ITI Technical Committee Agenda - Feb 2016 F2F

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February 2016 F2F – Volume One Finalization Meeting Feb 15-19 2016

This 5-days meeting is focused on a review of Vol.1 content of new work-item, and public comment resolution on ongoing works.

Meeting Location: Porto, Portugal: Center for Health Technology and Services Research

Meetings and Tcons

Webex information for this meeting is:

Meeting Number: 923 844 589

Meeting Password: Meeting1

Agenda February 2016, Face to Face

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

Day 1, Monday, Feb 15, 2016.

Activity Leads Local Time (Western European Time) Central Time notes
Introductions, Agenda Review Gila / Mauro 9:30am – 10:00am 3:30am – 4:00am Participants:

Elliot Silver (McKesson),Gila Pike (Cognaissance), Christopher Melo (Philips), Daniel Berenzeanu (Ready Computing), John Stamm (EPIC), John Moherke (GE Healthcare), Raphael Oliveira (Porto Univeristy), Nader Cheaib (Asìp Santè), Sylvie Colas (Asip Santè), Sensmeier Joyce (Himss), Mauro Zanardini (consorzio Arsenàl.IT), Jens Kristian Villadsen (Region Midtjylland), Lynn Felhofer (ITI Tech Manager), Rob Horn (AGFA Healthcare),Ben Levy (CorePoint Health), Karen Witting (Ready Computing), Tarik Idris (ICW),Jose Costa Teixeira (equip-med), Charles Parisot (GE Healthcare),Diana Warner (AHIMA), Anna Orlova (AHIMA), Harry Rhodes (AHIMA)

-Introductions (round table presentations) and Agenda Review.

CPs - Plan for use of CP session this week. Begin work.

See the CP-Blitz tab on ITI CP tracking spreadsheet

Lynn 10:00am – 10:45am 4:00am - 4:45am -It was decided to schedule a specific call on Thursday this week asking Bill Majurski to join. The Cmte will use that time to discuss main XD* issues still open.

-Robert Horn suggested to assign 2-3 CPs to him John and Bill and to address them off-line to be more effective.

-The Cmte agreed to split activities in two groups after the break and address separately dandling CPs related to Security and XDS. Mauro will work separately on DSUB CPs. Work Groups are asked to provide the following feedbacks: Propose a change, Propose re-assignement, Propose CP cancelation or something else.

-Daniel went through PIXm to show the Cmte how the PIXm working-group has addressed the audit message requirements without replicating the whole table defined in PIX profile. The Cmte opened a discussion about how to document Audit messages structure in FHIR stuff and in all the profiles that inherit the ATNA Audit message structure form other profiles with some further requirements. John Moherke leaded the workgin-group that took the decision for PIXm and explained to the Cmte reasons to use the new approach without new tables. This choice was made because PIXm is relying on the basic transaction (defined in PIX), and maintaining two different tables can cause problems especially if they start to diverge. Conclusion: the Cmte agreed that the model used is fine for the ballot. The text used in PIXm just need to be fixed with more explicit references to the PIX Security and Audit Considerations section, and some updates to make explicit the new requirements introduced by PIXm.

BREAK : 10:45am – 11:15am 10:45am – 11:15am 4:45am - 5:15am
CPs - Working session Lynn 11:15am – 12:30am 5:15am - 6:30am 11:15am – 12:30am: CP working-groups

-XDS CPs: Elliot leads XDS CP work-group. Sylvie, Nader, Daniel, Mauro, Charles participated to the discussion. This group addressed the following CPs:

• CP-ITI-751-01 – Agree with proposed solution. Need to implement.

• CP-ITI-764 – Tentatively complete. Assigned to John for review, in the F2F CP-blitz “reassigned” directory

• CP-ITI-767 – This should be split into two CPs: a new one addressing homeCommunityId issues in CXi (I will submit), and the existing one with the editorial and example changes (which I will move to ready for ballot in the F2F directory).

• CP-ITI-799 – needs further review

• CP-ITI-880 – ready for ballot.

-Security CPs: Rob leads the group. Lynn, John, Rob, Gila participated to the discussion.

• CP-709 - Complete and updated version -03 uploaded

• CP-891 - Cancel. This CP duplicates changes already in the FHIR DSTU2 set of CPs.

• CP-902 - Review. The ISO doc reference coresponds to XADES (rob, massi, gila, manuel to review for any issues). Rob to write "these are equivalent" phrasing so that standards referenced can list both XADES and ISO, using "these are equivalent for medicine" words.

