Sydney, Australia–Here We Come! - HL7

SEPTEMBER 2010January 2011 Working Group MeetingSydney, Australia–Here We Come!January 9 – 14, 2011By Klaus Veil, HL7 AustraliaFollowing an idea that was expressed during the Sydney 2000 Olympicsand three years of preparations, we are going to Sydney, Australia, forthe January 2011 HL7 International Working Meeting!Welcome to SydneyEverybody knows the Sydney Opera House and Harbor Bridge as Australiantourist icons – our January Working Group Meeting will be held inthe heart of Sydney and a two-minute walk from the harbor – we hopethis will inspire and not distract our work groups and committees.Sydney is DifferentKlaus VeilHL7 International traditionally holds its January Working Meeting in a locationwith a warm climate. January is the middle of summer in Sydney, so ifyou think that San Diego or Orlando are pleasant, you will be thrilled by the summer weather inSydney! The daytime temperatures are 75-85ºF (24-30ºC) and we expect sun and blue skies allweek. Sweaters and jackets will not be needed. We hope that some of the world’s great beaches(Bondi, Narrabeen, etc.) being within five miles of the city center will not distract us too much!The meetings of the HL7 International work groups and committees will be held at the CliftonsMeeting and Training Center right next to the Amora, Marriott, Four Seasons, and other hotelswithin a two-minute walk of the harbor and a stone’s throw from the historic “The Rocks” precinct.This arrangement allows us to use the entire purpose-built Cliftons corporate meeting rooms building(www.Cliftons.com/Sydney) with their excellent AV/WiFi facilities and gives the participants thefreedom to choose the accommodation that suits them and their budget. The large number of meetingrooms will also allow us to schedule additional tutorials and education sessions.Sydney is the SameJanuary Working Meeting participants will find Sydney quite similar to cities in Southern California,only warmer! In fact, my own experience with living in San Diego some years ago was thatthe two cities are quite similar with regards to culture and weather. The Australian currency is the“Aussie Dollar”, which varies between US$0.80-US$0.90, so prices are about 15% cheaper. Historically,the US has had a substantial influence on Sydney, so US visitors will immediately feel at home– yes, Starbucks, McDonald’s, Burger King, Hard Rock Cafe, Kinkos, FedEx, etc. are here too. Youcan find more information at www.HL7.org.au/Sydney2011.continued on next page® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered in the US Trademark Office

In This Issue...January 2011 Working Group Meetingin Sydney, Australia .......................... 1-2,5HL7’s 24th Annual Plenary Meeting......... 3HL7 Ambassador Program...................... 4HL7 Benefactors..................................... 5Update From Headquarters.................. 6-711th International InteroperabilityConference...........................................8-9Work Groups Evaluate the RioWGM Experience................................... 10Work and Fun in Rio de Janeiro............ 11HL7 International Council MeetingReport.............................................. 12-13Five HL7 Standards Named in FinalRule on Meaningful Use........................ 14HIMSS Analytics Study to Look at Useof HL7 Templated CDA........................... 15ISHEP 2010 Workshop.......................... 16News from the PMO............................... 17Upcoming International Events............. 17Laboratory Tests Managementin Andalusia..................................... 18-20Certification Exam Congratulations....... 21Educational Summits............................. 22Affiliate Contacts................................... 23Organizational Members.................. 24-262010 Technical SteeringCommittee Members ............................ 27Steering Divisions................................. 27HL7 Work Group Co-Chairs.............. 28-30HL7 Facilitators............................... 31-32HL7 Staff Members................................ 332010 Board of Directors....................... 34Upcoming Working GroupMeetings................................................35Sydney, continuedDining and TippingSydney has a very broad range ofdining establishments from thevery popular casual food courtswith their wide variety of Asian,Indian and Italian dishes to extravagantplaces with fabulous harbor and opera houseviews. Seafood is prime in Sydney – lobster,shrimp and manyother delicaciesawait you! In Australia,prices mustinclude all taxesand service charges;tipping is notquite as commonas in the US, butalways welcome forgood service.What else is there to do in Sydney?Sydney, one of the world’s most highlyawarded cities, is the gateway to Australiaand offers a broad range of tourist activities.Close to Sydney’s stunning harbor, ourCliftons meeting facility is perfectly placed forthose seeking some post-WGM entertainment.Apart from the Opera House and the HarborBridge, the historic The Rocks district withits colonial sandstone buildings, pubs andrestaurants is only a five-minute walk whileDarling Harbor with its yachts and waterfrontdining and bars is also very popular.For those with a sense of adventure, theSydney Harbor Bridge Climb is a spectacularexperience, while the Sydney Fish Market letsyou get “hands on” with the freshest seafood.The extensive Chinatown district withits many small restaurants and the ChineseGarden reflects Sydney’s large Asian population.Due to its proximity to Asia, shoppingin Sydney is excellent with all famous brandsat good prices and many factory outlets.Of course, Sydney’s miles of white sandybeaches and the world famous Blue Mountainsnearby should not be missed!If you have any questions or would like somesightseeing suggestions, please email the HL7Australia “Sydney 2011 WGM Help-Line” at2011Help@HL7.org.au.Traveling to SydneySydney is easily accessible to all WGM participantswith over 40 international airlinesflying into Sydney International Airport andmore than 500 international flights arrivingper week.Traveling to Sydney is convenient for ourNorth American participants, as all flights arenon-stop from the three gateways, includingLos Angeles, San Francisco and Vancouver.The Clifton’s meeting venue is in the centerof Sydney, right next to the harbor, and onlya 20-minute taxi or airport train ride from theairport. You can compare flight prices onlinevia the Sydney WGM website atwww.HL7.org.au/Sydney2011Arriving in and GettingAround in SydneyThe city of Sydney is compact andaccessible, nestled between theharbor and Sydney InternationalAirport. Getting around in Sydney iseasy – hail one of the taxis that youwill see everywhere (they take creditcards, too) or hop onto one of thecontinued on page 524th Annual Plenary andWorking Group Meeting......................... 362is 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.orgMark D. McDougall, Publisher • Andrea Ribick, Managing Editor • Karen Van Hentenryck, Technical Editor

HL7’s 24th Annual Plenary MeetingFuture of HealthcareUsing Genomics as a Key ToolMonday, October 4, 2010Hyatt Regency Cambridge Hotel • Cambridge, MassachusettsProgram agenda subject to change8:30 – 8:45 a.m. Welcoming CommentsCharles Jaffe, MD, PhD, CEO, Health Level Seven International8:45 – 9:30 a.m. Keynote Session 1: Genetics and Genomics in Clinical MedicineRaju Kucherlapati, PhD, Paul C. Cabot Professor of Genetics and Professor ofMedicine, Harvard Medical School9:35 – 10:20 a.m. Keynote Session 2: Personal Genome ProjectGeorge M. Church, PhD, Professor of Genetics, Harvard Medical Schooland Director of the Center for Computational Genetics, Founder of PersonalGenome Project10:20 – 10:50 am Break10:55 – 12:30 pm Panel Presentation: How HL7 addresses the three elements of clinicalservices, commercial products, and data intensive researchClinical Assessment through Family Health HistoryKevin Hughes, MD, FACS, Co-Director, Avon Comprehensive BreastEvaluation Center, Massachusetts General Hospital; Associate Professor ofSurgery, Harvard Medical SchoolUsing HL7 Standards to Manage the Cost and Effectiveness ofGenetic TestingRick Schatzberg, President & CEO, Generation HealthNCBI and 20 Years of Standards in Biomedical ResearchJim Ostell, PhD, Chief of the Information Engineering Branch (IEB) of theNational Center for Biotechnology Information (NCBI)SEPTEMBER 20103

HL7 AMBASSADOR PROGRAMAt The 24th Annual Plenary And Working Group MeetingHL7 and the Final Rule: Health Information Technology: Initial Setof Standards, Implementation Specifications, and CertificationCriteria for Electronic Health Record TechnologyMonday, October 4, 2010 • 1:45-5:00 pm • Hyatt Regency Cambridge HotelThis session provides an overview of how HL7 will be used to achieve Meaningful Use and thenprovides high-level tutorials on HL7’s Clinical Document Architecture (CDA), Continuity of CareDocument (CCD) and its Version 2 standards, which are named in the Final Rule referenced inthe session title.This Tutorial Will Benefit:• Individuals who will be required to understand HL7’s role in meaningful use and electronichealth record technology.Upon Completion of This Tutorial, Students Will Know:• How to use HL7 to achieve Meaningful Use• How to use the HL7 CDA standard and the CCD implementation Guide• How to use HL7’s Version 2 standards for submission to Public Health Agencies forsurveillance reporting• How to use HL7’s Version 2 standards for submission of lab reporting to PublicHealth Agencies• How to use HL7’s Version 2 standards for submission to immunization registriesFaculty:Gora Datta (Speaker – HL7 and Meaningful Use): Chairman and CEO, CAL2CAL CorporationKeith Boone (Speaker – HL7’s CDA and CCD Standards): Lead Interoperability Systems Designer,GE Healthcare Integrated IT Solutions; Co-Chair, HL7 Clinical Document Architecture Work GroupAlean Kirnak (Speaker – HL7 Version 2 and Immunization): American Immunization RegistryAssociation (AIRA); Co-Chair, HL7 Public Health and Emergency Response Work GroupAnna Orlova (Co-Speaker – HL7 Version 2 and Surveillance): Executive Director, Public HealthData Standards ConsortiumLori Reed-Fourquet (Co-Speaker – HL7 Version 2 and Surveillance): Owner/Consultant,e-HealthSign, LLCAustin Kreisler (Speaker – HL7 Version 2 and Electronic Lab Reporting): HL7 Messaging Specialist,SAIC; Co-Chair, HL7 Orders & Observations Work Group; Co-Chair, HL7 Domain Experts SteeringDivision; Member, HL7 Technical Steering Committee4 SEPTEMBER 2010

Sydney continued from page 2many buses and trams – the hop-on/hop-off Sydney Explorerbus will take you to the area’s main attractions.AccommodationsAs mentioned above, our working group meeting arrangementsin Sydney offer you the flexibility to suit you.There are plenty of nice accommodations in all pricecategories. The average cost of a Sydney hotel room isapproximately US$130 (A$150) per night. HL7 Australiahas a number of 4-star hotel rooms available immediatelynext to the WGM venue. Please visit www.HL7.org.au/Sydney2011 for details. Note that in Australia, hotelprices include all taxes, surcharges and service charges.2011 Australian OpenSummer in Australia is also tennis season. Balmy nights,superstar tennis players, colorful fans and unpredictablematches characterize the amazing entertainmentshowcase that is the 2011 Australian Open. The AustralianOpen begins immediately following the WGM onMonday, January 17. Mixing world-class tennis withworld-class entertainment, facilities and technology createsan energetic sporting carnival that blends the funand enjoyment of tennis with social and cultural attributesthat celebrate Australia’s iconic love of the greatoutdoors and fun in the sun. For two weeks in January,Melbourne, a 1-hour plane ride from Sydney, becomesthe place ‘Where the world comes to play’. You will feelthe competitive tension soar as more than 500 of theworld’s best players arrive, prepare and compete at theRod Laver Arena. You can find out more informationabout this event at www.AustralianOpen.com.Do I need a Visa?There are no visa requirements for WGM participantsfrom North America, the European Union andmost Asian countries – but you should practice your“G’Day”, “No worries, Mate” and “Throw a Shrimp onthe Barbie” before you travel (see www.KoalaNet.com.au/australian-slang.html). Like the US, for travel securityreasons, Australia now requires that visitors registertheir intent to travel online (ETA) for a nominal fee.More information and links are available on the SydneyWGM website at www.HL7.org.au/Sydney2011. Thereare no vaccination requirements.Make your travel plans for Sydney now! Sydney,Australia, here we come!HL7 Benefactorsas of July 23, 2010Centers for DiseaseControl and PreventionUS Departmentof DefenseMilitary Health SystemSEPTEMBER 20105

JOURNEYon Four ContinentsBy Mark McDougall, HL7 Executive DirectorMark McDougallRio de Janeiro, Brazil:May Working Group MeetingAfter many months of planning, ourrecent May Working Group Meetingwas held in Rio de Janeiro, Brazil.The setting was beautiful and themeetings were productive. Thirty-sixHL7 work groups convened meetingsin Rio, of which 13 Work Groupsconducted co-chair elections. Attendeesalso took advantage of 19 tutorialsthat week.I would like to extend a very sincerethank to Marivan Santiago Abrahão,MD for his invaluable guidance andhis hundreds of hours of effort to helpus plan this meeting. Please see thepicture of Marivan and his beautifuldaughter Alexia (below).Marivan with his daughterThere are also some pictures of HL7meeting attendees enjoying a verymemorable networking reception thatincluded a Brazilian band and dancers(please see the next page). In fact,these dancers were from the Unidosda Tijuca Samba School and werewinners of the 2010 Carnival Parade inRio de Janeiro.UPDATE FROMHEADQUARTERSI am also pleased to recognize the followingorganizations that sponsoredkey components of our recent MayWorking Group meeting in Rio deJaneiro. They include:• Gordon Point Informatics –Wednesday PM Cookie Break• Interfaceware – Lanyards• LINKMED – Morning Coffee Breakall week• Beeler Consulting – MnM Facilitator’sRoundtableThe additional sponsorship supportprovided by these organizationscontributes heavily to HL7’s meetingbudget and is much appreciated.Cape Town, South Africa-Medinfo (September 2010)Since 1998, HL7 has participated ateach of the Medinfo conferences thatoccur every three years. Cape Town,South Africa will host this year’sMedinfo conference, referred to as the13th International Congress on MedicalInformatics from September 12-15,2010. This will be the first time theconference is held in Africa. It promisesto boost exposure to grassrootshealthcare delivery and the underpinninghealth information systems. HL7will have a booth and will produceHL7 related educational sessions too.Should you plan on attending Medinfothis year, please be sure to visit theHL7 booth. For more information,please visit their website at http://www.medinfo2010.org/Cambridge, USA:Plenary (October 2010)As I write this article, we are puttingthe final touches on the program forour 24th Annual Plenary and WorkingGroup Meeting. This year’s eventwill convene October 3-8, 2010 at theHyatt Regency Cambridge Hotel, inCambridge, Massachusetts. Cambridgeis located across the St. Charles Riverfrom Boston and is home to the prestigiousacademic institutions of HarvardUniversity and Massachusetts Instituteof Technology (MIT).In addition to our regular workinggroup meeting with over 40 workgroups meeting and 25 tutorials, thismeeting will also feature our annualPlenary meeting on Monday, October4th. This year’s theme is the Future OfHealthcare Using Genomics As A KeyTool. I am pleased to report that ourfirst keynote speaker for this programwill be Raju Kucherlapati, MD, PaulC. Cabot Professor of Genetics andProfessor of Medicine, Harvard MedicalSchool. His keynote address will focuson the implementation of personalizedmedicine.This year’s Plenary program will alsoinclude other valuable presentationson relevant topics. For the completeschedule of presentation topics andspeakers, please see the Plenary programschedule on page 3.The Cambridge Working Group Meetingwill also include a special AmbassadorProgram event. This eventwill take place following the plenaryon Monday afternoon and will coverHL7 and the Final Rule on Standardsand Certification Criteria for ElectronicHealth Record Technology. Thisprogram is also eligible for CME creditsponsored by the American College of6 SEPTEMBER 2010

