APRIL 2009

Health Level Seven Hosts Pioneering Cross-Continent Dialogue on Standards and Interoperability in Africa In This Issue... at January Working Group Meeting HL7 Hosts Dialogue on Standards and Interoperability in Africa...... 1, 3 HL7 hosted a high- Update from the CEO...... 2 level delegation of five Ugandan information Letter from the Chair...... 3 and communications Update From Headquarters...... 4-6 technology experts (ICT) at its 2009 kick- Quality Reporting Work Demo’d at NHIN Forum...... 7 off Working Group Meeting in Orlando, News from the PMO...... 7 Florida, January 11-16, Why HL7 Creates Draft Standards...... 8 2009. This effort is a critical first step to Modeling CDA with Standards-Based Tools...... 9 increased interoperabil- ity information-sharing Breakthrough in Family Health efforts between HL7 History Information Exchange...... 10-11 and ICT reform drivers Co-Chair Election Results...... 11 in both Africa and Asia. The Ugandan contin- HL7 Chair Ed Hammond, PhD, Eddie Mukooyo, MD, and HL7 CEO What the OMG Relationship Means gent is led by Eddie to HL7 Members...... 12 Charles Jaffe, MD, PhD Mukooyo, MD, head of HL7 Benefactors...... 12 the country’s Ministry SOA Conference In Healthcare...... 13 of Health. Uganda has served as an ICT leader active participants at the standards development since the 2003 enactment of the ICT4D National table and have our voice be heard.” HL7 Certification Exam Policy which pledges the government’s support Congratulations...... 14 for development of sustainable ICT initiatives The shortage of educational resources and lack Upcoming Working Group that provide quantifiable results for the benefit of of direct involvement in healthcare standards Meetings...... 15 all Ugandans. Dr. Mukooyo explained the signifi- development by Global South or developing Educational Summits...... 16 cance of the HL7 event and its potential impact world leaders was identified as a notable impedi- on Ug andan health ICT initiatives. ment to ICT progress by participants in the 2008 AFFILIATE NEWS...... 17-20 Bellagio Path to Interoperability Conference Upcoming International Events...... 17 “Uganda is a trailblazer in efforts to use ICT for which was convened by HL7, the World Health national transformation and the improvement Organization and the Rockefeller Foundation. Free Web-based Version 2.x of the public’s health. The conversations occur- HL7 Chief Executive Officer Charles Jaffe, MD, Message Testing from AHML...... 18-19 ring with HL7 leadership present at the Orlando PhD, observed that, “HL7 - as a direct result of Invitation to the 8th Asia-Pacific Working Group meeting are invaluable to our lessons learned at the Path to Interoperability HL7 Conference in Taipei...... 19 country as we contemplate revolutionary deploy- Conference - is now providing on-going support Affiliate Contacts...... 20 ment of technology to connect medical person- for more hands-on participation by Global South nel and to aid in the transfer of health and drug decision-makers from Africa and Asia in stan- Organizational Members...... 21-23 information across the healthcare system. HL7’s dards and interoperability discussions. HL7 also 2009 Technical Steering event enables us to share Uganda’s health ICT continues to explore cost-effective avenues for Committee Members ...... 24 story including lessons learned, while getting distributing standards specifications, implementa- vital details about the most current standards and tion guides, educational resources and distance Steering Divisions...... 24 interoperability developments worldwide. This learning modules to those most in need and HL7 Work Group Co-Chairs...... 25-27 knowledge transfer is absolutely critical in building least able to pay.” Jaffe emphasized that these a successful, interoperable health ICT system that activities support HL7’s aim to act as the global HL7 Facilitators...... 28-29 works effectively both inside and outside Uganda’s resource for healthcare information interoperabil- HL7 Staff Members...... 30 borders.” Mukooyo adds, “The HL7 meeting also ity and standards harmonization. affords Ugandans the valuable opportunity to be Continued on page 3 2009 Board of Directors...... 31

May 2009 Working Group Meeting...... 32 ® Health Level Seven and HL7 are registered trademarks of Health Level Seven, Inc., registered in the U.S. Trademark Office

HL7 NEWS-APR 09.indd 1 4/21/09 12:30:37 PM Update from the CEO Standards Development Organizations & the American Recovery & Reinvestment Act (ARRA): A new opportunity for collaboration By Charles Jaffe, MD, PhD, HL7 CEO

At no time in the two-decade history of efforts across the broad spectrum of standards development HL7 has collaboration been more critical organizations. We have also collaborated with organizations out- to our success. While we have made sig- side of the standards environment to share these initiatives with- nificant strides in partnerships, our stake- in the entire clinical domain, including the nursing, pharmacy, holders are demanding more from us. research, and physician communities.

From every perspective, HL7 is in the In April, HL7 will host a forum for clinicians, which we have midst of a transformation. Certainly, the called “Bridging the Chasm” and which will be sponsored by the creation of the technical hierarchy, with Agency for Healthcare Research and Quality (AHRQ). It will Charles Jaffe, MD, PhD CTO and Technical Steering Committee focus on the needs of the caregivers for developing and refin- has left an impressive mark. More challenges and more chang- ing workflow processes, vocabulary and terminology, as well as es are on the way. The opportunities created by the Health patient care requirements, such as decision support. The meeting Information Technology for Economic and Clinical Health will be devoted to the requirements of the clinical community (HITECH) Act within the ARRA legislation will provide impetus and will not be about technology. If successful, this conference for healthcare information technology (HIT) development and will begin a process of educating the clinical leadership about the deployment. importance of healthcare IT.

The opportunities are far-reaching and may well influence the Within the HITECH Act, there are opportunities for support character of IT infrastructure within the US for years to come. of standards development. The HL7 leadership has developed The legislation identifies two areas for which funding will be a comprehensive proposal that it has begun to share with the available. In short, these include deployment of electronic Federal leadership. This plan emphasizes the broad international health records systems for all American physicians and signifi- experience of HL7 and the role that it has played in the impor- cant improvement in the Public Health reporting processes tant programs in other countries which have lead the way in the and infrastructure. enablement of eHealth. Contributions to our proposal from around the world have strengthened the fundamental concepts in While the role of HIT has been characterized by President this proposal. Obama as the “low-hanging fruit”, the value of HIT standards as an important component of healthcare has not been overlooked. In the next few months, we anticipate exciting changes in the Within the Office of the National Coordinator for Healthcare IT direction taken by the healthcare leadership in the US. HL7 will (ONC), there will be a new twenty-member Standards Advisory be a part of those plans. Committee, empowered to recommend standards and to support standards development. These recommendations will be embod- ied in a report to the Secretary of Health & Human Services by year’s end.

HL7 will be at the forefront of those efforts. We have posi- Charles Jaffe, MD, PhD, HL7 CEO tioned our organization to help lead the standards harmonization

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HL7 NEWS-APR 09.indd 2 4/21/09 12:30:39 PM Letter from the Chair Exciting Times By W. Ed Hammond, PhD, FACMI, Chair, HL7

After years of being almost invisible in the larger community of cated for HIT. How that money will be W. Ed Hammond, PhD healthcare informatics, the use of information technology has spent and how effective that spending become highly visible. A number of events have contributed to will be remains to be seen. this increase in importance of healthcare information technology (HIT), and consequently standards. The rising cost of healthcare in What does all of this mean to HL7? As a volunteer organiza- most countries, the national spotlight on the large number of medi- tion, HL7 has done what the volunteers wanted to do, and at cal errors, quality issues, and an increasing decline in resources for a leisurely pace. Our work processes were not well defined; delivering care has created momentum for change. We all suggest- projects were not well managed – largely due to limited and ed, without strong evidence, that computers and the effective use interrupted time of volunteers. The international attention sur- of HIT could solve the problem. However, most people believe rounding the adoption of interoperable EHRs and the standards that the bottom line for delivering healthcare will increase. There required to enable that vision require new thinking on the part are also many examples of the situation being made worse due to of HL7 leadership. We must accept responsibility for the full poor design. We fail to understand the problems we are trying to suite of standards required; we must identify and fill the gaps. solve, and what is required to solve them. We must become more efficient in producing standards, and we must accept the additional work required beyond the creation of The National Health Service (NHS) of the United Kingdom a standard. During the course of this year, you may see many initially attracted the world’s attention; not so much because of changes within HL7, including additional paid staff to support what they were doing, but rather due to the large amount they the work of the volunteers as well as professional staff to help were spending. The NHS’s Connecting for Health became a role develop standards. The price of success is increased responsibil- model for countries arguing for an equivalent amount of money ity. HL7 will remain a volunteer organization but will incorpo- to solve their healthcare issues. Canada became the next role rate new ways of working. Please help us accommodate change. model, spending less money, but building on what the UK was accomplishing and adopting a slightly different model. Other countries followed, with an increasing amount of money being available to develop a national HIT for healthcare. In the United States, an amount of approximately $20 billion has been allo- W. Ed Hammond, PhD HL7 Chairman of the Board

Cross-Continent Dialogue Continued from page 1 As profound health system challenges persist, national and cross-border healthcare ICT panacea initiatives multiply and move forward on every continent. African nations, in is the official publication of: particular, are urgently searching for workable ICT solutions in light of medical person- nel shortages of more than 1.7 million care providers, an average life expectancy of Health Level Seven, Inc. only 47 years and more than three million of its citizens perishing annually from HIV/ 3300 Washtenaw Avenue, Suite 227 AIDS, malaria and tuberculosis. Efforts in Kenya, Rwanda, Uganda and other African Ann Arbor, MI 48104-4261 USA nations are providing sparks of hope and eHealth innovation. For example, electronic Phone: +1 (734) 677-7777 health records employed in the harshest environments of Kenya are changing the face Fax: +1 (734) 677-6622 of HIV/AIDS treatment and software specially adapted by locally trained experts is www.HL7.org enabling E-learning and workforce extension tools to meet specific needs. However, one of the key persistent challenges is the absence of interoperable health systems and Mark D. McDougall consensus on data standards. Publisher Andrea Ribick W. Ed Hammond, PhD, chair of the HL7 Board and Joint Initiative Council of interna- Managing Editor tional standards development organizations said, “There is a clear global ICT imperative now to examine the needs of key stakeholders such as patients, providers, healthcare Karen Van Hentenryck facilities, ministries of health, districts, technology vendors, donors, and development Technical Editor agencies, to define and understand interoperability obstacles and to articulate what tech- nologies, policies, skills, and leadership are necessary to achieve true interoperability. HL7 will spearhead this movement, shaping and informing international efforts.”

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HL7 NEWS-APR 09.indd 3 4/21/09 12:30:40 PM Update from Headquarters Farewell to Five, and Welcome to Five More By Mark McDougall, HL7 Executive Director Mark McDougall

Farewell to Five Board ing and supporting first time attendees. (CDA), and as a Structured Documents Members Not only was Freida an extremely hard Work Group co-chair, has been instru- The January 2009 Working Group worker, she is also one of the kindest mental in the creation of numerous Meeting brought five new faces to the individuals you will ever meet or have CDA implementation guides. In addi- HL7 Board of Directors. It also was tion to these roles, Liora also managed a time to recognize the many contri- the HL7 demos at HIMSS from 1999- butions of these five outgoing Board 2003 and served as the HL7 liaison to members: Integrating the Healthcare Enterprise • Chuck Meyer (IHE). • Freida Hall • Liora Alschuler Wes Rishel has been involved with • Kai Heitmann, MD HL7 since its beginning in 1987. Wes • Wes Rishel was one of HL7’s original “twelve dis- ciples.” From chairing a SIG/TC to After two years at the helm, Chuck serving as the Chair of the HL7 Board Meyer’s term as Board Chair came to of Directors (2002-2003), Wes has been a close at the end of 2007 and his term Ed Hammond presents Freida Hall as the HL7 Vice Chair concluded at the with a plaque for her service on the end of 2008. An earlier column of mine Hl7 Board of Directors. included details on many of Chuck’s contributions to HL7, such as his work the pleasure to work beside. If HL7 had on HL7’s Bylaws, Policy and Procedure an award for recognizing extraordinary kindness among our membership, not only would Freida be the first recipient, but the award would likely be named after her.

