Section 1: Primary Standards
Section 3: Clinical and Administrative Domains

HL7 Version 3 Product Suite

DESCRIPTION

The Health Level Seven Version 3 (V3) Normative Edition—a suite of specifications based on HL7’s Reference Information Model (RIM)—provides a single source that allows implementers of V3 specifications to work with the full set of messages, data types, and terminologies needed to build a complete implementation. The 2013 Normative Edition represents the seventh publication of the complete suite of V3 specifications, and contains those Version 3 Standards that are ANSI Approved, those that have passed Normative Level Ballot and are awaiting final ANSI Approval, and Draft Standards for Trial Use (DSTU). It includes standards for communications that document and manage the care and treatment of patients in a wide variety of healthcare settings. As such, it is a foundational part of the technologies needed to meet the global challenge of integrating healthcare information, in areas such as patient care and public health.

 

The Version 3 Normative Edition represents a new approach to clinical information exchange based on a model driven methodology that produces messages and electronic documents expressed in XML syntax. The V3 specification is built around subject domains that provide storyboard descriptions, trigger events, interaction designs, domain object models derived from the RIM, hierarchical message descriptors (HMDs) and a prose description of each element. Implementation of these domains further depends upon a non-normative V3 Guide and normative specifications for: data types; the XML technical specifications (ITS) or message wire format; message and control "wrappers", and transport protocols.

TARGETS

  • All US and International Healthcare Industry Organizations and Companies

BENEFITS

  • Focuses on semantic interoperability by specifying that information be presented in a complete clinical context that assures that the sending and receiving systems share the meaning (semantics) of the information being exchanged
  • Designed for universal application so that the standards can have the broadest possible global impact and yet be adapted to meet local and regional requirements
  • Provides consistent representation of data laterally across the various HL7 domains of interest and longitudinally over time as new requirements arise and new fields of clinical endeavor are addressed
  • Allows implementers to take advantage, at any point in time, of the latest and most effective implementation technologies available
  • Assures consistent development and the ability to store and manipulate the specifications in robust data repositories rather than as word-processing documents

IMPLEMENTATIONS/CASE STUDIES

See the Implementation Guides for this Standard.

  • NHS (UK National Health Service) uses specifications based on the HL7 V3 Reference Information Model, data types and methodology in nearly 2 million V3 transactions per day,
  • The Netherlands: V3 messages are at the core of the Dutch national health infrastructure, focused on medication information and GP records; as well as the DBC Grouper, a central service that validates and attaches a price tag to all care activities performed for a patient
  • Canada: V3 is a central part of the EHR Architectural Blueprint that is at the core of the Jurisdictional EHR implementations; Almost every jurisdiction in Canada has implemented V3 Pharmacy messages and many of them have implemented V3 Lab messages.  Ontario has developed V3 messages for referrals.  The Western Provinces have developed Chronic Disease Management V3 messages and many of them have implemented them.  Client and Provider registry messages have been developed in many of the registry applications.
  • Other implementations in Mexico, Germany and Croatia

DEVELOPMENT BACKGROUND

Version 3 represents a significant departure from "business as usual" for HL7. Offering a lot of optionality and thus flexibility, the V2.x series of messages are widely implemented and very successful. These messages evolved over several years using a "bottom-up" approach that has addressed individual needs through an implied methodology that, in lieu of a pre-defined implementation guide, typically depends on bi-lateral negotiations between participating HIT system implementations. There is neither a consistent view of the data that HL7 moves nor the data's relationship to other data. HL7's V2 success is also largely attributable to its flexibility. It contains many optional data elements and data segments, making it adaptable to almost any site. While providing great flexibility, its optionality also contributes to an inability to support reliable conformance testing and also requires implementers to spend more time analyzing and planning their interfaces to ensure that both parties are using the same optional features.

 

HL7's primary goal for Version 3 is to offer a standard that is definite and testable, and provide the ability to certify vendors' conformance.

