ITI Agenda 2016-2017

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July 2017 F2F – Public Comment Review Meeting, 17–21 July 2017

This 5-day meeting is focused on a finalizing public comment resolution of work items.

Meeting Location
RSNA Building, Oak Brook, IL

WebEx/T-Con information

WebEx information for this meeting is:

  • Meeting Number: 927 055 967
  • Password: Ask Jeremiah Myers (jmyers@himss.org)
  • Link: Webex

Agenda and Minutes

All times listed are tentative, and may be revised during the meeting—refresh often.

Agenda Overview
Time

Oak Brook, IL (CDT, UTC−05:00)

Monday, 17 July Tuesday, 18 July Wednesday, 19 July Thursday, 20 July Friday, 21 July
8:30 am–8:45 am Breakfast Breakfast Breakfast Breakfast Breakfast
8:45 am–9:00 am
9:00 am–9:15 am Introductions and Agenda Review PDLS IHE Europe White Paper NPFS mCSD
9:15 am–9:30 am
9:30 am–9:45 am PDLS Framework Maintenance
9:45 am–10:00 am FHIR Profiling
10:00 am–10:15 am NPFS
10:15 am–10:30 am
10:30 am–10:45 am
10:45 am–11:00 am Morning Break Morning Break Morning Break Morning Break Morning Break
11:00 am–11:15 am mCSD Framework Maintenance NPFS PDLS

(Joint with PCC)

PDLS
11:15 am–11:30 am
11:30 am–11:45 pm
11:45 pm–noon
noon–12:15 pm TI Publication Decision

(Joint with ITI Planning)

12:15 pm–12:30 pm
12:30 pm–12:45 pm Lunch Lunch Lunch Lunch Lunch
12:45 pm–1:00 pm
1:00 pm–1:15 pm
1:15 pm–1:30 pm
1:30 pm–1:45 pm NPFS mCSD mCSD Committee Operations Framework Maintenance
1:45 pm–2:00 pm
2:00 pm–2:15 pm
2:15 pm–2:30 pm
2:30 pm–2:45 pm
2:45 pm–3:00 pm
3:00 pm–3:15 pm
3:15 pm–3:30 pm Afternoon Break Afternoon Break Afternoon Break Afternoon Break
3:30 pm–3:45 pm Framework Maintenance NPFS Joint ITI/PCC/QRPH Session Framework Maintenance
3:45 pm–4:00 pm
4:00 pm–4:15 pm
4:15 pm–4:30 pm PDLS
4:30 pm–4:45 pm
4:45 pm–5:00 pm Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates
5:00 pm–5:15 pm FHIR Task Force

(optional)

5:15 pm–5:30 pm
5:30 pm–5:45 pm
5:45 pm–6:00 pm

Monday, 17 July, 2017

Day 1: Monday, 17 July, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–9:30 am Elliot/Mauro Introductions and Agenda Review Participants: John Moherke (By Light), Charles Parisot (GE), Alex Berler (IHE Services), Lapo Bertini (DEDALUS), Luke Duncan (IntraHealth), Elliot Silver (Change Healthcare), Mauro Zanardini (Arsenàl.IT), Sylvie Colas (ASIP), Gregorio Canal (Arsenàl.IT), Lynn Felhofer (IHE Tech Mgr), Jeremiah Meyers (IHE), Ben Leavy (Corepoint Health), Fabio Buti (DEDALUS, )Eric Heflin (THSA). Chris Melo (Siemens), Diana Anna (AHIMA), Daniel Berenzeanu (ReadyComputing), Joe Lamy (aegis) , Brian Reinhold (PCHA).

Introductions made by Elliot S. Goal of the week is to push out publish in Trial Implementation documents that received comments during PC.

Eric Heflin position as a Planning Co-chair is ending. CANDIDATEs ARE WELCOMED! If you are interested in running for this position contact the co-chairs or Jeremiah Myers (jmyers@himss.org)


9:30 am–10:45 am Charles/Fabio PDLS Fabio and Charles produced a consolidated spreadsheet with comments received. We will primary address comments received on PDLS during this week and later we will provide some guidance to the PCC domain for the QEDm profile.

Fabio lead the discussion about comments received. Some comments about PDLS have been resolved.

10:45 am–11:00 am Morning Break
11:00 am–12:30 am Luke mCSD Luke presented comments received on mCSD. There are no big issues pending about this profile. The main comments have been resolved during tcons in preparation to the f2f meeting.
12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Mauro/Gregorio NPFS Gregorio lead the discussion. Main comments have been addressed.
3:15 pm–3:30 pm Afternoon Break
3:30 pm–4:45 pm Lynn Framework Maintenance See maintenance-specific topics & notes here
  • 976-01 - Fix Folder.codeList example (Tarik) -- reviewed and now Completed and ready for future ballot 44
  • 994-01 - Increase XDS.b DocumentEntry.uniqueId maximum length (Nick Radov) -- updated and now Completed are ready for future ballot
  • 1050-00 - Appendix B Cleanup (Elliott L) -- reviewed and scope was expanded; remains Assigned
4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates

Assign homework: Elliot posted a powerpoint that can be used by Charles to describe the issue related to the provenance cardinality. Charles asked Elliot to draft some text in addition to diagrams produced.

Elliott will review PDLS.

Luke Duncan: will integrate comments of today. No homework assigned.

Gregorio: will integrate comments of today. No homework assigned.

Sylvie will review NPFS , Mauro will review mCSD , Ben will review PDLS , Alexander will review NPFS, Lynn will Prepare for Tuesday session and will start a review of PDLS and NPFS , Joe will make sure that mCSD is consistent with Argonaut profiling of FHIR resources and federated HPD proect in US.

Tuesday, 18 July, 2017

Day 2: Tuesday, 18 July, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–10:45 am Charles/Fabio PDLS Participants: John Moherke (By Light), Charles Parisot (GE), Alex Berler (IHE Services), Lapo Bertini (DEDALUS), Luke Duncan (IntraHealth), Elliot Silver (Change Healthcare), Mauro Zanardini (Arsenàl.IT), Sylvie Colas (ASIP), Gregorio Canal (Arsenàl.IT), Lynn Felhofer (IHE Tech Mgr), Jeremiah Meyers (IHE), Ben Leavy (Corepoint Health), Fabio Buti (DEDALUS, )Eric Heflin (THSA). Chris Melo (Siemens), Diana Anna (AHIMA), Daniel Berenzeanu (ReadyComputing), Joe Lamy (aegis) , Rob Horn (AGFA), Tarik (ICW).

Charles and Lapo lead this session that is focused on the definition of a new name for PDLS. O bjectives are:

  • tag it with the "m" that identifies profiles that are based on FHIR;
  • tag it with "X" that identifies profiles that are related to Cross-Enterprise sharing.

The choice made by the cmte is mXDE: mobile cross-enetrprise Document Data-Elements extraction.

10:45 am–11:00 am Morning Break
11:00 am–12:30 am Lynn Framework Maintenance Doc Sharing, Vol 2 and 3 CPs:
  • 1060-00 - Need Null Flavor for FormatCode (John) - discussed and scoped this CP. Re-assigned to Elliott L who agreed to take a first crack at adding explanatory and guiding text to the formatCode section in Vol 3.
  • 876-00 - Clarify Document Repository validation (Elliot & Bill) - discussed. Proposed changes verified against existing/updated text in ITI-41 and determined it can be cancelled.
  • 1037-00 - Length Enforcement (Elliott) - discussed & confirmed it can be Cancelled
12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Luke mCSD Continuation of public comments review.
3:15 pm–3:30 pm Afternoon Break
3:30 pm–4:45 pm Mauro/Gregorio NPFS Rob will draft a CP (during night) on DICOM in order to define audit messages for non-patient objects. We will point to this in NPFS.


4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates No homework assigned.
5:10 pm–6:00 pm FHIR Task force Elliot lead the discussion. The main goal of this discussion is to identify the role of the FHIR task force and identify a mechanism in order to make their job effective. Right now the role of the FHIR task force is to try to figure out how to coordinate the work between fhir and IHE. However things are proceeding very slowly. We should identify proposals on how to push all this stuff: define the deliverables of that task force, and define how to drive that group in reaching results.

The group highline the need for:

  • Clear Deliverables ,
  • deadlines
  • having a PM that follow those activities and is responsible for reaching goals in needed time.

The group does not need board approval , but just need the board support to completion of the task. DCC can bring this to the Board.

It should not be the primary objective of the task force the building of a better interaction with HL7. We should reach more concrete tasks. List of tasks is not the primry need, The need is to restructure how those tasks can be accomplished.

The task force need a leader (typical role of a co-chair… but the amount of activities seems to be huge, and probably out of the voluntary time that people dedicate to IHE).

Work should be task execution oriented. We should be ready in one year from now if we want to be ready with a new profiling approach (below a first breakdown of tasks):

1) Tool chosen by January 2) Documentation ready by February f2f. 3) Manage changes needed to the basic standard, bring issues from IHE to FHIR using a preferred channel.

Idea to have a Program Manager that can manage activities.

ACTION ITEMS: taskforce members will check with their employers the availability support IHE as a Program Manager for the FHIR task force (more work than normal participation, and a formal responsability) , if no people will be available the Task Force will come back to RSNA/HIMMS in order to formarly request an help on this

Wednesday, 19 July, 2017

Day 3: Wednesday, 19 July, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–9:30 am Karima/Charles IHE Europe White Paper
  • IHE Europe has prepared a white paper on XDS meta data, and would like IHE International to publish it.
  • Review and decide on best approach (standalone whitepaper, update to existing document sharing whitepaper, integrate into TF, ...)
Participants: John Moherke (By Light), Charles Parisot (GE), , Luke Duncan (IntraHealth), Elliot Silver (Change Healthcare), Mauro Zanardini (Arsenàl.IT), Sylvie Colas (ASIP), Gregorio Canal (Arsenàl.IT), Lynn Felhofer (IHE Tech Mgr), Jeremiah Meyers (IHE), Ben Leavy (Corepoint Health), Joe Lamy (aegis) , Rob Horn (AGFA), Tarik , Ken (Merge), KArima (IHE Europe), Bill (NIST)

Karima presents the work done by IHE Europe. The goal of the document was to share expertise from different European countires that have deployed XDS.b. After that the work-group tried to harmonize metadata management/definition in Europe and produce a guideline that can be used by new people.

The cmte suggested to submit this as a new work-item (some of the content could be reused at international level, some can be used to clarify the international specification via Change Proposals). What need to be formalized in the brief proposal:

  • Purpose of the White Paper
  • Audience and stakeholders
  • Identify the mechanism of publication: WP + National extension? CPs? rtc..

