Open Platform Architecture Based Upon SMART Apps Platform and the HL7 FHIR® (DSTU) Demonstrated at HIMSS14

MAY 2014

By David Kreda, Translation Advisor, and Joshua Mandel MD, Lead Architect, SMART Platforms Project Harvard Medical School/Children’s Hospital Boston www.smartplatforms.org During the HIMSS14 Annual Conference (Feb- ferent internal architectures ruary 23-27, 2014 in Orlando, Florida), several and technologies, they healthcare IT exhibitors presented an eye-open- were nonetheless able to ing example of the potential of HL7’s newest supply the data via FHIR standard, FHIR® (Fast Healthcare Interoperabil- API calls made by the suite David Kreda ity Resources). The list of exhibitors included of SMART Apps that were Cerner, Intermountain Healthcare, Hewlett Pack- installed on their systems. ard, and Harris Corporation. They presented the Harris Corporation then SMART on FHIR Open Platform Architecture, demonstrated its services which combines FHIR and the open source, web- oriented architecture (SOA) standards based technology stack created by the service, which accepted SMART Platforms Project, a research effort based same FHIR API queries at Harvard Medical School and Children’s Hos- from the SMART apps, fed- pital Boston that enables real-time integration of erated queries to the same substitutable medical apps, or SMART apps, on EHR systems holding the EHR systems. patient data, and synthe- Josh Mandel, MD sized a cross system, longi- Three sophisticated EHR systems, including tudinal patient record, which was returned to the Cerner Millennium, HELP2 from Intermountain requesting SMART app. Healthcare, and VistA from the Veterans Health Administration, were each independently FHIR- Hewlett Packard, which engineered the SMART enabled in less than six weeks. With vastly dif- on FHIR implementation on top of VistA, de- scribed its implementation effort this way: Proof of concepts using the [SMART] platform funded by the [ONC] have been developed demonstrating how light-weight applications can be rapidly developed, adopted and implemented using a predictable architecture, consistent API specifications and standards such as HL7’s new interoperability standard called [FHIR]. In less than three weeks, HP integrated two SMART applications (Blood Pressure Centiles and Cardiac Risk) with VA VistA platform in HP’s Ad- vanced Federal Health Innovation Lab (AFHIL).

Josh Mandel, Lead Architect of SMART and a key member of the The SMART on FHIR® Open Platform Architecture FHIR Management Group (shown (HIMSS14 Handout) continued on next page

® Health Level Seven, HL7, CDA and FHIR are registered trademarks of Health Level Seven International, registered in the US Trademark Office

HL7 NEWS May 14 COVER.indd 1 4/30/14 10:57:14 AM In This Issue... Open Platform Architecture, continued from page 1

Open Platform Architecture Based in the photograph to the Upon SMART Apps Platform & the right talking to Grahame HL7 FHIR DSTU...... 1-2 Grieve, one of the origina- tors of FHIR, at HIMSS14), HL7 International and AEGIS.net, recounted his experience in Inc. Partner to Launch HL7 Conformance Testing Program...... 3 incorporating the FHIR API into SMART’s technology Update from Headquarters...... 4-6 model. “It was something we could do quite quickly, What is Draft Standard for because FHIR and SMART Trial Use (DSTU)?...... 6 are remarkably similar in FHIR Connectathon...... 7 how they focus on granu- lar data access. FHIR has Trillium Bridge Project...... 8-9 the advantage of a larger data vocabulary for many European Patient Summary real-world needs and, of Guidelines...... 10-11 course, being a community Upcoming International Events.... 11 adopted standard.” Josh Mandel and Grahame Grieve at HIMSS14

Why I Became a Certified SMART on FHIR is EHR vendor-agnostic on technology holds the promise of materially Professional...... 12 the application side. All SMART apps pre- increasing the value of their systems by mak- What is Your Definition of a sented at HIMSS14 were only coded once and ing them open to the inclusion of apps and Clinician?...... 13 make identical FHIR calls to all EHR platforms. services developed by providers, researchers, Of course, vendors were free to expose any of and others. Early History of HL7, Part 2.... 14-15 the SMART apps in any manner they elected. In one example, the vendor screened patient The SMART Platforms team now believes UML Profile for MIF Static context so that the SMART app would launch Models...... 16-18 that the accelerated adoption of HL7’s FHIR only if appropriate, showing how a tailored standard can not only advance the SMART Member Spotlight on and uninterrupted clinical workflow environ- team’s objective for promoting substitutable Anita Walden...... 19 ment can be implemented to incorporate third apps sooner, but also generate an even larger party apps. market place for vendor-neutral shared clinical HL7 Benefactors...... 20 data repositories, decision support systems, Life in the TSC and HL7- The SMART apps shown at HIMSS14 on clinical knowledge bases, and more. What is Next...... 20-21 SMART on FHIR platforms included two apps developed by SMART (the SMART Pediatric About SMART News from the PMO...... 21 Growth Chart App, winner of the 2014 Red Dot SMART’s Principal Investigators, Isaac Design Award, and the SMART Blood Pressure Kohane, MD, PhD and Kenneth Mandl MD, Congratulations on Passing the HL7 Certification Exams...... 22 Centiles App), one by Polyglot Systems, Inc. MPH, proposed how an ecosystem approach (the Meducation® App), one by Logical Images, would usher in an era of accelerated innova- HL7 Organizational Members... 23-25 Inc. (the VisualDx® diagnostic clinical decision tion that would increase the utility, quality, support system), and one by Intermountain® value, and flexibility of EHR systems (No 2014 Technical Steering Healthcare (the Bilirubin app). David Kreda, Small Change for the Health Information Committee Members ...... 26 Translation Advisor for the SMART Project, Economy, NEJM 2009). In 2010, Harvard Steering Divisions...... 26 observed that “these examples of data-aware Medical School and Boston Children’s Hos- external SMART apps running unchanged on pital received a $15 million award from the HL7 Work Group Co-Chairs...... 27-29 EHR systems that adopt SMART on FHIR show US Office of National Coordinator (ONC) to how the right technologies can make a big con- develop ways to promote the interoperabil- HL7 Facilitators...... 30-31 tribution to clinical IT innovation.” ity of clinical data stored in EHR systems by Affiliate Contacts...... 32 lowering barriers to absorbing medical apps For EHR vendors, FHIR’s incrementally imple- into existing EHRs. HL7 Staff Members...... 33 mentable API and SMART’s developer-friendly

2014 Board of Directors...... 34

HL7 FHIR Institute and Meaningful Use Implementation Workshop...... 35 is the official publication of: Health Level Seven International Upcoming Working Group 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USA Meetings...... 36 Phone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org

2 Mark McDougall, Publisher • Andrea Ribick, Managing Editor • Karen Van Hentenryck, Technical Editor

HL7 NEWS May 14 COVER.indd 2 4/30/14 10:57:20 AM HL7 International and AEGIS.net, Inc. Partner to Launch HL7 Conformance Testing Program

By Andrea Ribick, HL7 Director of Communications

HL7 and AEGIS.net (AEGIS) launched Mario Hyland, Senior Vice President of AEGIS said, the new Conformance Testing Pro- “AEGIS is proud to partner with HL7 International to gram for HL7 standards at HIMSS bring its members a unique benefit offering HL7-spe- 2014. The HL7 Conformance Test- cific conformance testing for continuous interoperability ing Program provides a platform for through the AEGIS DIL. The DIL’s automation and ease

Andrea Ribick ongoing, iterative testing that helps of use will help ensure that HL7 conformance testing healthcare IT developers get highly truly adds value without creating inefficient layers of interoperable products to market quickly and cost-ef- complexity.” fectively. The testing program will make interoperability significantly more efficient for vendors and implement- The entire HL7 International community, including af- ers by reducing interface development time and costs. filiates, benefits from this shared testing service, which can eventually be used to identify test cases that are “We chose to partner with AEGIS because they’re an sufficiently mature to comprise a certification program. industry leader in the testing of interoperability between Participating in this program takes the burden off of Health Information Technology systems and HIEs,” said vendors to validate technical interoperability and offers Charles Jaffe, MD, PhD, CEO of HL7 International. “Go- vendors a major market differentiator. This effort also ing forward, HL7 anticipates using the AEGIS Develop- builds upon and accelerates consensus toward national ers Integration Lab to provide a testing platform for all standards, EHR certification criteria, and testing proce- new standards.” dures for Stage 2 of Meaningful Use and beyond.

The Conformance Testing Program leverages the technology The program is currently in a pilot phase, during which and architecture of the AEGIS Developers Integration Lab supported standards are limited to Version 2 Immuniza- (DIL). The DIL is an Infrastructure as a Service (IaaS) and tion Registries. Participation will be free of charge until Testing as a Service (TaaS) open source testing solution for the HL7 Working Group Meeting in September 2014. health information exchange gateway, interoperability, and compatibility testing.The DIL For more informa- helps automate and execute tion on this program, test cases created by HL7, please visit http:// providing an easy-to-use www.HL7.org/imple- system for ongoing, iterative, ment/conformance- 24/7/365 conformance and Testing.cfm. interoperability tests against published HL7 specifications.

MAY 2014 3

HL7 NEWS MAY 14 INTERIOR.indd 1 4/30/14 10:54:49 AM Update from Headquarters What’s Hot? HIMSS, Mark McDougall Conformance Testing and FHIR® By Mark McDougall, Executive Director, HL7

January Working Group HIMSS14 Meeting For 25 years, HL7 has exhibited each Approximately 360 attendees partici- year at the annual conference of the pated in our January Working Group Healthcare Information and Manage- Meeting held in San Antonio, Texas, ment Systems Society (HIMSS). This year’s HIMSS convention convened January 19-24, 2014. Over 45 HL7 in Orlando, Florida during the week work groups met in San Antonio and of February 24, 2014 and reportedly 26 of them conducted co-chair elec- attracted over 37,000 people. tions. Attendees also took advantage of 33 tutorials that week. HL7’s Director of Communications, Andrea Ribick, once again was Meeting Sponsors exceptional at developing a new I am also pleased to recognize the booth for HL7 and organizing 29 following organizations that spon- thirty minute presentations on HL7 standards and relevant topics. Most sored key components of our recent of the presentations attracted crowds January Working Group Meeting in that filled the theater area and were San Antonio: standing room only. • Hi3 Solutions • Furore FHIR® • iNTERFACEWARE HL7’s Fast Healthcare Interoperabil- • Gordon Point Informatics ity Resources (FHIR) was a very pop- • Beeler Consulting LLC ular topic at this year’s HIMSS convention. Grahame Grieve provided several presentations within the HL7 booth. Crowds at the HL7 HIMSS14 Exhibit. There was also an HL7 sponsored breakfast panel and Wes Rishel, Vice President and presentation on Distinguished Analyst from Gartner. FHIR at the the- Well over 100 individuals attended ater in the HIMSS this early morning session to hear Interoperability the panel share insight on the op- Showcase” that portunities that FHIR® offers those featured HL7 CEO, who are working on interoperabil- Charles Jaffe, MD, ity and standards leading to health information exchange. A video of January 2014 WGM Sponsors with HL7 Vice Chair Don Mon, PhD PhD, moderating a panel including this impressive panel presentation Doug Fridsma, is available for free at the follow- MD, PhD, Chief Scientific Officer at ing URL: https://live.blueskybroad- The additional sponsorship support ONC; Grahame Grieve, Principle De- cast.com/bsb/client/CL_DEFAULT. provided by these organizations con- veloper of FHIR; John D. Halamka, asp?Client=556675&PCAT=8341&C tributes considerably to HL7’s meet- MD, MS, CIO of Beth Israel; David AT=8341. ing budget and is much appreciated. McCallie, Jr., MD, CMO of Cerner;

4 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 2 4/30/14 10:54:52 AM This edition of the HL7 News also the Chair of the HL7 Board of Direc- includes an article about the FHIR tors through December 2015. Connectathon that was held at the January Working Group Meeting I am also pleased to report that Ken and can be found on page 7. Ad- McCaslin was recently elected to the ditional information on the FHIR position of Chair of the Technical initiative can be found on the HL7 Steering Committee, which is also website at www.HL7.org/FHIR. a voting position on the HL7 Board of Directors. The complete list of Conformance Testing Pilot members of the HL7 2014 Board of Directors is provided on page 34. HL7 launched a new conformance Ken McKaslin Stan Huff, MD testing program during the HIMSS convention that was met with I would also like enthusiasm by attendees. HL7 held to acknowledge a panel briefing about this new pro- and thank outgo- gram at our booth during the lunch ing Board mem- hour on Tuesday which drew stand- bers Bob Dolin, MD; Becky Kush, ing room only crowds. Developed in PhD; and Ed Tripp partnership with AEGIS, this pro- for their incredible gram helps healthcare IT developers service to the HL7 speed time to market by providing a organization. cost-effective platform for ongoing, Bob Dolin, MD Becky Kush, PhD Ed Tripp iterative testing of conformance and Benefactors interoperability with HL7 standards. and Supporters More information on the new con- We are very appreciative of the orga- newsletters, on the HL7 website, in formance testing pilot is provided nizations for their ongoing support all of our HL7 press releases, and at on page 3 of this newsletter and can of HL7 through their membership at all of our HL7 working group meet- also be found at http://www.HL7.org/ the HL7 Benefactors and Gold mem- ings. A special thank you is extend- implement/conformanceTesting.cfm. ber levels, who are listed on page ed to the list of firms that represent 23. Their support of HL7 is very our 2014 HL7 Benefactors and Gold Invaluable Volunteers much needed and sincerely appreci- members. I also wish to express our sincere ated. We are pleased to recognize continued on next page thanks to the many individuals our benefactors in all of our HL7 who volunteered to staff our booth and/or make presentations in our HL7 booth at the HIMSS convention, including: Calvin Beebe Robert Jenders, Frank Caniglia MD Alison Chi Ken McCaslin Jean Duteau Chris Millet Woody Beeler, PhD Don Mon, PhD Hans Buitendijk Melva Peters Catherine John Quinn Chronaki Scott Robertson Grahame Grieve Andy Stechishin Freida Hall Howard Gretchen Hudson Strasberg, MD Mario Hyland Sandy Stuart Chuck Jaffe, Grant Wood MD, PhD Board of Directors Given that Bob Dolin resigned from his Board Chair position, HL7 convened a special election for the Board Chair. Stan Huff, MD, was HL7 Sponsored FHIR Breakfast Panel in the Interoperability Showcase at HIMSS14 elected in March and will serve as in Orlando, FL.