Liora Alschuler served on the HL7 Board for two terms and has been actively involved in HL7 since 1997. In 2001, she received the W. Edward Ed Hammond presents outgoing Hammond, PhD Volunteer of the Year Board member Wes Rishel with a Award. Liora was a driving force behind plaque in recognition of his term on Ed Hammond honors outgoing the development and evangelizing of the HL7 Board. Board member Chuck Meyer for his HL7’s Clinical Document Architecture years of service. involved in every facet of HL7 at every Manual, and the HL7 Governance and level. In fact, Wes is one of four indi- Operations Manual. HL7 will reap the viduals to receive HL7’s golden 20 year benefits of Chuck’s contributions for member pin. many years to come. Kai Heitmann, MD, Freida Hall has served in several contributed much to HL7 leadership positions for well over HL7 throughout the ten years. Freida chaired various HL7 years. He not only Committees and Work Groups, and she served as a spokes- served two terms as the Secretary of the man for our 30 plus HL7 Board. She was also a force on the Ed Hammond presents a plaque affiliates, but also Process Improvement Committee and to outgoing Board member Liora effectively chaired spearheaded the program for welcom- Alschuler the full day (~100

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HL7 NEWS-APR 09.indd 4 4/21/09 12:30:45 PM person) Affiliates Council meetings and the 2009 HL7 Board of Directors. On Health. Uganda has served as an ICT provided entertaining reports to the behalf of the entire HL7 organization, I leader since the 2003 enactment of the HL7 membership during our general welcome the new members of the Board ICT4D National Policy which pledges sessions. Kai was also a wonderful and thank each member for their ongo- the government’s support for develop- host for our May 2007 Working Group ing leadership and contributions to HL7. ment of sustainable ICT initiatives that Meeting in Cologne, Germany. provide quantifiable results for the ben- January Working Group efit of all Ugandans. The January meet- We are extremely grateful for the many Meeting ing allowed them to share the Uganda contributions made by Chuck, Freida, Over 500 attendees participated in our ICT story as well as get updated on Liora, Kai and Wes. Likewise, we hope January 2009 Working Group meeting current global standards developments. that they will continue to stay involved held in Orlando, Florida. This total HL7 was pleased to host this group and with HL7 in the years ahead. includes 146 attendees from outside of looks forward to working with them in the USA, which represents an impressive the future. For more information, please Welcome to Five More 29% of all attendees. Over 40 HL7 work see the story on page 1. We are also pleased to welcome five groups met in Orlando. Attendees also new members to the HL7 Board of took advantage of 30 tutorials that week. Ambassador Program Directors. These individuals bring a Recognition tremendous wealth of experience to HL7 Hosts Delegation from Also at the January Working Group the HL7 Board and we look forward to Uganda Meeting, Jill Kaufman, the Board working with them. Their names and At the January Working Group meeting, secretary and chair of the Marketing role in the Board are listed below: HL7 welcomed a high-level delegation Council, presented pins to four indi- • Robert Dolin, MD, Chair-Elect of five Ugandan information and com- viduals in recognition of their service • Jill Kaufman, PhD, Secretary munications technology experts (ICT). as HL7 Ambassador at various events. • Stan Huff, MD, Director-at-Large This effort is a critical first step to Ambassadors give standardized short • Don Mon, PhD, Director-at-Large increased interoperability information- presentations at conferences to promote • Catherine Chronaki, Affiliate sharing efforts between HL7 and ICT awareness of key HL7 technical work. Director reform drivers in Africa. The Ugandan HL7 Ambassadors receive pins after contingent was led by Eddie Mukooyo, giving three presentations. These indi- Provided below is the group photo of MD, head of the country’s Ministry of viduals include:

Back row from left: Don Simborg, MD; Jill Kaufman, PhD; Linda Fischetti, RN, MS; Dennis Giokas; Mark McDougall. Middle row from left: Charlie McCay; John Quinn; Stan Huff, MD; Hans Buitendijk; Bob Dolin, MD; W. “Ed” Hammond, PhD. Front from left: Michael van Campen; Ken Lunn, PhD; Don Mon, PhD; Catherine Chronaki; Charles Jaffe, MD, PhD. Not pictured: Sam Brandt, MD

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HL7 NEWS-APR 09.indd 5 4/21/09 12:30:46 PM Update from Headquarters, continued

mechanics of our ballot cycles. Most of you are aware that the organization has three ballots each year, with 20+ docu- ments in each cycle. In other words, the scope of Don’s responsibilities is sub- stantial. He works countless hours with the co-chairs, publishing facilitators and the publishing committee to ensure that the submissions are correct, complete, and that the ballot opens on time. In addition, he provides technical assistance for voters during the ballot cycle and maintains and makes improvements to our ballot site. Many HL7 members have told us that Don provides exceptional support to HL7’s members in these and other duties. Therefore, we were thrilled that the HL7 Board Chair recognized Don with an outstanding service award HL7 Ambassdors receiving pins in recognition for their service: Keith Boone; for his exceptional service to HL7. presenter Jill Kaufman, PhD; Grant Wood and Gora Datta. Please see below for a photo of Don Not pictured: Ken Rubin receiving the award from Ed Hammond, PhD. • Keith Boone • LINKMED – Morning Coffee • Gora Datta Breaks International Events • Ken Rubin HL7 will continue its participation in • Grant Wood The additional sponsorship support pro- a number of events being produced vided by these organizations contributes around the globe. Highlights of some of Meeting Sponsors heavily to HL7’s meeting budget and is the 2009 international meetings are listed I would like to recognize the following much appreciated. below. organizations that sponsored key com- ponents of our recent January Working • HIMSS AsiaPac09: February 24-27, Group meeting in Orlando. 2009 in Kuala Lumpur, Malaysia • Gordon Point Informatics – • 10th International HL7 Lanyards Interoperability Conference (IHIC): May 8-9, 2009 in Kyoto, Japan • HL7 Working Group Meeting: May 10-15, 2009 in Kyoto, Japan • Medical Informatics Europe (MIE) 2009: August 30-September 2, 2009 in Sarajevo, Bosnia and Herzegovina

We hope to see you at these events and/ or at other upcoming HL7 meetings.

Best wishes for good health and much happiness to you and your loved ones. Don Lloyd, PhD, receives his service award from HL7 Chair Ed Hammond, PhD

Michael van Campen accepts Special Service Award Gordon Point Informatics’ plaque Don Lloyd, PhD, joined HL7’s staff from HL7 Chair Ed Hammond PhD, three years ago as the publications man- for sponsoring the laynards at the ager, assuming responsibility for the January Working Group Meeting

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HL7 NEWS-APR 09.indd 6 4/21/09 12:30:50 PM HL7 Quality Reporting Work Demo’d at NHIN Forum By: Crystal Kallem, Director, Practice Leadership, American Health Information Management Association; and Joy Kuhl, Director, Health Information, Alliance for Pediatric Quality

Two federal Nationwide Why Data Standards for Quality ments from the Certification Commission for Health Information Healthcare Information Technology (CCHIT) Network awardees used Reporting? and with requirements from the Healthcare HL7 quality reporting Healthcare institutions routinely collect and Information Technology Standards Panel work late last year as they report performance measure data to improve (HITSP) through use of Continuity of Care demonstrated the ONC the quality of care provided to patients. Document (CCD) templates. Quality Use Case at the Current data collection and reporting activities NHIN Public Forum in rely upon a variety of mechanisms that range QRDA Participants and Supporters Washington DC. The from structured paper to electronic data entry Participants and supporters include representa- work originated in 2007 formats – usually derived from claims-based tives from the Alliance for Pediatric Quality, Crystal Kallem when, with support from data sets or manual data abstraction. The Alschuler Associates, American College of the Alliance for Pediatric project participants and supporters believe Physicians, American Health Information Quality, a collaborative that having an EHR-compatible standard for Management Association, Child Health of healthcare provider reporting quality data across vendors and dis- Corporation of America, The Collaboration for organizations and clini- parate health information technology systems Performance Measure Integration with EHR cians worked with the will facilitate participation in performance Systems, HL7 Child Health and Structured HL7 Child Health Work improvement efforts by decreasing the collec- Documents Work Groups, Integrating the Group to explore and tion and reporting burden for providers and Healthcare Enterprise, Iowa Foundation for validate the feasibility their organizations and improving the quality Medical Care, MedAllies and others. of using HL7’s Clinical of data used for measurement. Document Architecture NHIN Trial Implementation awardees that (CDA) for electronic HL7 Data Standard for Quality demonstrated the use case at the NHIN Public quality measure reports. Joy Kuhl Reporting: QRDA Forum include Indiana Health Information Last year, with sup- Exchange, Long Beach Network for Health port from the Child Health Corporation of The HL7 Quality Reporting Document and New York eHealth Collaborative. America and MedAllies, and participation Architecture (QRDA) DSTU includes a tech- from numerous contributors, the work was nical implementation guide for exchanging For more information, please contact Crystal expanded to support three levels of quality patient-level quality data and reports. It also Kallem at [email protected] or (312) data exchange and reporting: from patient- provides a framework for the exchange of 233-1537 or Joy Kuhl at [email protected] level to population-level. The work will soon patient-level quality assessments and popula- or (703) 842-5311. be published as an HL7 Draft Standard for tion-level quality data and reports. QRDA is Trial Use (DSTU). interoperable with vendor certification require-

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

Project Scope Statement – nating from Board appointed Work Groups, Project 2009 Version TSC sponsored projects, revised Project Scope Insight/ Statements, and projects that reaffirm a stan- Dave Hamill In January, the HL7 PMO and Project dard. Furthermore, information regarding the Project Services Work Group released an updated specific work necessary to accomplish each Management Project Scope Statement template based on approval step and the person responsible for Presentations Will Continue feedback and suggestions from HL7 Project conducting that work will be added. at the May Working Group Facilitators, Work Groups and the Technical Meeting in Kyoto and Beyond! Steering Committee. An FAQ (Frequently Project Cleanup Asked Questions) section was inserted along with an area to capture the project’s success The PMO, Steering Division Project The PMO will again provide free tutorials at criteria, a reference to Roadmap Strategies, Facilitators and volunteers from the Project the Kyoto Working Group Meeting in May. and the ability to associate a project with an Services Work Group are working hard on a The sessions, targeted for co-chairs, steer- implementation guide or public document. ‘project clean-up’ effort. We’re proud to say ing division representatives and HL7 project we have more than 200 projects registered in facilitators, will demonstrate Project Insight, HL7’s primary project repository, as well as Enhancement work continues on the template Project Insight. It’s now time to take the next review HL7 project management processes and an updated 2009 version will be released step and clean up the project inventory so that with the ability to identify backwards compat- and methodologies. Sessions are planned for we have the most accurate information repre- Q3 Sunday and Q3 Thursday. ibility, the project’s business case and associate senting the work going on by the membership. target dates with working group meetings. The first step is to have work groups identify Additionally, each month, the PMO sched- which of their projects are active, on hold, ules a webinar of the tutorial. You can also Project Approval Process or need to be closed. For the active projects, have the PMO present a webinar of the tuto- Additions the team will gather updates regarding the rial at one of your work group’s conference project’s target date, product focus, objective, calls. Contact the PMO at [email protected] Work is underway to have the Project deliverables, ballot strategy, facilitator, road- for more details. Approval Process encompass projects origi- map strategy, success criteria, etc.

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HL7 NEWS-APR 09.indd 7 4/21/09 12:30:52 PM Governance and Operations Column: But will it fly? Why HL7 creates Draft Standards By Chuck Meyer, Governance and Operations Committee Member