General interest of the ITI cmte has been declared for this as a new work-item. It will be evaluated as other proposals.

The Tech Cmte has no negative opinion in publishing this as it is in IHE EUROPE while ITI tech is working on it.

9:30 am–10:45 am Lynn Framework Maintenance Doc Sharing, Vol 3 CPs:
  • 917-00 - Clarify use of Coding Scheme in metadata - discussed and updated. CP title was updated to reflect current scope of the change. Version -01 is Completed and ready for future ballot 44
  • 925-02 - Clarify UTC offset within DTM datatype - extensively discussed. Resolution: CP is Cancelled because this would be a breaking change for many/most Document Consumers. Lynn will followup with Nader.
10:45 am–11:00 am Morning Break
11:00 am–12:30 am Mauro/Gregorio NPFS Gregorio lead the discussion. The last comments have been resolved. NPSFm will be ready for a final review tonight.
12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Luke mCSD Luke lead the discussion. The last comments have been resolved.
3:15 pm–3:30 pm Afternoon Break
3:30 pm–5:00 pm TBD Joint ITI/PCC/QRPH Session Minute of Joint Meeting

Thursday, 20 July, 2017

Day 4: Thursday, 20 July, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–9:45 am Mauro/Gregorio NPFS Participants: John Moherke (By Light) , Luke Duncan (mCSD) , Ben Levy (CorepointHealth) , Elliot Silver (Change Healthcare) , Mauro Zanardini (Arsenàl.IT) , Sylvie Colas (ASIP) , Gregorio Canal (Arsenàl.IT) , Rob Horn (AGFA), Lynn Felhofer (ITI Tech Manager) , Joe Lemy (AEGIS), Chris melo (Philips) , Gila Pike (Cogna) , Amit Popat (EPIC).

Gregorio lead the discussion. Comments made by Lynn are reviewed. A final version ready for VOTE will be published tonight.

9:45 am–10:45 am John FHIR Profiling FHIR profiling: discussion about the opportunity to start with NPFSm to draft a structured definition and put it on the ftp. Rob will set up the ftp in order to manage structured definition produced with forge.

ACTION ITEM: Gregorio will try to develop a structured definition using Forge

ACTION ITEM: Rob will set up the ftp in order to become the location for structured definition

10:45 am–11:00 am Morning Break
11:00 am–12:30 am Charles/Fabio PDLS (Joint with PCC)

2 comments pending: cardinality for provencnace and security section needs to be improved. Charles and Fabio will work on those two tonight.

Charles is confortable with discuss we had, he can have a version ready for a final review tomorrow.

QEDm is due to Mary before August 7th. And mXDE should be sent to Mary by Monday.

12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Elliot/Mauro Committee Operations
  • Wiki updates
  • Feedback on the early publication schedule
  • New Vol 1 change history feedback
  • JIRA CP tracking and Gazelle ATNA definitions
  • Standing meetings
  • Improving quality of profiles
    • Going into Vol. 1 and Vol.2 meeting better prepared
    • Attracting more ambitious profiles
    • Alternative schedules/no schedule
  • Improving quality/amount of review
  • Improving Cybersecurity awareness
  • FHIR STU4 update plan


  • New publication cycle: document went out early, cmte feedback are good. Elliot: probably the next year we should review CP integrated in a divide and conquer manner (split activities between Lynn Mauro and Elliot. This year we spent a huge amount of time reviewing the same things). For Mary was a good choice, and that is one ofm our initial goals. We avoided August work on those stuff. We need to ask at the end of CAT cycle if the bigger list of CPs approved but not integrate is an issue.

Another good point is to not having a queue of publication stuff competing with other domains.

DECISION: We will proceed with this cycle.

  • FHIR based profiles: we are missing work-item that does not need 12 months cycle. Is there a new status of document , for things that are not published as a standard (e.g. first version of implementation guideline)? The intent should be to have a Quick process to publish something that can be implemented. It is a work-item , a document in ihe.net , could be TI , but maybe a different status. Green Paper ? Another problem can be having a single entry point for new work-items (people cannot wait 12-18 months for a guideline...) and probably Green Papers does not need a formal public comment period.
  • Review IHE ITI cycle: to fulfill the need above , to engage more people and to have more f2f time to work on technical stuff, we should modify our cycle: different entry points in different stages. We could try to work on two entry point and 6 months cycles.

Opening every 6 months , 4 tech meetings.

ACTION ITEM: Elliot will draft a couple of proposal in order to restructure the IHE cycle. 2 entry point in one year cycle and a second proposal. Elliot will prepare a document to describe a proposal and share it with ITI tech and sponsors

  • Value added by proposals: We should try to attract more ambitious profile proposals that could really add value to our offer.
  • tool in order to simplify the technical specification management: JIRA CP tracking / ATNA Gazelle.

Improvemnent using technology: ATNA, requirements are translated in schematron checks by KAreval team. And ATNA seems to be good starting point to leave PDF spec in favor of a structured definition. A sparate GSS server will be installed on ihe servers, that can be used to enter the requirement definition.

JIRA could be used to track the CP management process. There are some governance stuff missing: provisioning of the service – backup , copy of the file, ecc… Same governance issue. Lynn Is waiting for the tool ready from Eric.

Lynn want use structured definition for ATNA as a pilot (starting form the next cycle). After that , we will need to discuss with IHE international for the governance. Check-in again at the planning f2f. ACTION ITEM: Lynn will make sure to have the list of governance issue ready.

  • Cybersicurity: awareness raising. Confidentiliaty integrity availability. Rob suggest to make things we do more visible. Attend conferences about cyber security. This affected the perception. Opportunity for cybercicurity WP , webex , use the word cybercicuirty on our website.

GAP: there is a technical gap that we should try to fix: what software your product include. Some interoperable format to publish this libraries. What else can do ITI ? thinking what profiles / infrastructure , can be valuable for integrity and availability. Robustness.

  • From next cycle we will try to have a weekly meeting to discuss work-items and topics.
  • Try to use slack for IHE ITI in order to coordinate better activities. Or a skype channel.
3:15 pm–3:30 pm Afternoon Break
3:30 pm–4:15 pm Lynn Framework Maintenance

Security CPs in the Assigned CPs directory:

  • 1013-01 - Clarify UDP requirements in ITI-20 - discussed and decided to Cancel (sorry Gila)
  • 920-02 - Restore IHE Extensions in ITI-20 - discussed and decided to restore the Extensions table; remains Assigned to Rob for further work

Editorial CPs-

  • 1049-00 - Distinction between PIX vs PDQ should be made more clear - heavy committee editing to explain the difference between PIX & PDQ. Still needs work to explain XCPD difference from PDQv3, and to find a home for this text (perhaps an appendix to avoid duplicating in Vol 1 for all flavors of these profiles. Remains assigned to Ben. Lynn will assist.
4:15 pm–4:45 pm Charles/Fabio PDLS Final comments reviewed.
4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates

Friday, 21 July, 2017

Day 5: Friday, 21 July, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–10:00 am Luke mCSD Participants: Mauro Zanardini (Arsenàl.IT), Gregorio Canal (Arsenàl.IT), Rob Horn (AGFA), Elliot Silver (Change Healthcare) , Luke Duncan (IntraHealth) , John Moherke (By Light), Charles Parisot (GE), Joe Lamy (aegis), Chris Melo (PHILIPS)

MOTION: John move the motion to approve mCSD to TI, Chris seconded it. Joe abstains. MOTION APPROVED


10:00 am–10:45 am Mauro/Gregorio NPFS


MOTION: John move the motion to approve NPFSm to TI, Rob Seconded it, Joe abstains. MOTION APPROVED

10:45 am–11:00 am Morning Break
11:00 am–12:00 am Charles/Fabio PDLS
12:00 am–12:30 am Elliot/Mauro TI Decision (Joint with Planning Committee)
12:30 am–1:30 pm Lunch
1:30 pm–3:00 pm Lynn Framework Maintenance

Planning for FHIR “Release 4” updates in 2017-18:

  • John recommends waiting to update our documents until Release 4 ballot comments are resolved. That means that Release 4-related changes will not affect ITI documents before that.
  • We will have a strong indication of timing for Release 4 in spring 2018.
  • We discussed submitting a work item that would represent committee work to evaluate changes in Release 4 and its impact on our profiles, submit comments on the Release 4 ballot on behalf of IHE ITI, and to update the supplements with the time is right.

Last year, we had more CPs that needed a lot of rework after ballot:

  • There is not enough review prior to ballot
  • Perhaps too much effort on specificity vs remaining silent
  • Look for opportunities to suggest that a small subset take a time-consuming or editorial problem offline and come back to the group with an updated change.

Gateway questions prior to accepting a CP (or finishing work on an existing CP):

  • Is solving the problem necessary for interoperability?
  • Has an implementer reported this problem, or should they, or is this theoretical?
  • Is the text inconsistent? If so, are we over-specifying, i.e. can we delete the inconsistency?
  • Strongly suggest that a submitter propose a solution.
  • Is this a problem that needs to be fixed?

Other ideas/opportunities:

  • Continuous integration of CPs within the ITI TC (Lynn to write a strawman process)
  • Opportunities for quarterly publication or post-ballot publication. Affects Mary so Lynn will discuss with her

Update to the supplement template: (Lynn has passed on to Mary & doc group)

3:00 pm Adjourn

April 2017 F2F – Volume Two Finalization Meeting 24–28 April 2017

This 5-day meeting is focused on a review of Vol. 2 content for work items, and public comment resolution on ongoing work.

Meeting Location
RSNA Building, Oak Brook, IL

WebEx/T-Con information

WebEx information for this meeting is:

  • Meeting Number: 491 774 497
  • Password: Ask Jeremiah Myers (jmyers@himss.org)
  • Link: Webex

Agenda and Minutes

All times listed are tentative, and may be revised during the meeting—refresh often.