MAY 2014 5

HL7 NEWS MAY 14 INTERIOR.indd 3 4/30/14 10:54:56 AM What is a Draft Standard for Trial Use (DSTU)? Ken McCaslin By Ken McCaslin, FHL7, HL7 Technical Steering Committee Chair; Director, Healthcare Standards, Quest Diagnostics

A Draft Standard for Trial Use (DSTU) is exactly what it starts the normative process where the community begins says, it is a standard in a draft form for the community to resolve interoperability issues through the break/fix to test and determine usefulness in the environment for process. This then leads to the next step of a Normative which it is intended. When one says “standard” it is an standard. To get to this level, it requires a reiterative process implied assumption that it is in fact “A standard”. The through the Draft Standard for Trial Use (DSTU), either at Merriam/Webster Dictionary defines standard as some- the interim release, major releases, or both, depending on thing that is considered acceptable or desirable. Many of the complexity of the break/fix solutions. The community these draft standards are desirable, but until the com- must be the group that makes these decisions because of munity has used them, it is unclear if the community their Subject Matter Expertise3. can accept them as standards, hence the concept of draft. Once two or more organizations begin to use a standard Therefore DSTUs are expected and anticipated to be evolv- and potentially share their experiences, only then can the ing as the community tests, validates and adopts the stan- desirability of a proposed standard be measured. There is dard. A well formed DSTU will have small incremental no precise measure for desirability or acceptability; much changes where more complex DSTUs could have multiple of the measurement is based on usability and reliability of incremental changes that become minor releases followed the standard for the intended purpose. by an extensive major release, but either path is acceptable as the target community works through the DSTU It is for this reason that draft standards typically have an ex- with their business partners. piration date of 12, 18 or 24 months from publication date1. The length of time is likely based on the complexity of the Success of a DSTU should not be measured by getting it proposed draft standard and how long it will take partici- published; it should be measured by the engagement of pants to adopt, validate and begin to use it in production the community. environments. As break/fix situations are encountered, the preparing authority, at their discretion, can release updates as interim releases or as errata to the original proposal. Because the evolving standard is in trial status, there is no 1 GOM §13.02.06 : The length of the trial use period is at the requirement to maintain backward compatibility2. How discretion of the responsible Work Group. The DSTU may be formal this becomes depends on the community, but the extended one year by petition to the TSC (GOM §13.02.06.02.) 2 GOM §13.02.07 and 13.02.08 goal is to gather enough knowledge during the trial use 3 Refer to TSC Policy and Guidance to Work Groups on DSTU period to increase adoption across the entire community to Updates vs. DSTU Ballots formally make this a standard within the community. This

Update from Headquarters, continued from page 5 Organizational Member wedding anniversary. Our oldest We are so incredibly proud of the Firms son, Jack, is completing his second young men that Jack and Alex As listed on pages 23-25, HL7 is very year studying mechanical engi- are becoming. It is so difficult to pleased to report that there are 563 neering at Michigan State Univer- fathom that we will be “empty nest- organizational member companies. sity. Our youngest son, Alex, is ers” in a few months. Where did the We sincerely appreciate their ongo- completing his senior year in high last two decades go? The years have ing support of HL7 via their organi- school. He was asked to produce flown by so quickly. Each day I try zational membership dues. a video that the high school would to remember to give thanks for my show all incoming 9th graders on many blessings. May you and your In Closing “moving up day”. Check out this loved ones also be blessed with Since 1991 I have had the sincere video that Alex produced convey- good health, kind smiles, plenty of pleasure and honor as serving as ing his view on what high school laughter and hugs. HL7’s Executive Director. Time is all about: www.youtube.com/ really does fly by. This summer, watch?v=8wfGlRQcqHg. Shelly and I will celebrate our 25th 6 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 4 4/30/14 10:54:57 AM FHIR® Connectathon #5 By Lloyd McKenzie, Member of the FHIR Governance Board

On January 18 and 19, immediately For those interested in viewing a bit of the connectathon prior to the San Antonio Working experience, Rene Spronk (co-chair of the HL7 AID Work Group Meeting, HL7 held its 5th Group) kindly put together a couple of short videos from International FHIR Connectathon. This the January session. They can be found at http://vimeo. was the final connectathon prior to the com/84564317 and http://vimeo.com/84592321. publication of FHIR as a draft standard for trial use (DSTU) specification. This For those who are interested in participating in or observ- connectathon had over 30 attendees ing the 6th Connectathon at the May Working Group with 8 different servers and 15 client Meeting in Phoenix, registration is open now. The theme systems demonstrating a variety of for this session will be Questionnaire, with the advanced Lloyd McKenzie interoperability scenarios around scenarios focusing on some of the use-cases of the Office patient management, document creation and sharing, and of the National Coordinator’s “Structured Data Capture” audit logging. There was particular interest in the potential initiative. Additional entry-level and experimental tracks for conversion between FHIR documents and the Consoli- will also be available. For full details, refer to the Connec- dated CDA®. tathon wiki site.

Connectathon participants arrived from four continents More information about the FHIR specification itself can be and represented diverse backgrounds including large found on the FHIR DSTU website. healthcare organizations, small healthcare vendors, consultants and government. For some, it was their first connec- 1 http://fhir.furore.com/devdays/ tathon and their interoperability solution for the simpler 2 http://wiki.HL7.org/index.php?title=FHIR_Connectathon_6 scenarios was built on site during the two days. For 3 http://HL7.org/fhir others, the connectathon was the culmination of months of preparation, often building on work done for prior connectathons. In all cases, the connectathon meant animated conversations, looking at code over other developers’ shoulders, debugging and – in the end – interoperability. All interoperability scenarios were successfully implemented by multiple attendees.

The FHIR project team initiated the connectathon process at the September 2012 Working Group Meeting as part of an effort to ensure that the FHIR specification met the needs of implementers and that the technical approaches proposed in the standard met the needs of real-world implementation requirements. The process has proved extremely successful, with many enhancements being introduced to the standard to address issues that would not have been identified without the connectathon experience. Connectathons have also proven to be a boon to the development community, providing direct access to the authors of the standard and providing an opportunity to give the specification a trial run (and influence its evolution) before it starts appearing in RFPs and regulations. As one developer said of their experience, “It’s simple to kind of get in there and play, and it helps to have multiple servers to just test things out against.”

The connectathon experience has gone international as well, with the past year seeing connectathons held in Australia and the UK. There is also a combined 3-day education and connectathon FHIR Developer Days session scheduled for the Netherlands on November 22-24th of this year. FHIR Connectathon photos courtesy of Rene Spronk

MAY 2014 7

HL7 NEWS MAY 14 INTERIOR.indd 5 4/30/14 10:54:59 AM EU/US Exchange of Patient Summaries: the Trillium Bridge Project

By Catherine Chronaki, Secretary General, HL7 Foundation, HL7 European Office

Catherine Chronaki

Imagine having your core health data The “Trillium Bridge: Bridging pa- • Selecting the grounds led by M. – health problems, medications, aller- tient summaries across the Atlantic” Melgara, LiSPA; L. Alschuler gies, treatment plan, recent surgical project is co-funded by the European (Lantana): Mobilize people and procedures, etc. – in a digital health Commission to investigate the feasi- resources creating a community passport that can be safely read, bility of exchanging Electronic Health of knowledge to select and ana- understood and perhaps also updated Records (EHR) across the Atlantic, lyze key use cases and to carry by physicians in any country you starting with the EU Patient Summary out gap analysis, i.e., compare happen to be in, across the global (PS) Guideline (epSOS) and Meaning- PS specifications and associated eHealth ecosystem. ful Use Stage 2. The project began in policies including eIdentification, July 2013 and will run for 20 months authorization, privacy & security. The 2010 EU/US Memorandum of and is led by the HL7 Foundation. • Building the Bridge led by A. Understanding on eHealth/Health IT Trillium Bridge has adopted a four Estelrich (PHAST); H. Solbrig cooperation sets the “development part strategy (shown in Figure 1) to (Mayo): Assemble interoperability of internationally recognized and establish and sustain an interoper- assets to align structure and ter- utilized interoperability standards ability bridge across the Atlantic. Its minology, i.e., clinical document and interoperability specifications findings intend to inform internation- structures and semantic mappings for electronic health record systems al standardization efforts, promote for value sets published by the that meet high standards for security high standards of quality and safety National Library of Medicine & and privacy protection” as one of in cross-border care, and contribute epSOS. its objectives and sets along with its to health system sustainability and • Testing the Bridge led by K. Roadmap the policy context of the economic growth: Bouquard (IHE Europe), C. Chro- Trillium Bridge project. naki (HL7 Foundation): Develop testing tools strategy and validate exchange of patient summaries between the EU (Italy, Portugal, Spain) and the US (Kaiser Perma- nente, Atrius Health, Prosocial). Key organizations in EU Members states and the US have submitted expressions of interest, including European affiliates such as HL7 Spain, HL7 Italy, HL7 Germany, HL7 Austria, HL7 Greece, and HL7 Finland, etc. • Policy Alignment led by D. Kalra (Eurorec), L. Alschuler (Lantana): Contribute to policy alignment, standardization and future sustainability by inform- ing development of PS IGs and template libraries in liaison with Standards Development Organiza- tions (SDOs) to reduce the cost of standards and by delivering policy briefs in seven areas identified for Figure 1: Trillium Bridge four part strategy to establish and sustain an interoperability policy alignment: cross-vendor bridge across the Atlantic. integration, incentives, standard-

8 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 6 4/30/14 10:55:00 AM Figure 2: Graphical representation comparing the coded equivalent sections between the EU PS (epSOS) IG and the C-CDA/CCD US Realm IG

ization, innovative business mod- tions), problems, medical devices and Recent developments in Trilium els, education, clinical research, implants. Figure 2, contributed by Bridge were presented at the security and privacy. Ana Estelrich presents this informa- HIMSS14 conference in Orlando, FL. tion graphically. Several elements are The presentation slides are available The first six months of Trillium richer in content in the C-CDA/CCD: on the HL7 website (www.HL7.org/ Bridge concentrated on “Selecting social history observation, results, HIMSS) and on the Trillium Bridge the Grounds”. This translates to vital signs, procedures, plan of care, website (www.trilliumbridge.eu). mobilizing the community; collect- and functional status. Differences in The next stop for Trillium Bridge ing user stories, patient summary the underlying terminologies associ- will be in Athens Greece, in May samples, and specifications; con- ated with specific elements were also 12-14 for the eHealth Forum (www. ducting gap analysis; analyzing use identified. The full analysis is includ- ehealth2014.org). Join us at the Eu- cases; and developing the logical ed in the upcoming report “Compar- ropean Commission exhibition booth business architecture. ing Patient Summaries in the EU and to meet Martha and Paolo as they US: Gap Analysis and Pilot Use Case take their patient summaries across Thorough analysis of the Consoli- Definition”, soon to be available at the Atlantic crossing the dated Clinical Document Architecture the Trillium Bridge website. Trillium Bridge. (C-CDA®/CCD®) Implementation Guide (IG) for the US Realm and the Figure 2: Graphical representation EU PS (epSOS) IG in collaboration comparing the coded equivalent sec- Links with the ONC S&I EHR Interoper- tions between the EU PS (epSOS) IG Trillium Bridge: ability WS, revealed that although the and the C-CDA/CCD US Realm IG www.trilliumbridge.org underlying standard was the same The comparison of the patient sum- (HL7 CDA), the design philosophy mary specifications in the EU and eHealth Forum: Presidency Event on was different. The EU PS (epSOS) the US will no doubt inform devel- eHealth: Athens 12-14, 2014 takes a snapshot approach of the EHR opment of future template develop- (www.ehealth2014.org) suitable for unplanned care settings, ments and implementation guides. while C-CDA/CCD drives continu- It will also inform ongoing discus- ONC S&I EHR Interoperability WS: ity of care. As a result, C-CDA/CCD sions on how patient summaries are http://wiki.siframework.org/EU-US+ includes sections such as encounters expressed in CDA around the world. eHealth+Cooperation+Initiative and family history, which are not An HL7 Project Scope Statement on present in the EU PS (epSOS). The the gap analysis is under consider- coded clinical equivalent section ation in HL7 with the intent to bring present both in the C-CDA/CCD and it as a Working Item to the Joint EU PS (epSOS) are: medications, Initiative Council. allergies, immunizations (vaccina-

MAY 2014 9

HL7 NEWS MAY 14 INTERIOR.indd 7 4/30/14 10:55:01 AM European Patient Summary Guidelines Catherine Chronaki By Catherine Chronaki, Secretary General, HL7 Foundation, HL7 European Office

On November 19, 2013, the eHealth first time. The attending physician The PS guidelines refer to the basic Network (eHN), established under requests the patient’s PS from a and extended PS dataset that includes article 14 of the European Union (EU) recognized contact point. The con- administrative data, such as provider Directive 2011/24/EU on patient’s tact point relays the request to the and insurance; and clinical informa- rights to cross-border care, adopted contact point in the patient’s country tion, such as problems, medication, the guidelines on minimum/non- of origin and the attending physi- allergies, immunization, and thera- exhaustive patient summary dataset cian receives the patient’s PS in the peutic plan. The basic PS dataset, prepared by the eHealth Governance language and terminologies of the i.e., the essential clinical information, Initiative with participation of the country of treatment. The second must always be available; while the HL7 Foundation. Paola Testori, use case shown in the figure below, extended data set, i.e., the recom- Director General for DG Health & assumes that the patient has previ- mended clinical information, should Consumers of the European Commis- ously received care in the country of be completed wherever possible. sion, greeted the event as a landmark treatment. As a result, the attending agreement: “We really begin to see physician receives, in addition to any Although the guidelines serve as a a concrete outcome on collaboration clinical records available locally, the non-binding recommendation to the in eHealth for the benefit of patients, patient’s translated and transcoded EU MS, they provide, for the first after years of discussion.” PS from the country of treatment. time, the technical, semantic and organizational framework for cross- The Patient Summary (PS) guide- The PS dataset is the “minimum border care noting the underlying lines support continuity of care and set of information needed to as- implications and responsibilities. patient safety across-borders, focus- sure healthcare coordination and They specify that MS have shared ing on emergency or unplanned care, continuity of care” in emergency or responsibility for the infrastructure and provide a common data baseline unplanned healthcare situations sup- services supporting the exchange of for patient summaries within the 27 ported by “the range of healthcare patient summaries such as terminol- Member States (MS) of the European services available to people who need ogy, translation, security, eidentifica- Union. In that spirit, the Trillium medical advice, diagnosis and/or tion, and authorization. Thus, MS Bridge project (www.trilliumbridge. treatment quickly and unexpectedly.” need to work together to analyze, eu), motivated by the EU/ US Memorandum of Un- derstanding and roadmap, carries out a feasibility study for the EU/US electronic exchange of patient summaries comparing specifications recognized by the EU patient summary guideline and the US Meaningful Use Stage II regulation.

