Karen Moniz, MHA, MT(ASCP)SBB, is the Technical Director at ICCBBA, the international non-profit that manages, develops, and licenses ISBT 18, the international information standard for terminology, coding, and labeling of medical products of human origin (MPHO). She leads the technical development of the ISBT 128 Standard to meet the global traceability needs for MPHO. She studied medical technology at the University of Kentucky, immunohematology at Johns Hopkins Hospital, and healthcare administration at George Washington University. Karen spent decades managing blood donor centers, transfusion services, and biomedical information technology. An early advocate of the ISBT 128 Standard, she remains enthusiastic about the evolution of the ISBT 128 Standard to continue contributing to MPHO traceability, biovigilance, harmonization of terminology, and electronic data transfer.