SGML: Annoucement: Operation Jumpstart

Annoucement: Operation Jumpstart

Title: Annoucement: Operation Jumpstart
Author: Liora Alschuler <>
Date: Wed, 25 Jun 1997 16:01:07 -0400
------------------------------------------------------------------ Following is the first public announcement of a project that will take place shortly at a meeting in the Lakes District of New Hampshire. The participants in what we have dubbed "Operation Jumpstart" welcome your input and suggestions on the issues that are central to an industry-wide SGML/XML implementation for medical information. Queries and discussions for the group should be addressed to the HL7 SGML listserv, but will also be welcomed on comp.text.sgml (or any other forum of which we are made aware!). A list of participants and the listserv address are given below. It is our hope that the time and resources devoted to "Operation Jumpstart" will contribute to the effort to implement standards for use of structured information -- SGML and XML -- in healthcare information systems. If successful, our work will be a point of departure for subsequent work by a much wider range of participants that will yield truly flexible, extensible, and interoperable medical information systems based on open standards. Liora Alschuler, Project Manager, Operation Jumpstart East Thetford, Vermont, June 25, 1997 ----------------------------------------------------------------------------- OPERATION JUMPSTART Operation Jumpstart refers to a privately-funded effort of medical practitioners, informatics specialists, medical technology vendors, and HL7 and SGML consultants who will meet July 7-11 to create an initial draft of an SGML standard architecture for healthcare. MISSION To develop a simple, focused reference architecture useful in both exchange systems and persistent storage. This architecture, along with reference code and examples, will be released into the public domain under copyright control of the HL7 SGML SIG [] which will have the option to extend and expand it in accordance with the Mission and goals of that group. DELIVERABLES: At the end of one week of intensive effort we will have ready for testing a set of implementable, extensible DTDs for 1) the basic doctor/patient encounter, 2) a single auxiliary area -- anatomic pathology is the current choice -- and 3) a framework for defining, tracking, and linking the disparate pieces of the medical record. This framework is what we call an "architecture" whether it is actually a formal, HyTime architecture or a design framework that uses another method to define these relationships. In addition, we will have sample coded documents that interoperate as a test suite within a prototype scenario. All DTDs, sample documents, and sample code (ActiveX, Java or other) will be made public on the HL7 SGML SIG website shortly after the Jumpstart meeting concludes, along with documentation describing each deliverable. OPERATION JUMPSTART BENEFACTORS: Operating funds have been provided by: Sequoia Software, Kaiser Permanente (Southern California), Oceania Inc., and Kurzweil Applied Intelligence Each of the consulting firms engaged for this project have made their personnel available at substantially reduced rates to underwrite this not-for-profit activity. THE HL7 SGML LISTSERV Join the ListServer: Send e-mail to, subject unimportant, text "subscribe sgml-hl7" (without quotes). Quit the ListServer: Send e-mail to, subject unimportant, text "unsubscribe sgml-hl7" (without quotes). ListServer Address: Members of the ListServer can post to the list by sending e-mail to OPERATION JUMPSTART PARTICIPANTS: Liora Alschuler Ron Capwell Bob Dolin Dan Essin Jasen Fici Lloyd Harding Eliot Kimber Randy Marbach John Mattison Jon Morris Anil Sethi Rachael Sokolowski John Spinosa Michael Toback Jason Williams Bios for some of the participants are provided below: Liora Alschuler, The Word Electric Liora Alschuler is a consultant, writer, and trainer specializing in the application of SGML in technical publishing and medical information. She is the author of ABCD... SGML: A User's Guide to Structured Information, International Thomson Computer Press, 1995. She has taught an introductory course on SGML for the University of Wisconsin, Engineering Professional Development program, the New York Public Library, and for private clients. She has been active on the HL7 SGML SIG for the past year and is Program Chair for the SIG-sponsored HL7 SGML Mixer, July 29-30 in La Jolla, CA, co-sponsored by SGML Open and the GCA: She has spoken on hypertext and SGML at local, regional, and national conferences. Her articles have appeared in The Seybold Report publications, WebWeek, ComputerWorld, , Publish! and other publications. Liora has a BA in Anthropology from the University of Wisconsin and an AD in Broadcast Engineering from Milwaukee Area Technical College. She spent 7 years in broadcast engineering; 2 years as a manufacturing test engineer in Silicon Valley; and 10 years writing and managing documentation where she became interested in hypertext and the opportunities it presented for conveying