Chuck Meyer Designing and developing products, be they consumer goods, may be provided as a beta or test application by a vendor. In any an aircraft, or standards, is a fairly well defined process. Once case, the intent of the trial use period is to prove that the Draft you’ve established the need for the proposed product or standard, Standard will fly and if not, what it will take to make it fly. e you bring together a group of knowledgeable, interested people comments and experience gathered during the trial use period who apply their training and experience to create a design. You bring the Draft Standard to final form and provide the basis for walk through the design to ensure yourself, or your team, that it the content of the normative ballot. will get the job done. en you turn that design over to one or more technicians to create a prototype for testing. Even though e responsible work group has significant leeway in how long it you may have engaged some of the most intelligent people in the wishes to make the trial use period. Considerations might include world to design your standard, in much the same manner as if you the importance of timeliness to completion of an approved stan- were creating an airplane, you still have to prove that it will fly be- dard. While the trial use period is intended to prove the viability fore you can introduce it to the world with the hope that everyone of the Draft Standard, before the standard can be “rolled out” as will want it and will use it. an American National Standard, it must be approved by a norma- tive ballot and be presented to the American National Standards HL7 has chosen to take the approach of creating Draft Standards Institute (ANSI) for adoption. Given the need for a follow as our design vehicle. We then subject the Draft Standard to a on normative ballot, the Governance and Operations Manual review ballot, our form of walk through, that gives those outside (GOM) suggests that the trial use period be no more than one the design team an opportunity to review and comment on the year long with a plan to complete the normative ballot process in proposed standard. Often the review ballot will produce valid a year. Optimally a standard should be able to move from design improvements to the Draft Standard or recommendations, which to accreditation in two years; although it may well be accom- although well intentioned and thought out, may not achieve the plished in a shorter time with sufficient diligence and effort. consensus of the design team necessary for adoption. Keep in mind that a review ballot is not subject to the stringent require- HL7 has not overlooked the commitment that comes with provid- ments for reconciliation required of a normative ballot. e ing the implementation prototype of a Draft Standard. Given intent is to ensure that the design of the Draft Standard does not that the prototype represents proof of concept, implementation of contain any obvious faults or errors either of omission, commis- Draft Standards are considered viable and “supported” by the Draft sion, or oversight. Standard through the normative ballot process and for up to six months following the publication of the approved American Na- Typically the review will take only a single cycle; although should tional Standard resulting from the Draft. At that point the imple- it result in identifying a substantive issue, the design team or mentations of the Draft Standard should be upgraded to compli- responsible work group within HL7 is well within its rights to ance with the published American National Standard. Hopefully, submit the revised Draft Standard to another review ballot. e this will not require a significant effort given that the approved work group also has the option of simply incorporating the revi- standard was derived from the prototype implementations. sion and seeking approval to move on to the test or prototype stage if the review ballot was successful even though a substantive Although standards maintenance and reaction to mandated issue was identified. Remember, the intent of a second review is standards requirements may not lend themselves to the develop- more to validate that the change was applied properly than to seek ment of Draft Standards and their trial use, the process HL7 has approval for any negative votes submitted during the first review. adopted is both viable and efficient for creating our world-class informatics standards. Recent comments have indicated some e rationale for this is simple; the Draft Standard will be released confusion over certain aspects of the Draft Standard for Trial Use for a trial use period during which it will be subjected to actual (DSTU). We hope that this article and the concurrent proposed implementation. In some cases, this implementation will be in revisions to GOM §13.02 undertaken by the Governance and what might be considered a laboratory test between two con- Operations Committee will resolve any issues. trolled environments under the control of a single organization. In other situations, the prototype implementation may occur between disparate applications owned by separate organizations or

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HL7 NEWS-APR 09.indd 8 4/21/09 12:30:53 PM Modeling CDA with Standards-Based Tools By Dave Carlson, Project Lead, Open Health Tools (OHT), UML Modeling Project; Rich Rogers, Co-Chair, HL7 SOA Work Group, and IBM OHT board member; and Sarah Knoop and John Timm, IBM Healthcare Systems Research

The Clinical Document Architecture (CDA) defines a general This OHT modeling tools project Dave Carlson document structure for exchanging clinical information. The was formed in April 2008 to build CDA information model is specified as a restriction of the HL7’s healthcare tools that are based on industry standard modeling Reference Information Model (RIM), although most designers languages, such as UML, OCL, and the Web Ontology Language and users work with the CDA XML schemas. CDA applica- (OWL). The tools include UML profile extensions with stereo- tions are often based on an implementation guide that defines a types for HL7 metadata and modeling style, plus XML schema standard document structure using templates, usually contained generation for HL7 message models. We have formed a new within CDA document sections. One of the most widely used OHT modeling subproject that is dedicated to supporting the CDA implementation guides is the Continuity of Care Document creation and implementation of CDA implementation guides (CCD), which is composed of more than 50 templates. using UML models. Working together, we anticipate that three distinct groups in the user community will benefit from our project’s tools: template authors, instance creators, and tool and The tools include UML profile ex- application developers.

tensions with stereotypes for HL7 New CDA templates and implementation guides are authored metadata and modeling style, plus by the HL7 Structured Documents Working Group, and may XML schema generation for HL7 be further constrained by the Health Information Technology Standards Panel (HITSP) in the US Realm (e.g. C 32) and message models. Integrating the Healthcare Enterprise (IHE), as well as by other organizations that need a well-defined clinical document struc- ture for exchanging specific clinical content. It must be possible A new HL7 project has been proposed within the Structured to validate that the templates are correctly defined as constraints Documents Work Group that will develop the approach and on the CDA model or on a higher-level template. For example, tooling requirements for specifying CDA templates and imple- the HITSP C 32 guide is a restriction of the CCD, which is a mentation guides using the Unified Modeling Language (UML). restriction of the CDA, which is a restriction of the RIM. UML is a widely adopted standard for modeling software sys- tems (www.uml.org). There is a thriving ecosystem of users, edu- A second group of tool users are those who create high-qual- cational resources, and open source and commercial tools that ity CDA document instances. All CDA instances are XML support UML. The UML is often used in combination with the documents that are governed by the general CDA schemas. Object Constraint Language (OCL) that is capable of specifying However, most instances also must be valid with respect to all semantic constraints such as those used in CDA templates. template constraints specified in the implementation guide that describes each class of instances. CDA modeling tools may be This HL7 project will provide the requirements and analysis for used in the development of graphical editors that are special- new tools developed within an Open Health Tools (OHT) proj- ized for a particular implementation guide, such as the CCD. ect, Modeling Tools for Healthcare (modeling-mdt.projects.open- Or instances may be created by application developers as part healthtools.org). Open Health Tools is an organization with a of exporting clinical information from electronic health record mission to provide open source software for healthcare interop- systems. We expect that our modeling tools will enable genera- erability. HL7 is a member of the board of Open Health Tools. tion of robust application programming utilities for automated processing of CDA instances.

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HL7 NEWS-APR 09.indd 9 4/21/09 12:30:54 PM A Breakthrough in Family Health History Information Exchange

By Amnon Shabo (Shvo), PhD, Co-Chair & Facilitator, Clinical Genomics Work Group; Co-Editor, CDA R2 & CCD; IBM Research Lab in Haifa Kevin S. Hughes, MD, FACS, Co-Chair & Facilitator, Clinical Genomics Work Group; Surgical Director, Breast Screening and Co-Director, Avon Comprehensive Breast Evaluation Center, Massachusetts General Hospital, Partners Healthcare Amnon Shabo, PhD W. Gregory Feero, MD, PhD, Chief, Genomic Healthcare Branch, National Human Genome Research Institute National Institutes of Health

Summary promise of the computer age. Clinicians e domain of family health history is a challenging test case for need to see the family history graphically, healthcare information technologies as it requires the conver- in a format known as a pedigree that can gence of EHR, PHR and Genomics in a way that enables clinical show family relationships, bloodlines, decision support applications to run effectively, in particular and modes of transmission within a when it comes to prevention and early detection of hereditary family. In addition, clinicians need to be diseases. A breakthrough in EHR-PHR communication of family able to run computer algorithms that can history data has been achieved: the new Surgeon General’s web predict the risk of disease and calculate the likelihood of carrying a mutation tool for family history, My Family Health Portrait, has adopted Kevin S. Hughes, PhD the HL7 Version 3 Pedigree model, and can communicate with in a major susceptibility gene. professional tools compliant with HL7, such as Mass General’s HughesRiskApps. As it is highly unlikely that upwards of 10 separate EHR vendors can each e HL7 Version 3 Pedigree specification was approved as a independently create high quality tools normative ANSI standard in 2007 and is now being balloted in of this type, AHIC has suggested that ISO as well. e Health Information Technology Standards Panel the EHR act as a repository of data, and (HITSP) has recently selected the Pedigree specification as the that external plug-in tools be allowed to standard method of communication between EHR systems and interact with that data to run analyses, decision support applications. draw pedigrees, and thus enhance quality of care. e scenario AHIC describes has been a driving force behind the Pedigree standard developed by the HL7 Clinical Genomics Work Group (CGWG). It is W. Gregory Feero, MD, PhD obvious that an HL7 message is the ideal intermediary between the EHR and this external CDS aid. One can envision data from an EHR being packed as the HL7 Pedi- gree message and sent to this external aid. e clinician is shown a pedigree and the results of the risk calculations, significantly improving his/her ability to make the right clinical decision. e results of the analysis are then packaged in the returning HL7 Pedigree message and deposited in the EHR.

e beauty of this scenario is that a single CDS system can now Figure 1 be implemented in any number of EHRs, markedly increasing the pace of improvement, to the benefit of our patients. The Use Case In the age of personalized medicine, it is critical that Electronic e HL7 CGWG has worked diligently to bring this vision to Health Records (EHRs) be able to store and share a complete fruition. A robust model was created and approved by the HL7 family history, with sufficient detail that it can be used for Clinical membership and then approved by ANSI. HITSP has also decision Support (CDS), and drawing pedigrees (Please see Figure recognized the HL7 Pedigree standard as the only message usable 1). is will allow clinicians to better identify patients at risk for for genetic CDS. e model has been tested at multiple hospitals hereditary diseases, and to better manage those patients. using a program called HughesRiskApps developed by one of the standard co-editors (Dr. Kevin Hughes) along with Sherwood To this end, the American Health Information Community Hughes, both at the Massachusetts General Hospital. HL7 (AHIC) has developed a core data set for family history which translators for this message were created by John Sharko and Brian every EHR vendor should adopt. However, the presence of these Drohan, and tested across multiple software packages used in data elements in the EHR in the absence of tools that can help cancer genetics (CAGENE, Progeny, My Family Health Portrait the clinician better interpret the level of risk falls far short of the Version 1, HughesRiskApps). Please refer to Figure 2.

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HL7 NEWS-APR 09.indd 10 4/21/09 12:30:56 PM Massachusetts General Hospital and Amnon Shabo, PhD of IBM Research, Haifa. Data entered into My Family Health Portrait was saved in the HL7 Pedigree format. e HL7 mes- sage was imported into HughesRiskApps where it was used to draw a pedigree and was analyzed using several risk algorithms for breast cancer (BRCAPRO, Myriad Model, Claus, and Gail) and a prototype algorithm used to identify a variety of other cancer syndromes. e data was then edited, updated, and used to draft letters to the patient and her physician describing the suggested care plan. e demonstration clearly showed the potential of the computer to improve clinical practice, and improve quality of care, while simultaneously decreasing the workload of the clinician.

Overall, we feel strongly that EHRs will help us to leverage the power of genetics to improve the care of patients. We seek vendors who share this vision to adopt the HL7 Pedigree stan- dard and to bring their family history sections up to the AHIC Figure 2 requirements. ose interested in adopting this approach can contact Kevin Hughes at [email protected] or Amnon A breakthrough occurred when the Surgeon General Shabo at [email protected]. decided to upgrade his website for collecting family history (My Family Health Portrait-See Figure 3) Understanding the importance of interoperability, he directed that the website, used by patients in their home, be modified in order that the data entered can be exported in the format of the HL7 Pedigree standard. us, any EHR that can collect and store the AHIC family history core data set, and is HL7 compatible, can import data entered at home by patients through My Family Health Portrait.

While no vendor yet has this capability, the Indian Health Service and the Veterans Administration are both adopting compatible approaches. It is hoped that other EHRs will follow soon. At the recent HL7 meeting in Orlando, the interop- erability of My Family Health Portrait and Hughes- RiskApps was demonstrated by W. Gregory Feero, MD, PhD of the National Human Genome Research Institute of the NIH, Kevin Hughes, MD of Figure 3

Co-Chair Election Results from the January Working Group Meeting Congratulations to the following individuals who were elected as co-chairs at the January Working Group Meeting in Lake Buena Vista, FL. • Anatomic Pathology – Victor Brodsky • Modeling & Methodology – Lloyd McKenzie • Child Health – David Classen and Joy Kuhl • Orders & Observations – Hans Buitendijk, Rob Hausam, • Clinical Genomics – Kevin Hughes and Mollie Austin Kreisler and Patrick Loyd Ullman-Cullere • Patient Safety – Ali Rashidee • Clinical Interoperability Council – Steve Bentley • Process Improvement Committee – June Rosploch • Clinical Statement – Hans Buitendijk, Rik Smithies, • Regulated Clinical Research Information Management – and Patrick Loyd Ed Helton and David Iberson-Hurst • Electronic Health Records – Don Mon and John Ritter • Structured Documents – Keith Boone • Generation of Anesthesia – Alan Nicol • Vocabulary – Russ Hamm

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HL7 NEWS-APR 09.indd 11 4/21/09 12:30:57 PM A Fruitful Partnership – What the OMG Relationship Means to HL7 Members By Richard Mark Soley, PhD, Chief Executive Officer, Object Management Group, Inc.; and Ken Rubin, Chair, OMG Healthcare Domain Task Force; Co-Chair, HL7 SOA Work Group Richard Mark Soley, PhD For many years, HL7 has differentiated itself within the healthcare Services Specification Project (HSSP). standards community as a driving force and a leader establishing HL7 and the OMG have agreements standards to promote the interoperability of health information between the Boards of Directors of both across the industry. e Object Management Group (OMG) has organizations, offering rights and privileges a similar long-standing tradition. Founded twenty years ago, the to members of either organization in the OMG is a not-for-profit computer industry consortium focused interest of fostering collaboration. is on establishing standards in support of the platforms and vertical article is focused on clarifying what OMG is industries represented across its membership. Besides creating, and what OMG collaboration means to the owning and maintaining broad standards for modeling, middle- HL7 community. ware & embedded systems, most of OMG’s work today is focused Ken Rubin on modeling business processes in vertical markets like financial • HL7 Members can attend OMG services, manufacturing, military communications, and health- events at OMG member pricing. (Simply indicate your HL7 care. e partnership of HL7’s unparalleled success and depth of membership when signing up for events.) knowledge in healthcare, and OMG’s similar long success in mod- eling business processes, makes both organizations stronger and • HL7 Members can receive access to OMG “Members-only” will lead to very broad adoption of the results of this Healthcare website access upon request.