RELATED DOCUMENTS

HL7 Version 3 Product Suite

(Download) (532.80 MB)

HL7 Version 3 DAM: Biomedical Research Integrated Domain Group (BRIDG) (View Brief)

(Download) (22.47 MB)

HL7 Version 3 Domain Analysis Model: Allergy and Intolerance, Release 1 (View Brief)

(Download available to Non-Members 6/25/2014) (1.22 MB)

HL7 Version 3 Domain Analysis Model: Diet and Nutrition Orders, Release 2 (View Brief)

(Download) (1.58 MB)

HL7 Version 3 Domain Analysis Model: Emergency Medical Services, Release 1 (View Brief)

(Download) (2.12 MB)

HL7 Version 3 Domain Analysis Model: Laboratory Orders, Release 1 (View Brief)
HL7 Version 3 Domain Analysis Model: Preoperative Anesthesiology, Release 1 (View Brief)

(Download) (1.54 MB)

HL7 Version 3 Domain Analysis Model: Summary Behavioral Health Record, Release 1 – US Realm (View Brief)

(Download) (6.44 MB)

HL7 Version 3 Domain Analysis Model: Vital Records (VR DAM) (View Brief)

(Download) (2.15 MB)

HL7 Version 3 Domain Information Model; Emergency Medical Services, Release 1 (View Brief)

(Download) (4.55 MB)

HL7 Version 3 Normative Edition, 2005 (View Brief)

(Download) (165.96 MB)

HL7 Version 3 Normative Edition, 2006 (View Brief)

(Download) (261.70 MB)

HL7 Version 3 Normative Edition, 2008 (View Brief)

(Download) (468.16 MB)

HL7 Version 3 Normative Edition, 2009 (View Brief)

(Download) (447.16 MB)

HL7 Version 3 Normative Edition, 2010 (View Brief)

(Download) (547.50 MB)

HL7 Version 3 Normative Edition, 2011 (View Brief)

(Download) (513.08 MB)

HL7 Version 3 Normative Edition, 2012 (View Brief)

(Download) (604.16 MB)

HL7 Version 3 Normative Edition, 2013 (View Brief)

(Download) (532.80 MB)

HL7 Version 3 Standard: Security and Privacy Ontology, Release 1 (View Brief)
HL7 Version 3 Standard: Abstract Transport Specification, Release 1 (View Brief)

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HL7 Version 3 Standard: Accounting & Billing (View Brief)
HL7 Version 3 Standard: Blood, Tissue, Organ; Donation, Release 1 (View Brief)
HL7 Version 3 Standard: Care Provision (View Brief)
HL7 Version 3 Standard: Care Provision, R1: Allergies and Intolerance (View Brief)
HL7 Version 3 Standard: Care Provision; Assessment Scales, Release 1 (View Brief)
HL7 Version 3 Standard: Care Provision; Care Record Topic, Release 1 (View Brief)
HL7 Version 3 Standard: Care Provision; Care Transfer Topic, Release 1 (View Brief)
HL7 Version 3 Standard: Care Provision; Queries Care Record Topic, Release 1 (View Brief)
HL7 Version 3 Standard: Claims & Reimbursement (View Brief)
HL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1 (View Brief)

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HL7 Version 3 Standard: Clinical Statement Pattern Release 1 (View Brief)
HL7 Version 3 Standard: Common Message Element Types (View Brief)
HL7 Version 3 Standard: Core Principles and Properties of V3 Models (View Brief)

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HL7 Version 3 Standard: Immunization, R1 (View Brief)
HL7 Version 3 Standard: Implementation Technology Specification R2 - ISO Harmonized Datatypes, R1 (View Brief)

