The medium sized contracts that I envision would be where I help an organization develop a standard or defend their position within a standard development project. Where a "standard development" effort is not limited to core standards like FHIR, CDA, or HL7; but inclusive of international Implementation Guides (what IHE calls a Profile, or HL7 calls accelerators), or regional Implementation Guides.
I have even used the Implementation Guide tooling to produce a private publication (for the VA - MyHealtheVet) that defines how existing data would map to FHIR Resources and be aligned with us-core. I use this tooling in my own experiments as it is a quick way to get a publication that is easy to author and edit over time.
Leading a standard project takes a good bit of negotiations and consensus building. These are skills that I have been working over the past 25 years (actually more, as I also did this in the internet standards world in the 80s and 90s with TCP/IP, NFS, Telnet, FTP, and a few others that many people today don't remember are foundations of the internet.)
Defending an organizations position is similar but very different. It involves discovering the potential problems and crafting a solution that the author and contributors find as understandable and worthy of addressing. Sometimes this effort is simply helping by providing examples of good and bad outcomes; such as working examples.
Along with this is providing tooling to support internal testing, simulation, and demonstration.
Developing Standards is the best way to develop a market for your product to further enhance. Standards are not a threat to a product unless that product is not truly adding value. By defining standards, one moves the opportunity for improvement up into the application layer.
Organizations, which might be provider or payer organizations, or might be regional organizations, often need to refine a standard to make it more clear for their region, and thus make testing and dispute resolution more effective.
I am well seasoned to be able to help you with this effort. These projects might be medium, but they might also be small or large. The size is more defined by the outcome needed. Contact me at Moehrke Research.
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