Hl7 news 201105051

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A la pàgina 3 es pot llegir l'article "CDA: Spirometry Test Standardization" escrit per Manel Domingo i Matias Lizana del CCI.

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Hl7 news 201105051

  1. 1. MAY 2011greenCDA™ Implementation Guide Now Available Liora Alschuler By Liora Alschuler, Co-Chair, HL7 Structured Documents Work Group and Co-Editor, greenCDAThe HL7 greenCDA Implementation Guide has been published by the HL7 StructuredDocuments Work Group. The HL7 Clinical Document Architecture (CDA®) is at the core ofthe requirements for Meaningful Use of Electronic Health Records. It supports continuityof care and re-use of clinical data for public health reporting, quality monitoring, patientsafety and clinical trials. greenCDA maintains the utility of CDA while making it easier toimplement. It is a simplified XML for CDA templates.“Any developer with basic XML knowledge and a tool that can process simple XML sche-mas can create green instances. We flattened the hierarchy, focused on variable data ver-sus fixed structural markup, and removed complexities like xsi:type. The result is simpleand intuitive,” said Rick Geimer, Lantana Group CTO and co-editor of the greenCDAImplementation Guide. greenCDA features include: • XML schema validation • Simple business names • Tagged data elements in extensible library • Rapid path to Meaningful Use compliance • Modular XML with business names generate JAVA, .NET • Single style sheet display, as for all CDA • Extensible to physician documentation requirements and qualityThe enthusiastic response to the development of greenCDA is driving rapid experimenta-tion and has raised the question of how greenCDA fits into the larger ecosystem of clini-cal information systems. This trial use and experimentation will help us understand howgoing green affects ease of use for data capture; management and analysis; when it mightbe an appropriate wire format for CDA; if there are significant limits on expressivity; andwhere the cost and benefits may lie. continued on next page ® Health Level Seven and HL7 are registered trademarks of Health Level Seven International, registered in the US Trademark Office
  2. 2. In This Issue... greenCDA™ Implementation Guide, continuedgreenCDA™ Implementation Guide.....1-2CDA®: Spirometry Test The CDC is planning a pilot project with vendors interested in using greenCDA toStandardization....................................3-4 enable use of their systems for submitting Central Line Insertion Practices (CLIP)Software Implementation of CDA.........5, 9 data to the National Healthcare Safety Network (NHSN).Update From Headquarters..................6-7Report from the HL7 InternationalCouncil Meeting in Sydney................... 8-9Post Sydney WGM Survey andFirst Time Attendee Survey.................... 10News from the PMO and ProjectServices Work Group.............................11Healthcare Information Standards forActive Aging: State of Play for PatientSummaries............................................ 12eHealth Week: “eHealth: Investing inHealth Systems of the Future”...............13New Chair for theJoint Initiative Council.......................... 14EFMI Special Topic Conference 2011:eHealth across Borderswithout Boundaries ............................ 15 greenCDA: Transforming the Essential into the InteroperableTSC Newsletter Update.................... 16-17Upcoming International Events............. 17 “Use of greenCDA and supporting transformation tools show great promise as anSAIF Architecture Program.............. 18-19 approach for reducing the effort required to implement fully normative CDA,” said Daniel A. Pollock, MD, Surveillance Branch, Division of Healthcare Quality Promo-4th Annual SOA in HealthcareConference........................................... 20 tion, Centers for Disease Control and Prevention.Certification Exam Congratulations..... 21 HL7 looks forward to a robust and informative discussion with all stakeholders leadingHL7 Benefactors................................... 22 to acceleration of the development and adoption of interoperable clinical informationWelcome HL7 Luxembourg................... 22 systems. We encourage a broad range of experimentation across different use casesAffiliate Contacts................................... 23 and environments and welcome the trial use and the opportunity to review the oppor- tunities, costs and benefits of going green across the spectrum of implementation.Organizational Members..................24-262011 Technical Steering For more information on the greenCDA, visit the greenCDA wiki atCommittee Members ............................ 27 http://wiki.hl7.org/index.php?title=GreenCDA_Project.Steering Divisions................................. 27HL7 Work Group Co-Chairs..............28-30HL7 Facilitators............................... 31-32HL7 Staff Members................................332011 Board of Directors....................... 34Educational Summits.............................35Upcoming Working Group is the official publication of: Health Level Seven InternationalMeetings................................................36 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USA Phone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org2 Mark McDougall, Publisher • Andrea Ribick, Managing Editor • Karen Van Hentenryck, Technical Editor
  3. 3. Clinical Document Architechture: Manuel Domingo Spirometry Test Standardization By M. DOMINGO and M. LIZANA, Centre de Competències d’Integració. Parc de la ciència i la innovació Tecnocampus de Mataró. 08304-Mataró. Espanya C.GALLEGO, Oficina d’Estàndards i Interoperabilitat – Fundació TicSalut. Departament de Salut de la Generalitat de Catalunya – Chair Of HL7 Spain Matias Lizana Respiratory diseases, especially lated with the spirometry test, but also all the data chronic obstructive pulmonary from the test request, patient identification, and disease (COPD), lung cancer and tuberculosis, spirometer. This set of data compiled from differ-are main causes of mortality that will continue to ent sources requires applying a CDA R2 structure, increase in the coming decades. A spirometer is the oriented to ease the integration between medical medical device mandated to measure the pulmo- device and the health information system (HIS), nary volume and capacity, identifying possible and a higher interoperability among hospital infor-alterations. Commonly, all devices have a propri- mation systems.etary data format output. This is a setback for their integration in different environments because when The data model1 has been developed by a multidis-data is stored on a shared repository, it is not in- ciplinary scientific team, consisting of pulmonolo-teroperable since all of the data does not share the gists, health-tech experts and spirometer manufac-same format nor does it contain structured data. turers, thus providing different perspectives about this model. The model is thus enriched by the Driven by “Oficina d’Estàndards i Interoperabilitat diversity and vast knowledge of the team.de TICSalut” and “Pla de Digitalització de la Imatge Mèdica del Departament de Salut de la Generalitat Two versions of this data model1 exist. The first de Catalunya,” a standard has been created based version is more detailed and is clearly oriented to a on the HL7 Clinical Document Architecture, Release subsequent execution of a data mining system. The 2 (CDA® R2). The goal of the standard is to normal- second version is more basic and takes into account ize a complete data set, including both data received that not all the centers or hospitals can provide the from spirometers as well as those that come from information required by the detailed version.the test citation provided by the electronic clinical history from a hospital or medical center. After the data model was developed, a set of nor- mative and technological articfacts was generated Consequently, this standard creates a spirometry to facilitate the standard implementation: report that contains not only the information re- continued on next pageThis standard creates a spirometry report that contains not only theinformation related with the spirometry test, but also all the datafrom the test request, patient identification, and spirometer.MAY 2011 3
