HL7 International is a global standards organization headquartered in Michigan that develops standards to facilitate interoperability between healthcare information systems. It has over 38 affiliate organizations around the world. The document discusses HL7's standards development process, influential stakeholders, users of HL7 standards like governments and vendors, and HL7's mission to improve healthcare delivery through interoperable standards. It also lists the various working groups and technical areas HL7 covers to address challenges in integrating the many different parts of complex healthcare systems.

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Dr. Chandil Kumar Gunashekara
Chairman , HL7 India
HL7 STANDARDS

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HL7 International
is a Consensus Driven
Standards Development
Organization (SDO)

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The OSI Model
Physical
Data
Network
Transport
Session
Presentation
Application
Physical
Data
Network
Transport
Session
Presentation
Application
Application 1 Application 2
Physical Connection
Logical Connection
Logical Connection
Logical Connection
Logical ConnectionLogical Connection
Logical Connection
Logical Connection
HL7
7
6
5
4
3
2
1
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Administrative
HIS/RIS
. . .
Medical Informatics
Scope of
DICOM
Diagnostic
Imaging
Lab Data
. . .
Patient
Bedside
Monitoring
Scope of Standards
Scope of
HL7

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Disagreements in
Healthcare

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Where & Who is HL7 International?
• Headquartered in Ann Arbor, MI, HL7 International is
like many other SDOs in that it is a not-for-profit
volunteer organization. HL7 International also has an
office in Brussels, Belgium.
• Its members (providers, vendors, payers, consultants,
government groups and others who have an interest in
the development and advancement of clinical and
administrative standards for healthcare) develop HL7’s
standards.
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38 HL7 International Affiliates / Countries
Japan
Canada
Finland Germany
United States
United Kingdom
India
China
Taiwan
Czech Republic
And growing
France
Argentina
Brazil
Australia
Greece
Italy
Sweden
Turkey
Uruguay
New Zealand
The
Netherlands
Singapore
Croatia
Austria
Columbia
Switzerland
South Korea
Romania
Spain
Russia
Hong
Kong
NorwayPakistan
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Luxembourg
Bosnia and
Herzegovina
Puerto Rico
Updated 01/19/13

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What is an Affiliate?
• An Affiliate is an independent legal entity that:
– Represents its members at Hl7 International and within its country/ territory on
HL7 matters;
– Participates in HL7 International’s standards development and governance
processes;
– Promotes the relevance and fitness of the HL7 Protocol Specifications, HL7
Educational Material and Other HL7 Material in its country/territory;
– Distributes, translates and localizes the HL7 Protocol Specifications as
appropriate;
– Administers and proctors HL7 Certification tests within its Territory when
suitable and authorized to do so as provided below; and
– Promote HL7 standards, educates, informs and supports current and potential
users within the Territory to promote consistent and widespread usage of the
standards.
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Where & Who is HL7 India?
• Headquartered in Bangalore, HL7 Standards
Institute of India is a not-for-profit volunteer
organization.
• Its members (providers, vendors, payers,
consultants, government groups and others
who have an interest in the development and
advancement of clinical and administrative
standards for healthcare) develop and use
HL7’s standards.

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Examples of Influencers & Drivers
• Governments (US Federal Government , Canada
Health Infoway, Australia’s NEHTA, UK’s NHS , …)
• American National Standards Institute (ANSI)
• Vendors
• International Affiliates
• Clinical users & Consultants
• Healthcare Ontology/Terminology
• Other International Standards Organization
(ISO, DICOM, etc.)
• NeHA/ EMR Standards committee
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The Users
• HL7 standards (e.g., messaging, v.2.X,V 3.0, CCD,CDA,
FHIR) are now much more widely used around the
world than even a few years ago.
• Users include governments and government funded
entities (e.g., NHS, CHI, Turkey, Argentina, Uruguay,
Columbia, US, etc.)
• The exact forms of use varies as well:
– messaging, electronic documents or services
– the approach and methodology
– processes automated and terminologies applied
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HL7 International’s Mission
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HL7 International provides standards for
interoperability that improve care delivery, optimize
workflow, reduce ambiguity and enhance knowledge
transfer among all of our stakeholders, including
healthcare providers, government agencies, the
vendor community, fellow SDOs and patients. In all of
our processes we exhibit timeliness, scientific rigor and
technical expertise without compromising
transparency, accountability, practicality, or our
willingness to put the needs of our stakeholders first.

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So many moving parts…
CIS
LIS
NIS
PIS
RIS
PACS
FAS
HRMS
MMS

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What the Market Wants
• Faster and meaningful implementations
• Tangible syntactic and Semantic
Interoperability
• Continuity of care across facilities
• Confidentiality/Security
• Harmonization with other standards
• Support of the latest communication
technologies
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HL7 International’s Work Groups
HL7 Work Groups:
• Affiliate Due Diligence
• Anatomic Pathology
• Anesthesia
• Application Implementation and
Design
• Architecture Board
• Arden Syntax
• Attachments
• Child Health
• Clinical Decision Support
• Clinical Genomics
• Clinical Interoperability Council
• Clinical Quality Information
• Clinical Statement
• Community Based Collaborative Care
• Conformance & Guidance for
Implementation/Testing
• Education
• Electronic Health Record s
• Electronic Services
• Emergency Care
(19)
• Financial Management
• Governance and Operations
• Health Care Devices
• Imaging Integration
• Implementable Technology
Specifications
• Infrastructure and Messaging
• International Council
• International Mentoring
• Marketing
• Mobile Health
• Modeling and Methodology
• Nomination
• Orders and Observations
• Organizational Relations
• Outreach Committee for Clinical
Research
• Patient Administration
• Patient Care
• Patient Safety
• Pharmacy
(19)
Updated: 01/14 53 Total
 Policy Advisory
 Process Improvement
 Project Services
 Public Health and Emergency
Response
 Publishing
 Recognition and Awards
 Regulated Clinical Research
Information Management (RCRIM)
 Security
 Services Oriented Architecture
 Strategic Initiative Committee
 Structured Documents
 Technical Steering Committee
 Templates
 Tooling
 Vocabulary
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The present and the future of Healthcare
Informatics…

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THE MOST HELPFUL SINGLE PIECE OF
INFORMATION
http://www.hl7.org
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https://www.youtube.com/watch?v=-NF1Pis1D18

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…………………………Thank you