Minutes Nov 2007 - Sep 2008

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October 3 2008 CP Processing

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Agenda Oct 3

See ITI Change Proposals - October 3, 2008.

Minutes Oct 3

See ITI Change Proposals - October 3, 2008.

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September 30 2008 RFD CP Processing

Logistics Sep 30 11:30-13:00

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Agenda Sep 30 11:30-13:00

See ITI Change Proposals - September 30, 2008.

Minutes Sep 30 11:30-13:00

See ITI Change Proposals - September 30, 2008.

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September 30 2008 Security Cookbook

Logistics Sep 30 8:00-9:00

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Agenda Sep 30 8:00-9:00

Review of the latest version of the Cookbook for preparing the IHE Profile Security Section and decision about publication

Minutes Sep 30 8:00-9:00

After review of the last updates to the white paper, the committee agrees to release the white paper for publication (10 votes "yes", 1 abstention).

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Attendees List Sep 30 8:00-9:00


Attendance: September 30, 2008
Attendees Sept 30
Robert Horn – AGFA P
George Cole - Allscripts P
Vassil Peytchev - Epic P
Jacques Fauquex P
John Moehrke - GE P
Manuel Metz - GIP-DMP P
Israel Samples – Greenway Medical Technologies P
Karen Witting - IBM P
Edwood Yiu - McKesson P
Geoffrey Pascoe - Philips P
Jim McInnis - Siemens P
Mick Talley - University Bank A
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

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September 22 2008 Cross-community white paper

Logistics Sep 22 13:00-14:00

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Agenda Sep 22 13:00-14:00

Review of the current version of the Cross-community white paper and decision about publication.

Minutes Sep 22 13:00-14:00

Reviewed IHE_ITI_TF_White_Paper_Cross_Community_2008-09-18.doc. Minor suggestions regarding desription of metadata coding and translation.

After review of the last updates to the white paper, the committee agrees to release the white paper for publication.

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Attendees List Sep 22 13:00-14:00


Attendance: September 22, 2008
Attendees Sept 22
Robert Horn – AGFA P
Vassil Peytchev - Epic P
John Moehrke - GE P
Manuel Metz - GIP-DMP P
Karen Witting - IBM P
Edwood Yiu - McKesson P
Teddy Bachour - Microsoft P
Bill Majurski - NIST P
Chris Melo - Philips P
Jim McInnis - Siemens P
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

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September 22 2008 Publication process

Logistics Sep 22 11:00-12:00

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Agenda Sep 22 11:00-12:00

Review of publication process

Minutes Sep 22 11:00-12:00

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September 12 2008 Metadata versioning white paper

Logistics Sep 12

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Agenda Sep 12

Decision on publication of the metadata versioning white paper

Minutes Sep 12

Review of the current version of the metadata versioning white paper.

The following updates have been decided:

  • The count of version should start at zero.
  • UpdateObjectRequest should be used.
  • An update of meta-data should be directly addressed to the registry and not go through the repository.
  • An open issue on view of deleted documents and undelete function will be added stating that it is not supported through IHE transactions.
  • Line numbers will be added to the documents.
  • The XDS Admin actor is not necessary, administration functions should be a name option for the Document Registry
  • A table summerazing the possible actions on meta-data and their result according to of the availability and the status of the document will be added.


The committee agrees to release the white paper for publication pending those updates and a final review through mail (6 "yes" votes, 2 abstentions).

Next version of the white paper will be circulated on september 17th, comments are due for september 23rd.

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Attendees List Sept 12

Attendance: September 12, 2008
Attendees Sept 12
John Moehrke - GE P
Manuel Metz - GIP-DMP P
Karen Witting - IBM P
Edwood Yiu - McKesson P
Teddy Bachour – Microsoft P
Bill Majurski - NIST P
Geoffrey Pascoe - Philips P
Jim McInnis - Siemens P
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

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September 5 2008 Cross-community white paper

Logistics Sep 5

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Agenda Sep 5

Review of the latest version of the cross-community white paper

Minutes Sep 5

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September 3 2008 CP processing

Logistics Sep 3 9:00-10:00

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Agenda Sep 3 9:00-10:00

See ITI Change Proposals - September 3, 2008.

Minutes Sep 3 9:00-10:00

See ITI Change Proposals - September 3, 2008.

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September 3 2008 Security Cookbook

Logistics Sep 3 7:00-9:00

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Agenda Sep 3 7:00-9:00

Review of the latest version of the security cookbook

Minutes Sep 3 7:00-9:00

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September 2 Metadata versioning white paper

Logistics Sep 2

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Agenda Sep 2

Review of the latest version of the metadata versioning white paper

Minutes Sep 2

Due to misunderstandings in scheduling, this meeting has been cancelled.

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August 22 2008 Template for XDS Affinity Domain deployement planning

Logistics Aug 22

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Agenda Aug 22

Decision on publication of the template for XDS Affinity Domain deployment planning

Minutes Aug 22

Review of the current version.

The issue of the term business actor have been doscussed during the call. For lack of a better term, business actor will still be used in the template.

  • Motion: To release the template for XDS Affinity Domain deployment planning as a white paper.
  • Motion approved.


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Attendees List Aug 22

Attendance: August 22, 2008
Attendees Aug 22
Robert Horn – AGFA P
Vassil Peytchev - Epic A
John Moehrke - GE A
Manuel Metz - GIP-DMP P
Sarah Knoop - IBM P
David Heaney - McKesson P
Edwood Yiu - McKesson P
Bill Majustki - NIST A
Geoffrey Pascoe - Philips P
Jim McInnis - Siemens A
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

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August 19 2008 CP processing

Logistics Aug 19

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Agenda Aug 19

See ITI Change Proposals - August 19, 2008.

Minutes Aug 19

See ITI Change Proposals - August 19, 2008.

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August 18 2008 Template for XDS Affinity Domain deployement planning

Logistics Aug 18

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Agenda Aug 18

Decision on publication of the template for XDS Affinity Domain deployment planning

Minutes Aug 18

Comments on the current version of the template.

Concerned has been voiced about the name Business actor and the table as possibly being misleading to the readers who might believe that such association of profile in a single product are mandatory. A better suited name should be used.

Changes have been made in session in the security section about specificity of national regulations and balance between patient privacy versus employee privacy.


Due to lack of quorum, the decision whether to publish the document has been postponed to a further T-con on the topic planned on friday august 22th from 11 a.m. to 1 p.m.

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Attendees List Aug 18

Attendance: August 18, 2008
Attendees Aug 18
Robert Horn – AGFA P
Vassil Peytchev – Epic Systems P
Mark Sinke - Forcare A
John Moehrke – GE Medical Systems IT P
Manuel Metz - GIP-DMP P
David Heaney - McKesson P
Edwood Yui - McKesson P
Teddy Bachour – Microsoft A
James McInnis – Siemens P
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

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August 15 2008 Publication process

Logistics Aug 15

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Agenda Aug 15

Review of publication process:

Due to release 8/25

  • XDR
  • DSG
  • NAV

Due to be integrated into TF V5.0

  • BPPC
  • XDM
  • XDS Stored Query
  • XUA
  • Appendix V

Due to be released 9/29

  • RFD
  • TF Vol. 1
  • TF Vol. 2

Minutes Aug 15

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August 6 2008 Cross-Community white paper

Logistics Aug 6 11:00-13:00

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Agenda Aug 6 11:00-13:00

Review of the latest version of the cross-community white paper

Minutes Aug 6 11:00-13:00

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August 6 2008 ITI and LAB domain coordination

Logistics Aug 6 10:00-11:00

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Agenda Aug 6 10:00-11:00

Discussion of overlap of the ITI SVS profile and the LAB Code Set distribution profile.

Minutes Aug 6 10:00-11:00

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August 4 2008 CP processing

Logistics Aug 4

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Agenda Aug 4

See ITI Change Proposals - August 4, 2008.

Minutes Aug 4

See ITI Change Proposals - August 4, 2008.

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August 1 2008 SVS and DRR supplements

Logistics Aug 1

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Agenda Aug 1

Review of revised version of SVS and DRR supplements.

Minutes Aug 1

  • SVS
    • Update document at IHE_ITI_TF_Supplement_Sharing_Value_Sets_PC_2008-01-08-response to comments.doc. Detailed responses in Response to comments_2008-01-08.xls
    • Reviewed updated document, made several changes based on discussion of comments.
    • Motion to release SVS profile for Trial Implementation publication pending:
      • Check of Figures and Table numbers in Volume 1 are correct
      • Removes notes to the editor
      • Fix fonts of schema elements to be courer font
      • WSDL & schema updates to be consistent to changes made to the document during the discussion
    • Motion approved by all on the call
  • DRR
    • Updated document at IHE-ITI-supplement-rr-19.doc
    • Reviewed updated document and discussed comments.
      • Add open issue regarding specification of XDSFolder.codeList
      • Note that Karen's editorial comments were accidentally missed
      • Agreed to create a new section 3.50.5 to describe the response message
    • Motion to release DRR profile for Trial Implementation publication pending:
      • Integration of Karen's comments and new section 3.50.5
    • Motion apporoved by all on the call

Attendees List Aug 1

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Attendance: August 1, 2008
Attendees Aug 1
Robert Horn – AGFA P
George Cole - Allscripts P
Vassil Peytchev – Epic Systems P
John Moehrke – GE Medical Systems IT A
Ana Estelrich – GIP-DMP P
Francois Macary - GMSIH A
Sarah Knoop - IBM P
Karen Witting - IBM P
Edwood Yui - McKesson P
Teddy Bachour – Microsoft A
Steve Moore - MIR P
Bill Majurski – NIST P
Chris Melo – Philips Healthcare P
James McInnis – Siemens A
Umberto Cappellini – Tiani Spirit A
LaVerne Palmer - HIMSS Staff P

X in person, P on phone, A - Abstain

July 21-25 2008 Face to Face meeting

GOAL: Review Public Comment Feedback and Prepare Trial Implementations

Logistics Jul 21-25

Location
RSNA Headquarters
820 Jorie Boulevard Oak Brook, IL 60523

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790 Jorie Boulevard Oak Brook, IL 60523
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Special Rate: RSNA $145 "subject to availability"

Agenda Jul 21-25

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.