  4. 4. Spirometry Test Standardization continued from page 3 Figure 1. Visualization of spirometry report CDA R2 • CDA R2 Spirometry Implementation Guide2: The first implementation of the CDA R2 spirometry This guide contains the norms to follow to standard was through an open-source integration implement CDA R2 correctly, including manda- framework called EI2Med, based on Mirth Connect, tory fields and their content. Two versions of in which many tools have been developed to ease this implementation guide have been created— generation and integration between standard files and one for each version of the data model. HIS. Manufacturers and spirometry models have been • CDA R2 XML Formatted Templates: A set of integrated with the integration framework EI2Med. CDA R2 spirometry templates has been cre- ated. Templates exist for both versions, basic Public hospitals in Catalonia are currently collabo- and detailed. rating on pilot projects to validate the normaliza- • XSL Style Sheet: This is a file needed to tion and integration technology of the spirometry visualize spirometry CDA R2, which follows a tests. There are plans to start the implementation standard style sheet for CDA-HL7 presentation. in all health facilities in Catalonia. Using spirometry CDA R2 allows for the resulting References reports to be shared through different hospital health 1 T. Salas, M. Domingo, y F. Burgos. Data model of the information systems, and executes data mining CDA R2 spirometry standard to the “Departament de services, that are very important for medical research Salut de la Generalitat de Catalunya.” 2010. processes. It is also important to note that the doctor 2 M. Domingo, M. Lizana y D. Kaminker. CDA R2 can view the spirometry digitally from his worksta- spirometry implementation guide to the “Departament tion and watch the tests history for each patient. de Salut de la Generalitat de Catalunya.” 2010.4 MAY 2011
  5. 5. Software Implementation of CDA® Rene Spronk By Rene Spronk, Co-Chair, HL7 RIMBAA Work Group; Trainer/Consultant, RingholmThis article is an abridged version of CDA implementation using pects associated with it, one has the a RIMBAA whitepaper created by the XML techniques option of creating a very solid map-RIMBAA Work Group. The whitepa- The standard requires that all CDA ping from CDA MIF to UML, which in per is based on actual HL7 Version 3 instances validate against a published turn allows for the use of UML based implementation experiences. A full CDA XML schema. This is the main tools. version can be found at reason why a lot of CDA implemen-http://j.mp/gDwZKm. tations are based on the CDA XML The CDA MIF (or the UML equiva- schema. The wide availability of lent thereof) can be used by class Introduction XML tools is a definite advantage; generators to create a set of classes The implementation of the CDA however, there are disadvantages as (in e.g. Java or C#). There are a few standard and the validation of CDA- well. The XML schema language is freely available class generators that conformant XML instances is based not rich enough by far to express all one could consider when imple-on two types of specifications: of the requirements that present in menting CDA: the original CDA class model. A CDA 1. The CDA class model, a refine- document instance that validates 1. MDHT (http://www.cdatools.org/), ment of the HL7 Reference against the XML schema is not guar- a CDA specific class generator. Information Model (RIM). The anteed to be a valid CDA instance This tool generates Java classes class model is expressed in MIF – to be a valid CDA instance one has based on a UML representation (Model Interchange Format), to create XML that conforms to the of the CDA class model and on HL7’s meta model format. requirements that are expressed in an OCL representation of appli- 2. Context-specific constraints the CDA class model. cable templates. (templates) of the generic 2. MARC-HI Everest CDA model, as defined in a Class generators are commonly (http://everest.marc-hi.ca/), an CDA implementation guide for used next to other well-known HL7 Version 3 (not just CDA) specific document type and one XML techniques such as Xpath and MIF-based class generator. specific context. At this point DOM/SAX. JAXB is an example of a 3. Java SIG (http://aurora.regen- in time templates are mostly de- class generator: a tool which trans- strief.org/javasig), an MIF-based fined in textual form. A single forms XML schema to correspond- toolkit which generates Java CDA implementation guide may ing Java classes. classes (unfortunately not re- define hundreds of templates. cently updated). Model driven CDAAn HL7 MIF definition of the CDA implementation Summaryclass model is provided with the HL7 In order to fulfill all requirements as The diagram on page 9 shows the Version 3 standard. The CDA MIF file expressed by the CDA class model, relationships between the various can be transformed into less “rich” the starting point for all CDA imple- artifacts discussed in this article. expressions such as UML and XML mentations would have to be the A CDA document has to conform schema. Parts of the requirements as CDA MIF. MIF, however, has the to the requirements as defined in a expressed by the MIF are lost during disadvantage that it is an HL7 spe- CDA implementation guide. It has to the transformation process. cific format that is only supported by conform to both the formal CDA class a limited number of tools. Because model as well as the templates. The CDA is essentially an information continued on page 9 model without any behavioral as-MAY 2011 5
  6. 6. Aussies Hit a Home Run By Mark McDougall, Executive Director, HL7 Mark McDougall January Meeting Kudos to them for their insightful After many months of planning and UPDATE FROM pre-meeting planning and wonderfully promotions, along with the help of executed plans to produce a very suc- many dedicated individuals, HL7’s HEADQUARTERS cessful meeting in beautiful Sydney. January 2011 Working Group Meeting in Sydney was a big success. Meeting Sponsors While there are many individuals The meeting was both productive I am also pleased to recognize sev- that played key roles in planning the and enjoyable. eral organizations that sponsored key Sydney WGM, I’d like to personally components of our recent January recognize the incredible efforts made We had 310 attendees from 21 coun- Working Group meeting in wonderful by three individuals: Richard Dixon tries participate in the dozens of work Sydney, Australia. The driving force Hughes, Klaus Veil and Tina Con- group meetings and/or 40 tutorial behind the resourcing for the Sydney nell-Clark. They worked incredibly sessions. The meeting also featured meeting were provided by: hard and devoted hundreds of hours add-on educational workshops pro- working to ensure the success of this duced by HL7 Australia at the end of • Australian Government, Depart- meeting. On behalf of the HL7 Board, the WGM week ment of Health and Aging I send a sincere thank you for their • HL7 Australia efforts for which the success of this • National E-Health Transition Au- meeting relied so heavily. thority (NEHTA) • Standards Australia HL7’s meetings were spread out among three facilities during our We are very grateful for the valuable Sydney Working Group Meeting. The sponsorships also provided by the fol- general sessions convened at the lowing organizations: Amora Hotel, tutorials were held in the Standards Australia rooms in the • Beeler Consulting, LLC Exchange Centre, and most of the • DH4 work group meetings were produced • Genie at the Cliftons Meeting Facilities. The • Gordon Point Informatics logistics for planning this WGM and • HealthLink getting our attendees to their meetings • Hewlett-Packard were smoothly managed primarily • Interfaceware HL7 Director of Meetings Lillian Bigham by HL7’s Director of Meetings, Lillian • JP Systems with Cliftons meeting planner Joanne Bigham, Clifton’s Manager Joanne McMaster at the January Working Group • Kestral McMaster, and Richard Dixon Hughes. Meeting in Sydney, Australia. • Linkmed • Microsoft • Orion Health • Pen Computer Systems • Sparx Systems The sponsorship support provided by all of the above organizations contributed heavily to the financial success of the HL7 meeting and is much appreciated. continued on next page Richard Dixon Hughes Tina Connell-Clark Klaus Veil6 MAY 2011
