HL7 News • The Impact of COVID-19

Update from Headquarters In This Issue The Impact of COVID-19 The Impact of COVID-19...... 2 Member Spotlight on Carol Macumber...... 6 COVID-19 Prompts Cancellation of Events By Mark McDougall, HL7 Executive Director ONC Grant Funded Project Update...... 8 One week before the HIMSS conference was Work Group “Steering” Documents: Mission, scheduled to start, HL7 leadership made a Charter and Decision-Making Practices....9 bold decision to not staff or produce our usual theater of about 30 Keeping Us Together While Apart...... 10 presentations within our booth at the HIMSS convention. This decision Solving Data Exchange Challenges was made due to concerns and risks related to the outbreak of COVID-19 By Using HL7® FHIR®...... 12 (coronavirus) and out of an abundance of caution for public health European mHealth Innovation and Knowledge Hub...... 14 and safety. At the time HL7 leadership made this decision, there was Relevant Patient Information on only one other company (Cisco) that had publicly announced that Antibiotics Resistance...... 16 they were withdrawing from the HIMSS convention. Later that week, HL7 Standards Approved by ANSI Since following dozens of additional companies announcing that they too December 2019...... 17 were cancelling their booth, HIMSS announced they were cancelling HL7 Welcomes New Members...... 17 their convention due to widespread concerns of COVID-19. I applaud Improving Health Research Through FAIR Data...... 18 HL7 leadership for making the bold decision to be one of the first New Federal Interoperability and organizations to announce withdrawal of our participation in the exhibit Patient Access Final Rules...... 23 hall for public health reasons. Benefactors...... 25 Given that the COVID-19 continues to spread and is causing so many HL7 Patient Empowerment Work Group deaths, HL7 leadership also made the appropriate decision to cancel Launches...... 26 our May Working Group Meeting scheduled for San Antonio and the Governance Operations Manual (GOM) Update Project...... 27 June FHIR DevDays scheduled for Cleveland. In both cases, those who Organizational Members...... 28 registered for the events received a full refund. Advantages of HL7 Membership ...... 32 Virtual Activities in Lieu of the May WGM Technical Steering Committee Members...... 33 While the WGM is cancelled, our important work will continue. Steering Divisions...... 33 The May 2020 ballot will proceed as planned. To support ballot HL7 Work Group Co-Chairs...... 34 reconciliation, HL7 is supporting additional conference calls and Zoom HL7 Work Group Facilitators...... 38 accounts which offer more features. Additionally, we will continue Five Projects are HL7 FHIR Accelerators...... 38 to support the HL7 community by enhancing our tooling platforms, HL7 Work Group Facilitators...... 39 providing online education opportunities and looking for other Affiliate Contacts...... 40 opportunities to support work groups. 2020 HL7 Staff...... 41 2020 HL7 Board of Directors...... 42 Virtual FHIR Connectathon Upcoming HL7 Meetings...... 44 Since connectathons are so critical to developing and testing our standards, HL7 produced a virtual FHIR Connectathon on May 13-15. The Virtual FHIR Connectathon will include three days of hands-on FHIR HL7 News development and testing. This event provides a great opportunity for is the official publication of implementers and developers to gain hands-on experience developing Health Level Seven International FHIR-based solutions by participating in one of many tracks. As of this 3300 Washtenaw Avenue, Suite 227 writing, over 650 individuals had registered for the event. Ann Arbor, MI 48104-4261 USA Phone: +1 (734) 677-7777 To learn more about the FHIR Connectathon, visit Fax: +1 (734) 677-6622 the HL7 FHIR Connectathon at: www.HL7.org https://confluence.hl7.org/display/FHIR/2020-05+Connectathon+24 Mark McDougall, Publisher Andrea Ribick, Managing Editor Karen Van Hentenryck, Technical Editor Kai Heitmann, Photographer 2 The Impact of COVID-19 • May 2020

Board Changes As previously announced, we are pleased to welcome three new directors of the HL7 Board of Directors, each serving two-year terms: Viet Nguyen, MD, Julia Skapik, MD and Peter Jordan. Floyd Eisenberg, MD, has also started a two-year term as the Treasurer. During the January WGM Board Chair, Walter Suarez, MD, thanked Calvin Beebe for his fine leadership as the Board Chair the last two years. He also welcomed the new members of the board of directors and recognized the exceptional contributions over many years from these outgoing board members whose terms concluded December 31, 2019:

Jennifer Covich Bordenick Russ Leftwich, MD Nancy Orvis Line Saele Mary Ann Slack

We look forward to working with the new board members along with the entire 2020 HL7 Board of Directors that are listed on page 42. On behalf of the HL7 organization, I thank each member of the board for their ongoing leadership, contributions and dedication to HL7. Nomination Announcement | Dates & Positions Virtual HL7 FHIR DevDays HL7 leadership is critical to supporting the Now more than ever, it is crucial to continue the community and advancing interoperability. important work around the FHIR standard, convene Nominations for leadership positions will be the community and advance interoperability. In open May 1-June 15, 2020 and instructions will be support of this, HL7 and Firely are organizing emailed on May 1, 2020. Please consider nominating a virtual HL7 FHIR DevDays on June 15-18. Just individuals for the following openings. like the in-person edition, the virtual event will • Nominations for Board positions, including: deliver strong educational content including keynotes and tutorials, plus specialty tracks • Chair-Elect including patient innovation, startup and community • Secretary tracks. Additional details regarding the program and • HL7 Directors (2) registration are available at: • Affiliate Director https://www.hl7.org/events/fhir-devdays.cfm? • Nominations for the following TSC positions: For highlights of the 2019 DevDays event produced • Affiliate representative (1) at the Microsoft Conference Center in Redmond, Washington, you are invited to view a 5 minute video • Administrative Steering Division Co-Chair (1) containing brief interviews and insights to DevDays: • Clinical Steering Division Co-Chair (1) https://www.youtube.com/watch?v=rkhnoYmneXk • Infrastructure Steering Division Co-Chair (1) • Organizational Support Steering Division Co-Chair (1) • Nominations for International Council Co-Chairs (2) • Nominations for various Work Group Co-Chair positions To make nominations online, please visit: https://bit.ly/2zYNTis 3 HL7 News • The Impact of COVID-19

February WGM in Sydney About 250 attendees participated in our February Working Group Meeting (WGM) and FHIR Connectathon in Sydney, Australia, February 2-7, 2020 at the ICC Sydney Convention Center located at Darling Harbor. The WGM covered the usual activities such as work group meetings, tutorials and a FHIR Connectathon. The WGM also featured a wonderful evening dinner cruise with incredible sightseeing and stunning views of the Sydney Opera House from the ship. The Sydney WGM was produced by HL7 Australia under the leadership of their chair, Jason Steen, who dedicated countless hours to plan and produce the WGM. HL7 is pleased to recognize Jason and his team for producing the Sydney WGM. The photos below provide highlights from the enjoyable event. Scenes from the February 2020 Working Group Meeting in Sydney, Australia.

4 The Impact of COVID-19 • May 2020

Milestones Reached We are pleased to recognize key milestones among our members and HL7 affiliates. Congratulations to these HL7 affiliates who have been in operation for more than 20 years:

• HL7 Australia • HL7 Germany • HL7 New Zealand • HL7 Canada • HL7 Japan • HL7 UK • HL7 Finland • HL7 Netherlands HL7 members for 25-29 years:

• Hans Buitendijk, FHL7 • Virginia Lorenzi, FHL7 • John Santmann • Albert Edwards • Charles Meyer, FHL7 • Mead Walker, FHL7 • Ted Klein, FHL7 • Doug Pratt, FHL7

HL7 members for more than 30 years:

Congratulations and a thousand thanks for reaching these incredible milestones and for their tremendous dedication to HL7 and the industry.

Gary Dickinson, FHL7 Ed Hammond, PhD, FHL7 Clem McDonald, MD, FHL7

Distance Learning Courses Benefactors and Supporters ongoing support of HL7 via their Given the lockdown that many We are very appreciative of organizational membership dues. of us are experiencing, it is the organizations for their In Closing timely to make you aware of ongoing support of HL7 through As of May 5, there were over two valuable online courses that their membership at the HL7 3.5 million confirmed cases of will start soon. Please visit the benefactors and gold member COVID-19 along with over 250,000 URLs for additional information levels, who are listed on page deaths. Since there continues to on these online classes that are 17. Their support is very much be a shortage of testing kits, the direct for the source, HL7. needed and sincerely appreciated. actual number of cases and deaths We are pleased to recognize HL7 Fundamentals are certainly much larger. Clearly, our benefactors in all of our May 28 – August 20, 2020 this experience has impacted HL7 newsletters, on the HL7 12-Week Online Course most of us and will be a period website and at all of our HL7 www.hl7.org/training/ in our lives that we will always WGMs. A special thank you HL7-fundamentals.cfm remember. While I previously is extended to the list of firms credited Karen Van Hentenryck’s HL7 FHIR Fundamentals that represent our 2020 HL7 July 16 – August 13, 2020 mother during challenging times benefactors and gold members. 4-Week Online Course like these, I now realize that it www.hl7.org/training/ Organizational Member Firms is a Persian adage from the early fhir-fundamentals.cfm HL7 is proud of the impressive 1800s: This too shall pass. list of HL7 organizational member companies listed on pages 28-31. We appreciate their 5 HL7 News • Member Spotlight on Carol Macumber

Member Spotlight on Carol Macumber

Professional Life delivers innovative solutions that maximize the Carol Macumber began her career working as an effectiveness of healthcare. In this role, she leads informatics analyst at Apelon in 2002, eventually professional services, helps organizations implement making her way up the terminology company standards, such as HL7, and standard terminologies. hierarchy to leading technology and operations as Carol works with integrated delivery networks, Vice President. She says she found herself in the field electronic medical records vendors, payers, of informatics, terminology in particular, on accident. government agencies, health information exchanges, After she defended her thesis, Carol had two more content publishers and more, to deliver solutions that months of research assistant duties remaining. Thus, help their clients take control of their data quality. she did what any graduate student in the late 90’s She states that the work in this industry is aimed would do – worked in a lab and made mixed CDs for at improving patient care and outcomes. She looks her fellow classmates. Amidst those responsibilities, forward to further honing and utilizing her standards she applied for any job that had the words engineering and terminology skills on a massive scale towards and medical in them. Carol had always assumed those goals in her new role with Clinical Architecture. she would either a) get a doctorate or b) work more Carol received her MS in Biomedical Engineering from directly with medical devices. Thus, when Apelon the joint program at the University of Tennessee and offered her the opportunity, she was just as enticed by University of Memphis. She is also a certified Project relocating to the East coast as she was by this “new” Management Professional (PMP) and a Fellow of the field of informatics and standardized terminology American Medical Informatics Association (FAMIA). that was more about computers than anything else. HL7 Activities It turned out her type A, detail-oriented personality worked well in the field of informatics. Carol began her involvement with HL7 in the early 2000s as a newly minted informatics analyst at While at Apelon, she participated in the Apelon, where she attended her first HL7 working following projects, among others: group meetings (WGMs). She remembers being very • Canada Health Infoway – Aided in implementing lost (what is standards development?) and in awe of tooling and workflows to support Infoway’s the subject matter expertise in the small work group national release center for the Canadian edition of meetings. The early days at HL7 played a large part SNOMED CT in Carol’s on-the-job experience and set her up for • US Department of Veterans Affairs– Managed continued success in the future. conflict resolution and change management Carol believes HL7 is a unique organization powered during the authoring of NDF-RT. Currently serves by a passionate community of volunteers and the as a subject matter expert, participating on the epicenter of standards development expertise. At HL7, VA’s behalf in HL7 activities she has been fortunate to be mentored (sometimes • National Committee for Quality Assurance – in the form of heated discussions) by, and work with, Helped deploy an information modeling approach amazing and smart individuals. This group includes and tooling to manage quality measurement Rob McClure, Ted Klein, Julie James, Stephen Coady, related concepts and value sets Mark Tuttle, John Carter, Charlie Harp, Shaun Shakib • US Food and Drug Administration – Supported and many more. It’s important to Carol to ‘pay it efforts to index structured product labels for forward’ and mentor/engage in discussions with as indications, limitations and conditions of use many people as possible, especially those new to HL7 and/or informatics world. Carol began a new position with Clinical Architecture as the Executive Vice President of Professional Carol currently serves as a Co-Chair of the Vocabulary Services in December 2019. Clinical Architecture Work Group and the Vice Chair of the HL7 Terminology Authority. In these roles, she has the 6 Member Spotlight on Carol Macumber • May 2020

Work takes Carol All Over The World. The HL7 community has become a second family. Spare time is spent traveling with friends and family. opportunity to help influence how son’s and daughter’s basketball community, especially those that terminology continues to play an teams. Her family enjoys the have a profound love of karaoke, integral role in HL7 standards, outdoors and can be often be which always makes the WGMs including FHIR. It is critically found hiking and kayaking. interesting after hours. important that terminology content As native Midwesterners, born and Over the last few years, Carol and services are defined in a way raised in the Northwest suburbs has participated in the OpenHIE that doesn’t increase the barrier of Chicago, Illinois, Carol’s family Community of Practice. OpenHIE to implementation and secure makes an annual pilgrimage in the is geared towards lowering information exchange, while also summer to see loved ones. Work implementation barriers and being cognizant that getting the has also taken her around the enabling publicly available governance of all the terminology globe, including places she never interoperability solutions in low- resources right can be complicated! thought she’d see, such as Tanzania, and middle-income countries. Personal Life Myanmar, Ethiopia, Singapore, Contributing to this community, Indonesia, Bratislava, New Zealand providing expertise in areas such Carol’s family of five lives in and more. Though work travel as HL7 standards, leading working southwestern Connecticut. Lincoln can take up quite a bit of Carol’s sessions at the annual community (11) and his twin sisters Campbell time, her family loves traveling meetings, etc., has been a highlight and Avery (9) keep their very and spending time with family of her career thus far. Seeing the busy with activities such as travel and friends. Many of those friends impact of OpenHIE in various soccer, basketball, softball and include members of the HL7 countries has been inspiring. ■ karate. Carol coaches both her 7 HL7 News • ONC Grant Funded Project Update