Agenda Overview
Time

Oak Brook, IL (CDT, UTC−05:00)

Monday, 24 April Tuesday, 25 April Wednesday, 26 April Thursday, 27 April Friday, 28 April
8:00 am–8:15 am FHIR profiling demo
8:15 am–8:30 am
8:30 am–8:45 am Breakfast Breakfast Breakfast Breakfast Publication and Scheduling (during Breakfast)
8:45 am–9:00 am
9:00 am–9:15 am Introductions and Agenda Review RMD mCSD FHIR Profiles

followed by RMD if time allows

NPFS (and PDLS if time allows)
9:15 am–9:30 am
9:30 am–9:45 am FHIR Profiles
9:45 am–10:00 am RMD
10:00 am–10:15 am
10:15 am–10:30 am
10:30 am–10:45 am
10:45 am–11:00 am Morning Break Morning Break Morning Break Morning Break Morning Break
11:00 am–11:15 am
11:15 am–11:30 am mCSD NPFS RMD TI to FT Evaluation (joint with Planning Committee) PDLS (and NPDS if needed)
11:30 am–11:45 pm
11:45 pm–noon
noon–12:15 pm
12:15 pm–12:30 pm
12:30 pm–12:45 pm Lunch Lunch Lunch Lunch Lunch

Additional NPFS/PDLS time if needed

12:45 pm–1:00 pm
1:00 pm–1:15 pm
1:15 pm–1:30 pm
1:30 pm–1:45 pm NPFS PDLS Framework Maintenance mCSD Additional NPDS/PDLS time, if needed

Framework Maintenance

1:45 pm–2:00 pm
2:00 pm–2:15 pm
2:15 pm–2:30 pm PDLS & QEDm

(Joint session with PCC)

2:30 pm–2:45 pm Adjourn
2:45 pm–3:00 pm
3:00 pm–3:15 pm
3:15 pm–3:30 pm Afternoon Break Afternoon Break Afternoon Break Afternoon Break
3:30 pm–3:45 pm
3:45 pm–4:00 pm PDLS mCSD Joint ITI/PCC/QRPH Session RMD
4:00 pm–4:15 pm
4:15 pm–4:30 pm
4:30 pm–4:45 pm
4:45 pm–5:00 pm Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates

Monday, 24 April, 2017

Day 1: Monday, 24 April, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–9:30 am Elliot/Mauro Introductions and Agenda Review Introductions made by Jeremiah.
9:30 am–10:45 am John FHIR Profiles
  • Review FHIR plan for week
  • Connectathon feedback
  • STU 3 CPs
  • IHE FHIR Task Force questions/directions
Participants:

Fabio Buti: DEDALUS Nader Cheaib: ASIP Lynn Felhofer John Moehrke: By light Elliot Silver: Change Healthcare Gregorio Canal: Arsenàl.IT Joe Lamy: AEGIS Luke Duncan: IntraHealth Eric Heflin: Sequoia Project Ken Meyers: Merge/IBM Watson Charles Parisot: GE Irina Dillinger: ? Daniel Berenzeanu: ReadyComputing Michael Cooper: ? Ben Levy: Corepoint Health Tarik Idris: ICW

FHIR STU3 updates:

John presented the DSTU2 / STU3 updates. The goal of the week is to review all the 5 FHIR documents and have them ready for approval later this week. We would put them into ballot42 the next week.


  • Appendix Z and PDQm: John added a Z.8 section Mobile Security Sec Considerations. This is a generic section that can be referenced by different FHIR profiles.

Added Z.9.1 to describe how to handle identifiers in FHIR profiles. There is no conflict with Appendix E, used by PDQm, because that section is specifically related to the use of CX for PID-3. The cmte decided to keep both with some overlap but the existence of E seems to be helpful.

There was a discussion about the urn:rfc requirements for patient ID, final decision is to keep the requirement.

Lynn introduced a discussion about how to address publication of STU3 updates: we will go via CP ballot. If there will be a lot of discussions, and a lot of comments, we will re-ballot the documents in order to make extensive changes publicly available.

Discussion about the supporting paging of query results for PDQm: FHIR has a paging mechanism that is discouraged. For consistency with PDQ, we will keep the section that points to FHIR paging. Another comments was about the addition of a score for the match, It is supported by PDQv3 and does not fit into FHIR semantics for the search response.

  • MHD: The cmte agreed in changing the name of the profile in order to better explain that is supports XDS infrastructure using FHIR semantics. This will be further discussed. A couple of comments are still pending. They will be addressed later in the week.
10:45 am–11:15 am Morning Break
11:15 am–12:30 am Luke mCSD Luke Duncan lead the discussion about mCSD. The group started a discussion related how to document constraints to FHIR specs. The needs to requires the Server to return only FHIR resources that meet some specific criteria defined by the IHE profile.

The formal way is to define a FHIR profile: in order to have a “tag” and asks for resources that meet that profile (they are tagged). A second approach can be to define an operation. Third approach is to just define that the server can have non conformant resources but cannot return them, and leave that not formalized. The actual version proposed by Luke looks good for PC: requirements in vol.2 Message Semantics.

12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Mauro/Gregorio NPFS Gregorio is presenting Not Patient Document Sharing profile. There are 4 open issues to discuss.
  • Profile name: it has been changed in NPFS non-patient file sharing.
  • Versioning: We decided to leave this in charge to the Client this operation. A New transaction for the update is needed.
  • Review of the using of class / type parameters.
  • Idnetification of the intended target for the submission (either a class of target or a set of identifiers)
3:15 pm–3:45 pm Afternoon Break
3:45 pm–4:45 pm Charles/Fabio PLDS Charles and Fabio will review of the doc. A long discussion about the actor/transaction diagram is held.
4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates HOMEWORK: Joe will review RMD , Elliot mCSD , Lynn PDLS, Elliot will also provide feedbacks on NPFS. ATNA Appendix Z MHD are in the FTP ready for a cmte review.

Tuesday, 25 April, 2017

Day 2: Tuesday, 25 April, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–9:00 am FHIR Profiling Demo
  • Led by Michel Rutten, Furore
  • Webex, Meeting number: 922 511 402
  • Continues through breakfast
8:30 am–9:00 am Breakfast
9:00 am–10:45 am Ken RMD

(Note: 1 co-chair to concurrent DCC session)

Participants:

Fabio Buti: DEDALUS Nader Cheaib: ASIP Lynn Felhofer John Moehrke: By light Elliot Silver: Change Healthcare Gregorio Canal: Arsenàl.IT Joe Lamy: AEGIS Luke Duncan: IntraHealth Eric Heflin: Sequoia Project Ken Meyers: Merge/IBM Watson Charles Parisot: GE Irina Dillinger: ? Daniel Berenzeanu: ReadyComputing Michael Cooper: ? Ben Levy: Corepoint Health Tarik Idris: ICW Elliott Lavy: Harriscomputer Karen Witting: ReadyCOmputing Rob Horn: AGFA

  • RMD public comment review. Ken lead the discussion presenting the post-pc version.

The set of comments related to “removal workflow” are not resolved. Decision to formulate an Open Issue. The profile support the most flexible approach,

Comments related to ‘Metadata Integrity’: “The Administrator is responsible to leave the Registry in a consistent state” and the “Registry shall verify the integrity of metadata at the end of the delete operation” there is discussion about those two points. The cmte does not want to break DELETE metadata transaction, so technical requirements will be unchanged. A new Error Code is defined in order to be used (if needed… ) by the Registry if the Delete Request is leaving it in a un-consistent state.


10:45 am–11:15 am Morning Break
11:15 am–12:30 am Mauro/Gregorio NPFS The document is reviewed. Gregorio will update the document in accordance to discussion had:
  • Add the capability to use the Submit File transaction in order to update binary and DocumentReference resource. (Reflect this capability in use-cases section)
  • Fix the use of relatesTo parameter.
12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Charles/Fabio PDLS Chalres and Fabio lead the discussion. The focus is to continue the review of the document. The discussion is focused on actor table and actor groupings.
3:15 pm–3:45 pm Afternoon Break
3:45 pm–4:45 pm Luke mCSD Luke lead the discussion. Continuation of review of the document. No big issues raised during the session. The document seems to be really close to go in PC.
4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates No homework.

Wednesday, 26 April, 2017

Day 3: Wednesday, 26 April, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–9:45 am Luke mCSD

Participants: Fabio Buti: DEDALUS Nader Cheaib: ASIP Lynn Felhofer John Moehrke: By light Elliot Silver: Change Healthcare Gregorio Canal: Arsenàl.IT Joe Lamy: AEGIS Luke Duncan: IntraHealth Eric Heflin: Sequoia Project Ken Meyers: Merge/IBM Watson Charles Parisot: GE Irina Dillinger: ? Daniel Berenzeanu: ReadyComputing Michael Cooper: ? Ben Levy: Corepoint Health Tarik Idris: ICW Elliott Lavy: Harriscomputer Karen Witting: ReadyCOmputing Rob Horn: AGFA Carl Leitner (PATH) Chris Ashwell Lilley (?)

  • mCSD: Luke lead the session. There are still a couple of small comments. John will submit a CP to fhir organization practitioner, location on identifier parameter. Luke will add on the profile an Open Issue to reflect this dependency. We will go to PC with this an OI.
9:45 am–10:45 am Ken RMD Ken lead the session, with the goal to complete the review of vol.1. There are no big technical issues in vol.2 to discuss. Vol.1 seems to be completed pending some editorial updates.

A big issue is raised: In many places of the TF the documentation says that "there is no delete mechanism". That is not true with RMD published. The cmte will address these edits separately. Adding an OI is enough. THIS IS A NOTE FOR THE TECH CMTE TO TAKE IN MIND

10:45 am–11:15 am Morning Break
11:15 am–12:30 am Ken RMD
  • If time, resolve CP 1018 Remove ITI-62 from XDS MU TI Supp
  • Ballot 40 comments here
12:30 am–1:30 pm Lunch
1:30 pm–2:15 pm Lynn Framework Maintenance
  • CP aging proposal (Elliot S)
  • Assigned
    • 974-02 - TLS version update (Rob)
    • 985-07 - Relationship Assn Target in SubmSet (Elliott L)
    • 1021-01 - Clarify ITI-42 Expected Actions For Folders During RPLC/XFRM_RPLC (Ken)
    • others tbd...
  • Incoming
    • CP-ITI-LF-ChangeAppendixE*
    • CP-ITI-ESL_Appendix_B*
    • CP-ITI-TI-APPC-add*
    • CP-ITI-TI-APPC-referenceId*

TF Maintenance

  • CP 974 - TLS version in ATNA was discussed and edited. Version -03 was Approved and is ready for (future) ballot
  • CP 985-07 - discussion started; targeted inquiry needed to determine affects on existing implementaitons...Lynn to send out with text provided by Elliott/John; then the CP needs to be scheduled for a future CP call
  • We discussed methods for dealing with the CP backlog. Ideas discussed:
    • Put due dates on CPs (dismissed this idea)
    • Automatically cancel CPs after X amount of time (dismissed this idea)
    • Have the committee periodically review/reassign/cancel CPs (a la blitz) (will still have periodic blitzes)
    • Use Jira to track individual CPs
      • Jira issue would effectively replace the header info in today's CP template
      • Word docs (associated w/ the CP) would still be used to document changes (w/ markup as today)
      • We would need to migrate existing assigned CPs to Jira
      • Lynn has homework to do: investigate jira licensing, document process ...
      • Consensus was to proceed with this as a pilot; timing TBD after Lynn's homework
2:15 pm–3:15 pm Charles/Fabio PDLS & QEDm (Joint session with PCC) Additional Participants::

Chris melo (PHILIPS) Denise Downing (AORN) Milenkovic (ASIP) Thom Kuhn (ACP) Tone Southerland (Ready Computing) Emma Jones (Allscripts) Steve Moore (Washinghton College)

Charles presented the joint work done between PCC and ITI. QEDm and PDLS are described.

