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Upcoming WORKING GROUP MEETINGS

January 9 – 14, 2011

January Working Group Meeting

Cliftons Meeting and Training Center and the Amora Hotel

Sydney, Australia

January 15 – 20, 2012

Working Group Meeting Hyatt Regency on the Riverwalk

San Antonio, TX

May 15 – 20, 2011

Working Group Meeting Hilton in the Walt Disney World Resort

Lake Buena Vista, FL

PLEASE BOOK YOUR ROOM AT THE HL7 MEETING HOTEL

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

Thank you for your cooperation!

September 11 – 16, 2011

25th Annual Plenary and Working Group Meeting

Town and Country Resort and Convention Center San Diego, CA

HL7 NEWS COVER.indd 4 12/16/10 10:23:41 AM

JANUARY 2011

HL7 honored seven members with the 14th annual W. Edward Hammond, PhD Volunteer of the Year Award. Established in 1997, the award is named after Dr. Ed Hammond, one of HL7’s most active volunteers, founding member and past Board chair. The award recognizes individuals who have made significant contributions to HL7’s success. The 2010 recipients include:

• Hugh Glover and Julie James, HL7 UK • Stan Huff, MD, chief medical informatics officer, Intermountain Healthcare • Charlie Mead, MD, MSc, CTO, 3rd Millennium, Inc. • Mark Shafarman, principal, Shafarman Consulting • D. Mead Walker, Health Data and Interoperability, Inc. • Pat Van Dyke, director of information, security, privacy and EDI representing Delta Dental Plans Association

About the Volunteers:Hugh Glover and Julie James have been involved with HL7 since 2001. They received the award jointly as they are partners both personally and profession-ally. They have both actively contributed to HL7 for many years and have held leadership positions in the Pharmacy Work Group such as a co-chair or facili-tator. Their backgrounds—James as a pharmacist and Glover’s expertise in data modeling—complement each other and have brought valuable insight to HL7. Both have been involved with Version 3 development since its inception. James is also active in the Patient Safety Work Group. She currently serves as a Vocabu-lary Facilitator for medication and pharma-cy. Glover currently serves as the Pharmacy Work Group representative on the Common Product Model project. He also serves as a Modeling and Methodology Facilitator for medication and as a Vocabulary Facilitator for CMET.

Stan Huff, MD is a long-time member of HL7 and currently sits on the HL7 Board of Directors. An international expert on vocabulary, he was one of the first co-chairs elected to lead HL7’s Vocabulary Work Group, a position he held for nearly a decade. He was also one of the early co-chairs for HL7’s Templates Work Group. Additionally, Huff has been elected to the HL7 Board of Directors twice, serving as chair from 2000 – 2001. Actively involved in the development of Version 3, he has served as Vocabulary Facilitator for the Vocabulary and Orders and Observations Work Groups. In 2008, Huff was named to the HL7 Roadmap Committee, and in 2009 he was elected by the Board of Directors to serve as the US representative to the HL7 International Council.

continued on next page

2010 Ed Hammond Volunteer of the Year Awards

Seven members honored

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

Julie James, Ed Hammond and Hugh Glover

Ed Hammond and Stan Huff


In This Issue...Seven 2010 Volunteers of the Year Honored............................................. 1-3

HL7 Organizational Relations Update.... 3

HL7 Comes of Age................................... 4

Looking Ahead to Meaningful Use Stage II................................................... 5

Update From Headquarters.................. 6-8

2011 Publishing Calendar...................... 8

Remembering Dr. Yun Sik Kwak.......... 9

Co-Chair Q & A................................ 10-11

News from the PMO.............................. 11

HL7 Static Model Designer Tool.......... 12

HL7 Standards in Child Health............. 13

International Council Meeting in Cambridge................................... 14-15

GELLO: The Domain Specific Language of Healthcare........................................ 16

IHIC 2011: The Tomorrowlandof Health.............................................. 17

ISHEP 2010 Workshop Recap.......... 18-19

Upcoming International Events............. 19

Save the Date for MIE 2011.................. 20

Certification Exam Congratulations..... 21

Save the Date for HIMSS 2011............. 22

HL7 Benefactors................................... 22

Affiliate Contacts................................... 23

Organizational Members.................. 24-26

2011 Technical Steering Committee Members ............................ 27

Steering Divisions................................. 27

HL7 Work Group Co-Chairs.............. 28-30

HL7 Facilitators............................... 31-32

HL7 Staff Members................................ 33

2011 Board of Directors....................... 34

Educational Summits.............................35

Upcoming Working Group Meetings................................................36

Seven Members Honored, continued

Charlie Mead, MD has been a member of HL7 since 1995. He co-chaired the Patient Care Work Group for many years and later became co-chair of Personnel Management. Mead was a member of the HL7 Interna-tional Board of Directors for two terms, serving one of them as Treasurer. An avid participant in the develop-ment of Version 3, he was among the initial Modeling and Methodology facilitators and has spearheaded efforts over the years to improve the accessibility and readability of Version 3.

A member of the CDISC Board of Directors, Mead has encouraged and nurtured collaborations between CDISC and HL7, and has been an active participant in the Regulated Clinical Research Information Management (RCRIM) Work Group. With support from HL7 RCRIM, CDISC, and FDA, he founded the project that developed the model we now know as the Biomedical Research Integrated Domain Group (BRIDG) model. Mead currently serves as chair of the Architectural re-view Board (ArB), and is instrumental in driving the development of the Services Aware Interop-erability Framework, known as SAIF.

Mark Shafarman has been a member of HL7 since 1992. He has served HL7 in almost every capacity including co-chair of the Control Query Work Group for many years, co-chair of the Templates Work Group (a position that he holds today), and as co-chair of the initial Affili-ates’ Council. Shafarman also held the position of the Chair of HL7 from 2004 – 2005, and served on the HL7 Board of Directors, the Technical Steering Committee, and the ArB for a number of years. He was integral in the development of the original HL7 Version 2 certifica-tion exam and currently serves as an HL7 Ambassador.

In addition, HL7’s current working relationship with the European Committee for Standardization (CEN) was forged under Sharfarman’s leadership, and he has served as HL7’s liaison to that organization for a num-ber of years.

D. Mead Walker has been a member of HL7 since 1993. Shortly after joining, he was elected co-chair of the Quality Assurance/Data Modeling Committee, a precursor to today’s Modeling and Methodology Work Group, and to the Architectural review Board, which he chaired for nearly a decade. Walker served on the HL7 Board of Directors from 1998-1999, and has been actively engaged in the development of Version 3. He was one of the initial authors of the Message Devel-opment Framework (MDF) and its successor, the H7 Development Framework (HDF).

Continued on next page

2

is the official publication of: Health Level Seven International3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USAPhone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org

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

Ed Hammond and Charlie Mead

Ed Hammond and Mark Shafarman

Ed Hammond and Mead Walker


35JANUARY 2011

HL7 EDUCATIONAL SUMMITSGain 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 also cover general interest industrytopics such as vocabulary. Why Should I Attend?

This is an invaluable educational opportunity for the healthcare IT community as it strives for greater interop-erability among healthcare information systems. Our classes offer a wealth of information designed to benefit a wide range of HL7 users, from beginner to advanced.

Among the benefits of attending the HL7 Educational Summit are:

• 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

• Certification Testing Become HL7 Certified: HL7 is the sole source for HL7 certification testing, now offering testing on Version 2.6, Clinical Document Architecture, and Version 3 RIM

• Economical A more economical alternative for companies who want the benefits of HL7’s on-site training but have fewer employees to train

March 15 –17, 2011The Hilton Suites Chicago/Magnificent Mile

Chicago, IL

July 12 – 14, 2011Embassy Suites Denver

Aurora Denver, CO

UPCOMING EDUCATIONAL SUMMITS


34 JANUARY 2011

Don Mon, PhD AmericanHealthInformation

ManagementAssociation+1-312-233-1135

[email protected]

Austin Kreisler ScienceApplicationsInternational

Corp.(SAIC)+1-404-542-4475

[email protected]

2011 HL7 BOARD OF DIRECTORS

Jill Kaufman, [email protected]

Robert Dolin, MDSemanticallyYours,LLC

[email protected]

Bill Braithwaite, MD, PhD Anakam,Inc.

[email protected]

Directors-at-Large

John QuinnHL7CTO

[email protected]

Keith Boone GEHealthcare

[email protected]

Hans BuitendijkSiemensHealthcare+1-610-219-2087hans.buitendijk@siemens.com

Charles Jaffe, MD, PhD HL7CEO

[email protected]

Mark McDougallHL7ExectiveDirector

[email protected]

Dennis Giokas, MSCanadaHealthInfoway,Inc.

[email protected]

Advisory Council Chair

Richard Dixon Hughes DH4PtyLimited

[email protected]

Ex Officio Members

Catherine ChronakiFORTH-InstituteofComputer

Science;HL7HellasBoD+30-2810-391691

[email protected]

Affiliate Directors

Michael van CampenGordonPointInformaticsLtd.

[email protected]

Chair Chair-Elect Treasurer Secretary Technical Steering Committee Chair

Rebecca Kush, PhD CDISC

[email protected]

W. Edward Hammond, PhD +1-919-383-3555

[email protected]

HL7 NEWS JAN 11 INTERIOR.indd 32 12/16/10 10:32:21 AM

3JANUARY 2011

HL7 Organizational Relations Update ByScottMRobertson,PharmD,Co-Chair,HL7OrganizationalRelationsCommittee

HL7interactswithmanyotherstandardsdevelopment,professional,industry/tradeandacademicorganizations.Theseinteractionsarekeytomakingsurewehavetheappropriateinterestsandknowledgeinvolvedinourstan-dardsdevelopment,andthatourstandardsarecoordinat-edwithotherstandards,industryinitiativesandregula-torydevelopments.Whilesomeoftheserelationshipsarecasual,thereareanumberofformalizedagreements

withotherorganizations,currentlyasMemorandaofUn-derstanding(MOUs)andAssociateCharterAgreements(ACAs).Thepurposeofaformalagreementistodefinecommongoals,workingparameters,and,insomecases,extendingsomejointmemberbenefits(e.g.,conferenceregistrationatmemberrates).

TheOrganizationalRelationsCommittee(ORC)ischargedwithmonitoringandmanagingtheserelation-ships.TheORCdoesnot“control”relationships,butweensurethattheappropriateagreementsareinplace,andup-to-date,asappropriate.ThecurrentagreementsarepostedontheHL7web-siteunderAboutUs>Agreements(http://www.hl7.org/about/agreements.cfm

Overthepastyear,theORChasbeenreviewingtheexistingMOUsandACAs.WehavefoundthatthereislittledifferencebetweenanMOUandanACA,andthattherearenocriteriatodeterminewhenaformalagreementisneces-sary.TheORChasdevelopedaproposaltocon-solidatetheMOUandACAintoasingledocu-ment.Thenewparadigmwoulddifferentiatebetweenagreementsthatarespecifictoprojectsandgeneralagreementswhichalignorganiza-tionalgoalsandprinciples.ThatproposalisbeingrevisedindiscussionswiththeTSCandtheInternationalCouncilandisexpectedtogototheBoardduringtheJanuaryWorkGroupMeetinginSydney.

ThedevelopmentworkforORCismaintainedonanHL7Wikipage(http://wiki.hl7.org/index.php?title=Organizational_Relations_Committee).TheORCwelcomescommentsandinputonthiswork.

Scott M. Robertson, PharmD

Seven Members Honored, cont. from pg. 2

Asoughtaftermodelingexpert,WalkerhasservedasModelingFacilitatorforboththePatientSafetyandRCRIMWorkGroups,andbeenanactivememberoftheModelingandMethodology(MnM)WorkGroupformanyyears.Healsoservesastheco-chairtothePatientSafetyWorkGroupandhasparticipatedinthePublicHealthandEmergencyResponseWorkGroup.Walkerrecentlyservedanothertermonthenewly-formedArBandistheimmediatepastchairoftheFoundation&TechnologySteeringDivision,servingasoneofthatgroup’stworepresentativesontheTechnicalSteeringCommittee.

Pat Van DykejoinedHL7in2003.Anactivemember,sheisdeeplyinvolvedinthedevel-opmentofElectronicHealthRecord(EHR)standards.VanDykecurrentlyservesasaco-chairfortheElectronicRecords(EHR)WorkGroupandisthegroup’sprimaryorganizer.Shecoordinatesandleadsallweeklyconferencecalls,face-to-facemeetings,ballotsubmissions,andwiththeArB,facilitatestheprocessoftyingtheHL7ElectronicHealthRecordSystemFunctionalModel(EHR-SFM)totheSAIF.VanDykealsoco-leadsthedevelopmentofthedentalfunctionalprofilefortheElectronicHealthRecordSystemFunctionalModel(EHR-SFM).

Ed Hammond and Pat Van Dyke


4 JANUARY 2011

HL7 Comes of Age ByCharlesJaffe,MD,PhD,HL7CEO

2010hasbroughtchangesintheleadershipofgovern-mentsaroundtheworld.Insomeinstances,thishascreatedanewfocusonthechallengesofmanaginghealthcareinanagingpopulation.Inothercountries,theobstaclestoembracingahealthiercitizenryhasallbutbeenlosttobudgetconstraintsandacontractionofnewhealthcareprojectsandreforms.Bythetimeyoureadthis,theremaybenewleadershipinthelegislativebranchoftheAmericanFederalgovernment.Thedirec-tionthatmaytakeusisvagueandcloudedinmacroeco-nomicphilosophies.Regardlessofthefiscalapproachthegovernmentseverywheremaytaketoreturntorealeconomicgrowth,HL7willcontinuetopursueourvisionofinteroperablehealthcare.

Interoperabilityofhealthcareinformationisnotadestina-tion.Itisbutonepathinourjourneytoimprovethewellbeingofthecitizensofthisplanet.HL7ismaturing.Wehavemovedpastour“growthspurt”years,overcometheturmoilofadolescence,andbecomeamorematureorganization.Theimpactofaglobaleconomicdownturndoesnotseemtohavedamp-enedthespiritofcreativityandinnovationthathasbeensuchanimportantpartofthelasttwodecades.

Inordertobecomeincreasinglysuccessful,however,HL7mustbewiserandmoreefficient.Wemustevolveabusinessmodelthatsustainsusbeyondthewideeco-nomicswingsthathavebeenpartofthelastdecade.Asinthepast,wewillalwaysrelyuponthecollaborativeeffortswithourstakeholdersandwithotherstandardsdevelopmentorganizations.Collaborationhasbeenavitalcomponentofourtechnicaldevelopment,anditmustgrowinthecomingyear.Itiscertainlyatimedur-ingwhichwewillberequiredtoleveragethelimitedresourcesatourdisposal.

Althoughgovernmentseverywherehavepromiseddra-maticincreasesinspendingforhealthcaretechnologyand

training,thoseresourcesmaybehardertoobtainthanmanypredicted.Whenwecanshareinthoseresources,HL7mustbewiseinhowwemakeuseofthem.Wisdomdoesnotcomeeasily.Itisachievedontheroadfilledwithwrongturnsandmisguidedintentions.HL7needstolearnfromfailuresandlearntocelebrateoursuccesses.Whiletherehavebeenmanyachievements,bothgreatandsmall,somemaycomefromplacesthatweleastexpect.

Ourintellectualcapital,expressedastheproductsandservicesthatwedevelop,shouldneverberecklesslyabused.Morethanever,wehavebeenaskedtosharetheachievementsofHL7andensurethatothersdothesame.Likeanyotherresource,theintellectualpropertyofHL7mustbeprovidedwithgreatgenerositytothosewhoneeditbutcannottrulyaffordtopayforit.Atthesame

time,HL7mustbecomemoreadeptatmanagingthatintellectualpropertyandatensuringthatweareappropriatelyrewardedforcreatingandnurturingandbuildinguponthosere-sources.In2011,wewillseesomeimportantstepstowardbettermanagementofourIPandthevaluethatitbrings.

Formypart,IwanttothankthoseofyouwhohavecontributedtothegreatstridesthatHL7wasabletomakein2010.Iespeciallyapplaudthosewhohaveselflesslycontributedcountlesshourswithlittlerecognitionoracclaim.Isalutethoseorganizationsandthestakeholdercommunitiesthatprovidedcollaborationandmanytimesshowedtheway.Morethananything,somuchofwhatweaccomplishedwasmadepossiblebythegiftoftrust.In2011,therewillbemanynewmilestonestoreachandaccomplishmentstocommemorate.Sohere’satoasttoHL7,“Mayitalwaysbetheoffspringforwhichwecanbemostproud,andtheparenttothemanyaccomplishmentswecanonlydreamabout.”

Charles Jaffe, MD

Interoperability of healthcare information is not a destination. It is but one path in our journey to improve the well being of the citizens of this planet.


Chief Executive Officer

2011 HL7 STAFFAssociate Executive

Director

Charles Jaffe, MD, PhD [email protected]

Chief Technical Officer

Executive Director

Mark McDougall+1-734-677-7777

[email protected]

Karen Van Hentenryck+1-734-677-7777

[email protected]

John [email protected]

Director of Meetings

Director, Project Management Office

Lillian [email protected]

Manager of Education

Tools Administrator

Wilfred Bonney+1-902-877-0593

[email protected]

Dave [email protected]

Mary Ann Boyle+1-734-677-7777

[email protected]

Administrative Coordinator

Director of Communications

Linda [email protected]

Director ofTechnical

Publications

Director of Technical Services

Michael Kingery+1-919-636-4032

[email protected]

Andrea [email protected]

Donald [email protected]

Director of Membership

Services

Diana [email protected]

TSC Project Manager

Lynn [email protected]

Web Development Coordinator

Joshua [email protected]

33JANUARY 2011


32 JANUARY 2011

Craig Parker, MDIntermountain HealthcareClinical Decision Support Phone: 801-859-4480Email: [email protected]

Jenni PuyenbroekScience Applications InternationalCorporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: [email protected]

John RitterCollege of American PathologistsEHRPhone: 847-832-7732Email: [email protected]

Robert SavageAmerican Immunization Registry Assoc.Immunization; PHEREmail: [email protected]

Gregg SeppalaUS Department of Veterans AffairsPatient Administration Phone: 301-526-2703Email: [email protected]

Ioana SingureanuEversolve, LLCCBCCPhone: 603-870-9739Email: [email protected]

Margarita SordoPartners HealthCare System, Inc.GelloPhone: 617-643-5894Email: [email protected]

Anita WaldenDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-8256Email: [email protected]

Grant WoodIntermountain HealthcareClinical GenomicsPhone: 801-408-8153Email: [email protected]

Vocabulary Facilitators

Paul Biondich, MDIU School of MedicineChild HealthPhone: 317-278-3466Email: [email protected]

Steve ConnollyApelon, Inc.SecurityEmail: [email protected]

Kevin Coonan, MD Deloitte ConsultingEmergency CarePhone: 202-213-3891Email: [email protected]

Guilherme Del Fiol, MDDuke Translational Medicine InstituteClinical Decision SupportPhone: 919-681-7011Email: [email protected]

Kristi EckersonEmory University, Research &Health Services ITPHERPhone: 404-712-5086Email: [email protected]

Christof GessnerHL7 GermanyHealth Care DevicesPhone: 49-172-3994033Email: [email protected]

Hugh Glover HL7 UKCMET Phone: 44-0-7889-407113Email: [email protected]

Margaret Haber, BSN, RN, OCN National Cancer Institute Center for BioinformaticsRCRIM Phone: 301-594-9185Email: [email protected]

W. Edward Hammond, PhD Templates Phone: 919-383-3555Email: [email protected]

Robert Hausam, MDOntoReasonOrders & Observations; Structured DocumentsPhone: 801-949-1556Email: [email protected]

Joyce HernandezMerck & Co. Inc.Clinical GenomicsPhone: 732-594-1815Email: [email protected]

Wendy HuangCanada Health Infoway Inc.Patient AdministrationPhone: 416-595-3449Email: [email protected]

Julie JamesII4SMMedication; Pharmacy Phone: 44-7747-633-216Email: [email protected]

William “Ted” Klein Klein Consulting, Inc. Modeling & Methodology Phone: 631-924-6922Email: [email protected]

Patrick LoydIcode SolutionsClinical StatementPhone: 415-209-0544Email: [email protected]

Susan MatneyUniversity of Utah Health CarePatient CarePhone: 801-680-2161Email: [email protected]

Robert McClure, MDApelon, Inc.CBCCPhone: 303-926-6771Email: [email protected]

Nancy OrvisUS Department of Defense, Military Health SystemGovernment Projects Phone: 703-681-5657Email: [email protected]


Sarah RyanClinical Interoperability CouncilEmail: [email protected]

Harold SolbrigApelon, Inc.Modeling & Methodology Phone: 807-993-0269Email: [email protected]

Harry Solomon GE Healthcare ITImaging Integration Phone: 847-277-5096Email: [email protected]

Sandra Stuart Kaiser PermanenteInfrastructure & Messaging Phone: 925-924-7473Email: [email protected] Pat Van DykeDelta Dental Plans AssociationEHRPhone: 503-243-4992Email: [email protected]

HL7 FACILITATORS, continued


5JANUARY 2011

HL7 Structured Documents Work Group and Health Story

LookingAheadto MeaningfulUseStageII ByLioraAlschuler,Co-Chair,HL7StructuredDocumentsWorkGroup

andHealthStoryProjectLiaison

HL7’sStructuredDocumentsWorkGroup(SDWG)startedtheCambridgemeetinglookingtonewprojectstosupportthenextstageof“MeaningfulUse”ofelectronichealthrecords.ThespecificprojectconsolidatesaseriesofHL7ClinicalDocumentArchitecture(CDA)implementationguides.Theseincludeeightcommontypesofclinicalnotes: • History&Physical • Consult • OperativeNote • ProcedureNote • DiagnosticImagingReports • DischargeSummaries • UnstructuredDocuments(anyclinicaltype)and • ProgressNotes

AllareeitherDraftStandardsforTrialUseorInformativeDocuments.AllofthesehavebeenalreadybeenpublishedwiththeexceptionoftheProgressNote,whichisexpectedtobepublishedbyyear-end.Theconsolidationprojectwouldre-publishthesedocumentsinasingleguide,includingtheContinuityofCareDocument(CCD)templates,whicharereusedwithintheseries.

Thesignificanceoftheprojectismultifaceted:• IthighlightsthereusabilityofCDAtemplates

ateachlevel:entry,sectionanddocument,anapproachcalled“templatedCDA”

• ApackageofguidessupportseaseofimplementationforEHRvendorsandclinicaldocumentvendorsbuildingacommonplatformforinteroperabilitybetweentheapplications

• Creatingasingle-sourcedocumentcontainingalltheinformationneededwilleaseimplementation,accelerateadoption,andbealignedwiththegoalsoftheUSnationalprogram

• Itprovidesaglidepathintothenextstageofmeaningfulusebybuildingoffexistingworkalreadyinthecurrentregulation

Regardingthelastpoint—thedevelopmentofaglidepath—theFinalRulestatesthat,“Increasinglyrobustexpectationsforhealthinformationexchangeinstagetwoandstagethreewillsupportandmakerealthegoalthatinformationfollowsthepatient.”(p.35)AlthoughspecificguidanceonPhaseIIisnotyetavailable,theHITPolicyCommittee(HITPC)recommendedearlierthisyearthatProgressNote,ataminimum,beincludedandstressed

theimportanceofavailabilityofcompleteelectronicinformationatthepointofcare.TheproposedprojectcanmakeiteasiertoimplementafullyinteroperablepatientrecordusingthesameframeworkasPhaseI.

Thefullscopeanddetailoftheprojectisyettobedetermined.TheprojectwaspresentedbyHL7ChairBobDolin,MDtotheInternationalCouncilontheSundayprecedingtheCambridgeWorkingGroupMeeting,whereitgeneratedmuchinterest.ItislikelythattheprojectwillbeinitiallypursuedfortheUSRealmonthepremisethatitisbesttoestablishabenchmarkforrealm-specificbestpracticesandthenreconcilethoseacrossdomains.

SDWGco-chairKeithBoonesuggestedthattheprojectincludetemplatesdevelopedbyIntegratingtheHealthcareEnterprise(IHE),asuggestionthatwasenthusiasticallyreceived.

AdditionalscopecouldincludeincorporationofUS-specificrequirementssuchasthosefoundintheHITSPC32Version2.5.Otherguidesmaybeconsideredforinclusion,suchastherecently-renewedPersonalHealthMonitoringImplementationGuidedevelopedwiththesupportoftheContinuaAlliance.

DevelopmentoftheeightguidesmentionedabovefollowedHL7’sopenprocessesundertheauspicesofSDWGwithcollaborationfromImagingIntegrationonDiagnosticImagingReportsandPatientCareonseveralnotetypes.TheworkwassupportedinpartbytheHealthStoryProject,anallianceofassociations,vendorsandprovidersworkingtogethertoopenthegatewaybetweendictatednotesandelectronichealthrecords.(Seewww.healthstory.com.)HealthStoryisdevelopingaProjectScopeStatementtobringtoSDWGandhopestohaveaballotbythespringcycle.Whilemuchworkremainstobedone,thisprojectholdsthepotentialtoreconcileandresolvediscrepanciesacrossanumberofimplementationguides,furtherhighlightthestrengthsofMDHT,augmentthecooperationwithIHE,andprovideguidancefortheindustry.Welookforwardtoaninterestingandsuccessfulproject!

Liora Alschuler

HL7 NEWS JAN 11 INTERIOR.indd 3 12/30/10 11:25 AM

6 JANUARY 2011

HL7 Fellows Program Recognizes 25 ByMarkMcDougall,HL7ExecutiveDirector

Mark McDougall

HL7 Fellows DuringthePlenarymeeting,HL7announcedanewrecognitionpro-gram:HL7Fellowship.Thisprogramrecognizesindividualswhohavecon-tributedsignificantlytoHL7andhaveheldcontinuousHL7membershpforatleast15years.HL7CEO,CharlesJaffe,MD,PhD,announcedthenewprogramandcongratulatedthefol-lowing25individualsastheinaugural2010classofHL7Fellows:

WoodyBeeler,PhDBerndBlobel,PhDWilliamBraithwaite,MDHansBuitendijkJaneCurryNormanDaoustGaryDickinsonBobDolin,MDJeanFerraroFreidaHallW.EdwardHammond,PhDStanHuff,MDBertKabbesTedKleinVirginiaLorenziKenMcCaslinClementMcDonald,MDCharlieMead,MD

ChuckMeyerJohnQuinnWesRishelRobertSeligerGreggSeppalaMarkShafarmanD.MeadWalker

Volunteers of the Year AwardsItisamazingtorealizethatwearealreadyinthe14thyearofrecognizingincredibleeffortsbyourvastnumberofdedicatedvolunteersviaourW.Ed-wardHammond,PhDHL7VolunteeroftheYearAwards.Whiletherearecertainlydozensofindividualswho

meritthisrecognitioneachyear,theAwardsCommitteeischallengedtolimittheannualawardtoonlyafew.Thisyear’srecipientshavecontributedhundredsofhours,ifnotthousands,andhavecertainlyservedHL7ex-tremelywellformanyyears.AsEdmentionedduringtheawardscer-emony,wearehonoredandpleasedtorecognizethisyear’srecipientsoftheW.EdHammondHL7VolunteeroftheYearAwards:

• HughGlover• StanHuff,MD• JulieJames• CharlieMead,MD• MarkShafarman• PatVanDyke• MeadWalker

Pleaseseethecoverstoryformoredetails.

