HL7® FHIR® is igniting the industry! Booth #5623...Ewout Kramer: Board Member, HL7 FHIR...

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HL7 HIMSS Exhibit Theater Presentation Schedule | Booth #5623

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HL7® FHIR® is igniting the industry! Booth #5623

HL7® FHIR® | The Argonaut Project | C-CDA®

HL7® FHIR® is igniting the industry!

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HL7 is a non-profit organization committed to empowering health data interoperability by developing standards and enabling their adoption and implementation.

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® Health Level Seven, HL7, CDA, CCD, FHIR and the FHIR [FLAME DESIGN] are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.

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THEATER PRESENTATION SCHEDULE

SESSIONS IN RED DISCUSSTUESDAY, MARCH 6

9:40 – 10:10 am Da Vinci: The Art of Value-Based Care10:30 – 11:30 am Argonaut Project Panel Update: Where Now?11:40 – 12:10 pm The HL7 CIMI Work Group: Creating Detailed Clinical Models to Support HL7® FHIR® Interoperability12:20 – 12:50 pm Consolidated Clinical Document Architecture (C-CDA®)1:00 – 1:30 pm HL7 FHIR Bulk Data API1:40 – 2:10 pm The Clinical Information Interoperability Council: An Effort to Standardize Health Data Across All of Healthcare2:20 – 2:50 pm Next Generation Clinical Quality Measures – An Update from NCQA3:00 – 3:30 pm Industry on HL7 FHIR3:40 – 4:10 pm The HL7 FHIR Foundation: An Organization to Support Implementers of HL7 FHIR4:20 – 4:50 pm Getting the Most Out of Your Data Using HL7 Clinical Decision Support Standards5:00 – 5:20 pm Bonus Session! HL7 FHIR: Delivering Real-World Value for Implementers (Hall G, Booth #9947)

WEDNESDAY, MARCH 7

9:40 – 10:10 am HL7 CIMI Work Group: Creating Detailed Clinical Models to Support HL7 FHIR Interoperability10:30 – 11:30 am HL7 FHIR Solutions Showcasing Real-World Implementations Panel Discussion11:40 – 12:10 pm HL7 FHIR Tools and the Ecosystem12:20 – 12:50 pm HL7 FHIR Project Update1:00 – 1:30 pm Industry on HL7 FHIR1:40 – 2:10 pm Information Blocking: A Policy Perspective2:20 – 2:50 pm Blockchain and Healthcare Standards3:00 – 3:30 pm The Argonaut Project and HL7 FHIR3:40 – 4:10 pm What’s Next for Healthcare?4:20 – 4:50 pm Building Partnerships for Precision Medicine5:00 – 5:30 pm The HL7 FHIR Foundation: An Organization to Support Implementers of HL7 FHIR

THURSDAY, MARCH 8

9:40 – 10:10 am Clinical Research Under HL7 FHIR 10:30 – 11:30 am HL7 FHIR Implementers Panel Discussion11:40 – 12:10 pm CDS Hooks: Integrating Decision Support at the Point of Care12:20 – 12:50 pm Industry on HL7 FHIR1:00 – 1:30 pm The Argonaut Project and HL7 FHIR1:40 – 2:10 pm Consolidated Clinical Document Architecture (C-CDA®)2:20 – 2:50 pm Building Partnerships for Precision Medicine3:00 – 3:30 pm Da Vinci: The Art of Value-Based Care

HIMSS Interoperability Showcase, Hall G, Booth 11955ET:

Wednesday, March 7 11:30 - 12:30 pm

The Payer/Provider Perspective On Interoperability - The Da Vinci Project

Wednesday, March 7 1:30 - 2:30 pm

HL7 & IHE: Paving a Better Path to Interoperability

Featuring HL7 CTO Wayne Kubick

Thursday, March 8 2:30 - 3:30 pm

CDISC & HL7 Moving the Clinical Research Agenda Forward

Featuring HL7 CTO Wayne Kubick

Follow us on Twitter: @HL7




Argonaut Project Panel Update: Where Now?