information. Ron Capwell, Sequoia Software Corporation Ron is a Technical Development Lead for Sequoia Software's Databank Server. Ron also was instrumental in the state wide deployment of Sequoia's Medstar in the Kaiser of Ohio system. He has experience in development of massively distributed medical record systems, Intranet (enterprise) workflow and MPI, and SGML development technologies. Ron currently is working on a distributed system for the State of Virginia, utilizing Databank as the Master Index Server for geographically dispursed records scaling to 40 Terabytes of records data across 10,000 users within the Commonwealth. Bob Dolin, MD, Kaiser Permanente Bob Dolin, MD has been a practicing General Internist in Southern California since 1990. During residency at UCLA, he became interested in computers, and built an Electronic Health Record for the out patient clinic. At Kaiser Permanente, Dr. Dolin has been actively involved in clinical system design and development, participating in patient care data modeling, IntraNet development, standards implementations, and Electronic Health Record design. At the National level, Dr. Dolin has been actively involved in a collaborative effort towards the development of a comprehensive healthcare terminology, and has been helping to develop and disseminate standards for the Electronic Health Record and for the transfer of clinical data between computer systems. He currently manages the HL7 SGML SIG website. Jasen Fici, Sequoia Software Corporation As a developer, Jasen cut his teath as a key member of the Kaiser of Ohio development team. In his current role as Systems Architect, Jasen is responsible for architecting Databank's 24x7, "lights out" Healthcare services, including: SGML based replication and MPI; continuous availibility; load balancing and load distribution. Lloyd Harding, Information Assembly Automation, Inc. (IAAI) MS in Computer Science (Computation Linguistics 1987) Lexis/Nexis Developed programmatic recognition systems for the recognition of biographical documents, the markup of proper nouns, and the markup of the internal structure of free flowing legal documents. Designed and implemented collection and fabrication systems providing clients with electronically received data within 10 minutes of receipt and without human intervention. Promoted adoption of SGML throughout company infrastructure and processes. Developed internal SGML standards and data architecture for fabrication, on line search, and delivery. Information Assembly Automation Inc. In affliation with Martin Hensel Corporation: Development of DTDs for Genrx, Nursing Drug Reference (Skidmore), Handbook of Diseases (Langford), Diagnostic and Laboratory Test Reference (Pagana), and Intravenous Medications (Gahart) Developed and implemented system for editing, and generation of print and Web versions of Genrx using micro documents/Sybase for monographs, suppliers, and product information. Developed and implemented system for title selection and linking of titles for subsequent multi title product generation. Each title conforms to a seperate DTD. Developed editing/workflow system for processing arbitrary DTDs for math and scientific journals and proces through Miles 33 OASYS typesetting software. Consulting for Dow Jones and Prodigy online products. W. EliotKimber, Senior SGML Consultant, Highland Consulting W. Eliot Kimber is a Senior SGML Consultant with over 13 years experience with electronic publishing and generic markup. Eliot was one of the architects of IBM's IBM ID Doc project, with Wayne Wohler and Don Day. The IBM ID Doc project is an attempt to replace IBM's GML-based BookMaster markup language and associated processors with an SGML-based system. Still in the process of being implemented, IBM ID Doc arguably represents one of the largest single sets of requirements met by a single, comprehensive SGML application. As a consultant for Passage Systems, Eliot worked with a variety of enterprises to develop SGML and HyTime-based solutions to information management and production problems. Eliot speaks and writes frequently on the subjects of SGML, HyTime. He is an active member of the WG8 committee and has been a key contributor to the development of the HyTime Technical Corrigendum. Eliot is also a member of the W3C's SGML on the Web Editorial Review Board, charged with designing the "XML" language, a profile of SGML specifically design for Web-based delivery of SGML documents. Anil Sethi, Sequoia Software Corporation Anil is the Founder and Chief Technology Officer of Sequoia Software Corporation. Both his undergraduate and graduate work are in Biomedical Engineering, from CUA and JHU. Anil has 14 years in the Healthcare IT area, from Hewlett Packard, to medical imaging with Apple Computer. Rachael Sokolowski, Kurzweil Applied Intelligence Ms. Sokolowski has developed software applications for fourteen years, eight years in linguistic, natural language and text processing software products. Of the many products she has worked on, the best known is Houghton Mifflin's CorrecText grammar correction and spelling correction systems