LUNCH 12:30pm – 1:30pm 6:30am - 7:30am
Redoc ITI-41 and ITI-42 Public comment resolution Karen 1:30pm - 3:00pm 7:30am - 9:00am 1:30pm - 3:00pm: Karen lead this session about Document Sharing Redoc PC resolution.

-The document produced affects Vol.2b: sections 3.41 3.42 , Vol.3 section 4.3.1, Vol.1 and Vol. 2x.

The Cmte resolved 2 open comments. Karen asks to agree on the approach to approve the Redocumentation for integration in Final Text. After a Cmte discussion, the following motion is moved by Karen Witting (Ready Computing):

• Karen will complete the document with minor editing related to comment resolved during this meeting.

• Karen and the team of XDS experts will integrate into the new version of the re-doc all the CPs already balloted and approved.

• Karen will submit to Mary the final version of vol.1 , vol.2b, vol.3, vol.2x just after the EU Connect-a-thon.

• New CPs / Assigned CPs that affects sections re-documented need to be re-drafted in accordance to the new version of the Final Text and will be integrated following the normal process for CP integration.

Mauro Zanardini (consorzio Arsenàl.IT) seconded the motion. Jose Costa Teixeira (equip-med) abstains. MOTION APPROVED.

Jose Costa Teixeria propose to move the discussion related to publication schedule and dependencies maintenance within profiles to the IHE Documentation Work-Group to grant that all domains have consistent approach. The Cmte evaluates that the topics have some overlap but they are not strictly related so the contribution to the Re-documentation work-group is not needed but encouraged by the Co-Chairs.

Karen Witting lead the discussion related to [ITI-61] On-demand Document Redoc.

-The document will be ready for public comment by the end of the week and affects Final Text Vol.2b section 3.61 and vol.1.

Gila Pike (Cognaissance) moves the following MOTION: • approve for PC the On-Demand Document re-documentation • This document will be sitting until the end of the next f2f. • ITI Tech will submit the document to Mary at the end of the next face to face as part of the regular public comment in June.

Mauro Zanardini (consorzio Arsenàl.IT), Silver Elliot (McKensson) seconded it. No abstension. MOTION APPROVED.

-The cmte started a discussion about CP-799 “Submission immutable”. The discussion will continue on Thursday afternoon.

ITI Planning Committee action item follow-up Planning co-chairs 3:00-3:30 9:00-9:30 - The ITI Planning Co-chairs provide some updates about ongoing activities in charge to the Planning Cmte:

-Wiki details review

  • To Do:
    • Patient Location Tracking by Ben
    • mACM by Karl
    • XCDR by David P
  • In Progress:
    • PIXm
  • Done:
    • Secure Retrieve

-Re-recording of webinars: Offline scheduling is planned for March / April timeframe;

-PowerPoint presentations:

  • XCDR PowerPoint presentation

-HPD National (USA) Extension work updates

-Weekly ITI PC co-chairs meetings for coordination

-Website updates


BREAK 3:30pm – 4:15pm 9:30am - 10:15am
APPC Volume 1 review Tarik 4:15pm – 5:45pm 10:15m - 11:45am Tarik leads this working session addressing Open Issues.
Wrap-up, homework, agenda updates Gila/Mauro 5:45pm – 6:00pm 11:45am - 12:00am Wrap-up:

Tarik asks for some homework: cmte members are asked to provide comments and review version 7 of the APPC profile. Comments are due before tomorrow noon.

Day 2, Tuesday, Feb 16, 2016.

Activity Leads Local Time (Western European Time) Central Time notes
CPs Lynn 9:30am – 10:30am 3:30am – 4:30am Participants:

Elliot Silver (McKesson),Gila Pike (Cognaissance), Christopher Melo (Philips), Daniel Berenzeanu (Ready Computing), John Stamm (EPIC)John Moherke (GE Healthcare) Raphael Oliveira, Duarte (Porto Univeristy), Nader Cheaib (Asìp Santè), Sylvie Colas (Asip Santè), Sensmeier Joyce (Himss), Mauro Zanardini (consorzio Arsenàl.IT), Jens Kristian Villadsen (Region Midtjylland), Lynn Felhofer (ITI Tech Manager), Rob Horn (AGFA Healthcare),Tarik Idris (ICW),Jose Costa Teixeira (equip-med), Veronica Galas (DCCH),Elliot Sloane (CHIRP).Laura Bright (),Lara Tramontan (consorzio Arsenàl.IT),Elliott Lavy (quadramed)

An in-coming CP submitted by John Stamm is assigned to Rob Horn (CP number: CP-916-00).