July 21st, Monday: 9:00 a.m. to 5:30 p.m.
08:30 (.5)  Continental Breakfast
09:00 (.5)  Agenda and Introduction - Karen Witting / Manuel Metz
09:30 (1.5) Asynchronous XDS.b part A- Teddy Bachour
11:00 (1)   Publish / Subscribe white paper part A - Vassil Peytchev
12:00 (.8)  Lunch
12:50 (2)   Sharing of Value Sets part A - Ana Estelrich
02:50 (.2)  Break
03:00 (1.5) CP processing - Karen Witting
04:30 (1.0) Pediatric Demographics Option part A - Alean Kirnak
05:30       Adjourn
July 22nd, Tuesday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (2)   Referral Request part A - Rob Horn
10:30 (1)   Preparation for moving to final text: XDS.b, Registry stored query, WS Appendix, XDM
11:30 (.5)  Preparation for moving to final text: XUA, BPPC and decision about XUA white paper
12:00 (.8)  Lunch
12:50 (1)   Preparation for moving to final text: XDS-SD - Sarah Knoop
01:50 (.5)  Editorial process for final text publication - Karen Witting
02:20 (1)   HIE security and privacy white paper - John Moehrke
03:20 (.2)  Break
03:30 (1)   Template for XDS Affinity Domain Deployment Planning - David Heaney
04:30 (1)   ECON white paper - Larry Williams
05:30       Adjourn
July 23rd, Wednesday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (2)   Sharing of Value Sets part B - Ana Estelrich
10:30 (1.5) Meta-data white papers - Bill Majurski
12:00 (.8)  Lunch
12:50 (.5)  Pediatric Demographics Option part B - Alean Kirnak
01:20 (1)   Publish / Subscribe white paper part B - Vassil Peytchev
02:20 (1)   Asynchronous XDS.b part B - Teddy Bachour
03:20 (.2)  Break
03:30 (2)   Joint meeting with PCC and QRPH domains
             - (.4) 2008-2009 face to face meeting schedule
             - (.4) update on the public comments on profiles of interest for the other domains
             - (.4) review of comments on IHE-LAB technical framework vol 3
             - (.4) discussion of the PCC Medical Home white paper
             - (.4) presentation of consistency issues between works of the 3 committees
05:30       Adjourn
July 24th, Thursday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (1)   Referral Request part B - Rob Horn
09:30 (2.5) CP processing - Karen Witting
12:00 (.8)  Lunch
12:50 (1)   Preparation for moving to final text: XDS-SD - Sarah Knoop
01:50 (.5)  Pediatric Demographics Option part C - Alean Kirnak
02:20 (1)   Cookbook for security section - Manuel Metz
03:20 (.2)  Break
03:30 (1)   Asynchronous XDS.b part C - Teddy Bachour
04:30 (1)   Publish / Subscribe white paper part C - Vassil Peytchev
05:30       Adjourn
July 25th, Friday: 8:30 a.m. to 1:00 p.m.
08:00 (.5)  Continental Breakfast
08:30 (1)   Sharing of Value Sets part C - Ana Estelrich
09:30 (1)   Referral Request part C - Rob Horn
10:30 (1.5) Followup planning (tcons, publishing schedule) - Karen Witting / Manuel Metz
            Other topics as assigned:
               - documentation of dependencies - Lynn Felhofer
               - discussion about TI and evolution - TBD
               - support material and INRIA forge - TBD
               - coding scheme for XDSDocumentEntry.formatCode - TBD
               - vote on XDS affinity domain white paper pending security impact - TBD
               - Cross-Community White paper republish - Karen Witting
12:00 (.8)  Lunch
01:00       Adjourn

Minutes Jul 21-25

July 21st, Monday

Introductions, Agenda

Introduction and information about the switch of ITI tech mailing list from rsna.org to googlegroups.com

Asynchronous XDS.b 07/21

Review of the public comments

The publishing planning of supplement and final text will lead to possible inconsistencies between XDS.b (to be published in october) and asynchronous XDS.b (to be published in august). To avoid inconsistencies, the asynchronous XDS.b supplement will be published first in august and an update of that supplement will be republished in october integrating possible changes due to final text publication of XDS.b

Publish / Subscribe white paper 07/21

Review of the public comments from:
- IBM
- Philips
- Forcare

On the comments on security, it has been decided to do a first pass on the risk assessment for publish / subscribe during the week.

Sharing of value sets 07/21

Review of the public comments from AGFA and MIR See RSNA forum

CPs processing 07/21

See ITI Change Proposals 2008 - July 21, 2008

Pediatric Demographics Option 07/21

Review of public comments See RSNA forum

July 22nd, Tuesday

Referral Request 07/22

Review of public comments See RSNA forum

Discussed Media Referal Request, agree to remove it as a separate integration profile and integrate the concepts into the content profile.

Supplements to move to final text

The committee agreed to move the following supplement to final text:

  • Appendix V on Web Services
  • Registry Stored Query
  • XDM
  • XUA
  • BPPC

Decision about XDS.b has been differed until further discussion on CPs has taken place.

It has been decided to move the XUA white paper to an archive part of ihe.net with teh following notice: These documents are available as archive as early thinking on the subjects addressed. They are not maintained but are made available to understand the process of though that led to the existing profile. Please refer to the corresponding profiles for further details.

Discussion of publication process, details are on 2008_Publication_Schedule. Agreed that for the supplements moving to final text, editors shall notify other supplement owners of text that shall be integrated into another supplement. This primarly effects BPPC which includes edits for other profiles within that supplement.

Also agreed that we should publish updated documents with tracking of the changes, as well as an untracked version.

HIE security and privacy white paper

Review of the current version

The committee agrees on publishing the white paper pending some minor editorial updates requested in session.

Template for XDS Affinity Domain Deployment Planning

Review of current draft

It has been adviced to look up the table of business actors in HITSP documentation to update the white paper.

The decision of publishing the white paper has been defered to friday 25th when possible security issues will be discussed.

ECON white paper

There has been no comment requiring action on the published ECON white paper. The white paper will be published without further update.

July 23rd, Wednesday

Sharing of value sets 07/23

Review of public comments

Meta-data update white paper

Review of meta-data update white paper

Some vendors have express interest in using this white paper for exploratory testing during next connectathon.

The white paper will be updated in the coming weeks based on the comments received in session about readability of the white paper. It then will be circulated to the committee. Decision of publication has been defered to a tcon scheduled for September.

Pediatric Demographics Option 07/23

Review of public comments See RSNA Forum

Asynchronous XDS.b 07/23

Review of the updated supplement

Publish / Subscribe white paper 07/23

Review of the revised white paper

Joint session with PCC and QRPH 07/23
  • Definition of 2008-2009 face to face meeting schedule
    • November 18th - 19th
    • January 26th - 29th
    • May 4th - 8th
    • July 13th - 17th


  • Review of comments on IHE-LAB technical framework vol 3
    • The title of vol 3 shouldn't be transactions and content. Title of this volume will be addressed during co-chair call of august 5th.
    • Hitsp is choosing vocabulary for classcode, typecode --> see cp 32 in PCC for meta-data.
    • Co-chairs of Lab and ITI should see the possible overlap between SVS and Code set distribution. This will be done during a T-con on august 6th.
    • Format code scheme TBD


  • Update on the public comments on profiles of interest for the other domains

Presentation of the few evolutions of the profiles due to public comments.

  • Discussion of the PCC Medical Home white paper

current status was presented (see PCC minutes for detail).

  • Consistency issues between works of the 3 committees

Presentation of the consistency issues.

July 24th, Thursday

Referral Request 07/24

Review of current version of the supplement
Agreed to reorganize the profile again to be only one integration profile. The content profile was found to be unnecessary.

CP processing

See ITI Change Proposals 2008 - July 24, 2008

Discussion about moving XDS.b to final text

After discussion of CPs, the following motion has been put to vote:
"Motion to move XDS.b to final text with mention in the text that there is a pending CP #267 that will modify part of the profile when resolved"
The result vote:

  • Agreed: 1
  • Opposed: 8
  • Abstain: 3


The motion has been rejected.

An alternate motion has been put to votes: "Keep XDS.b in trial implementation, resolve CP #267 within 2 weeks and submit CP #267 in the next CP ballot to be issued beginning of august. If the CP is accepted, it will be integrated in the new publication of the XDS.b supplement for trial implementation. If the CP is rejected, the issue of CP #267 will be noted in the open issues."
The result vote:

  • Agreed: 10
  • Opposed: 0
  • Abstain: 2


The motion has been approved.

Discussion about moving XDS-SD to final text

Review of the revised supplement.

The committee agrees on moving the supplement to final text pending some minor editorial updates requested in session.

Pediatric Demographics Option 07/24

Review of the revised supplement.

After publication of the technical framework, the editor of this supplement will review the update of the framework and assess whether there is a need to revise this supplement according to the updates of the technical framework.