Tuesday, March 610:30 – 11:30 am

In 2014, HL7 launched the Argonaut Project in collaboration with leading healthcare IT vendors and providers to accelerate the development and adoption of HL7’s newest standard, FHIR® (Fast Healthcare Interoperability Resources). This session will provide an overview of the HL7 FHIR adoption trajectory, details about the work accomplished by the Argonaut Project to date and what this collaboration means for the future of healthcare interoperability.

Grahame Grieve, FHL7: HL7 FHIR Product Director, HL7 International; Co-Chair, HL7 Modeling and Methodology Work Group; Modeling and Methodology Facilitator-HL7 Infrastructure and Messaging Work Group; Principal, Health Intersections Pty Ltd.

Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International

Micky Tripathi, PhD: Project Manager, HL7 Argonaut Project; President and Chief Executive Officer, Massachusetts eHealth Collaborative

Isaac Vetter: Software Developer, Epic

Blockchain and Healthcare Standards

Wednesday, March 72:20 – 2:50 pm

Blockchain is everywhere, creating real excitement and wild claims of future disruption across the IT Community. In healthcare, there’s already some adoption and many people looking to disrupt established patterns using it. But is that all just snake oil? What is HL7 doing – or what should it be doing – about blockchain?

This session will evaluate some of the proposed use cases, discuss where block chain fits in the standards world, and what existing and/or new standards are required for these use cases.

Ewout Kramer: Board Member, HL7 FHIR Foundation; Chief Technology Officer, Firely

Building Partnerships for Precision Medicine

Wednesday, March 7 Thursday, March 84:20 – 4:50 pm 2:20 – 2:50 pm

Precision medicine seeks to improve disease treatment and prevention by taking into account information about factors such as genomics and the environment. HL7 has standards (e.g. SMART/FHIR Genomics, DAM Clinical Sequencing) and collaborative efforts (e.g. HL7 FHIR Foundation, DIGITizE) that are enabling this vision of building partnerships in precision medicine.

In this talk, we will introduce these HL7 efforts and describe how various organizations have recommended using HL7 standards for precision medicine. A number of international pilots are now under way, bridging clinical and genomic information across international boundaries for precision medicine.

Gil Aterovitz, PhD: Co-Chair, HL7 Clinical Genomics Work Group; Assistant Professor, Biomedical Informatics, Harvard Medical School; Associate Scientific Researcher, Children’s Hospital




Informatics Program, Boston Children’s Hospital; SMART/FHIR Genomics Lead; Member, Precision Medicine Task Force, White House, Office of the National Coordinator for Health IT

David Poloway, Research Data Coordinator, Boston Children’s Hospital

CDS Hooks: Integrating Decision Support at the Point of Care

Thursday, March 811:40 – 12:10 pm

CDS Hooks is a standards-based approach to integrating decision support at the point of care. With CDS Hooks, a third-party decision support service can integrate deeply into the native EHR user interface, listening for key events, accessing structured data and providing actionable advice at just the right point in a clinical workflow. We will review the technology, clinical use cases, standards development and real-world implementation experience for this emerging specification. We will also provide an overview of the software development experience, demonstrating the open-source web-based sandbox and tools that help decision support providers come quickly up to speed.

Josh Mandel, MD: Health IT Ecosystem Lead, Verily (Google Life Sciences)

David McCallie, MD: Senior Vice President for Medical Informatics, Cerner

Clinical Research Under HL7 FHIR

Thursday, March 89:40 – 10:10 am

While healthcare is rapidly adapting to the digital era, the basic systems and processes for conducting clinical studies to assess new medical treatments are still largely based on the legacy of

a separate, paper-based, parallel process. These legacy systems collect data on Case Report Forms which are then transformed into a series of multiple datasets that bear little resemblance to how primary healthcare data is typically represented. Given the priorities of the FDA to incorporate real-world evidence from EHRs and to use electronic source documents to feed clinical trials, together with the industry pressure to reduce cost and time to market while improving care, and the opportunities now provided by HL7 FHIR APIs, it’s time for the research industry to adapt their processes to be more closely aligned with the world of digital healthcare. This presentation will examine the opportunities and recent progress on using HL7 FHIR to improve biopharmaceutical processes related to research and drug safety.

