1. http://www.mayo.edu International Committee Committee appointments Board relationship George W. Beeler, Jr. beeler@mayo.edu

2. Questions - What are the different roles of the representatives for the international committee? We have two co-chairs and a representative to the board (Klaus). What are the responsibilities of each role and what are the rules governing their election? Are the co-chairs elected by everyone at the international meeting (similar to the technical committees) or is it one vote per affiliate? Is this information documented anywhere?

3. By-laws "10.1GENERAL - All Standing Administrative Committee Chairs shall be appointed by the Board of Directors and shall serve concurrently with the Chair of the Board of Directors. The appointment of other committee members may be delegated to the committee chair if the committee membership is not specified elsewhere in the bylaws. "10.2STANDING ADMINISTRATIVE COMMITTEES - Standing Administrative Committees shall include: Finance Committee, Implementation Committee, Education Committee, International Committee, Membership Committee, Marketing Committee, and Nomination Committee. The Chair of each Standing Administrative Committee shall, with the approval of the Board of Directors, be appointed by the Chair to serve for two (2) years. The Chair and all members of each standing committee shall be members of HL7 in good standing. Members of Committees, except the Nominating Committee, shall be appointed by the Committee Chair, with the Approval of the Board of Directors…. " Interestingly, the by-laws do not even say "who" is on the International Committee, although by custom it has been a representative from each of the affiliates.

4. Affiliate Representative on the Board 6.1 BOARD OF DIRECTORS - The Board of Directors shall govern the Organization and shall determine from time to time the responsibilities and authority of the Officers. 6.1.1 OFFICERS - The Board of Directors of HL7 shall consist of four (4) officers (Chair, Chair-Elect or Immediate Past Chair, Secretary, and Treasurer), three ex officio members (Technical Chair, Technical Vice- Chair, and the elected representative of the International Affiliates), and four (4) elected Directors. 6.1.2 TERM OF OFFICE - The term of office for Elected Directors is two years. Elected Directors may serve no more than two consecutive terms of office. All Officers and Directors shall take office on the first day of the calendar year following the election.

5. Mission of the International Committee Has never been written. I submit: Provide a forum to discuss and propose resolution of issues surrounding the use of HL7 standards internationally Provide a forum for consideration of issues that arise within the HL7 International Affiliates and between the affiliates and the Board Assure that international requirements are recognized and understood by the Board and Working Group of HL7

6. http://www.mayo.edu International Committee CEN Memorandum Of Understanding ISO TC215

7. CEN MOU - Objective Overall objective of the collaboration CEN/TC 251 and HL7 agree to collaborate in the spirit of mutual appreciation, respect and openness to seek pragmatic solutions to obtain unification of their set of standards for healthcare communication and to make the results globally available to ISO.

8. CEN - MOU - Principles Merger is not a practical option. Encourage both formal and informal co-operation and collaboration between the groups and individuals Openness... with sharing of technical documents even in areas where there is not yet direct collaboration. Find ways to allow each other to freely use their proposed and published technical solutions in their own efforts to develop standards. Standards (that may eventually be technically identical) will be approved separately with comments invited [the other] and resolved together Copyright and distribution remain unchanged

9. CEN- MOU - Challenges Responsibilities [of both organizations] for the installed base and investments by both suppliers and healthcare organisations. Very different organisational style The need for transatlantic travel poses a challenge to be addressed.

10. CEN - MOU - Immediate goals Model Harmonization Education –Tutorials on HL7 at CEN groups January 30 - Stockholm March 19 - Gothenberg May 14 - Oslo –CEN tutorial at HL7 - May 22 Task Forces –Reconcile views of HL7 and CEN with regard to EHCR and other CEN standards