HL 7 International How to become an HL

HL 7 International How to become an HL 7 Affiliate Supporting HL 7 in your Country Updated by the HL 7 Affiliate Due Diligence Committee, March 2012 Original version by Klaus Veil (2009) © 2009 Klaus Veil How to Become an HL 7 Affiliate 1

Overview l l l l What is HL 7 International? A Brief History of HL 7 International HL 7 Affiliates Background HL 7 Affiliates Objectives HL 7 Affiliates Achievements How to become an HL 7 Affiliate Contact Information How to Become an HL 7 Affiliate 2

Overview l l l l What is HL 7 International? A Brief History of HL 7 International HL 7 Affiliates Background HL 7 Affiliates Objectives HL 7 Affiliates Achievements How to become an HL 7 Affiliate Contact Information How to Become an HL 7 Affiliate 3

HL 7 International: Mission l l l globa l To create the best and most widely used standards in healthcare. HL 7 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 HL 7 exhibits timeliness, scientific rigor and technical expertise without compromising transparency, accountability, practicality, or the willingness. HL 7 Affiliate the needs of the stakeholders first. How to Become an to put 4

Interoperability l 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 How to Become an HL 7 Affiliate 5

What is HL 7 International? l l l l l 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 38 countries Three 6 -day Working Meetings per year Web site: www. HL 7. org HL 7 International Foundation in Europe, www. HL 7. eu How to Become an HL 7 Affiliate 6

Overview l l l l What is HL 7 International? A Brief History of HL 7 International HL 7 Affiliates Background HL 7 Affiliates Objectives HL 7 Affiliates Achievements How to become an HL 7 Affiliate Contact Information How to Become an HL 7 Affiliate 7

A Brief History of HL 7 International. . . l l l l 1987: Interested users in the US start work on a standard - “Health Level Seven” 1990: First standard (V 2. 1) 1993/94: First International Affiliates join. 1994: HL 7 becomes ANSI-accredited. 1997: Aust. Dept of Health first to acknowledge HL 7 as the healthcare messaging standard. October 2005: HL 7 V 3 released More than 95% of all October 2007: HL 7 V 2. 6 released organisations in the US with Health IT systems use HL 7!* * The HIS Desk Reference: A CIO Survey, 1998, CHIME and HCIA Inc. How to Become an HL 7 Affiliate 8

Why Health Level “Seven”? Function Communicat ion 7 6 5 4 3 2 1 Application Presentation Session Transport Network Data Link Physical (clinical) (encryption) (session set-up & termination) (error recovery & flow control) (switching & routing) (MAC& LLC) (hardware, Ethernet, RS 232) 7 -layer ISO Communication Model How to Become an HL 7 Affiliate 9

HL 7: Messages and More. . . l l l Electronic Health Record functional model (EHR) Clinical Document Architecture (CDA) Decision Support • Arden Syntax Standard • Guideline Interchange Format (GLIF) • GELLO l Visual Integration (“CCOW”) How to Become an HL 7 Affiliate 10

Are there Alternatives to HL 7? l UN/EDIFACT • Originated from CEN in Europe. • Large number of messages: Transport, Customs, Supply Chain, etc. • Healthcare messages have found only limited use • HL 7 and CEN have a Memorandum of Understanding l XML • a set of rules for encoding documents electronically • Not a content standard • HL 7 V 2. x, V 3 and CDA use XML l Anyone can make their own specification, but they would not be global standards, be supported by training, certification, and a vibrant international How to Become an HL 7 Affiliate 11

HL 7 activity in Europe (2012): 19 affiliates, European office TURKEY ROMANIA CROATIA CZECH REPUBLIC BOSNIA & HERZEGOVINA CZECH REPUBLIC ROMANIA BOSNIA & HERZEGOVINA CROATIA TURKEY 12

HL 7 is a Global Standard! [Please update graphic] HL 7 Organisations in 38 Countries! How to Become an HL 7 Affiliate 13

38 Members HL 7 International Council Japan Romania Switzerland Russia Taiwan Argentina China France Australia Colombia Germany Austria Croatia Greece New Zealand Singapore Brazil Czech Republic Hong Kong Norway South Korea Canada Denmark India Pakistan Spain Chile Finland Italy Puerto Rico Luxembourg Sweden Uruguay Bosnia-Herzegovina The Netherlands Turkey United Kingdom United States

Overview l l l l What is HL 7 International? A Brief History of HL 7 International HL 7 Affiliates Background HL 7 Affiliates Objectives HL 7 Affiliates Achievements How to become an HL 7 Affiliate Contact Information How to Become an HL 7 Affiliate 15