UPDATE FROM HEADQUARTERS

Right: The 2010 Volunteers of the Year

Below: The 2010 HL7 Fellows


HL7 FACILITATORSSteering Division Facilitators

Rick HaddorffMayo Clinic/FoundationStructure & Semantic DesignPhone: 507-284-2013Email: [email protected]

Dave HamillHealth Level Seven InternationalTechnical & Support ServicesPhone: 734-677-7777Email: [email protected]

Lynn Laakso Foundation and Technology Phone: 906-361-5966 Email: [email protected]

Modeling and Methodology Facilitators

George (Woody) Beeler, Jr., PhDBeeler Consulting LLCFacilitator-at-LargePhone: 507-254-4810 Email: [email protected]

Charlie BishopHL7 UKClinical StatementPhone: 44-8700-112-866Email: [email protected]

Bernd Blobel, PhD HL7 GermanySecurity Phone: 49-941-944-6769Email: [email protected]

Kathleen Connor Microsoft CorporationFinancial ManagementPhone: 360-480-7599Email: [email protected]


Norman DaoustDaoust Associates Patient Administration Phone: 617-491-7424Email: [email protected]

Jean Duteau Gordon Point Informatics Ltd.PharmacyPhone: 780-937-8991Email: [email protected]

Hugh Glover HL7 UK Medication Phone: 44-0-7889-407-113Email: [email protected]

Grahame Grieve Kestral Computing Pty Ltd Infrastructure & Messaging Phone: 61-3-9450-2222 Email: [email protected]

Pat GunterDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-6010Email: [email protected]

William “Ted” KleinKlein Consulting, Inc. Vocabulary Phone: 631-924-6922Email: [email protected]

Austin Kreisler Science Applications International Corporation (SAIC)PHER, Structured Documents Phone: 404-542-4475Email: [email protected]

John Kufuor-Boakye Gordon Point Informatics Ltd.Patient CarePhone: 780-438-0178Email: [email protected]

Patrick LoydIcode SolutionsOrders & Observations Phone: 415-209-0544Email: [email protected]

Joginder MadraGordon Point Informatics Ltd.ImmunizationPhone: 780-717-4295Email: [email protected]

Lloyd McKenzieHL7 CanadaFacilitator-at-LargePhone: 780-993-9501Email: [email protected]

Dale NelsonSquaretrends LLCImplementable Technology SpecificationsPhone: 916-367-1458Email: [email protected]

Craig Parker, MDArizona State UniversityClinical Decision Support Phone: 801-859-4480Email: [email protected]

Jenni PuyenbroekScience Applications International Corporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: [email protected]

Amnon Shabo, PhD IBM Clinical GenomicsPhone: 972-544-714070Email: [email protected]

AbdulMalik ShakirCity of Hope National Medical CenterModeling & Methodology Phone: 626-644-4491Email: [email protected]

Ioana SingureanuEversolve, LLCCBCC & Health Care DevicesPhone: 603-870-9739Email: [email protected]

Corey SpearsMcKesson Provider TechnologyEHRPhone: 206-269-1211Email: [email protected]

Mead WalkerHealth Data and Interoperability, Inc. Patient Safety; RCRIMPhone: 610-518-6259Email: [email protected]

Publishing Facilitators

Becky AngelesScenPro, Inc.RCRIMPhone: 972-437-5001 Email: [email protected]

Douglas Baird Boston Scientific CorporationTemplates Phone: 651-582-3241Email: [email protected]

Mike DavisUS Department of Veterans AffairsSecurity Phone: 760-632-0294Email: [email protected]

Jean DuteauGordon Point Informatics Ltd.Patient CarePhone: 780-937-8991Email: [email protected]

Isobel FreanHL7 UKClinical StatementPhone: 44-207-656-2146Email: [email protected]

Peter GilbertWayne State University Physician GroupStructured DocumentsPhone: 313-262-1429Email: [email protected]

Robert HallowellSiemens HealthcareMedication; PharmacyPhone: 610-219-5612Email: [email protected]

Anthony Julian Mayo Clinic Infrastructure & Messaging Phone: 507-266-0958 Email: [email protected]

Helmut Koenig, MDSiemens HealthcareImaging Integration Phone: 49-9131-84-3480Email: [email protected]

Austin KreislerScience Applications InternationalCorporation (SAIC)Orders & ObservationsPhone: 404-542-4475Email: [email protected]

Margaret (Peggy) Leizear Food and Drug AdministrationRCRIMPhone: 301-827-5203Email: [email protected]

Joginder Madra Gordon Point Informatics Ltd.Patient SafetyPhone: 780-717-4295 Email: [email protected]

Mary Kay McDanielMarkam, Inc.Financial ManagementPhone: 602-266-2516Email: [email protected]

Dale NelsonSquaretrends LLCCMET; Implementable Technology SpecificationsPhone: 916-367-1458Email: [email protected]

Frank Oemig HL7 Germany German RealmPhone: 49-208-781194 Email: [email protected]


31JANUARY 2011


30 JANUARY 2011

HL7 Work Group Co-Chairs, continued Patient Safety

Nick HalseyEuropeanMedicinesAgencyPhone:44-0-20-7523-7100Email:[email protected]

Ali RashideeQuantrosPhone:408-957-3300Email:[email protected]

Mead WalkerHealthDataandInteroperabilityInc.Phone:610-518-6259Email:[email protected]

Pharmacy

Garry CruickshankThamesValleyHealthcarePhone:519-657-3125Email:[email protected]

Tom de JongHL7TheNetherlandsPhone:31-6-53255291Email:[email protected]

Robert HallowellSiemensHealthcarePhone:610-219-5612Email:[email protected]

Process Improvement Committee

Margie KennedyHL7CanadaPhone:902-926-2827Email:[email protected]

Helen Stevens LoveGordonPointInformaticsLtd.Phone:250-598-0312Email:[email protected]

Project Services

Rick HaddorffMayoClinicPhone:507-284-2013Email:[email protected]

Freida HallUSDepartmentofVeteransAffairsPhone:727-519-4607Email:[email protected]

Public Health Emergency Response

Rita AltamoreWashingtonStateDepartmentofHealthPhone:360-951-4925Email:[email protected]

Alean KirnakAmericanImmunizationRegistryAssociationPhone:760-419-8436Email:[email protected]

Joginder MadraGordonPointInformaticsLtd.Phone:780-717-4295Email:[email protected]

Michelle WilliamsonNationalCenterforHealthStatistics/CDCPhone:301-458-4618Email:[email protected]

Publishing Committee

George (Woody) Beeler Jr., PhD-V3 BeelerConsulting,LLCPhone:507-254-4810Email:[email protected]

Jane Daus-V2McKessonProviderTechnologiesPhone:847-495-1289Email:[email protected]

Andrew Stechishin-V3 GordonPointInformaticsLtd.Phone:780-903-0855Email:[email protected]

Klaus Veil-V2Phone:61-412-746-457Email:[email protected]

Regulated Clinical Research Information Management

Ed Helton, PhDNationalCancerInstituteCenterforBioinformaticsPhone:919-465-4473Email:[email protected]

David Iberson-HurstCDISCPhone:44-9-7989-603793Email:[email protected]

John SpeakmanNationalCancerInstituteCenterforBioinformaticsPhone:301-451-8786Email:[email protected]

Edward TrippEdwardS.Tripp&Associates,Inc.Phone:224-234-9769Email:[email protected]

Rim Based Application Architecture

Peter Hendler, MDKaiserPermanentePhone:510-248-3055Email:[email protected]

Amnon Shabo, PhD (Interim)IBMPhone:972-544-714070Email:[email protected]

Rene SpronkHL7TheNetherlandsPhone:33-318-553812Email:[email protected]

Security

Bernd Blobel, PhDHL7GermanyUniversityofRegensburgMedicalCenterPhone:49-941-944-6769Email:[email protected]

Mike DavisUSDepartmentofVeteransAffairsPhone:760-632-0294Email:[email protected]

John MoehrkeGEHealthcarePhone:920-912-8451Email:[email protected]

Services Oriented Architecture

Don Jorgenson Inpriva,Inc.Phone:970-472-1441Email:[email protected]

Galen MulrooneyUSDepartmentofVeteransAffairsPhone:703-815-0900Email:[email protected]

Ken RubinEDSCorporationPhone:703-845-3277Email:[email protected]

Ann WrightsonHL7UKPhone:44-8700-112-866Email:[email protected]

Structured Documents

Liora AlschulerAlschulerAssociates,LLCPhone:802-785-2623Email:[email protected]

Calvin BeebeMayoClinicPhone:507-284-3827Email:[email protected]

Keith BooneGEHealthcareIntegratedITSolutionsPhone:617-519-2076Email:[email protected]

Robert Dolin, MDSemanticallyYours,LLCPhone:714-532-1130Email:[email protected]

Grahame Grieve KestralComputingPtyLtd.Phone:61-3-9450-2222Email:[email protected]

Templates

Mark ShafarmanShafarmanConsultingPhone:510-593-3483Email:[email protected]

Tooling

Jane CurryHealthInformationStrategies,Inc.Phone:780-459-8560Email:[email protected]

Tim IrelandHL7UKNHSConnectingforHealthEmail:[email protected]

Andrew StechishinGordonPointInformaticsLtd.Phone:780-903-0855Email:[email protected]

Vocabulary

Jim CaseNationalLibraryofMedicinePhone:530-752-4408Email:[email protected]

Heather GrainStandardsAustralia,LlewelynGrainInformaticsPhone:613-956-99443Email:[email protected]

Russ HammApelon,Inc.Phone:507-271-0227Email:[email protected]

William T. KleinKleinConsulting,Inc.Phone:631-924-6922Email:[email protected]

Beverly KnightHL7CanadaPhone:416-595-3449Email:[email protected]


7JANUARY 2011

Board Election ResultsOneofthemanychangesthat2011willbringusisanewHL7BoardofDirectors.Asrecentlyannounced,theelectionresultsfor2011Boardposi-tionsareasfollows:

Vice Chair/Chair-elect: DonMon,PhDSecretary: JillKaufman,PhDDirectors-at-Large:KeithBooneandEdHammond,PhDAffiliate Rep:CatherineChronaki

Congratulationstotheseindividuals.Photosandcontactinformationfortheaboveindividualsalongwiththeothermembersofthe2011HL7BoardofDirectorsareprovidedonpage34.

MedinfoSince1995,HL7hashadasignificantpresenceatthepremiertri-annualinternationalmedicalinformatics-fo-cusedconferencecalled“Medinfo.”Thelocationofthesemeetingshasspannedtheglobe,including:

• Vancouver,Canada(1995)• Seoul,Korea(1998)• London,England(2001)• SanFrancisco,USA(2004)• Brisbane,Australia(2007)• CapeTown,SouthAfrica(2010)

Thisyear’seventwasthe13thMedin-foconferenceandthefirstinAfrica.TheSeptember12-15,2010conven-tionattractedabout1,100attendeesfrom75countries.HL7hadaboothintheexhibithallandhostedourpopu-larreceptionformanyoftheworld’sleadersinmedicalinformatics.

I’dliketopersonallythankseveralHL7membersfromaroundtheglobewhohelpedstafftheHL7booth,in-cludingFernandoCampos,CatherineChronaki,MichioKimura,EdHam-mond,BobDolinandChuckJaffe.

Manyindividualswithdirectandin-directtiestoHL7alsomadepresen-tationsatthisyear’sMedinfo.HL7BoardChairBobDolin,MD,pro-

videdahalf-daytutorialonCDAandCCD.EdHammond,PhD,servedaspanelmoderatorandspeakerforasessionon“Translationalstrate-giesforintroducinghealthITandstandardsintodevelopingcountries,”alongwithseveralpanelistssuchasChuckJaffe,MD,PhD.

IampleasedtoalsoreportthatIhadthepleasureofattendingtheEFMICouncilDinnerduringtheMedinfoconference.Wediscussedopportuni-tiesforclosercollaborationbetweenourorganizations.Iwouldliketothankthefollowingindividualsfortheirkindness:JohnMantas,EFMIPresident;JacobHofdijk,EFMI&IMIAVicePresidentforEurope,andCristinaMazzoleni,EFMIInstitutionsLiaisonOfficer.

24th Annual Plenary MeetingHL7’s24thAnnualPlenaryandWork-ingGroupMeetingconvenedOcto-ber3-8,2010attheHyattRegencyCambridgeHotel,inCambridge,Massachusetts.ThesettingontheCharlesRiverwasbothwonderfulandproductive.

InadditiontoourregularWorkingGroupMeetingwithover40com-mitteesmeetingand25tutorials,the24thAnnualPlenarymeetingfocusedontheFuture of healthcare using genomics as a key tool. Ourfirstkeynotespeakerforthisprogramwas

RajuKucherlapati,PhD–PaulC.CabotProfessorofGeneticsandPro-fessorofMedicineatHarvardMedicalSchool.Hisspell-bindingkeynoteaddressfocusedontheimplementa-tionofpersonalizedmedicineandsetthestageforthepresentationsthatfollowed.Ourslateofincrediblespeakersclearlyhitahomerun.

AspecialthanksgoestoGrantWoodandtheco-chairsoftheHL7ClinicalGenomicsWorkGroupfortheireffortsinassemblingtheexcellentPlenaryMeetingprogram:JoyceHernandez,KevinHughes,MD,AmnonShabo,PhD,andMollieUllman-Cullere.

Immediatelyfollowingourplenarymeeting,HL7alsoproducedanHL7Ambassadorsprogramon“HL7andtheFinalRule:HealthInformationTechnology:InitialSetofStandards,ImplementationSpecifications,andCertificationCriteriaforElectronicHealthRecordTechnology.”ThisverypopularsessionprovidedanoverviewofhowHL7willbeusedtoachievemeaningfuluseandthenprovidedhigh-leveltutorialsonHL7’sClinicalDocumentArchitecture(CDA),Con-tinuityofCareDocument(CCD)andourVersion2standards,whicharenamedintheFinalRulereferencedinthesessiontitle.ThisprogramwasoneofmanythatweekthatprovidedMDswithCMEs.

Iamalsopleasedtorecognizetheseorganizationsthatsponsoredkeycomponentsofour24thAnnualPle-naryandWorkingGroupMeeting.

• BeelerConsulting,LLC• GordonPointInformatics• iNTERFACEWARE• LINKMED• LockheedMartin• Virtify

Theadditionalsponsorshipsupportprovidedbytheseorganizationscon-tributessignificantlytoHL7’smeetingbudgetandismuchappreciated.In


Raju Kucherlapati, PhD


8 JANUARY 2011

addition,HL7raised$211forDoctorswithoutBordersfromthesalesofthejokeribbonsatourWGMsin2010.

Benefactors and SupportersWearethrilledtohaveattractedthealltimehighestnumberofHL7benefactorsandsupporters,whoarelistedonpages20and24.TheirsupportofHL7isverymuchneededandsincerelyappreciated.Representativesfromthebenefactorsarepicturedabove.Aspecialthankyouisextendedtothelistoffirmsthatrepresentour2010HL7benefactorsandsupporters.

Organizational Member FirmsAslistedon24-26,HL7isveryproudtoreportthatthenumberofHL7organizationalmembercompaniesisatanalltimehigh,including588companies.WesincerelyappreciatetheirongoingsupportofHL7viatheirorganizationalmember-shipdues.

Sydney WGMIlookforwardtoseeingmanyofyouinSydney,AustraliaforourJanuary9-14,2011HL7WorkingGroupMeeting.NotonlywilltheWGMbeproductive,butwewillalsohavetheopportunitytovisitoneofworld’smostbeauti-fulcities.WhiletherearemanyindividualsthathaveplayedkeyrolesrelatedtothisJanuary2011WGM,I’dliketopersonallyrecognizetheincredibleefforts

madebythreeindividuals:RichardDixon-Hughes,KlausVeilandTinaConnell-Clark.Theyhaveworkedincrediblyhardandhavedevotedhundredsofhoursworkingtoensurethesuccessofthismeeting.OnbehalfoftheHL7Board,Isendasincerethankyouandlookforwardtothankingtheminpersondownunder.

In ClosingAsthisarticlewillbepublishedpriortotheupcomingholidays,Iwishtoclosewithaheartfeltthankyoutoallofyouwhohavemadeapositivedifferenceinmylifeand/or

inthelivesaroundyou.OnbehalfoftheHL7staff,weextendtoyouandyourlovedonesourbestwishesforgoodhealth,muchhappiness,andlotsofsmilesthisholidayseasonandbeyond.

2011 Publishing CalendarMay 2011 Ballot Cycle

January23 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus April4 Ballotopendate May9 Ballotclosedate May15–20 MayWorkingGroupMeeting

September 2011 Ballot Cycle

May29 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus August1 Ballotopendate September5 BallotclosedateSeptember11–16 SeptemberWorkingGroupMeeting

January 2012 Ballot Cycle September25 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus December5 Ballotopendate January9 Ballotclosedate January15–20 JanuaryWorkingGroupMeeting

Update from Headquarters, cont. from pg. 7

Representatives from the 2010 HL7 Benefactors


HL7 Work Group Co-Chairs, continued

29JANUARY 2011

Donald Kamens, MDXPressTechnologiesPhone:904-296-1189Email:[email protected]

James McClay, MDUniversityofNebraskaMedicalCenterPhone:402-559-3587Email:[email protected]

Peter ParkUSNavyBureauofMedicine&SurgeryPhone:202-762-3438Email:[email protected]

Financial Management

Kathleen ConnorMicrosoftCorporationPhone:360-480-7599Email:[email protected]

Beat HeggliHL7SwitzerlandPhone:41-1-806-1164Email:[email protected]

Mary Kay McDanielMarkam,Inc.Phone:602-266-2516Email:[email protected]

Generation Of Anesthesia Standards

Martin Hurrell, PhDPhone:44-7711-669-522Email:[email protected]

Alan NicolPhone:44-141-585-6358Email:[email protected]

Government ProjectsNancy OrvisUSDepartmentofDefense,MilitaryHealthSystemPhone:703-681-5657Email:[email protected]

Mitra RoccaFoodandDrugAdministrationPhone:301-796-2175Email:[email protected]

Health Care Devices

Todd CooperBreakthroughSolutionsFoundry,Inc.(IEEE)Phone:858-435-0729Email:[email protected] KrantzMedtronicPhone:763-526-0513Email:[email protected]

John Rhoads, PhDPhilipsHealthcarePhone:978-659-3024Email:[email protected]

Imaging Integration

Helmut Koenig, MDSiemensHealthcarePhone:49-9131-84-3480Email:[email protected]

Harry SolomonGEHealthcareITPhone:847-277-5096Email:[email protected]

Implementable Technology Specifications

Paul KnappContinovationServices,Inc.Phone:604-987-3313Email:[email protected]

Dale NelsonSquaretrendsLLCPhone:916-367-1458Email:[email protected]

Andy StechishinGordonPointInformaticsLtd.Phone:780-903-0885Email:[email protected]

Implementation/Conformance

Wendy HuangCanadaHealthInfowayInc.Phone:416-595-3449Email:[email protected]

Frank OemigHL7GermanyAgfaHealthcarePhone:49-208-781194Email:[email protected]

Melva PetersHLCanadaJenakerConsulting,Inc.Phone:604-515-0339Email:[email protected]

Robert SnelickNationalInstituteofStandards&TechnologyPhone:301-975-5924Email:[email protected]

Infrastructure & Messaging

Anthony JulianMayoClinicPhone:507-266-0958Email:[email protected]

Patrick LoydIcodeSolutionsPhone:415-209-0544Email:[email protected]

David Shaver CorepointHealthPhone:214-618-7000Email:[email protected]

Sandra StuartKaiserPermanentePhone:925-924-7473Email:[email protected]

International Mentoring Committee

Diego KaminkerHL7ArgentinaPhone:54-11-4781-2898Email:[email protected]

John RitterCollegeofAmericanPathologistsPhone:847-832-7732Email:[email protected]

Marketing Council

Catherine Chronaki HL7HellasFORTH-InstituteofComputerSciencePhone:30-2810-391691Email:[email protected]

Jill Kaufman, PhDCollegeofAmericanPathologistsPhone:847-832-7163Email:[email protected]


Grant WoodIntermountainHealthcarePhone:801-408-8153Email:[email protected]

Modeling and Methodology

George (Woody) Beeler Jr., PhDBeelerConsulting,LLCPhone:507-254-4810Email:[email protected]

Jean DuteauHL7CanadaPhone:780-937-8991Email:[email protected]

Grahame GrieveKestralComputingPtyLtd.Phone:61-3-9450-2222Email:[email protected] McKenzieHL7CanadaLM&AConsulting,Ltd.Phone:780-993-9501Email:[email protected]

Ravi NatarajanNHSConsultingforHealthPhone:44-113-390-6520Email:[email protected]

Ioana SingureanuEversolve,LLCPhone:603-870-9739Email:[email protected]

Orders and Observations

Hans BuitendijkSiemensHealthcarePhone:610-219-2087Email:[email protected]

Robert Hausam, MDOntoReasonPhone:801-949-1556Email:[email protected]

Austin KreislerScienceApplicationsInternationalCorp.(SAIC)Phone:404-542-4475Email:[email protected]


Ken McCaslinQuestDiagnostics,Inc.Phone:610-650-6692Email:[email protected]

Outreach Committee for Clinical Research


Patient Adminstration

Gregg SeppalaUSDepartmentofVeteransAffairsPhone:301-526-2703Email:[email protected]

Jay Zimmerman HL7CanadaPhone:250-385-1510Email:[email protected]

Patient Care

Stephen Chu, PhDNationaleHealthTransitionAuthority(NEHTA)Email:[email protected]

William GoossenResults4CareB.V.Amersfoort,TheNetherlandsPhone:31-654-614458Email:[email protected]

Ian TownendNHSConnectingforHealth Phone:44-113-280-6743 Email:[email protected]

Klaus VeilPhone:61-412-746-457Email:[email protected]


28 JANUARY 2011

HL7 WORK GROUP CO-CHAIRSAffiliates CouncilCatherine Chronaki—Affiliate Liaison HL7Hellas/FORTH-InstituteofComputerSciencePhone:30-2810-391691Email:[email protected]

Robert Stegwee, MSc, PhD—HL7 International LiaisonHL7TheNetherlandsPhone:31-30-689-2730Email:[email protected]

Helen Stevens Love—Secretary GordonPointInformaticsLtd.Phone:250-598-0312Email:[email protected]

Anatomic Pathology David Booker, MDCollegeofAmericanPathologistsPhone:706-736-0991Email:[email protected] Brodsky, MDCollegeofAmericanPathologistsPhone:646-322-4648Email:[email protected]

Architectural Review Board

Charlie Mead, MD, MSc3rdMillennium,Inc.Phone:510-541-8224Email:[email protected]

Ron ParkerHL7CanadaPhone:902-832-0876Email:[email protected]

John QuinnHealthLevelSevenInternationalPhone:216-409-1330Email:[email protected]

Arden Syntax

Robert Jenders, MDCedars-SinaiMedicalCenterPhone:310-502-4124Email:[email protected]

Attachments

Durwin DayHealthCareServiceCorporationPhone:312-653-5948Email:[email protected]

Craig GabronBlueCrossBlueShieldofSouthCarolinaPhone:803-763-1790Email:[email protected]

Jim McKinleyBlueCrossandBlueShieldofAlabamaPhone:205-220-5960Email:[email protected]

Child Health

David Classen, MD, MSAllianceforPediatricQualityPhone:801-532-3633Email:[email protected]

Gay Giannone, MSN (Interim)AlschulerAssociates,LLCPhone:714-744-4152Email:[email protected]

Joy KuhlAllianceforPediatricQualityPhone:703-842-5311Email:[email protected]

Andy Spooner, MD, FAAPCincinnatiChildren’sHospitalPhone:513-803-0121Email:[email protected]

Feliciano Yu, MDSt.LouisChildren’sHospitalPhone:314-454-2808Email:[email protected]

Clinical Context Object Workgroup (CCOW)David FusariSentillion,Inc.Phone:978-749-0022Email:[email protected]

Michael Russell, MDDukeTranslationalMedicineInstitutePhone:919-684-2513Email:[email protected]

David StaggsUSDepartmentofVeteransAffairsPhone:858-826-5629Email:[email protected]

Clinical Decision SupportGuilherme Del Fiol, MDDukeTranslationalMedicineInstitutePhone:919-681-7011Email:[email protected]


Kensaku Kawamoto, PhDDukeTranslationalMedicineInstitutePhone:919-684-2340Email:[email protected]

Howard StrasbergWoltersKluwerHealthPhone:408-746-9958Email:[email protected]

Clinical Genomics

Joyce HernandezMerck&Co.,Inc.Phone:732-594-1815Email:[email protected]

Kevin Hughes, MDPartnersHealthCareSystem,Inc.Phone:617-724-0048Email:[email protected]

Amnon ShaboIBMPhone:972-544-714070Email:[email protected]

Mollie Ullman-CullerePartnersHealthCareSystem,Inc.Phone:617-582-7249Email:[email protected]

Clinical Interoperability Council

Sam Brandt, MDSiemensHealthcarePhone:610-219-5701Email:[email protected]

Meredith Nahm (Interim)DukeTranslationalMedicineInstitutePhone:919-668-8339Email:[email protected]

Anita WaldenDukeTranslationalMedicineInstitutePhone:919-668-8256Email:[email protected]

Clinical Statement



Rik Smithies HL7UKPhone:44-7720-290967Email:[email protected] Based Collaborative Care

Suzanne Gonzales-WebbUSDepartmentofVeteransAffairsPhone:858-366-2008Email:[email protected]

Richard ThoresonSAMHSAPhone:240-276-2827Email:[email protected]

Max WalkerDepartmentofHumanServicesPhone:61-3-9096-1471Email:[email protected]

EducationMike HendersonEasternInformatics,Inc.Phone:301-585-5750Email:[email protected]


AbdulMalik ShakirCityofHopeNationalMedicalCenterPhone:626-644-4491Email:[email protected]

Electronic Health Records

Gary DickinsonCentriHealthPhone:951-536-7010Email:[email protected]

Don Mon, PhDAmericanHealthInformationManagementAssociationPhone:312-233-1135Email:[email protected]


Patricia Van DykeDeltaDentalPlansAssociationPhone:503-243-4492Email:[email protected]

Electronic Services

Bill Braithwaite, MD, PhDAnakam,Inc.Phone:703-888-4630Email:[email protected]

Lorraine Constable (Interim)ConstableConsultingIncPhone:(780)951-4853Email:[email protected]

Ken McCaslinQuestDiagnostics,IncorporatedPhone:610-650-6692Email:[email protected]

Emergency CareLaura Heermann LangfordIntermountainHealthcarePhone:801-290-6674Email:[email protected]


9JANUARY 2011

Remembering Professor Yun Sik Kwak, MD, PhD (1936-2010) Kwak Sensei

“Sensei”isaprefixtonames,almostsimilarto“Doctor,”butithasmanymoremeaningssuchasa“Medicaldoc-tor,”“Teacher,”ora“Respectedperson.”Hewasasensei,byallofthesemeanings.

Dr.KwakgraduatedfromNationalKyungpookMedi-calUniversityofDaegu,Korea,whichishishometown.

Afterthat,hemovedtotheUnitedStatesandbecameafacultymem-berofclinicalpathologyatCaseWesternUniversityinCleveland,Ohio.Dr.Kwakwasappointedasacerti-fiedinspectoroftheCollegeofAmericanPathologists(CAP).Whenhevisitedhishometownduringhissab-batical,hewasstronglypersuadedtobeafacultymem-berathisalmamater,andwasappointedasaprofessorofmedicalinformatics.

Dr.Kwakwasanexcellentleaderandhisnaturalten-dencywastobecompletelydevotedtoanyendeavorheundertook.Hisinvolvementinhealthcareinformatics,andstandardsdevelopmentinparticular,wasmarkedbythesamedevotionandbenefittedfromhisleadershipcapabilities.Dr.KwakfoundedHL7Koreain2002andservedastheappointedchairforISO/TC215from2003-2009.HepavedthewayforclosecooperationbetweennumerousstandarddevelopingorganizationswithinandaroundtheHL7,ISO/TC215andCEN/TC251realm.Dr.Kwakwasalsoanaturalandskilledcollaboratorandbroughttogetherdiversegroupsandintereststoachievethecommonobjectiveofglobalhealthcare.

Aboveall,Dr.Kwakwilllongberememberedasafriendandanexampleforallofustofollow.

MichioKimura,MD,PhDHL7JapanChair

Above:Miyajima Shrine, Hiroshima Japan, at APAMI Conference, November 2009.

Right: Memorial flowers sent by HL7 and other organizations.

Michio Kimura, MD, PhD


10 JANUARY 2011

Co-Chair Q & A ByKarenVanHentenryck,HL7AssociateExecutiveDirector

SubmittedonbehalfoftheProcessImprovementCommittee

Co-Chair Transition

Anumberofquestionsrelatedtoco-chairtransitionareroutinelyraisedbyworkgroupsduringthecourseofgeneralbusiness.TheProcessImprovementCommittee(PIC)wouldliketotakethisopportunitytodemystifysomeoftheseprocessesbyreferencingtherelevantsec-tionsintheGovernanceandOperationsManual(GOM)andprovidingclarifyinginformation.

Q: Do new co-chairs elected at the Working Group Meetings (WGM) take office immediately or do they as-sume their new role immediately following the WGM?

A:Accordingto§09.02.04oftheGOM(TermofOffice),co-chairterms“shallcommenceuponvalidationofelec-tionresults.”Inotherwords,newlyelectedco-chairsof-ficiallyassumetheirnewroleonThursdaysattheWGM,althoughmanyworkgroupsandnewlyelectedco-chairsprefertohavetheoutgoingchaircontinuetochairthemeetingsthroughtheendoftheWGM,particularlysinceheorsheplannedtheagenda.Thisiscertainlyreason-ableifthat’swhattheworkgroupdecidestodo.

Q: What happens if one of our work group co-chairs resigns?

A:Co-chairsmayneedtoresignforanynumberofrea-sons,bothpersonalandprofessional.Luckily,thereareprocessesinplacetoensurethatyourworkgroupcanfillthevacatedco-chairpositionwithouttoomuchinterrup-tiontothegroup’sactivities.

Firstandforemost,theworkgrouporresigningco-chairsshouldadviseHQsothattheappropriateupdatescanbemadeintheofficeandplansforthenextco-chairelec-tionscanbemade.

Iftheneedisimmediate,theworkgroupshould,follow-ingitsestablisheddecisionmakingpractices,bringamo-tionforwardtofillthevacatedpositionwithaninterimco-chair.Acceptnomineesviaemailandonthephoneandthenconductasimplevoteonyourcallorthroughemail/doodlepoll.Theinterimco-chairservesuntiltheopenpositioncanbeannouncedthroughtheofficial30-daycallfornominationsfromHQ,whichisdistributedatleast60daysbeforeeachWGM.Ifaco-chairresignsafter

thatannouncementhasbeendistributedfromHQ,theinterimwillservethroughtheupcomingWGManduntiltheofficialco-chairelectionsattheWGMfollowingthat.Shouldtheco-chairresigninadvanceofthe30-daycallfornominations,theopenco-chairpositionwillbean-nouncedinthe30-daycallfornominationsandelectionsfortheopenpositionwillbeheldattheupcomingWGM.

Sometimes,aworkgroupdecidesnottofillavacantco-chairpositionwhenaco-chairresigns.Aslongastheworkgrouphasmadethatdeterminationaccordingtoitsdecisionmakingpractices,thatisfine.SimplyletHQknowsothatthischangeisreflectedinthedatabaseandthelistservs.

