32nd Annual Plenary Meeting...We have ~150 decision support rules or modules We have picked the low hanging fruit There is a need to have 5,000+ decision support rules or modules There

32nd Annual Plenary Meeting

Collaborating Toward Global Interoperability

October 1, 2018

PLENARY MEETING

HL7’s 32nd Annual Plenary MeetingOctober 1, 2018

Collaborating Toward Global Interoperability

8:30 – 8:45am Welcoming Comments Charles Jaffe, MD, PhD, CEO, Health Level Seven International

8:45 – 9:30am Keynote Session 1: Update from the National Coordinator Donald Rucker, MD, Office of the National Coordinator (ONC) for Health Information Technology, U.S. Department of Health and Human Services

9:30 – 10:15am Keynote Session 2: A Payer’s Perspective to Interoperability Sagran Moodley, Senior Vice President, UHC Clinical Data Services & Technology at UnitedHealth Group

10:15 – 10:45am Break

10:50 – 11:35am Keynote Session 3: What is CIMI Up to, and How Does It Fit in? Stan Huff, MD, Chief Medical Informatics Officer, Intermountain Healthcare

11:35 – 12:20pm Keynote Session 4: Interactive 3D Visualization in the Wide Web of Health Nicholas Polys, PhD, Director of Visual Computing at Virginia Tech

12:20 – 12:30pm Closing Comments Calvin Beebe, Chair, HL7 Board of Directors

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Closing Comments

8:30 – 8:45 am

*****

Charles Jaffe, MD, PhD CEO, HL7 International

HL7 Plenary Meeting Notes:


Keynote Session 1: Update from the

National Coordinator

8:45 – 9:30 am

*****

Donald Rucker, MD National Coordinator for Health Information Technology,

Office of the National Coordinator for Health IT (ONC), U.S. Department of Health and Human Services

Dr. Don Rucker is the National Coordinator for Health Information Technology in the Office of the National Coordinator for Health IT (ONC). He came to the ONC from the Ohio State University, where he was Clinical Professor of Emergency Medicine and Biomedical Informatics and Premise Health, a worksite clinic provider, where he served as Chief Medical Officer.

Dr. Rucker started his informatics career at Datamedic Corporation, where he co-developed the world's first Microsoft Windows based electronic medical record. He then served as Chief Medical Officer at Siemens Healthcare USA. Dr. Rucker led the team that designed the computerized provider order entry workflow that, as installed at Cincinnati Children's Hospital, won the 2003 HIMSS Nicholas Davies Award for the best hospital computer system in the US. Dr. Rucker has served terms on the Board of Commissioners of the Certification Commission for Healthcare Information Technology and Medicare's Evidence Development and Coverage Advisory Committee (MEDCAC). He has extensive policy experience representing healthcare innovations before Congress, MedPAC and HHS.

He has practiced emergency medicine at Kaiser in California, Beth Israel Deaconess Medical Center in Boston (where he was the first full-time Emergency Department attending), the University of Pennsylvania's Penn Presbyterian and Pennsylvania Hospitals and at Ohio State University’s Wexner Medical Center.

Dr. Rucker is a graduate of Harvard College and the University of Pennsylvania School of Medicine with board certifications in Emergency Medicine, Internal Medicine and Clinical Informatics. He holds an MS in Medical Computer Science and an MBA, both from Stanford.

Keynote Speaker 1

Donald Rucker, MD National Coordinator for Health Information Technology, Office of the National Coordinator for Health IT (ONC), U.S. Department of Health and Human Services

Slides not available for Dr. Donald Rucker’s

presentation.


