Traveling to Kyoto, Japan

JANUARY 2009

In This Issue... From the Meetings Department Traveling to Kyoto, Japan...... 1, 6-7 Traveling to Kyoto, Japan Update from the CEO...... 2 By Lillian Bigham, HL7 Director of Meetings US Affiliate: How Shall We Go?...... 3

Update From Headquarters...... 4-5 Welcome to Kyoto – Kyoto Aoi Festival May Culture Heart of Japan 15, 2009 HIMSS 2009...... 5 Plans are underway for the May 2009 Working The annual Aoi Matsuri, a Lillian Bigham Keeping Up With ANSI Requirements... 8 Group Meeting to be held in Kyoto, Japan, known traditional festival popular as “Japan’s Heartland.” Kyoto is special because throughout all of Japan, will be held in Kyoto on Results of the HL7 Board Elections.... 8 it has reigned as the national capital for more than May 15, 2009. The name, “Aoi,” is derived from the Pharmacy Group Bustling 1,000 years. Kyoto is the city where during your leaves of the Aoi plant (hollyhock). Hollyhocks dec- with Activity...... 9 visit you can delve into Japanese history as well as orate the clothing and oxcarts of all of the festival participants. This symbol can be observed through- News from the PMO...... 9 experience the way of living that keeps Kyoto at the forefront of developing emerging technologies. out the kilometer-long parade. The festival is one of Newly Formed Clinical Statement the most solemn and graceful festivals in the country. Work Group...... 10 Seventeen UNESCO World Cultural Heritage Sites 2009 Publishing Calendar...... 10 are situated in the city dominated by 2,000 temples The procession is led by the famous horse-riders of the Kamigamo Shrine and the forerunners called and shrines. The city offers visitors opportuni- 2008 Ed Hammond Suo' wearing warrior costumes from the Edo period. Volunteer of the Year Awards...... 11 ties to gain meaningful hands-on experience of Others are dressed up as court officers, messen- Kyoto culture through tea ceremony, sake brewing, HL7 Certification Exam gers, and holy maidens. It begins at 10:30 am at the Congratulations...... 12 kimono wearing, swordsmanship, and more. Japan Imperial Palace (Kyoto Gosho) and makes its way is renowned for its safety and the compactness of Co-Chair Election Results...... 13 across the Aoi Bridge to the Shimogamo Shrine, one Kyoto makes for wonderful strolling. of the two Kamo Shrines. After a ceremony, the HL7 Benefactors...... 13 procession moves north to the Kamigamo Shrine, If you are planning to attend the HL7 May 2009 Upcoming Working Group where a similar ceremony is conducted. The parade Meetings...... 14 Working Group Meeting, our advice is to relax and then returns to the grounds of the Imperial Palace. absorb the ambience of the setting and fascinating Educational Summits...... 15 land that you will visit. The Aoi Matsuri is one of the three biggest and old- AFFILIATE NEWS...... 16-20 est festivals in Kyoto. It originated sometime in the sixth century. It is an opportunity not to be missed. Report from the 2008 International HL7 IHC Conference...... 16-17 Continued on page 6 Show Me Your CDA! Award Winning CDA Case Studies at IHIC 2008...... 18

Affiliate Contacts...... 20

Organizational Members...... 21-23

2008 Technical Steering Committee Members ...... 24

HL7 Work Group Co-Chairs...... 25-27

HL7 Facilitators...... 28-29

HL7 Staff Members...... 30

2009 Board of Directors...... 31

January 2009 Working Group Meeting...... 32

View of the city and geisha in Kyoto

® Health Level Seven and HL7 are registered trademarks of Health Level Seven, Inc., registered in the U.S. Trademark Office Update from the CEO By Charles Jaffe, MD, PhD, HL7 CEO

New Year’s resolutions have become standards (lead by the NHS Connecting for Health, Canada a cultural norm. Resolutions are usu- Health Infoway, and the Australian National eHealth Transition ally predicated on a brief retrospective Authority) program in Copenhagen. Innovative development of the past year. Where have we been? was demonstrated by the international community in areas as far Charles Jaffe, MD, PhD What aspirations did we fail to achieve reaching as process tooling and compliance testing. and in what areas did we exceed our expectations? How did our stakeholders really see us and in what ways would we like our Our standards are gaining greater traction in the global com- image to improve? munity with the widespread adoption of the Clinical Document Architecture (CDA). Not only have there been new approaches In many ways, 2008 continued to be a year of great change. to the deployment of CDA but far greater adoption by national A host of the ambitious goals that were set in the previous authorities. In addition, the EHR-S Functional Model and the year have come to fruition, while others seem to be a work in functional model for personal health record (PHR) systems are progress. Certainly, the management re-organization defined in gaining constituencies and advocates. With the growing interest the Robert Wood Johnson grant has begun to bear fruit. The in patient-centric healthcare, the drive to further refine the func- development of our products and services is now well-defined tionality and policy requirements for the personal health record through the guidance of our Chief Technology Officer and the become increasingly critical. Technical Steering Committee. The Roadmap has become a reality and is now tied to five over-arching strategic goals and a broad As we look ahead to 2009, there will be new and different kinds array of technical objectives and milestones. of growing pains. We will certainly need to build a more comprehensive funding model and business plan as our resources The outreach of HL7 is more refined and focused. In fact, feel the strains of supporting these ambitious goals. Our need the success of our distance learning program is unprecedented for greater participation by government authorities has run head- and the Ambassador program is bringing the HL7 technol- long into the global recession that is certain to impact resource ogy to more corners of the globe with a more clearly defined development and tactical decision making over the next year or message. Our educational programs have grown and there is more. We have made even more ambitious commitments to grow greater demand for HL7 certifications. The HL7 program on our outreach and communication efforts and have formulated Interoperability, supported by the generous Rockefeller grant, was comprehensive plans for branding, market development and the centerpiece of delivering e-Health to the emerging economies stakeholder participation. At the same time, we have reaffirmed worldwide. In addition, we have begun to reach into other stake- our resolve to increase grant-based funding to further our prom- holder groups with the emergence of the Clinical Interoperability ises to the international community. With the roll out of our new Council and the SDO Summit, a consortium of standards devel- web site, HL7 will streamline our member-centric processes and opment organizations; the goal of which is to bring greater focus greatly enhance the face we present to our stakeholders. and efficiency to standards harmonization. Our New Year’s resolutions do not end there. With the introduc- More than ever, our Associate Charter Agreements and tion of our first Roadmap, we have made many strategic promis- Memoranda of Understanding are bearing fruit. In that vein, es to our membership and to our stakeholders. At the same time, we are seeing more cooperative efforts and joint development the Roadmap is a living document that will reflect the changes than almost any time in our history. The Joint Working Group in our technologies and in our world. We have also promised (HL7, ISO, CEN and CDISC) and the Joint Initiative Council to be more reflective about our impact in the communities we are developing more effective mechanisms for defining the touch and on the other standards development organizations gaps in our standards and harmonizing those standards that with which we share these responsibilities. And finally, as we have have previously existed. We have seen further progress in joint done for the last two decades, HL7 is dedicated to growth and efforts, including those with IHE (Integrating the Healthcare to continually evolving to meet the ever-changing needs of our Enterprise), GS1, and the medical device community, repre- diverse stakeholders. sented by the Continua Alliance. Our cooperative efforts with AMIA (American Medical Informatics Association) have lead The Board of Directors, the staff of HL7 and I wish you peace to programs for distance learning that promise to bring capacity and success in the New Year. building to a global community.

The evolution of Version 3 is more defined and the Version 3 family of products and services has continued to grow. These were showcased at the International Plenary meeting in Vancouver, at IHIC (the International HL7 Interoperability Charles Jaffe, MD, PhD, HL7 CEO Conference) in Crete and the Workshop to Integrate EHR

2 JANUARY 2009 HEALTH LEVEL SEVEN, INC. Letter from the Chair US Affiliate: How Shall We Go?

By W. Ed Hammond, PhD, FACMI, Chair, HL7

W. Ed Hammond, PhD

The question of whether HL7 should create a US affiliate has balloting on standards. This problem needs to be corrected, and been around for at least three years. The time has come to make the Board has appointed a committee to address this issue. a decision on this difficult issue. I would like to share my views on this topic. I also invite you to share your views with me as I have discussed these issues with a number of people in HL7, the HL7 Board addresses this issue along with the input from and there are widely different opinions about what HL7 should many others. do. There is even disagreement about who should be on a committee to deal with this problem. Should the committee include Fundamentally, the question of a US affiliate can be framed only US members? How much voice should benefactors have between two positions. The first, and one I support, is that HL7 in influencing a course of action? What are the issues and what should be an international organization that creates and sup- problems do we need to solve? My concerns are that if we cre- ports global standards. The second position is that HL7 should ate a US affiliate with autonomy — one that has its own meet- be an affiliation of national bodies working together to create ings and creates its own standards, even though those standards standards that meet the needs of their countries. In this model, are shared with HL7, Inc.— the unity and working relationship each HL7 affiliate has some autonomy with a sharing of each we now have will be damaged. country’s output. There are many possible variations between these two extremes. I propose the creation of a committee from the HL7 Board and that we charge the committee to come up with a recommenda- HL7 began as a US activity and largely still functions in that tion. That recommendation will be shared with the Technical space. For much of its existence, HL7 officers and board mem- Steering Committee, the Affiliates’ Council, and the membership bers were from the US. Over time, as other countries joined HL7 at large. I invite you now to share your opinions on this matter as affiliates, an Affiliates’ Council was formed with representa- and make your recommendations. tion on the Board. Currently there is balance among the affiliate countries and the US in the governance of HL7.

There are many issues that need to be considered in making this decision. Affiliates differ in organizational structure, pay different dues, and contribute to the development of standards in different ways. At the present time, a typical HL7 meeting, W. Ed Hammond, PhD whether it is held in the US or internationally, is dominated by HL7 Chairman of the Board US members (for US meetings, the ratio is approximately 25% international, 75% US).

HL7 affiliates are under pressure by their country to deliver suit- able standards for that country. Examples include the United is the official publication of: Kingdom, Australia, Canada, the Netherlands and the United Health Level Seven, Inc. States. That requirement is reasonable and one that should be 3300 Washtenaw Avenue, Suite 227 met by HL7 as a whole. In some cases, the resulting standard Ann Arbor, MI 48104-4261 USA still has value to the international community; in other cases (as Phone: +1 (734) 677-7777 in Version 2.5.1), the standard has value primarily in a single Fax: +1 (734) 677-6622 realm. In the US, HL7 must address the needs of HITSP, and www.HL7.org HL7 is committed to doing so. Whether that commitment should be made only by a US realm is an important question. Mark D. McDougall Publisher On the other hand, the standard for the EHR-S Functional Model was created by an international community and is relevant Andrea Ribick in the international arena. Managing Editor A major problem that needs to be solved is the issue of one member, one vote. At the present time, a benefactor might Karen Van Hentenryck have as many votes as an affiliate. At a minimum, this condition Technical Editor gives the perception that HL7 does not value its affiliates; more importantly this condition may put a country at a disadvantage in

HEALTH LEVEL SEVEN, INC. JANUARY 2009 3 Vancouver Hits a Home Run Update from Headquarters

By Mark McDougall, HL7 Executive Director

ers from Asia, Europe, South America and North America. It also featured insightful pre- Mark McDougall sentations by healthcare policy speakers from the campaigns Plenary Meeting of John McCain and Barack HL7’s 22nd Annual Plenary and Working Obama. The presentations from Group meeting convened September many of the plenary meeting in spectacular Vancouver, BC, Canada. speakers are available on the Situated along British Colombia’s coast- HL7 website. line and majestic mountains, Vancouver was one of the most beautiful cities that A highlight of this year’s ple- ever hosted an HL7 meeting. nary meeting was our networking reception at the Vancouver On behalf of the HL7 staff and Board, Aquarium – Canada’s largest. I extend a warm thank you to Canada The evening was special and Health Infoway for their invaluable guid- certainly enjoyed by all. We W. Ed Hammond, PhD and the 2008 Volunteers ance and support that helped make this thank Canada Health Infoway of the Year recent meeting our largest Plenary meet- and Microsoft for helping to ing to-date with 548 attendees. I would sponsor the costs of the recep- Volunteers of the Year also like to single out the individuals tion at the aquarium. We are pleased to We also were pleased to recognize five listed below for going above and beyond recognize all of the organizations that incredible volunteers for their dedicated ser- the call of duty. Their guidance and ded- sponsored key components of our 22nd vice to HL7. This year marks the 12th year ication were instrumental to the success Annual Plenary and Working Group that we have recognized such individuals via of this meeting: meeting in Vancouver, Canada: the W. Ed Hammond, PhD HL7 Volunteer • Michael van Campen • Canada Health Infoway – of the Year Awards. The recipients of the • Grant Gillis Networking Reception 2008 HL7 Volunteer of the Year Awards • Wendy Huang include: • Gordon Point Informatics – This year’s plenary theme was “The Affiliates’ Council Luncheon • Jane Howarth, Canada Role of I.T. in Healthcare Policy.” The • iNTERFACEWARE – Lanyards • Diego Kaminiker, Argentina program featured high ranking speak- • Charlie McCay, United Kingdom • LINKMED – • Sue Mitchell, USA (Award accepted by Afternoon Snack Don Mon in Sue’s absence) Break • Rene Spronk, The Netherlands • Microsoft – Networking Reception We are honored to recognize these dedicated individuals who happen to be from • Orion Health – five different countries. They have all Onsite Meeting made significant contributions on many Schedule fronts, including in specific HL7 work • THOMSON – groups, within their respective country, Morning Coffee Break and throughout the larger HL7, Inc. global organization. Their efforts and con- The additional sponsor- tributions are sincerely appreciated and ship support provided by this recognition is certainly well-deserved. these organizations con- Please see the article on page 11 to read September Plenary & Working Group Meeting tributes heavily to HL7’s more about the impressive contributions Sponsors accept their recognition plaques during the meeting budget and is that these dedicated volunteers have Wednesday morning general session in Vancouver much appreciated. made to HL7.