Q. Our work group would like to add an additional co-chair. Is there a procedure for doing this?

A.Whilemostworkgroupsshouldnotrequiremorethan2-3chairs,GOM§09.02.04(WorkGroupCo-Chairs)providestheprocessforworkgroupsthatwishtoaddanextrachair.Onceamotiontoaddanadditionalco-chairhasbeenraisedandapprovedaccordingtotheworkgroup’sdecisionmakingpractices,theworkgroupcandesignateanindividualtoserveastheinterimco-chairuntilanofficialco-chairelectioncanbeheld.PleasenotifyHQtoensurethattheirrecordscanbeupdatedaccordinglyandthatyourworkgroup’sco-chairelectionsareannouncedinthenextcallfornominations.

Q: Can a work group remove a co-chair from office? If so, under what conditions?

A: §09.02.04.03(RemovalfromOffice)oftheGOMdoesallowforremovalofaco-chairfromoffice.Thisprocessoutlinestwoconditionsunderwhichremovalmaybewarranted:missingoftwoconsecutiveworkinggroupmeetingswithoutmitigatingcircumstancesandlessthan60%participationontheworkgroup’sconferencecallsbetweenWGMs.Theindividualbringingforwardamo-tiontotheworkgroupforremovalofaco-chairisrespon-sibleforpresentingtheappropriateevidenceanddefend-ingtheircharge;Inaddition,thisworkgroupbusinessshouldproceedaccordingtotheworkgroup’sdecisionmakingpractices.Itgoeswithoutsayingthatwhile


Karen Van Hentenryck


27JANUARY 2011

2011 TECHNICAL STEERING COMMITTEE MEMBERS

CHAIRAustin Kreisler Science Applications International Corp. (SAIC)Phone: 404-542-4475Email: [email protected] CHIEF TECHNICAL OFFICERJohn QuinnHL7 InternationalPhone: 216-409-1330Email: [email protected] ArB CO-CHAIRS Charles Mead, MD, MSc 3rd Millennium, Inc. Phone: 510-541-8224 Email: [email protected]

Ron Parker Canada Health Infoway Phone: 902-222-7716 Email: [email protected]

INTERNATIONAL REPRESENTATIVE Jay Zimmerman Canada Health Infoway/HL7 Canada Phone: 250-385-1510 Email: [email protected]

DOMAIN EXPERTS CO-CHAIRSAustin KreislerScience Applications International Corp. (SAIC)Phone: 404-542-4475Email: [email protected]

Edward Tripp Edward S Tripp and Associates, Inc. Phone: 224-234-9769 Email: [email protected]

FOUNDATION & TECHNOLOGY CO-CHAIRSGeorge (Woody) Beeler Beeler Consulting, LLC Phone: 507-254-4810 Email: [email protected]

Anthony Julian Mayo Clinic Phone: 507-266-0958 Email: [email protected]

STRUCTURE & SEMANTIC DESIGN CO-CHAIRSCalvin BeebeMayo Clinic/FoundationPhone: 507-284-3827Email: [email protected]

Gregg SeppalaUS Department of Veterans AffairsPhone: 301-526-2703 Email: [email protected]

TECHNICAL & SUPPORT SERVICES CO-CHAIRSPatrick Loyd Icode Solutions Phone: 415-209-0544 Email: [email protected]

Ken McCaslinQuest Diagnostics, IncorporatedPhone: 610-650-6692Email: [email protected]

DOMAIN EXPERTSAnatomic PathologyAnesthesiologyAttachmentsChild HealthClinical Interoperability Council*Community Based Collaborative CareEmergency CareGovernment ProjectsHealth Care DevicesImaging IntegrationPatient CarePatient SafetyPharmacyPublic Health & Emergency Response Regulated Clinical Research Information Management

FOUNDATION & TECHNOLOGYImplementable Technology SpecificationsImplementation/ConformanceInfrastructure & MessagingModeling & MethodologyRIM Based Application ArchitectureSecurityService Oriented Architecture TemplatesVocabulary

TECHNICAL & SUPPORT SERVICESEducationElectronic ServicesInternational Mentoring CommitteeProcess Improvement CommitteeProject ServicesPublishingTooling

STRUCTURE & SEMANTIC DESIGNArden SyntaxClinical Context Object WorkgroupClinical Decision SupportClinical GenomicsClinical StatementElectronic Health RecordFinancial ManagementOrders & ObservationsPatient AdministrationStructured Documents

*Voice only; no vote

STEERING DIVISIONS


26 JANUARY 2011

Delta System Inc.Dg Med Technology Corp.digiChart, Inc.Digital Medical Merge, Inc.DIPS ASADocComplyDocSite, LLCDocuTAPDolbey & CompanyDoubleBridge Technologies, Inc.Dreamscape BlueechoBaseEclipsys CorporationEDS CorporationE-Health Partners, Inc.Electronic Patient Records (Pty) LtdEMC Information Intelligence Groupe-MDsEmissary Professional Group, LLCEpicESRIEttelaresani Payvand DadehaExactData, LLCExpert Sistemas Computacionales S.A. DE C.V.ExplorysE-Z BIS, Inc.ezEMRxFIACIA CorpFirst Insight CorporationFox Systems, Inc.Future Health, Inc.GE Healthcare ITgloStream, Inc.Goldblatt SystemsGreenway Medical Technologies, Inc.Grupo Prides S.AHaemonetics CorporationHarris CorporationHealth Care Software, Inc.Health Language, Inc.HealthCare Conversion ServicesHealthCare IQHealthcare Management Systems, Inc.HEALTHeSTATEHealthlandHealthline, Inc.HealthTrio, LLCHealthwise, Inc.Hill AssociatesHi-Range Technologies, IncHospiServe Healthcare Services Pty LtdHyland Software, Inc.Iatric SystemsIBMICANotes, LLCiConnect ConsultingIgnis Systems CorporationImage Solutions, Inc.(ISI)ImageTrend, INCInfo WorldInfoQuest Systems, Inc.Information BuildersInmediata Health GroupInstitute for Health MetricsIntegrated Healthcare Solution Sdn Bhdintegration AGIntel Corporation, Digital Health GroupIntellicure, Inc.IntelliSys ConsultingIntelliware Development, Inc.Interface People, LPiNTERFACEWARE, Inc.

Interfix, LLCInterSystemsIntraNexus, Inc.IntuitivEMR, Inc. dba AZZLYiSALUS HealthcareiSOFT Nederland b.v.ITIQ SolutionsKeane, Inc.Kestral Computing Pty Ltd.Key Management GroupK-Tech Solutions, Inc.Labware, IncLawsonLEAD Technologies, Inc.Life Systems SoftwareLife TechnologiesLINK Medical Computing, Inc.Liquent, Inc.LogibecLORENZ Life Sciences GroupLSS Data SystemsMcKesson Provider TechnologiesMD Land InternationalMDofficeManager.comMEDai, Inc.MedcomsoftMedflow, Inc.MEDfx CorporationMEDHOST, Inc.Medical Informatics Engineering, Inc.Medicity, Inc.MediRec Inc.MediServe Information Systems, Inc.MeditureMEDIWARE Information SystemsMedPATH Networks, Inc.MedSign International CorporationMedVirginiaMETA Solutions, Inc.MicroFour, Inc.Microsoft CorporationMirth CorporationMITEM CorporationMitochon Systems.Modernizing Medicine, Inc.MPN Software Systems, Inc.Netsmart Public Health, Inc.New Health Sciences, Inc.NexJ Systems Inc.NextGen Healthcare Information Systems, Inc.Nexus ClinicalNiceware International, LLCNoridian Administrative ServicesNoteworthy Medical SystemsOakland SoftwareOccupational Health ResearchOmnicell, Inc.Omnicom srlOpenmed, LLCOpenTreatment.ComOpus Healthcare Solutions Inc.Oracle Corporation - HealthcareOratier Technologies Pvt. Ltd.Orchard SoftwareOrion HealthOZ SystemsP&NP Computer Services, Inc.PAREXELPhilips HealthcarePolyRemedy, Inc.Positive Business Solutions, Inc.PrimeSource Healthcare

ProcuraProfessional Practice ResourcesPronia Medical SystemsQS/1 Data Systems, Inc.Recondo Technology, Inc.Reed Technology and Information Services, Inc.Remcare Inc.Response Genetics, Inc.Rosch Visionary SystemsRTZ Associates, Inc.SageSAIC - Science Applications International Corp.Sandlot, Inc.SAS InstituteScantron CorporationSentillion, Inc.Siemens HealthcareSilkOneSimplied Software Development LLCSISCOSNAPS, Inc.Softactics, Inc.Softek Solutions, Inc.Software AG USA, Inc.Sorin CRM SASSt. Jude MedicalStatRad, LLCSTI Computer Services, Inc.Stockell Healthcare Systems, Inc.Stratus EMRSuncoast SolutionsSunquest Information SystemsSuperclick Networks, IncSurescriptsSurgical Information SystemsSurgiVision Consultants, Inc.Swearingen Software, Inc.SymantecSYSTEMS HEALTHCARE SOLUTIONS ELEARNINGTC Software, Inc.TELCOR OISTeradata Corporation, GIS/AMSThe CBORD Group, Inc.The Shams GroupThe SIMI Group, Inc.The SSI Group, Inc.TheraDoc, Inc.Therap Services, LLCTouchNet Information Systems, Inc.TouchPACS Health SolutionsTurningPoint Global Solutions LLCUp To Data Professional Services GmbUSPD, Inc.Valley Hope Association - IMCSSVirco BVBAVirtifyVocollect Healthcare Systems, Inc.Warren Lamb & Associates, Ltd.Watermark Research Partners, Inc.WebMD Health ServicesWellsoft CorporationWolters Kluwer HealthWorkflow.com, LLCXeo HealthXIFIN, Inc.XPress TechnologiesYak Digital Corp.ZetaSys Dental Enterprise SolutionZoho Corp.Zynx Health

HL7 ORGANIZATIONAL MEMBERS, continued


11JANUARY 2011

Dave Hamill

News from the PMOByDaveHamill,Director,HL7ProjectManagementOffice

Updated Project Scope State-ment Template – Coming in January 2011TheHL7ProjectManagementOffice(PMO)andtheProjectServicesWorkGroup(PSWG)willreleaseanew2011versionoftheProjectScopeStatement(PSS)template;aresultoftheirannualupdatestothetemplate.Asusual,ourgoalistostreamlineandsimplifythetemplatesothatit’seasiertousebyHL7membersandprovidesthemostusefuldatatothemembership.

Changesinclude:• Makeco-sponsoritsownfieldin

thePSSTemplate,ProjectInsightandtheSearchableProjectData-base

• ProvidefortheabilitytolistkeySDO/Profilers

• IncludehelptextregardingUniver-salRealmguidelines

• Includerecommendedcommuni-cationtasks

• Withinthetemplatearea,removeHelptextandProjectInsightguidelinetext

• RefinehelptextintheAppendices• Removethe2.bPublicDocument

checkbox

Project Health and Project Dashboard ReportsTheHL7PMOhasbeenworkingwiththeTechnicalSteeringCommittee(TSC)todesignProjectHealthandProjectDashboardreports.ProjectHealthreportsreflectthestatusofaworkgroup’sprojectportfolio.ProjectDashboardreportsprovideanat-a-glancestatusforindividualproj-ects.ThereportsarebasedondatagatheredfromProjectInsight,includ-ingstatusupdates,milestonedeliver-abledatesandballotinginformation.

SAIF and Sound – Fast Track to Standard DevelopmentTheProjectServicesWorkGroupcontinuestheireffortontheSAIFandSound–FastTracktoStandardDevelopmentproject(project#676).TheteamisidentifyingchangestotheProjectLifeCycleforProductDevelopment(PLCPD)soastointro-ducepredictable,one-yearapprovalcyclesforsuitably-scopedprojectsthatleveragebothmethodologyandarchitecturebest-practicesandbuildsonHL7’spastsuccesses.

Additionally,theProjectServicesWorkGroupwillbeworkingwiththeArBandtheSAIFprojectteamstocreateanHL7SAIFImplementationGuide(project#TBDatpresstime).TheSAIFImplementationGuidewill

providestakeholdersaclearpictureofexactlywhatisrequiredtouseandinteroperatewithanorganization’ssoftwarecomponents.

Havequestionsregardingtheseproj-ects?ContactprojectfacilitatorsRickHaddorff([email protected])orIoanaSingureanu([email protected]).

Monthly WebinarsBesuretolookineNewsforthedatesandtimesofthemonthlywebinar“HL7ProjectManagementToolOver-viewforHL7ProjectFacilitators”.Thesessionsaretargetedforco-chairsandthoseleadingHL7projects(i.e.ProjectFacilitators).ThewebinarwilldemonstrateHL7projecttoolsinclud-ingProjectInsight(HL7’sprimaryprojectrepository),theHL7Search-ableProjectDatabase,GForge,aswellasreviewHL7projectprocessesandmethodologies.

HL7 Project Tracking ToolsAllofHL7’sprojecttools,includ-ingtheSearchableProjectDatabase,GForgeandProjectInsight,areavail-ableonwww.HL7.org via Participate > Tools & Resources > Project Tracking Tools.

Co-Chair Q & A, cont. from pg. 10

thereareprocessesforremovingaco-chairfromoffice,theseshouldbeusedwithcautionanddiscretion.Shouldtheworkgroupvotetoremoveaco-chairfromoffice,itmayappointaninterimchairtoserveuntilthenextof-ficialelection.AllofthesedecisionsshouldbeconveyedtoHQ.

Q: My co-chair term is expiring at the next WGM but our work group won’t be meeting there. What should we do?

A.WorkgroupsfacingthissituationcandecidetoholdtheelectionanywayorchoosetodefertheelectionuntilthenextWGM.GOM§05.02.01(VariancetoVotingProcess)allowsforeitherofthesetwoprocesses.Someworkgroupschoosetomoveforwardwiththeirco-chairelectionastheelectionprocessallowsforabsenteevoting(GOM§05.02.3).OthergroupsprefertodefertheelectionuntilthenextWGM.HQassumesthatworkgroupswillmoveforwardwiththescheduledelectionunlesstheyareadvisedotherwise.


12 JANUARY 2011

HL7 Static Model

Designer Tool ByWilfredBonney,HL7ToolingAdministrator

TheHL7StaticModelDesigner(SMD)toolisasecondgenerationofHL7Version3MessagemodelingtoolinEclipseplatform.Initssimplestform,theSMDtoolisanEclipse-basedtoolthatenablesHL7modellerstocreate,validate,andmaintainhealthcaremodelsbasedontheHL7Version3messagingstandard.ThetoolwasaNHSConnectingforHealthfundedprojectdevelopedbyB2In-ternational(B2i)asareplacementoftheexistingHL7Vi-sio-basedRMIMDesignertool.Thesetwotoolshaveverysimilarfeatures,butbeginnerswillneedtolearnhowtousethenewSMDtoolinordertogetthesameresults.

TheHL7SMDtoolfunctionsonany32or64-bitmachineswithLinux,Macin-tosh,andMicrosoftWindowsoperatingsystems.TheSMDtoolisastandaloneapplicationthatisdeliveredwithintheEclipse(3.3andabove)platformandisusuallypackagedinEclipseRCP(RichClientPlatform)withallexistingMIF-basedplug-ins(InstanceEditor,MIFDiff,etc).TheSMDtoolaimstobeaunifiedmodellingworkbenchthataidsHL7mod-ellerstodevelopHL7Version3Messages,createinstances,testanddifferencestaticmodels.Figure1showsascreenshot

ofasamplestaticmodel(e.g.POLB_MT000001UV01)designedusingtheSMDtool.

TheToolingWorkGrouphaspublished“Beginners’GuidetoHL7StaticModelDesigner”documentationtoaidbeginnersinunderstandingthefullfunctionalityandcapabilityofthetool.ThedocumentcanbedownloadeddirectlyfromtheHL7GForgesiteattheURL:http://gforge.hl7.org/gf/download/frsrelease/704/7666/hl7_smd-beginnersguide-1.0.0.zip.

ForadditionalassistanceandcommentregardingtheuseoftheSMDtool,[email protected].

Wilfred Bonney

A sample static model design (e.g. POLB_MT000001UV01)


25JANUARY 2011

PayersActive Health Management, Inc.Blue Cross and Blue Shield of AlabamaBlue Cross Blue Shield of South CarolinaBMS Reimbursement ManagementCareSourceHealth Care Service CorporationMedSolutions, Inc.Premera Blue CrossUnitedHealth GroupWisconsin Physicians Service Ins. Corp.

PharmacyBristol-Myers SquibbEli Lilly and CompanyFood and Drug AdministrationGenzyme CorporationGlaxoSmithKlineMerck & Co., Inc.NovartisPfizer, Inc.Sanofi-Aventis R&DSapphire Health, LLCTakeda Global Research & Development Center, Inc.

ProvidersAAdvanced Biological LaboratoriesAkron General Medical CenterAlbany Medical CenterAlere HealthARUP Laboratories, Inc.Ascension Health Information ServicesAspirus - Wausau HospitalAthens Regional Health Services, Inc.Baylor Health Care SystemBJC HealthCareBlessing HospitalBloomington Hospital & Healthcare SystemsBlount Memorial HospitalCape Regional Medical CenterCedars-Sinai Medical CenterCenter for Life ManagementChildren’s Hospital Medical Center of AkronCincinnati Children’s HospitalCity of Hope National Medical CenterCleveland Clinic Health SystemCommunity Reach CenterCorrectional Medical ServicesDelta Health AllianceDetroit Medical CenterDiagnostic Laboratory ServicesEastern Main Healthcare SystemsEmory HealthcareEndocrine Clinic of Southeast TexasGroup Health CooperativeHarden Healthcare ServicesHealix IncHealth Network LaboratoriesHealthBridgeHill Physicians Medical GroupHong Kong Hospital AuthorityHospital Corporation of America (HCA)Il Melograno Data Services S.p.AIntermountain HealthcareJohns Hopkins HospitalKaiser PermanenteLaboratory Corporation of AmericaLahey ClinicLakeland Regional Medical CenterLexington Medical CenterLoyola University Health System

Lucile Packard Children’s HospitalLux MedMayo ClinicMedStar Health Information SystemsMercy Health PartnersMeridian HealthMillennium LabsMilton S. Hershey Medical CenterMultiCare Health SystemNational Cancer Institute Center for BioinformaticsNationwide Laboratory Services, Inc.New York-Presbyterian HospitalNHS Connecting for HealthParkview HealthPartners HealthCare System, Inc.Pathology Associates Medical LaboratoriesPatient FirstQliance Medical Management, IncQueensland HealthQuest Diagnostics, IncorporatedRady Children’s Hospital and Health CenterRegenstrief Institute, Inc.Riverside Methodist HospitalsRobert Bosch HealthcareRockford Health SystemRockingham Memorial HospitalRoyal Hobart Hospital, Pathology ServicesSA Tartu University ClinicsSaudi Aramco - Healthcare Applications DivisionSharp HealthCare Information SystemsShields Health CareSISOFT Healthcare Information SystemsSisters of Mercy Health SystemSouth Bend Medical Foundation, Inc.Spectrum HealthStanford Hospital & ClinicsSumma Health SystemTallahassee Memorial HospitalTeam HealthTexas Children’s HospitalTexas Health ResourcesThe Children’s Hospital of PhiladelphiaThe North Carolina Baptist Hospitals, Inc.Trinity HealthTriumph HealthcareTuomey Healthcare SystemUS Department of Defense, Military Health SystemUS Department of Veterans AffairsUKHealthCareUniversity Hospital (Augusta)University of Chicago Medical CenterUniversity of Illinois at Chicago Medical CenterUniversity of Nebraska Medical CenterUniversity of Pittsburgh Medical CenterUniversity of Utah Health CareUniversity Physicians, Inc.UT M.D. Anderson Cancer CenterUW Medicine, IT ServicesVUMCWashington National Eye CenterWellMed Medical ManagementWest Virginia University HospitalsWheaton Franciscan Healthcare

Vendors//SOS/Corporation3M Health Information Systems4MedicaAbbottABELSoft CorporationAccent on IntegrationACS

ACSAEGIS.net, Inc.Agilex TechnologiesAkimeka LLCAlert Life Sciences Computing, Inc.Allied Medical LLC, dba SB ClinicalAllscripts-MisysAltos Solutions, IncAltova GmbHAmazing ChartsAmerican DataAmerican Health Care SoftwareAmerican HealthTech, Inc.AmerisourceBergen Specialty GroupAmkaiSolutionsAmtelcoAndalusia health business solutionsAnvita HealthApelon, Inc.Applied Informatics for Health SocietyASG Software SolutionsAskesis Development GroupAthena Health, Inc.Atirix Medical SystemsAurora MSCAvaility, LLCAxolotl CorporationAxSysAxwayBalsam Healthcare Corp. LtdBeeler Consulting, LLCBizmatics, Inc.BlueStep SystemsBridgeGate InternationalBrookwood Systems, Inc.CareFacts Information Systems, Inc.Carefx CorporationCarestream Health, Inc.CaristixCellcura IHMedicalCerner CorporationCertify Data SystemsCetrea A/SCgate Health, Inc.Chace and Associates Technologies, LLCChemWareChiron Data SystemsCliniComp, Intl.ClinigenceCMRCNSICommunity Computer Service, Inc.CompuSoft Systems of PR, IncComputer Technology CorporationComputrition, Inc.Constitution Medical InvestorsCorepoint HealthCortex Medical Management Systems, Inc.CovisintCPCHSCPSICSAM International ASCSC HealthcareCuraspan Healthgroup, Inc.Cybernetica ASCyrus-XP LLCData Innovations, Inc.Data Processing SPAData Strategies, Inc.Dawning Technologies, Inc.DC ComputersDeJarnette Research Systems, Inc.



24 JANUARY 2011

BenefactorsAbbottAccentureBooz Allen HamiltonCenters for Disease Control and Prevention/CDCDuke Translational Medicine InstituteEclipsys CorporationEpic Systems CorporationEuropean Medicines AgencyFood and Drug AdministrationGE Healthcare ITGlaxoSmithKlineIBMIntel Corporation, Digital Health GroupInterSystemsKaiser PermanenteLockheed MartinMcKesson Provider TechnologiesMicrosoft CorporationNHS Connecting for HealthNICTIZ Nat.ICT.Inst.Healthc.NetherlandsNovartisOracle Corporation - HealthcarePartners HealthCare System, Inc.Pfizer Inc.Philips HealthcareQuest Diagnostics, IncorporatedSiemens HealthcareSt. Jude MedicalUS Department of Defense, Military Health SystemUS Department of Veterans Affairs

SupportersAEGIS.net, Inc.Beeler Consulting LLCCellcura IHMedicalCgate Health, Inc.Corepoint HealthiNTERFACEWARE, Inc.LINK Medical Computing, Inc.MeditureSentillion, Inc.SYSTEMS HEALTHCARE SOLUTIONS ELEARNING

Consultants3rd Millennium, Inc.5AM Solutions, Inc.AccentureAccuregsoftwareACOM SolutionsAHIS - St. John Providence HealthAlschuler Associates, LLCAnakam, Inc.Aprico ConsultantsAquashell IT Solutions Corp.BC Provincial Renal AgencyBooz Allen HamiltonCAL2CAL CorporationCanon Development AmericasCentriHealthCollege of American PathologistsCSGDapasoft Inc.DeloitteDiagnostic Radiology and Oncology ServicesDinalex Technology Solutions Inc.DPSciences CorpEastern Informatics, Inc.Edifecs, Inc.eGeeks, LLCElectro-Optical Sciences, Inc.

Evolvent TechnologiesFEI.comForward Advantage, Inc.Frank McKinney Group, LLCGartnerGensa CorporationGordon Point Informatics Ltd.GSI Health, LLCGuidewire ArchitectureHashrocketHealthcare Data AssetsHealthcare Integration TechnologiesHealthCare TechnologiesHLN Consulting, LLCHubbert Systems ConsultingImplementing TechnologiesInformation Technology Architect, Inc.Intelligent Health SystemsIT BroadcastingLaboratoire Bio-Medic, Inc.LMILockheed MartinMainstream Health, Inc.Matricis Informatique Inc.MeddiusMedQuist, Inc.MedtronicMultimodal Technologies, Inc.newMentorOctagon Research Solutions, Inc.OTech, Inc.Pervasive SoftwarePro-Active Revenue SolutionsProfessional Laboratory Management, Inc.Ray Heath, LLCSabiaNet IncScenPro, Inc.SEC Associates, Inc.SemanticBits, LLCShafarman ConsultingTech-Time, Inc.The Diebold Company of CanadaThe Law Office of Jeffrey ChangThe St. John Group, LLCTPJ Systems, Inc.Vangent, Inc.Wovenware

General InterestAgency for Health Care AdministrationAgency for Healthcare Research and QualityAlliance for Pediatric QualityAmerican Assoc. of Veterinary Lab DiagnosticiansAmerican Health Information Management AssociationAmerican Immunization Registry Association (AIRA)American Medical AssociationAORNBlue Cross Blue Shield AssociationCabinet for Health and Family ServicesCalifornia Department of Health Care ServicesCalifornia HealthCare FoundationCAQHCardiovascular/Metabolic Ctr: Ramathibodi HospitalCarilion ClinicCDISCCEI Community Mental Health AuthorityCenters for Disease Control and Prevention/CDCCenters for Medicare & Medicaid ServicesCollege of Healthcare Information Mgmt. ExecutivesCom of Mass Department of Public HealthDelta Dental Plans AssociationDepartment of Developmental Services

Department of HealthDGS, Commonwealth of VirginiaDiv.of Medical Assistance, State of NJDuke Translational Medicine InstituteECRI InstituteEmory University, Research and Health Science ITEstonian eHealth FoundationEuropean Medicines AgencyFauji Foundation PakistanGeorgia Medical Care FoundationHealth Information and Quality AuthorityHIMSSHospital Universiti Kebangsaan MalaysiaHSE - Health Service ExecutiveICCBBA, Inc.Illinois Department of Public HealthIllinois Healthcare and Family ServicesIntegrating the Healthcare Enterprise TaiwanIowa Department of Public HealthIowa Foundation for Medical CareJSS Medical ResearchKansas Department of Health & EnvironmentL.A. County Dept of Public HealthLA County Probation DepartmentMedical Research CouncilMedical University of South CarolinaMinistry of Health - SloveniaMinnesota Department of HealthMultimedia Development Corporation (MDec)N.A.A.C.C.R.NACHRINANDA InternationalNational Association of Dental PlansNational Center for Health Statistics/CDCNational Council for Prescription Drug ProgramsNational Institute of Standards and TechnologyNational Library of MedicineNational Quality ForumNew England Healthcare Exchange NetworkNew York State Department of Health, Wadsworth Ctr.NICTIZ Nat.ICT.Inst.Healthc.NetherlandsNIH/Department of Clinical Reseach InformaticsNorth Carolina DHHS-DMH/DD/SASOA-ITSD - Department of Mental HealthOchsner Medical FoundationOffice of the National Coordinator for Health ITOhio Health Information PartnershipsPennsylvania Dept of Health-Bureau of InformationPharmaceuticals & Medical Devices AgencyPhastPublic Health Data Standards ConsortiumSAMHSASC Dept. of Health & Environmental Control HSSEECS NUSTSocial Security AdministrationSoftware and Technology Vendors’ AssociationSouthwest Research InstituteSultanate of Oman, Ministry of HealthTennessee Department of HealthTexas Association of Community Health Centers, Inc.Texas Department of State Health Services - LabTexas Health and Human Services CommissionThe Joint CommissionThe MITRE CorporationUS Department of Health & Human ServicesUniversity HealthSystem ConsortiumUniversity of Texas Medical Branch at GalvestonUS Army Institute of Surgical ResearchUSDA APHIS VS CIOUtah Health Information NetworkVermont Oxford NetworkWashington State Department of Health

HL7 ORGANIZATIONAL MEMBERS


13JANUARY 2011

HL7 Standards in Child Health Prove Beneficial to National Efforts ByS.AndrewSpooner,MDandFeliciano“Pele”Yu,MD,HL7ChildHealthWorkGroupCo-Chairs

ElectronicHealthRecord(EHR)systemsareoftenbuiltwithadultpa-tientsinmindanddonotoptimallysupporttheprovisionofhealthcaretochildren.In2008,theHL7ChildHealthWorkGrouppublishedtheHL7ChildHealthFunctionalProfile

forEHRSystemsasaguideforvendorsandprovidersintheUSdevelopingandusingelectronicmedicalrecordsystemsforchildhealthcare.TheprofileisacompanionstandardtotheHL7EHR-SystemFunctionalModel(EHR-SFM),anditbecameanANSI-approvedAmericanNationalStandardinJanuary2009.

TheprofilerepresentsconsensusfromthemajorUSpe-diatricorganizationsonthecriticalEHRfunctionalityforchildhealthcare,receivingstrongsupportfromtheAmeri-canAcademyofPediatrics(AAP),TheAmericanBoardofPediatrics(ABP),ChildHealthCorporationofAmerican(CHCA)andNationalAssociationofChildren’sHospitalsandRelatedInstitutions(NACHRI).Becauseofthis,andthebenefitsofundergoingavigorousreviewthroughtheopenHL7standardsdevelopmentprocess,theprofileisavaluabletoolforassessingwhatisneededinanEHRsys-temthatmightbeusedtocareforchildren.

Overtheprevioustwoyears,theprofilehasbeenusedintwohighlyvisiblenationaleffortsintheUnitedStates.ItwasfirstusedaresourcefortheCertificationCommissionforHealthInformationTechnology(CCHIT)asitsChildHealthWorkGroupdefinedcertificationcriteriaforEHRsystems.Theprofile’scriteriafortopicssuchasimmuni-zationmanagement,growthtracking,medicationdosing,datanormsandprivacywereusedasstartingpointsindevelopingspecificcertificationcriteriaforchildhealthcare.AsofOctober2010,fortyambulatoryEHRvendorproductsarecertifiedbyCCHITforchildhealthcare(listavailableatwww.cchit.org).