Keynote Session 2: A Payer’s

Perspective to Interoperability

9:30 – 10:15 am

*****

Sagran Moodley Senior Vice President, UHC Clinical Data Services

& Technology, UnitedHealth Group

Sagran Moodley serves as Senior Vice President of Clinical Data Services & Technology for UnitedHealthcare's Clinical Services organization. In this role, he is responsible for clinical data acquisition for all members across UnitedHealthcare's Medicare, Medicaid and Commercial lines of business. Sagran has more than 20 years leading transformative health care IT and business initiatives in both the public and private sectors. He has held multiple senior leadership roles in the private sector, including positions across UnitedHealthcare and Optum. Most recently, Sagran led teams focused on defining clinical infrastructure capabilities to enable clinical care coordination and complex case management both for Optum and United HealthCare stakeholders. Additionally, Sagran led product initiatives for Optum Government, where his portfolio included large-scale solutions supporting health care operations, data warehousing and analytics, program integrity, quality improvement, provider data management and population health for state Medicaid enterprises. In the public sector, he has worked closely with state governments to lead the promotion and adoption of the Health Information Technology for Economic and Clinical Health (HITECH) Act and many other large-scale IT implementations at the state level. Notably, Sagran assumed the technology implementation that contributed to the successful turnaround of the Massachusetts Affordable Health Care (ACA) Exchange, bringing the Commonwealth's ACA transition back on track. Previously, Sagran served as Chief Delivery Officer at Coventry Healthcare in 2009, where he led Medicaid operations in a number of states. With Coventry, his oversight included Pharmacy Benefit Management and Behavioral Health, in addition to the Medicaid Management Information System (MMIS) fiscal agent scope of services. Additionally, he held a senior IT leadership role at Allen Systems group, the largest independent software vendor at the time, where he had worldwide leadership responsibility for software engineering across North America, EMEA, APAC, and Central and South America.

Keynote Speaker 2 Sagran Moodley Senior Vice President, UHC Clinical Data Services & Technology, United Health Group

Slides not available for Sagran Moodley’s

presentation.


Keynote Session 3: What Is CIMI Up To And

How Does It Fit In?

10:50 – 11:35 am

*****

Stan Huff, MD Chief Medical Informatics Officer,

Intermountain Healthcare

Stan Huff, MD, currently serves as the Chief Medical Informatics Officer at Intermountain Healthcare. Intermountain Healthcare is a charitable not-for-profit healthcare organization in the intermountain west that includes 22 hospitals, numerous primary care and specialty clinics, and a health plans (health insurance) division. Dr. Huff is responsible for the architecture and strategy for clinical information systems. He is board certified in clinical pathology.

Dr. Huff has been a professor (clinical) in Bioinformatics at the University Of Utah School Of Medicine since 1987, where he also currently serves as an adjunct professor of nursing. His expertise is in the following areas: medical information representation in database systems; standards for the exchange of data between medical computer systems, including HL7, Logical Observation Identifiers Names and Codes (LOINC), and SNOMED CT; as well as Electronic Medical Record architecture and design.

Dr. Huff received his BS degree in Chemistry from Brigham Young University and a MD degree from the University of Utah. He completed a year of Internal Medicine residency training at the University of New Mexico before completing a residency in Clinical Pathology at the University of Utah. Immediately after completing his residency training, Dr. Huff worked for two years with AT&T Bell Laboratories in Columbus, Ohio. Since that then he has held various positions at Intermountain Healthcare and the University of Utah.

Dr. Huff has been a member of HL7 since 1995 and served as the board chair from 2000-2001 and again from 2014-2015. He received the HL7 Fellowship Award in 2010. Dr. Huff also serves as the board chair for both the FHIR Foundation and the Healthcare Services Platform Consortium (HSPC). He is currently a fellow of the American College of Medical Informatics and a co-chair of the HL7 Clinical Information Modeling Initiative (CIMI) Work Group. He was also a founding member of the LOINC committee and is the current co-chair of the Clinical LOINC committee.

Keynote Speaker 3 Stan Huff, MD Chief Medical Informatics Officer, Intermountain Healthcare

http://intermountainhealthcare.org/Pages/home.aspx

What is CIMI up to, and how does it fit in?

Stanley M. Huff, MD

CMIO Intermountain Healthcare

Chair of the Board HSPC

Chair of the Board FHIR Foundation

Why? “To help people live the healthiest lives possible.”

WhyInteroperability ?