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HL7 Version 3 Standard: Infrastructure Management - R1 (View Brief)
HL7 Version 3 Standard: Infrastructure Management; Control Act, Query and Transmission, Release 1.1 (View Brief)
HL7 Version 3 Standard: Master File/Registry Infrastructure R1 (View Brief)
HL7 Version 3 Standard: Order Set Publication, Release 1 (View Brief)
HL7 Version 3 Standard: Orders; Diet and Nutrition, Release 1 (View Brief)
HL7 Version 3 Standard: Patient Administration (also known as ADT - Admit, Discharge, and Transfer; Encounter Management; Administrative Registries) (View Brief)
HL7 Version 3 Standard: Patient Administration, DSTU Release 2; Patient Registry, Release 1 (View Brief)
HL7 Version 3 Standard: Pharmacy; Medication Order, Release 2 (View Brief)
HL7 Version 3 Standard: Public Health; Tuberculosis Domain Analysis Model, Release 1 (View Brief)

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HL7 Version 3 Standard: Registries; Real Time Location Tracking, Release 1 (View Brief)
HL7 Version 3 Standard: Retrieve, Locate, and Update Service (RLUS) Release 1 (View Brief)
HL7 Version 3 Standard: Study Design: Structured Document, Release 1 - US Realm (View Brief)
HL7 Version 3 Standard: XML Implementation Technology Specification - V3 Structures for Wire Format Compatible Release 1 Data Types, Release 1 (View Brief)
HL7 Version 3 Standard: XML Implementation Technology Specification - V3 Structures, Release 2 (View Brief)

(Download) (541 KB)

HL7 Version 3 Standard: XML Implementation Technology Specification - Wire Format Compatible Release 1 Data Types, Release 1 (View Brief)
HL7 Version 3: Reference Information Model (RIM) (View Brief)
RIMBAA (Java SIG) API Demo Release (2005) (View Brief)

(Download) (23.06 MB)

Sample HMD files for RIM-Based Application Architecture (java SIG) [2002] (View Brief)

(Download) (611 KB)

IMPLEMENTATION GUIDES

HL7 Version 3 Implementation Guide: Medication Statement Service Profile Using hData, Release 1 (View Brief)
HL7 Version 3 Specification: Data Elements for Emergency Department Systems (DEEDS), Release 1 - US Realm (View Brief)

(Download) (814 KB)

HL7 Version 3 Specification: hData Record Format, Release 1 (View Brief)
HL7 Version 3 Standard: Representation of the Health Quality Measure Format (eMeasure) DSTU, Release 2 (View Brief)

ADDITIONAL DETAILS

See following page for more information: http://www.hl7.org/memonly/downloads/v3edition.cfm

 

 

 

 

 

 

 

 

