vs. regional In-Houses. HL7 India[33] Italy HL7 Italia was established in 2003 and it is responsible for the localization of this standard in the Italian context.29-07-13 Health Level 7 . Governmental funding for a broader adoption of HL7 does yet not exist in Germany. Impact on productivity for hospital information systems (called KIS = Krankenhaus-Informationssysteme in German) is of no importance yet. HL7 Italia members are suppliers of health IT market. EDIfact is being used to support workflows involving general practitioners (GPs/PCPs). Some Italian regions. India HL7 India is active in conducting e-learning courses for HL7 and HL7 certification examinations.Health Life Horizon HLH (a national project) is being carried out at School of Electrical Engineering and Computer Sciences of National University of Sciences and Technology and is supported by Government of Pakistan with funds provided by National ICT R&D Fund. as the variability of HIS systems has not been challenged by HL7.National Healthcare ICT infrastructure AORTA is the Dutch national infrastructure for the exchange of data between healthcare providers. neither on federal level nor in most of the regional governments. local Hospital departments and individual IT professionals are HL7 Italia members. HL7 Italia[34] The Netherlands AORTA . Public Research Institutes.Wikipedia. Governative Agencies. The aim is to stimulate and direct the regional and national contributions towards the standard development and to promote the modernization of Italian health IT. Nictiz coordinates its efforts with regard to the usage of HL7 version 3 with the volunteers of HL7 the Netherlands. The Dutch Ministry of Health is working on a virtual national Electronic Patient Records (EPR) which will enable healthcare providers to share patient data. This development takes place in close collaboration with Nictiz. Almost all hospitals use HL7 version 2 to support hospital-internal workflows. EDIfact will be gradually replaced by HL7 version 3. The initial specifications were created in 2003. HLH basic theme is to target health care information exchange and en.org/wiki/HL7 9/13 . data security. the National Information and Communication Technology Institute for Healthcare.wikipedia. HL7 the Netherlands[35] National Information and Communication Technology Institute for Healthcare (Nictiz)[36] AORTA whitepaper[37] Pakistan HLH . AORTA uses HL7 version 3 messages and documents as its core mechanism for information exchange.

and other e-commerce transactions.[42] See also Clinical Document Architecture (CDA) CDISC DICOM Electronic medical record eHealth EHRcom European Institute for Health Records (European Union) FHIR Gello Expression Language Health Informatics en. The initial deliverable of this group was a set of six recommended Claims Attachments for the Notice of Proposed Rule Making (NPRM) process. but are not limited to. etc. and the HL7 Continuity of Care Document (CCD). training. and representing HL7 in the Designated Standards Maintenance Organization[41] (DSMO) efforts. end stage renal disease (ESRD). HL7 Pakistan is now officially authorized to give memberships to local organizations along with other privileges like certification. Its purpose is to encourage the use of HL7 for uniform implementation of this supplemental information. This SIG coordinates industry input to produce and maintain guides for HL7 messages that can stand alone or be embedded within ANSI X12 transactions. 2010 HL7 International formally announced the Pakistan Chapter at the 24th Plenary and WGM in Cambridge.wikipedia.1. and Pre-Authorization and Referrals.org/wiki/HL7 10/13 . MA. Health Life Horizon (HLH)[39] HL7 Pakistan[40] USA Laika The Certification Commission for Healthcare Information Technology (CCHIT) has developed an open-source program called Laika to test EHR software for compliance with CCHIT interoperability standards. HLH Team members have been participating in HL7 International Working Group meetings and conferences for last two years.3. The Attachment special interest group is responsible for implementing the Administrative Simplification provisions of HIPAA mandates.1 and 2.5. Skilled Nursing Facility. But its getting popularity among the stakeholders in Pakistan. providing on-going support. USA. On Oct 1. HIPAA HL7’s initial involvement in the Health Insurance Portability and Accountability Act (HIPAA) legislation began in 1996 with the formation of the Attachments special interest group to standardize the supplemental information needed to support health care insurance. Future attachment projects include. as the healthcare standards to meet certain certification requirements. Though the penetration and use of HL7 in Pakistan is lower than the countries like US and that of Europe.29-07-13 Health Level 7 .Wikipedia. Home Health.[38] Pakistan is now the 37th affiliate of HL7 International around the world. durable medical equipment (DME). ARRA and HITECH The American Recovery and Reinvestment Act of 2009 (ARRA) and Health Information Technology for Economic and Clinical Health Act (HITECH) legislation specified HL7 versions 2. the free encyclopedia interoperability using HL7 version 3.