3:15 pm–3:45 pm Afternoon Break
3:45 pm–5:00 pm TBD Joint ITI/PCC/QRPH Session
  • Common approach for domains to reference FHIR-related security approaches with domain profile specific security considerations (Lori F.)
  • PCC TF formatting for CDAs (John S.)
  • Introduction to ITI 2x: App. Z.
    • Including profilng conventions for cardiality (Denise D.)
  • PCC Social History Smoking Status
    • The PCC Social history requires SNOMED codes for smoking status (packs/day). Other items in that section use LOINC (household income). Is it an option / ongoing work item to loosen that requirement to allow other code sets? (Lori F.)
  • QRPH updated pregnancy status observation extended to include patient-reported and lab-confirmed pregnancy status. Confirm PCC has no concerns.

PARTICIPANTS :

  • Jeremiah Myers (IHE)
  • Holly Miller (MedAllies)
  • Joe Lamy (AEGIS/SSA)
  • Luke Duncan (IntraHealth)
  • Ken Meyer (Merge/IBM)
  • Elliot Silver (Change Healthcare)
  • Mauro Zanardini (Arsenal.IT)
  • Ben Levy (Corepoint)
  • Steve Moore (Washington University)
  • Chris Melo (Philips)
  • Tone Southerland (Ready Computing)
  • Nader Cheaib (Asip Sante)
  • Nemanja Milenrovic (Asip Sante)
  • Amit Popat (Epic)
  • John Stamm (Epic)
  • Nichole Drye-Mayo (RSNA)
  • Celina Roth (HIMSS)
  • Derek Ritz (ecGroup)
  • Denise Downing (AORN)
  • Emma Jones (Allscripts)
  • Pegeen Long (Allscripts)
  • Thomson Kuhn (ACP)
  • Charles Perisot (GE)
  • Fabio Buti (Dedalus)
  • John Moehrke (By Light)
  • George Cole (Allscripts)
  • Didi Davis (Sequia Project)
  • Gila Pyke (Cognaissance)
  • Laura Bright (Ready Computing)
  • Chris Carr (RSNA)
  • Daniel Berezeanu (Ready Computing)
  • Eric Heflin (THSA)


  • ITI has worked on a generic section “Security Considerations for FHIR” that is published in Appendix Z. The content of that section is probably not consolidated and mature, but it is a starting point. At least we have a section to point to. If profile editors have special requirements they can add additional constraints in their profiles, ITI is not forcing people to reference that content, however we should try to be consistent and to not adopt a critical copy/paste approach.

Action Item : ITI co-chair: Elliot/Mauro ask the DCC group to share the Appendiz Z with domain co-chairs with the purpose to be referenced by all the profile editors that are drafting FHIR-based profiles. ITI co-chairs will follow up also with the FHIR work-group in order to make it aware of the item.

Read through the table of content of Appendix Z, with a focus on Z.10. Other sections have more technical content. Appendix Z cannot be used as a style-guide for profile drafting, but can be used as reference for many technical issues that a profile editor can encounter in drafting FHIR-based profiles. IHE FHIR cmte is working on the using of tools in order to produce structured technical specifications. ITI domain is starting to play with structure definition of FHIR profiles, and the output will be stored in the ftp site. If people wants to have guidance about how to draft an IHE profile based on FHIR, they can take a look to PDQm and MHD.

When using Forge to produce structured specifications, editors shall assign an url to the profile. ITI recommend to use something like: http://ihe.net/fhir/tags/….. Or a link to the FTP site.

  • CDA template discussion: QRPH is encountering issues in using an editorial approach that seems to be consolidated in PCC domain: the usage bold strike in order to highline elements/sections that shall not be used.. This documentation approach has been discussed (and probably PCC is not using it anymore). It has been reached an agreement that it is not a best profiling approach. PCC will review its published documents. Action ITEM: Denise will go through PCC documents (and John Stamm for QRPH) in order to identify profiles that used that approach and fix it.
  • Laura B. would submit a CP to PCC in order to remove the requirement to use SNOMED for smoking Social history. There are some reasons to do that, and they will be described in the rationale of the CP (e.g. SNOMED defines codes for smoking status (packs/day), LOINC for consistency with other QRPH profiles and within the same profile).
  • Laura B. has identified an alternative way to encode Pregnancy status (in particular a finding of the pregnancy status): this concept could be useful to PCC and maybe can find an home in the PCC documentation. Laura B. will submit another CP to PCC.
  • PCC is working on a document produced by AHIMA, that seems to turn into a US national extension for PAM. Action Item: PCC co-chairs will advise AHIMA that the document produced should be submitted by IHE USA as a new work-item to ITI. ITI Tech will evaluate the proposal and prioritized it with all the proposals for the next cycle.
  • The group reviewed the ACTION ITEMS DOC. Below the new version:

ftp://iheyr2@ftp.ihe.net/IT_Infrastructure/iheitiyr15-2017-2018/Technical_Cmte/AprilF2F/Joint%20meeting%20ITI-PCC-QRPH_2017046%20action%20items.docx

  • Report out of ongoing activities of the three domains. Important Note: QRPH has approved for final text the first profile.

ITI is working on the STU3 update of FHIR profiles. There is a wiki page that track the ongoing work:

http://wiki.ihe.net/index.php/ITI_TI_Supp_Updates_to_FHIR_STU3

John is pursuing the idea to add an indicator in the front-page of each FHIR based profile in order to make clear to the reader the readiness state of the profile. We could add the lowest Maturity Level of the resources used. “ Lowest Fhir Maturity Number : X “ . This proposal will be addressed by the IHE FHIR work-group.

Next joint meeting will be chaired by QRPH. The wheel of fortune agreed on that.

Thursday, 27 April, 2017

Day 4: Thursday, 27 April, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Breakfast
9:00 am–10:45 am John FHIR Profiles (followed by RMD if time allows) Participants:

Ken Meyer (IBM Watson/Merge) Elliot Silver (Change Healthcare) Mauro Zanardini (Arsneàl.IT) Lynn Felhofer (IHE USA) Ben Levy (CorepointHealthcare) Gregorio Canal (Arsenàl.IT) Fabio Buti (DEDALUS) Nader Cheaib (ASIP) John Moehrke (By Light) Luke Duncan (IntraHealth) Chris Carr (RSNA) Rob Horn (AGFA)


Daniel shows PIXm. No issues open.

John lead the discussion: Review of few last comments on MHD.

Mauro shows ATNA RESTful Query. Just one comment to discuss.

Publication FHIR:

Lynn request is to have a version ready for ballot in the ftp site by tomorrow. Balllot will go out on Monday.

All the FHIR profiles are ready. No objections to move all the TI FHIR supplements to ballot42.


10:45 am–11:15 am Morning Break
11:15 am–12:30 am Elliot/Mauro TI to FT Evaluation (joint with Planning Committee) See ITI Annual Assessment of TI Supplements

DSG is approved to move in Final Text. : Technology consolidated, it has been tested, there are no OI.

IMPORTANT: The next year, the profile assesment will be done in February.

12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Luke mCSD Luke lead the final review of mCSD. There are concerns about vol.1 but some comments will be submitted again in PC.

MOTION: Luke move to approve mCSD for PC pending editorial changes, John seconded it, Mauro Rob abstain. MOTION APPROVED

3:15 pm–3:45 pm Afternoon Break
3:45 pm–4:45 pm Ken RMD RMD: final review lead by Ken. Rob will update Policy Choices section.

Concerns about moving RMD in TI: Lynn Rob has concerns about policies section , Elliott is confident in transaction specification , but has concerns for vol.1 also.

A dedicated call has been scheduled to address "Definition of remove".

MOTION: Rob move to approve RMD for TI contingent approval during the tcon (on Tuesday 2nd May) about definition of removal and diagrams. Ben seconds. No abstainsions, no objections. MOTION APPROVED

4:45 pm–5:00 pm Elliot/Mauro Wrap-up, homework, agenda updates

Friday, 28 April, 2017

Day 5: Friday, 28 April, 2017
Time

Oak Brook (CDT, UTC−05:00)

Leads Activity Notes
8:30 am–9:00 am Elliot/Mauro Publication and Scheduling (Working Breakfast)
9:00 am–10:45 am Mauro/Gregorio NPFS (and PDLS if time allows) Document reviewed line by line. MOTION: John moves the motion to approve NPFS for PC, Mauro seconds , no discussion , no objections, no abstensions. MOTION APPROVED
10:45 am–11:15 am Morning Break
11:15 am–12:30 am Charles/Fabio PDLS

Last review of PDLS. Charles lead the discussion. MOTION: Charles moves to move PDLS in PC, pending integration of editorial comments , Elliot seconded it. No discussion no objection no abstenciton. MOTION APPROVED

Charles to send the document on Monday to Lynn. Lynn will do a fast clean up on Monday.

Charles asked the chairs to reach out planning for the public comment in order to involve national cmtes / and new reviewer for PC. Elliot will do that.

12:30 am–1:30 pm Lunch

Additional PDLS time if needed

1:30 pm–2:30 pm Lynn
  • Determine next step for CP 1018 (update to XDS-MU due to RMD)
  • Additional PDLS time, if needed
  • Framework Maintenance
  • Fri Apr 27 - deadline for editors to put updated supplements on FTP site
  • Mon May 1 - Lynn compiles ballot & Jeremiah sends it out
  • Fri May 26 - Ballot comments due
  • tconns during May 30, 31, Jun 1, 2 - ballot resolution (to be scheduled)
    • PDQm
    • RESTful ATNA
    • PIXm
    • mACM
    • MHD
    • Appx Z
    • T-CONNS
      • Tues May 30, 9-11 CDT
      • Thurs June 1, 9-11 CDT
  • Mon June 26 - updated supplements due to Mary for TI publication


How to address CP-1018 (remove DELETE from MU), that CP is not resolved. Action plan: • Try to use Tuesday to address it; • Or Thursday - KAREN will lead that call that will be dedicated to CP-1018


Publication of RMD will be after july, MU needs to go out with it, so the cmte agreed in postpone the publication of MU.