A CP submitted by Tarik and assigned (CP-917-00).

Discussion on the following CPs:

  • CP-808-01
  • CP-851-02
  • CP-853-00 this CP is assigned to Elliott Silver
BREAK : 10:30am – 11:00am 10:30am – 11:00am 4:30am - 5:00am
MHD FHIR DSTU2 John 11:00am – 12:30am 5:00am - 6:30am MHD John lead the discussion.

The main goal of the FHIR updates work-items is hit European connect-a-thon, having a doc ready for MHD PIX PDQm at the end of this week.

About MHD, some functionalities will be not fully covered in the version published at the end of this week (e.g. Associations). Having those functionalities covered in this first published document means that the Cmte will not be able to provide a document before the deadline for the European Connect-a-thon. The Cmte analyzed Open Issues and Questions, and started the reviewing of the MHD document

LUNCH 12:30pm – 1:30pm 6:30am - 7:30am
De-ID comment resolution Gila 1:30pm - 3:30pm 7:30am - 9:00am Gila lead PC resolution for De-id stuff.
BREAK 3:30pm – 4:15pm 9:30am - 10:15am
FHIR DSTU PIXm, PDQm, mACM, RESTful ATNA John 4:15pm – 5:45pm 10:15m - 11:45am FHIR DSTU2 Updates (PIXm, mACM, PDQm, RESTful ATNA): This session started with a discussion with PHARMACY co-chairs that ask for guidance on profiling FHIR standard. The full discussion was postponed to the JOINT meeting. In particular, Pharmacy asks ITI to lead the management of FHIR profiling, and formalize a mechanism to submit Requests to the ITI Tech group if needed.

After the starting discussion, John Moherke leaded the discussion about FHIR profiles. The analysis started form Appendix Z, and moves to PIXm, that seems ready for publication.

Wrap-up, homework, agenda updates Gila/Mauro 5:45pm – 6:00pm 11:45am - 12:00am Wrap-up:

John asks for a review on PIXm profile.

Day 3, Wednesday, Feb 17, 2016.

Activity Leads Local Time (Western European Time) Central Time notes
joint meeting ITI/PCC/QRPH/Pharma


  1. ITI/PCC/Pharmacy/QRPH Report-out
  2. QRPH: ATNA for RFD
  3. Pharmacy:Supply

We have a nice set of transaction to describe to you, and for you to give your opinion about:

  • Ordering and delivering medical products
  • Inventory Management
  • Barcode usage.
  1. Pharmacy: FHIR

We plan to start by creating a FHIR-based Administration profile: (The core Resource already exists in HL7 FHIR)

  • Client retrieves Administration Instructions from server
  • Client puts the Administration report on the server


  • Is there a FHIR profile template?
  • Do we make / do we need to make an generic access mechanism for FHIR data?
    • e.g. a new generic "ITI-FHIR100 - Submit resource to FHIR server" As equivalent to ITI-41 Provide and register document set to ebXML.
  • How do we handle "server pushes data to client"?
    • Should that be profiled by ITI? Or leave to everyone? Or is it already covered?
  1. Other items TBD
9:30am – 12:30am 3:30am – 6:30am [The minutes of the joint session can be found in the ftp site:]
LUNCH 12:30pm – 1:30pm 6:30am - 7:30am
APPC Volume 1 review Tarik 1:30pm - 3:30pm 7:30am - 9:30am Elliot Silver (McKesson), Gila Pike (Cognaissance), Daniel Berenzeanu (Ready Computing), John Moherke (GE Healthcare) Raphael Oliveira (Porto Univeristy), Nader Cheaib (Asìp Santè), Sylvie Colas (Asip Santè), Sensmeier Joyce (Himss), Mauro Zanardini (consorzio Arsenàl.IT), Jens Kristian Villadsen (Region Midtjylland), Lynn Felhofer (ITI Tech Manager), Rob Horn (AGFA Healthcare),Tarik Idris (ICW),Diana Warner (AHIMA), Anna Orlova (AHIMA), Harry Rhodes (AHIMA),Michelle Williamson Tone Southerland (Ready Computing),Karen Altell,Randal Leggett,Jacklyn Bays, Christina Lachance (OPA)Christina Fowler,Elliot Sloane (CHIRP)

APPC Tarik lead this session: goal of today is to review comments on use-cases.