Scenes from the Rio WGMNetworking ReceptionPhysicians. For more information onthis event, please see page 4.Sydney, Australia: JanuaryWGM (January 2011)Lillian Bigham and a team of dedicatedAussies are hard at work finalizingplans for producing our January 2011Working Group Meeting in Sydney,Australia from January 9-14, 2011. Iwould like to recognize the hard workby Richard Dixon Hughes and DavidRowlands. Richard will be joinedby Tina Connell-Clark, Klaus Veil,Vincent McCauley and Chris Lynton-Moll to represent HL7 Australia onthe Sydney WGM Organizing Committee.I would also like to thank theAustralian Department of Ageing, theAustralian National E-Health TransitionAuthority (NEHTA) and HL7Australia for the significant amountsSEPTEMBER 2010of sponsorshipfundingthey areproviding forthe JanuaryWGM.Please seethe coverstory formore details.In ClosingWe areworkinghard to live up to the last word in ourname – International. This columnincludes information on four HL7meetings on four continents; all withinnine months. Of course, this articledoes not even reference the meetingsthat our 30 plus HL7 affiliates are alsoproducing over the months ahead.Best wishes for an enjoyable summer(or winter) season, and remember totake time to enjoy the journey.7

11th InternationalHL7 InteroperabilityConference ReportBy Catherine Chronaki, Affiliate Director, HL7 International Board of Directorsand Diego Kaminker, Chair HL7 Argentina, Organizing Committee, IHIC2010Catherine ChronakiBrazil welcomed IHIC2010 on May 14-15, 2010 at theWindsor Barra Hotel in Rio de Janeiro. IHIC is an annualconference supported by the HL7 International Council thatbridges the gap between national eHealth strategies, standardsdevelopment and feedback from those who implementHL7’s standards. This was the first time that IHICwas hosted in South America and also the first time thatsessions wereheld in Englishand in Spanish.The two-dayprogram included20 peer reviewedpapers and morethan 10 invitedpresentations andkeynotes. Theprogram includedan Integrating theHealthcare Enterprise(IHE) workshop in three languages (English, Spanishand Portuguese), along with an HL7 Ambassador sessionand a workshop presenting the innovative approach of theLogical Record Architecture of NHS CFH in the UK. Thetheme of the closing session was striking National eHealthInitiatives in South America: “Global Health InformationTechnology Standards Serving Local Needs.” The experiencefrom Canada Infoway was discussed alongside governmentinitiatives from Brazil and Uruguay.Keynote speakers and topics included the following:• Dr. Beatriz Leão who presented challenges and successstories from EHR initiatives in South America, includingseveral projects in Brazil, Uruguay and Argentina(including Vital Statistics Systems, Maternal and ChildHealth Program, Perinatal Information System andElectronic Death Certificate, Unique ID initiatives, LabIntegration and Information Exchanges).• Dr. Bob Dolin, Chair of HL7 International, who presentedthe challenges faced by CDA, a global HL7 Internationalstandard committed to addressing regionalneeds in the eve of its 3rd release.• The keynote presentations from Dr. Bob Dolin, Dr.Ken Lunn, Ronald Cornet, Tim Benson (for ClemMcDonald) and Daniel Luna focused on terminologies,knowledge representationand the interplay of standards(“Content is king/queen”). Accordingto them, it is no longeracceptable to consider separatestandards development: theonly way forward is throughcollaborative efforts.• Dr. Chris Chute, Chair of ISO/TC215, gave a keynoteentitled “Health Informatics SDO Collaboration – theevolving role of ISO TC215” in which he discussed theimportance of content. Dr. Chute displayed an impressivepicture on “Copernican Healthcare,” a healthcareuniverse at the center of which is billable diagnosesand clinical data. According to Dr. Chute, in order toachieve the necessary standards coordination, it is necessaryto promote harmonization between SDO’s, encouragesynchronized balloting, support harmonizedarchitecture, sort technical issues between SDO’s,provide an impartial and transparent process allowingconsensus, and coordinate with industry partners tobetter meet needs identified in the market place. Healso stressed that “HIT standards are not sufficient todevelop and deploy EHR, collaboration among HealthIT SDOs is needed for interoperability.”Dr. Chute, Copernicus Healthcare (IHIC2010)Diego KaminkerDr. Chute also commented on the transition from practicebased guidelines to evidence based guidelines as well as onshared semantics for vocabularies and terminologies incorporatingmedical knowledge and decision support.8 SEPTEMBER 2010

different syntax: HL7 messages, clinical documents inCDA, archetypes, detailed clinical models, etc.Several of the papers submitted in Spanish were relatedto experiences using CDA standards for exchange indifferent settings (radiology, home care) and the legalimplications of the use of HL7 standards combined withIHE profiles for a document-based shared EHR.For Practice-based to Evidence-based, Dr. Chute (IHIC2010)Dr. Bernd Blobel,chair of HL7 Germany,delivered a tribute toJoachim Dudeck, thefirst Affiliate Directorand inaugural chairof HL7 Germany,who passed awayon March 31, 2010.He is fondly rememberedas an innovator,pioneer, mentor,and a friend. The HL7International Council,to recognize his leadershipand impact to theJoachim Dudeck (1932-2010),Affiliate Director, HL7 & InauguralChair of HL7 GermanyHL7 international community, has established a specialJoachim Dudeck Best Paper Award for the InternationalHL7 Interoperability Conference.During the Ambassador session, Gora Data, Diego Kaminker,Dr. Kai Heitmann, Gary Dickinson, and Dr. AmnonShabo presented ambassador briefings on key HL7international standards activities including an overall Introductionto HL7, HL7 CDA, Version 3, the EHR SystemFunctional Model, and clinical genomics.Nicholas Oughtbridge discussed innovativeapproaches to the development of standardsin his workshop on the Logical RecordArchitecture (LRA -http://www.connectingforhealth.nhs.uk/lra).The LRA is a logicalarchitecture for health and social care recordsdriven by English National Health andSocial Care requirements based on EN1360and exploiting the potential of SNOMED CTterminology. According to Nicholas, the nextstep for the LRA is the so-called LRA factorymachine, which will leverage requirements to produceDr. Dolin’s presentation on green CDA outlined thegoals, namely to create an “authoring schema” thatsimplifies the creation and validation of a particularCDA implementation guide. This will allow for the useof a simpler but clinically meaningful XML instancethat is 100% transformable into a conformant CDA R2while hiding certain CDA complexities (such as mood-Codes, fixed attributes, etc).During her presentation, “Interoperability in DisasterMedicine and Emergency Management,” CatherineChronaki reviewed recent developments in HL7 standards,IHE profiles and OASIS emergency standardslike the Common Alerting Protocol. She examined waysthey can be brought together for more effective communicationand coordination in cases that challenge ourcapacity, means, and resources.IHIC2010 was an exciting venue. Those interested mayaccess most of the presentations and papers at http://www.hl7elc.org/ihic2010/index.html. Next year, the USis the likely candidate to host IHIC2011. Please watchfor the call for contributions in the months ahead. Yourexperience, insights, and vision are crucial for HL7standards to remain the best and most widely adoptedhealth information technology standards addressingregional and global needs.Logical Record ArchitectureSEPTEMBER 20109

Work Groups Evaluate theRio WGM ExperienceBy Karen Van Hentenryck, HL7 Associate Executive DirectorKaren Van HentenryckHL7 International is committed to ensuring that itsworking group meetings (WGMs) are productive, financiallyviable, and provide a positive experience forboth HL7 members and non-members. To that end, theorganization recently implemented a project to gaugehow well it is meeting those goals. The project solicitedfeedback from the co-chairs of the work groups andBoard appointed committees that attend each meetingand will subsequently share those results with the HL7membership and leadership.HL7 International’s most recent meeting convened May16-20 in Rio de Janeiro. The meeting was attended by210 individuals from 26 countries. There are currently57 work groups and Board appointed committees withinHL7; of those, 39 met in Rio.Co-chairs of the 39 work groups that met in Rio wereasked to complete a survey to evaluate the meeting experienceand 33 work groups responded. Despite relativelylow attendance, all but six of the groups that respondedto the survey indicated that they reached quorum formost of their Rio sessions. Only one group indicated thatthey did not set objectives for their work group meeting,citing such reasons as reduced sessions due to expectedlower attendance and the fact that they were conveningwith an interim chair. While the steering divisions werenot asked to respond to the survey, it is notable that twoof them, Domain Experts and Structure and SemanticDesign, did not meet quorum on their Monday eveningmeetings. The Technical and Support Services SteeringDivision did not meet on Monday evening.Not surprisingly, most work groups’ objectives for theRio meeting consisted of working on existing projectwork (89.2%), providing existing project work statusupdates (83.8%) and engagement with other work groups(56.8%). One surprising fact is that only 17 (45.9%)respondents identified ballot reconciliation as an objectivefor the Rio WGM, coming in behind networking (56.8%).Of the groups that convened meetings, only three indicatedthat they were not able to accomplish their objectivesand meeting business. Respondents were asked to identifythose areas that supported their ability to achieve theirobjectives and planned work. Sufficient quorum (73.4%)and participation by key members (73.4%) were the twohighest responses, with clearly defined meeting objectives(68.6%) and pre-meeting preparedness (65.7%) also scoringhigh among respondents.Respondents were also asked to identify those areas thathindered their work or their ability to achieve objectives:missing key members (56.5%) and technical supportproblems (52.2%) were most often cited.The survey concluded with an area for general comments.Respondents were almost evenly split on thequestion of whether they would recommend the venueand location again. Numerous comments were submittedaround a variety of topics, but several focused on a commontheme: recognizing that while international meetingsare valuable and this venue and host were very nice,the location led to inadequate participation. Of the 33groups that responded, only four had additional participationfrom local attendees which was very disappointing.Additional comments in support of this theme includedtravel restrictions on US government employees, problemssecuring visas, and general difficulties with traveling toBrazil. There was also the perception that Rio is considereda recreational rather than business venue, and thatless expensive venues should be considered. A numberof respondents also reported problematic technical issuesdetracting from the overall meeting experience, whichincluded the high cost of internet in the guest rooms, itsunreliability in the meeting rooms, and a lack of projectorsin meetings.In conclusion, given the lower attendance and the challengesof the location, a surprising number of the co-chairsreported that their work groups were able to accomplishtheir overall objectives – largely due to the dedication andunwavering attendance of the members. This survey willbe conducted following all future working group meetingsand we look forward to being able to use this informationto make each meeting better than the last.Meeting survey responses can be viewed at: http://www.hl7.org/Library/Committees/pi/SurveySummary_06242010.pdf10 SEPTEMBER 2010

Work and Fun inRio de JaneiroMarivan Abrahão, MDBy Dr. Marivan Santiago Abrahão, MD, Chair, HL7 BrazilAt the Affiliate Council meeting in Vancouver, Ed Hammondsuggested Latin America as a possible location for anupcoming HL7 working group meeting (WGM). I saw thisas an excellent opportunity to promote HL7 in the SouthernHemisphere. Buenos Aires, the first choice, gained therepresentative support from all HL7 Latin America affiliateboards that was later extended to HL7 Brazil.Although the field of medical informatics has beensteadily developing in Brazil for the last twenty years,standards themselves have not been widely implementedhere. While there were financial risks to conveninga WGM in a country without widespread use ofHL7 standards, it also provided a unique opportunity toexpose the local medical community to HL7 and encourageits uptake. It is also noteworthy that the medicalassistance provider’s market in Latin America, whichdevelops systemic applications for the health chain, iswell developed in Latin America, eclipsing the marketin all of Western Europe. Providing this market with anincentive to participate and understand the value of theIT and HL7 was also a consideration in the decision toconvene the WGM in Brazil.A courageous team from the HL7 affiliates in LatinAmerica assumed the responsibility for planning thismeeting. The planning team included HL7 Argentina,HL7 Uruguay, HL7 Chile, HL7 Colombia and HL7 Mexico.Their efforts, as well as strong support from the HL7International Affiliate Board and the HL7 Board of Directors,made this challenge a feasible reality. While HL7 hasconvened WGMs outside North America, Brazil presentedseveral unique challenges, including the visa restrictionsfor some countries, including the US, the language barrier,and an implicit feeling of fear in facing unknown anddistant lands. Due to these obstacles, attendance at theRio de Janeiro WGM was less than anticipated.Over a period of fifteen days, members from the ISO TC-215 Meeting, the IHIC International HL7 InteroperabilityConference, the IHE Conference and the International HL7Working Group Meeting experienced a very professionalprogram and venue organization, with neat meeting rooms,great lodging facilities and superb food service.Not surprisingly, the unforgettable beauty of the cityof Rio de Janeiro left a lasting impression on theWGM attendees.I have always been curious about the reasons for choosingdifferent cities for hosting HL7 Working GroupMeeting, as the extensive hours spent at the meetingsleaves very little time left for touring. However, the Riode Janeiro HL7 WGM gave attendees the opportunity towork and have fun together. The networking receptiondemonstrated to meeting attendees that fun and workcan go hand-in-hand.It is difficult to express the feeling of pleasure and satisfactionnoticed throughout the meeting, but the overallopinion was very positive. As Catherine Chronaki hassincerely expressed, “creating a legacy that will be hardto match”.I would like to thank Lillian Bigham, HL7 Director ofMeetings for her unfaltering dedication. Her professionalexperience and support helped us overcome thechallenges and make the meeting a success.I am very pleased and proud of HL7 Brazil’s commitmentto making this a successful event for the promotionof HL7 standards in South America.SEPTEMBER 201011

