What is Health Level 7 (HL7) & Why It Matters for Better Healthcare Communication

Illustration explaining Health Level 7 (HL7) with healthcare elements.

Table of Contents

Health Level 7 (HL7) is a set of standards used to manage and exchange health information electronically between different healthcare systems. It allows hospitals, clinics, laboratories, and other healthcare organizations to share important data such as patient records, and treatment information. 

By following HL7 standards, different systems—whether they are from the same company or different companies—can communicate effectively with each other. This ensures that healthcare providers have the information they need to treat patients accurately and quickly.

What is HL7? Understanding Health Level 7 Standards:

HL7 stands for Health Level 7, which is a set of guidelines that help different healthcare systems communicate with each other. These standards make it easier to exchange information, like patient records, lab results, and medical histories, between different software and systems. 

HL7 ensures that this information can be shared quickly and accurately, even if the systems are from different companies. By 2024, the global health IT interoperability market is expected to reach $13.5 billion, largely driven by FHIR and HL7 adoption.

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What are the HL7 Integration Tools?

HL7 integration tools are software solutions that enable different healthcare systems to communicate with each other using Health Level 7 standards. These tools help connect disparate systems, such as Electronic Health Records (EHR), laboratory information systems (LIS), and other medical applications, allowing them to exchange patient data efficiently and securely. 

Types of HL7 Integration Tools Include:

HL7 Integration ToolMessage RoutingProcessingHL7 to FHIRDevice IntegrationSecurity
HL7 Interface Engines (e.g., Mirth, Rhapsody)
HL7 Message Brokers
HL7 Connectors & Adapters
FHIR Gateways
API Management Tools
  • HL7 Interface Engines: These act as the “middleman” between different systems, allowing them to send and receive HL7 messages. Popular examples include Mirth Connect and Rhapsody Integration Engine. They can process, transform, and route HL7 messages between systems.

     

  • HL7 Message Brokers: These tools manage and route HL7 messages between systems based on predefined rules. They ensure that messages are delivered correctly and provide monitoring for message delivery status.

     

  • HL7 Connectors & Adapters: These are used to link specific applications or hardware devices to an HL7-compatible system. For instance, there are HL7 connectors for integrating laboratory systems or imaging systems with EHRs.

     

  • FHIR Gateways: While FHIR (Fast Healthcare Interoperability Resources) is newer than HL7, many integration tools now support both HL7 and FHIR to ensure healthcare data is accessible across systems. These tools help convert between HL7 and FHIR formats.

     

  • API Management Tools: These tools help manage the communication between different healthcare applications using HL7 standards and APIs. This includes handling privacy and security, access, and ensuring compliance with regulations like HIPAA. 


The average hospital could reduce its
operational costs by $11 million per year by using interoperable systems based on HL7 and FHIR. (Also medical data security is important to protect sensitive health information from unauthorized access, breaches, and cyber threats, ensuring that patient data remains confidential.

What are the HL7 Integration Benefits?

The integration of Health Level 7 standards in healthcare systems brings numerous benefits. By enabling systems to communicate and share data, HL7 integration leads to more efficient, secure, and accurate healthcare delivery.  For example, a physician in the emergency department can access lab results from a different hospital through HL7 integration.

Below are some of the key benefits of HL7 integration:

  • Data Exchange and Interoperability
    Healthcare providers can access important information in real-time, ensuring that decisions are based on the most up-to-date data. 

  •  Efficiency and Reduced Manual Work
    HL7 integration tools automate the flow of data between systems, reducing the need for manual data entry. This minimizes human errors and allows healthcare workers to focus more on patient care rather than administrative tasks.

  • Patient Care and Safety
    With HL7 integration, patient information is available quickly and accurately across various departments and healthcare providers. This leads to better decision-making and quicker response times, especially in emergencies.

  • Reduced Costs and Resource Optimization
    By improving the efficiency of data sharing and eliminating redundant administrative work, HL7 integration helps reduce operational costs. Hospitals and clinics save time and money by reducing manual labor and reducing errors.