  7. 7. of our HL7 Working Group Meetings. A special thank you is extended to the list of firms that represent our 2011 HL7 benefactors and supporters. Organizational Member Firms As listed on pages 24-26, HL7 is very proud to report that the number of HL7 organizational member companies continues to be near an all time high of 530 companies. We sincerely appreciate their ongoing support of HL7 via their organizational Sponsors for the January Working Group Meeting in Sydney, Australia membership dues.HIMSS Chuck MeyerFor over 20 years, HL7 has exhibited Don Mon, PhD In Closingeach year at the annual conference of Dan Pollock, MD I would like to once again thank the Healthcare Information and Man- John Quinn all of those who participated in our agement Systems Society (HIMSS). Ken Rubin January WGM in incredibly beautiful This year’s HIMSS convention con- Erin Sparnon Sydney, Australia. The participants vened in Orlando, Florida during the Sandy Stuart had many roles, such as attendee, week of February 20, 2011. HL7 once Grant Wood tutorial speaker, sponsor, and meeting again received plenty of attention at planning helper. We sincerely appreci-our HL7 exhibition booth, which was Benefactors and Supporters ate everyone who participated in the on the main aisle and at the center of We are thrilled to have attracted the Sydney Working Group Meeting and the very large HIMSS Exhibition that all time highest number of HL7 bene- would like to congratulate HL7 Aus-attracted over 31,000 people. factors and supporters, who are listed tralia, NEHTA and Standards Australia on page 22. Their support of HL7 is for their roles in hitting a home run HL7’s Director of Communications, very much needed and sincerely ap- with the January WGM. It was a huge Andrea Ribick, oversaw the redesign preciated. We are pleased to recognize success! Thank you.of the HL7 booth that resulted in a our benefactors in all of our HL7 significant upgrade to our booth in newsletters, on the HL7 website, in all ways that actually reduced HL7’s of our HL7 press releases, and at all booth costs. Andrea also oversaw the production of 27 thirty minute presen-tations on HL7 standards and relevant topics. Many of the presentations attracted crowds that filled the theater area and led to standing room only. I also wish to express our sincere thanks to the many individuals who volunteered to staff our booth and/or make presentations in our booth, including: Woody Beeler, PhDBob Dolin, MDEd Hammond, PhDChuck Jaffe, MD, PhDLenel JamesKen McCaslin HL7 Chair Dr. Bob Dolin presents at the HL7 Exhibit at HIMSS 2011 in Orlando, FL.MAY 2011 7
  8. 8. Report from the HL7 International Council Meeting Catherine Chronaki in Sydney By Catherine Chronaki, Affiliate Director, HL7 Board of Directors; Co-Chair, HL7 International Council; International Liaison, HL7 Hellas Board Nineteen HL7 Affiliate representatives and more than 80 Robert Stegwee, chair of HL7 Germany, Co-Chair of the guests attended the first International Council meeting to HL7 International Council, and the Council’s representa- be held in Australia. The agenda was quite packed; the tive to the Joint Initiative Council (JIC) for Global Health morning sessions were devoted to regular business, reports, Informatics Standardization, announced that he will be information items, and immediate decision points. The stepping down as the Council’s representative to the JIC afternoon session was dedicated to the “HL7 around the as he has been nominated as the next CEN TC251 chair. world” session and followed fascinating developments in The Council recognized his contribution and congratulat- 30+ countries across four continents. ed Robert on this well-deserved achievement that would certainly bring HL7 even closer to the European standard- In the first quarter of the meeting, HL7’s CEO Dr. Charles ization bodies. Jaffe presented the framework developed by the Business Model Task Force to explore options and consequences of During the Council’s extended Lunch meeting on Thurs- different business models in developing and further pro- day, the importance of the Council being represented in moting the use of HL7 standards. Bernd Blobel, PhD, chair the JIC was strongly supported and there was unanimous of HL7 Germany, observed that there are three different continued on next page models, all of which are followed by HL7: a) attract audience by offering material for free; b) enforce use by law – Europe model through ISO for healthcare standards; c) sell products. Dr. Blobel felt that international input would be useful as HL7 moves forward with weight- ing these ideas in a new business model. A vibrant discussion followed and steps were taken toward exploring ways to strengthen the business model of HL7 International and its affiliates to the benefit of the world-wide eHealth community. John Quinn, HL7’s CTO, presented his report to the council. He described the new tool- ing vision of the TSC, leveraging the added value of the Static Model Designer, Terminol- ogy Manager, EHR-S Functional Model, and Published Specifications through a Standard Artifact Repository (as shown in Figure 1). In the context of the product visibility proj- ect, a brain child of past TSC chair Charlie McCay, John Quinn presented 43 different HL7 products that have been identified and Figure 1: The tooling vision of the TSC as presented by John Quinn at the for which product briefs will be created. International Council.8 MAY 2011
  9. 9. decision to select another representative at the Orlando affiliates expressed interest in launching their own pro-meeting in May. Affiliate Chairs are encouraged to nominate grams. The topic raised a lot of discussion as education themselves or one of their members to that position. is one of the primary functions of most countries. Diego Kaminker, chair of HL7 Argentina and pioneer of Another important item on the agenda was the revi-the HL7 eLearning program, presented relevant develop- sion of the Affiliate Agreement. The Council decided to ments focusing on the significant backlog of requests to recommend to the HL7 Board that the existing 2009/2010 participate in the program. He noted that this is mainly agreement be extended to end of 2011 and that during due to the lack of tutors and the emphasis on compre- 2011, consultation with the International Council will hensiveness and quality. HL7 India reported its positive review issues of concern, such as IP.experience with running the course, and several other In the afternoon, the “HL7 around the world session” included 24 country reports, all of which are available as part of the minutes on the HL7 Interna- tional Council. A very touching moment was when Byoung-Kee Yi shared with us the pain and sorrow of Dr. Kwak’s prema- ture death. We will all miss his warmth, kindness, and support. For more information on the ac- tivities of the HL7 International Council and its meetings please visit: http://www.hl7.org/Spe- cial/committees/international/ In memory of Dr. Yun Sik KwakSoftware Implementation of CDA continued from page 5CDA class model can be expressed in either MIF, or in a derived format such as UML or XML schema. Templates can be expressed in Schematron, in OCL, or in MIF with OCL anno-tations. The actual validation of CDA instances is based on the expressions of the CDA class model and the applicable templates. A software application will have to be based on the CDA class model if one wishes to ensure that one creates valid CDA instances. Applications that are based on the CDA XML schema can’t guarantee that the documents are valid CDA instances. The MDHT tool is currently the best tool available to support the creation of CDA model based applica-tion development. MAY 2011 9
