At HL7 he is co-chair of the Structured Documents Technical Committee and participates in the Patient Care Technical committee, and the Claims Attachments special interest group. He contributed to the development of CDA Release 2.0, and was editor for the HL7 Care Record Summary (CRS). Presently he is co-editor of the ASTM/HL7 Continuity of Care Document (CCD), and the current release of the HL7 Claims Attachments specifications (AIS).
At IHE he is co-chair of the IHE Patient Care Coordination (PCC) Technical Committee, and member of the IT Infrastructure (ITI) technical and planning committees, and the IHE Strategic Development Committee. Keith is co-editor the following IHE profiles: Cross Enterprise Document Sharing (XDS), Notification of Document Availability (NAV), Medical Summaries (XDS-MS), Exchange of PHR Content (XPHR), and Basic Patient Privacy Consents (BPPC).
He is also a member of the ASTM E31 Healthcare Informatics Committee, and the ANSI/HITSP Care Management and Health Records Technical Committee.
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