HL7 InternationalCouncil MeetingReportCatherine ChronakiBy Catherine Chronaki, Affiliate Director, HL7 International Board of Directors, InternationalCouncil Co-Chair, Affiliate LiaisonOn May 16, 2010, the HL7 International Council had its Sundaymeeting in Rio de Janeiro, Brazil. More than 100 participantsfrom 25 countries attended, including representativesfrom approximately 20 of the Council’s members.During the opening session, the co-chairs welcomed EspenMoeller as the inaugural chair of HL7 Norway, HL7 International’snewest affiliate.Bernd Blobel also shared hismemories of Joachim Dudeck(1932-2010), who was thefounding chair of the first affiliate,HL7 Germany. A momentof silence was observedas attendees recognized Mr.Dudeck’s contributions and lastingimpact on the developmentand adoption of health informationtechnology standards.Michael van Campen, chair ofthe Due Diligence Committee reportedon the status, number ofactive petitions, and expressionsRio De Janeiro, Brazilof interest to form new affiliatesin Panama, Pakistan, Puerto Rico, and Bosnia-Herzegovina.In his Board report, Michael presented the work carried outby Board appointed committees and task forces on shapingthe role of HL7 International in the future and makingglobal engagement and participation even more effective.Release 2 (both NWIPS approved unanimously by WG8in Rio), BRIDG Model (Biomedical Research IntegratedDomain Group) (progressed to DIS), Clinical Trials Registrationand Results, Data Types (progressing to FDIS/publication).A number of additional projects have been proposedand are under consideration including: Glossary andDocument Registry (SKMT), Detail Clinical Models/ClinicalData Modeling, Data Types Implementation Guide, andAudit Trails.In the Marketing Report, I coveredrecent and planned activitieswhere the Marketing Councilparticipates: free webinarson Introduction to HL7 andCDA, the university programnow concluding its pilot phase,and the Ambassador Program’sseven plus topics and 27 ambassadorsaround the world. Inaddition to a new presentationon Public Health and EmergencyResponse, a number oftopics are planned including:CDA/CCD and Patient SummaryRecords, Use of HL7 Version2.5.1 in Immunization Registries Disease Surveillance, andSubmission of Lab Results to Public Health Agencies.Diego Kaminker, chair of HL7 Argentina and co-chair ofthe HL7 Education Work Group provided an update onthe e-Learning Program (ELC, www.hl7elc.org), which issupported by the International Council with a scholarshipfund and is delivered in Spanish and English. The mostrecent Spanish edition had 70 students (four scholarships),with 15 wait-listed for October. The English edition had 100participants (300+wait-listed). HL7 India and HL7 Italy arealso planning to hold ELC courses later this year.John Quinn, HL7 International’s CTO, reported on the resolutionsof the Joint Initiative Council (JIC) meeting earlierthat week, where HL7 International along with CDISC, ISO,CEN, IHTSDO, and GS1 are working together for GlobalHealth Informatics Standards Harmonization. CurrentJIC projects include: Individual Case Safety Report (ICSR(progressed to DIS-2), Identification of Medicinal Products(progressed to DIS), EHR-S FM Release 2 and PHR-S FM Several reports relating to conference events and meet-12 SEPTEMBER 2010

ings planned were shared. Dr. Bernd Blobel announcedthe HL7 workshop, in collaboration with GS1, plannedin the frame of the EFMI STC conference “Seamless Care– Safe Care: the Challenges of Interoperability and PatientSafety in Health Care” Reykjavík (June 4-5, 2010). Additionalevents were announced including the HL7 CroatiaWorkshops ISPHER2010 “ISHEP 2010 – Interoperabilityand Standards in Healthcare – European Perspective“ inZagreb on September 16-17, 2010 (please see article onpage 15) and the HL7 Asian Pacific Conference organizedby HL7 Taiwan.Diego Kaminker reported on IHIC 2010 and underlinedreferences to the challenges and opportunities for HL7in developing nations as reflected in the keynote by Dr.Beatriz Leão. He also reviewed the final round table aboutnational e-health initiatives in Latin America. Please seethe full article on IHIC on page 8.The European HL7 Interoperability Meeting (E-HIM)organized by HL7 Spain, in Barcelona on March 17-18 attractedmore than 100 people and offered excellent presentationsby a number of HL7 representatives. The secondday included a closed meeting of European affiliate boardmembers and HL7 leadership that provided the opportunityto discuss European affairs and potential projects ofEuropean interest.The “HL7 Around the World” session covered the lastquarter with presentations and updates for current membersof the Council as well as countries or regions withan active interest in forming an HL7 affiliate. This timethere were reports from 25 countries: Argentina, Australia,Austria, Brazil, Canada, Chile, Croatia, Finland, France,Germany, Greece, the Netherlands, Hong Kong, India,Italy, Japan, New Zealand, Norway, Pakistan, Russia,Singapore, UK, Uruguay, and the US. The reports fromthe HL7 Around the World session along with those fromE-HIM can be downloaded from the pages of the InternationalCouncil at www.HL7.org/international.The next Sunday meeting of the International Council isplanned in Cambridge on October 3, 2010. I look forwardto seeing you there and to sharing HL7 developments fromaround the world!Scenes from the European HL7 Interoperability MeetingSEPTEMBER 201013

Meaningful Use Standards Final Rule NamesFive HL7 Standards and Implementation GuidesFive HL7 standards and implementation guides arenamed in the U.S. final rule on standards and certificationcriteria for meaningful use.The interim final rulepublished in January of this year included:• HL7 Version 2.5.1 for the submission of lab resultsto public health agencies• HL7 Version 2.3.1 or Version 2.5.1 for submitting informationto public health agencies for surveillanceor reporting (excluding adverse event reporting)• HL7 Version 2.3.1 or Version 2.5.1 for submittinginformation to immunization registries as thecontent exchange standard and the CDC maintainedHL7 standard code CVX—Vaccines Administered asthe vocabulary standard• HL7 Clinical Document Architecture, Release 2(CDA) Continuity of Care Document (CCD), aVersion 3 standard based on the HL7 Reference InformationModel, as one of two options for contentexchange standards for the receipt of a patient summaryrecordIn addition, the final rule now includes the HL7 Version2.5.1 Implementation Guide for Electronic Laboratory Reportingto Public Health when HL7 Version 2.5.1 is usedfor reporting lab results to public health agencies.HL7 Members Are Heard by ONCIn March, HL7 published comments on the Interim FinalRule on Standards. As a result of feedback from HL7, itsmembers and others in the healthcare industry, a numberof changes important to HL7 members were made tothat rule.• Overlaps and Inconsistencies withPreviously Selected Standards Are ReducedHL7 recommended that ONC provide clarificationon overlaps and inconsistencies between standardsrequired for use in Federal Agencies under ExecutiveOrder 13410 and standards that had been previouslyrecognized under this order. The final rule incorporatesmany more of the implementation guides thathad been previously recognized by HHS as requirements,including the ANSI/HITSP C32 Version 2.5implementation guide. These changes greatly reducethe number of inconsistencies and overlaps betweenthe final rule and Executive Order 13410.• Implementation Guidance Has Been AddedHL7 recommended that the Final Rule provide moreimplementation guidance. The new rule incorporatesimplementation guidance for Immunizationsusing HL7 2.3.1 or HL7 2.5.1, use of the Continuityof Care Document using the HITSP C32 Version 2.5specification, guidance for public health reportingusing HL7 2.5.1 developed by the Public HealthInformation Network, and for laboratory to publichealth using the recently approved HL7 Version2.5.1 Implementation Guide for Electronic LaboratoryReporting.• Transport Standards Inconsistencies EliminatedHL7 recommended that the transport standardssection be altered to accommodate the use of theselected HL7 standards. The final rule does notmake any recommendations for transport.• Description of CCD ImprovedHL7 observed that the description of CCD in the InterimFinal Rule was inaccurate. The interim finalrule described CCD as being a Level 2 implementationguide of CDA. CCD supports both structurednarrative (Level 2) and coded data (Level 3). ONCcorrected these errors. Furthermore the selection ofthe HITSP C32 Version 2.5 Specification for implementationguidance means that CCD documentsexchanged for meaningful use will contain codeddata (Level 3).• Use of Appropriate Standards for DischargeSummariesHL7 pointed out that Discharge Summaries requirecontent that is not described or supported in theCCD. ONC acknowledged that Discharge Summarydocumentation can be separated from the contentof the CCD, but did not select an alternative standardfor them.• Use EHRs for Clinical PurposesHL7 recommended that the text in the Interim Finalrule which required use of the EHR to performeligibility and claims transactions be removed, asthis is inconsistent with EHR systems as describedby the HL7 EHR Functional Model. The final ruleremoves the requirement for the EHR to performclaims or eligibility transactions.HL7 International members may download copies of thestandards and implementation guides for free. Nonmembersmay purchase them at http://www.HL7.org/implement/standards/hhsifr.cfm.14 SEPTEMBER 2010

Liora AlschulerHIMSS Analytics Study to Look at Use ofHL7 Templated CDABy Liora Alschuler, Co-Chair, HL7 Structured Documents Work Group; Principal, AlschulerAssociates, LLC; Executive Committee Member, Health Story ProjectHIMSS Analytics recently added new questions on useof templated CDA documents to its annual study to helptrack how hospitals are progressing in meeting earlymeaningful use requirements specified in the AmericanRecovery and Reinvestment Act of 2009. The newsection of the survey includes questions about use ofHL7 document specifications that support conversion ofnarrative data to a templated CDA format for import in tothe electronic medical record (EMR). Data gathered fromthe new questions will determine if hospitals have thisinfrastructure in place and how structured documents areused in conjunction with the EMR.HIMSS Analytics tracks the EMR implementation statusof more than 5,000 US, non-governmental hospitalsthrough its annual study with hospital CIOs. The datagathered provides a detailed look at the clinical andfinancial application environments in US hospitals.HIMSS Analytics also developed the Electronic MedicalRecord Adoption Model SM – or EMRAM – to score hospitalsin the HIMSS Analytics Database on their progressin completing the eight stages to creating a paperlesspatient record environment. The HL7 structured CDAdocuments are now recognized as an important stage inthis progression.Much of the informationin a patient’s medicalrecord may be entered bythe physician or nurse innarrative form, such asnotes taken during a clinicvisit, operative reportsor other information thatcontributes to the completenessof individualhealth history. The Health Story Project is a non-profitcollaborative of healthcare vendors, providers and associationsthat pooled resources over the previous threeyears to accelerate development of data standards toenrich the flow of information between common typesof healthcare documents and EMR systems.Health Story has an Associate Charter Agreement withHL7 and supported the development of the followingseven HL7 technical implementation guides: ConsultNote, History and Physical, Operative Note, DiagnosticImaging Report, Discharge Summary, Procedure Note,and Unstructured Document. Work began recently on animplementation guide for Progress Notes. The standardsare based on the HL7 Clinical Document Architecture reusingtemplates from the Continuity of Care Document.“ARRA funding incentivesare driving EMRimplementation,” saidJohn P. Hoyt, FACHE,FHIMSS, Vice President,HIMSS HealthcareOrganizational Services.“With this expandedarsenal of data, HIMSSAnalytics can helphealthcare providers better understand and follow themeaningful use requirements while moving higher on theEMRAM scale.” HIMSS Analytics expects to begin reportingon hospital readiness for meaningful use in September2010. Learn more at www.himssanalytics.org.Study now includes questions on hospitalreadiness for Meaningful Use,including use of structured templatessupported by the Health Story Projectand developed through HL7The members of Health Story anticipate that inclusionof the new questions in the study will help raise awarenessof the availability of the HL7 structured templatesas resources to support meaningful use and will aid intracking their adoption.For more information on the Health Story Project, pleasevisit www.healthstory.com.SEPTEMBER 201015

ISHEP 2010 WorkshopInteroperability and Standards inHealthcare – European PerspectiveMiroslav KoncarBy Miroslav Koncar, ISHEP Program Organizing Committee and Vice Chair, HL7 CroatiaHealthcare stakeholders are experiencing many positivechanges in their every day practice due to the emergingeHealth market across member states and countriesaround the globe. To quote some of the thoughts from“Together for Health: A Strategic Approach for the EU2008-2013”, a white paper published by the EuropeanCommission in October 2007, eHealth, together withgenomics and biotechnologies, can improve preventionof illness, delivery of treatment, and support a shift fromhospital care to prevention and primary care. This is ofparamount importance when it comes to ageing populationsand the impact of chronic diseases to quality oflife and costs of care delivery. eHealth, in particular, isexpected to help provide better citizen-centered care aswell as lower costs and support interoperability acrossnational boundaries, which will facilitate patient mobilityand safety.In order to meet these expectations, eHealth solutionsneed to be the proper level of quality when it comesto business processes support, costs versus benefits,integration, user friendliness, performance, reliabilityand security. A key component, in that respect, representsmultilayer process and semantic interoperabilityof deployed solutions. Standards are playing a criticalrole; they represent the collection of best practices acrossproject implementations, and should serve as a necessaryquality component in any current and future endeavor.With that in mind, the ISHEP conference brings togethereHealth thought leaders and industry experts from Europeancountries to share the latest developments in bestpractices and implementation of standards in best-inbreedsolutions.The event is organized under the auspices of the Ministryof Health of the Republic of Slovenia, and the Ministryof Health and Social Welfare of the Republic of Croatia.The organizers (HL7 Croatia, CSMI, SIMIA) would like toinvite healthcare executives, opinion leaders, physicians,industry and solution vendors, and all other stakeholdersto this two-day workshop to present and discuss bestpractices in standards developments and implementationsfrom top projects in the region and beyond.Invited speakers and lecturers include:• Ilias Iakovidis, Acting Head of Unit ICT for Health,DG Information Society and Media, EuropeanCommission• Fredrik Linden, SKL/SALAR, epSOS ProjectCoordinator• Smiljana Vončina Slavec, MoH CIO, Republic ofSlovenia• Ranko Stevanovič, Public Health Institute, Republicof Croatia• Catherine Chronaki, International Council Co-Chair,Affiliate Director, HL7 International Board ofDirectors• Georges de Moor, EUROREC• Jos Devlies, EUROREC• Rene Spronk, HL7 CDA, Ringholm PrincipalConsultant• Charles Parisot, GE Healthcare• Leo Ciglenečki, PROREC SloveniaISHEP 2010 is taking place at Faculty of ElectricalEngineering and Computing in Zagreb, Croatia,September 16-17, 2010.Supporting Organizing Institutions Bodies:• Faculty of Electrical Engineering and Computing,Unska 3, 10000 Zagreb Croatia (www.fer.hr)• Croatian Society for Medical and BiologicalEngineering, www.crombes.hrFor more information, please visit the ISHEP workshopwebsite at http://ishep.org.16 SEPTEMBER 2010

