ISO/HL7 27932:2009

Data Exchange Standards - HL7 Clinical Document Architecture, Release 2

ISO 27932:2009 covers the standardization of clinical documents for exchange.

Normes d'échange de données — Architecture de document clinique HL7, version 2

General Information

• Status: Published
• Publication Date: 23-Nov-2009
• ICS: 35.240.80 - IT applications in health care technology
• Technical Committee: ISO/TC 215 - Health informatics
• Drafting Committee: ISO/TC 215/WG 2 - Systems and Device Interoperability
• Current Stage: 9020 - International Standard under periodical review
• Start Date: 15-Oct-2025
• Completion Date: 15-Oct-2025

Overview

ISO/HL7 27932:2009 - Data Exchange Standards - HL7 Clinical Document Architecture, Release 2 - standardizes the content and structure of clinical documents for exchange. It defines how clinical reports, summaries and other healthcare documents are represented so they can be shared reliably between systems while preserving clinical meaning, provenance and context. This standard is used to enable interoperable clinical document exchange across healthcare organizations.

Key Topics

• Document structure and composition - rules for organizing clinical documents into standardized sections and hierarchical components to ensure consistent presentation and processing.
• Metadata and provenance - requirements for document identifiers, authorship, creation time, custody and versioning to support traceability and legal use.
• Semantic interoperability - guidance on encoding clinical meanings using controlled vocabularies, coded entries and standardized templates so receiving systems can interpret content accurately.
• Human- and machine-readability - balancing narrative text for clinicians with structured, machine-processable data elements to support both clinical use and automated processing.
• Conformance and templates - mechanisms for constraining the core model to specific clinical use cases (templates or profiles) and for declaring conformance statements.
• Exchange considerations - recommendations for packaging, transport readiness and integration with health information exchange workflows.

Note: implementations commonly realize these concepts using structured markup (for example, XML-based encodings) and agreed templates, enabling both display and computation.

Applications

• Electronic Health Record (EHR) integration - standardizing discharge summaries, referral letters, progress notes and diagnostic reports for exchange between EHR systems.
• Health Information Exchange (HIE) - enabling cross-organizational sharing of clinical documents for continuity of care and care coordination.
• Clinical messaging and reporting - generating interoperable documents for laboratory, radiology and specialist reports.
• Regulatory and legal documentation - supporting auditability and provenance requirements for clinical records.
• Vendors and integrators - developers of EHRs, document management systems, middleware and HIE platforms use the standard to ensure interoperability.

Who Uses It

• Health IT vendors, systems integrators and software developers
• Hospitals, clinics and ambulatory care providers
• National and regional health agencies, standards bodies and implementers
• Clinical informaticians and interoperability architects

Related Standards

• HL7 family of interoperability standards (same organizational origin)
• National/local CDA implementation guides and template libraries
• Other healthcare interoperability initiatives and profiles that complement clinical-document exchange

Keywords: ISO/HL7 27932:2009, HL7 Clinical Document Architecture, CDA Release 2, clinical document exchange, healthcare interoperability, EHR integration, health data standards.

Standards Content (Sample)

INTERNATIONAL ISO/HL7
STANDARD 27932
First edition
2009-12-01
Data Exchange Standards — HL7 Clinical
Document Architecture, Release 2
Normes d'échange de données — Architecture de document
clinique HL7, version 2
Reference number
©
ISO/HL7 2009
This CD-ROM contains the publication ISO/HL7 27932:2009 in HTML format.

©  ISO and HL7 2009
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized in any form or by any means,
electronic or mechanical, including photocopying and microfilm, without permission in writing from either ISO or HL7 at the respective
address below.
ISO copyright office Health Level Seven, Inc.
Case postale 56 • CH-1211 Geneva 20 • Switzerland Standards Publishing Department
Tel. + 41 22 749 01 11 3300 Washtenaw Avenue, Suite 227
Fax + 41 22 749 09 47 Ann Arbor, MI 48104 • USA
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Web www.iso.org Web www.hl7.org
Published in Switzerland
ii © ISO/HL7 2009 – All rights reserved

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INTERNATIONAL ISO/HL7
STANDARD 27932
First edition
2009-12-01
Corrected version
2012-10-15
Data Exchange Standards — HL7 Clinical
Document Architecture, Release 2
Normes d'échange de données — Architecture de document
clinique HL7, version 2
Reference number
©
ISO/HL7 2009
This CD-ROM contains the publication ISO/HL7 27932:2009 in HTML format.

© ISO and Health Level Seven International 2009.
All rights reserved. Unless otherwise specified, no part of this publication may be reproduced or utilized otherwise in any form or by any
means, electronic or mechanical, including photocopying, or posting on the Internet or an Intranet, without prior written permission.
Permission can be requested from either ISO or HL7 at the respective address below:
ISO copyright office Health Level Seven International.
Case postale 56  CH-1211 Geneva 20 Standards Publishing Department
Switzerland 3300 Washtenaw Avenue, Suite 227  Ann Arbor, MI 48104  USA
Tel. + 41 22 749 01 11 Tel. [phone]
Fax + 41 22 749 09 47 Fax [phone]
E-mail [e-mail] E-mail [e-mail]
Web www.iso.org Web www.HL7.org
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