{
 "id": "hl7-international",
 "url": "/hl7-international/",
 "md_url": "/hl7-international.md",
 "json_url": "/hl7-international.json",
 "claims_url": "/hl7-international/beweringen/",
 "type": {
  "code": "Organization",
  "label": "Organisatie"
 },
 "schema_type": "Organization",
 "lang": "nl",
 "translation": null,
 "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": "Internationaal"
  }
 ],
 "themes": [
  {
   "code": "standaardisatie-en-governance",
   "label": "Standaardisatie en governance"
  }
 ],
 "lifecycle": {
  "code": "productie",
  "label": "in productie"
 },
 "lifecycle_note_html": "Actieve standaardenorganisatie, opgericht in 1987. FHIR R5 (2023) is de huidige publicatie; R6 zit in normatieve ballot, met een tweede volledige ballot in juli 2026. Stand 9 november 2026.",
 "version": null,
 "vendor": null,
 "sectors": [],
 "homologations": [],
 "links": [
  {
   "kind": {
    "code": "website",
    "label": "Website"
   },
   "url": "https://www.hl7.org/",
   "label": "HL7 International",
   "host": "www.hl7.org",
   "lang": "en"
  }
 ],
 "summary_text": "HL7 International is een Amerikaanse standaardenorganisatie zonder winstoogmerk, opgericht in 1987 en door ANSI geaccrediteerd. Ze maakt de standaarden waarmee zorgsystemen gegevens uitwisselen, waaronder HL7 versie 2, CDA en FHIR. Werkgroepen schrijven de specificaties; die worden in stemrondes (ballots) goedgekeurd als proefstandaard (Standard for Trial Use) of als normatieve standaard. Nationale affiliates, zoals HL7 Belgium, en het Europese kantoor HL7 Europe zijn er als aparte organisaties aan verbonden. Voor ziekenhuizen en hun leveranciers levert HL7 International de basisspecificatie waarop de Belgische FHIR-profielen steunen.",
 "summary_html": "<p>HL7 International is een Amerikaanse standaardenorganisatie zonder winstoogmerk, opgericht in 1987 en door ANSI geaccrediteerd. Ze maakt de standaarden waarmee zorgsystemen gegevens uitwisselen, waaronder HL7 versie 2, CDA en FHIR. Werkgroepen schrijven de specificaties; die worden in stemrondes (ballots) goedgekeurd als proefstandaard (Standard for Trial Use) of als normatieve standaard. Nationale affiliates, zoals HL7 Belgium, en het Europese kantoor HL7 Europe zijn er als aparte organisaties aan verbonden. Voor ziekenhuizen en hun leveranciers levert HL7 International de basisspecificatie waarop de Belgische FHIR-profielen steunen.</p>",
 "last_verified": "2026-11-09",
 "verification_outdated": false,
 "sections": [
  {
   "id": "in-het-kort",
   "title": "In het kort",
   "kind": "in-het-kort",
   "html": "<ul>\n<li><strong>Wat</strong>: HL7 International is een in 1987 opgerichte, door ANSI geaccrediteerde standaardenorganisatie zonder winstoogmerk voor de interoperabiliteit van zorggegevens<sup class=\"cite\" id=\"t-CLM-f497cd6c\" data-claims=\"CLM-f497cd6c\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>.</li>\n<li><strong>Standaarden</strong>: tot haar standaarden behoren <a href=\"/fhir/\">FHIR</a>, <a href=\"/hl7-v2/\">HL7 versie 2</a> en Clinical Document Architecture (CDA)<sup class=\"cite\" id=\"t-CLM-3151b23a\" data-claims=\"CLM-3151b23a\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>.</li>\n<li><strong>Hoe</strong>: meer dan 40 werkgroepen schrijven de inhoud<sup class=\"cite\" id=\"t-CLM-3aa27423\" data-claims=\"CLM-3aa27423\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Bron 2\">[2]</a></sup>, en een normatieve ballot valideert wat bij ANSI wordt ingediend om American National Standard te worden<sup class=\"cite\" id=\"t-CLM-f5b51a57\" data-claims=\"CLM-f5b51a57\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Bron 3\">[3]</a></sup>.</li>\n<li><strong>Licentie</strong>: de primaire standaarden zijn kosteloos in licentie maar met beperkingen op gebruik en verspreiding, en leden krijgen een ruimere licentie<sup class=\"cite\" id=\"t-CLM-4c600319\" data-claims=\"CLM-4c600319\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Bron 4\">[4]</a></sup>; de FHIR-specificatie zelf staat via CC0 in het publieke domein<sup class=\"cite\" id=\"t-CLM-ad458bb8\" data-claims=\"CLM-ad458bb8\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Bron 5\">[5]</a></sup>.