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Helen is a Project Manager at CanImmunize. With experience in public health, research, project management, and digital health technologies, Helen has contributed to various projects for the development, implementation, and adoption of digital tools that support clinicians and increase access to care for patients. Her experience includes large-scale implementations in diverse settings such as Electronic Health Record (EHR)-based clinical decision support tools in long-term care homes, digital medication reconciliation solutions in hospitals, and electronic referrals in health clinics across Ontario. Helen is committed to improving population health outcomes through safety and quality standards, advances in patient care and experience, and the continued integration of digital health services into Canada’s healthcare system. She is excited to join the Standards Council of Canada ISO TC 215 to support positive transformation in standardizing data and health informatics.


Frederic Laroche

Frederic LarocheImage Modified

Helen is a Project Manager at CanImmunize. With experience in public health, research, project management, and digital health technologies, Helen has contributed to various projects for the development, implementation, and adoption of digital tools that support clinicians and increase access to care for patients. Her experience includes large-scale implementations in diverse settings such as Electronic Health Record (EHR)-based clinical decision support tools in long-term care homes, digital medication reconciliation solutions in hospitals, and electronic referrals in health clinics across Ontario. Helen is committed to improving population health outcomes through safety and quality standards, advances in patient care and experience, and the continued integration of digital health services into Canada’s healthcare system. She is excited to join the Standards Council of Canada ISO TC 215 to support positive transformation in standardizing data and health informatics.

Frederic Laroche

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Frederic Laroche is a digital health expert with 20 years of IT consulting experience, including more than 16 years in healthcare informatics. His main fields of expertise are: systems integration, interoperability, standards, architecture, advanced data analytics and health information exchange. In his career to date, Frederic has contributed to several large-scale and complex health projects and he played a key role in high-visibility projects for many organizations. Frederic has a solid background both in technology and business and he works with healthcare and life sciences organizations and startups in Canada and internationally.

Frederic has been involved in developing health standards through his work with ISO/TC215 for the last 8 years. Frederic is currently the Canadian lead for WG11 Personalized Digital Health and he’s also part of the AHG5. Previously, Frederic was most active with WG1 dealing with architecture, frameworks and models, with a special focus on the ISO 13606 standard for electronic health record communication. In addition to his involvement with ISO/TC215, Frederic is also an active member of the Canadian standards community, including the Canadian FHIR Implementers Working Group. In the past, Frederic was also an active contributor to several working groups part of the Infoway’s Standards Collaborative (SCWGs). Frederic is also a digital health and health standards guest lecturer at four Canadian universities.

Marion Lyver, MD, FRCP(C), FCFP, CPHIMS-CA

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Dr. Marion Lyver is an emergency medicine specialist certified by the Royal College of Physicians & Surgeons and the College of Family Physicians of Canada and an Assistant Clinical Professor at McMaster U in the Faculty of Medicine. She is a well-known, trusted and well-respected digital health and healthcare consultant, providing services in her areas of expertise to both public and private sector organizations provincially, nationally and internationally for over 20 years. Marion has served as a two-term elected Convenor (Chair) of ISO Technical Committee 215 (Health Informatics) - Working Group 8 (EHR Requirements) and Vice-Convenor of WG1 – Architecture, Frameworks & Models, two terms as an elected representative on the IHTSDO (International Health Terminology Standards Development Organization) Implementation & Innovation Committee, two terms as an elected Board member of COACH – Canada’s Health Informatics Association (now Digital Health Canada) and multi-year terms on Canada Health Infoway governance committees – the Standards Collaborative (SC) Strategic Committee and the SC Coordinating Committee. Marion is among those who have received a national peer recognition award from Canada Health Infoway for her work in advancing health informatics standards to improve quality of care and electronic sharing of healthcare data. At present, Marion is a senior associate for a private sector, international health IT advisory and management consulting services corporation, in addition to continuing her private medical practice.

Aaron Middleton

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Aaron Middleton is an Executive Managing Partner at Gevity Consulting Inc., one of Canada’s largest health informatics consulting firms. He has more than 26 years of experience working in IM/IT, with 21 years specializing in health information management and digital health. His experience spans roles in enterprise architecture, standards, strategic planning, project management and, software development and design. Aaron has focused much of his health informatics career on establishing effective collaborations in software and standards innovation, development and implementation. He has had the privilege of successfully engaging in several Canadian initiatives at the federal, provincial, and territorial levels, as well as for indigenous organizations, providing his strategic support, advice and architectural services on numerous projects.

Frederic Laroche is a digital health expert with 20 years of IT consulting experience, including more than 16 years in healthcare informatics. His main fields of expertise are: systems integration, interoperability, standards, architecture, advanced data analytics and health information exchange. In his career to date, Frederic has contributed to several large-scale and complex health projects and he played a key role in high-visibility projects for many organizations. Frederic has a solid background both in technology and business and he works with healthcare and life sciences organizations and startups in Canada and internationally.

Frederic has been involved in developing health standards through his work with ISO/TC215 for the last 8 years. Frederic is currently the Canadian lead for WG11 Personalized Digital Health and he’s also part of the AHG5. Previously, Frederic was most active with WG1 dealing with architecture, frameworks and models, with a special focus on the ISO 13606 standard for electronic health record communication. In addition to his involvement with ISO/TC215, Frederic is also an active member of the Canadian standards community, including the Canadian FHIR Implementers Working Group. In the past, Frederic was also an active contributor to several working groups part of the Infoway’s Standards Collaborative (SCWGs). Frederic is also a digital health and health standards guest lecturer at four Canadian universities.


