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The HL7 reference information model under scrutiny.

Gunther Schadow1, Charles N Mead, D Mead Walker

  • 1Regenstrief Institute, Indiana University School of Informatics, Indianapolis, IN 46202, USA. gschadow@regenstrief.org

Studies in Health Technology and Informatics
|November 17, 2006
PubMed
Summary
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The Health Level 7 (HL7) Reference Information Model (RIM) harmonizes healthcare messages. This paper, by RIM

Area of Science:

  • Health informatics
  • Healthcare interoperability standards
  • Information modeling in healthcare

Background:

  • The Health Level 7 (HL7) Reference Information Model (RIM) was developed as an object-oriented model to standardize HL7 messages across diverse application domains.
  • Following the success of HL7 version 2, HL7 version 3 and its RIM have garnered significant attention, leading to both praise and criticism in published literature.

Purpose of the Study:

  • To address and respond to the major criticisms leveled against the HL7 RIM in existing publications.
  • To clarify misunderstandings and differing viewpoints contributing to the critique of the HL7 RIM.
  • To foster constructive dialogue for potential improvements to the HL7 standard.

Main Methods:

  • Authors, as chief designers of the RIM, provide a direct response to published criticisms.

Related Experiment Videos

  • Analysis of common criticisms based on misunderstandings and divergent perspectives.
  • Facilitation of dialogue to reconcile differences and promote understanding.
  • Main Results:

    • A significant portion of the criticism against the HL7 RIM stems from misunderstandings and differences in perspective.
    • The authors offer counterpoints and clarifications to address specific critiques.

    Conclusions:

    • The authors aim to advance the discussion surrounding the HL7 RIM by accounting for differing viewpoints.
    • Encouraging effective critique, informed by a clear understanding of the RIM's design principles, can lead to genuine improvements in the standard.