HL7 Version 3 Content Listing

Listings Current as of 04/19/2013

Domain Entries

Formal Name Designation Copyright Date Status
Accounting and Billing
HL7 Version 3 Standard: Accounting and Billing, Release 2 ANSI/HL7 V3 AB, R2-2008 (R2012) 03/06/2008 (reaffirmed 6/5/2012) ANS
Care Provision
HL7 Version 3 Standard: Care Provision Domain Information Model, Release 1 HL7 CP DIM, R1 2/20/2013 ANS
HL7 Version 3 Standard: Care Provision; Care Record, Release 1 HL7 CP CP, R1 2/20/2013 ANS
HL7 Version 3 Standard: Care Provision; Queries Care Record, Release 1 HL7 CP CP, R1 2/20/2013 ANS
HL7 Version 3 Standard: Care Provision; Care Transfer, Release 1 HL7 CP CT, R1 2/29/2013 ANS
HL7 Version 3 Standard: Care Provision; Assessment Scale, Release 1 HL7 CP ASCALE, R1 April 2013 DSTU
Claims and Reimbursement
HL7 Version 3 Standard: Claims and Reimbursement, Release 4 ANSI/HL7 V3 CR, R4-2008 (R2012) 02/20/2008 (reaffirmed 6/5/2012) ANS
Clinical Genomics
HL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1 (reaffirmation of ANSI/HL7 V3 CGPED, R1-2007) ANSI/HL7 V3 CGPED, R1-2007 (R2012) 6/21/2012 ANS
Clinical Statement
HL7 Version 3 Standard: Clinical Statement Pattern, DSTU Release 2 HL7 V3 CS, DSTU R2 July 2012 DSTU
Common Message Element Types
HL7 Version 3 Standard: Common Message Element Types, Release 2 (revision of ANSI/HL7 V3 CMET, R1-2005) ANSI/HL7 V3 CMET, R2-2009 7/14/2009 ANS
Common Product Model
HL7 Version 3 Standard: Common Product Model CMETs, DSTU Release 11 HL7 CCPM, R1 June 2011 DSTU
HL7 Version 3 Standard: Orders; Substances CMETs, DSTU Release 11 HL7 CCPM, R1 June 2011 DSTU
Decision Support
HL7 Version 3 Standard: Context-Aware Retrieval Application (Infobutton); Knowledge Request, Release 2 HL7 V3 INFOBUTTON, R2 April 2013 DSTU
HL7 Version 3 Implementation Guide: URL-Based Implementations of the Context-Aware Retrieval Application (Infobutton)Domain, Release 4 HL7 V3 IG INFOBUTTON, DSTU R4 2013JAN January 2013 DSTU
HL7 Version 3 Standard: Order Set Publication, Release 1 HL7 V3 OSP, DSTU R1 2012FEB February 2012 DSTU
Emergency Medical Services
HL7 Version 3 Standard: Emergency Medical Services Domain Information Model, Release 1 HL7 V3 EMS, R1 Last Ballot: Informative Ballot 2 - September 2011 Informative
Immunization
HL7 Version 3 Standard: Immunization, Release 1 ANSI/HL7 V3 IZ, R1-2013 3/22/2013 ANS
Laboratory
HL7 Version 3 Standard: Laboratory; Result Topic, Release 1 ANSI/HL7 V3 LBRESULT, R1-2009 12/15/2009 ANS
Master Files / Registry Infrastructure
HL7 Version 3 Standard: Master File - Registry Infrastructure, Release 1 (reaffirmation of ANSI/HL7 V3 MFRI, R1-2006) ANSI/HL7 V3 MFRI, R1-2006 (R2011) 10/12/2011 ANS
Medical Records
HL7 Version 3 Standard: Medical Records/Information Management, Release 1 (reaffirmation of ANSI/HL7 V3 RCMR, R1-2006) ANSI/HL7 V3 RCMR, R1-2006 (2011) 11/4/2011 ANS
HL7 Version 3 Standard: Medical Records; Data Access Consent, Release 1 ANSI/HL7 V3 MRDACM, R1-2008 11/10/2008 ANS
Message Control Act Infrastructure
HL7 Version 3 Standard: Infrastructure Management: Message Control Act Infrastructure ANSI/HL7 V3 IM, R1-2004 10/20/2004 ANS
Patient Administration
HL7 Version 3 Standard: Patient Administration, DSTU Release 2 Update HL7 PA, R2-2010 February 2010 Update to DSTU Release 2 Not Set
Personnel Management