  10. 10. Post Sydney WGM Survey and First-Time Attendee Survey By Karen Van Hentenryck, Associate Executive Director, HL7 Karen Van Hentenryck Post WGM Survey Thirteen of the responding work groups indicated that Thirty-nine work group and Board-appointed commit- they had attendance from local professionals. Twelve of tees attended the most recent working group meeting in the responding work groups indicated that they would Australia; 29 of those groups completed the PIC-spon- recommend using the conference facility again. Those sored post WGM survey. While PIC had hoped to im- not recommending the facility cited problems with Inter- prove the response rate from Board-appointed commit- net connectivity and the cost and lack of management tees for this survey, the response rate decreased across support for international meetings. Several respondents all groups. noted that scattering the meetings between multiple venues was not ideal. Similarly, not having communal All of the groups that responded to the survey indicated breakfast, lunches and breaks interfered with network- that they had representation at the Monday evening ing opportunities. co-chair and steering division meetings. This may be an improvement over the last meetings, where all but three First-Time Attendee Survey groups were represented. However, given that only 29 PIC also sponsors the First-Time Attendee program at of the 39 groups completed the survey, it is difficult each of the working group meetings. These meetings to quantify. Approximately one quarter of the groups typically occur on Sunday evening or Monday morning, that completed the survey indicated that they failed to but, given meeting room constraints in Australia, there achieve quorum. was a single first-time attendee meeting during Monday lunch. Approximately 60 first-time attendees participat- The stated objectives portion of the survey is always ed in the Sydney meeting and thirty-six of them provid- interesting. Consistent with the last few surveys, sta- ed valuable feedback on our program. Most notable was tus updates and information sharing related to existing that attendees feel they would benefit from a description projects topped the list of objectives with 95% of re- of the various ribbon colors and their associated roles spondents identifying this objective. Work and progress (i.e., co-chairs, mentors, Board members, etc.). Like- reporting on existing projects was a close second with wise, many of the first-time attendees responded that 90% and joint meetings and engagement with other more information on the types of work groups (i.e., work groups were identified by 80% of respondents, perhaps overviews of the groups by steering divisions) followed by networking at 60% of respondents. New would be beneficial. Finally, it is noteworthy that most project initiation and engagement with local/regional of the first-time attendees cited education as the reason projects were identified as objectives by 50% of respon- for their attendance, followed by networking. dents, and ballot resolution was identified as an objec- tive by only 20% of respondents. PIC would like to thank all of the work groups and first- time attendees who provided feedback. The post WGM Ninety percent of respondents indicated that they ac- survey is available on the website at: http://www.hl7. complished their work group meeting objectives and org/Library/Committees/pi/Post%20Sydney%20WGM% business. The 10% that did not accomplish their ob- 20SurveySummary_02072011.pdf jectives identified insufficient quorum, missing key members and venue facilities as the top three obstacles. Questions or comments about the survey or the results Technical support problems also presented a significant can be directed to PIC or to Karen Van Hentenryck barrier to achieving goals and objectives. Participation (Karenvan@HL7.org). by key members, pre-meeting preparedness and suf- ficient quorum were the top ranking reasons cited by work groups as enabling the achievement of objectives and goals.10 MAY 2011
  11. 11. News from the PMO Dave Hamill and Project Services Work Group By Dave Hamill, Director, HL7 Project Management Office Rick Haddorff and Freida Hall, Co-Chairs, Project Services Work GroupProject Health Report contributions from all those involved The HL7 PMO has been working Additionally, a GForge Tracker area in the Composite Orders project and with the Technical Steering Commit- has been created within the TSC’s this accompanying project.tee (TSC) and Project Services Work Tracker tab to capture suggestions for Group to create the Project Health future project health metrics. Feel free Guidance for ProjectsReport. This report reflects various to enter your suggestions at: http:// and Ballotsmetrics of a work group’s project port- gforge.hl7.org/gf/project/tsc/tracker/ As a reminder, Project Services, work-folio and is based on data gathered ?action=TrackerItemBrowse&tracker_ ing in conjunction with Don Lloyd, from Project Insight, such as status id=628 or send them to the PMO Director of Technical Publications, has updates, milestone deliverable dates (pmo@HL7.org). and balloting information. published the HL7 Electronic Bal- lot Charts. These ballot charts were Leveraging the Orders and developed as a supplement to the The Project Health Report metrics are reported by work group and include: Observations Composite HL7 Co-Chair Handbook in order to • Total number of projects, broken Order Project to Provide provide a quick reference to informa- down by projects that are Active Examples for a SAIF tion related to each of the four levels (pre-ballot), On Hold, In a ‘Bal- Implementation Guide of HL7 electronic balloting: lot Status,’ or Three Year Plan • Review Ballot – Comment Only items. Under a project sponsored by the • Review Ballot – Informative • “Red” / “Yellow” / “Green” Technical Steering Committee, Project Document counts of Active (pre-ballot) Services is working on the Orders and • Review Ballot – Draft Standard projects, Three Year Plan items Observations’ Composite Order project for Trial Use (DSTU) and ‘in a Ballot Status’ proj- to create concrete examples of artifacts • Normative Ballot ects. The colors depict project that can be used in a future version of counts that are on target (green), For each ballot type, the ballot charts an HL7 SAIF Implementation Guide. behind <120 days (yellow) or list the Intent, Recommended Use, behind >120 days (red). Project Approval Levels, and Ballot This is an opportunity to approach an • Number of projects missing a HL7 SAIF Implementation Guide from Milestones. If you have questions, steering division approval date or a TSC approval date. a “bottom-up” strategy. It is intended please feel free to contact Project to provide recommendations and Services. • Number of DSTU expired test period projects. examples from an HL7 standards de- velopment project that relies on work HL7 Project Tracking Tools All of HL7’s project tools, includ-The metrics above will be the basis for products from multiple work groups. ing the Searchable Project Database, a Project Report Card that will grade each work group’s project health. Ulti- These documented recommendations GForge and Project Insight, are avail-mately these grades will be incorporat- and examples will then be available to able on www.HL7.org via Participate ed into the project approval process. be incorporated into a future HL7 SAIF > Tools & Resources > Project Track- Implementation Guide. ing Tools. The Project Health Report is available via GForge, under the TSC’s File tab Project Services is happy to be work-(http://gforge.hl7.org/gf/project/tsc/ ing on this effort to help move HL7 frs/?action=FrsReleaseBrowse&frs_ toward adoption of the SAIF architec-package_id=98). ture. We appreciate and welcome the MAY 2011 11