  • Compliance with Healthcare Regulations
    Healthcare organizations need to comply with strict regulations such as HIPAA (Health Insurance Portability and Accountability Act) in the U.S. HL7 integration tools are designed with built-in security features, such as data encryption and secure message transmission, to ensure that patient data is kept safe and compliant with legal requirements.

How to Implement HL7 in Healthcare IT Systems:

For hospitals and clinics, HL7 integration means making sure that all healthcare software systems can share data with each other. IT professionals are responsible for making sure these systems follow Health Level 7 standards. If a hospital uses a different system for patient records, lab results, or billing, all these systems need to talk to each other in the same language.

This integration process may involve connecting new systems to old ones or ensuring that everything is compliant with HL7 standards. IT professionals need to understand both technical details and healthcare requirements to ensure the systems work correctly and share data in real-time.

  • Ensures compatibility between different software systems
  • Prevents errors when transferring data between systems
  • Helps healthcare workers access accurate information quickly
  • IT managers must train staff on HL7 standards.
  • Testing integration is crucial before full implementation
  • Working with software vendors for proper integration

What are Health Level 7 Standards in a Hospital?

Health Level 7 (HL7) standards are a set of protocols and guidelines designed to enable the exchange, integration, sharing, and retrieval of electronic health information between various healthcare systems. These standards are crucial for ensuring that different medical software, systems, and devices can “talk” to each other effectively, regardless of the vendor or platform they are built on. 

Types of Health Level 7 Standards:

FeatureHL7 Version 2.x (V2)HL7 Version 3 (V3)HL7 FHIR
Widely Adopted
Message-Based Approach
Uses XML Structure
Suitable for Web-Based Exchanges
Easy to Implement
Flexible (Customizable)
Supports Modern Web Technologies (RESTful APIs, JSON)
Modular, Reusable Components (Resources)

HL7 Version 2.x (V2):

  • HL7 V2 is the most widely used version and is focused on exchanging clinical data like patient records, laboratory tests, and billing information. It uses a message-based approach with a defined structure, making it adaptable to a variety of healthcare systems.
  • The HL7 Version 2.x standard remains the most used version, with over 20,000 installations worldwide.

HL7 Version 3 (V3):

  • Health Level 7 V3 was developed to improve upon Version 2, addressing some of its limitations. It is based on an XML (Extensible Markup Language) structure, making it more suitable for web-based exchanges.
  • It is more rigid in its message structure, which makes it harder to implement but more standardized across different systems.
  •  

HL7 FHIR (Fast Healthcare Interoperability Resources):

  • FHIR is the newest standard created by HL7, designed to be faster, more flexible, and easier to implement. It is based on modern web technologies like RESTful APIs, XML, and JSON, making it much easier to integrate with mobile applications, cloud platforms, and other digital healthcare tools.
  • 59% of hospitals in the U.S. have implemented a FHIR-based app or service for patient engagement.

Why HL7 Standards Are Important in Healthcare?

  • Improved Interoperability
    HL7 standards are essential for ensuring that various healthcare systems and devices can exchange information accurately and consistently. Without standardization, it would be difficult for different systems to work together, leading to errors or inefficiencies.

     

  • Faster Data Exchange
    Standardized data exchange speeds up communication between healthcare providers. For example, when a doctor orders a test, the results can be quickly sent to the doctor, eliminating the need for manual paperwork or phone calls.

     

  • Better Patient Care
    Health Level 7 standards improve patient care by ensuring that healthcare professionals have immediate access to complete and up-to-date patient information. This helps reduce medical errors, avoids redundant tests, and provides a more complete picture of a patient’s health.

     

  • Cost Savings
    By improving communication and reducing administrative overhead, Health Level 7 standards =help hospitals and clinics reduce costs associated with manual data entry, record-keeping, and patient information retrieval.

     

  • Regulatory Compliance 
    HL7 standards support healthcare organizations in meeting legal requirements such as HIPAA Compliance in the U.S. (Health Insurance Portability and Accountability Act) by ensuring the secure exchange of patient data.