The committee agrees on publishing the supplement pending editorial updates requested in session approved by Lynn's consistency check.

Cookbook for security section 07/24

Review of the current draft.

Considering that the cookbook is an internal tool used only for profile writting and not for implementation, it will be published in November.

A new version of the cookbook revised with updates requested in session will be circulated end of august. A T-con will be organized beginning of september for improving of the english.

Asynchronous XDS.b 07/24

review of the revised supplement.

The committee agrees on publishing the supplement pending some minor editorial updates requested in session.

Publish / Subscribe white paper 07/24

Review of the revised white paper.

The committee agrees on publishing the white paper pending editorial updates requested in session.

July 25th, Friday

Sharing Value Sets 07/25

Review of the revised supplement.

A new version of the supplement will be provided by tuesday july 29th. The decision whether the supplement should be published will be taken during T-con on friday august 1st.

Referral Request 07/25

Review of the revised supplement.

A new version of the supplement will be provided by tuesday july 29th. The decision whether the supplement should be published will be taken during T-con on friday august 1st.

Planning of T-Con

See the ITI Technical committee agenda

INRIA Forge

Instructions for using the INRIA forge (a.k.a. I-Forge) will be sent to the editors.

Bill and Vassil will provide guidance to profile editors as to how to use the I-forge.

documentation of dependencies

Review of the dependencies table in the current trechnical framework.

Based on the comments recieved during the face to face, Lynn will file a CP on the topic.

Attendees List Jul 21-25

Attendance: July 21-25, 2008
Attendees Jul 21-25
Robert Horn – AGFA X
George Cole - Allscripts A
Lori Fourquet – E-Healthsign X
Vassil Peytchev – Epic Systems X
Mark Sinke – Forcare B.V. X
John Moehrke – GE Medical Systems IT X
Charles Parisot – GE Medical Systems IT X
Ana Estelrich – GIP-DMP X
Charles Rica – GIP-DMP P
Manuel Metz – GIP-DMP X
Israel Samples - Greenway Medical Technologies X
Karen Witting – IBM X
Sarah Knoop - IBM X
Sondra Renly - IBM P
Edwood Yiu - McKesson X
Teddy Bachour – Microsoft X
Lynn Felhofer - MIR X
Bill Majurski – NIST X
Geoff Pascoe – Philips Healthcare X
Lawrence Williams – Roadside Telematics Corporation P
James McInnis – Siemens X
Alean Kirnak – Software Partners X
David Shields – Software Partners P
Didi Davis – HIMSS Staff X
LaVerne Palmer - HIMSS Staff X
Lisa Spellman – HIMSS Staff X

X in person, P on phone, A Absentee Ballot

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July 7 2008 XCA/RFD CPs processing

Logistics July 7

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Agenda July 7

See ITI Change Proposals 2008 - July 7, 2008

Minutes July 7

See ITI Change Proposals 2008 - July 7, 2008

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June 16 2008 CPs processing - prepare for ballot

Logistics June 16

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Agenda June 16

See ITI Change Proposals 2008 - June 16, 2008

Minutes June 16

See ITI Change Proposals 2008 - June 16, 2008

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June 9 2008 XD*/ATNA CPs processing

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Agenda June 9

See ITI Change Proposals 2008 - June 9, 2008

Minutes June 9

See ITI Change Proposals 2008 - June 9, 2008

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June 6 2008 PIX/PDQ/PAM/DSG CPs processing

Logistics June 6

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Agenda June 6

See ITI Change Proposals 2008 - June 6, 2008

Minutes June 6

See ITI Change Proposals 2008 - June 6, 2008

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June 3 2008 XD* CPs processing

Logistics June 3

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Agenda June 3

See ITI Change Proposals 2008 - June 3, 2008

Minutes June 3

See ITI Change Proposals 2008 - June 3, 2008

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June 2 2008 Incoming CPs processing

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Agenda June 2

See ITI Change Proposals 2008 - June 2, 2008

Minutes June 2

See ITI Change Proposals 2008 - June 2, 2008

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May 29 2008 ATNA CPs processing

Logistics May 29

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Agenda May 29

ITI Change Proposals 2008 - May 29, 2008

Minutes May 29

ITI Change Proposals 2008 - May 29, 2008

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May 28 2008 Review of application of template to BPPC and XDS-SD supplement

Logistics May 28 15:30-16:30

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Agenda May 28 15:30-16:30

Harmonization of template used for content related profile in the ITI technical framework.

Minutes May 28 15:30-16:30

  • Reviewed CP-ITI-273-04.doc, discussed editorial changes as advised by Sarah
  • Reviewed latest draft of XDS-SD Update, discussed minor changes since f2f draft.


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May 28 2008 XD* CPs processing

Logistics May 28 12:00-14:00

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Agenda May 28 12:00-14:00

See ITI Change Proposals 2008 - May 28, 2008

Minutes May 28 12:00-14:00

See ITI Change Proposals 2008 - May 28, 2008

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May 19-23 2008 Face to Face meeting

GOAL: Prepare Supplements for Public Comment

  • Release for public comment by 5/30
    • New Profiles
      • Sharing of Value Sets
      • Referral Requests
      • Pediatric Demographics Option
      • Aynchronous XDS.b
    • Updated Profiles
      • XDS-SD Update
    • White Papers
      • Publish/subscribe white paper
      • ECON white paper
  • Prepare high priority CPs for 2008
  • Plan June Webinar series for ITI


Logistics May 19-23

Location
RSNA Headquarters
820 Jorie Boulevard Oak Brook, IL 60523

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Nearest Hotel
Marriott Residence Inn
790 Jorie Boulevard Oak Brook, IL 60523
Ph 630-571-1200
Special Rate: RSNA $145 "subject to availability"

Agenda May 19-23

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.

May 19th, Monday: 9:00 a.m. to 5:30 p.m.
08:30 (.5)  Continental Breakfast
09:00 (.5)  Introduction, Agenda, Governance - Karen Witting / Manuel Metz
09:30 (2)   Sharing of Value Sets part A - Ana Estelrich
11:30 (.5)  Planning of webinar / conference speaker for June - Karen Witting / Manuel Metz
12:00 (.8)  Lunch
12:50 (2)   Referral Request part A - Rob Horn
02:50 (.2)  Break
03:00 (1)   Pediatric Demographics Option part A- Alean Kirnak
04:00 (1.5) Asynchronous XDS.b part A - Teddy Bachour
05:30       Adjourn
May 20th, Tuesday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (1)   Publish / Subscribe White Paper part A - Vassil Peytchev
09:30 (1.5) CP Processing - Karen Witting
11:00 (1)   ECON White Paper part A - Larry Williams
12:00 (.8)  Lunch
12:50 (1)   XDS-SD Part A - Sarah Knoop
01:50 (1.5) Update of meta-data and merge/link - Bill Majurski
03:20 (.2)  Break
03:30 (2)   Joint meeting with PCC and QRPH domains
              - (.4) Publish / Subscribe White Paper - Vassil Peytchev
              - (.4) Referrals Request - Rob Horn
              - (.4) Care Management - Keith Boone
              - (.4) Structured Value Sets - Floyd Eisenberg
              - (.2) XDS-SD - Sarah Knoop
              - (.2) Management of support material - Vassil Peytchev and Bill Majurski                
05:30       Adjourn
May 21st, Wednesday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (2)   Sharing of Value Sets part B - Ana Estelrich
10:30 (1.5) Asynchronous XDS.b part B - Teddy Bachour
12:00 (.8)  Lunch
12:50 (2)   Referral Request part B - Rob Horn
02:50 (.5)  XDS-SD part B - Sarah Knoop
03:20 (.2)  Break
03:30 (1)   Publish / Subscribe part B - Vassil Peytchev
04:30 (1)   Pediatric Demographics Option part B - Alean Kirnak
05:30       Adjourn
May 22nd, Thursday: 8:30 a.m. to 5:30 p.m.
08:00 (.5)  Continental Breakfast
08:30 (2.5) CP processing - Karen Witting
11:00 (1)   Request for extra time:
              - Asynchronous XDS.b - Teddy Bachour
              - Implementation guide - Bill Majurski
              - Decision on move of XDS-SD to final text - Sarah Knoop
12:00 (.8)  Lunch
12:50 (1)   Publish / Subscribe White Paper part C - Vassil Peytchev
01:50 (0.5) Pediatric Demographics Option part C - Alean Kirnak
02:20 (1)   DSG / NAV - Rob Horn
03:20 (.2)  Break
03:30 (1)   Asynchronous XDS.b part C - Teddy Bachour
04:30 (1)   ECON White Paper part B - Larry Williams
05:30       Adjourn
May 23rd, Friday: 8:30 a.m. to 1:00 p.m.
08:00 (.5)  Continental Breakfast
08:30 (1)   Sharing of Value Sets part C - Ana Estelrich
09:30 (1)   Referral Request part C - Rob Horn
10:30 (.75) Planning of T-cons and of version 5.0 release of the technical framework
11:15 (.75) Planning committee subjects
              - Web Services glossy - Charles Parisot
              - HIE Security and Privacy with IHE white paper - John Moehrke
              - Impact of national programs use of IHE profiles - Charles Parisot
              - Input from the technical committee on the calendar for the start of the next cycle - Charles Parisot
12:00 (1)   Lunch
01:00       Adjourn

Minutes May 19-23

May 19th, Monday

Introductions, Agenda, Governance

Review of ITI technical committee Proposed Voting procedures

A two week period having been deemed too short. Decision was taken to keep a 4 week period for email ballot.

When quorum was achieved later in the day, between sessions, a vote was taken on adoption of the changes to the voting procedures. The vote was all in favor.