Dave HamillUpdated Project ApprovalProcess DocumentationThe HL7 Project Management Office(PMO) released a revised version ofthe Project Approval Process. Detailedinformation was added regarding specificwork necessary to accomplish eachapproval step and the person responsiblefor conducting that work. The documentwas expanded to identify the tasks andowners based on the sponsor (e.g. HL7work group, Board appointed work group,TSC sponsored projects, Board sponsoredprojects) or the rationale for the project,(e.g. a revised project scope statement or aproject reaffirming a standard).Additionally, the PMO, in conjunctionwith the HL7 International Council leadership,expanded the project approvalprocess to incorporate International Affiliateprojects.The document can be found on www.HL7.org via Participate > Templates >Project Scope Statement and ProjectApproval Process.Upcoming INTERNATIONAL EVENTSMedInfo 2010Cape Town, South AfricaSeptember 12 – 15, 2010For more information, please visithttp://www.medinfo2010.org/ISHEP 2010 –Interoperability andStandards in Healthcare –European PerspectiveZagreb, CroatiaSeptember 16 – 17, 2010For more information, please visithttp://ishep.org/24th Annual Plenary andWorking Group MeetingCambridge, MAOctober 3 – 8, 2010For more information, please visitwww.HL7.orgNewsPMOfrom theBy Dave Hamill, Director, HL7 Project Management OfficeSAIF and Sound – Fast Trackto Standard DevelopmentThe Project Services Work Group hasteamed up with Service Aware InteroperabilityFramework (SAIF) projectleadership to align the Project Life Cyclefor Product Development (PLCPD) withSAIF. The result is Project #676 - SAIFand Sound – Fast Track to StandardDevelopment.The intent of this project is to depicthow HL7 could leverage the well-definedballot process, the project managementtrack record, and the analysisand design practice in HL7 to adopt amore robust architectural approach tostandards development, thus introducingimprovements as an evolution ofcurrent best-practices. The approachoutlined intends to introduce predictable,one-year approval cycles that leverageboth methodology and architecturebest-practices and builds on HL7’spast successes.Have questions regarding this project?HIMSS Asia ‘10Health IT CongressDaegu, South KoreaOctober 26 – 28, 2010For more information, please visithttp://himssasiapac.org/congress10/index.aspxeChallenges e-2010Warsaw, PolandOctober 27 – 29, 2010For more information, please visithttp://www.echallenges.org/e2010/HL7 UK TechnicalCommittee & RIMBAAJoint Working MeetingLondon, EnglandNovember 4, 2010http://www.HL7.org.uk/committees/agendas/HL7UK_TC_RIMBAA_Agenda.aspContact project facilitators Rick Haddorff(haddorff.richard@mayo.edu) orIoana Singureanu (ioana.singureanu@gmail.com).Monthly WebinarsBe sure to look in eNews for the datesand times of the monthly webinar“HL7 Project Management Tool Overviewfor HL7 Project Facilitators”. Thesessions are targeted for co-chairs andthose leading HL7 projects (i.e. ProjectFacilitators) and will demonstrate HL7project tools including Project Insight(HL7’s primary project repository),the HL7 Searchable Project Database,GForge, as well as review HL7 projectprocesses and methodologies.HL7 Project Tracking ToolsAll of HL7’s project tools, including theSearchable Project Database, GForge andProject Insight, are available on www.HL7.org via Participate > Tools & Resources> Project Tracking Tools.January Working GroupMeetingSydney, AustraliaJanuary 9 – 14, 2011For more information, please visithttp://www.hl7.org.au/Sydney2011.htmMIE 2011-MedicalInformatics Europe 2011Conference and ExhibitionOslo, NorwayAugust 28 – 31, 2011For more information, please visithttp://www.mie2011.org/SEPTEMBER 201017

Laboratory TestsManagement in AndalusiaFélix Gascón, MD, PhDBy Félix Gascón, MD, PhD, Director of the Clinical Laboratory Department for the AndalusianHealth Service in the North Cordoba Health Care Area, Spain. Functional manager of the development team forthe Diraya Laboratory Tests Module.Camilo Vázquez Pavón, Indra Project Manager for the development team of the Diraya Laboratory Tests module.Description of the Andalusian public healthcare systemIn Spain, providing healthcare services has been transferredto the autonomous communities. Andalusia, aregion with 8.3 million residents, has been responsible forits population’s health since 1984. The Andalusian publichealthcare system has approximately 1,500 healthcarecenters and 44 hospitals (100% of the primary healthcarecenters and 93% of the beds for specialized care).Description of the laboratory tests moduleThe laboratory tests module (LTM) is fully integrated inDiraya, Andalusia’s electronic health record (EHR). Thismodule manages everything from the test requests tolinking results to the patient’s medical records. The mainobjectives of this module are the following:• Requesting laboratory tests from any healthcarecenter connected to Diraya• Possibility of having the user request the laboratory• Consulting the results from any healthcare centerconnected to Diraya• Full traceability of the entire process, from when therequest is made until the last result is received• Guaranteeing connectivity with all the laboratoryinformation systems on the market• Respecting to a maximum the autonomy and individualcharacteristics of each clinical laboratoryFigure 1: AndalusiaThere are more than 30 laboratories in Andalusia withthe “receiver-distributor” role one per hospital area, towhich the laboratories of different specialties, mainly inlarge hospitals, must be added. The “receiver-distributor”laboratories have implemented five information systemsfrom four different manufacturers.Figure 2: LTM interoperability diagram18 SEPTEMBER 2010

Motivation behind the use ofstandardized messagesThe variability of manufacturers of the laboratory informationsystems implemented in Andalusia makes itdifficult for the data architectures of these systems andof the LTM itself to be compatible, thus requiring theuse of standard messages that are understood by all theactors, regardless of their data structures. On anotherhand, the need has arisen to offer standardized externalcommunication in such a way that a standardized routeis established for interoperability with other laboratoryinformation systems that are different from the onesalready implemented.Description of the message sequence appliedThe HL7 version used in this module is Version 2.5 onXML. The basic interoperability cycle between LTM andthe laboratories, which begins when the samples arecollected, is perfectly defined with a series of events thatsend the messages:1. When health care personnel perform the extraction,the extraction data and the laboratory test requestare sent to the laboratory. The message type definedis ORM^O01.2. Upon the digital arrival of the request, the LTM isinformed that the request has been received correctly.The message type defined is ORR^O02.Figure 3: Usual sequenceSEPTEMBER 20103. When the samples arrive in the laboratory, thecorresponding confirmation message is sent. Themessage type defined is ORM^O01.4. When the results of the tests requested are generatedfrom the sample analyses, the LTM is senta results delivery message (with partial or finalresults). The message type defined is ORU^R01.5. When the results are generated from subsequentrevisions, the LTM is sent a message of the post-finalresults. The message type defined is ORU^R01.Additionally, it is possible to cancel an extraction, as longas the samples have not been received by the laboratory:1. Upon the extraction cancellation, a cancellationrequest is sent to the laboratory. The message typedefined is ORM^O01.2. Upon the arrival of the cancellation, the LTM is informedthat the request has arrived correctly. Themessage type defined is ORR^O02.Difficulties encounteredin the standard’s useThe use of the HL7 messaging standard for managinglaboratory tests has presented certain difficulties, whichinclude different interpretations of the standard by thedifferent project participants; supporting escape charactersin the communication with laboratory systems; andthe interpretation of the types of data, such as the datetype format.Description of HL7’s impact on thedesign of the LTMThe advantages of selecting HL7 for theinteroperability of the different LTMcomponents may be stated as:• Simplifying the development ofcommunication interfaces betweensubsystems• Respecting the idiosyncrasies of thedifferent systems, maintaining a commoncommunication point• Ensuring its future maintenance:° A technological change that affectsthe architecture or its componentswill not require having to re-integrate the subsystems° A more adequate response isoffered to the increasing demandof information managed by thismodulecontinued on next page19

Laboratory Tests continued from page 19The implementation plan is asfollows• Seven additional hospital areasfor the remainder of 2010. At theend of this year, it is expected toprovide service for more than 2million residents• The aim is to implement LTM inall the hospital areas during 2011,with the objective of covering thePrimary Healthcare of all Andalusiabefore 2012Figure 4: Cancellation sequence° The module is more oriented towardsstandardising the services it providesConclusions and discussionThe LTM’s degree of implementation may be summarizedwith the following points:• North Cordoba Healthcare Management Area:° It has a single laboratory that integrates thefields of Biochemistry, Hematology andMicrobiology° In use in the 43 primary healthcare centerssince June 2007. In use in hospital emergencyrooms since November 2009° Manages a volume of 250 daily requests from atotal of 550 handled by this laboratory° The volume of tests analyzed since itsimplementation is approximately 1 millionlaboratory tests that correspond to about88,000 requests• Reina Sofía Hospital Area:° Pilot programme in a primary health care centresince June 2010• Campo de Gibraltar Healthcare Management Area:° Pilot program in a primaryhealthcare center since June 2010LTM makes it possible to integrate allthe laboratory test results from thedifferent healthcare levels in medicalrecords: primary healthcare, specializedhealthcare (outpatientconsultations and hospitalization),for both scheduled and urgent care.Upon registering the methodologiesas well as the reference values for each laboratory, theLTM provides a results log regardless of the laboratory thatperforms the test. Additionally, by recording the methodsused by each laboratory it is possible to evaluate theresults obtained using different methodologies.The LTM messaging model allows the laboratory to controlthe entire laboratory test request process. This makes itpossible to guarantee from the laboratory that not only theresults leave the laboratory, but that they are available forconsultation in the EHR. The LTM functional model savesthe laboratory test results linked to the clinical context(episode/consultation) where the request was made. Thedata may be used for epidemiological studies, along withall the data from the EHR, making this module differentfrom results repositories or web-lab solutions. This allowsfor a clinical approach for research by being able to linkresults with clinical suspicions or diagnoses.The initial objective of the implementation is to cover allof Andalusia’s primary healthcare, and to then expand itto specialized care. In the North Cordoba healthcare area,where the different versions of LTM were initially used aspilot programs, it is scheduled to be implemented in outpatientconsultations in 2010, and in hospitalization in 2011.20 SEPTEMBER 2010

Congratulations tttttttttttttttttttttTo the following people who passed the HL7 Certification ExamsCertified HL7V2.5/2.6 Chapter 2Control SpecialistMarch 25, 2010John F. ByrneAlan M. GrollmanDelta H. PelgrimAlan J. VitaleMay 20, 2010Rui Pedro PereiraUgo CaputoWilliam LopesAna LucasHL7 CanadaApril 21, 2010Jean Noel GoumainSean McGuireMay 31, 2010Geraldine TaycoHL7 IndiaMay 1, 2010Varun KumarHarendra PandeyAkanksha RajeevNaveen Kumar SharmaAnshu TandonMay 29, 2010Anupama AnanthasairamNitin AroraMadhuja ArunManjunath KadabaNaveen Babu YSheela Bharathi BSrirajawalli GummadiNitesh JainDamodar Reddy KarraBhavani KrishnanSwati MukherjeeAnanda Priya MuthiahSEPTEMBER 2010Kanagaraj NDhanasekara Pandian VAnant PiratlaArvind RamaswamyJune 19, 2010Sumanta ChattopadhyayD. Leo RexUdaya Chandru PChanchal GroverArchana NarayananSheik Abdullah JRaman KumarMaj (Dr) Ashwin SudheerDevanahalliDr. K. Prafulla ChandraN. F. Noordeen ShahJune 26, 2010Anantharam T LNamrataNaentara PradhanHL7 SpainMarch 4, 2010Pilar Vivas CaballeroApril 15, 2010Vanesa del CasarAntonio Hernandez IlleraMª Ángeles CisnerosMartínEmili Masoliver PuigElisabeth Villa RubionMay 31, 2010Arturo Henry TorresZentenoFabio Muñoz MaestreFrancisco Javier MarínReyesFrancisco José FernándezGaleanoJesús Pulgarín PañosJose Antonio DelgadoAlfonsoJosé María Carretero RuizJose Maria RodriguezMendezJuan German ArriazaPosadaManuel Jesús LópezAlcázarManuel RodriguezFernandezPedro Santos MorenoRaul Lopez GarciaJune 1, 2010Álvaro Vicente GimenoCanoEduardo Llinares LegidoGonzalo MontesdeocaZamoraJavier Hurtado TabascoJoan Manel Tatjé MorenoJorge Navarro SebastiáOliver Jiménez HernándezCertified HL7 CDASpecialistMarch 25, 2010Salil AhujaMiguel E. CuriSupachi ParchariyanonSteven NallJames F. NevinsRoger Yun-chain YauMay 20, 2010Alexander HenketAustin J. KreislerHL7 IndiaMay 29, 2010Nitin AroraHL7 RomaniaMay 10, 2010Marulis PčunAdrian PodeaVlad-Alexandru RacoviččMaria RoditisDan Constantin VoicuHL7 SpainMarch 4, 2010Juan Carlos GonzalezHerreroCertified HL7Version 3RIM SpecialistMarch 25, 2010Jeannine D. BessetteMay 20, 2010Fernando A. CamposVictor ChaiHL7 CanadaApril 21, 2010Duane BensonChristopher OttoMay 6, 2010Paul DroverMay 17, 2010Wenfeng GeMay 29, 2010Kumar RanvijayJune 7, 2010Robert ThomasJune 29, 2010Rajan SharmaHL7 RomaniaMay 10, 2010Octavian Şuteuttttttttttttttttttttttttttttttttttt21