TheprofileisnowbeingusedbyaprojectthatoriginatedfromtheChildren’sHealthInsuranceProgramReauthoriza-tionActof2009(CHIPRA),whichcallsfordevelopmentofamodelEHRFormatforchildrenenrolledinMedicaidortheChildren’sHealthInsuranceProgram(CHIP).Theleg-islationmandatedthatbyJanuary1,2010,theSecretaryoftheDepartmentofHealthandHumanServicesestablishaprogramtoencouragethedevelopmentanddisseminationofamodelEHRFormatforchildren.Theproject’sgoalistodevelopamodelFormat,demonstratethatitcanbereadilyused,andpackageitinawaythatfacilitatesbroadincorporationintoEHRsystems.

TheAgencyforHealthcareResearchandQuality(AHRQ)andtheCentersforMedicare&MedicaidServices(CMS)aresponsoringtheproject.Westatistheproject’sprimecontractor,andsubcontractorsincludetheAmericanAcademyofFamilyPhysicians,theAmericanAcademyofPediatrics(AAP),DukeUniversity,FoxSystems,Inc.,IntermountainHealthcare,andtheUniversityofMary-land.Theprojectteam,whichincludesapanelofadozentechnicalexperts,isreviewingtheprofile’srequirementsasonesourceofinformationforthemodelFormat.ThreeHL7ChildHealthWorkGroupco-chairsareparticipatingonthepanel.AdraftversionoftheFormatwillbeavail-ableMarch2011forassessmentbyCHIPRAdemonstrationprojectsinNorthCarolinaandPennsylvania.

TheHL7ChildHealthWorkGroupisprovidinginputintotheworkunderwayonRelease2oftheHL7EHR-SFMandhasplanstopublishRelease2fortheChildHealthProfileshortlyafter,incorporatinggoodfeedbackfromtheabove-mentionedCCHITandCHIPRAefforts.Formoreinforma-tion,[email protected].

Andrew Spooner, MD

Feliciano Yu, MD


14 JANUARY 2011

Report from the HL7 International

Council Meeting in Cambridge ByCatherineChronaki,AffiliateDirector,HL7InternationalBoardofDirectors, InternationalCouncilCo-Chair—AffiliateLiaison

OnSundayOctober3,theHL7Inter-nationalCouncilhaditsopenmeetingattendedbymorethan100participantsfromsome30countries.Intheopeningsession,co-chairsCatherineChronaki,RobertStegwee,andHelenStevenswelcomedHL7Pakistan,thenewestmemberoftheInternationalCouncilwhichaimstofurtherpromoteadop-tionofHL7standardsinAsia.

ReportsfromtheCEO,theCTO,andtheJICfollowed.

Marketing Council ReportJillKaufman’sreportfromtheMar-ketingCouncildiscussedprogressontheAmbassadorProgram,aninitia-tivethatwillbeledfromnowonbyGrantWood,co-chairoftheMarketingCouncil.TheAmbassadorProgramco-ordinatesthecreationofstandardizedshortpresentationsforconferencesandothereventstopromoteaware-nessofkeyHL7technicalwork.

Theprogramhasrecentlylaunchedawebinarseries,whichhasbeenre-ceivedwithenthusiasmandincreas-inginterestbytheglobalHL7andhealthcareITcommunity.

JillalsoreportedontheUniversityPro-gram,whichaimstoincreasethepres-enceofHL7andotherhealthinforma-tiontechnologystandardsaspartofthe

curriculumatuniversities.Theprogramrecentlycompletedthepilotof“CaseofHealthCareInteroperabilityStan-dards,”aslidedeckof56slidesaspartoftheHL7UniversityProgramCurricu-lum2010.UniversityprofessorsaroundtheworldarewelcometocontactHL7andreceivetheslidedecktouseitaspartyoftheircoursematerial.

Due Diligence Committee ReportMichaelvanCampen,chairoftheAffiliateDueDiligenceCommittee,

reportedonthedissolutionofHL7Ireland,andthestrongprospectstowardthecreationofHL7PuertoRicoandHL7BosniaHerzegovina.HealsonotedseveralweakaffiliatesthatneedsupportfromtheInternationalMentor-ingCommittee,volunteersandaffiliateleadershiptoregainmomentum.

Affiliate Liaison ReportCatherineChronaki,inheraffiliateliaisonreport,notedseveraleventsandconferencesthatwereorganizedorsupportedbymembersoftheInterna-tionalCouncil:HL7ItaliaOpenDays(Role,September2010),ISPHEP2010inZagreb,Croatia(HL7Croatia),HL7AsiaPacificConferenceinTaiwan,andtheEFMISTCConferenceinReykjaviksponsoredbytheInternationalCouncil.

Health Story Project ReportHL7ChairBobDolin,MD,presentedontheHealthStoryProject,aUS-drivenefforttostandardizetranscriptsofclinicaldocumentsthatformpartofElectronicHealthRecordsusingCDAimplementationguidesandarigor-ousconformancetestingprocess.Thepresentationtriggeredavibrantdiscus-siononthetransitionfromrealm-basedimplementationguidestoglobalorinternationalones.

HL7 Around the WorldThelastsessionallowedHL7affiliatestheopportunitytopresentdevelop-mentsfromtheiraffiliatessharingtheirconcerns,roadblocks,progress,andsuccessstories.

ThereportfromHL7PakistandeliveredbyMuhammadAfzal,receivedwarmapplausebythemembersofthecoun-cil,fortheelegantdesignoftheHL7Pakistanwebsiteandlogo,themission

Catherine Chronaki

Graphical representation depicting the growing number of HL7 affiliates


23JANUARY 2011

AFFILIATE CONTACTS

HL7 ArgentinaDiego KaminkerPhone: +54-11-4781-2898Email: [email protected]

HL7 AustraliaDavid Rowlands Phone: +61-420-306-556 Email: [email protected]

HL7 AustriaStefan SabutschPhone: +43-664-3132505Email: [email protected]

HL7 BrazilMarivan Santiago AbrahaoPhone: +55-11-3045-3045Email: [email protected]

HL7 CanadaMichael van CampenPhone: +1-250-881-4568Email: [email protected]

HL7 ChileSergio Konig Phone: +56-2-7697996 Email: [email protected]

HL7 China Caiyou Wang Phone: +86-010-82801546 Email: [email protected]

HL7 ColombiaFernando A. Portilla Phone: +57-2-5552334 x41Email: [email protected]

HL7 CroatiaStanko Tonkovic, PhDPhone: +385-1-6129-932Email: [email protected]

HL7 Czech RepublicLibor SeidlPhone: +420-775-387691Email: [email protected]

HL7 FinlandNiilo SaranummiPhone: +358-20-722-3300Email: [email protected]

HL7 France Nicolas Canu Phone: Phone: +33 02-35-60-41-97 Email: [email protected]

HL7 GermanyBernd Blobel, PhDPhone: 49-941-944-6769 Email: [email protected]

HL7 GreeceGeorge Patoulis, MD, MPHPhone: +30-210-8067888Email: [email protected]

HL7 Hong Kong Chung Ping Ho Phone: +852 34883762 Email: [email protected]

HL7 IndiaBimal Naik Email: [email protected]

HL7 ItalyStefano LottiEmail: [email protected]

HL7 JapanMichio Kimura, MD, PhDPhone: +81-3-3506-8010Email: [email protected]

HL7 KoreaByoung-Kee Yi, PhD(Interim Chair) Phone: +82 234101944 Email: [email protected]

HL7 New ZealandDavid HayPhone: +64-9-638-9286Email: [email protected]

HL7 Norway Espen Moeller Phone: +47 97008186 Email: [email protected]

HL7 Pakistan Dr. Hafiz Farooq Ahmad Phone: +92 51-90852155 Email: [email protected]

HL7 RomaniaFlorica Moldoveanu, PhD Phone: +40-21-4115781Email: [email protected]

HL7 RussiaTatyana Zarubina MD, PhD Phone: +007-495-434-55-82 Email: [email protected]

HL7 SingaporeHo Khai Leng Email: [email protected]

HL7 SpainCarlos Gallego PerezPhone: +34-93-693-18-03 Email: [email protected]

HL7 SwedenGustav AlvfeldtPhone: +82 234101944 Email: [email protected]

HL7 SwitzerlandBeat HeggliPhone: +41-1-806-1164Email: [email protected]

HL7 TaiwanChien-Tsai Liu, PhD Phone: +886-2-25526990Email: [email protected]

HL7 The NetherlandsRobert Stegwee, MSc, PhDPhone: +31-30-689-2730Email: [email protected]

HL7 TurkeyErgin SoysalEmail: [email protected]

HL7 UKCharlie BishopPhone: +44-8700-112-866Email: [email protected]

HL7 UruguaySelene Indarte Phone: +5985-711-0711 Email: [email protected]


22 JANUARY 2011

February 20-24, 2011 Orlando, FL

Join us in the HL7 Booth (#5863) at the HIMSS 2011 Exhibit

HL7willonceagainofferavarietyofeducationsessionscoveringHL7stan-dardsandcurrentindustrytopics.VisitourboothtolearnmoreabouthowHL7andHL7standardscontributetomean-ingfuluseandarehelpingchangethefaceofhealthcareIT.

HL7 Benefactors as of November 15, 2010

US Department of Defense

Military Health System

Centers for Disease Control and Prevention

Save the date for

HIMSS 2011


15JANUARY 2011

statement“topromoteandfacilitatethedevelopmentanduseofHL7andrelatedstandardstomeetPakistaneHealthneeds”andtheslogan“Healthwithstandard.”

HL7CanadaChairMichaelvanCampenpresentedHL7develop-mentsfromCanada.HerevisitedtheCanadaInfowayStandardsCol-laborativeincludingISO,IHTSDO,andHL7Canada,whichmaysoonincludeIHECanadaandpossiblyGS1.ThisfruitfulcollaborationandsynergyhasbroughtwideadoptionofHL7Version3specificationsinclud-ing:Chiro/PhysioClaims(Ontario),PharmacyClaims(Newfoundland,PEI),ClientandProviderregistries(inmostregions),DiagnosticImaging(BC/Yukon,Saskatchewan,Mani-toba,Ontario,NewBrunswick,NovaScotia,PEI,Newfoundland),Lab(BC,Ontario(v2),Quebec,NovaScotia),Pharmacydispensation(Newfound-land,PEI,Alberta,Saskatchewan,BC(v2),Quebec),ePrescribing(Ontario,underway),DischargeSummary&eReferralsusingCDA/SharedHealthRecord(Ontario,NovaScotia),andImmunization(PEI,Newfoundland).

Prof.KenToyodafromHL7JapansharedthefactthatseveralHL7standards(i.e.CDAR2Referraldocu-mentandHL7Version2.5messageforprescriptionsandlabexaminationresults,diseaseclassifications)arenowendorsedandsubsidizedbytheMinistryofHealthinJapan.More-over,hestatedthataspartoftheRe-gionalHealthcareRevitalizationFund(3BYen),morethan10-15%willbe

devotedtoHealthcareInformationTech-nology(HIT)in90regions.HealsonotedthatJAMI,alongwiththeMinistryofHealth,isengaginginaroadshowApril16-26,2011toteachHITstandardsandpossibleapplicationsinhealthcare.ThispolicyturnsouttobequitesuccessfulasthenumberofHIS,ca-pableofexportingor-derentrydatainHL7Version2.5formatis594(March2010).

HL7TaiwanChairChien-TsaiLiureportedthattheeffortsinTaiwanconcentrateondevelopingtransactionandprofilesfortheexchangeofEHRsincludingmedicalimagingreportsanddischargesummaries,laboratorybloodtestordersandreports,aswellasoutpatientmedicationreports.Atthesametime,HL7TaiwancontributesinassessinggoalsofEMRadoption.For2010,thegoalofEHRadoptionwithinhospitalshasbeenreachedby76%,inprimaryclinics100%,andacrosshos-pitals14%,forexchangeofmedicalimagesandradiologyreports.

HL7FranceChairNicolasCanureport-edontheprogressofthepharmacy

recordprojectknownasDP(“Dos-sierPharmaceutique”)thatusesCDAwhichhasgainedsignificantmomen-tuminseveralregionsacrossFrance.Progresscanbemonitoredonlinefordifferentregionsatascanbeseenon-lineathttp://www.ordre.pharmacien.fr/DP/index9.htm.

Atthesametime,theDMP(“DossierMédicalPartagé”)projectaimstogoliveinDecember2010.TheunderlyingInteroperabilityFrameworkisbasedonHL7CDAplusIHEXDS,whilesev-eraltargetprofilesareplannedforCDAlevel3:Labreport,Anatomicpathol-ogyreport,Hospitaldischargereport,Multidisciplinarymeetingreport(can-cercase),Birthcertificate,etc.

NicolasalsoreiteratedHL7France’sin-terestinhostingtheSpring2012WGM.

HL7AustraliapresentedtheInterna-tionalCouncilwiththelatestinforma-tionontheJanuaryWGMwhichwillbeheldinSydney.Formoredetailsonthismeeting,pleasevisithttp://www.hl7.org.au/Sydney2011.htmThereportsfromHL7AroundtheWorldinCambridge,MAareavail-ablefordownloadatthepagesoftheInternationalCouncilathttp://www.hl7.org/library/committees/intl/HL7_around_the_world_oct_2010.zip

HL7 Pakistan Website

DP Pharmacy Record Project in France


16 JANUARY 2011

GELLO:Thejourneyfromideatoimplementationcanbealongone,butalllongjourneysbeginwithasinglestep.ForMedical-Objects,thatstepwasaresearchanddevelop-mentprojecttoexplorewaysofstreamliningregistryreportingforlymphomatreatmentinAustralia.ThisprojectwassponsoredbytheAustralianFederalGov-ernment,throughtheirInformationTechnologyOnline(ITOL)initiative.Theprojectwasscopedtoexploreoptionsratherthandetermineafinalsolution.TheinitialthoughtsweretohardcodeaGLIF-like(GuidelineInterchangeFormat)applicationthatenableddatacollectionfromcliniciansandsubsequenttransmissionofsummarydatatoacancerregistry.Theprocessofunderstandingadomainisaniterativeone,however,anditbecameclearthatthefinaldomainmodelwouldcontinuetochangeandhardcodingthemodelandlogicwouldnotallowenoughflex-ibilitytosupporttheiterativedevelopmentofthelogic.Adecisionwasmadeearlyontoimplementaframeworkthatallowedconfigurableworkflowsandlogic.Sincethelanguage“GELLO”waspartoftheGLIFproject(GELLOisderivedfrom“ObjectOrientatedGuidelineExpressionLanguage”)andanHL7standard,itseemedalogicalchoice.Theprojectcontinuedintwostreamswithparal-leldevelopmentofdomainmodellingandGLIF/GELLOandcontinuousintegrationbetweenthetwostreams.

TheexistingGELLOstandardwasveryhelpful;however,duringtheprojectitbecameclearthatthelanguagehadnotpreviouslybeenimplementedandtherewereerrorsinthegrammaranddocumentationthatneededresolu-tion.GiventhatGELLOwasOCL-based(ObjectCon-straintLanguage),wesoughtoutalltheOCLdocumenta-tionwecouldfindforcluesandreadalltheprecedingdocumentationsurroundingtheGELLOprojectinHL7.TheresultofthisworkwasanewBackus-NaurForm(BNF)grammarforGELLOthatsupportedtheexistingexamplesandmadeproductionofaworkingGELLOcompilerpossible.ThisgrammarhasbeensuccessfullyballotedbyHL7asGELLO,Release2.Ourjourneyfromideatothecreationofarevisedstandardtookfouryears;buttheideasbehindGELLOcanbetraced10yearsbacktotheteambehindtheGLIFproject.

GELLOisa“DomainSpecificLanguage”(DSL)whichisdefinedbyMartinFowleras“Acomputerprogramminglanguageoflimitedexpressivenessfocusedonaparticu-lardomain.”GELLOisbasedonOCLandwasasubsetofOCLwithsomeadditions,butgivenrecentadditionstoOCL,itmaybecomeasubsetagain.AnyonewithOCLexperiencewouldhavenoproblemswritingGELLO,whichisessentiallythequerypartofOCL2.Ithastheabilitytoqueryanabstractmodelofthemedicalrecord

knownasaVirtualMedicalRecord(VMR)andperformlogicprocessingontheresultsofthequeryandansweraclinicalquestion.GELLO,unlikeOCL,hasawell-definedBNFgrammarandoperators,andisoptimizedfordeal-ingwithHL7dataobjectsratherthanbaseOCLtypes.Thisallowsclinicallogictobewell-defined,conciseandstandardized.Italsocreatesalanguagefordefiningfor-mulaeforcalculatedvaluesandqualitycriteria.GELLO’slogicprocessingabilitiescanmakethedefinitionofqual-itycriteriaorcalculatedvalues,forexample,muchmorenaturalthanencodingthelogicintoXMLconstructs.Criteriaorformulacanthenbecomedirectlyexecutable.

GELLOcansolvethe“CurlyBraceProblem”ofArdenSyntax(i.e.standardizethecontentofthese)andcanbeusedasanexecutableclinicalqueryandlogiclanguagefromanyexecutableenvironment.GELLOdoesnottrytobeanaturallanguageenvironment,butrathertriestobeasmallpreciselanguagewithunambiguouslogic.AnimportantsafetyfeatureofGELLOisthatitisread-onlyanditslimitedfunctionalitymakesitsafertoexecuteinanetworkconnectedenvironment.TheresultsofGELLOexpressioncanbereturnedtothemedicalrecord,butitdoesnotaimtohavethisabilitydirectlyasitisasideeffectoffreelanguage.

TheaimofGELLOisnottoreplaceprogrammers,buttoallowclinicianswithdomainexpertisetoatleastread,andmostlyunderstand,theunderlyinglogicthatdrivesclinicaldecisionsupport.Thislogiccanthenbesharedinanun-ambiguousway.WhilethelogiccanbedirectlyexecutedbyaGELLOcompiler,itcanalsobetranslated,eithermanuallyorautomatically,intolocalimplementationlanguagesforuse.Inmanycases,thisisachievedbytheuseofaGELLOinterpreter,whichhasbeenourapproach.

Sincewecompletedtheoriginalproject,wehavecon-tinuedtofindmanyplaceswhereGELLOsolvesdifficultproblems.ItslargestrealworldusageisinanHL7Ver-sion2-basedlaboratoryandclinicalsystemtemplatesforcalculationofcustomizedreferencerangesandcalculat-edvaluessuchaseGFRandtheCrohn’sDiseaseActiv-ityIndex.Itisideallysuitedformorecomplexclinicaldecisionsupport.WearecurrentlyactivelyinvolvedintheVirtualMedicalRecord(VMR)projectwhichaimstocreateastandardizedmodelforasnapshotpatienthistory.Thiswillallowstandardizedlogicforawiderangeofmorecomplexclinicalproblemssuchasanalysisofpedigreedataanddrug-diseaseinteractions.MakingVMRmodelsexecutableusingGELLOenablesstandard-ized,sharablelogictobedevelopedforclinicaldecisionsupportandqualitycriteria.

The Domain Specific Language of Healthcare ByDr.AndrewMcIntyre(FRACP,MBBS),DirectorofR&D,Medical-Objects,Australia


21JANUARY 2011

Congratulations ttttttttttttttttttttt

To the following people who passed the HL7 Certification Exams

Certified HL7 V2.5/2.6 Chapter 2 Control Specialist

July 15, 2010ShamilaR.AmarasekeraNicolasS.BabiuchEdwardG.BartholomewCourtneyL.BushJamesR.CurryPravatK.DasCathyB.DeVosMahaA.ElomeriKathrynW.GarberRajK.IyerRazaH.RizviRoderickD.StittBryanR.VanHoorn October 7, 2010MaryE.AnthonyChristopherM.BartholomewPrasanthChowdaryGottipatiKyungJunDebraA.LaPierreAtulG.PatelJessicaL.StensrudRodneyD.TerrellShurenWang

HL7 Canada

July 13, 2010HamidBabanari

HL7 India

July 17, 2010AnjaliGuptaDharamVeerSinghManpreetSinghDarganPankajSharmaVishalNayyar

July 31, 2010ArvindN.AgrawalAbhishekAiyangarAniketD.BartakeNiranjanDeshpandeRoshanEricFernandes

PoojaGandhiManasGoelPuneetGoenkaAkashGuptaSurbhitSunilJainAnjaliKaleMayankKapoorAnubhavKumarShyamBahadurS.MauryaLokeshMeenaJitenPujaraVishnuvarthanSSandeepKr.UpadhyayAkhileshYadav

September 18, 2010Dr.SyedManzoorAhmedSyedSalmanPasha.GDerrickSequeiraNatashaSonyRajaniKumariTappaliEkanathanKeestu

HL7 Spain

June 30, 2010EduardoLópezJacintoMacíasSalvadorTrujilloSánchezDavidAnayaMarioVillacéDíezNicolásFrancisco GonzálezLópezJuanGabrielCastillo Román

July 1, 2010JoaquinCerdÁEnguixVictorBasSanchisJoséLuisBayoMontónAntonioMartínezMillanaÁlvaroMartínezRomero

Certified HL7 CDA Specialist

July 15, 2010BernardM.ChesterPhillipJ.FrigoAdamA.GronskyChadE.PetersonLuisA.Rivera

July 21, 2010BarbaraA.CollinsonChrisL.BrownDouglasA.ClaytonGuentherC.HertelHuiH.SunJodyS.SeigleLynneJ.HemstegerMarcA.WaterlooMaryO.JarquinNeelimaChennamarajaSethJ.PuckettSherryZ.WangSrinathVala

October 7, 2010CarmelaA.CoudercIsabelleGibaudRichM.KernanMichaelLaRoccaBruceD.McKinnonThomasP.PoleMitraA.RoccaMichaelTanNweNiTunRobertT.Yencha

HL7 India

July 31, 2010SameerDesaiSanjeevKumarRajeshKisinchandSajda

HL7 Korea

September 11, 2010HangchangKimJeongHunYe

HL7 Spain

June 30, 2010JaimeBercianos

July1, 2010JavierCorbinSÁnchezJoseColomerGómezJuanaCaldenteyJuliánCésarAmerOliver

Certified HL7 Version 3 RIM Specialist

July 15, 2010AndreiM.GarineSathyanarayanaVKovourBruceD.McKinnonSrikanthSuri

October 7, 2010MuhammadAfzalChristopherE.DedelsRobertR.HausamAlexanderHenketMichaelRossman

HL7 Canada

June 29, 2010RajanSharma


August 18, 2010EricE.Maillet

HL7 Romania

July 17, 2010AkankshaAroraPoojaBansalJyotiDewaniSunilKumarAmitMalhotraSunnySharma

July 31, 2010SwapnilD.BhojaneVaishaliK.DesaiLekhRajMeenaRiteshSubramanianYagneshArvindVashiNirmala

HL7 Spain

July 1, 2010JoséLuisBayoMontónÁlvaroMartínezRomero

ttttttttttttttttttttttttttttttttttt


20 JANUARY 2011

Save the date for

MIE 2011 ByAnneMoen,RN,PhD,ChairoftheNorwegianSocietyofMedicalInformaticsandAssociateProfessor InstituteofHealthandSociety,FacultyofMedicineattheUniversityofOslo,Norway

TheMIE2011contractbetweenEFMI(Eu-ropeanFederationofMedicalInformatics)andFDH(NorwegianSocietyforMedicalIn-formatics)wassignedduringtheHL7hostedreceptionatMedIn-fo2010inCapeTowninSeptember.MIE2011isthe23rdEuropeanMedicalInformaticsconference,andtakesplaceinOslo,Norway,August28-31,2011.

ThechosenthemeforMIE2011,“UserCenteredNetworkedHealthCare,”continuesdiscussionsofcurrentandfuturechallengesforthehealthinformaticsfield.Theconferenceopen-ingwillcommenceatAkershusUniversityHospital,oneofthetechnologicallymostadvancedhealthfacilitiesinEurope.Wewillofferinteractiveworkshopstofeaturethehospital’sextensiveexperiencewithadvancedhealthtechnologies,aswellastoursthroughthehospital,focus-ingonHealthCareoftheFuture(HPGlobalCentreofExcellence),IntegratedEHR,digitalizedradiologyandlaboratory.

MIE2011isaprimaryvenuefortheEuropeanhealthinfor-maticscommunity.Therefore,wewelcomethefullrangeoforiginalhealthandbiomedicalinformaticsresearchandinnovation.Thisincludeshealthrecords,standardsforinteroperability,socialsoftware,strategiesforuserin-volvement,user-centeredsupporttopatientcare,develop-

mentforsustainableuse,aswellasnewchallengeswhenhealthprofessionalscollaboratein(virtual)teamswithcolleaguesandpatients.Inthisregard,welookforwardtocollaborationswithHL7International,theEuropeanOfficeandnationalchapterstoexploreopportunitiesandtopicsforlonger-termactivities.Welookforwardtosee-ingyouallinOslo.

Stig Kjær Andersen, EFMI Executive Officer Petter Hurlen, MIE2011 LOC Chair John Mantas, EFMI President Anne Moen, Chair of FDH, MIE2011 SPC Co-Chair at contract signing at the HL7 MedInfo reception.


17JANUARY 2011

International HL7 Interoperability Conference 2011:

The Tomorrowland of Health ByStanHuff,MD,USRepresentativetotheAffiliateCouncilandIHIC2011ProgramCo-Chair

Call for PapersWearecurrentlyinvitingthesubmissionoftwo-pageextendedabstractsforthe12thInternationalHL7In-teroperabilityConferencewhichwillbeheldMay13–14justpriortotheMayHL7WorkingGroupMeetingMay15–20inLakeBuenaVista,Florida.ParticipantswillpresentanddiscussHL7relatedprojects,implementa-tionexperienceanddeploymentstrategiesrelatedtothethemeoftheconference.

FollowingthesuccessofpreviousIHICvenuesinBrazil(2010),Japan(2009),Greece(2008),IHIC2011aimstoserveasameetingplaceformorethan30HL7affiliatesaroundtheworldaswellasindividualsinterestedininteroperabilityandstandards,tosharetheirHL7imple-mentationexperienceandstrengthenthesharedvisionforafutureofintegratedhighqualitytrustedeHealthservices.

TopicsAppropriatetothevenueinOrlando,thethemeoftheconferenceis“TheTomorrowlandofHealth.”Specifictopicsinclude:

Meaningful use

• Security,privacy,andconfidentiality

• Howtogeneratevaluefromincentivemoney

• Certificationofsystems

• Interoperabilityframework

Simulation, virtual environment

• Virtualhospitals

• Virtualtraining

• Roboticsurgery

• Thevirtualpatient

• Socialnetworking

Future of Personal Health

• Mobiledevices

• Homedevices,Continua

• Community

• Smoking,obesity

• Beacongrants

• Behaviorchange

• Electronicaidsforagingandindependence

• PHR,GoogleHealth,HealthVault,recreational

genetics

Next generation architecture

• NextGenerationEHR

• SOAinhealthcare

• SMArtplatform

• Healthcareandthesemanticweb

• Modeling:LRA,openEHR,DCMs,andClinical

ElementModels

Format And SubmissionPapersshouldbeformattedaccordingtothe:IEEEformat(http://www.hl7.org.gr/ihic2008/IEEE_template.doc).

[email protected],2011(finaldeadline)

Important DatesDeadlineforSubmissions:January31,2011Responsetoauthors:February28,2011Camera-readypapersdue:March31,2011EventVenue:LakeBuenaVista,OrlandoFlorida,May13–14,2011

IHIC 2011 Program Co-ChairsStanleyHuff,MD,IntermountainHealthcareWilliamEdwardHammond,PhD,DukeCenterforHealthInformatics

Stan Huff, MD


18 JANUARY 2011

ISHEP 2010 Workshop Recap Interoperability and Standards in Healthcare – European Perspective ByMiroslavKoncar,ISHEPProgramOrganizingCommitteeandViceChair,HL7Croatia

ISHEP2010wasplannedbyHL7Croatia,CroatianSocietyforMedicalInformaticsandSlovenianSocietyforMedicalInformatics.TheeventwasorganizedundertheauspicesoftheMinistryofHealthofRepublicofSlovenia,andMinistryofHealthandSocialWelfareofRepublicofCroa-tia.Theorganizersinvitedhealthcareexecutives,opinionleaders,physicians,industryandsolutionvendors,andallotherstakeholdersforatwo-dayworkshoptopresentanddiscussbestpracticesinstandardsdevelopmentandimple-mentationsofhealthcareITsolutionsfromtopprojectsintheregion.ThemainpurposewastoexchangeexperiencesregardingeHealthstrategyexecution,costsvs.benefitsanalysis,integrationchallenges,userfriendliness,perfor-mance,reliabilityandsecurity.Organizedforthefirsttimethisyear,theconferencefeaturedseveraldistinguishedlecturersandattractedmorethan120participants.TheopeningwelcomewasdeliveredbyProf.IzetAga-novic,PhD,onbehalfofthePresidentoftheRepublicofCroatia;Dr.AndrejOrel,presidentoftheSlovenianSocietyforMedicalInformatics;andMiraHercigonja-Szekeres,PhD,chairoftheorganizingcommittee.The

openingkeynotewasdeliveredbyBenoîtAbeloos,ICTforHealthUnit,DGInformationSocietyandMedia,Europe-anCommissionandwasentitled“eHealthInteroperabilityandStandardization:aEuropeanperspective”.

