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HL7 Never Sleeps: Snapshots for around the Globe

HL7 Never Sleeps: Snapshots for around the Globe. Catherine E Chronaki Affiliate Director, HL7 Board of Directors International Council co-Chair FORTH-Institute of Computer Science, Crete, Greece chronaki@ics.forth.gr. HL7 Leads HIT Standards development since 1987.

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HL7 Never Sleeps: Snapshots for around the Globe

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  1. HL7 Never Sleeps:Snapshots for around the Globe Catherine E Chronaki Affiliate Director, HL7 Board of Directors International Council co-Chair FORTH-Institute of Computer Science, Crete, Greece chronaki@ics.forth.gr

  2. HL7 Leads HIT Standards development since 1987 • HL7 grows exponentially - demand outstrips capacity, HL7 v3, HL7 CDA, 40+ WGs, 50+standards products in use • HL7 is supported by over 35 Affiliated NfP orgs beyond USA and members in over 50 countries • HL7 becomes International, USA is represented in the International Council • Partnerships are created to enlarge the scope and enhance implementation • HL7 International Foundation in Europe

  3. HL7 Collaborates closely with standards developing & profiling organizations • Joint Initiative Council: ISO, HL7, CEN, CDISC, LOINC, GS1 • Avoid replication of work • Cultivate Consistency • ISO: Joint Working Group, CEN, CDISC: BRIDG, • IHTSDO: Vocabulary binding, LOINC: More vocabulary binding • Decision Support Collaboratives: • Clinical Interoperability Council (Bridging the Chasm) • Clinical Interoperability Interchange Collaborative (CIIC) • Quality Measurement Colloquia, Public Health Reporting, Pharma processes • And others…IHE, Continua, OpenEHR, NCI

  4. HL7 standards are voted in ISO • EHR functional model • CDA R2 • HL7 v2.5 • RIM, data types Benefits of HL7 Standards breed Interoperability enable decision support drive health care quality facilitate clinical research support bio-surveillance foster healthcare capacity building enable pharmaco-vigilence Accelerate globalization/market defragmentation Build capacity

  5. What is an HL7 affiliate? • HL7 Affiliates are Independent non-profit membership organizations • Operate and provide local insight in a certain country or territory • Reflect the specific needs in the development, awareness, and adoptionof HL7 standards of their territory • Represent the interests of their HIT stakeholders in interoperability and standards • Collaborate with local Government agencies,eHealth programs, Standards Developing Orgs, Consortia, Fora • Need Initial 5 Petitioners from 4+ HIT Stakeholders Academia, health care, government agencies, consultants, industry, etc.

  6. What are typical Activities of an Affiliate? • Sign agreement with HL7 international with key activities: • Localization of HL7 standards, Training, Certification,.. • HL7 affiliates form a vibrant community attracting the interest of implementors and early adopters through • IHIC (its implementation focused conference) • International Council Meetings (incl. HL7 around the world) , Sunday prior to WGMs • Affiliate chairs are members of the HL7 international council

  7. History of the International Council

  8. HL7 focus on Education: eLearning, tutorials, free webinars • A very successful initiative from HL7 Argentina • 14 weeks: 1w intro,1w vocab, 1w UML/XML, 4w HL7 V2.x, 4w HL7 V3, 3w CDA • 50-60 pages for week, 5-10 hours study for assignments • 14 tutors worldwide (Canada, US, Argentina, Uruguay, China, Italy, New Zealand, Czech Republic, Romania, Singapore) • In Spanish: 2010 : 2 eds ~120 students; 2011 : 1ed: 45 studentsfromMexico, Chile, Costa Rica, Spain, Argentina. • In English: 200+ students, 14 from scholarships granted by HL7 International/Argentina, 1000+ students in waiting list. • For more information: www.hl7elc.org

  9. HL7 Affiliates by Continent • Europe • Active: Austria, Germany, France, UK, Sweden, Finland, Norway, Netherlands, Romania, Chech Republic, Italy, Greece, Croatia, Russia, Turkey, Luxemburg, Spain, Switzerland • Inactive or terminated: Ireland, Poland, Burgaria, Denmark • Americas • Uruguay, Brazil, Chile, Argentina, Colombia, Puerto Rico, Canada • Asia • Active: Japan, China, Taiwan, India, Pakistan, Korea, Singapore, Hong Kong • Inactive or terminated: Malaysia • Oceania • Active: Australia, New Zealand