All the use-cases drafted are analyzed and approved. An additional use-case, related to Patient management of the patient portal, will be added by Tarik by tomorrow.

Cmte would underline in the doc that mechanism to enforce access control decisions are out of scope. Appendix P is the place where all these topics belong. The Cmte would keep the scope of the profile limited in Consent creation and not address policies enforcement.

Mauro asks for the creation of a new section in vol.1 that describes at high level all the attrbiutes that can be used in APPC to create structured policies, this request is added as an open issue. Tarik is asked to add in Security Cons section how to manage the existence of two Policy Privacy domains.

The goal for the Cmte is to have a stable vol.1 by the end of this week, so that we can cast a semi-formal vote on the profile.

BREAK 3:30pm – 4:15pm 9:30am - 10:15am
De-ID Public Comment resolution Gila 4:15pm – 5:00pm 10:15m - 11:00am De-id Gila lead the discussion.

A series of bi-weekly tconf is scheduled to proceed on public comment resolution:

Starting form Wednesday March 9th at 11:30 -13:30 CT.

The Cmte starts the review of comments received.


By tomorrow, Tarik asks the Cmte to read APPC profile v9 and focus the attention on: Glossary, Concepts and Security Considerations sections. Those sections will be discussed tomorrow.

Day 4, Thursday, Feb 18, 2016.

Activity Leads Local Time (Western European Time) Central Time notes
Review of FHIR documents published during the night by John Gila / Mauro 9:30am – 10:00am 3:30am – 4:00am Participants Elliot Silver (McKesson),Gila Pike (Cognaissance),Daniel Berenzeanu (Ready Computing),John Moherke (GE Healthcare),Raphael Oliveira (Porto Univeristy),Nader Cheaib (Asìp Santè),Sylvie Colas (Asip Santè),Mauro Zanardini (consorzio Arsenàl.IT),Jens Kristian Villadsen (Region Midtjylland),Lynn Felhofer (ITI Tech Manager),Rob Horn (AGFA Healthcare),Tarik Idris (ICW),Elliott Lavy (quadramed),Diana Warner (AHIMA)Harry Rhodes (AHIMA)Bill Majuwrsky (NIST)Karen Witting (Ready Computing)Ben Levy (CorePoint Health),

FHIR DSTU2: discussion on the plan and on timeline for the publication of the new TI version of MHD, PIXm PDQm.

The cmte should take in consideration the following timeline:

  • Ready for ballot = X
  • Go out for ballot = X + 1 week
  • Return ballot =X + 4 weeks
  • Resolve ballot = X + 5 weeks
  • some days to have a cleaned version for publication (…6 weeks total for the entire process of re-publication).
FHIR DSTU PIXm, PDQm, mACM, RESTful ATNA John 10:00am – 10:45am 4:00am - 4:45am 10:25am - 11:15am PIXm: Daniel leads the presentation.

PIXm is revised by the Cmte. Elliot Silver move the motion to approve PIXm as ready for the ballot, John Moherke seconded it, no abstensions MOTION APPROVED

This version is available in the FTP site:

[ ]

BREAK : 10:45am – 11:15am 10:45am – 11:15am 4:45am - 5:15am
APPC Volume 1 review Tarik 11:15am – 12:30am 5:15am - 6:30am 11:15am- 12:30 Dicussion on APPC: Tarik Leads the discussion

Review of the glossary.

Review of the View option defined for the Content Consumer actor.

Concept still need some work but probably vol.3 stuff can affect this section. Suggestion give 45 minutes more to formalize issues and questions related to that section.

LUNCH 12:30pm – 1:30pm 6:30am - 7:30am
FHIR MHD updates John 1:30pm - 3:00pm 7:30am - 9:00am The Cmte reviews the document , some transactional documentation is moved from vol2 to Appendix Z due to their reusability.

-John move to approve MHD PDQm Appendix Z, Rob second it. Approved.

-14:30: Move to APPC to schedule tconf

A bi-weekly call is defined. That serie of calls, starts form 22th February for bi-weekfly call ( APPC 8:00-9:30 CT.)