Otherpresentationsincluded:

• JosDevliesfromEURORECon“ThroughfunctionalharmonizationtointeroperabilityofEHRsystems”

• RolfEngelbrech,ProRec-DEon“CommunicationofEHRsandotherdata”,

• StankoTonkovic,ChairofHL7Croatiaon“HL7StandardsinCroatia”

• SmiljanaSlavecVoncina,CIOMinistryofHealthofRepublicofSloveniaon“StandardisationineHealthprojectinSlovenia”

• RankoStevanovic,HeadofPrimaryHealthCareDepartment,CroatianPublicHealthInstituteon“PrimaryHealthcareInformationSystemProjectinCroatia”

• FredrikLinden,SKL/SALAR,epSOSProjectCo-ordinatoron“CrossBoarderInteroperabilitywithPatientSummariesandePrescribing–experiencesfromepSOSproject”

Miroslav Koncar

Izet Aganovich, PhD and Mira Hercigonja-Szekeres, PhD deliver the opening welcome comments at ISHEP 2010.


19JANUARY 2011

Upcoming INTERNATIONAL EVENTSHL7 International Standards

and Education Meeting–January Working Group Meeting

Sydney, AustraliaJanuary 9 – 14, 2011

Formoreinformation,pleasevisithttp://www.HL7.organdhttp://www.hl7.org.au/

Sydney2011.htm

CDISC Interchange EuropeBrussels, BelgiumApril 11 – 15, 2011

Formoreinformation,pleasevisithttp://www.cdisc.org/interchange

eHealth Conference 2011 / World of Health IT Conference and Exhibition

Budapest, HungaryMay 10 – 13, 2011

Formoreinformation,pleasevisithttp://www.worldofhealthit.org/

12th International HL7 Interoperability Conference

Lake Buena Vista, FLMay 13 – 14, 2011

PleasewatchtheHL7websiteformoreinformation.

eHealth 2011: Enabling Healthy OutcomesToronto, Canada

May 29 – June 1, 2011Formoreinformation,pleasevisit

http://www.e-healthconference.com/

MIE 2011Oslo, Norway

August 28 – 31, 2011Formoreinformation,pleasevisit

http://www.mie2011.org/

Ahighlightoftheprogramwasthepaneldiscussionentitled“PerspectivesofeHealthinSoutheastEurope,”whichincludedrepresentativesfromtheCroatian,SlovenianandBiHMinistriesofHealthandwasmoder-atedbySmiljanaSlavecVoncinaandMiroslavKoncar.Thedistinguishedpanelists,togetherwithwideraudi-ence,discussedtheirexperienceandexpectationsfromeHealthprojects.

TheseconddayoftheworkshopfeaturedaninvitedtalkbyCatherineChronakion“HL7Standards–StateoftheWorld“andeducationalseminarsonHL7CDAbyReneSpronk,IHEInteroperabilityprofilesbyCharlesParisot,andaEHR-Q-TNworkshopbyVesnaIlakovac,JosDevlies,RolfEngelbrechtandLeoCiglenecki.

MoreinformationonISHEP2010isavailableat http://www.ishep.org

Presenters for the panel discussion on “Perspectives of eHealth in Southeast Europe.”


20 JANUARY 2011

Save the date for

MIE 2011 ByAnneMoen,RN,PhD,ChairoftheNorwegianSocietyofMedicalInformaticsandAssociateProfessor InstituteofHealthandSociety,FacultyofMedicineattheUniversityofOslo,Norway

TheMIE2011contractbetweenEFMI(Eu-ropeanFederationofMedicalInformatics)andFDH(NorwegianSocietyforMedicalIn-formatics)wassignedduringtheHL7hostedreceptionatMedIn-fo2010inCapeTowninSeptember.MIE2011isthe23rdEuropeanMedicalInformaticsconference,andtakesplaceinOslo,Norway,August28-31,2011.

ThechosenthemeforMIE2011,“UserCenteredNetworkedHealthCare,”continuesdiscussionsofcurrentandfuturechallengesforthehealthinformaticsfield.Theconferenceopen-ingwillcommenceatAkershusUniversityHospital,oneofthetechnologicallymostadvancedhealthfacilitiesinEurope.Wewillofferinteractiveworkshopstofeaturethehospital’sextensiveexperiencewithadvancedhealthtechnologies,aswellastoursthroughthehospital,focus-ingonHealthCareoftheFuture(HPGlobalCentreofExcellence),IntegratedEHR,digitalizedradiologyandlaboratory.

MIE2011isaprimaryvenuefortheEuropeanhealthinfor-maticscommunity.Therefore,wewelcomethefullrangeoforiginalhealthandbiomedicalinformaticsresearchandinnovation.Thisincludeshealthrecords,standardsforinteroperability,socialsoftware,strategiesforuserin-volvement,user-centeredsupporttopatientcare,develop-

mentforsustainableuse,aswellasnewchallengeswhenhealthprofessionalscollaboratein(virtual)teamswithcolleaguesandpatients.Inthisregard,welookforwardtocollaborationswithHL7International,theEuropeanOfficeandnationalchapterstoexploreopportunitiesandtopicsforlonger-termactivities.Welookforwardtosee-ingyouallinOslo.

Stig Kjær Andersen, EFMI Executive Officer Petter Hurlen, MIE2011 LOC Chair John Mantas, EFMI President Anne Moen, Chair of FDH, MIE2011 SPC Co-Chair at contract signing at the HL7 MedInfo reception.


17JANUARY 2011

International HL7 Interoperability Conference 2011:

The Tomorrowland of Health ByStanHuff,MD,USRepresentativetotheAffiliateCouncilandIHIC2011ProgramCo-Chair

Call for PapersWearecurrentlyinvitingthesubmissionoftwo-pageextendedabstractsforthe12thInternationalHL7In-teroperabilityConferencewhichwillbeheldMay13–14justpriortotheMayHL7WorkingGroupMeetingMay15–20inLakeBuenaVista,Florida.ParticipantswillpresentanddiscussHL7relatedprojects,implementa-tionexperienceanddeploymentstrategiesrelatedtothethemeoftheconference.

FollowingthesuccessofpreviousIHICvenuesinBrazil(2010),Japan(2009),Greece(2008),IHIC2011aimstoserveasameetingplaceformorethan30HL7affiliatesaroundtheworldaswellasindividualsinterestedininteroperabilityandstandards,tosharetheirHL7imple-mentationexperienceandstrengthenthesharedvisionforafutureofintegratedhighqualitytrustedeHealthservices.

TopicsAppropriatetothevenueinOrlando,thethemeoftheconferenceis“TheTomorrowlandofHealth.”Specifictopicsinclude:

Meaningful use

• Security,privacy,andconfidentiality

• Howtogeneratevaluefromincentivemoney

• Certificationofsystems

• Interoperabilityframework

Simulation, virtual environment

• Virtualhospitals

• Virtualtraining

• Roboticsurgery

• Thevirtualpatient

• Socialnetworking

Future of Personal Health

• Mobiledevices

• Homedevices,Continua

• Community

• Smoking,obesity

• Beacongrants

• Behaviorchange

• Electronicaidsforagingandindependence

• PHR,GoogleHealth,HealthVault,recreational

genetics

Next generation architecture

• NextGenerationEHR

• SOAinhealthcare

• SMArtplatform

• Healthcareandthesemanticweb

• Modeling:LRA,openEHR,DCMs,andClinical

ElementModels

Format And SubmissionPapersshouldbeformattedaccordingtothe:IEEEformat(http://www.hl7.org.gr/ihic2008/IEEE_template.doc).

[email protected],2011(finaldeadline)

Important DatesDeadlineforSubmissions:January31,2011Responsetoauthors:February28,2011Camera-readypapersdue:March31,2011EventVenue:LakeBuenaVista,OrlandoFlorida,May13–14,2011

IHIC 2011 Program Co-ChairsStanleyHuff,MD,IntermountainHealthcareWilliamEdwardHammond,PhD,DukeCenterforHealthInformatics

Stan Huff, MD


16 JANUARY 2011

GELLO:Thejourneyfromideatoimplementationcanbealongone,butalllongjourneysbeginwithasinglestep.ForMedical-Objects,thatstepwasaresearchanddevelop-mentprojecttoexplorewaysofstreamliningregistryreportingforlymphomatreatmentinAustralia.ThisprojectwassponsoredbytheAustralianFederalGov-ernment,throughtheirInformationTechnologyOnline(ITOL)initiative.Theprojectwasscopedtoexploreoptionsratherthandetermineafinalsolution.TheinitialthoughtsweretohardcodeaGLIF-like(GuidelineInterchangeFormat)applicationthatenableddatacollectionfromcliniciansandsubsequenttransmissionofsummarydatatoacancerregistry.Theprocessofunderstandingadomainisaniterativeone,however,anditbecameclearthatthefinaldomainmodelwouldcontinuetochangeandhardcodingthemodelandlogicwouldnotallowenoughflex-ibilitytosupporttheiterativedevelopmentofthelogic.Adecisionwasmadeearlyontoimplementaframeworkthatallowedconfigurableworkflowsandlogic.Sincethelanguage“GELLO”waspartoftheGLIFproject(GELLOisderivedfrom“ObjectOrientatedGuidelineExpressionLanguage”)andanHL7standard,itseemedalogicalchoice.Theprojectcontinuedintwostreamswithparal-leldevelopmentofdomainmodellingandGLIF/GELLOandcontinuousintegrationbetweenthetwostreams.

TheexistingGELLOstandardwasveryhelpful;however,duringtheprojectitbecameclearthatthelanguagehadnotpreviouslybeenimplementedandtherewereerrorsinthegrammaranddocumentationthatneededresolu-tion.GiventhatGELLOwasOCL-based(ObjectCon-straintLanguage),wesoughtoutalltheOCLdocumenta-tionwecouldfindforcluesandreadalltheprecedingdocumentationsurroundingtheGELLOprojectinHL7.TheresultofthisworkwasanewBackus-NaurForm(BNF)grammarforGELLOthatsupportedtheexistingexamplesandmadeproductionofaworkingGELLOcompilerpossible.ThisgrammarhasbeensuccessfullyballotedbyHL7asGELLO,Release2.Ourjourneyfromideatothecreationofarevisedstandardtookfouryears;buttheideasbehindGELLOcanbetraced10yearsbacktotheteambehindtheGLIFproject.

GELLOisa“DomainSpecificLanguage”(DSL)whichisdefinedbyMartinFowleras“Acomputerprogramminglanguageoflimitedexpressivenessfocusedonaparticu-lardomain.”GELLOisbasedonOCLandwasasubsetofOCLwithsomeadditions,butgivenrecentadditionstoOCL,itmaybecomeasubsetagain.AnyonewithOCLexperiencewouldhavenoproblemswritingGELLO,whichisessentiallythequerypartofOCL2.Ithastheabilitytoqueryanabstractmodelofthemedicalrecord

knownasaVirtualMedicalRecord(VMR)andperformlogicprocessingontheresultsofthequeryandansweraclinicalquestion.GELLO,unlikeOCL,hasawell-definedBNFgrammarandoperators,andisoptimizedfordeal-ingwithHL7dataobjectsratherthanbaseOCLtypes.Thisallowsclinicallogictobewell-defined,conciseandstandardized.Italsocreatesalanguagefordefiningfor-mulaeforcalculatedvaluesandqualitycriteria.GELLO’slogicprocessingabilitiescanmakethedefinitionofqual-itycriteriaorcalculatedvalues,forexample,muchmorenaturalthanencodingthelogicintoXMLconstructs.Criteriaorformulacanthenbecomedirectlyexecutable.

GELLOcansolvethe“CurlyBraceProblem”ofArdenSyntax(i.e.standardizethecontentofthese)andcanbeusedasanexecutableclinicalqueryandlogiclanguagefromanyexecutableenvironment.GELLOdoesnottrytobeanaturallanguageenvironment,butrathertriestobeasmallpreciselanguagewithunambiguouslogic.AnimportantsafetyfeatureofGELLOisthatitisread-onlyanditslimitedfunctionalitymakesitsafertoexecuteinanetworkconnectedenvironment.TheresultsofGELLOexpressioncanbereturnedtothemedicalrecord,butitdoesnotaimtohavethisabilitydirectlyasitisasideeffectoffreelanguage.

TheaimofGELLOisnottoreplaceprogrammers,buttoallowclinicianswithdomainexpertisetoatleastread,andmostlyunderstand,theunderlyinglogicthatdrivesclinicaldecisionsupport.Thislogiccanthenbesharedinanun-ambiguousway.WhilethelogiccanbedirectlyexecutedbyaGELLOcompiler,itcanalsobetranslated,eithermanuallyorautomatically,intolocalimplementationlanguagesforuse.Inmanycases,thisisachievedbytheuseofaGELLOinterpreter,whichhasbeenourapproach.

Sincewecompletedtheoriginalproject,wehavecon-tinuedtofindmanyplaceswhereGELLOsolvesdifficultproblems.ItslargestrealworldusageisinanHL7Ver-sion2-basedlaboratoryandclinicalsystemtemplatesforcalculationofcustomizedreferencerangesandcalculat-edvaluessuchaseGFRandtheCrohn’sDiseaseActiv-ityIndex.Itisideallysuitedformorecomplexclinicaldecisionsupport.WearecurrentlyactivelyinvolvedintheVirtualMedicalRecord(VMR)projectwhichaimstocreateastandardizedmodelforasnapshotpatienthistory.Thiswillallowstandardizedlogicforawiderangeofmorecomplexclinicalproblemssuchasanalysisofpedigreedataanddrug-diseaseinteractions.MakingVMRmodelsexecutableusingGELLOenablesstandard-ized,sharablelogictobedevelopedforclinicaldecisionsupportandqualitycriteria.

The Domain Specific Language of Healthcare ByDr.AndrewMcIntyre(FRACP,MBBS),DirectorofR&D,Medical-Objects,Australia


21JANUARY 2011

Congratulations ttttttttttttttttttttt

To the following people who passed the HL7 Certification Exams

Certified HL7 V2.5/2.6 Chapter 2 Control Specialist

July 15, 2010ShamilaR.AmarasekeraNicolasS.BabiuchEdwardG.BartholomewCourtneyL.BushJamesR.CurryPravatK.DasCathyB.DeVosMahaA.ElomeriKathrynW.GarberRajK.IyerRazaH.RizviRoderickD.StittBryanR.VanHoorn October 7, 2010MaryE.AnthonyChristopherM.BartholomewPrasanthChowdaryGottipatiKyungJunDebraA.LaPierreAtulG.PatelJessicaL.StensrudRodneyD.TerrellShurenWang

HL7 Canada


HL7 India

July 17, 2010AnjaliGuptaDharamVeerSinghManpreetSinghDarganPankajSharmaVishalNayyar

July 31, 2010ArvindN.AgrawalAbhishekAiyangarAniketD.BartakeNiranjanDeshpandeRoshanEricFernandes

PoojaGandhiManasGoelPuneetGoenkaAkashGuptaSurbhitSunilJainAnjaliKaleMayankKapoorAnubhavKumarShyamBahadurS.MauryaLokeshMeenaJitenPujaraVishnuvarthanSSandeepKr.UpadhyayAkhileshYadav

September 18, 2010Dr.SyedManzoorAhmedSyedSalmanPasha.GDerrickSequeiraNatashaSonyRajaniKumariTappaliEkanathanKeestu

HL7 Spain

June 30, 2010EduardoLópezJacintoMacíasSalvadorTrujilloSánchezDavidAnayaMarioVillacéDíezNicolásFrancisco GonzálezLópezJuanGabrielCastillo Román

July 1, 2010JoaquinCerdÁEnguixVictorBasSanchisJoséLuisBayoMontónAntonioMartínezMillanaÁlvaroMartínezRomero

Certified HL7 CDA Specialist

July 15, 2010BernardM.ChesterPhillipJ.FrigoAdamA.GronskyChadE.PetersonLuisA.Rivera

July 21, 2010BarbaraA.CollinsonChrisL.BrownDouglasA.ClaytonGuentherC.HertelHuiH.SunJodyS.SeigleLynneJ.HemstegerMarcA.WaterlooMaryO.JarquinNeelimaChennamarajaSethJ.PuckettSherryZ.WangSrinathVala

October 7, 2010CarmelaA.CoudercIsabelleGibaudRichM.KernanMichaelLaRoccaBruceD.McKinnonThomasP.PoleMitraA.RoccaMichaelTanNweNiTunRobertT.Yencha

HL7 India

July 31, 2010SameerDesaiSanjeevKumarRajeshKisinchandSajda

HL7 Korea

September 11, 2010HangchangKimJeongHunYe

HL7 Spain

June 30, 2010JaimeBercianos

July1, 2010JavierCorbinSÁnchezJoseColomerGómezJuanaCaldenteyJuliánCésarAmerOliver

Certified HL7 Version 3 RIM Specialist

July 15, 2010AndreiM.GarineSathyanarayanaVKovourBruceD.McKinnonSrikanthSuri

October 7, 2010MuhammadAfzalChristopherE.DedelsRobertR.HausamAlexanderHenketMichaelRossman

HL7 Canada

June 29, 2010RajanSharma


August 18, 2010EricE.Maillet

HL7 Romania

July 17, 2010AkankshaAroraPoojaBansalJyotiDewaniSunilKumarAmitMalhotraSunnySharma

July 31, 2010SwapnilD.BhojaneVaishaliK.DesaiLekhRajMeenaRiteshSubramanianYagneshArvindVashiNirmala

HL7 Spain

July 1, 2010JoséLuisBayoMontónÁlvaroMartínezRomero

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22 JANUARY 2011

February 20-24, 2011 Orlando, FL

Join us in the HL7 Booth (#5863) at the HIMSS 2011 Exhibit

HL7willonceagainofferavarietyofeducationsessionscoveringHL7stan-dardsandcurrentindustrytopics.VisitourboothtolearnmoreabouthowHL7andHL7standardscontributetomean-ingfuluseandarehelpingchangethefaceofhealthcareIT.

HL7 Benefactors as of November 15, 2010

US Department of Defense

Military Health System

Centers for Disease Control and Prevention

Save the date for

HIMSS 2011


15JANUARY 2011

statement“topromoteandfacilitatethedevelopmentanduseofHL7andrelatedstandardstomeetPakistaneHealthneeds”andtheslogan“Healthwithstandard.”

HL7CanadaChairMichaelvanCampenpresentedHL7develop-mentsfromCanada.HerevisitedtheCanadaInfowayStandardsCol-laborativeincludingISO,IHTSDO,andHL7Canada,whichmaysoonincludeIHECanadaandpossiblyGS1.ThisfruitfulcollaborationandsynergyhasbroughtwideadoptionofHL7Version3specificationsinclud-ing:Chiro/PhysioClaims(Ontario),PharmacyClaims(Newfoundland,PEI),ClientandProviderregistries(inmostregions),DiagnosticImaging(BC/Yukon,Saskatchewan,Mani-toba,Ontario,NewBrunswick,NovaScotia,PEI,Newfoundland),Lab(BC,Ontario(v2),Quebec,NovaScotia),Pharmacydispensation(Newfound-land,PEI,Alberta,Saskatchewan,BC(v2),Quebec),ePrescribing(Ontario,underway),DischargeSummary&eReferralsusingCDA/SharedHealthRecord(Ontario,NovaScotia),andImmunization(PEI,Newfoundland).

Prof.KenToyodafromHL7JapansharedthefactthatseveralHL7standards(i.e.CDAR2Referraldocu-mentandHL7Version2.5messageforprescriptionsandlabexaminationresults,diseaseclassifications)arenowendorsedandsubsidizedbytheMinistryofHealthinJapan.More-over,hestatedthataspartoftheRe-gionalHealthcareRevitalizationFund(3BYen),morethan10-15%willbe

devotedtoHealthcareInformationTech-nology(HIT)in90regions.HealsonotedthatJAMI,alongwiththeMinistryofHealth,isengaginginaroadshowApril16-26,2011toteachHITstandardsandpossibleapplicationsinhealthcare.ThispolicyturnsouttobequitesuccessfulasthenumberofHIS,ca-pableofexportingor-derentrydatainHL7Version2.5formatis594(March2010).

HL7TaiwanChairChien-TsaiLiureportedthattheeffortsinTaiwanconcentrateondevelopingtransactionandprofilesfortheexchangeofEHRsincludingmedicalimagingreportsanddischargesummaries,laboratorybloodtestordersandreports,aswellasoutpatientmedicationreports.Atthesametime,HL7TaiwancontributesinassessinggoalsofEMRadoption.For2010,thegoalofEHRadoptionwithinhospitalshasbeenreachedby76%,inprimaryclinics100%,andacrosshos-pitals14%,forexchangeofmedicalimagesandradiologyreports.

HL7FranceChairNicolasCanureport-edontheprogressofthepharmacy

recordprojectknownasDP(“Dos-sierPharmaceutique”)thatusesCDAwhichhasgainedsignificantmomen-tuminseveralregionsacrossFrance.Progresscanbemonitoredonlinefordifferentregionsatascanbeseenon-lineathttp://www.ordre.pharmacien.fr/DP/index9.htm.

Atthesametime,theDMP(“DossierMédicalPartagé”)projectaimstogoliveinDecember2010.TheunderlyingInteroperabilityFrameworkisbasedonHL7CDAplusIHEXDS,whilesev-eraltargetprofilesareplannedforCDAlevel3:Labreport,Anatomicpathol-ogyreport,Hospitaldischargereport,Multidisciplinarymeetingreport(can-cercase),Birthcertificate,etc.

NicolasalsoreiteratedHL7France’sin-terestinhostingtheSpring2012WGM.

HL7AustraliapresentedtheInterna-tionalCouncilwiththelatestinforma-tionontheJanuaryWGMwhichwillbeheldinSydney.Formoredetailsonthismeeting,pleasevisithttp://www.hl7.org.au/Sydney2011.htmThereportsfromHL7AroundtheWorldinCambridge,MAareavail-ablefordownloadatthepagesoftheInternationalCouncilathttp://www.hl7.org/library/committees/intl/HL7_around_the_world_oct_2010.zip

HL7 Pakistan Website

DP Pharmacy Record Project in France


14 JANUARY 2011

Report from the HL7 International

Council Meeting in Cambridge ByCatherineChronaki,AffiliateDirector,HL7InternationalBoardofDirectors, InternationalCouncilCo-Chair—AffiliateLiaison

OnSundayOctober3,theHL7Inter-nationalCouncilhaditsopenmeetingattendedbymorethan100participantsfromsome30countries.Intheopeningsession,co-chairsCatherineChronaki,RobertStegwee,andHelenStevenswelcomedHL7Pakistan,thenewestmemberoftheInternationalCouncilwhichaimstofurtherpromoteadop-tionofHL7standardsinAsia.

ReportsfromtheCEO,theCTO,andtheJICfollowed.

Marketing Council ReportJillKaufman’sreportfromtheMar-ketingCouncildiscussedprogressontheAmbassadorProgram,aninitia-tivethatwillbeledfromnowonbyGrantWood,co-chairoftheMarketingCouncil.TheAmbassadorProgramco-ordinatesthecreationofstandardizedshortpresentationsforconferencesandothereventstopromoteaware-nessofkeyHL7technicalwork.

Theprogramhasrecentlylaunchedawebinarseries,whichhasbeenre-ceivedwithenthusiasmandincreas-inginterestbytheglobalHL7andhealthcareITcommunity.

JillalsoreportedontheUniversityPro-gram,whichaimstoincreasethepres-enceofHL7andotherhealthinforma-tiontechnologystandardsaspartofthe

curriculumatuniversities.Theprogramrecentlycompletedthepilotof“CaseofHealthCareInteroperabilityStan-dards,”aslidedeckof56slidesaspartoftheHL7UniversityProgramCurricu-lum2010.UniversityprofessorsaroundtheworldarewelcometocontactHL7andreceivetheslidedecktouseitaspartyoftheircoursematerial.

Due Diligence Committee ReportMichaelvanCampen,chairoftheAffiliateDueDiligenceCommittee,

reportedonthedissolutionofHL7Ireland,andthestrongprospectstowardthecreationofHL7PuertoRicoandHL7BosniaHerzegovina.HealsonotedseveralweakaffiliatesthatneedsupportfromtheInternationalMentor-ingCommittee,volunteersandaffiliateleadershiptoregainmomentum.

Affiliate Liaison ReportCatherineChronaki,inheraffiliateliaisonreport,notedseveraleventsandconferencesthatwereorganizedorsupportedbymembersoftheInterna-tionalCouncil:HL7ItaliaOpenDays(Role,September2010),ISPHEP2010inZagreb,Croatia(HL7Croatia),HL7AsiaPacificConferenceinTaiwan,andtheEFMISTCConferenceinReykjaviksponsoredbytheInternationalCouncil.

Health Story Project ReportHL7ChairBobDolin,MD,presentedontheHealthStoryProject,aUS-drivenefforttostandardizetranscriptsofclinicaldocumentsthatformpartofElectronicHealthRecordsusingCDAimplementationguidesandarigor-ousconformancetestingprocess.Thepresentationtriggeredavibrantdiscus-siononthetransitionfromrealm-basedimplementationguidestoglobalorinternationalones.

HL7 Around the WorldThelastsessionallowedHL7affiliatestheopportunitytopresentdevelop-mentsfromtheiraffiliatessharingtheirconcerns,roadblocks,progress,andsuccessstories.

ThereportfromHL7PakistandeliveredbyMuhammadAfzal,receivedwarmapplausebythemembersofthecoun-cil,fortheelegantdesignoftheHL7Pakistanwebsiteandlogo,themission

Catherine Chronaki

Graphical representation depicting the growing number of HL7 affiliates


23JANUARY 2011

AFFILIATE CONTACTS

HL7 ArgentinaDiego KaminkerPhone: +54-11-4781-2898Email: [email protected]

HL7 AustraliaDavid Rowlands Phone: +61-420-306-556 Email: [email protected]

HL7 AustriaStefan SabutschPhone: +43-664-3132505Email: [email protected]

HL7 BrazilMarivan Santiago AbrahaoPhone: +55-11-3045-3045Email: [email protected]

HL7 CanadaMichael van CampenPhone: +1-250-881-4568Email: [email protected]

HL7 ChileSergio Konig Phone: +56-2-7697996 Email: [email protected]

HL7 China Caiyou Wang Phone: +86-010-82801546 Email: [email protected]

HL7 ColombiaFernando A. Portilla Phone: +57-2-5552334 x41Email: [email protected]

HL7 CroatiaStanko Tonkovic, PhDPhone: +385-1-6129-932Email: [email protected]

HL7 Czech RepublicLibor SeidlPhone: +420-775-387691Email: [email protected]

HL7 FinlandNiilo SaranummiPhone: +358-20-722-3300Email: [email protected]

HL7 France Nicolas Canu Phone: Phone: +33 02-35-60-41-97 Email: [email protected]

HL7 GermanyBernd Blobel, PhDPhone: 49-941-944-6769 Email: [email protected]

HL7 GreeceGeorge Patoulis, MD, MPHPhone: +30-210-8067888Email: [email protected]

HL7 Hong Kong Chung Ping Ho Phone: +852 34883762 Email: [email protected]

HL7 IndiaBimal Naik Email: [email protected]

HL7 ItalyStefano LottiEmail: [email protected]

HL7 JapanMichio Kimura, MD, PhDPhone: +81-3-3506-8010Email: [email protected]

HL7 KoreaByoung-Kee Yi, PhD(Interim Chair) Phone: +82 234101944 Email: [email protected]

HL7 New ZealandDavid HayPhone: +64-9-638-9286Email: [email protected]

HL7 Norway Espen Moeller Phone: +47 97008186 Email: [email protected]

HL7 Pakistan Dr. Hafiz Farooq Ahmad Phone: +92 51-90852155 Email: [email protected]

HL7 RomaniaFlorica Moldoveanu, PhD Phone: +40-21-4115781Email: [email protected]

HL7 RussiaTatyana Zarubina MD, PhD Phone: +007-495-434-55-82 Email: [email protected]

HL7 SingaporeHo Khai Leng Email: [email protected]

HL7 SpainCarlos Gallego PerezPhone: +34-93-693-18-03 Email: [email protected]

HL7 SwedenGustav AlvfeldtPhone: +82 234101944 Email: [email protected]

HL7 SwitzerlandBeat HeggliPhone: +41-1-806-1164Email: [email protected]

HL7 TaiwanChien-Tsai Liu, PhD Phone: +886-2-25526990Email: [email protected]

HL7 The NetherlandsRobert Stegwee, MSc, PhDPhone: +31-30-689-2730Email: [email protected]

HL7 TurkeyErgin SoysalEmail: [email protected]

HL7 UKCharlie BishopPhone: +44-8700-112-866Email: [email protected]

HL7 UruguaySelene Indarte Phone: +5985-711-0711 Email: [email protected]


24 JANUARY 2011

BenefactorsAbbottAccentureBooz Allen HamiltonCenters for Disease Control and Prevention/CDCDuke Translational Medicine InstituteEclipsys CorporationEpic Systems CorporationEuropean Medicines AgencyFood and Drug AdministrationGE Healthcare ITGlaxoSmithKlineIBMIntel Corporation, Digital Health GroupInterSystemsKaiser PermanenteLockheed MartinMcKesson Provider TechnologiesMicrosoft CorporationNHS Connecting for HealthNICTIZ Nat.ICT.Inst.Healthc.NetherlandsNovartisOracle Corporation - HealthcarePartners HealthCare System, Inc.Pfizer Inc.Philips HealthcareQuest Diagnostics, IncorporatedSiemens HealthcareSt. Jude MedicalUS Department of Defense, Military Health SystemUS Department of Veterans Affairs

SupportersAEGIS.net, Inc.Beeler Consulting LLCCellcura IHMedicalCgate Health, Inc.Corepoint HealthiNTERFACEWARE, Inc.LINK Medical Computing, Inc.MeditureSentillion, Inc.SYSTEMS HEALTHCARE SOLUTIONS ELEARNING

Consultants3rd Millennium, Inc.5AM Solutions, Inc.AccentureAccuregsoftwareACOM SolutionsAHIS - St. John Providence HealthAlschuler Associates, LLCAnakam, Inc.Aprico ConsultantsAquashell IT Solutions Corp.BC Provincial Renal AgencyBooz Allen HamiltonCAL2CAL CorporationCanon Development AmericasCentriHealthCollege of American PathologistsCSGDapasoft Inc.DeloitteDiagnostic Radiology and Oncology ServicesDinalex Technology Solutions Inc.DPSciences CorpEastern Informatics, Inc.Edifecs, Inc.eGeeks, LLCElectro-Optical Sciences, Inc.