Sharing of Value Sets 05/19

Reviewed presentation of changes at SVS_May19_2008.ppt

Reviewed wiki notes at Sharing of Value Set - Discussion

Reviewed sections of latest version of the document a IHE_Supp_ITI_Sharing-Value-Sets_may_19_2008.doc

Issues discussed:

  • Is a Registry needed? Use cases being addressed do not hightlight this need. Concern with the time needed to identify a standard given the late timeframe. Recommend leaving as open issue but not developing a registry for public comment version.
  • Security Section was reviewed. Needs more detailed review.
  • Open issues were reviewed. Refinement of issues needed.
  • Close issues reviewed.
  • Notes from French discussion reviewed.
  • Reviewed Volume 1 - fix transaction #s and standards referenced needs updates
Webinar planning

Review of the planning of webinar

The committee estimates that day long webinars might be too long for a person to concentrate for that long. This point will be brought to the domain coordination committee along with a proposal to record the webinars to allow replay for people who missed the call and questions through a mailing list.

Identification of speakers. Availability of speakers and dates will be discussed with the speakers over e-mail.

Support material

Report on domain coordonitaion committee discussion about support material and how to handle them.

The ITI technical committee is concerned that naming of that section as "implementation" could mislead implementors to believe that source would be available there.

Review of the issue that everything needed should be included in the technical framework. Presentation of the way it has been done for XCA.

Referral Request 05/19

Review of the current draft

Decision to provide the profile for public comment with HL7 V2.5 and point out in the issue section that this is the direction that was chosen over HL7 V3 over WS.

Referral Request will be presented as two profiles:

  • Media Referral: profile using XDM;
  • Shared Document Referral: profile using XDS with two options:
    • Paper Slip option (the referral being conveied by paper),
    • Online option (the referral request being conveied by HL7).


For Shared Document Referral, the paper slip option could be mandatory to provide a good evolution path.

For the paper slip option, piece of paper will be printed in OCR-a (a font defined for maximum readability by scanners and recognition through OCR), and may use barcode.

Pediatric Demographics Option 05/19

Review of the current draft

Birth Order, Last Update Date/Time and Last Update Facility have been handled differently in HL7 v2 and v3 due to the specification of the RMIM which doesn't support query on those attributes.
Three options:

  • Revisit HL7 v3 RMIM;
  • Drop some field from V2 requirement for consistancy;
  • Slightly different solutions appriopriate to different technologies.

An open issue will be presented in the profile with the 3 options possible explaining that right now the profile will have slightly different solutions while actions will be taken to ask a revision of HL7 RMIM.

Asynchronous XDS.b 05/19

Review of the current draft

For XCA the support of asynchronous XDS.b (as well as synchronous XDS.b) will be mandatory. A synchronous request mandates synchronous reply (between a consumer and an initiating gateway for instance) but how the request is handled downstream (between an initiating gateway and a responding gateway for instance) isn't constrained.

Discussion about adding asynchrounous as a new transaction or an option on existing transactions. Agreed that an option on existing transactions seems to be the best direction at this point. Discussion of what the name of the option should be, agreed to Asynchronous Web Services Exchange.

Discussed future of XDR. Consensus was:

  1. Remove the XDS.a based SMTP offline transaction from XDR. This leaves only the XDS.b Provide and Register transaction (online) in XDR.
  2. Request that Emmanuel write a proposal to add an option to XDM to support reliable transport of the ZIP over email option. Committee suggests using return receipt as a way of acknowledging receipt.

May 20th, Tuesday

Publish / Subscribe white paper 05/20

Review of the current draft.

Discussion about the grouping of the notification broker with the registry. The grouping may acceptable within the scope of the white paper, but it shouldn't be identified as the only possibility. The white paper should explain it is one implementation among others.
Discussion about using the stored query transaction as the filter for the topic: the semantic of the subscription should match the semantic of the query.

  • Query for documents:
    • possible filter attributes: classCode, practiceSettingCode, healthCareFacilityTypeCode, EventCodeList, confidentialityCode, formatCode;
    • creationTimeFrom and CreationTimeTo would not be relevant since the subscription message already handles the notion of time;
    • status would not be relevant since all documents returned will have an 'Approved' status.
  • Query for submission sets:
    • discussion about the relevance of using submission set (right now the only way to get notification by authorPerson and sourceId).


Discussion about using X-path vs stored query for subsciption filter. For performance reason, using stored query might be better since registries have already the stored query structure and won't require much work. X-path is more flexible, however its implementation is slower. The white paper will use the stored query and presents the issue in the open issues.

CP processing 05/20

See May 20-22 CP Minutes .

ECON 05/20

Reviewed ECON May 20 2008.doc.

Changing organization of paper to scope by the goals given the timeframe. Reviewed diagram, suggested revisement to focus on the scope of the paper.

XDS-SD 05/20

Review of the current work

Issues to be discussed during the joint meeting with PCC and QRPH:

  • ITI should specify the possible format codes.
  • Where the final documentation live? There will be duplication, which one is the reference? For the short term it will be published in a word document.

Discussion about how referencing the section number in a cross-committee environment. This issue will be addressed after public comments.

Update of meta-data and merge/link

Review and discussion of the paper on meta-data updates.
The document will be updated with topics discussed and a new version will be provided for discussion during the July Face to face. A version of the paper should be published as new direction for public comments in August.

Review and discussion of a proposal for managing unlink.
The discussion will be carried on in a mail thread including interested people.

Joint Meeting with PCC and QRPH 05/20

Referral Request
Presentation of the use cases addressed and presentation of the current draft.
Discussion about the format of the referral document considering the fact that the profile addresses cross-enterprise referral.

Publish / Subscribe
Presentation of the current draft.

Care Management
Review of the current Care Management Transactions and actors.
Discussion on the use of publish / subscribe within the scope of Care Management.

Structured Value Sets
Review of the current value set Issues
Discussion about use of structured value set for Care Management. Value set would not be a set of rules but data that can be used in the rules.

XDS-SD
Review of the current harmonization work for XDS-SD volume 1 and volume 2.
Discussion about use of scanned document as medical document. Work on the topic is being done within PCC domaine.
Discussion about where should the work be placed and who should own it.
Review of the current harmonization work for XDS-Lab.

Management of support material
Presentation of the strategy for management of machine processable support material, the possibility to use the source control system on INRIA's server for management of versioning along with extraction of the version wanted for upload to the IHE ftp.
Presentation of the FTP organization used by ITI.
Discussion about possibility to use the same mechanisms for examples used in showcases.
History of the discussion can be found in the support material versioning - discussion wiki page.

May 21st, Wednesday

Sharing of Value Sets 05/21

Comments on the current draft.

It is suggested that the glossary should be trimmed down but the definitions taken out of the profile should be kept (on the wiki for instance) for further development of the profile.

Discussion about the version attribute:

  • Version attribute must be present for each value set stored in the repository.
  • Version is optional in the retrieve request. If no version is provided in the retrieve request, the latest version will be returned.
  • Version will always be included in the retrieve respond.


Alternative wording for the security section will be worked on by a subgroup and provided thursday for integration in the supplement.

Asynchronous XDS.b 05/21

Comments on the current draft

Referral Request 05/21

Comments on the current draft.
Decision to rename Direct Referral Request to Shared Documents Referral Request.

XDS-SD 05/21

Comments on the current draft.

The numbering of the section will be updated to conform to the ITI TF.
The litterary description of the option will be replaced by a reference to the relevant sections in PCC TF.

Discussion has uncovered the need to update/suppress appendix L of ITI TF Vol 2.

Publish / Subscribe white paper 05/21

Comments on the current draft.

Pediatric Demographics Option 05/21

Comments on current draft.
Discussion about relations between ITI and HITSP on the topic.
Discussion about Pediatric Demographics Option for the consumer. In the supplement for public comment, the option will be removed for the consumer and the possible directions discussed by the committee will be presented in the open issues.

May 22nd, Thursday

CP processing 05/22

See May 20-22 CP Minutes .

Implementation guide

Review of the implementation guide part of the wiki.

The committee agrees on the format and content of the implementation guide and efforts will continue on the topic to complete and updates the guides.

XDS-SD 05/22

Review of the current draft.

The supplement has been unanimously accepted for publication for public comment pending few editorial updates which will be validated during the May 28th T-con.

Publish / Subscribe white paper 05/22

Review ot the current draft.

Discussion about risks of modification of subscription. An open issue will be written to explain that no risk assessment has been done yet for publish / subscribe. A risk assessment will be done when a profile is derived from the white paper.
Discussion about limitation of subscription modification to the renewal of subscription. It has been chosen in the white paper not to address modification other than renewal, any other modification will be handled through cancellation of a subscription and submission of a new subscription.
The topics section should be detailled before going to public comments. An update will be provided for approval for publication for public comments on friday may 23rd.

Pediatric Demographics Option 05/22

Review of the current draft.

The open issues will be integrated in the supplement before publication for public comment.
Questions about when the fields will be needed and when they are not. The introduction of the supplement is a little unclear on the use of the additional data, the guidance offered on comparison leads to confusion. A related open issue will be included in the supplement published for public comment.

The supplement has been unanimously accepted for publication for public comment pending few editorial updates.

NAV / DSG

Review of the current verson of CP 160.

Discussion about appendix N in NAV profile and the need of an OID for registries using the NAV profile. The appendix will be supressed as part of the CP on DSG/NAV.
The CP will be reviewed during may 29th call.