Marion Lyver, MD, FRCP(C), FCFP, CPHIMS-CA

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Dr. Marion Lyver is an emergency medicine specialist certified by the Royal College of Physicians and Surgeons and the College of Family Physicians of Canada and an Assistant Clinical Professor at McMaster U in the Faculty of Medicine. She is a well-known, trusted and well-respected digital health and healthcare consultant, providing services in her areas of expertise to both public and private sector organizations provincially, nationally and internationally for over 20 years. Marion has served as a two-term elected Convenor (Chair) of ISO Technical Committee 215 (Health Informatics) - Working Group 8 (EHR Requirements) and Vice-Convenor of WG1 – Architecture, Frameworks and Models, two terms as an elected representative on the IHTSDO (International Health Terminology Standards Development Organization) Implementation and Innovation Committee, two terms as an elected Board member of COACH – Canada’s Health Informatics Association (now Digital Health Canada) and multi-year terms on Canada Health Infoway governance committees – the Standards Collaborative (SC) Strategic Committee and the SC Coordinating Committee. Marion is among those who have received a national peer recognition award from Canada Health Infoway for her work in advancing health informatics standards to improve quality of care and electronic sharing of healthcare data. At present, Marion is a senior associate for a private sector, international health IT advisory and management consulting services corporation, in addition to continuing her private medical practice.


Aaron Middleton

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Aaron Middleton is an Executive Managing Partner at Gevity Consulting Inc., one of Canada’s largest health informatics consulting firms. He has more than 26 years of experience working in IM/IT, with 21 years specializing in health information management and digital health. His experience spans roles in enterprise architecture, standards, strategic planning, project management and, software development and design. Aaron has focused much of his health informatics career on establishing effective collaborations in software and standards innovation, development and implementation. He has had the privilege of successfully engaging in several Canadian initiatives at the federal, provincial, and territorial levels, as well as for indigenous organizations, providing his strategic support, advice and architectural services on numerous projects.

Aaron has been an ISO/TC 215 Health Informatics accredited delegate since 2007 and has participated actively on TR 22221 (2006) Good principles and practices for a clinical data warehouse, which evolved to TS 29585 (2010) Deployment of a clinical data warehouse.  He also contributed to ISO 21667:2010 Health indicators conceptual framework.  Currently, Aaron is Canadian lead on ISO TR 21332 - Cloud computing considerations for health information systems security and privacy.  Previously, he provided his expertise as Canada Health Infoway’s Standards Collaborative SCWG #3 – Health System Management Chair (Elected) from 2007 – 2014 and represented CIHI as a voting member of the Standards Collaborative Coordinating Committee of Canada Health Infoway’s Standards Collaborative from 2007-2009.


Ethne Munden, R.N., HD. (R.Hom.), Dr.Ac., R.Ac

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Ethne Munden is sincerely motivated and very dedicated to the profession and practice of Traditional Chinese Medicine and Acupuncture (TCM). She is a respected private practitioner of over 35 years. Her private practice Back to Health Inc. was established in 1989. She is often requested consultant to various industries to advise on strategies for back injury prevention, provide treatment programs for injured workers, and deliver educational training sessions in alternative health care interventions. Ethne spearheaded the regulation for TCM in Newfoundland and Labrador and held an active role as Chair of the professional College for TCM and Acupuncture in NL. She has been a founding member in the Canadian Alliance for Traditional Chinese Medicine and Acupuncture (CARB-TCMPA) and continues to promote the development of the profession in Canada. She has had past participation in an active Chair role for TC 249. Ethne has is regularly invited to present at educational institutions, and she is a frequent featured speaker provincially and internationally. As a Doctor of Acupuncture and Traditional Chinese Medicine, Registered Homeopath and Registered Nurse, she brings over forty years of eclectic education and experience to the clinic, its patients, students and the professionAaron has been an ISO/TC 215 Health Informatics accredited delegate since 2007 and has participated actively on TR 22221 (2006) Good principles and practices for a clinical data warehouse, which evolved to TS 29585 (2010) Deployment of a clinical data warehouse.  He also contributed to ISO 21667:2010 Health indicators conceptual framework.  Currently, Aaron is Canadian lead on ISO TR 21332 - Cloud computing considerations for health information systems security and privacy.  Previously, he provided his expertise as Canada Health Infoway’s Standards Collaborative SCWG #3 – Health System Management Chair (Elected) from 2007 – 2014 and represented CIHI as a voting member of the Standards Collaborative Coordinating Committee of Canada Health Infoway’s Standards Collaborative from 2007-2009.


Michael Nusbaum

Michael Nusbaum

Michael Nusbaum is a senior strategist, advisor and thought leader, with more than 35 years of experience devoted exclusively to healthcare. With a background in health services administration and industrial engineering, Michael provides a unique blend of management consulting services to health authorities, governments, hospitals, vendors and professional associations in Canada, the US and around the world. Michael has been actively representing Canada to ISO/TC 215 since 2008, and has served as an elected Vice-Convenor of WG2.   Michael continues to participate as a subject matter expert on a number of ISO standards under development, and regularly promotes ISO standards adoption in Canada.   Michael concurrently is also the Head of Delegation for IHE International, a “Liaison A” member of ISO/TC 215. Michael is a Past member and Vice-Chair of HIMSS-North America Board, and has been a member of the IHE International Board since its inception.

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