Evolvent TechnologiesFEI.comForward Advantage, Inc.Frank McKinney Group, LLCGartnerGensa CorporationGordon Point Informatics Ltd.GSI Health, LLCGuidewire ArchitectureHashrocketHealthcare Data AssetsHealthcare Integration TechnologiesHealthCare TechnologiesHLN Consulting, LLCHubbert Systems ConsultingImplementing TechnologiesInformation Technology Architect, Inc.Intelligent Health SystemsIT BroadcastingLaboratoire Bio-Medic, Inc.LMILockheed MartinMainstream Health, Inc.Matricis Informatique Inc.MeddiusMedQuist, Inc.MedtronicMultimodal Technologies, Inc.newMentorOctagon Research Solutions, Inc.OTech, Inc.Pervasive SoftwarePro-Active Revenue SolutionsProfessional Laboratory Management, Inc.Ray Heath, LLCSabiaNet IncScenPro, Inc.SEC Associates, Inc.SemanticBits, LLCShafarman ConsultingTech-Time, Inc.The Diebold Company of CanadaThe Law Office of Jeffrey ChangThe St. John Group, LLCTPJ Systems, Inc.Vangent, Inc.Wovenware

General InterestAgency for Health Care AdministrationAgency for Healthcare Research and QualityAlliance for Pediatric QualityAmerican Assoc. of Veterinary Lab DiagnosticiansAmerican Health Information Management AssociationAmerican Immunization Registry Association (AIRA)American Medical AssociationAORNBlue Cross Blue Shield AssociationCabinet for Health and Family ServicesCalifornia Department of Health Care ServicesCalifornia HealthCare FoundationCAQHCardiovascular/Metabolic Ctr: Ramathibodi HospitalCarilion ClinicCDISCCEI Community Mental Health AuthorityCenters for Disease Control and Prevention/CDCCenters for Medicare & Medicaid ServicesCollege of Healthcare Information Mgmt. ExecutivesCom of Mass Department of Public HealthDelta Dental Plans AssociationDepartment of Developmental Services

Department of HealthDGS, Commonwealth of VirginiaDiv.of Medical Assistance, State of NJDuke Translational Medicine InstituteECRI InstituteEmory University, Research and Health Science ITEstonian eHealth FoundationEuropean Medicines AgencyFauji Foundation PakistanGeorgia Medical Care FoundationHealth Information and Quality AuthorityHIMSSHospital Universiti Kebangsaan MalaysiaHSE - Health Service ExecutiveICCBBA, Inc.Illinois Department of Public HealthIllinois Healthcare and Family ServicesIntegrating the Healthcare Enterprise TaiwanIowa Department of Public HealthIowa Foundation for Medical CareJSS Medical ResearchKansas Department of Health & EnvironmentL.A. County Dept of Public HealthLA County Probation DepartmentMedical Research CouncilMedical University of South CarolinaMinistry of Health - SloveniaMinnesota Department of HealthMultimedia Development Corporation (MDec)N.A.A.C.C.R.NACHRINANDA InternationalNational Association of Dental PlansNational Center for Health Statistics/CDCNational Council for Prescription Drug ProgramsNational Institute of Standards and TechnologyNational Library of MedicineNational Quality ForumNew England Healthcare Exchange NetworkNew York State Department of Health, Wadsworth Ctr.NICTIZ Nat.ICT.Inst.Healthc.NetherlandsNIH/Department of Clinical Reseach InformaticsNorth Carolina DHHS-DMH/DD/SASOA-ITSD - Department of Mental HealthOchsner Medical FoundationOffice of the National Coordinator for Health ITOhio Health Information PartnershipsPennsylvania Dept of Health-Bureau of InformationPharmaceuticals & Medical Devices AgencyPhastPublic Health Data Standards ConsortiumSAMHSASC Dept. of Health & Environmental Control HSSEECS NUSTSocial Security AdministrationSoftware and Technology Vendors’ AssociationSouthwest Research InstituteSultanate of Oman, Ministry of HealthTennessee Department of HealthTexas Association of Community Health Centers, Inc.Texas Department of State Health Services - LabTexas Health and Human Services CommissionThe Joint CommissionThe MITRE CorporationUS Department of Health & Human ServicesUniversity HealthSystem ConsortiumUniversity of Texas Medical Branch at GalvestonUS Army Institute of Surgical ResearchUSDA APHIS VS CIOUtah Health Information NetworkVermont Oxford NetworkWashington State Department of Health

HL7 ORGANIZATIONAL MEMBERS


13JANUARY 2011

HL7 Standards in Child Health Prove Beneficial to National Efforts ByS.AndrewSpooner,MDandFeliciano“Pele”Yu,MD,HL7ChildHealthWorkGroupCo-Chairs

ElectronicHealthRecord(EHR)systemsareoftenbuiltwithadultpa-tientsinmindanddonotoptimallysupporttheprovisionofhealthcaretochildren.In2008,theHL7ChildHealthWorkGrouppublishedtheHL7ChildHealthFunctionalProfile

forEHRSystemsasaguideforvendorsandprovidersintheUSdevelopingandusingelectronicmedicalrecordsystemsforchildhealthcare.TheprofileisacompanionstandardtotheHL7EHR-SystemFunctionalModel(EHR-SFM),anditbecameanANSI-approvedAmericanNationalStandardinJanuary2009.

TheprofilerepresentsconsensusfromthemajorUSpe-diatricorganizationsonthecriticalEHRfunctionalityforchildhealthcare,receivingstrongsupportfromtheAmeri-canAcademyofPediatrics(AAP),TheAmericanBoardofPediatrics(ABP),ChildHealthCorporationofAmerican(CHCA)andNationalAssociationofChildren’sHospitalsandRelatedInstitutions(NACHRI).Becauseofthis,andthebenefitsofundergoingavigorousreviewthroughtheopenHL7standardsdevelopmentprocess,theprofileisavaluabletoolforassessingwhatisneededinanEHRsys-temthatmightbeusedtocareforchildren.

Overtheprevioustwoyears,theprofilehasbeenusedintwohighlyvisiblenationaleffortsintheUnitedStates.ItwasfirstusedaresourcefortheCertificationCommissionforHealthInformationTechnology(CCHIT)asitsChildHealthWorkGroupdefinedcertificationcriteriaforEHRsystems.Theprofile’scriteriafortopicssuchasimmuni-zationmanagement,growthtracking,medicationdosing,datanormsandprivacywereusedasstartingpointsindevelopingspecificcertificationcriteriaforchildhealthcare.AsofOctober2010,fortyambulatoryEHRvendorproductsarecertifiedbyCCHITforchildhealthcare(listavailableatwww.cchit.org).

TheprofileisnowbeingusedbyaprojectthatoriginatedfromtheChildren’sHealthInsuranceProgramReauthoriza-tionActof2009(CHIPRA),whichcallsfordevelopmentofamodelEHRFormatforchildrenenrolledinMedicaidortheChildren’sHealthInsuranceProgram(CHIP).Theleg-islationmandatedthatbyJanuary1,2010,theSecretaryoftheDepartmentofHealthandHumanServicesestablishaprogramtoencouragethedevelopmentanddisseminationofamodelEHRFormatforchildren.Theproject’sgoalistodevelopamodelFormat,demonstratethatitcanbereadilyused,andpackageitinawaythatfacilitatesbroadincorporationintoEHRsystems.

TheAgencyforHealthcareResearchandQuality(AHRQ)andtheCentersforMedicare&MedicaidServices(CMS)aresponsoringtheproject.Westatistheproject’sprimecontractor,andsubcontractorsincludetheAmericanAcademyofFamilyPhysicians,theAmericanAcademyofPediatrics(AAP),DukeUniversity,FoxSystems,Inc.,IntermountainHealthcare,andtheUniversityofMary-land.Theprojectteam,whichincludesapanelofadozentechnicalexperts,isreviewingtheprofile’srequirementsasonesourceofinformationforthemodelFormat.ThreeHL7ChildHealthWorkGroupco-chairsareparticipatingonthepanel.AdraftversionoftheFormatwillbeavail-ableMarch2011forassessmentbyCHIPRAdemonstrationprojectsinNorthCarolinaandPennsylvania.

TheHL7ChildHealthWorkGroupisprovidinginputintotheworkunderwayonRelease2oftheHL7EHR-SFMandhasplanstopublishRelease2fortheChildHealthProfileshortlyafter,incorporatinggoodfeedbackfromtheabove-mentionedCCHITandCHIPRAefforts.Formoreinforma-tion,[email protected].

Andrew Spooner, MD

Feliciano Yu, MD


12 JANUARY 2011

HL7 Static Model

Designer Tool ByWilfredBonney,HL7ToolingAdministrator

TheHL7StaticModelDesigner(SMD)toolisasecondgenerationofHL7Version3MessagemodelingtoolinEclipseplatform.Initssimplestform,theSMDtoolisanEclipse-basedtoolthatenablesHL7modellerstocreate,validate,andmaintainhealthcaremodelsbasedontheHL7Version3messagingstandard.ThetoolwasaNHSConnectingforHealthfundedprojectdevelopedbyB2In-ternational(B2i)asareplacementoftheexistingHL7Vi-sio-basedRMIMDesignertool.Thesetwotoolshaveverysimilarfeatures,butbeginnerswillneedtolearnhowtousethenewSMDtoolinordertogetthesameresults.

TheHL7SMDtoolfunctionsonany32or64-bitmachineswithLinux,Macin-tosh,andMicrosoftWindowsoperatingsystems.TheSMDtoolisastandaloneapplicationthatisdeliveredwithintheEclipse(3.3andabove)platformandisusuallypackagedinEclipseRCP(RichClientPlatform)withallexistingMIF-basedplug-ins(InstanceEditor,MIFDiff,etc).TheSMDtoolaimstobeaunifiedmodellingworkbenchthataidsHL7mod-ellerstodevelopHL7Version3Messages,createinstances,testanddifferencestaticmodels.Figure1showsascreenshot

ofasamplestaticmodel(e.g.POLB_MT000001UV01)designedusingtheSMDtool.

TheToolingWorkGrouphaspublished“Beginners’GuidetoHL7StaticModelDesigner”documentationtoaidbeginnersinunderstandingthefullfunctionalityandcapabilityofthetool.ThedocumentcanbedownloadeddirectlyfromtheHL7GForgesiteattheURL:http://gforge.hl7.org/gf/download/frsrelease/704/7666/hl7_smd-beginnersguide-1.0.0.zip.

ForadditionalassistanceandcommentregardingtheuseoftheSMDtool,[email protected].

Wilfred Bonney

A sample static model design (e.g. POLB_MT000001UV01)


25JANUARY 2011

PayersActive Health Management, Inc.Blue Cross and Blue Shield of AlabamaBlue Cross Blue Shield of South CarolinaBMS Reimbursement ManagementCareSourceHealth Care Service CorporationMedSolutions, Inc.Premera Blue CrossUnitedHealth GroupWisconsin Physicians Service Ins. Corp.

PharmacyBristol-Myers SquibbEli Lilly and CompanyFood and Drug AdministrationGenzyme CorporationGlaxoSmithKlineMerck & Co., Inc.NovartisPfizer, Inc.Sanofi-Aventis R&DSapphire Health, LLCTakeda Global Research & Development Center, Inc.

ProvidersAAdvanced Biological LaboratoriesAkron General Medical CenterAlbany Medical CenterAlere HealthARUP Laboratories, Inc.Ascension Health Information ServicesAspirus - Wausau HospitalAthens Regional Health Services, Inc.Baylor Health Care SystemBJC HealthCareBlessing HospitalBloomington Hospital & Healthcare SystemsBlount Memorial HospitalCape Regional Medical CenterCedars-Sinai Medical CenterCenter for Life ManagementChildren’s Hospital Medical Center of AkronCincinnati Children’s HospitalCity of Hope National Medical CenterCleveland Clinic Health SystemCommunity Reach CenterCorrectional Medical ServicesDelta Health AllianceDetroit Medical CenterDiagnostic Laboratory ServicesEastern Main Healthcare SystemsEmory HealthcareEndocrine Clinic of Southeast TexasGroup Health CooperativeHarden Healthcare ServicesHealix IncHealth Network LaboratoriesHealthBridgeHill Physicians Medical GroupHong Kong Hospital AuthorityHospital Corporation of America (HCA)Il Melograno Data Services S.p.AIntermountain HealthcareJohns Hopkins HospitalKaiser PermanenteLaboratory Corporation of AmericaLahey ClinicLakeland Regional Medical CenterLexington Medical CenterLoyola University Health System

Lucile Packard Children’s HospitalLux MedMayo ClinicMedStar Health Information SystemsMercy Health PartnersMeridian HealthMillennium LabsMilton S. Hershey Medical CenterMultiCare Health SystemNational Cancer Institute Center for BioinformaticsNationwide Laboratory Services, Inc.New York-Presbyterian HospitalNHS Connecting for HealthParkview HealthPartners HealthCare System, Inc.Pathology Associates Medical LaboratoriesPatient FirstQliance Medical Management, IncQueensland HealthQuest Diagnostics, IncorporatedRady Children’s Hospital and Health CenterRegenstrief Institute, Inc.Riverside Methodist HospitalsRobert Bosch HealthcareRockford Health SystemRockingham Memorial HospitalRoyal Hobart Hospital, Pathology ServicesSA Tartu University ClinicsSaudi Aramco - Healthcare Applications DivisionSharp HealthCare Information SystemsShields Health CareSISOFT Healthcare Information SystemsSisters of Mercy Health SystemSouth Bend Medical Foundation, Inc.Spectrum HealthStanford Hospital & ClinicsSumma Health SystemTallahassee Memorial HospitalTeam HealthTexas Children’s HospitalTexas Health ResourcesThe Children’s Hospital of PhiladelphiaThe North Carolina Baptist Hospitals, Inc.Trinity HealthTriumph HealthcareTuomey Healthcare SystemUS Department of Defense, Military Health SystemUS Department of Veterans AffairsUKHealthCareUniversity Hospital (Augusta)University of Chicago Medical CenterUniversity of Illinois at Chicago Medical CenterUniversity of Nebraska Medical CenterUniversity of Pittsburgh Medical CenterUniversity of Utah Health CareUniversity Physicians, Inc.UT M.D. Anderson Cancer CenterUW Medicine, IT ServicesVUMCWashington National Eye CenterWellMed Medical ManagementWest Virginia University HospitalsWheaton Franciscan Healthcare

Vendors//SOS/Corporation3M Health Information Systems4MedicaAbbottABELSoft CorporationAccent on IntegrationACS

ACSAEGIS.net, Inc.Agilex TechnologiesAkimeka LLCAlert Life Sciences Computing, Inc.Allied Medical LLC, dba SB ClinicalAllscripts-MisysAltos Solutions, IncAltova GmbHAmazing ChartsAmerican DataAmerican Health Care SoftwareAmerican HealthTech, Inc.AmerisourceBergen Specialty GroupAmkaiSolutionsAmtelcoAndalusia health business solutionsAnvita HealthApelon, Inc.Applied Informatics for Health SocietyASG Software SolutionsAskesis Development GroupAthena Health, Inc.Atirix Medical SystemsAurora MSCAvaility, LLCAxolotl CorporationAxSysAxwayBalsam Healthcare Corp. LtdBeeler Consulting, LLCBizmatics, Inc.BlueStep SystemsBridgeGate InternationalBrookwood Systems, Inc.CareFacts Information Systems, Inc.Carefx CorporationCarestream Health, Inc.CaristixCellcura IHMedicalCerner CorporationCertify Data SystemsCetrea A/SCgate Health, Inc.Chace and Associates Technologies, LLCChemWareChiron Data SystemsCliniComp, Intl.ClinigenceCMRCNSICommunity Computer Service, Inc.CompuSoft Systems of PR, IncComputer Technology CorporationComputrition, Inc.Constitution Medical InvestorsCorepoint HealthCortex Medical Management Systems, Inc.CovisintCPCHSCPSICSAM International ASCSC HealthcareCuraspan Healthgroup, Inc.Cybernetica ASCyrus-XP LLCData Innovations, Inc.Data Processing SPAData Strategies, Inc.Dawning Technologies, Inc.DC ComputersDeJarnette Research Systems, Inc.



26 JANUARY 2011

Delta System Inc.Dg Med Technology Corp.digiChart, Inc.Digital Medical Merge, Inc.DIPS ASADocComplyDocSite, LLCDocuTAPDolbey & CompanyDoubleBridge Technologies, Inc.Dreamscape BlueechoBaseEclipsys CorporationEDS CorporationE-Health Partners, Inc.Electronic Patient Records (Pty) LtdEMC Information Intelligence Groupe-MDsEmissary Professional Group, LLCEpicESRIEttelaresani Payvand DadehaExactData, LLCExpert Sistemas Computacionales S.A. DE C.V.ExplorysE-Z BIS, Inc.ezEMRxFIACIA CorpFirst Insight CorporationFox Systems, Inc.Future Health, Inc.GE Healthcare ITgloStream, Inc.Goldblatt SystemsGreenway Medical Technologies, Inc.Grupo Prides S.AHaemonetics CorporationHarris CorporationHealth Care Software, Inc.Health Language, Inc.HealthCare Conversion ServicesHealthCare IQHealthcare Management Systems, Inc.HEALTHeSTATEHealthlandHealthline, Inc.HealthTrio, LLCHealthwise, Inc.Hill AssociatesHi-Range Technologies, IncHospiServe Healthcare Services Pty LtdHyland Software, Inc.Iatric SystemsIBMICANotes, LLCiConnect ConsultingIgnis Systems CorporationImage Solutions, Inc.(ISI)ImageTrend, INCInfo WorldInfoQuest Systems, Inc.Information BuildersInmediata Health GroupInstitute for Health MetricsIntegrated Healthcare Solution Sdn Bhdintegration AGIntel Corporation, Digital Health GroupIntellicure, Inc.IntelliSys ConsultingIntelliware Development, Inc.Interface People, LPiNTERFACEWARE, Inc.

Interfix, LLCInterSystemsIntraNexus, Inc.IntuitivEMR, Inc. dba AZZLYiSALUS HealthcareiSOFT Nederland b.v.ITIQ SolutionsKeane, Inc.Kestral Computing Pty Ltd.Key Management GroupK-Tech Solutions, Inc.Labware, IncLawsonLEAD Technologies, Inc.Life Systems SoftwareLife TechnologiesLINK Medical Computing, Inc.Liquent, Inc.LogibecLORENZ Life Sciences GroupLSS Data SystemsMcKesson Provider TechnologiesMD Land InternationalMDofficeManager.comMEDai, Inc.MedcomsoftMedflow, Inc.MEDfx CorporationMEDHOST, Inc.Medical Informatics Engineering, Inc.Medicity, Inc.MediRec Inc.MediServe Information Systems, Inc.MeditureMEDIWARE Information SystemsMedPATH Networks, Inc.MedSign International CorporationMedVirginiaMETA Solutions, Inc.MicroFour, Inc.Microsoft CorporationMirth CorporationMITEM CorporationMitochon Systems.Modernizing Medicine, Inc.MPN Software Systems, Inc.Netsmart Public Health, Inc.New Health Sciences, Inc.NexJ Systems Inc.NextGen Healthcare Information Systems, Inc.Nexus ClinicalNiceware International, LLCNoridian Administrative ServicesNoteworthy Medical SystemsOakland SoftwareOccupational Health ResearchOmnicell, Inc.Omnicom srlOpenmed, LLCOpenTreatment.ComOpus Healthcare Solutions Inc.Oracle Corporation - HealthcareOratier Technologies Pvt. Ltd.Orchard SoftwareOrion HealthOZ SystemsP&NP Computer Services, Inc.PAREXELPhilips HealthcarePolyRemedy, Inc.Positive Business Solutions, Inc.PrimeSource Healthcare

ProcuraProfessional Practice ResourcesPronia Medical SystemsQS/1 Data Systems, Inc.Recondo Technology, Inc.Reed Technology and Information Services, Inc.Remcare Inc.Response Genetics, Inc.Rosch Visionary SystemsRTZ Associates, Inc.SageSAIC - Science Applications International Corp.Sandlot, Inc.SAS InstituteScantron CorporationSentillion, Inc.Siemens HealthcareSilkOneSimplied Software Development LLCSISCOSNAPS, Inc.Softactics, Inc.Softek Solutions, Inc.Software AG USA, Inc.Sorin CRM SASSt. Jude MedicalStatRad, LLCSTI Computer Services, Inc.Stockell Healthcare Systems, Inc.Stratus EMRSuncoast SolutionsSunquest Information SystemsSuperclick Networks, IncSurescriptsSurgical Information SystemsSurgiVision Consultants, Inc.Swearingen Software, Inc.SymantecSYSTEMS HEALTHCARE SOLUTIONS ELEARNINGTC Software, Inc.TELCOR OISTeradata Corporation, GIS/AMSThe CBORD Group, Inc.The Shams GroupThe SIMI Group, Inc.The SSI Group, Inc.TheraDoc, Inc.Therap Services, LLCTouchNet Information Systems, Inc.TouchPACS Health SolutionsTurningPoint Global Solutions LLCUp To Data Professional Services GmbUSPD, Inc.Valley Hope Association - IMCSSVirco BVBAVirtifyVocollect Healthcare Systems, Inc.Warren Lamb & Associates, Ltd.Watermark Research Partners, Inc.WebMD Health ServicesWellsoft CorporationWolters Kluwer HealthWorkflow.com, LLCXeo HealthXIFIN, Inc.XPress TechnologiesYak Digital Corp.ZetaSys Dental Enterprise SolutionZoho Corp.Zynx Health



11JANUARY 2011

Dave Hamill

News from the PMOByDaveHamill,Director,HL7ProjectManagementOffice

Updated Project Scope State-ment Template – Coming in January 2011TheHL7ProjectManagementOffice(PMO)andtheProjectServicesWorkGroup(PSWG)willreleaseanew2011versionoftheProjectScopeStatement(PSS)template;aresultoftheirannualupdatestothetemplate.Asusual,ourgoalistostreamlineandsimplifythetemplatesothatit’seasiertousebyHL7membersandprovidesthemostusefuldatatothemembership.

Changesinclude:• Makeco-sponsoritsownfieldin

thePSSTemplate,ProjectInsightandtheSearchableProjectData-base

• ProvidefortheabilitytolistkeySDO/Profilers

• IncludehelptextregardingUniver-salRealmguidelines

• Includerecommendedcommuni-cationtasks

• Withinthetemplatearea,removeHelptextandProjectInsightguidelinetext

• RefinehelptextintheAppendices• Removethe2.bPublicDocument

checkbox

Project Health and Project Dashboard ReportsTheHL7PMOhasbeenworkingwiththeTechnicalSteeringCommittee(TSC)todesignProjectHealthandProjectDashboardreports.ProjectHealthreportsreflectthestatusofaworkgroup’sprojectportfolio.ProjectDashboardreportsprovideanat-a-glancestatusforindividualproj-ects.ThereportsarebasedondatagatheredfromProjectInsight,includ-ingstatusupdates,milestonedeliver-abledatesandballotinginformation.

SAIF and Sound – Fast Track to Standard DevelopmentTheProjectServicesWorkGroupcontinuestheireffortontheSAIFandSound–FastTracktoStandardDevelopmentproject(project#676).TheteamisidentifyingchangestotheProjectLifeCycleforProductDevelopment(PLCPD)soastointro-ducepredictable,one-yearapprovalcyclesforsuitably-scopedprojectsthatleveragebothmethodologyandarchitecturebest-practicesandbuildsonHL7’spastsuccesses.

Additionally,theProjectServicesWorkGroupwillbeworkingwiththeArBandtheSAIFprojectteamstocreateanHL7SAIFImplementationGuide(project#TBDatpresstime).TheSAIFImplementationGuidewill

providestakeholdersaclearpictureofexactlywhatisrequiredtouseandinteroperatewithanorganization’ssoftwarecomponents.

Havequestionsregardingtheseproj-ects?ContactprojectfacilitatorsRickHaddorff([email protected])orIoanaSingureanu([email protected]).

Monthly WebinarsBesuretolookineNewsforthedatesandtimesofthemonthlywebinar“HL7ProjectManagementToolOver-viewforHL7ProjectFacilitators”.Thesessionsaretargetedforco-chairsandthoseleadingHL7projects(i.e.ProjectFacilitators).ThewebinarwilldemonstrateHL7projecttoolsinclud-ingProjectInsight(HL7’sprimaryprojectrepository),theHL7Search-ableProjectDatabase,GForge,aswellasreviewHL7projectprocessesandmethodologies.

HL7 Project Tracking ToolsAllofHL7’sprojecttools,includ-ingtheSearchableProjectDatabase,GForgeandProjectInsight,areavail-ableonwww.HL7.org via Participate > Tools & Resources > Project Tracking Tools.

Co-Chair Q & A, cont. from pg. 10

thereareprocessesforremovingaco-chairfromoffice,theseshouldbeusedwithcautionanddiscretion.Shouldtheworkgroupvotetoremoveaco-chairfromoffice,itmayappointaninterimchairtoserveuntilthenextof-ficialelection.AllofthesedecisionsshouldbeconveyedtoHQ.

Q: My co-chair term is expiring at the next WGM but our work group won’t be meeting there. What should we do?

A.WorkgroupsfacingthissituationcandecidetoholdtheelectionanywayorchoosetodefertheelectionuntilthenextWGM.GOM§05.02.01(VariancetoVotingProcess)allowsforeitherofthesetwoprocesses.Someworkgroupschoosetomoveforwardwiththeirco-chairelectionastheelectionprocessallowsforabsenteevoting(GOM§05.02.3).OthergroupsprefertodefertheelectionuntilthenextWGM.HQassumesthatworkgroupswillmoveforwardwiththescheduledelectionunlesstheyareadvisedotherwise.


10 JANUARY 2011

Co-Chair Q & A ByKarenVanHentenryck,HL7AssociateExecutiveDirector

SubmittedonbehalfoftheProcessImprovementCommittee

Co-Chair Transition

Anumberofquestionsrelatedtoco-chairtransitionareroutinelyraisedbyworkgroupsduringthecourseofgeneralbusiness.TheProcessImprovementCommittee(PIC)wouldliketotakethisopportunitytodemystifysomeoftheseprocessesbyreferencingtherelevantsec-tionsintheGovernanceandOperationsManual(GOM)andprovidingclarifyinginformation.

Q: Do new co-chairs elected at the Working Group Meetings (WGM) take office immediately or do they as-sume their new role immediately following the WGM?

A:Accordingto§09.02.04oftheGOM(TermofOffice),co-chairterms“shallcommenceuponvalidationofelec-tionresults.”Inotherwords,newlyelectedco-chairsof-ficiallyassumetheirnewroleonThursdaysattheWGM,althoughmanyworkgroupsandnewlyelectedco-chairsprefertohavetheoutgoingchaircontinuetochairthemeetingsthroughtheendoftheWGM,particularlysinceheorsheplannedtheagenda.Thisiscertainlyreason-ableifthat’swhattheworkgroupdecidestodo.

Q: What happens if one of our work group co-chairs resigns?

A:Co-chairsmayneedtoresignforanynumberofrea-sons,bothpersonalandprofessional.Luckily,thereareprocessesinplacetoensurethatyourworkgroupcanfillthevacatedco-chairpositionwithouttoomuchinterrup-tiontothegroup’sactivities.

Firstandforemost,theworkgrouporresigningco-chairsshouldadviseHQsothattheappropriateupdatescanbemadeintheofficeandplansforthenextco-chairelec-tionscanbemade.

Iftheneedisimmediate,theworkgroupshould,follow-ingitsestablisheddecisionmakingpractices,bringamo-tionforwardtofillthevacatedpositionwithaninterimco-chair.Acceptnomineesviaemailandonthephoneandthenconductasimplevoteonyourcallorthroughemail/doodlepoll.Theinterimco-chairservesuntiltheopenpositioncanbeannouncedthroughtheofficial30-daycallfornominationsfromHQ,whichisdistributedatleast60daysbeforeeachWGM.Ifaco-chairresignsafter

thatannouncementhasbeendistributedfromHQ,theinterimwillservethroughtheupcomingWGManduntiltheofficialco-chairelectionsattheWGMfollowingthat.Shouldtheco-chairresigninadvanceofthe30-daycallfornominations,theopenco-chairpositionwillbean-nouncedinthe30-daycallfornominationsandelectionsfortheopenpositionwillbeheldattheupcomingWGM.

Sometimes,aworkgroupdecidesnottofillavacantco-chairpositionwhenaco-chairresigns.Aslongastheworkgrouphasmadethatdeterminationaccordingtoitsdecisionmakingpractices,thatisfine.SimplyletHQknowsothatthischangeisreflectedinthedatabaseandthelistservs.

