As the result of trials for harmonization, the joint initiative on standards developing organization (SDO) global health informatics standardization [6] was established among six SDOs: ISO/TC 215[7], HL7 [8], CEN/TC 251 [9], CDISC [10], IHTSDO [11] and GS1 healthcare [12] to address and resolve long-term accumulated issues concerning gaps, overlaps, and counterproductive efforts. The ITU and World Health Organization (WHO) are strengthening coordination in technical areas for e-health standardization and uses of e-health protocols [17]. They also have gaps, overlapping, and counterproductive efforts, even in the case of joint collaboration groups.