James Grue, ODFull time consultant in healthcare reform since 2006. Appointed 2022 member of KeyHIE Steering Committee. Current American representative on the HL7 International Ophthalmic Committee mapping eye care data to FHIR. Co-Author of Project CLARE through HL7. Frequent lecturer at ONC and HL7 meetings. Consultant to numerous EHRs regarding interoperability standards. Co-founder of Healthcare Registries, LLC. Clinical consultant in creating integrated care networks that include eyecare. Developed the first Telemedicine system for eyecare doing remote photorefraction in rural Alaska (1995). Developed initial software for Briot and Santinelli remote frame tracing systems.