ITI Minutes July 2016 Face to Face

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July 2016 F2F – TI Meeting July 18-22 2016

This 5-days meeting is focused on a review of comments collected during Public Comment period. At the end of this meeting a formal vote will be casted to decide if profiles can be published for Trial Implementation.


Meeting Location: Oak Brook, Chicago, US: RSNA Headquarter

Meetings and Tcons

Webex information for this meeting are:

Call-in toll-free number (US/Canada): 1-866-469-3239

Meeting Number: 929 824 027

Meeting Password: Contact Nancy Ramirez at nramirez@himss.org for password

Link: https://himss.webex.com/himss/j.php?MTID=mc327cba0faa30dd11dab1f97a778c59c

Agenda July 2016, Face to Face

All times listed are tentative at the moment and may be revised the day of the meeting.


Day 1, Monday, July 18th, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:30am Participants:

Gila Pyke (Cognaissance) Mauro Zanardini (Arsenal.IT) Claudio Saccavini (Arsenal.IT) Charles Parisot (GE) John Moehrke (guest) Nader Cheaib (Asip Santè) Elliot Silver (McKesson) Ben Levy (Corepoint Health) Lynn Felhofer (ITI Tech Manager) Luke Duncan (Intrahealth) Chris Melo (Philips) Daniel Berezeanu (Ready Computing) Karen Witting (Ready Computing) Ken Meyer (IBM) Tarik Idris (ICW) Walco Van Loon (Forecare) Vijay Shah (JBS intl.)


-Minutes:

Agenda was reviewed. The focus of the discussion has been the problem in collecting comments and feedbacks from the ITI domain:

• Virtual community does not participate; • ITI stuff can be too specialized ? • Poor job in choosing profile ? Maybe we should re-think the selection process.


  • Need better engagement by the greater community. The ITI community is very sparse. The mailing list might be large, but it is not effective. Meaning it is either full of the wrong people, or full of ghosts. It is clearly missing adequate representation from our audience.
  • ITI is intended to be responding to other IHE domains. Is there any effort to ask the other domains to review our work items?
  • Time between the face-to-face and when the work item was available for review was a full month. Thus it was dropped from even direct membership mind. This release needs to be closer to the finish of the meeting that created the ballot.

Gila asks the cmte to provide feedbacks about the process for Editors. During the next cycle we evaluate the possibility to produce a document with rules.

A spreadsheet to evaluate how to solve this problem is created and posted in the FTP: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr14-2016-2017/Technical%20Cmte/Face%20to%20Face%20meetings/July%202016

APPC comment resolution Tarik 9:30am – 11:00am

-Minutes:

Tarik leaded this session. The review of comments is started. We receive feedbacks from: Lynn, Forecare, AGFA, Tiani.

BREAK 11:00am – 11:15am
CP's ( See full list of CP topics & outcomes here)

-- Resolve Ballot 35 comments/votes http://wiki.ihe.net/index.php/ITI_Change_Proposals_2016#Ballot_35

  • Consolidated comments/votes are here
  • 936 - Add new optional parameter to ITI-34 Retrieve Form request
  • 927 - Mark additional attributes with Security & Privacy purpose
  • 935 - Improve the document sharing metadata descriptions in tables
Lynn 11:15am – 1:30pm Minutes:

RESOLUTION of ballot 35


LUNCH 1:30pm – 2:30pm
RESTful ATNA comment resolution Mauro / Rob 230pm – 3:45pm

-Minutes:

Mauro leaded this session. Public comment review is started.

BREAK 3:45pm – 4:00pm
mACM comment resolution Luke 4:00pm – 5:15pm Luke leaded this session. Public comment review is started.
Wrap-up / Homework / Action Item Review / Agenda Updates Gila/Mauro 5:15pm – 5:30pm

Lynn asked people who has in charge CPs to review them and be ready for the tomorrow CP call.