HL7 EDUCATIONAL SUMMITSGain real-world HL7 knowledgeTODAYthat you can applyTOMORROWWhat is an Educational Summit?The HL7 Educational Summit is a a two-day scheduleof tutorials focused on HL7-specific topics such asVersion 2, Version 3 and Clinical Document Architecture.Educational sessions also cover general interest industrytopics such as vocabulary.UPCOMINGEDUCATIONALSUMMITNovember 9 – 11, 2010The Embassy Suites Portland — DowntownPortland, OregonWhy Should I Attend?This is an invaluable educational opportunity for thehealthcare IT community as it strives for greater interoperabilityamong healthcare information systems. Ourclasses offer a wealth of information designed to benefita wide range of HL7 users, from beginner to advanced.Among the benefits of attending the HL7 EducationalSummit are:• EfficiencyConcentrated two-day format provides maximumtraining with minimal time investment• Learn Today, Apply TomorrowA focused curriculum featuring real-world HL7knowledge that you can apply immediately• Quality EducationHigh-quality training in a “small classroom” settingpromotes more one-on-one learning• Superior InstructorsYou’ll get HL7 training straight from the source: Ourinstructors. They are not only HL7 experts; they arethe people who help produce the HL7 standards• Certification TestingBecome HL7 Certified: HL7 is the sole source forHL7 certification testing, now offering testing onVersion 2.5/2.6, Clinical Document Architecture,and Version 3 RIM• EconomicalA more economical alternative for companies whowant the benefits of HL7’s on-site training but havefewer employees to train22 SEPTEMBER 2010

AFFILIATE CONTACTSHL7 ArgentinaDiego KaminkerPhone: 54-11-4781-2898Email: diego.kaminker@kern-it.com.arHL7 AustraliaDavid RowlandsPhone: 61-420-306-556Email: Chairman@HL7.org.auHL7 AustriaStefan SabutschPhone: 43-664-3132505Email: stefan.sabutsch@fh-joanneum.atHL7 BrazilMarivan Santiago AbrahaoPhone: 55-11-3045-3045Email: chair@HL7.org.brHL7 CanadaMichael van CampenPhone: 250-881-4568Email: Michael.vanCampen@GPinformatics.comHL7 ChileSergio KonigPhone: 56-2-7697996Email: skoenig@itg-salud.comHL7 ColombiaFernando A. PortillaPhone: 57-2-5552334Email: fportila@gmail.comHL7 CroatiaStanko Tonkovic, PhDPhone: 385-1-6129-932Email: stanko.tonkovic@fer.hrHL7 Czech RepublicLibor SeidlPhone: 420-775-387691Email: seidl@euromise.comHL7 FinlandNiilo SaranummiPhone: 358-20-722-3300Email: niilo.saranummi@vtt.fiHL7 GermanyBernd Blobel, PhDPhone: 49-941-944-6769Email: bernd.blobel@klinik.uni-regensburg.deHL7 GreeceGeorge Patoulis, MD, MPHPhone: 30-210-8067888Email: chair@HL7.org.grHL7 Hong KongChun-Por Wong, MDPhone: 852-3488-3762Email: cpwong@ha.org.hkHL7 IndiaBimal NaikPhone: 877-248-4871Email: bimaln@citiustech.comHL7 ItalyStefano LottiPhone: +39-06-42160685Email: slotti@invitalia.itHL7 JapanMichio Kimura, MD, PhDPhone: 81-3-3506-8010Email:kimura@mi.hama-med.ac.jpHL7 KoreaYun Sik Kwak, MD, PhDPhone: 82-53-420-6050Email:yskwak@wmail.knu.ac.krHL7 New ZealandDavid HayPhone: 64-9-638-9286Email:david.hay25@gmail.comHL7 NorwayEspen MoellerPhone: 47 97008186Email: Espen.Moller@oslo-universitetssykehus.noHL7 RomaniaFlorica Moldoveanu, PhDPhone: 40-21-4115781Email: florica.moldoveanu@rdslink.roHL7 RussiaTatyana Zarubina MD, PhDPhone: 007-495-434-55-82Email: tv.zarubina@gmail.comHL7 SingaporeHo Khai LengEmail:khai_leng_ho@nhg.com.sgHL7 SpainCarlos Gallego PerezPhone: 34-93-693-18-03Email: cgallego@ticsalut.catHL7 SwedenGustav AlvfeldtPhone: 46-08-123-13-117Email: gustav.alvfeldt@sll.seHL7 SwitzerlandBeat HeggliPhone: 41-1-806-1164Email:beat.heggli@nexus-schweiz.chHL7 TaiwanChien-Tsai Liu, PhDPhone: 886-2-25526990Email: ctliu@tmu.edu.twHL7 The NetherlandsRobert Stegwee, MSc, PhDPhone: 31-30-689-2730Email:robert.stegwee@capgemini.comHL7 TurkeyErgin SoysalEmail: esoysal@gmail.comHL7 UKCharlie BishopPhone: 44-8700-112-866Email: chair@HL7.org.ukHL7 UruguaySelene IndartePhone: 5985-711-0711Email: hclinica@suat.com.uySEPTEMBER 201023

BenefactorsAbbottAccentureBooz Allen HamiltonCenters for Disease Control and Prevention/CDCDuke Translational Medicine InstituteEclipsys CorporationEpic Systems CorporationEuropean Medicines AgencyFood and Drug AdministrationGE Healthcare ITGlaxoSmithKlineIntel Corporation, Digital Health GroupInterSystemsKaiser PermanenteLockheed Martin IS&GSMcKesson Provider TechnologyMicrosoft CorporationNHS Connecting for HealthNICTIZ Nat.ICT.Inst.Healthc.NetherlandsNovartisOracle Corporation - HealthcarePartners HealthCare System, Inc.Pfizer, Inc.Philips HealthcareQuest Diagnostics, IncorporatedSiemens HealthcareSt. Jude MedicalThomson ReutersUS Department of Defense, Military Health SystemUS Department of Veterans AffairsSupportersAEGIS.net, Inc.Beeler Consulting LLCCgate Health, Inc.Corepoint HealthiNTERFACEWARE, Inc.LINK Medical Computing, Inc.Sentillion, IncHL7 ORGANIZATIONAL MEMBERSConsultants3rd Millennium, Inc.5AM Solutions, Inc.AccentureAccuregsoftwareACOM SolutionsAEGIS.net, Inc.AHIS - St. John Providence HealthAlschuler Associates, LLCAnakam, Inc.Aprico ConsultantsAquashell IT Solutions Corp.BC Provincial Renal AgencyBeeler Consulting, LLCBooz Allen HamiltonCAL2CAL CorporationCanon Development AmericasCentriHealthCGC Southwest Management ServiceCollege of American PathologistsCSGDapasoft Inc.Diagnostic Radiology and Oncology ServicesDPSciences CorpEastern Informatics, Inc.Edifecs, Inc.Electro-Optical Sciences, Inc.Evolvent TechnologiesFEI.comForward Advantage, Inc.GartnerGordon Point Informatics Ltd.GSI Health, LLCGuidewire ArchitectureHashrocketHealthcare Data AssetsHealthcare Integration TechnologiesHealthCare TechnologiesHLN Consulting, LLCHubbert Systems ConsultingImplementing TechnologiesInformation Technology ArchitectIntelligent Health SystemsInterCorp, Inc.iNTERFACEWARE, Inc.J2 ConsultLaboratoire Bio-Medic, Inc.LMILockheed MartinMainstream Health, Inc.Matricis Informatique, Inc.MeddiusMedQuist, Inc.MedtronicMessageWay Solutions, Inc.Mighty OaksMultimodal Technologies, Inc.National TechnologynewMentorOctagon Research Solutions, Inc.Onco, Inc.on-e healthcare, LLCOTech, Inc.Pervasive SoftwarePPM, Inc.Pro-Active Revenue SolutionsProfessional Laboratory Management, Inc.Ray Heath, LLCSabiaNet, Inc.ScenPro, Inc.SEC Associates, Inc.SemanticBits, LLCShafarman ConsultingTech-Time, Inc.The Diebold Company of CanadaTPJ Systems, Inc.WovenwareGeneral InterestAgency for Health Care AdministrationAgency for Healthcare Research and QualityAlaska Native Tribal Health Consortium/AFHCANAlliance for Pediatric QualityAmerican Assoc. of Veterinary Lab DiagnosticiansAmerican College of RadiologyAmerican Health Information ManagementAssociationAmerican Immunization Registry Association (AIRA)American Medical AssociationAORNBlue Cross Blue Shield AssociationCalifornia Department of Health Care ServicesCalifornia HealthCare FoundationCancer Care OntarioCAQHCardiovascular and Metabolic Center: RamathibodiCDISCCEI Community Mental Health AuthorityCenters for Disease Control and Prevention/CDCCenters for Medicare & Medicaid ServicesClemson UniversityCollege of Healthcare Information Mgmt. ExecutivesColorado Community Managed Care NetworkColorado Regional Health Information OrganizationContra Costa County Health ServicesDelta Dental Plans AssociationDepartment of Health & Hospitals (MMIS)DGS, Commonwealth of VirginiaDiv. of Medical Assistance, State of NJDuke Translational Medicine InstituteECRI InstituteEmory University, Research and Health Sciences 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 Foundation for Medical CareIVD Industry Connectivity ConsortiumJaeb Center for Health ResearchJSS Medical ResearchKansas Department of Health & EnvironmentL.A. County Department of Public HealthLA County Probation DepartmentMedical Research CouncilMinistry 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 ExchangeNew York State Department of Health, Wadsworth CtrNICTIZ Nat.ICT.Inst.Healthc.NetherlandsNIH/Department of Clinical Research InformaticsNorth Carolina DHHS-DMH/DD/SASOA-ITSD - Department of Mental HealthOchsner Medical FoundationPennsylvania Dept of Health-Bureau of InformationPharmaceuticals & Medical Devices AgencyPhastPublic Health Data Standards ConsortiumSAMHSASC Department of Health & EnvironmentSEECS NUSTSocial Security Administration24 SEPTEMBER 2010

HL7 ORGANIZATIONAL MEMBERS, continuedSoftware and Technology Vendors’ AssociationSouthwest Research InstituteSultanate of Oman, Ministry of HealthTennessee Department of HealthTexas Department of State HealthTexas Health and Human Services 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 NetworkVirginia Commonwealth University Health SystemWashington State Department of HealthPayersActive Health Management, Inc.Blue Cross and Blue Shield of AlabamaBlue Cross Blue Shield of South CarolinaBMS Reimbursement ManagementCareSourceHealth Care Service CorporationMedSolutions, Inc.TriWest Healthcare AllianceUnitedHealth GroupWellpoint, Inc.Wisconsin Physicians Service Ins. Corp.PharmacyBristol-Myers SquibbEli Lilly and CompanyFood and Drug AdministrationGenzyme CorporationGlaxoSmithKlineMerck & Co., Inc.NovartisPfizer, Inc.Sanofi-Aventis R&DTakeda Global Research & DevelopmentProvidersAdvanced Biological Laboratories (ABL) SAAkron General Medical CenterAlamance Regional Medical CenterAlbany Medical CenterAlere HealthARUP Laboratories, Inc.Aspirus - Wausau HospitalAthens Regional Health Services, Inc.Baylor Health Care SystemBlessing HospitalBlount Memorial HospitalBrookdale University Hospital & Medical CenterCape Regional Medical CenterCatholic Healthcare West ITCedars-Sinai Medical CenterChildren’s Hospital Medical CenterCincinnati Children’s HospitalCity of Hope National Medical CenterCleveland Clinic Health SystemCommunity Reach CenterCorrectional Medical ServicesDelta Health AllianceDetroit Medical CenterDiagnostic Laboratory ServicesEastern Main Healthcare SystemsEmory HealthcareSEPTEMBER 2010Endocrine Clinic of Southeast TexasFresenius Medical CareGenova DiagnosticsGentiva Health ServicesGroup Health CooperativeHarden Healthcare ServicesHealix, IncHealth Network LaboratoriesHealthBridgeHill Physicians Medical GroupHong Kong Hospital AuthorityHospital Corporation of AmericaIl Melograno Data Services S.p.A.Intermountain HealthcareJohns Hopkins HospitalKaiser PermanenteLaboratory Corporation of AmericaLahey ClinicLakeland Regional Medical CenterLexington Medical CenterLoyola University Health SystemLucile Packard Children’s HospitalLux MedMarquette General HospitalMayo ClinicMedStar Health Information SystemsMercy Health PartnersMeridian HealthMillennium LabsMilton S. Hershey Medical CenterMultiCare Health SystemNational Cancer Institute Center for BioinformaticsNew York-Presbyterian HospitalNHS Connecting for HealthParkview HealthPartners HealthCare System, Inc.Pathology Associates Medical LabPatient FirstPresbyterian Healthcare ServicesQueensland HealthQuest Diagnostics, IncorporatedRady Children’s Hospital and Health CenterRegenstrief Institute, Inc.Riverside Methodist HospitalsRobert Bosch HealthcareRockford Health SystemRockingham Memorial HospitalRoyal Hobart Hospital, PathologySA 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 SystemTeam 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 ChicagoUniversity of Nebraska Medical CenterUniversity of Pittsburgh Medical CenterUniversity of Utah Health CareUniversity Physicians, Inc.UT M.D. Anderson Cancer CenterUW Medicine, IT ServicesVanderbilt University Medical CenterWashington National Eye CenterWeill Cornell Medical CollegeWest Virginia University HospitalWheaton Franciscan HealthcareVendors3M Health Information SystemsAbbottABELSoft CorporationAccent on IntegrationACSADINSAgilex TechnologiesAkimeka, LLCAlert Life Sciences Computing, Inc.Allengers Infotech Private LimitedAllied Medical LLC, dba SB ClinicalAllscripts-MisysAltova GmbHAmerican DataAmerican Health Care SoftwareAmerican HealthTech, Inc.AmkaiSolutionsAmtelcoAnagraph Medical Solutions, Inc.Anvita HealthApelon, Inc.Apollo Hi-TechASG Software SolutionsAskesis Development GroupAthena Health, Inc.Atirix Medical SystemsAurora MSCAvaility, LLCAxolotl CorporationBalsam Healthcare Corp. LtdBizmatics, Inc.BlueStep SystemsBridgeGate InternationalBrookwood Systems, Inc.CareFacts Information Systems, Inc.Carefx CorporationCarestream Health, Inc.CaristixCBCInnovisCerner CorporationCertify Data SystemsCetrea A/SCgate Health, Inc.Chace and Associates TechnologiesChiron Data SystemsCliniComp, Intl.ClinigrationCMRCNSICommunity Computer Service, Inc.Compressus Inc.CompuSoft Systems of PR, Inc.Computer Technology Corporation25