4 JANUARY 2009 HEALTH LEVEL SEVEN, INC. For more information To laugh often and much, to win the on this program, please respect of intelligent people and the visit their website at affection of children, to earn the appre- http://www.himssasia- ciation of honest critics and endure the pac.org/. betrayal of false friends, to appreciate beauty, to find the best in others, to As has been reported leave the world a bit better, whether many times, HL7 is by a healthy child, a garden patch, or a producing an upcom- redeemed social condition, to know even ing HL7 Working one life has breathed easier because you Group Meeting at have lived, THIS is to have succeeded. the world renowned –Ralph Waldo Emerson Kyoto International Conference Center in Every good act is charity. A man's true Kyoto, Japan during wealth hereafter is the good that he does the week of May 10-15, in this world to his fellows. 2009. We are thrilled –Mohammed The Toji Pagoda in Kyoto, Japan to be producing this HL7 meeting in Japan, Be kind whenever possible. and invite you to see the cover story for Global Activities It is always possible. more details. Please plan now to join us Last year, HL7 participated in confer- –The 13th Dalai Lama ences in Germany, Australia and New at what will certainly become one of the most memorable HL7 meetings. Zealand. In recent months, HL7 has Best wishes to you and your loved ones participated in conferences in Sweden, for good health, lots of hugs and much Canada and Greece. In 2009, HL7 will In Closing laughter. continue to participate in programs The year is coming to a close and the around the globe. HL7 will participate holiday season is quickly approaching. in the HIMSS AsiaPac09 Healthcare IT I wish to share with you three writings Conference and Exhibition February with which you are likely familiar. They 24-27, 2009 in Kuala Lumpur, Malaysia. describe success, charity and kindness. Join us in the HL7 Booth (#2427) at the HIMSS 2009 Exhibit HL7 will once again offer education sessions at our booth during HIMSS. Join us to learn more about how HL7 standards are changing the face of healthcare IT.

Save the Date for HIMSS 2009!

April 4-8, 2009 in Chicago, IL

HEALTH LEVEL SEVEN, INC. JANUARY 2009 5 Traveling to Kyoto, Japan Continued from page 1 Special Education Sessions JTP website once the reservation system has opened. You’ll Please plan on attending the free tutorial “Get the Basics on have a selection to choose from in a variety of locations rang- How to Enjoy Your Kyoto Experience” at the January Working ing from luxury hotels to budget accommodations. Group Meeting in Lake Buena Vista, FL. This quarter day tutorial will be given from 9:00-10:30 am on Thursday, January 15, Dining and Tipping 2009. It is intended to be a preparation for the May Working Eating establishments range from cheap noodle bars and kisaten Group Meeting in Kyoto, Japan. An overview of the Japanese coffee shops to more extravagant places that serve formal cui- language will be given, including some of the essential phrases. sine. Good food comes reasonably priced with sake and beer In addition, some cultural aspects will be highlighted. in an izakaya bar. Refurbished historic timber machiya town houses used as bars and restaurants cater to all from formal to There will be briefings in Japanese for the Japanese participants casual are popular. during every morning break at the Kyoto meeting. More details will be available in the coming months. Japanese diners share all dishes at a meal; therefore, your order will likely be placed in the middle of the table for you to trans- Kyoto International Conference Center fer to a small plate in front of you. Bills are paid at the cashier (ICC Kyoto) rather than at the table. Kyoto was chosen as the location of Japan’s first purpose-built conference facility because of its status as world-acclaimed Kyoto people rarely order only for themselves or “go Dutch” culture capital. Kyoto International Conference Center (ICC when settling the bill. It is far more common to share dishes Kyoto) (http://www.icckyoto.or.jp/en/index.html) has shaped with everyone present and to split the total cost of the bill the history of conventions in the country since 1966. Over equally. 70% of the interior space consists of lobbies, lounges and other public space ensuring an ample level of comfort. All Working Tipping is not practiced in Japan. Some restaurants and hotels Group Meetings will take place in the center. include a service charge in the bill you pay. Some place a tray near the cash register. This is for you to make your payment Arriving in and Getting around Kyoto and for the change and receipt to be passed back to you. Kyoto is located near the center of Japan. Flight times from US West Coast and European locations take just eleven hours, Sightseeing while Australia and Asia are even closer. There is a great deal to see and experience in Kyoto for those who want to venture. Each season brings festivals and event Kansai International Airport (KIX) – Located slightly over an highlights that date back to the founding of Kyoto in the eighth hour away from Kyoto, this airport is the most used international century AD. airport in Japan after Tokyo. Transfer from here to Kyoto station on the JR Haruka express train, direct to your hotel in a shuttle Many attractions are located in the area south of Kyoto, such as taxi, or take a limousine bus to the center of the city. the home of Japanese green tea in Uji, as well as the UNESCO World Cultural Heritage sites of the Byodoin temple and Osaka Itami Airport (ITM) – Flights from airports in the Ujigami shrine, the spectacular Uji River, and a museum dedi- Tokyo area, including Narita and Haneda, arrive at Itami air- cated to interpreting the Tale of Genji. port about once an hour. From Itami airport, relax in a shuttle taxi to your hotel or a limousine bus to Kyoto station Central and north-eastern Kyoto is called the Tamba region. It is primarily an agricultural area and provides Kyoto connois- A compact and accessible city, almost any two points in Kyoto seurs with culinary delights such as prized matsutake mush- can be linked within thirty minutes. It is served by integrated rail, rooms and Tamba beef. Tamba wine has become one of the subway, and bus services. The streets are laid out in a north- leaders in the Japanese wine industry. Kyoto’s north coast and south, east-west grid pattern that makes navigation simple. hinterland Tango region is a leisure area of coastline and wide sandy beaches. Miyazu is famed for its Amanohashidate land Kyoto City Subway operates two lines: the Karasuma Line run- bridge of white sand and pine trees that is considered one of ning north-south and the Tozai Line running east-west meet the three most scenic sights in Japan. in the center of the city at Karasuma Oike station. Stops are announced in Japanese and English on the train. Buses have destinations posted in both Japanese and English. The new Raku Buses painted in distinct designs operate on the most popular tourists routes. Taxis are available by raising your arm. Taxi fares include a service charge and tipping is not practiced. Expect to use cash to pay your fare, but credit cards are accepted in many vehicles. Hotels Hotel reservations will be handled by the Japan Travel Bureau (JTB) Western Japan, Corporation. Working Group Meeting attendees will be able to book their reservations through the

6 JANUARY 2009 HEALTH LEVEL SEVEN, INC. Traditional performing arts and events, and its exciting Kyoto is the home of geisha arts. Only Kyoto geisha are and varied seasonal cuisine. referred to by the special terms Maiko – an apprentice – and The days and nights are mild Geiko – a fully qualified artist. You can see maiko and geiko in May. Sweaters and jackets perform at Gion Corner. are not needed during the day. Maximum temperature Noh is a classical performance that combines dance, drama, is 81F/27C and minimum is music and poetry. The present form dates back to the 14th and 64F/18C. 15th centuries. Stunning costumes and incredible masks are used to convey the characters. Electricity Electricity is supplied at 100 Kyogen is a light comical interlude in a Noh play that is now volts AC at the frequency of performed alone as well. Kyogen is highly accessible due to its 60 Hertz in Kyoto. Most por- qualities that overcome language barriers and bridge cultures. table computers and cameras Visitors can see Kyogen performances at Gion Corner. are internationally compat- ible but please check your Gagaku is a serene combination of music, dance and chorus equipment before departure. from the Imperial Court that sat in Kyoto for more than a thou- Sockets require a Type A plug, sand years. Performers impress with their Court costume that which have two flat blades dates back to the eighth century. Visitors can see Gagaku perfor- and are used in the US and mances at Gion Corner. Canada. A detailed description on world plugs and sockets is available at: http://kropla.com/ Kabuki is one of the internationally best-known Kyoto per- electric2.htm. forming arts. Kabuki plays are long and impress their audience by telling the story through stylized movements and striking Emergencies and Personal Safety costume/make up. In the unlikely event of an emergency while you are in Kyoto, it is good to know the systems in place to support you. Your Money first source of information and advice should be your hotel or Japanese currency is yen. Cash is the widely accepted method of meeting secretariat. JNTO gives a detailed description of things payment, but major credit cards are accepted. Call your credit to know in an emergency in Japan: http://www.jnto.go.jp/eng/ card company for the fee (if any) you may be charged for con- arrange/essential/emergency/index.html. version rates or finance charge/transaction fees. Japan is noted for its safety. Kyoto subways, train stations, and Debit cards are not common and should not be relied upon bus terminals are clean and well-lit. Please take proper precau- as a payment option. Travelers’ checks are only accepted for tions you would normally practice when in an unfamiliar place. exchange in banks and post offices and cannot be used to purchase goods and services. Currency exchange is available at Passport banks, larger post offices, Kyoto Handicraft Center and a limited A valid passport is required to travel to Japan. If you do not number of hotels. You can draw cash on your credit card or have a passport, you may obtain one through a number of agen- debit card at certain ATM cash machines, all post office’s (found cies, typically your local post office. in every neighborhood) and Seven Bank (in all 7 – Eleven stores; 24 hr). ATMs accept overseas credit cards with a PIN Taxes number, and some debit card systems. Consumption tax across the country is 5% on all purchases (at time of this article). There are no additional local taxes. The Climate and Clothing displayed price on goods and services is required by law to be Kyoto celebrates the changing of the seasons through festivals tax-inclusive. Receipts and bills often indicate tax and service charge for your reference. You will need your passport to make purchases duty-free and a minimum purchase might apply.

Telephones & Mobile Phones Check with your provider before you depart. Mobile phones are available for rental at the airport, but not in Kyoto. International calls can be made from NTT grey public telephones. Cards can be purchased that allow international telephone calls from any telephone using a code and PIN. For a detailed description of telephone services http://www.jnto.go.jp/eng/arrange/essential/telephone.html

Time Zone Japan is covered by one time zone that is Greenwich Meantime (GMT) plus nine (9) hours.

HEALTH LEVEL SEVEN, INC. JANUARY 2009 7 Governance and Operations Column: Keeping up with ANSI requirements By Chuck Meyer, 2008 HL7 Vice Chair and Member, Governance and Operations Committee

As an ANSI-accredited standards development organization imposition of additional substantive (SDO), HL7 is obligated to adhere to the principles expressed in procedural requirements and safeguards, the current edition of ANSI Essential Requirements: Due process akin to the existing American National requirements for American National Standards. The Governance Standards process.” Chuck Meyer and Operations Manual (GOM) is our primary mechanism for demonstrating our compliance with ANSI requirements through However, there are specific actions and deadlines stipulated in our “written procedures” supporting the core principles of open- the announcement. Of particular importance is the requirement ness, balance, coordination and harmonization, consideration of that “A developer whose ANSI-Accredited Procedures includes a views and objections, and achieving consensus. DSTU provision associated with the current Annex B as contained in the ANSI Essential Requirements shall revise its procedures to Although there are interdependencies throughout the document, eliminate the DSTU option through ANSI in accordance with the primary evidence of our ANSI compliance is documented in the 2009 ANS Compliance Form cycle.” Given this requirement, GOM §14 Normative Ballot. This section of the GOM defines we have initiated a work item in revision cycle 0809 to address our procedures for processing those protocol specifications which the needed revision to GOM §13.02 Draft Standard for Trial Use will be provided to ANSI for approval as American National Stan- (DSTU). This revision will be considered for adoption by the Ex- dards (ANS). Although a normative ballot is typically preceded ecutive Committee prior to the January Working Group Meeting. by a review ballot (GOM §13 Review Ballots), these are simply mechanisms for ensuring the protocol specification is ready for a Revisions to ANSI Essential Requirements, the results of periodic normative ballot and, as such, are not subject to the ANSI process ANSI process audits, and a decision by HL7 to exercise options per se. provided by ANSI, often result in revisions to the GOM. The Governance and Operations Committee (GOC) maintains close Just as there are rules for submitting protocol specifications to contact with ANSI staff to ensure our ongoing compliance with ANSI upon successful completion of a normative ballot (GOM this important facet of accreditation. If you have an interest in §15 Submission of American National Standards), there are rules governance and operations as defined by the GOM, please consid- associated with registering informative documents as technical er attending the free tutorial being presented by the GOC at the reports or declaring draft American National Standards for trial January Working Group Meeting. This tutorial will be Tuesday use once they’ve successfully completed a review ballot. Given the afternoon following the morning open forum on GOM revisions. intent of several work groups to register informative documents, I look forward to seeing you there. Happy Holidays! the GOM was updated in September as a result of revision cycle 0805 with §13.01.06 Registration as an ANSI Technical Report which explains the process.