News from the HL7 Project Management Office ONC Grant Funded Project Update

Confluence/Jira and the Project Scope Statement (PSS) By Dave Hamill, We’re learning about new features and constraints every month with the Director, HL7 Project Management Office Project Scope Statement and Confluence. Hence, continuous improvement is happening for the PSS form within Confluence. The PMO is working with HL7‘s Applications Manager, Josh Procious, to have the form reside in Jira. Ultimately, this will this be the foundation of a new project database and will replace Project Insight and the associated ‘HL7 Searchable Project Database.’ Additionally, having the form in Jira should provide an improved, systematic PSS review/approval workflow and process. We learned a lot from our 2018 pilot and will apply those lessons to the new process in Jira. Until this new Jira form is available, PSS’s should still be created within Confluence and they can be viewed at https://confluence.hl7.org/display/PSS/Project+Scope+Statement. ONC Grant Funded Project Update Work continued on projects funded by the Office of the National Coordinator for Health IT’s (ONC) 2020 $1,360,000 grant for Maturing C-CDA and FHIR standards. As of Q1, 2020, efforts underway included the following: 1. Implement the Unified Terminology Governance (UTG) process and tooling 2. Complete improvements to the FHIR Jira ballot process 3. Continued support for FHIR IG publishing and balloting processes 4. Continue to provide administration for the FHIR Connectathons 5. Continue work on Bulk Data Access and Push 6. Produce additional HHS FHIR fact sheets and other educational material 7. Publish updates to the US Core Implementation Guide 8. Publish the FHIR Implementation Guide for International Patient Summary 9. Continue support for the FHIR Terminology Server 10. Support for the HL7 FHIR Build and Implementation Guide Publishing tasks 11. Conduct a survey to inform the ONC about the current and envisioned uses of the HL7 FHIR standard 12. Perform enhancements to the FHIR Registry 13. Conduct additional C-CDA Implementation-A-Thons 14. Quality assurance and editing of the C-CDA sample files 15. Reconcile and publish the HL7 Informative Document: C-CDA Rubric, Release 1 Details and deliverables for the above ONC funded projects can be found on HL7’s Confluence space at: https://confluence.hl7.org/display/PMO/ONC+Grant+Project+Page. HL7 appreciates ONC’s continued support of C-CDA and FHIR for 2020 and beyond. ■

8 Work Group “Steering” Documents: Mission, Charter and Decision-Making Practices • May 2020

Process Points by PIC Work Group “Steering” Documents: Mission, Charter and Decision-Making Practices

Whether you are someone who is a regular, longtime WGMs to remind attendees of scope, objectives and contributing member to HL7 or a fairly new attendee, responsibilities of the group. there are some foundational documents that help scope, frame, and govern what happens at a work Decision-Making Practices (DMP group level. This article will describe each of these, HL7’s GOM is the authoritative source for how their purpose as well as how and why they might HL7 operates as a whole. The Decision-Making be revised. Note that the working descriptions here Practices (DMPs) exist as an extension of the GOM, are for general consumption, but the governing detailed to govern operational processes of the document is the HL7 Governance and Operations work groups themselves. The DMP serves as a “Bill Manual (GOM), which is the authoritative source of Rights” for the attendees. It defines expected if/when issues arise. That said, most people behaviors, instituting checks-and-balances to assure don’t take the time to read the GOM for sport, so openness, transparency and fairness throughout this will give you the gist. all work group activities. Work Group Mission DMP processes are essentially standardized across all work groups, though they allow for The mission articulates in a few paragraphs the “parameters” to be set work group by work group to originating intent and ultimate goals of the work accommodate some specific needs and circumstances group. While the mission can and will adapt over (e.g., “quorum” calculations). time, generally these are incremental adjustments to accommodate changes within the industry or the HL7 What is the Role of the Process Improvement landscape. Moreover, the mission should have a low Committee (PIC) in Work Group Activities? volatility, changing only infrequently. This is a good PIC stands ready to help in process clarification or place to remind oneself of the purpose of the group, adjudication should the need arise. We can serve and to keep things grounded. as a neutral arbiter, advocate for issues that need It is a recommended best-practice for work groups resolution or a counselor for advice when necessary. to take a few moments at the beginning of each We have no responsibility or authority with regard working group meeting (WGM) to review the to work group scope or purpose but can be helpful mission and charter, both to acclimate new members in driving an organizational decision when mission and to remind returning members of the scope or scope conflicts arise. Given our relationship with and purpose of the group. the Technical Steering Committee, the Board and the HL7 executive leadership, PIC is frequently engaged Work Group Charter: in navigating issues that do not clearly fit within Just as the mission articulates the goals of a work established responsibilities. For work group chairs, group, the charter defines its objectives. The charter we are a place to go to resolve issues or concerns. For is finer grained than the mission. It identifies high work group attendees, we can provide assistance, level priorities or themes and enumerating key clarification, education or(if needed) intervention. relationships across (and sometimes outside of ) HL7. In some instances, the charter will define work Note: This process point has been brought to products or categories/families of products. By its you courtesy of the HL7 Process Improvement nature, the charter is an extension of the work group Committee. Our role is to help keep HL7 working mission, providing elaborating detail. smoothly and to advocate on behalf of the As mentioned in the section above, it is a best practice membership to help address issues and concerns to review the work group charter at the beginning of that are raised. We are available at working group meetings, or at [email protected]. 9 HL7 News • Keeping Us Together While Apart

Tooling Update Keeping Us Together While Apart

During this time of global crisis, it’s worth remembering the critical importance of what we at HL7 are doing to improve global health By Wayne Kubick, by making health information more available and useful. CTO HL7 International While so many are struggling with Improving Collaboration frequently to Zoom social distancing, we already have As the necessity of getting the to replace Free a culture that long ago learned to most out of our virtual meetings Conference Call work together remotely on our increases, we have reviewed our (FCC) and GoToMeeting and will common goals. But now with fewer web conferencing solutions, and offer it as an additional option to opportunities to meet together in have decided to move to Zoom as a other work groups and projects. We person, we need to move ahead new conferencing platform. As one hope to get all HL7 work groups, to finish much of the work we’ve of the most advanced conferencing committees and projects to the new been doing over the past few platforms, Zoom offers improved platform by end of summer. years–so we’re better prepared quality and reliability, as well as a On a separate note, we also plan to work together even more wealth of features we can use to to provide guidance to meeting effectively, while knowing we must improve our meeting management facilitators on best practices for be further apart geographically. practices. Initially, we will convert using Zoom to conduct more work groups (WGs) who meet effective web meetings. For 10 Keeping Us Together While Apart • May 2020 example, by using the “Raise Of course, like all new Publishing Hand” feature we hope to make technologies, we can expect some The FHIR IG publisher continues it easier for attendees to get a growing pains as we proceed, and to be refined and enhanced turn to join conversations. will expect to provide incremental to support reliable, efficient Our recent consolidation of improvements as we move publishing of standards on a our Zulip chat.hl7.org instance forward. However, providing UTG wider scale. It is being used into chat.fhir.org was another as another way to use collaboration to publish UTG terminology step toward simplifying the tooling on an ongoing basis will and is also being used by other HL7 tooling environment. We’ll help us interact better on a global organizations – notably IHE – continue to look for opportunities scale, while also bringing a single who can now define their own to converge on a smaller set of high method to support current and templates. We’re proceeding with performing collaboration tools. future HL7 terminology needs. a project to produce Consolidated While we adapt these tools, we’ll Jira for All Clinical Document Architecture keep working to make it easier to (C-CDA) templates using the If 2019 was the year of Confluence, find essential information while FHIR StructureDefinition 2020 is our time for Jira. Having culling out what’s inaccurate, obso- resource. A Version 2 (V2) group is successfully migrated FHIR lete or redundant to create a simpler, exploring using the IG Publisher tracking to Jira, we are proceeding more effective environment. We’re to produce an enhanced web to transition other products and preparing updated guidelines for version of V2. We expect the IG WGs to the Jira platform for how to manage information in Publisher to be the baseline tool issue tracking. Similarly, we’ll be Confluence and the website. At this for publishing many more HL7 moving the STU Comment website point, we expect all WGs are using standards in the near future. page to Jira. We’re also working Confluence for meeting agendas and to complete activities necessary Balloting minutes—which can be accessed to allow Jira to be our primary through a link on the WG website While we continue to work to platform for recording and page. All WGs should be using move all WGs and products resolving ballot comments, along Confluence for new content instead to Jira, we’re also continuing with other activities to re-engineer of the old wiki. development of a new ballot our entire ballot management comment system and process using Ultimately, through a combination systems infrastructure. the Jira platform. We’re expecting of using common platforms and Jira workflow is critical to to do an initial pilot ballot for the practices for all HL7 meetings, improving our processes for September ballot cycle, and I’ll we hope to make it easier to work getting work done at HL7. The new be discussing more detailed plans together more effectively. PSS online process is now being for changing our ballot-related The Next Generation of actively piloted, and TSC plans systems in a future update. Harmonization Is Here to begin to make it available to all WGs during 2020. Jira workflow Crossing Over The Unified Terminology will also begin to be applied for During this critical and pivotal Governance (UTG) project other forms and processes. As we year, our ambition is to complete team has dived headfirst into gain more familiarity with the the transition to many of these implementation, so the May 2020 platform, we’ll likely discover new tools and processes to realize ballot cycle will be the first in a long many other ways in which it can the vision of a better HL7. We while without a harmonization improve the way we conduct recognize that this will be an initial meeting. The final mile of the our standards work at HL7. burden for many of you, but we are rollout process – including also confident that once you cross substantial testing, software As usual, you can stay informed over, you’ll be very glad we made improvements and detailed of new functions and helpful the journey. Finally, all of this is planning for a projected May tips at confluence.hl7.org. only possible thanks to you, our go-live date—was well in progress dedicated HL7 community. ■ at the time of this writing. 11 HL7 News • Solving Data Exchange Challenges By Using HL7® FHIR®

Da Vinci Project Brings Community Together Solving Data Exchange Challenges By Using HL7® FHIR®

Since the inception of the HL7 Da Vinci Project, industry- leading providers, payers and partners have worked By Jocelyn Keegan, together to accelerate the adoption of HL7 FHIR (Fast Program Manager, HL7 Da Healthcare Interoperability Resources) as the standard Vinci Project, and Lead, Point-of-Care Partners to support and integrate value-based care (VBC) data Payer Practice exchange across communities in real time. Meaningful progress is being In addition, more than 400 made; project sponsorship grew attendees viewed eight from 28 to 45 members, the team variations of the 2020 Da Vinci held seven Connectathons from Clinical Scenario of technical January 2018 to date and members demonstrations, showcasing how are bringing initial Da Vinci FHIR and Da Vinci can improve based APIs live in production a patient’s journey through as we write this article. their healthcare interactions. In March, the Da Vinci community Implementers from providers, transformed dozens of planned EHRs, vendors and payers in-person HIMSS20 sessions to highlighted how they utilized virtual meetings featuring four emerging standards to reduce panels and five deep dive sessions provider burden and friction outlining their journey with between payers and providers, HL7 FHIR, the use cases and streamline prior authorization and implementation guides. More than automate data exchange. 500 attendees joined the live panel “The community’s hard work at and deep dive presentations. the connectathons, coupled with the real-world applications of 12 Solving Data Exchange Challenges By Using HL7® FHIR® • May 2020 our members, were showcased across this year’s clinical scenario. Their applications provided tangible benefits of the Da Vinci FHIR implementation guides and interoperability,”stated Da Vinci Project Technical Director, Viet Nguyen, MD. To see Da Vinci in action, please find recordings of sessions on Da Vinci 2020 Calendar. As Da Vinci moved into a more active implementation phase and builds on positive feedback from virtual HIMSS, the team announced a monthly industry community roundtable open to the growing FHIR community. “Da Vinci is building on the flexibility and power of HL7 FHIR; we invite everyone to join the community of early guides to solve long standing Join the Da Vinci adopters and become part of the challenges between partners. The efforts to solve data exchange Community Forum inaugural forum was held March challenges,” said Da Vinci Project Visit hl7.me/davincinews to l 25 and featured deployment Program Manager Jocelyn Keegan. earn more and sign up for the member Availity, Da Vinci founder Da Vinci listserv, which will notify Held on the fourth Wednesday Cambia Health as well as one of you of upcoming community of every month at 4 p.m. ET, the their EHR partners to highlight forums, news and events. ■ 90-minute forums will highlight how Da Vinci guides help prior how members are using Da Vinci authorization workflows and use cases and implementation streamline clinical data exchange.

13 HL7 News • European mHealth Innovation and Knowledge Hub

mHealth Hub Launch Event European mHealth Innovation and Knowledge Hub

The International Telecommunications Union (ITU) and the

World Health Organization (WHO) hosted the launch event Catherine Chronaki, FHL7, of the European mHealth Innovation and Knowledge Hub on Secretary General, HL7 Foundation February 17-19, in Geneva, Switzerland.