Day 2, Tuesday, July 19th, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:30am Participants:

Gila Pike (Cognaissance) Mauro Zanardini (Arsenal.IT) Claudio Saccavini (Arsenal.IT) Charles Parisot (GE) John Moehrke (guest) Nader Cheaib (Asip Santè) Elliot Silver (McKesson) Ben Levy (Corepoint Health) Lynn Felhofer (ITI Tech Manager) Luke Duncan (Intrahealth) Chris Melo (Philips) Daniel Berezeanu (Ready Computing) Sylvie Colas (Asip Santè), Elliott Lavy (Harris/Quadramed) Ken Meyer (IBM), Paul Lomayesva (Intersystems), Walco Van Loon (Forcare), Karen Witting (Ready Computing), Bill the Guru.

-Minutes:


RESTful ATNA comment resolution Mauro / Rob 9:30am – 11:00am

-Minutes:

Comments resolution is quite completed. Forcare has provided additional feedbacks that will be analyzed off-line. Mauro will provide a final version of the supplement by tomorrow to Lynn for a final review.


BREAK 11:00am – 11:15am
CP's (See full list of CP topics & outcomes here)

-- MHD CPs submitted by Forcare ftp://ftp.ihe.net/IT_Infrastructure/TF_Maintenance-2016/CPs/0_Incoming/

  • CP-ITI_Forcare-MHD-Binary-reference-in-provide-bundle.docx (Rick R)
  • CP-ITI_Forcare-MHD-Encoding-of-idenfifiers.docx
  • CP-ITI_Forcare-MHD-Encoding-of-referenceIdList.docx
  • CP-ITI_Forcare-MHD-Encodign-of-uniqueId.docx
  • CP-ITI_Forcare-MHD-Hash-and-size.docx
  • CP-ITI_Forcare-MHD-Patient-referencing-in-provide.docx
  • CP-ITI_Forcare-MHD-Provide-response-status-codes.docx
  • CP-ITI_Forcare-MHD-referenceIdList-search-should-not-use-token-type,docx

-- If time, working session Assigned CPs! See Jul-Blitz on CP status spreadsheet

Lynn 11:15am – 1:30pm Blitz notes: Newly complete - 738, 787. Cancelled - 562


LUNCH 1:30pm – 2:30pm
What to do about metadata update Lynn / Karen / ? 2:30pm – 3:45pm

-Minutes:

MU is widely tested and implemented. Issues: 1) we have 2 lacks in the tools for CAT that could be a problem, 2) Specification: there are some CPs and MU supplement could benefit from a redo.

Bill cannot lead the re-writing, but can assist the writer. Elliott , Elliot , Karen will be the task force and Bill supportive, Ken will be co-author.

Risk: Pay attention to implementers that are using it because they treating it as FT.

MU delete form Repository, will be treated as a separate Work-item.

The Cmte decided to reduce the scope of this work-item: creating a new CP,( Karen( will work on it we will make MU compatible with the ITI-41 and ITI-42 redocumentation done in 2015.

"The plan": work on CP's and integrate them in the MU TI version. This would be enough. We will assign one active person to each CP ,with the goal to have them ready by the end of summer. So by September we have they ready, and we can test technical requirements that can be changed during the CP integration during NA CAT. We cannot lose CAT because we want to move MU in FT next year.

Lynn asks for 15 minutes in Friday to revisit this plan.

BREAK 3:45pm – 4:00pm
Re-documentation Register On-Demand Document Transaction Karen 4:00pm – 4:30pm
IHE Brazil Webinar Series

4 or 5 1-hr webinars on topics such as:

  • PIX/PDQ
  • XDS/Document sharing
  • XDS-I
  • XDW
  • XUA
  • ATNA, CT
Marcelo Santos 4:30pm – 5:15pm

The cmte identifies some volunteer to support IHE Brasil:

  • PIX/PDQ: Ben Levy
  • XDS: Daniel
  • XDS-I: Elliot S.
  • XDW: Charles
  • XUA, ATNA:CT: John
Wrap-up / Homework / Action Item Review / Agenda Updates Gila/Mauro 5:15pm – 5:30pm