Two use cases provide the backdrop for the PS guidelines. The first one assumes that the patient receives unplanned healthcare in the country of treatment for the

10 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 8 4/30/14 10:55:02 AM understand, and jointly address the as these projects led to the develop- In retrospect, the European PS relevant interoperability aspects. ment of the PS Guideline and its guideline adopted last November adoption by the eHealth network. is an important milestone in our The epSOS Large scale pilot (www. quest for eHealth interoperability. It epsos.eu) that designed, built, and Several challenges still remain before presents a concrete opportunity for evaluated a service infrastructure to the PS are widely deployed and Eu- HL7 International and other SDOs to demonstrate cross-border interoper- ropean citizens can safely enjoy con- work together to lower the costs of ability between electronic health tinuity of care across the EU. Stan- standards development, adoption, record systems in the MS (2008- dards Development Organizations and implementation, stimulating 2014), provided the background and (SDOs) are particularly challenged wider stakeholder engagement and practical experience for the PS guide- to review and revise their processes open innovation! lines. With the support of the epSOS toward being more agile, collabora- industry team, widely-adopted stan- tive and responsive to the needs of Links: dards and integration profiles such the global eHealth ecosystem. eSENS • EU Directive 2011/24/EU on as HL7 Clinical Document Architec- and other EU co-funded projects, patients’ rights to cross-border ture (CDA®), IHE XCA, IHE XCPD, including those under Horizon 2020 care: http://eur-lex.europa.eu/ as well as well-known terminology PHC-35, need to take the next steps LexUriServ/LexUriServ. systems like ATC, Snomed-CT, and toward: do?uri=OJ: ICD10, established the foundations (a) Reception, adoption and fur- L:2011:088:0045:0065:en:PDF for technical and semantic interoper- ther development of PS guide • epSOS www.epSOS.eu ability for cross-border healthcare in lines by healthcare professional • Guidelines on minimum/ the EU. societies, the eHealth industry, non-exhaustive patient sum- and other eHealth stakeholders; mary dataset: http://ec.europa. Beyond the well-studied aspects of (b)Governance of terminologies eu/health/ehealth/docs/guide- interoperability, epSOS, the eHealth and specifications at the Euro- lines_patient_summary_en.pdf Governance Initiative, and the Calli- pean level; and • eHealth Governance Initiative ope thematic network have been piv- (c)Alignment of standardization www.ehgi.eu otal in recognizing and addressing efforts and eHealth policy at • Trillium Bridge: www.trillium the need for cultural interoperability the International, European, bridge.eu in the European eHealth ecosystem. MS level. Were they successful? Yes, in a way,

Upcoming INTERNATIONAL EVENTS

eHealth Forum: Presidency eHealth 2014 (Canada) MIE 2014 Event on eHealth Vancouver, BC, Canada Istanbul, Turkey Athens, Greece June 1–4, 2014 August 31–September 3, 2014 May 12-14, 2014 For more information, please visit For more information, please visit http://www.mie2014.org/ For more information, please visit: http://www.e-healthconference.com/ http://www.ehealth2014.org 12th International HL7 28th Annual Plenary eHealth 2014 (Austria) Congress on Nursing & Working Group Meeting Vienna, Austria Informatics (NI2014) Chicago, IL September 14–19, 2014 May 22–23, 2014 Taipei, Taiwan June 21–25, 2014 For more information, please visit For more information, please visit For more information, please visit http://www.HL7.org/events/work- http://www.ehealth2014.at http://www.e-healthconference.com/ groupmeetings.cfm

MAY 2014 11

HL7 NEWS MAY 14 INTERIOR.indd 9 4/30/14 10:55:03 AM Why I Became a Certified Professional HL7 Director of Education Sharon Chaplock, PhD, Interviews Erin Holt Erin Holt, Surveillance Systems and Informatics Program Director, CEDEP, TN Dept of Health

Erin relates her experience with taking the Version 2.7 You need to be well prepared. It’s Specialist Certification exam and the CDA® Certification well to note in the tutorial descrip- exam, why the certifications are important, and how she tion that you can’t just take the tu- successfully prepared for the exams. Read her story below. torial and expect to pass the exam. I took that seriously and it was true. Why did you become certified? Sharon Chaplock, PhD Having credentials is becoming more and more important What advice would you give to in a competitive job market, and can also give you cred- those interested in taking the certification ibility for what you know. People are more likely to listen. exam? My background is in Public Health Epidemiology. I found For Version 2 especially, nothing substitutes reading, communication of data between systems and turning data highlighting and understanding the standard. It certainly into information, not only necessary to my day to day helps if you are able to relate the material to something public health business, but also extremely interesting. and that you can see it in action. I used the concepts Through my daily activities in implementing Electronic that I struggled with in my daily implementations as Laboratory Reporting and my participation in the HL7 topics, which initially gave me a focus for reading the Public Health Emergency Response Work Group, I began standard. Then I filled in the gaps with the rest. It’s also to appreciate the need for computable semantic interoper- useful to know how the standard is organized to easily ability so I decided, why not get certified? It was benefi- access the information that you are looking for. There’s cial as I worked with older versions of Version 2 (V2) and no better way to prepare than to read it (the standard). as Public Health enters the world of Clinical Documents, Suck it up and read it. In addition, specifically to CDA, to look at the bigger picture and better understand the what also really helped me was learning about the RIM standards and their development. and the relationship between it and CDA. I have always had an interest in modeling, so this made understanding What materials did you use to study for CDA easier to grasp. the exam? In Public Health, it’s currently all about Version 2 specifical- How has being certified benefited you? ly for immunization registry communications and commu- I hope I have more credibility now, not only within my nicating reportable lab results electronically. So in studying own organization, but with external partners as well. for the V2.7 exam I was able to draw from my experience I’ve gained a more formal perspective of V3 and CDA, in implementing V2 messaging when reading the Version and a broader understanding of Version 2. With this 2.7 standard. This experience probably enabled me to better knowledge, my solution development and strategies I grasp the concepts and rules within the standard. In addi- hope are better. The biggest benefit is having a larger tion, I regularly take HL7 tutorials when attending working pool of knowledge to draw from when implementing group meetings. Since my first working group meeting in interoperable interfaces as well as brainstorming ideas. January 2011, I have taken almost, if not all, of the Version 2 related tutorials, as well as Version 3 (V3) related tutorials. Any additional comments you’d like to I was first introduced to the RIM at a CDC PHIN conference provide? years ago, (2007 I believe) given by AbdulMalik Shakir, and Taking the exam as a computer based test (CBT) in- I was hooked. The possibility of Public Health implement- stead of paper was very efficient. What I liked most was ing CDA communications and my interest in the RIM really getting my results right away. While I was apprehen- pushed me to take the CDA exam. As with the V2.7 exam, sive about clicking the wrong button, it didn’t matter reviewing the standard and taking the tutorials was helpful. because I could review my answers at the end before In both cases, the Study Guides and Practice Exams made submitting my exam. available by HL7 definitely helped. It seems obvious, but I didn’t know how much I didn’t know until I took the prac- Thank you, Erin tice tests, especially in regards to the other V2 messages. Do you want to be an HL7 certified professional, too? What challenges did you have taking and To find out more about the HL7 certification program studying for the exam? and the resources we provide to help you get certified, I really didn’t have any challenges. The standard docu- please visit: http://www.HL7.org/implement/certifica- ment makes it clear. I studied up and had an orientation. tion.cfm 12 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 10 4/30/14 10:55:04 AM What Is Your Definition of a Clinician? Katherine Duteau By Katherine Duteau, HL7 fan and member; Duteau Designs Inc.

The word “clinician” is a much “A jurisdictional provider who pro- consider myself a clinician. argued over word. For instance, as I vides healthcare services to a client. overheard in a discussion, “If you ask “– I like how this definition says that “Anybody who has anything to do a group of doctors what the defini- you have to be a jurisdictional pro- with medicine.” – That could mean a tion of clinician is, they will give vider, which means you must have parent who is giving his or her child many completely different answers.” a very good medical education, be medicine or even the patient himself. I collected a variety of opinions from qualified to provide healthcare, and That would mean, for instance, that if different members of HL7 and I wish have a client. you had first aid training you would to share what I heard with you. Not be considered a clinician, which I do surprisingly, many people said many “Someone who works in a clinic and not think is true. different things. The question I asked either has a medical background, people was “What is your definition or his or her main focus of work is “A doctor.” – That is true, but a clini- of a clinician?” healthcare related.” – This is very cian is more than just a doctor. I precise. It states you have to work in believe that a clinician is a nurse, a There were a lot of diverse answers. a clinic, and you should have either pharmacist, a veterinarian, or a per- Many people said it requires a lot of a medical background or your main son who works with patients. training to be a clinician, and you focus of work is healthcare related. can’t just have completed first aid “One who provides care to a patient.” training to be called a clinician. What Along with the above definitions, – This is true in a way, but do you most people said is that to be a clini- a few people had some different also need to work in a clinic or have cian, you must have substantial train- opinions on what their definition of medical training? I believe that these ing in the hands-on care of patients. a clinician was. I will give you some points need to be addressed to be You must work in healthcare, have examples of what they said and my considered a clinician. training in medicine, be professional, analysis of it. and provide patient care at a clinic. Another question I asked to some The usual definition of a clinic, in “It’s a person who cares for a pa- people was “What occupations are this case, was a hospital, a pharmacy, tient.” – Although this statement clinicians?” Most people agreed that or a health clinic. is true, we would have to expand doctors, nurses, pharmacists, vet- upon it because a doctor cares for a erinarians, and people who worked I want to take some time to discuss patient, but so does anyone else. with patients are clinicians. They some of the responses that I thought The janitor who works at the hos- also agreed that a person who only really answered the question. pital cares for the patient, but isn’t has first aid training is not a clinician. a clinician. The reason he isn’t is “Someone who has the training and/ because, as stated above, you have I want to thank the various people at or expertise to evaluate or improve to work at a clinic and have training the January Working Group Meet- upon the physical or mental heath of in medicine. ing in San Antonio who responded a person or animal.” – This is very to my questions and took the time well said and I like how the respon- “Somebody who gives clinical ad- to share with me their view of what dent said person and animal. That vice.”– This is very a broad statement. makes a clinician. means that a veterinarian is consid- That could really be anybody, so we ered a clinician, which I believe to need to be more specific. I could give be true. you some clinical advice, but I do not

MAY 2014 13

HL7 NEWS MAY 14 INTERIOR.indd 11 4/30/14 10:55:05 AM The Early History of HL7, Part 2: Activities by the Academic Community

By Rene Spronk, Senior Consultant and Trainer, Ringholm; Co-Chair, HL7 Application Rene Spronk Implementation and Design Work Group

HL7 was founded in 1987. There are two key activities (the bar code on all grocery products) and applauded that can be regarded as precursors of HL7. The first set the “grocers”’ foresight for developing the UPC standard of activities are those by the academic community lead- in 1970 – when there was no immediate use for these ing up to the publication of the ASTM E1238 and E1294 codes since the computerized checkout counter was a standards, and the other is the development and early decade into the future. McDonald argued that the medi- use of level 7 protocols by health informatics industry cal profession should show similar foresight and develop representatives like Don Simborg (which was the subject CDI standards. The editorial concluded with “One might of part 1 of this series). These activities were closely argue there are really too few computerized medical re- intertwined, if only because of the fact that the number cord systems to matter so what is the need. We’ll let the of interested parties in the field of healthcare informatics grocers answer that one.” was relatively small at the time. The editorial was rejected nine times in the 1981-1983 Academic Community: timeframe. The reviewers argued with Clem on many McDonald, Hammond et.al. points, including those that were not actually made: Clem McDonald (Medical Computer Science Research, e.g., that “clinical data is nothing like grocery stock”, Indiana University School of Medicine), Ed Hammond and that “standards would be of no use because physi- (Division of Medical Informatics, Duke University), and cians did not have computers in their office and never other academics first became interested in interface stan- would”. The paper was finally published in 1983. Ed dards through their work with computer stored medical Hammond stated the following about the general reac- records. The medical record is an assemblage of infor- tion back then related to standards development “That’s mation from various sources: the clinical lab, the radiol- blue collar work; there is no academic honor in doing ogy department, the consultant, the nurse, the current it.” – there was zero interest. McDonald subsequently physician as well as sources other than the current point wrote a paper that provided a starting point for a panel of care. Much of that data was electronic even in the mid discussion at the Symposium on Computer Applications to late 70’s, but getting it into the computer stored medi- in Medical Care (SCAMC) meeting of 1983. It contained cal record required either manual keying of the data, much of the same arguments as the editorial mentioned jerry rigged screen scraping, or capture of printer output. above, and stated the following about the actual method for the communication of clinical data (note the absence Clem McDonald’s first attempt to stir interest in develop- of LANs): ing standards for CDI (Clinical Data Interchange) was “At the present there are at least two potential media in the form of an editorial entitled “Grocers, Physicians, for communicating results between producers and and Electronic Data Processing”. It stated that the cost requestors. The first is the telephone. Current modem of hardware and software was low enough to allow for technology with auto-dialers and auto-answer capa- the use of a computer by most office-based physicians, bilities could easily support such communication. but that the cost of data entry would become prohibi- The second possibility is paper with bar codes. Wand tive unless the medical industry developed standards readers and matrix printers that can print bar codes for CDI. The editorial called attention to the UPC code are inexpensive and reliable.”