Improve the quality and safety of careDecrease the cost of careEnable a Learning Health SystemMake providers happier and more effectiveMake patients happier and healthierThere are many more reasons…

Patient

4

*

Medication errors are a very big problem in PICU/NICU. High acuity patients,large # of medications, they are hight alert medications and they involve complicated calculations

Core Assumptions

‘The complexity of modern medicine exceeds the inherent limitations of the unaided human mind.’~ David M. Eddy, MD, Ph.D.

‘... man is not perfectible. There are limits to man’s capabilities as an information processor that assure the occurrence of random errors in his activities.’~ Clement J. McDonald, MD

5

We can’t keep up!We have ~150 decision support rules or

modules

We have picked the low hanging fruit

There is a need to have 5,000+ decision support rules or modules

There is no path from 150 to get to 5,000 unless we fundamentally change the ecosystem

There is no scalable path from the leading institutions to community hospitals

6

The Challenge at Intermountain

7

Eileen

~251,454deaths /year during inpatient admissionsBMJ May 2016

What is the vision for the future?

May 2011

HL7 WG Meeting OrlandoFast Healthcare Interoperability

Resources (FHIR) – (HL7 v4?)Clinical Information Modeling

Initiative (CIMI) Improve the interoperability of

healthcare systems through shared implementable clinical information models.

Heterogeneous Systems

Others…

11

FHIR Profiles fromCIMI detailed clinical models

Real Impact• Occult sepsis• Community Acquired Pneumonia• Pulmonary Embolus• ICU Glucose • Ventilator management

Grahame Grieve April 2011

Our end user is someone who makes this stuff work. …

But what is this end-user looking for? We kind of made a gambit statement that we *could* define a world in which point to point mapping wouldn't be required. I think we showed that:

(a) that's not possible - all uses of V3 I've seen, … have use case specific processing

(b) Users are increasingly telling us that they don't care. The price of this consistent semantics is higher than they'd pay *even if* we solved the consistent semantics problem. Instead, they want ad-hoc wire forms that are close to their domain use cases. …

So. Is that right? Does it ring bells for anyone else?

Am I saying that we shouldn't try for plug-and-play?

Grahame Today

“We have definite goals to enable plug and play globally for some kinds of uses in some kinds of contexts -mostly infrastructure/exchange, and read-only access to summary information. But we remain true to the [previous] vision you quote when it comes to actual workflow; adaptation will always be required.”

Partial Interoperability

StructureTranslators

Standard Structure(Non-standard codes)

Applicationand User

Application

Local databases,Cerner, Epic, Allscripts, etc.

Preferred Strategy – Full Interoperability

Local databases,Cerner, Epic, Allscripts, etc.

Term andStructureTranslators

Application

Standard StructureAND Standard Terms

(As defined by CIMI Models)

Applicationand User

Requ

irem

ents

What does CIMI do?

data 138 mmHg

SystolicBPSystolicBPObs

quals

data Right Arm

BodyLocation

BodyLocation

data Sitting

PatientPositionPatientPosition SNOMED CT

LOINC or SNOMED Observable

HL7 CDA

CDISC

HL7 FHIR Profiles

Repository ofShared Modelsin an approved

Formalism

Model Review

SNOMED CTLOINC

RxNorm

Core Reference Model

Standards Infusion

CEMs

Initial Loading of Repository

DCMs

CDATemplates

openEHRArchetypes

ISO EN 13606Archetypes

FHIMModels

FHIRResources

CIMI Logical Model Development Lifecycle

Model Dissemination

Translators

HL7 V2

NCPDP

X12

17

FPAR Application

Development

FPARApplication

How does CIMI fit in?