In its first phase, the Petra Hoogendoorn, from the and carried out a comparison. European mHealth Hub will Dutch Living Lab at Leiden A registry of the frameworks work on three main areas: University, member of the CEN will be prepared during • mHealth assessment team, and a prominent patient the course of the project. frameworks advocate in the Netherlands, The second focus area for the presented current efforts and • A knowledge tool for diabetes mHealth Hub is a knowledge progress toward establishing a tool for a noncommunicable • mHealth Hub innovation and label for mHealth apps. Inspired disease, most likely diabetes, policy framework. by Nutri-score, an energy label which will be implemented in In the mHealth assessment and over-the-counter medicine selected European countries/ framework topic area, synergies label, Petra demonstrated a first regions in the WHO-EURO area. with the CEN project in ISO/ draft of the mHealth Label. The The ongoing work of the IEC82304-2 have been pursued. next stage of the project is a Delphi “Be He@lthy Be Mobile” program The project is led by Charlie study with approximately 150 at WHO, and the experience gained McKay. A large number of participants, which will evaluate in European Union (EU) initiatives HL7 community members are the different components of the such as the European Innovation participating, ensuring links to the label with a questionnaire. Partnership on Active and Health HL7 Mobile Health Work Group, In parallel, the mHealth Hub Aging (EIP-AHA), will provide as its co-chair, Franck Ploeg, is a identified more than 30 mHealth valuable input to this activity. In member of the CEN TC251 team. app assessment frameworks particular, the idea of twinning 14 European mHealth Innovation and Knowledge Hub • May 2020

Participants at the launch of the European mHealth Innovation and Knowledge Hub on February 17-19, in Geneva, Switzerland. regions to share experiences in Spanish region of Andalusia for the business model for the tested policies as well as successes several tasks in the mHealth Hub sustainable development of the and failures, may also be used setup phase in 2020 and 2021. mHealth Hub, defining synergies at the level of programs, but The engagement of HL7 involves with operational frameworks also the mHealth Hub itself. monitoring trends in the mHealth and mechanisms for attracting In my presentation, I focused on innovation landscape and the additional funds after the the activities of the HL7 Mobile integration of these innovations in conclusion of European funding. Health Work Group, the HL7 FHIR the healthcare systems of selected The European mHealth Hub Accelerator Program, and the HL7 countries/regions in Europe. is funded by the European Fast Healthcare Interoperability HL7 will also contribute to Commission under the Horizon Resources (FHIR®) international developing a portfolio of mHealth 2020 research and innovation patient summary (IPS) project. services for large scale deployment program, under the action I then referred to cross-SDO and the associated policy “Establishing EU mHealth cooperation on the IPS and the framework to facilitate adoption. Hub including evidence for results of the recently concluded Finally, HL7 Europe will the integration of mHealth EU funded project, Trillium-II, participate in the creation of in the healthcare systems” on the large-scale adoption of (Grant Agreement No 737427). ■ patient summaries. I stressed the importance of “Thinking global For more information: and acting local” to adapt to the culture and meet the needs of European mHealth Hub: mhealth-hub.org specific communities with mHealth apps, while aligning and sharing European Partnership on Healthy and Active experience to accelerate adoption Aging: hec.europa.eu/eip/ageing/home_en with a global community of innovation throughout my talk. WHO Be-Healthy Be-Mobile: www.who.int/nmh/ HL7 Europe supports the publications/be-healthy-be-mobile/en Fundacion Progreso y Salud in the 15 HL7 News • Relevant Patient Information on Antibiotics Resistance

IPS Global Community of Practice for Digital Health Innovation Relevant Patient Information on Antibiotics Resistance

November is the time of the World Antibiotics Awareness Week. It is a good opportunity to reflect on the need for By Robert Stegwee, Owner and Principal Consultant, information on antibiotics for patients and professionals. Transformational Consulting in eHealth

In my role as strategic information not. When considering the use of record, such as the International manager for the Antibiotics antibiotics, it needs to be very clear Patient Summary (IPS), should be Resistance program within the when it is an appropriate action. extended to include a history of National Institute for Public Inappropriate use of antibiotics antibiotic use rather than just the Health and the Environment in will not help alleviate the problems current medication. This history the Netherlands, I spend a lot of that you are experiencing, but it can be seen as an antibiotic card time discussing this topic. will speed up the development of for the patient, to be consulted by resistant bacteria. Similarly, the the prescribing physician when Fighting Antibiotic Resistance dosage and timing of an antibiotic considering antibiotic treatment. The global strategy in fighting treatment is essential to ensure all antibiotic resistance is based bacteria are effectively killed. If not, Resistant Bacteria Carrier Status on two pillars: 1) ensuring that the least susceptible bacteria can Infection prevention guidelines the development of antibiotics survive and develop themselves have been developed to provide the resistance doesn’t increase, and into a resistant strain that can no proper personal hygiene measures 2) making sure that the spreading longer be cured. Information on depending on the type of resistant of resistant bacteria in contained. appropriate use, dosage and timing bacteria that a person is carrying. Surveillance and research are of an antibiotic product needs to be These measures range from simple strengthened to know what we’re easily accessible by both patients but strict hand hygiene to the full up against, but personal and and professionals. This information isolation of a patient. Research professional action must deliver will often be dependent has been carried out to establish the actual results. The first pillar on patient demographics – the robustness of these guidelines, has to do with awareness and including age and weight – and while not enforcing too strict a ensuring that antibiotics are used should extend to alerts and regime onto the patient. In order to appropriately. The second pillar warnings of inappropriate use. take the proper measures, one must has to do with infection prevention, be aware of the carrier status of making sure the right measures in History of Antibiotic Use the patient beforehand. Otherwise, personal hygiene are considered Exposure to antibiotics leaves its a screening test must be carried when dealing with individuals that mark on a patient, even months out; this can take several days to carry resistant bacteria. Both pillars after a course of antibiotics has complete, during which time the have an information component been taken. Often, bacteria will patient is kept in strict isolation. for patients and professionals. In be found that are resistant to the We are exploring the use of the this article, I will highlight three specific antibiotic administered in Dutch version of the IPS in the perspectives: product information, much higher percentages than in Netherlands as part of the referral history of antibiotic use and carrier the open population. Taking this or transfer documentation for the status of resistant bacteria. information into account can lead receiving healthcare professional to to a different choice of antibiotics communicate the individual carrier Antibiotic Product Information in order for repeated treatment status of a patient. To this end, we Depending on the country where to be effective. Therefore, it is have extended the Alert section you live, it may be your own choice argued that the patient medication of the Dutch IPS to include a code whether to use antibiotics or section in a patient summary for the carrier status of different

16 HL7 Welcomes New Members • May 2020 groups of resistant bacteria and appropriate measures for have established SNOMED-CT infection prevention and hygiene. codes to convey that information. Detailed lab results of cultures and Sensitive information antibiotic susceptibility tests can I would like to emphasize the be communicated as well; however, fact that information on resistant these are often difficult to find and bacteria, whether in the context of HL7 Welcomes New Members interpret for the nurse or informal a healthcare provider organization care giver that needs to take the or a patient, can be very sensitive. Benefactor necessary precautions against the News of, for instance, an outbreak spreading of resistant bacteria. of resistant bacteria in a nursing • CVS Health home may lead to people staying Relevant Information away (new patients, as well as Gold Given the three areas of relatives of current patients, and • American Academy of information discussed, it is personnel) if this news is not Neurology important to develop and accompanied by clear instructions test a combination of product on how infection prevention is • Cigna information on antibiotics with the being handled. Also, a person • CORMAC Corp information contained in the IPS. carrying a resistant bacteria may • Intelligent Medical For appropriate use of antibiotics, not show any sign of illness, but Objects (IMO) the IPS will provide the parameters may be treated as an outcast by for calculating the correct dosage family and friends should their • Northwestern Medicine and duration of the treatment. The status be known to them. Again, • OCHIN history of antibiotics use, as an there is no need to be alarmed as • Oregon Health and Science elaborated medication section of long as the appropriate measures University the IPS, will enable the selection of for infection preventio n and the most appropriate antibiotic for hygiene are observed. A more • Rimidi, Inc. this patient. Finally, including an compelling case for antibiotics • Tata Consultancy Services alert for resistant bacteria carrier awareness cannot be made! ■ status will allow both professionals • Vizlitics Inc. and informal caregivers to apply Organizational • AcuStaf HL7 Standards Approved by ANSI Since December 2019 • B3 Group

Name Designation Date • CDISC HL7 Clinical Document ANSI/HL7 12/6/2019 • Comet Information Systems Architecture, Release 2.1 CDA, R2.1-2019 Health Level Standard Version 2.9 - An • Daytoday Health Application Protocol for Electronic Data ANSI/HL7 V2.9-2019 12/6/2019 Exchange in Healthcare Environments • IPRD Solutions, Inc. HL7 Service-Aware Interoperability ANSI/HL7 • MedX Open Systems Framework: Canonical Definition SAIF CANON, 12/30/2019 Specification, Release 2 R2-2014 (R2019) • MoledularDX, LLC ANSI/HL7 V3 HL7 Version 3 Standard: Laboratory; • NYSTEC LBRESULT, 1/10/2020 Result, Release 1 R1-2009 (R2020) • Parexel International HL7 Cross-Paradigm Specification: ANSI/ 1/16/2020 FHIRPath, Release 1 HL7 NMN R1-2020 • Retarus HL7 EHRS-FM Release 2: Immunization ANSI/HL7 EHRS 3/17/2020 • Tesia Clearinghouse Functional Profile, Release 1 IFP, R1-2020 • TriMed Technologies Corp. 17 HL7 News • Improving Health Research Through FAIR Data

FAIR4Health: An HL7 FHIR Based Solution Improving Health Research Through FAIR Data

This article describes the design and the implementation of the FAIR4Health Platform and Agents developed by the European project FAIR4Health [1] for supporting By A. Anil Sinaci, SRDC Software Research the sharing and the reuse of FAIR (Findable, Accessible, & Development and Consultancy Interoperable and Reusable) data within the European Corporation, Ankara, Union (EU) Health Research community. A brief Turkey introduction to the FAIR principles is provided, as well as to the capabilities of HL7 FHIR to support the implementation of the FAIR principles. The general technical solution is outlined, highlighting how the Privacy Preserving Data Mining, on top of the distributed Mert Gencturk, SRDC FHIR Repositories, has been realized. Software Research & Development and Consultancy Introduction initiative [5] emerged to help Corporation, Ankara, Turkey The FAIR Data Principles refers individuals, institutions and to a set of principles aiming to organizations in the transition ensure that the data is findable, to FAIR by building an open and accessible, interoperable and inclusive ecosystem through reusable by humans, applications implementation networks so and computational agents. they could work together. The Although FAIR emerged from principles are also explicitly a workshop for the life science mentioned in the new Open Giorgio Cangioli, HL7 Data and Reusable Public Sector Europe Foundation, community, the principles are Brussels, Belgium intended to be applied to data Information (PSI) directive and metadata from all disciplines [6], and the Implementation in a way that findability and Roadmap for the European accessibility are addressed Open Science Cloud (EOSC) at the metadata level, while [7], which emphasizes the interoperability and reusability are central role of FAIR data. handled at the data level. The FAIR Data Principles have “...the FAIR4Health After the first draft of theFAIR been adopted by several research Data Principles was published disciplines worldwide. In the US, project aims to show the American Geophysical Union in 2014, it was first formally the benefit of using HL7 released by the FORCE11 [2] (AGU), together with partners, community in 2016 [3]. Later that has been managing a project FHIR at the core of the named CODPESS [8] to enable year, the European Commission FAIRification process.” published the Guidelines on FAIR FAIR Data across the earth and Data Management in Horizon space sciences. Several working 2020 [4] and then updated the groups such as EOCS FAIR WG data management guidelines to [9], Research Data Alliance (RDA) introduce the notion of FAIR in FAIR Data Maturity Model WG 2017. In May 2017, the GO FAIR [10], and RDA FAIR Sharing

18 Improving Health Research Through FAIR Data • May 2020

Figure 1. Representing FAIR data elements in HL7 FHIR Registry: connecting data policies, and reusable) as well as share and 1. A Persistent1 Unique standards & databases WG [11] reuse their data sets derived from Identifier2 (PID) have been established to develop publicly funded research initiatives 2. Data Elements that represent guidelines for researchers on through the demonstration of the actual data (single how to be FAIR in fields as the potential impact that such association between two diverse as agricultural data and strategy will have on health concepts, images, raw data, small unmanned aircraft. outcomes and health research. etc.). They are practically, Although the FAIR concept has In this regard, an intuitive, although not technically, been widely understood and user centered FAIR4Health distinct from their metadata Platform is being developed to accepted, there are still many 3. Metadata providing the enable the transformation of raw implementation challenges in context of the data. “A Data datasets into FAIR datasets. various domains due to different Object should minimally interpretation of principles A wider description of this contain basic machine in a technical point of view. project was given in the actionable metadata that Technical interoperability HL7 Europe newsletter allows it to be distinguished challenges arise when there [12] published in May 2019. from others” and it “should are gaps in the infrastructure FAIR Principles and HL7 FHIR be sufficiently rich that and a lack of standards in a machine3 or a human several disciplines. Therefore, Together with the FAIR user, upon discovery, can specific effort must be spent to principles described above, the make an informed choice overcome these challenges. FORCE 11 group introduced the about whether or not it is Launched at the end of 2018, The concept of FAIRPort, intended appropriate to use that Data FAIR4Health [1] is a 36-month as “Any machine-oriented data Object in the context of their EU funded project. It aims to repository that contains FAIR analysis” [13] Data Objects (to be judged by the implement FAIR Data Principles in 4. that “Describes endorsing authority),” specifying Provenance the field of health and social care entities and processes involved a set of requirements and research. The overall objective of in producing and delivering actions to be taken for realizing FAIR4Health is to facilitate and or otherwise influencing that it. Conceptually, a FAIR Data encourage the EU health research resource” [14] [15]. Provenance Object includes the following: community to FAIRify (make data is key for FAIR data. findable, accessible, interoperable Continued on page 20

1 “Persistence is an organizational property; effectively, it is an obligation, formally or informally, that an organization guarantees that something will be maintained.” [13] ² “There are ongoing and fierce debates on what exactly constitutes a 'persistent' identifier. <…> We propose to allow many identifiers in FAIR data publishing environments as long as an identifier is uniquely referring to only one concept and the publisher provides a clear policy and description on the maximum achievable guarantee for persistent resolving of the identifier to the correct location/meaning. [13] 3 Metadata being machine readable is a conditio sine qua non for FAIRness. [13] 19 HL7 News • Improving Health Research Through FAIR Data

Continued from page 19 Improving Health Research Through FAIR Data

A two step assessment process were presented and discussed Addressing the FAIRification was therefore accomplished by with a larger community during a challenge within the boundaries the FAIR4Health project to: dedicated session at the Medinfo of the data owner, an HL7 1. Highlight the relationships 2019 Workshop “FHIR for FAIR: FHIR repository is located at between the FAIR data object Advancing interoperability for the core of the architecture as conceptual components and health data” [17]. the data repository. The project HL7 FHIR This analysis showed how has decided to use onFHIR. io [18], as the FHIR repository. 2. Evaluate how the HL7 Fast the HL7 FHIR standard is onFHIR.io is very competitive Healthcare Interoperability an enabling factor for the in terms of FHIR conformance, Resources (FHIR®) technical implementation scalability and performance. standard may support the of the FAIR principles, The FHIR repository utilizes implementation of the even though implementing FHIR profiles [19] to dictate a FORCE11 facets, principles and HL7 FHIR data is not common data model following FAIRPorts sufficient condition for FAIR data. the FAIRification workflow Each component of the FAIR data The FAIR4Health Solution of the FAIR4Health project. object conceptual representation The FAIR4Health Project Versioning and provenance are (e.g., PID, data, provenance) designed the FAIRification also designed on top of FHIR, is generally associated with a workflow by focusing on specific using its own standard versioning multitude of objects and attributes requirements of the health and provenance machinery with when implemented. For example, research community. The project additional specifications. A set of with HL7 FHIR, a FAIR data has designed a set of tools and tools and components surround element can be represented by started implementation to cover the FHIR repository, designed a single data element up to a the workflow, specifically the to transform the raw data into set of linked FHIR resources. newly introduced steps. The main FAIR data. These components FAIR4Health focused on objective is to help organizations are expected to operate in the the resources level mapping. FAIRify their raw healthcare and/ same order as in the designated Each FORCE11 facet and principle or health research data sets with FAIRification workflow, and they was analyzed distinguishing the help of easy-to-install and are expected to work interoperably between those that are fulfilled easy-to-use software. Moreover, with the FHIR profiles by FHIR by design4 and those the FAIR4Health project aims exposed by the FHIR repository. that may be realized by HL7 to show the benefit of using The first tool is the Data Curation FHIR under specific conditions. HL7 FHIR at the core of the and Validation Tool, which For example, HL7 FHIR FAIRification process. To do this, is expected to be used by the supports “rich metadata,” but a platform agent based distributed data owners after the raw data what “rich metadata” means, architecture has been designed analysis step. The objective is and the capability to provide so that data mining algorithms to increase the quality of the them, is an organizational can be executed, thereby not data set for research purposes. responsibility that could be allowing essential health data out Data fields, types and values technically expressed by profiles of the local FHIR repositories are characterized; and clinical and conformance resources. of the data owners. This privacy concepts such as data elements The detailed results of this preserving approach will be tested for diagnostics, medications, lab assessment have been collected through pathfinder use cases results, etc. are extracted. The in a dedicated report [16] and of the FAIR4Health project. curated data needs to be validated

