Introduction to HL7: Content

eLearning Initiative: Introduction to HL7

Co-developed by Education and Process Improvement Committees

==Placeholder for Marketing pain points slide Wendy will touchbase with Jill and get this and other Marketing content

What will I learn?

What are the problems HL7 may solve? (Pain Points)
What is HL7?
What are the standards HL7 creates?
Who are the participants?
How do HL7 standards get developed?
How do I get involved?
Where do I go for additional information?
How are meetings organized?

What pain points does HL7 Standards address?

Within four walls of the hospital
Get out of the paper business
Pharmacy
Trading Partners
Jill Kaufman

What is HL7?

Health Level Seven (HL7) is an international Standards Developing Organizations (SDOs) operating in the healthcare arena. HL7 produce standards (sometimes called specifications or protocols) for the exchange of clinical and administrative data, e.g. pharmacy, medical devices, imaging or insurance (claims processing) transactions.

HL7 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 the standards. It adheres to a strict and well-defined set of operating procedures that ensures consensus, openness and balance of interest. A frequent misconception about HL7 is that it develops software. In reality, Health Level Seven develops specifications, the most widely used being a messaging standard that enables disparate healthcare applications to exchange keys sets of clinical and administrative data.

HL7 has been accredited by the American National Standards Institute (ANSI) in the US.

HL7 Mission

HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. HL7 promotes the use of such standards within and among healthcare organizations to increase the effectiveness and efficiency of healthcare delivery for the benefit of all.

Strategies

HL7's Strategies:

Develop coherent, extendible standards that permit structured, encoded health care information of the type required to support patient care, to be exchanged between computer applications while preserving meaning.
Develop a formal methodology to support the creation of HL7 standards from the HL7 Reference Information Model (RIM).
Educate the healthcare industry, policy makers, and the general public concerning the benefits of healthcare information standardization generally and HL7 standards specifically.
Promote the use of HL7 standards world-wide through the creation of HL7 International Affiliate organizations, which participate in developing HL7 standards and which localize HL7 standards as required.
Stimulate, encourage and facilitate domain experts from healthcare industry stakeholder organizations to participate in HL7 to develop healthcare information standards in their area of expertise.
Collaborate with other standards development organizations and national and international sanctioning bodies (e.g. ANSI and ISO), in both the healthcare and information infrastructure domains to promote the use of supportive and compatible standards.
Collaborate with healthcare information technology users to ensure that HL7 standards meet real-world requirements, and that appropriate standards development efforts are initiated by HL7 to meet emergent requirements.

Interoperability Goal

"Text needed – may be covered in strategy so TBD. Abdul-Malik will pull together wording.'"

International Placeholder

"Text to be provided by International Team – Tim will reach out to Kai for text.'"

Note: As an international organization HL7 doesn't have a specific international goal. All its goals (by definition) are international. Only if one explicitely wishes to talk about national vs. international goals does one need to distinguish between the two. Rene spronk 04:35, 11 March 2007 (CDT)

File:HL7 International.png

International Mentoring Committee

Purpose
IMC Links/contacts
Success Stories
Affiliate page link

"John Ritter will develop this content. Nancy will outline for John what he needs to develop, level of detail, etc."

Who is HL7?

Providers, vendors, payers, consultants, government and others who have an interest in the development and advancement of clinical and administrative standards for healthcare
Membership is open to:

-U.S. members as organizations or individuals (Varying levels of financial support that provide increasing membership benefits for organizations.)
-Affiliate HL7 chapters and their members from dozens of countries around he world (Under our restructuring plan, the U.S. will become an Affiliate of an international HL7 organization by 2010.)
-Government and Foundation members provide additional perspectives, contracts, grants, and early adoption of draft standards.
-Paid staff provides publishing, conference management, and other services for the membership. HL7 is in transition to a new structure with a paid CEO and staff responsible for the HL7 financial model, marketing and more.

--Slf170 13:00, 26 February 2007 (CST) "Sheila will take this one.'"

Membership

Membership in HL7 is available to everyone interested in the development of a cost-effective approach to system connectivity. Involvement and support from HL7's members is crucial to the ongoing expansion and enhancement of the HL7 standard and the overall success of the organization.