Wayne Kubick: Chief Technology Officer, HL7 International

Consolidated Clinical Document Architecture (C-CDA®)

Tuesday, March 6 Thursday, March 812:20 – 12:50 pm 1:40 – 2:10 pm

The C-CDA Implementation Guides has been around for over six years supporting interoperability between healthcare providers, payers and patients. It has progressed from Version 1 to Version 2.1 and is now implemented in every certified EHR in the United States. This presentation will highlight a number of projects and activities undertaken over the last year to improve the semantic interoperability of this standard.

1. CDA Product Management at HL7

2. C-CDA Implementation-a-thon(s)

3. Value Set Access for C-CDA

4. HL7 CDA Example Search Facility

5. C-CDA “SITE” Validator & Scorecard

6. CDA R2.1 and C-CDA on FHIR

Come join us as we review where we been and where we are going with CDA!

Calvin Beebe, FHL7: Chair, HL7 International Board of Directors; Co-Editor, CDA; Co-Chair, HL7 Structured Documents Work Group; Technical Specialist, Information Services, Mayo Clinic – Rochester, MN





Da Vinci: The Art of Value-Based Care

Tuesday, March 6 Thursday, March 89:40 – 10:10 am 3:00 – 3:30 pm

Come hear about the new HL7 FHIR-focused Da Vinci Project. This emerging private-sector led initiative responds to the need to establish a rapid multi-stakeholder process for addressing value-based care use cases that could be implemented on a national basis. The objective is to reduce the development and deployment of unique solutions between trading partners (e.g. a payer and provider). To promote interoperability across value based care stakeholders, the industry needs common:

• Standards (FHIR),• Implementation guides, and• Reference implementation to guide the rapid development and deployment of interoperable solutions on a national scale.

Da Vinci is assembling payers, providers, health IT vendors, HL7 and relevant government agencies to:

• Identify specific value-based care use cases that are amenable to national solutions using FHIR APIs.• Rapidly develop implementation guides and reference implementations, and field test them to validate readiness and efficacy.

Jocelyn Keegan: Project Manager, Da Vinci; Payer Practice Lead, Point of Care Partners (Thursday session)

Dr. Viet Nguyen: Technical Director, Da Vinci; Founder, Stratametrics (Tuesday session)

Getting the Most Out of Your Data Using HL7 Clinical Decision Support Standards

Tuesday, March 64:20 – 4:50 pm

The use of health information technology (HIT) standards for encoding data, representing knowledge and delivering knowledge- based interventions can help facilitate implementation of clinical decision support (CDS). The presenters, who are co-chairs of the HL7 CDS Work Group, will survey the standards developed by

this group, including formalisms for accessing and representing clinical knowledge and data models to support these standards. The Arden Syntax is a standard language for representing medical knowledge in the form of medical logic modules (MLMs). Various patient data models will be reviewed, including the Virtual Medical Record (VMR), the Quality Improvement and Clinical Knowledge model (QUICK), and HL7 Fast Healthcare Interoperability Resources (FHIR) as they pertain to clinical decision support. The Clinical Quality Language (CQL), which is a standard expression language for CDS and clinical quality measurement (CQM), also will be discussed, as will its relationship with the Healthcare Quality Measure Format (HQMF). Infobuttons are context-sensitive links from EMRs to knowledge resources. The HL7 FHIR Clinical Reasoning module (part of STU3) provides resources and operations to enable the representation, distribution, and evaluation of clinical knowledge artifacts such as clinical decision support rules, quality measures, order sets, and protocols. The latest versions of these standards will be described at a high level, showing how they can be used to implement CDS.

Robert A. Jenders, MD, MS, FACP, FACMI: Co-Chair, HL7 Clinical Decision Support Work Group; Professor of Medicine, Charles Drew University and University of California, Los Angeles

Howard R. Strasberg, MD, MS, FACMI: Co-Chair, HL7 Clinical Decision Support Work Group; VP Medical Informatics, Wolters Kluwer Health

HL7 FHIR: Delivering Real-World Value for Implementers (Bonus Session!)