How HL7 Standards Benefit Healthcare Data Interoperability:

Health Level 7 standards are important for interoperability, which means making sure that healthcare systems can exchange and use data properly. Interoperability is especially important in hospitals where information from different departments, like radiology or surgery, needs to be shared quickly and accurately.

80% of Healthcare Organizations use HL7 standards for data exchange. When Health Level 7 standards are used, doctors and nurses can get accurate information about a patient’s condition faster. 

  • Ensures quick access to patient data
  • Reduces the chance of mistakes in treatment
  • Helps healthcare systems work together smoothly
  • Makes patient care faster and safer

How Hospitals Can Successfully Adopt Health Level 7 Standards:

Hospitals can make sure Health Level 7 standards are used effectively by following certain best practices. The first step is to understand the needs of the hospital and identify all the systems that need to be connected. Next, the hospital should ensure that all staff members are properly trained in HL7 procedures.

Hospitals also need to test their systems regularly to ensure they are working well together and sharing data correctly. Regular updates are important as technology and standards evolve.

Circular diagram outlining the HL7 adoption process in hospitals.
  • Ensure all departments are included in the integration process.
  • Provide staff with HL7 training to improve system use.
  • Regularly test the system to ensure correct data exchange.
  • Work closely with software vendors to meet HL7 requirements.
  • Set up a team of IT experts to manage the integration.

 

What is HL7 Interface and How Does It Facilitate Communication?

An HL7 interface is a tool that connects different healthcare systems. For example, if a hospital has an EHR system and a laboratory system, the HL7 interface makes it possible for lab results to automatically appear in the patient’s medical record. 

Without this interface, someone would have to manually enter the lab results into the system, which can be time-consuming and lead to mistakes.

A Health Level 7 interface helps these systems communicate by following the rules set by HL7 standards. This means that once the data is transferred, it will be in the right format and ready to be used by doctors, nurses, and other healthcare workers.

  • Connects EHR systems with lab or pharmacy systems
  • Allows automatic data transfer between healthcare systems
  • Reduces manual work for staff
  • Improves patient care by providing instant access to lab results

Understanding HL7 Data Format and Its Role in Healthcare:

The HL7 data format is like a shared language that healthcare systems use to send information back and forth. It allows different computer systems in a hospital, like (EHR) and lab equipment, to understand each other and share patient data.

 For example, a lab test result can be sent from a machine to a doctor’s computer using this standard format.

Without a common HL7 data format, each system would have trouble understanding the data, which could lead to errors. The HL7 data format helps all hospital departments share information smoothly and safely, making the healthcare process more reliable.

  • Ensures all hospital systems speak the same language.

  • Reduces misunderstandings in data sharing.

  • Helps lab results reach doctors instantly.

  • Makes it easier to track patient history.

How HL7 Data Format Improves Patient Care:

When hospital systems use the HL7 data format, it makes patient care faster and more accurate. For example, if a doctor needs a test result, the format allows the result to be pulled up quickly from any system in the hospital. This means doctors can make quicker decisions about what treatments a patient needs.

The HL7 data format also ensures that data is organized correctly, so there is less chance of important information getting lost. This is especially important when patients see multiple doctors or specialists.

  • Faster test results for doctors.
  • Reduces errors in patient information.
  • Organizes patient data for easy access.
  • Helps doctors make better decisions quickly.

HL7 in Healthcare: Communication Across Hospital Departments

HL7 helps different departments in a hospital talk to each other by using common standards. For example, when a patient’s test results are ready in the lab, HL7 ensures that the doctor in the emergency room can see these results quickly. This is important because it reduces the chance of errors and helps doctors make better decisions faster.

The Benefits of Using HL7 in Medical Data Management:

One of the biggest benefits of using HL7 is that it makes managing patient data simpler. With HL7, hospitals can store all patient information, including AI medical history, in one place and access it when needed.

 For example, when a patient visits a new doctor, that doctor can see the patient’s AI-enhanced medical history quickly, without having to ask for paper records. This helps provide more accurate and efficient care, as the AI can also highlight key trends and important details in the patient’s health data.