4 Usually technical requirements, e.g. “it has a globally unique and persistent identifier”; 20 Improving Health Research Through FAIR Data • May 2020

Figure 2. The FAIR4Health architecture implementing the FAIRification workflow against the semantic model configuration; and then output and/or correlation related exposed by the FHIR repository the processed FHIR resources. questions using all available using quantitative measures. The The resulting FHIR resources are FAIRified data sets residing at FAIR4Health project developed to be de-identified/anonymized distributed FHIR repositories from this tool as an open source project based on the configurations different sources. For this purpose, maintained on Github [20]. that the data owner provides, the FAIR4Health project has After utilization of the Data then written back to the FHIR designed an architecture which Curation and Validation Tool, the repository as versioned resource deploys FAIR4Health agents next step is to apply privacy related instances and labeled with on top of the FHIR repositories measures to the sensitive health security flags. This process and a cloud-based FAIR4Health data. To address this challenge, follows the guidelines published platform to interact with health the Data Privacy Tool [21] is under by the Security and Privacy researchers and data scientists, as development, so the curated Module of HL7 FHIR R4 [22]. well as handle the orchestration between the registered agents. data set can be de-identified Privacy Preserving Data Mining through several de-identification The system enables its users to on Top of the Distributed FHIR perform data mining algorithms, methods and algorithms. The Repositories Data Privacy Tool is designed specifically statistical/machine to work on an HL7 FHIR API Once the healthcare and health ones in a distributed manner. No so it can be added on top of any research data have been FAIRified data leaves the FHIR repositories standard FHIR repository as a data and are ready to be consumed, it is residing within the data source de-identification, anonymization time to show how they can be used boundaries. Metadata containing and related actions toolset. for large scale research purposes statistical information about the The component is expected to or simply for data sharing between available data in the repository, do the following: access FHIR different data sources. The key and some vector of floating resources; present metadata to point is to perform data mining points corresponding to function the user; guide the user about the algorithms and reply prediction, coefficients, leave the data source 21 HL7 News • Improving Health Research Through FAIR Data

Continued from page 21 Improving Health Research Through FAIR Data

boundaries to fuse the distributed results. In a very general sense, and disease association patterns data mining orchestrated by this approach opens the door for in comorbid patients. The second the cloud-based platform. privacy-preserved distributed data pilot case study covers a prediction Following an authenticated, mining using the FAIR4Health service for 30-days readmission access-controlled, encrypted agents deployed on top of the risk in complex disease patients. and audited communication FHIR repositories, which In these pilot studies, the between the platform and agents, maintain the FAIRified data sets. raw data residing at different a health data scientist can execute Next Steps silos will first go through the data mining algorithms such as FAIRification process and will different kinds of regressions or FAIR4Health is still an ongoing be transformed into HL7 FHIR clustering algorithms by using the project and is expected to be resources to become FAIR graphical user interfaces provided finalized in November 2021. To data. Afterward, the statistical/ by the FAIR4Health platform. The demonstrate the potential impact machine learning algorithms will platform executes the algorithms of the solution implemented in be run on FAIRified data sets in on each FAIRified data set by the project on FAIRifying health a distributed manner in order to interacting with the associated data in terms of health research show that the data coming from agent. The responses are generally and health outcomes, two pilot countries in different formats a vector of floating points to be case studies will be performed in can be used together to achieve collected by the platform and four different countries, i.e., Spain, the specific objectives of the two then sent to the next agent so Switzerland, Italy and Serbia. The case studies. This will prove that the model training can continue first pilot case study focuses on the they are findable, accessible, on top of the previous agent’s discovery of disease onset triggers interoperable and reusable. ■

Acknowledgements The FAIR4Health project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No 824666. References [1] http://fair4health.eu/ [13] F. Admin, ‘Guiding Principles for Findable, Accessible, [2] https://www.force11.org/ Interoperable and Reusable Data Publishing version b1.0’, FORCE11, 10-Sep-2014. [Online]. Available: https://www. [3] Wilkinson MD, Dumontier M, Aalbersberg IJ, et al. The force11.org/fairprinciples. [Accessed: 05-Nov-2019]. FAIR Guiding Principles for scientific data management and stewardship. Scientific Data. 2016;3:160018-160018. [14] Yolanda Gil, University of Southern California Information Sciences Institute (USC / ISI) et al., ‘Provenance XG Final [4] http://ec.europa.eu/research/participants/data/ref/h2020/ Report’. W3C®, 08-Dec-2010. grants_manual/hi/oa_pilot/h2020-hi-oa-data-mgt_en.pdf [15] L. Moreau, ‘The Foundations for Provenance on the Web’, [5] https://www.go-fair.org/ Found. Trends® Web Sci., vol. 2, no. 2–3, pp. 99–241, 2010. [6] https://eur-lex.europa.eu/eli/dir/2019/1024/oj [16] FAIR4Health Project, ‘Task 3.1 – Report on the [7] http://ec.europa.eu/research/openscience/pdf/ analysis of FAIR Facets, Principles and Dataports swd_2018_83_f1_staff_working_paper_en.pdf Vs HL7® FHIR®’, Jan. 2019. [8] http://www.copdess.org/enabling-fair-data-project/ [17] C. Chronaki, G. Cangioli, HL7 Foundation; A. Moen, [9] https://www.eoscsecretariat.eu/ University of Oslo; P. Weber, EFMI; C. L. Parra Calderón, working-groups/fair-working-group Andalusian Health Service. “FHIR for FAIR: Advancing interoperability for health data.” MEDINFO 2019 [10] https://www.rd-alliance.org/groups/ fair-data-maturity-model-wg [18] https://onfhir.io/ [19] https://www.hl7.org/fhir/profiling.html [11] https://www.rd-alliance.org/group/fairsharing-registry- connecting-data-policies-standards-databases.html [20] https://github.com/fair4health/data-curation-tool [12] http://www.hl7.eu/download/eun-09-2019.pdf [21] https://github.com/fair4health/data-privacy-tool [22] https://www.hl7.org/fhir/secpriv-module.html#deId 22 New Federal Interoperability and Patient Access Final Rules • May 2020

HL7 Policy Spotlight New Federal Interoperability and Patient Access Final Rules

Overview Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies Final interoperability, patient access By Ticia Gerber, MHS/HP, and information blocking rules and CHIP Managed Care Entities, Senior HL7 Policy Advisor related to implementing provisions Issuers of Qualified Health Plans in the Federally Facilitated Exchanges in the 21st Century Cures Act (Public 21st Century Cures Act (Section 4002) and Health Care Providers Law 114-155) were released by the requires the U.S. Health and Human Centers for Medicare and Medicaid https://www.federalregister. Services (HHS) Secretary to establish Services (CMS) and the Office gov/documents/2020/05/01/ Conditions and Maintenance of of the National Coordinator for 2020-05050/medicare-and- Certification requirements for Health Information Technology medicaid-programs-patient- the ONC Health IT Certification (ONC) on May 1, 2020. HL7 and its protection-and-affordable- Program. The Conditions and standards, such as Fast Healthcare care-act-interoperability-and Maintenance of Certification Interoperability Resources Particularly in light of COVID-19, express initial requirements and (FHIR®), are centrally embedded. accompanying these final rules was ongoing requirements for health Through these rules, CMS and an announcement of enforcement IT developers and their certified ONC seek to the following: discretion by both CMS and health IT module(s). Following • Improve the interoperability of ONC, delaying some compliance the final rules, there are seven electronic health information, dates and timeframes. Updated conditions of certification with primarily through standards- implementation and enforcement accompanying Maintenance of based APIs schedules can be found at: Certification Requirements: 1. Information blocking • Enhance care coordination ONC Updated Schedule for Final 2. Assurances • Foster innovation that Rule Enforcement 3. Communications promotes patient access to https://www.healthit.gov/cures/ 4. Application programming and control over their health sites/default/files/cures/2020-04/ interfaces (APIs) information Enforcement_Discretion.pdf 5. Real world testing • Put forward a framework for 6. Attestations implementing the information CMS Enforcement Discretion 7. (Future) Electronic Health blocking provisions of the Announcement (Consolidated Record (EHR) Reporting 21st Century Cures Act with enforcement details): Criteria Submission st The rules contribute to the overall https://www.cms.gov/Regulations- Regarding this topic, ONC’s 21 federal government effort to and-Guidance/Guidance/ Century Cures Act final rule made support value-based healthcare Interoperability/index several changes to the existing 2015 and to give Americans access to The final CMS and ONC rules Edition Health IT Certification their medical information through collectively exceed 1,700 pages and Criteria. The final rule introduced the MyHealthEData initiative. address a large diversity of topics. a small number of new certification criteria, revised several existing Final rule text is available Some issues particularly key to certification criteria, and removed at the following locations: HL7 are explored below. several certification criteria. The CMS Final Rule HL7 FHIR, APIs and Conditions final rule also introduced a new of Participation Privacy and Security Attestation Medicare and Medicaid Programs; Criteria under certification. A Patient Protection and Affordable HL7 and its standards, including certified health IT module must Care Act; Interoperability and FHIR, are foundational to the final now include export capabilities for: Patient Access for Medicare CMS and ONC rules, as they are to Advantage Organization and today’s healthcare experience. The • A single patient electronic health 23 HL7 News • New Federal Interoperability and Patient Access Final Rules

Continued from page 24 New Federal Interoperability and Patient Access Final Rules

information (EHI) export to Medicaid, CHIP, and through CMS enforcement discretion support patient access; and the federal exchanges to share announcements mean that: • Patient population EHI export claims data electronically with ONC will exercise its discretion to support transitions between patients. Medicare Advantage, in enforcing all new requirements health IT systems Medicaid, CHIP, and plans on the that have compliance dates and federal exchanges will be required One of the new criteria added, timeframes until three months after to share claims and other health § 170.315(g)(10) Standardized each initial compliance date or information with patients in a API for Patient and Population timeline identified in the ONC Cures safe, secure, understandable, user- Services, requires the use of the Act Final Rule.” ONC highlights friendly electronic format through HL7 FHIR Release 4 standard to please see, and that this is in the Patient Access API. HHS and several implementation relation to CertificationTimelines. states that “this Patient Access guides. Two types of API-enabled CMS is extending the API will allow patients to access services are required —(1) services implementation timeline for the their data through any third for which a single patient’s data admission, discharge, and transfer party application they choose is the focus, and (2) services for (ADT) notification Conditions of to connect to the API and could which multiple patients’ data are Participation. CoPs at 42 CFR Parts also be used to integrate a health the focus. The scope of patients’ 482 and 485 will now be effective plan’s information to a patient’s electronic health information 12 months after the final rule was electronic health record (EHR).” that must be accessible via published in the Federal Register. In addition, the CMS final rule certified API technology is CMS also finalized the Patient establishes a new Condition limited to the data specified in Access API and Provider Directory of Participation (CoP) for the United States Core Data for API policies for Medicare all Medicare and Medicaid Interoperability standard (USCDI). Advantage (MA), Medicaid, and participating hospitals, requiring Overall, on this point, ONC’s the Children’s Health Insurance them to send electronic final rule establishes secure, Program (CHIP) effective January notifications to another standards-based API requirements 1, 2021. CMS will not enforce the healthcare facility or community to support a patient’s access new requirements under 42 CFR provider or practitioner and control of their electronic Parts 422, 431, 438, and 457 until when a patient is admitted, health information. APIs are July 1, 2021. discharged or transferred. the foundation of smartphone CMS finalized the Patient Access In order to advance applications (apps). As a result, API for Qualified Health Plan interoperability, the 2015 Edition patients will be able to securely (QHP) issuers on the individual Cures Update also established and easily obtain and use their market Federally-Facilitated that the data required by the electronic health information from Exchanges (FFEs) beginning with United States Core Data for their provider’s medical record for plan years beginning on or after Interoperability (USCDI) standard free, using the smartphone app of January 1, 2021. CMS will not be met instead of the Common their choice. CMS, in partnership enforce the new requirements Clinical Data Set. The USCDI with ONC, has also identified under 45 CFR Part 156 until standard establishes a set of HL7 FHIR Release 4.0.1 in the July 1, 2021. final rules as the foundational data classes and constituent CMS notes that other policies standard to support data data elements required to contained in the final rule will exchange via secure APIs. be exchanged in support of interoperability nationwide. be implemented and enforced In conjunction with ONC, the on schedule. CMS Interoperability and Patient Regarding provisions in the Access final rule requires health final rules, the ONC and plans in Medicare Advantage, 24 Benefactors • May 2020

Information Blocking Publication of “FHIR service base “The Standards Version Advancement Process allows Section 4004 of the 21st Century URLs” (sometimes also referred developers to choose among Cures Act defines “information to as “FHIR endpoints”) comes into play in the information the versions of standards and blocking” and authorizes the HHS implementation specifications listed Secretary to identify, through blocking interference section. HHS notes that a FHIR service in regulation or National Coordinator rulemaking, reasonable and (NC)-approved newer version base URL cannot be withheld necessary activities that do not updates for any or all standards by an actor as it (just like many constitute information blocking. applicable to criteria subject to It also prescribes penalties for other technical interfaces) is real world testing requirements. information blocking. Actors necessary to enable the access, This flexibility to choose among must comply with information exchange and use of EHI. NC-approved versions of standards blocking provisions six months The Department of Health and and implementation specifications after publication of the final rules. Human Service’s Office of the will be available both when Being subject to the information Inspector General (OIG) published a developers seek initial certification or to maintain certification of a blocking provisions involves: proposed rule related to information Health IT Module.” • Being an actor regulated by the blocking on April 24 entitled “Grants, information blocking provision Contracts, and Other Agreements: Conclusion Fraud and Abuse; Information [healthcare providers, health HL7 works with both ONC Blocking; Office of Inspector General’s IT developers of certified IT, and CMS on shared healthcare Civil Money Penalty Rules.” It health information exchanges interoperability goals and believes can be accessed at: https://www. (HIE), and health information the use of HL7 FHIR Release 4 and federalregister.gov/documents networks (HIN)] other key HL7 standards strongly /2020/04/24/2020-08451/grants- supports the final rules’ expansion • Electronic health information contracts-and-other-agreements- of seamless data exchange and as defined in the final fraud-and-abuse-information- patient access to their healthcare rule (EHI) blocking-office-of-inspector • A practice likely to interfere data to make better and more with, prevent, or materially Standards Version Advancement informed decisions, among other discourage access, exchange, Process advancements. HL7 is committed to creating helpful policy or use of EHI The Standards Version resources for our members and Advancement Process (SVAP) is • Requisite knowledge by the implementation community on an important element of the final the actor this topic. Please look out for these rules. ONC describes the Standards • Not being covered by an tools in the months ahead. ■ Version Advancement Process exception (SVAP) in the final rules as follows: Benefactors

25 HL7 News • HL7 Patient Empowerment Work Group Launches

Promoting the Viewpoint of Patients and their Caregivers HL7 Patient Empowerment Work Group Launches

“In the past decade the culture of medicine has begun

to recognize that healthcare value is measured by the By Dave deBronkart, Founding Co-Chair, HL7 person getting care: the consumer, the patient, and Patient Empowerment the family. The recipients of care inevitably have a Work Group different perspective than those creating and working in the healthcare system, and that perspective needs to be included by direct participation of patients and caregivers in the standards process.”