Location: Hall G, Booth #9947

HL7’s Fast Healthcare Interoperability Resources (FHIR®) was developed nearly a decade ago with the goal of advancing healthcare interoperability. Although data integration is not yet fully seamless, many stakeholder groups have made important strides through HL7 FHIR implementation. HL7 FHIR has greatly evolved with time and use. HL7 will explain what the evolution of HL7 FHIR means for seamless integration and how healthcare technology is closer than ever to achieving true interoperability.






HL7 FHIR Bulk Data API


Healthcare organizations have many reasons for bulk-data export, such as populating a data warehouse for operational or clinical analytics, leveraging population health and decision support tools from external vendors, and submitting data to regulatory agencies. Today, bulk export is often accomplished with proprietary pipelines, and data transfer operations frequently involve an engineering and field mapping project. Learn about an exciting new effort by SMART and HL7 to bring the HL7 FHIR standard to bear on these challenges of bulk-data export.

Dan Gottlieb: Senior Technical Lead, SMART Health IT Project

HL7 FHIR Implementers Panel Discussion

Thursday, March 810:30 – 11:30 am

HL7 FHIR is being adopted at unprecedented rates in the healthcare industry. This interactive session will highlight how three large vendors are currently implementing HL7 FHIR in their organizations. Each vendor will provide a brief overview of their HL7 FHIR-based projects and will then take questions from the audience during a FHIRside chat.

Janet Campbell: Vice President of Patient Experience, Epic

Mark Gingrich: Chief Information Officer, Surescripts LLC

Adam White: Strategist, Open Platform Business Development, Cerner Corporation

Moderated by Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International

HL7 FHIR Project Update


HL7 FHIR is the major future healthcare data exchange standard. HL7 FHIR is about half way through its development life cycle - some aspects are still changing, while others are now stable and mature. These have significant impacts on implementers and regulators. This session will cover the overall progress of the HL7 FHIR project including the standard, the community, significant implementation projects in the United State and around the world, and regulatory adoption issues.


HL7 FHIR Solutions Showcasing Real-World Implementations Panel Discussion

Wednesday, March 710:30 – 11:30 am

This session will be an interactive panel presentation and discussion highlighting how HL7 FHIR is being implemented in today’s healthcare technology solutions. Each vendor will provide a brief overview of how they are currently implementing HL7 FHIR and will then take questions from the audience during a FHIRside chat.

Solutions that will be highlighted include:

Advanced Wound DocumentationTissue Analytics’ flagship product is a telehealth system (smartphone application and web application) that uses cutting edge machine learning algorithms to perform automated and





objective analysis of chronic wounds and other skin conditions. The product uses HL7 FHIR to integrate with hospital EMRs from end-to-end, streamlining data collection and drastically improving the care continuum for wound patients.

MyLinks.comMyLinks is a health-focused platform which allows patients to gather and aggregate their medical records from all their healthcare providers via HL7® FHIR®. Patients can share their records with others, and link with family/friends and researchers. MyLinks won first place in the ONC Consumer Health Data Aggregator Challenge.

Clinical Data Repository for South Carolina HospitalsHSSC and Smile CDR have developed an HL7 FHIR based Clinical Data Repository infrastructure which spans several facilities. In this architecture, each facility is able to have a dedicated repository of clinical data which is populated in realtime based on feeds from various hospital EHR systems. Hospital data is normalized into HL7 FHIR Patient, Encounter, Condition, Observation, and other resources. This data infrastructure is then combined with an EMPI to provide standardized research data reporting, and to enable SMART on FHIR based apps with a longitudinal view of data across institutions.

Joshua Budman: Co-Founder and Chief Technology Officer, Tissue Analytics

Leslie Lenert, MD: Vice President and Chief Medical Officer, Health Sciences South Carolina (HSSC)

Debi Willis: Founder and Chief Executive Officer, PatientLink Enterprises, Inc.

Moderated by Wayne Kubick: Chief Technology Officer, HL7 International

HL7 FHIR Tools and the Ecosystem


Although in itself HL7 FHIR is “just” a written specification, it has been around long enough for the community to create tools that support the process of implementing it. In this talk, Ewout will

present several tools that you can use today, ranging from support libraries to integrate HL7 FHIR into your development environment to creating your own profiles and API documentation and validation of HL7 FHIR payloads. Attend this session to see what tools are available, which part of the development process they cover and how they can be used together.

