1. How to Become an HL7 Affiliate 1 How to become an HL7 Affiliate Supporting HL7 in your Country Updated by the HL7 Affiliate Due Diligence Committee, March 2012 Original version by Klaus Veil (2009) ©2009 Klaus Veil HL7 International

2. How to Become an HL7 Affiliate 2 Overview What is HL7 International? A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements How to become an HL7 Affiliate Contact Information

3. How to Become an HL7 Affiliate 3 Overview What is HL7 International? A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements How to become an HL7 Affiliate Contact Information

4. How to Become an HL7 Affiliate 4 HL7 International: Mission To create the best and most widely used standards in healthcare. HL7 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 HL7 exhibits timeliness, scientific rigor and technical expertise without compromising transparency, accountability, practicality, or the willingness to put the needs of the stakeholders first. global

5. How to Become an HL7 Affiliate 5 Functional interoperability Interoperability Semantic interoperability 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]

6. How to Become an HL7 Affiliate 6 What is HL7 International? 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.HL7.orgwww.HL7.org HL7 International Foundation in Europe, www.HL7.euwww.HL7.eu

7. How to Become an HL7 Affiliate 7 Overview What is HL7 International? A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements How to become an HL7 Affiliate Contact Information

8. How to Become an HL7 Affiliate 8 1997: Aust. Dept of Health first to acknowledge HL7 as the healthcare messaging standard. October 2005: HL7 V3 released October 2007: HL7 V2.6 released A Brief History of HL7 International... 1987: Interested users in the US start work on a standard - Health Level Seven 1990: First standard (V2.1) 1993/94: First International Affiliates join. 1994: HL7 becomes ANSI-accredited. More than 95% of all organisations in the US with Health IT systems use HL7!* * The HIS Desk Reference: A CIO Survey, 1998, CHIME and HCIA Inc.

9. How to Become an HL7 Affiliate 9 Function Why Health Level Seven? 1 Physical (hardware, Ethernet, RS232) 2 Data Link (MAC& LLC) 3 Network (switching & routing) 4 Transport (error recovery & flow control) 6 Presentation (encryption) 5 Session (session set-up & termination) 7 Application (clinical) 7-layer ISO Communication Model Communication

10. How to Become an HL7 Affiliate 10 HL7: Messages and More... Electronic Health Record functional model (EHR) Clinical Document Architecture (CDA) Decision Support Arden Syntax Standard Guideline Interchange Format (GLIF) GELLO Visual Integration (CCOW)

11. How to Become an HL7 Affiliate 11 Are there Alternatives to HL7? UN/EDIFACT Originated from CEN in Europe. Large number of messages: Transport, Customs, Supply Chain, etc. Healthcare messages have found only limited use HL7 and CEN have a Memorandum of Understanding XML a set of rules for encoding documents electronically Not a content standard HL7 V2.x, V3 and CDA use XML Anyone can make their own specification, but they would not be global standards, be supported by training, certification, and a vibrant international community!

12. HL7 activity in Europe (2012): 19 affiliates, European office 12 ROMANIA TURKEY CROATIA CZECH REPUBLIC BOSNIA & HERZEGOVINA

13. How to Become an HL7 Affiliate 13 HL7 is a Global Standard! [Please update graphic] HL7 Organisations in 38 Countries!

14. HL7 International Council Canada Germany United States United Kingdom China Taiwan Czech Republic France Finland Argentina Brazil Australia Denmark Italy TurkeyUruguay New Zealand The Netherlands Croatia India Greece Japan Spain Sweden Austria Colombia Switzerland South Korea Singapore Romania Chile Russia Hong Kong Norway Luxembourg Pakistan Puerto Rico 38 Members Bosnia-Herzegovina

15. How to Become an HL7 Affiliate 15 Overview What is HL7 International? A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements How to become an HL7 Affiliate Contact Information

16. How to Become an HL7 Affiliate 16 HL7 Affiliates: Background Information 1987: Work on HL7 starts in US 1993/94: Germany and The Netherlands become the first International Affiliates 1997: Australia the first government to acknowledge HL7 as the healthcare messaging standard 2000: 1 st International Affiliates Meeting held in Dresden, Germany 2005: 1 st HL7 Working Group Meeting held in Europe …. January 2012: International Council has 38 members and growing..