Planning committee subjects

Web service glossy
Review of the current version of the glossy on web services. The goal is to turn that glossy into a PDF to facilitate handing out of the glossy.
It is stressed that WS-Trust is not use in IHE. The red edging will be removed from the WS-Trust box and a new box with red edges will be add in assurances for SAML 2.0 Assertion. The table will be updated to reflect that change.

HIE security and privacy
A t-con will be schedule for update on the white paper to discuss integration of input received.

Impact of national programs use of IHE profiles
Proposal of a kind of specific partnership with programs to have a priviledge relation with organizations which are not IHE members but use the ITI framework in real life (dedicated dialogue, questions to users, specific news...).

Planning committee face to face meeting
Presentation of the proposals for planning committee:

  • Octobre 16th and 17th in Paris;
  • Octobre 27th and 28th in Chicago (it might however be in conflict with the participant workshop);


An other option (less prefered option) would be to organized the first technical face to face meeting in Paris in November.

Asynchronous XDS.b 05/22

Review of the current draft.
Discussion about the nomenclature for WSDL artifacts. The profile will mandate the use of that nomenclature.
A particular review will be done on the appendix V part of the profile as part of the integration of appendix V as final text for consistency. None asynchronous specifics for web services will be integrated in appendix V after public comment on the supplement and before its integration as final text.
Discussion of use of asynchronous XDS.b for stored query in the context of XCA.

The supplement has been unanimously accepted for publication for public comment pending few editorial updates.

ECON 05/22

Reviewed ECON IHE V4.0.doc.

  • Remove anocdotal examples
  • Picture needs improvements to clarify
  • Add explanation of orange bubble in picture


This supplement was approved for release for public comment by a majority of those voting. There were several abstentions.

May 23rd, Friday

Sharing of Value Sets 05/23

Review of the current draft.

Update of the use case on connectathon to have it reflect a broader use within an XDs affinity domain.

Discussion of the meaning of Value Set id. A paragraph will be added at the end of volume 1 section to explain the use of value set Id vs OID and context Id.
Discussion of the link between the message semantic and the protocole sections.

The supplement has been unanimously accepted for publication for public comment pending the writing of the paragraph on value set Id and few editorial updates.

Referral Request 05/23

Review of the current draft.

Discussion about where to put the future efforts. All future consideration will be put in the closed issue.
Discussion about level of details of the writing in the supplement.

The supplement has been unanimously accepted for publication for public comment pending editorial updates.

Publish / Subscribe White Paper 05/23

The white paper has been unanimously accepted for publication for public comment pending inclusion of more example.

CP processing 05/23

See May 20-22 CP Minutes .

Planning of release of Technical Framework V5.0
  • Balloting CPs - Karen Witting - Next CP ballot planned for a result on 7/21/08


  • Publication of new supplement for trail implementation 8/16/2008
  • Integrate CPs in the existing supplements:
    • Integration of CPs for 8/4/08 - See Final Text table for editors
    • Review of integration 8/4/2008 to 8/18/2008
    • Integration of comments 8/18/2008 - 8/25/2008
    • trial implementation supplements not to be integrated into final text release to HIMSS 8/25/2008
    • Publication of updated existing trial implementation supplements by HIMSS 9/1/2008


  • Integrate CPs in TF 8/11/08:
    • Integration of CPs for 8/11/2008
      • Volume 1 - George Cole
      • Volume 2 - Manuel Metz
    • Review of integration 8/11/2008 to 9/1/2008
    • Integration of comments 9/1/2008 to 9/8/2008


  • Integration of supplements to final text (decision on which trial implementation supplement to integrate taken during july face to face):
    • Integration in the technical framework 9/8/2008 to 9/15/2008
    • Review of integration 9/15/2008 to 9/22/2008
    • Integration of comments 9/22/2008 to 9/29/2008
    • Technical Framework V 5.0 release to HIMSS 9/29/2008
    • Publication of Technical Framework V 5.0 bu HIMSS 10/6/2008

Attendees List May 19-23

Attendance: March 10-13, 2008
Attendees May 19-23
Robert Horn – AGFA X
George Cole - Allscripts X
Sean Smith - Axolotl X
Lori Fourquet – E-Healthsign X
Vassil Peytchev – Epic Systems X
John Moehrke – GE Medical Systems IT X
Charles Parisot – GE Medical Systems IT X
Ana Estelrich – GIP-DMP X
Charles Rica – GIP-DMP P
Manuel Metz – GIP-DMP X
Israel Samples - Greenway Medical Technologies X
Karen Witting – IBM X
Sarah Knoop - IBM X
Sondra Renly - IBM P
David Heaney - McKesson P
Teddy Bachour – Microsoft X
Lynn Felhofer - MIR X
Bill Majurski – NIST X
Geoff Pascoe – Philips Healthcare X
Chris Melo – Philips Healthcare X
Lawrence Williams – Roadside Telematics Corporation P
James McInnis – Siemens X
Alean Kirnak – Software Partners X
David Shields – Software Partners P
Isabelle Gibaud – Syndicat Interhospitalier de Bretagne P
LaVerne Palmer - HIMSS Staff X

X in person, P on phone

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May 2 2008 Asynchronous XDS.b

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Agenda May 2

Discuss evolutions of the asynchronous XDS.b supplement.

Minutes May 2

Presentation and discussion of the current draft and options for WSDL definition.

  • Discussion about whether asynchronous transaction should be named option or optional transaction. The profil will be presented as a named option during the face to face for input from the committee.
  • The use of SOAP 1.2 and 1.1 in the draft has been modeled after the XDS.b profile. Any chage on XDS.b should be conveyed to the asynchronous XDS.b profile. the next CP ballot will provide insight as to what should be done.
  • As the core transaction is the same in synchronous and asynchronous, asynchronous shouldn't appear as a tag in the body of the WSDL but only be noted in the header.
  • The difference between synchonous and asynchronous transport will probably be rendered in the header with anonymous for a synchronous trnasaction and the replys address for the asynchronous transaction. This topic will be documented for presentation to the committee during may face to face.
  • The possible use of XOP will be documented for decision during the face to face meeting.
  • The urn used in the WSDL should reference 2008 instead of 2007 as it should reflect the year of publication of the profile.
  • Choice to be made during the face to face: is it the same transaction than synchronous transaction with specific behaviour for the asynchronous option or is it a separate transaction?
  • WSDL on the document source side will be updated to include an action labelled "response" for clarity for the developers.
  • Choice to be made during the face to face: how should WSDL be provided? As two separated WSDLs (one for synchronous and one for asynchronous) or as a fragment for asynchronous to be added to the synchronous WSDL.


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April 30 2008 XD* and XCA CPs processing

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Agenda Apr 30

See ITI Change Proposals 2008 - April 30, 2008

Minutes Apr 30

See ITI Change Proposals 2008 - April 30, 2008

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April 29 2008 ECON White Paper CANCELLED

Logistics Apr 29

N/A

Agenda Apr 29

This meeting has been cancelled
Review of the evolution of the ECON white paper.

Minutes Apr 29

N/A

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April 28 2008 Incoming CPs

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Agenda Apr 28

See ITI Change Proposals 2008 - April 28, 2008

Minutes Apr 28

See ITI Change Proposals 2008 - April 28, 2008

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April 24 2008 Pediatric Demographics Option

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Agenda Apr 24

Review status

Minutes Apr 24

  • Discussed open issues Extended_PDQ_-_Discussion
  • Reviewed current document PDQ_Extension_Supplement ak 0423.ak.doc
  • Discussed how to update PDQ V2
  • Does PDQ & Visit also need change - yes.
  • Deterministic matching in PIX mgr for this set of fileds
  • Patient Identity Feed, multiple birth order/birth order, change O to R2
  • Add list of demographics to the option description

April 23 2008 Referral Request

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Agenda Apr 23

Discuss open issues

Minutes Apr 23

  • Discussed organization of work, as separate profiles, content profile.
  • Discussed support from XDM
  • Discussed use cases, how they result in different profiles.
  • Suggestion of profiling bar-coding to carry UUID, rather than printing it on paper.


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April 21 2008 Asynchronous XDS.b

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Agenda Apr 21

Discuss open issues

Minutes Apr 21

  • Support by profiles: XDS.b, XCA, XDR
    • XCA - present changes in the async XDS supplement for public comment and then integrate into XCA for TI
    • XDR - unclear regarding the direction
  • How to reflect the new work, as new transactions or option on existing transaction. Agreed that request and response be in one transaction, one new transaction.
  • Will consolidate changes into supplement for appendix and XDS.b for review May 2. Need followup on XDR, email sent to listserv.

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April 18 2008 Sharing of value sets

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Agenda Apr 18

Discuss evolutions of the sharing of value sets supplement.

Minutes Apr 18

Review of the current SVS supplement and of the support material.