Q. Our work group would like to add an additional co-chair. Is there a procedure for doing this?

A.Whilemostworkgroupsshouldnotrequiremorethan2-3chairs,GOM§09.02.04(WorkGroupCo-Chairs)providestheprocessforworkgroupsthatwishtoaddanextrachair.Onceamotiontoaddanadditionalco-chairhasbeenraisedandapprovedaccordingtotheworkgroup’sdecisionmakingpractices,theworkgroupcandesignateanindividualtoserveastheinterimco-chairuntilanofficialco-chairelectioncanbeheld.PleasenotifyHQtoensurethattheirrecordscanbeupdatedaccordinglyandthatyourworkgroup’sco-chairelectionsareannouncedinthenextcallfornominations.

Q: Can a work group remove a co-chair from office? If so, under what conditions?

A: §09.02.04.03(RemovalfromOffice)oftheGOMdoesallowforremovalofaco-chairfromoffice.Thisprocessoutlinestwoconditionsunderwhichremovalmaybewarranted:missingoftwoconsecutiveworkinggroupmeetingswithoutmitigatingcircumstancesandlessthan60%participationontheworkgroup’sconferencecallsbetweenWGMs.Theindividualbringingforwardamo-tiontotheworkgroupforremovalofaco-chairisrespon-sibleforpresentingtheappropriateevidenceanddefend-ingtheircharge;Inaddition,thisworkgroupbusinessshouldproceedaccordingtotheworkgroup’sdecisionmakingpractices.Itgoeswithoutsayingthatwhile


Karen Van Hentenryck


27JANUARY 2011

2011 TECHNICAL STEERING COMMITTEE MEMBERS

CHAIRAustin Kreisler Science Applications International Corp. (SAIC)Phone: 404-542-4475Email: [email protected] CHIEF TECHNICAL OFFICERJohn QuinnHL7 InternationalPhone: 216-409-1330Email: [email protected] ArB CO-CHAIRS Charles Mead, MD, MSc 3rd Millennium, Inc. Phone: 510-541-8224 Email: [email protected]

Ron Parker Canada Health Infoway Phone: 902-222-7716 Email: [email protected]

INTERNATIONAL REPRESENTATIVE Jay Zimmerman Canada Health Infoway/HL7 Canada Phone: 250-385-1510 Email: [email protected]

DOMAIN EXPERTS CO-CHAIRSAustin KreislerScience Applications International Corp. (SAIC)Phone: 404-542-4475Email: [email protected]

Edward Tripp Edward S Tripp and Associates, Inc. Phone: 224-234-9769 Email: [email protected]

FOUNDATION & TECHNOLOGY CO-CHAIRSGeorge (Woody) Beeler Beeler Consulting, LLC Phone: 507-254-4810 Email: [email protected]

Anthony Julian Mayo Clinic Phone: 507-266-0958 Email: [email protected]

STRUCTURE & SEMANTIC DESIGN CO-CHAIRSCalvin BeebeMayo Clinic/FoundationPhone: 507-284-3827Email: [email protected]

Gregg SeppalaUS Department of Veterans AffairsPhone: 301-526-2703 Email: [email protected]

TECHNICAL & SUPPORT SERVICES CO-CHAIRSPatrick Loyd Icode Solutions Phone: 415-209-0544 Email: [email protected]

Ken McCaslinQuest Diagnostics, IncorporatedPhone: 610-650-6692Email: [email protected]

DOMAIN EXPERTSAnatomic PathologyAnesthesiologyAttachmentsChild HealthClinical Interoperability Council*Community Based Collaborative CareEmergency CareGovernment ProjectsHealth Care DevicesImaging IntegrationPatient CarePatient SafetyPharmacyPublic Health & Emergency Response Regulated Clinical Research Information Management

FOUNDATION & TECHNOLOGYImplementable Technology SpecificationsImplementation/ConformanceInfrastructure & MessagingModeling & MethodologyRIM Based Application ArchitectureSecurityService Oriented Architecture TemplatesVocabulary

TECHNICAL & SUPPORT SERVICESEducationElectronic ServicesInternational Mentoring CommitteeProcess Improvement CommitteeProject ServicesPublishingTooling

STRUCTURE & SEMANTIC DESIGNArden SyntaxClinical Context Object WorkgroupClinical Decision SupportClinical GenomicsClinical StatementElectronic Health RecordFinancial ManagementOrders & ObservationsPatient AdministrationStructured Documents

*Voice only; no vote

STEERING DIVISIONS


28 JANUARY 2011

HL7 WORK GROUP CO-CHAIRSAffiliates CouncilCatherine Chronaki—Affiliate Liaison HL7Hellas/FORTH-InstituteofComputerSciencePhone:30-2810-391691Email:[email protected]

Robert Stegwee, MSc, PhD—HL7 International LiaisonHL7TheNetherlandsPhone:31-30-689-2730Email:[email protected]

Helen Stevens Love—Secretary GordonPointInformaticsLtd.Phone:250-598-0312Email:[email protected]

Anatomic Pathology David Booker, MDCollegeofAmericanPathologistsPhone:706-736-0991Email:[email protected] Brodsky, MDCollegeofAmericanPathologistsPhone:646-322-4648Email:[email protected]

Architectural Review Board

Charlie Mead, MD, MSc3rdMillennium,Inc.Phone:510-541-8224Email:[email protected]

Ron ParkerHL7CanadaPhone:902-832-0876Email:[email protected]

John QuinnHealthLevelSevenInternationalPhone:216-409-1330Email:[email protected]

Arden Syntax


Attachments

Durwin DayHealthCareServiceCorporationPhone:312-653-5948Email:[email protected]

Craig GabronBlueCrossBlueShieldofSouthCarolinaPhone:803-763-1790Email:[email protected]

Jim McKinleyBlueCrossandBlueShieldofAlabamaPhone:205-220-5960Email:[email protected]

Child Health

David Classen, MD, MSAllianceforPediatricQualityPhone:801-532-3633Email:[email protected]

Gay Giannone, MSN (Interim)AlschulerAssociates,LLCPhone:714-744-4152Email:[email protected]

Joy KuhlAllianceforPediatricQualityPhone:703-842-5311Email:[email protected]

Andy Spooner, MD, FAAPCincinnatiChildren’sHospitalPhone:513-803-0121Email:[email protected]

Feliciano Yu, MDSt.LouisChildren’sHospitalPhone:314-454-2808Email:[email protected]

Clinical Context Object Workgroup (CCOW)David FusariSentillion,Inc.Phone:978-749-0022Email:[email protected]

Michael Russell, MDDukeTranslationalMedicineInstitutePhone:919-684-2513Email:[email protected]

David StaggsUSDepartmentofVeteransAffairsPhone:858-826-5629Email:[email protected]

Clinical Decision SupportGuilherme Del Fiol, MDDukeTranslationalMedicineInstitutePhone:919-681-7011Email:[email protected]


Kensaku Kawamoto, PhDDukeTranslationalMedicineInstitutePhone:919-684-2340Email:[email protected]

Howard StrasbergWoltersKluwerHealthPhone:408-746-9958Email:[email protected]

Clinical Genomics

Joyce HernandezMerck&Co.,Inc.Phone:732-594-1815Email:[email protected]

Kevin Hughes, MDPartnersHealthCareSystem,Inc.Phone:617-724-0048Email:[email protected]

Amnon ShaboIBMPhone:972-544-714070Email:[email protected]

Mollie Ullman-CullerePartnersHealthCareSystem,Inc.Phone:617-582-7249Email:[email protected]

Clinical Interoperability Council

Sam Brandt, MDSiemensHealthcarePhone:610-219-5701Email:[email protected]

Meredith Nahm (Interim)DukeTranslationalMedicineInstitutePhone:919-668-8339Email:[email protected]

Anita WaldenDukeTranslationalMedicineInstitutePhone:919-668-8256Email:[email protected]

Clinical Statement



Rik Smithies HL7UKPhone:44-7720-290967Email:[email protected] Based Collaborative Care

Suzanne Gonzales-WebbUSDepartmentofVeteransAffairsPhone:858-366-2008Email:[email protected]

Richard ThoresonSAMHSAPhone:240-276-2827Email:[email protected]

Max WalkerDepartmentofHumanServicesPhone:61-3-9096-1471Email:[email protected]

EducationMike HendersonEasternInformatics,Inc.Phone:301-585-5750Email:[email protected]


AbdulMalik ShakirCityofHopeNationalMedicalCenterPhone:626-644-4491Email:[email protected]

Electronic Health Records

Gary DickinsonCentriHealthPhone:951-536-7010Email:[email protected]

Don Mon, PhDAmericanHealthInformationManagementAssociationPhone:312-233-1135Email:[email protected]


Patricia Van DykeDeltaDentalPlansAssociationPhone:503-243-4492Email:[email protected]

Electronic Services

Bill Braithwaite, MD, PhDAnakam,Inc.Phone:703-888-4630Email:[email protected]

Lorraine Constable (Interim)ConstableConsultingIncPhone:(780)951-4853Email:[email protected]

Ken McCaslinQuestDiagnostics,IncorporatedPhone:610-650-6692Email:[email protected]

Emergency CareLaura Heermann LangfordIntermountainHealthcarePhone:801-290-6674Email:[email protected]


9JANUARY 2011

Remembering Professor Yun Sik Kwak, MD, PhD (1936-2010) Kwak Sensei

“Sensei”isaprefixtonames,almostsimilarto“Doctor,”butithasmanymoremeaningssuchasa“Medicaldoc-tor,”“Teacher,”ora“Respectedperson.”Hewasasensei,byallofthesemeanings.

Dr.KwakgraduatedfromNationalKyungpookMedi-calUniversityofDaegu,Korea,whichishishometown.

Afterthat,hemovedtotheUnitedStatesandbecameafacultymem-berofclinicalpathologyatCaseWesternUniversityinCleveland,Ohio.Dr.Kwakwasappointedasacerti-fiedinspectoroftheCollegeofAmericanPathologists(CAP).Whenhevisitedhishometownduringhissab-batical,hewasstronglypersuadedtobeafacultymem-berathisalmamater,andwasappointedasaprofessorofmedicalinformatics.

Dr.Kwakwasanexcellentleaderandhisnaturalten-dencywastobecompletelydevotedtoanyendeavorheundertook.Hisinvolvementinhealthcareinformatics,andstandardsdevelopmentinparticular,wasmarkedbythesamedevotionandbenefittedfromhisleadershipcapabilities.Dr.KwakfoundedHL7Koreain2002andservedastheappointedchairforISO/TC215from2003-2009.HepavedthewayforclosecooperationbetweennumerousstandarddevelopingorganizationswithinandaroundtheHL7,ISO/TC215andCEN/TC251realm.Dr.Kwakwasalsoanaturalandskilledcollaboratorandbroughttogetherdiversegroupsandintereststoachievethecommonobjectiveofglobalhealthcare.

Aboveall,Dr.Kwakwilllongberememberedasafriendandanexampleforallofustofollow.

MichioKimura,MD,PhDHL7JapanChair

Above:Miyajima Shrine, Hiroshima Japan, at APAMI Conference, November 2009.

Right: Memorial flowers sent by HL7 and other organizations.

Michio Kimura, MD, PhD


8 JANUARY 2011

addition,HL7raised$211forDoctorswithoutBordersfromthesalesofthejokeribbonsatourWGMsin2010.

Benefactors and SupportersWearethrilledtohaveattractedthealltimehighestnumberofHL7benefactorsandsupporters,whoarelistedonpages20and24.TheirsupportofHL7isverymuchneededandsincerelyappreciated.Representativesfromthebenefactorsarepicturedabove.Aspecialthankyouisextendedtothelistoffirmsthatrepresentour2010HL7benefactorsandsupporters.

Organizational Member FirmsAslistedon24-26,HL7isveryproudtoreportthatthenumberofHL7organizationalmembercompaniesisatanalltimehigh,including588companies.WesincerelyappreciatetheirongoingsupportofHL7viatheirorganizationalmember-shipdues.

Sydney WGMIlookforwardtoseeingmanyofyouinSydney,AustraliaforourJanuary9-14,2011HL7WorkingGroupMeeting.NotonlywilltheWGMbeproductive,butwewillalsohavetheopportunitytovisitoneofworld’smostbeauti-fulcities.WhiletherearemanyindividualsthathaveplayedkeyrolesrelatedtothisJanuary2011WGM,I’dliketopersonallyrecognizetheincredibleefforts

madebythreeindividuals:RichardDixon-Hughes,KlausVeilandTinaConnell-Clark.Theyhaveworkedincrediblyhardandhavedevotedhundredsofhoursworkingtoensurethesuccessofthismeeting.OnbehalfoftheHL7Board,Isendasincerethankyouandlookforwardtothankingtheminpersondownunder.

In ClosingAsthisarticlewillbepublishedpriortotheupcomingholidays,Iwishtoclosewithaheartfeltthankyoutoallofyouwhohavemadeapositivedifferenceinmylifeand/or

inthelivesaroundyou.OnbehalfoftheHL7staff,weextendtoyouandyourlovedonesourbestwishesforgoodhealth,muchhappiness,andlotsofsmilesthisholidayseasonandbeyond.

2011 Publishing CalendarMay 2011 Ballot Cycle

January23 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus April4 Ballotopendate May9 Ballotclosedate May15–20 MayWorkingGroupMeeting

September 2011 Ballot Cycle

May29 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus August1 Ballotopendate September5 BallotclosedateSeptember11–16 SeptemberWorkingGroupMeeting

January 2012 Ballot Cycle September25 Projectscopestatementdeadlinefornewcontentaswell ascommitteeintenttoreconcileandadvancestatus December5 Ballotopendate January9 Ballotclosedate January15–20 JanuaryWorkingGroupMeeting

Update from Headquarters, cont. from pg. 7

Representatives from the 2010 HL7 Benefactors


HL7 Work Group Co-Chairs, continued

29JANUARY 2011

Donald Kamens, MDXPressTechnologiesPhone:904-296-1189Email:[email protected]

James McClay, MDUniversityofNebraskaMedicalCenterPhone:402-559-3587Email:[email protected]

Peter ParkUSNavyBureauofMedicine&SurgeryPhone:202-762-3438Email:[email protected]

Financial Management

Kathleen ConnorMicrosoftCorporationPhone:360-480-7599Email:[email protected]

Beat HeggliHL7SwitzerlandPhone:41-1-806-1164Email:[email protected]

Mary Kay McDanielMarkam,Inc.Phone:602-266-2516Email:[email protected]

Generation Of Anesthesia Standards

Martin Hurrell, PhDPhone:44-7711-669-522Email:[email protected]

Alan NicolPhone:44-141-585-6358Email:[email protected]

Government ProjectsNancy OrvisUSDepartmentofDefense,MilitaryHealthSystemPhone:703-681-5657Email:[email protected]

Mitra RoccaFoodandDrugAdministrationPhone:301-796-2175Email:[email protected]

Health Care Devices

Todd CooperBreakthroughSolutionsFoundry,Inc.(IEEE)Phone:858-435-0729Email:[email protected] KrantzMedtronicPhone:763-526-0513Email:[email protected]

John Rhoads, PhDPhilipsHealthcarePhone:978-659-3024Email:[email protected]

Imaging Integration

Helmut Koenig, MDSiemensHealthcarePhone:49-9131-84-3480Email:[email protected]

Harry SolomonGEHealthcareITPhone:847-277-5096Email:[email protected]

Implementable Technology Specifications

Paul KnappContinovationServices,Inc.Phone:604-987-3313Email:[email protected]

Dale NelsonSquaretrendsLLCPhone:916-367-1458Email:[email protected]

Andy StechishinGordonPointInformaticsLtd.Phone:780-903-0885Email:[email protected]

Implementation/Conformance

Wendy HuangCanadaHealthInfowayInc.Phone:416-595-3449Email:[email protected]

Frank OemigHL7GermanyAgfaHealthcarePhone:49-208-781194Email:[email protected]

Melva PetersHLCanadaJenakerConsulting,Inc.Phone:604-515-0339Email:[email protected]

Robert SnelickNationalInstituteofStandards&TechnologyPhone:301-975-5924Email:[email protected]

Infrastructure & Messaging

Anthony JulianMayoClinicPhone:507-266-0958Email:[email protected]


David Shaver CorepointHealthPhone:214-618-7000Email:[email protected]

Sandra StuartKaiserPermanentePhone:925-924-7473Email:[email protected]

International Mentoring Committee



Marketing Council

Catherine Chronaki HL7HellasFORTH-InstituteofComputerSciencePhone:30-2810-391691Email:[email protected]

Jill Kaufman, PhDCollegeofAmericanPathologistsPhone:847-832-7163Email:[email protected]


Grant WoodIntermountainHealthcarePhone:801-408-8153Email:[email protected]

Modeling and Methodology

George (Woody) Beeler Jr., PhDBeelerConsulting,LLCPhone:507-254-4810Email:[email protected]

Jean DuteauHL7CanadaPhone:780-937-8991Email:[email protected]

Grahame GrieveKestralComputingPtyLtd.Phone:61-3-9450-2222Email:[email protected] McKenzieHL7CanadaLM&AConsulting,Ltd.Phone:780-993-9501Email:[email protected]

Ravi NatarajanNHSConsultingforHealthPhone:44-113-390-6520Email:[email protected]

Ioana SingureanuEversolve,LLCPhone:603-870-9739Email:[email protected]

Orders and Observations


Robert Hausam, MDOntoReasonPhone:801-949-1556Email:[email protected]

Austin KreislerScienceApplicationsInternationalCorp.(SAIC)Phone:404-542-4475Email:[email protected]


Ken McCaslinQuestDiagnostics,Inc.Phone:610-650-6692Email:[email protected]

Outreach Committee for Clinical Research


Patient Adminstration

Gregg SeppalaUSDepartmentofVeteransAffairsPhone:301-526-2703Email:[email protected]

Jay Zimmerman HL7CanadaPhone:250-385-1510Email:[email protected]

Patient Care

Stephen Chu, PhDNationaleHealthTransitionAuthority(NEHTA)Email:[email protected]

William GoossenResults4CareB.V.Amersfoort,TheNetherlandsPhone:31-654-614458Email:[email protected]

Ian TownendNHSConnectingforHealth Phone:44-113-280-6743 Email:[email protected]

Klaus VeilPhone:61-412-746-457Email:[email protected]


30 JANUARY 2011

HL7 Work Group Co-Chairs, continued Patient Safety

Nick HalseyEuropeanMedicinesAgencyPhone:44-0-20-7523-7100Email:[email protected]

Ali RashideeQuantrosPhone:408-957-3300Email:[email protected]

Mead WalkerHealthDataandInteroperabilityInc.Phone:610-518-6259Email:[email protected]

Pharmacy

Garry CruickshankThamesValleyHealthcarePhone:519-657-3125Email:[email protected]

Tom de JongHL7TheNetherlandsPhone:31-6-53255291Email:[email protected]

Robert HallowellSiemensHealthcarePhone:610-219-5612Email:[email protected]

Process Improvement Committee

Margie KennedyHL7CanadaPhone:902-926-2827Email:[email protected]

Helen Stevens LoveGordonPointInformaticsLtd.Phone:250-598-0312Email:[email protected]

Project Services

Rick HaddorffMayoClinicPhone:507-284-2013Email:[email protected]

Freida HallUSDepartmentofVeteransAffairsPhone:727-519-4607Email:[email protected]

Public Health Emergency Response

Rita AltamoreWashingtonStateDepartmentofHealthPhone:360-951-4925Email:[email protected]

Alean KirnakAmericanImmunizationRegistryAssociationPhone:760-419-8436Email:[email protected]

Joginder MadraGordonPointInformaticsLtd.Phone:780-717-4295Email:[email protected]

Michelle WilliamsonNationalCenterforHealthStatistics/CDCPhone:301-458-4618Email:[email protected]

Publishing Committee

George (Woody) Beeler Jr., PhD-V3 BeelerConsulting,LLCPhone:507-254-4810Email:[email protected]

Jane Daus-V2McKessonProviderTechnologiesPhone:847-495-1289Email:[email protected]

Andrew Stechishin-V3 GordonPointInformaticsLtd.Phone:780-903-0855Email:[email protected]

Klaus Veil-V2Phone:61-412-746-457Email:[email protected]

Regulated Clinical Research Information Management


David Iberson-HurstCDISCPhone:44-9-7989-603793Email:[email protected]

John SpeakmanNationalCancerInstituteCenterforBioinformaticsPhone:301-451-8786Email:[email protected]

Edward TrippEdwardS.Tripp&Associates,Inc.Phone:224-234-9769Email:[email protected]

Rim Based Application Architecture

Peter Hendler, MDKaiserPermanentePhone:510-248-3055Email:[email protected]

Amnon Shabo, PhD (Interim)IBMPhone:972-544-714070Email:[email protected]


Security

Bernd Blobel, PhDHL7GermanyUniversityofRegensburgMedicalCenterPhone:49-941-944-6769Email:[email protected]

Mike DavisUSDepartmentofVeteransAffairsPhone:760-632-0294Email:[email protected]

John MoehrkeGEHealthcarePhone:920-912-8451Email:[email protected]

Services Oriented Architecture

Don Jorgenson Inpriva,Inc.Phone:970-472-1441Email:[email protected]

Galen MulrooneyUSDepartmentofVeteransAffairsPhone:703-815-0900Email:[email protected]

Ken RubinEDSCorporationPhone:703-845-3277Email:[email protected]

Ann WrightsonHL7UKPhone:44-8700-112-866Email:[email protected]

Structured Documents

Liora AlschulerAlschulerAssociates,LLCPhone:802-785-2623Email:[email protected]

Calvin BeebeMayoClinicPhone:507-284-3827Email:[email protected]

Keith BooneGEHealthcareIntegratedITSolutionsPhone:617-519-2076Email:[email protected]

Robert Dolin, MDSemanticallyYours,LLCPhone:714-532-1130Email:[email protected]

Grahame Grieve KestralComputingPtyLtd.Phone:61-3-9450-2222Email:[email protected]

Templates

Mark ShafarmanShafarmanConsultingPhone:510-593-3483Email:[email protected]

Tooling

Jane CurryHealthInformationStrategies,Inc.Phone:780-459-8560Email:[email protected]

Tim IrelandHL7UKNHSConnectingforHealthEmail:[email protected]

Andrew StechishinGordonPointInformaticsLtd.Phone:780-903-0855Email:[email protected]

Vocabulary

Jim CaseNationalLibraryofMedicinePhone:530-752-4408Email:[email protected]

Heather GrainStandardsAustralia,LlewelynGrainInformaticsPhone:613-956-99443Email:[email protected]

Russ HammApelon,Inc.Phone:507-271-0227Email:[email protected]

William T. KleinKleinConsulting,Inc.Phone:631-924-6922Email:[email protected]

Beverly KnightHL7CanadaPhone:416-595-3449Email:[email protected]


7JANUARY 2011

Board Election ResultsOneofthemanychangesthat2011willbringusisanewHL7BoardofDirectors.Asrecentlyannounced,theelectionresultsfor2011Boardposi-tionsareasfollows:

Vice Chair/Chair-elect: DonMon,PhDSecretary: JillKaufman,PhDDirectors-at-Large:KeithBooneandEdHammond,PhDAffiliate Rep:CatherineChronaki

Congratulationstotheseindividuals.Photosandcontactinformationfortheaboveindividualsalongwiththeothermembersofthe2011HL7BoardofDirectorsareprovidedonpage34.

MedinfoSince1995,HL7hashadasignificantpresenceatthepremiertri-annualinternationalmedicalinformatics-fo-cusedconferencecalled“Medinfo.”Thelocationofthesemeetingshasspannedtheglobe,including:

• Vancouver,Canada(1995)• Seoul,Korea(1998)• London,England(2001)• SanFrancisco,USA(2004)• Brisbane,Australia(2007)• CapeTown,SouthAfrica(2010)

Thisyear’seventwasthe13thMedin-foconferenceandthefirstinAfrica.TheSeptember12-15,2010conven-tionattractedabout1,100attendeesfrom75countries.HL7hadaboothintheexhibithallandhostedourpopu-larreceptionformanyoftheworld’sleadersinmedicalinformatics.

I’dliketopersonallythankseveralHL7membersfromaroundtheglobewhohelpedstafftheHL7booth,in-cludingFernandoCampos,CatherineChronaki,MichioKimura,EdHam-mond,BobDolinandChuckJaffe.

Manyindividualswithdirectandin-directtiestoHL7alsomadepresen-tationsatthisyear’sMedinfo.HL7BoardChairBobDolin,MD,pro-

videdahalf-daytutorialonCDAandCCD.EdHammond,PhD,servedaspanelmoderatorandspeakerforasessionon“Translationalstrate-giesforintroducinghealthITandstandardsintodevelopingcountries,”alongwithseveralpanelistssuchasChuckJaffe,MD,PhD.

IampleasedtoalsoreportthatIhadthepleasureofattendingtheEFMICouncilDinnerduringtheMedinfoconference.Wediscussedopportuni-tiesforclosercollaborationbetweenourorganizations.Iwouldliketothankthefollowingindividualsfortheirkindness:JohnMantas,EFMIPresident;JacobHofdijk,EFMI&IMIAVicePresidentforEurope,andCristinaMazzoleni,EFMIInstitutionsLiaisonOfficer.

24th Annual Plenary MeetingHL7’s24thAnnualPlenaryandWork-ingGroupMeetingconvenedOcto-ber3-8,2010attheHyattRegencyCambridgeHotel,inCambridge,Massachusetts.ThesettingontheCharlesRiverwasbothwonderfulandproductive.

InadditiontoourregularWorkingGroupMeetingwithover40com-mitteesmeetingand25tutorials,the24thAnnualPlenarymeetingfocusedontheFuture of healthcare using genomics as a key tool. Ourfirstkeynotespeakerforthisprogramwas

RajuKucherlapati,PhD–PaulC.CabotProfessorofGeneticsandPro-fessorofMedicineatHarvardMedicalSchool.Hisspell-bindingkeynoteaddressfocusedontheimplementa-tionofpersonalizedmedicineandsetthestageforthepresentationsthatfollowed.Ourslateofincrediblespeakersclearlyhitahomerun.

AspecialthanksgoestoGrantWoodandtheco-chairsoftheHL7ClinicalGenomicsWorkGroupfortheireffortsinassemblingtheexcellentPlenaryMeetingprogram:JoyceHernandez,KevinHughes,MD,AmnonShabo,PhD,andMollieUllman-Cullere.

Immediatelyfollowingourplenarymeeting,HL7alsoproducedanHL7Ambassadorsprogramon“HL7andtheFinalRule:HealthInformationTechnology:InitialSetofStandards,ImplementationSpecifications,andCertificationCriteriaforElectronicHealthRecordTechnology.”ThisverypopularsessionprovidedanoverviewofhowHL7willbeusedtoachievemeaningfuluseandthenprovidedhigh-leveltutorialsonHL7’sClinicalDocumentArchitecture(CDA),Con-tinuityofCareDocument(CCD)andourVersion2standards,whicharenamedintheFinalRulereferencedinthesessiontitle.ThisprogramwasoneofmanythatweekthatprovidedMDswithCMEs.

Iamalsopleasedtorecognizetheseorganizationsthatsponsoredkeycomponentsofour24thAnnualPle-naryandWorkingGroupMeeting.

• BeelerConsulting,LLC• GordonPointInformatics• iNTERFACEWARE• LINKMED• LockheedMartin• Virtify

Theadditionalsponsorshipsupportprovidedbytheseorganizationscon-tributessignificantlytoHL7’smeetingbudgetandismuchappreciated.In


Raju Kucherlapati, PhD


6 JANUARY 2011

HL7 Fellows Program Recognizes 25 ByMarkMcDougall,HL7ExecutiveDirector

Mark McDougall

HL7 Fellows DuringthePlenarymeeting,HL7announcedanewrecognitionpro-gram:HL7Fellowship.Thisprogramrecognizesindividualswhohavecon-tributedsignificantlytoHL7andhaveheldcontinuousHL7membershpforatleast15years.HL7CEO,CharlesJaffe,MD,PhD,announcedthenewprogramandcongratulatedthefol-lowing25individualsastheinaugural2010classofHL7Fellows:

WoodyBeeler,PhDBerndBlobel,PhDWilliamBraithwaite,MDHansBuitendijkJaneCurryNormanDaoustGaryDickinsonBobDolin,MDJeanFerraroFreidaHallW.EdwardHammond,PhDStanHuff,MDBertKabbesTedKleinVirginiaLorenziKenMcCaslinClementMcDonald,MDCharlieMead,MD

ChuckMeyerJohnQuinnWesRishelRobertSeligerGreggSeppalaMarkShafarmanD.MeadWalker

Volunteers of the Year AwardsItisamazingtorealizethatwearealreadyinthe14thyearofrecognizingincredibleeffortsbyourvastnumberofdedicatedvolunteersviaourW.Ed-wardHammond,PhDHL7VolunteeroftheYearAwards.Whiletherearecertainlydozensofindividualswho

meritthisrecognitioneachyear,theAwardsCommitteeischallengedtolimittheannualawardtoonlyafew.Thisyear’srecipientshavecontributedhundredsofhours,ifnotthousands,andhavecertainlyservedHL7ex-tremelywellformanyyears.AsEdmentionedduringtheawardscer-emony,wearehonoredandpleasedtorecognizethisyear’srecipientsoftheW.EdHammondHL7VolunteeroftheYearAwards:

• HughGlover• StanHuff,MD• JulieJames• CharlieMead,MD• MarkShafarman• PatVanDyke• MeadWalker

Pleaseseethecoverstoryformoredetails.