So begins the recently approved sometimes depends on charter of HL7’s new Patient patient preference. After all, Empowerment Work Group the whole point of healthcare (PEWG), authorized by the is to help the patient and board at the 33rd Annual Plenary family have the life they & Working Group Meeting in want. This has been reflected September 2019 in Atlanta. It in medical trends since couldn’t be more timely, given the 1980s: shared decision the new Final Rules announced making, preference-sensitive Monday, March 9 by the Office decisions, patient experience, of the National Coordinator patient-centered care. for Health Information (ONC) We in the PEWG are and the Centers for Medicare passionate about data and Medicaid Services (CMS), liberation. Many of us have which promise to make real personal stories where data what I myself have long called access – or lack of it – were for: a “health data spigot” for pivotal in the outcome. A Wayne Kubick, Grahame Grieve, W. Ed Hammond all my medical information. dozen such stories are in and Dave deBronkart at “the conception” of the The opening paragraph points this virtual talk I gave at Patient Empowerment Work Group, June 2019 social evening at DevDays US, Seattle. tacitly to a fundamental change: HealthDevJam after HIMSS for two centuries all improvement was cancelled. The stories separately told me about the in healthcare arose brilliantly leave no doubt: patient data access standard years earlier. After 2018 out of better biology, to the can make a clinical difference. DevDays in Amsterdam, next came point where we now have an DevDays Seattle in 2019, and as unprecedented number of An Outgrowth of FHIR DevDays we dug deeper into “How is the elders, aka “people who didn’t Having been involved in standards patient point of view represented die young.” I’m one – kidney work outside healthcare, I’ve been in HL7,” it became clear that cancer almost killed me at 57, but amazed at how rapidly HL7 has as important as HL7 believes we beat it, so I’m alive. responded to this sprout of an idea. patients to be, there wasn’t a Today, though, the greatest I first touched HL7 Fast consensus concept of what improvements often require Healthcare Interoperabilty “patient” is, which is ironic for an empowering the consumer – “the Resources (FHIR) at DevDays international health IT standards ultimate stakeholder” – because Boston in 2018. Both HL7 FHIR developing organization. among a range of possible Product Director Grahame Grieve treatments, the best choice and Bostonian Keith Boone had 26 Governance Operations Manual (GOM) Update Project • May 2020

Before that meeting was over, an group “promotes and amplifies title of my book) where possible, august group of luminaries (see the viewpoint of patients and their so the system can be kept open for photo) had decided a patient caregivers in HL7’s standards those who need the professional work group was necessary. work, in support of the HL7 help. And that will require data In Atlanta, the HL7 Board of mission.” We know this work and tools. If this opportunity Directors approved the idea. will touch on many aspects of inspires you, please join us. ■ We began meeting informally, HL7’s work, and we very much (Note: see that line about keeping and in November the HL7 hope to grow a vibrant and useful people out of the system so it can Technical Steering Committee community of people who can serve those who need professional (TSC) approved the group; a help weave “patientness” into help? It was written weeks mere five months after Seattle! everything the organization does. before the coronavirus began Who ever heard of a standards It’s important work: every one of overwhelming health systems group moving so fast? The the patient stories in that video is around the world. This is no joke: founding PEWG co-chairs are a real use case where data mobility going forward, we need to empower Virginia Lorenzi, Debi Willis (or its lack) made an identifiable patients to do what they can, so and me; we also get frequent difference. In addition, as we the professionals can do what only advice from Lloyd McKenzie. “elders” get older (and as you do, they can. The well-being of care Our charter and mission are too), if we don’t die first we will professionals depends on it.) located on the group’s Confluence crush the system – so really, we’d home page. The charter states the better “Let Patients Help” (the

Improving Readability and Ease-of-Use Governance Operations Manual (GOM) Update Project By Melva Peters, Chair, Governance and The Governance Operations restructuring has been applied to Operations Committee Committee (GOC) has received the latest version of the GOM (last • Addition of new content concerns from the Technical updated on January 15, 2020). A (will undergo peer review by Steering Committee (TSC) and cross-reference will be available to members) members about the readability allow for a quick reference between • Removal of content (will and content of the Governance the old and new version. This phase undergo peer review by Operations Manual (GOM). is complete and the updated GOM members) The GOC is responsible for the has been submitted to the HL7 ongoing maintenance of the Executive Committee for approval. • Some additional reorganization GOM and has started a project to Once the approval has been It is expected that this work address these comments and to received, the next phase of the will be completed by the improve the GOM. project will get underway. This September 2020 WGM. The first phase of the project phase is more extensive and If you have questions, concerns includes the restructuring of the includes the following: or suggestions for changes, GOM to reorganize content and • Additional formatting changes please email the GOC list, any make it easier to find, using a new member of the GOC, or the • Rewording of content to make table of contents approved by the Director of Membership and it easier to understand HL7 Executive Committee. This Administrative Services. ■

27 HL7 News • Organizational Members Organizational Members

BENEFACTORS Council of State and Territorial State of New Hampshire Accenture Epidemiologists Systex, Inc. Allscripts Department of State Health Tabula Rasa HealthCare, Inc Services (Texas) American Medical Association Tata Consultancy Services EBSCO Health Apple Inc. Tennessee Department of Health eHealth Initiative Centers for Disease Control and The Sequoia Project Prevention/CDC EMI Advisors LLC Therap Services LLC Cerner Corporation ESAC Inc UC Davis School of Medicine CRISP EyeMD EMR Healthcare Systems, Inc. UCSF Center for Digital Health Innovation CVS Health Health Care Service Corporation UHIN (Utah Health Information Network) Duke Clinical & Translational Health Intersections Pty Ltd University of Arkansas Medical Sciences Science Institute heartbase, inc. UW Medicine Information Edifecs, Inc. ICANotes, LLC Technology Services Epic Info World Vibrent Health Federal Electronic Health Record Intelligent Medical Objects (IMO) Vizlitics Inc. Modernization Office iNTERFACEWARE, Inc. Vynyl Food and Drug Administration IRIS Health Solutions, LLC Google Kno2 LLC CONSULTANTS Lumedic GuideWell Accenture Lyniate Intermountain Healthcare AEGIS.net, Inc. MaxMD InterSystems Altarum Medallies, Inc Kaiser Permanente Apprio, Inc. Microsoft Corporation NewWave B3 Group Milliman IntelliScript Office of the National Coordinator CAL2CAL Corporation for Health IT Missouri Department of Health & Carradora Health, Inc. Optum Senior Services C-HIT Partners HealthCare System, Inc. Moxe Health CITRIOM LLC Pfizer National Association of Dental Plans Cognosante, LLC Philips Healthcare National Marrow Donor Program Dapasoft Inc. Quest Diagnostics, Incorporated NeuralFrame Darena Solutions LLC U.S. Department of Defense, Military New York eHealth Collaborative EBSCO Health Health System NHS Digital Elimu Informatics Inc. U.S. Department of Veterans Affairs NICTIZ Nat.ICT.Inst.Healthc.Netherlands EMI Advisors LLC UnitedHealthcare NIH/Department of Clinical Research Informatics EnableCare LLC ESAC Inc GOLD Northrop Grumman Technology Services Northwestern Medicine Health eData Inc. AaNeel Infotech Health Intersections Pty Ltd AbleTo, Inc. NYC Department of Health and Mental Hygiene HLN Consulting, LLC Academy of Nutrition & Dietetics OCHIN iNTERFACEWARE, Inc. Altarum Oregon Health and Science University IRIS Health Solutions, LLC American Academy of Neurology Particle Health J Michael Consulting, LLC American College of Physicians PCPI Foundation Lantana Consulting Group Apprio, Inc. PenRad M*Modal, Inc. Arabic Computer Systems Post Acute Analytics, Inc. NYSTEC Association of Public Health Laboratories Prime Therapeutics LLC Point-of-Care Partners Audacious Inquiry Prometheus Research, LLC Professional Laboratory Management, Inc. Availity, LLC Public Health Informatics Institute Ready Computing Inc. Blue Cross Blue Shield Association Ready Computing Inc. Registry Clearinghouse BlueCross BlueShield of Alabama Regenstrief Institute, Inc. Rochester RHIO CAL2CAL Corporation Registry Clearinghouse Samvit Solutions C-HIT Rimidi, Inc Scope Infotech, Inc. Chorus Software Solutions Rochester RHIO Security Risk Solutions, Inc. (SRS) Cigna Samvit Solutions Systex, Inc. CITRIOM LLC Scope Infotech, Inc. Telligen Community Care HIE SMART Health IT Vernetzt, LLC Computrition, Inc. Sparx Systems WaveOne Associates Inc. Connecticut Department of Public Health St. Jude Children‘s Research Hospital CORMAC Corp Starwest Tech

28 Organizational Members • May 2020 Organizational Members (continued)

GENERAL INTEREST HSE - Health Service Executive Tennessee Department of Health Academy of Nutrition & Dietetics ICCBBA, Inc. The Joint Commission Agence eSante Luxembourg ICH The Sequoia Project Alabama Department of Public Health Idaho Health Data Exchange U.S. Department of Defense, Military American Academy of Neurology Illinois Department of Public Health Health System American Clinical Laboratory Association Iowa Department of Public Health U.S. Department of Veterans Affairs American College of Obstetricians and Japan Pharmaceutical UC Davis School of Medicine Gynecologists Manufacturers Association UCSF Center for Digital Health Innovation American College of Physicians Michigan State University HIT UHIN (Utah Health Information Network) American Dental Association Minnesota Department of Health United Network for Organ Sharing American Immunization Registry Missouri Department of Health & United Physicians Association (AIRA) Senior Services University of AL at Birmingham American Medical Association NAACCR University of Arkansas Medical Sciences Arkansas Department of Health National Association of Dental Plans University of Miami ASIP SANTE National Cancer Institute University of Minnesota Association of Public Health Laboratories National Centre for Healthcare University of Texas Medical Branch Australian Digital Health Agency Information Systems at Galveston Baylor College of Medicine National Council for Prescription Utah Department of Health Drug Programs Blue Cross Blue Shield Association UW Medicine Information National Institute of Standards CA Department of Public Health Technology Services and Technology California Department of Health Virginia Department of Health National Library of Medicine Care Services Washington State Department of Health National Marrow Donor Program CAQH Westat NC Division of Public Health CDISC Wisconsin Department of Health Services NCQA CENS WNY HEALTHeLINK Nebraska Dept of Health and Center for Medical Interoperability WorldVistA Human Services Centers for Disease Control and WV Department of Health and Nebraska Health Information Prevention/CDC Human Resources Initiative (NeHII) Centers for Medicare & Medicaid Services New York eHealth Collaborative Centre for Development of New York State Department of Health PAYERS Advanced Computing New York State Office ofental M Health Anthem, Inc. College of American Pathologists NHS Digital Arkansas Blue Cross Blue Shield College of Healthcare Information Blue Cross Blue Shield of Kansas City Mgmt. Executives NICTIZ Nat.ICT.Inst.Healthc.Netherlands NIH/Department of Clinical Blue Cross Blue Shield of Louisiana Colorado Regional Health Information Blue Cross Blue Shield of Michigan Organization Research Informatics Blue Cross Blue Shield of South Carolina CommonWell Health Alliance NJ Division of Developmental Disabilities BlueCross BlueShield of Alabama Connecticut Department of Public Health NJDOH BlueCross BlueShield of Tennessee Contra Costa County Health Services NYC Department of Health and Mental Hygiene Cambia Health Solutions Council of Cooperative Health Insurance NYS DOH, Office of Quality and Cigna Council of State and Territorial Patient Safety CVS Health Epidemiologists OASIS GuideWell Department of State Health Services (Texas) Object Management Group (OMG) Health Care Service Corporation DGS, Commonwealth of Virginia OCHIN HealthNow New York Inc. DirectTrust Office of the National Coordinator Healthspring for Health IT Duke Clinical & Translational Highmark Health Science Institute Oklahoma State Department of Health Humana Inc eHealth Initiative Oregon Health and Science University Lumeris, Inc. European Medicines Agency Oregon Public Health Division Meridian Health Plan Federal Electronic Health Record OSEHRA Noridian Healthcare Solutions Modernization Office PCPI Foundation Prime Therapeutics LLC Florida Department of Health Pharmaceuticals & Medical UnitedHealthcare Food and Drug Administration Devices Agency Wisconsin Physicians Service Ins. Corp. Health and Welfare Information Public Health Informatics Institute Systems Centre Rhode Island Quality Institute RTI International PHARMACY Health Current Merck & Co. Inc. SLI Compliance Health Innovation Action Network Parexel International SMART Health IT Health Sciences South Carolina Pfizer Social Security Administration HealtHIE Nevada UCB HIMSS State of New Hampshire 29 HL7 News • Organizational Members Organizational Members (continued)

