The long and winding history of healthcare standard development and use is a story not often told. Primarily, this history is locked in the brains of IT professionals who have managed to adapt and evolve along with the standards themselves. In this whitepaper, we take a light-hearted look at the history of healthcare standards. Those who do not learn history are doomed to repeat it after all. It is probably a good idea for those of us developing the future of healthcare data exchange to fully understand how we got here. Enjoy!