Evolution of Health Level-7

Joyia, Gulraiz Javaid; Akram, M. Usman; Akbar, Chaudary Naeem; Maqsood, Muhammad Furqan

doi:10.1145/3178461.3178480

Cited by 12 publications

(11 citation statements)

References 17 publications

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“…The healthcare industry has introduced many standard versions of HL7. Being firstly introduced in 1987, v1.0 was followed by different versions of v2, then v3, and finally FHIR, a new specification based on emerging industry approaches and experiences from v2 and v3 [29,30].…”

Section: Hl7mentioning

confidence: 99%

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ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review

Cuevas-González

García-Vázquez

Bravo-Zanoguera

et al. 2022

IJERPH

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Interoperability is defined as the ability of a system or device to communicate between different technologies and software applications. This allows the exchange and use of data in an efficient, precise, and robust way. The present article gives researchers and healthcare information systems developers a qualitative and quantitative synthesis of the state of knowledge related to data formats and data standards proposed for mHealth devices interoperability in healthcare information systems that retrieve and store ECG data. We carry out a scoping review to answer to following questions: (1) What digital data formats or data standards have been proposed for the interoperability of electrocardiograph data between traditional healthcare information systems and mobile healthcare information systems? (2) What are the advantages and disadvantages of these data formats or data standards? The scoping review was conducted in four databases in accordance with the JBI methodology for scoping reviews, and in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A total of 4018 studies were identified of which 30 studies met the inclusion criteria. Based on our findings, we identify four standards and nine formats for capturing and storing streaming ECG data in mobile health applications. The standards used were HL7, SCP-ECG, x73-PHD, and PDF/A. Formats include CSV, PDF-ECG, and seven XML-based formats. These are ECG-XML, HL7-XML, mPCG-XML, mECGML, JSON, SaECG, and CDA R2.

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Section: Hl7mentioning

confidence: 99%

“…The advantages of the standard are that it not only provides data management and integration, but also provides machine-based processing while supporting the clinical decision system, as well as data standardization and structuring [30].…”

Section: Hl7mentioning

confidence: 99%

ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review

Cuevas-González

García-Vázquez

Bravo-Zanoguera

et al. 2022

IJERPH

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“…Exchange of healthcare records presents a challenge to healthcare providers seeking integrated service. The Health Level Seven (HL7) is a standard that provides a comprehensive framework/structure/model for the exchange, integration, sharing, and retrieval of electronic health records of the patients [19]. The systems developed using HL7 specification, can share the medical information, such as, personal information, doctor's information, medications and healthcare records.…”

Section: Health Level Sevenmentioning

confidence: 99%

Fusing Identity Management, HL7 and Blockchain into a Global Healthcare Record Sharing Architecture

Abdeen¹,

Syed²,

Khan³

et al. 2019

IJACSA

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Healthcare record sharing among various medical roles is a critical and challenging research problem especially in today's everchanging global IT solutions. The emergence of blockchain as a new enabling technology brought radical changes to numerous business applications, including healthcare. Blockchain is a trusted distributed ledger that forms a decentralized infrastructure. There have been several proposals regarding the sharing of critical healthcare records over blockchain infrastructure without requiring prior knowledge/trust of the parties involved (patients, service providers, and insurance companies). Another yet important issue is to securely share medical records across various countries for travelling patients to ensure an integrated and ubiquitous healthcare service. In this paper, we present a globally integrated healthcare record sharing architecture based on blockchain and HL7 client. Healthcare records are stored at the hosting country and are not stored on the blockchain. This architecture avails medical records of travelling patients temporarily and after performing necessary authentication. The actual authorisation process is performed on a federated identity management system, such as, the Shibboleth. Though there are similarities with identity management systems, our system is unique as it involves the patient in the permission process and discloses to them the identities of entities accessed their health records. Our solution also improves performance and guarantees privacy and security through the use of blockchain and identity management system.

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“…In order to support the development of interoperable and reliable medical systems, several medical standards are used, mainly developed by Health Level 7 (HL7), such as Clinical Document Architecture (CDA) [23], Fast Healthcare Interoperability Resources (FHIR) [24] and others. HL7 has introduced different medical standards in the healthcare industry since 1987, and mainly focuses on patient management (admission, discharge and transfer of patients, taking into account finance management, medical documentation, record maintenance, medication and treatment, scheduling and resource management [25]. In 2011, HL7 introduced FHIR, which extends the previous HL7 specifications by modern web technologies.…”

Section: Introductionmentioning

confidence: 99%

An Interoperable Electronic Health Record System for Clinical Cardiology

et al. 2022

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Currently in hospitals, there are several separate information systems that manage, very often autonomously, the patient’s personal, clinical and diagnostic data. An electronic health record system has been specifically developed for a cardiology ward and it has been designed “ab initio” to be fully integrated into the hospital information system and to exchange data with the regional health information infrastructure. All documents have been given as Health Level 7 (HL7) clinical document architecture and messages are sent as HL7-Version 2 (V2) and/or HL7 Fast Healthcare Interoperability Resources (FHIR). Specific decision support sections for specific aspects have also been included. The system has been used for more than three years with a good level of satisfaction by the users. In the future, the system can be the basis for secondary use for clinical studies, further decision support systems and clinical trials.

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Evolution of Health Level-7

Cited by 12 publications

References 17 publications

ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review

ECG Standards and Formats for Interoperability between mHealth and Healthcare Information Systems: A Scoping Review

Fusing Identity Management, HL7 and Blockchain into a Global Healthcare Record Sharing Architecture

An Interoperable Electronic Health Record System for Clinical Cardiology

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