HL7 ORGANIZATIONAL MEMBERS, continuedComputrition, Inc.Corepoint HealthCovisintCPCHSCSAM International ASCSC HealthcareCuraspan Healthgroup, Inc.Cybernetica ASCyrus-XP LLCData Innovations, Inc.Data Processing SPADawning Technologies, Inc.DC ComputersDeJarnette Research Systems, Inc.Delta System Inc.Dexter Solutions Inc.Dg Med Technology Corp.Digital Infuzion, Inc.DIPS ASADocSite, LLCDolbey & CompanyDoubleBridge Technologies, Inc.Dreamscape BlueechoBaseEclipsys CorporationEDS CorporationE-Health Partners, Inc.Electronic Patient Records (Pty)EMC Information Intelligence Groupe-MDsEmissary Professional Group, LLCEpic Systems CorporationESRIEttelaresani Payvand DadehaExpert Sistemas Computacionales S.A. DE C.V.ezEMRxFIACIA CorpFirst Insight CorporationFormative Innovations, Inc.Fox Systems, Inc.Future Health, Inc.GE Healthcare ITGlobal Technology IntegratorsgloStream, Inc.Goldblatt SystemsGreenway Medical Technologies, Inc.Grupo Prides S.A.Health Care Software, Inc.Health Language, Inc.HealthCare IQHealthcare Management Systems, Inc.HEALTHeSTATEHealthlandHealthline, Inc.HealthTrio, LLCHealthUnity Corp.HealthvisionHealthwise, Inc.Hermes Medical Solutions ABHumedicaHyland Software, Inc.Iatric SystemsIBMiConnect ConsultingICUCARE, LLCIgnis Systems CorporationII4SMImage Solutions, Inc.(ISI)iMetrikus, Inc.Info WorldInfocare Pty Ltd.Information BuildersIntegrated Document Solutions, Inc.Integrated Healthcare Solution Sdn BhdIntel Corporation, Digital Health GroupIntellicure, Inc.Intelliware Development, Inc.Interface People, LPInterfix, LLCInterSystemsIntraNexus, Inc.IntuitivEMR, Inc. dba AZZLYiSOFT Nederland b.v.ITIQ SolutionsKeane, Inc.Kestral Computing Pty Ltd.Key Management GroupKryptiq CorporationK-Tech Solutions, Inc.Lab Warehouse, Inc.Labware, Inc.LEAD Technologies, Inc.LINK Medical Computing, Inc.Liquent, Inc.LogibecLORENZ Life Sciences GroupLSS Data SystemsMcKesson Provider TechnologiesMD Land InternationalMEDai, Inc.Medflow, Inc.MEDfx CorporationMEDHOST, Inc.Medical Informatics Engineering, Inc.Medicity, Inc.MediRec Inc.MediServe Information Systems, Inc.MEDIWARE Information SystemsMedPATH Networks, Inc.MedSign International CorporationMedVirginiaMETA Solutions, Inc.MicroFour, Inc.Microsoft CorporationMirth CorporationMITEM CorporationNetsmart Public Health, Inc.NexJ Systems, IncnextEMRNextGen Healthcare Information Systems, Inc.Niceware International, LLCNoridian Administrative ServicesNoteworthy Medical SystemsOakland SoftwareOccupational Health ResearchOmnicell, Inc.Omnicom srlOpenTreatment.comOpus Healthcare Solutions, Inc.Oracle Corporation - HealthcareOratier Technologies Pvt. Ltd.Orchard SoftwareOrion HealthOZ SystemsP&NP Computer Services, Inc.PARAEXELPatient Care Technology SystemsPhilips HealthcarePolyRemedy, Inc.ProcuraProfessional Practice ResourcesPronia Medical SystemsQS/1 Data Systems, Inc.Recondo Technology, Inc.Reed Technology and InformationResponse Genetics, Inc.Reva Systems CorporationRosch Visionary SystemsRTZ Associates, Inc.SAIC - Science Applications International Corp.Sandlot, Inc.SAS InstituteScantron CorporationSentillion, Inc.Shared HealthSiemens HealthcareSISCOSMARTMD CorpSNAPS, Inc.Softactics, Inc.Softek Solutions, Inc.Software AG USA, Inc.St. Jude MedicalStatRad, LLCSTI Computer Services, Inc.Stockell Healthcare Systems, Inc.Summit Healthcare Services, Inc.Suncoast SolutionsSunquest Information SystemsSuperclick Networks, IncSurescriptsSurgical Information SystemsSurgiVision Consultants, Inc.Swearingen Software, Inc.SymantecTC Software, Inc.TELCOR OISTeradata Corporation, GIS/AMSThe CBORD Group, Inc.The SIMI Group, Inc.The SSI Group, Inc.The TriZetto GroupTheraDoc, Inc.Therap Services, LLCThomson ReutersThylaksoftTouchNet Information Systems, Inc.TouchPACS Health SolutionsUS HealthRecordUp To Data Professional ServicesUSPD, Inc.Valley Hope Association - IMCSSVirco BVBAVirtifyVocollect Healthcare Systems, Inc.Warren Lamb & Associates, Ltd.Watermark Research Partners, Inc.WebMD Health ServicesWellsoft CorporationWolters Kluwer HealthWorkflow.com, LLCWyndgate TechnologiesXIFIN, Inc.XPress TechnologiesYak Digital Corp.Zoho Corp.Zynx Health26 SEPTEMBER 2010

2010 TECHNICAL STEERING COMMITTEE MEMBERSCHAIR & INTERNATIONALREPRESENTATIVECharlie McCayHL7 UKRamsey Systems Ltd.Phone: 44-7808-570-172Email: Charlie@ramseysystems.co.ukCHIEF TECHNICAL OFFICERJohn QuinnHL7 InternationalPhone: 216-409-1330Email: jquinn@HL7.orgINTERNATIONALREPRESENTATIVERavi NatarajanNHS Connecting for HealthPhone: 0113-390-6520Email: ravi.natarajan@nhs.netArB CO-CHAIRSCharles Mead, MD, MSc3rd Millennium, Inc.Phone: 510-541-8224Email: meadch@mail.nih.govRon ParkerCanada Health InfowayPhone: 902-222-7716Email: rparker@infoway-inforoute.caDOMAIN EXPERTS CO-CHAIRSAustin KreislerScience Applications International Corp. (SAIC)Phone: 404-542-4475Email: austin.j.kreisler@saic.comEdward TrippEdward S Tripp and Associates, Inc.Phone: 224-234-9769Email: edward.tripp@estripp.comFOUNDATION & TECHNOLOGYCO-CHAIRSGeorge (Woody) BeelerBeeler Consulting, LLCPhone: 507-254-4810Email: woody@beelers.comD. Mead WalkerHealth Data and Interoperability, Inc.Phone: 610-518-6259Email: dmead@comcast.netSTRUCTURE & SEMANTIC DESIGNCO-CHAIRSCalvin BeebeMayo Clinic/FoundationPhone: 507-284-3827Email: cbeebe@mayo.eduGregg SeppalaU.S. Department of Veterans AffairsPhone: 301-526-2703Email: gregg.seppala@gmail.comTECHNICAL & SUPPORT SERVICESCO-CHAIRSKen McCaslinQuest Diagnostics, IncorporatedPhone: 610-650-6692Email:kenneth.h.mccaslin@questdiagnostics.comHelen Stevens LoveGordon Point Informatics Ltd.Phone: 250-598-0312Email: Helen.stevens@shaw.caSTEERING DIVISIONSDOMAIN EXPERTSAnatomic PathologyAnesthesiologyAttachmentsChild HealthClinical Interoperability Council*Community Based Collaborative CareEmergency CareGovernment ProjectsHealth Care DevicesImaging IntegrationPatient CarePatient SafetyPharmacyPublic Health & Emergency ResponseRegulated Clinical ResearchInformation ManagementSEPTEMBER 2010FOUNDATION & TECHNOLOGYImplementable Technology SpecificationsImplementation/ConformanceInfrastructure & MessagingModeling & MethodologyRIM Based Application ArchitectureSecurityService Oriented ArchitectureTemplatesVocabularyTECHNICAL & SUPPORT SERVICESEducationElectronic ServicesInternational Mentoring CommitteeProcess Improvement CommitteeProject ServicesPublishingToolingSTRUCTURE & SEMANTIC DESIGNArden SyntaxClinical Context Object WorkgroupClinical Decision SupportClinical GenomicsClinical StatementElectronic Health RecordFinancial ManagementOrders & ObservationsPatient AdministrationStructured Documents*Voice only; no vote27

HL7 WORK GROUP CO-CHAIRSAffiliates CouncilCatherine Chronaki—AffiliateLiaisonHL7 Hellas/FORTH-Institute ofComputer SciencePhone: 30-2810-391691Email: chronaki@ics.forth.grRobert Stegwee, MSc, PhD—HL7International LiaisonHL7 The NetherlandsPhone: 31-30-689-2730Email:robert.stegwee@capgemini.comHelen Stevens Love—SecretaryGordon Point Informatics Ltd.Phone: 250-598-0312Email: Helen.stevens@shaw.caAnatomic PathologyDavid Booker, MDCollege of American PathologistsPhone: 706-481-7470Email: david.booker@claripath.comVictor Brodsky, MDCollege of American PathologistsPhone: 646-322-4648Email: victorbrodsky@gmail.comArchitectural reviewBoardCharlie Mead, MD, MSc3 rd Millennium, Inc.Phone: 510-541-8224Email: meadch@mail.nih.govRon ParkerCanada Health InfowayPhone: 902-222-7716Email: rparker@infoway-inforoute.caJohn QuinnHealth Level Seven InternationalPhone: 216-409-1330Email: jquinn@HL7.orgArden SyntaxRobert Jenders, MDCedars-Sinai Medical CenterPhone: 310-502-4124Email: jenders@ucla.eduR. Matthew SailorsThe Methodist HospitalPhone: 713-441-6218Email: msailors@tmhs.orgAttachmentsDurwin DayHealth Care Service CorporationPhone: 312-653-5948Email: dayd@bcbsil.comCraig GabronBlue Cross Blue Shield of SouthCarolinaPhone: 803-763-1790Email: craig.gabron@pgba.comJim McKinleyBlue Cross and Blue Shield ofAlabamaPhone: 205-220-5960Email: jbmckinley@bcbsal.orgChild HealthDavid Classen, MD, MSAlliance for Pediatric QualityPhone: 801-532-3633Email: dclassen@csc.comGay Giannone, MSN (Interim)Alschuler Associates, LLCPhone: 714-744-4152Email: gay@alschulerassociates.comJoy KuhlAlliance for Pediatric QualityPhone: 703-842-5311Email: joy@kidsquality.orgAndy Spooner, MD, FAAPCincinnati Children’s HospitalPhone: 513-803-0121Email: andrew.spooner@cchmc.orgFeliciano Yu, MDChildren’s Hospital of AlabamaPhone: 205-212-7863Email: fyu@peds.uab.eduClinical Context ObjectWorkgroup (CCOW)David FusariSentillion, Inc.Phone: 978-749-0022Email: david.fusari@sentillion.comMichael Russell, MDDuke Translational MedicineInstitutePhone: 919-684-2513Email: michael.russell@duke.eduDavid StaggsUS Department of Veterans AffairsPhone: 858-826-5629Email: david.staggs@va.govClinical Decision SupportGuilherme Del Fiol, MDDuke Translational MedicineInstitutePhone: 919-681-7011Email: guilherme.delfiol@duke.eduRobert Jenders, MDCedars-Sinai Medical CenterPhone: 310-502-4124Email: jenders@ucla.eduKensaku Kawamoto, PhDDuke Translational MedicineInstitutePhone: 919-684-2340Email: kawam001@mc.duke.eduClinical GenomicsJoyce HernandezMerck & Co., Inc.Phone: 732-594-1815Email:joyce_hernandez@merck.comKevin Hughes, MDPartners HealthCare System, Inc.Phone: 617-724-0048Email: kshughes@partners.orgAmnon ShaboIBMPhone: 972-544-714070Email: shabo@il.ibm.comMollie Ullman-CullerePartners HealthCare System, Inc.Phone: 617-909-4309Email: mullmancullere@partners.orgClinical InteroperabilityCouncilSteven BentleyNHS Connecting for HealthPhone: 44-777-559-7643Email: steve.bentley@nhs.netSam Brandt, MDSiemens HealthcarePhone: 610-219-5701Email:hannelore.kahles@siemens.comMeredith Nahm (Interim)Duke Translational MedicineInstitutePhone: 919-668-8339Email: meredith.nahm@duke.eduAnita WaldenDuke Translational MedicineInstitutePhone: 919-668-8256Email: anita.walden@duke.eduClinical StatementHans BuitendijkSiemens HealthcarePhone: 610-219-2087Email:hans.buitendijk@siemens.comPatrick LoydIcode SolutionsPhone: 415-209-0544Email: patrick.e.loyd@gmail.comRik SmithiesHL7 UKPhone: 44-7720-290967Email: rik@nprogram.co.ukCommunity BasedCollaborative CareSuzanne Gonzales-WebbUS Department of Veterans AffairsPhone: 858-366-2008Email:suzanne.l.gonzales-webb@saic.coDavid Rowed (Interim)HL7 Australia, VAMC ClinicPhone: 61-2-9419-3411Email: drowed@bigpond.net.auRichard ThoresonSAMHSAPhone: 240-276-2827Email:richard.thoreson@samhsa.hhs.govMax WalkerDepartment of Human ServicesPhone: 61-3-9096-1471Email: max.walker@dhs.vic.gov.auEducationMike HendersonEastern Informatics, Inc.Phone: 301-585-5750Email:mike@easterninformatics.comDiego KaminkerHL7 ArgentinaPhone: 54-11-4781-2898Email:diego.kaminker@kern-it.com.arAbdulMalik ShakirCity of Hope National MedicalCenterPhone: 626-644-4491Email:abdulmalik@shakirconsulting.comElectronic Health RecordsGary DickinsonCentriHealthPhone: 951-536-7010Email:gary.dickinson@ehr-standards.comDon Mon, PhDAmerican Health InformationManagement AssociationPhone: 312-233-1135Email: don.mon@ahima.orgJohn RitterCollege of American PathologistsPhone: 847-832-7732Email: jritter@cap.orgPatricia Van DykeDelta Dental Plans AssociationPhone: 503-243-4492Email:vandykp@odscompanies.com28 SEPTEMBER 2010