Comments and action items:

  • Update of mammography code according to the mammography profile.
  • Update the example on code system to reflect the mixing of DICOM and SNOMED codes (Two of the codes in the example are from SNOMED and the rest are from DICOM).
  • Assess the possibility to use a "grouper" in the value sets structure to help display, ordering...
  • Change "value sets concept" to "concept" in the document.
  • The issue of the size of value sets has been considered not critical for flat lists.
  • Translation will not be addressed in this profile – this is an issue of the Display Name and it is the responsibility of the institution. The display locale (language in common use not to be confused with the ISO language codes) may be addressed in the query, but translation is out of scope.
  • The data type used is CV. If it was CD it would carry more information and would be backwards compatible. CD would be needed for the hierarchical use; not for translation. An eventual transition will occur when there will be extended to relationships between codes.
  • Security section will be developped by the editor based on the cookbook for security section with the help of the cookbook's editor.
  • The use cases in the supplement should be shorten down in a way that stresses the technical variations. The rest of the use cases and new use cases should be developed on the wiki. The use cases developped on the wiki might shown broader use of sharing of value sets and be used as a basis for future work items.
  • Value Sets retrieval is modeled after the Document Set retrieval mechanism in XDS.b.  As the SVS profile develops, the delineation between the two must be established.  The standard ebXML will not be used. A way of packaging the CTS API (language binding) must be found.
  • The issue of locale specific name and whether it should be included in the scope of this year supplement will be discussed off-line.
  • For the glossary, a suggestion was made to use only the definitions used in HL7 terms and see how it will correlate with ISO.  The editor will add the ISO definitions to the HL7 definition and a common glossary will be constructed with the working group CTS2.
  • Usage of portable media for sharing value sets has been identified and will be analyzed to assess whether it should be included in the scope of the profile.
  • For notification, the NAV and/or Publish/Subscribe could be used. Publish/subscribe seems better suited for versioning of value sets while NAV would be more relevant for availability of new value sets.
  • The relevance of including a registry in the scope of this year profile has been discussed. A final decision will be taken on the subject during may face to face.
  • The issue of conveying information about user interface has been discussed. It will be analyzed and results will be presented during may face to face for decision.


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April 17 2008 Publish / Subscribe white paper

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Agenda Apr 17 12:00-14:00

ITI White Paper: Publish/Subscribe Infrastructure

Minutes Apr 17 12:00-14:00

  • Discussed topic/filter. Vassil will write up examples and get feedback from registry implementors. Include IBM, HxTI, MS, Tiani-Spirit, GE, others?
  • Decided notification will be document entry UUID and optional requester data.
  • A revised version be available before HL7 meeting, May 1 or 2 and use that period to get feedback.

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April 17 2008 XD* and XCA CPs procession

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Agenda Apr 17 9:00-11:00

See ITI Change Proposals 2008 - April 17, 2008

Minutes Apr 17 9:00-11:00

See ITI Change Proposals 2008 - April 17, 2008

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April 16 2008 joint planning/technical committee : ITI Final Text Priorization

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Agenda Apr 16

Decision on which Trial Implementation supplements to move to final text.

Minutes Apr 16

Possible progression to final text of each of existing trial implementation supplement has been discussed.

The following 2008 Plan for progressing the current IHE ITI Trial Implementation Supplements to a Final text Status as part of the IHE TF V5.0 to be released in August 2008 has been adopted unanimously.

TI Supplements FT or Remains TI Condition Owner
PIXV3 3rd TI Vassil
PDQV3 3rd TI Vassil
WS Appendix FT On XDS.b FT Vassil
RFD 3rd TI George
XUA FT On XDS.b FT & US-EU Connect’n CPs & Test Tools John
Reg Stored Query FT On CPs resolt’n Bill
XDS.b FT On CPs resolt’n Teddy
XCA 2nd TI Karen
Pt Id Merge 2nd TI Bill
XDS-SD FT On Reformat & CP resol’n Sarah
BPPC FT On XDS.SD FT & Test Tools John
XDM FT No conditions Rob
XDR 3rd TI Charles
DSG 2nd TI Manuel
NAV 2nd TI Charles

Legend:

FT: These TI Supplements are candidates for publication as part of the V5.0 Final Text Technical Framework to be published in August 2008. When conditions are mentioned, and if these conditions cannot be met, an updated TI will be produced.

Nth TI: A new TI Supplement version will be published including all CP approved and referencing the ITI TF V5.0.

Attendees list Apr 16

Attendance: April 16, 2008
Attendees April 16
Robert Horn - Agfa X
George Cole - Allscripts X
Lori Fourquet - e-HealthSign X
Vassil Peytchev - Epic X
Mark Sinke - Forecare BV X
Charles Parisot - (ITI Planning Co-Chair) GE Healthcare X
John Moehrke – GE Healthcare X
Manuel Metz - GIP-DMP X
Karen Witting - IBM X
Sarah Knoop - IBM X
Edwood Yiu - McKesson X
Teddy Bachour - Microsoft X
Wenzhi Li - Misys X
Mike Nusbaum - (ITI Planning Co-Chair) M.H. Nusbaum & Assoc X
Geoff Pascoe - Philips X
Jim McInnis - Siemens X
LaVerne Palmer - HIMSS Secretariat X
Lynn Felhofer - MIR Pending membership, did not count towards vote X

X - Attended teleconference

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April 15 2008 non XDS related CPs processing (PIX/PDQ, RFD...)

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Agenda Apr 15

See ITI Change Proposals 2008 - April 15, 2008


Minutes Apr 15

See ITI Change Proposals 2008 - April 15, 2008

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April 11 2008 Pediatric Demographics Option

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Agenda Apr 11

Resolve open issues

Minutes Apr 11

Discussed changing the original set of 10 fields down to 6 or 8. Scheduled a continuation call for April 24.


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April 8 2008 Cookbook for security section update

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Agenda Apr 8 13:00-14:00

Review of the current version of the cookbook for security section;

Minutes Apr 8 13:00-14:00

Review of the current version of the cookbook integrating the comments received through the security cookbook google group

  • Discussion of the relevance of the matrix used to assess impact and probability of the risks. Only 3 levels should be presented in the table even though 2 extrem levels can be identified in the text with explanation of how to use them as exceptions. Proposals for a new table will be done through the Security cookbook google group.
  • After discussion, it has been agreed that the auditing part of risk assessment should be more stressed in the cookbook.
  • It should be stated in the risk section that some risks are consistantly not considered (like physical risks for instance).
  • One example that can be used for built-in security features is the mandatory use of secure subject in the EUA CCOW (it is only for security reason it has been made mandatory as the transaction in itself doesn't require secure subject).
  • The cookbook should be updated to reflect that the assets are the information exchanged and not the transactions. A note should be included to state that though informations may not be the only assets, they are expected to be the primary assets of a profile.
  • The cookbook introduction should state that the cookbook include recommendation that all editors should follow for consistency over the technical frameworks.


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April 8 2008 Referral Request

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Agenda Apr 8 10:00-11:30

Review doc IHE-ITI-supplement-rr-04.doc.

Minutes Apr 8 10:00-11:30

TBD

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April 2 2008 Publish/Subscribe white paper

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Agenda Apr 2

Discuss topics

Minutes Apr 2

Discussed topics at Subscription Topics April 2 tcon

Conclusion of discussion at Subscription Topics April 2 conclusion

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April 1 2008 Security CPs Processing

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Agenda Apr 1 11:30-13:30

See ITI Change Proposals 2008 - April 1, 2008


Minutes Apr 1 11:30-13:30

See ITI Change Proposals 2008 - April 1, 2008

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April 1 2008 DSG/NAV/XDS integration

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Agenda Apr 1 8:00-9:00

Discuss inconsistencies in the NAV/DSG/XDS profiles

Minutes Apr 1 8:00-9:00

In NAV a registry is identified via a URL. Discussed changing this to be an OID and expect XDS.b approach to resolution (i.e. outside the scope of the profile within implementation specific configuration).

Both NAV and DSG need to be updated based on the evolution of XDS - i.e. introduction of XDS.b. Plan time at the face-to-face to review these profiles and get feedback to appropriate changes. Plan 1 hour of time for this.

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March 31 2008 WSDL and supplement change management

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Agenda Mar 31

  • Distribution and Maintenance of WSDL, schema and example files.
  • Managing complicated changes introduced in supplements

Minutes Mar 31

Distribution and Maintenance of WSDL, schema and example files.

Reviewed content at Support Material Versioning. That page was updated during the call.

Discussed potential solutions:

  1. zip files keep all contents, zip name is package name plus version identifier. This forces a download and unzip prior to use. Each zip contains updated change log.
  2. Source management system i.e. CVS, Sourceforge, SVN, GIT

Discussed the challenge of cross committee interactions. Agreed that files should not be shared by committees, but could be references across committees. All schema files should reside in and be controlled by one committee.

Fundamental question, where is the master? When both source and zip are provided on the ftp site (as is done now) its confusing in terms of which one is the master. General agreement that the source (not the zip) is the master for the current approach.

Discussed challenges with using a source management/control system. Where would the server run? Could use a internet based free site, like sourceforge. Sourceforge is used for the opensource project on XDS and gforge is being used by testing and tools committee. Could discuss with RSNA whether they could support a source control system, Bill will approach Chris at European connectathon.

Focus on how we would use a source control system with the ftp site. Expect the "master" to be saved in the source control system for access by committee members. When changed tooling would help rebuild zip files which would be put on the ftp site for download by implementers.

Directory structure discussed, see Support Material Versioning

Expect that by public comment time the directory structure is defined and data is saved in that directory structure for review.

Agreed top level name something like: TF_Support_Material. Karen & Bill to put some examples based on XCA and XDS respectively.

Managing complicated changes introduced in supplements

Suggestion to provide when Trial Implementation and new version of TF are released a readme file with 2 sections:

  • one directed at new people, helping them find relevant information
  • one directed at previous implementers, helping them find relevant changed information

Suggestion to add to the ihe.net TF page a link to this document(wiki page) indicating that it would provide structure to the TF and supplement documents. Bill will put together a prototype for review during the May f2f. This effort acknowledges that for implementers the tests and examples are more important than the documents. We need to provide an easy bridge into the documents to encourage more use of the detailed material there.

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March 28 2008 Pediatric Demographic Option

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Agenda Mar 28

Reviewed PDQ_Extension_Supplement ak 0328.doc.

