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

1. MAY 2011
greenCDA™
Implementation Guide
Now Available Liora Alschuler
By Liora Alschuler, Co-Chair, HL7 Structured Documents Work Group
and Co-Editor, greenCDA
The HL7 greenCDA Implementation Guide has been published by the HL7 Structured
Documents Work Group. The HL7 Clinical Document Architecture (CDA®) is at the core of
the requirements for Meaningful Use of Electronic Health Records. It supports continuity
of care and re-use of clinical data for public health reporting, quality monitoring, patient
safety and clinical trials. greenCDA maintains the utility of CDA while making it easier to
implement. 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 simple
and intuitive,” said Rick Geimer, Lantana Group CTO and co-editor of the greenCDA
Implementation 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 quality
The 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 how
going green affects ease of use for data capture; management and analysis; when it might
be an appropriate wire format for CDA; if there are significant limits on expressivity; and
where 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. In This Issue... greenCDA™ Implementation Guide, continued
greenCDA™ Implementation Guide.....1-2
CDA®: Spirometry Test
The CDC is planning a pilot project with vendors interested in using greenCDA to
Standardization....................................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..................6-7
Report from the HL7 International
Council Meeting in Sydney................... 8-9
Post Sydney WGM Survey and
First Time Attendee Survey.................... 10
News from the PMO and Project
Services Work Group.............................11
Healthcare Information Standards for
Active Aging: State of Play for Patient
Summaries............................................ 12
eHealth Week: “eHealth: Investing in
Health Systems of the Future”...............13
New Chair for the
Joint Initiative Council.......................... 14
EFMI Special Topic Conference 2011:
eHealth across Borders
without Boundaries ............................ 15
greenCDA: Transforming the Essential into the Interoperable
TSC Newsletter Update.................... 16-17
Upcoming International Events............. 17 “Use of greenCDA and supporting transformation tools show great promise as an
SAIF 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 Healthcare
Conference........................................... 20 tion, Centers for Disease Control and Prevention.
Certification Exam Congratulations..... 21
HL7 looks forward to a robust and informative discussion with all stakeholders leading
HL7 Benefactors................................... 22
to acceleration of the development and adoption of interoperable clinical information
Welcome HL7 Luxembourg................... 22 systems. We encourage a broad range of experimentation across different use cases
Affiliate 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..................24-26
2011 Technical Steering For more information on the greenCDA, visit the greenCDA wiki at
Committee Members ............................ 27
http://wiki.hl7.org/index.php?title=GreenCDA_Project.
Steering Divisions................................. 27
HL7 Work Group Co-Chairs..............28-30
HL7 Facilitators............................... 31-32
HL7 Staff Members................................33
2011 Board of Directors....................... 34
Educational Summits.............................35
Upcoming Working Group
is the official publication of: Health Level Seven International
Meetings................................................36 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI • 48104-4261 USA
Phone: +1 (734) 677-7777 • Fax: +1 (734) 677-6622 • www.HL7.org
2
Mark McDougall, Publisher • Andrea Ribick, Managing Editor • Karen Van Hentenryck, Technical Editor

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 page
This standard creates a spirometry report that contains not only the
information related with the spirometry test, but also all the data
from the test request, patient identification, and spirometer.
MAY 2011 3

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. Software Implementation
of CDA®
Rene Spronk By Rene Spronk, Co-Chair, HL7 RIMBAA Work Group; Trainer/Consultant, Ringholm
This 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 CDA
An HL7 MIF definition of the CDA implementation Summary
class 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. 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 Veil
6 MAY 2011

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 Meyer
For over 20 years, HL7 has exhibited Don Mon, PhD In Closing
each 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, PhD
Bob Dolin, MD
Ed Hammond, PhD
Chuck Jaffe, MD, PhD
Lenel James
Ken McCaslin
HL7 Chair Dr. Bob Dolin presents at the HL7 Exhibit at HIMSS 2011 in Orlando, FL.
MAY 2011 7

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. 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 Kwak
Software Implementation of CDA continued from page 5
CDA 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. 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. 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 Group
Project 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 Projects
Report. This report reflects various to enter your suggestions at: http:// and Ballots
metrics 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. 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. 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 Standards
Union. eHealth Week will be held in Buda-
pest, Hungary on May 10-12, 2011. Budapest, Monday May 10, 4:45-6:00 pm
eHealth 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 Corporation
insurers, research facilities, vendors and
patient associations. It will host the eHealth • The Business Case for HL7: Charles Jaffe, CEO, HL7
Government Initiative (eHGI), a formal International
body 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 Committee
Office 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 Directors
level 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- conf
tion, through safe, trusted, and interoperable
eHealth services and infrastructures.
MAY 2011 13

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. 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, Slovenia
The 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 Romania
MAY 2011 15

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 page
16 MAY 2011

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. 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 page
18 MAY 2011

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. 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 0404
20 MAY 2011