org/web/20040708143848/http://hl7.cfm).archive. Health Level Seven. ^ Shaver. 2012.com/llp. HL7. ^ "HL7 FAQs" (http://www.html). March 2011. ^ "Free IP FAQ" (http://www. "The HL7 Evolution .gov/fdsys/pkg/USCODE-2011title17/html/USCODE-2011-title17-chap1-sec102.hl7.org/documentcenter/public/pressreleases/HL7_PRESS_20120904. ^ http://www. (as still posted 2004/07/08)" (http://web.html).org/documentcenter/public/wg/t3f%5Cgeneral/SIFinalDraft7-26-06.org/about/FAQs/index. "HL7 e-health information-sharing standard to be free" (http://www. 18.org/about/faqs/FreeIP. 12.interfaceware.htm). ^ Lucas Mearian (Sept 4.ansi.org/wiki/HL7 11/13 . ^ The CDA Book (http://books. 10.corepointhealth. ^ "HL7 Development Framework (HDF)" (http://gforge.com/hl7-standard/hl7-messages. 3.com/sites/default/files/whitepapers/hl7-v2-v3-evolution.html).hl7.org/implement/standards/index. Health and Human Services (HHS).cfm).cfm?ref=nav).hl7.29-07-13 Health Level 7 .org/gf/project/hdf/). 9. 2012. HL7.cfm?ref=nav). ^ "17 USC § 102 Subject matter of copyright" (http://www. 8.hl7.hl7.interfaceware. ^ "California Clinical Data Project: CALINX Standards" (http://www.htm). 2. en. Sept 4.cfm). ^ "Healthcare Interoperability Glossary" (http://www. 16. ^ "Tools & Resources – V3 Modeling & Methodology Tools" (http://www.org/about/index.cfm).org/implement/standards/nocost. 13. ^ a b "About Health Level Seven" (http://www.com/resource-center/healthcareinteroperability-glossary#H). 20. Sept 4. 19.hl7.hl7. HL7. ^ a b "HL7 Reference Information Model" (http://www. ^ "HL7 International Standards Available at No Cost" (http://www.com/books?id=rwa6DDB4jY8C). 25.html). Corepoint Health.org/about/contactus. iNTERFACEWARE.hl7.org/read/attachment/117742/1/membership_worldwide.com/s/article/9230896/HL7_e_health_information_sharing_standard_to_be_free? source=CTWNLE_nlt_ithealthcare_2012-09-05).google.cfm).pdf). iNTERFACEWARE. ^ "Standards Organizations" (http://aspe.Comparing HL7 Versions 2 and 3" (http://www.chcf. ^ "Contact Health Level Seven" (http://www. 6.org/).Wikipedia. Assistant Secretary for Planning and Evaluation (ASPE). iNTERFACEWARE.hl7. HL7. Health Level Seven.gpo. 4. 2007-11-08. ^ "Understanding HL7 Messages" (http://www. Corepoint Health. ^ "Health Level Seven International" (http://www. SNOMED CT References 1. Retrieved 16 February 2012. ^ "HL7 Strategic Initiatives and Implementation Proposal" (http://www.gov/sp/nhii/standards. 15. ^ "HL7 Standards" (http://www.com/understanding_hl7_messages. Dave.Lower Layer Protocol" (http://www. Computerworld.hhs.hl7.org/participate/toolsandresources.cfm).interfaceware. 2012).wikipedia.org/implement/standards/rim. HL7.hl7. ^ "HL7 Standards Soon to be Free of Charge" (http://www. ^ "HL7 Membership Numbers" (http://lists.xls). ^ "HL7 Messages and Descriptions" (http://www. California HealthCare Foundation.computerworld.hl7. HL7. 22. as sent to the HL7 affiliates. 23.hl7.org/about/bylaw.pdf). 14.org/ ANSI 7. 17.doc).corepointhealth. ^ "Bylaws of Health Level Seven. 24. Inc. HL7. 5. 11. ^ "LLP . HL7.org/projects/2008/california-clinicaldata-project-calinx-standards). the free encyclopedia Health Informatics Service Architecture (HISA) Healthcare Services Specification Project (HSSP) HL7 SAIF IHE ISO TC 215 LOINC Mirth (software) openEHR Foundation Public Health Information Network SNOMED. 21.