HL7 Benefactors

Centers for Disease Control and Prevention

U.S. Department of Defense Military Health System

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HL7 NEWS-APR 09.indd 12 4/21/09 12:31:02 PM • John Quinn, HL7’s CTO, is formally representing HL7’s in- Among the most notable and successful collaborations between terests in OMG Technology Adoption process (in the OMG HL7 and the OMG, the groups are again hosting a “SOA in Domain Technology Committee –the OMG equivalent of Healthcare” conference building upon the success of last year’s the TSC). event. We believe that this has been tremendously successful because of the collaboration, and are looking forward to another • Corporate-level collaborations are beginning. For instance, a opportunity to demonstrate our collective leadership in positively monthly recurring call between CEOs and senior leadership has begun, and discussions are commencing about co-locat- impacting the industry. ing meetings to share costs and support further interaction between the groups. On behalf of the OMG, our membership, and our staff, I look forward to continued interactions with the HL7 community. I • OMG and HL7 have been actively collaborating via the HL7 had the pleasure of joining you in Orlando at your last Working SOA Work Group under the Healthcare Services Specification Group Meeting, and will see you in Kyoto. If there is anything Project (HSSP) since its inception. personally I can do to help HL7-OMG relations, do not hesitate to ask. You can contact me at [email protected] or Ken Rubin at • In addition to healthcare, OMG has work groups in Manufac- [email protected]. turing, Aerospace, Finance, Green Computing, and so on. is creates opportunities for cross-pollination of ideas between and other industries.

SOA in Healthcare: Value in a Time of Change Presented by OMG, HL7 and SOA Consortium June 2-4, 2009 in Chicago, IL, USA

Service Oriented Architecture (SOA) healthcare providers, payers, public • Organizational Adoption and SOA use adoption is viewed as a key enabler health organizations and vendors from (such as SOA planning, program devel- for the 21st century enterprise due to both the public and private sector. In opment, planning, business process increased opportunity for productivity addition, a select number of internation- management, stakeholder involvement, and integration, and requires significant al invitees will be presenting. governance, oversight, etc.) changes for both business and IT execu- tives. The goal of the conference, now The conference will be experientially • Architecture (such as Enterprise in its second year, is to raise the dialogue focused; with speakers bringing their Architecture, Integration Architecture, about SOA and its use in healthcare, with personal and organizational experiences Product Architecture, Interoperability, a focus on its role as a transformation to what will be a presentation and discus- and Design) agent to add organizational value. sion-oriented forum. The event will host three tracks: • Integration, Interoperability, and The focus of the SOA in Healthcare Legacy Enablement (such as legacy conference is to convey real-world experi- • An “Executive Summit” targeting key integration, refactoring, off-the-shelf ences, assembling a community of peers decision-makers, CxO’s, and technical package integration, custom software to exchange ideas and discuss what has leads development, product development) worked, what did not work, and review • A “Business Track” focused on the best practices for attendees to benefit business rationale behind SOA, and OMG, HL7 and the SOA Consortium from lessons learned faced in real imple- organizational change to support it invite everyone with an interest in SOA mentations. Not a “tech industry” event, • A “Technical Track” addressing how to in healthcare to attend. This workshop is this conference is exclusively healthcare succeed with SOA in a health setting sponsored by Gold Sponsor EDS, an HP focused, and will highlight the challenges company; Silver Sponsors Appian and unique to healthcare organizations and Topic areas will include: Intel. The early-bird registration discount emphasize cross-industry solutions that is available until May 11, 2009. The reg- are viable within the healthcare domain. • SOA and Business Value (such as istration cut-off for the Hyatt Regency Return-on-Investment, Enterprise O’Hare is May 11, 2009. Hotel and regis- A wide cross-section of the health Architecture, business-IT alignment, tration information is available at industry will participate, including agility, etc.) http://www.omg.org/HL7-news.

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HL7 NEWS-APR 09.indd 13 4/21/09 12:31:02 PM Congratulations to the following people who passed the HL7 Certification Exam Certified HL7 V2.5 Revathi H. Raghunath Amarnath Reddy Alla Jaya HL7 Spain Chapter 2 Control Chowdhury Rezaur Rahman Kevin J. Carlin Specialist Parasmani Sethi Peter Gilbert January 29, 2009 Prabhdeep Singh Dawn D. Harrison Álvaro Domínguez Bragado November 5, 2008 Balaji Sukumaran Arlene L. Hopkins Francisco Jesús Domingo Venukmar Bachuwala Bhushan Prasad Voovayya Kim Humby Pastor Heather M. Capel Ritesh Yadava Anthony Julian Antonio Jesús Dorado Ruiz Lee Jason Curley Ignacio Esteve Arríen Eric S. Frederickson December 6, 2008 Álvaro Martínez Romero Preethi Jayasimhan Nisha Aggarwal HL7 Spain Francisco Matas Albaladejo McKensie R. Kish Parag Katare Ma José Moril López Jenny K. Morris Vishal Ranjan January 29, 2009 Pablo Francisco Viñas Gary P. Munger Hemant Kumar Singh Diego J. Domínguez Noseda Todd Reynolds Jagjeet Singh Carralero José Luis Bayo Monton Amy R. Workman Rakesh Kumar Singh Juan Pedro Pereira Vanesa Del Casar Huet Srinivas Velamuri Shelly Srivastava Alfonso del Rio Sánchez Sandra Leal González Arron J. Vickery Javier Corbín Sánchez David Moner Cano December 20, 2008 José Colomer Gómez Krishnarjun Halder José Vergara Pérez HL7 India Vijayalaxmi G. Patil Joan Pau García Úbeda Certified HL7 Sajid Salik Version 3 RIM October 18, 2008 Praveen Thaku Specialist Kishore Kumar Jayaraman Certified HL7 CDA Swathi Konduru Specialist November 5, 2008 Brammaiah R. Prabu HL7 Korea Kevin M. Coonan Rajib Saha November 5, 2008 Tushar S. Kale Anjaneya Reddy Sanampudi December 20, 2008 Chris Anderson Bhavani Vanka Kichul Chung January 15, 2009 Malaimagal Vedachalam January 15, 2009 Dragana Lojpur Rita A. Altamore November 29, 2008 HL7 Spain Ariel Guevara Ranjeev Appukuttan Monica J. Haddox HL7 Canada Manjari Bhadra December 18, 2008 Srinivas Velamuri Gargi Biswas Alfonso Tienda Braulio Michael van der Zel January 29, 2009 Vidhyalakshmi Bose Francisco Javier Arnau Roig James E. Agnew Kavinmozhi Duraiarasu Mª José Moril López Duane R. Bender Venugopal Gondu Víctor Manuel Agulló Boix HL7 Korea Vasile Boitor Preeti B. Jabbal Iago Lozano Núñez Claudiu Grecu Chiranth H Kiran Kumar December 1, 2008 Rick Lambert Revathy Kumarasamy Soon Hwa Han Alvaro Lemos Karthik K. Manjunath Certified HL7 Woon-Young Jung Sergei Maxunov Yogananda Nanjundaiah V2.5/2.6 Chapter 2 Soon-Jeong Koh Ionut Mitrache Baskar Nallasivam Control Specialist Bina Lee Jose Nunes Ravi Chandra Jain Sung Young Oh Tran H. Truong Phaneendrakumar January 15, 2009 Seung-Won Park Norman A. Ramirez Charan Y. Puttaswamy Michael A. Alexander

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HL7 NEWS-APR 09.indd 14 4/21/09 12:31:04 PM UPCOMING WORKING GROUP MEETINGS

May 10 – 15, 2009 September 20 – 25, 2009 Working Group Meeting 23rd Annual Plenary & Kyoto International Conference Center Working Group Meeting Kyoto, Japan Sheraton Atlanta Hotel Atlanta, GA

January 17 – 22, 2010 May 16 – 21, 2010 Working Group Meeting Working Group Meeting Pointe Hilton at Squaw Peak Resort Windsor Barra Hotel & Congressos Phoenix, AZ Rio de Janeiro, Brazil

PLEASE BOOK YOUR ROOM AT THE HL7 MEETING HOTEL

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

Thank you for your cooperation!

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HL7 NEWS-APR 09.indd 15 4/21/09 12:31:07 PM HL7 EDUCATIONAL SUMMITS

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

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

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

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

• Superior Instructors You’ll get HL7 training straight from the source: Our instructors. They are not only HL7 experts; they are the people who help produce the HL7 standards July 14 – 16, 2009 • Certification Testing Doubletree Guest Suites Become HL7 Certified: HL7 is the sole source for HL7 Boston, Massachusetts certification testing, now offering testing on Version 2.6 and Clinical Document Architecture, and Version 3 RIM November 10 – 12, 2009 Hilton Suites, Magnificent Mile • Economical Chicago, Illinois A more economical alternative for companies who want the benefits of HL7’s on-site training but have fewer employees to train

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HL7 NEWS-APR 09.indd 16 4/21/09 12:31:10 PM Upcoming International Events

10th International HL7 23nd Annual Plenary & Working Interoperability Conference Group Meeting Kyoto, Japan Atlanta, GA, USA May 8 – 9, 2009 September 20 – 25, 2009 For more information, please visit More information will be available on the http://www.hl7.jp/ihic2009/ HL7 website in the coming months. Please visit http://www.HL7.org

May Working Group Meeting 8th Annual Asia-Pacific HL7 Kyoto, Japan Conference May 10 – 15, 2009 Taipei, Taiwan For more information, please visit October 2 – 4, 2009 http://www.regonline.com/HL7WGM052009 For more information, please visit www.HL7.org.tw

MIE 2009—Medical eHealth 2009 informatics Europe 2009 Istanbul, Turkey Conference and Exhibition September 23 – 25, 2009 Sarajevo, Bosnia and Herzegovina For more information, please visit August 30 — September 2, 2009 http://www.electronic-health.org/cfp.shtml For more information, please visit http://www.mie2009.org/

31st Annual International eChallenges e-2009 Conference Conference of the IEEE Istanbul, Turkey Engineering October 21 – 23, 2009 in Medicine and Biology Society For more information, please visit Minneapolis, MN, USA http://www.echallenges.org/e2009/ September 2 — 6, 2009 For more information, please visit http://www.embc09.org/

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HL7 NEWS-APR 09.indd 17 4/21/09 12:31:11 PM Free Web-based HL7 Version 2.x Message Testing: Australian Healthcare Messaging Laboratory By Jane Gilbert, Director of the AHML and Co-Chair of the Implementation and Conformance Work Group; and Klaus Veil, Chair of HL7 Australia

The Australian Healthcare that allows web-based testing as well as offline bulk message eval- Messaging Laboratory (AHML) uation. This feature is used by AHML staff to perform formal website at www.AHML.com.au compliance testing and certification. provides online instant HL7 mes- sage testing to “diagnose” con- AHML holds accreditation with the National Association of formance with the HL7 Version Testing Authorities (NATA) to ISO/IEC 17025, an outcome that 2.x (V2.x) standards as well as a number of other HL7 message provides software developers and purchasers with the assurance specifications and profiles. This free service provides a means of that AHML supplies accurate and reliable testing results. AHML’s easily testing messages for format and structure, and content and accreditation is also recognized world-wide through NATA’s mutu- business rules in compliance with the HL7 V2.x standards. al recognition arrangements with many International Accreditation Laboratories. The online HL7 Message testing process at www.AHML.com. au is simple and fast: Upload an HL7 V2.x message and seconds AHML also offers vendors and developers the formal certifica- later you can view the message diagnostics report. The generated tion of their product or interface to an HL7 V2.x standard. A reports show three severity levels of non-compliance: alerts, warn- controlled message sampling process is followed by exhaustive ings and errors. Detailed explanations of the reasons for non- testing of a statistically relevant batch of messages. The results of compliance (with references to the relevant sections in the V2.x the testing are then reviewed and a Certificate of Compliance is standards) are provided to assist in quickly fixing the problems. issued if the messages are error-free. The compliance certification Please see Figure 1 for an example of a generated report. is used by purchasers to identify software that safely handles elec- tronic clinical messages. The Australian Healthcare Messaging Laboratory is part of the University of Ballarat near Melbourne and was founded in 2001. The AHML message testing facilities are useful for organizations Its mission is to promote and facilitate the adoption of compliant and individuals involved in the development and implementation international healthcare messaging standards. AHML has devel- of healthcare software with HL7 V2.x interfaces. AHML has oped a sophisticated and unique Message Testing Engine (MTE) more than 470 users from 38 countries (Please see Figure 2 for a breakdown of users by country). • Software industry developers requiring conformance to recognized standards of message functionality in their products • Government departments and agencies developing software systems that communicate with other parties in the health care system • Private and public healthcare organizations requiring independent verification that messaging implementations conform to specified standards

AHML recently appointed Jane Gilbert as its new director. Prior to assuming this position, Jane worked as a senior software engineer for the organization. Figure 1: Message Diagnostic Report She has been actively involved

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HL7 NEWS-APR 09.indd 18 4/21/09 12:31:12 PM with several HL7-related projects and initiatives, is a co-chair of the HL7, Inc. Implementation and Conformance Work Group and serves on the board of HL7 Australia.