2:30 pm Adjourn

February 2017 F2F – Volume One Finalization Meeting 6-10 February 2017

This 5-day meeting is focused on a review of Vol. 1 content for new work items, and public comment resolution on ongoing work.

Meeting Location
Institute for High Performance Computing Networking, Naples, Italy

WebEx/T-Con information

WebEx information for this meeting is:

  • Meeting Number: 926 837 806
  • Password: Ask Jeremiah Myers (jmyers@himss.org)
  • Link: Webex

Agenda and Minutes

All times listed are tentative, and may be revised during the meeting—refresh often.


Agenda Overview
Time Monday, 6 February Tuesday, 7 February Wednesday, 8 February Thursday, 9 February Friday, 10 February
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:15 2:00 am–2:15 am Breakfast Breakfast Breakfast Breakfast Breakfast
09:15–09:30 2:15 am–2:30 am Wrap-up and Scheduling
09:30–09:45 2:30 am–2:45 am Introductions and Agenda Review Joint session of ITI and PCC Joint session of ITI, PCC, QRPH, and PHARM FHIR
09:45–10:00 2:45 am–3:00 am
10:00–10:15 3:00 am–3:15 am Non-patient Document Sharing
10:15–10:30 3:15 am–3:30 am Not-Patient Document Sharing
10:30–10:45 3:30 am–3:45 am Morning Break Morning Break Morning Break
10:45–11:00 3:45 am–4:00 am Morning Break Morning Break
11:00–11:15 4:00 am–4:15 am Non-patient Document Sharing Joint session of ITI, PCC, QRPH, and PHARM Patient Data-element Locator Service CPs
11:15–11:30 4:15 am–4:30 am Patient Data-element Locator Service
11:30–11:45 4:30 am–4:45 am
11:45–12:00 4:45 am–5:00 am
12:00–12:15 5:00 am–5:15 am CPs
12:15–12:30 5:15 am–5:30 am
12:30–12:45 5:30 am–5:45 am Lunch Lunch Lunch Lunch
12:45–13:00 5:45 am–6:00 am
13:00–13:15 6:00 am–6:15 am Lunch
13:15–13:30 6:15 am–6:30 am
13:30–13:45 6:30 am–6:45 am Mobile CSD/HPD Patient Data-element Locator Service Publication Schedule Planning Committee Report
13:45–14:00 6:45 am–7:00 am
14:00–14:15 7:00 am–7:15 am CPs Remove Documents and Metadata
14:15–14:30 7:15 am–7:30 am
14:30–14:45 7:30 am–7:45 am
14:45–15:00 7:45 am–8:00 am
15:00–15:15 8:00 am–8:15 am
15:15–15:30 8:15 am–8:30 am
15:30–15:45 8:30 am–8:45 am Afternoon Break Afternoon Break Afternoon Break Afternoon Break
15:45–16:00 8:45 am–9:00 am
16:00–16:15 9:00 am–9:15 am Remove Documents and Metadata Mobile CSD/HPD CP Remove Documents and Metadata (Session 2)
16:15–16:30 9:15 am–9:30 am
16:30–16:45 9:30 am–9:45 am Remove Documents and Metadata
16:45–17:00 9:45 am–10:00 am Mobile CSD/HPD
17:00–17:15 10:00 am–10:15 am
17:15–17:30 10:15 am–10:30 am
17:30–17:45 10:30 am–10:45 am
17:45–18:00 10:45 am–11:00 am Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates Wrap-up, homework, agenda updates

Monday, 6 February, 2017

Day 1: Monday, 6 February, 2017
Time Leads Activity Notes
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:30 2:00 am–2:30 am

Breakfast

09:30–10:00 2:30 am–3:00 am Elliot/Mauro

Introductions and Agenda Review

Agenda is reviewed and updates are applied in order to fulfill a couple of requests.
  • PARTICIPANTS:
    • Elliot Silver (McKesson)
    • Mauro Zanardini (Arsenàl.IT)
    • Luke Duncan (IntraHealth)
    • Jeremiah Myers (IHE)
    • John Moehrke(ByLight)
    • Sylvie Colas (ASIP Santè)
    • Gregorio Canal (Arsenàl.IT)
    • Ben Levy (Corepoint)
    • Fabio Buti (DEDALUS)
    • Charles Parisot (GE)
    • Daniel Berenzeanu (Ready Computing)
    • Robert Horn (AGFA)
    • Joe Lamy (AEGIS.net)
    • Ken Mayer (IBM/Merge)
    • Bill (NIST)
    • Karen Witting (ReadyComputing)
    • Tarik Idris (ICW)
10:00–10:45 3:00 am–3:45 am Mauro/Gregorio

Non-patient Document Sharing

The document is revised by the Cmte. Use-cases need further work in orther to better specify the scenario of interest. They can be specified when a set of metadata and search parameters will be worked out.

Gregorio and Mauro will produce two documents for tomorrow:

  1. list of potential technical solutions (standards and/or patterns...). The goal of the cmte is to identify a list of candidates to work on the next few weeks.
  2. set of metadata/search parameters needed to fulfill identified use-cases (Domain Privacy Policies, Workflow Definition, Stylesheets...)

Gregorio will consolidate the last version of the supplement with comments made by Elliot.

10:45–11:15 3:45 am–4:15 am

Morning Break

11:15–12:30 4:15 am–5:30 am Fabio/Charles

Patient Data-element Locator Service

Charles and Fabio presented the work done on the QEDm and PDLS supplements showing a ppt. The generic process flow connected to the PDLS has been approved by the Tech Cmte. The mapping between FHIR resource and CDA content is still outof scope and in charge to IHE clinical domains.

Next steps:

  1. Have further discussion with PCC about QEDm in order to identify the semantic of the lightweight Query.
  2. Discuss PDLS specific issues with ITI assuming mQED exist in a complete form.
  3. Collect feedback from PCC and revise the PDLS accordingly and use Thursday to allign the two documents.
12:30–13:30 5:30 am–6:30 am

Lunch

13:30–15:30 6:30 am–8:30 am Luke/Eric

Mobile CSD/HPD

Luke presented the mCSD/HPD supplement. There was a discussion about the pattern used to define the process flow. The Query/retrieve pattern has been compared with the Subscribe/Notify pattern. The choice will affect the number of Actors / Transactions / Options. Luke has been asked to produce a power point presentation with a comparison of the different patterns explored (do not need to spend time in order to produce a normative text but just in an informative way, in order to facilitate the discussion...).

Mauro will review the actual draft.

15:30–16:00 8:30 am–9:00 am

Afternoon Break

16:00–17:45 9:00 am–10:45 am Ken

Remove Documents and Metadata

Ken presented the work done on "Remove Documents and Metadata" supplement. This supplment should be ready for PC after this f2f meeting.

The work-group decided to add to this supplement the Delete Metadata transaction, removing it from Metadata Update. This is a big chage for developers / Integration statments / CAT organization. The change will be communicated to the IHE community in two ways:

  1. People will see this supplement in PC , that contain Delete Metadata
  2. Ken / Karen will submit a CP to MU in order to remove Delete Metadata transaction. This CP will be balloted and approved officially by the ITI community.

Ken has been asked to review use-cases in order to add more complexity related to the Delete Metadata stuff.

Ken will publish a document ready for final review tomorrow.

17:45–18:00 10:45 am–11:00 am Elliot/Mauro

Wrap-up, homework, agenda updates

Reviewer are assigned to each supplement in order to speed up the revision:
  • Tarik and Ben will review "Remove Documents and Metadata"
  • Mauro will review mCDS/HPD

Tuesday, 7 February, 2017

Day 2: Tuesday, 7 February, 2017
Time Leads Activity Notes
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:30 2:00 am–2:30 am

Breakfast

09:30–10:30 2:30 am–3:30 am TBD

Joint session of ITI and PCC

  • Patient Data-element Locator Service and mQED
  • PARTICIPANTS:
    • Elliot Silver (McKesson)
    • Mauro Zanardini (Arsenàl.IT)
    • Luke Duncan (IntraHealth)
    • Jeremiah Myers (IHE)
    • John Moehrke (ByLight)
    • Sylvie Colas (ASIP Santè)
    • Gregorio Canal (Arsenàl.IT)
    • Ben Levy (Corepoint)
    • Fabio Buti (DEDALUS)
    • Charles Parisot (GE)
    • Daniel Berenzeanu (Ready Computing)
    • Robert Horn (AGFA)
    • Joe Lamy (AEGIS.net)
    • Chris Melo (philips)
    • PCC delegates

During the Joint session, Charles listed open issues related to mQED. The editors collected feedback from PCC and ITI.

10:30–11:00 3:30 am–4:00 am

Morning Break

11:00–12:30 4:00 am–5:30 am Mauro/Gregorio

Non-patient Document Sharing

Gregorio and Mauro presented a spreadsheet that lists metadata of interest that can be used to classify non-patient documents. Some of the items within the list has been discussed and revised. Several approaches to support various versioning models were discussed.

The metadata list can be found here

The final draft of the NPDS profile (READY FOR A FINAL READING) can be found at: FTP DOCUMENT

12:30–13:30 5:30 am–6:30 am

Lunch

13:30–15:30 6:30 am–8:30 am Fabio/Charles

Patient Data-element Locator Service

Charles and Fabio presented the remaining part of the slides related to Patient Data-element Locator Service profile. The ppt can be found in the FTP site: PLDS/QEDm v0.8


15:30–16:00 8:30 am–9:00 am

Afternoon Break

16:00–17:45 9:00 am–10:45 am Luke/Eric

Mobile CSD/HPD

Luke presented 4 different options for actor/transaction diagram. The different options were analyzed and a final decision has been made:

In order to cover all the use-cases of interest for the editors, the best solution will be to define 4 actors and 2 transactions.