With the publication of the GOM last February we recognized Chuck Meyer the importance of draft standards for trial use (DSTU) and in- 2008 Vice Chair, HL7 cluded a review ballot process to validate the draft standard before publishing the DSTU. The approval process for DSTU review (GOM §13.02.05 Approval) includes procedures for registering the DSTU and declaring it a Draft American National Standard for Trial Use. However, that option is no longer available due to a Results of the HL7 recent announcement by ANSI. Board Elections On October 2, HL7 was notified that Annex B: Draft American National Standards for trial use of ANSI Essential Requirements Congratulations to the following individuals has been eliminated as an option for announcing documents through ANSI. It is important to note that this is an “option” elected to the 2009 HL7 Board of Directors: that has been eliminated. It does not affect the ability of an SDO to develop and use DSTU. It simply eliminates the prospect of Chair-Elect Robert Dolin, MD registering the DSTU with ANSI and declaring it a Draft Ameri- Secretary Jill Kaufman, PhD can National Standard for Trial Use. Director Stanley Huff, MD In fact, the announcement specifically stated “The ExSC and Director Donald Mon, PhD the NPC recognize that the elimination of Annex B would not unfairly or unduly limit a standards developer’s ability to utilize Affiliate Director Catherine Chronaki a “draft standard for trial use” model within its own process. Moreover, there is no compelling reason for ANSI to continue Please see page 31 for a complete listing of the to maintain a substantively revised version of the current draft 2009 HL7 Board of Directors. standard for trial use option that would necessarily require the

8 JANUARY 2009 HEALTH LEVEL SEVEN, INC. Pharmacy Work Group Is Bustling with Activity By Tom de Jong, Co-Chair, Pharmacy Work Group

who have a natural interest in our work. We of the Pharmacy domain go hand in hand The Pharmacy Work have just passed normative ballot with the with the development of IHE work profiles Group (sometimes Medication domain (dealing with medication that are based on it. My personal hope is that abbreviated as ‘Rx’) as a ‘product’) and are now starting a norma- this will lead to a true win-win situation, with Tom de Jong is at the center tive track for the Pharmacy domain (dealing IHE gaining a solid standard for this domain, of many ongoing with the pharmacy business process). and HL7 Pharmacy getting new input in the activities, both within and outside the realm form of excellent use case descriptions. of HL7. Pharmacy, formerly a Special Interest There’s a lot going on when it comes to coop- Group (SIG) under Orders & Observations, eration with other groups, both within and If you have an interest in medicinal products has been one of the mainstays of HL7 for outside HL7. An example is the initiative to and/or the business process of ordering, dis- several years now, with a group of enthusiasts construct a Common Product Model, to ensure pensing or administering medication, we urge comprised of domain experts, consultants harmonization between the following work you to look us up and participate! Pharmacy and system vendors, working on the creation groups: Pharmacy (i.e, the Medication domain), is a relatively small informal group, and is a of Version 3 materials. As with many other Patient Safety, Regulated Clinical Research great place to actively work on expanding and groups, the work on Version 2 is now mostly Information Management (RCRIM) and Public improving the standard. You can reach us by limited to Q&A and occasional maintenance. Health Emergency Response (PHER). This signing up to the Pharmacy list server, or by relates to the very important, but often over- paying us a visit at the next WGM, which will The work group has good international rep- looked, aspect of internal consistency within start with an introductory session! Before you resentation, with steady input from Canada, Version 3. Orders & Observations is acting know it, you’ll be a recreational drug...modeler the UK, the US, the Netherlands, and France. as the steward for a Common Product Model Although a stable core is important for long- domain in the next ballot. At the same time, Looking forward to hearing from you, term development, new blood is always wel- we are trying to harmonize this work with come! Participants bring a wide range of tech- what’s being done in the joint initiative with the nical and/or domain expertise, which ensures International Organization for Standardization that the standard stays up-to-date and covers (ISO) and the European Committee for an ever broader set of use cases. Standardization (CEN).

Therefore, we would like you to take notice Recently we have also started cooperating Tom de Jong of our plans and current activities, because we with the Integrating the Healthcare Enterprise Co-Chair, Pharmacy Work Group feel we might be overlooked by some people (IHE) Pharmacy initiative, to let the balloting

News from the PMO By Dave Hamill, Director, HL7 Project Management Office

Project Scope Statement – 2009 facilitators in their effort to ensure each work Project Version group has registered all of their projects with Insight/Project the PMO. Steering division project facilitators, Management The HL7 PMO and Project Services Work with the help from their steering division’s Presentations work groups, reviewed existing projects and Group plan to unveil an updated Project Will Continue Scope Statement in 2009 based on feed- identified missing projects. The result is a Dave Hamill back and suggestions from HL7 project more complete and robust list of HL7 proj- at the January facilitators, work groups and the Technical ects representing the work being done at HL7. Working Group Meeting in Lake Steering Committee. Additional areas will Buena Vista, Florida. be added to capture the project’s success The PMO will again provide free tutorials at criteria and identify where backwards com- New Fields Added to the HL7 Searchable Project Index the January Working Group Meeting in Lake patibility is broken. An FAQ (Frequently Buena Vista, FL. The sessions, targeted for Asked Questions) section will be added to Search results now include the project’s Target co-chairs, steering division representatives the Appendix as well as refinements to the and HL7 project facilitators, will demonstrate Date, Product(s) and the project sponsor’s Project Approval Process to increase project Project Insight, HL7’s primary project reposi- visibility, enhance communication and pro- steering division. The Searchable Project tory, as well as review HL7 project manage- mote engagement in active projects. Index tool is located in the Resources sec- ment processes and methodologies. Sessions tion on the www.hl7.org homepage. Enter are planned for Q3 Sunday and Q3 Thursday. keyword(s), a work group or a project num- HL7 Project Inventory ber and the tool will search the most recent Can’t make it to a free tutorial in Lake Buena Project Insight report residing within the Vista? Have the PMO present a webinar of Many thanks go out for all the hard work TSC’s GForge file tab. The result set can be the tutorial at one of your work group’s con- done by the steering division project facilita- sorted; or to view more detail regarding a ference calls! Contact the PMO at pmo@hl7. org to arrange a day and time. tors, work group co-chairs and HL7 project project, just click on any row.

HEALTH LEVEL SEVEN, INC. JANUARY 2009 9 The Newly Formed Clinical Statement

Work Group By Hans J. Buitendijk, Rik Smithies, Interim Co-chairs, HL7 Clinical Statement Work Group; and Patrick Loyd

About five years ago, Orders & Observations, Patient Care, and • Templates are an imple- Hans Buitendijk Ric Smithies Structured Documents started a joint project to create a Clinical mentation technique and Statement pattern to promote consistency across different models there needs to be consistency of clinical that had a need to communicate clinical data. The objective is representation between the models they to provide a Clinical Statement model that can be used by other contain. domains to establish a common and consistent model to express • Templates and CMETs can themselves be clinical statement data regardless of the domain or communica- derived from Clinical Statement, that are tion method. The Pharmacy and Laboratory groups have been ac- then applied anywhere. tive in the work and after Public Health and Emergency Response formed they also joined the effort. In 2007, we achieved a major Therefore, we encourage every domain active milestone to complete the Clinical Statement DSTU that is cur- in the clinical space to engage with the Clinical Patrick Loyd rently in place. Statement Work Group to ensure it sufficiently covers their different needs. Our wiki pages provide a change During the May 2008 Working Group Meeting, the joint session requests process that enables anybody to submit change request took a vote to change the effort from a project to a work group and helps us track and dispose of any updates resulting from these and recognized the need for the ongoing evolution of the pattern requests. Any requests submitted up to the January Working and associated CMETs. Most recently, during the September 2008 Group Meeting will be considered for the upcoming normative Working Group Meeting, the newly formed Clinical Statement ballot cycle. Work Group concluded that to strengthen the use of the Clinical Statement pattern and drive consistency, it needed to move beyond We look forward to working with you as the new Clinical State- the current DSTU: “Clinical Statement Goes Normative.” ment Work Group takes shape.

The objective of the project is to submit the Clinical Statement Pattern with a number of updates since DSTU into the May 2009 Ballot cycle. To achieve that goal we are seeking any interested volunteers to help complete all the necessary documentation. 2009 Publishing Calendar So what value does the Clinical Statement Pattern bring to the standards development process? One May 2009 Ballot Cycle question frequently asked is whether the Reference Information Model (RIM) would suffice as the March 30—Ballot open date source, so why have another model between the April 30—Ballot close date RIM and the specific domain? Wouldn't templates May 10-15—May Working Group Meeting achieve the same? May 24—Project scope statement deadline for new content as well as work group intent to reconcile and advance status The key rationale for using a Clinical Statement Pattern is that: September 2009 Ballot Cycle • The RIM is too abstract and allows for many different unroll strategies when different work August 10—Ballot open date groups attempt to resolve the same data expres- September 14—Ballot close date sion in isolation. September 20-25—September Working Group Meeting • The pattern allows multiple work groups to October 4—Project scope statement deadline for new content as well as jointly solve common issues in the clinical state- work group intent to reconcile and advance status ment space. • The pattern promotes consistent use of January 2010 Ballot Cycle terminology and approaches when unrolling the RIM towards individual domains in common December 7—Ballot open date domain space. January 11—Ballot close date • Whether a Lab Test is communicated as part of January 17-22—January Working Group Meeting an Order, Result, or Plan, or as part of a message January 31—Project scope statement deadline for new content as well as or document, the test data should be expressed work group intent to reconcile and advance status and communicated consistently.

10 JANUARY 2009 HEALTH LEVEL SEVEN, INC. 2008 Ed Hammond Volunteer of the Year Awards

HL7 honored five members with the 12th annual W. Edward Hammond, PhD Volunteer of the Year Award. Established in 1997, the award is named after Ed Hammond, one of HL7’s most active volunteers, a founding member, and current HL7 Board chair. The award recognizes individuals who have made significant contributions to HL7’s success. The 2008 recipients include: • Jane Howarth, managing director, Jane Howarth Associates • Diego Kaminker, chair, HL7 Argentina and consultant, Kern Information Technology • Charles McCay, owner, Ramsey System, Ltd. and chair, HL7 TSC • Sue Mitchell, director of clinical systems, Omnicare Information Solutions • René Spronk, trainer and senior consultant, Ringholm GmbH

Jane Howarth Chair, McCay has facilitated changes to improve the function Jane Howarth has been a member in one and direction of the committee. His dedication and emphasis on or more HL7 Affiliates for 12 years and consensus building has created a smoother transition for the TSC. has served as the Affiliates Council Secre- McCay has also served as the co-chair of the Implementation tary for more than four years. She has also Technology Specification Work Group and the Implementation actively participated in the HL7 TermInfo, Work Group prior to its merger with the Conformance Work Vocabulary, Anatomic Pathology, Labora- Group. McCay also served as the chair of HL7 UK and is actively tory and Realm Localization Work Groups. involved with the HL7 affiliates. She has acted as an unofficial HL7 ambassador through her many contributions and Sue Mitchell efforts as well as her professional and cordial demeanor. She has Sue Mitchell has been an active and valu- positively portrayed HL7 to current and prospective international able member of the EHR Work Group representatives as a premiere Standards Developing Organization since joining HL7 in 2004. Mitchell (SDO), in the domestic and international SDO circles in which contributed heavily to the success of the she participates. EHR-System Functional Model (EHR-S FM) standard as well as the subsequent Diego Kaminker profile development based on this standard Diego Kaminker is a founding member and and played a key role in the development of current chair of HL7 Argentina. He has the Direct Care section of the EHR-S FM. been a key contributor to HL7 education As the EHR Work Group’s liaison to HL7’s and adoption in the Spanish-speaking world publications function, she helped clean up all the sections of the and created the first interactive internet EHR-S FM and PHR-S Functional Models, as well as all profiles course in the basics of HL7, including Ver- for publication and balloting. Mitchell led the development of sion 2.x, our use of XML, Version 3, and the Long Term Care Functional Profile and extensively contribut- CDA. This course emphasizes “learning by ed to the development of the Records Management and Eviden- doing”, and uses internet tools to create an tiary Support Functional Profile, both of which are derived from interactive learning community environment for the students the EHR-S FM. and instructors. Kaminker was integral in the efforts to offer the course in the English language so it could be available worldwide. René Spronk His e-Learning course has become the prototype for a distinct René Spronk has been an active partici- new paradigm for HL7 education. The e-Learning pilot has pant in HL7 standards development for reached more than 400 students from six countries since March many years, both within the Netherlands 2008 and, with Kaminker’s leadership, HL7 is now developing and internationally. He is a member of the infrastructure for any HL7 affiliate to offer this course. multiple HL7 affiliates throughout the world but is most actively involved with Charles McCay the affiliates in The Netherlands and Ger- Charles McCay currently serves as the many. After many years as an HL7 Version 2 specialist, Spronk first-elected chair of the newly reorganized became involved in Version 3 development in 2003. As an edu- Technical Steering Committee (TSC). As an cator on HL7 standards, he has taught throughout Europe and advocate for an improved HL7, he actively has helped establish many European HL7 affiliates. In addition, participated in and supported the efforts to he is involved in the deployment of Version 3 as the standard restructure the organization by joining the for the Dutch national infrastructure. Spronk is a past chair of Transition Technical Task Force and contin- the Marketing Council and the Infrastructure and Messaging ues this work as the TSC chair. As the TSC Work Group.