In 2009, AHML will provide mes- sage testing via web services and will implement new international testing profiles. AHML welcomes partnership opportunities to pro- vide support for relevant interna- tional or national profiles.

For more information about AHML and to register for free, Figure 2: AHML International Users by Country please visit: www.ahml.com.au.

Invitation to the 8th Asia-Pacific HL7 Conference in Taipei By the HL7 Taiwan and Organizing Committee of 2009 Joint Conference on Medical Informatics in Taiwan

HL7 Taiwan is pleased to invite you to how to provide “Efficient Healthcare Taipei, Taiwan for the 8th Asia-Pacific with Integrated Information Standards,” HL7 Conference, which will be held especially when faced with the growing October 2-4, 2009 at Taipei Medical healthcare demand of the aging society. University. The 7th Asia-Pacific HL7 Conference on HL7 Taiwan has undergone tremen- Healthcare Information Standards joined dous growth since June 2001. In the with MIST 2008, NIST 2008, and MISAT past eight years, HL7 Taiwan has made 2008 and was held on Nov 21-23, 2008 major contributions in the promotion of at National Yang-Ming University, Taipei. education/training, research, and appli- This 2008 Joint Conference on Medical deployment, and collaboration among cation of HL7 exchange standards in Informatics in Taiwan (2008 JCMIT) SDOs for interoperable EHRs. Taiwan. From 2002 to 2008, we organized attracted 230 participants, including seven Asia-Pacific HL7 Conferences on fifteen international speakers and par- We are looking forward to welcoming you Healthcare Information Standards, includ- ticipants. Those who participated in the and to organizing unforgettable events for ing one held jointly with the HL7 Affiliate Gala Dinner on Nov 22, 2008 have fond you and the HL7 Community. We intend Members Meeting in Taipei in 2005. For memories of the happy hours spentr on to spoil and surprise you with all we each Asia-Pacific HL7 Conference, we the cruise. have to offer and share the unsurpassed provided the most valuable opportunity Taiwan hospitality with you. We truly to convene many experts, academics, If you are interested in conference details hope you will join us in enjoying Taipei’s industry representatives, government rep- and viewing photos, please visit this website beautiful, unique and safe atmosphere, resentatives, and vendors. We have always at http://mist2008.ym.edu.tw/index-e.php. while building relationships that will last aimed to bring the significant progress for years to come. of HL7 standards to Taiwan as well as in Keynote speeches will be delivered by Asia-Pacific countries as well as highlight W. Ed Hammond, PhD (HL7 Chair, Key Information how HL7 standards are being implement- USA). Michio Kimura, MD (HL7 Japan October 2-4, 2009 The 8th Asia-Pacific ed in the region. Chair), and Yun Sik Kwak, MD, PhD HL7 Conference and 2009 JCMIT (ISO TC215, Korea) covering diverse The 8th Asia-Pacific HL7 Conference For example at the 6th Asia-Pacific HL7 uses of the HL7 Clinical Document site: www.HL7.org.tw Conference we emphasized the impor- Architecture (CDA), Electronic Health For more information contact: tance of the “u-Health” concept and Records (EHRs), large scale eHealth [email protected]

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HL7 NEWS-APR 09.indd 19 4/21/09 12:31:14 PM AFFILIATE CONTACTS

HL7 Argentina HL7 Croatia HL7 Italy HL7 Spain Diego Kaminker Stanko Tonkovic, PhD Massimo Mangia Carlos Gallego Perez Phone: 5411-4959-0507 Phone: 385-1-6129-932 Phone: 39-091-2192-457 Phone: 34-93-565-39-00 Email: diego.kaminker@kern- Email: [email protected] Email: massimo.mangia@kata- Email: [email protected] it.com.ar mail.com HL7 Czech Republic HL7 Sweden HL7 Australia Libor Seidl HL7 Japan Fredrik Strom, MSc Klaus Veil Email: [email protected] Michio Kimura, MD, PhD Phone: 46-8-527-400-00 Phone: 61-412-746-457 Phone: 81-3-3506-8010 Email: Email: [email protected] HL7 Denmark Email: [email protected] Marie Gradert [email protected] HL7 Austria Phone: 46-39-96-61-89 HL7 Switzerland Stefan Sabutsch Email: [email protected] HL7 Korea Beat Heggli Phone: 43-664-3132505 Yun Sik Kwak, MD, PhD Phone: 41-1-806-1164 Email: stefan.sabutsch@fh- HL7 Finland Phone: 82-53-420-6050 Email: beat.heggli@nexus-sch- joanneum.at Niilo Saranummi Email: weiz.ch Phone: 358-20-722-3300 [email protected] HL7 Brazil Email: [email protected] HL7 Taiwan Marivan Santiago Abrahao HL7 Mexico Jin-Shin Lai, MD Phone: 55-11-3045-3045 HL7 France Mauricio Derbez del Pino Phone: 886-2-25233900 Email: [email protected] Nicolas Canu Phone: 52-999-913-8351 Email: [email protected] Phone: 33-02-35-60-41-97 Email: mauricio.derbez@imss. HL7 Canada Email: gob.mx HL7 The Netherlands Michael van Campen [email protected] Robert Stegwee, MSc, PhD Phone: 250-881-4568 HL7 New Zealand Phone: 31-30-689-2730 Email: Michael.vanCampen@ HL7 Germany David Hay Email: robert.stegwee@cap- GPinformatics.com Thomas Norgall Phone: 64 274 766 077 gemini.com Phone: 49-9131-776-5113 Email: HL7 Chile Email: [email protected] [email protected] HL7 Turkey Rodrigo Caravantes Fuentes Ergin Soysal Phone: 56-2-5740773 HL7 Greece HL7 Romania Email: [email protected] Email: [email protected] George Patoulis, MD, MPH Florica Moldoveanu Phone: 30-210-8067888 Phone: 40-21-4115781 HL7 UK HL7 China Email: [email protected] Email: florica.moldoveanu@ Rik Smithies Caiyou Wang rdslink.ro Phone: 44-8700-112-866 Phone: 86-010-82801546 HL7 India Email: [email protected] Email: [email protected] Bimal Naik (Interim Chair) HL7 Singapore Phone: 877-248-4871 Fong Choon Khin HL7 Uruguay HL7 Colombia Email: [email protected] Phone: 65 9728 2696 Julio Carrau Fernando A. Portilla Email: fong.choon.khin@ Phone: 592-487-11-40 Phone: 57-2-5552334 HL7 Ireland gmail.com Email: [email protected] Email: [email protected] Peter Lennon Phone: 01-635-3011/13 Email: [email protected]

20 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 20 4/21/09 12:31:14 PM HL7 ORGANIZATIONAL MEMBERS Benefactors CSG APHL Accenture Cyrus-XP, LLC Arizona Health Care Cost Containment System Booz Allen Hamilton Dapasoft, Inc. Arizona Health-e Connection Centers for Disease Control and Prevention/CDC Eastern Informatics, Inc. Blue Cross Blue Shield Association Duke Translational Medicine Institute ECM Solutions California Department of Health Care Services Eclipsys Corporation Edifecs, Inc. California HealthCare Foundation Eli Lilly and Company Forward Advantage, Inc. California Mental Health Directors Association Epic Systems Corporation Gartner Cancer Care Ontario European Medicines Agency Genzyme Corporation CAQH Food and Drug Administration Google Cardiovascular and Metabolic Center: Ramathibodi GE Healthcare Integrated IT Solutions Gordon Point Informatics Ltd. CDISC GlaxoSmithKline GSI Health, LLC CEI Community Mental Health Authority IBM GTNet, Inc. Centers for Disease Control and Prevention/CDC Intel Corporation, Digital Health Group Healthcare Data Assets Centers for Medicare & Medicaid Services InterSystems HLN Consulting, LLC Clemson University Kaiser Permanente Hubbert Systems Consulting College of Healthcare Information Mgmt. Executives Lockheed Martin iConnect Consulting Colorado Regional Health Information Organization McKesson Provider Technologies Information Technology Architects, Inc. Contra Costa County Health Services Microsoft Corporation iNTERFACEWARE, Inc. Delta Dental Plans Association NHS Connecting for Health J2 Consult Department of Health & Hospitals (MMIS) NICTIZ Nat.ICT.Inst.Healthc.Netherlands KRM Associates Inc. Department of Human Services Novartis LightSpeed Consulting Inc. DGS, Commonwealth of Virginia Oracle Corporation - Healthcare Lockheed Martin Div. of Medical Assistance, State of NJ Partners HealthCare System, Inc. Meddius Duke Translational Medicine Institute Pfizer Inc. MediVoice, LLC ECRI Institute Philips Healthcare MedQuist, Inc. Emory University, Research and Health Sciences IT QuadraMed Corporation Medtronic Estonian eHealth Foundation Quest Diagnostics, Incorporated Multimodal Technologies, Inc. European Medicines Agency Siemens Healthcare Northrop Grumman Food and Drug Administration St. Jude Medical Octagon Research Solutions, Inc. Georgia Medical Care Foundation Sunquest Information Systems Onco, Inc. Greater Rochester RHIO Thomson Reuters OTech, Inc. HIMSS U.S. Department of Defense, Military Health System ProductLife Hospital Universiti Kebangsaan Malaysia U.S. Department of Veterans Affairs RadScribe Inc. ICCBBA, Inc. River North Solutions, Inc. Illinois Department of Public Health Supporters Seven Hills Solutions, Inc. Illinois Healthcare and Family Services Beeler Consulting LLC Shafarman Consulting Indian Health Service Corepoint Health Silicon & Software Systems Polska Sp. z o.o Iowa Foundation for Medical Care iNTERFACEWARE, Inc. Stephens Technology Group Joint Commission on Accreditation of LINK Medical Computing, Inc. Summit Imaging, Inc. Healthcare Org. Sentillion, Inc. The Rehab Documentation Company, Inc. Kansas Health Policy Authority Stephens Technology Group Thymbra LA County Probation Department TPJ Systems, Inc. Michigan Public Health Institute Consultants Unlimited Systems Minnesota Department of Health 5AM Solutions, Inc. VitalHealth Software Minnesota Dept. of Human Services Accenture W3apps Inc. N.A.A.C.C.R. Alschuler Associates, LLC WebReach, Inc. NANDA International Anakam, Inc. National Association of Dental Plans Aquashell IT Solutions Corp. General Interest National Center for Health Statistics/CDC Aurillion Micro Systems Inc. Agency for Healthcare Research and Quality National Comprehensive Cancer Network Beeler Consulting, LLC Alaska Native Tribal Health Consortium/AFHCAN National Institute of Standards and Technology Booz & Company Alliance for Pediatric Quality National Library of Medicine Booz Allen Hamilton Altarum Institute New York State Department of Health, Wadsworth Ctr CAL2CAL Corporation American Assoc. of Veterinary Lab Diagnosticians NICTIZ Nat.ICT.Inst.Healthc.Netherlands Cardiopulmonary Corp. American College of Physicians (ACP) NIH/Department of Clinical Research Informatics CentriHealth American College of Radiology North Carolina DHHS-DMH/DD/SAS College of American Pathologists American Health Information Management NYS Office of Mental Health ComFrame Software Corporation Association OA-ITSD - Department of Mental Health Computer Frontiers, Inc. American Immunization Registry Association (AIRA) Oakland County CMHA

