ITI Planning Committee 2026 Meetings

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ITI Monthly Planning Committee September 15, 2026

Attendees

  • Alexander Dippel (OR.NET / B. Braun)
  • Charles Parisot (InteropEH)
  • Chris Melo (Philips)
  • David Wikler (IHE-RO Technical Committee Co-Chair, IBA)
  • Debaditya Ghosh (GE HealthCare)
  • Krisha Howell (IHE-RO Planning Committee Co-Chair)
  • Martin Rosner (Philips)
  • Oliver Egger (ahdis, ITI Technical Committee Co-Chair)
  • Rex Cardan (University of Alabama Birmingham, RTSEC / AAPM)
  • Spencer LaGesse (Epic, ITI Planning Committee Co-Chair)
  • Steve Nichols (GE HealthCare, ITI Planning Committee Co-Chair)
  • Matt Blackmon (Sequoia)

Quorum was met.

RTSEC / IHE-RO Certificate Lifecycle Management Proposal

Supporting material:

David Wikler presented ongoing IHE-RO and RTSEC work related to certificate lifecycle management and PKI infrastructure for healthcare interoperability.

Presentation:

Discussion focused on challenges with certificate enrollment, renewal, revocation, and trust establishment, which continue to be barriers to adoption of secure communications despite the availability of standards such as DICOM TLS, ATNA, and related transport security mechanisms.

Discussion points included:

  • Certificate lifecycle management remains an interoperability gap not currently profiled by IHE.
  • RTSEC has developed a proof-of-concept demonstrator ("Kryptonian") and has been evaluating use of the EST (Enrollment over Secure Transport) protocol.
  • Similar requirements have been identified across multiple domains including Radiotherapy, Devices, IT Infrastructure, DICOM, HL7 FHIR, HL7 v2, and IEEE 11073 SDC environments.
  • The work appears applicable beyond a single clinical domain and may benefit from a reusable ITI profile rather than independent domain-specific solutions.
  • Participants discussed the importance of coordination across IHE domains and standards organizations to avoid creating multiple overlapping specifications.

References:

OR.NET Certificate Infrastructure Activities

Alexander Dippel provided an overview of OR.NET activities related to certificate infrastructure and security for SDC-based environments.

Discussion noted that OR.NET has independently identified many of the same certificate lifecycle management challenges as RTSEC. OR.NET is developing approaches for certificate enrollment, issuance, renewal, revocation, and trust establishment, with convergence around use of EST-based certificate management.

Participants discussed opportunities to align OR.NET, RTSEC, IHE DEV, and ITI efforts around a common infrastructure approach that could be reused across multiple interoperability domains.

Reference:

MHD Signature Change Proposal

Charles Parisot briefly introduced a draft Change Proposal regarding signatures in MHD Simplified Publish (ITI-105).

The proposal raises questions regarding support for signatures on exchanged content and how signature mechanisms should be handled within MHD transactions.

Due to time limitations, only a brief introduction was provided. The committee agreed additional technical discussion is needed and expects to continue review during the upcoming face-to-face meeting.

Actions

  • David Wikler to develop a draft NWIP/proposal for certificate lifecycle management suitable for Planning Committee review and vote at a future Planning Committee meeting.

DIS Proposal Discussion | Thursday, August 6 @ 9:00 US Central

Attendees: Essien Ge, Alain Zhang, Martin Rosner, Steve Nichols, Oliver Egger, Diletta Babato, David Pyke, Lori Fourquet, Spencer

Organizations represented: Philips, GE HealthCare, ahdis ag, Consorzio Arsenàl.IT, Pyke Health IT, e-HealthSign, Epic

Proxy: Steve Nichols held proxy for Oliver Egger.

Quorum: Met

GitHub Issue: https://github.com/IHE/IT-Infrastructure/issues/228

Discussion Summary

The committee reviewed the DIS work item proposal and discussed the proposed scope, transaction model, base standards, policy handling, and relationship to other standards work. The committee identified several open issues to be addressed during continued work item development.

Key Discussion Points

Transaction Model

  • David Pyke identified a missing transaction or interaction pattern to retrieve the results of a submitted task.
    • This item is TBD by the Technical Committee.

Policy Scope

  • Policy development is out of scope.
  • Steve raised a scope concern about transacting de-identification policies before policies are defined.
    • This item is TBD by the Technical Committee.

DAPL Alignment / Overlap

  • Steve raised a question about possible overlap or conflict between DIS and HL7 DAPL: https://hl7.org/fhir/us/dapl/2026May/
  • Alain responded that DAPL may not align directly with the DIS scope, policy assumptions, and transaction model.
  • No final conclusion was reached.

Base Standards

  • FHIR PlanDefinition was discussed as a possible Resource to profile.
  • The proposal should clarify how it will handle FHIR version differences, including FHIR R4 and FHIR R5.
  • The approach should version-agnostic given uncertainties in EHDS

Workload Assessment

  • Workload assessment was not discussed.
  • The proposal identifies as medium effort.
  • Technical Committee to review and confirm workload estimate.

Motion

Motion: Accept the Phase 1 DIS work item for the current quarter, noting the unresolved issues identified during discussion.

Issues noted with the motion:

  • Missing transaction or interaction pattern to retrieve task results/output after task submission.
  • Policy development is currently considered out of scope, but remains an open item for clarification.
  • Base standards remain to be finalized, including use of FHIR PlanDefinition and handling of FHIR R4/R5 differences.

Moved by: David Pyke

Seconded by: Philips

GE HealthCare: Abstains

Next Steps

  • Schedule DIS working calls.
    • Use the same slot as the De-Identification Handbook
      • Hagan to rename the item as discussed.
    • Include reuse, overlap, conflicts, gaps, and rationale for any divergence from DAPL.

DIS Proposal Discussion | Tuesday, June 16, 2026 @ 11am–12pm CT

Attendees: Oliver Egger, Steve Nichols, Lori Fourquet, Alain Zhang, Chris Melo

GitHub Issue: https://github.com/IHE/IT-Infrastructure/issues/228

Presentation: https://github.com/user-attachments/files/28628476/IHE-ITI-QRPH-PCC-DIS-Topics-For-PlanningMeeting-2026-0616.pdf

Discussion Summary

The group reviewed the DIS proposal and discussed the proposed Phase 1 scope, including DICOM and FHIR content bindings, de-identification workflow, and alignment with existing standards.

Key Discussion Points

DICOM

  • DIS should leverage existing DICOM de-identification standards and profiles.
  • Transactions should reference DICOM Attribute Confidentiality Profiles and image retrieval locations.
  • The proposal should reuse DICOM PS3.15 confidentiality profiles and associated de-identification evidence mechanisms where possible.

FHIR

  • There is currently no IHE profile for FHIR de-identification.
  • The group discussed examples from the IPS de-identification handbook.
  • PCC could potentially develop FHIR de-identification profiles.
  • Related work includes HL7 DARTS and DAPL, which define FHIR-based privacy transformation services and privacy-safe data profiles.

Pseudonymization

  • Pseudonymization was identified as a gap area.
  • No existing profiles were identified to support pseudonymization.
  • Pseudonymization remains outside the initial DIS Phase 1 scope.

Technical Committee Feedback

  • The Technical Committee indicated that DIS should profile an existing standard.
  • The committee does not want to proceed with a profile based solely on generic REST/HTTP interactions.

Next Steps

  • Continue discussion at the upcoming face-to-face meeting. Face-to-Face Agenda: ITI Face-to-Face Agenda
  • Invite participation from IHE Radiology (RAD).
  • Further evaluate DICOM and FHIR profiling approaches for Phase 1.
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