AHIMA UPDATES AHIMA 3:00pm- 3:30pm 9:00am-9:30am

wiki page for ongoing AHIMA work.

-15:10 – APPC read new use-case. Tarik lead. The content of Security Considerations Secction.

BREAK 3:30pm – 4:15pm 9:30am - 10:15am
Targeted CP discussion
  • CP 799 (Submission Sets are Immutable) round-table, and other blitz CPs as unresolved
  • CP 533 (MU delete from Repository) - 15 min time-boxed discussion to get one of these outcomes
    • Yes, Bill should work on it and the committee won’t fight the forthcoming resolution
    • time-box expires, and Cancel the CP w/ rationale for cancellation
    • time-box expires, It’s a worthy work item, so someone makes a mini-profile proposal for work next cycle to be owned by someone who wants to own the item
  • Others tbd...
Karen, Elliot, Daniel, others 4:15pm – 5:45pm 10:15m - 11:45am -16:15 CP discussion
  • CP-553: Delete Doc from Repository. Bill asks the cmte to have a direction on this: decide to go forward or stop the work on it. The cmte decides to move forward on this topic.
  • CP-799: Bill submits a proposal to address the issue of patientId merge with MU and a new option (so that we are not invalidating “magic” implementations that already do the merge in legacy ways).

The CP is split by the Cmte in two CPs:

    • SubmissionSet clarification and removing the immutability concept --> COMPLETED
    • A second CP that defines the formal approach to manage the merge of Patient Ids using MU will be drafted later.

Both the Cps are in charge to Bill. The Cmte asks Bill to work on CP-799 with higher priority.

-17:30 - 18:00: ITI-41 , ITI-42 Re-documentation

The cmte refines the decision taken about ITI-41 ITI-2 re-documentation:

Vol 1, 2b , 2x, 3 will be published after EU Connect-a-thon. CPs already balloted at the end of the CAT will be not integrated at that time in the spec. Charles/Karen will define a message to sent out when the new version of TF will be published, underlining that technical requirements are unchanged at all.

Wrap-up, homework, agenda updates Gila/Mauro 5:45pm – 6:00pm 11:45am - 12:00am

Day 5, Friday, Feb 19, 2016.

Activity Leads Local Time (Western European Time) Central Time Meeting notes
Introductions, Agenda Review, APPC FINAL REVIEW Gila / Mauro 9:30am – 10:15am 3:30am – 4:15am


Elliott Silver (McKensson), Gila Pyke (Cognaissance), Daniel Berenzeanu (Ready Computing), John Stamm (EPIC) John Moehrke (GE Healthcare) Raphael Oliveira (Porto Univeristy), Nader Cheaib (Asìp Santè), Sylvie Colas (Asip Santè), Jens Kristian Villadsen (Region Midtjylland), Lynn Felhofer (ITI Tech Manager), Rob Horn (AGFA Healthcare), Tarik Idris (ICW), Charles Parisot (GE Healthcare), Diana Warner (AHIMA)

Meeting notes:

  • Tarik Idris reviewed the APPC concepts section and received feedback from the group.
  • Lynn offered to get final editorial comments to Tarik for volume 1
  • Meet on Monday to start standards selection.
CPs or other work items as needed
  • Summarize blitz results this week
  • Agree on what the contents of the Ballot 32 (FHIR Supp) CPs will look like
  • Determine when to ballot the 13 CPs targeted for Ballot 33 (ie Completed / non-FHIR CPs)
  • CP-ITI-767 - Does Lynn have the Completed version?
  • try a google spreadsheet for ballot comments??
    • with credit to Jens
  • Do we hold back on incoming/assigned processing to allow TC resources to be spent on Ballot 32/33 review, or ?
Lynn 10:15am – 10:45am 4:15am - 4:45am
BREAK : 10:45am – 11:15am 10:45am – 11:15am 4:45am - 5:15am
Schedule Teleconferences for Work Item Proposals and Final Discussions:
  1. Schedule teleconferences for work items until Public Comment face to face
    • APPC and De-ID are Done. What else do we need?
  2. Send Mary updates to the New Supplement Tracker
  3. CP Ballot stuff
    • Confirm content of common CP text
    • FHIR based profile CP 32 ballot timing:
      • Ballot distributed -
      • End of ballot -
      • Date of ballot review call(s) -
      • Time to update document based on contents -
      • time to publish reconciled document -
      • how do we publish reconciled document? -
    • Recommendation for Ballot 33 timing
    • Do we hold back on incoming/assigned processing to allow TC resources to be spent on Ballot 32/33 review, or ?
    • APPC, De-ID, Redoc dates to Mary
    • TI repub dates to Mary
  4. Guidance on RESTful ATNA wrt the EU2016 connectathon. 5. Documentation requirements
    • What process and audience needs must be supported by the new documentation tools and processes?
    • What tools have people used they would like to recommend?
  5. AOB?
Gila/Mauro 11:15am – 12:30am 5:15am - 6:30am

Will consider moving to in-line meeting notes for F2F discussions.