Day 3, Wednesday, July 20th, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:30am Participants:

Gila Pike (Cognaissance) Mauro Zanardini (Arsenal.IT) Claudio Saccavini (Arsenal.IT) Charles Parisot (GE) John Moehrke (guest) Nader Cheaib (Asip Santè) Elliot Silver (McKesson) Ben Levy (Corepoint Health) Lynn Felhofer (ITI Tech Manager) Luke Duncan (Intrahealth) Chris Melo (Philips) Daniel Berezeanu (Ready Computing) Sylvie Colas (Asip Santè), Elliott Lavy (Harris/Quadramed) Ken Meyer (IBM), Walco Van Loon (Forcare), Karen Witting (Ready Computing), Tarik Idris (ICW)


APPC comment resolution Tarik 9:30am – 11:00am

-Minutes:

Comment resolution continued. More time needed that will be taken from CP sessions. Creation of an Appendix via a CP, not addressed this week because needs to much time. Elliot will submit a CP for that.

BREAK 11:00am – 11:15am
APPC Tarik 11:15am – 1:30pm

Comment resolution continued.


LUNCH 1:30pm – 2:30pm
mACM comment resolution Luke 230pm – 3:45pm

-Minutes:

Public comment resolution.

BREAK 3:45pm – 4:00pm
JOINT MEETING

Agenda:

1. Introductions

2. HIMSS Updates

3. Action item review

4. ITI – PCC – QRPH updates

5. Workflow workshop

6. QRPH Topic: RFD move to QRPH

7. QRPH Topic: DE-Id Family Planning publishing into QRPH

8. TBD

ITI/QRPH/PCC 4:00pm – 5:15pm

-Participants:

Kristen Boyd (HIMSS) Tone Southerland (Ready Computing) John Stamm (Epic) Thom Kuhn (American College of Physicians) Elena Vio (Arsenal IT) Denise Downing (AORN) Emma Jones (Allscripts) Celina Roth (HIMSS) Nichole Drye-Mayo (RSNA) Lisa Nelson (LOTS) George Cole (Allscripts) Elliot Silver (McKesson) Laura Bright (Independent) Gila Pyke (Cognaissance) Mauro Zanardini (Arsenal IT) Sylvie Colas (ASIP) Nader Cheaib (ASIP) Amit Popat (Epic) Charles Parisot (GE) Nancy Ramirez (HIMSS) Didi Davis (Sequoia Project) Matt Blackmon (Sequoia Project)


MInutes:

