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HL7 mHealth in LMIC

HL7 mHealth in LMIC. Phases of Adoption. Purpose and Overview. To provide a broad overview of HIT standards adoption phases to be expected Communication tool when approaching LMICs LMIC maturity assessment tool . Notes. Adopted from the HL7 Affiliate Life Cycle Phases

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HL7 mHealth in LMIC

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  1. HL7 mHealth in LMIC Phases of Adoption

  2. Purpose and Overview • To provide a broad overview of HIT standards adoption phases to be expected • Communication tool when approaching LMICs • LMIC maturity assessment tool

  3. Notes • Adopted from the HL7 Affiliate Life Cycle Phases • Phases of maturity are hierarchical but overlap and complementary progress is expected

  4. Phase I - Raising Awareness • In the initial phase the activities are those who as vendors, or as implementers have come across HL7 standards • During this phase activities are mostly related to 'increasing awareness' within a country that the use of international interoperability standards, or even interoperability in general, has an added value. • The localized specification of one of the early adopters (mostly a vendor) may be the defacto local standard for the time being.

  5. Phase II - Consensus and Harmonization • During this phase a sizable number of volunteers are working on the creation of a consensus-based localized version of the HL7 standard. • The project mostly consists of multiple working groups that each focus on a subset of the specifications as needed.

  6. Phase III - Active Development • Paid resources begin to help develop specifications and associated projects instead of solely by volunteers (in the context of the affiliate). • Standards development and timeline ramps up

  7. Phase IV - Official Endorsement • A national organization (e.g. healthcare ministry, a semi-governmental body, or other national standards setting body) mandates (carrot and/or stick) the use of HL7 standards, using a particular localized version. • This organization typically also creates local implementation guides. HL7 International refers to these organizations as 'profiler/enforcers'.

  8. Phase V - Standards Collaborative • Once the national organization and the affiliate realize that the support of healthcare workflows requires the combined use of multiple standards (e.g. HL7, DICOM, IHE, and terminologies) they come to the realization that the standards bodies (and/or their local representation, e.g. HL7 affiliates) themselves need to be tightly integrated.

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