Individual or Organizational Membership:

Individual memberships are geared to those with a personal interest in the standard and should not reflect an affiliation to an organization or employer, while organizational memberships are designed for those who will be using the standard for business purposes.

Organizational memberships include benefits crucial to those who rely on the standard as part of their business plan -- the most critical of these being the right to distribute the standard to clients (i.e., as part of technical documentation or proposals) or to distribute the standard within their organization. An individual member may not use, copy, or distribute the standard for any purpose other than their personal participation in the maintenance and development of HL7 Standards.

Involvement

WGMs
Conference Calls
Standards development
HL7 business/infrastructure

.. "TBD'"

Work Group Meetings

Describe the activities at WGMs i.e. business, ballot reconciliation, standards creation, etc.

"Nancy'"

Staff

This is the current staff information from the website.

Chief Executive Officer

Charles Jaffe, MD, PhD

Email: cjaffe@HL7.org

HL7 Staff

Executive Director

Mark McDougall Email: markmcd@HL7.org

Associate Executive Director

Karen Van Hentenryck Email: karenvan@HL7.org

Director of Membership Services

Diana Stephens Email: diana@HL7.org

Administrative Coordinator

Linda Jenkins Email: linda@HL7.org

Tools Administrator

Wilfred Bonney Email: wbonney@HL7.org Phone: 902-877-0593

Technical Publications Manager

Don Lloyd Email: dlloyd@HL7.org

Director of Meetings

Lillian Bigham Email: lillian@HL7.org Phone: 989-736-3703

Director of Communications

Andrea Ribick Email: andrea@HL7.org

Meeting Planning Coordinator

Mary Ann Boyle Email: maryann@HL7.org

Director of Technical Services

Mike Kingery Email: webmaster@HL7.org

Director, Project Management Office (PMO)

David Hamill Email: dhamill@HL7.org

ANSI, SDOs:

Text describing the role of each in relation to HL7.

ANSI
X12
NCPDP

"Abdul-Malik'"

Suggest that you add CEN and ISO to the list, unless this is a US-only product (and maybe even then) Charliemccay 05:15, 4 April 2007 (CDT)

Alliances, MOUs, Agreements

Define Alliances, MOU, and Agreements, where and how they are relevant. Obtain a list of major ones with a link to all, or all if the list is manageable, with brief summary of relationship. "Abdul-Malik'"

Standards Ballot Process

The graphic came from the Co-chair handbook. The document can be found at: [1] http://www.hl7.org/special/committees/

A graphic of the Membership Level Balloting Process:

Describe the picture

The formal balloting process is quite complex; however, a generalization of the process is:

A committee will bring forward specific material to be included in a ballot cycle.
The ballot is open for public comment/vote a predetermined length of time.
As part of the standards approval process, upon closure of the ballot cycle, committees must resolve/reconcile the votes.
Once a committee has successfully completed the ballot reconciliation by resolving a percentage of negative votes the material moves on to ANSI.
If ANSI approves the material it is now part of the standard.

Technical Committees, SIGS, Technical Steering Committee

Technical Steering Committee

Architectural Review Board,
CCOW,
Clinical Decision Support,
Education,
Electronic Health Record,
Electronic Services,
Financial Management,
Implementation,
Infrastructure and Messaging,
International Affiliates,
International Mentoring Committee,
Marketing,
Modeling and Methodology,
Orders/Observations,
Organization Review Committee,
Outreach Committee for Clinical Research,
Patient Administration,
Patient Care,
Personnel Management,
Process Improvement,
Publishing,
Regulated Clinical Research Information Mgmt.,
Scheduling and Logistics,
Security,
Structured Documents,
Tooling Committee,
Vocabulary,
Medical Records/Information Management

Special Interest Groups

Clinical Genomics,
Community Based Health Services,
Conformance,
Emergency Care,
Generation of Anesthesia Standards,
Government Project,
Health Care Devices,
Imaging Integration,
Implementable Technology Specifications,
Java,
Laboratory,
Patient Safety,
Pediatric Data Standards,
Pharmacy,
Public Health and Emergency Response,
Services Oriented Architecture,
Template

Board Appointed Committees

Pull in the current list of board appointed committees from the HL7 website. Text describing need, term, reasoning, etc.

