Where HL7 comes from
Health Level Seven International published HL7 v2.1 in 1988, and the standard has evolved through v2.9 while remaining broadly backward compatible. It is the most widely deployed healthcare messaging standard in the world — the overwhelming majority of hospital systems exchange v2 messages — and it persists despite HL7 having since produced v3 and FHIR, because replacing working clinical interfaces is expensive and risky.