com. National E-Health Transition Authority. Supported Protocols" (http://download.it). 2007. 38.com/blog/2009/10/what-does-hl7enablement-means/) HL7 is a member of the Joint Initiative on SDO Global Health Informatics Standardization (http://www. 35. V.hl7. ^ "Health Life Horizon" (http://hl7. HL7 Nederland.org/) Introduction to HL7 (http://www. 37. 40. HL7 Finland ry. the Dutch national infrastructure" (http://www.nictiz. Pakistan: National University of Sciences & Technology.din. ^ "HL7 Healthcare Standard Institute" (http://hl7india.org/javasig) HL7 Programming Tutorial using Java (http://www. ^ "HL7 Finland -esite" (http://www.com/docs/cd/B14099_19/integrate. External links HL7 Standards (http://hl7messaging. ^ "HL7 Pakistan" (http://www.com/hl7-standards) HL7.HL7Experts.aspx). Department of Health and Human Services.hhs.com/Saravanan/Articles_On_Software/Entries/2009/2/21_HL7_Pro gramming_using_Java_A_Short_Tutorial.HL7.pk/index. Canada Health Infoway. ^ "HL7 Italia" (http://www. ^ "Standards Australia eHealth" (http://www.hl7.ehrmarket.NEHTA.com/) en. 27.nust. August 17. ^ "National E-Health Transition Authority" (http://www.1012/b19370/supp_protos. 2000.com/) HL7 Tools Page (http://www.au).seecs. 41. ^ "AORTA.htm#BACIFDJG).HL7.hl7. ^ "HLH Team Member Participation in HL7 plenary meeting for signing agreement of HL7 Pakistan with HL7 International at Cambridge.org/) Comprehensive Implementation of HL7 v3 Specifications in Java (http://aurora.org EHR Page (http://www.saravanansubramanian.AHML. Standards Australia. ^ "Onze organisatie HL7" (http://www. HL7 IT.HL7. Corepoint Health.nl). 30.edu.oracle.Online HL7 Message Testing and Certification (http://www.htm).au/HL7-Tools.org/EHR) Fast Healthcare Interoperability Resources (FHIR) (http://www. ^ "Health Insurance Reform: Announcement of Designated Standard Maintenance Organizations" (http://aspe.pk/index.de/docs/00980_en. ^ "DIN NAMed Jahresbericht 2007" (http://www. 33.corepointhealth. 36. 29.infoway-inforoute.htm).au/FAQ. 31.nl). (DIN).edu.Wikipedia. US" (http://hl7.ringholm.php?id=91).nust.de/sixcms_upload/media/2616/NAMed_Jahresbericht_2007. Pakistan: National University of Sciences & Technology. Ringholm.microsoft. Deutsches Institut für Normung e. HL7 India.fortherecordmag.hl7italia. FAQ. the free encyclopedia 26. 28. Oracle.HL7. 32.10%29. 42.gov. ^ "HL7 Canada" (https://sl.org.e-Health. Health Care Financing Administration.asp?cw_page=infostand_hl7can_e).HL7.interfaceware. ^ "Nictiz (National Information and Communication Technology Institute for Healthcare)" (http://www.org/wiki/HL7 12/13 .com/resource-center/hl7-resources/hl7standard-versions).regenstrief.com/hl7/how-does-hl7-work/) HL7.pdf).wikipedia.au).shtml) International HL7 Experts Consortium (http://www.com/enus/library/ee409260%28BTS. HL7 Pakistan. Retrieved 24 November 2011.29-07-13 Health Level 7 . ^ "MLLP Receive and Send Components" (http://msdn. 34. ^ "Versions of the HL7 Standard" (http://www.html) HL7 101: A Beginner’s Guide (http://www. ^ "Oracle Application Server Integration B2B User's Guide.htm) Australian Healthcare Messaging Laboratory (AHML) . Nictiz.com.org.Standards.htm) How does HL7 work? (Video Introduction) (http://blog.org/FHIR) What does HL7 enablement means? (http://www.php?id=1).com/archives/ftr_01082007p22. MSDN.seecs. 39.pk).org site (http://www.org/).fi).ca/content/dispPage.gov/admnsimp/final/dsmo.global-ehealth-standards.au.