HEALTH LEVEL SEVEN, INC. APRIL 2009 21

HL7 NEWS-APR 09.indd 21 4/21/09 12:31:15 PM HL7 ORGANIZATIONAL MEMBERS Ochsner Medical Foundation BJC HealthCare Rady Children’s Hospital and Health Center Pennsylvania Dept of Health-Bureau of Information Blessing Hospital Regenstrief Institute, Inc. Pharmaceuticals & Medical Devices Agency Boynton Health Center Resurrection Health Care Riverside County Community Health Agency CareAlliance Health Services Riverside Methodist Hospitals SAMHSA Cascade Healthcare Community Rockford Health System SEARHC Catholic Healthcare West IT Rockingham Memorial Hospital SEECS NUST Cedars-Sinai Medical Center SA Tartu University Clinics Social Security Administration Children’s Hospital Medical Center of Akron Sharp HealthCare Information Systems Software and Technology Vendors’ Association Children’s Hospitals and Clinics Sisters of Mercy Health System Southwest Research Institute Cincinnati Children’s Hospital South Bend Medical Foundation, Inc. State of CA / Mental Health City of Hope National Medical Center Spectrum Health Sultanate of Oman, Ministry of Health Cleveland Clinic Health System St. Luke’s Regional Medical Center Tennessee Department of Health Community Reach Center Stanford Hospital & Clinics Texas Health and Human Services Commission CVGPN Summa Health System U.S. Department of Health & Human Services Delta Health Alliance Sykes Assistance Services Univ of Texas HSC San Antonio School of Nursing Emory Healthcare Team Health University of Texas Medical Branch at Galveston Endocrine Clinic of Southeast Texas Texas Children's Hospital U.S. Army Institute of Surgical Research Fletcher Allen Health Care The Children's Hospital of Philadelphia Utah Department of Health Genova Diagnostics The North Carolina Baptist Hospitals, Inc. Utah Health Information Network Girling Health Care, Inc. Trinity Health Voice of Detroit Initiative (VODI) Group Health Cooperative Triumph Healthcare Washington State Department of Health Health First, Inc Tuomey Healthcare System WorldVistA Health Network Laboratories U.S. Department of Defense, Military Health System WVDHHR Bureau for Medical Services HealthBridge U.S. Department of Veterans Affairs Hill Physicians Medical Group University Hospital (Augusta) Payers Holzer Clinic University of Chicago Medical Center Active Health Management, Inc. Hospital Authority of Hong Kong University of Illinois at Chicago Medical Center Argus Health Systems Il Melograno Data Services S.p.A. University of Kentucky Chandler Medical Center Arkansas Blue Cross and Blue Shield Inova Health System University of Nebraska Medical Center Blue Cross and Blue Shield of Alabama Johns Hopkins Hospital University of Pittsburgh Medical Center Blue Cross and Blue Shield of Florida Kaiser Permanente University of Utah Health Care Blue Cross Blue Shield of South Carolina L.A. County Department of Health Services UW Medicine, IT Services BMS Reimbursement Management Laboratory Corporation of America Vanderbilt University Medical Center Health Care Service Corporation Lahey Clinic VUMC Independence Blue Cross Lakeland Regional Medical Center Washington National Eye Center TriWest Healthcare Alliance Lee Memorial Health System Weill Medical College of Cornell Wellpoint, Inc. Loyola University Health System Wheaton Franciscan Healthcare Wisconsin Physicians Service Ins. Corp. Lucile Packard Children’s Hospital Marquette General Hospital Vendors Pharmacy Mayo Clinic/Foundation 3M Health Information Systems Bristol-Myers Squibb Medlab, Inc.y 6N Systems, Inc. Eli Lilly and Company MedStar Health Information Systems ABELSoft Corporation GlaxoSmithKline Meridian Health Accent on Integration Merck & Co. Inc. Meriter Health Services Accenx Technologies, Inc. Novartis Milton S. Hershey Medical Center Agilex Technologies Sanofi-Aventis R&D MultiCare Health System Alert Life Sciences Computing, Inc. Pfizer Inc. National Cancer Institute Center for Bioinformatic Altova GmbH Wyeth Pharmaceuticals National Healthcare Group American Data NCH Healthcare System American HealthTech, Inc. Providers New York-Presbyterian Hospital Amtelco AACTS Retirement - Life Communities, Inc. NHS Connecting for Health Antek HealthWare LLC Advanced Biological Laboratories (ABL) SA Northwestern Memorial Hospital Apelon, Inc. Akron General Medical Center Parkview Health Aspyra, Inc. Alamance Regional Medical Center Partners HealthCare System, Inc. Aurora MSC Albany Medical Center Pathology Associates Medical Laboratories Avanttec Medical Systems (P) Ltd ARUP Laboratories, Inc. Presbyterian Healthcare Services Axolotl Corporation Aspirus - Wausau Hospital Providence Health & Services BridgeGate International Athens Regional Health Services, Inc. Queensland Health Cardinal Health, Inc. Baylor Health Care System Quest Diagnostics, Incorporated CareFacts Information Systems, Inc.

22 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 22 4/21/09 12:31:16 PM HL7 ORGANIZATIONAL MEMBERS Carefx Corporation HealthPort Opus Healthcare Solutions Inc. Carestream Health, Inc. HealthTrio, LLC Oracle Corporation - Healthcare Cerner Corporation Healthvision Orchard Software Certify Data Systems Hermes Medical Solutions AB Orion Health Cetrea A/S Huron Systems, Inc. Patient Care Technology Systems Citius Tech Hyland Software, Inc. Performance Pharmacy Systems, Inc. Clearwave Corporation Iatric Systems Philips Healthcare Clinical Computing, Inc. IBM PolyRemedy, Inc. CliniComp, Intl. ICPA, Inc. Procura CMR II4SM Programs and Complexes Cognosante, Inc. Image Solutions, Inc.(ISI) QIPRO, Inc. Cogon Systems, Inc. iMetrikus, Inc. QuadraMed Corporation Community Computer Service, Inc. Info World Quadrat NV Compressus Inc. Information Builders Reed Technology and Information Services Inc. Computrition, Inc. Ingenix RelWare Connect Informatics srl Intel Corporation, Digital Health Group Rosch Visionary Systems Continuity Health Intellicure Inc. RTZ Associates, Inc. Corepoint Health Intelliware Development Inc. Rx.com Covisint Interfix, LLC RxHub, LLC CPCHS InterSystems Sage CSAM International AS IntraNexus, Inc. SAIC - Science Applications International Corp CSC Scandihealth A/S IQMax, Inc. Sentillion, Inc. Custom Software Systems, Inc. iSOFT Nederland b.v. Shared Health Cybernetica AS J.D. Dolson Siemens Healthcare Data Innovations, Inc. Kalos Silk Information Systems, Inc. Data Processing SPA Kardia Health Systems Softek Solutions, Inc. Dawning Technologies, Inc. Kestral Computing Pty Ltd. Softworks Group Inc. dbMotion KIM-2000 Ltd. St. Jude Medical DC Computers Kryptiq Corporation STI Computer Services DeJarnette Research Systems, Inc. Labware, Inc Stockell Healthcare Systems, Inc. Digital Infuzion, Inc. Lewis Computer Services, Inc. Sun Microsystems, Inc. DIPS ASA LINK Medical Computing, Inc. Sunquest Information Systems Document Storage Systems, Inc. Liquent, Inc. SureScripts Dolbey & Company Logibec Swearingen Software, Inc. Doral Dental LOGICARE Corporation TC Software, Inc. Eclipsys Corporation LORENZ Life Sciences Group The CBORD Group Inc. EDS Corporation LSS Data Systems The SSI group, Inc. Electronic Patient Records (Pty) Ltd. Mammography Reporting System Inc. The Stellar Corporation e-MDs McKesson Provider Technologies TheraDoc, Inc. eMeddy Inc. MEDai, Inc. Thomson Reuters Emergisoft Corporation MedEvolve, Inc. Thrasys Emissary Professional Group, LLC Medical Messenger Trilogy Integrated Resources Epic Systems Corporation MediRec Inc TSMA, inc dba Medford Medical Systems eServices Group, Inc. MediServe Information Systems, Inc. Up To Data Professional Services Gmb ESRI MEDIWARE Information Systems Vecna Excelleris Technologies, Inc. Medmatics VigiLanz Expert Sistemas Computacionales S.A. DE C.V. Metiscan Managed Services Virtify Four Gates, LLC Microsoft Corporation Vocollect Healthcare Systems, Inc. Fox Systems Inc. MITEM Corporation WebMd Health Services GE Healthcare Integrated IT Solutions Netsmart Public Health, Inc. Wellsoft Corporation gloStream, Inc. NexJ Systems Inc Wolters Kluwer Health Goldblatt Systems NextGen Healthcare Information Systems, Inc. Workflow.com, LLC Greenway Medical Technologies, Inc. Niceware International, LLC Wyndgate Technologies Harris Corporation Noridian Administrative Services XIFIN, Inc. Health Care Software, Inc. Noteworthy Medical Systems, Inc. XPress Technologies Health Insight Technologies OA Systems, Inc. Zynx Health Health Language, Inc. Objective Medical Systems LLC Healthcare Management Systems, Inc. Occupational Health Research Healthland Omnicom srl

HEALTH LEVEL SEVEN, INC. APRIL 2009 23

HL7 NEWS-APR 09.indd 23 4/21/09 12:31:16 PM 2009 TECHNICAL STEERING COMMITTEE MEMBERS

CHAIR DOMAIN EXPERTS REPRESENTATIVE STRUCTURE & SEMANTIC DESIGN Charlie McCay Austin Kreisler REPRESENTATIVE HL7 UK SAIC – Science Applications International Corp. Calvin Beebe Ramsey Systems Ltd. Phone: 770-986-3521 Mayo Clinic/Foundation Phone: 44-7808-570-172 Email: [email protected] Phone: 507-284-3827 Email: [email protected] Email: [email protected] DOMAIN EXPERTS ALTERNATE CHIEF TECHNICAL OFFICER Edward Tripp STRUCTURE & SEMANTIC DESIGN John Quinn Edward S Tripp and Associates, Inc. ALTERNATE HL7 Phone: 224-234-9769 Gregg Seppala Phone: 216-409-1330 Email: [email protected] U.S. Department of Veterans Affairs Email: [email protected] Phone: 301-526-2703 INTERNATIONAL FOUNDATION & TECHNOLOGY Email: [email protected] REPRESENTATIVE REPRESENTATIVE Charlie McCay Ioana Singureanu TECHNICAL & SUPPORT SERVICES HL7 UK Eversolve, LLC REPRESENTATIVE Ramsey Systems Ltd. Phone: 603-870-9739 Ken McCaslin Phone: 44-7808-570-172 Email: [email protected] Quest Diagnostics, Incorporated Email: [email protected] Phone: 610-650-6692 FOUNDATION & TECHNOLOGY Email: INTERNATIONAL ALTERNATE [email protected] REPRESENTATIVE George (Woody) Beeler Ravi Natarajan Beeler Consulting, LLC TECHNICAL & SUPPORT SERVICES NHS Connecting for Health Phone: 507-254-4810 ALTERNATE Phone: 0113-390-6520 Email: [email protected] Helen Stevens Love Email: [email protected] Stevens Healthcare Integration Phone: +1 250-598-0312 ARB REPRESENTATIVE Email: [email protected] Charles Mead, MD, MSc Booz & Company Phone: 310-998-6926 Email: [email protected]

STEERING DIVISIONS

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

24 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 24 4/21/09 12:31:17 PM HL7 Work Group Co-Chairs