</li>\n<li><strong>Stand</strong>: FHIR R5 is de huidige gepubliceerde versie<sup class=\"cite\" id=\"t-CLM-c08cfb56\" data-claims=\"CLM-c08cfb56\"><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Bron 6\">[6]</a></sup>, en R6 wordt als volledig normatieve ANSI-standaard in ballot gebracht, met een tweede volledige ballot op 17 juli 2026<span class=\"cite-anchor\" id=\"t-CLM-45e1bc21\"></span><sup class=\"cite\" id=\"t-CLM-37e25924\" data-claims=\"CLM-37e25924 CLM-45e1bc21\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Bron 8\">[8]</a></sup>.</li>\n<li><strong>België</strong>: <a href=\"/hl7-belgium/\">HL7 Belgium</a> is sinds april 2020 de erkende Belgische affiliate<sup class=\"cite\" id=\"t-CLM-6070feb3\" data-claims=\"CLM-6070feb3\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Bron 9\">[9]</a></sup>, en de federale core-IG hangt af van HL7-pakketten zoals HL7 Terminology (THO)<sup class=\"cite\" id=\"t-CLM-88de6a59\" data-claims=\"CLM-88de6a59\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Bron 10\">[10]</a></sup>.</li>\n<li><strong>Grootste onzekerheid</strong>: na de tweede R6-ballot volgt zeker nog een ballot, en de bron noemt geen publicatiedatum<sup class=\"cite\" id=\"t-CLM-6965b6b7\" data-claims=\"CLM-6965b6b7\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>.</li>\n</ul>"
  },
  {
   "id": "wat-is-het",
   "title": "Wat is het?",
   "kind": "tekst",
   "html": "<p>HL7 International (Health Level Seven International) werd in 1987 opgericht en is een door ANSI (American National Standards Institute) geaccrediteerde standaardenorganisatie zonder winstoogmerk die de interoperabiliteit van zorggegevens wereldwijd wil mogelijk maken<sup class=\"cite\" data-claims=\"CLM-f497cd6c\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>. 'Level Seven' in de naam verwijst naar de zevende laag, de applicatielaag, van het OSI-communicatiemodel van ISO<sup class=\"cite\" id=\"t-CLM-7f596eae\" data-claims=\"CLM-7f596eae\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>. De hoofdzetel ligt in Ann Arbor, Michigan (Verenigde Staten)<sup class=\"cite\" id=\"t-CLM-b43fac33\" data-claims=\"CLM-b43fac33\"><a class=\"cite-ref\" href=\"#bron-11\" aria-label=\"Bron 11\">[11]</a></sup>. Volgens de organisatie steunen leden uit meer dan 50 landen haar, waaronder meer dan 500 organisatieleden: zorgaanbieders, overheden, betalers, farmabedrijven, leveranciers en adviesbureaus<sup class=\"cite\" id=\"t-CLM-12551e52\" data-claims=\"CLM-12551e52\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>.</p>\n<h3>Werkgroepen, ballots en rijpheid</h3>\n<p>Meer dan 40 werkgroepen zijn rechtstreeks verantwoordelijk voor de inhoud en de ontwikkeling van de standaarden<sup class=\"cite\" data-claims=\"CLM-3aa27423\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Bron 2\">[2]</a></sup>. Een specificatie wordt goedgekeurd in een <em>ballot</em>, een formele stemronde. HL7 kent vier soorten ballots: normatief (N), informatief (I), Standard for Trial Use (D) en enkel commentaar (O)<sup class=\"cite\" id=\"t-CLM-69ecc8a4\" data-claims=\"CLM-69ecc8a4\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Bron 3\">[3]</a></sup>.</p>\n<ul>\n<li>Een <strong>Standard for Trial Use (STU)</strong> is een proefstandaard: de basis voor proefprojecten en voor een objectieve beoordeling of de voorgestelde standaard implementeerbaar is<sup class=\"cite\" id=\"t-CLM-f37c1fe5\" data-claims=\"CLM-f37c1fe5\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Bron 3\">[3]</a></sup>. Sinds mei 2016 heet dat 'Standard for Trial Use'; daarvoor gold 'Draft Standard for Trial Use' (DSTU)<sup class=\"cite\" id=\"t-CLM-d4ea07b7\" data-claims=\"CLM-d4ea07b7\"><a class=\"cite-ref\" href=\"#bron-12\" aria-label=\"Bron 12\">[12]</a></sup>.</li>\n<li>Een <strong>normatieve ballot</strong> valideert specificaties die bij ANSI worden ingediend om American National Standard te worden<sup class=\"cite\" data-claims=\"CLM-f5b51a57\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Bron 3\">[3]</a></sup>.</li>\n<li><strong>Doorlooptijd</strong>: volgens HL7 duurt het doorgaans 1 à 2 jaar tot een specificatie als Standard for Trial Use beschikbaar is, en daarna nog 3 jaar of meer voor de inhoud als normatief kan worden vastgelegd<sup class=\"cite\" id=\"t-CLM-0d7d063a\" data-claims=\"CLM-0d7d063a\"><a class=\"cite-ref\" href=\"#bron-13\" aria-label=\"Bron 13\">[13]</a></sup>.