This helps avoid delays in patient care and makes it easier for doctors to treat patients. HL7 also ensures that patient data is accurate and up to date, so doctors can make better treatment decisions.

  • Saves time by reducing paper records.
  • Reduces the chance of mistakes in patient care.
  • Keeps patient data up-to-date.
  • Allows faster decision-making for doctors.

What is FHIR and How Does It Relate to HL7?

FHIR stands for Fast Healthcare Interoperability Resources, and it is a newer version of HL7. FHIR makes it easier to send patient data between systems. 90% of healthcare providers agree that data interoperability is critical to improving patient care.

For example, if a patient has a medical appointment and needs to send information to another doctor, FHIR allows this data to be sent much faster and more easily than older HL7 versions.

FHIR’s adoption rate among developers and hospitals increased by 47% in 2022 alone. FHIR works alongside HL7, improving how healthcare data is shared. HL7 is still used, but FHIR simplifies the process by using newer technology and easier-to-understand formats.

  • FHIR is faster and simpler than the old HL7 versions.
  • Works alongside HL7 to improve data exchange.
  • Makes it easier to send data across systems.
  • Reduces complexity in data sharing
Diagram explaining how FHIR operates in healthcare, improving data exchange and patient outcomes.

Why FHIR is Critical for Advanced Healthcare?

FHIR is very important for today’s healthcare because it allows hospitals and doctors to connect better with new systems. For example, many hospitals now use apps that can connect directly to their EHR systems. 

With FHIR, those apps can pull up patient records quickly and safely. 73% of healthcare leaders believe that FHIR will be the key to overcoming current data-sharing barriers in healthcare.

Because FHIR is newer and more flexible than older HL7 standards, it is becoming the go-to option for hospitals trying to keep up with technology.

  • FHIR works well with new mobile apps.
  • Makes sharing data more flexible and easier.
  • Helps connect healthcare systems with newer technology.
  • Ensures patient data is safe when sent online.

What is HL7 FHIR in Patient Care?

In inpatient care, HL7 FHIR helps doctors and nurses share medical information faster. For example, if a patient visits multiple doctors, FHIR allows those doctors to quickly share patient history, lab results, and medications. 

Additionally, an AI medical chatbot can assist by providing real-time access to the patient’s medical data, answering questions, and even offering treatment suggestions based on the available data.  97% of large health systems are using or planning to use FHIR in the next few years.

By using FHIR, healthcare workers can get the most up-to-date information on their patients, which helps with faster diagnoses and better treatment.

  • Allows doctors to share patient history quickly.
  • Helps coordinate treatment between multiple doctors.
  • Ensures that everyone has the most recent patient information.
  • Helps avoid delays in patient care.

Managing HL7 FHIR Standards in Healthcare IT Systems:

Managing HL7 FHIR standards in healthcare IT systems is important to ensure everything works correctly. IT managers need to make sure all systems in a hospital, like EHRs and lab machines, can communicate using FHIR. For example, an IT manager might need to test the system after updating FHIR to make sure it can send and receive patient data properly.

Proper management of HL7 FHIR also involves ensuring that staff are trained to use the new system and that everything stays secure.

  • IT managers test systems after FHIR updates.
  • Staff training is key for effective FHIR use.
  • Regular updates help keep systems secure.
  • Ensures systems are connected and working together.

What is FHIR API and How Does It Work?

FHIR API is a tool used to connect different healthcare systems so they can share information, such as patient data, quickly and securely. FHIR stands for Fast Healthcare Interoperability Resources, and it allows medical software to communicate easily with one another. By using an FHIR API, hospitals, clinics, and doctors’ offices can exchange data like test results, patient records, and prescriptions without any delay.

  • FHIR API helps connect hospitals and clinics with other healthcare providers.
  • It supports communication between electronic health records (EHR) systems, lab systems, and imaging systems.


For example
, if a patient visits two different clinics, both clinics can access the same health records and test results through the FHIR API, ensuring everyone is up-to-date on the patient’s health.