HSPC/CIIC and CIMI

Healthcare Services Platform Consortium

Improve health by creating a vibrant, open ecosystem of interoperable applications, content, and services

HSPC is wholly dependent on CIMI for models

Clinical Information Interoperability Council

Improve health by creating a vibrant, open ecosystem of interoperable applications, content, and services

CIIC supplies detailed clinical knowledge to CIMI

August 2018 CIIC meeting at NLM

Government

AHRQCMSFDANIDDKNLMONCVA

Clinical Societies

ACOGAAFPACCACPACSAMAASCOSGIM

Providers

IntermountainBrigham

Vendors

Api FocalCare ProgressCognitive Evidence CareWolters KluwerIntersystemsMedical AlgorithmsNuanceOptumOraclePenRadSiemens

Standards

CDISCHL7Open Group

Consultants

Centri HealthConstableDeloitteHi3 SolutionsJP SystemsMD PartnersParexcelPerspecta

Academic

DukeLSUNYUU of Utah

NGOs

OSEHRAMitrePCPISequoia

HSPC/CIIC Tasks for Clinical Experts

What data should be collected? (part of domain analysis) It will be different for different situationsSherlock Holmes, “Data! Data! Data!” he

cried impatiently. “I can’t make bricks without clay.”

How should the data be modelled? (CIMI)Two fields or one (the degree of pre and

post coordination)

What does the data mean?How do we make computable definitions

for diabetes mellitus, myocardial infarction, heart failure, chronic renal failure, etc.

24

Coordinating CIMI work at HL7

CIMI works with HL7 Domain WGs to establish high level classes, patterns

CIMI works with professional societies and clinical experts to define detailed model content

CIMI works with FHIR Infrastructure to determine that the FHIR profiles created from CIMI models are technically correct

How do CIMI/HSPC/CIIC relate to other interoperability activities?

Argonauts We build on the HL7 FHIR

profiles that the Argonauts create

Sequoia We depend on Sequoia to create

the network, trust agreements, and data exchange infrastructure

SMART We depend on SMART for

integration into EHRs

HL7 FHIR – the approved API for

sharing patient data CIMI – provides the detailed

information models that are essential for interoperability

Federal Health Information Model (FHIM)

We use FHIM classes as the pattern for CIMI models

SOLOR SOLOR is the source of coded

concepts used in CIMI models

NLM Value Set Authority Center (VSAC)

we are aligning and placing SOLOR refsets in VSAC

SDOs (OMG, NCPDP, X12, ISO, CEN)

We use their standards whenever possible

Commonwell, Center for Medical Interoperability, AMA Integrated Health Model Initiative, CDEs, openEHR, OMOP (OHDSI)

We want to work together as partners with all groups with whom we have overlapping interests

23

Argonaut profiles and CIMI profiles

Observation

Lab Obs Patient Obs Family Hx Obs

Titer Lab ObsQual Lab Obs

Hematocrit Serum Glucose Urine Sodium

FHIR Resource

CIMI Models and Profiles

Invariant Profile Structure – CIMI Leaf Node Content

ObservationArgonaut profiles

Qn Lab Obs

Interoperability Pyramid

HL7 Version 2 Compliance

HL7 FHIR Compliance

Argonaut Compliance

CIMI (HSPC) Compliance

Structure, No terminology Constraints

Structure(s), Generic LOINC

Common resources, extensions and some specific LOINC and SNOMED

1 Preferred structure, standard extensions, explicit LOINC and SNOMED, units, magnitude, …

Current and planned HSPC/CIIC projects that need CIMI models

ACOG - OPA Family PlanningFDA – Women’s Health RegistryCancer InteroperabilityRegistries on FHIRPain AssessmentOccupational Health DataCommon Data Elements (Pew Trust)Standard laboratory test resultsMore …

Thank you

[email protected]

@HSPConsortium

#HSPCImplementersForum

July 2017CIIC

Clinical Information Interoperability Council

Working specifically with professional organizations American College of Surgeons American College of Obstetricians and Gynecologists American College of Cardiology American Association of Family Physicians Radiology Inviting others

American Nurses Association Internal medicine Anesthesiologists Emergency Department Etc.


