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Medical Informatics 
Assignment 
Topic: Health level Seven/ HL7 
Submitted to: Sir adeel Kandhar 
submitted by: Maham Yousuf 
Roll # 110 dpt 17
Content! 
• What is HL7? 
• What does it stand for 
• HL7 Mission 
• HL7 contains message standards 
• HL7 in Healthcare 
Management System 
• Standards 
• Limitations of HL7
What is HL7? 
• Health Level-7 or HL7 refers to a set of international standards for transfer of 
clinical and administrative data between Hospital information systems. These 
standards focus on the application layer, which is "layer 7" in the OSI model. The 
HL7 standards are produced by the Health Level Seven International, an 
international standards organization, and are adopted by other standards 
issuing bodies such as American National Standards Institute and International 
Organization for Standardization 
• Founded in 1987, Health Level Seven International (HL7) is a not-for-profit, 
ANSI-accredited standards developing organization dedicated to providing a 
comprehensive framework and related standards for the exchange, integration, 
sharing, and retrieval of electronic health information that supports clinical 
practice and the management, delivery and evaluation of health services.
What does “HL7” stand for? 
A domain-specific, common protocol for the 
exchange of health care information. 
7 Application 
6 Presentation 
4 Transport 
3 Network 
2 Data Link 
1 Physical 
Communication 
5 Session 
Function
Cont.. 
Application 
Type of network communication 
(e-mail, telnet, FTP, HL7) 
Presentation Data conversion, encryption 
Session 
Controlling dialogues (sessions). 
Establishing, terminating and restarting 
connection. 
Transport 
Network 
Data-Link 
Physical 
TCP/IP 
Routing, reliable data 
transport between two 
computers 
Network adapter: Ethernet, wireless 
Ethernet 
Physical link: Ethernet cable, RS-232, 
optical link
HL7 Mission Statement 
• To provide standards for the exchange, management and 
integration of data that supports clinical patient care and the 
management, delivery and evaluation of healthcare services. 
• ... the complete ‘life cycle’ of a standards specification -- 
development, adoption, market recognition, utilization and 
adherence.
Cont.. 
• HL7 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.
HL7 contains message standards 
covering: 
• Patient Administration 
• Orders for Clinical Services and Observations, Pharmacy, Nutrition and Supplies 
order entry 
• Patient Accounting and Charges 
• Observation Reporting 
• Document Management Services 
• Appointment Scheduling 
• Laboratory Automation 
• Personnel Management 
• …
HL7 in Healthcare 
Management System
HL7 STANDARDS 
Hospitals and other healthcare provider organizations typically have many different computer systems used 
for everything from billing records to patient tracking. All of these systems should communicate with each 
other (or "interface") when they receive new information but not all do so. HL7 specifies a number of 
flexible standards, guidelines, and methodologies by which various healthcare systems can communicate 
with each other. Such guidelines or data standards are a set of rules that allow information to be shared 
and processed in a uniform and consistent manner. These data standards are meant to allow healthcare 
organizations to easily share clinical information. Theoretically, this ability to exchange information should 
help to minimize the tendency for medical care to be geographically isolated and highly variable. 
• HL7 version 2.x 
• HL7 version 3 
• Fast Healthcare Interoperability Resources (FHIR) 
• Clinical Document Architecture - ISO/HL7 27932
Benefits of V3 to Providers 
Deals with complexity of the HC environment: 
Facilitates integration of 
heterogeneous systems 
 Increases choices of innovative 
best-of-breed solutions 
 Provides support for legacy systems 
 Allows reliable verification of 
vendors’ conformance claims
Benefits of V3 to Vendors 
 Provides improved protocol for 
interconnecting heterogeneous systems 
Reduces installation effort 
– reduces site-specific negotiations 
– simplifies interface programming 
Promotes vendor specialization by 
allowing segmentation of product 
lines into niche market spaces
Limitaions 
• The list below is some of the functionality that is not provided or supported: 
• Security/Access Control – HL7 does not provide for the enforcement of a user’s security 
policies. In addition, HL7 does not specify a specific encryption method. 
• Privacy/Confidentiality – HL7 does not address this issue and makes no assumption about how 
the data will be used at the source or destination of a message. 
• Accountability/Audit trails – HL7 does not attempt to define possible transaction processing 
features needed in a user’s environment.
HL7 Health level 7