Presentation can be found here: mILR Actors

Option selected for next analysis is OPTION 4

17:45–18:00 10:45 am–11:00 am Elliot/Mauro

Wrap-up, homework, agenda updates

no homework assigned

Wednesday, 8 February, 2017

Day 3: Wednesday, 8 February, 2017
Time Leads Activity Notes
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:30 2:00 am–2:30 am

Breakfast

09:30–10:30 2:30 am–3:30 am TBD

Joint session of ITI, PCC, QRPH, and PHARM technical committees

  1. Supply and Barcoding (PHARM)
  2. Committee Report-out
  3. Action item review
  4. FHIR profiling (John Stamm)

The Action Item document can be found at: Action items

10:30–11:00 3:30 am–4:00 am

Morning Break

11:00–12:30 4:00 am–5:30 am TBD

Joint session of ITI, PCC, QRPH, and PHARM technical committees (continued)

12:30–13:30 5:30 am–6:30 am

Lunch

13:30–14:00 6:30 am–7:00 am Elliot/Mauro/Lynn

Publication Schedule

  • link to Mary's publication schedule
  • Public Comment start: 02/20 (1 supplement), 05/15 (3 supplements)
  • New supplement publication: 08/10 (after July F2F)
  • Current publication schedule for repub of existing TF volumes & supplements:
    • F2F and mid-August - CP Integration
    • 8.20 - Supplement republication:
    • 9/1 - TF republication
  • Proposed change to publication schedule for repub of existing TF volumes & supplements::
    • 05/15 - end of CP cycle. All CPs that are Final Text as of this date will be integrated
    • 5/15 - 6/23 - editors integrate CPs and internal review of integration
    • 6/26 - deliver updated TFs and Supplement to Mary
    • 6/26 - 7/15 - Mary works on re-pub of ITI docs - iterates with editors, co-chairs & Lynn to review Mary’s updates
    • 07/30 - TF and Supplement republication on ihe.net

ITI Comments form

  • Should we keep it? Who monitors it/creates CPs from it?
  • PARTICIPANTS:
    • Elliot Silver (McKesson)
    • Mauro Zanardini (Arsenàl.IT)
    • Luke Duncan (IntraHealth)
    • Jeremiah Myers (IHE)
    • John Moehrke (ByLight)
    • Sylvie Colas (ASIP Santè)
    • Gregorio Canal (Arsenàl.IT)
    • Ben Levy (Corepoint)
    • Fabio Buti (DEDALUS)
    • Charles Parisot (GE)
    • Daniel Berenzeanu (Ready Computing)
    • Robert Horn (AGFA)
    • Joe Lamy (AEGIS.net)
    • Ken Meyer (IBM/Merge)
    • Tarik Idris (ICW)
    • Karen Witting (Ready Computing)
    • Bill Majurski (NIST)
    • Lynn Felhofer (IHE Tech Manager)

DISUCSSION: The goal of the proposal is to deal with Change Proposals integration before Public Comment, TI will be published as soons as they are ready. More easy to keep in touch with people (no vacation time). Some issues: hard to address CPs coming out from CAT EU on time for re-pub. This model implies that there are more CPs approved but not integrated for the CAT. Another issue that needs to be managed will be the publication of a TI supplement that will be approved to move in FT in few months. After the discussion had, the cmte approve to change the publication schedule.

Elliot will check with Mary if the proposed change works in her schedule and, if so, it will draft an email in order to announce to the googlegroup the change made (CP integration/pubblication of TIs in MAY)


14:00–15:30 7:00 am–8:30 am Lynn

CP Blitz - See input on "NAPLES F2F" tab on CP tracking spreadsheet

  • all Blitz CPs are in the Assigned directory on the ftp site here
CP 923 was discussed; version -07 was approved as Completed and ready for ballot 39

Note to all: After the F2F, Lynn will compile all Completed CPs into ballot 39, likely the last one prior to the EU Connectathon.

15:30–16:00 8:30 am–9:00 am

Afternoon Break

16:00–16:30 9:00 am–9:30 am Lynn

CP

16:30–17:45 9:30 am–10:45 am Ken

Remove Documents and Metadata

During this session, the latest version of the document has been reviewed and all comments / Open Issues have been resolved. Additional Feedbacks will be integrated by Ken in the document in order to have a draft ready for a top-to-bottom reading on Thursday.
17:45–18:00 10:45 am–11:00 am Elliot/Mauro

Wrap-up, homework, agenda updates

no homework assigned.

Thursday, 9 February, 2017

Day 4: Thursday, 9 February, 2017
Time Leads Activity Notes
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:30 2:00 am–2:30 am

Breakfast

09:30–10:30 2:30 am–3:30 am John

FHIR

  • Status Update
  • CP planning
  • IHE Documentation Standard
  • PARTICIPANTS:
    • Elliot Silver (McKesson)
    • Mauro Zanardini (Arsenàl.IT)
    • Luke Duncan (IntraHealth)
    • Jeremiah Myers (IHE)
    • John Moherke (ByLight)
    • Sylvie Colas (ASIP Santè)
    • Gregorio Canal (Arsenàl.IT)
    • Ben Levy (Corepoint)
    • Fabio Buti (DEDALUS)
    • Charles Parisot (GE)
    • Daniel Berenzeanu (Ready Computing)
    • Robert Horn (AGFA)
    • Joe Lamy (AEGIS.net)
    • Ken Meyer (IBM/Merge)
    • Tarik Idris (ICW)
    • Karen Witting (Ready Computing)
    • Bill Majurski (NIST)
    • Lynn Felhofer (IHE Tech Manager)

Lynn produced a report about the NA CAT. We had good participation (less than expected). Evidence is that Vendors are not leading the change. It is more a pull than push from vendors. Political/management spheres are asking for it. STU3 in balloting. By the end of the month the new version of the standard will be published. So we can start our review starting from that date.

  • MHD, PDQ, RESTful ATNA will be easy to update. The amount of work to move from DSTU2 to STU3 is less then last years.
  • PIXm: we have the opportunity to include a review of supplement defyning a new pattern (following the approach used in FHIR to cross-reference API).
  • mACM: significant change, RISK there is a push to change the process.

CPs created to track updates to STU3; assigned to John M:

  • CP-ITI-1002 MHD update to FHIR STU3
  • CP-ITI-1003 PDQm update to FHIR STU3
  • CP-ITI-1004 PIXm update to FHIR STU3
  • CP-ITI-1005 RESTful ATNA update to FHIR STU3 (assigned to Luke)
  • CP-ITI-1006 mACM update to FHIR STU3
  • CP-ITI-1007 Appx Z updates to FHIR STU3

John will take ownership of updates related to MHD and PDQ; Mauro: RESTful ATNA (attention to the names changed); Daniel: PIXm; Luke: mACM.

Editors should pay attention to changes applied to field names. There is a page in the fhir build that marks updates.

The cmte agreed on Sending a request out to Vendors of CAT and other interested parties (specific google groups) describing our intent to update the supplements. The contact list of people interested will be created by Lynn, John will prepare the email.

John will put together a work-plan for PIXm.

  • Discussion on how to create/manage work-groups/mailing lists: we need a place to collect feedbacks from implementers different than GOOGLE GROUPS, we should ask hl7.fhir to use a channel in zulip.
10:30–11:00 3:30 am–4:00 am

Morning Break

11:00–12:30 4:00 am–5:30 am Fabio/Charles

Patient Data-element Locator Service

  • Final Vol. 1 Review
  • Next Steps
Session aimed to collect instructions and details to fix PDLS.

Context: QEDm has some Open issues, but all the critical stuff that affect PDLS are resolved.

Top to bottom Review of the document. Open issues on PDLS are already answered.

RECON is needed to be supported as a grouping. But evidence of reconciliation executed is important for the client. Now it is known just per configuration.

Remove PDLS option for recon. It is a deployment strategy/choice. This profile deals only with the sharing of data, does not deal with quality of data (this can be done via deployment choices, grouping with recon agent).

RECON is dealed only in cross-profile section.

Charles/Fabio are asked to modify the Actor/Transaction diagram in order to reflect real requirements introduced by the profile.

12:30–13:30 5:30 am–6:30 am

Lunch

13:30–14:00 6:30 am–7:00 am Daniel/Eric

Planning Committee Report

  • Update
  • Mission & Vision statement
  • Educational webinars
  • Daniel presented Mission and Vision of IT Infrastructure domain. This will be shared using WIKI and email to the googlegroup.
  • Educational Webinars:

Daniel identified 3 groups of profiles related to Idenitty Management / Document Sharing / Security. Plan is to create a dedicated task force to address each theme (as it has been done with Workflow). Daniel will send out an invite for a first call.

  • Karen showed some changes made to the wiki in order to point directly to our specifications (wiki pointer to specific sections of the PDFs).
14:00–15:30 7:00 am–8:30 am Ken

Remove Documents and Metadata

  • Final Vol. 1 Review
  • Next Steps
    • Approve to go to Public Comment?
The cmte started a final review of the document.
15:30–16:00 8:30 am–9:00 am

Afternoon Break

16:00–16:45 9:00 am–9:45 am Ken

Remove Documents and Metadata:

  • Final Review
  • Approval for PC
The cmte scheduled two additional calls to complete the review: 14th Feb and 23rd Feb to vote for the PC publication.

Follow-up

  • The Feb 14 call occurred, and a final review of the document was completed.
  • The Feb 23 call occurred. There was discussion about open issues, and a CP was filed against MU to remove the Delete Metadata transaction and behavior from MU.
    • Motion: Approve document (as updated during the call) to be sent to public comment. M/S: Karen W./Ken M. 8-0-0. Carried.
16:45–17:45 9:45 am–10:45 am Luke

Mobile CSD/HPD

  • Final Vol. 1 Review
  • Next Steps
  • We should check with Eric if his needs are covered by the actual version of the profile. The co-chairs will send an email to Eric asking the reasons for lack in participation.
  • Luke has to complete vol.1. The cmte scheduled a meeting the 21st in order to review vol.1 stuff and interact with Eric in order to see if the supplement is alligned with initial proposal.
17:45–18:00 10:45 am–11:00 am Elliot/Mauro

Wrap-up, homework, agenda updates

Friday, 10 February, 2017

Day 5: Friday, 10 February, 2017
Time Leads Activity Notes
Naples

(Central European, UTC+01:00)

Oak Brook

(US Central, UTC−06:00)

09:00–09:15 2:00 am–2:15 am

Breakfast

09:15–10:15 2:30 am–3:30 am Mauro/Elliot Wrap-up
  • Call and Ballot Scheduling
  • Next Steps
Next work-group calls are scheduled and invites were sent out to the ITI Tech google group.
10:15–10:45 3:15 am–3:45 am

Morning Break

10:45–11:00 3:45 am–4:00 am

Not Patient Document sharing:

  • Review of Metadata Matrix
11:00–13:00 4:00 am–6:00 am Lynn

CP prioritization??

