HL7 Standards

1. HL7 STANDARDS Dr. Chandil Kumar Gunashekara Chairman , HL7 India

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

3. Application Application Presentation Presentation Session Session Transport Transport Network Network Data Data Physical Physical The OSI Model HL7 Logical Connection 7 Logical Connection 6 Logical Connection Logical Connection 5 Logical Connection 4 Logical Connection 3 Logical Connection 2 Physical Connection 1 Application 1 Application 2

4. Scope of Standards Scope ofHL7 Medical Informatics . . . PatientBedsideMonitoring Administrative HIS/RIS Lab Data . . . DiagnosticImaging Scope ofDICOM

5. Disagreements in Healthcare

6. 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.

7. 38 HL7 International Affiliates / Countries Argentina Puerto Rico Romania Pakistan Norway Australia New Zealand And growing Russia Luxembourg Uruguay Austria Bosnia and Herzegovina Singapore Japan United States South Korea Brazil Italy Spain Sweden United Kingdom Canada India Switzerland Turkey The Netherlands Taiwan HongKong 7 China Greece Columbia Croatia France Germany Czech Republic Finland Updated 01/19/13

8. 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.

9. 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.

10. 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

11. 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

12. HL7 International’s Mission 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.

13. So many moving parts…

14. 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

15. HL7 International’s Work Groups • 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 • (15) Updated: 01/14 53 Total 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)

16. The present and the future of Healthcare Informatics…

17. http://www.hl7.org The Most Helpful Single Piece of Information https://www.youtube.com/watch?v=-NF1Pis1D18

18. …………………………Thank you