Ewout Kramer: Board Member, HL7 FHIR Foundation; Chief Technology Officer, Firely

Industry on HL7 FHIR

Tues., March 6 Wed., March 7 Thurs., March 83:00 – 3:30 pm 1:00 – 1:30 pm 12:20 – 12:50 pm

HL7 FHIR has been embraced and adopted by the healthcare industry at an unprecedented rate. This session will provide an overview how HL7 FHIR is being implemented across the healthcare continuum today. HL7 CEO Dr. Charles Jaffe will discuss several initiatives currently underway such as the privately funded Argonaut Project, which has brought together vendors and health systems to advance FHIR-based solutions. It will also touch on the newly formed Da Vinci Project, a private-sector HL7 FHIR-based initiative created to address value-based care implementation use cases. Several clinician initiatives based on HL7 FHIR have been formed, such as the Clinical Information Interoperability Council (CIIC), the Healthcare Services Platform Consortium (HSPC), and CDS Hooks. This session will also address how HL7 FHIR is being implemented in the areas of genomics, biopharma, and devices. Finally, government-led initiatives will be addressed, such as the Veteran Affairs’ Lighthouse and ONC’s Bulk Data on FHIR.


Information Blocking: A Policy Perspective


This presentation will review recent policy discussions on the issue of information blocking. It will provide an update on provisions of the 21st Century Cures legislation enacted in December 2016 that



define information blocking and require actions by the Department of Health and Human regarding refinement and enforcement of policies to prevent such practices.

Mark Segal, PhD: Vice President, Government and Industry Affairs, GE Healthcare Digital; Member, HL7 Advisory Council; Member, HL7 Polilcy Advisory Committee

Next Generation Clinical Quality Measures – An Update from NCQA


Current nationally reported clinical quality measures are often perceived as burdensome and costly to implement. Factors that contribute to this perception are the lack of alignment of measures across the healthcare system, inefficient data collection, and questions about the accuracy and reliability of the reported rates. NCQA plans to address these challenges through a multi-faceted approach that includes creating and distributing digital measure packages that are machine and human-readable using Clinical Quality Language (CQL) and Quality Data Model (QDM). During this briefing, NCQA’s Ben Hamlin and Anne Marie Smith will provide an overview of the initiatives underway.

Ben Hamlin: Lead Research Scientist, NCQA

Anne Marie Smith: Measure Validation Director, NCQA

The Argonaut Project and HL7 FHIR®

Wednesday, March 7 Thursday, March 83:00 – 3:30 pm 1:00 – 1:30 pm

The Argonauts are “a group of highly motivated health information technology vendors and health care organizations that have come together to sponsor a focused effort to accelerate development of a FHIR API and Core Data Services specification under the auspices of HL7.” This session will discuss who is participating, the

scope of work that is planned, the timeline for completion of the work, and how this work relates to some other ongoing initiatives. We will also discuss the recently announced Argonaut Project Implementation Partners Program.

Micky Tripathi, PhD: Project Manager, HL7 Argonaut Project; President and Chief Executive Officer, Massachusetts eHealth Collaborative (Wednesday session)

Charles Jaffe, MD, PhD: Chief Executive Officer, HL7 International (Thursday session)

The Clinical Information Interoperability Council: An Effort to Standardize Health Data Across All of Healthcare


The HL7 Clinical Information Model Initiative (CIMI) is creating logical models to support interoperability using HL7 FHIR and other standards. However, CIMI can represent more than one logical model for a particular kind of data. For CIMI models to lead to truly interoperable systems there will need to be agreement among system developers about which models are preferred for interoperability.

The Clinical Information Interoperability Council (CIIC) was initiated in July of 2017 to create a forum for expert clinicians to establish a set of preferred models for interoperability. The goal is to create a free-for-use model repository of detailed clinical models that can be used by developers to create interoperable software. There are three important questions where clinical experts can provide guidance: 1) What data should be collected in a given clinical situation; 2) What is the preferred logical structure of the data; and 3) What are the computable definitions of clinical terms that are referenced in the models. This presentation will describe CIIC’s current activities, future plans, and how people can join and participate.