  12. 12. Healthcare Information Standards for Active Aging: State of Play Anne Mohen for Patient Summaries By Catherine Chronaki, Affiliate Director HL7 Board of Directors, International Council Co-Chair; Christian Hay, GS1 Senior Consultant Healthcare, Chair IHE Suisse and Board Member Swiss Medical Informatics Association; and Anne Moen, RN, PhD, Chair Norwegian Society of Medical Informatics, MIE2011 SPC Co-Chair and LOC Co-Chair This year’s European health infor- need to address matics conference MIE2011 will be to contribute to Christian Hay held in Oslo, Norway on August, an integrated, 28-31, 2011. The theme is User Cen- holistic service tred, Networked Healthcare. For this approach in an conference, HL7 International, an aging person’s Institutional member of the Euro- health-illness pean Federation for Medical Infor- trajectory? matics (EFMI) through its European • What could be women hampered by chronic-disease Brussels Office, joins forces with the strategic with an acute episode will frame the GS1 (another Institutional Member and operational discussion of technological, organiza- Catherine Chronaki of EFMI) and the Norwegian Society initiatives, by tional and professional challenges to for Medical Informatics, to organize HL7, GS1, EFMI support health and active aging. Spe- an invited session in the invitational and others; to augment integration cifically, the user story takes an acute track “Partnerships in Innovation” across technological, professional episode requiring emergency admis- and discuss significant interoperabil- and organizational strands to sion as a starting point, and then ity challenges related to patient sum- ensure meaningful use of patient focuses on critical aspects in the user maries. The invitational track brings summaries? story where information sharing is together Charles Jaffe, MD, PhD, CEO necessary. In particular, the potential of HL7 International; Bob Dolin, MD, Specific wider issues that will be of current and future interoperability Chair, HL7 International; and leading touched upon in the discussion standards and emerging solutions to eHealth and standardization experts include: 1) ensuring sustainability of enable innovative systems to deliver in Europe to reflect on the synergies healthcare systems; 2) delivering qual- patient summaries linking organi- needed for health informatics and ity of care and contributing to desired zations, professional strands, and standardization internationally to patient outcomes; 3) unlocking the required services will be addressed effectively support patient summaries market for innovative interoperable by the following questions: in an integrated care environment. solutions based on standards; thus • Where are we and where do we supporting the EU digital agenda key wish to be in the future? The goal of this conference is to dis- actions on standards and innovation. • What do current tools and ap- cuss challenges for interoperability, proaches to standards do to sup- technology and standards related to More information is available at: port information flow in an aging patient summaries. An unfolding user www.mie2011.org. person’s health-illness trajectory? story envisioning the health-illness • What are the problems/ chal- trajectory of an elderly, vulnerable lenges that technology solutions 12 MAY 2011
  13. 13. HL7 Educational Session at the eHealth Week 2011: “eHealth: Investing in Health Systems of the Future” By Catherine Chronaki, Affiliate Director, HL7 International and Co-Chair, HL7 International Council eHealth Week 2011 is a co-location of the Eu- ropean Commission’s High Level Ministerial FREE EVENT! Conference and the Catherine Chronaki World of Health IT eHealth Week: Health Level Seven Conference & Exhibi-tion and is organized by the European International – Educational Session:Commission (EC), the Healthcare Infor-mation and Management Systems Society Unlocking the Power of Health Information Europe (HIMSS Europe), and the Hungarian through Collaborative Use of Health Presidency of the Council of the European Information Technology StandardsUnion. eHealth Week will be held in Buda-pest, Hungary on May 10-12, 2011. Budapest, Monday May 10, 4:45-6:00 pmeHealth Week 2011 brings together key Co-chairs: Catherine Chronaki, HL7 International & stakeholders from Europe’s healthcare com- FORTH-Institute of Computer Science munity, including policy makers, providers, Miroslav Koncar, HL7 Croatia & Oracle Corporationinsurers, research facilities, vendors and patient associations. It will host the eHealth • The Business Case for HL7: Charles Jaffe, CEO, HL7Government Initiative (eHGI), a formal Internationalbody of healthcare state secretaries and oth- • Trust in Interoperability: Robert Stegwee, HL7 Ambassador; Chair,er stakeholders aimed at aligning national HL7 The Netherlands; Co-Chair, HL7 International Council • Investing in the Secondary Use of Health Data: Pier-Yves Lastic,eHealth systems in Europe. The European HL7 Ambassador, Chair CDISC European Coordination CommitteeOffice of HL7, established in Brussels in • Collaborative Use of Standards for X-Border ePrescription and 2010, is a member of the eHGI initiative. Patient Summaries: Fredrik Linden, epSOS Coordinator • HL7 Never Sleeps: Snapshots around the Globe: Catherine Chro-This will be the ninth edition of the high- naki, Affiliate Director, HL7 International Board of Directorslevel eHealth conference, which has a legacy of leading progress in eHealth across the For more information on the eHealth Week 2011, please visit www.European Union, through a series of Min- ehealthweek.org or the twitter page at isterial Declarations. This year, thanks to http://twitter.com/EU_ehealthweek.Oracle’s significant support, Health Level Seven will be participating at eHealth Week To register, please go to the following link: with an educational event targeted at govern- http://www.worldofhealthit.org/registration/ment officials, national and regional eHealth The High Level eHealth Conference and Declarations: http://project leaders, and decision makers who ec.europa.eu/information_society/activities/health/policy/ehealth_wish to promote sustainable eHealth innova- conftion, through safe, trusted, and interoperable eHealth services and infrastructures. MAY 2011 13
  14. 14. New Chair for the Joint Initiative Council Bron Kisler By Bron Kisler and Kees Molenaar, Chair and Immediate Past Chair, Joint Initiative Council The Joint Initiative on SDO Global Health Informatics and cooperation between the Standardization is a collaborative initiative to help the leaders of the participating SDOs; end users of standards by addressing issues of gaps and monthly teleconferences and have overlaps across key global standards: one topic, one 2-3 face-to-face meetings annu- standard. CDISC, CEN/TC251, GS1, HL7, IHTSDO and ally. We still have much to gain in ISO/TC215 are members of the Joint Initiative Council cross SDO procedures like simul- (JIC). In 2010, the JIC was chaired by Kees Molenaar, taneous balloting and in further Kees Molenaar chair of CEN/TC2511; as of January 2011 Bron Kisler from supporting project leads to get CDISC is now chairing the JIC. their joint work done. Looking forward in 2011, we will continue working hard to progress in these areas. In 2010, the Joint Initiative Council expanded to six member organizations, added a number of work items, In 2010, the JIC also started a task force to investigate and worked hard to become more transparent and sup- how we can help emerging and developing countries by portive of the broader health standards community. We improving access to meetings and SDO materials. In col- launched the Joint Initiative’s website2 – hosted by HL7 laboration with SDO global leadership, the donor com- – that provides access to all available JIC documents: munity, and other key global stakeholders, the JIC will charter, policy and procedures, work item proposals, continue to push this important work forward in 2011. presentation slides and meeting minutes. The website We plan to explore further the usability of standards, and also includes the JIC work item registry, where all joint educational opportunities, as well as projects particularly work items can be found. The JIC began a project on au- relevant to emerging and developing countries such as tomatic identification and data capture standard patient tuberculosis and HIV/AIDS. ID and care giver ID as well as a Standards Knowledge Management Tool (SKMT). The JIC also decided to adopt The JIC will be exhibiting at the upcoming European the ISO work item Business requirements for a syntax eHealth Week in Budapest, Hungary on May 10-12, to exchange structured dose information for medicinal 2011. Please stop by if you would like more information products as a Joint Initiative work item. Other key ongo- regarding Joint Initiative projects or future activities. ing JIC projects include: the BRIDG model, Clinical Trials Registration (CTR), Identification of Medicinal Products (IDMP) and Individual Case Safety Report (ICSR). 1 Kees has resigned as chair of CEN/TC251; Robert Stegwee is nominated as the new chairman The 2010 successes are foremost successes in leadership 2 www.jointinitiativecouncil.org collaboration. The JIC has achieved close collaboration 14 MAY 2011