HEALTH LEVEL SEVEN, INC. JANUARY 2009 11 Congratulations to the following people who passed the HL7 Certification Exam Certified HL7 V2.5 HL7 India Namburu Certified HL7 CDA Chapter 2 Control Dhanapalaksha Specialist Specialist July 26, 2008 Narasimhaiah Bhavesh N. Bharadiya Jain Nidhi September 18, 2008 July 30, 2008 Rohan S. Bhat Arunodya K Ojha Joe Forbes Raed AlHazme Vinod K. Bindal Linesh Pankaj Steven G. Glinski Savita Bhake Harshil B. Gandhi Sachin Rastogi David Hay Ben H. Cartwright Sajjad Haidar Saurabh Brian P. O’Mahony Karen K. Gerring Girish B. Kolhe Nilesh Singh Christopher J. Kelly Jayesh M. Malondkar Anshu Singhal HL7 Spain Benjamin W. Mills Pankaj Kumar R. Mjshra Gayathri Sourirajan September 19, 2008 Charles D. Moody, Jr. Rajesh K. Sajda Leon M. Sagaya Valan Juan Carlos García Vázquez Vamshi Krishna B. Manjesh K. Savita Jayashree Venkataramanan Jorge Quintana González Sankarayogi Jaynesh A. Shah Anjaneya Vittal Kumar Nilesh M. Teli Yerramsetty Alberto Sáez August 20, 2008 Viral S. Trivedi Denise Ballard Sumit Y. Vishwakarma September 13, 2008 Certified HL7 Patrick M. Barton Laya Amal Version 3 RIM Loren V. Burrell August 9, 2008 Yashavantha Bhadravathi Specialist Casey T. Cato Ruchi Agarwal Sevanayaka Drew Cooper Meenakshi Arunachalam Sugnana V. Birudugadda September 18, 2008 Christopher B. Allan Vincent S. Thakore Nutakki Balaram Chetan S Chandrashekar Oskar L. Andressen Timothy L. Towers Mohana Vadivel Baskaran Mohan Kumar Cheppalli Nicolas Canu Saritha Vasireddi Arpita Chandra Venkata Sankar V. Chimalamarr Soumik Das Randy W. Carroll Chenchu Devanagini M. Linu A. Fenny Lorraine R. Constable August 29, 2008 Ernst E. de Bel Abhimanyu Dhar Dr. Santosh Kumar Gupta Ravi B. Alluri Warren J. Kufuor-Boakye Kulsoom Fatima Harinath G. Meda John Estrada Don Lin Ankur Gupta Sundar Madhavan Premchand R. Jonnala Walter Moar Anita Nayak Kavitha Kondamadugula Neha Gupta Lisa Pinto Arun Kumar Pindikuru Narendra N. Sarkar Rolly Gupta Bogdan Superceanu Praveena Sunkara Mira V. Iyer Gururajarao R. Ranganatha Hammad Tawfig Ankit Jaswal Alex Yushko September 18, 2008 Kenny K. Joseph HL7 Spain Yunwei Wang Joseph W. Bonazza Manikandan K. Daniel Drury Tamilarasan Kannadasan September 18, 2008 HL7 Canada Jin Hao Manoj Karuppannan Ricardo Manzano Cañada Rick Lambert Alankar Kumar Elías Díaz Pardo October 14, 2008 Cynthia K. Vinion Kshemendra Kumar Meritxell Fernández Angulo Muhammad Saeed Abidi Rajesh Kumar Javier Marinero Quintana HL7 Canada Parul Malik María Teresa Sánchez October 22, 2008 Sushma Malladi Bernal Jane Curry October 22, 2008 Indrasen R. Mandalapu Marta Hernández Fuente Frederic Laroche Mondana Ebrahimi Siva Mannem Juan Carlos García Vázquez Greg Ruthman Lakshmi P. Middela Jorge Quintana González Modibo Samake Arun Kumar MS Andrew P. Stechishin Naga Krishna Chaitanya

12 JANUARY 2009 HEALTH LEVEL SEVEN, INC. Co-Chair Election Results from the September Plenary & Working Group Meeting Congratulations to the following individuals elected as co-chairs at the September Plenary & Working Group Meeting in Vancouver, BC, Canada: • Anatomic Pathology – David Booker, MD • Clinical Decision Support – Craig Parker, MD • Clinical Interoperability Council – Sam Brandt, MD and Ed Hammond, PhD (interim) • Education – Abdul-Malik Shakir and Mike Henderson • Financial Management – Mary Kay McDaniel • Infrastructure & Messaging – Dave Shaver and Sandra Stuart • Modeling and Methodology – Woody Beeler, PhD • Orders & Observations – Gunther Schadow, MD • Patient Safety – Nick Halsey • Public Health Emergency Response – Rita Altamore and Joginder Madra • Services Oriented Architecture – Rich Rogers

HL7 Benefactors

Centers for Disease Control and Prevention

U.S. Department of Defense Military Health System

HEALTH LEVEL SEVEN, INC. JANUARY 2009 13 UPCOMING WORKING GROUP MEETINGS

May 10–15, 2009

Working Group Meeting Kyoto International Conference Center Kyoto, Japan

September 20–25, 2009 23rd Annual Plenary & Working Group Meeting Sheraton Atlanta Hotel Atlanta, GA

January 17 – 22, 2010 Working Group Meeting Pointe Hilton at Squaw Peak Resort Phoenix, AZ

PLEASE BOOK YOUR ROOM AT THE HL7 MEETING HOTEL

HL7 urges all meeting attendees to secure their hotel reservations at the HL7 Working Group Meeting Host Hotel. In order to secure the required meeting space, HL7 has a contractual obligation to fill our sleeping room block. If you make reservations at a different hotel, HL7 risks falling short on our obligation and will incur additional costs in the form of penalties. Should this occur, HL7 will likely be forced to pass these costs on to our attendees through increased meeting registration fees.

Thank you for your cooperation!

14 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 EDUCATIONAL SUMMITS

Gain real-world HL7 knowledge TODAY that you can apply TOMORROW

What is an Educational Summit? The HL7 Educational Summit is a a three-day schedule of tutorials focused on HL7-specific topics such as Version 2, Version 3 and Clinical Document Architecture. Educational sessions also cover gen- Why Should I Attend? eral interest industry topics such as HIPAA Claims Attachments. This is an invaluable educational opportunity for the healthcare IT community as it strives for greater interoperability among healthcare information systems. Our classes offer a wealth of information designed to benefit a wide range of HL7 users, UPCOMING from beginner to advanced. Among the benefits of attending the HL7 Educational EDUCATIONAL Summit are: SUMMITS • Efficiency Concentrated three-day format provides maximum training with minimal time investment

• Learn Today, Apply Tomorrow A focused curriculum featuring real-world HL7 knowledge that you can apply immediately

• Quality Education High-quality training in a “small classroom” setting promotes more one-on-one learning

• Superior Instructors You’ll get HL7 training straight from the source: Our instructors. They are not only HL7 experts; they are the people who help produce the HL7 standards

March 10 – 12, 2009 • Certification Testing Bally’s Las Vegas Become HL7 Certified: HL7 is the sole source for HL7 Las Vegas, Nevada certification testing, now offering testing on Version 2.6 and Clinical Document Architecture, and Version 3 RIM July 14 – 16, 2009 • Economical Doubletree Guest Suites A more economical alternative for companies who Boston, Massachusetts want the benefits of HL7’s on-site training but have fewer employees to train

HEALTH LEVEL SEVEN, INC. JANUARY 2009 15 Report from the International HL7 Interoperability Conference (IHIC 2008) held jointly with the HL7 Hellas Conference, October 8-11, 2008 By Catherine E. Chronaki, HL7 Hellas and FORTH-Institute of Computer Science Catherine Chronaki and Marios Skiadas, HL7-Hellas BoD, Information Society SA

IHIC 2008 was held jointly with the 3rd cation areas, they typically HL7-Hellas conference on October 8- change from willing to interface 11, 2008, in Hersonisos Crete, Greece, with anyone to marketing their bringing together the eHealth com- products to a single vendor munity, including government officials, unified solution.” The very healthcare authorities, hospitals and IT reason that HL7 was born 21 companies to exchange ideas, experienc- years ago is true now as much es and best practices regarding e-health as it was then, and SOA is an in Greece, Europe, and world-wide. opportunity for incrementally Marios Skiadas Overall, more than 250 attendees from achieving interoperability. 28 countries attended the event. EHR Future Steps or Highlights of the 3rd HL7-Hellas Conference Mining for Gold The chairman of HL7 Hellas, George Patoulis, MD, opened the conference underlining its educational value and its long-term In his keynote address “The impact on establishing a shared vision for an era when electronic Electronic Health Record automation will guarantee universal health services to all citizens. – the Gold at the End of the The national e-health strategy in Greece for 2008-2013 was Rainbow,” Ed Hammond, PhD, presented by government officials and discussed in a productive remarked that the present workshop of HL7-Hellas members along with the status and les- state of EHR developments Ed Hammond on EHRs: the sons learned from Information Society regional e-health projects. is similar to that of gold as it Gold at The End of The European and national strategies and policies, interoperability has just been dug out of the Rainbow from the users’ and industry’s perspectives, and IT in primary ground and we haven’t refined healthcare sponsored by the e-Government Forum Initiative, it from all that surrounds it. were the major topics addressed. In describing where the gold is, Ed drew a parallel to aviation, The European perspective was highlighted in a joint session calling for embedding situational awareness in the EHR through with the CALLIOPE project promoting cross border eHealth dashboard presentations similar to heads up displays in the interoperability in Europe (www.calliope-network.eu). In highly cockpit that would combine data with knowledge and call the attended keynotes, Charles Parisot presented the IHE initiative, attention of health providers where needed, supporting them in while Henrik Jensen and Niels Rossing reviewed award-winning offering high quality care. best practices from Denmark including MedCom (www.medcom.dk), a secure health data network for e-prescriptions EU Large Scale Pilots, (80%), lab reports (95%), discharge notes (81%), etc., and the Danish health portal (www.sundhed.dk). Mandate for eHealth standards and cross- Highlights of IHIC 2008 border exchange of The warm-up for IHIC 2008 this year included the Show EHRs me your CDA! Interoperability forum (please see the article In his keynote “Towards Large on page 18), the HL7 Ambassador session, tutorials focus- Scale Deployment: Wishes ing on the role of HL7 in EHR developments, and the and Reality,” Dr. Ilias Iakovidis, IHE orientation workshop held in parallel to the 3rd HL7 Deputy Head ICT for Health Hellas conference. Unit in European Commission (EC) underlined the lack of In his welcome note, Charles Jaffe, MD, PhD, CEO of HL7 Ilias Iakovidis, ICT for trust among the main players stressed the role of the international community in shaping the Health, EC: The eHealth com- in the eHealth market that future of HL7. From a more technical perspective, John Quinn, munity needs to pull its act now includes clinical informa- CTO of HL7 reflected that “as vendors grow from niche appli- together and prove its value. tion systems, telemedicine,

16 JANUARY 2009 HEALTH LEVEL SEVEN, INC. health information networks, as well as secondary usage non- Spatially Enabled EHRs clinical systems. Ann Bossard of ESRI provided insights into the added value of geographical information systems in improving medical intel- Dr. Iakovides went on to reflect that there is no proof based ligence. Ann presented a Spatial Coordinate CMET developed on a large scale setting showing scientifically that specific to allow messaging of standardized geographic data along with eHealth applications improve clinical (health) outcomes and/or accuracy information. are cost effective. On the recent EC recommendation for cross border interoperability of EHRs, and medication records, Dr. HL7 CDA for Notifiable Diseases Iakovides called for action at four levels (political, organiza- Frank Oemig reviewed the use of HL7 CDA for communicable tional, technical, semantic) paired with monitoring, evaluation, diseases in the federal German context and internationally as an and awareness raising. alternative to the current practice of faxing paper forms.

The vision of this EC recommendation, launched in July 2008, CEN TC 251, ISO TC215, HL7, & CDISC is to ensure the highest possible levels of quality and safety in Collaboration for Interoperable EHRs healthcare provided to patients in need of health services when Dr. Yun Sik Kwak, Chairman of ISO TC215, in his keynote not in their home member state, by deploying interoperable EHR entitled “Global Standards in Transition: Global HIT SDO systems. It focuses on patient summaries, emergency data sets, and Collaboration, Coordination, and Cooperation for Interoperable medication records. It is supported by large scale pilots and a hori- EHRs” referred to the current problems with standards and zontal action involving all European states. the barriers that exist. He also provided an update on the Joint Initiative of CEN TC 251, ISO TC215, HL7, and CDISC present- EC Mandate M/403 to CEN, CENELEC, ETSI ing early results and future plans. Pantelis Angelidis, member EC Mandate M/403 to CEN, CENELEC, ETSI project team, presented the M/403 draft HL7 CDA Implementation Issues work program (www.ehealth-interop.nen.nl) and reflected on the In an animated presentation, Rene Spronk identified common need for coherent, cost-effective, and secure provision of elec- implementation issues after analyzing numerous CDA implemen- tronic healthcare. tation worldwide.

A Framework for Personal Health Record Best Paper Award Standards Professor H. Kim received the best paper award for the paper Jill Kaufman, presented a framework for Personal Health Records “Interoperable Clinical Information Sharing System based on CDA standards, noting that there are many standards for the PHR, but and the Document Registry framework” that provided insight into more work is needed in the area of vocabulary as consumers fre- the adoption and interplay of HL7 standards in Korea. quently do not understand the terms used by health professionals. Best Poster Awards Exchange of OID Information D. Benater and H. Leung received a prize for their work Sylvia Thun presented the joint project of DIMDI and HL7 “Implementation Experience Delivering a Centralized Germany on developing a database with a standardized XML Terminology Service that supports International and Canadian structure for data exchange of Object Identifier (OID) informa- Standard Coding Systems in a national healthcare solution.” The tion. In the presence of multiple OID registries at the national poster “Application of HL7 CDA R2 and V3 messaging for and international level and addressing differences in semantics, this national ePrescription in Finland” also received an award present- work is an example of international collaboration. ed to Timo Tarhonnen by HL7 Finland.