</li>\n<li>Binnen FHIR krijgt elk artefact daarnaast een rijpheidsniveau, het <strong>FHIR Maturity Model (FMM)</strong>, waarmee implementatoren kunnen inschatten hoe ver gevorderd en dus hoe stabiel het is<sup class=\"cite\" id=\"t-CLM-a52bda45\" data-claims=\"CLM-a52bda45\"><a class=\"cite-ref\" href=\"#bron-14\" aria-label=\"Bron 14\">[14]</a></sup>. Inhoud met status Trial Use mag in latere FHIR-versies ingrijpend en niet-compatibel wijzigen<sup class=\"cite\" id=\"t-CLM-4502a9cb\" data-claims=\"CLM-4502a9cb\"><a class=\"cite-ref\" href=\"#bron-14\" aria-label=\"Bron 14\">[14]</a></sup>.</li>\n</ul>\n<h3>Licentie</h3>\n<p>HL7 International kondigde op 4 september 2012 aan haar standaarden kosteloos in licentie te geven en werkte dat op 4 maart 2013 verder uit<sup class=\"cite\" id=\"t-CLM-8de8fc6c\" data-claims=\"CLM-8de8fc6c\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Bron 4\">[4]</a></sup>. De kosteloze licentie geldt voor de primaire standaarden en enkele andere producten, maar beperkt hoe ze gebruikt en verspreid mogen worden; leden krijgen een ruimere licentie<sup class=\"cite\" data-claims=\"CLM-4c600319\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Bron 4\">[4]</a></sup>. Ook niet-leden die zich registreren en het IP-beleid aanvaarden, mogen het vrijgegeven materiaal kosteloos lezen en gebruiken om het te evalueren of te implementeren<sup class=\"cite\" id=\"t-CLM-1e9e4690\" data-claims=\"CLM-1e9e4690\"><a class=\"cite-ref\" href=\"#bron-15\" aria-label=\"Bron 15\">[15]</a></sup>. Voor FHIR geldt een eigen regeling: HL7 stelt de FHIR-specificatie via CC0 1.0 in het publieke domein<sup class=\"cite\" data-claims=\"CLM-ad458bb8\"><a class=\"cite-ref\" href=\"#bron-5\" aria-label=\"Bron 5\">[5]</a></sup>, ook de versie op build.fhir.org<sup class=\"cite\" id=\"t-CLM-2d2c631c\" data-claims=\"CLM-2d2c631c\"><a class=\"cite-ref\" href=\"#bron-16\" aria-label=\"Bron 16\">[16]</a></sup>. De CDS Hooks-specificatie valt onder een Creative Commons Attribution 4.0-licentie<sup class=\"cite\" id=\"t-CLM-ee7b75cf\" data-claims=\"CLM-ee7b75cf\"><a class=\"cite-ref\" href=\"#bron-17\" aria-label=\"Bron 17\">[17]</a></sup>.</p>\n<h3>HL7 FHIR Foundation</h3>\n<p>De HL7 FHIR Foundation is een Amerikaanse non-profitorganisatie (501(c)(3)) met internationale reikwijdte, nauw gelieerd aan HL7 International<sup class=\"cite\" id=\"t-CLM-f2cf406e\" data-claims=\"CLM-f2cf406e\"><a class=\"cite-ref\" href=\"#bron-18\" aria-label=\"Bron 18\">[18]</a></sup>. Ze beheert fhir.org en de bijhorende websites namens de FHIR-gemeenschap<sup class=\"cite\" id=\"t-CLM-1365ea49\" data-claims=\"CLM-1365ea49\"><a class=\"cite-ref\" href=\"#bron-18\" aria-label=\"Bron 18\">[18]</a></sup>.</p>"
  },
  {
   "id": "rol-in-het-ehealth-landschap-per-domein",
   "title": "Rol in het eHealth-landschap, per domein",
   "kind": "tekst",
   "html": "<p>De standaarden van HL7 International vormen verschillende productfamilies<sup class=\"cite\" data-claims=\"CLM-3151b23a\"><a class=\"cite-ref\" href=\"#bron-1\" aria-label=\"Bron 1\">[1]</a></sup>:</p>\n<table>\n<thead>\n<tr>\n<th>Domein of productfamilie</th>\n<th>Wat het is</th>\n<th>Stand</th>\n<th>Pagina</th>\n<th>Bron</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>HL7 versie 2</td>\n<td>berichtenstandaard, voor het eerst uitgebracht in oktober 1987, ontworpen voor zowel een centraal patiëntensysteem als afdelingssystemen</td>\n<td>versie 2.9.1 (2024) is normatief, statusdatum 5 september 2024</td>\n<td><a href=\"/hl7-v2/\">HL7 versie 2</a></td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-b68cf25b\"></span><span class=\"cite-anchor\" id=\"t-CLM-58ef123c\"></span><sup class=\"cite\" id=\"t-CLM-f54855a1\" data-claims=\"CLM-f54855a1 CLM-b68cf25b CLM-58ef123c\"><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Bron 19\">[19]</a></sup></td>\n</tr>\n<tr>\n<td>HL7 Version 3</td>\n<td>reeks specificaties gebaseerd op het Reference Information Model (RIM) van HL7</td>\n<td>-</td>\n<td>geen eigen pagina</td>\n<td><sup class=\"cite\" id=\"t-CLM-319435bc\" data-claims=\"CLM-319435bc\"><a class=\"cite-ref\" href=\"#bron-12\" aria-label=\"Bron 12\">[12]</a></sup></td>\n</tr>\n<tr>\n<td>CDA</td>\n<td>V3-documentstandaard die structuur en betekenis van klinische documenten vastlegt voor uitwisseling tussen zorgverleners en patiënten</td>\n<td>-</td>\n<td>geen eigen pagina</td>\n<td><sup class=\"cite\" id=\"t-CLM-9f70fae7\" data-claims=\"CLM-9f70fae7\"><a class=\"cite-ref\" href=\"#bron-20\" aria-label=\"Bron 20\">[20]</a></sup></td>\n</tr>\n<tr>\n<td>FHIR</td>\n<td>standaard opgebouwd uit resources, kleine