in use by Microsoft Word. Additionally, she led the effort to develop an on line version of the American Heritage Dictionary structured in SGML. Also while at Houghton Mifflin, Ms. Sokolowski researched the feasibility of publishing college textbooks and almanacs from SGML. At Kurzweil, she worked on the design and development of Kurzweil Clinical Reporter, a structured reporting system, which involved a port from DOS to Windows and the design of a graphical user interface using voice. Today at Kurzweil, she is the principal investigator, system architect, and project manager of "Open, Voice Enabled, Structured Medical Information", a two year research grant from the National Institute of Standards and Technology (NIST) Advanced Technology Program (ATP). Open, Voice Enabled, Structured Medical Information is an open structured medical reporting system that produces the encounter notes recorded by clinicians in SGML and employs CORBA to distribute the data. She is co principal investigator on the "Physician's Assistant for Continuous Transcription" a large vocabulary continuous speech system that electronically transcribes medical data into SGML which is currently under review. She is the inventor on two patents: one for parsing text into sentences and another for performing readability analysis on text. She is the chair of the Clinical Data Working Group of CORBAmed. CORBAmed is the Domain Task Force of the Object Management Group (OMG) that is responsible for *evaluating and recommending standard interfaces for healthcare objects, to be adopted by the OMG. In January of 1997, Ms. Sokolowski was elected chair of the Health level 7 (HL7) SGML Special Interest Group (SIG). The HL7 SGML Initiative is a special interest group of HL7 formed to create the standard for the use of SGML in all domains of health care. John Spinosa, Staff Pathologist and Medical Director Scripps Memorial Hospital John practices anatomic and clinical pathology in San Diego, California and is a member of the College of American Pathologists (CAP) informatics committee. He represents the CAP at ANSI HISB meetings and is a CAP voting member to HL7. John has spent much of his professional life being trained and working in the San Diego area. His exposure to SGML came via the familiar route of using LaTeX for his doctoral dissertation and being exposed to very cogent comments on comp.text.tex about the utility of SGML. When he was considering an academic career, John explored neutrophil physiology, biochemistry, and the biological activity of C5a. He has subspecialty training in hematopathology. He hopes that SGML may provide the basis for solving some of the difficult problems in medical information interchange. Undergraduate work at Claremont McKenna College, BA in Chemistry 1980; UCSD School of Medicine, Combined MD/PhD program, MD 1987, PhD, Experimental Pathology 1988; Intership in Pathology, UCSD Medical Center and VA Hospital, 1987-1988; Residency in Pathology, UCSD Medical Center and VA Hospital, 1988-1991; American Cancer Society Clinical Fellow in Surgical Pathology and Cytopathology, 1989-1990; Clinical Fellowship in Hematopathology and Staff Pathologist, Scripps Clinic Medical Group, 1991-1993; Pathology Medical Group, La Jolla, California, Staff Pathologist Scripps Memorial Hospital La Jolla, Staff Pathologist Scripps Memorial Hospital Encintas, Staff Pathologist and Medical Director, Scripps East County, Medical Director, Pathology Medical Laboratories, San Diego, Medical Director, Cytometry Associates, San Diego, 1993-present Michael Toback, Oceania, Inc. I am currently a Senior Engineer at Oceania In the Database Engineering Group. In my time here I have worked extensively outside of engineering to develop products such as our Web based electronic medical record, a patient registration module, and a document parsing capability providing either a proprietary or an SGML representation. I am currently working on a Clinical Object Server, which will provide access to the objects in our clinical data repository through either OLE or CORBA interfaces, including translation of our documents to SGML through several DTDs. Before this, I spent almost 20 years working for a DoD contractor and a DOE National Laboratory in various software engineering roles, including the software integration manager for a large (> $100 M) digital signal processing project. In several of those positions I worked extensively on automated document analysis tools to extract test and requirements information into SQL databases for project tracking and status. I have a BS Degree in Biomedical Engineering from Rensselaer Polytechnic Institute and a dual MS Degree in Biomedical and Electrical Engineering from Carnegie Mellon University. Jason Williams, Oceania, Inc. I have recently begun working with Oceania as a Clinical Informatics Analyst where I will be focusing on SGML and other data reporting and information retrieval issues. Before joining Oceania, I had the opportunity to work on several SGML projects at the University of Michigan while I completed my master's degree in information science.