Turkish National Infrastructure for Sharing EHRs In Conclusion Prof. Asuman Dogac presented the national infrastructure for The conference closed with a sneak preview of the 10th IHIC sharing EHRs in Turkey, which is based on HL7 Version 3 web which will be held in Kyoto, Japan May 8-9, 2008, just prior to the service profiles. Its aim is to guarantee interoperability in the HL7 May Working Group Meeting. exchange of EHRs through online conformance testing. On behalf of HL7 Hellas, we would like to thank the program Graphical Templates for Conformance Testing committee, and all the participants for making IHIC 2008 a suc- Rik Smithies, chair HL7 UK, presented a method of applying cess, as well as Liora Alschuler and Kai Heitmann, MD for their graphical templates to HL7 CDA for conformance testing. kind input to this report.

Reporting Quality Indicators from EHRs All presentations will be soon available at www.ihic2008.org. Sheila Teasdale discussed developments in the quality of data in EHRs and on the need to create more detailed measure specifications to support the consistent incorporation of measure defini- tions into EHR products.

HEALTH LEVEL SEVEN, INC. JANUARY 2009 17 Show Me Your CDA! Award Winning CDA Case Studies at IHIC 2008 By Liora Alschuler, HL7 Board of Directors, Co-Chair, Structured Documents Work Group, and Alschuler Associates LLC; and Catherine E. Chronaki, HL7 Hellas Board of Directors and FORTH-Institute of Computer Science

The “Show me Your CDA!” technology developed by IBM for the US National Health Interoperability Forum was held on Information Network (NHIN) for reporting of notifiable food- October 8, 2008 in Heraklion, Crete, borne illnesses within and across the borders of the participat- as part of IHIC 2008. The aim of the ing countries. “Show Me Your CDA!” Initiative is to: • collect, analyze, and report on CDA According to the published case study, the prototype: implementations from around the “... provides a web-based end user application and central IHE world XDS repositories in the Israel, Jordan, and Palestine Ministries • share expertise, tips, and tricks on the of Health (MOH). A fourth repository for shared laboratory current and future uses of CDA reports will reside in the Cooperative Monitoring Center (CMC) Liora Alschuler • benchmark the adoption of CDA in Amman, Jordan. This prototype provides transformation of worldwide data to the HL7 CDA R2 IHE XD-Lab document, policy con- • recognize best practices in CDA tools trols for sharing documents with the CMC, and new tools for and implementation document-based analysis, visualization, and reporting (AVR).”

Liora Alschuler opened the forum with The submission included a full case study report, completed her keynote “Diversity of Application: “Show Me!” questionnaire, and a sample document as well as the CDA Around the World” where she presentation made at the IHIC conference. One of the strongest reviewed the CDA case studies submit- points of the case study is the valuable “lessons learned,” some ted as well as the progress made toward of which will translate into requirements for CDA Release 3.0 and the challenges posed in Berlin, during the Structured Document Architecture Standard. IHIC 2006.

Catherine Chronaki Eleven CDA case studies were reported using the Show Me Your CDA! questionnaire by the deadline set for the IHIC 2008 showcase. Seven out of eleven questionnaires were accompanied by a full case study including CDA samples. These were selected for presentation and considered for an award.

A vibrant audience of about 60 participants assisted the awards committee (Kai Heitmann, MD, Catherine Chronaki, Liora Alschuler, and Rene Spronk) by voting on the Vision (i.e. Is this part of a project strategy with potential future growth?), the Clarity (i.e. How well has this CDA study been presented?), the MECIDS Architecture and Deployment Environment Maturity (i.e. How well has technical/programming aspect been (1st prize winner – Sondra Renly) dealt with?), the Novelty (i.e. Does the case study contain new ideas, e.g. new workflows, input for CDA Release 3, etc.), the The second prize was awarded to the case study “Interconnection Interoperability (i.e. How do you rate the interoperability of this of Philips Motiva and Catharina Hospital Eindhoven using CDA case study?), and the Reference value (i.e. Would you recom- the Clinical Document Architecture” by Charalampos mend this CDA implementation project to others?). Xanthopoulakis, Philips, The Netherlands. This study reported on: Middle East Consortium for Infectious Disease “..a venture held between Philips Applied Technologies and the Surveillance (MECIDS) Wins First Prize Catharina Hospital Eindhoven aiming at interconnecting the Philips Motiva remote patient telemonitoring platform with the The first Show Me Your CDA! prize was awarded to “CDA for information system of the latter. The objective was the exchange Public Health Laboratory Reports” by S. R. Renly, S. E. Knoop, of medical information between the two systems – in the form R. Ram, IBM Almaden, US and IBM Haifa Research Lab, Israel, of patient referral and discharge notes – in the context of the for their CDA case study on public health monitoring between Dutch and German national healthcare infrastructures.” Israel, Jordan, and the Palestinian Authority. The project used

18 JANUARY 2009 HEALTH LEVEL SEVEN, INC. and the continued refinement of a pleasing and sophisticated “look,” illustrated below in French:

Phillips Motiva CDA Referral note (2nd prize winner – Charalampos Xanthopoulakis) This study includes not only the case study paper and questionnaire, but also CDA samples, architecture and interaction dia- grams, a style sheet and web service specs. In his presentation to the showcase, Charalampos declared that CDA was “agile,” HL7 CDA report in France which he elaborated on this way in the paper: “... working iteratively, taking a small step each time, is more The showcase concluded with an open discussion and review efficient than waiting for the panacea to all problems, which of the main findings and challenges for the future, chaired by by the way can prove more cumbersome and difficult to apply Liora Alschuler and Kai Heitmann, MD. All relevant Show in practice. CDA offers this remarkable flexibility; create the Me! Materials are available at http://www.showmeyourcda.net/ referral note section by section, customize it to your purposes, showme-ihic2008/ ask frequently for feedback, and gradually extend with more sections or structured elements.”

The third prize was awarded to the case study “Hip joint replace- ment” by Marcel Hanselmann, Christoph Knoepfel, Tony Schaller and Peter Steiner and presented by Tony Schaller of HL7 Switzerland. The study provided a multi-lingual, comprehensive catalog of CDA samples documenting the full and complex information life-cycle. In another example of cross-border collaboration and reuse, the specification builds on the German VHtG Arztbrief, illustrated as a series of pyramidal refinements on top of the HL7 Version 3 Reference Information Model (RIM):

Liora Alschuler and Kai Heitmann, MD at the Show me! Recap The organizers of IHIC 2008 and “Show Me Your CDA!” would like to thank everyone who participated in the showcase. Plans are underway to consolidate the website with Rene Spronk’s archive and open a continual path for sharing CDA implementation experience.

“Show Me Your CDA” is an opportunity for all members of the HL7 community to share their accomplishments and be recognized for their efforts with the use of HL7 CDA. Individuals and organizations are encouraged to register at www.showmeyourcda.net, fill out the questionnaire; post sample CDA docu- Figure 3: CDA-CH Dependencies ments, style sheets, and supporting information; and write short (3rd prize winner – Tony Schaller) case studies about their projects. The case study documents use CDA for imaging studies, referral reports, admission, lab, surgery and discharge. One particularly Volunteers interested in supporting this effort may contact welcome feature of the work was the translation of the style Catherine Chronaki at [email protected] or Liora Alschuler sheet developed for Arztbrief into three additional languages at [email protected]

HEALTH LEVEL SEVEN, INC. JANUARY 2009 19 Affiliate Contacts

HL7 Argentina HL7 Croatia HL7 Italy HL7 Sweden Diego Kaminker Stanko Tonkovic, PhD Massimo Mangia Fredrik Strom, MSc Phone: 5411-4959-0507 Phone: 385-1-6129-932 Phone: 39-091-2192-457 Phone: 46-8-527-400-00 Email: Email: [email protected] Email: massimo.mangia Email: [email protected] @katamail.com [email protected] HL7 Czech Republic HL7 Australia Libor Seidl HL7 Japan HL7 Switzerland Klaus Veil Email: [email protected] Michio Kimura, MD, PhD Beat Heggli Phone: 61-412-746-457 Phone: 81-3-3506-8010 Phone: 41-1-806-1164 Email: [email protected] HL7 Denmark Email: Email: Marie Gradert [email protected] [email protected] HL7 Austria Phone: 46-39-96-61-89 Stefan Sabutsch Email: [email protected] HL7 Korea HL7 Taiwan Phone: 43-664-3132505 Yun Sik Kwak, MD, PhD Jin-Shin Lai, MD Email: stefan.sabutsch@fh- HL7 Finland Phone: 82-53-420-6050 Phone: 886-2-25233900 joanneum.at Niilo Saranummi Email: Email: [email protected] Phone: 358-20-722-3300 [email protected] HL7 Brazil Email: [email protected] HL7 The Netherlands Marivan Santiago Abrahao HL7 Mexico Robert Stegwee, MSc, PhD Phone: 55-11-3045-3045 HL7 France Mauricio Derbez del Pino Phone: 31-30-689-2730 Email: [email protected] Nicolas Canu Phone: 52-999-913-8351 Email: robert.stegwee Phone: 33-02-35-60-41-97 Email: @capgemini.com HL7 Canada Email: [email protected] [email protected] Michael van Campen HL7 Turkey Phone: 250-881-4568 HL7 Germany HL7 New Zealand Bulent Kunac Email: Michael.vanCampen@ Thomas Norgall Martin Entwistle Phone: 90-312-291-91-00 GPinformatics.com Phone: 49-9131-776-5113 Email: martin.entwistle@enig- Email: Email: [email protected] mapublishing.com [email protected] HL7 Chile Rodrigo Caravantes Fuentes HL7 Greece HL7 Romania HL7 UK Phone: 56-2-5740773 George Patoulis, MD, MPH Florica Moldoveanu Rik Smithies Email: [email protected] Phone: 30-210-8067888 Phone: 40-21-4115781 Phone: 44-8700-112-866 Email: [email protected] Email: florica.moldoveanu@ Email: [email protected] HL7 China rdslink.ro Caiyou Wang HL7 India HL7 Uruguay Phone: 86-010-82801546 Saji Salam, MD HL7 Singapore Julio Carrau Email: [email protected] Phone: 044-254-0555 Fong Choon Khin Phone: 592-487-11-40 Email: [email protected] Email: fong.choon.khin@ Email: [email protected] HL7 Colombia gmail.com Fernando A. Portilla HL7 Ireland Phone: 57-2-5552334 ext. 241 Peter Lennon HL7 Spain Email: [email protected] Phone: 01-635-3011/13 Carlos Gallego Perez Email: [email protected] Phone: 34-93-565-39-00 Email: [email protected]

20 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 ORGANIZATIONAL MEMBERS Benefactors Edifecs, Inc. California Mental Health Directors Association Accenture Forward Advantage, Inc. Cancer Care Ontario Booz Allen Hamilton Gartner CAQH Centers for Disease Control and Prevention/CDC Genzyme Corporation CDISC Duke Translational Medicine Institute Google CEI Community Mental Health Authority Eclipsys Corporation Gordon Point Informatics Ltd. Centers for Disease Control and Prevention/CDC Eli Lilly and Company GSI Health, LLC Centers for Medicare & Medicaid Services Epic Systems Corporation GTNet, Inc. Centre for Development of Advance Computing European Medicines Agency HLN Consulting, LLC Clemson University Food and Drug Administration Hooper Holmes Health and Wellness College of Healthcare Information Mgmt. Executives GE Healthcare Integrated IT Solutions Hubbert Systems Consulting Colorado Health Information Exchange GlaxoSmithKline iConnect Consulting Contra Costa County Health Services IBM Information Technology Architects, Inc. Delta Dental Plans Association Intel Corporation, Digital Health Group iNTERFACEWARE, Inc. Delta Health Alliance InterSystems J2 Consult Department of Health & Hospitals (MMIS) Kaiser Permanente Jiva Medical, Inc. Department of Human Services McKesson Provider Technologies KRM Associates, Inc. DGS, Commonwealth of Virginia Microsoft Corporation Matricis Informatique, Inc. Div. of Medical Assistance, State of NJ NHS Connecting for Health Meddius Duke Clinical Research Institute NICTIZ Nat.ICT.Inst.Healthc.Netherlands MediVoice, LLC ECRI Institute Novartis MedQuist, Inc. Emory University, Research and Health Sciences IT Oracle Corporation - Healthcare Medtronic Estonian eHealth Foundation Partners HealthCare System, Inc. Multimodal Technologies, Inc. European Medicines Agency Pfizer Inc. Northrop Grumman Florida Department of Health Philips Healthcare Ockham Information Services, LLC Food and Drug Administration QuadraMed Corporation Octagon Research Solutions, Inc. Georgia Medical Care Foundation Quest Diagnostics, Incorporated Onco, Inc. Greater Rochester RHIO Siemens Healthcare OTech, Inc. HIMSS St. Jude Medical ProductLife Hospital Universiti Kebangsaan Malaysia Sunquest Information Systems RadScribe Inc. ICCBBA, Inc. Thomson Reuters River North Solutions, Inc. Illinois Department of Public Health U.S. Department of Defense, Military Health System RMC NV Illinois Healthcare and Family Services U.S. Department of Veterans Affairs Seven Hills Solutions, Inc. Indian Health Service Wyeth Pharmaceuticals Shafarman Consulting Iowa Foundation for Medical Care Silicon & Software Systems Polska Sp. z o.o Joint Commission on Accreditation of Healthcare Or Supporters The Rehab Documentation Company, Inc. Kansas Health Policy Authority iNTERFACEWARE, Inc. TPJ Systems, Inc. Michigan Public Health Institute LINK Medical Computing, Inc. VitalHealth Software Ministry of Health (Singapore) NEOTOOL W3apps, Inc. Minnesota Department of Health Sentillion, Inc. Minnesota Dept. of Human Services General Interest N.A.A.C.C.R. Consultants Agency for Healthcare Research and Quality NANDA International Accenture Alaska Native Tribal Health Consortium/AFHCAN National Association of Dental Plans Alschuler Associates, LLC Alliance for Pediatric Quality National Center for Health Statistics/CDC Anakam, Inc. Altarum Institute National Comprehensive Cancer Network Aquashell IT Solutions Corp. American Assoc. of Veterinary Lab Diagnosticians National Institute of Standards and Technology Aurillion Micro Systems, Inc. American College of Physicians (ACP) National Library of Medicine Beeler Consulting, LLC American College of Radiology New York State Department of Health, Wadsworth Ctr Booz Allen Hamilton American Health Information Management NICTIZ Nat.ICT.Inst.Healthc.Netherlands CAL2CAL Corporation Association NIH/Department of Clinical Research Informatics CentriHealth American Immunization Registry Association (AIRA) Northwestern University College of American Pathologists America's Health Insurance Plans (AHIP) OA-ITSD - Department of Mental Health ComFrame Software Corporation APHL Oakland County CMHA Computer Frontiers, Inc. Arizona Health Care Cost Containment System Ochsner Medical Foundation Courion Corporation Arizona Health-e Connection Pennsylvania Dept of Health-Bureau of Information CSG Blue Cross Blue Shield Association Pharmaceuticals & Medical Devices Agency Cyrus-XP, LLC California Department of Health Care Services Riverside County Community Health Agency Dapasoft, Inc. California Department of Public Health-Berkeley SAMHSA ECM Solutions California HealthCare Foundation Santa Cruz County Health Services Agency