identificeerbare blokjes informatie</td>\n<td>R5 is de huidige publicatie, R6 in ballot</td>\n<td><a href=\"/fhir/\">HL7 FHIR</a></td>\n<td><sup class=\"cite\" id=\"t-CLM-74920065\" data-claims=\"CLM-74920065 CLM-c08cfb56\"><a class=\"cite-ref\" href=\"#bron-21\" aria-label=\"Bron 21\">[21]</a><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Bron 6\">[6]</a></sup></td>\n</tr>\n<tr>\n<td>International Patient Summary</td>\n<td>implementatiegids van de werkgroep Patient Care</td>\n<td>-</td>\n<td><a href=\"/ips/\">International Patient Summary (IPS)</a></td>\n<td><sup class=\"cite\" id=\"t-CLM-e8bb4b40\" data-claims=\"CLM-e8bb4b40\"><a class=\"cite-ref\" href=\"#bron-22\" aria-label=\"Bron 22\">[22]</a></sup></td>\n</tr>\n<tr>\n<td>CDS Hooks</td>\n<td>specificatie om beslissingsondersteuning vanuit de klinische workflow op te roepen</td>\n<td>2.0.1 (STU 2, op FHIR R4)</td>\n<td>geen eigen pagina</td>\n<td><sup class=\"cite\" id=\"t-CLM-99932eeb\" data-claims=\"CLM-99932eeb\"><a class=\"cite-ref\" href=\"#bron-17\" aria-label=\"Bron 17\">[17]</a></sup></td>\n</tr>\n<tr>\n<td>SDPi</td>\n<td>'Gemini'-standaard voor medische toestellen, samen met IHE ontwikkeld en gepubliceerd</td>\n<td>-</td>\n<td><a href=\"/ihe-sdpi/\">IHE SDPi (Service-oriented Device Point-of-care Interoperability)</a></td>\n<td><sup class=\"cite\" id=\"t-CLM-95912317\" data-claims=\"CLM-95912317\"><a class=\"cite-ref\" href=\"#bron-23\" aria-label=\"Bron 23\">[23]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<h3>FHIR-releases</h3>\n<table>\n<thead>\n<tr>\n<th>Release</th>\n<th>Versie</th>\n<th>Datum</th>\n<th>Status</th>\n<th>Bron</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>R4 (Technical Correction #1)</td>\n<td>4.0.1</td>\n<td>1 november 2019</td>\n<td>mix van normatieve en STU-inhoud</td>\n<td><sup class=\"cite\" id=\"t-CLM-1badcbfb\" data-claims=\"CLM-1badcbfb\"><a class=\"cite-ref\" href=\"#bron-24\" aria-label=\"Bron 24\">[24]</a></sup></td>\n</tr>\n<tr>\n<td>R4B</td>\n<td>4.3.0</td>\n<td>28 mei 2022</td>\n<td>trial-use; wijzigt enkele modules en blijft voor de rest compatibel met R4</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-382e32d6\"></span><sup class=\"cite\" id=\"t-CLM-dda09c93\" data-claims=\"CLM-dda09c93 CLM-382e32d6\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Bron 8\">[8]</a><a class=\"cite-ref\" href=\"#bron-25\" aria-label=\"Bron 25\">[25]</a></sup></td>\n</tr>\n<tr>\n<td>R5</td>\n<td>5.0.0</td>\n<td>26 maart 2023</td>\n<td>STU, de huidige gepubliceerde versie</td>\n<td><sup class=\"cite\" id=\"t-CLM-9566eb8c\" data-claims=\"CLM-9566eb8c CLM-c08cfb56\"><a class=\"cite-ref\" href=\"#bron-26\" aria-label=\"Bron 26\">[26]</a><a class=\"cite-ref\" href=\"#bron-6\" aria-label=\"Bron 6\">[6]</a></sup></td>\n</tr>\n<tr>\n<td>R6, eerste volledige ballot</td>\n<td>6.0.0-ballot4</td>\n<td>18 december 2025</td>\n<td>ballot</td>\n<td><sup class=\"cite\" id=\"t-CLM-a8bedcc9\" data-claims=\"CLM-a8bedcc9\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Bron 8\">[8]</a></sup></td>\n</tr>\n<tr>\n<td>R6, tweede volledige ballot en momentopname</td>\n<td>6.0.0-ballot5 en 6.0.0-snapshot1</td>\n<td>17 juli 2026</td>\n<td>normatieve ballot; de momentopname heet in de publicatiehistoriek 'FHIR R6 Stable (Sept 2026)'</td>\n<td><sup class=\"cite\" data-claims=\"CLM-45e1bc21 CLM-37e25924\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Bron 8\">[8]</a><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup></td>\n</tr>\n</tbody>\n</table>\n<p>In R6 is de implementeerbare inhoud volledig normatief, zodat na afloop van de ballot geen brekende wijzigingen aan normatieve inhoud meer zijn toegelaten<sup class=\"cite\" id=\"t-CLM-629d525a\" data-claims=\"CLM-629d525a\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>. Omdat R5 niet normatief was, mag R6 brekende wijzigingen ten opzichte van R5 bevatten, ook in delen die in R4 al normatief waren<sup class=\"cite\" id=\"t-CLM-79aa6d2a\" data-claims=\"CLM-79aa6d2a\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>. Onrijpe resources zijn uit de R6-kernspecificatie gehaald en naar aparte implementatiegidsen verhuisd, vaak 'incubator IGs' genoemd<sup class=\"cite\" id=\"t-CLM-00c62808\" data-claims=\"CLM-00c62808\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>. Na de tweede volledige ballot volgt zeker nog een ballot, al hoopt HL7 geen bijkomende volledige ballots nodig te hebben<sup class=\"cite\" data-claims=\"CLM-6965b6b7\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>.