PROVIDERS VENDORS EyeMD EMR Healthcare Systems, Inc. 1Life, Inc. A2C Medical ezEMRx Acuity Healthcare AaNeel Infotech FEI.com Alaska Native Tribal Health Consortium AbleTo, Inc. Flatiron Health Albany Medical Center AcuStaf Foothold Technology almerys Adeptia Inc. Fresenius Vial SAS ARUP Laboratories, Inc. ADVault, Inc. Genesis Systems, Inc. Avera eCare Allscripts Goldblatt Systems, LLC Benedictine Health System Amtelco Google Blessing Hospital Apelon, Inc. GPM Corp. Boston Medical Center Apervita, Inc. Greenway Health Cedars-Sinai Medical Center Apple Inc. Health Catalyst Central Illinois Radiological Associates Applied PilotFish Healthcare Integration HealthLX Children‘s Mercy Hospitals and Clinics Applied Research Works HealthTrio, LLC Children‘s of Alabama Arabic Computer Systems heartbase, inc. Cleveland Clinic Health System athenahealth IBM daytoday Health Audacious Inquiry ICANotes, LLC Dayton Children‘s Hospital Availity, LLC IMA Systems LLC Diagnostic Laboratory Services Azuba Corporation Info World Emory Healthcare BayHealth Development Infor HCA IT&S Beckman Coulter, Inc. Information Builders Hendricks Regional Health Becton Dickinson Innovaccer Inc. Intermountain Healthcare Bizmatics, Inc. Intelligent Medical Objects (IMO) Johns Hopkins Hospital Bridge Connector Interbit Data, Inc. Kaiser Permanente By Light Professional IT Services LLC InterSystems Laboratory Corporation of America Care Everywhere, LLC iPatientCare, LLC Loyola University Health System careMESH, Inc. IPRD Solutions, Inc. Lumedic Carium IRIS Technologies Mary Greeley Medical Center Cedaron Medical, Inc. Isoprime Corporation Mayo Clinic Cerner Corporation Kno2 LLC Mediclinic Southern Africa Change Healthcare Konza, Inc. Milton S. Hershey Medical Center Chorus Software Solutions Labware, Inc. MolecularDx, LLC Clinical Architecture LLC Leidos, Inc. MultiCare Health System Clinical Software Solutions Lindacare New York-Presbyterian Hospital Clinicomp, Intl Logibec North Carolina Baptist Hospitals, Inc. CMG Online Sdn Bhd Lyniate Partners HealthCare System, Inc. Cognitive Medical Systems MaxMD Perry Community Hospital Comet Information Systems McKesson Corporation Quest Diagnostics, Incorporated Community Care HIE MDT Technical Services, Inc. Rady Children‘s Hospital Community Computer Service, Inc. Medallies, Inc Redington-Fairview Hospital Complia Health MedConnect, Inc. Regenstrief Institute, Inc. Computrition, Inc. MedEvolve, Inc. Sharp HealthCare Information Systems CoverMyMeds MedicaSoft Sparrow Health System CRISP Medicomp Systems, Inc. Spectrum Health Cyrus-XP LLC Medicus Clinical, LLC St. Joseph‘s Healthcare System Deer Creek Pharmacy Services MediSked, LLC St. Jude Children‘s Research Hospital Diameter Health Medisolv Inc Stanford Children‘s Health Document Storage Systems, Inc. MEDITECH, Inc The Children‘s Hospital of Philadelphia Dynamic Health IT, Inc. Medtronic UK HealthCare Eccovia Solutions MedX Open Systems University of Nebraska Medical Center eClinicalWorks Microsoft Corporation University of Utah Health Care Edifecs, Inc. Milliman IntelliScript University Physicians, Inc. ELEKTA ModuleMD LLC UT M.D. Anderson Cancer Center EMR Direct Morris Systems Inc Waseel Asp Ltd Epic Motive Medical Intellligence West Virginia University Hospitals Evident Moxe Health Exom Deutschland GmbH MyHealth ACCESS NETWORK, INC. EXTEDO NeuralFrame NewWave 30 Organizational Members • May 2020 Organizational Members (continued)

NextGen Healthcare Information Systems, Inc. Reed Technology and Information Summit Healthcare Services, Inc. Northrop Grumman Technology Services Services Inc. Surescripts OneHealthPort retarus SurgiVision Consultants, Inc. OneRecord Rimidi, Inc Synopsys Finland Oy Optum Roche Diagnostics International Ltd. Tabula Rasa HealthCare, Inc Orchard Software Rosch Visionary Systems Tata Consultancy Services Particle Health Sabiamed Corporation Tesia Clearinghouse Patient Care Intervention Center SASA Soluciones de Autoservicios y TGX Medical Systems Patient Resource LLC Serv Asociados The CBORD Group Inc. PenRad SemanticBits, LLC The MITRE Corporation Perspecta Semaphore Solutions Therap Services LLC Philips Healthcare SIVSA SOLUCIONES TIBCO Software Inc. Post Acute Analytics, Inc. INFORMATICAS, S.A.U. TriMed Technologies Corp Premier Healthcare Alliance Smiths Medical Varian Medical Systems, Inc. Prometheus Computing LLC Softek Solutions, Inc. Vibrent Health Prometheus Research, LLC Software AG USA, Inc. Vizlitics Inc. QS/1 Data Systems, Inc. Southwestern Provider Services, Inc Vynyl Quadrus Medical Technologies Sparx Systems Wellsoft Corporation Qvera SRSsoft, Inc. Wolters Kluwer Health Real Seven, LLC Standing Stone, LLC XchangeWorx Starwest Tech Yardi Systems, Inc.

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31 HL7 News • Advantages of HL7 Membership TRAINING

Get Your Training Straight from the Source! Starts Ends HL7 Fundamentals Self-Paced 5/28/2020 8/20/2020 HL7 FHIR Intermediate Self-Paced 6/4/2020 7/2/2020 CDA Exam Prep & Certification Exam Package Online 6/2/2020 6/3/2020 FHIR for Public Health Online 5/27/2020 5/28/2020 SMART & CDS Hooks on FHIR Online 6/23/2020 6/24/2020 HL7 HIMSS Series: HL7 FHIR Bulk Data API Webinar 7/14/2020 7/14/2020 HL7 FHIR Fundamentals Self-Paced 7/16/2020 8/13/2020 FHIR Security and Privacy Online 7/15/2020 7/16/2020 C-CDA 2.1 Online 8/3/2020 8/4/2020 C-CDA on FHIR Online 8/5/2020 8/6/2020 Mapping V2 & CDA to FHIR Online 8/18/2020 8/19/2020 HL7 Fundamentals Self-Paced 9/10/2020 12/3/2020 HL7 FHIR Intermediate Self-Paced 9/17/2020 10/15/2020 What Happens at an HL7 Working Group Meeting Webinar 9/14/2020 9/14/2020 Understanding the HL7 Organization Webinar 9/15/2020 9/15/2020 FHIR Profiling Online 10/15/2020 10/16/2020 HL7 FHIR Fundamentals Self-Paced 10/29/2020 11/26/2020 Understanding and Using Terminology in FHIR Online 11/12/2020 11/13/2020 HAPI on FHIR Online 12/2/2020 12/3/2020

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MEMBER Advantages of HL7 Membership BENEFITS

Member Advantage Webinars HL7 members enjoy free access to archived recordings of past member advantage webinars as well as significant discounts on webinars available for purchase. View all past recorded Member Advantage webinars at the Education on Demand site: www.pathlms.com/courses?category_ids%5B%5D=435&slug=hl7 Watch the HL7 Education Calendar for upcoming sessions at: www.hl7.org/training/calendar.

32 2020 Technical Steering Committee Members • May 2020 2020 Technical Steering Committee Members

CHAIR INTERNATIONAL INFRASTRUCTURE CO-CHAIRS Austin Kreisler, FHL7 REPRESENTATIVES Paul Knapp Leidos, Inc. Giorgio Cangioli Knapp Consulting Inc. Phone: +1 706-525-1181 HL7 Italy Phone: +1 604-987-3313 Email: [email protected] Email: [email protected] Email: [email protected] Jean Duteau Robert McClure, MD, FHL7 CHIEF TECHNOLOGY OFFICER Duteau Design Inc. MD Partners, Inc. Wayne Kubick Email: [email protected] Phone: +1 303-926-6771 Health Level Seven International Email: [email protected] Phone: +1 847-842-1846 ADMINISTRATIVE CO-CHAIRS Email: [email protected] Mary Kay McDaniel ORGANIZATIONAL SUPPORT Cognosante, LLC CO-CHAIRS ARB CHAIR Email: [email protected] Virginia Lorenzi, FHL7 Anthony Julian, FHL7 Ulrike Merrick New York-Presbyterian Hospital Mayo Clinic Vernetzt, LLC Email: [email protected] Phone: +1 507-293-8384 Phone: +1 415-634-4131 Sandra Stuart, FHL7 Email: [email protected] Email: [email protected] Kaiser Permanente Phone: +1 925-519-5735 ARB VICE CHAIR CLINICAL CO-CHAIRS Email: [email protected] Lorraine Constable Melva Peters HL7 Canada Jenaker Consulting AD-HOC MEMBER Phone: +1 780-951-4853 Phone: +1 604-512-5124 John Roberts Email: [email protected] Email: [email protected] Tennessee Department of Health David Pyke Phone: +1 615-741-3570 Ready Computing Inc. Email: [email protected] Phone: +1 212-877-3307 x101 Email: [email protected] Steering Divisions

ADMINISTRATIVE CLINICAL INFRASTRUCTURE Electronic Health Records Anesthesia Arden Syntax Financial Management Biomedical Research & Regulation Clinical Information Modeling Initiative Imaging Integration Clinical Decision Support Conformance Orders & Observations Clinical Genomics FHIR Infrastructure Patient Administration Clinical Interoperability Council Implementable Technology Specifications Payer/Provider Information Exchange Clinical Quality Information Infrastructure & Messaging Community-Based Care and Privacy Mobile Health Emergency Care Modeling & Methodology Health Care Devices Security Learning Health Systems Services Oriented Architecture Patient Care Structured Documents Pharmacy Vocabulary Public Health ORGANIZATIONAL SUPPORT Cross-Group Projects Electronic Services & Tools Process Improvement Committee Project Services Publishing

33 HL7 News • HL7 Work Group Co-Chairs HL7 Work Group Co-Chairs

ANESTHESIA Bryn Rhodes Laura Heermann Langford RN, PhD Martin Hurrell, PhD Dynamic Content Group Intermountain Healthcare Phone: +44 7711-669-522 Phone: +1 801-210-0324 Phone: +1 801-507-9254 Email: [email protected] Email: [email protected] Email: [email protected] John Walsh, MD Howard Strasberg, MD, MS Lindsey Hoggle Partners HealthCare System, Inc. Wolters Kluwer Health IRIS Health Solutions, LLC Phone: +1 857-282-3953 Phone: +1 858-481-4249 Email: [email protected] Email: [email protected] Email: howard.strasberg@ Russell Leftwich, MD wolterskluwer.com InterSystems ARCHITECTURAL REVIEW BOARD Phone: +1 617-551-2111 CLINICAL GENOMICS Lorraine Constable Email: [email protected] HL7 Canada Gil Alterovitz, PhD Phone: +1 780-951-4853 Partners HealthCare System, Inc. CLINICAL QUALITY INFORMATION Email: [email protected] Phone: +1 857-282-3953 Patricia Craig, MS, MIS Email: [email protected] Anthony Julian, FHL7 The Joint Commission Mayo Clinic Robert Freimuth, PhD Phone: +1 630-792-5546 Phone: +1 507-293-8384 Mayo Clinic Email: [email protected] Email: [email protected] Phone: +1 507-266-4078 Paul Denning Email: [email protected] The MITRE Corporation ARDEN SYNTAX James Jones Phone: +1 781-271-9614 Peter Haug, MD SMART Health IT Email: [email protected] Intermountain Healthcare Email: [email protected] Floyd Eisenberg, MD Phone: +1 801-507-9253 Bob Milius, PhD iParsimony LLC Email: [email protected] National Marrow Donor Program Phone: +1 202-643-6350 Robert Jenders, MD, MS, FHL7 Phone: +1 612-627-5844 Email: [email protected] Charles Drew University/UCLA Email: [email protected] Yan Heras Phone: +1 323-249-5734 Kevin Power Optimum eHealth LLC Email: [email protected] Cerner Corporation Phone: +1 949-566-3361 Phone: +1 816-201-3026 Email: [email protected] BIOMEDICAL RESEARCH AND Email: [email protected] Juliet Rubini, MS, MSIS REGULATION Patrick Werner Mathematica Policy Research Boris Brodsky HL7 Germany Phone: +1 609-750-3181 Food and Drug Administration Phone: +49 15150602008 Email: [email protected] Phone: +1 301-796-5179 Email: [email protected] Email: [email protected] COMMUNITY-BASED CARE AND Myron Finseth, BS, MSc CLINICAL INFORMATION PRIVACY Medtronic MODELING INITIATIVE Johnathan Coleman Phone: +1 763-526-3071 Richard Esmond Security Risk Solutions, Inc. (SRS) Email: [email protected] PenRad Phone: +1 843-442-9104 Hugh Glover, FHL7 Phone: +1 763-475-3388 Email: [email protected] Blue Wave Informatics Email: [email protected] Suzanne Gonzales-Webb Email: hugh_glover@ Stanley Huff, MD, FHL7 Department of Veteran Affairs bluewaveinformatics.co.uk Intermountain Healthcare Phone: +1 727-605-5081 Bron Kisler, BS Phone: +1 801-507-9111 Email: [email protected] National Cancer Institute Email: [email protected] James Kretz Phone: +1 850-225-2766 Galen Mulrooney, MBA SAMHSA Email: [email protected] U.S. Department of Veterans Affairs Email: [email protected] Phone: +1 703-815-0900 David Pyke CLINICAL DECISION SUPPORT Email: [email protected] Ready Computing Inc. Guilherme Del Fiol, MD, PhD Claude Nanjo Phone: +1 212-877-3307 x101 University of Utah Health Care University of Utah Health Care Email: [email protected] Phone: +1 801-213-4129 Phone: +1 810-587-6092 Email: [email protected] Email: [email protected] CONFORMANCE Robert Jenders, MD, MS, FHL7 Nathan Bunker Charles Drew University/UCLA CLINICAL INTEROPERABILITY American Immunization Phone: +1 323-249-5734 COUNCIL Registry Association Email: [email protected] George Dixon, RN, MSIS Phone: +1 435-635-1532 Kensaku Kawamoto, MD, PhD Allscripts Email: [email protected] University of Utah Health Care Phone: +1 470-481-6290 Frank Oemig, PhD, FHL7 Phone: +1 801-587-8076 Email: [email protected] HL7 Germany Email: [email protected] Phone: +49 208-781194 Email: [email protected] 34 HL7 Work Group Co-Chairs • May 2020 HL7 Work Group Co-Chairs (continued)