14 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 12 4/30/14 10:55:06 AM At the 1983 SCAMC meeting a group of clinicians, labo- For example, Clem McDonald wanted to focus on clinical ratorians and computer scientists started a discussion laboratory interfaces; and Don Simborg held a sincere in AAMSI (one of the forbearers of AMIA) about how to belief that no single vendor could ever meet the needs of interest the academic community in standards. Those the various clinical departments and clinical specialists, interested gathered as a AAMSI task force to formulate and was primarily interested in creating standards for all a draft standard. Clem McDonald stated, on the scope of what would be required for an HIS composed of best of the work: “In order to speed closure, we limited the of breed. scope of the initial effort to the interchange of clinical laboratory results. We started with the clinical laboratory ASTM E31 on the basis of a variant of Sutton’s law - that’s where In 1984 the American Society of Testing and Materials the data is.” While the group was sympathetic with the (ASTM) invited the taskforce to organize as a formal desire to encompass many more types of clinical data, subcommittee (known as E31.11 Standards for the Ex- they believed the chances of success in standards devel- change of Clinical Data) within their organization. opment were improved by starting with a narrow focus. Limiting the focus to clinical laboratory data defined a Clem McDonald: problem large enough to be important, but small enough “This was an important step because ASTM is one of to be solved with a few years’ worth of effort. They went through three cycles of proposed standards and revi- the few qualified consensus standards forming groups sions, and contacted Health Care Financing Administra- and gave us the tools to develop a formal consensus, tion (HCFA), American Society for Testing and Materials with proper procedures and policies. The standard (ASTM), and a number of commercial lab vendors seek- (documented in just 16 pages) was accepted by ASTM ing review of the proposed standard. and published as E1238-88 (Standard Specification for Transferring Clinical Laboratory Data Messages Between Independent Computer Systems) in 1988.”

This was the first published balloted consensus standard for clinical data. The standard was published in 1988 and was implemented in 1989. ASTM E1394, a standard for instrument to lab system interfaces, was subsequently created in close time frame as a simplified version of ASTM E1238. This is still the predominant message standard used between instruments and lab systems.

The ASTM E1238 standard was ultimately merged with Example Laboratory result. In HL7 Version 2 terms, P became HL7 Version 2 shortly after the publication of HL7 Ver- PID, B became OBR, and R turned in to OBX. Note the use of sion 2.0. McDonald continues to be active in standard- “” for the null value. ization to this day (e.g. LOINC, and within HL7).

In the fall of 1984, the task force presented a draft stan- This is the second part of a series of articles about the dard to an open SCAMC meeting. The panel was moder- early history of HL7. This article is an abridged version ated by McDonald. Panel members included Clement of a creative commons article available at http://bit. McDonald, Gio Wiederhold, Donald W. Simborg, Ed ly/1e7KScz – you are referred to the full article for refer- Hammond, Fredrick R. Jelovsek, and Ken Schneider. The ences. See http://bit.ly/O68VxR for a video interview participants’ responses were a cacophony of disagree- ment and encouragement. Some argued that even the with Clem McDonald. Please let us know should you have limited scope of the laboratory was impossibly large; additional information about the early history of HL7. others argued that unless the standard covered all medical communications, it was unworthy.

MAY 2014 15

HL7 NEWS MAY 14 INTERIOR.indd 13 4/30/14 10:55:07 AM UML Profile for MIF Static Models Antonio Villegas By Antonio Villegas and Antoni Olivé, Universitat Politècnica de Catalunya - BarcelonaTech

This article summarizes our contri- represented in XML or in its equiva- The profile uses bution to the 2012-2013 HL7 Tooling lent graphical representation. The the HL7 Version Challenge “Produce a UML Profile output model can be represented 3 Data Types for MIF Static Models”. The main in the standard graphical notation Abstract Specifi- goal of the profile is to enable the defined by UML, or in its equivalent cation R2, which representation in UML of the MIF XMI. The central component is the contains the data static models. This representation proposed UML profile, which makes types referenced allows all members of the large possible the above transformation. within the MIF Antoni Olivé software engineering community to A profile is a standard mechanism static models; the HL7 RIM which understand those models without that allows limited extension to UML contains the foundational classes requiring additional training. Fur- without modifying the underlying of the HL7 standards; and the HL7 thermore, the healthcare community metamodel of the language. A profile Vocabulary, which contains the HL7 can benefit from existing UML-based consists essentially of one or more Concept Domains, Code Systems, modeling tools and methodologies. stereotypes. A stereotype is a class and HL7-defined Value Sets refer- Among others, there are tools that whose instances extend the charac- enced within the MIF static models. generate a significant part of the teristics defined in a model element. final code of a software system from The Foundational Area of the profile its UML model. The profile consists of six parts, as comprises the stereotypes that repre- indicated in Figure 1. The Founda- sent the “normative” content of the In what follows, we first briefly tional Area contains the stereotypes HL7 RIM. Figure 2 shows a subset describe the proposed profile, and that represent the concepts in the of those stereotypes. All of them are then we illustrate its use by means HL7 Reference Information Model a subtype of the InfrastructureRoot of a small example in the transfor- (RIM), including acts, roles, enti- stereotype, which is an extension of mation of MIF models into equiva- ties, and participations. The Mes- the UML metaclass Class. The color lent UML models. sage Communications Control Area of the stereotype box is significant as contains the stereotypes that repre- it identifies the RIM class referenced The UML Profile for MIF sent the technical infrastructure of by the stereotype. The Act related The UML Profile for MIF static HL7, including messaging and other stereotypes are red, the Entity re- models allows the representation components. The Special Constructs lated stereotypes are green and the of existing or new MIF models in Area contains the stereotypes that Role related stereotypes are yellow. UML. Figure 1 shows the three main provide ways to represent specific These color guidelines are defined in components of the transformation. constructs from HL7, such as at- the HL7 RIM. The input is a MIF model and the tributes, entry points, CMETs, and output is a semantically equivalent choices. Figure 3 shows an example of use of UML model. The input model can be the profile. The example uses nine stereotypes defined in the Founda- tional Area (Patient, Organization, Entity, Role, Participation, Observa- tion, Person, NonPersonLivingSub- ject and Place) and eight stereotypes defined in the Special Constructs Area (StaticModel, EntryPoint, Choice, CMET, Attribute, Scoper and Player). Note that a class can have several stereotypes. Class BirthPlace uses the stereotype «Role» to indicate that it is a (subtype of the) RIM Figure 1: Components of the MIF-UML Specification Role. The class has two attributes that are stereotyped «Attribute» to

16 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 14 4/30/14 10:55:08 AM of MIF attributes; for example, the attribute class- Code for Patient. A similar transformation is done for the classes Person, Non- PersonLivingSubject and BirthPlace in Figure 4.

A MIF Choice element is represented as a class. Figure 4 shows the Entity- ChoiceSubject choice. In UML we represent choices as generalization hierar- chies of classes, as depict- ed in Figure 3. The Choice class is the top-level class in the UML generalization hierarchy. It contains the name indicated in the name attribute of the class node in the MIF representation, and it is defined as abstract. The Choice class Figure 2: Stereotypes of the Foundational Area (fragment) must have two stereotypes. The first stereotype must be «Choice», which indi- indicate that they are RIM attributes. taining a name and several attri- cates that the class is a Choice. The The association between BirthPlace butes. The class Patient of Figure 4 is second stereotype is indicated by the and E_PlaceInformational is ste- transformed into a UML class with the first derivation Supplier subnode of reotyped «Player» to indicate that it stereotype «Patient». Similarly, class the MIF class, which represents the corresponds to the RIM association attributes in MIF are represented as RIM class from which the Choice class player – playedRole between Entity UML attributes with the stereotype hierarchy is derived. In the example and Role. «Attribute» that defines properties for where to keep additional information continued on next page From MIF to UML Our specification includes guidelines for the transformation of MIF models into UML using our profile. In the following, we illustrate this transformation by means of its application to the example in Figure 4. The result of the transformation is shown in Figure 3. Each static model has one Entry Point (Patient Nullify in the example in Figure 4), which is named, carries an ID and contains a brief de- scription. Figure 3 shows the entry point as a UML class with the stereotype «Entry- Point» (which is part of the Special Constructs Area).

Graphically, classes in MIF and in UML are similarly represented as boxes con- Figure 3: Example of use of the UML profile for MIF MAY 2014 17

HL7 NEWS MAY 14 INTERIOR.indd 15 4/30/14 10:55:12 AM UML Profile for MIF Static Models continued from page 17

tation, shown in Figure 3, consists of three classes, all with the stereotype «CMET», and with the additional stereotypes of «Organiza- tion», «Place» and «Observation». In the MIFs (and in the RIM) all associations are binary, and – with only two exceptions – they can be directly represented in UML. In Figure 4 there are three normal associations: (1) between the act A_SpatialCoordinate and the participation Subject; (2) between that participation and the role BirthPlace; and (3) between the CMET and the role Patient. Figure 3 shows their UML representation as binary associations. The corresponding multiplicities are taken from the MIF model.

The MIF associations that require a special treatment are those linking roles and entities. The problem arises because there are two such associations in the RIM,; they are named playerRole – player, and scopedRole – scope. Each one has a special representation in the MIFs: a solid line for the first, and a dashed one for the second. There are two examples in Figure 4 corresponding to the roles Patient and BirthPlace. Our profile includes two stereotypes for representing those associations in UML: «player» and «scoper». The playerRole – player association between Patient and EntityChoiceSubject is stereotyped «player» in Figure 3. Similarly, the scopedRole – scope association between Patient and E_Organization is stereotyped «scoper» in Figure 3. The corresponding multiplicities are taken from the MIF model, Figure 4: A MIF Example as in the normal case. In this way, the profile shown in Figure 3, EntityChoiceSubject generalizes allows for the capture of the complete se- classes Person and NonPersonLivingSubject, and it is mantics of MIF associations. stereotyped as both «Choice» and «Entity». In our submission, we show the detailed transformation CMETs are common references that are likely to be made of several MIF models from Clinical Document Architec- by multiple models. When a CMET is referenced, or ture, Clinical Statement, Patient Administration, Phar- used in another diagram, it is shown with a special no- macy and Scheduling. The profile specification has been tation—a box with dashed edges. It contains the name developed with Sparx Enterprise Architect, although it of the CMET, its artifact identification code, its class can be easily imported and used with other modeling code, and its level of attribution. We represent a CMET tools that support XMI. as a UML class with the stereotype «CMET». The class must contain another stereotype from the Foundational Our submission includes a MIF-UML modeling guide Area representing the kind of the main class referenced that describes the steps required to construct valid MIF by the CMET. static models in UML using our profile. The guide is il- lustrated by means of examples using Enterprise Archi- Figure 4 shows three examples of CMETs: E_Organization, tect as a modeling tool. E_Place and A_SpecialCoordinate. Their UML represen-

18 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 16 4/30/14 10:55:14 AM Member Spotlight on Anita Walden

Anita Walden has been a member of HL7 since 2003. one of two therapeutic area methodology Her primary focus in HL7 has been to develop seman- projects funded by the National Institute tic standard data elements to be used at the point of of Health (NIH) and facilitated by Duke care and reused throughout research, surveillance, in partnership with standards organiza- and other health and medical entities. She tions, HL7 and CDISC. She is also believes that defining and using standard serving as the informatics terms throughout the system will re- project manager for the development of duce recollection of data, increase a 50,000 participant registry system data quality and hopefully, in to collect and manage self-re- the long term improve access ported, electronic medical record to information. Anita has held information from local providers many positions in HL7. She and specimens that will be used is a member of the Public to reclassify health and disease Health Emergency Response employing advanced scientific Work Group and is a founding technologies working toward member and current co-chair personal medicine. of the Clinical Interoperability Council (CIC). She also serves Anita grew up in North Carolina as the publishing facilitator for the and currently lives in the Chapel CIC. Anita was also the project man- Hill-Durham area. In her spare time, she ager for the Tuberculosis Data Standards enjoys working in her yard, day hiking and DAM, the Schizophrenia DAM and the Major Depres- skiing during the winter months. Every few years, sive Disorder DAM. An interesting fact about Anita’s she disconnects from phones, email and work to involvement in HL7 is that since joining in 2003, she regenerate. For her, this means traveling to a devel- has attended every working group meeting, with the oping country and living with local families, staying exception of the January 2014 meeting. She instead on farms, hostels or small guest houses. Anita says spent that week climbing Mount Kilimanjaro in Tan- this grounds her and opens her eyes to the world zania with Ed Hammond! outside of her everyday life. Most recently, she spent a month in East Africa. There, she visited Tanzania, Anita has worked at Duke University for the past where she hiked 8 days on the Lemosho route on 15 years. She is currently a senior clinical research Kilimanjaro; took a safari in the Ndutu region of informaticist and project leader at the Duke Trans- the Ngorongoro Crater Conservation Area and the lational Medicine Institute. Throughout her career, Serengeti to witness the Great Migration; traveled to she has worked for academic, pharmaceutical and Ethiopia to experience the beautiful highlands in and clinical research organizations where she led projects around Lalibela, once considered a second Jerusalem, and teams focused on data management activities for to see ancient monasteries and churches carved out global clinical research and clinical research infor- of rock; and spent time in Nairobi, Kenya, witness- matics initiatives. Anita has participated in a wide ing the balancing of modernization with traditional variety of informatics activities, including acting as culture. To see photos from her trip, please visit: a project manager and assisting in the development http://anitaw.smugmug.com/Hiking/Mount-Kiliman- of methodology for creating therapeutic care data jaro-Trek/37110042_3ZLjRD#!i=3080613488&k=hbq standards, including the Tuberculosis DAM project, XV3K.

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HL7 NEWS MAY 14 INTERIOR.indd 17 4/30/14 10:55:16 AM HL7 Benefactors as of April 22, 2014

Centers for Disease Control and Prevention

Office of the National Coordinator for Health IT

Life in the TSC and HL7 - What is Next By Ken McCaslin, FHL7, HL7 Technical Steering Committee Chair; Director, Healthcare Standards, Quest Diagnostics Ken McCaslin

This past January Working Group Meeting in San need more hands, we struggle with not having enough Antonio was different in so many ways from any previ- bodies to get the work done. This is a time when we ous meeting. I hope it was not obvious, but it was very must be mentors and leaders to new people who will intimidating for me as the new chair of the TSC. Both continue the work that has barely begun. Charlie McCay and Austin Kreisler were exceptional TSC Chairs as they helped move HL7 forward. HL7 is now The big question is: How do we get started? We need entering a unique time with a number of issues on many to find better ways to attract others to join and help lift fronts. Improved healthcare interoperability could not up HL7. One of my favorite managers once told me that be more important, as there are so many areas that have if you are not training at least three or more people to needs in a truly changing world. At a time when we succeed you, then you are stuck repeating your mistakes. continued on next page

20 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 18 4/30/14 10:55:18 AM News from the PMO and Project Services Work Group

Dave Hamill By Dave Hamill, Director, HL7 Project Management Office

Piloting Conformance Testing at HL7 A high-level overview of the process to set up and con- Health Level Seven International (HL7) has partnered duct practice testing in the Developers Integration Lab with AEGIS to offer a new HL7 Conformance Testing (DIL) is on the homepage of www.HL7.org. Program. In an effort to streamline implementation of interoperability standards, HL7 has leveraged the game- HL7 Help Desk Expansion changing technology and architecture of the AEGIS HL7 has expanded its Help Desk pilot to include the Developers Integration Lab (DIL). The DIL helps auto- following areas: mate and execute test cases created by HL7, providing • HL7 Immunizations an easy-to-use system for performing both conformance • HL7 V2.X Orders and observations and interoperability tests against published HL7 specifi- • HL7 V2.X ADT cations, standards and profiles, including templates and • HL7 V2.X Meaningful Use Stage 2 Implementation implementation guides. Guides • FHIR® The entire HL7 International community, including affiliates, benefits from this shared testing service, which The Help Desk is free to HL7 members and includes can eventually be used to identify test cases that are professional support staff to get the support you need sufficiently mature to comprise a certification program. to lower development costs by resolving implementa- Participating in this program takes the burden off of tion challenges. There are over 300 FAQs and Knowledge vendors to validate technical interoperability and offers Base articles available. vendors a major market differentiator. Additionally, HL7’s team of Help Desk Moderators is The scope of the pilot project is to create test artifacts available to answer any question posed by members for Immunization. This past February, at the HIMSS14 which aren’t part of the database of FAQs and Knowledge Conference in Orlando, a ‘proof of concept’ was un- Base articles. veiled by demonstrating a subset of the immunization profiles. The pilot will conclude at HL7’s Plenary Meet- HL7 members can access the Help Desk at ing in September. https://healthlevelseven.desk.com.