Affiliates Council Jim McKinley R. Matthew Sailors Community Based Blue Cross and Blue Shield of The Methodist Hospital Alabama Collaborative Care Catherine Chronaki—Affiliate Phone: 713-441-6218 Phone: 205-220-5960 Liaison Email: [email protected] Suzanne Gonzales-Webb HL7 Hellas/FORTH-Institute of Email: [email protected] U.S. Department of Veterans Affairs Computer Science Phone: 858-826-6621 Phone: 30-2810-391691 Robert Root, MBA, PMP Clinical Genomics Blue Cross Blue Shield of South Email: Email: [email protected] [email protected] Carolina Kevin Hughes, MD Robert Stegwee—HL7 Inc. Liaison Phone: 843-736-7612 Partners HealthCare System, Inc. Email: [email protected] Richard Thoreson HL7 The Netherlands Phone: 617-724-0048 SAMHSA Phone: 31-30-689-2730 Email: [email protected] Phone: 240-276-2827 Email: [email protected] Email: Child Health (formerly Philip Pochon [email protected] Helen Stevens Love—Secretary PDS) CDISC Stevens Healthcare Integration Phone: 317-273-4887 Max Walker Phone: +1 250-598-0312 David Classen, MD, MS Email: [email protected] Department of Human Services Email: [email protected] Alliance for Pediatric Quality Phone: 61-3-9096-1471 Phone: 801-532-3633 Amnon Shabo Email: [email protected] Email: [email protected] IBM Anatomic Pathology Phone: 972-544-714070 Joy Kuhl Email: [email protected] Education David Booker, MD Alliance for Pediatric Quality College of American Pathologists Phone: 703-842-5311 Mollie Ullman-Cullere Mike Henderson Phone: 706-481-7470 Email: [email protected] Partners HealthCare System, Inc. Eastern Informatics, Inc. Email: [email protected] Phone: 301-585-5750 Phone: 617-909-4309 Andy Spooner, MD, FAAP Email: [email protected] Victor Brodsky, MD Email: [email protected] Cincinnati Children’s Medical Center College of American Pathologists Phone: 513-803-0121 AbdulMalik Shakir Phone: 646-322-4648 Email: [email protected] City of Hope Email: [email protected] Clinical Interoperability Phone: 626-256-4673 Feliciano Yu, MD Council Email: [email protected] Children’s Hospital of Alabama Architectural review Phone: 205-212-7863 Steven Bentley Email: [email protected] NHS Connecting for Health Electronic Health Records Board Phone: 44-777-559-7643 W. Edward Hammond, PhD Email: [email protected] Don Mon, PhD Phone: 919-383-3555 American Health Information Clinical Context Object Sam Brandt, MD Email: [email protected] Management Association Workgroup (CCOW) Siemens Healthcare Phone: 312-233-1135 John Koisch Phone: 610-219-5701 Email: [email protected] Booz Allen Hamilton Michael Russell, MD Email: [email protected] Phone: 253-223-4344 Duke Translational Medicine Institute John Ritter Crystal Kallem, RHIT Email: [email protected] Phone: 919-684-2513 College of American Pathologists Email: [email protected] American Health Information Phone: 847-832-7732 Charlie Mead, MD, MSc Management Association Email: [email protected] Booz & Company Robert Seliger Phone: 312-233-1537 Phone: 310-998-6926 Sentillion, Inc. Email: [email protected] Corey Spears Email: [email protected] Phone: 978-749-0022 McKesson Provider Technology Meredith Nahm Email: [email protected] Phone: 206-269-1211 John Quinn Duke Translational Medicine Institute Email: [email protected] Phone: 919-668-8339 Health Level Seven David Staggs Email: [email protected] Patricia Van Dyke Phone: 216-409-1330 U.S. Department of Veterans Affairs Delta Dental Plans Association Email: [email protected] Phone: 858-826-5629 Phone: 503-243-4492 Email: [email protected] CLINICAL STATEMENT Email: [email protected] Arden Syntax Clinical Decision Support Hans Buitendijk Robert Jenders, MD Siemens Healthcare Electronic Services Cedars-Sinai Medical Center Robert Greenes, MD, PhD Phone: 610-219-2087 Phone: 310-423-2105 Bill Braithwaite, MD, PhD Arizona State University Email: [email protected] Email: [email protected] Phone: 602-827-2548 Anakam, Inc. Email: [email protected] Phone: 858-622-9550 R. Matthew Sailors Patrick Loyd Email: [email protected] Gordon Point Informatics Ltd. The Methodist Hospital Robert Jenders, MD Phone: 713-441-6218 Phone: 415-209-0544 Patrick Loyd Cedars-Sinai Medical Center Email: Email: [email protected] Phone: 310-423-2105 Gordon Point Informatics, Ltd. [email protected] Phone: 415-209-0544 Email: [email protected] Email: [email protected] Attachments Rik Smithies Craig Parker, MD HL7 United Kingdom Ken McCaslin Arizona State University Phone: 44-8700-112-866 Quest Diagnostics, Incorporated Durwin Day Phone: 801-859-4480 Health Care Service Corporation Email: [email protected] Phone: 610-650-6692 Email: [email protected] Phone: 312-653-5948 Email: kenneth.h.mccaslin@questdiag- Email: [email protected] nostics.com

HEALTH LEVEL SEVEN, INC. APRIL 2009 25

HL7 NEWS-APR 09.indd 25 4/21/09 12:31:18 PM HL7 Work Group Co-Chairs, continued

Emergency Care Health Care Devices Anthony Julian Orders and Observations Mayo Clinic/Foundation Kevin Coonan, MD Todd Cooper Phone: 507-266-0958 Hans Buitendijk Partner’s Healthcare/DFCI Breakthrough Solutions Foundry, Inc. Email: [email protected] Siemens Healthcare Phone: 617-582-7212 (IEEE) Phone: 610-219-2087 Email: [email protected] Phone: 858-435-0729 Jingdong Li, MD Email: [email protected] Email: [email protected] Alschuler Associates, LLC Laura Heermann Langford Phone: 801-733-0568 Robert Hausam, MD Intermountain Healthcare Melvin Reynolds Email: [email protected] TheraDoc, Inc. Phone: 801-442-6674 Phone: 801-415-4412 Phone: 44-1989-763120 Email: [email protected] Email: [email protected] Email: [email protected] David Shaver Corepoint Health James McClay, MD Phone: 469-229-5000 Austin Kreisler SAIC - Science Applications University of Nebraska Medical Center Imaging Integration Email: [email protected] Phone: 402-559-3587 International Corp Email: [email protected] Sandra Stuart Phone: 770-986-3521 Fred Behlen, PhD Email: [email protected] American College of Radiology Kaiser Permanente Daniel Pollock, MD Phone: 708-960-4164 Phone: 925-924-7473 Patrick Loyd Centers for Disease Control and Email: [email protected] Email: [email protected] Prevention Gordon Point Informatics, Ltd. Phone: 415-209-0544 Phone: 404-639-4237 Helmut Koenig, MD Email: [email protected] Email: [email protected] Siemens Healthcare International Mentoring Phone: 49-9131-84-3480 Committee Gunther Schadow, MD Financial Management Email: [email protected] Regenstrief Institute, Inc. James Leach Phone: 317-423-5521 Email: [email protected] Kathleen Connor Computer Frontiers, Inc. Microsoft Corporation Implementation/ Phone: 703-893-2721 Phone: 360-480-7599 Conformance Email: [email protected] Email: kathleen.connor@microsoft. Outreach Committee for John Ritter com Jane Gilbert Clinical Research College of American Pathologists Australian Healthcare Messaging Beat Heggli Phone: 847-832-7732 Ed Helton, PhD Laboratory Email: [email protected] HL7 Switzerland Phone: 61-03-5327-9142 National Cancer Institute Center for Bioinformatics Phone: 41-1-806-1164 Email: [email protected] Email: [email protected] Phone: 919-465-4473 Marketing Council Email: [email protected] Frank Oemig Mary Kay McDaniel Markam, Inc. HL7 Germany Catherine Chronaki Phone: 602-266-2516 Agfa Healthcare/CTO HL7 Hellas/FORTH-Institute of Patient Administration Email: [email protected] Phone: 49-208-781194 Computer Science Email: [email protected] Phone: 30-2810-391691 Jean Ferraro Email: [email protected] McKesson Provider Technologies Generation of Anesthesia Jason Rock Phone: 631-968-4057 Standards GlobalSubmit Jill Kaufman Email: [email protected] Phone: 856-854-4455 Phone: 443-510-6466 Martin Hurrell, PhD Email: [email protected] Email: [email protected] Gregg Seppala Informatics CIS U.S. Department of Veterans Affairs Phone: 44-7711-522 Robert Snelick (INTERIM) Phone: 301-526-2703 Email: National Institute of Standards & Modeling and Email: [email protected] [email protected] Technology Methodology Phone: 301-975-5924 Alan Nicol Email: [email protected] George (Woody) Beeler Jr., PhD Patient Care HL7 UK Beeler Consulting, LLC Phone: 44-141-585-6358 Phone: 507-254-4810 Kevin Coonan, MD Email: [email protected] Email: [email protected] Partner’s Healthcare/DFCI Implementation Phone: 617-582-7212 Technology Specification Lloyd McKenzie Email: [email protected] Government Projects HL7 Canada Paul Knapp LM&A Consulting, Ltd . William Goossen Randy Levin, MD Continovation Services, Inc. Phone: 780-993-9501 HL7 The Netherlands Email: [email protected] Food and Drug Administration Phone: 604-987-3313 Phone: 31-318-540069 Email: [email protected] Email: [email protected] Phone: 301-827-7784 Dale Nelson Email: [email protected] Dale Nelson Phone: 916-367-1458 Phone: 916-367-1458 Email: [email protected] Jim McCain Patient Safety Email: [email protected] U.S. Department of Veterans Affairs Craig Parker, MD Phone: 520-232-2233 Arizona State University Nick Halsey Email: [email protected] Infrastructure & Messaging Phone: 801-859-4480 European Medicines Agency Email: [email protected] Phone: 44-0-20-7523-7100 Nancy Orvis Grahame Grieve Email: [email protected] U.S. Department of Defense, Military Kestral Computing Pty Ltd. Ioana Singureanu Phone: 61-3-9450-2222 Eversolve, LLC Ali Rashidee Health System Quantros Phone: 703-681-5611 Email: [email protected] Phone: 603-870-9739 Email: [email protected] Phone: 408-957-3300 Email: [email protected] Email: [email protected]

26 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 26 4/22/09 3:01:32 PM HL7 Work Group Co-Chairs, continued

Lise Stevens Publishing Committee Jane Foard Templates Food and Drug Administration McKesson Provider Technologies Phone: 301-827-6085 George (Woody) Beeler Jr., PhD-V3 Phone: 847-495-1289 Mark Shafarman Email: [email protected] Beeler Consulting, LLC Email: [email protected] Shafarman Consulting Phone: 507-254-4810 Phone: 510-593-3483 Email: [email protected] Email: [email protected] Pharmacy Security Jane Foard-V2 Ian Townend Garry Cruickshank McKesson Provider Technologies Bernd Blobel, PhD NHS Connecting for Health HL7 Canada HL7 Germany Phone: 847-495-1289 Phone: 44 113 280 6743 Thames Valley Healthcare University of Regensburg Medical Phone: 519-657-3125 Email: [email protected] Center Email: [email protected] Email: [email protected] Phone: 49-941-944-6769 Richard Harding-V3 Email: [email protected] Tom de Jong HL7 Australia regensburg.de Tooling HL7 The Netherlands Phone: 61-411-256-312 Phone: 31-6-53255291 Email: [email protected] Mike Davis Jane Curry Email: [email protected] U.S. Department of Veterans Affairs Health Information Strategies, Inc. Klaus Veil-V2 Phone: 760-632-0294 Phone: 780-459-8560 Robert Hallowell HL7 Australia Email: [email protected] Email: Siemens Helathcare Phone: 61-412-746-457 [email protected] Phone: 610-219-5612 Email: [email protected] Glen Marshall Email: [email protected] Grok-A Lot, LLC Tim Ireland Phone: 610-613-3084 HL7 UK Regulated Clinical Email: [email protected] NHS Connecting for Health Process Improvement Research Information Email: [email protected] Committee Management Services Oriented Lloyd McKenzie June Rosploch Architecture HL7 Canada Ed Helton, PhD Kaiser Permanente LM&A Consulting, Ltd. Phone: 925-924-5035 National Cancer Institute Center for John Koisch Phone: 780-993-9501 Email: [email protected] Bioinformatics Booz Allen Hamilton Email: [email protected] Phone: 919-465-4473 Phone: 253-223-4344 Nancy Wilson-Ramon Email: [email protected] Email: [email protected] LifeMasters Supported Selfcare, Inc. Vocabulary Phone: 310-614-0879 David Iberson-Hurst Galen Mulrooney Email: [email protected] CDISC U.S. Department of Veterans Affairs Heather Grain Phone: 703-742-2866 Phone: 44-9-7989-603793 HL7 Australia Email: [email protected] Email: [email protected] Phone: 61413155105 Project Services Email: [email protected] John Speakman Rich Rogers IBM Freida Hall National Cancer Institute Center for Russ Hamm Bioinformatics Phone: 919-543-8040 U.S. Department of Veterans Affairs Email: [email protected] Apelon, Inc. Phone: 727-519-4607 Phone: 301-451-8786 Phone: 507-271-0227 Email: [email protected] Email: [email protected] Ken Rubin Email: [email protected] EDS Corporation Edward Tripp Phone: 703-845-3277 William T. Klein Public Health Emergency Edward S. Tripp & Associates, Inc. Email: [email protected] Klein Consulting, Inc. Response Phone: 224-234-9769 Phone: 631-924-6922 Email: [email protected] Email: [email protected] Rita Altamore Structured Documents Washington State Department of Beverly Knight Health RIM Based Application Liora Alschuler Phone: 416-850-0217 Phone: 360-951-4925 Architecture Alschuler Associates, LLC Email: [email protected] Email: [email protected] Phone: 802-785-2623 Email: [email protected] Alean Kirnak Peter Hendler, MD American Immunization Registry Kaiser Permanente Phone: 510-248-3055 Calvin Beebe Association Mayo Clinic/Foundation Phone: 760-944-8436 Email: [email protected] Phone: 507-284-3827 Email: [email protected] Gunther Schadow, MD Email: [email protected] Joginder Madra Regenstrief Institute, Inc. Keith Boone Gordon Point Informatics Ltd. Phone: 317-423-5521 GE Healthcare Integrated IT Phone: 780-717-4295 Email: [email protected] Solutions Email: Phone: 617-519-2076 [email protected] Scheduling & Logistics Email: [email protected] Michelle Williamson Robert Dolin, MD National Center for Health Statistics/ Anita Benson Semantically Yours, LLC CDC DataScene Phone: 949-466-4035 Phone: 301-458-4618 Phone: 860-491-9009 Email: [email protected] Email: [email protected] Email: [email protected]