additional terms may apply.org/ohf) HAPI. object-oriented HL7 2. an Open-Source HL7 Perl module (http://hl7toolkit.pdf) HL7 Watch – Blog.wikipedia.org/wp/?page_id=55) nHAPI open-source library for .com/hl7senderOpenSource..x parser for Java (http://hl7api.org/javasig) The Eclipse OHF project .com.html) Retrieved from "http://en. See also the posted comments for attempted rebuttals to some of the earlier posts. DICOM.com/community/overview) The open health tools consortium (http://www.org/projects/ruby-hl7) HL7 Java binding (http://xmlbeans.NET (http://hl7analyst. you agree to the Terms of Use and Privacy Policy.au/HL7Tools.v2 and v3 implementations (IDE type tools and run-time libraries) (http://www. By using this site.buffalo.regenstrief.wikipedia. Text is available under the Creative Commons Attribution-ShareAlike License.blogspot.duke.googlepages.edu/~jgm/files/nist.NET (http://nhapi.cs. a non-profit organization. the free encyclopedia The Healthcare IT Interoperability Blog (http://www.NET (http://everest.org) The HL7 Java Special Interest Group's implementation of HL7 v3 (http://aurora.com/home/LearningCenter/HL7RegulatedProductSubmissions/tabid/252/Default. An open-source.com) HL7Kit Free Sender.codeplex.ppt) ICH-HL7 Regulated Product Submissions (http://globalsubmit.sourceforge.php.org/xhl7) The Ruby HL7 Library (http://rubyforge.openhealthtools.2006.ehrguy.1 license (http://www.sourceforge. Inc.regenstrief.org/w/index.php) HL7v3 Messaging Framework for .eclipse.aspx ) Critical reviews HL7 RIM: An Incoherent Standard (http://ontology. an Open Source HL7 Integration Engine for HL7 V2/V3.Wikipedia.marc-hi.net/) Pear (PHP) HL7 messaging API module (http://pear.org HL7 Utilities (http://nule. Open source tools There are a number of FOSS based tools that can foster worldwide adoption of the HL7 standards The HL7 Tools Directory lists many FOSS tools and resources (http://www. Freely available under MPL 1.php?title=Health_Level_7&oldid=566002298" Categories: Health standards Standards organizations International standards Multi-agent systems ANSI standards This page was last modified on 27 July 2013 at 10:04.org/~schadow/Schadow-MIE06-r3.edu/hl7/doublestandards.ca/) HL7 Analyst for .org/wiki/HL7 13/13 .net/) The Perl HL7 Toolkit. Wikipedia® is a registered trademark of the Wikimedia Foundation.29-07-13 Health Level 7 .net/package/Net_HL7) The eXcessively Simple HL7 v2 Processing Platform using XML and XSLT (http://aurora. NCPDP and X12.com/) NIST HL7 Conformance Testing Framework (http://www.com/) nule.regenstrief.HL7.mirthcorp.pdf) and The HL7 RIM Under Scrutiny . HL7 Message Editor and Sender (http://www.rebuttal (http://aurora. en. critical review of HL7 (http://hl7-watch.com/).net/home.htm) Mirth Connect.hl7kit.sourceforge.