Introduction

To
HL7
Made by- Vaibhav K. Gaikwad
Session Overview…………..

HL7 definition
Why standards in health care communication…..

What is HL7--it took our too much time to find the answer……finally
today we decided to present..…lets start with You choose one of the
following…..

A) Software B)Programme

C)Clinical D)None of the

procedure above
What is HL7 ?

An international electronic health data communication standards.

“Rules” for common types of communication between health computer

applications.

The most widely- implemented "exchange protocol” in North

American health.

Clear..? Y/N
What is HL7------Definition 2

• A not-for-profit American standards development

organization (SDO)
– >2200 members
– 32 international affiliates for India -HL7 India.

Clear..? Y/N
pls…answer…if any one knows………

Why do we needs standards in health care

communication…..??????????
Why Standards requires….?

In Healthcare IT systems to exchange information done by- 2 ways i.e

• communicate via custom interfaces or
• share a common data format

Custom interfaces are costly to design and difficult to maintain (~ $100k each
i.e.) something technical problem.

A common data format is cost-effective, but needs up-front agreement

and commitment = “a Standard”.
Why Communication Standards?
Other communication standards…
 Mobile Phones (“GSM”)

 CDs (“ISO”)

 ATMs
HL7 Mission…
So far..clear….i.e. HL7 is not-for profit stands development organization which has
13 international affiliation……

To provide standards for the exchange, management and integration of data that
supports clinical patient care and the management, delivery and evaluation of healthcare
services.

Specifically, to create flexible, cost effective approaches, standards, guidelines,

methodologies, and enable healthcare information system interoperability and sharing of
electronic health records.”

Lets see….what is interoperability…? And electronic health records……?

What is interoperability…? And electronic health records……?
Any one…….?

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 Semantic
interoperability interoperability
About electronic health records…..
So……..far………
HL7 is an standard developing organization……..i.e.
Health Level 7.Org communication….

We seen why we need standards for communication……

what is ``interoperability`` and electronics health records…………
Why Health Level “Seven”?
7 A p p l i c a ti o n ( c l i n i c a l )

6 Presentation (encryption)
Function
5 Session (session set-up
& t e r m i n a ti o n )

4 Transport (error recovery &

flow control)

3 Network (switching & routing)

Communication
2 Data Link (MAC& LLC)

1 Physical (hardware, Ethernet,

RS232)
7-layer ISO Communication Model
HL7: Messages and More ...

Decision Support
• Arden Syntax Standard (1999)
• Guideline Interchange Format (GLIF)
• “GELLO”

Visual Integration (“CCOW”)

Clinical Document Architecture (CDA)
Electronic Health Record (EHR)
HL7’s Mandate
To provide standards for the exchange, management, and integration of data

that support clinical patient care and the management, delivery, and evaluation of
healthcare services.

Specifically, to create flexible, cost effective approaches, standards, guidelines,

methodologies, and related services for interoperability between health information
systems.
Without HL7: Point to Point Interfaces

Lab Pharmacy

Admission Finance

Diagnostic
Imaging Nutrition
HL7: Reusable Interfaces

Lab Pharmacy

Admission HL7 Finance

Diagnostic Nutrition
Imaging
HL7 Advantages-
• One interface format to support requires fewer resources
• Reduces work by linking multiple applications with the same interface
• Helps to enforce data standards between applications.
• Incorporates other Standards efforts when possible
– ISO, DICOM, CORBAMed, XML, etc.

HL7 Scope of Interest-

• Over 20 Committees / Groups in the “Working Group”
• Includes XML, Pt. Admin./Finance, Blood Bank, Claims Attachments,
Community- Based Health, Government Projects, Image Management,
International, Medical Records, Modelling (v3), MPI Mediation, Scheduling,
Personnel, Orders Observations, Vocabulary, and S
How the Standard Works ??
•HL7 assumes that an event in the real world of healthcare creates
the need for data to flow among systems.

• A Trigger Event equates to an event in the real world.

• Trigger events are identified by a unique 3 character code.

Sample Trigger Events
ADT Trigger Events
A01 Admit a Patient
A02 Transfer a Patient
A03 Discharge a Patient
A08 Update Patient Info

Order Trigger Events

O01 Order Message
Result Trigger Events

R01 Unsolicited Transmission of

Requested Observation
Master File Trigger Events

M02 Master File - Staff Practitioner

Name
Title
Company
The HL7 Message

• HL7 Messages are several segments which are grouped

together

• Segments are logical groupings of data fields

• Fields are a string of components representing data

• Components may contain subcomponents

Sample ADT Message
Segments…
Each segment forms a “line” in the message.

• A segment starts with a unique three character identifier

• Segments may be required or optional and grouped within a given message

• Z segments - reserved for locally defined messages

Fields.. A field is a unit of data such as a name, number, address, etc.
• A data field is a string of characters.
• Fields are separated by “l”

Sample fields…….
Components….
A field is made up of components

• The field’s “data type” defines it’s components;

• A component may itself contain components (sub-components);

• HL7 does not define Optionality or Length at the component level.

So……far….clear…everyone…
Special thanks' to Manoj sir for giving us chance to present such
interesting topic which introduce us to new field of Health Care
Technology…………….

Thank You all of you for your patience, attention and co-operation

Wait…..wait…..wait….no questions..
Now floor is open for discussion…………….
 THE END

Have a good day!