HL7 Work Group Co-Chairs, continuedElectronic ServicesBill Braithwaite, MD, PhDAnakam, Inc.Phone: 703-888-4630Email: bbraithwaite@anakam.comPatrick LoydIcode SolutionsPhone: 415-209-0544Email: patrick.e.loyd@gmail.comKen McCaslinQuest Diagnostics, IncorporatedPhone: 610-650-6692Email: kenneth.h.mccaslin@questdiagnostics.comEmergency CareLaura Heermann LangfordIntermountain HealthcarePhone: 801-442-6674Email: laura.heermann@imail.orgDonald Kamens, MDXPress TechnologiesPhone: 904-296-1189Email: xpress@gmail.comJames McClay, MDUniversity of Nebraska MedicalCenterPhone: 402-559-3587Email: jmclay@unmc.eduFinancial ManagementKathleen ConnorMicrosoft CorporationPhone: 360-480-7599Email:kathleen.connor@microsoft.comBeat HeggliHL7 SwitzerlandPhone: 41-1-806-1164Email: Beat.Heggli@nexus-schweiz.chMary Kay McDanielMarkam, Inc.Phone: 602-266-2516Email: mk_mcdaniel@hotmail.comGeneration of AnesthesiaStandardsMartin Hurrell, PhDPhone: 44-7711-669-522Email: martinhurrell@gmail.comAlan NicolHL7 UKPhone: 44-141-585-6358Email: alan.nicol74@googlemail.comGovernment ProjectsNancy OrvisUS Department of Defense, MilitaryHealth SystemPhone: 703-681-5611Email: nancy.orvis@tma.osd.milSEPTEMBER 2010Mitra RoccaFood and Drug AdministrationPhone: 301-827-2296Email: mitra.rocca@fda.hhs.govHealth Care DevicesTodd CooperBreakthrough Solutions Foundry,Inc. (IEEE)Phone: 858-435-0729Email: t.cooper@ieee.orgMelvin Reynolds (Interim)AMS ConsultingPhone: 44-1989-763120Email:melvinr@AMS-Consulting.co.ukJohn Rhoads, PhDPhilips HealthcarePhone: 978-659-3024Email: john.rhoads@philips.comImaging IntegrationHelmut Koenig, MDSiemens HealthcarePhone: 49-9131-84-3480Email: helmut.koenig@siemens.comHarry SolomonGE Healthcare ITPhone: 847-277-5096Email: harry.solomon@med.ge.comImplementable TechnologySpecificationsJean Duteau (Interim)HL7 Canada, Gordon PointInformatics Ltd.Phone: 780-937-8991Email: jean.duteau@gpinformatics.comPaul KnappContinovation Services, Inc.Phone: 604-987-3313Email: pknapp@continovation.comDale Nelsonii4smPhone: 916-367-1458Email: aleday.elsonnay@gmail.comAndy StechishinGordon Point Informatics Ltd.Phone: 780-903-0885Email: andy.stechishin@gmail.comImplementation/ConformanceJane GilbertAustralian Healthcare MessageLaboratoryPhone: 61-401-043-689Email: jane.gilbert.work@gmail.comFrank OemigHL7 GermanyAgfa HealthcarePhone: 49-208-781194Email: frank@oemig.deMelva PetersHL CanadaJenaker Consulting, Inc.Phone: 604-515-0339Email: jenaker@telus.netRobert SnelickNational Institute of Standards &TechnologyPhone: 301-975-5924Email: robert.snelick@nist.govInfrastructure &MessagingAnthony JulianMayo ClinicPhone: 507-266-0958Email: ajulian@mayo.eduPatrick LoydIcode SolutionsPhone: 415-209-0544Email: patrick.e.loyd@gmail.comDavid ShaverCorepoint HealthPhone: 214-618-7000Email: Dave.Shaver@corepointhealth.comSandra StuartKaiser PermanentePhone: 925-924-7473Email: Sandra.stuart@kp.orgInternational MentoringCommitteeDiego KaminkerHL7 ArgentinaPhone: 54-11-4781-2898Email: diego.kaminker@kern-it.com.arJohn RitterCollege of American PathologistsPhone: 847-832-7732Email: jritter@cap.orgMarketing CouncilCatherine ChronakiHL7 HellasFORTH-Institute of ComputerSciencePhone: 30-2810-391691Email: chronaki@ics.forth.grJill Kaufman, PhDCollege of American PathologistsPhone: 847-832-7163Email: jkaufma@cap.orgGrant WoodIntermountain HealthcarePhone: 801-408-8153Email: 801-408-8153Grant.Wood@imail.orgModeling andMethodologyGeorge (Woody) Beeler Jr., PhDBeeler Consulting, LLCPhone: 507-254-4810Email: woody@beelers.comJean DuteauGordon Point Informatics Ltd.Phone: 780-937-8991Email:jean.duteau@gpinformatics.comGrahame GrieveKestral Computing Pty Ltd.Phone: 61-3-9450-2222Email: grahame@kestral.com.auLloyd McKenzieHL7 CanadaLM&A Consulting, Ltd .Phone: 780-993-9501Email: lloyd@lmckenzie.comRavi NatarajanNHS Consulting for HealthPhone: 44-113-390-6520Email: ravi.natarajan@nhs.netIoana SingureanuEversolve, LLCPhone: 603-870-9739Email: ioana.singureanu@gmail.comOrders and ObservationsHans BuitendijkSiemens HealthcarePhone: 610-219-2087Email: hans.buitendijk@siemens.comRobert Hausam, MDPhone: 801-949-1556Email: rhausam@xmission.comAustin KreislerScience Applications InternationalCorp. (SAIC)Phone: 404-542-4475Email: austin.j.kreisler@saic.comPatrick LoydIcode SolutionsPhone: 415-209-0544Email: patrick.e.loyd@gmail.comGunther Schadow, MDRegenstrief Institute, Inc.Phone: 317-423-5521Email: gschadow@regenstrief.orgOutreach Committee forClinical ResearchEd Helton, PhDNational Cancer Institute Center forBioinformaticsPhone: 919-465-4473Email: heltone2@mail.nih.govPatient AdministrationGregg SeppalaUS Department of Veterans AffairsPhone: 301-526-2703Email: gregg.seppala@gmail.comJay ZimmermanCanada Health Infoway Inc.Phone: 250-385-1510Email:jzimmerman@infoway-inforoute.ca29

Patient CareStephen Chu, PhDNational eHealth TransitionAuthority (NEHTA)Phone: 61-738-707-6600Email: Stephen.chu@nehta.gov.auWilliam GoossenPhone: 31-654-614458Email: williamtfgoossen@cs.comIan TownendNHS Connecting for HealthPhone: 44-113-280-6743Email: ian.townend@nhs.netKlaus VeilHL7 AustraliaPhone: 61-412-746-457Email: Klaus@veil.net.auPatient SafetyNick HalseyEuropean Medicines AgencyPhone: 44-0-20-7523-7100Email: nick.halsey@emea.europa.euAli RashideeQuantrosPhone: 408-957-3300Email: arashidee@quantros.comMead WalkerHealth Data and Interoperability Inc.Phone: 610-518-6259Email: dmead@comcast.netPharmacyGarry CruickshankHL7 CanadaThames Valley HealthcarePhone: 519-657-3125Email: g.cruickshank@sympatico.caTom de JongHL7 The NetherlandsPhone: 31-6-53255291Email: tom@nova-pro.nlRobert HallowellSiemens HealthcarePhone: 610-219-5612Email:robert.hallowell@siemens.comProcess ImprovementCommitteeMargie KennedyHL7 CanadaPhone: 902-926-2827Email:mkennedy@infoway-inforoute.caHelen Stevens LoveGordon Point Informatics Ltd.Phone: 250-598-0312Email: helen.stevens@shaw.caProject ServicesRick HaddorffMayo ClinicPhone: 507-284-2013Email: haddorff.richard@mayo.eduHL7 Work Group Co-Chairs, continuedFreida HallUS Department of Veterans AffairsPhone: 727-519-4607Email: freida.hall@va.govPublic Health &Emergency ResponseRita AltamoreWashington State Department ofHealthPhone: 360-951-4925Email: rita.altamore@doh.wa.govAlean KirnakAmerican Immunization RegistryAssociationPhone: 760-419-8436Email: alean@swpartners.comJoginder MadraGordon Point Informatics Ltd.Phone: 780-717-4295Email:joginder.madra@gpinformatics.comMichelle WilliamsonNational Center for HealthStatistics/CDCPhone: 301-458-4618Email: mwilliamson@cdc.govPublishing CommitteeGeorge (Woody) Beeler Jr., PhD-V3Beeler Consulting, LLCPhone: 507-254-4810Email: woody@beelers.comJane Daus-V2McKesson Provider TechnologiesPhone: 847-495-1289Email: jane.daus@mckesson.comAndrew Stechishin-V3Gordon Point Informatics Ltd.Phone: 780-903-0855Email: andy.stechishin@gmail.comKlaus Veil-V2Phone: 61-412-746-457Email: klaus@veil.net.auRegulated ClinicalResearch InformationManagementEd Helton, PhDNational Cancer Institute Center forBioinformaticsPhone: 919-465-4473Email: heltone2@mail.nih.govDavid Iberson-HurstCDISCPhone: 44-9-7989-603793Email: dibersonhurst@cdisc.orgJohn SpeakmanNational Cancer Institute Center forBioinformaticsPhone: 301-451-8786Email: john.speakman@nih.govEdward TrippEdward S. Tripp & Associates, Inc.Phone: 224-234-9769Email: edward.tripp@estripp.comRIM Based ApplicationArchitecturePeter Hendler, MDKaiser PermanentePhone: 510-248-3055Email: peter@javamedical.comRene SpronkHL7 The NetherlandsPhone: 33-318-553812Email: rene.spronk@ringholm.comAmnon Shabo, PhD (Interim)IBMPhone: 972-544-714070Email: Shabo@ilibm.comSecurityBernd Blobel, PhDHL7 GermanyUniversity of Regensburg MedicalCenterPhone: 49-941-944-6769Email: bernd.blobel@klinik.uniregensburg.deMike DavisUS Department of Veterans AffairsPhone: 760-632-0294Email: mike.davis@va.govJohn MoehrkeGE Healthcare Integrated ITSolutionsPhone: 414-721-2014Email: john.moehrke@med.ge.comServices OrientedArchitectureDon JorgensonInpriva, Inc.Phone: 970-472-1441Email: djorgenson@inpriva.comGalen MulrooneyUS Department of Veterans AffairsPhone: 703-815-0900Email: galen.mulrooney@va.govKen RubinEDS CorporationPhone: 703-845-3277Email: ken.rubin@lnp.comAnn WrightsonHL7 UKPhone: 44-8700-112-866Email: ann.wrightson@wales.nhs.ukStructured DocumentsLiora AlschulerAlschuler Associates, LLCPhone: 802-785-2623Email:liora@alschulerassociates.comCalvin BeebeMayo ClinicPhone: 507-284-3827Email: cbeebe@mayo.eduKeith BooneGE Healthcare Integrated ITSolutionsPhone: 617-519-2076Email: keith.boone@ge.comRobert Dolin, MDSemantically Yours, LLCPhone: 714-532-1130Email: BobDolin@gmail.comGrahame GrieveKestral Computing Pty Ltd.Phone: 61-3-9450-2222Email: grahame@kestral.com.auTemplatesRichard KavanaghNHS Connecting for HealthPhone: 44-0113-280-6647Email: richard.kavanagh@nhs.netMark ShafarmanShafarman ConsultingPhone: 510-593-3483Email:mark.shafarman@earthlink.netToolingJane CurryHealth Information Strategies, Inc.Phone: 780-459-8560Email:janecurry@healthinfostrategies.comTim IrelandHL7 UKNHS Connecting for HealthEmail: tim.ireland@nhs.netAndrew StechishinGordon Point Informatics Ltd.Phone: 780-903-0855Email: andy.stechishin@gmail.comVocabularyHeather GrainStandards Australia, Llewelyn GrainInformaticsPhone: 613-956-99443Email: heather@lginformatics.comRuss HammApelon, Inc.Phone: 507-271-0227Email: rhamm@apelon.comWilliam T. KleinKlein Consulting, Inc.Phone: 631-924-6922Email: kci@tklein.comBeverly KnightPhone: 416-850-0217Email: bknight@infoway-inforoute.ca30 SEPTEMBER 2010