</p>\n<h3>Andere standaardenorganisaties</h3>\n<ul>\n<li><strong>SNOMED International</strong>: voor de ontwikkeling van HL7-producten bestaat een overeenkomst met <a href=\"/snomed-international/\">SNOMED International</a>; wie SNOMED CT gebruikt, heeft in een niet-lidstaat van SNOMED toch een, mogelijk betalende, Affiliate-licentie nodig<sup class=\"cite\" id=\"t-CLM-e456227a\" data-claims=\"CLM-e456227a\"><a class=\"cite-ref\" href=\"#bron-3\" aria-label=\"Bron 3\">[3]</a></sup>.</li>\n<li><strong>Joint Initiative Council (JIC)</strong>: de JIC is een samenwerking van standaardenorganisaties die overlappingen en dubbel normalisatiewerk wil wegwerken<sup class=\"cite\" id=\"t-CLM-6422d65c\" data-claims=\"CLM-6422d65c\"><a class=\"cite-ref\" href=\"#bron-27\" aria-label=\"Bron 27\">[27]</a></sup>. HL7 International zetelt samen met ISO/TC 215, CEN/TC 251, IHE International en SNOMED International in het IPS-coördinatiecomité van de JIC<sup class=\"cite\" id=\"t-CLM-22a63345\" data-claims=\"CLM-22a63345\"><a class=\"cite-ref\" href=\"#bron-27\" aria-label=\"Bron 27\">[27]</a></sup>.</li>\n<li><strong>IHE</strong>: SDPi is een gezamenlijke ontwikkeling van de werkgroepen voor toestellen van HL7 International en IHE<sup class=\"cite\" data-claims=\"CLM-95912317\"><a class=\"cite-ref\" href=\"#bron-23\" aria-label=\"Bron 23\">[23]</a></sup>.</li>\n</ul>"
  },
  {
   "id": "waar-staat-het-per-programma",
   "title": "Waar staat het, per programma?",
   "kind": "tekst",
   "html": "<h3>Affiliates en het Europese kantoor</h3>\n<p>Volgens het jaarverslag 2023 adviseert de International Council de raad van bestuur namens 42 internationale affiliates<sup class=\"cite\" id=\"t-CLM-940f41eb\" data-claims=\"CLM-940f41eb\"><a class=\"cite-ref\" href=\"#bron-28\" aria-label=\"Bron 28\">[28]</a></sup>. Affiliates die in orde zijn met hun verplichtingen, mogen HL7-materiaal gebruiken en verspreiden binnen wat hun affiliatieovereenkomst met HL7 International toelaat<sup class=\"cite\" id=\"t-CLM-afd801ed\" data-claims=\"CLM-afd801ed\"><a class=\"cite-ref\" href=\"#bron-15\" aria-label=\"Bron 15\">[15]</a></sup>. In 2023 besprak de International Council dat affiliates hun nationale implementatiegidsen via een gestructureerder due-diligenceproces brengen, in lijn met de FHIR Community Practices van HL7<sup class=\"cite\" id=\"t-CLM-5522bb24\" data-claims=\"CLM-5522bb24\"><a class=\"cite-ref\" href=\"#bron-28\" aria-label=\"Bron 28\">[28]</a></sup>. Datzelfde jaar vroeg de FHIR-productverantwoordelijke van HL7 de affiliates om tegen eind 2024 een eigen terminologieserver op te zetten<sup class=\"cite\" id=\"t-CLM-808a6a54\" data-claims=\"CLM-808a6a54\"><a class=\"cite-ref\" href=\"#bron-28\" aria-label=\"Bron 28\">[28]</a></sup> (de Belgische stand staat op <a href=\"/belgische-terminologieserver/\">Belgische terminologieserver (FHIR)</a>).</p>\n<p>In Europa richtte HL7 International in 2010 in Brussel <a href=\"/hl7-europe/\">HL7 Europe</a> op als haar regionaal Europees kantoor, in de vorm van een private stichting<sup class=\"cite\" id=\"t-CLM-236981b6\" data-claims=\"CLM-236981b6\"><a class=\"cite-ref\" href=\"#bron-29\" aria-label=\"Bron 29\">[29]</a></sup>. Het uitvoerend team van HL7 International benoemt 5 van de 13 bestuurders van HL7 Europe<sup class=\"cite\" id=\"t-CLM-ee61737f\" data-claims=\"CLM-ee61737f\"><a class=\"cite-ref\" href=\"#bron-30\" aria-label=\"Bron 30\">[30]</a></sup>. HL7 Europe laat haar eigen FHIR-projecten volgens het FHIR Community Process van HL7 verlopen via een <a href=\"/hl7-europe-fcp-beleid/\">FCP Compliance Policy</a>: het FHIR Community Process Coordination Committee (FCPCC) van HL7 wordt ingelicht over nieuwe FCP-projecten of keurt ze goed<sup class=\"cite\" id=\"t-CLM-7195b77a\" data-claims=\"CLM-7195b77a\"><a class=\"cite-ref\" href=\"#bron-31\" aria-label=\"Bron 31\">[31]</a></sup>, en de IP-voorwaarden van HL7 Europe zijn afgestemd op het IP-beleid van HL7 International<sup class=\"cite\" id=\"t-CLM-76d7728c\" data-claims=\"CLM-76d7728c\"><a class=\"cite-ref\" href=\"#bron-31\" aria-label=\"Bron 31\">[31]</a></sup>.