Ioana Singureanu, MSCs, FHL7 EMERGENCY CARE John Garguilo U.S. Department of Veterans Affairs Dominik Brammen National Institute of Standards Phone: +1 603-548-5640 HL7 Germany and Technology Email: ioana.singureanu@ Phone: +49 700-7777-6767 Phone: +1 301-975-5248 bookzurman.com Email: [email protected] Email: [email protected] Robert Snelick Laura Heermann Langford, RN, PhD John Rhoads, PhD National Institute of Standards Intermountain Healthcare Philips Healthcare & Technology Phone: +1 801-507-9254 Phone: +1 978-659-3024 Phone: +1 301-975-5924 Email: [email protected] Email: [email protected] Email: [email protected] James McClay, MD IMAGING INTEGRATION CROSS GROUP PROJECTS University of Nebraska Medical Center Phone: +1 402-559-3587 Chris Lindop Jean Duteau Email: [email protected] GE Healthcare Duteau Design Inc Email: [email protected] Email: [email protected] FHIR INFRASTRUCTURE Jonathan Whitby Floyd Eisenberg, MD Rick Geimer Vital (Canon) iParsimony LLC Lantana Consulting Group Phone: +1 952-487-9736 Phone: +1 202-643-6350 Phone: +1 650-209-4839 Email: [email protected] Email: [email protected] Email: [email protected] IMPLEMENTABLE TECHNOLOGY ELECTRONIC HEALTH RECORDS Joshua Mandel, MD SPECIFICATIONS SMART Health IT Michael Brody, DPM Phone: +1 617-500-3253 Paul Knapp Registry Clearinghouse Email: [email protected] Knapp Consulting Inc. Email: [email protected] Phone: +1 604-987-3313 Lloyd McKenzie, FHL7 Email: [email protected] Gary Dickinson, FHL7 HL7 Canada / Gevity Email: [email protected] Email: [email protected] Brian Pech, MD, MBA, FHL7 Kaiser Permanente Stephen Hufnagel, PhD Yunwei Wang Apprio, Inc. Phone: +1 678-245-1762 The MITRE Corporation Email: [email protected] Phone: +1 703-575-7912 Email: [email protected] Email: [email protected] Andy Stechishin Mark Janczewski, MD, MPH FINANCIAL MANAGEMENT HL7 Canada Medical Networks, LLC Phone: +1 780-903-0885 Kathleen Connor, FHL7 Email: [email protected] Email: [email protected] U.S. Department of Veterans Affairs John Ritter, FHL7 Phone: +1 727-519-4607 INFRASTRUCTURE & MESSAGING Phone: +1 412-372-5783 Email: [email protected] Email: [email protected] Anthony Julian, FHL7 Paul Knapp Mayo Clinic Feliciano Yu, MD, MS Knapp Consulting Phone: +1 507-293-8384 University of Arkansas Medical Sciences Phone: +1 604-987-3313 Email: [email protected] Email: [email protected] Email: [email protected] Nick Radov Mary Kay McDaniel ELECTRONIC SERVICES AND TOOLS UnitedHealthcare Cognosante, LLC Phone: +1 800-328-5979 David Burgess Email: marykay.mcdaniel@ Email: [email protected] Laboratory Corporation of America cognosante.com Phone: +1 615-221-1901 Sandra Stuart, FHL7 Benoit Schoeffler Email: [email protected] Kaiser Permanente Almerys Phone: +1 925-519-5735 Elizabeth Newton Phone: +33 473982044 Email: [email protected] Kaiser Permanente Email: [email protected] Phone: 925-997-8150 Andy Stechishin INTERNATIONAL COUNCIL Email: [email protected] HL7 Canada Peter Jordan, MSc LLB Brian Pech, MD, MBA, FHL7 Phone: +1 780-903-0885 HL7 New Zealand Kaiser Permanente Email: [email protected] Phone: +64 21-758834 Phone: +1 678-245-1762 Email: [email protected] Email: [email protected] HEALTH CARE DEVICES Ron Parker Andrew Statler Todd Cooper HL7 Canada Cerner Corporation Intermountain Healthcare Email: [email protected] Phone: +1 816-201-3336 Phone: +1 801-290-6887 Email: [email protected] Email: [email protected] Line Saele HL7 Norway / TietoEvry Michael Van der Zel, BSc Chris Courville Phone: +47 9592-5357 HL7 Netherlands Epic Email: [email protected] Phone: +31 503619876 Phone: +1 608-271-9000 Email: [email protected] Email: [email protected] 35 HL7 News • HL7 Work Group Co-Chairs HL7 Work Group Co-Chairs (continued)

LEARNING HEALTH SYSTEMS Robert Hausam, MD, FHL7 Michael Padula, MD, MBI Bruce Bray, MD Hausam Consulting, LLC The Children’s Hospital of Philadelphia University of Utah Health Care Phone: +1 801-949-1556 Phone: +1 215-590-1653 Phone: +1 801-581-4080 Email: [email protected] Email: [email protected] Email: [email protected] Ralf Herzog Michael Tan Russell Leftwich, MD Roche Diagnostics International Ltd. NICTIZ InterSystems Phone: +41 417992893 Phone: +31 7031-73450 Phone: +1 617-551-2111 Email: [email protected] Email: [email protected] Email: [email protected] Patrick Loyd, FHL7 Email: [email protected] PATIENT EMPOWERMENT MOBILE HEALTH Ulrike Merrick Dave deBronkart Nathan Botts, PhD, MSIS Vernetzt, LLC Health Intersections Pty Ltd Westat Phone: +1 415-634-4131 Phone: +61 398798656 Phone: +1 760-845-8356 Email: [email protected] Email: [email protected] Email: [email protected] John David Nolen, MD, PhD Virginia Lorenzi Gora Datta, FHL7 Children’s Mercy Hospitals and Clinics New York-Presbyterian Hospital CAL2CAL Corporation Phone : +1 816-701-4882 Email: [email protected] Phone: +1 949-955-3443 Email: [email protected] AbdulMalik Shakir Email: [email protected] Email: [email protected] Matthew Graham PATIENT ADMINSTRATION Debi Willis Mayo Clinic Alexander de Leon PatientLink Phone: +1 507-284-3028 Kaiser Permanente Phone: +1 405-735-5144 x101 Email: [email protected] Phone: +1 626-381-4141 Email: [email protected] Frank Ploeg Email: [email protected] HL7 Netherlands Irma Jongeneel-de Haas, FHL7 PAYER/PROVIDER INFORMATION Email: [email protected] HL7 Netherlands EXCHANGE Phone: +31 681153857 Durwin Day MODELING AND METHODOLOGY Email: [email protected] Health Care Service Corporation Jean Duteau Brian Postlethwaite, BaSc Phone: +1 312-653-5948 Duteau Design Inc. HL7 Australia Email: [email protected] Email: [email protected] Phone +61 420-306-556 Christol Green Grahame Grieve, FHL7 Email: [email protected] Anthem, Inc. HL7 International; Health Line Saele Phone: +1 303-435-6195 Intersections Pty Ltd HL7 Norway / TietoEvry Email: [email protected] Phone: +61 3-98445796 Phone: +47 9592-5357 Russell Ott Email: [email protected]; grahame@ Email: [email protected] Deloitte Consulting LLP healthintersections.com.au Email: [email protected] AbdulMalik Shakir, FHL7 PATIENT CARE Email: [email protected] Stephen Chu, MD PHARMACY Ron Shapiro Phone: +61 416960333 Danielle Bancroft Qvera Email: [email protected] Fred IT Group Phone: +1 801-335-51-1 x7011 Laura Heermann Langford, RN, PhD Email: [email protected] Email: [email protected] Intermountain Healthcare Jean Duteau Phone: +1 801-507-9254 Duteau Design Inc ORDERS/OBSERVATIONS Email: [email protected] Email: [email protected] Hans Buitendijk, MSc, FHL7 Emma Jones John Hatem, FHL7 Cerner Corporation Allscripts Email: [email protected] Phone: +1 610-219-2087 Phone: +1 919-859-8441 Melva Peters Email: [email protected] Email: [email protected] Jenaker Consulting David Burgess Jay Lyle Phone: +1 604-512-5124 Laboratory Corporation of America U.S. Department of Veterans Affairs Email: [email protected] Phone: +1 615-221-1901 Phone: 727-519-4607 Scott Robertson, PharmD, FHL7 Email: [email protected] Email: [email protected] Kaiser Permanente Lorraine Constable Michelle Miller Phone: +1 310-200-0231 HL7 Canada Cerner Corporation Email: [email protected] Phone: +1 780-951-4853 Phone: +1 816-201-2010 Email: [email protected] Email: [email protected]

36 HL7 Work Group Co-Chairs • May 2020 HL7 Work Group Co-Chairs (continued)

PROCESS IMPROVEMENT Chris Shawn Austin Kreisler, FHL7 COMMITTEE U.S. Department of Veterans Affairs Leidos, Inc. Phone: +1 518-681-1858 Phone: +1 706-525-1181 Ken Rubin U. S. Department of Veterans Affairs Email: [email protected] Email: [email protected] Phone: +1 301-613-3104 Patricia Williams, PhD, MSc Sean McIlvenna Email: [email protected] HL7 Australia Lantana Consulting Group Phone: +61 420-306-556 Phone: +1 802-785-2623 Sandra Stuart, FHL7 Kaiser Permanente Email: [email protected] Email: [email protected] Phone: +1 925-519-5735 Andrew Statler Email: [email protected] SERVICES ORIENTED Cerner Corporation ARCHITECTURE Phone: +1 816-201-3336 PROJECT SERVICES Stefano Lotti Email: [email protected] Rick Haddorff HL7 Italy Mayo Clinic Phone: +39 06-42160685 VOCABULARY Email: [email protected] Email: [email protected] Carmela Couderc The MITRE Corporation Freida Hall, FHL7 Vince McCauley, MBBS, PhD Quest Diagnostics, Inc. Telstra Health (Australia) Phone: +1 703-983-5783 Phone: +1 610-650-6794 Phone: +61 298186493 Email: [email protected] Email: [email protected] Email: [email protected] Reuben Daniels Diana Proud-Madruga HL7 Australia PUBLIC HEALTH U.S. Department of Veterans Affairs Phone: +61 408749769 Erin Holt, MPH Phone: +1 619-467-5568 Email: [email protected] Tennessee Department of Health Email: [email protected] Heather Grain Phone: +1 615-741-3570 eHealth Education Email: [email protected] STANDARDS GOVERNANCE BOARD Phone: +61 3-956-99443 Joginder Madra Lorraine Constable Email: [email protected] Madra Consulting Inc. HL7 Canada Robert Hausam, MD, FHL7 Phone: +1 780-717-4295 Phone: +1 780-951-4853 Hausam Consulting, LLC Email: [email protected] Email: [email protected] Phone: +1 801-949-1556 Craig Newman Paul Knapp Email: [email protected] Altarum Knapp Consulting Inc. William Ted Klein, FHL7 Email: [email protected] Phone: +1 604-987-3313 Klein Consulting Informatics LLC Email: [email protected] Laura Rappleye Phone: +1 307-883-9739 Email: [email protected] Altarum STRUCTURED DOCUMENTS Email: [email protected] Caroline Macumber Calvin Beebe, FHL7 Danny Wise Apelon, Inc. Mayo Clinic Phone: +1 203-431-2530 Allscripts Email: [email protected] Phone: +1 919-239-7401 Email: [email protected] Email: [email protected] Gay Dolin, MSN, RN Robert McClure, MD, FHL7 Namaste Informatics MD Partners, Inc. PUBLISHING COMMITTEE Email: [email protected] Phone: +1 303-926-6771 James Agnew Benjamin Flessner Email: [email protected] HL7 Canada / Smile CDR Redox Email: [email protected] Email: [email protected] Brian Pech, MD, MBA, FHL7 Kaiser Permanente Phone: +1 678-245-1762 Email: [email protected] Find HL7 on

SECURITY Social Media!

Kathleen Connor, FHL7 Find us on Facebook Badge CMYK / .eps U.S. Department of Veterans Affairs Phone: +1 727-519-4607 twitter.com/HL7 Email: [email protected] Alexander Mense HL7 Austria www.facebook.com/HealthLevel7 Phone: +43 01-1-333-40-77-232 Email: [email protected] John Moehrke www.linkedin.com/company/115482 By Light Professional IT Services LLC Phone: +1 703-224-1000 Email: [email protected] 37 HL7 News • HL7 Work Group Facilitators HL7 Work Group Facilitators

BIOMEDICAL RESEARCH AND CLINICAL INTEROPERABILITY EMERGENCY CARE REGULATIONC COUNCIL Kevin Coonan, MD AbdulMalik Shakir, FHL7 Modeling and Methodology D. Mead Walker, FHL7 Modeling and Methodology Email: [email protected] Modeling and Methodology Email: [email protected] FINANCIAL MANAGEMENT Mead Walker Consulting Phone: +1 610-518-6259 Amy Nordo, MMCi, RN Kathleen Connor, FHL7 Email: [email protected] Publishing Modeling and Methodology; Vocabulary Pfizer U.S. Department of Veterans Affairs Myron Finseth, BS, MSc Email: [email protected] Phone: +1 727-519-4607 Publishing Email: [email protected] Medtronic Sarah Ryan Phone: +1 763-526-3071 Vocabulary Beat Heggli, FHL7 Email: [email protected] Email: [email protected] Modeling and Methodology; Publishing HL7 Switzerland Julie James, FHL7 COMMUNITY-BASED CARE AND Phone: +41 44-297-5737 Vocabulary Email: [email protected] Blue Wave Informatics PRIVACY Email: julie_james@ Ioana Singureanu, MSCs, FHL7 Mary Kay McDaniel bluewaveinformatics.co.uk Modeling and Methodology; Publishing Publishing; Vocabulary U.S. Department of Veterans Affairs Cognosante, LLC CLINICAL DECISION SUPPORT Phone: +1 603-548-5640 Email: marykay.mcdaniel@ Email: ioana.singureanu@ cognosante.com Craig Parker, MD, MS, FHL7 bookzurman.com Modeling and Methodology; Publishing HEALTH CARE DEVICES Parexel International Kathleen Connor, FHL7 Phone: +1 978-495-4152 Vocabulary Ioana Singureanu, MSCs, FHL7 U.S. Department of Veterans Affairs Modeling and Methodology Robert McClure, MD, FHL7 Phone: +1 727-519-4607 U.S. Department of Veterans Affairs Vocabulary Email: [email protected] Phone: +1 603-548-5640 MD Partners, Inc. Email: [email protected] Phone: +1 303-926-6771 Email: [email protected] ELECTRONIC HEALTH RECORDS Todd Cooper Corey Spears Vocabulary CLINICAL GENOMICS Modeling and Methodology Intermountain Healthcare Infor Phone: +1 801-290-6887 Amnon Shabo, PhD, FHL7 Phone: +1 917-426-7397 Email: [email protected] Modeling and Methodology Email: [email protected] Philips Healthcare Christof Gessner Email: [email protected] John Ritter, FHL7 Vocabulary Publishing HL7 Germany Grant Wood Phone: +1 412-372-5783 Phone: +49 172-3994033 Publishing Email: [email protected] Email: [email protected] Intermountain Healthcare Phone: +1 801-408-8153 Email: [email protected] Joel Schneider Vocabulary National Marrow Donor Program Phone: +1 763-406-8207 Five Projects are Email: [email protected] HL7 FHIR Accelerators CLINICAL INFORMATION MODELING INITIATIVE Susan Matney, PhD, RN Vocabulary Intermountain Healthcare Email: [email protected]