APRIL 2009 HEALTH LEVEL SEVEN, INC. HEALTH LEVEL SEVEN, INC. APRIL 2009 27

HL7 NEWS-APR 09.indd 27 4/21/09 12:31:20 PM HL7 FACILITATORS Steering Division Jean-Henri Duteau Craig Robinson Jane Foard Facilitators Gordon Point Informatics Ltd. Siemens Healthcare McKesson Provider Technologies Pharmacy Laboratory Scheduling & Logistics Phone: 847-495-1289 Nancy Orvis Phone: 780-937-8991 Phone: 610-219-1567 US Department of Defense, Military Email: [email protected] Email: [email protected] Email: [email protected] Health System Government Projects Jane Foard Amnon Shabo Isobel Frean Phone: 703-681-5611 McKesson Provider Technologies IBM University of Wollongong Email: [email protected] Scheduling & Logistics Clinical Genomics Clinical Statement Phone: 847-495-1289 Phone: 972-544-714070 Phone: 61-2-42-214-215 Email: [email protected] Rick Haddorff Email: [email protected] Email: [email protected] Mayo Clinic/Foundation Structure & semantic Design Hugh Glover AbdulMalik Shakir Alexis Grassie Phone: 507-284-2013 HL7 UK Shakir Consulting Canadian Realm Email: [email protected] Immunization; Medication; Pharmacy Modeling & Methodology Phone: 416-481-2002 Phone: 44-0-7889-407-113 Phone: 909-596-6790 Email: [email protected] Dave Hamill Email: hugh_glover Email: [email protected] Health Level Seven, Inc. @bluewaveinformatics.co.uk Robert Hallowell Siemens Healthcare Technical & Support Services Ioana Singureanu Phone: 734-677-7777 Grahame Grieve Eversolve, LLC Medication; Pharmacy Email: [email protected] Kestral Computing Pty Ltd CBCC Phone: 610-219-5612 Infrastructure & Messaging Phone: 603-870-9739 Email: [email protected] Ioana Singureanu Phone: 61-3-9450-2222 Email: [email protected] Eversolve, LLC Email: [email protected] Anthony Julian Mayo Clinic/Foundation CBCC Corey Spears Phone: 603-870-9739 William “Ted” Klein McKesson Provider Technology Infrastructure & Messaging Email: [email protected] Klein Consulting, Inc. EHR Phone: 507-266-0958 Vocabulary Phone: 206-269-1211 Email: [email protected] Phone: 631-924-6922 Email: [email protected] Modeling and Email: [email protected] Helmut Koenig, MD Methodology Facilitators Mead Walker Siemens Healthcare Austin Kreisler Health Data and Interoperability, Inc. Imaging Integration George (Woody) Beeler, Jr., PhD SAIC - Science Applications Patient Safety; RCRIM Phone: 49-9131-84-3480 Beeler Consulting LLC International Corp Phone: 610-518-6259 Email: [email protected] Facilitator-at-Large Laboratory; PHER Phone: 507-254-4810 Phone: 404-498-6596 Austin Kreisler Email: [email protected] Email: [email protected] Publishing Facilitators Science Applications International Corporation (SAIC) Anita Benson John Kufuor-Boakye Becky Angeles Orders & Observations DataScene JMW Systems Consultants ScenPro, Inc. Phone: 404-498-6596 Scheduling & Logistics Patient Care RCRIM Email: [email protected] Phone: 860-491-9009 Phone: 780-438-0178 Phone: 972-437-5001 Email: [email protected] Email: [email protected] Email: [email protected] Joann Larson Kaiser Permanente Charlie Bishop Patrick Loyd Douglas Baird Infrastructure & Messaging HL7 UK Gordon Point Informatics Ltd. Boston Scientific Corporation Phone: 925-924-5029 Clinical Statement Orders & Observations Templates Email: [email protected] Phone: 44-8700-112-866 Phone: 415-209-0544 Phone: 651-582-3241 Email: [email protected] Email: [email protected] Email: [email protected] Margaret (Peggy) Leizear Food and Drug Administration Bernd Blobel, PhD Lloyd McKenzie Anita Benson RCRIM HL7 Germany HL7 Canada DataScene Phone: 301-827-5203 Security Facilitator-at-Large Scheduling & Logistics Email: [email protected] Phone: 49-941-944-6769 Phone: 780-993-9501 Phone: 860-491-9009 Email: [email protected] Email: [email protected] Email: [email protected] Carolyn Logan burg.de Quest Diagnostics, Incorporated Kevin Coonan Meredith Nahm Doug Castle Laboratory Partner’s Healthcare/DFCI Duke Translational Medicine Institute IDX Systems Corporation Phone: 770-498-9078 Emergency Care Clinical Interoperability Council Vocabulary Email: carolyn.b.logan@questdiagnostics. Phone: 617-582-7212 Phone: 919-668-8339 Phone: 802-859-6365 com Email: [email protected] Email: [email protected] Email: [email protected] Joginder Madra Kathleen Connor Dale Nelson Kathleen Connor Gordon Point Informatics Ltd. Microsoft Corporation Implementation Technology Specification Microsoft Corporation Patient Safety Financial Management Phone: 916-367-1458 Financial Management Phone: 780-717-4295 Phone: 360-480-7599 Email: [email protected] Phone: 360-480-7599 Email: [email protected] Email: [email protected] Email: [email protected] Craig Parker, MD Dale Nelson Norman Daoust Arizona State University Mike Davis CMET; Implementation Technology Daoust Associates Clinical Decision Support US Department of Veterans Affairs Specification Patient Administration Phone: 801-859-4480 Security Phone: 916-367-1458 Phone: 617-491-7424 Email: [email protected] Phone: 760-632-0294 Email: [email protected] Email: [email protected] Email: [email protected] Jenni Puyenbroek Frank Oemig Robert Dolin, MD Science Applications International Jean-Henri Duteau HL7 Germany Semantically Yours, LLC Corporation (SAIC) Gordon Point Informatics Ltd. German Realm Structured Documents Implementation/Conformance Patient Care Phone: 49-208-781194 Phone: 949-466-4035 Phone: 678-261-2099 Phone: 780-937-8991 Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected]

28 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 28 4/21/09 12:31:21 PM HL7 Facilitators, continued

Nancy Orvis Paul Biondich William “Ted” Klein Ioana Singureanu US Department of Defense, IU School of Medicine Klein Consulting, Inc. Eversolve, LLC Military Health System Child Health Modeling & Methodology CBCC Government Projects Phone: 317-278-3466 Phone: 631-924-6922 Phone: 603-870-9739 Phone: 703-681-5611 Email: [email protected] Email: [email protected] Email: [email protected] Email: [email protected] Kevin Coonan Patrick Loyd Harold Solbrig Craig Parker, MD Partner’s Healthcare/DFCI Gordon Point Informatics Ltd. Apelon, Inc. Arizona State University Emergency Care Clinical Statement Modeling & Methodology Phone: 617-582-7212 Phone: 415-209-0544 Clinical Decision Support Email: [email protected] Phone: 807-993-0269 Phone: 801-859-4480 Email: [email protected] Email: [email protected] Email: [email protected] Kristi Eckerson Glen Marshall Emory University, Research & Grok-A-Lot, LLC Harry Solomon Jenni Puyenbroek Health Services IT Security GE Healthcare Integrated IT Solutions Science Applications International PHER Phone: 610-613-3084 Imaging & Integration Corporation (SAIC) Phone: 404-712-5086 Email: [email protected] Phone: 847-277-5096 Implementation/Conformance Email: [email protected] Email: [email protected] Phone: 678-261-2099 Susan Matney Email: [email protected] Jane Foard University of Utah Health Care Sandra Stuart McKesson Provider Technologies Patient Care & Structured Documents Kaiser Permanente John Ritter Scheduling & Logistics Phone: 801-680-2161 Infrastructure & Messaging College of American Pathologists Phone: 847-495-1289 Email: [email protected] Phone: 925-924-7473 EHR Email: [email protected] Email: [email protected] Phone: 847-832-7732 Nancy Orvis Email: [email protected] Palva Frazier, RN, MSN, MBA US Department of Defense, Military Pat Van Dyke Management Systems Designers, Inc. Health System Structured Documents Delta Dental Plans Association Robert Savage Government Projects EHR Phone: 301-594-4741 Phone: 703-681-5611 American Immunization Registry Assoc. Email: [email protected] Phone: 503-243-4992 PHER Email: [email protected] Email: [email protected] Phone: 608-221-4746 x3641 Hugh Glover Email: [email protected] Jenni Puyenbroek HL7 UK Science Applications International CMET Corporation (SAIC) Gregg Seppala Phone: 44-0-7889-407113 US Department of Veterans Affairs Email: Implementation/Conformance Phone: 678-261-2099 Patient Administration [email protected] Email: [email protected] Phone: 301-526-2703 Email: [email protected] Margaret Haber, BSN, RN, OCN National Cancer Institute Center for Ioana Singureanu Bioinformatics Eversolve, LLC RCRIM Phone: 301-594-9185 CBCC Email: [email protected] Phone: 603-870-9739 Email: [email protected] W. Edward Hammond, PhD Templates Margarita Sordo Phone: 919-383-3555 Partners HealthCare System, Inc. Email: [email protected] Gello Phone: 617-643-5894 Robert Hausam, MD Email: [email protected] TheraDoc, Inc. Laboratory & Orders & Observations Michael van Campen Phone: 801-415-4412 Gordon Point Informatics Ltd. Email: [email protected] Immunization Phone: 250-881-4568 Joyce Hernandez Email: Merck & Co. Inc. [email protected] Clinical Genomics Phone: 734-594-1815 Email: [email protected] Grant Wood Intermountain Healthcare Clinical Stanley Huff, MD Genetics Inst Intermountain Healthcare Clinical Genomics Vocabulary Phone: 801-408-8153 Phone: 801-442-4885 Email: [email protected] Email: [email protected]

Bob Yencha Julie James Alschuler Associates, LLC II4SM Structured Documents Immunization; Medication; Pharmacy Phone: 207-772-5121 Phone: 44-7747-633-216 Email: [email protected] Email: [email protected] Francine Kitchen GE Healthcare Integrated IT Solutions Vocabulary Facilitators Financial Management Phone: 360-992-8001 Anita Benson Email: [email protected] DataScene Patient Safety, Scheduling & Logistics Phone: 860-491-9009 Email: [email protected]

HEALTH LEVEL SEVEN, INC. APRIL 2009 29

HL7 NEWS-APR 09.indd 29 4/21/09 12:31:23 PM 2009 HL7 STAFF Chief Executive Chief Technical Executive Associate Executive Officer Officer Director Director

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

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

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

Director of Administrative TSC Project Technical Services Coordinator Manager

Michael Kingery Linda Jenkins Lynn Laakso +1 734-434-6274 +1-734-677-7777 +1-906-361-5966 [email protected] [email protected] [email protected]

Technical Director of Publications Director of Membership Manager Communications Services

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

30 APRIL 2009 HEALTH LEVEL SEVEN, INC.

HL7 NEWS-APR 09.indd 30 4/21/09 12:31:27 PM 2009 HL7 BOARD OF DIRECTORS Chair Chair-Elect Treasurer Secretary Technical Steering Committee Chair

W. Edward Hammond, PhD Robert Dolin, MD Hans Buitendijk Jill Kaufman, PhD Charlie McCay 919-383-3555 Semantically Yours, LLC Siemens Healthcare IBM Ramsey Systems Ltd. [email protected] 949-466-4035 610-219-2087 443-510-6466 01743-232278 [email protected] [email protected] [email protected] [email protected]

Directors-at-Large

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

Affiliate Directors

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

Ex Officio Members Non-Voting Member

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

HEALTH LEVEL SEVEN, INC. APRIL 2009 31

HL7 NEWS-APR 09.indd 31 4/21/09 12:31:32 PM HL7 NEWS-APR 09.indd 32 4/22/09 3:01:46 PM