HEALTH LEVEL SEVEN, INC. JANUARY 2009 21 HL7 ORGANIZATIONAL MEMBERS Social Security Administration Cedars-Sinai Medical Center Rockingham Memorial Hospital Software and Technology Vendors' Association Children’s Healthcare of Atlanta SA Tartu University Clinics Southwest Research Institute Children’s Hospital Medical Center of Akron Sharp HealthCare Information Systems State of CA / Mental Health Children’s Hospitals and Clinics Sheridan Healthcare Sultanate of Oman, Ministry of Health Cincinnati Children's Hospital Sisters of Mercy Health System Tennessee Department of Health City of Hope National Medical Center South Bend Medical Foundation, Inc. Texas Health and Human Services Commission Cleveland Clinic Health System Sparrow Health System U.S. Department of Health & Human Services Community Reach Center Spectrum Health Univ of Texas HSC San Antonio School of Nursing CVGPN St. Luke’s Regional Medical Center University of Texas Medical Branch at Galveston Emergency Physicians Medical Group Stanford Hospital & Clinics US Army Institute of Surgical Research Emory Healthcare Summa Health System Utah Department of Health Fletcher Allen Health Care Sykes Assistance Services Utah Health Information Network Genova Diagnostics Team Health Voice of Detroit Initiative (VODI) Girling Health Care, Inc. Texas Children's Hospital Washington State Department of Health Group Health Cooperative The Children's Hospital of Philadelphia WorldVistA Health First, Inc The North Carolina Baptist Hospitals, Inc. WVDHHR Bureau for Medical Services Health Network Laboratories Treatment Online Inc. HealthBridge Trinity Health Payers Hill Physicians Medical Group Tuomey Healthcare System Argus Health Systems Holzer Clinic U.S. Department of Defense, Military Health System Arkansas Blue Cross and Blue Shield Hospital Authority of Hong Kong U.S. Department of Veterans Affairs Blue Cross and Blue Shield of Alabama Humility of Mary Information Systems University Hospital (Augusta) Blue Cross and Blue Shield of Florida Il Melograno Data Services S.p.A. University of Chicago Medical Center Blue Cross Blue Shield of South Carolina Inova Health System University of Illinois at Chicago Medical Center BMS Reimbursement Management Johns Hopkins Hospital University of Kentucky Chandler Medical Center Health Care Service Corporation Kaiser Permanente University of Missouri Health Care Independence Blue Cross L.A. County Department of Health Services University of Nebraska Medical Center TriWest Healthcare Alliance Lahey Clinic University of Utah Health Care Wellpoint, Inc. Lakeland Regional Medical Center University Physicians, Inc. Wisconsin Physicians Service Ins. Corp. Lee Memorial Health System UW Medicine, IT Services Lexington Medical Center Vanderbilt University Medical Center Pharmacy Loyola University Health System VUMC Bristol-Myers Squibb Lucile Packard Children’s Hospital Washington National Eye Center Eli Lilly and Company Marquette General Health System Weill Medical College of Cornell GlaxoSmithKline Mayo Clinic/Foundation Wheaton Franciscan Healthcare Johnson & Johnson MedStar Health Information Systems Merck & Co., Inc. Mercy Health Partners Vendors Novartis Meridian Health 3M Health Information Systems Pfizer, Inc. Meriter Health Services 6N Systems, Inc. Wyeth Pharmaceuticals Milton S. Hershey Medical Center ABELSoft Corporation MultiCare Health System Accenx Technologies, Inc. Providers National Cancer Institute Center for Bioinformatic Agfa Healthcare / CTO ACTS Retirement - Life Communities, Inc. National Healthcare Group Agilex Technologies Advanced Biological Laboratories (ABL) SA NCH Healthcare System AIG Hawaii Insurance Company, Inc. Aionex New York-Presbyterian Hospital Alert Life Sciences Computing, Inc. Akron General Medical Center NHS Connecting for Health Altova GmbH Alamance Regional Medical Center Northwestern Memorial Hospital American Data Albany Medical Center Parkview Health American HealthTech, Inc. ARUP Laboratories, Inc. Partners HealthCare System, Inc. Amtelco Aspirus - Wausau Hospital Pathology Associates Medical Laboratories Antek HealthWare, LLC Athens Regional Health Services, Inc. Presbyterian Healthcare Services Apelon, Inc. Baylor Health Care System Providence Health & Services Aspyra, Inc. BJC HealthCare Queensland Health Avanttec Medical Systems (P) Ltd Blessing Hospital Quest Diagnostics, Incorporated Axolotl Corporation Boynton Health Center Rady Children's Hospital and Health Center BridgeGate International Brookdale University Hospital & Medical Center Regenstrief Institute, Inc. Cardinal Health, Inc. CareAlliance Health Services Resurrection Health Care CareFacts Information Systems, Inc. Cascade Healthcare Community Riverside Methodist Hospitals Carefx Corporation Catholic Healthcare West IT Rockford Health System Carestream Health, Inc.

22 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 ORGANIZATIONAL MEMBERS Cerner Corporation IBM Procura Certify Data Systems ICPA, Inc. Programs and Complexes CGI II4SM QuadraMed Corporation Clinical Computing, Inc. Image Solutions, Inc.(ISI) Reed Technology and Information Services Inc. CliniComp, Intl. iMetrikus, Inc. RelWare CMR Info World Rosch Visionary Systems CNSI Information Builders Rx.com Cognosante, Inc. Ingenix RxHub, LLC Cogon Systems, Inc. Intel Corporation, Digital Health Group Sage Software Compressus Inc. Interfix, LLC SAIC - Science Applications International Corp Computrition, Inc. InterSystems SEARHC Connect Informatics srl IntraNexus, Inc. Sentillion, Inc. CPCHS IQMax, Inc. Shared Health CSAM International AS iSOFT Nederland b.v. Siemens Healthcare CSC Scandihealth A/S J.D. Dolson Silk Information Systems, Inc. Custom Software Systems, Inc. Justsystems Corporation Sobha Renaissance Information Technology PVT Cybernetica AS Kalos LTD Data Innovations, Inc. Kestral Computing Pty Ltd Softek Solutions, Inc. Data Processing SPA KIM-2000 Ltd. St. Jude Medical Dawning Technologies, Inc. Kryptiq Corporation STI Computer Services dbMotion Labware, Inc Stockell Healthcare Systems, Inc. DC Computers Lewis Computer Services, Inc. Sun Microsystems, Inc. DeJarnette Research Systems, Inc. LINK Medical Computing, Inc. Sunquest Information Systems digiChart, Inc. Liquent, Inc. SureScripts Digital Infuzion, Inc. LOGICARE Corporation Swearingen Software, Inc. DIPS ASA LORENZ Life Sciences Group Syncro-Med s.r.l Document Storage Systems, Inc. LSS Data Systems Sysmex New Zealand Limited Dolbey & Company Mammography Reporting System Inc. TC Software, Inc. Doral Dental McKesson Provider Technologies The SSI Group, Inc. Eclipsys Corporation MEDai, Inc. The Stellar Corporation EDS Corporation MedEvolve, Inc. TheraDoc, Inc. Electronic Patient Records (Pty) Ltd MEDHOST, Inc. Thomson Reuters e-MDs Medicity, Inc. Thrasys eMeddy Inc. MediNotes Corporation Trilogy Integrated Resources Emergisoft Corporation MediServe Information Systems, Inc. Up To Data Professional Services Gmb Emissary Professional Group, LLC MEDIWARE Information Systems Vecna Epic Systems Corporation MELE Health Information Systems Vestara eServices Group, Inc. Microsoft Corporation VigiLanz ESRI MITEM Corporation Virtify Excelleris Technologies, Inc. NEC Unified Solutions, Inc. Vocollect Healthcare Systems, Inc. Expert Sistemas Computacionales S.A. DE C.V. NEOTOOL WebMd Health Services Fox Systems Inc. Netsmart Public Health, Inc. Wellsoft Corporation GE Healthcare Integrated IT Solutions NextGen Healthcare Information Systems, Inc. Wolters Kluwer Health gloStream, Inc. Niceware International, LLC Workflow.com, LLC Greenway Medical Technologies, Inc. Noridian Administrative Services Wyndgate Technologies Harris Corporation Noteworthy Medical Systems, Inc. XIFIN, Inc. Health Care Software, Inc. Occupational Health Research XPress Technologies Health Insight Technologies Omnicom srl Zynx Health Health Language, Inc. Opus Healthcare Solutions Inc. Healthcare Management Systems, Inc. Oracle Corporation - Healthcare Healthland Orchard Software HealthPort Orion Health HealthTrio, LLC Patient Care Technology Systems Healthvision Performance Pharmacy Systems, Inc. Hermes Medical Solutions AB Pharmacy OneSource, Inc. Homecare Homebase Philips Healthcare Huron Systems, Inc. POLYMEDIS SA Hyland Software, Inc. PolyRemedy, Inc. Iatric Systems Practice Partner

HEALTH LEVEL SEVEN, INC. JANUARY 2009 23 2009 TECHNICAL STEERING COMMITTEE MEMBERS

CHAIR DOMAIN EXPERTS REPRESENTATIVE STRUCTURE & SEMANTIC DESIGN Charlie McCay Austin Kreisler REPRESENTATIVE HL7 UK SAIC – Science Applications International Corp. Calvin Beebe Ramsey Systems Ltd. Phone: 404-498-6596 Mayo Clinic/Foundation Phone: 44-01743-232278 Email: [email protected] Phone: 507-284-3827 Email: [email protected] Email: [email protected] DOMAIN EXPERTS ALTERNATE CHIEF TECHNICAL OFFICER Edward Tripp STRUCTURE & SEMANTIC DESIGN John Quinn Abbott Laboratories ALTERNATE HL7 Phone: 847-937-2021 Gregg Seppala Phone: 216-409-1330 Email: [email protected] U.S. Department of Veterans Affairs Email: [email protected] Phone: 301-526-2703 FOUNDATION & TECHNOLOGY Email: [email protected] INTERNATIONAL REPRESENTATIVE REPRESENTATIVE Ioana Singureanu TECHNICAL & SUPPORT SERVICES Charlie McCay Eversolve, LLC REPRESENTATIVE HL7 UK Phone: 603-870-9739 Ken McCaslin Ramsey Systems Ltd. Email: [email protected] Quest Diagnostics, Incorporate Phone: 44-01743-232278 Phone: 610-650-6692 Email: [email protected] FOUNDATION & TECHNOLOGY Email: ALTERNATE [email protected] INTERNATIONAL George (Woody) Beeler REPRESENTATIVE Beeler Consulting, LLC TECHNICAL & SUPPORT SERVICES Ravi Natarajan Phone: 507-254-4810 ALTERNATE NHS Connecting for Health Email: [email protected] Helen Stevens Love Phone: 0113-390-6520 Canada Health InfoWay Email: [email protected] Phone: 250-598-0312 Email: [email protected]

STEERING DIVISIONS

DOMAIN EXPERTS FOUNDATION & TECHNOLOGY STRUCTURE & SEMANTIC DESIGN Anatomic Pathology Implementable Technology Specifications Arden Syntax Anesthesiology Implementation/Conformance Clinical Context Object Workgroup Attachments Infrastructure & Messaging Clinical Decision Support Clinical Interoperability Council* Modeling & Methodology Clinical Genomics Community Based Collaborative Care RIM Based Application Architecture Electronic Health Record Emergency Care Security Financial Management Government Projects Service Oriented Architecture Orders & Observations Health Care Devices Templates Patient Administration Imaging Integration Vocabulary Scheduling & Logistics Laboratory Structured Documents Patient Care TECHNICAL & SUPPORT SERVICES Patient Safety Education Pediatric Data Standards Electronic Services Pharmacy International Mentoring Committee* Public Health Emergency Response Process Improvement Committee* *Voice only; no vote Regulated Clinical Research Project Services Information Management Publishing Tooling