  • HIMSS Updates
    • Cochair nominations close on Friday, July 22nd, 2016
    • Planning cochair for PCC still open
    • IHE USA – US Connectathon system registration Oct 12 – Nov 7. Webinar last week, recording is available. Talking again to everyone on a webinar on Sept 7.
    • Kristen Boyd is helping manage the Connectathon.
    • HIMSS dates next year: Feb 19 – 23
    • NA CAT: Jan 23 -27
  • ITI, PCC, QRPH updates
    • ITI
      • APPC
      • RESTful ATNA and mACM updates to FHIR DSTU2
      • Working on many other CPs, and catching up on our backlog
      • ITI-61 Redoc
      • IHE Brazil – Gila to add Celina to the thread with Marcel so HIMSS can offer to do logistics and record webinars.
        • Celina, Nancy, Nichole will investigate with IHE Brazil if they want to use HIMSS Webex and invite other groups (e.g. IHE Colombia).
    • PCC
      • Dynamic CP – Patient Care Coordination profile that supports the ability to dynamically share and update patient care plan information in a comprehensive way. A FHIR profile.
        • 70 comments. Got through them all.
      • Cardiology – Cross Enterprise Cardiovascular Heart Team Workflow Definition Profile (XCHT-WD) is a profile built upon the ITI XDW. It establishes a common set of rules related to process (workflow) focused on the collaboration of the members of a dynamic network of cardiovascular professionals that belong to different structures, called Heart Team (HT).
        • Did not receive any comments, waiting on input from Cardiology but they’re not read for workflow yet.
      • Bed Management- This transport profile facilitates bed management for patients admitted from the ED. The profile describes how communications between the ED and various inpatient systems can improve care, reduce cost and result in higher patient satisfaction, and enable tracking and monitoring of these activities to support quality improvement activities. This document could serve as a jumping-off point for further exploration of how to incorporate intra-facility and inter-facility transfers as well as scheduled/planned or unscheduled/direct admissions into the bed management workflow. Uses HLv2.
        • Got through moderate comments, will move to TI.
      • eHEX TWG Update for Joint meeting:
        • Met July 18 with Sequoia project
        • TWG overview
        • created last summer under the eHealth Exchange CC
        • create content - test procedures, test cases, validation scripts, test data
        • initial focus on content
        • Conducting CCDA Content Pilot test
        • 3 testing tools: ONC SITE, Gazelle Objects Checker, Diameter Health
        • 20 organizations have submitted documents
        • 80% of documents received are CCDA R2.1
        • TWG will publish IG based on pilot testing
        • Socializing this work
        • Potential for future alignment in efforts in both TWG and IHE
        • Working with vendors/providers in production settings
        • opportunity for feedback into future development of content standards
        • To learn more: http://ehealth-exchange-testing.wikispaces.com/Content+Testing+Pilot+2016
        • Send questions, comments to testing@sequoiaproject.org
      • Question: Are you trying to take CCDA R2.1 as-is and looking for ways to guide CCDA 2.1 compliant content, are you trying to detect non-compliance and trying to make sure CCDAs are compliant with the standard, or are you trying to extend the guide? Is it tweaking within, aligning around, or extending the guide? All 3.
    • QRPH
      • Working on comment reconciliation for VRDR, NANI, QME-EH and EHDI.
      • Got some comments, but most of them were from Lynn or internal members.
      • Continued some work on SDC this week. Significant revision work happened this week based on learnings from TI. Proposed plan is to CP ballot that for four weeks, but will open the ballot up to the public. Anyone willing to provide feedback to SDC will provide comment in those four weeks and we will try to resolve them ideally before US CAT Registration closes.
      • Thank you to ITI for getting the RFD CP through that allows us to add the attribute for the response content-type in RFD.
      • Also worked on trying to figure out if it makes sense for QRPH as a committee to have more guidance and structure around expanding on what is available for the volume 4 template and guidance.
      • Most important work item as determined by planning committee was CP maintenance, and we’re slowly going through those. This is helping identify which profiles should be deprecated or moved to final text.
      • Lara Tramontan’s whitepaper submitted (Using IHE Profiles for Healthcare Secondary Data Access) to Mary a month ago!
      • CP to update Family Planning profile with informative appendix to do De-Identification.
  • Workflow Workshop
    • Tone has graciously accepted to take this over from Amit Popat
    • Met this week to discuss Workflow workshop
    • Scheduled bi-weekly meetings for next 2 months to ensure progress is made
    • next actions (in the following order):
      • Rob to complete IHE Workflow profile assessment
      • Tone and Rob to document on wiki, share out spreadsheet from analysis work
      • Daniel and Mauro to develop educational content for workshop based on research
    • Targeting workshop for september-october
  • QRPH Topic: RFD move to QRPH
    • Moved a TI to QRPH before and have a checklist for that. There is a big challenge when having transactions that are referenced in other places within the ITI and QPRH Technical Frameworks move over.
    • Want to move volume 1 from ITI to QRPH
      • For volume 2, point to and leave the ITI transactions alone
      • Concerned about moving transactions, renaming them, updating all QRPH TIs negatively impacting the existing implementers, but also concerned about confusing implementers by splitting the volumes into two different domain TFs
      • RFD is no longer tested as a stand-alone profile at connectathons, so it is no longer a concern
      • Alternate approach: put Public Health related umbrella statement in QRPH TF to point to ITI RFD
    • Propose to leave RFD in ITI, and only raise this again as an issue if other issues arise within QRPH, or if CPs take too long to process, etc.