  • We have been resolving CPs without any prioritization by the committee.
  • Should the TC spend time identifying a "Top 10 / Top 20" list of CPs to focus committee efforts on CPs that are important to implementors, or important to finish prior to the May 15 CP integration deadline?? If so, we could devote a future CP call to do this.

Determine bundle focus of CP calls for Feb & March:

Different approach to audit message CPs?

Review Incoming CPs: ftp://ftp.ihe.net/IT_Infrastructure/TF_Maintenance/CPs/0_Incoming/

  • CP-ITI-KM-ClarifyExtraMetadata.doc
  • CP-ITI-TI-clarify-NPI-in-XUA_v2.doc
  • CP-ITI-RS-ITI-10-PIDsegment
  • CP-ITI-Forcare-XCDR-Auditing-of-homeCommunityID.doc
  • CP-ITI-JV_XDSReposWSDL.doc
  • CP-ITI-JM-TooMany.doc
  • CP-ITI-LF-PDQmCase3ReturnCode.doc
  • CP-ITI-ELS-InvalidDocument...doc

Review Assigned CPs ready for discussion:

  • CP-ITI-997-01 - Allow multiple entries for each PID field in sourcePatientInfo (Dmytro)
  • CP-ITI-1001-01 - Document the XML namespace and prefix for XCDR (Elliott L)
  • CP-ITI-839-04 - Clarify XPID audit messages (Ken)
  • CP-ITI-999-01 - Make ITI-51 audit scheme conformant with DICOM (Ken)

Ballot 39 dates. See -->

CP prioritization:

  • We determined that a prioritization exercise would be quickly out-of-date and that important CPs naturally float to the top of those that are worked on (more-or-less). No change to current practice.

Different approach to audit message CPs?

  • This trial balloon quickly sprouted wings. Summary and next steps will be maintained on this wiki page

Focus for Feb & Mar Thurs CP calls:

  • Feb 16 - review Incoming and any Assigned
  • Feb 23 - if needed Incoming/Assigned else XDS Vol 2/3
  • Mar 2 - XDS Vol 2 & 3
  • Mar 9 - Security & Security Audit
  • Mar 16 - Ballot 39 resolution
  • Mar 23 - mobile
  • Mar 30 - mobile
  • Apr 6 - no call - EU Connectathon

Incoming CP review:

  • CP-ITI-KM-ClarifyExtraMetadata.doc - deferred to future CP call
  • CP-ITI-TI-clarify-NPI-in-XUA_v2.doc - approved as Completed CP 1008
  • CP-ITI-RS-ITI-10-PIDsegment - assigned to Ben as CP 1012
  • CP-ITI-Forcare-XCDR-Auditing-of-homeCommunityID.doc - deferred to future CP call
  • CP-ITI-JV_XDSReposWSDL.doc - deferred to future CP call
  • CP-ITI-JM-TooMany.doc - approved as Completed CP 1009
  • CP-ITI-LF-PDQmCase3ReturnCode.doc - assigned to John as CP 1011
  • CP-ITI-ELS-InvalidDocument...doc - assigned to Elliot S as CP 1010; change to be reviewed as a future CP call
  • CP-ITI-GP-clarifyUDPrqmts.doc - initially rejected but Rob proposed new wording; assigned to Rob as CP 1013

Assigned CP review:

  • All assigned CPs deferred to Feb 16 CP call

Ballot 39 dates:

  • Feb 14 - Ballot 39 announcement
  • Mar 14 - Votes/comments due
  • Mar 16 - Ballot 39 resolution t-conn
13:00–14:00 6:00 am–7:00 am

Lunch / Adjourn

November 2016 F2F – Technical Profile Kick Off Meeting Nov 16-17 2016

This 2-day meeting is focused on a review of the detailed profile proposals, and selection of which work items will be selected for the 2016/2017 year based on committee resources and technical readiness.


Meeting Location: Oakbrook, IL RSNA Building

Meetings and Tcons

Webex information for this meeting is:

Meeting Number: 923 333 125 Meeting Password: Ask Jeremiah Myers (jmyers@himss.org)

link: https://himss.webex.com/himss/j.php?MTID=mf5b210557346876fdd4d4d6815a4fd5b

Agenda November 2016, Face to Face

All times listed are tentative at the moment and may be revised the day of the meeting. For a look at all the detailed proposals associated with this meeting are located at the 2017/2018 Technical Cmte Folder [1].

Day 1, Wednesday, November 16th, 2016.

Activity Leads Time Minute
Breakfast 8:30AM – 9:00AM
Introduction -( Agenda Review , Round table introduction, Discussion on voting process, sponsor communications, formalize which are authors commitments: wiki updates , f2f participation, identification of editors/primary authors…) Elliot / Mauro 9:00AM – 10:00AM Participants: Ben Levy (Corepoint) Elliot Silver (McKesson) Karen Witting (Ready Computing) John Moherke (Moherke Research) Charles Parisot (GE Healthcare) Nader Cheaib (Asip Sanitè) Matt Blackmon (?) Kirsten Boyd (HIMSS) Lynn Felhoper (ITI Technical Manager) Tarik Idris (ICW) Joe Lamy (AEGIS.net) Eric Heflin (THSA) Fabio Buti (DEDALUS) Bill Majurski (NIST) Ken Meyer (Merge/IBM) Luke Duncan (Intrahealth) Chris Melo (Philips) Gregorio Canal (Arsenal.IT), Rob Horn (AGFA Healthcare), Mauro Zanardini (Arsenal.IT).

Minute: Round table introduction of attendees. Agenda has been reviewed. No changes to the agenda has been applied.

Voting procedure: we will try to reach consensus. After consensus reached we will move a motion and people can vote the motion. The Tech cmte agreed that the Vote casted by ITI tech is intended to propose to the planning what we can address. Planning Cmte will revise recommendation made by the Tech Cmte (during the joint meeting) and will accept or reject taking in consideration prioritization and tech cmte capacities.

Elliot presented some slides related to IHE's Patent disclosure policies. If someone needs more info about this topic, should ask IHE secretariat.

Mauro listed profile authors commitments in order to reach an agreement within the cmte. Profile authors are asked to create wiki page after TI publication. Wiki can be used to track activities of sub-work groups, and this is approach is strongly suggested by co-chairs.

Sharing platform for not patient centric documents Gregorio Canal / Mauro 10:00AM – 10:35AM Gregorio presented some slides related to the detailed proposal. It has been suggested to keep search separated from retrieve. The cmte would clearly identify the scope of the profile in order to keep the proposal small. it is suggested to take in consideration use-cases that are based on document's sharing and not other type of files. In order to have an efficient search mechanism, we should identify each metadata. We should classify the type of the document but there are additional metadata that will be important: Confidentiality, Integrity. In fact access control is needed and in scope for the profile (probably can be more focused on content creation instead of content disclosure).

The cmte would identify categories of documents that can be managed using this profile: documents that do not contain PHI and document that do not contain PI.

The cmte identified two tech approaches that could address the problem: extension of XDS.b and a profiling of FHIR documentReference resource. DocumentReference could be the right solution and provides search metadata that already address confidentiality, integrity and content classification. Some ITI members posted out that there are some other RESTful solution. If we choose RESTfull i twill be easy to formalize metadata. OMA protocol can be a solution, maybe more stable. The cmte agreed on limiting the proposal to: documents that do not convey personal identifiable data, and related to 3 use-cases presented. Access control is part of the scope, in particular for creation. Tarik suggested that we should add a use-case in which we stress the role of the creation that can be done by many system (multiple creators). During the profiling we should take in consideration compatibility with XDS, it will be a profile complementary to XDS.

Patient-centric Data-element Location Service Charles 10:35am – 11:50am

Charles presented the detailed proposal. A list of use-cases of interested are described. Charles confirmed that the mapping bewteew CDA and FHIR is out of scope for this profile. In scope to move from XDS to this profile alowing the following usecase: give me all immunization and give me immunization in this docs (data element that will be taken in consideration are well defined in QED profile).

QED is a profile of interest because, we would create a light weight version of that profile (we will try to align this work with HL7 Argonaut initiative) in order to provide to a Data Element Consumer actor to access data element using a RESTful query.

Breakdown of tasks:

  • Produce a normative supplement that will cover chaining of transactions (ITI-18 , ITI-43 , RECON , mQED) in order to define the workflow to collect data (the profile will use the aggregator capability on the automatic side from RECON and not the part that requires human actions to reconciliate the content ).
  • Define a light weight QED transaction. This document will be drafted by ITI. However it will be owned by PCC (The cmte should grant that this process is accepted by all the co-chairs). If something needs to be revised we will give the ball to PCC asking them to fix it via CP. There are concerns in the ITI tech about the skills needed to work on the QED transaction. Charles will try to engage PCC members and other useful technicians is needed.


BREAK 11:50AM - 11:55AM
Remove Documents from XDS Repository Ken 11:55AM - 12:30AM Ken Mayer presented the detailed proposal. The proposal is well understood from the cmte because it has been a discussion topic for many years. There are concerns about the approach taken for the deletion: the doc administrator shall send a delete request to the registry (to delete metadata) and after that it has to send a delete request to the Rep or should be the Registry that will delete docs from Repository? The best solution still need to be designed.

Administrator should be defined as a separate actor that can be grouped with other actors in order to fit different use-cases or patterns. The Cmte is confident that the size and the scope of the profile allow to successfully produce the desired output.

LUNCH 12:30pm – 1:30pm
mobile HPD/CSD Luke/Carl/Eric 1:30am – 2:15am Luke presented in collaboration with Eric the detailed proposal. The intent of the proposal is to create a mobile/FHIR profile that covers all the use-cases defined in HPD/CSD. There are some use-cases that are not needed.The cmte asks editors to narrow down the set of use-cases. Take the CSD/HPD list of use-cases as starting point, but not bound to satisfy all them. The technical Cmte do need to identify a complete scope (The primary use.cases are identified and highland in the detailed proposal). The mapping to the original soap versions of the profile is not in scope (it is not part of the main needs). This profile will be Independedent from HPD/CSD.
Start Assessment of proposals: Evaluation Matrix completion and Discussions about new work-items Elliot/Mauro 2:15pm – 2:45pm Profile are sized in order to identify the effort needed for the drafting and for the review of profiles themselves.
MUST DO n°1: Maintenance (general) Lynn 2:45pm – 3:15pm Lynn proposed a new apporach to address CP’s and a change in the scheduling (1 hour per week). Thee different scheduling are discussed. The cmte think that to take a decision on the scheduling it is needed to reach out the availabilities of main CP contributors.
MUST DO n°2: FHIR Updates John 3:15pm – 3:45pm John aligned the cmte about the publication time line of STU3 HL7 FHIR standard. The STU3 will be published at the end of March.