  15. 15. EFMI Special Topic Conference 2011: eHealth across Borders Bernd Blobel, PhD without Boundaries By Professor Bernd Blobel, PhD, Chair HL7 Germany and Catherine Chronaki, Affiliate Director, HL7 Board of Directors; Co-Chair, HL7 International The International Council of HL7 International sponsored the 11th European Federation of Medical Informatics (EFMI) Special Topic Conference (STC). It was held in the Catherine Chronaki picturesque Laško, Slovenia on April 14-15, 2011 and was organized by the Slovenian Society of Medical Informatics.HL7 Europe, the HL7 International Foundation established in Brussels in 2010, and the European HL7 Affiliates are committed to moving forward with eHealth across borders and without barriers as they join forces with the Integrating the Healthcare Enterprise (IHE) Initiative in an educational workshop that is part of the conference. Laško, SloveniaThe HL7/IHE program was chaired by Professor Bernd • HL7 Test Implementations in the Czech Republic pre-Blobel and was held on the afternoon of Thursday, April 14. sented by Libor Seidl, Chair, HL7 Czech Republic The workshop’s program included: • CTS II for Enabling Multi-lingual Communications pre- • HL7 Developments in Europe and Worldwide pre- sented by Frank Oemig, Board Member, HL7 Germany sented by Catherine Chronaki, Affiliate Director, HL7 • Domain Analysis Models as Reference for National International Board of Directors and Board Member, Profiles presented by Professor Bernd Blobel, Chair, HL7 Hellas HL7 Germany • IHE Infrastructure Specifications for Cross-Border In- teroperability presented by Lisa Spellman, IHE Senior In addition, a unique poster presented recent developments Director, Informatics, HIMSS in HL7 International, its organization and standards. • eHealth Enabling Continuity of Care within and Across National Borders presented by Lacramioara Stoicu-Ti- For more information please visit: http://www.stc2011.si vadar, Board Member, HL7 RomaniaMAY 2011 15
  16. 16. TSC Newsletter Updates By Lynn Laakso, HL7 TSC Project Manager Lynn Laasko The TSC is conducting projects on tation of new concepts and a The TSC acknowledged updates to product visibility, product quality, brief status update on current work group documents (M&C, DMP) communication strategy, and in- innovations initiatives. as approved by the work groups’ novations, as well as new projects • The TSC developed, circulated, respective steering divisions: for the SAIF Architecture Program and approved two new projects • Domain Experts Steering and T3F Review. More information this cycle, for the SAIF Archi- Division (DESD) approved an is available on each of these efforts tecture Program (PI #751), updated M&C for the Child from the TSC web page under “Proj- and a TSC Retrospective Self- Health WG, Community Based ects,” at http://www.hl7.org/Spe- Assessment Based on T3F Collaborative Care (CBCC) WG cial/committees/tsc/projects.cfm. Recommendations (PI #749). and Imaging Integration WG In addition, the TSC continues main- • The Product Quality project • The Foundation and Technol- tenance of Work Group Visibility, as (PI #647) will be moving for- ogy Steering Division (FTSD) well as Work Group Health. ward under the umbrella of the approved the updated M&C for SAIF Architecture Program as the Implementable Technology • By the 2011 May WGM, 13 that evolves. Specifications (ITS) WG work groups will need to re- • The Structure and Semantic De- view their Mission and Charter The TSC also approved a number sign Steering Division (SSD SD) (M&C) statements which have of new projects. You can always see approved an update to the M&C not been reviewed for two the most recent list of new projects of both the Arden Syntax Work years for the Work Group Vis- from the Project Insight Searchable Group and the Clinical State- ibility Maintenance project Database. You can sort the search- ment WG at Project Insight (PI #631) able database. To show the projects • The TSC approved an update to Please review your Mission most recently approved by the TSC, its M&C and its DMP and Charter statements to keep select “TSC Approval” from among them current! In addition, the the different date fields and then The TSC has approved several DSTU new metric on Decision Mak- click “Filter Projects.” By entering a publications since the last working ing Practices (DMP) will affect date range you can see just the proj- group meeting. Interested par- 17 work groups (WG) that ects approved since the last working ties are invited to download these need to update their DMPs in group meeting, or click the column DSTUs and provide comments and accord with the latest template. heading over “TSC Approval Date” feedback on the standards and their For the 2011 May WGM, the to bring the most recent TSC approv- implementation at http://www.hl7. TSC will also recognize the als to the top of the list. org/dstucomments/. “healthiest” work groups. • Implementation Guide for • New innovative concepts can The TSC welcomed back Ravi Nata- CDA® Release 2.0 Progress be submitted for presentation rajan, who was elected by the Inter- Note, for the Structured Docu- and review at the 2011 May national Council to fill the Affiliate ments Work Group of SSD SD, WGM, where the Innovations Representative position vacated by at Project Insight ID (PI #679), Project (PI #701) will again Charlie McCay. for 24 months host an opportunity for presen- continued on next page16 MAY 2011
  17. 17. • Consent Directive CDA Imple- (PI #205), for 24 months each The TSC also approved a special mentation Guide: for the • Context-Aware Knowledge meeting request for the Pharmacy Community Based Collabora- Retrieval (Infobutton), Work Group, which met in the tive Care Work Group (CBCC) Service-Oriented Architec- United Kingdom from February of DESD, at (PI #553), for 18 ture Implementation Guide: 14-16, 2011. In addition, the TSC ap- months for Clinical Decision Support proved an out-of-cycle special meet- • HL7 Version 3 Standard: of SSD SD at (PI #507) for 24 ing for the RIMBAA Work Group on Transmission Infrastructure, months November 15, 2011 in Amsterdam, Release 2: for the Infrastruc- • SDWG requested a 1 year the Netherlands. ture and Messaging (InM) Work extension to each of the below Group of FTSD, at (PI #619), for DSTUs, which were balloted 2 For any additions, updates or sug- 24 months years ago gestions on any of these TSC pro- • Implementation Guide for • HL7 Implementation moted initiatives please contact Lynn NHSN Healthcare Associated Guide for CDA Release Laakso (lynn@HL7.org). Infection (HAI) Reports, Re- 2: Quality Reporting lease 6: for Structured Docu- Document Architecture How to find TSC information ments WG (SDWG), at (QRDA), Release 1: at The TSC wiki site houses its min- (PI #319), for 24 months (PI #210). utes, process documents, templates, • HL7 Version 3 Standard: • HL7 Implementation links to the ArB wiki and the TSC Regulated Studies: CDISC Guide for CDA Release Issue Tracker, a list of current Content to Message – Study 2: CDA Framework for projects, and more. You can access Design, Release 1: and Questionnaire Assess- the TSC wiki at: http://www.hl7. • HL7 Version 3 Standard: ments, Release 1: at org/permalink/?TSCWiki. See the Regulated Studies: CDISC (PI #381). links below for instructions on how Content to Message – Study to view the list of projects and ac- Participation, Release 1: for • HL7 Implementation cess the TSC Issue Tracker. the Regulated Clinical Research Guide for CDA Release 2: • TSC Tracker: link to http://gforge. Information Management Work Operative Notes, Release 1: at hl7.org/gf/project/tsc/tracker/ Group (RCRIM) of DESD, at (PI #728) Upcoming INTERNATIONAL EVENTS eHealth Conference 2011 / World of Health 12th International HL7 Interoperability IT Conference and Exhibition Conference Budapest, Hungary Lake Buena Vista, FL May 10 – 12, 2011 May 13 – 14, 2011 For more information, please visit For more information, please visit http://www.worldofhealthit.org/ www.ihic2011.org eHealth 2011: Enabling Healthy Outcomes MIE 2011 Toronto, Canada Oslo, Norway May 29 – June 1, 2011 August 28 – 31, 2011 For more information, please visit For more information, please visit http://www.e-healthconference.com/ http://www.mie2011.org/ MAY 2011 17