</p>\n<h3>België</h3>\n<table>\n<thead>\n<tr>\n<th>Programma</th>\n<th>Verband met HL7 International</th>\n<th>Bron</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td><a href=\"/hl7-belgium/\">HL7 Belgium</a></td>\n<td>Belgische affiliate, opgericht in juni 2019 en erkend in april 2020; werkt volgens een affiliatieovereenkomst en koppelt nationale vereisten terug naar HL7 International; staat met adres Reyerslaan 80, 1030 Brussel in de contactlijst van de International Council</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-32de728a\"></span><span class=\"cite-anchor\" id=\"t-CLM-6d7be115\"></span><sup class=\"cite\" id=\"t-CLM-98be34bf\" data-claims=\"CLM-6070feb3 CLM-98be34bf CLM-32de728a CLM-6d7be115\"><a class=\"cite-ref\" href=\"#bron-9\" aria-label=\"Bron 9\">[9]</a><a class=\"cite-ref\" href=\"#bron-32\" aria-label=\"Bron 32\">[32]</a></sup></td>\n</tr>\n<tr>\n<td>Federale FHIR-profielen (<a href=\"/be-fhir-igs/\">Belgische FHIR-implementatiegidsen</a>)</td>\n<td>FHIR wordt zo dicht mogelijk bij de basisstandaard van HL7 gebruikt; het eHealth-platform publiceert geen eigen versie van de basisspecificatie, omdat de pagina's van HL7 als voldoende gelden</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-e2d66c2b\"></span><sup class=\"cite\" id=\"t-CLM-082c27f3\" data-claims=\"CLM-082c27f3 CLM-e2d66c2b\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Bron 10\">[10]</a></sup></td>\n</tr>\n<tr>\n<td>Afhankelijkheden van de Belgische IG's</td>\n<td>de federale core-IG 2.2.0 hangt af van HL7 Terminology (THO), het FHIR Extensions Pack en de FHIR Tooling Extensions; de Pregnancy Status-IG hangt af van het IPS-pakket 2.0.1</td>\n<td><sup class=\"cite\" id=\"t-CLM-b8956a9f\" data-claims=\"CLM-88de6a59 CLM-b8956a9f\"><a class=\"cite-ref\" href=\"#bron-10\" aria-label=\"Bron 10\">[10]</a><a class=\"cite-ref\" href=\"#bron-33\" aria-label=\"Bron 33\">[33]</a></sup></td>\n</tr>\n<tr>\n<td>Pakketnamen</td>\n<td>namen die beginnen met hl7.fhir. of fhir., en dus ook de Belgische pakketten hl7.fhir.be.*, worden toegekend door de FHIR Product Director van HL7</td>\n<td><sup class=\"cite\" id=\"t-CLM-7f0f1261\" data-claims=\"CLM-7f0f1261\"><a class=\"cite-ref\" href=\"#bron-34\" aria-label=\"Bron 34\">[34]</a></sup></td>\n</tr>\n<tr>\n<td>FHIR IG-register</td>\n<td>de Belgische IG's staan in het internationale register met het eHealth-platform als autoriteit en een CI-build onder build.fhir.org/ig/hl7-be; op 29 september 2026 waren dat er 18</td>\n<td><span class=\"cite-anchor\" id=\"t-CLM-666dff6c\"></span><sup class=\"cite\" id=\"t-CLM-f51da799\" data-claims=\"CLM-f51da799 CLM-666dff6c\"><a class=\"cite-ref\" href=\"#bron-35\" aria-label=\"Bron 35\">[35]</a></sup></td>\n</tr>\n<tr>\n<td><a href=\"/bihr/\">BIHR</a></td>\n<td>een publieke presentatie over de Belgische roadmap (2026) beschrijft 15 categorieën met CareSets volgens FHIR R4</td>\n<td><sup class=\"cite\" id=\"t-CLM-b5c38e9b\" data-claims=\"CLM-b5c38e9b\"><a class=\"cite-ref\" href=\"#bron-36\" aria-label=\"Bron 36\">[36]</a></sup></td>\n</tr>\n<tr>\n<td><a href=\"/myhealth-at-eu/\">MyHealth@EU</a></td>\n<td>volgens HL7 International verloopt de uitwisseling met CDA in de EU via het eHealth Network en MyHealth@EU</td>\n<td><sup class=\"cite\" id=\"t-CLM-d639050f\" data-claims=\"CLM-d639050f\"><a class=\"cite-ref\" href=\"#bron-20\" aria-label=\"Bron 20\">[20]</a></sup></td>\n</tr>\n</tbody>\n</table>"
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   "html": "<ul>\n<li><strong>Aantal werkgroepen</strong>: HL7 International noemt meer dan 40 werkgroepen<sup class=\"cite\" data-claims=\"CLM-3aa27423\"><a class=\"cite-ref\" href=\"#bron-2\" aria-label=\"Bron 2\">[2]</a></sup>, de standaardenpagina van HL7 Europe meer dan 30<sup class=\"cite\" id=\"t-CLM-96d4f0a8\" data-claims=\"CLM-96d4f0a8\"><a class=\"cite-ref\" href=\"#bron-39\" aria-label=\"Bron 39\">[39]</a></sup>.</li>\n<li><strong>Laatste versie van HL7 v2</strong>: de overzichtspagina van de V2-productfamilie noemt nog 2.7 (2011)<sup class=\"cite\" id=\"t-CLM-9732c1f9\" data-claims=\"CLM-9732c1f9\"><a class=\"cite-ref\" href=\"#bron-40\" aria-label=\"Bron 40\">[40]</a></sup>, de productpagina 2.9.1 (2024)<sup class=\"cite\" data-claims=\"CLM-f54855a1\"><a class=\"cite-ref\" href=\"#bron-19\" aria-label=\"Bron 19\">[19]</a></sup>; de overzichtspagina is op dit punt verouderd.