Life in the TSC and HL7 continued from previous page

We have done extremely well during the last 26+ years, When you get a chance to reflect on this, please send me but that is only a start. We need to provide a good space an email with an idea that you think might invite/encour- for new people that may not even know about HL7. We age new people to join HL7. Please title it “Building a have the ambassador program, but we all need to be New HL7” and send it to me at Kenneth.H.McCaslin@ ambassadors for HL7. QuestDiagnostics.com. I will gather all the emails and consolidate them into a collective document that I will I do not pretend to have the answer, but I have learned email prior to the September Work Group Meeting. Then, that those who are “HL7 people” are some of the bright- let’s brainstorm together to determine the next steps. est. I would like you to consider what led you to HL7, what made you stay, and what keeps you coming back.

MAY 2014 21

HL7 NEWS MAY 14 INTERIOR.indd 19 4/30/14 10:55:19 AM Congratulations ttttttttttttttttttttt To the following people who passed the HL7 Certification Exams

Certified HL7 Haisheng Wang Chetan Pradeep Malkhare HL7 India Version 2.x Chapter Huili Wang Aniruddha Mandale 2 Control Specialist Jian Wang Niroop Mannotti December 21, 2013 Ming Wang Krunal Mone Mrunmayee Chogale Yanzhao Wang Amol Neharkar Anwesha Das Computer Based Testing Guanxiong Xie Dhruv Parmar Vidhi A Gajjar Zuoxiang Xie Shraddha Patil Sheetal C Ghole December 2013 Dengfeng Xu Shridevi Phatate Omkar Joshi Janardhanan Kannan Yanbo Xue Pravin Phulari Dipika Kewalramani Satheesh Nalliyappan Jiayu Yang Mehul Popat Apurva Khanna Lauren Vermette Bangqun Zhang Siddhesh S. Prabhu Parsana Ajay Nanubhai Huyong Zhao Mr. Rajshekar R Rampelli Firoz Pathan January 2014 Lin Zheng Manish A Ramrakhyani Rajneesh Prakash Sandeep Kovvur Youhua Zheng Ms. Ruchira Sahamate Raikhanghar Eric Bultman Nan Zhou Miss Sujata Sahay Shyam Rajadhyax Shanmugasundaram Mr Vijay V Satpute Pratik Rane Jaganathan HL7 India Ami Shah Vinit Shah Melanie Kourbage Vijendra Singh Raghava Rachuru December 21, 2013 Ms. Dishita Shah HL7 Korea Siva Karthik Devineni Ms. Pooja Vijay Aher Mahavir Prasad Sharma Lester Arthur TABREZ AKHLAQUE Sudha Uppalapati November 30, 2013 Jing Li Rohini Ambure Pratit Vajani Hyeongseok Jeon Chukwuma Okeke Mr. Kiran Anumalla Mr. Sanjaykumar Yadav Amol Bandagale December 28, 2013 February 2014 Umesh Beloshe Certified HL7 CDA Alum Kim Josh Reynolds Prashant Bhoir Kwangho Yang Michael Adams Specialist Allwyn Carvalho Richard Overath Faiz Chachiya Computer Based Testing Dean Quarles Certified HL7 Sashank C V Patrick Malone Version 3 RIM Jyoti Dabre December 2013 Specialist Mr. Varun Bhika Deore Vijaya A HL7 China Mr. Mangesh N. Deshmukh Richard Kuchan Computer Based Testing Mohan Girhe December 15, 2013 Suraj Govande January 2014 Qizu Deng January 2014 Manish Gurnani Keerthi Yaga Yihui Fan Lars-Gunnar Hartveit Indiwar Jha Tom McFadden Yang Gao Ms. Priyadarshini Yushi Gao HL7 China Ramkrishna Jadhav February 2014 Long Huang Mamta K Joshi Patricia Bauer Xinting Huang December 15, 2013 Girish Kankani Chukwuma Okeke Pan Jiang Qin Li Prakash Katwate Dujuan Jiao Hongxia Tan Nasir B Khan HL7 China Haixia Li Yanbo Xue Vinod Khilnani Chaofeng Lu Kanika Khurana December 15, 2013 Qin Zhu Cunjian Nai Manoj Kolly Pan Jiang ZhiBiao Ou Mr.Dhairya Kothari Chunlin Jing Jie Shan Varsha Maheshwari Huyong Zhao Hongxia Tan

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22 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 20 4/30/14 10:55:20 AM HL7 ORGANIZATIONAL MEMBERS Benefactors Standing Stone, Inc. Westat Health Sciences South Carolina Accenture Varian Medical Systems HIMSS Allscripts WellPoint, Inc. General Interest ICCBBA, Inc. Booz Allen Hamilton Academy of Nutrition & Dietetics IFPMA (as trustee for ICH) Centers for Disease Control and Prevention/ Consultants Advanced Medical Technology Association Indian Health Service CDC Accenture (AdvaMed) Indiana Health Information Exchange Duke Translational Medicine Institute Adroitent, Inc. Agency for Healthcare Research and Quality International Training & Education Center Epic AHIS - St. John Providence Health American Assoc. of Veterinary Lab for Health Food and Drug Administration Beeler Consulting LLC Diagnosticians Iowa Department of Public Health GE Healthcare Blackbird Solutions, Inc. American College of Physicians Japan Pharmaceutical Manufacturers GlaxoSmithKline Booz Allen Hamilton American College of Radiology Association IBM CAL2CAL Corporation American Dental Association L.A. County Dept of Public Health Intel Corporation, Digital Health Group CDA PRO American Health Information Management Louisiana Public Health Institute Intermountain Healthcare CentriHealth Association Michigan Health Connect InterSystems Clinical Intelligence Consulting, Inc American Immunization Registry Association Michigan Health Information Network Kaiser Permanente Dapasoft Inc. (AIRA) Ministry of Health - Slovenia McKesson Provider Technologies Dulcian, Inc. American Medical Association Minnesota Department of Health Microsoft Corporation Edidin Group, Inc. American Psychiatric Association Missouri Department of Health & Senior NICTIZ Nat.ICT.Inst.Healthc.Netherlands Edifecs, Inc. American Society of Clinical Oncology Services Office of the National Coordinator for Edmond Scientific Company Arizona Department of Health Services NAACCR Health IT EnableCare LLC Arkansas Department of Health National Association of Dental Plans Oracle Corporation - Healthcare ESAC Inc ASIP SANTE National Cancer Institute Partners HealthCare System, Inc. FEI.com CA Department of Public Health National Center for Health Statistics/CDC Philips Healthcare Frank McKinney Group LLC Cabinet for Health and Family Services National Centre for Health Information Quest Diagnostics, Incorporated General Dynamics Information Technology California Correctional Health Services Systems U.S. Department of Defense, Military Health Haas Consulting California Department of Health Care National Council for Prescription Drug System Healthcare Integration Technologies Services Programs U.S. Department of Veterans Affairs Healthcentric Advisors CDISC National eHealth Transition Authority HLN Consulting, LLC Centers for Disease Control and Prevention/ (NEHTA) Gold iEHR.eu CDC National Institute of Standards and 7 Delta, Inc. Infinite Consulting Services Centers for Medicare & Medicaid Services Technology AEGIS.net, Inc. Integration Sante City of Houston National Library of Medicine American Health Information Management iNTERFACEWARE, Inc. College of American Pathologists National Marrow Donor Program Association Just Associates, Inc. College of Healthcare Information Mgmt. NCQA Apprio, Inc. Klein Consulting, Inc. Executives New Mexico Department of Health Asseco Poland S.A. Lantana Consulting Group Colorado Regional Health Information NICTIZ Nat.ICT.Inst.Healthc.Netherlands CAL2CAL Corporation LOTS, LLC Organization NIH/CC Center for Medical Interoperability M*Modal, Inc. Columbia University NIH/Department of Clinical Research Corepoint Health MCNA Dental Community Mental Health Center of Informatics Credible Wireless newMentor Crawford County NJDOH Daintel OTech, Inc. Comprehensive Medical and Dental Program North Carolina Health Information Exchange DiagnosisOne, Inc. Professional Laboratory Management, Inc. Connecticut Department of Public Health OA-ITSD - Department of Mental Health Edidin Group, Inc. RedGranite, LLC Contra Costa County Health Services Office of the National Coordinator for Fresenius Vial Riki Merrick Council of Cooperative Health Insurance Health IT Gamma-Dynacare Medical Laboratories River Rock Associates Danish National eHealth Authority OFMQ healthbridge Rob Savage Consulting Delaware Division of Public Health Oklahoma State Department of Health Info World Shafarman Consulting Department of Developmental Services Oregon Public Health Division Inofile SLI Global Solutions Department of Health OSEHRA iNTERFACEWARE, Inc. Stat! Tech-Time, Inc. DGS, Commonwealth of Virginia Pharmaceuticals & Medical Devices Agency Klein Consulting, Inc. The Audigy Group, LLC Duke Translational Medicine Institute Phast Liaison Technologies Inc., The SIMI Group, Inc. ECRI Institute Primary Care Information Project, NYC Dept Michiana Computer and Technology ThinkAnew Emory University, Research and Health Health National Association of Dental Plans TIMSA Sciences IT Radiological Society of North America Pitney Bowes Software Travers Consulting European Medicines Agency Ramsey County Public Health Rochester RHIO United Laboratory Network IPA, LLC Florida Department of Health Region Syddanmark Siemens Healthcare Virginia Riehl Food and Drug Administration RTI International Sparx Systems West Virginia Medical Institute Georgia Medical Care Foundation SAMHSA

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HL7 NEWS MAY 14 INTERIOR.indd 21 4/30/14 10:55:21 AM HL7 ORGANIZATIONAL MEMBERS, continued SC Dept. of Health & Environmental Providers Region Midt, It-udvikling, arkitektur og Beckman Coulter, Inc. Control HS Akron General Medical Center design Cal-Med Social Security Administration Alaska Native Tribal Health Consortium Rheumatology and Dermatology CANON INDIA PVT LTD Software and Technology Vendors Albany Medical Center Associates PC Care Data Systems Association (SATVA Albany Medical Center Hospital Rockingham Memorial Hospital Care Everywhere, LLC Telligen ARUP Laboratories, Inc. SA Tartu University Clinics CareCam Innovations Tennessee Department of Health Ascension Health Information Services Saudi Aramco - Healthcare Applications CareCloud Texas Department of State Health Services Athens Regional Health Services, Inc. Division Carestream Health, Inc. Texas Health Services Authority Barnabas Health Scottsdale Health CareTech Solutions, Inc. The Joint Commission Beaumont Hospital Sharp HealthCare Information Systems Casmaco Ltd. The MITRE Corporation BJC HealthCare South Bend Medical Foundation, Inc. CCITI NY UC Davis School of Medicine Blessing Hospital Spectrum Health Cedaron Medical, Inc. University HealthSystem Consortium Blount Memorial Hospital St. Joseph Health Center for Clinical Innovation University of AL at Birmingham Boston Children’s Hospital Summa Health System Center of Informational Technology University of Kansas Medical Center Butler Healthcare Providers Texas Health Resources DAMU University of Minnesota Carilion Services, Inc. The Children’s Hospital of Philadelphia Cerner Corporation University of Szeged, Institute of Cedars-Sinai Medical Center Theranos, Inc. Certify Data Systems Informatics Center for Life Management Tuomey Healthcare System ChartNet Technologies University of Texas Medical Branch at Center for Medical Interoperability U.S. Department of Defense, Military ChartWise Medical Systems, Inc. Galveston CHI Health System ChoiceOne EHR Inc. University of Utah Pediatric Critical Care/ Childrens Mercy Hospitals and Clinics U.S. Department of Veterans Affairs ClientTrack IICRC Children’s of Alabama UK HealthCare Clinical Architecture LLC UT Austin Health Information Technology Cincinnati Children’s Hospital University of Louisville Physicians Clinical Data Management Program City of Hope National Medical Center University of Nebraska Medical Center Clinical Software Solutions Utah Health Information Network Cleveland Clinic Health System University of Pittsburgh Medical Center Clinicomp, Intl Virginia Department of Health Corporacion IPS Universitaria de caldas University of Utah Health Care ClinicTree Virginia Information Technologies Agency Cottage Health System University Physicians, Inc. CMG Technologies Sdn Bhd Washington State Department of Health Deaconess Health System UT M.D. Anderson Cancer Center CNIPS, LLC WNY HEALTHeLINK Diagnostic Laboratory Services Vanderbilt University Medical Center CNSI WorldVistA Emory Healthcare West Virginia University Hospitals Cognitive Medical Systems Gamma-Dynacare Medical Laboratories Winchester Hospital Cognosante, LLC Payers Geisinger Health System Community Computer Service, Inc. Blue Cross and Blue Shield of Alabama Hendricks Regional Health Vendors Compania de Informatica Aplicata Blue Cross Blue Shield Association Institut Jules Bordet 1MEDiX Computrition, Inc. Blue Cross Blue Shield of South Carolina Intermountain Healthcare 3M Health Information Systems COMS Interactive, LLC Cambia Health Solutions Interpath Laboratory 7 Delta, Inc. Conceptual MindWorks, Inc. CareMore Medical Enterprises Johns Hopkins Hospital ABELSoft Inc. Conducive Consulting, inc. Delta Dental Plans Association Kaiser Permanente Accountable Care Associates Consolo Services Group, LLC Florida Blue Kernodle Clinic, Inc. Acumen Physician Solutions Consultants in Laboratory Medicine Health Care Service Corporation KMH Cardiology & Diagnostic Centres ADP AdvancedMD, Inc. Corepoint Health Healthspring Laboratory Corporation of America ADS Technologies, Inc. Covidien Meridian Health Plan Loyola University Health System AEGIS.net, Inc. Credible Wireless MetLife, Inc. Lucile Packard Children’s Hospital Agilex Technologies CSC Healthcare National Government Services Mayo Clinic Alert Life Sciences Computing, Inc. Curaspan Healthgroup, Inc. Neighborhood Health Plan McFarland Clinic PC Allscripts Cyberpulse L.L.C. Premera Blue Cross Medicover AlphaCM, Inc Cyrus-XP LLC UnitedHealth Group Meridian Health Altos Solutions, Inc Daintel WellPoint, Inc. Milton S. Hershey Medical Center Altova GmbH Dansk Medicinsk Datacenter ApS Wisconsin Physicians Service Ins. Corp. New York-Presbyterian Hospital American Data Data Innovations, LLC North Carolina Baptist Hospitals, Inc. American Data Network Data Strategies, Inc. Pharmacy Partners HealthCare System, Inc. Amtelco Datuit, LLC Bristol-Myers Squibb Pathologists’ Regional Laboratory Apelon, Inc. Daverci, LLC Eli Lilly and Company Patient First Asseco Poland S.A. Deer Creek Pharmacy Services GlaxoSmithKline Pocono Medical Center AT&T mHealth Dell-Boomi Merck & Co. Inc. Quest Diagnostics, Incorporated Atirix Medical Systems Delta Health Technologies, LLC Rx Linc, LLC Rady Children’s Hospital Availity, LLC DiagnosisOne, Inc. Virco BVBA Regenstrief Institute, Inc. Aversan Inc Document Storage Systems, Inc.