Stanley Huff, MD, FHL7: Former Chair, HL7 International Board of Directors; Co-Chair, HL7 Clinical Information Modeling Initiative Work Group; Chief Medical Informatics Officer, Intermountain Healthcare; Chair, Healthcare Services Platform Consortium



Visit us online at HL7.org/HIMSS


10

The HL7 CIMI Work Group: Creating Detailed Clinical Models to Support HL7 FHIR Interoperability

Tuesday, March 6 Wednesday, March 711:40 – 12:10 pm 9:40 – 10:10 am

The HL7 FHIR standard is widely regarded as the best approach for creating truly interoperable healthcare services. The structure of data within the payload of an HL7 FHIR service is defined by resource definitions. To get to very explicit definitions that support truly interoperable services, implementers are allowed to create HL7 FHIR profiles. It is important that developers have the freedom to create HL7 FHIR profiles so they can guarantee that their use cases can be satisfied. At the same time, this freedom poses a potential threat to interoperability. If everyone exercises their right to make profiles and the profiles they create are different, then there is no guarantee of interoperability. Cardiologists, gastroenterologists, pediatricians and obstetricians could all make different profiles for the same clinical findings, which could in turn be different from profiles produced for sharing public health data, which could be different still from profiles created for clinical quality reporting. The goal of the HL7 CIMI group is to create computable logical models that can be used to algorithmically produce HL7 FHIR profiles to support true interoperability of HL7 FHIR services.

Richard Esmond: Co-Chair, HL7 Clinical Information Modeling Initiative Work Group; Chief Technical Officer, PenRad, Inc. (Tuesday session)

Stanley Huff, MD, FHL7: Former Chair, HL7 International Board of Directors; Co-Chair, HL7 Clinical Information Modeling Initiative Work Group; Chief Medical Informatics Officer, Intermountain Healthcare; Chair, Healthcare Services Platform Consortium (Wednesday session)

The HL7 FHIR Foundation: An Organization to Support Implementers of HL7 FHIR

Tuesday, March 6 Wednesday, March 73:40 – 4:10 pm 5:00 – 5:30 pm

The HL7 FHIR Standard for Trial Use is receiving unprecedented support from scientists, software developers and government

agencies. The HL7 FHIR Foundation was created to speed the implementation of HL7 FHIR in production systems. The HL7 FHIR specification will continue to be enhanced, extended and balloted through the HL7 organization. The HL7 FHIR Foundation will be the home for a registry, tools, conformance information, and lessons learned that will speed the implementation of HL7 FHIR compliant services and applications. This presentation will describe the HL7 FHIR Foundation, how it is organized, the benefits of membership, current activities, and how people can join and participate.

Stanley Huff, MD, FHL7: Former Chair, HL7 International Board of Directors; Co-Chair, HL7 Clinical Information Modeling Initiative Work Group; Chief Medical Informatics Officer, Intermountain Healthcare; Chair, Healthcare Services Platform Consortium

What’s Next for Healthcare?


Almost anything and everything that relates to healthcare is changing. Many of these changes relate to new and developing technologies, to new roles for the stakeholders involved in the delivery of healthcare, to the delivery of care in new settings, to changing and aging populations, and to shifts in responsibilities. Computers and robots will replace humans for many of the tasks, including decision making. New types of data will become a key part of decision making – behavioral, genomic, social and environmental will be added to clinical data. Population health will engage all sectors of the world around us – individuals, families, neighborhoods, communities, regions, countries and the global society. Patients will play an increasingly important role in taking responsibility of their own health and decision making. What impact will these changes have on standards development and interoperability?

W. Ed Hammond, PhD, FHL7: Chair Emertius, Board of Directors, HL7 International; Director, Duke Center for Health Informatics, CTSI; Director, Applied Informatics Research, DHTS; Director, Academic Affairs, MMCi; Professor, Department of Community and Family Medicine; Research Professor, School of Nursing; Professor Emeritus, Department of Biomedical Engineering; Adjunct Professor, Fuqua School of Business

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HL7® FHIR® is igniting the industry! Booth #5623...Ewout Kramer: Board Member, HL7 FHIR...

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Transcript of HL7® FHIR® is igniting the industry! Booth #5623...Ewout Kramer: Board Member, HL7 FHIR...