  10. HL7 Snapshots from the globe: Europe -1 • Finland: • earchive, ePrescription Project (CDA, V3) goes to production: implementation guide engagement: voting, quality assurance for the use of HL7 Standards CDA • France: • DMP ready for deployment - medication record/pharmacy network (71%/ +10% increase) • Greece: • Digital Health WG between athens medical society, young doctors association, HL7 Hellas • Germany: • Translation of epSOS terms, news in German for HL7ers

  11. HL7 Snapshots from the globe: Europe -2 • HL7 Luxemburg (2010) • HL7 The Netherlands • New EHR WG • 200+ organizational members • HL7 University • HL7 UK • UK Conference • HL7 Austria • Model collaboration with IHE/Prorec • Bosnia-Herzegovina, Slovenia (around the block)

  12. HL7 Snapshots from the globe: Europe : HL7 Foundation • HL7 International foundation • established in Brussels in June 2010 focusing on European activities • Engagement in European activities • epSOS for cross-border ePrescription and patient summaries • Collaboration with IHE & the consortium • eHGI: eHealth governance initiative • Contract signature pending • Semantic HealthNet: participation in network of excellence • In negotiations

  13. HL7 Snapshots from the globe: Americas • USA: • USA: ARRA/HITECH funding • IHE/HL7 CDA implementation guides consolidation project • Canada: • Standards Collaborative • Mexico: • HL7 mandaated as official government standards • Argentina: • eLearning Course marches on (Argentina, US, India, Singapore, Romania) • CDA projects • Brazil: • CDA referral project • HL7 WG Meeting in May 2010

  14. USA: CDA Consolidation Project • Collaborate with IHE and the US Office of the National Coordinator (ONC) • Bring into single, master implementation guide • Port to new tooling supporting structured templates • Update per new US domain requirements for Meaningful Use of Electronic Health Records • Reconcile HL7/IHE/HITSP for CCD/Summaries • Consolidate: • Update for Meaningful Use • Consolidate Health Story Guides • Header • US Realm Header template • Guide-specific • Sections • Section codes, cardinality harmonized with IHE/HITSP • Entry requirements (September) • Future Option: Add International domain • Determine interest, value, support Health Story Implementation Guides: • Consultation Note • Diagnostic Imaging Report (with DICOM) • Discharge Summary • History and Physical • Operative Note • Procedure Note • Unstructured Documents • Progress Note (in ballot)

  15. HL7 Snapshots around the globe: Asia-1 • India • 3rd Edition of eLearning Course in India • Japan • HL7 Standards recognized by Govt. 594HIS: HL7 v2.5 messages and CDA for referral endorsed by the ministry of Health in Japan that provides incentives to vendors • HL7 Pakistan • new baby of the family! • Taiwan • National Infrastructure for exchange of EHR: Progress towards achievement of adoption objectives (EMR: 20% hospitals (75%) 10% primary care (100%), 7% hospital exchange

  16. HL7 Snapshots around the globe: Oceania • New Zealand: • p2gp project marches on… • Australia: • organized the 1st HL7 WGM outside North America in Jan 2011 • Renamed standards and Education Meeting

  17. Questions I hope to have answered in this talk.. • What are HL7 affiliates? • What is the HL7 affiliates role in eHealth standards development & adoption? • Where are key HL7 project successes in Europe? Asia? Americas? Oceania? Africa? • What is the HL7 International Foundation in Europe?

  18. HL7 International event @ eHealth week: May 10, 2011 Tuesday May 10, 16:45-18:30, Room: Oslo • The Business Case for HL7: Charles Jaffe, CEO, HL7 International • Trust in Interoperability, Robert Stegwee, Chair HL7 NL, CEN TC251 • Integration of Clinical Research in an Hospital Information System: Investing in Secondary Use Pier-Yves Lastic, Chair CDISC European Coordination Committee • Collaborative Use of Standards for x-border ePrescription and Patient Summaries, Fredrik Linden, epSOS Coordinator • HL7 never sleeps: snapshots around the globe, C Chronaki

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