24 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 22 4/30/14 10:55:22 AM HL7 ORGANIZATIONAL MEMBERS, continued

DocuTrac, Inc. Info World MEDITECH, Inc Rochester RHIO Dolbey & Company Information Builders Mediture Rosch Visionary Systems EBM Technologies Inc. Information Management Associates MedMagic RTZ Associates, Inc eCareSoft Inc. Innovative Workflow Technologies Medocity Sabiamed Corporation eCaresoft Mexico SA de CV Inofile MEDTRON Software Intelligence Seeburger AG echoBase Inovalon Corporation Shasta Networks eHealth Data Solutions, LLC Insight Software, LLC Medtronic Siemens Healthcare eHealthCare Systems, Inc. Integrated Practice Solutions MedUnison LLC Simavita Pty Ltd EHRCare LLC Intel Corporation, Digital Health Group MedVirginia Skylight Healthcare Systems, Inc. Electronic Medical Exchange Holdings Intellica Corporation Megics Corporation SMART Management, Inc. LLC Intelligent Health Systems MGRID SOAPware, Inc. ELEKTA Intelligent Medical Objects (IMO) Michiana Computer and Technology Softek Solutions, Inc. EMD Wizard Inc INTELLIGENT RECORDS SYSTEMS & Microsoft Corporation Software AG USA, Inc. Emdeon, LLC SERVICES Mirth Corporation Software Partners LLC EmpowerSystems Interbit Data, Inc. Mitchell & McCormick, Inc Southwestern Provider Services, Inc Epic Interface People, LP ModuleMD LLC Sparx Systems ESO Solutions Interfix, LLC MPN Software Systems, Inc. SRSsoft, Inc. ESRI InterSystems MZI HealthCare Standing Stone, Inc. Evolvent Technologies iPatientCare, Inc. NaviNet StatRad, LLC EXTEDO Isoprime Corporation New England Survey Systems Inc Stockell Healthcare Systems, Inc. EyeMD EMR Healthcare Systems, Inc. J&H Inc. NextGen Healthcare Information Systems, Strategic Solutions Group, LLC ezEMRx Jaime Torres C y Cia S.A. Inc. Summit Healthcare Services, Inc. e-Zest Solutions Ltd. Kanick And Company NxTec Corporation Summit Imaging, Inc. Foothold Technology Keane, Inc. OA Systems, Inc. Sunquest Information Systems Forte Holdings Kestral Computing Pty Ltd Ockham Information Services LLC Surescripts Forte Research Systems, Inc. Knowtion Omnicell, Inc. Swearingen Software, Inc. Fortelinea Software Systems, LLC. Lab Warehouse, Inc. OMNICOM srl Syncordant Fresenius Vial Labware, Inc. Optimus EMR, Inc. Systematic Group Futures Group Lavender & Wyatt Systems, Inc. OptiScan Biomedical Corporation The CBORD Group Inc. GE Healthcare Lazy OptumInsight The Echo Group GEMMS Leidos, Inc. Oracle Corporation - Healthcare The SSI Group, Inc. Genesis Systems, Inc. Liaison Technologies Inc., Orchard Software Therap Services, LLC Geriatric Practice Management LINK Medical Computing, Inc. Orion Health Thrasys, Inc. Get Real Health Liquent, Inc. OZ Systems TIBCO Software Inc. Global Health Products, Inc Logibec P&NP Computer Services, Inc. Timeless Medical Systems Inc. GlobalSubmit Logical Images Inc. Patient Resource LLC Unibased Systems Architecture, Inc. Harris Corporation LORENZ Life Sciences Group PCE Systems Uniform Data System for Medical Health Care Software, Inc. M.S. Group Software, LLC Philips Healthcare Rehabilitation Health Companion, Inc. M2comsys Physicians Medical Group of Santa Cruz Unlimited Systems Health Intersections Pty Ltd ManagementPlus County Valant Medical Solutions Inc. Health Services Advisory Group Marshfield Clinic PilotFish Technology Valley Hope Association - IMCSS HealthBridge McKesson Provider Technologies Pitney Bowes Software Varian Medical Systems healthbridge MDLand Politechnika Poznanska VIP Medicine, LLC Healthcare Management Systems, Inc. MDP Systems, LLC Practice Fusion Virtify Healthland MDT Technical Services, Inc. Pragmatic Data LLC Visbion Ltd HealthTrio, LLC Med Informatix, Inc PresiNET Healthcare Walgreens HealthUnity Corp MedConnect, Inc. Procura WebMD Health Services Healthwise, Inc. Medflow, Inc. Prometheus Computing LLC Wells Applied Systems Hewlett-Packard Enterprise Services MEDHOST, Inc. QS/1 Data Systems, Inc. Wellsoft Corporation Hi3 Solutions Medical Messenger Holdings LLC QuadraMed Corporation Wolters Kluwer Health Hill Associates Medical Systems Co. Ltd - medisys Qvera WorkAround Software, Inc. HospiServe Healthcare Services Pty) Ltd. Medical Web Technologies, LLC RCx Rules Xerox State Healthcare, LLC Hyland Software, Inc. Medicalistics, LLC Real Seven, LLC XIFIN, Inc. i2i Systems Medicity, Inc. Reed Technology and Information Services XSUNT Corporation Iatric Systems Medicomp Systems, Inc. Inc. Zoho Corp. IBM MediPortal LLC Remote Harbor, Inc ZOLL ICLOPS MediServe Information Systems, Inc. Roche Diagnostics International Ltd. Zynx Health MAY 2014 25

HL7 NEWS MAY 14 INTERIOR.indd 23 4/30/14 10:55:23 AM 2014 TECHNICAL STEERING COMMITTEE MEMBERS

CHAIR Jean Duteau STRUCTURE & SEMANTIC DESIGN Ken McCaslin Duteau Design Inc. CO-CHAIRS Quest Diagnostics, Incorporated Phone: 780-328-6395 Calvin Beebe Phone: 610-650-6692 Email: [email protected] Mayo Clinic Email: Phone: 507-284-3827 kenneth.h.mccaslin @questdiagnostics. com DOMAIN EXPERTS CO-CHAIRS Email: [email protected] Melva Peters CHIEF TECHNICAL OFFICER Jenaker Consulting Patricia Van Dyke, RN John Quinn Phone: 604-515-0339 Delta Dental Plans Association HL7 International Email: [email protected] Phone: 503-243-4492 Phone: 216-409-1330 Email: [email protected] Email: [email protected] John Roberts Tennessee Department of Health TECHNICAL & SUPPORT SERVICES ArB CHAIR CO-CHAIRS Phone: 615-741-3702 Anthony Julian Frieda Hall Mayo Clinic Email: [email protected] Quest Diagnostics, Incorporated Phone: 507-266-0958 Phone: 610-650-6794 Email: [email protected] FOUNDATION & TECHNOLOGY Email: [email protected] CO-CHAIRS ArB VICE CHAIR George (Woody) Beeler, Jr., PhD Andy Stechishin Lorraine Constable Beeler Consulting, LLC HL7 Canada HL7 Canada Phone: 507-254-4810 Phone: 780-903-0885 Phone: +1 780-951-4853 Email: [email protected] Email: [email protected] Email: [email protected] Paul Knapp ADHOC MEMBER INTERNATIONAL REPRESENTATIVES Knapp Consulting, Inc. Austin Kreisler Giorgio Cangioli Phone: 604-987-3313 Leidos, Inc. HL7 Italiy Email: [email protected] Phone: 706-525-1181 Phone: +39 3357584479 Email: [email protected] Email: [email protected]

STEERING DIVISIONS

DOMAIN EXPERTS FOUNDATION & TECHNOLOGY STRUCTURE & SEMANTIC DESIGN Anatomic Pathology Application Implementation & Design Arden Syntax Anesthesiology Conformance & Guidance for Clinical Decision Support Attachments Implementation/Testing Clinical Statement Implementable Technology Specifications Biomedical Research Integrated Domain Group Electronic Health Record Infrastructure & Messaging Financial Management Child Health Modeling & Methodology Imaging Integration Clinical Genomics Security Clinical Interoperability Council Service Oriented Architecture Mobile Health Clinical Quality Information Templates Orders & Observations Community Based Collaborative Care Vocabulary Patient Administration Emergency Care Structured Documents Health Care Devices TECHNICAL & SUPPORT SERVICES Patient Care Education Pharmacy Electronic Services Public Health & Emergency Response International Mentoring Committee Process Improvement Committee Regulated Clinical Research Project Services formation Management In Publishing Tooling

26 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 24 4/30/14 10:55:23 AM HL7 WORK GROUP CO-CHAIRS

ANATOMIC PATHOLOGY Craig Gabron Mitra Rocca CONFORMANCE & GUIDANCE Blue Cross Blue Shield of Food and Drug Administration South Carolina FOR IMPLEMENTATION/ Victor Brodsky, MD Phone: 301-796-2175 TESTING College of American Pathologists Phone: 803-763-1790 Email : [email protected] Email: [email protected] Phone: 646-322-4648 Wendy Huang Email: [email protected] CHILD HEALTH Anita Walden Canada Health Infoway Inc. Duke Translational Medicine Phone: 416-595-3449 John David Nolen Gaye Dolin, MSN Institute Email: Cerner Corporation Intelligent Medical Objects Phone: 919-668-8256 [email protected] Phone: 816-446-1530 Phone: 714-744-4152 Email: [email protected] Email: Email: [email protected] Frank Oemig [email protected] CLINICAL QUALITY HL7 Germany Michael Padula, MD, MBI INFORMATION Phone: 49-208-781194 ANESTHESIA The Children’s Hospital of Email: [email protected] Philadelphia Martin Hurrell, PhD Phone: 215-590-1653 Patricia Craig The Joint Commission Ioana Singureanu Phone: 44-7711-669-522 Email: [email protected] Eversolve, LLC Email: [email protected] Phone: 630-792-5546 Feliciano Yu, MD Email: [email protected] Phone: 603-870-9739 Email: John Walsh, MD St. Louis Children’s Hospital Phone: 314-454-2808 [email protected] Partners Healthcare Floyd Eisenberg Email: [email protected] iParsimony LLC Phone: 617-726-2067 Robert Snelick Email: [email protected] Phone: 202-643-6350 National Institute of Standards & CLINICAL DECISION SUPPORT Email: [email protected] Technology APPLICATION Guilherme Del Fiol, MD, PhD Phone: 301-975-5924 IMPLEMENTATION University of Utah Health Care Crystal Kallem, RHIA Email: [email protected] & DESIGN Phone: 919-213-4129 Lantana Consulting Group Email: [email protected] Phone: 515-992-3616 EDUCATION Peter Hendler, MD Email: Kaiser Permanente Robert Jenders, MD [email protected] Diego Kaminker Phone: 510-248-3055 Charles Drew University/UCLA HL7 Argentina Email: [email protected] Phone: 323-249-5734 Christopher Millet Phone: 54-11-4781-2898 Email: [email protected] Lazy Email: Email: diego.kaminker [email protected] @kern-it.com.ar Rene Spronk Kensaku Kawamoto, MD, PhD HL7 The Netherlands University of Utah Health Care Patrick Loyd Phone: 33-318-553812 Phone: 801-587-8001 Walter Suarez, MD, MPH Email: [email protected] Email: [email protected] Kaiser Permanente ICode Solutions Phone: 301-801-3207 Phone: 415-209-0544 Andy Stechishin Howard Strasberg Email: [email protected] Email: [email protected] HL7 Canada Wolters Kluwer Health Phone: 780-903-0855 Phone: 858-481-4249 CLINICAL STATEMENT Melva Peters Email: [email protected] Email: howard.strasberg Jenaker Consulting @wolterskluwer.com Hans Buitendijk Phone: 604-515-0339 ARCHITECTURAL REVIEW Siemens Healthcare Email: BOARD CLINICAL GENOMICS Phone: 610-219-2087 [email protected] Gil Alterovitz Email: Lorraine Constable Boston Children’s Hospital [email protected] ELECTRONIC HEALTH HL7 Canada Email: [email protected] RECORDS Phone: 780-951-4853 Rik Smithies Email: [email protected] Yan Heras, PhD NProgram Ltd. Gary Dickinson Lantana Consulting Group Phone: 44-7720-290967 CentriHealth Anthony Julian Phone: 801-663-9209 Email: [email protected] Phone: 951-536-7010 Mayo Clinic Email: [email protected] Email: Phone: 507-266-0958 COMMUNITY BASED [email protected] Email: [email protected] Amnon Shabo, PhD IBM COLLABORATIVE CARE Mark Janczewski, MD, MPH Phone: 972-544-714070 Medical Networks, LLC John Quinn Email: [email protected] Johnathan Coleman Health Level Seven International Phone: 703-994-7637 Security Risk Solutions, Inc. Email: Phone: 216-409-1330 Mollie Ullman-Cullere Phone: 843-442-9104 [email protected] Email: [email protected] Partners HealthCare System, Inc. Email: [email protected] Phone: 617-582-7249 ARDEN SYNTAX Don Mon, PhD Email: Suzanne Gonzales-Webb RTI International [email protected] Peter Haug, MD US Department of Veterans Affairs Phone: 312-777-5228 Intermountain Healthcare Phone: 619-972-9047 Email: [email protected] CLINICAL Email: Phone: 801-442-6240 INTEROPERABILITY Email: [email protected] [email protected] John Ritter COUNCIL Phone: 412-372-5783 Robert Jenders, MD Richard Thoreson Email: [email protected] W. Edward Hammond, PhD Charles Drew University/UCLA SAMHSA Duke Translational Medicine Phone: 240-276-2827 Helen Stevens Phone: 323-249-5734 Institute Email: [email protected] Email: HL7 Canada Phone: 919-383-3555 [email protected] Phone: 250-598-0312 Email: [email protected] ATTACHMENTS Email: [email protected] Max Walker Dianne Reeves Durwin Day Department of Health Patricia Van Dyke National Cancer Institute Health Care Service Corporation Phone: 61-3-9096-1471 Delta Dental Plans Association Phone: 240-276-5130 Phone: 312-653-5948 Email: Phone: 503-243-4492 Email: [email protected] Email: [email protected] [email protected] Email: [email protected] MAY 2014 27