-Action items

Joint PCC QRPH ITI Action Items


Wrap-up / Homework / Action Item Review / Agenda Updates Gila/Mauro 5:15pm – 5:30pm

Day 4, Thursday, July 21st, 2016.

-
Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:05am Participants:

Gila Pike (Cognaissance) Mauro Zanardini (Arsenal.IT) Claudio Saccavini (Arsenal.IT) Charles Parisot (GE) John Moehrke (guest) Nader Cheaib (Asip Santè) Elliot Silver (McKesson) Ben Levy (Corepoint Health) Lynn Felhofer (ITI Tech Manager) Luke Duncan (Intrahealth) Chris Melo (Philips) Daniel Berezeanu (Ready Computing) Sylvie Colas (Asip Santè), Elliott Lavy (Harris/Quadramed) Ken Meyer (IBM), Karen Witting (Ready Computing), Tarik Idris (ICW), Bill the Guru, Kristen Boyd (HIMMS), Harry Rhodes (AHIMA)

APPC comment resolution Tarik 9:05am – 11:00am

-Minutes:

Comments review.

BREAK 11:00am – 11:15am
Re-documentation Register On-Demand Document Transaction Karen 11:15am – 1:00pm Karen leaded this session. The remaining comments are addressed. The document is ready for publication.

Karen moves the following motion: the content, as revised during call. will be integrated in FT vol.1 and vol.2b. Eliot seconded it. No abstensions, no further discussions, no objections. Motion Approved (10 – 0 ). Karen will integrate the only CP balloted and will provide a finalized version to ITI Tech mailing list.

AHIMA report-out Harry Rhodes 1:00pm – 1:30pm Harry presented the status of activities of AHIMA, and the results of the analysis made on XDS Affinity Domain white Paper.
LUNCH 1:30pm – 2:30pm
MHD / MHD-I vs FHIR Elliott S. 2:30pm – 3:00pm

-Minutes:

Kinson is completing a CP aimed to move MHD-I from the actual version to a version based on FHIR STU3 draft. Due to the REdocumentation completed earlier this year on MHD, there are some interoperability problem that could occurs (in particular at the CAT), because there are some breaking changes. So vendor should be warned about this. RAD should spend some time in educate people in identifying possible incompatibilities if they are participating to the CAT.

APPC Tarik 3:00pm – 3:45pm

-Minutes:


BREAK 3:45pm – 4:00pm
RESTful ATNA comment resolution & Vote to approve for TI Mauro / Rob 4:00pm – 4:15pm

Rob Horn moves that we approve the document as amended by Mauro for publication as a TI. Ben Levy seconded. No objections. No abstentions.So moved.


mACM Public Comment Resolution Luke 4:15pm – 7:00pm Public Comment resolution continued. Document is sent to the mailing list for the final review:

ITI-85 will be reviewed by: Sylvie Elliot john


ITI-84 will be reviewed by: Rob Lynn


Vol.1: will be reviewed by: Daniel gila


Rob moves to publish mACM for Trial Implementation pending acceptance of today’s changes and cleanup of comments and formatting. Gila seconded. No objections No abstentions So moved!


Wrap-up / Homework / Action Item Review / Agenda Updates Gila/Mauro 7:00pm – 7:15pm

Day 5, Friday, July 22nd, 2016.

Activity Leads Central Time notes
Breakfast working breakfast!
Introductions, Agenda Review Gila / Mauro 8:00am – 8:05am Participants:

Gila Pike (Cognaissance) Mauro Zanardini (Arsenal.IT) Charles Parisot (GE) John Moehrke (guest) Nader Cheaib (Asip Santè) Elliot Silver (McKesson) Lynn Felhofer (ITI Tech Manager) Luke Duncan (Intrahealth) Daniel Berezeanu (Ready Computing) Sylvie Colas (Asip Santè), Tarik Idris (ICW), Bill the Guru, Kristen Boyd (HIMMS), Harry Rhodes (AHIMA), Ken Sinn (eHealth ontario), Yaron Derman (eHealth ontario), Smitha (eHealth ontario)


-Minutes:


APPC Tarik 8:05am – 9:15am Participants:


-Minutes:

Public Comment resolution is completed.