Minutes Mar 28

Notes taken in PDQ_Extension_Supplement ak 0328.kw.doc

Vol. 1 changes were reviewed, discussion subjects:

  • Consider re-using the Patient Identity Source as the source of the ITI-30 transaction rather than introducing a new actor (Patient Demographics Supplier).
  • Suggest that we delete the options on PIX and PIXV3. Allowing ITI-30 as an optional transaction is sufficient.
  • Concern that some fields are in the next of kin record. This record is included in the ITI-30 transaction, although not specifically called out. Should satisfy the requirement


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March 20 2008 ECON

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Agenda Mar 20

Decision about possible requalification of ECON as a white paper instead of a profile.

Minutes Mar 20

After discussion on the scope of the ECON use case and the best way to address the issues presented, the committee voted unanimously that:

  • No profile work will be done this season for the ECON use case.
  • Considering the involvment of new stake holders promoting new use of existing profile, this item should result in an official IHE publication rather than technical guidance given to implementers (e.g. presentation of national use cases).
  • The best suited format for such a publication is a white paper.
  • Even though part of the white paper is at planning committee level, considering some aspect of the use case being closely related to technical issue (i.e. connection to an infrastructure through mobile vehicles) the ECON white paper will be owned by the technical committee.

This work effort will move forward as a Technical Commitee White Paper. A followup discussion is scheduled for April 29.

Attendees List March 20

Attendance: March 20, 2008
Attendees Mar 20
Babette MacRae - Accusys Solutions X
Rob Horn - AGFA X
Nick Radov - Axolotl Corp. X
Chris Barnet - Cardiac Science X
Lori Reed-Fourquet - e-HealthSign X
Vassil Paytchev - Epic Systems X
John Moehrke - GE Healthcare X
Manuel Metz - GIP-DMP X
Karen Witting - IBM X
Edwood Yiu - McKesson X
Teddy Bachour - Microsoft X
Kondayya Mullapudi - Misys X
Bill Majurski - NIST X
Kenneth Rubin - OMG X
Geoff Pascoe -Philips X
Larry Williams - Roadside Tlematics X
Jim McInnis - Siemens X
Mick Talley - University Bank X


X - Attended teleconference

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March 19 2008 Cookbook for security section update

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Agenda Mar 19

Review of progress on the cookbook for security section.

Minutes Mar 19

Review of the current version of the cookbook and resolution of the open issues.

  • open issue #1: the issue about the security section will be resolved with the resolution of an existing change proposal (CP-ITI-255);
  • open issue #2: the security section should only present the security measures and security features of the profile but also point to the whole risk assessment which should be available on the ftp;
  • open issue #3: the profile editors will be asked to also define the audit trails for their profiles if needed. The cookbook should give guidance for the definition of audit trails;
  • open issue #4: the table for risk assessment should include an assessment of the effectivness of the mitigation(s) defined by the profile.


A new version of the cookbook will be put on the ftp on wednesday march 26th (version 3).
Comments will be managed through a google group which will be advertised through mail to the ITI technical committee.

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March 10-13 2008 Face to Face meeting

GOAL: Kickoff New Profile Development

Logistics Mar 10-13

Location
RSNA Headquarters
820 Jorie Boulevard Oak Brook, IL 60523

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Agenda Mar 10-13

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.

Mar 10th, Monday: 9:00 a.m. to 5:30 p.m.
08:30 (.5)  Continental Breakfast
09:00 (.5)  Agenda, Governance and Overview of other committee activities - Karen Witting / Manuel Metz
09:30 (1.5) Sharing of Value Sets part A - Ana Estelrich
11:00 (1)   Korean Use Case part A - Kim Ilkon
12:00 (1)   Lunch
01:00 (1.5) ECON Registry part A - Larry Williams
02:30 (1)   Publish / Subscribe White Paper part A - Vassil Peytchev
03:30 (1)   Asynchronous XDS.b part A - Teddy Bachour
04:30 (1)   Austrian Use Case - Peter Christen / Gottfried Heider
05:30       Adjourn
Mar 11th, Tuesday: 8:30 a.m. to 5:45 p.m.
08:00 (.5)   Continental Breakfast
08:30 (2)    Referral Request part A - Rob Horn
10:30 (1.5)  ECON Registry part B - Larry Williams
12:00 (1)    Lunch
01:00 (.5)   Extended PDQ part A - Alean Kirnak
01:30 (1)    Publish / Subscribe White Paper part B - Vassil Peytchev
02:30 (1.5)  CP processing - Karen Witting
04:00 (0.25) Break
04:15 (1)    CP processing - Karen Witting
05:15 (.5)   Korean Use Case part B - Kim Ilkon
05:45        Adjourn
Mar 12th, Wednesday: 8:30 a.m. to 5:45 p.m.
08:00 (.5)  Continental Breakfast
08:30 (2)   Sharing of Value Sets part B - Ana Estelrich
10:30 (1.5) CP processing - Karen Witting
12:00 (.75) Lunch
12:45 (1)   Extended PDQ part B - Alean Kirnak
01:45 (.25) Logistical break
02:00 (2) Joint meeting with PCC including:
              - (.25) CDA Harmonization (XDS-SD update)
              - (.5)  Referral Request
              - (1)   Various types of IHE registries and repositories (Value sets registry, ECON registry, QED repository...)
04:00 (0.25)  Break
04:15 (1.5)   Joint meeting with PCC and Quality including:
              - (.5)  Publish / Subscribe infrastructure
              - (.5)  Structured Quality Measure Validation and Aggregation profile proposal
              - (.5)  Changing of name for the Quality domain
05:45       Adjourn
Mar 13th, Thursday: 8:30 a.m. to 1:00 p.m.
08:00 (.5)  Continental Breakfast
08:30 (1.5) Referral Request part B - Rob Horn
10:00 (1)   Asynchronous XDS.b part B - Teddy Bachour
11:00 (1)   Next steps and future conference calls - Karen Witting / Manuel Metz
12:00 (1)   Lunch
01:00       Adjourn

Minutes Mar 10-13

Mar 10th, Monday
Agenda, Governance and Overview of other committee activities

Presentation of the application of the governance for the ITI technical committee (roster, voting procedures and voting rights).

Presentation of the two white papers being updated within working groups in parallel of committee work:


Sharing of Value Sets part A

Presentation of the draft supplement

  • Scoping down to 3 use cases.
  • Input by the committee on open issues.
  • Scoping of the actors / transactions diagrams.
Korean Use Case part A

The Korean change proposal has been presented along with its rational.
After discussion it has been decided that no change in the technical framework was needed considering the Korean needs and that it could be part of a national extension.
Inputs were given on how to address the needs. A revised document on Korean use case was to be presented on the next session for technical guidance from the committee.

ECON Registry part A

Discussed the scope of this profile base on the use case. Phase 1 is an ECON query requesting emergency contact information based on vehicle. Phase 2 is connecting the vehicular accident victim to existing healthcare data and retrieving the set of data needed for emergency treatment. Concern that Phase 1 is outside the scope of IHE and this group does not have the technical capabilities to give good feedback about it. Looking for a clear "fence" between the law enforcement procedures and clinical procedures.

Publish / Subscribe White Paper part A

Reviewed Subscribe_Infrastructure. Reviewed use cases, actors, transactions, open issues. Agreed that subscription manager and notification broker should be combined.

Asynchronous XDS.b part A

Reviewed Asynch XDS.ppt.

  • use case review slide 3: focus is on scenario 1 & 2. Scenario 3 does not have stable standards to build from and is considered too large for this years timeframe. Scenario 4 is already supported by XCA. Add XCA upgrade of current transactions to support async.

See Asynch XDS v2.ppt for list of open issues collected during the discussion.

Austrian Use Case

Presented WHIT07 IHE_Schanner-1-Umb.ppt and Presentation_080310_Umb.ppt.

Mar 11th, Tuesday
Referral Request part A

Reviewed IHE-ITI-supplement-rr-02.doc. Reviewed use cases documented in RR session table.xls.


ECON Registry part B

Reviewed Phase 1 & Phase 2 and agreed that Phase 1 (vehicle id lookup of emergency contact information) should be pursued in the Law Enforcement Domain. Discussion of "fence" is that law enforcement identifies demographic data and want to retrieve a short list of medical information about victims who have opted in to the process. Medical information includes: pre-exiting conditions, medications, allergies. Change scope of work to how to move demographics identified by law enforcement to a medical system which uses them to retrieve the needed information. Larry will write document encapsulating this new vision which will be reviewed on tcon. Undecided whether this becomes a white paper or is still a profile.


Extended PDQ part A

Discussion of named option on which actors. Suggesting Identity source, PIX mgr, pdq supplier, pdq consumer.


Publish / Subscribe White Paper part B

Presented possible standards to use:


CP processing

See March 11 CP Processing

Korean Use Case part B

Reviewed IHEDocument-Separation-Extension_v6.doc. Techical concerns discussed. Request to consider email from Sarah 3/10 about using XFRM to mask data rather than storing body and header separately. Continued discussion will be via email with interested parties.

Mar 12th, Wednesday
Sharing of Value Sets part B

Reviewed updated draft. Reviewed use cases. Reviewed transaction and example of request and response.

CP processing

See March 12 CP Processing

Extended PDQ part B

Discussion of how to reflect the new requirements into existing profiles. Plan to add a named option. Add ITI-30 to PIX as a named option the PIX Manager can support. Include language in the option similar to the CP 277 on PDQ "that reflect the best fit to all of the search criteria". Support matching using the pediatric criteria only if available. Rename profile to Pediatric Demographic Option.