38 HL7 Work Group Facilitators • May 2020 HL7 Work Group Facilitators

IMAGING INTEGRATION ORDERS AND OBSERVATIONS PUBLIC HEALTH Elliot Silver, MSc Patrick Loyd, FHL7 Joginder Madra Vocabulary Modeling and Methodology Modeling and Methodology Argentix Informatics Email: [email protected] Madra Consulting Inc. Phone: +1 604-765-6068 Phone: +1 780-717-4295 Email: [email protected] Lorraine Constable Email: [email protected] Publishing HL7 Canada Jean Duteau INFRASTRUCTURE AND MESSAGING Phone: +1 780-951-4853 Publishing Grahame Grieve, FHL7 Email: [email protected] Duteau Design Inc. Email: [email protected] Modeling and Methodology Robert Hausam, MD, FHL7 Health Intersections Pty Ltd./Health Level Vocabulary Sunanda McGarvey, BS Seven International Hausam Consulting LLC Vocabulary Email: [email protected]. Phone: +1 801-949-1556 Northrop Grumman Technology Services au / [email protected] Email: [email protected] Phone: +1 404-679-9384 Anthony Julian, FHL7 Email: [email protected] Publishing PATIENT ADMINISTRATION SECURITY Mayo Clinic Alexander Henket Mike Davis Phone: +1 507-293-8384 Publishing Email: [email protected] Modeling and Methodology; Publishing NICTIZ Nat.ICT.Inst.Healthc.Netherlands U.S. Department of Veterans Affairs Sandra Stuart, FHL7 Phone: +31 7031-73450 Phone: +1 760-632-0294 Vocabulary Email: [email protected] Email: [email protected] Kaiser Permanente Wendy Huang Kathleen Connor, FHL7 Phone: +1 925-519-5735 Vocabulary Email: [email protected] Vocabulary Email: [email protected] U.S. Department of Veterans Affairs Phone: +1 727-519-4607 MODELING AND METHODOLOGY Email: [email protected] PATIENT CARE AbdulMalik Shakir, FHL7 Modeling and Methodology Jean Duteau SERVICES ORIENTED Email: [email protected] Modeling and Methodology ARCHITECTURE Duteau Design Inc. William Ted Klein, FHL7 Email: [email protected] Diana Proud-Madruga Vocabulary Vocabulary Phone: +1 307-883-9739 Susan Matney, PhD, RN U.S. Department of Veterans Affairs Email: [email protected] Vocabulary Phone: +1 619-467-5568 Intermountain Healthcare Email: [email protected] Email: [email protected] STRUCTURED DOCUMENTS PHARMACY Austin Kreisler, FHL7 Jean Duteau Modeling and Methodology Modeling and Methodology Leidos, Inc. Duteau Design Inc. Phone: +1 706-525-1181 Email: [email protected] Email: [email protected] Scott Robertson, PharmD, FHL7 Sheila Abner, PhD Publishing Vocabulary Kaiser Permanente Centers for Disease Control and Phone: +1 310-200-0231 Prevention/CDC Email: [email protected] Phone: +1 470-344-2864 Email: [email protected] Julie James, FHL7 VOCABULARY Vocabulary Blue Wave Informatics William Ted Klein, FHL7 Email: julie_james@ Modeling and Methodology bluewaveinformatics.co.uk Phone: +1 307-883-9739 Email: [email protected]

39 HL7 News • Affiliate Contacts Affiliate Contacts

HL7 ARGENTINA HL7 FRANCE HL7 POLAND Fernando Campos, FHL7 Isabelle Gibaud Roman Radomski, MD, MBA Email: fernando.campos@ Phone: +33 299547610 Phone: +48 605-404-363 hospitalitaliano.org.ar Email: [email protected] Email: [email protected] HL7 AUSTRALIA HL7 GERMANY HL7 PORTUGAL Jason Steen Sylvia Thun Paulo Alves Phone: +61 488881882 Phone: +49 221-4724-344 Email: [email protected] Email: [email protected] Email: [email protected] HL7 ROMANIA HL7 AUSTRIA HL7 GREECE Florica Moldoveanu Stefan Sabutsch Alexander Berler Phone: +40 21-4115781 Phone: +43 664-3132505 Phone: +30 2111001691 Email: [email protected] Email: [email protected] Email: [email protected] HL7 RUSSIA HL7 BOSNIA & HERZEGOVINA HL7 HONG KONG Sergey Shvyrev, MD, PhD Samir Dedovic Chun-Por Wong Phone: +7 495-434-55-82 Phone: +387 0-33-721-911 Phone: +852 3488-3762 Email: [email protected] Email: [email protected] Email: [email protected] HL7 SAUDI ARABIA HL7 BRAZIL HL7 INDIA Wael Al Dahhasi Guilherme Zwicker Rocha MD Chandil Gunashekara Phone: +966 11-2021555 Phone: +11-5573-9580 Email: [email protected] Email: [email protected] Email: guilherme. [email protected] HL7 ITALY HL7 SINGAPORE Giorgio Cangioli Adam Chee HL7 CANADA Email: [email protected] Email: [email protected] Ron Parker Email: [email protected] HL7 JAPAN HL7 SLOVENIA Michio Kimura, MD, PhD Brane Leskosek EE, PhD HL7 CHILE Phone: +81 53-435-2770 Phone: +386 543-7775 César Galindo Msc Email: [email protected] Email: [email protected] Phone: +56 2-29789664 Email: [email protected] HL7 KOREA HL7 SPAIN Byoung-Kee Yi, PhD Francisco Perez, FHL7 HL7 CHINA Phone: +82 234101944 Phone: +34 637208657 Haiyi Liu Email: [email protected] Email: [email protected] Phone: +86 010-65815129 Email: [email protected] HL7 NETHERLANDS HL7 SWEDEN Rob Mulders Mikael Wintell HL7 CROATIA Email: [email protected] Phone: +46 736-254831 Miroslav Koncar Email: [email protected] Phone: +385 99-321-2253 HL7 NEW ZEALAND Email: [email protected] Peter Jordan, MSc, LLB HL7 SWITZERLAND Phone: +64 21-758834 Roeland Luykx, PhD HL7 CZECH REPUBLIC Email: [email protected] Phone: +41 71-279-11-89 Libor Seidl Email: [email protected] Phone: +420 605740492 HL7 NORWAY Email: [email protected] Line Saele HL7 TAIWAN Phone: +47 9592-5357 Yu-Ting Yeh HL7 DENMARK Email: line.saele@tietoevry.com Phone: +886 2-2552-6990 Sofia Stokholm Email: [email protected] Phone: +45 39966222 HL7 PAKISTAN Email: [email protected] Sharifullah Khan, PhD HL7 UK Email: [email protected] Ben McAlister HL7 FINLAND Email: [email protected] Jari Porrasmaa HL7 PHILIPPINES Email: [email protected] Michael Hussin Muin MD HL7 UKRAINE Phone: +63 9285543435 Leonid Stoyanov Email: [email protected] Phone: +380 443336829 Email: [email protected] 40 2020 HL7 Staff • May 2020 2020 HL7 Staff

Chief Executive Chief Associate Executive Director Officer Technology Officer Executive Director

Charles Jaffe, MD PhD Wayne Kubick Mark McDougall Karen Van Hentenryck +1 858-720-8200 +1 847-842-1846 +1 734-677-7777 x103 +1 734-677-7777 x104 [email protected] [email protected] [email protected] [email protected]

Systems FHIR Product Director of Education Director of Meetings Director of Marketing Administrator Director

Sadhana Alangar, PhD Mary Ann Boyle Bryn Evans Grahame Grieve Patricia Guerra +1 734-677-7777 x116 +1 734-677-7777 x141 +1 734-677-7777 x107 +1 734-677-7777 +1-773-516-0943 [email protected] [email protected] [email protected] [email protected] [email protected] Director of Director, Project Membership & Director of Technical Director of Technical Web Developer Management Office Administrative Services & Webmaster Publications Services

Dave Hamill Linda Jenkins David Johnson Lynn Laakso, MPA Laura Mitter +1 734-677-7777 x142 +1 734-677-7777 x170 +1 734-677-7777 x125 +1 906-361-5966 +1 740-963-9839 [email protected] [email protected] [email protected] [email protected] [email protected]

Director of Education Marketing Applications Manager Accounting Manager HL7 Project Manager Communications Manager

Joshua Procious Andrea Ribick Theresa Schenk, CPA Melinda Stewart Anne Wizauer +1 231-220-3129 +1 734-677-7777 x165 +1 734-677-7777 x106 +1 734-677-7777 x101 +1 734-677-7777 x112 [email protected] [email protected] [email protected] [email protected] [email protected] 41 HL7 News • 2020 HL7 Board of Directors 2020 HL7 Board of Directors

BOARD CHAIR VICE CHAIR BOARD SECRETARY BOARD TREASURER CHAIR EMERITUS

Walter Suarez, MD, MPH Calvin Beebe, FHL7 Melva Peters Floyd Eisenberg, MD W. Edward Hammond, PhD, Kaiser Permanente Mayo Clinic Jenaker Consulting iParsimony LLC FHL7 +1 301-801-3207 [email protected] +1 604-512-5124 +1 202-643-6350 Duke Clinical & Translational [email protected] [email protected] [email protected] Science Institute +1 919-668-2408 [email protected] APPOINTED DIRECTORS AFFILIATE DIRECTORS

Dave Shaver, FHL7 Micky Tripathi Andrew Truscott Diego Kaminker Peter Jordan Earth Wind Health, LLC Massachusetts eHealth Accenture HL7 Argentina HL7 New Zealand +1 214-618-7000 Collaborative +1 713-855-8402 +54 11-4781-2898 +64 21-758834 dave.shaver@corepointhealth. +1 781-907-7200 [email protected] [email protected] [email protected] com [email protected] TSC CHAIR DIRECTORS-AT-LARGE

Austin Kreisler, FHL7 Viet Nguyen, MD Kensaku Kawamoto, MD, PhD Janet Marchibroda Julia Skapik, MD Leidos, Inc. Stratemetrics, LLC University of Utah Health Care Bipartisan Policy Center National Assoc. of Community +1 706-525-1181 +1 801-707-6225 +1 801-587-8076 +1 202-379-1634 Health Centers [email protected] [email protected] [email protected] jmarchibroda@ +1 410-258-9651 bipartisanpolicy.org [email protected] NON-VOTING MEMBERS

Charles Jaffe, MD, PhD Wayne Kubick Mark McDougall HL7 CEO HL7 CTO HL7 Executive Director +1 858-720-8200 +1 847-842-1846 +1 734-677-7777 x103 [email protected] [email protected] [email protected] 42 2020 HL7 Board of Directors • May 2020

Newly Certified HL7 Specialists Congratulations to the following people who recently passed the HL7 Certification Exam:

Certified HL7 Version 2.x Chapter 2 Control Specialist

DECEMBER 2019 FEBRUARY 2020 MARCH 2020 Mohamed Asubail Marta Rodríguez del Río Angelica Herrera Marrero Ignacio Jose Tobia Raghuram Reddy Komandla Carlos Gomez Castro Danielle Mathieu Hayden Minor Diego Martin Hernandez Lucie Desrosiers Francisco Jacob Brito Hernandez Shawn Turk Jose Manuel Ferrero Fernandez Braden Shill JANUARY 2020 Jesus Sanchez Fernandez Aakash Doshi Ana Maria Lois Perez Juan Pablo Vazquez Redondo Maria Carmen Ramos Arcos Daniel Ruiz Alvarez Daniel Cebollada Laporta Maria de las Mercedes Lopez Gallego Oscar Gonzalez Iglesias Brais Alvarez Valencia

HL7 FHIR R4 Proficient Certified DECEMBER 2019 JANUARY 2020 FEBRUARY 2020 Damen Peterson Jan Ivar Øyulvstad James Blue John McCabe Andy Harrison Harish Anantharamakrishnan Eric Sligh Alexander Goel Aniruddha Mandale Andrew Keresey Pierre Cartin Elkhan Yusubov Edith Robinson Andrew Kennedy Geir Borgi Philip Simonsen MARCH 2020 Vamsi Rajulapati Sudhakar Veeraraghavan Jeffrey Taylor

HL7 FHIR STU 3 Proficient Certified FEBRUARY 2020 MARCH 2020 Pratik Dodia Raghvendramani Tiwari Juned Sayed Vikas Singh Shrikant Nawale Karan Thakkar Ankita Gupta Omprakash Sharma Reema Shirwaikar

43 Upcoming HL7 Meetings

Baltimore Renaissance Hilton Lake Las Vegas Resort & Spa September 18-25, 2020 Harborplace May 22-28, 2021

Working Group Meeting Baltimore, Maryland Working Group Meeting Henderson, NV

Hilton New Orleans Riverside January 16-22, 2021 HL7 FHIR DevDays Working Group Meeting New Orleans, LA www.devdays.com/us

HL7 FHIR Fundamentals Course July 16–August 13, 2020 Next edition begins July 16, 2020! • An introductory online course on HL7 FHIR - no experience necessary!

• Four week course includes new module each week

• Guided real-world exercises with instructor assistance and feedback

• Interactive online http://HL7.me/FHIRfun community with students and instructors