HL 7 Affiliates: Background Information l l l l 1987: Work on HL 7 starts in US 1993/94: Germany and The Netherlands become the first International Affiliates 1997: Australia the first government to acknowledge HL 7 as the healthcare messaging standard 2000: 1 st International Affiliates Meeting held in Dresden, Germany 2005: 1 st HL 7 Working Group Meeting held in Europe …. January 2012: International Council has 38 members and growing. . How to Become an HL 7 Affiliate 16

HL 7 Affiliates: Objectives l l l At the May 2001 Working Meeting in Minneapolis, the International Affiliates re-confirmed the 1998 agreement that “our Goal is a global HL 7 Standard for V 2. x and V 3”. Translations are needed Local “Implementation Guides” Affiliate Interaction – sharing of best practices Training and certification One global Standard! How to Become an HL 7 Affiliate 17

Affiliates: Achievements (1) l l >60 published documents! Translations: • German, Spanish, Japanese, Dutch, Finnish, etc. l Implementation Guides: • Local variances • Interpretation of Terms l International HL 7 Interoperability Conference (IHIC) since 2000 How to Become an HL 7 Affiliate 18

Affiliates: Achievements (2) l HL 7 is endorsed by Governments in: • • • l United Kingdom (NHS / NPf. IT) Canada (Health Info. Way) USA (NCVHS / CCHIT) Australia (Dept. of Health / NEHTA) New Zealand The Netherlands (NEN) Japan France (AFNOR) Mexico Localizations • Define the rules for local variations … • … while maintaining a global standard! How to Become an HL 7 Affiliate 19

Affiliates: Achievements (3) l HL 7 Introductory Booklet • V 2. x (HL 7 Germany) • V 3 (HL 7 United Kingdom) l HL 7 Access Database • Created and maintained by a member of HL 7 Germany and is available through the store on www. HL 7. org l Message Compliance Testing • Australian Healthcare Messaging Laboratory How to Become an HL 7 Affiliate 20

HL 7 International Council Meeting How to Become an HL 7 Affiliate 21

Overview l l l l What is HL 7 International? A Brief History of HL 7 International HL 7 Affiliates Background HL 7 Affiliates Objectives HL 7 Affiliates Achievements How to become an HL 7 Affiliate Contact Information How to Become an HL 7 Affiliate 22

How to become an HL 7 Affiliate 1. 2. Establish a group of people interested in / using HL 7 ("User Group") Ensure group is well-balanced • • • 3. 4. Send Application to Diana Stephens, Director of Membership: diana@hl 7. org Requires at least 5 supporters • 5. Users System vendors Academia/Government Show group is balanced Detailed criteria for establishing an affiliate and the application form are available on the HL 7. org website at the following URL: • How to Become an HL 7 Affiliate http: //www. hl 7. org/Special/committees/international/overview. cfm 23

Obligations of an HL 7 Affiliate l Organisational requirements • • l Membership must be open to all Democratically elected leadership Not-for-profit Consensus-based technical balloting processes Financial Requirements • US$ 1000 < 20% of revenue • Regular reports l l Participation in WGM once a year. Detailed affiliate obligations available on the HL 7. org website at the following URL: • http: //www. hl 7. org/Special/committees/international/overview. cfm How to Become an HL 7 Affiliate 24

Benefits of being an HL 7 Affiliate l l l l l Become part of HL 7 International Access to standards, documents and meetings at reduced price Create local implementation Guides that meet your country’s need Vote on Standards and Governance Vote in the International Council Have direct access to HL 7 Board Access to international best practices around the world Network with like-minded professionals and groups Be part of a vibrant global community commited to interoperability! How to Become an HL 7 Affiliate 25

Contact Information l l l l Web Site: www. HL 7. org Affiliates: www. HL 7. org/Special/committees/international/overview. cf m HL Introduction: www. HL 7. org/about/index. cfm HL 7 Events: www. HL 7. org/events/index. cfm HL 7 Tools: www. hl 7. org/participate/toolsandresources. cfm HL 7 on Twitter: http: //twitter. com/HL 7 Tools on Twitter: http: //twitter. com/HL 7 Tools HL 7 International Directors on the HL 7 International Board of Directors: • Diego Kaminker (kaminker. diego@gmail. com ) • How to Become an Chronaki (Chronaki@ics. forth. gr) Catherine HL 7 Affiliate 26