</li>\n<li><strong>Aantal affiliates</strong>: het jaarverslag 2023 noemt 42 affiliates<sup class=\"cite\" data-claims=\"CLM-940f41eb\"><a class=\"cite-ref\" href=\"#bron-28\" aria-label=\"Bron 28\">[28]</a></sup>, HL7 Europe spreekt van meer dan 40<sup class=\"cite\" id=\"t-CLM-611443f7\" data-claims=\"CLM-611443f7\"><a class=\"cite-ref\" href=\"#bron-39\" aria-label=\"Bron 39\">[39]</a></sup>; een actuele officiële telling werd niet gevonden.</li>\n<li><strong>Publicatie van R6</strong>: de momentopname van juli 2026 heet 'FHIR R6 Stable (Sept 2026)'<sup class=\"cite\" data-claims=\"CLM-45e1bc21\"><a class=\"cite-ref\" href=\"#bron-8\" aria-label=\"Bron 8\">[8]</a></sup>, maar er volgt zeker nog een ballot<sup class=\"cite\" data-claims=\"CLM-6965b6b7\"><a class=\"cite-ref\" href=\"#bron-7\" aria-label=\"Bron 7\">[7]</a></sup>; een publicatiedatum werd niet gevonden.</li>\n<li><strong>Relatie met ISO</strong>: buiten het gezamenlijke IPS-coördinatiecomité<sup class=\"cite\" data-claims=\"CLM-22a63345\"><a class=\"cite-ref\" href=\"#bron-27\" aria-label=\"Bron 27\">[27]</a></sup> werd geen primaire bron gevonden over de liaison met ISO/TC 215 of over dubbel gelabelde ISO/HL7-normen.</li>\n<li><strong>Begin van de kosteloze licentie</strong>: de bron noemt de aankondiging (2012) en de uitwerking (2013)<sup class=\"cite\" data-claims=\"CLM-8de8fc6c\"><a class=\"cite-ref\" href=\"#bron-4\" aria-label=\"Bron 4\">[4]</a></sup>, niet de datum vanaf wanneer de licentie gold.</li>\n</ul>\n<p>Niet gevonden is geen bewijs van afwezigheid.</p>"
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   "statement": "HL7 versie 2.9.1 is een normatieve standaard met statusdatum 5 september 2024.",
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   "statement": "HL7 Version 3 (V3) is een reeks specificaties gebaseerd op het Reference Information Model (RIM) van HL7.",
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  {
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   "statement": "CDA is een HL7 V3-documentstandaard die structuur en betekenis van klinische documenten vastlegt voor uitwisseling tussen zorgverleners en patiënten.",
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   "locator": "sectie 'Description'",
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   "source": {
    "id": "SRC-fd27c7aac7",
    "title": "CDA Release 2 - product brief",
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    "url": "https://www.hl7.org/implement/standards/product_brief.cfm?product_id=7",
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  {
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   "statement": "FHIR (Fast Healthcare Interoperability Resources) is een standaard van de internationale HL7-organisatie voor het uitwisselen van zorginformatie, opgebouwd uit resources: kleine, identificeerbare blokjes informatie (zoals 'patiënt') die in verschillende contexten bruikbaar zijn.",
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   "statement": "De International Patient Summary-IG wordt uitgegeven door HL7 International (werkgroep Patient Care).",
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   "source": {
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    "title": "International Patient Summary Implementation Guide",
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   "statement": "CDS Hooks, de HL7-specificatie om beslissingsondersteuning vanuit de klinische workflow op te roepen, staat op versie 2.0.1 (STU 2, gebaseerd op FHIR R4).",
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   "locator": "publicatiekader bovenaan",
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   "source": {
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   "statement": "FHIR R4 (v4.0.1, Technical Correction #1) is een mix van normatieve en STU-inhoud; de 4.0.1-publicatie dateert van 1 november 2019.",
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   "source": {
    "id": "SRC-ec16ae26c1",
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   "statement": "FHIR R4B (versie 4.3.0, trial-use) werd gepubliceerd op 28 mei 2022.",
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   "source": {
    "id": "SRC-3ea3d2332b",
    "title": "FHIR Specification - publication (version) history (package-list.json)",
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   "source": {
    "id": "SRC-eb8dc21c1a",
    "title": "FHIR R4B - explanation",
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   "statement": "FHIR R5 (v5.0.0) werd gepubliceerd op 26 maart 2023 en is de huidige gepubliceerde versie van FHIR (status STU).",