  1. Tcons a. Need a tcon for ballot reconciliation, schedule one in-line with the ballot scheduling. b. RESTful ATNA and mACM will continue on alternating Mondays starting Feb 29th
  2. Publication scheduling: a. APPC goes out for PC in June b. De-ID supplement goes out for TI in August c. De-ID whitepaper goes out for publication in September d. Redoc of 41/42, i.e. TF1, TF2b, TF2x and TF3 in April with a note e. Redoc of ITI-61 out for PC in June f. MHD, PIXm, PDQm, Appendix Z i. To Mary: The plans for the above are changing
    • April 15th to Mary, public at your leisure
    g. RESTful ATNA, mACM ??? i. To Mary: Need to talk to Mauro, but will try to go out for PC using the normal cycle and republish TIs in August during normal cycle ii. Gila to follow up with Carl about when/whether he can do mACM updates and mACM CPs or do we need to find someone else (and do you have a suggestion?)
    • mACM work starts on Feb 29th!
    h. Updated TIs based on CPs in August i. Lynn to give Gila a tentative list of TIs to be repub-ed in August, including mACM and RESTful ATNA i. Repub of all TFs 1-4 in September
  3. CP Ballot stuff
    • Confirm content of common CP text for ballot 32 - DONE
    • FHIR based profile CP 32 ballot timing:
      • Ballot distributed – Wednesday, February 24th
      • End of ballot – Tuesday, March 15th
      • Date of ballot review call(s) – MHD and Appendix Z on Thursday, March 17th 9-11CT and PIXm/PDQm on Friday, March 18th 9-11CT
      • Time to update document based on contents – 2 wks?
      • Time to publish reconciled document – Get it to Mary for April 15, publish at her leisure (aiming for May)
    • Recommendation for Ballot 33 timing
      • Ballot distributed – Monday, March 21st
      • End of ballot – Friday, April 22nd
    • Do we hold back on incoming/assigned processing to allow TC resources to be spent on Ballot 32/33 review or not?
      • Will try to keep it up, let Lynn know if it is too much
    4. What do we tell people at EU Cat 2016 about RESTful ATNA
    • EU2016 testing will be based on RESTful ATNA DSTU1 and mACM DSTU1 (using the TI published revision of RESTful ATNA with no alignment to DSTU2) but DSTU2 for MHD/PDQm/PIXm
    • Make the analysis of RESTful ATNA schema changes a priority for Feb 29th call?
    • Lynn will manage the outreach/announcements
    5. Documentation requirements and process
    • Development
      • Support use case description and diagrams
      • Support transactions / metadata / volume 4 separation
      • Support unique numbering of constraints and SHALL/should statements (traceability matrix)
      • Support unique tracking of OIDs, metadata, etc
      • Support more rapid publication
      • Support stable publication/maintenance
      • Support collaborative development
      • Support inter-linking, make navigation easier
      • Support epub or other format usable on a tablet/Support all platforms for consumption
      • Display cross-profile content and linkage across v2/v3/FHIR/CDA? E.g. “Show me all patient identity feed transaction variations across v2/v3/FHIR”
      • What do we do about supporting documents? (schema/table/test tool/annex/tutorial?)
      • What forms and uses should be supported by our “documents”
      • Computable constraints + narrative
      • Continuous integration
      • Keep being IHE – don’t lose our strengths and brand/distinction
      • Support “product manager” vs “implementer” views
    • Maintenance
      • Support ticketing of CP status
      • Make submitting CPs easier
      • Make tracking of CPs, and following up on CPs easier
      • Support formal governance across an international community (figure out governance approach!)
      • Track from observation of the issue to the resolution of the issue, to integrating it into the standard
LUNCH and Adjourn 12:30pm – 1:30pm 6:30am - 7:30am

Meeting adjourned at 1pm. (No objections)