The cmte analyzed the various profile based on FHIR, to identify the approach to take in addressing the update:

MHD: pretty much no changes due to STU3. There is a need to update just the base urls. This can be done in parallel to STU3 comment reconciliation and can be done via normal CP process. The goal is to be able to test in the European CAT the actual version of MHD plus a balloted and approved CP that moves it in STU3. No additional publication cycle needed.

PDQm: no many changes Update only base urls and can be done via normal CP process. It will follow the same approach of MHD.

ATNA: some editorial changes but not technical big changes. The urgency for this profile is lower so it will be fixed during the spring via a normal CP process.

Profiles that need discussion:

mACM: small work-item. Changes are not big. But there are conceptual changes that we need to agree on.

PIXm: re-evaluate the solution (small size).

The cmte should allocate some time for those profiles starting from the February meeting.

Break 3:45pm – 4:00pm
Joint meeting with QRPH , PCC, RAD:

1. Domains Report about work items selected for the new cycle.

2. In the context of FUNC profile in RAD and exploring what existing methods might exist to help deal with:

  • When patient identifies a doctor, but doctor's name is ambigious, what are recommendations for resolving ambiguity
  • When patient cannnot recall, what tools are available to help. E.g., "it was a cancer doctor at iowa general hospital"
  • We give up when patient can't answer or hasn't had a doctor for many years.

HPD doesn't solve it directly but may be able to help.

3. Patient-centric Data-element Location Service: This proposal relies on PCC profiles. In addition to that the aim of this proposal is to identify a platform that can be further specialized by IHE clinical domains in order to provide a mapping between contents inside a document and content in a FHIR resource.

- 4:00PM - 5:30PM

Participants:

John Stamm (Epic) Chris Melo (Philips) Charles Parisot (GE) Nader Cheaib (ASIP Sante) Mauro Zanardini (Arsenal IT) Elliot Silver (McKesson) Gila Pyke (Cognaissance) Ben Levy (Corepoint) Amit Popat (Epic) Thierry Dart (ASIP) Andrea Fourquet Joe Lamy (SSA) Emma Jones (Allscripts) Denise Downing (ORN) Jeremiah Myers (HIMSS) Celina Roth (HIMSS) Luke Duncan (Intrahealth) Ann Diamond (ACOG) Thom Kuhn (American College of Physicians) Daniel Berezeanu (Ready Computing) Didi Davis (Sequoia) George Cole (Allscripts) John Moehrke Ken Meyer (Merge) Lori Fourquet (e-HealthSign) Lynn Felhofer (IHE Tech Project Manager) Rob Horn (AGFA) Vassil Peytchev (EPIC) Eric Heflin (THSA) Nichole Drye-Mayo (RSNA) Matt Blackman (E-health Exchange) Lauren Lemieux (ACOG) Ioana Singureanu (VA) Kristen Boyd (HIMSS)


  • QRPH Update:
    • 2 new proposals:
      • MRFD – RFD on FHIR.
      • PDMP (prescription drug monitoring) – query for opiod prescriptions for patients.
    • 2 large revisions
      • ADX revisions – remove constraints implementers had challenges with
      • Family Planning rev 2 with feedback from Connectathon
    • Additional revisions
      • Healthy Weight, Birth & Fetal Death (potentially including FHIR), VRDR
    • General theme: first cycle with in-depth FHIR profiling.
    • Planning items: CDISC white paper, EHDI quality metrics whitepaper
    • CP maintenance completion
    • Dedicated effort to move profiles to FT
  • PCC Update:
    • New work items
      • 360 closed loop profile
      • Closed loop white paper – EHDI Careplan
        • Includes Referral order linking and dynamic care planning
      • Patient Registration Content profile
      • Discharge to EMS profile (CDA or FHIR based)
      • Medical Devices:
        • Implementation Guide for Cross-paradigm medical device interoperability.
        • Point-of-care medical device manager (FHIR-based)
        • Remote Patient Monitoring (existing profile, adding FHIR option)
      • Care team management profile (FHIR-based)
      • Patient-centric data element location service.
  • ITI
    • 4 new work items
      • Non-patient centric documents
      • Patient-centric data element location service.
      • XDS Delete Document
      • Mobile CSD/HPD
    • Ongoing maintenance
    • FHIR-specific maintenance
  • Follow-up from previous meeting:
    • Workflow authors and implements webinars/workshops now complete, recorded, and available on the IHE website. Thanks to Chris Pauer for outstanding effort.
    • Discussed how to write up FHIR-based profiles.
  • Patient-centric Data-element Location Service
    • Charles gave an overview of the profile
    • PCC will discuss Thursday AM and report back to ITI.
  • CP to Cancer profile
    • From Celina
    • QRPH has existing cancer reporting profile that is being considered for FT.
    • Implementation in US and Europe registries is different due to national extensions.
    • Whole implementation guide would replace the profile in the US.
    • CP should create a volume 4 national extension identifying the high-level differences between the international profile and the CDC-defined version. Identify what will be tested in the US-realm.
    • Refer further work to IHE-USA.
  • Formal process for National committee involvement
    • Untapped resource
    • Unaware of Domain committee activities
    • DCC issue?
    • Identify liaison?
    • Brainstorming session Thursday at lunch.
  • IHE Social Media Presence
    • Andrea will be presenting to ITI Thursday at Lunch.
  • IHE relationship with HL7 regarding profiles on FHIR
    • What is the relationship with HL7 and FHIR.org?
    • What kind of organizational support do we need?
  • Action items:
    • Amit to follow-up with Chris Carr on IHE News.


The action items document can be found in the FTP site at: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr15-2017-2018/Technical_Cmte/NovemberF2F/F2F_material/Joint%20meeting%20ITI-PCC-QRPH_20161116%20action%20items.docx

Day 2, Thursday, November 17th, 2016.

Spreadsheet available here: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr15-2017-2018/Technical_Cmte/NovemberF2F/2016_TechnicalCommittee_prioritization_review_v02.xls

Activity Leads Time Minute
Breakfast 8:30AM – 9:00AM
Agenda Review / Residual Discussion / Eventually review the matrix


Elliot / Mauro 9:00AM – 10:00AM

Participants: Luke Duncan (intraHealth), Joey Lamy (SSA) , Nader Cheaib (ASIP Sante), Mauro Zanardini (Arsenal IT) , Ben Levy (Corepoint), Lynn Felhofer (IHE), Eric Heflin (THSA) , Fabio Buti (Dedalus), Ken Meyer (IBM/merge), John Moherke (Moherke Research), Karima Blounquard, Mick Talley, Kirsten Boyd (HIMSS), Silver Elliot (McKesson)

Minute: The Agenda has been reviewed, and residual open topics are analyzed for each profile:

-breakdown pf tasks for the Patient-centric Data-element Location Service: an agreement is subscribed between ITI and PCC domains:

1. IHE-ITI has coordinated with IHE-PCC and reached the following agreement:

  • PCC will decide:
    • the profile “packaging” (distinct profile or integrated into QED, possibly retire QED), update existing supplement.
    • the core set of “resources” that align with QED, FHIR stability and Argonaut work, plus PCC member input)
    • the query parameters in Volume 2.
  • PCC work needed:
    • 2 hours face to face time in Feb, April and 4 hours in July, plus one 2 hour t-con in March, May, June (between face to face meetings).
  • ITI editor work needed:
    • develop a TI version for the PCC framework (7 pages Vol.1-same as current QED and 10 pages Vol.2-down from 35 pages for current QED).
    • account for the above decision points” (See 1 above).
    • Reference “QED on FHIR profile” as PCC supplement in ITI profile.
  • Approval and Ownership - The QED on FHIR TI profile:
    • once developed by ITI editor, to be reviewed by ITI for technical “touch points” between resources and documents
    • to be submitted to PCC for overall approval in July.
    • to be handed over to PCC in August 2017 as PCC supplement

2. concerns about use-cases that need to be covered by CSD/HPD has been risen: Luke and Eric presented the new list of use-cases

Continuation of Assessment of proposals: Evaluation Matrix, completion discussions, reach agreement on new workitems. Elliot/Mauro 10:00AM - 10:45AM

The cmte continued to complete the spreadsheet with EVALUATION MATRIX. The intent is to quantify work-load in order evaluate if all the 4 new work-items can be accepted. It seemed manageable, but the cmte asked the co-chairs after each f2f to analyze if the time spent in each proposal is alligned with estimation and will identitfy potential risks.

Another key point is to identify Mentors for larger proposal that have to keep the editors on track.

Ben moved the motion to accept all the 4 new work-items. Charles seconded, no objection, Rob Horn abstains.

Completed evaluation matrix: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr15-2017-2018/Technical_Cmte/NovemberF2F/2016_TechnicalCommittee_prioritization_review_v02.xls

Break 10:45AM - 11:00AM
Joint meeting with Planning: Vote Results Elliot / Mauro 11:00AM – 11:30AM

The joint ITI PC/TC meeting was called to order. Our domain sponsor took roll and determined that a quorum of voting members was present. The ITI felt it could perform all work items for the items sent by ITI PT to ITI TC for evaluation this cycle. As per ITI TC, the estimated capacity of the ITI TC is equal to the estimated work load for the items sent to ITI TC for evaluation this cycle. The joint workgroup explored ways to reduce workload. No substantial ways were identified. A discussion occured about cutting a work item, and the members seemed to feel that was not necessary. Two optimizations were identified:

1) Sequence the Document Delete work item first, to reduce the overhead of managing it the entire cycle, and

2) holding more tcons before the F2F meetings to increase F2F meeting efficiency

It was thought that this may help some, but potentially not enough to provide for a buffer for unexpected work load problems. The group discussed careful management of the work items to keep scope realistic for this cycle.

Motion by Eric H to approve the work items from ITI TC, with guidance to move the Document Delete forward in the schedule if possible, and for ITI TC to carefully manage scope. Karen W seconded the motion. No discussion ensued. No objections and no abstentions were raised. Motion carried. Meeting adjourned.


All were thanked for their help and for the successful meeting!

Schedule tons Elliot / Mauro 11:30AM-12:30PM Tcons has been scheduled and webbed invitation will be sent the next week.
Social LUNCH with Andrea Garay (RSNA) (for people that need to leave …) 12:30 – 13:30
Open-discussion about Social Media and IHE Andrea Garay (RSNA) 13:30 - 14:30
ADJURN 14:30