International HL7 implementations is a collection of known implementations of the HL7 Interoperability standard. These do not necessarily refer to cross-border health information systems. Locations Oceania Australia In Australia, HL7 Australia is the local affiliate of the HL7 International organisation and is an open, volunteer-based, not-for-profit organisation that supports the needs of HL7 users in Australia. It is the accredited national affiliate of HL7.org and has local responsibility for a range of core activities including the distribution and licensing of HL7 standards materials, education and participation in international HL7 standards development. HL7 Australia members are active participants in the various Standards Australia IT-014 health informatics standards sub-committees and working groups which are working on HL7 standards development and implementation in Australia. New Zealand In New Zealand, the HL7 New Zealand website outlines the following commitments. The user group shall be established on the following basic principles: Open membership Democratic election of the Board and technical leaders Not-for-profit Consensus-based qualified-majority balloting process Wide representation of stakeholders Functions of HL7 New Zealand Acting as forum for HL7 related standards development in NZ. Developing a repository of skills and knowledge. Having an educational role. Acting as a consultancy on use of HL7 standards. Developing compliance testing. Event management (organising technical meetings, teleconferences, annual meetings). Co-ordination of local involvement in development work. Representing the needs of the NZ community in the above. Developing a support infrastructure for members (e.g. secretariat, email lists, web sites, and bulletin boards). Establishing contact with and participation in the HL7 international community. HL7 New Zealand has a strategic alliance with HL7 Australia. North America Canada Prince Edward Island in Canada is the only instance of a province-wide attempt at implementing the HL7 interoperability standard. It has been standards compliant with the following characteristics of HL7: (CeRx) Messaging Standard (HL7 v3). Standards Collaborative through HL7 Canada. Set of 78 messages. Deemed “Stable for Use” in Canada (V01R04.2 + Addendum). Mexico The main user of HL7 in Mexico is the Mexican Institute for Social Security (IMSS). IMSS have been developing V3 messaging for three years and currently have 19 active messages across 9 domains with a further 24 messages currently in development. They are using a modified version of Veteran's VISTA in combination with middleware which transforms from VISTA's native V2 messages to V3 and vice versa. There is also a joint project in progress to develop an HL7 Gateway with