21. Congratulations ttttttttttttttttttttt
To the following people who passed the HL7 Certification Exams
Certified HL7 V2.5/2.6 Dr. Balamurugan
Pitchumani
February 22, 2011
Fernando Izquierdo Rial
María Angeles Serna Lledo
Ivan Exposito Jaramillo
Chapter 2 Control Lakshmi Prasad P R Carmen Pilar Ubeda Portugués Lucía Reyes Manzano Gomez
Manjunath B Sanjeevamurthy Santos Luis Sánchez del Ojo
Specialist Gurudatta Sakaleshpura Jorge Gallinato Garcia
José-Carlos Elvira Gómez
Shankaraiah
November 11, 2010 Shashi Kiran C V December 16, 2010
Bernard M. Chester Belén Pons
Maciej A. Jakuc December 18, 2010
Certified HL7 CDA Daniel Casas
Michelle M. Lassen Shrinivas Nagral Specialist Enric Samper Sosa
Wayne M. Machuca Shujah Das Gupta José Vicente Torres Ivars
Brent Nall Rahul Yogesh Bajaria November 11, 2010 Eduardo Llinares Legido
Peter W. Svendsen Namita Waikul Thomas A. Carr José Manuel Lopez Sario
Ajeet Yadav Jonathan Hendrich Alberto Borja Rubio
January 12, 2011 Ranjit Poduval John S. Slavich
Jacque Alsop Mihir R. Veera Ben Uphoff February 22, 2011
Lara Auzins Arif Khan Kamalini H. Vaidya Juan Antonio Fernández Moreno
Peng Gong Pramod Chandra Dash Félix Federico de Mesa
Wllem J. Koopman Rohit Jain January 13, 2011
Russell A. McDonell Shraddha Sayani Jacque Alsop
David H. McKillop Ashish Seth Sarah L. Atwill Certified HL7 Version
Angus B. Miller Akansha Sahu Matthew J. Cordell
Deepti Chowdhary Michael Cowey 3 RIM Specialist
January 25, 2011 Arvind Sahare Peter W. Davies
Aqila Dissanayake Mike Farah HL7 Canada
Gayathri Vijayabaskar February 19, 2011 David Geraghty
Michael Sanga Jitin Sharma Corinne E. Gower October 25, 2010
Neelam Kumari Willem J. Koopman Walid El-Hallak
Preeti Putti HL7 Spain Yu-Sheng Lo
Stuart K. MacKinnon October 27, 2010
HL7 Canada November 5, 2010 Devendra S. Maisnam Sylvie Demers
Robert Castellor Morant Paul W. McKee
October 25, 2010 José Ramón García Pardos Alexander Mense October 30, 2010
Ghislain Bellmare Daniel Santamaría de Jalón David E. Mitchell Silky Elwadhi
Samuel Moñux Salvador Edwin Ng
HL7 India David Ojeda Auré John E. Reynolds November 19, 2010
Diego Benedicto Consejo Stefan W. Sabutsch Yogesh Chopade
October 30, 2010 Kanishk Sudarsahan Jeff T. Horii
Sachin Atri November 11, 2010 Rob B. Tholl
Shivam Mundra Marcos Cabrera Goñi HL7 India
Alfredo Paya Pardo December 20, 2010
November 13, 2010 José Luis Andreu December 4, 2010 Kin Kei (Gary) Fung
Suganthi Chinnachamy Carlos Sánchez Arribas Arvind Ramaswamy
Hemalatha Elangovan Jesús Rodríguez Martín de February 9, 2011
Deepasri Konka S. los Santos December 18, 2010 Bradley Chruszcz
Sathyashree Ramanathan Elia de la Viuda Alonso Hiral Shah Dustin Doan
Siddharth Sharma Juan Carlos González Herrero Roshan R. Anchan Tony He
Rajeshwari Swaminathan Santiago Borras Natividad Vaishali K. Desai Yvan Tran
Subramanyam Vallury Antonio de Pedro García Nirmala Verma
Raghu Kiran Yajamanam Luis Miguel Arribas Escudero HL7 India
Arjun Yuppala HL7 Spain
Deepak Dhawan December 2, 2010 December 18, 2010
Gautam Garg Rodrigo Coba Olmo December 2, 2010 Roshan Fernandes
Rajeev Kharwal Rubén del Casar Aroca Anjali Kale
Anuradha Nardia December 16, 2010 Ramón Jorge Prieto Rodríguez Mayank Kapoor
Babita Rani Daniel Nebot Benabarre Daniel Martos López Aniket Bartake
Amit Kumar Singh Alberto Fuentes Francisco Romera Rodrigo Viren Shah
Ponnuraj Subramanian Miguel Vich Ramos Esther Carnerero Martín
Jatin Verma Sergio Merino Alberto Moreno Conde HL7 Spain
Isaac Castro García Francisco Pascual Peña
December 4, 2010 Jorge Cremades November 11, 2010
Senthil Gurupatham Sebastien Chaoulli December 15, 2010 Álvaro Domínguez Bragado
Varri Malleswara Rao Eugeni Sendrós Fernández Jorge Rodríguez Graña
Ram Mohan A A D Roberto Acero Cacho Beatríz Quintana Rodríguez February 22, 2011
Sri Haritha Vemuru María Ángeles Giménez Febrer Francisco José Mallado Muñoz David Moner
Noelia Sánchez Pérez Gema Roldán González José Alberto Maldonado
December 11, 2010 Àlex Rodríguez Casino Irene Nieto Ruiz
Jyotsna Arvapalli Juan Carlos Roig Gonzalo Montesdeoca Zamora
Sudheendra Balagar Xavier Mur Santamaria Raul Lopez Garcia
Rohit Nirula David Ledo Dovale
Bhuvanesh Pachauri Manuel Enrique Romero Navarro
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MAY 2011 21

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