HL7 NEWS MAY 14 INTERIOR.indd 25 4/30/14 10:55:24 AM HL7 Work Group Co-Chairs, continued

ELECTRONIC SERVICES IMAGING INTEGRATION John Ritter Robert Hausam, MD Phone: 412-372-5783 Hausam Consulting Jeff Brown Helmut Koenig, MD Email: [email protected] Phone: 801-949-1556 Kernodle Clinic Siemens Healthcare Email: [email protected] Phone: 336-429-2094 Phone: 49-9131-84-3480 MARKETING COUNCIL Email: [email protected] Email: [email protected] Patrick Loyd Grant Wood ICode Solutions Lorraine Constable Harry Solomon Intermountain Healthcare Phone: 415-209-0544 HL7 Canada GE Healthcare Phone: 801-408-8153 Email: [email protected] Phone: 780-951-4853 Phone: 847-277-5096 Email: [email protected] Email: [email protected] Email: [email protected] Ken McCaslin MOBILE HEALTH Quest Diagnostics, Incorporated Ken McCaslin IMPLEMENTABLE Phone: 610-650-6692 Quest Diagnostics, Incorporated TECHNOLOGY Gora Datta Email: kenneth.h.mccaslin@ques- Phone: 610-650-6692 SPECIFICATIONS CAL2CAL Corporation tdiagnostics.com Email: kenneth.h.mccaslin@ques- Phone: 949-955-3443 tdiagnostics.com Paul Knapp Email: [email protected] Ulrike Merrick (Interim) Knapp Consulting Inc. Vernetzt, LLC Nat Wong Phone: 604-987-3313 Matthew Graham Phone: 415-634-413 HL7 Australia Email: [email protected] Mayo Clinic Email: [email protected] Email: [email protected] Phone: 507-284-3028 Dale Nelson Email: [email protected] ORGANIZATIONAL EMERGENCY CARE Lantana Consulting Group RELATIONS COMMITTEE Phone: 916-367-1458 Nadine Manjaro Laura Heermann Langford Email: Tech Mahindra Scott Robertson, PharmD Intermountain Healthcare [email protected] Phone: 913-948-1246 Kaiser Permanente Phone: 801-507-9254 Email: [email protected] Phone: 310-200-0231 Email: [email protected] Andy Stechishin Email: [email protected] HL7 Canada Sandra Marr Phone: 780-903-0885 Harry Rhodes GeoLogics Corporation Email: [email protected] American Health Information OUTREACH COMMITTEE Phone: 360-359-0736 Management Association FOR CLINICAL RESEARCH Email: [email protected] INFRASTRUCTURE & Phone: 312-233-1119 MESSAGING Email: [email protected] Ed Helton, PhD James McClay, MD National Cancer Institute University of Nebraska Medical Anthony Julian MODELING AND Phone: 919-465-4473 Center Mayo Clinic METHODOLOGY Email: [email protected] Phone: 402-559-3587 Phone: 507-266-0958 Email: [email protected] Email: [email protected] George (Woody) Beeler Jr., PhD PATIENT ADMINSTRATION Beeler Consulting, LLC Peter Park David Shaver Phone: 507-254-4810 Alexander deLeon US Department of Defense, Corepoint Health Email: [email protected] Kaiser Permanente Military Health System Phone: 214-618-7000 Phone: 626-381-4141 Phone: 202-762-0926 Email: Jean Duteau Email: [email protected] Email: [email protected] [email protected] Duteau Design Inc. Phone: 780-328-6395 Irma Jongeneel-de Haas FINANCIAL MANAGEMENT Sandra Stuart Email: [email protected] HL7 The Netherlands Kaiser Permanente Phone: +31 681153857 Kathleen Connor Phone: 925-924-7473 Grahame Grieve Email: [email protected] Edmond Scientific Company Email: [email protected] Health Intersections Pty Ltd Email: Phone: 61-3-9844-5796 Line Saele [email protected] INTERNATIONAL COUNCIL Email: grahame@healthintersections. HL7 Norway com.au Phone: 47-55976494 Beat Heggli Bernd Blobel, PhD—HL7 Email: [email protected] HL7 Switzerland International Liaison Lloyd McKenzie Phone: 41-44-297-5737 HL7 Germany Global Village Consulting PATIENT CARE Email: [email protected] Phone: 49 941-944-6767 (HL7 Canada) Email: [email protected] Email: [email protected] Elaine Ayres Paul Knapp regensburg.de NIH/CC Knapp Consulting AbdulMalik Shakir Phone: 301-594-3019 Phone: 604-987-3313 Helen Stevens, MBA—Secretary Hi3 Solutions Email: [email protected] Email: [email protected] HL7 Canada Phone: 626-644-4491 Phone: 250-598-0312 Email: abdulmalik@shakirconsul- Stephen Chu, MD HEALTH CARE DEVICES Email: [email protected] ting.com National eHealth Transition Authority (NEHTA) Todd Cooper Michael van Campen—Affiliate ORDERS/OBSERVATIONS Phone: 61-730238448 Center for Medical Interoperability Liaison Email: [email protected] Phone: 858-442-9200 Global Village Consulting Hans Buitendijk Email: [email protected] Phone: 250-881-4568 Email: michael.vancampen@gpinfor- Siemens Healthcare Jean Duteau John Garguilo matics.com Phone: 610-219-2087 HL7 Canada National Institute of Standards Email: hans.buitendijk@siemens. Phone: 780-937-8991 Email: [email protected] INTERNATIONAL com Email: [email protected] MENTORING COMMITTEE John Rhoads, PhD Lorraine Constable Laura Heermann Langford, RN, Philips Healthcare Diego Kaminker HL7 Canada PhD Phone: 978-659-3024 HL7 Argentina Phone: 780-951-4853 Intermountain Healthcare Email: [email protected] Phone: 54-11-4781-2898 Email: [email protected] Phone: 801-507-9254 Email: Email: [email protected] [email protected] 28 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 26 4/30/14 10:55:25 AM HL7 Work Group Co-Chairs, continued

Russell Leftwich, MD John Roberts Patricia Williams Mark Shafarman Office of eHealth Initiatives Tennessee Department of Health HL7 Australia Shafarman Consulting Phone: 615-507-6465 Phone: 615-741-3702 Phone: 61-863045039 Phone: 510-593-3483 Email: [email protected] Email: [email protected] Email: [email protected] Email: mark.shafarman @earthlink.net Jay Lyle Rob Savage SERVICES ORIENTED Ockham Information Services LLC Rob Savage Consulting ARCHITECTURE TOOLING COMMITTEE Phone: 404-217-2403 Email: [email protected] Email: [email protected] Stefano Lotti (Interim) Dennis Cheung PUBLISHING COMMITTEE HL7 Italy Canadian Institute for Health Infor- Michael Tan Phone: 39-06-421-60685 mation (CIHI) George (Woody) Beeler Jr., PhD- NICTIZ Email: [email protected] Email: [email protected] Phone: 31-7031-73450 V3 Beeler Consulting, LLC Email: [email protected] Vince McCauley Andy Stechishin Phone: 507-254-4810 Medical Software Industry HL7 Canada Email: [email protected] PHARMACY Association Phone: 780-903-0855 Phone: 61-298-186493 Email: [email protected] Jane Daus-V2 Hugh Glover Email: [email protected] Blue Wave Informatics McKesson Provider Technologies Michael Van der Zel Phone: 847-495-1289 Phone: 44-07889407113 Ken Rubin HL7 The Netherlands Email: [email protected] Email: hugh_glover Hewlett-Packard Enterprise Services Phone: +31 503619876 @bluewaveinformatics.co.uk Phone: 703-845-3277 Email: [email protected] Peter Gilbert-V2 Email: [email protected] John Hatem Covisint VOCABULARY Oracle Corporation - Healthcare Phone: 734-604-0255 STRUCTURED DOCUMENTS Phone: 415-269-7170 Email: [email protected] Jim Case, MS, DVM, PhD Email: [email protected] Calvin Beebe National Library of Medicine Brian Pech-V2 Mayo Clinic Phone: 530-219-4203 Kaiser Permanente Melva Peters Phone: 507-284-3827 Email: [email protected] Phone: 678-245-1762 Jenaker Consulting Email: [email protected] Phone: 604-515-0339 Email: [email protected] Heather Grain Email: Diana Behling Standards Australia, eHealth Andrew Stechishin-V3 [email protected] Iatric Systems Education HL7 Canada Phone: 978-805-3159 Phone: 613-956-99443 Phone: 780-903-0855 Scott Robertson, PharmD Email: [email protected] Email: [email protected] Kaiser Permanente Email: [email protected] Phone: 310-200-0231 Rick Geimer Russell Hamm Email: [email protected] REGULATED CLINICAL Lantana Consulting Group Lantana Consulting Group RESEARCH INFORMATION Phone: 650-209-4839 Phone: 507-271-0227 PROCESS IMPROVEMENT MANAGEMENT Email: Email: russ.hamm@lantanagroup. [email protected] com Sandra Stuart Ed Helton, PhD Kaiser Permanente National Cancer Institute Austin Kreisler Robert Hausam, MD Phone: 925-924-7473 Phone: 919-465-4473 Leidos, Inc. Hausam Consulting Email: [email protected] Email: [email protected] Phone: 706-525-1181 Phone: 801-949-1556 Email: Email: [email protected] PROJECT SERVICES Donald Jaccard, MPA [email protected] Food & Drug Administration William T. Klein Rick Haddorff Phone: 301-796-1996 Patrick Loyd Klein Consulting, Inc. Mayo Clinic Email: [email protected] ICode Solutions Phone: 631-924-6922 Phone: 978-296-1462 Phone: 415-209-0544 Email: [email protected] Email: [email protected] John Kiser Email: [email protected] Phone: 847-937-3725 Freida Hall Email: [email protected] Brett Marquard Quest Diagnostics, Inc. River Rock Associates LLC Phone: 610-650-6794 SECURITY Email: Email: [email protected] [email protected] Bernd Blobel, PhD HL7 Germany; University of Regens- TEMPLATES PUBLIC HEALTH burg Medical Center EMERGENCY RESPONSE Phone: 49-941-944-6767 Kai Heitmann, MD Email: bernd.blobel HL7 Germany Joginder Madra @klinik.uni-regensburg.de Phone: 49-172-2660814 Madra Consulting Inc. Email: [email protected] Phone: 780-717-4295 Mike Davis Email: US Department of Veterans Affairs John Roberts [email protected] Phone: 760-632-0294 Tennessee Department of Health Email: [email protected] Phone: 615-741-3702 Ken Pool, MD Email: [email protected] OZ Systems John Moehrke Phone: 214-631-6161 GE Healthcare Email: [email protected] Phone: 920-912-8451 Email: [email protected]