  18. 18. Service-Aware Interoperability Framework (SAIF) Austin Kreisler Architecture Program By Austin Kreisler, Chair, HL7 Technical Steering Committee If you were at the January 2011 several peer reviews, but it has not out SAIF specifically for use within Working Group Meeting in Sydney, been balloted. Balloting SAIF and the HL7 organization. We actually you probably heard me talking a lot turning it into an HL7 Standard have a term for taking a standard about the SAIF Architecture Program. (capital “S”) is one of the first things and defining how it should be used If you are like a lot of people, you are we would like to accomplish under for a particular use case—it’s called probably wondering why this is an the SAIF Architecture Program. De- developing an implementation guide. important program and what does it velopment of the SAIF standard has In addition to balloting the SAIF stan- mean for the work you are currently primarily been the responsibility of dard, one of the top goals of the SAIF doing developing HL7 standards. the HL7 Architectural review Board Architecture Program is to develop I’ll try to describe the reasons why (ArB). The ArB has created a project HL7’s SAIF Implementation Guide. this is important and what short and to ballot the SAIF standard. The SAIF Implementation Guide will long term impact it will have on your ultimately describe how SAIF is used standards development work, within the HL7 organization. and ultimately on the stan- On the surface, the SAIF Archi- Developing this implemen- dards HL7 produces. tation guide is going to be tecture Program’s purpose is to a second project, this time On the surface, the SAIF Ar- roll out, within the HL7 organi- sponsored by the Technical chitecture Program’s purpose zation, the framework standards Steering Committee. Why the is to roll out, within the HL7 TSC? The reason is that the organization, the framework interoperability described by the TSC is the one group in HL7 standards interoperability SAIF standard. that spans all the groups nec- described by the SAIF stan- essary to develop and deploy dard. I’ve deliberately used a all the aspects of SAIF within small “s” in SAIF standard because SAIF describes a framework within HL7. Many existing work groups will at this point, SAIF is not formally an which an organization can develop have input into developing the SAIF HL7 Standard of any sort. For more interoperability specifications. SAIF Implementation Guide. information on SAIF, see the HL7 was designed to be general enough to wiki at http://wiki.hl7.org/index. be adapted by many different organi- Thus far, we have identified two php?title=SAIF_main_page and the zations to meet their interoperability projects for the SAIF Architecture SAIF Executive Summary at http:// needs. HL7 is obviously one such or- Program: a project to ballot the SAIF wiki.hl7.org/index.php?title=SAIF_ ganization, and the SAIF Architecture standard and a project to develop ExecutiveSummary. SAIF has received Program’s primary goal is to flesh continued on next page18 MAY 2011
  19. 19. HL7’s SAIF Implementation Guide. projects associated with the SAIF Pro- and processes described in the SAIF In fact, there will be a number of gram will have accountability back to Implementation Guide. It is my hope projects involved in deploying SAIF the Program, not just accountability that in the long run, the advantages of within HL7. We will be piloting the to the sponsoring work groups. developing a standard under the SAIF use of the SAIF Implementation brand will far outweigh any disad-Guide with at least one standards de- Now you are probably wondering vantages. We may identify processes velopment project and we will need what this means for the standards within the SAIF brand which bring to manage changes to tooling and development work you are currently major benefits while having minimal processes for publishing SAIF based performing through HL7. For the or no cost for implementing in the standards as well as other projects majority of existing HL7 standards broader HL7 organization. The TSC that will be identified as we proceed projects, there is little or no immedi- will look at moving these sorts of down the path of implementing SAIF ate impact. Unless I have already benefits outside of the SAIF brand at HL7. That brings us to the word talked to your work group about your and into the broader HL7 organization “Program” in the SAIF Architecture specific project, then it is very likely more quickly than described above. Program. Over the past few years, there is no immediate impact on your HL7 has been implementing a project project. In the long term, there will In conclusion, the SAIF Architecture management approach to the devel- certainly be an impact on how all HL7 Program is something everyone par-opment of standards. The complexity standards are developed, but our plan ticipating in HL7 should keep their of developing standards has contin- for rolling out SAIF to the broader eyes on. The short term impact on ued to evolve within HL7, reflecting HL7 organization should make this as what you are doing today is prob-the complexity of the interoperability painless as possible. ably minimal, but in the long term it space our standards address. Rolling will have significant impact on how out SAIF across the HL7 organization Currently, we envision the creation of HL7 develops standards. The goal is going to require multiple projects, a “brand” called “HL7 SAIF Architect- is for SAIF to provide HL7 a way of and those projects need to be coor- ed” standard. The first standards un- developing improved interoperability dinated. That is the primary reason der this brand are the limited number standards in a quicker fashion.for the SAIF Architecture Program. It of standards that are piloting the SAIF will be using program management Implementation Guide under the SAIF techniques to manage the projects Architecture Program. The SAIF Im-within the program. This actually plementation Guide will describe the makes explicit some processes we processes and artifacts necessary to already have within HL7. We ef- develop a standard carrying the new fectively already have a “program” brand name. Once the piloting stage called Version 2 Publishing that is completed, we will transition to the oversees production of the various next stage where standards develop-incremental versions of 2.x (2.5., ment projects can petition to join the 2.5.1, 2.6, 2.7…). There are certainly SAIF Architected Brand. To join the other examples of implicit programs brand means the project will need to already at work within HL7. One of develop the standard according to the the goals of SAIF is to make ex- rules laid out in the SAIF Implementa-plicit things which were previously tion Guide. Becoming SAIF branded implicit. Explicit identification of in this second phase will be optional. “programs” is one effect of moving to In the long term, we may require all a SAIF-based approach to developing new standards to be developed under standards. What this means is that the SAIF brand, following the rules MAY 2011 19
