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v2-To-FHIR (PSS in Confluence)

Basics

v2-To-FHIR (PSS in Confluence)

1481
Ballot - STU to Normative


FHIR Profile; FHIR Resources; V2 Messages-Administrative; V2 Messages-Clinical; V2 Messages-Departmental

Supplement to a Current Standard

Details

With the advent of HL7 FHIR, a definitive mapping of HL7 V2 components to HL7 FHIR components would aid in the consistent transition of data communicated using either standard, while creating a starting point for those interested to convert HL7 V2 messages into FHIR based approaches. The current mapping information in HL7 FHIR is limited to addressing HL7 FHIR components only and incomplete in that it does not go down to the data type component level.

The scope of the project is:

- While V2.8.2/V2.9 would be the starting point, any deprecated data types would be mapped as well to enable mapping from prior HL7 V2 versions.

- FHIR R4 will be the initial FHIR target.

- Tooling

- ?Establish the publication approach/structure/tools and relationship with the existing FHIR mapping sections/tabs and collaborating with the SOA's Cross-Paradigm Interoperability Extension Implementation Guide project that has a common tooling interest and Robert Worden's TBX that enables sample mappings.

- Data Types:

- Establish V2-FHIR data type mappings and resolve missing data type components in FHIR for V2 data type components.

- Data Type Profiling:

- Establish FHIR data type profiles/structure definitions representing V2 data types to support V2 equivalent constructs in FHIR.

- Fields/Segments:

- For every segment-field.datatype component in HL7 V2 to either identify

- the equivalent core HL7 FHIR resource.attribute.datatype component, or

- identify/propose/approve an HL7 FHIR extension that represents the HL7 V2 segment-field.datatype component to encourage consistent use rather than everybody defining their own extensions for HL7 V2 equivalents.

- Maintenance

- Once mappings have been established, both FHIR and V2 are expected to evolve and the mappings will be kept up-to-date.

- As the start of the project is expected to have V2.8.2 available, once V2.9 is published, it would progress using that version as the starting point.

Note that:

- Data Types is a pre-requisite to Fields/Segments.

- Fields/Segments can be done any time after Data Types are done, and can be done piece-meal as needed plus based on priority/use, thus spread across multiple ballots.

- The intent is to achieve normative status of the mappings

Initially Out-Of-Scope:

- Define a FHIR profile for every V2 segment to reflect the cardinality, optionality, and conditionality of V2 segments.

This would only be done for the latest V2.8.2/V2.9, until there is interest to do so for earlier versions on a case by case situation.

- For every message in HL7 V2 define a corresponding HL7 FHIR profile/structure definition that reflects the full HL7 V2 message content, which can be the basis for either HL7 FHIR based services or message approaches.

- This would only be done for the latest V2.8.2/V2.9, until there is interest to do so for earlier versions on a case by case situation.

- Value set mapping

- FHIR=>V2 considerations/guidance, particularly where it is not feasible.


As interest in representing data in HL7 V2 and HL7 FHIR consistently and predictably across implementations, and aid the transition from HL7 V2 to HL7 FHIR as needed, a clear mapping needs to exist that HL7 endorses, thus can be the starting point for everybody else to create implementation guides accordingly. At this time, everybody needs to create their own extensions where they wish to represent the richness of HL7 V2 in their implementations.



Phase I: Initial pilot/prototype using select data types and segments to establish appropriate format (e.g., FHIR Mapping Language, MDMI, other) - Target: 2019Jan Phase II: STU ballot with initial set of all data types and initial prioritized segments - Target: 2024 Jan WGM STU ballot- publishing in May 2024 Phase III: STU ballot with complete set of data types and segments (based on progress may be adjusted) - Target: 2025 Jan Ballot Phase IV: FHIR HL7 V2 extension ballot for prioritized data type components, data type profiles, and fields - Target: TBD after that Phase V: FHIR HL7 V2 extension ballot for remaining data type components, data type profiles, and fields - Target: TBD Phase VI: Normative ballot with complete set of mappings - Target: TBD Project End Date (all objectives have been met) - Target: TBD


https://confluence.hl7.org/display/OO/2-To-FHIR+Project


FHIR R4 and approach on core extensions If tools developed by the HL7 Cross Paradigm Interoperability Implementation Guide Extension are chosen for use in this project, else this dependency goes away.

Clinical and Public Health Laboratories, Immunization Registries, Regulatory Agency, Standards Development Organizations (SDOs), Payors,Clinical and Public Health Laboratories; Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health),Pharmaceutical; EHR, PHR; Equipment; Health Care IT; Lab; HIS

1) Orion 2) Cerner


2-to-FHIR


N/A

Don't Know

No

2025 October: TSC approved an STU Publication Request for HL7 Version 2 Implementation Guide: v2-to-FHIR, Edition 1 for 2 years 2021 March: T. Cooper: This morning during our Monday Devices on FHIR / PoCD call, we were reviewing the details for the HL7 DEV 3-Year Plan, and looking at our active projects in Project Insight, we realized that we are not a co-sponsor for the v2-to-FHIR (PSS 1481) project, though we definitely should be. We thought we were ... ! Could you please add DEV as a co-sponsor? Hope to reballot in May 2021
Organization & Realm

Universal

People

Hans Buitendijk



Orders and Observations Work Group

Clinical Genomics Work Group; Conformance Work Group; Devices Work Group; FHIR Management Group; Financial Management Work Group; Modeling and Methodology Work Group; Orchestration, Services, and Architecture Work Group; Patient Administration Work Group; Patient Care Work Group; Pharmacy Work Group; Public Health Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

10/26/2018

09/01/2030

2030 Sept WGM/Ballot

09/01/2027

2027 Sept WGM/Ballot

2025 October - Published 2024 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 4 Negatives to reconcile Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Edition 1 2023 Sept Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2023 Jan Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2022 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2022 Jan Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2021 Sept Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2021 May Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2021 Jan Ballot Cycle Info: STU Ballot Results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2020 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 23 Negatives to reconcile Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2020 May Ballot Cycle Info: STU Ballot results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1 2020 Feb Ballot Cycle Info: COMMENT ONLY Ballot results: Postponed Document Name: HL7 Version 2 Implementation Guide: v2-to-FHIR, Release 1
Approvals

01/28/2019




All Received




System Info