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   "source": {
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   "statement": "De eerste volledige ballot van FHIR R6 (6.0.0-ballot4) dateert van 18 december 2025.",
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   "statement": "Omdat R5 niet normatief was, mag R6 brekende wijzigingen ten opzichte van R5 bevatten, ook in de delen die in R4 al normatief waren.",
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   "source": {
    "id": "SRC-b431a18f15",
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   "locator": "FAQ SNOMED CT in HL7 products",
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    "id": "SRC-a98c56a54b",
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    "title": "HL7 Policy Governing the Use of HL7 International Standards and Other Intellectual Property",
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    "id": "SRC-887a3d49e4",
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   "statement": "HL7 Europe Foundation is een private stichting die HL7 International in 2010 in Brussel oprichtte als haar regionaal Europees kantoor.",
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    "title": "HL7 Europe Annual Report 2025",
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   "statement": "Het uitvoerend team van HL7 International benoemt 5 van de 13 bestuurders van HL7 Europe.",
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   "statement": "Volgens het FCP-beleid wordt het FHIR Community Process Coordination Committee (FCPCC) van HL7 formeel op de hoogte gebracht van nieuwe projecten die als FCP-project gelden en onder het beleid vallen.",
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    "title": "HL7 Europe FCP Compliance Policy (draft)",
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   "statement": "HL7 Belgium werkt volgens de vereisten van zijn affiliatieovereenkomst met HL7 International en zijn eigen missieverklaring.",
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   "source": {
    "id": "SRC-5d260b906d",
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   "statement": "HL7 Belgium koppelt nationale vereisten en voorgestelde oplossingen terug naar de moederorganisatie HL7 International.",
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   "kind_label": "feit",
   "locator": "alinea over missie",
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    "id": "SRC-5d260b906d",
    "title": "HL7 Belgium",
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  {
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   "statement": "HL7 Belgium staat bij HL7 International als affiliate in de contactlijst van de International Council, met als adres Reyerslaan 80, 1030 Brussel.",
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   "locator": "lijst 'Affiliate Contact' (volledige paginatekst)",
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    "id": "SRC-a4f68a23df",
    "title": "International Council - leadership and affiliate contacts",
    "publisher": "HL7 International",
    "url": "https://www.hl7.org/Special/committees/international/leadership.cfm",
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   "id": "CLM-082c27f3",
   "statement": "Het principe voor BE-profielen is FHIR zo dicht mogelijk bij de basisstandaard van HL7 te gebruiken; het eHealth-platform focust enkel op Belgische nuances.",
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   "kind_label": "feit",
   "locator": "Home",
   "as_of": "2026-09-25",
   "source": {
    "id": "SRC-a9762c4416",
    "title": "BE Core - Home",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/core/en/index.html",
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   "id": "CLM-e2d66c2b",
   "statement": "Het eHealth-platform publiceert geen eigen federale versie die de basisspecificatie van HL7 FHIR vervangt of beschrijft: de pagina's van HL7 gelden als voldoende.",
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   "kind_label": "feit",
   "locator": "Home, inleiding",
   "as_of": "2026-11-09",
   "source": {
    "id": "SRC-a9762c4416",
    "title": "BE Core - Home",
    "publisher": "eHealth-platform",
    "url": "https://www.ehealth.fgov.be/standards/fhir/core/en/index.html",
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 "release_id": "2026.11.12-3",
 "license": "CC BY 4.0"
}