MAY 2014 29

HL7 NEWS MAY 14 INTERIOR.indd 27 4/30/14 10:55:26 AM HL7 FACILITATORS Modeling and William “Ted” Klein Ioana Singureanu Peter Gilbert Methodology Facilitators Klein Consulting, Inc. Eversolve, LLC Covisint Vocabulary CBCC; Health Care Devices Structured Documents George (Woody) Beeler, Jr., PhD Phone: 631-924-6922 Phone: 603-870-9739 Phone: 734-604-0255 Beeler Consulting LLC Email: [email protected] Email: ioana.singureanu Email: [email protected] Facilitator-at-Large @gmail.com Phone: 507-254-4810 Austin Kreisler Robert Hallowell Email: [email protected] Leidos, Inc. Corey Spears Siemens Healthcare Structured Documents Medicity Medication; Pharmacy Charlie Bishop Phone: 706-525-1181 Electronic Health Records Phone: 610-219-5612 iSoft Email: austin.j.kreisler@ Phone: 917-426-7397 Email: leidos.com Clinical Statement Email: [email protected] [email protected] Phone: 44-7989-705-395 Patrick Loyd Email: [email protected] D. Mead Walker Alexander Henket ICode Solutions Mead Walker Consulting HL7 Netherlands Orders & Observations Bernd Blobel, PhD RCRIM Patient Administration Phone: 415-209-0544 HL7 Germany Phone: 610-518-6259 Email: [email protected] Email: [email protected] Security Email: [email protected] Phone: 49-941-944-6767 Anthony Julian Joginder Madra Email: Publishing Facilitators Mayo Clinic Gordon Point Informatics Ltd. bernd.blobel Infrastructure & Messaging Immunization; PHER @klinik.uni-regensburg.de Becky Angeles Phone: 507-266-0958 Phone: 780-717-4295 ESAC Inc. Email: [email protected] Email: joginder.madra@gpinfor- Kathleen Connor RCRIM matics.com Edmond Scientific Email: Helmut Koenig, MD [email protected] Siemens Healthcare Financial Management Dale Nelson Imaging Integration Email: Lantana Consulting Group Douglas Baird Phone: 49-9131-84-3480 [email protected] Implementable Technology Boston Scientific Corporation Email: Specifications Templates [email protected] Kevin Coonan, MD Phone: 916-367-1458 Phone: 651-582-3241 Emergency Care Email: Email: Margaret (Peggy) Leizear Email: [email protected] [email protected] [email protected] Food and Drug Administration RCRIM Jean Duteau Lloyd McKenzie Duteau Design Inc. HL7 Canada; Gordon Point Mike Davis Phone: 301-796-8495 Patient Care; Pharmacy Informatics US Department of Veterans Affairs Email: [email protected] Phone: 780-328-6395 Facilitator-at-Large Security Email: [email protected] Email: [email protected] Phone: 760-632-0294 Mary Kay McDaniel Email: [email protected] Cognosante, LLC Hugh Glover Craig Parker, MD Financial Management Blue Wave Informatics Intermountain Healthcare Lorraine Constable Phone: 602-300-4246 Medication Clinical Decision Support HL7 Canada Email: Phone: 44-0-7889-407-113 Phone: 801-859-4480 Orders & Observations [email protected] Email: hugh_glover@bluewavein- Email: [email protected] Phone: 780-951-4853 formatics.co.uk Email: [email protected] Dale Nelson Amnon Shabo, PhD Lantana Consulting Group Grahame Grieve IBM Jean Duteau CMET; Implementable Technology Health Intersections Pty Ltd Clinical Genomics Duteau Design Inc. Specifications Infrastructure & Messaging Phone: 972-544-714070 PHER Phone: 916-367-1458 Phone: 61-3-9844-5796 Email: [email protected] Phone: 780-328-6395 Email: Email: grahame@healthintersec- Email: [email protected] [email protected] tions.com.au AbdulMalik Shakir Hi3 Solutions Isobel Frean Frank Oemig, PhD Alexander Henket Clinical Interoperability Council; Bupa Group HL7 Germany HL7 Netherlands Modeling & Methodology Clinical Statement German Realm Patient Administration Phone: 626-644-4491 Phone: 44-207-656-2146 Phone: 49-208-781194 Email: [email protected] Email: abdulmalik Email: [email protected] Email: [email protected] @shakirconsulting.com 30 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 28 4/30/14 10:55:27 AM HL7 FACILITATORS, continued

Craig Parker, MD Christof Gessner Robert McClure, MD Sandra Stuart Intermountain Healthcare HL7 Germany MD Partners, Inc. Kaiser Permanente Clinical Decision Support Health Care Devices CBCC Infrastructure & Messaging Phone: 801-859-4480 Phone: 49-172-3994033 Phone: 303-926-6771 Phone: 925-924-7473 Email: [email protected] Email: [email protected] Email: Email: [email protected] [email protected] John Ritter W. Edward Hammond, PhD Pat Van Dyke, RN Electronic Health Records Duke Transitional Medicine Sarah Ryan Delta Dental Plans Association Phone: 412-372-5783 Clinical Interoperability Council Electronic Health Records Email: [email protected] Institute Templates Email: [email protected] Phone: 503-243-4992 Ioana Singureanu Phone: 919-383-3555 Email: patricia.vandyke@moda- Harold Solbrig Eversolve, LLC Email: [email protected] health.com Mayo Clinic CBCC Modeling & Methodology Phone: 603-870-9739 Monica Harry Tony Weida Email: [email protected] Email: HL7 Canada Apelon [email protected] PHER Security Harry Solomon Email : monicahl1533@gmail. Email: [email protected] GE Healthcare Margarita Sordo com Partners HealthCare System, Inc. Imaging Integration Phone: 847-277-5096 Gello Robert Hausam, MD Phone: 781-416-8479 Email: Hausam Consulting Email: [email protected] [email protected] Orders & Observations; Structured Documents Anita Walden Duke Translational Medicine Phone: 801-949-1556 Institute Email: [email protected] Clinical Interoperability Council Phone: 919-668-8256 Joyce Hernandez Email: [email protected] Merck & Co. Inc. Clinical Genomics Grant Wood Phone: 732-594-1815 Intermountain Healthcare Email: Clinical Genomics [email protected] Phone: 801-408-8153 Email: [email protected] Wendy Huang Canada Health Infoway Inc. Vocabulary Facilitators Patient Administration Phone: 416-595-3449 Paul Biondich, MD Email: IU School of Medicine Child Health [email protected] Phone: 317-278-3466 Email: [email protected] Julie James Blue Wave Informatics Kathleen Connor Medication; Pharmacy; RCRIM Edmond Scientific Email: julie_james@bluewavein- Financial Management formatics.co.uk Email: [email protected] William “Ted” Klein Klein Consulting, Inc. Kevin Coonan, MD Modeling & Methodology Emergency Care Phone: 631-924-6922 Email: [email protected] Email: [email protected] Guilherme Del Fiol, MD, PhD Susan Matney University of Utah Health Care 3M Health Information Systems Clinical Decision Support Phone: 919-213-4129 Patient Care Email: Phone: 801-265-4326 [email protected] Email: [email protected] MAY 2014 31

HL7 NEWS MAY 14 INTERIOR.indd 29 4/30/14 10:55:29 AM Affiliate Contacts

HL7 Argentina HL7 Finland HL7 Netherlands HL7 Singapore Fernando Campos Juha Mykkanen, PhD Robert Stegwee, MSc, PhD Dr. Adam Chee Phone: +54-114-959-0200 Phone: +358-403552824 Phone: +31-30-689-2730 Email: [email protected] Email: fernando.campos Email: [email protected] Email: @hospitalitaliano.org.ar [email protected] HL7 Spain HL7 France Francisco Perez HL7 Australia Nicolas Canu HL7 New Zealand Phone: +34 91-745-68-01 Patricia Williams, PhD, MSc Phone: +33 02-35-60-41-97 David Hay Email: [email protected] Phone: +61 863045039 Email: [email protected] Phone: +64-9-638-9286 Email: [email protected] Email: [email protected] HL7 Sweden HL7 Austria HL7 Germany Gustav Alvfeldt Stefan Sabutsch Christof Gessner HL7 Norway Phone: +46 08-123-13-117 Phone: +43 664-3132505 Phone: +49 172-3994033 Line Saele Email: [email protected] Email: [email protected] Email: [email protected] Phone: +47 97008186 Email: [email protected] HL7 Switzerland HL7 Bosnia and Herzegovina HL7 Greece Marco Demarmels MD, MBA Samir Dedovic Alexander Berler HL7 Pakistan Phone: +41 712791189 Phone: +387 0-33-721-911 Phone: +30-2111001691 Maajid Maqbool Email: [email protected] Email: [email protected] Email: [email protected] Phone: +92-51-90852159 Email: maajid.maqbool HL7 Taiwan HL7 Brazil HL7 Hong Kong @seecs.edu.pk Chih-Chan (Chad) Yen Marivan Santiago Abrahao, MD Dr. Chung Ping Ho Phone: +886-2-2552-6990 Phone: +55-11-3045-3045 Phone: +852 34883762 HL7 Philippines Email: [email protected] Email: [email protected] Email: [email protected] Michael Hussin Muin, MD Phone: +63 9285543435 HL7 Turkey HL7 Canada Melva Peters HL7 India Email: [email protected] Ergin Soysal, MD, PhD Phone: +604-515-0339 Lavanian Dorairaj, MBBS, MD Email: [email protected] Email: [email protected] Email: [email protected] HL7 Puerto Rico Julio Cajigas HL7 UK HL7 China HL7 Italy Phone: +1 787-447-3713 Philip Scott, PhD Prof. Baoluo Li Stefano Lotti Email: [email protected] Phone: +44 8700-112-866 Phone: +86-010-65815129 Phone: +39-06-42160685 Email: [email protected] Email: [email protected] Email: [email protected] HL7 Romania Florica Moldoveanu, PhD HL7 Uruguay HL7 Croatia HL7 Japan Phone: +40-21-4115781 Julio Leivas, MD Miroslav Koncar Michio Kimura, MD, PhD Email: Phone: +598 095229291 Phone: +385-99-321-2253 Phone: +81-3-3506-8010 [email protected] Email: [email protected] Email: Email: [email protected] [email protected] HL7 Russia Tatyana Zarubina, MD, PhD HL7 Czech Republic HL7 Korea Phone: +7-495-434-55-82 Libor Seidl Byoung-Kee Yi, PhD Email: [email protected] Phone: +420 605740492 Phone: +82 234101944 Email: [email protected] Email: [email protected]

32 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 30 4/30/14 10:55:30 AM 2014 HL7 STAFF Chief Executive Chief Technical Executive Associate Executive Officer Officer Director Director

Charles Jaffe, MD, PhD John Quinn Mark McDougall Karen Van Hentenryck +1-858-720-8200 +1-216-409-1330 +1-734-677-7777 +1-734-677-7777 [email protected] [email protected] [email protected] [email protected] Director of Director of Manager Director of Global Partnerships Meetings of Education Education and Policy

Lillian Bigham Mary Ann Boyle Sharon Chaplock, PhD Ticia Gerber +1-989-736-3703 +1-734-677-7777 +1-414-443-1327 +1-202-486-5236 [email protected] [email protected] [email protected] [email protected]

Director of Director of Director, Project Membership & TSC Project Technical Management Office Administrative Services Manager Publications

Dave Hamill Linda Jenkins Lynn Laakso Donald Lloyd, PhD +1-734-677-7777 +1-734-677-7777 +1-906-361-5966 +1-734-677-7777 [email protected] [email protected] [email protected] [email protected]

Web Director of Manager of Developer Communications Technical Services

Laura Mitter Andrea Ribick Viji Saxena [email protected] +1-734-677-7777 +1-9192347585 +1-740-963-9839 [email protected] [email protected] MAY 2014 33

HL7 NEWS MAY 14 INTERIOR.indd 31 4/30/14 10:55:33 AM 2014 HL7 Board of Directors Chair Vice Chair Treasurer Chair Emeritus Technical Steering & Secretary Committee Chair

Stanley Huff, MD Donald Mon, PhD Calvin Beebe W. Edward Ken McCaslin Intermountain Healthcare RTI International Mayo Clinic Hammond, PhD Quest Diagnostics Inc. +1-801-507-9111 +1-312-777-5228 +1-507-284-3827 +1-919-383-3555 +1-610-650-6692 [email protected] [email protected] [email protected] [email protected] kenneth.h.mccaslin@ questdiagnostics.com Appointed Affiliate Directors

James Ferguson Douglas Fridsma, MD, PhD Liz Johnson, RN-BC, BSN, MS Diego Kaminker Helen Stevens Love, MBA Kaiser Permanente Office of the National Tenet Healthcare HL7 Argentina HL7 Canada +1-510-271-5639 Coordinator for Health IT +1-469-893-2039 +54-11-4781-2898 +1-250-598-0312 [email protected] +1-202-205-4408 [email protected] diego.kaminker [email protected] [email protected] @kern-it.com.ar Directors-at-Large

Keith Boone Hans J. Buitendijk Austin Kreisler Patricia Van Dyke GE Healthcare Siemens Healthcare Leidos, Inc. Delta Dental Plans +1-617-519-2076 +1-610-219-2087 +1-706-525-1181 Association [email protected] hans.buitendijk austin.j.kreisler +1-503-243-4492 @siemens.com @leidos.com patricia.vandyke @modahealth.com Ex Officio Members Advisory Council Chair

Charles Jaffe, MD, PhD Mark McDougall John Quinn Jeremy Thorp HL7 CEO HL7 Exective Director HL7 CTO NHS Connecting for Health +1-858-720-8200 +1-734-677-7777 +1-216-409-1330 [email protected] [email protected] [email protected] [email protected] 34 MAY 2014

HL7 NEWS MAY 14 INTERIOR.indd 32 4/30/14 10:55:37 AM Institute & Meaningful Use Standards Implementation Workshop

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

What is the HL7 FHIR® Institute? The HL7 FHIR® Institute provides resources and training for the next generation standards framework created by HL7: Fast Health Interoperability Resources or FHIR®. The FHIR® Institute focuses on making this new standard easier to understand and implement across the healthcare (HQMF). It includes a combination of exercises and pre- community. Training at the FHIR Institute includes both sentations to help attendees learn how to face-to-face and virtual events and is targeted at software implement HL7 standards. developers, implementers and executives. Learn about FHIR straight from the source at FHIR® Institute programs Why Should I Attend? delivered by expert FHIR standard developers. This is an invaluable educational opportunity for the healthcare IT community as it strives for greater interop- What is an Implementation erability among healthcare information systems. Our classes offer a wealth of information designed to benefit Workshop? a wide range of HL7 users, from beginner to advanced. An HL7 Implementation Workshop is a three-day interactive hands-ons event focused on HL7-specific Among the benefits of attending the HL7 Implementation topics such as Version 2, Clinical Document Workshop are: Architecture (CDA®), Quality Health Reporting Document • Efficiency Architecture (QRDA), and Health Quality Measure Format Concentrated format provides maximum training with minimal time investment Upcoming Event • Learn Today, Apply Tomorrow A focused curriculum featuring real-world HL7 knowledge that you can apply immediately • Quality Education High-quality training in a “small classroom” setting promotes more one-on-one learning • Superior Instructors You’ll get HL7 training straight from the source: Our instructors. They are not only HL7 experts; they are the people who help produce the HL7 standards • Certification Testing Become HL7 Certified: HL7 is the sole source for HL7 certification testing, now offering testing on Version 2.7, Clinical Document Architecture, July 7 – 10, 2014 and Version 3 RIM HL7 FHIR Institute & Meaningful Use Standards Implementation Workshop • Economical A more economical alternative for companies who Hyatt Regency Cambridge Cambridge, MA want the benefits of HL7’s on-site training but have fewer employees to train

MAY 2014 35

HL7 NEWS May 14 COVER.indd 3 4/30/14 10:57:23 AM Upcoming WORKING GROUP MEETINGS

September 14 – 19, 2014 January 18 – 23, 2015 28th Annual Plenary Working Group Meeting & Working Group Meeting Hyatt Regency on the Riverwalk Hilton Chicago Hotel, Chicago, IL San Antonio, TX

May 10 – 15, 2015 September 18 – 23, 2016 Working Group Meeting 30th Annual Plenary & Hyatt Regency Paris – Working Group Meeting Charles de Gaulle Hotel Hyatt Regency Baltimore Paris, France Baltimore, MD

October 4 – 9, 2015 29th Annual Plenary & Working Group Meeting Sheraton Atlanta Hotel Atlanta, GA

HL7 NEWS May 14 COVER.indd 4 4/30/14 10:57:35 AM