Both the European Union and the United States are currently working to encourage more effective use of information technology and communication (ICT), in delivery of health services, including disease prevention and health promotion.

In order to accomplish this, as part of the Standards and Interoperability Framework (S&I Framework) of the US Office of the National Coordinator of Health Information Technology (ONC-HIT), the US and EU (under the European Commission’s Directorate General for Communication – DG Connect) collaborated and formed a Workforce Development Workgroup in August 2013.  This workgroup was founded as part of a formal Memorandum of Understanding between the US and EU signed in December 2010.  This workgroup consisted of a TransAtlantic community of public and private sector industry professionals; educators; eHealth, healthcare information technology and informatics professionals; clinicians; and subject matter experts in information technology and communication in the healthcare sector.

This community worked together to identify approaches to achieving common goals for achieving a robust supply of highly proficient eHealth/health IT professionals and assuring health care, public health, and allied professional workforces have the eSkills needed to make optimum use of their available eHealth/health information technology. Additionally, this work identifies, addresses and bridges the gaps between competency and knowledge deficiencies among all staff in healthcare delivery, management, administration and support to ensure universal application of ICT solutions in health services.  The workgroup completed Phase I of its work in May 2015.

Phase II of the work stream began in September 2016 with the commencement of the EU-US eHealth Work Project, a European Commission-funded project under the Horizon 2020 program to advance digital skills development for workforce members in the healthcare sector.  The EU-US eHealth Work Project has a four-fold mission: to measure, inform, educate and advance eHealth skills, education and knowledge throughout the European Union, United States and globally.  HITCOMP is a key component of that mission, as it ties together education, skills, competence and advancement for all members of the healthcare workforce.


HITCOMP is a searchable database designed for educators, workforce developers, current and future workforce members, students, eHealth managers, staffing experts and other interested parties in healthcare information technology/eHealth. The HITCOMP Tool and Repository can be used to compile information on skills and competencies needed for a variety of healthcare roles, levels and areas of knowledge. You can sort over 1000 competencies in five domains – Direct Patient Care, Administration, Informatics, Engineering/IS/ICT and Research/Biomedicine. Competencies are associated with a particular level of skill (Baseline, Basic, Intermediate, Advanced and Expert). Competencies are also mapped to over 250 health IT-impacted roles in Acute Care in each of the five domains.

There are two types of queries you can perform within HITCOMP: role-based and competency-based. From the Competency tab, you can perform a search from our database of competencies. With a competency search you can aggregate results by domain, by level, or within 33 areas of competency. From the Roles tab, you can perform a search of eHealth impacted job roles in healthcare. You can filter and sort your search by domain, by job type and service category, and by matching competency levels. You can also display the equivalent role in five European languages (English UK, French, German, Italian and Spanish). A description of each role is given. Finally, you can export your search results from either tab to a file for your own use.


Detailed instructions are located here.


The HITCOMP Tool and Repository is designed to complement workforce development initiatives.  Although it is a stand-alone tool that can be used by healthcare workers, students, employers, educators and eHealth industry professionals, it is not meant to replace professional career development consultation, human resource management or formal instructional design.

There are several terminology schemes that are used throughout the tool and repository that may vary based on your region, location, organization or personal experience.  We have tried to utilize terms that are applicable and synonymous both in the United States and throughout the European Union states, such as eHealth, health IT, and informatics; however, it would be impossible to include all possible variations.  Also, we have attempted to describe eHealth/health IT roles in a variety of languages used within the European Union and throughout the world; however, we regret any errors we may have made in common usage or expression.



Definition & Notes


The combination of observable and measurable abilities, skills and attributes that contribute to aggregated knowledge, job performance and ultimately organizational success.

Competency Category

One of 33 specialized areas of competency, from access, to care coordination, to documentation, to privacy and security, to quality and safety, and others.

Competency Code

A unique identifier for each HITCOMP competency. This code allows the competency to be referenced, mapped to other programs and competencies, aligned with curricula, educational and training resources, etc.

Competency Level

One of five grades of experience and skill for HIT competence and competencies, including:

  • Baseline: A foundation level upon which all other skills and competencies are based.
  • Basic: An entry-level or beginning skill or competency level, equating to “understanding” and “knowing” in Bloom’s Taxonomy. Could potentially align with associate-level degree academic programs or curricular competencies in eHealth/HIT.
  • Intermediate: A mid-level incumbent skill or competency level, equating to “applying” and “analyzing” in Bloom’s Taxonomy. Could potentially align with baccalaureate-degree level academic programs or curricular competencies in eHealth/HIT.
  • Advanced: A high-level incumbent skill or competency level, equating to “evaluating” and “synthesizing” in Bloom’s Taxonomy. Could potentially align with baccalaureate- to master-degree level academic programs or curricular competencies in eHealth/HIT.
  • Expert: The highest level of skill or competency level, also equating to “evaluating” and “synthesizing” in Bloom’s Taxonomy. Could potentially align with master- to post-doctoral-degree level academic programs or curricular competencies in eHealth/HIT.

Levels do not correspond one-to-one to job progression or role levels and can vary by role, organization and


One of five areas of health information technology focus areas, including Direct Patient Care (includes nursing, medicine, allied health, etc.); Administration (includes health administration, finance, law, management, and revenue); Engineering/Information Systems (includes engineering, information and computer technology [ICT], information systems and information technology); Informatics (includes health informatics, clinical informatics, nursing informatics, medical informatics, etc.); and Research/Biomedical (includes areas of focus in research, development, biomedicine, etc.)

Health Care Setting

One of several environments for health care work, including acute care (also called inpatient places of service [POS]), ambulatory care (includes primary and specialty care practices and clinics, also called outpatient POS), skilled nursing facilities and rehabilitation, emergency medicine, surgical and operative theaters, etc.


One of over 250 job types in the acute care setting of health care, whose work could potentially touch eHealth/health IT. The job roles include equivalent names in five major European languages, along with a comprehensive description of each role.

Role Service Category

One of three types of primary acute care services: ancillary (allied health or non-direct patient care), nursing or physician/provider/medical staff.

Role Type

One of four categorical types of health care roles grouped into major job classifications of operational-technical, supervisory-managerial, professional or executive.