Ballot Task Force
Clinical Statements
Common Message
Element Types
Dynamic Model
Harmonization
HL7 Terminfo
Services BOF
Tooling Collaborative

Committee Processes

DMP
List Servers
Wiki use

Text describing how one find out how a particular committee functions and uses the above?

"This is open; however, Jim will gather already existing presentations that may have valuable information for a number of slides. If he posts any presentations he will reference specific pages."

Projects

What defines a project?

HL7 work effort or work product is considered a project if it:

involves a group outside of HL7 (may require Board approval),
requires external funding (may require Board approval),
is going to be balloted,
requires cross-committee participation, or
is determined to be a project by the committee

All projects will have a project scope statement.

An HL7 project:

has an objective
will have a finite existence (the end date to be determined by the resources available and the start date), and
will have a budget (though it may be looking for funding to support that budget

What are project criteria?

An HL7 project will:

Be consistent with HL7 strategic direction
Include appropriate project documentation - project charter, scope, resources, timelines, assumptions, constraints, planned deliverables, etc. per PMO methodology
Be aligned with market demand
Be sponsored by stakeholders intending to implement the product produced by the project
Define a reasonable balloting strategy to meet market demand and implementation timelines
Define how the project will engage with other impacted committees
Follow project approval protocols to ensure appropriate project socialization and sign-off has taken place

How do they start?

HL7 project process:

A request is made to the HL7 Board, an HL7 Board-appointed committee, an HL7 Technical Committee (TC), or an HL7 Special Interest Group (SIG).

Anyone can make a request

A request can be a specific proposal or as a result of cross-domain discussions. There is recognition of a work effort that is needed to be done and a project is needed to be formed (meets the definition of a project), coordinated and exposed to more than those that are doing the work.

Obtain approval for request

If this request is within scope of an existing project, the requestor (and other interested parties) should be referred to that project for approval to be included. No new project is formed.

An example of folding a request into an existing project: Proposals for Version 2.7 Chapter 2a. Once a decision is made for a Version 2.7 for Chapter 2a, new proposals might be able to be subsumed in the current committee level ballot preparation work if the committee agrees.

If not part of another project and one or more of the following is true for this request, this request is considered a project:

~involves a group outside of HL7 (may require Board approval)

~requires external funding (may require Board approval)

~is going to be balloted

~requires cross-committee participation

~is determined to be a project by the committee

Prepare Project Scope Statement

A graphic of the project lifecycle:

What are some project examples?

A future enhancement will arrive when the PMO tool is rolled out to the membership, estimated to be September 2007.

Why get involved in HL7?

Learn about HL7 Standards
Write HL7 Standards
Influence Direction
Harmonize with other standards
Other …

Marketing?

Marketing Page Marketing Committee to input to text here.

"The timing on this slide is not coming together with the new work marketing folks are doing. The group has decided this slide is not a priority.'"

March 8 update: Wendy to touch base with Jill Kaufman from Marketing to organize a few points.

Where do I go from here? Example 1

Develop an example of type of person coming to the site i.e. “I have joined an IT department for laboratory vendor.” Questions to answer with guidance text.

Determine target committee (s)
Sign up for the list serve (s) Link to list serve signup
Conference call schedule (s) Link to conference call schedule calendar.
Register for the next meeting Link to brochure and registration page for the next WGM.

"Nancy will provide an example."

Where do I go from here? Example 2

Develop a second example that addresses getting information around increasing use of standards in my organization.

"This slide could be used for the example Nancy is providing for the previous slide.'"

HL7 Website

Link plus description of where to start. This should address new website design and links.

"Nancy with June as secondary."

For more information visit the HL7 web site at: [2] http://www.hl7.org

"This slide may need to be moved elsewhere."

Getting Involved

Determine target committee (s)
Sign up for the list serve (s) Link to list serve signup
Conference call schedule (s) Link to conference call schedule calendar.
Register for the next meeting Link to brochure and registration page for the next WGM.

"This is a duplicate slide (Where do I go from here?) with a different title and one should be deleted."

Contacting Committees

Co-chair
Use of list serve
Other …

"Nancy"

What if I cannot attend meetings?

Recruitment text to the value of other participation.