17. How to Become an HL7 Affiliate 17 HL7 Affiliates: Objectives At the May 2001 Working Meeting in Minneapolis, the International Affiliates re-confirmed the 1998 agreement that our Goal is a global HL7 Standard for V2.x and V3. Translations are needed Local Implementation Guides Affiliate Interaction – sharing of best practices Training and certification One global Standard!

18. How to Become an HL7 Affiliate 18 Affiliates: Achievements (1) >60 published documents! Translations: German, Spanish, Japanese, Dutch, Finnish, etc. Implementation Guides: Local variances Interpretation of Terms International HL7 Interoperability Conference (IHIC) since 2000

19. How to Become an HL7 Affiliate 19 Affiliates: Achievements (2) HL7 is endorsed by Governments in: United Kingdom (NHS / NPfIT) Canada (Health InfoWay) 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!

20. How to Become an HL7 Affiliate 20 Affiliates: Achievements (3) HL7 Introductory Booklet V2.x (HL7 Germany) V3 (HL7 United Kingdom) HL7 Access Database Created and maintained by a member of HL7 Germany and is available through the store on www.HL7.orgwww.HL7.org Message Compliance Testing Australian Healthcare Messaging Laboratory

21. How to Become an HL7 Affiliate 21 HL7 International Council Meeting

22. How to Become an HL7 Affiliate 22 Overview What is HL7 International? A Brief History of HL7 International HL7 Affiliates Background HL7 Affiliates Objectives HL7 Affiliates Achievements How to become an HL7 Affiliate Contact Information

23. How to Become an HL7 Affiliate 23 How to become an HL7 Affiliate 1.Establish a group of people interested in / using HL7 ("User Group") 2.Ensure group is well-balanced Users System vendors Academia/Government 3.Send Application to Diana Stephens, Director of Membership: diana@hl7.org diana@hl7.org 4.Requires at least 5 supporters Show group is balanced 5. Detailed criteria for establishing an affiliate and the application form are available on the HL7.org website at the following URL: http://www.hl7.org/Special/committees/international/overview.cfm

24. How to Become an HL7 Affiliate 24 Obligations of an HL7 Affiliate Organisational requirements 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 Participation in WGM once a year. Detailed affiliate obligations available on the HL7.org website at the following URL: http://www.hl7.org/Special/committees/international/overview.cfm

25. How to Become an HL7 Affiliate 25 Benefits of being an HL7 Affiliate Become part of HL7 International Access to standards, documents and meetings at reduced price Create local implementation Guides that meet your countrys need Vote on Standards and Governance Vote in the International Council Have direct access to HL7 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!

26. How to Become an HL7 Affiliate 26 Contact Information Web Site: www.HL7.orgwww.HL7.org Affiliates: www.HL7.org/Special/committees/international/overview.cfmwww.HL7.org/Special/committees/international/overview.cfm HL Introduction: www.HL7.org/about/index.cfmwww.HL7.org/about/index.cfm HL7 Events: www.HL7.org/events/index.cfmwww.HL7.org/events/index.cfm HL7 Tools: www.hl7.org/participate/toolsandresources.cfmwww.hl7.org/participate/toolsandresources.cf HL7 on Twitter: http://twitter.com/HL7http://twitter.com/HL7 HL7 Tools on Twitter: http://twitter.com/HL7Toolshttp://twitter.com/HL7Tools HL7 International Directors on the HL7 International Board of Directors: Diego Kaminker (kaminker.diego@gmail.com )kaminker.diego@gmail.com Catherine Chronaki (Chronaki@ics.forth.gr)Chronaki@ics.forth.gr