Formalism

Terminology and Model Review


Formalism

FHIR Profiles


Formalism

Knowledge Models


Keynote Session 4: Interactive 3D

Visualization in the Wide Web of Health

11:35 – 12:20 pm

*****

Nicholas Polys, PhD Director of Visual Computer, Virginia Tech

Research Computing Group

Nicholas Polys is Director of Visual Computing with Virginia Tech Research Computing Group and Affiliate Research Professor in the Department of Computer Science. He has developed interactive 3D graphics content and systems since 1997. His research interests lie at the center of graphics and Human Computer Interaction: the intersection of visualization, virtual environments, and perception. After his undergraduate research in Cognitive Science at Vassar College (1996), he jumped into the networked information space of the WWW developing audio, visual, and 3D assets and software. His doctoral work at Virginia Tech (2006) examined perceptual cues and layout behaviors for Information-Rich Virtual Environments for desktop to immersive platforms. He is a member of ACM, IEEE Computer Society, and the Web3D Consortium. He is co-author of the international standard (ISO) Extensible 3D (X3D), elected Director and President of the Web3D Consortium, and Chair of the Web3D User Interface Working Group. Professor Polys runs the Visionarium Lab at Virginia Tech where he studies the effects of displays and perception of 3D graphics. He is also the elected President of the Web3D Consortium.

Keynote Speaker 4

Nicholas Polys, PhD Director of Visual Computing, Virginia Tech Research Computing Group

Picture of me in the Hypercube

http://www.web3d.org/standards/all

http://www.web3d.org/x3d/content/Basic/Web3dOutreach/Web3dTi

melineIndex.html

http://www.web3d.org/standards/allhttp://www.web3d.org/x3d/content/Basic/Web3dOutreach/Web3dTimelineIndex.html

Games and diversions are fun, but what about real 3D??? Health… safety ….

Utilities…

These are not silicon valley cycles ...

Let’s play a game:

Trick question! They are are relevant information in determining your health

outcome!!!

CURA, LULZBOT etc

PIPELINE / PROCESS FIGURE

● VALUE ADD OF X3D

J. Mann, N. Polys, R. Diana, M. Ananth, B. Herald and S. Platel, "Virginia

tech's study hall: A virtual method of loci mnemotechnic study using a

neurologically-based, mechanism-driven, approach to immersive learning

research," 2017 IEEE Virtual Reality (VR), Los Angeles, CA, USA, 2017, pp.

383-384.

doi:10.1109/VR.2017.7892337

Hamza-Lup, F. G., Farrar, S., & Leon, E. (2015). Interactive X-ray and proton therapy training

and simulation. International journal of computer assisted radiology and surgery, 10(10), 1675-

1683.

Felix G. Hamza-Lup, Shane Farrar, and Erik Leon. 2015. Patient specific 3D surfaces for interactive

medical planning and training. In Proceedings of the 20th International Conference on 3D Web

Technology (Web3D '15). ACM, New York, NY, USA, 107-113. DOI:

https://doi.org/10.1145/2775292.2775294

S. Ullrich and T. Kuhlen, "Haptic Palpation for Medical Simulation in Virtual

Environments," in IEEE Transactions on Visualization & Computer Graphics,

vol. 18, no. , pp. 617-625, 2012. doi:10.1109/TVCG.2012.46

Ullrich, S., T. Kuhlen, N. F. Polys, D. Evestedt, M. Aratow, and N. W. John, "Quantizing the Void:

Extending Web3D for Space-Filling Haptic Meshes", Medicine Meets Virtual Reality (MMVR), vol.

163, Newport Beach CA, USA, IOS Press, pp. 670-676, February, 2011.

N.W. John, "Design and Implementation of Medical Training Simulators", Virtual Real. 12, 4 (Dec.

2008), 269-279.

F.P. Vidal, N.W. John, A.E.Healey, D.A. Gould, "Simulation of Ultrasound Guided Needle Puncture

using Patient Specific Data with 3D Textures and Volume Haptics", Computer Animation and Virtual

Worlds. Vol. 19, Issue 2, pp111-127, May 2008, Online ISSN: 1546-427X , Print ISSN: 1546-4261,

Hamza-Lup, F. G., Bogdan, C. M., Popovici, D. M., & Costea, O. D. (2011). A survey of visuo-

haptic simulation in surgical training. Proc. eLmL, 57-62.

Hamza-Lup, F. G., & Stanescu, I. A. (2010). The haptic paradigm in education: Challenges and

case studies. The Internet and Higher Education, 13(1-2), 78-81.