UPDATE FROM HEADQUARTERS

Right: The 2010 Volunteers of the Year

Below: The 2010 HL7 Fellows


HL7 FACILITATORSSteering Division Facilitators

Rick HaddorffMayo Clinic/FoundationStructure & Semantic DesignPhone: 507-284-2013Email: [email protected]

Dave HamillHealth Level Seven InternationalTechnical & Support ServicesPhone: 734-677-7777Email: [email protected]

Lynn Laakso Foundation and Technology Phone: 906-361-5966 Email: [email protected]

Modeling and Methodology Facilitators

George (Woody) Beeler, Jr., PhDBeeler Consulting LLCFacilitator-at-LargePhone: 507-254-4810 Email: [email protected]

Charlie BishopHL7 UKClinical StatementPhone: 44-8700-112-866Email: [email protected]

Bernd Blobel, PhD HL7 GermanySecurity Phone: 49-941-944-6769Email: [email protected]

Kathleen Connor Microsoft CorporationFinancial ManagementPhone: 360-480-7599Email: [email protected]


Norman DaoustDaoust Associates Patient Administration Phone: 617-491-7424Email: [email protected]

Jean Duteau Gordon Point Informatics Ltd.PharmacyPhone: 780-937-8991Email: [email protected]

Hugh Glover HL7 UK Medication Phone: 44-0-7889-407-113Email: [email protected]

Grahame Grieve Kestral Computing Pty Ltd Infrastructure & Messaging Phone: 61-3-9450-2222 Email: [email protected]

Pat GunterDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-6010Email: [email protected]

William “Ted” KleinKlein Consulting, Inc. Vocabulary Phone: 631-924-6922Email: [email protected]

Austin Kreisler Science Applications International Corporation (SAIC)PHER, Structured Documents Phone: 404-542-4475Email: [email protected]

John Kufuor-Boakye Gordon Point Informatics Ltd.Patient CarePhone: 780-438-0178Email: [email protected]

Patrick LoydIcode SolutionsOrders & Observations Phone: 415-209-0544Email: [email protected]

Joginder MadraGordon Point Informatics Ltd.ImmunizationPhone: 780-717-4295Email: [email protected]

Lloyd McKenzieHL7 CanadaFacilitator-at-LargePhone: 780-993-9501Email: [email protected]

Dale NelsonSquaretrends LLCImplementable Technology SpecificationsPhone: 916-367-1458Email: [email protected]

Craig Parker, MDArizona State UniversityClinical Decision Support Phone: 801-859-4480Email: [email protected]

Jenni PuyenbroekScience Applications International Corporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: [email protected]

Amnon Shabo, PhD IBM Clinical GenomicsPhone: 972-544-714070Email: [email protected]

AbdulMalik ShakirCity of Hope National Medical CenterModeling & Methodology Phone: 626-644-4491Email: [email protected]

Ioana SingureanuEversolve, LLCCBCC & Health Care DevicesPhone: 603-870-9739Email: [email protected]

Corey SpearsMcKesson Provider TechnologyEHRPhone: 206-269-1211Email: [email protected]

Mead WalkerHealth Data and Interoperability, Inc. Patient Safety; RCRIMPhone: 610-518-6259Email: [email protected]

Publishing Facilitators

Becky AngelesScenPro, Inc.RCRIMPhone: 972-437-5001 Email: [email protected]

Douglas Baird Boston Scientific CorporationTemplates Phone: 651-582-3241Email: [email protected]

Mike DavisUS Department of Veterans AffairsSecurity Phone: 760-632-0294Email: [email protected]

Jean DuteauGordon Point Informatics Ltd.Patient CarePhone: 780-937-8991Email: [email protected]

Isobel FreanHL7 UKClinical StatementPhone: 44-207-656-2146Email: [email protected]

Peter GilbertWayne State University Physician GroupStructured DocumentsPhone: 313-262-1429Email: [email protected]

Robert HallowellSiemens HealthcareMedication; PharmacyPhone: 610-219-5612Email: [email protected]

Anthony Julian Mayo Clinic Infrastructure & Messaging Phone: 507-266-0958 Email: [email protected]

Helmut Koenig, MDSiemens HealthcareImaging Integration Phone: 49-9131-84-3480Email: [email protected]

Austin KreislerScience Applications InternationalCorporation (SAIC)Orders & ObservationsPhone: 404-542-4475Email: [email protected]

Margaret (Peggy) Leizear Food and Drug AdministrationRCRIMPhone: 301-827-5203Email: [email protected]

Joginder Madra Gordon Point Informatics Ltd.Patient SafetyPhone: 780-717-4295 Email: [email protected]

Mary Kay McDanielMarkam, Inc.Financial ManagementPhone: 602-266-2516Email: [email protected]

Dale NelsonSquaretrends LLCCMET; Implementable Technology SpecificationsPhone: 916-367-1458Email: [email protected]

Frank Oemig HL7 Germany German RealmPhone: 49-208-781194 Email: [email protected]


31JANUARY 2011


32 JANUARY 2011

Craig Parker, MDIntermountain HealthcareClinical Decision Support Phone: 801-859-4480Email: [email protected]


John RitterCollege of American PathologistsEHRPhone: 847-832-7732Email: [email protected]

Robert SavageAmerican Immunization Registry Assoc.Immunization; PHEREmail: [email protected]

Gregg SeppalaUS Department of Veterans AffairsPatient Administration Phone: 301-526-2703Email: [email protected]

Ioana SingureanuEversolve, LLCCBCCPhone: 603-870-9739Email: [email protected]

Margarita SordoPartners HealthCare System, Inc.GelloPhone: 617-643-5894Email: [email protected]

Anita WaldenDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-8256Email: [email protected]

Grant WoodIntermountain HealthcareClinical GenomicsPhone: 801-408-8153Email: [email protected]

Vocabulary Facilitators

Paul Biondich, MDIU School of MedicineChild HealthPhone: 317-278-3466Email: [email protected]

Steve ConnollyApelon, Inc.SecurityEmail: [email protected]


Guilherme Del Fiol, MDDuke Translational Medicine InstituteClinical Decision SupportPhone: 919-681-7011Email: [email protected]

Kristi EckersonEmory University, Research &Health Services ITPHERPhone: 404-712-5086Email: [email protected]

Christof GessnerHL7 GermanyHealth Care DevicesPhone: 49-172-3994033Email: [email protected]

Hugh Glover HL7 UKCMET Phone: 44-0-7889-407113Email: [email protected]

Margaret Haber, BSN, RN, OCN National Cancer Institute Center for BioinformaticsRCRIM Phone: 301-594-9185Email: [email protected]

W. Edward Hammond, PhD Templates Phone: 919-383-3555Email: [email protected]

Robert Hausam, MDOntoReasonOrders & Observations; Structured DocumentsPhone: 801-949-1556Email: [email protected]

Joyce HernandezMerck & Co. Inc.Clinical GenomicsPhone: 732-594-1815Email: [email protected]

Wendy HuangCanada Health Infoway Inc.Patient AdministrationPhone: 416-595-3449Email: [email protected]

Julie JamesII4SMMedication; Pharmacy Phone: 44-7747-633-216Email: [email protected]

William “Ted” Klein Klein Consulting, Inc. Modeling & Methodology Phone: 631-924-6922Email: [email protected]

Patrick LoydIcode SolutionsClinical StatementPhone: 415-209-0544Email: [email protected]

Susan MatneyUniversity of Utah Health CarePatient CarePhone: 801-680-2161Email: [email protected]

Robert McClure, MDApelon, Inc.CBCCPhone: 303-926-6771Email: [email protected]



Sarah RyanClinical Interoperability CouncilEmail: [email protected]

Harold SolbrigApelon, Inc.Modeling & Methodology Phone: 807-993-0269Email: [email protected]

Harry Solomon GE Healthcare ITImaging Integration Phone: 847-277-5096Email: [email protected]

Sandra Stuart Kaiser PermanenteInfrastructure & Messaging Phone: 925-924-7473Email: [email protected] Pat Van DykeDelta Dental Plans AssociationEHRPhone: 503-243-4992Email: [email protected]

HL7 FACILITATORS, continued


5JANUARY 2011

HL7 Structured Documents Work Group and Health Story

LookingAheadto MeaningfulUseStageII ByLioraAlschuler,Co-Chair,HL7StructuredDocumentsWorkGroup

andHealthStoryProjectLiaison

HL7’sStructuredDocumentsWorkGroup(SDWG)startedtheCambridgemeetinglookingtonewprojectstosupportthenextstageof“MeaningfulUse”ofelectronichealthrecords.ThespecificprojectconsolidatesaseriesofHL7ClinicalDocumentArchitecture(CDA)implementationguides.Theseincludeeightcommontypesofclinicalnotes: • History&Physical • Consult • OperativeNote • ProcedureNote • DiagnosticImagingReports • DischargeSummaries • UnstructuredDocuments(anyclinicaltype)and • ProgressNotes

AllareeitherDraftStandardsforTrialUseorInformativeDocuments.AllofthesehavebeenalreadybeenpublishedwiththeexceptionoftheProgressNote,whichisexpectedtobepublishedbyyear-end.Theconsolidationprojectwouldre-publishthesedocumentsinasingleguide,includingtheContinuityofCareDocument(CCD)templates,whicharereusedwithintheseries.

Thesignificanceoftheprojectismultifaceted:• IthighlightsthereusabilityofCDAtemplates

ateachlevel:entry,sectionanddocument,anapproachcalled“templatedCDA”

• ApackageofguidessupportseaseofimplementationforEHRvendorsandclinicaldocumentvendorsbuildingacommonplatformforinteroperabilitybetweentheapplications

• Creatingasingle-sourcedocumentcontainingalltheinformationneededwilleaseimplementation,accelerateadoption,andbealignedwiththegoalsoftheUSnationalprogram

• Itprovidesaglidepathintothenextstageofmeaningfulusebybuildingoffexistingworkalreadyinthecurrentregulation

Regardingthelastpoint—thedevelopmentofaglidepath—theFinalRulestatesthat,“Increasinglyrobustexpectationsforhealthinformationexchangeinstagetwoandstagethreewillsupportandmakerealthegoalthatinformationfollowsthepatient.”(p.35)AlthoughspecificguidanceonPhaseIIisnotyetavailable,theHITPolicyCommittee(HITPC)recommendedearlierthisyearthatProgressNote,ataminimum,beincludedandstressed

theimportanceofavailabilityofcompleteelectronicinformationatthepointofcare.TheproposedprojectcanmakeiteasiertoimplementafullyinteroperablepatientrecordusingthesameframeworkasPhaseI.

Thefullscopeanddetailoftheprojectisyettobedetermined.TheprojectwaspresentedbyHL7ChairBobDolin,MDtotheInternationalCouncilontheSundayprecedingtheCambridgeWorkingGroupMeeting,whereitgeneratedmuchinterest.ItislikelythattheprojectwillbeinitiallypursuedfortheUSRealmonthepremisethatitisbesttoestablishabenchmarkforrealm-specificbestpracticesandthenreconcilethoseacrossdomains.

SDWGco-chairKeithBoonesuggestedthattheprojectincludetemplatesdevelopedbyIntegratingtheHealthcareEnterprise(IHE),asuggestionthatwasenthusiasticallyreceived.

AdditionalscopecouldincludeincorporationofUS-specificrequirementssuchasthosefoundintheHITSPC32Version2.5.Otherguidesmaybeconsideredforinclusion,suchastherecently-renewedPersonalHealthMonitoringImplementationGuidedevelopedwiththesupportoftheContinuaAlliance.

DevelopmentoftheeightguidesmentionedabovefollowedHL7’sopenprocessesundertheauspicesofSDWGwithcollaborationfromImagingIntegrationonDiagnosticImagingReportsandPatientCareonseveralnotetypes.TheworkwassupportedinpartbytheHealthStoryProject,anallianceofassociations,vendorsandprovidersworkingtogethertoopenthegatewaybetweendictatednotesandelectronichealthrecords.(Seewww.healthstory.com.)HealthStoryisdevelopingaProjectScopeStatementtobringtoSDWGandhopestohaveaballotbythespringcycle.Whilemuchworkremainstobedone,thisprojectholdsthepotentialtoreconcileandresolvediscrepanciesacrossanumberofimplementationguides,furtherhighlightthestrengthsofMDHT,augmentthecooperationwithIHE,andprovideguidancefortheindustry.Welookforwardtoaninterestingandsuccessfulproject!

Liora Alschuler

HL7 NEWS JAN 11 INTERIOR.indd 3 12/30/10 11:25 AM

4 JANUARY 2011

HL7 Comes of Age ByCharlesJaffe,MD,PhD,HL7CEO

2010hasbroughtchangesintheleadershipofgovern-mentsaroundtheworld.Insomeinstances,thishascreatedanewfocusonthechallengesofmanaginghealthcareinanagingpopulation.Inothercountries,theobstaclestoembracingahealthiercitizenryhasallbutbeenlosttobudgetconstraintsandacontractionofnewhealthcareprojectsandreforms.Bythetimeyoureadthis,theremaybenewleadershipinthelegislativebranchoftheAmericanFederalgovernment.Thedirec-tionthatmaytakeusisvagueandcloudedinmacroeco-nomicphilosophies.Regardlessofthefiscalapproachthegovernmentseverywheremaytaketoreturntorealeconomicgrowth,HL7willcontinuetopursueourvisionofinteroperablehealthcare.

Interoperabilityofhealthcareinformationisnotadestina-tion.Itisbutonepathinourjourneytoimprovethewellbeingofthecitizensofthisplanet.HL7ismaturing.Wehavemovedpastour“growthspurt”years,overcometheturmoilofadolescence,andbecomeamorematureorganization.Theimpactofaglobaleconomicdownturndoesnotseemtohavedamp-enedthespiritofcreativityandinnovationthathasbeensuchanimportantpartofthelasttwodecades.

Inordertobecomeincreasinglysuccessful,however,HL7mustbewiserandmoreefficient.Wemustevolveabusinessmodelthatsustainsusbeyondthewideeco-nomicswingsthathavebeenpartofthelastdecade.Asinthepast,wewillalwaysrelyuponthecollaborativeeffortswithourstakeholdersandwithotherstandardsdevelopmentorganizations.Collaborationhasbeenavitalcomponentofourtechnicaldevelopment,anditmustgrowinthecomingyear.Itiscertainlyatimedur-ingwhichwewillberequiredtoleveragethelimitedresourcesatourdisposal.

Althoughgovernmentseverywherehavepromiseddra-maticincreasesinspendingforhealthcaretechnologyand

training,thoseresourcesmaybehardertoobtainthanmanypredicted.Whenwecanshareinthoseresources,HL7mustbewiseinhowwemakeuseofthem.Wisdomdoesnotcomeeasily.Itisachievedontheroadfilledwithwrongturnsandmisguidedintentions.HL7needstolearnfromfailuresandlearntocelebrateoursuccesses.Whiletherehavebeenmanyachievements,bothgreatandsmall,somemaycomefromplacesthatweleastexpect.

Ourintellectualcapital,expressedastheproductsandservicesthatwedevelop,shouldneverberecklesslyabused.Morethanever,wehavebeenaskedtosharetheachievementsofHL7andensurethatothersdothesame.Likeanyotherresource,theintellectualpropertyofHL7mustbeprovidedwithgreatgenerositytothosewhoneeditbutcannottrulyaffordtopayforit.Atthesame

time,HL7mustbecomemoreadeptatmanagingthatintellectualpropertyandatensuringthatweareappropriatelyrewardedforcreatingandnurturingandbuildinguponthosere-sources.In2011,wewillseesomeimportantstepstowardbettermanagementofourIPandthevaluethatitbrings.

Formypart,IwanttothankthoseofyouwhohavecontributedtothegreatstridesthatHL7wasabletomakein2010.Iespeciallyapplaudthosewhohaveselflesslycontributedcountlesshourswithlittlerecognitionoracclaim.Isalutethoseorganizationsandthestakeholdercommunitiesthatprovidedcollaborationandmanytimesshowedtheway.Morethananything,somuchofwhatweaccomplishedwasmadepossiblebythegiftoftrust.In2011,therewillbemanynewmilestonestoreachandaccomplishmentstocommemorate.Sohere’satoasttoHL7,“Mayitalwaysbetheoffspringforwhichwecanbemostproud,andtheparenttothemanyaccomplishmentswecanonlydreamabout.”

Charles Jaffe, MD

Interoperability of healthcare information is not a destination. It is but one path in our journey to improve the well being of the citizens of this planet.


Chief Executive Officer

2011 HL7 STAFFAssociate Executive

Director

Charles Jaffe, MD, PhD [email protected]

Chief Technical Officer

Executive Director

Mark McDougall+1-734-677-7777

[email protected]

Karen Van Hentenryck+1-734-677-7777

[email protected]

John [email protected]

Director of Meetings

Director, Project Management Office

Lillian [email protected]

Manager of Education

Tools Administrator

Wilfred Bonney+1-902-877-0593

[email protected]

Dave [email protected]

Mary Ann Boyle+1-734-677-7777

[email protected]

Administrative Coordinator

Director of Communications

Linda [email protected]

Director ofTechnical

Publications

Director of Technical Services

Michael Kingery+1-919-636-4032

[email protected]

Andrea [email protected]

Donald [email protected]

Director of Membership

Services

Diana [email protected]

TSC Project Manager

Lynn [email protected]

Web Development Coordinator

Joshua [email protected]

33JANUARY 2011


34 JANUARY 2011

Don Mon, PhD AmericanHealthInformation

ManagementAssociation+1-312-233-1135

[email protected]

Austin Kreisler ScienceApplicationsInternational

Corp.(SAIC)+1-404-542-4475

[email protected]

2011 HL7 BOARD OF DIRECTORS

Jill Kaufman, [email protected]

Robert Dolin, MDSemanticallyYours,LLC

[email protected]

Bill Braithwaite, MD, PhD Anakam,Inc.

[email protected]

Directors-at-Large

John QuinnHL7CTO

[email protected]

Keith Boone GEHealthcare

[email protected]

Hans BuitendijkSiemensHealthcare+1-610-219-2087hans.buitendijk@siemens.com

Charles Jaffe, MD, PhD HL7CEO

[email protected]

Mark McDougallHL7ExectiveDirector

[email protected]

Dennis Giokas, MSCanadaHealthInfoway,Inc.

[email protected]

Advisory Council Chair

Richard Dixon Hughes DH4PtyLimited

[email protected]

Ex Officio Members

Catherine ChronakiFORTH-InstituteofComputer

Science;HL7HellasBoD+30-2810-391691

[email protected]

Affiliate Directors

Michael van CampenGordonPointInformaticsLtd.

[email protected]

Chair Chair-Elect Treasurer Secretary Technical Steering Committee Chair

Rebecca Kush, PhD CDISC

[email protected]

W. Edward Hammond, PhD +1-919-383-3555

[email protected]


3JANUARY 2011

HL7 Organizational Relations Update ByScottMRobertson,PharmD,Co-Chair,HL7OrganizationalRelationsCommittee

HL7interactswithmanyotherstandardsdevelopment,professional,industry/tradeandacademicorganizations.Theseinteractionsarekeytomakingsurewehavetheappropriateinterestsandknowledgeinvolvedinourstan-dardsdevelopment,andthatourstandardsarecoordinat-edwithotherstandards,industryinitiativesandregula-torydevelopments.Whilesomeoftheserelationshipsarecasual,thereareanumberofformalizedagreements

withotherorganizations,currentlyasMemorandaofUn-derstanding(MOUs)andAssociateCharterAgreements(ACAs).Thepurposeofaformalagreementistodefinecommongoals,workingparameters,and,insomecases,extendingsomejointmemberbenefits(e.g.,conferenceregistrationatmemberrates).

TheOrganizationalRelationsCommittee(ORC)ischargedwithmonitoringandmanagingtheserelation-ships.TheORCdoesnot“control”relationships,butweensurethattheappropriateagreementsareinplace,andup-to-date,asappropriate.ThecurrentagreementsarepostedontheHL7web-siteunderAboutUs>Agreements(http://www.hl7.org/about/agreements.cfm

Overthepastyear,theORChasbeenreviewingtheexistingMOUsandACAs.WehavefoundthatthereislittledifferencebetweenanMOUandanACA,andthattherearenocriteriatodeterminewhenaformalagreementisneces-sary.TheORChasdevelopedaproposaltocon-solidatetheMOUandACAintoasingledocu-ment.Thenewparadigmwoulddifferentiatebetweenagreementsthatarespecifictoprojectsandgeneralagreementswhichalignorganiza-tionalgoalsandprinciples.ThatproposalisbeingrevisedindiscussionswiththeTSCandtheInternationalCouncilandisexpectedtogototheBoardduringtheJanuaryWorkGroupMeetinginSydney.

ThedevelopmentworkforORCismaintainedonanHL7Wikipage(http://wiki.hl7.org/index.php?title=Organizational_Relations_Committee).TheORCwelcomescommentsandinputonthiswork.

Scott M. Robertson, PharmD

Seven Members Honored, cont. from pg. 2

Asoughtaftermodelingexpert,WalkerhasservedasModelingFacilitatorforboththePatientSafetyandRCRIMWorkGroups,andbeenanactivememberoftheModelingandMethodology(MnM)WorkGroupformanyyears.Healsoservesastheco-chairtothePatientSafetyWorkGroupandhasparticipatedinthePublicHealthandEmergencyResponseWorkGroup.Walkerrecentlyservedanothertermonthenewly-formedArBandistheimmediatepastchairoftheFoundation&TechnologySteeringDivision,servingasoneofthatgroup’stworepresentativesontheTechnicalSteeringCommittee.

Pat Van DykejoinedHL7in2003.Anactivemember,sheisdeeplyinvolvedinthedevel-opmentofElectronicHealthRecord(EHR)standards.VanDykecurrentlyservesasaco-chairfortheElectronicRecords(EHR)WorkGroupandisthegroup’sprimaryorganizer.Shecoordinatesandleadsallweeklyconferencecalls,face-to-facemeetings,ballotsubmissions,andwiththeArB,facilitatestheprocessoftyingtheHL7ElectronicHealthRecordSystemFunctionalModel(EHR-SFM)totheSAIF.VanDykealsoco-leadsthedevelopmentofthedentalfunctionalprofilefortheElectronicHealthRecordSystemFunctionalModel(EHR-SFM).

Ed Hammond and Pat Van Dyke


In This Issue...Seven 2010 Volunteers of the Year Honored............................................. 1-3

HL7 Organizational Relations Update.... 3

HL7 Comes of Age................................... 4

Looking Ahead to Meaningful Use Stage II................................................... 5

Update From Headquarters.................. 6-8

2011 Publishing Calendar...................... 8

Remembering Dr. Yun Sik Kwak.......... 9

Co-Chair Q & A................................ 10-11

News from the PMO.............................. 11

HL7 Static Model Designer Tool.......... 12

HL7 Standards in Child Health............. 13

International Council Meeting in Cambridge................................... 14-15

GELLO: The Domain Specific Language of Healthcare........................................ 16

IHIC 2011: The Tomorrowlandof Health.............................................. 17

ISHEP 2010 Workshop Recap.......... 18-19

Upcoming International Events............. 19

Save the Date for MIE 2011.................. 20

Certification Exam Congratulations..... 21

Save the Date for HIMSS 2011............. 22

HL7 Benefactors................................... 22

Affiliate Contacts................................... 23

Organizational Members.................. 24-26

2011 Technical Steering Committee Members ............................ 27

Steering Divisions................................. 27

HL7 Work Group Co-Chairs.............. 28-30

HL7 Facilitators............................... 31-32

HL7 Staff Members................................ 33

2011 Board of Directors....................... 34

Educational Summits.............................35

Upcoming Working Group Meetings................................................36

Seven Members Honored, continued

Charlie Mead, MD has been a member of HL7 since 1995. He co-chaired the Patient Care Work Group for many years and later became co-chair of Personnel Management. Mead was a member of the HL7 Interna-tional Board of Directors for two terms, serving one of them as Treasurer. An avid participant in the develop-ment of Version 3, he was among the initial Modeling and Methodology facilitators and has spearheaded efforts over the years to improve the accessibility and readability of Version 3.

A member of the CDISC Board of Directors, Mead has encouraged and nurtured collaborations between CDISC and HL7, and has been an active participant in the Regulated Clinical Research Information Management (RCRIM) Work Group. With support from HL7 RCRIM, CDISC, and FDA, he founded the project that developed the model we now know as the Biomedical Research Integrated Domain Group (BRIDG) model. Mead currently serves as chair of the Architectural re-view Board (ArB), and is instrumental in driving the development of the Services Aware Interop-erability Framework, known as SAIF.

Mark Shafarman has been a member of HL7 since 1992. He has served HL7 in almost every capacity including co-chair of the Control Query Work Group for many years, co-chair of the Templates Work Group (a position that he holds today), and as co-chair of the initial Affili-ates’ Council. Shafarman also held the position of the Chair of HL7 from 2004 – 2005, and served on the HL7 Board of Directors, the Technical Steering Committee, and the ArB for a number of years. He was integral in the development of the original HL7 Version 2 certifica-tion exam and currently serves as an HL7 Ambassador.

In addition, HL7’s current working relationship with the European Committee for Standardization (CEN) was forged under Sharfarman’s leadership, and he has served as HL7’s liaison to that organization for a num-ber of years.

D. Mead Walker has been a member of HL7 since 1993. Shortly after joining, he was elected co-chair of the Quality Assurance/Data Modeling Committee, a precursor to today’s Modeling and Methodology Work Group, and to the Architectural review Board, which he chaired for nearly a decade. Walker served on the HL7 Board of Directors from 1998-1999, and has been actively engaged in the development of Version 3. He was one of the initial authors of the Message Devel-opment Framework (MDF) and its successor, the H7 Development Framework (HDF).

Continued on next page

2

is the official publication of: Health Level Seven International3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USAPhone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org

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

Ed Hammond and Charlie Mead

Ed Hammond and Mark Shafarman

Ed Hammond and Mead Walker


35JANUARY 2011

HL7 EDUCATIONAL SUMMITSGain 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 also cover general interest industrytopics such as vocabulary. Why Should I Attend?

This is an invaluable educational opportunity for the healthcare IT community as it strives for greater interop-erability among healthcare information systems. Our classes offer a wealth of information designed to benefit a wide range of HL7 users, from beginner to advanced.

Among the benefits of attending the HL7 Educational Summit are:

• 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

• Certification Testing Become HL7 Certified: HL7 is the sole source for HL7 certification testing, now offering testing on Version 2.6, Clinical Document Architecture, and Version 3 RIM

• Economical A more economical alternative for companies who want the benefits of HL7’s on-site training but have fewer employees to train

March 15 –17, 2011The Hilton Suites Chicago/Magnificent Mile

Chicago, IL

July 12 – 14, 2011Embassy Suites Denver

Aurora Denver, CO

UPCOMING EDUCATIONAL SUMMITS


Upcoming WORKING GROUP MEETINGS

January 9 – 14, 2011

January Working Group Meeting

Cliftons Meeting and Training Center and the Amora Hotel

Sydney, Australia

January 15 – 20, 2012

Working Group Meeting Hyatt Regency on the Riverwalk

San Antonio, TX

May 15 – 20, 2011

Working Group Meeting Hilton in the Walt Disney World Resort

Lake Buena Vista, FL

PLEASE BOOK YOUR ROOM AT THE HL7 MEETING HOTEL

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

Thank you for your cooperation!

September 11 – 16, 2011

25th Annual Plenary and Working Group Meeting

Town and Country Resort and Convention Center San Diego, CA


JANUARY 2011

HL7 honored seven members with the 14th annual W. Edward Hammond, PhD Volunteer of the Year Award. Established in 1997, the award is named after Dr. Ed Hammond, one of HL7’s most active volunteers, founding member and past Board chair. The award recognizes individuals who have made significant contributions to HL7’s success. The 2010 recipients include:

• Hugh Glover and Julie James, HL7 UK • Stan Huff, MD, chief medical informatics officer, Intermountain Healthcare • Charlie Mead, MD, MSc, CTO, 3rd Millennium, Inc. • Mark Shafarman, principal, Shafarman Consulting • D. Mead Walker, Health Data and Interoperability, Inc. • Pat Van Dyke, director of information, security, privacy and EDI representing Delta Dental Plans Association

About the Volunteers:Hugh Glover and Julie James have been involved with HL7 since 2001. They received the award jointly as they are partners both personally and profession-ally. They have both actively contributed to HL7 for many years and have held leadership positions in the Pharmacy Work Group such as a co-chair or facili-tator. Their backgrounds—James as a pharmacist and Glover’s expertise in data modeling—complement each other and have brought valuable insight to HL7. Both have been involved with Version 3 development since its inception. James is also active in the Patient Safety Work Group. She currently serves as a Vocabu-lary Facilitator for medication and pharma-cy. Glover currently serves as the Pharmacy Work Group representative on the Common Product Model project. He also serves as a Modeling and Methodology Facilitator for medication and as a Vocabulary Facilitator for CMET.

Stan Huff, MD is a long-time member of HL7 and currently sits on the HL7 Board of Directors. An international expert on vocabulary, he was one of the first co-chairs elected to lead HL7’s Vocabulary Work Group, a position he held for nearly a decade. He was also one of the early co-chairs for HL7’s Templates Work Group. Additionally, Huff has been elected to the HL7 Board of Directors twice, serving as chair from 2000 – 2001. Actively involved in the development of Version 3, he has served as Vocabulary Facilitator for the Vocabulary and Orders and Observations Work Groups. In 2008, Huff was named to the HL7 Roadmap Committee, and in 2009 he was elected by the Board of Directors to serve as the US representative to the HL7 International Council.


2010 Ed Hammond Volunteer of the Year Awards

Seven members honored

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

Julie James, Ed Hammond and Hugh Glover

Ed Hammond and Stan Huff