The Role of HL7 FHIR API in Medical Applications:

The HL7 FHIR API makes it easier for different healthcare applications to share information. For example, doctors can use a mobile app that connects to the hospital’s EHR system using FHIR. This means that a doctor in the emergency room can quickly access a patient’s medical history, medications, and lab results in real-time.

  • FHIR API allows apps to access patient data without needing to log into multiple systems.
  • It ensures that all medical software used in hospitals can exchange important data.


This type of connection makes it simpler for healthcare workers to get the information they need to make fast decisions, improving patient care.

How HL7 FHIR API Reduces Administrative Burden:

One of the biggest challenges in healthcare is handling all the paperwork and records. The FHIR API helps by automating the sharing of information between systems. This reduces the need for paper forms or manually entering data multiple times. For example, when a new patient comes in, their details can be instantly entered into the system without having to fill out a form by hand.

  • FHIR API cuts down on manual data entry, saving time.
  • It makes updating patient records faster and less error-prone.


As a result, hospital staff can focus more on helping patients and less on paperwork, making the entire process more efficient.

What Does HL7 FHIR Certification Involve?

HL7 FHIR certification is a process that checks if a healthcare system or app meets the required standards for using FHIR correctly. It ensures that data is shared safely and in the right format. The certification proves that the software follows all the rules to keep patient data private and secure.

  • HL7 FHIR certification means a system is reliable and can exchange data properly.
  • It assures that patient information is shared in a secure and standardized way.


For instance
, a hospital’s EHR system that passes HL7 FHIR certification ensures it can communicate with other certified systems, making data exchange more effective and secure.

Why Hospitals Need HL7 FHIR Certification:

Hospitals need HL7 FHIR certification to stay compliant with healthcare regulations and to be part of a connected network of healthcare providers. Certification also makes sure the hospital’s software, including AI Solutions, works well with other healthcare systems, which is important for patient care. 

Without this certification, hospitals may have trouble sharing data, leading to delays in patient treatment. Enterprise AI Solutions can help improve decision-making, but only if they are connected properly with certified systems.

  • HL7 FHIR certification ensures a hospital’s software works with other healthcare systems.
  • It helps hospitals meet the latest legal and safety requirements for patient data.


For example
, a hospital that has HL7 FHIR certification can quickly send patient information to specialists in other locations, ensuring that the patient gets the correct treatment as soon as possible.

The Future of Healthcare Data Exchange: Health Level 7 to FHIR

FHIR is the future because it allows healthcare systems to work together easily. It was designed to be simpler and more flexible than older standards, like Health Level 7. With FHIR, healthcare systems can quickly adapt to new technologies and ways of sharing data, which is essential as the healthcare industry continues to grow and change.

  • FHIR is more flexible than older healthcare data standards.
  • It is designed to be easy to update as technology changes.
  • AI and machine learning will become more integrated into healthcare through HL7 standards, particularly FHIR.
  • Real-time data exchange will become more important with the rise of remote patient monitoring and telemedicine.


For example
, a hospital can quickly adopt a new system or device without worrying about compatibility issues, thanks to FHIR. This makes the healthcare system more adaptable and future-proof.

How HL7 FHIR Enables Preventative Healthcare:

HL7 FHIR improves how healthcare providers work by allowing them to access patient data faster. With more data available from EHRs, wearables, and other digital health tools, HL7 will help drive the move from reactive to preventative care. By providing current-time data access, HL7 standards will enable healthcare providers to predict and prevent health issues before they become critical.

For example:

  • AI-based predictive analytics could alert doctors about potential health risks (like heart disease or diabetes) based on patterns in patient data, helping them intervene earlier.
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Conclusion:

HL7 standards are essential for keeping healthcare systems connected and ensuring that patient data is exchanged properly. By using HL7 in healthcare doctors can improve communication, reduce mistakes, and ensure that patient information is always up-to-date and accurate. 

With HL7 in healthcare organizations, doctors and medical staff can work together more effectively, making it easier to provide the best care for patients.