{ "id": "hl7-international", "url": "/fr/hl7-international/", "md_url": "/fr/hl7-international.md", "json_url": "/fr/hl7-international.json", "claims_url": "/fr/hl7-international/beweringen/", "type": { "code": "Organization", "label": "Organisation" }, "schema_type": "Organization", "lang": "fr", "translation": { "lang": "fr", "source_url": "/hl7-international/", "date": "2026-11-13", "stale": false, "fields": [ "in_het_kort", "lifecycle_note", "sectie:onzekerheden-en-tegenstrijdige-informatie", "sectie:rol-in-het-ehealth-landschap-per-domein", "sectie:waar-staat-het-per-programma", "sectie:wat-betekent-het-voor-een-ziekenhuis", "sectie:wat-is-het", "summary", "title" ] }, "title": "HL7 International", "aliases": [ "Health Level Seven International", "Health Level Seven", "HL7", "HL7 Inc." ], "names": { "nl": "HL7 International", "fr": "HL7 International", "en": "Health Level Seven International (HL7)", "de": "HL7 International" }, "jurisdiction": [ { "code": "internationaal", "label": "International" } ], "themes": [ { "code": "standaardisatie-en-governance", "label": "Normalisation et gouvernance" } ], "lifecycle": { "code": "productie", "label": "en production" }, "lifecycle_note_html": "Organisation de normalisation active, fondée en 1987. FHIR R5 (2023) est la publication actuelle ; R6 est en ballot normatif, avec un deuxième ballot complet en juillet 2026. État au 9 novembre 2026.", "version": null, "vendor": null, "sectors": [], "homologations": [], "links": [ { "kind": { "code": "website", "label": "Site web" }, "url": "https://www.hl7.org/", "label": "HL7 International", "host": "www.hl7.org", "lang": "en" } ], "summary_text": "HL7 International est une organisation de normalisation américaine à but non lucratif, fondée en 1987 et accréditée par l'ANSI. Elle élabore les normes grâce auxquelles les systèmes de santé échangent des données, dont HL7 version 2, CDA et FHIR. Des groupes de travail rédigent les spécifications; celles-ci sont approuvées lors de tours de vote (ballots) comme norme d'essai (Standard for Trial Use) ou comme norme normative. Des affiliés nationaux, comme HL7 Belgium, et le bureau européen HL7 Europe y sont rattachés en tant qu'organisations distinctes. Pour les hôpitaux et leurs fournisseurs, HL7 International fournit la spécification de base sur laquelle reposent les profils FHIR belges.", "summary_html": "

HL7 International est une organisation de normalisation américaine à but non lucratif, fondée en 1987 et accréditée par l'ANSI. Elle élabore les normes grâce auxquelles les systèmes de santé échangent des données, dont HL7 version 2, CDA et FHIR. Des groupes de travail rédigent les spécifications ; celles-ci sont approuvées lors de tours de vote (ballots) comme norme d'essai (Standard for Trial Use) ou comme norme normative. Des affiliés nationaux, comme HL7 Belgium, et le bureau européen HL7 Europe y sont rattachés en tant qu'organisations distinctes. Pour les hôpitaux et leurs fournisseurs, HL7 International fournit la spécification de base sur laquelle reposent les profils FHIR belges.

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HL7 International (Health Level Seven International) a été fondée en 1987 et vise à permettre l'interopérabilité des données de santé à l'échelle mondiale ; c'est une organisation de normalisation à but non lucratif accréditée par l'ANSI (American National Standards Institute)[1]. « Level Seven » dans le nom renvoie à la septième couche, la couche application, du modèle de communication OSI de l'ISO[1]. Le siège se trouve à Ann Arbor, Michigan (États-Unis)[11]. Selon l'organisation, elle est soutenue par des membres de plus de 50 pays, dont plus de 500 organisations membres : prestataires de soins, pouvoirs publics, payeurs, entreprises pharmaceutiques, fournisseurs et bureaux de conseil[1].

\n

Groupes de travail, ballots et maturité

\n

Plus de 40 groupes de travail sont directement responsables du contenu et du développement des normes[2]. Une spécification est approuvée lors d'un ballot, un tour de vote formel. HL7 connaît quatre types de ballots : normatif (N), informatif (I), Standard for Trial Use (D) et commentaires uniquement (O)[3].