Polys, Nicholas F., Shapiro, Michael, Duca, Karen. (2007). “IRVE-Serve: A

Visualization Framework for Spatially-Registered TimeSeries Data”. The Web3D

2007 Symposium, ACM SIGGRAPH.

Polys, Nicholas F., Bowman, D., North, C., Laubenbacher, R., Duca, K. (2004).

“PathSim Visualizer: An Information-Rich Virtual Environment for Systems Biology”.

Proceedings of the Web3D 2004 Symposium, ACM SIGGRAPH.

D.A. Thorley-Lawson, V. H., K. Luzuriaga, A.S. Jarrah, R. Laubenbacher, K. Lee, N.F.

Polys, E. Delgado-Eckert, M. Shapiro, K.A. Duca (2007). "A Virtual Look at Epstein-

Barr Virus Infection: Biological Interpretations." PLOS Pathogens 3(10): e137.

Shapiro, M., K. A. Duca, K. Lee, E. Delgado-Eckert, A.S. Jarrah, R. Laubenbacher,

N.F. Polys, V. Hadinoto, D. Thorley-Lawson, (2008). "A Virtual Look at Epstein-Barr

Virus Infection: Simulation Mechanism." Journal of Theoretical Biology 252(4): 633-

648.

Savin, A. V., Kikot, I. P., Mazo, M. A., & Onufriev, A. V. (2013). Two-phase stretching of

molecular chains. Proceedings of the National Academy of Sciences, 110(8), 2816-2821.

Balaji, P., Feng, W. C., Archuleta, J., Lin, H., Kettimuthu, R., Thakur, R., & Ma, X. (2008,

February). Semantics-based Distributed I/O for mpiBLAST. In Proceedings of the 13th ACM

SIGPLAN Symposium on Principles and practice of parallel programming (pp. 293-294). ACM.

Peter J. Radics, Nicholas F. Polys, Shawn P. Neuman, and William H. Lund. (2015).

“OSNAP! Introducing the open semantic network analysis platform”, Proc. SPIE 9397,

Visualization and Data Analysis 2015, 939707 (February 8, 2015);

doi:10.1117/12.2077834;

Hossain, S., Akbar, M., and Polys, N. (2012). "Narratives in the Network: Interactive

Methods for Mining Cell Signaling Networks." Journal of Computational Biology 19(9):

1043-1059.

Hossain, S., Akbar, M., Polys, N. (2009) “Storytelling and Clustering for Cellular

Signaling Pathways”. Proceedings of International Conference on Information and

Knowledge Engineering (IKE), Las Vegas, NV. 2 Volumes. CSREA Press 2009, ISBN

1-60132-116-3

F. Bacim, E. Ragan, S. Serbo, M. Setareh, B. D. Jones, N. Polys. (2013). “The

Effects of Display Fidelity, Visual Complexity, and Task Scope on Spatial

Understanding of 3D Graphs.” Proceedings of Graphics Interface, Regina, 2013.

ISBN: 9781482216806.

Henry, James A.G. and Polys, Nicholas. (2010). “The Effects of Immersion and

Navigation on the Acquisition of Spatial Knowledge of Abstract Data Networks”.

Proceedings of the International Conference on Computational Science. Proceedia

Computer Science, Volume 1, Issue 1, pp. 1737-1746, Elsevier.

https://www.nature.com/articles/s41746-018-0026-4.pdf -

Economic analysis of implementing virtual reality therapy for pain among hospitalized

patients

http://www.mobihealthnews.com/content/depth-therapeutic-vr-2018-no-longer-just-

distraction-therapy?

http://www.mobihealthnews.com/content/15-health-and-wellness-use-cases-virtual-

reality

https://scholar.google.com/scholar?hl=en&as_sdt=0%2C47&q=ptsd+and+Vr&btnG=

“What happened there?”

https://www.nature.com/articles/s41746-018-0026-4.pdfhttp://www.mobihealthnews.com/content/depth-therapeutic-vr-2018-no-longer-just-distraction-therapyhttp://www.mobihealthnews.com/content/15-health-and-wellness-use-cases-virtual-realityhttps://scholar.google.com/scholar?hl=en&as_sdt=0,47&q=ptsd+and+Vr&btnG=

Polys, N. and A. Wood (2012). "New Platforms for Health Hypermedia." Issues in

Information Systems 13(1): 40-50.