HL7 Version 3 Standard: Personnel Management, Release 1 ANSI/HL7 V3 PM, R1-2005 10/28/2005 ANS
Pharmacy
HL7 Version 3 Standard: Pharmacy; Medication Dispense and Supply Event, Release 1 ANSI/HL7 V3 RXMDSVNT, R1-2012 3/23/2012 ANS
HL7 Version 3 Standard: Pharmacy; Medication Order, Release 1 ANSI/HL7 V3 RXMEDORDER, R1-2009 9/10/2009 ANS
HL7 Version 3 Standard: Medication: Knowledge-Base Query, Release 1 ANSI/HL7 V3 ME DKBQ, R1-2012 12/28/2012 ANS
Quality Measures
HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1 HL7 V3 QM, R1 Draft Standard for Trial Use - March 2010 DSTU
Query Infrastructure
HL7 Version 3 Standard: Infrastructure Management: Query Infrastructure ANSI/HL7 V3 IM, R1-2004 10/20/2004 ANS
Registries
HL7 Version 3 Standard: Registries; Real Time Location Tracking, Release 1 HL7 V3 RG RTLT, R1 03/15/2011 ANS
Regulated Products
HL7 Version 3 Standard: Regulated Product Submission, Release 2, DSTU Release 2 HL7 RPS R2 DSTU R2 October 2012 DSTU
HL7 Version 3 Implementation Guide: Regulated Product Submission, Release 1 HL7 IG RPS, R1-2008 May 2008 Informative
HL7 Version 3 Standard: Structured Product Labeling, Release 5 HL7 SPL DSTU R5 June 2011 DSTU
HL7 Version 3 Implementation Guide: Structured Product Labeling, Release 5 HL7 IG SPL R5 INFORM 2011MAY May 2011 Informative
Regulated Reporting
HL7 Version 3 Standard: Pharmacovigilance - Individual Case Safety Report, Part 1: The Framework for Adverse Event Reporting, R2 (revise and partition ANSI/HL7 V3 RRCS, R1-2005) ANSI/HL7 V3 ICSRP1, R2-2012 1/31/2012 ANS
HL7 Version 3 Standard: Pharmacovigilance - Individual Case Safety Report, Part 2: Human Pharmaceutical Reporting Requirements for ICSR, R2 (revise and partition ANSI/HL7 V3 RRCS, R1-2005) ANSI/HL7 V3 ICSRP2, R2-2012 1/31/2012 ANS
Regulated Studies
HL7 Version 3 Standard: Regulated Studies - Annotated ECG, Release 1 ANSI/HL7 V3 ECG,R1-2004 (R2009) 8/27/2009 ANS
HL7 Version 3 Implementation Guide: Annotated ECG, Release 1 HL7 V3 IG ECG, R1-2004 2004 Informative
HL7 Version 3 Standard: Drug Stability Reporting (eStability), Release 2 (revision of ANSI/HL7 V3 DSR, R1-2005) ANSI/HL7 V3 DSR, R2-2011 06/20/2011 ANS
HL7 Version 3 Implementation Guide: Drug Stability Reporting, Release 2 HL7 V3 IG DSR, R2 February 2009 Informative
HL7 Version 3 Standard: Clinical Trial Registration & Results, Release 1 HL7 CTR&R, R1 January 2012 DSTU
HL7 Version 3 Standard: Study Design: Structured Document, Release 1 HL7 V3 SDS SD, DSTU R1 October 2012 DSTU
HL7 Version 3 Domain Analysis Model: Clinical Trial Registration & Results, Release 1 HL7 CTR&R DAM, R1 May 2011 Informative
Scheduling
HL7 Version 3 Standard: Scheduling, Release 1 ANSI/HL7 V3 SC, R1-2003 12/17/2003 ANS
Shared Messages
HL7 Version 3 Standard: Shared Messages, Release 2 ANSI/HL7 V3 COMT, R2-2005 8/11/2005 ANS
Specimen
HL7 Version 3 Reference: Specimen, Release 1 HL7 V3 SP, R2 May 2005 Reference
Theraputic Devices
HL7 Version 3 Standard: Implantable Device Cardiac - Follow-up Summary, Release 1 ANSI/HL7 V3 IDC, R1-2006 11/2/2006 ANS
Transmission Infrastructure
HL7 Version 3 Standard: Infrastructure Management: Transmission Infrastructure ANSI/HL7 V3 IM, R1-2004 10/20/2004 ANS
HL7 Version 3 Standard: Infrastructure Management - Message Control Infrastructure; Batch Wrappers, Release 2 HL7 V3 IM CI, R2 HL7 Draft Standard for Trial Use - August 2012 DSTU