\n\n

Licence

\n

HL7 International a annoncé le 4 septembre 2012 qu'elle concéderait ses normes sous licence gratuite, et a précisé ce dispositif le 4 mars 2013[4]. La licence gratuite vaut pour les normes primaires et quelques autres produits, mais restreint la manière dont ils peuvent être utilisés et diffusés ; les membres reçoivent une licence plus étendue[4]. Les non-membres qui s'enregistrent et acceptent la politique IP peuvent eux aussi lire gratuitement le matériel publié et l'utiliser pour l'évaluer ou l'implémenter[15]. Pour FHIR, un régime propre s'applique : HL7 place la spécification FHIR dans le domaine public via CC0 1.0[5], y compris la version sur build.fhir.org[16]. La spécification CDS Hooks relève d'une licence Creative Commons Attribution 4.0[17].

\n

HL7 FHIR Foundation

\n

La HL7 FHIR Foundation est une organisation américaine à but non lucratif (501(c)(3)) à portée internationale, étroitement liée à HL7 International[18]. Elle gère fhir.org et les sites web associés au nom de la communauté FHIR[18].

" }, { "id": "role-dans-le-paysage-ehealth-par-domaine", "title": "Rôle dans le paysage eHealth, par domaine", "kind": "tekst", "html": "

Les normes de HL7 International forment différentes familles de produits[1] :

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Domaine ou famille de produitsCe que c'estÉtatPageSource
HL7 version 2norme de messagerie, publiée pour la première fois en octobre 1987, conçue à la fois pour un système patient central et pour des systèmes départementauxla version 2.9.1 (2024) est normative, date de statut 5 septembre 2024HL7 version 2[19]
HL7 Version 3ensemble de spécifications basées sur le Reference Information Model (RIM) de HL7-pas de page propre[12]
CDAnorme documentaire V3 qui définit la structure et la signification des documents cliniques en vue de leur échange entre prestataires de soins et patients-pas de page propre[20]
FHIRnorme composée de resources, de petits blocs d'information identifiablesR5 est la publication actuelle, R6 en ballotHL7 FHIR[21][6]
Résumé patient internationalguide d'implémentation du groupe de travail Patient Care-Résumé patient international (IPS)[22]
CDS Hooksspécification permettant d'invoquer l'aide à la décision depuis le flux de travail clinique2.0.1 (STU 2, sur FHIR R4)pas de page propre[17]
SDPinorme « Gemini » pour les dispositifs médicaux, développée et publiée conjointement avec IHE-IHE SDPi (Service-oriented Device Point-of-care Interoperability)[23]
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Releases FHIR

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
ReleaseVersionDateStatutSource
R4 (Technical Correction #1)4.0.11 novembre 2019mélange de contenu normatif et STU[24]
R4B4.3.028 mai 2022usage d'essai ; modifie quelques modules et reste pour le reste compatible avec R4[8][25]
R55.0.026 mars 2023STU, la version publiée actuelle[26][6]
R6, premier ballot complet6.0.0-ballot418 décembre 2025ballot[8]
R6, deuxième ballot complet et instantané6.0.0-ballot5 et 6.0.0-snapshot117 juillet 2026ballot normatif ; dans l'historique des publications, l'instantané s'appelle « FHIR R6 Stable (Sept 2026) »[8][7]
\n

Dans R6, le contenu implémentable est entièrement normatif, de sorte qu'à l'issue du ballot, plus aucune modification incompatible du contenu normatif n'est autorisée[7]. Comme R5 n'était pas normatif, R6 peut contenir des modifications incompatibles par rapport à R5, y compris dans des parties qui étaient déjà normatives dans R4[7]. Les resources immatures ont été retirées de la spécification de base de R6 et déplacées vers des guides d'implémentation distincts, souvent appelés « incubator IGs »[7]. Après le deuxième ballot complet, un autre ballot suivra en tout cas, même si HL7 espère ne pas avoir besoin de ballots complets supplémentaires[7].

\n

Autres organisations de normalisation

\n" }, { "id": "ou-en-est-il-par-programme", "title": "Où en est-il, par programme ?", "kind": "tekst", "html": "

Affiliés et bureau européen

\n

Selon le rapport annuel 2023, l'International Council conseille le conseil d'administration au nom de 42 affiliés internationaux[28]. Les affiliés en règle avec leurs obligations peuvent utiliser et diffuser le matériel HL7 dans les limites de ce que permet leur accord d'affiliation avec HL7 International[15]. En 2023, l'International Council a discuté d'un processus de due diligence plus structuré par lequel les affiliés feraient passer leurs guides d'implémentation nationaux, conformément aux FHIR Community Practices de HL7[28]. La même année, la personne responsable du produit FHIR chez HL7 a demandé aux affiliés de mettre en place leur propre serveur de terminologie d'ici fin 2024[28] (pour la situation belge, voir Serveur national de terminologie (FHIR)).