24 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 Work Group Co-Chairs

Affiliates Council Robert Root, MBA, PMP Craig Parker, MD Max Walker Blue Cross Blue Shield of South Arizona State University. Department of Human Services Catherine Chronaki-Affiliate Liaison Carolina Phone: 801-859-4480 Phone: 61-3-9096-1471 Email: [email protected] FORTH-Institute of Computer Phone: 843-736-7612 Email: [email protected] Email: [email protected] Science; HL7 Hellas BoD R. Matthew Sailors Phone: 30-2810-391691 The Methodist Hospital Education Email: [email protected] Child Health (formerly Phone: 713-441-6218 PDS) Email: [email protected] Mike Henderson Robert Stegwee, PhD- OTech, Inc. HL7 Inc. Liaison Phone: 301-585-5750 David Classen, MD, MS HL7 The Netherlands Clinical Genomics Email: Phone: 31-30-689-2730 Alliance for Pediatric Quality [email protected] Email: [email protected] Phone: 801-532-3633 Kevin Hughes, MD Abdul-Malik Shakir Partners HealthCare System, Inc. Helen Stevens Love-Secretary Joy Kuhl Shakir Consulting Phone: 617-724-0048 Canada Health InfoWay Alliance for Pediatric Quality Phone: 909-596-6790 Phone: 250-598-0312 Phone: 913-262-1436 Email: [email protected] Email: Email: [email protected] Email: [email protected] [email protected] Philip Pochon Andy Spooner, MD, FAAP CDISC Anatomic Pathology Cincinnati Children’s Medical Center, Phone: 317-273-4887 Electronic Health Records Inc. Email: [email protected] David Booker, MD Phone: 513-803-0121 Don Mon College of American Pathologists Email: [email protected] Amnon Shabo American Health Information Phone: 706-481-7470 IBM Management Association Email: [email protected] Feliciano Yu, MD Phone: 972-544-714070 Phone: 312-233-1135 Children's Hospital of Alabama Email: [email protected] Email: [email protected] John Madden, MD, PhD Phone: 205-212-7863 College of American Pathologists Mollie Ullman-Cullere John Ritter Email: [email protected] Phone: 919-681-6671 Partners HealthCare System, Inc. Phone: 412-372-5783 Email: [email protected] Phone: 617-909-4309 Email: [email protected] Email: [email protected] Clinical Context Object Corey Spears Architectural review Workgroup (CCOW) Practice Partner Phone: 206-269-1211 Board Michael Russell, MD Clinical Interoperability Email: [email protected] Council Charlie Mead, MD, MSc Duke Clinical Research Institute Patricia Van Dyke Booz Allen Hamilton Phone: 919-684-2513 Sam Brandt, MD Delta Dental Plans Association Phone: 310-998-6926 Email: [email protected] Siemens Healthcare Phone: 503-243-4492 Email: [email protected] Robert Seliger Phone: 610-219-5701 Email: [email protected] Email: [email protected] John Quinn Sentillion, Inc. Phone: 978-749-0022 Health Level Seven W. Edward Hammond, PhD Email: [email protected] Phone: 216-409-1330 (INTERIM) Electronic Services Email: [email protected] Phone: 919-383-3555 David Staggs Email: [email protected] Bill Braithwaite, MD, PhD U.S. Department of Veterans Affairs Anakam, Inc. Arden Syntax Phone: 858-826-5629 Crystal Kallem, RHIT Phone: 202-669-9444 Email: [email protected] American Health Information Email: [email protected] Robert Jenders, MD Management Association Cedars-Sinai Medical Center/UCLA Patrick Loyd Clinical Statement Phone: 312-233-1537 Phone: 310-423-2105 Email: [email protected] Gordon Point Informatics, Ltd. Email: [email protected] Phone: 415-209-0544 Hans Buitendijk (INTERIM) Meredith Nahm Email: [email protected] R. Matthew Sailors Siemens Healthcare Duke Translational Medicine Institute The Methodist Hospital Phone: 610-219-2087 Phone: 919-668-8339 Ken McCaslin Phone: 713-441-6218 Email: [email protected] Email: [email protected] Quest Diagnostics, Incorporated Email: [email protected] Phone: 610-650-6692 Rik Smithies (INTERIM) Email: kenneth.h.mccaslin@questdiag- HL7 United Kingdom nostics.com Attachments Phone: 44-8700-112-866 Community Based Email: [email protected] Collaborative Care Durwin Day Emergency Care Health Care Service Corporation Suzanne Gonzales-Webb Phone: 312-653-5948 Clinical Decision Support U.S. Department of Veterans Affairs Kevin Coonan Email: [email protected] Phone: 858-826-6621 Partner’s Healthcare/DFCI Robert Greenes, MD, PhD Email: Email: [email protected] Jim McKinley Arizona State University [email protected] Blue Cross and Blue Shield of Phone: 602-827-2548 Laura Heermann Langford Alabama Email: [email protected] Richard Thoreson Intermountain Healthcare Phone: 205-220-5960 SAMHSA Phone: 801-442-6674 Email: [email protected] Robert Jenders, MD Phone: 240-276-2827 Email: laura.heermann@intermoun- Cedars-Sinai Medical Center/UCLA Email: tainmail.org Phone: 310-423-2105 [email protected] Email: [email protected] HEALTH LEVEL SEVEN, INC. JANUARY 2009 25 HL7 Work Group Co-Chairs, continued

James McClay, MD Jack Harrington Jingdong Li Craig Parker, MD University of Nebraska Medical Center Philips Healthcare Alschuler Associates, LLC Arizona State University Phone: 402-559-3587 Phone: 978-659-3517 Phone: 801-733-0568 Phone: 801-859-4480 Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected]

Daniel Pollock, MD Melvin Reynolds Dave Shaver Ioana Singureanu Centers for Disease Control and Phone: 44-1989-763120 NEOTOOL Eversolve, LLC Prevention Email: [email protected] Phone: 469-229-5000 Phone: 603-870-9739 Phone: 404-639-4237 Email: [email protected] Email: [email protected] Email: [email protected] Imaging Integration Sandra Stuart Kaiser Permanente Orders and Observations Financial Management Fred Behlen, PhD Phone: 925-924-7473 Hans Buitendijk American College of Radiology Email: [email protected] Siemens Healthcare Kathleen Connor Phone: 708-960-4164 Phone: 610-219-2087 Microsoft Corporation Email: [email protected] Phone: 360-480-7599 Email: [email protected] Email: Helmut Koenig, MD International Mentoring [email protected] Committee Patrick Loyd Siemens Healthcare Gordon Point Informatics, Ltd. Phone: 49-9131-84-3480 Beat Heggli James Leach Phone: 415-209-0544 Email: [email protected] HL7 Switzerland Computer Frontiers, Inc. Email: [email protected] Phone: 41-1-806-1164 Phone: 703-893-2721 Email: [email protected] Email: [email protected] Gunther Schadow, MD Regenstrief Institute, Inc. Implementation/ Phone: 317-423-5521 Mary Kay McDaniel Conformance John Ritter Markam, Inc. Phone: 412-372-5783 Email: [email protected] Email: [email protected] Phone: 602-266-2516 Jane Gilbert Email: [email protected] Australian Healthcare Message Outreach Committee for Laboratory, Inc. Laboratory Clinical Research Generation of Anesthesia Phone: 61-03-5327-9142 Email: [email protected] Standards Robert Hausam, MD Ed Helton, PhD TheraDoc, Inc. National Cancer Institute Center for Frank Oemig Martin Hurrell, PhD Phone: 801-415-4412 Bioinformatics Informatics CIS HL7 Germany Email: [email protected] Phone: 919-465-4473 Agfa Healthcare/CTO Phone: 44-7711-522 Austin Kreisler Email: [email protected] Email: Phone: 49-208-781194 Email: [email protected] SAIC - Science Applications [email protected] International Corp Phone: 404-498-6596 Patient Administration Terri Monk, MD Jason Rock Email: [email protected] Duke Clinical Research Institute GlobalSubmit Jean Ferraro Phone: 919-286-6938 Phone: 856-854-4455 Craig Robinson McKesson Provider Technologies Email: [email protected] Email: [email protected] Siemens Healthcare Phone: 631-968-4057 Phone: 610-219-1567 Email: [email protected] Email: [email protected] Gregg Seppala Government Projects Implementation U.S. Department of Veterans Affairs Randy Levin, MD Technology Specification Marketing Council Phone: 301-526-2703 Email: [email protected] Food and Drug Administration Paul Knapp Jill Kaufman Phone: 301-827-7784 Continovation Services, Inc. IBM Email: [email protected] Phone: 604-987-3313 Phone: 919-415-2088 Patient Care Email: [email protected] Email: [email protected] Jim McCain Kevin Coonan U.S. Department of Veterans Affairs Dale Nelson Phone: 520-232-2233 Partner’s Healthcare/DFCI Phone: 916-367-1458 Modeling and Email: [email protected] Email: [email protected] Email: [email protected] Methodology Nancy Orvis William Goossen George (Woody) Beeler Jr., PhD U.S. Department of Defense, Military Phone: 31-318-540069 Infrastructure & Messaging Beeler Consulting, LLC Email: [email protected] Health System Phone: 507-254-4810 Phone: 703-681-5611 Email: [email protected] Email: [email protected] Grahame Grieve Larry McKnight Siemens Healthcare Kestral Computing Pty Ltd. Lloyd McKenzie Phone: 610-219-2980 Phone: 61-3-9450-2222 HL7 Canada Email: Health Care Devices Email: [email protected] LM&A Consulting, Ltd . Phone: 780-993-9501 [email protected] Todd Cooper Anthony Julian Email: [email protected] (IEEE) Breakthrough Solutions Mayo Clinic/Foundation Foundry, Inc. Phone: 507-266-0958 Dale Nelson Phone: 858-435-0729 Email: [email protected] Zed-Logic Informatics, Inc. Email: [email protected] Phone: 916-367-1458 Email: [email protected]

26 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 Work Group Co-Chairs, continued

Patient Safety Joginder Madra Scheduling & Logistics Robert Dolin, MD Gordon Point Informatics Ltd. Semantically Yours, LLC Clive Flashman Phone: 780-717-4295 Anita Benson Phone: 949-466-4035 National Patient Safety Agency Email: DataScene Email: [email protected] Phone: 44-7968288314 [email protected] Phone: 860-491-9009 Email: [email protected] Email: [email protected] Michelle Williamson Templates Nick Halsey National Center for Health Statistics/ Jane Foard European Medicines Agency CDC McKesson Provider Technologies Mark Shafarman Phone: 44-0-20-7523-7100 Phone: 301-458-4618 Phone: 847-495-1289 Shafarman Consulting Email: [email protected] Email: [email protected] Email: [email protected] Phone: 510-593-3483 Email: [email protected] Lise Stevens Publishing Committee Food and Drug Administration Security Ian Townend Phone: 301-827-6085 George (Woody) Beeler Jr., PhD-V3 NHS Connecting for Health Email: [email protected] Beeler Consulting, LLC Bernd Blobel, PhD Phone: 44 113 280 6743 Phone: 507-254-4810 HL7 Germany Email: [email protected] Email: [email protected] University of Regensburg Medical Pharmacy Center Jane Foard-V2 Phone: 49-941-944-6769 Tooling Garry Cruickshank McKesson Provider Technologies Email: [email protected] HL7 Canada Phone: 847-495-1289 regensburg.de Jane Curry Thames Valley Healthcare Email: [email protected] Health Information Strategies, Inc. Phone: 519-657-3125 Mike Davis Phone: 780-459-8560 Email: [email protected] Richard Harding-V3 U.S. Department of Veterans Affairs Email: HL7 Australia Phone: 760-632-0294 [email protected] Tom de Jong Phone: 617-336-62435 Email: [email protected] HL7 The Netherlands Email: [email protected] Tim Ireland Phone: 31-6-53255291 Glen Marshall HL7 UK Email: [email protected] Klaus Veil-V2 Grok-A Lot, LLC NHS Connecting for Health HL7 Australia Phone: 610-613-3084 Email: [email protected] Robert Hallowell Phone: 61-412-746-457 Email: [email protected] Siemens Helathcare Email: [email protected] Lloyd McKenzie Phone: 610-219-5612 HL7 Canada Email: [email protected] Services Oriented LM&A Consulting, Ltd. Regulated Clinical Architecture Phone: 780-993-9501 Research Information Email: [email protected] Process Improvement Management John Koisch Booz Allen Hamilton Committee Ed Helton, PhD Phone: 253-223-4344 Vocabulary National Cancer Institute for Email: [email protected] June Rosploch Bioinformatics Heather Grain Kaiser Permanente Phone: 919-465-4473 Galen Mulrooney LaTrobe University Phone: 925-924-5035 Email: [email protected] U.S. Department of Veterans Affairs Phone: 61413155105 Email: [email protected] Phone: 703-742-2866 Email: [email protected] Randy Levin, MD Email: [email protected] Nancy Wilson-Ramon Food and Drug Administration Russ Hamm LifeMasters Supported Selfcare, Inc. Phone: 301-827-7784 Rich Rogers Apelon, Inc. Phone: 310-614-0879 Email: [email protected] IBM Phone: 507-271-0227 Email: [email protected] Phone: 919-543-8040 Email: [email protected] John Speakman Email: [email protected] National Cancer Institute Center for William T. Klein Project Services Bioinformatics Ken Rubin Klein Consulting, Inc. Phone: 301-451-8786 EDS Corporation Phone: 631-924-6922 Freida Hall Email: [email protected] Phone: 703-845-3277 Email: [email protected] U.S. Department of Veterans Affairs Email: [email protected] Phone: 727-519-4607 Edward Tripp Beverly Knight Email: [email protected] Abbott Laboratories Phone: 416-850-0217 Phone: 847-937-2021 Structured Documents Email: [email protected] Email: [email protected] Public Health Emergency Liora Alschuler Response Alschuler Associates, LLC RIM Based Application Phone: 802-785-2623 Email: [email protected] Rita Altamore Architecture Washington State Department of Calvin Beebe Health Peter Hendler, MD Mayo Clinic/Foundation Phone: 360-951-4925 Kaiser Permanente Phone: 507-284-3827 Email: [email protected] Phone: 510-248-3055 Email: [email protected] Email: [email protected] Alean Kirnak Keith Boone American Immunization Registry Gunther Schadow, MD GE Healthcare Integrated IT Association Regenstrief Institute, Inc. Solutions Phone: 760-944-8436 Phone: 317-423-5521 Phone: 617-519-2076 Email: [email protected] Email: [email protected] Email: [email protected]