HL7 FACILITATORSSteering DivisionFacilitatorsRick HaddorffMayo Clinic/FoundationStructure & Semantic DesignPhone: 507-284-2013Email: haddorff.richard@mayo.eduDave HamillHealth Level Seven InternationalTechnical & Support ServicesPhone: 734-677-7777Email: dhamill@HL7.orgModeling andMethodology FacilitatorsGeorge (Woody) Beeler, Jr., PhDBeeler Consulting LLCFacilitator-at-LargePhone: 507-254-4810Email: woody@beelers.comCharlie BishopHL7 UKClinical StatementPhone: 44-8700-112-866Email: chair@HL7.org.ukBernd Blobel, PhDHL7 GermanySecurityPhone: 49-941-944-6769Email:bernd.blobel@klinik.uni-regensburg.deKathleen ConnorMicrosoft CorporationFinancial ManagementPhone: 360-480-7599Email: kathleen.connor@microsoft.comKevin Coonan, MDDana Farber Cancer InstituteEmergency CarePhone: 617-582-7212Email: kevin.coonan@gmail.comNorman DaoustDaoust AssociatesPatient AdministrationPhone: 617-491-7424Email: normand@daoustassociates.comRobert Dolin, MDSemantically Yours, LLCStructured DocumentsPhone: 714-532-1130Email: BobDolin@gmail.comJean-Henri DuteauGordon Point Informatics Ltd.PharmacyPhone: 780-937-8991Email: jean.duteau@gpinformatics.comHugh GloverHL7 UKMedicationPhone: 44-0-7889-407-113Email:hugh_glover@bluewaveinformatics.co.ukSEPTEMBER 2010Grahame GrieveKestral Computing Pty LtdInfrastructure & MessagingPhone: 61-3-9450-2222Email: grahame@kestral.com.auPat GunterDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-6010Email: patricia.gunter@duke.eduWilliam “Ted” KleinKlein Consulting, Inc.VocabularyPhone: 631-924-6922Email: kci@tklein.comAustin KreislerScience Applications InternationalCorporation (SAIC)PHERPhone: 404-542-4475Email: austin.j.kreisler@saic.comJohn Kufuor-BoakyeGordon Point Informatics Ltd.Patient CarePhone: 780-438-0178Email: kufuor@telusplanet.netPatrick LoydIcode SolutionsOrders & ObservationsPhone: 415-209-0544Email: patrick.e.loyd@gmail.comJoginder MadraGordon Point Informatics Ltd.ImmunizationPhone: 780-717-4295Email: Joginder.madra@gpinformatics.comLloyd McKenzieHL7 CanadaFacilitator-at-LargePhone: 780-993-9501Email: lloyd@lmckenzie.comDale Nelsonii4smImplementable Technology SpecificationsPhone: 916-367-1458Email: aleday.elsonnay@gmail.comCraig Parker, MDArizona State UniversityClinical Decision SupportPhone: 801-859-4480Email: craigparkermd@gmail.comJenni PuyenbroekScience Applications InternationalCorporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: jennifer.l.puyenbroek@saic.comAmnon Shabo, PhDIBMClinical GenomicsPhone: 972-544-714070Email: shabo@il.ibm.comAbdulMalik ShakirCity of Hope National Medical CenterModeling & MethodologyPhone: 626-644-4491Email: abdulmalik@shakirconsulting.comIoana SingureanuEversolve, LLCCBCC & Health Care DevicesPhone: 603-870-9739Email: ioana.singureanu@gmail.comCorey SpearsMcKesson Provider TechnologyEHRPhone: 206-269-1211Email: corey.spears@mckesson.comMead WalkerHealth Data and Interoperability, Inc.Patient Safety; RCRIMPhone: 610-518-6259Email: dmead@comcast.netPublishing FacilitatorsBecky AngelesScenPro, Inc.RCRIMPhone: 972-437-5001Email: bangeles@scenpro.comDouglas BairdBoston Scientific CorporationTemplatesPhone: 651-582-3241Email: douglas.baird@guidant.comMike DavisUS Department of Veterans AffairsSecurityPhone: 760-632-0294Email: mike.davis@va.govJean-Henri DuteauGordon Point Informatics Ltd.Patient CarePhone: 780-937-8991Email: jean.duteau@gpinformatics.comIsobel FreanHL7 UKClinical StatementPhone: 44-207-656-2146Email: freani@bupa.comPeter GilbertWayne State University Physician GroupStructured DocumentsPhone: 734-604-0255Email: pgilbert@med.wayne.eduRobert HallowellSiemens HealthcareMedication; PharmacyPhone: 610-219-5612Email: robert.hallowell@siemens.comAnthony JulianMayo ClinicInfrastructure & MessagingPhone: 507-266-0958Email: ajulian@mayo.eduHelmut Koenig, MDSiemens HealthcareImaging IntegrationPhone: 49-9131-84-3480Email: helmut.koenig@siemens.comAustin KreislerScience Applications InternationalCorporation (SAIC)Orders & ObservationsPhone: 404-542-4475Email: austin.j.kreisler@saic.comMargaret (Peggy) LeizearFood and Drug AdministrationRCRIMPhone: 301-827-5203Email: peggy.leizear@fda.hhs.govJoginder MadraGordon Point Informatics Ltd.Patient SafetyPhone: 780-717-4295Email: joginder.madra@gpinformatics.comMary Kay McDanielMarkam, Inc.Financial ManagementPhone: 602-266-2516Email: mk_mcdaniel@hotmail.comDale Nelsonii4smCMET; Implementable TechnologySpecificationsPhone: 916-367-1458Email: aleday.elsonnay@gmail.comFrank OemigHL7 GermanyGerman RealmPhone: 49-208-781194Email: frank@oemig.deNancy OrvisUS Department of Defense, Military HealthSystemGovernment ProjectsPhone: 703-681-5611Email: nancy.orvis@tma.osd.milCraig Parker, MDArizona State UniversityClinical Decision SupportPhone: 801-859-4480Email: craigparkermd@gmail.com31

HL7 FACILITATORS, continuedJenni PuyenbroekScience Applications InternationalCorporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: jennifer.l.puyenbroek@saic.comJohn RitterCollege of American PathologistsEHRPhone: 847-832-7732Email: jritter@cap.orgRobert SavageAmerican Immunization Registry Assoc.Immunization; PHERPhone: 608-221-4746 x3641Email: savagrb@dhfs.state.wi.usGregg SeppalaUS Department of Veterans AffairsPatient AdministrationPhone: 301-526-2703Email: gregg.seppala@gmail.comIoana SingureanuEversolve, LLCCBCCPhone: 603-870-9739Email: ioana.singureanu@gmail.comMargarita SordoPartners HealthCare System, Inc.GelloPhone: 617-643-5894Email: msordo@dsg.harvard.eduAnita WaldenDuke Translational Medicine InstituteClinical Interoperability CouncilPhone: 919-668-8256Email: anita.walden@duke.eduGuilherme Del Fiol, MDDuke Translational Medicine InstituteClinical Decision SupportPhone: 919-681-7011Email: guilherme.delfiol@duke.eduKristi EckersonEmory University, Research &Health Services ITPHERPhone: 404-712-5086Email: keckers@emory.eduChristof GessnerHL7 GermanyHealth Care DevicesPhone: 49-172-3994033Email: gessner@mxdx.deHugh GloverHL7 UKCMETPhone: 44-0-7889-407113Email: hugh_glover@bluewaveinformatics.co.ukMargaret Haber, BSN, RN, OCNNational Cancer Institute Center forBioinformaticsRCRIMPhone: 301-594-9185Email: mhaber@mail.nih.govW. Edward Hammond, PhDTemplatesPhone: 919-383-3555Email: hammo001@mc.duke.eduRobert Hausam, MDOrders & ObservationsPhone: 801-949-1556Email: rhausam@xmission.comSusan MatneyUniversity of Utah Health CarePatient CarePhone: 801-680-2161Email: susan.matney@utah.eduRobert McClure, MDApelon, Inc.CBCCPhone: 303-926-6771Email: rmcclure@apelon.comNancy OrvisUS Department of Defense, MilitaryHealth SystemGovernment ProjectsPhone: 703-681-5611Email: nancy.orvis@tma.osd.milJenni PuyenbroekScience Applications InternationalCorporation (SAIC)Implementation/ConformancePhone: 678-261-2099Email: jennifer.l.puyenbroek@saic.comSarah RyanClinical Interoperability CouncilEmail: sarah@jpsys.comShaun Shakib3M Health Information SystemsStructured DocumentsPhone: 801-265-4432Email: scshakib@mmm.comHarold SolbrigApelon, Inc.Modeling & MethodologyPhone: 807-993-0269Email: hsolbrig@apelon.comHarry SolomonGE Healthcare ITImaging IntegrationPhone: 847-277-5096Email: harry.solomon@med.ge.comSandra StuartKaiser PermanenteInfrastructure & MessagingPhone: 925-924-7473Email: sandra.stuart@kp.orgPat Van DykeDelta Dental Plans AssociationEHRPhone: 503-243-4992Email: vandykp@odscompanies.comGrant WoodIntermountain HealthcareClinical GenomicsPhone: 801-408-8153Email: grant.wood@imail.orgJoyce HernandezMerck & Co. Inc.Clinical GenomicsPhone: 732-594-1815Email: joyce_hernandez@merck.comVocabulary FacilitatorsPaul Biondich, MDIU School of MedicineChild HealthPhone: 317-278-3466Email: mollewis@iupui.eduSteve ConnollyApelon, Inc.SecurityEmail: sconnolly@apelon.comKevin Coonan, MDDana-Farber Cancer InstituteEmergency CarePhone: 617-582-7212Email: kevin.coonan@gmail.comWendy HuangPatient AdministrationPhone: 416-595-3449Email: whuang@infoway-inforoute.caJulie JamesII4SMMedication; PharmacyPhone: 44-7747-633-216Email: julie@blue-wave.co.ukWilliam “Ted” KleinKlein Consulting, Inc.Modeling & MethodologyPhone: 631-924-6922Email: kci@tklein.comPatrick LoydIcode SolutionsClinical StatementsPhone: 415-209-0544Email: patrick.e.loyd@gmail.com32 SEPTEMBER 2010

Chief ExecutiveOfficer2010 HL7 STAFFChief TechnicalOfficerExecutiveDirectorAssociate ExecutiveDirectorCharles Jaffe, MD, PhD+1-858-720-8200cjaffe@HL7.orgJohn Quinn+1-216-409-1330jquinn@HL7.orgMark McDougall+1-734-677-7777markmcd@HL7.orgKaren Van Hentenryck+1-734-677-7777karenvan@HL7.orgDirector ofMeetingsToolsAdministratorManagerof EducationWeb DevelopmentCoordinatorLillian Bigham+1-989-736-3703lillian@HL7.orgWilfred Bonney+1-902-877-0593wbonney@HL7.orgMary Ann Boyle+1-734-677-7777maryann@HL7.orgJoshua Carmody+1-734-677-7777joshua@HL7.orgDirector, ProjectManagement OfficeAdministrativeCoordinatorDirector ofTechnical ServicesTSC ProjectManagerDave Hamill+1-734-677-7777dhamill@HL7.orgLinda Jenkins+1-734-677-7777linda@HL7.orgMichael Kingery+1-919-636-4032mkingery@HL7.orgLynn Laakso+1-906-361-5966lynn@HL7.orgDirector ofTechnicalPublicationsDirector ofCommunicationsDirector ofMembershipServicesDonald Lloyd+1-734-677-7777dlloyd@HL7.orgAndrea Ribick+1-734-677-7777andrea@HL7.orgDiana Stephens+1-734-677-7777diana@HL7.orgSEPTEMBER 201033

2010 HL7 BOARD OF DIRECTORSChair Past Chair Treasurer Secretary Technical SteeringCommittee ChairRobert Dolin, MDSemantically Yours, LLC+1-714-532-1130BobDolin@gmail.comW. Edward Hammond, PhD+1-919-383-3555hammo001@mc.duke.eduHans BuitendijkSiemens Healthcare+1-610-219-2087hans.buitendijk@siemens.comJill Kaufman, PhD+1-847-832-7163jkaufma@cap.orgCharlie McCayRamsey Systems Ltd.+44-7808-570-172charlie@ramseysystems.co.ukDirectors-at-LargeBill Braithwaite, MD, PhDAnakam, Inc.+1-703-888-4630bbraithwaite@anakam.comLinda Fischetti, RN, MSUS Department ofVeterans Affairs+1-301-734-0417linda.fischetti@med.va.govDennis Giokas, MSCanada Health Infoway, Inc.+1-416-595-3415dgiokas@infoway-inforoute.caStan Huff, MDIntermountain Healthcare+1-801-442-4885stan.huff@imail.orgAffiliate DirectorsRebecca Kush, PhDCDISC+1-512-791-7612rkush@cdisc.orgKen Lunn, PhDNHS Connecting for Health+44-0113-390-6508ken.lunn@nhs.netDon Mon, PhDAmerican Health InformationManagement Association+1-312-233-1135don.mon@ahima.orgCatherine ChronakiFORTH-Institute of ComputerScience; HL7 Hellas BoD+30-2810-391691chronaki@ics.forth.grMichael van CampenGordon Point Informatics Ltd.+1-250-881-4568michael.vancampen@gpinformatics.comEx Officio MembersAdvisory Council ChairCharles Jaffe, MD, PhDHL7 CEO+1-858-720-8200cjaffe@HL7.orgJohn QuinnHL7 CTO+1-216-409-1330jquinn@HL7.orgMark McDougallHL7 Exective Director+1-734-677-7777markmcd@HL7.orgRichard Dixon HughesDH4 Pty Limited+61-02-9953-8544richard@dh4.com.au34 MAY 2010

Upcoming WORKING GROUP MEETINGSOctober 3 – 8, 201024th Annual Plenary andWorking Group MeetingHyatt Regency CambridgeCambridge, MAJanuary 9 – 14, 2011Working Group MeetingCliftons Meeting and Training Centerand the Amora HotelSydney, AustraliaMay 15 – 20, 2011Working Group MeetingHilton in the Walt Disney World ResortLake Buena Vista, FLSeptember 11 – 16, 201125th Annual Plenary andWorking Group MeetingTown and Country Resort andConvention Center San Diego, CAPLEASE BOOK YOUR ROOM AT THE HL7 MEETING HOTELHL7 urges all meeting attendees to secure their hotel reservations at the HL7 Working Group MeetingHost Hotel. In order to secure the required meeting space, HL7 has a contractual obligation to fillour sleeping room block. If you make reservations at a different hotel, HL7 risks falling short on ourobligation and will incur additional costs in the form of penalties. Should this occur, HL7 will likelybe forced to pass these costs on to our attendees through increased meeting registration fees.Thank you for your cooperation!SEPTEMBER 201035