\n

En Europe, HL7 International a créé en 2010 à Bruxelles HL7 Europe comme son bureau régional européen, sous la forme d'une fondation privée[29]. L'équipe exécutive de HL7 International nomme 5 des 13 administrateurs de HL7 Europe[30]. HL7 Europe fait se dérouler ses propres projets FHIR selon le FHIR Community Process de HL7 au moyen d'une politique de conformité FCP : le FHIR Community Process Coordination Committee (FCPCC) de HL7 est informé des nouveaux projets FCP ou les approuve[31], et les conditions IP de HL7 Europe sont alignées sur la politique IP de HL7 International[31].

\n

Belgique

\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
ProgrammeLien avec HL7 InternationalSource
HL7 Belgiumaffilié belge, fondé en juin 2019 et reconnu en avril 2020 ; fonctionne selon un accord d'affiliation et fait remonter les exigences nationales vers HL7 International ; figure dans la liste de contacts de l'International Council avec l'adresse Reyerslaan 80, 1030 Brussels[9][32]
Profils FHIR fédéraux (Guides d'implémentation FHIR belges)FHIR est utilisé aussi près que possible de la norme de base de HL7 ; la Plate-forme eHealth ne publie pas sa propre version de la spécification de base, parce que les pages de HL7 sont jugées suffisantes[10]
Dépendances des IG belgesl'IG core fédéral 2.2.0 dépend de HL7 Terminology (THO), du FHIR Extensions Pack et des FHIR Tooling Extensions ; l'IG Pregnancy Status dépend du package IPS 2.0.1[10][33]
Noms de packagesles noms qui commencent par hl7.fhir. ou fhir., et donc aussi les packages belges hl7.fhir.be.*, sont attribués par le FHIR Product Director de HL7[34]
Registre des IG FHIRles IG belges figurent dans le registre international avec la Plate-forme eHealth comme autorité et un CI-build sous build.fhir.org/ig/hl7-be ; au 29 septembre 2026, il y en avait 18[35]
BIHRune présentation publique sur la feuille de route belge (2026) décrit 15 catégories avec des CareSets selon FHIR R4[36]
MaSanté@UEselon HL7 International, l'échange en CDA dans l'UE passe par l'eHealth Network et MaSanté@UE[20]
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Ne pas avoir trouvé n'est pas une preuve d'absence.

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Enkel secundaire vermeldingen gevonden.", "text": "Welke HL7-standaarden zijn ook als ISO-norm (ISO/HL7, dubbel gelabeld) gepubliceerd, en welke versie geldt (bv. CDA R2 als ISO/HL7 27932, v2.5 als ISO/HL7 27931)? Enkel secundaire vermeldingen gevonden." }, { "id": "oq-aac93c", "html": "Wanneer verschijnt FHIR R6 als normatieve release? De publicatiehistoriek noemt een momentopname 'R6 Stable (Sept 2026)' en de ballotintroductie een volgende ballot, maar geen publicatiedatum.", "text": "Wanneer verschijnt FHIR R6 als normatieve release? De publicatiehistoriek noemt een momentopname 'R6 Stable (Sept 2026)' en de ballotintroductie een volgende ballot, maar geen publicatiedatum." }, { "id": "oq-d59d06", "html": "Hoeveel affiliates telt HL7 International in 2026? Het jaarverslag 2023 noemt 42; een actuele officiële telling werd niet gevonden.", "text": "Hoeveel affiliates telt HL7 International in 2026? Het jaarverslag 2023 noemt 42; een actuele officiële telling werd niet gevonden." }, { "id": "oq-a20182", "html": "Wat houdt de affiliatieovereenkomst concreet in voor de rechten van HL7 Belgium om HL7-materiaal te verspreiden?", "text": "Wat houdt de affiliatieovereenkomst concreet in voor de rechten van HL7 Belgium om HL7-materiaal te verspreiden?" }, { "id": "oq-4466d8", "html": "Bestaat er een geldende samenwerkingsovereenkomst tussen HL7 International en IHE International, en wat regelt ze? De Confluence-pagina daarover kon niet als tekst worden bewaard.", "text": "Bestaat er een geldende samenwerkingsovereenkomst tussen HL7 International en IHE International, en wat regelt ze? 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