N.W. John, M. Aratow, J. Couch, D. Evestedt, A.D. Hudson, N. Polys, R.F. Puk, A.

Ray, K. Victor, Q. Wang. (2008). “MedX3D: Standards Enabled Desktop Medical 3D.“

Medicine Meets VR (MMVR).

Marquart, G. D., Tabor, K. M., Horstick, E. J., Brown, M., Geoca, A. K., Polys, N. F.,

... & Burgess, H. A. (2017). “High precision registration between zebrafish brain

atlases using symmetric diffeomorphic normalization”. GigaScience 6 (8).

Ander Arbelaiz, Aitor Moreno, Luis Kabongo, Nicholas Polys and Alejandro GarcÌa-

Alonso (2017). “Community-driven Extensions to the X3D Volume Rendering

Component”. In Proceedings of the 22nd International Conference on 3D Web

Technology (Web3D '17). ACM, New York, NY, USA.

Polys, N. and Gurjarpadhye, A. (2016). “Tradeoffs in Multi-Channel Microscopy

Volume Visualization: An Initial Evaluation”. In Proceedings of the 21th International

Conference on 3D Web Technology (Web3D '16). ACM, New York, NY, USA.


Closing Comments

12:00 – 12:30 pm

*****

Calvin Beebe Board Chair, HL7 International

Plenary Cover 2018 Jaffe.pdfHL7’s 32nd Annual Plenary

Plenary Cover 2018 Rucker.pdfHL7’s 32nd Annual Plenary

Rucker Sheet.pdfKeynote Speaker 1Donald Rucker, MDNational Coordinator for Health Information Technology, Office of the National Coordinator for Health IT (ONC), U.S. Department of Health and Human Services

Moodley Cover.pdfHL7’s 32nd Annual Plenary

Moodley Sheet.pdfKeynote Speaker 2Sagran Moodley

Plenary Cover 2018 Huff.pdfHL7’s 32nd Annual Plenary

Huff Sheet.pdfStan Huff, MD, currently serves as the Chief Medical Informatics Officer at Intermountain Healthcare. Intermountain Healthcare is a charitable not-for-profit healthcare organization in the intermountain west that includes 22 hospitals, numerous primar...Dr. Huff has been a professor (clinical) in Bioinformatics at the University Of Utah School Of Medicine since 1987, where he also currently serves as an adjunct professor of nursing. His expertise is in the following areas: medical information represe...Keynote Speaker 3Stan Huff, MD

Plenary Cover 2018 Polys.pdfHL7’s 32nd Annual Plenary

Polys Sheet.pdfKeynote Speaker 4Nicholas Polys, PhD

Beebe Cover.pdfHL7’s 32nd Annual Plenary

Stan Huff 2018 Plenary Presentation Slides.pdfWhat is CIMI up to, and how does it fit in?Why?Why�Interoperability ?Slide Number 4Core AssumptionsWe can’t keep up!Eileen~251,454�deaths /year during inpatient admissions�BMJ May 2016What is the vision for the future?May 2011Slide Number 11Grahame Grieve April 2011Grahame TodayPartial InteroperabilityPreferred Strategy – Full InteroperabilityWhat does CIMI do?Slide Number 17How does CIMI fit in?HSPC/CIIC and CIMIAugust 2018 CIIC meeting at NLMHSPC/CIIC Tasks for Clinical ExpertsCoordinating CIMI work at HL7How do CIMI/HSPC/CIIC relate to other interoperability activities?Argonaut profiles and CIMI profilesInteroperability PyramidCurrent and planned HSPC/CIIC projects that need CIMI modelsThank youJuly 2017�CIIC

Documents

32nd Annual Plenary Meeting...We have ~150 decision support rules or modules We have picked the low hanging fruit There is a need to have 5,000+ decision support rules or modules There