  20. 20. 4th Annual SOA in Healthcare Conference July 13-15, 2011 in Washington, DC OMG® and Health Level 2006–July 2010. He is currently Seven® International (HL7) the Deputy Chief Information are excited to bring you Officer for Architecture, Strategy, the fourth annual SOA in and Design. Please check the Healthcare Conference: “SOA conference website for additional Road-map to Integration: Ar- keynotes and featured speakers. chitecting Interoperability in The call for participation was Healthcare.” The conference still underway at the time this will be held July 13-15, 2011 article was written so be sure to in Washington, D.C. sign up for program updates. The focus of the SOA in The conference will be experi- Healthcare Conference is to entially focused; with speakers convey real-world experiences, assembling a commu- bringing their personal and organizational experiences nity of peers to exchange ideas and discuss what has to what will be a presentation and discussion-oriented worked, what did not work, and review best practices. forum. The conference will be divided into an Execu- Not a “tech industry” event, this conference is exclu- tive Summit, and Functional and Technical Tracks. sively healthcare focused, and will highlight the chal- Some topic areas you can expect to see include: lenges unique to healthcare organizations and empha- size cross-industry solutions that are viable within the • Modeling (SoaML, SysML, BPMN, etc.) healthcare domain. It is targeted primarily to a health- • Semantic Computability and Interoperability IT savvy audience. • Ontology and Vocabularies • Decision Support Systems A wide cross-section of the health industry will par- • Cloud Computing ticipate, including healthcare providers, payers, public • Enterprise Architecture (Business, System, SOA health organizations and vendors from both the public and Technical) and private sector. The conference program commit- tee has invited world-class speakers to present at the Registration & Information 4th Annual SOA in Healthcare conference. Organiza- The SOA in Healthcare event is hosted by OMG, HL7 tions expected to participate include MITRE, CSC, DoD International, Open Health Tools (OHT), and the Military Health System, Mayo Clinic, Fallon Community BPM/SOA Community of Practice. Everyone with an Health Plan, Brazil Dept. of Defense, in addition to interest in SOA in healthcare is invited to attend. The many universities. early-bird registration discount is available until Friday, May 6, 2011. Registration information is available at The conference will feature a keynote address by Paul http://www.omg.org/hc-pr. Exhibit space is available; A. Tibbits, MD. Dr. Tibbits was inducted into Senior for more information contact Mike Narducci at market- Executive Service in February 2004, appointed Deputy ing@omg.org +1-781-444 0404. Sponsorship opportu- Chief Information Officer for Enterprise Development nities are available; contact Ken Berk at kenberk@omg. for Department of Veterans Affairs on December 7, org or +1-781-444 040420 MAY 2011
  21. 21. Congratulations tttttttttttttttttttttTo the following people who passed the HL7 Certification ExamsCertified HL7 V2.5/2.6 Dr. Balamurugan Pitchumani February 22, 2011 Fernando Izquierdo Rial María Angeles Serna Lledo Ivan Exposito JaramilloChapter 2 Control Lakshmi Prasad P R Carmen Pilar Ubeda Portugués Lucía Reyes Manzano Gomez Manjunath B Sanjeevamurthy Santos Luis Sánchez del OjoSpecialist Gurudatta Sakaleshpura Jorge Gallinato Garcia José-Carlos Elvira Gómez ShankaraiahNovember 11, 2010 Shashi Kiran C V December 16, 2010Bernard M. Chester Belén PonsMaciej A. Jakuc December 18, 2010 Certified HL7 CDA Daniel CasasMichelle M. Lassen Shrinivas Nagral Specialist Enric Samper SosaWayne M. Machuca Shujah Das Gupta José Vicente Torres IvarsBrent Nall Rahul Yogesh Bajaria November 11, 2010 Eduardo Llinares LegidoPeter W. Svendsen Namita Waikul Thomas A. Carr José Manuel Lopez Sario Ajeet Yadav Jonathan Hendrich Alberto Borja RubioJanuary 12, 2011 Ranjit Poduval John S. SlavichJacque Alsop Mihir R. Veera Ben Uphoff February 22, 2011Lara Auzins Arif Khan Kamalini H. Vaidya Juan Antonio Fernández MorenoPeng Gong Pramod Chandra Dash Félix Federico de MesaWllem J. Koopman Rohit Jain January 13, 2011Russell A. McDonell Shraddha Sayani Jacque AlsopDavid H. McKillop Ashish Seth Sarah L. Atwill Certified HL7 VersionAngus B. Miller Akansha Sahu Matthew J. Cordell Deepti Chowdhary Michael Cowey 3 RIM SpecialistJanuary 25, 2011 Arvind Sahare Peter W. DaviesAqila Dissanayake Mike Farah HL7 CanadaGayathri Vijayabaskar February 19, 2011 David GeraghtyMichael Sanga Jitin Sharma Corinne E. Gower October 25, 2010Neelam Kumari Willem J. Koopman Walid El-HallakPreeti Putti HL7 Spain Yu-Sheng Lo Stuart K. MacKinnon October 27, 2010HL7 Canada November 5, 2010 Devendra S. Maisnam Sylvie Demers Robert Castellor Morant Paul W. McKeeOctober 25, 2010 José Ramón García Pardos Alexander Mense October 30, 2010Ghislain Bellmare Daniel Santamaría de Jalón David E. Mitchell Silky Elwadhi Samuel Moñux Salvador Edwin NgHL7 India David Ojeda Auré John E. Reynolds November 19, 2010 Diego Benedicto Consejo Stefan W. Sabutsch Yogesh ChopadeOctober 30, 2010 Kanishk Sudarsahan Jeff T. HoriiSachin Atri November 11, 2010 Rob B. ThollShivam Mundra Marcos Cabrera Goñi HL7 India Alfredo Paya Pardo December 20, 2010November 13, 2010 José Luis Andreu December 4, 2010 Kin Kei (Gary) FungSuganthi Chinnachamy Carlos Sánchez Arribas Arvind RamaswamyHemalatha Elangovan Jesús Rodríguez Martín de February 9, 2011Deepasri Konka S. los Santos December 18, 2010 Bradley ChruszczSathyashree Ramanathan Elia de la Viuda Alonso Hiral Shah Dustin DoanSiddharth Sharma Juan Carlos González Herrero Roshan R. Anchan Tony HeRajeshwari Swaminathan Santiago Borras Natividad Vaishali K. Desai Yvan TranSubramanyam Vallury Antonio de Pedro García Nirmala VermaRaghu Kiran Yajamanam Luis Miguel Arribas Escudero HL7 IndiaArjun Yuppala HL7 SpainDeepak Dhawan December 2, 2010 December 18, 2010Gautam Garg Rodrigo Coba Olmo December 2, 2010 Roshan FernandesRajeev Kharwal Rubén del Casar Aroca Anjali KaleAnuradha Nardia December 16, 2010 Ramón Jorge Prieto Rodríguez Mayank KapoorBabita Rani Daniel Nebot Benabarre Daniel Martos López Aniket BartakeAmit Kumar Singh Alberto Fuentes Francisco Romera Rodrigo Viren ShahPonnuraj Subramanian Miguel Vich Ramos Esther Carnerero MartínJatin Verma Sergio Merino Alberto Moreno Conde HL7 Spain Isaac Castro García Francisco Pascual PeñaDecember 4, 2010 Jorge Cremades November 11, 2010Senthil Gurupatham Sebastien Chaoulli December 15, 2010 Álvaro Domínguez Bragado Varri Malleswara Rao Eugeni Sendrós Fernández Jorge Rodríguez GrañaRam Mohan A A D Roberto Acero Cacho Beatríz Quintana Rodríguez February 22, 2011Sri Haritha Vemuru María Ángeles Giménez Febrer Francisco José Mallado Muñoz David Moner Noelia Sánchez Pérez Gema Roldán González José Alberto MaldonadoDecember 11, 2010 Àlex Rodríguez Casino Irene Nieto RuizJyotsna Arvapalli Juan Carlos Roig Gonzalo Montesdeoca ZamoraSudheendra Balagar Xavier Mur Santamaria Raul Lopez GarciaRohit Nirula David Ledo DovaleBhuvanesh Pachauri Manuel Enrique Romero NavarrotttttttttttttttttttttttttttttttttttMAY 2011 21
  22. 22. HL7 Benefactors as of April 15, 2011 Centers for Disease Control and Prevention US Department of Defense Military Health System HL7 International Welcomes HL7 Luxembourg as its Newest Affiliate Stefan Benzschawel, MD Dr. Stefan Benzschawel is the inaugural chair of HL7 healthcare industry experi- Luxembourg. He holds a degree in Computer Science ence based upon three years at SAP as software devel- from the University of Kaiserslautern. After his studies, oper, and 10 years as R&D manager at AGFA Health- he worked as a member of a research group financed Care. For the past two years, he has been the project by IBM and as scientific collaborator of the University leader for eHealth at the CRP Henri Tudor. of Trier where he earned a Doctorate. His software and 22 MAY 2011

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