International Mentoring Committee

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					                           HL7 International Mentoring Committee
                         HL7 Working Group Meeting, Sydney, Australia

Thursday Q1 and Q2

 Q1, Q2:John Ritter; IMC co-chair; note-taker; ;
 Q1, Q2:Diego Kaminker; IMC co-chair;
 Q1, Q2:Supten Sarbadhikari, Chair-Elect, HL7 India;
 Q1, Q2:Colleen Brooks; HL7 Singapore, chair;
 Q2: Gora Datta;
 Q2: Robert Stegwee;

 (none)

Previous Note: Ed Hammond suggests that the IMC co-chairs offer regular written reports to the
HL7 Board regarding the IMC’s activities / issues / suggestions / questions. Bob Dolin echoed the
effectiveness of this method of communication.


Puerto Rico (Diego Kaminker)
    Diego Kaminker reported that the Affiliate paperwork process is now being led by Mr.
       Julio Cajigas (instead of by Joel Cajigas).
    Diego: Two more Due Diligence interviews are needed, including Jose Piovianetti.

Bangladesh (Supten Sarbadhikari)
    Affiliate papers have been sent to them.
    They have five people on the Application papers.
    Supten will visit in Mid-February 2011 (and stay for a few months), intending to help the
      candidate Affiliate’s efforts.
    Bangla is the language of Bangladesh.
    Supten will help develop an initial “event”, inviting speakers and sponsorship, and
      attendees from universities, government, vendors, and healthcare providers. The goal of
      the meeting will be to establish the “need for standards” and create a consensus for a
      “Next Event” to be held about six months later (hosted by the HL7 Bangladesh proto-
      Affiliate). Perhaps Gora and Supten can speak at the event. Use email to contact
      potential attendees; make sure that an email list (or Linked-In or FaceBook) account is
      established so that potential attendees can reply.
    IMC should announce the event to the International Council seeking other potential
      speakers for the event(s).

Singapore (Colleen Brooks):
    Since people recognize that MOHH is the (official) developer the standards for
      Singapore, then people are not clear of the value of the HL7 Affiliate.
    Prime areas of interest for HL7 Singapore: education and advertisement.
    Problem: The Singapore “Logical Information Model” is currently ISO 13606 – so how can
      they implement V3 messaging against the 13606 Logical Information Model? It would be
      good to move to CDA. [DONE] Diego will give Colleen a background paper regarding
      Turkeys’ experience with mapping to CDA.
    Ken Rubin would be a good expert speaker regarding SOA.

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       Vendors currently offer HL7 V2 products in Singapore, but not later advancements.
       The IMC recommends that Colleen create a list of questions/issues and share them with
        the Affiliates Council.
       Colleen is aggressively promoting SNOMED education through HL7 channels.
       Next steps for HL7 Singapore:
            o Develop a reputation as the nation’s “standards-education provider”.
            o Organize conferences that target various, specific themes (that have standards-
                  related aspects).
            o Develop “Implementation Guides” (whereby certain HL7 volunteers could be paid
                  to create the Implementation Guides through Ministry of Health funding).

    Was accepted as an Affiliate at the HL7 WGM in Cambridge 201010-04.
    Did Robert Stegwee talk with Muhhamad Afzal on 20101008 (as previously planned)?
    Muhhamad is creating an Advisory Council (consisting of Diego Kaminker, Gora Datta,
       Rene Spronk, Michael van Campen, John Ritter)
    Muhhamad wants to move the EHR-S FM towards a “Semantic EHR”.
    Michael van Campen and Rene Spronk offered regional By-Laws to Muhhamad for
       adaptation to Pakistan.

    AR (JR): Can Nancy Gertrudiz provide an update regarding Mexico?

To Do:
    All First-Time Attendees of HL7 ought to be informed that the IMC exists and that the IMC
       is willing to mentor the new attendees during their initial entrée into HL7.
    It would be good to advertise the IMC on the HL7 website; perhaps a “Quick Tour”.
    Create an IMC wiki.
    The IMC should consider serving as a type of “Advisory Council” to all HL7 Affiliates.
       Acceptance by an Affiliate of this type of discipline might help keep the Affiliate from
       slipping into lapsed status and might also serve to help monitor the health of the HL7
       Affiliate (via a set of indicators (such as an existing and up-to-date Action Plan)).
    It might be good for the International Council to create a (shared) “Expert Speaker Travel
       Plans” calendar, so that new Affiliates who are planning events (on a tight budget) might
       be able to leverage HL7 Speakers who might be travelling in the new Affiliates’ local area
       (or passing nearby) on a certain date.
    It might be good for HL7 to develop marketing materials (that are easily accessible from
       the HL7 website), namely:
             o The business case for Ministries of Health to adopt HL7 standards.
             o Analysis of the other standards in a given space.
             o Use-Cases for the HL7 standards.
             o Migration path for moving from V2 to V3.

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                                        Appendix 1
International Mentoring Committee (IMC) Report to the HL7 Board of Directors
John Ritter; co-chair IMC
Diego Kaminker; co-chair IMC

A New Status?
The IMC wonders whether it might be better to create an Affiliate status named “Observer” that
has different participation-attributes than the Affiliates’ “Lapsed” status. This new “Observer”
status would attempt to accommodate the well-known, rhythmic peak-and-trough nature of
healthcare interests and efforts of certain governments. Thus, when a given government’s
interest (and funding) is high, the Affiliate would attend HL7 conferences regularly. When the
government’s interest (and funding) is trending precipitously downward, the Affiliate could be
invited to convert to “Observer” status. Additionally, HL7 might consider offering a single
“Observer” (person) the opportunity to attend an HL7 WGM with registration fees waived once
every three years, for example. This approach might help keep the spark alive in hopes that the
Observer can re-energize the realm when the healthcare funding begins to trend upwards a few
years later. This approach might also prove to be a less embarrassing moniker for a struggling
Affiliate to shrug off if it ever attempts to refresh its association with HL7.

The IMC suggests researching organizations such as NAFTA (for Mexico, specifically) or USAID
(for other countries) to help facilitate those country’s healthcare-related standards participation.
Funding from such sources would promote highly visible Public Health goals such as
Immunization, Surveillance, Birth and Death records, or Health Card usage. Perhaps it may be
good for HL7 to develop a part-time, funded position to research such grants. Also, it might be
good to research projects being offered by the Pan American Health Organization (PAHO).

Affiliate “First Steps”?
Perhaps the IMC could create a pool of small, “canned”, targeted, standards-based candidate
projects (and some corresponding HL7 training) that may be offered to new / struggling Affiliates.
These small projects might better enable the struggling Affiliates to make the case for standards
to their governments / vendors / stakeholders / etc. Such projects might include: Immunization,
Surveillance, or Birth and Death records. Negative Question: What if a self-serving vendor takes
HL7’s “canned” project description and HL7’s free training and creates a proprietary (non-open
source) product in the struggling Affiliates’ realm?

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