HEALTH LEVEL SEVEN, INC. JANUARY 2009 27 HL7 FACILITATORS Steering Division Jane Foard Jenni Puyenbroek Jane Foard Facilitators McKesson Provider Technologies SAIC - Science Applications International McKesson Provider Technologies Scheduling & Logistics Corp Scheduling & Logistics Nancy Orvis Phone: 847-495-1289 Implementation/Conformance Phone: 847-495-1289 U.S. Department of Defense, Military Health Email: [email protected] Phone: 678-261-2099 Email: [email protected] System Email: [email protected] Government Projects Hugh Glover Alexis Grassie Phone: 703-681-5611 HL7 UK Craig Robinson Canadian Realm Email: [email protected] Immunization; Medication; Pharmacy Siemens Healthcare Phone: 416-481-2002 Phone: 44-0-1392-271274 Laboratory Email: [email protected] Rick Haddorff Email: hugh_glover Phone: 610-219-1567 Mayo Clinic/Foundation @bluewaveinformatics.co.uk Email: [email protected] Robert Hallowell Structure & semantic Design Siemens Healthcare Phone: 507-284-2013 Grahame Grieve Amnon Shabo Medication; Pharmacy Email: [email protected] Kestral Computing Pty Ltd IBM Phone: 610-219-5612 Infrastructure & Messaging Clinical Genomics Email: [email protected] Dave Hamill Phone: 61-3-9450-2222 Phone: 972-544-714070 Health Level Seven, Inc. Email: [email protected] Email: [email protected] Anthony Julian Technical & Support Services Mayo Clinic/Foundation Phone: 734-677-7777 William “Ted” Klein Abdul-Malik Shakir Infrastructure & Messaging Email: [email protected] Klein Consulting, Inc. Shakir Consulting Phone: 507-266-0958 Vocabulary Modeling & Methodology Email: [email protected] Modeling and Phone: 631-924-6922 Phone: 909-596-6790 Methodology Facilitators Email: [email protected] Email: [email protected] Helmut Koenig, MD Siemens Healthcare George (Woody) Beeler, Jr., PhD Austin Kreisler Ioana Singureanu Imaging Integration Beeler Consulting LLC SAIC - Science Applications International Eversolve, LLC Phone: 49-9131-84-3480 Facilitator-at-Large Corp CBCC Email: [email protected] Phone: 507-254-4810 Laboratory; PHER Phone: 603-870-9739 Email: [email protected] Phone: 404-498-6596 Email: [email protected] Joanne Larson Email: [email protected] Kaiser Permanente Anita Benson Mead Walker Infrastructure & Messaging DataScene John Kufuor-Boakye Health Data and Interoperability, Inc. Phone: 925-924-5029 Scheduling & Logistics JMW Systems Consultants Patient Safety; RCRIM Email: [email protected] Phone: 860-491-9009 Patient Care Phone: 610-518-6259 Email: [email protected] Phone: 780-438-0178 Email: [email protected] Margaret (Peggy) Leizear Email: [email protected] Food and Drug Administration Bernd Blobel, PhD Publishing Facilitators RCRIM HL7 Germany Patrick Loyd Phone: 301-827-5203 Security Gordon Point Informatics Ltd. Douglas Baird Email: [email protected] Phone: 49-941-944-6769 Orders & Observations Boston Scientific Corporation Email: [email protected] Phone: 415-209-0544 Templates Carolyn Logan Email: [email protected] Phone: 651-582-3241 Quest Diagnostics, Incorporated Kevin Coonan Email: [email protected] Laboratory Partner’s Healthcare/DPCI Lloyd McKenzie Phone: 404-272-9764 Emergency Care HL7 Canada Anita Benson Email: Email: [email protected] Facilitator-at-Large DataScene [email protected] Phone: 780-993-9501 Scheduling & Logistics Kathleen Connor Email: [email protected] Phone: 860-491-9009 Patrick Loyd Microsoft Corporation Email: [email protected] Gordon Point Informatics Ltd. Financial Management Meredith Nahm Orders & Observations Phone: 360-480-7599 Duke Translational Medicine Institute Doug Castle Phone: 415-209-0544 Email: [email protected] Clinical Interoperability Council IDX Systems Corporation Email: [email protected] Phone: 919-668-8339 Vocabulary Norman Daoust Email: [email protected] Phone: 802-859-6365 Joginder Madra Daoust Associates Email: [email protected] Gordon Point Informatics Ltd. Patient Administration Dale Nelson Patient Safety Phone: 617-491-7424 Zed-Logic Informatics, Inc Kathleen Connor Phone: 780-717-4295 Email: [email protected] Implementation Technology Specification Microsoft Corporation Email: [email protected] Phone: 916-365-6344 Financial Management Robert Dolin, MD Email: [email protected] Phone: 360-480-7599 Sue Mitchell Semantically Yours, LLC Email: [email protected] Omnicare Information Solutions Structured Documents Craig Parker, MD EHR Phone: 949-466-4035 Arizona State University Mike Davis Phone: 740-862-4458 Email: [email protected] Clinical Decision Support U.S. Department of Veterans Affairs. Email: [email protected] Phone: 801-859-4480 Security Jean-Henri Duteau Email: [email protected] Phone: 760-632-0294 Dale Nelson Duteau Design Inc Email: [email protected] Zed-Logic Informatics, Inc Pharmacy CMET; Implementation Technology Phone: 780-457-9024 Specification Email: [email protected] Phone: 916-365-6344 Email: [email protected]

28 JANUARY 2009 HEALTH LEVEL SEVEN, INC. HL7 Facilitators, continued

Frank Oemig Vocabulary Facilitators William “Ted” Klein Ioana Singureanu HL7 Germany Klein Consulting, Inc. Eversolve, LLC German Realm Anita Benson Modeling & Methodology CBCC Phone: 49-208-781194 DataScene Phone: 631-924-6922 Phone: 603-870-9739 Email: [email protected] Patient Safety, Scheduling & Logistics Email: [email protected] Email: [email protected] Phone: 860-491-9009 Nancy Orvis Email: [email protected] Glen Marshall Harold Solbrig U.S. Department of Defense, Grok-A-Lot, LLC Apelon, Inc. Military Health System Paul Biondich Security Modeling & Methodology Government Projects IU School of Medicine Phone: 610-613-3084 Phone: 807-993-0269 Phone: 703-681-5611 Child Health Email: [email protected] Email: [email protected] Email: [email protected] Phone: 317-278-3466 Email: [email protected] Nancy Orvis Harry Solomon Craig Parker, MD U.S. Department of Defense, GE Healthcare Integrated IT Solutions Arizona State University Kevin Coonan Military Health System Imaging & Integration Clinical Decision Support Partner’s Healthcare/DPCI Government Projects Phone: 847-277-5096 Phone: 801-859-4480 Emergency Care Phone: 703-681-5611 Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected] Sandra Stuart Jane Foard Jenni Puyenbroek Jenni Puyenbroek Kaiser Permanente McKesson Provider Technologies SAIC - Science Applications SAIC - Science Applications Infrastructure & Messaging Scheduling & Logistics International Corp International Corp Phone: 925-924-7473 Phone: 847-495-1289 Implementation/Conformance Email: [email protected] Implementation/Conformance Email: [email protected] Phone: 678-261-2099 Phone: 678-261-2099 Email: [email protected] Palva Frazier, RN, MSN, MBA Email: [email protected] Management Systems Designers, Inc. Robert Savage Structured Documents American Immunization Registry Assoc. Phone: 301-594-4741 PHER Email: [email protected] Phone: 608-221-4746 x3641 Email: [email protected] Hugh Glover HL7 UK Gregg Seppala CMET U.S. Department of Veterans Affairs Phone: 44-0-1392-271274 Patient Administration Email: hugh_glover@bluewaveinformatics. Phone: 301-526-2703 co.uk Email: [email protected] Margaret Haber, BSN, RN, OCN Ioana Singureanu National Cancer Institute Center for Eversolve, LLC Bioinformatics CBCC RCRIM Phone: 603-870-9739 Phone: 301-594-9185 Email: [email protected] Email: [email protected]

Margarita Sordo W. Edward Hammond, PhD Partners HealthCare System, Inc. Templates Gello Phone: 919-383-3555 Phone: 617-732-6271 Email: [email protected] Email: [email protected] Robert Hausam, MD TheraDoc, Inc. Michael van Campen Laboratory Gordon Point Informatics Ltd. Phone: 801-415-4412 Immunization Email: [email protected] Phone: 250-881-4568 Email: michael.vancampen@gpinformat- Stanley Huff, MD ics.com Intermountain Healthcare Vocabulary Grant Wood Phone: 801-442-4885 Intermountain Healthcare Clinical Email: [email protected] Genetics Inst. Clinical Genomics Julie James Phone: 801-408-8153 II4SM Email: [email protected] Immunization; Medication; Pharmacy Phone: 44-7747-633-216 Bob Yencha Email: [email protected] Alschuler Associates, LLC Structured Documents Francine Kitchen Phone: 207-772-5121 GE Healthcare Integrated IT Solutions Email: [email protected] Financial Management Phone: 360-992-8001 Email: [email protected]

HEALTH LEVEL SEVEN, INC. JANUARY 2009 29 2009 HL7 STAFF Chief Executive Chief Technical Executive Associate Executive Officer Officer Director Director

Charles Jaffe, MD, PhD John Quinn Mark McDougall Karen Van Hentenryck +1-858-720-8200 +1-216-409-1330 +1-734-677-7777 +1-734-677-7777 [email protected] [email protected] [email protected] [email protected]

Director, Project Director of Tools Meeting Planning Management Meetings Administrator Coordinator Office

Lillian Bigham Wilfred Bonney Mary Ann Boyle Dave Hamill +1-989-736-3703 +1-902-877-0593 +1-734-677-7777 +1-734-677-7777 [email protected] [email protected] [email protected] [email protected]

Director of Administrative TSC Project Technical Services Coordinator Manager

Michael Kingery Linda Jenkins Lynn Laakso +1-734-677-7777 +1-734-677-7777 +1-906-361-5966 [email protected] [email protected] [email protected]

Technical Director of Publications Director of Membership Manager Communications Services

Donald Lloyd Andrea Ribick Diana Stephens +1-734-677-7777 +1-734-677-7777 +1-734-677-7777 [email protected] [email protected] [email protected]

30 JANUARY 2009 HEALTH LEVEL SEVEN, INC. 2009 HL7 Board of Directors Chair Chair-Elect Treasurer Secretary Technical Steering Committee Chair

W. Edward Hammond, PhD Robert Dolin, MD Hans Buitendijk Jill Kaufman Charlie McCay 919-383-3555 Semantically Yours, LLC Siemens Healthcare IBM Ramsey Systems Ltd. [email protected] 949-466-4035 610-219-2087 919-543-3978 01743-232278 [email protected] [email protected] [email protected] [email protected]

Directors-at-Large

Linda Fischetti, RN, MS Dennis Giokas, MS Stan Huff, MD Ken Lunn, PhD U.S. Department of Veterans Affairs Canada Health Infoway Inc. Intermountain Healthcare NHS Connecting for Health. 301-734-0417 514-397-7979 801-442-4885 +440113 397 4399 [email protected] [email protected] [email protected] [email protected]

Affiliate Directors

Don Mon, PhD Donald Simborg, MD Catherine Chronaki Michael van Campen American Health Information 415-902-3236 FORTH-Institute of Computer Gordon Point Informatics Ltd. Management Association [email protected] Science; HL7 Hellas BoD 250-881-4568 312-233-1135 30-2810-391691 michael.vancampen [email protected] [email protected] @gpinformatics.com

Ex Officio Members Non-Voting Member

Charles Jaffe, MD, PhD John Quinn Mark McDougall Sam Brandt, MD 858-720-8200 216-409-1330 734-677-7777 Siemens Medical Solutions [email protected] [email protected] [email protected] Health Services Corporation 610-219-5701 [email protected]

HEALTH LEVEL SEVEN, INC. JANUARY 2009 31