Tarik moves the motion to approve APPC for TI pending editorial changes discussed this morning, Elliot S. second it. No objections , no further discussions, so MOVED!

Tarik will send the finalized version to Mauro, Elliot, Lynn, Mary by Monday.


1. Schedule TCons, if any

2. TF volume editors and schedule

3. Assign section numbers to APPC

4. TBD

Gila / Mauro 9:15am – 10:15am

-Minutes: No new Tcons scheduled. Volume and TI editors and reviewers identified and documented in the Volume Editors document on the FTP site: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr14-2016-2017/Technical%20Cmte/Face%20to%20Face%20meetings/July%202016

Lack of participation in ITI activities (Public Comments, etc.) Gila 10:15am – 11:00am

-Minutes:

Issues, discussion, and proposed solutions were recorded in the Communication Issues log on the FTP site: ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr14-2016-2017/Technical%20Cmte/Face%20to%20Face%20meetings/July%202016
BREAK 11:00am – 11:15am
CP's (See full list of CP topics & outcomes here)

-- Finish Ballot 34 open items http://wiki.ihe.net/index.php/ITI_Change_Proposals_2016#Ballot_34

  • See consolidation comments here
  • 882 - Fix merge references from PIX Feed(s) to XDS - review ballot comments (out of time in review call). Need Elliott L.
  • 924 - Fix TF Reference in XCDR supplement - Discuss Elliott Lavy's comments
  • 767 - revisit our changes to the CXi examples per this morning's APPC review

Metadata Update CPs ready for discussion ftp://ftp.ihe.net/IT_Infrastructure/TF_Maintenance-2016/CPs/1_Assigned/

  • 621-01 - Metadata Update and Deprecated Folders (Bill)
  • 765-03 - Metadata Update Queries with MU level not set/set to 1 shall return only the current Version of an XDSDocumentEntries/XDSFolders (Bill)

Discussion of the nomenclature of schema versus model based validation in XDS and IHE generally (Ken, Bill)

  • Between Bill and I, there are two CP's that are predicated on whether or not a Registry should validate elements that are permitted within the ebXML schema, but are "supposable" forbidden against the model developed for XDS. For example, if a Registry does receive an element(s) that has not been allow by XDS model, what is its responsibility to the Document Source. Can it simply ignore the element (suspect most systems do that now)? Is it required to report an error (e.g.: "over-aggressive validation")? How about a warning (e.g.: requirements for extra-metadata)?
  • Bill's concern (and CP) was brought up by a tester this year who's system passed and empty tag permitted under "schema validation", but not allowed under "model validation". As such, the additional model based restrictions added as part of the Rev 10 re-documentation were to restrictive and could break earlier systems.
  • Relevant CPs:
    • 923 - Redoc aggressive validation specification
    • 864 - Clarification on Association Classifications (TF-3 4.2.2.2)

-- Assigned CPs for review ftp://ftp.ihe.net/IT_Infrastructure/TF_Maintenance-2016/CPs/1_Assigned/

  • 736-00 - clarification of BPPC typeCode - John
  • CP-ITI-925-02 - Clarify UTC offset within DMT datatype (Nader C)
  • 946 ITI-65 Provide Bundle response status codes should be clarified (John)

-- New Incoming CPs ftp://ftp.ihe.net/IT_Infrastructure/TF_Maintenance-2016/CPs/0_Incoming/

  • CP-ITI-TI-Clarify-Folder-lastUpdateTime.doc (Tarik)
  • CP-ITI-IsSnapshot-UML.doc (Ken)
  • CP-ITI-ESL_XCDR-XDR_Transmit_Home_Community_Id_Option.doc (Elliott L)
Lynn 11:15am – 12:30pm