Joint meeting with PCC and Quality
  • Presentation of the progress on XDS-SD update (CDA Harmonization) by Sarah.
  • Presentation of the use cases for the referral request profile.
  • Presentation of the needs for publish/subscribe fucntionalities by PCC and QRPH domains and presentation of the ITI technical orientations for those functionalities.
  • Presentation of the scope of the QRPH domain.
Mar 13th, Thursday
Referral Request part B

Review of scoped use cases based on the input from Referral Request part A session.

Follow up on the Autrian use case

Review of change requests submitted by the Austrian following the presentation of their use case.

Discussions during the session provided the following input:

ATNA

  • Evolutions in the Syslog standard will include very soon TCP and TLS as options.
  • The multiple XML schema confusion relates to a broader issue of providing clear guidance and support material for developpers. This issue will be presented to the domain coordination committee with recommandations from the ITI technical committee.

XDS.b

  • A CP is currently open to update XDS.a profile. It should be included in the next reliese of the technical framwork.
  • Not specifying how to resolve "repository unique ID" was a choice because of lack of experience on the issue. Since the profile has been through testing in a Connectathon, it is adviced to file a CP on the subject based on that experience.

XDS Metadata
The presented use case isn't detailed enough to understand what are the adressed risks. It is adviced to present those risks as part of comments on the IHE Security and privacy of HIE white paper.

BPPC
Access control should not be based only on BPPC which provides only a consent based part of access control. Access control as a whole is a policy based functionality on which IHE doesn't provide guideline.
BPPC supplement will be updated to be sure that this issue is clear in the profile description.

Asynchronous XDS.b part B

Resolutions of open issues documented in Asynch XDS v2.ppt.

Attendees List Mar 10-13

Attendance: March 10-13, 2008
Attendees Mar 10-13
Robert Horn – AGFA X
George Cole - Allscripts X
Russell Hamm – Apelon X
Nick Radov – Axololt Corp. X
Lori Fourquet – E-Healthsign X
Vassil Peytchev – Epic Systems X
Mark Sinke – Forcare P
John Moehrke – GE Medical Systems IT X
Charles Parisot – GE Medical Systems IT X
Ana Estelrich – GIP-DMP X
Charles Rica – GIP-DMP X
Manuel Metz – GIP-DMP X
Karen Witting – IBM X
Edwood Yui - McKesson X
Teddy Bachour – Microsoft X
Lynn Felhofer - MIR P
Bill Majurski – NIST X
Geoff Pascoe – Philips Healthcare X
Lawrence Williams - Roadside Telematics Corp X
James McInnis – Siemens X
Alean Kirnak – Software Partners X
Umberto Cappellini – Tiani Spirit X
LaVerne Palmer - HIMSS Staff X

X in person, P on phone

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March 5 2008 Template for XDS Affinity Domain Deployment

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Agenda Mar 5

Review of the updates on IHE_ITI_White_Paper_XDS_Affinity_Domain_Template_TI_2008-02-23

Minutes Mar 5

Attending: David Heaney(McKesson), Bill Klaver(Initiate), Edwood Yiu(McKesson), Gail Arnett(HIMSS), LaVerne Palmer(HIMSS), Jim McInnis(Siemens), Karen Witting(IBM), Lori Fourquet(e-HealthSign), Massimiliano Masi(Tiani-Spirit), Vassil Peytchev(Epic), Anthony LaRocca(Sage), Mick Tally(University Bank), Babette MacRae(Accusys Solutions), Rob Horn(AGFA)
Reviewed changes to the document. Comments:

  • ISO has specification for archive and backup that we should harminize with
  • Discuss how best to present actor/transaction specific XDS Affinity Domain decisions
  • Add additional table to each actor-profile section for adding additional messaging support (i.e. HL7)
  • Discussion of access from "portal" or users not considered members, i.e. want/need temporary access
  • Encourage consistent code sets - put recommended ones in template document and if common place is found to be needed outside this document will move at that time.
  • Use of Folders, clarify what is stated where
  • Trim down table of risks and mitigations, add a table for non-IHE mitigations


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March 4 2008 ECON

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Agenda Mar 4 14:00-15:00

TBD

Minutes Mar 4 14:00-15:00

TBD

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March 4 2008 Referral Request Technology Alternatives

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Agenda Mar 4 11:30-13:30

Discuss revision 1 of document.

Minutes Mar 4 11:30-13:30

TBD

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February 15 2008 Sharing Value Set

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Agenda Feb 15

Review of the frist draft of the sharing of value sets profile.

Minutes Feb 15

The document IHE_ITI_TF_Supplement_Sharing_Value_Sets_TI_2008-2009_1302_Draft_Current-follwing discussion has been used as a basis of discussion.

The document has been updated since the last T-con. The introduction and the beginning have been finalized, the use cases have been detailed and the volume 2 material has been outlined.

Open Issues

The open issues faced while updating the profile draft have been presented to the committee.

Open issue #1
Currently, there are no means of notification that can be used to notify the availability of a new value set.

One possible answer to that would be to leave the issue as an implementation issue that can be resolve through use cases (e.g. Human alert, procedures for regular checking for new value sets available...). The issue will be presented to the committee during the march face to face meeting for decision.

Open issue #2
To be sure that the profile could be used within current healthcare infrastructures, an issue concerning which technology to base the profile on has been raised. The participants will ask the healthcare providers they are working with which technologies they would be able to support and provide that input during march face to face meeting in order the committee to decide which technology should be supported.

Open issue #3
The orientation to use only flat value sets has been favored during last face to face to scope down the profile. The developing of the medication use case has led to a concern that a flat value set based profile would be irrelevant compared to real life use cases leading to a useless profile. It is proposed that simple hierarchies be considered. The use cases will be reviewed considering simple hierarchies to see if it generates additional difficulties. Results will be presented during the march face to face meeting.

Open issue #4
Though versioning isn't within the original scope of the profile, it should be decided, for volume 2 editing, whether getting a value set means getting the whole set or could be the integration of a differential version. This issue will be discussed during march face to face meeting.

Open issue #5
Though not all value sets are associated to an OID, the current orientation is to get an OID for each value set. It is proposed that the profile would be scoped to only handle “OIDed” value sets.

Open issue #6
The issue of managing languages has been raised especially since various countries speaking the same language might not agree about translations. DICOM having already faced a similar issue, DICOM part 16 will be analyzed to assess whether the issue could be solved in a similar way or not.

Use Cases

The various use cases have been presented and discussed.

For international relevance, the “filling out a discharge summary” use cases will be reviewed by some American participants to be sure that what is presented is also a valid use case in the USA. For that use case, the issue about depth of terminology known by the system could be resolved by mandating a display name for each code used; the system using the display name whenever it comes across an unknown code. The issue will be considered not only with micro-organisms but also with drug codes and billing codes which could reveal other dimensions.

Participants has considered that the “prescribing newly available medication” use case could raise a lot of interests around international communities. It should be reviewed by pharmacists in different countries (at least Europe and the USA) to assess its relevance and possibly split according to the various interests that might be voiced.

The use case based on the French healthcare professional card has been considered as relevant for other countries as a list of valid profession is a value set that can be used internationally.

Two additional use cases for sharing of value sets will be detailed and presented during march face to face meeting.

Next step

No further T-con is planned before march 10th.
Next step is the presentation of the updated document and discussion of the open issues during march face to face meeting.

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February 13 2008 CP processing

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Agenda Feb 13 9:00-11:00

See CP 2008 page

Minutes Feb 13 9:00-11:00

See CP 2008 page

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February 13 2008 Cookbook for Security Section Updates

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Agenda Feb 13 8:00-9:00

Review of the updates on Security_cookbook

Minutes Feb 13 8:00-9:00

Open Issues
Open issue #1

There is no inherently right place for the security section.
Depending on the content, there could be:
- one security section for a whole technical framework (in the case of very concentrate workflow for instance);
- one security section for a grouping of profiles (for strongly linked profiles);
- one security section per profile (for unrelated profiles).

Each editor will have to make a choice as to where to include security section(s) considering the ease of profile maintenance (the less security sections there are throughout the profiles, the easiest it is to update the documents) and the ease of usage for implementers (the closest the security sections are to the profile part used by developers, the easiest it is for them to include the security requirements).
This necessary balance should be explained to the implementers in the same paragraph as the scope of the security section(s) in the “overview of the technical framework” section.

Open issue #2

The size of security sections should be limited in order not to drastically increase the size of the technical frameworks which are already big. Accordingly, the risk assessment shouldn't be include in the framework but should be publicly available. Each security section should indicate that a risk assessment has been done and that it is available as a working document on the IHE ftp. The security section should however present any mandatory grouping with other profile for risk mitigation purpose and point out the possible specific risks associated with a profile that are not covered through either profile grouping or security functions within the profile.


Open issue #3

It is expected that once the editors understand the use of audit trail they will be able to derive the audit trail needed for their profiles. The cookbook should include a section on audit trails definition and where to include them in each profile.

Open issue #4

Except for specific cases (i.e. particularly low effectivness of mitigation, mandatory further step from the implementers), the effectivness of mitigation shouldn't be indicated in the profile but have to be part of the risk assessment document available on the IHE FTP.

Edition of secuity section coaching

The cookbook should be complemented by profile editors coaching. Tutorials through webinars have been identified as a good first step for this kind of coaching. Other coaching actions might be defined once the effectivness of the webinars has been assessed.

Next steps

Beginning of march Manuel will provide a full draft for review during the next T-con planned for wednesday march 19th from 8:00-9:00 a.m.

Considering its early publishing process, the radiology domain has been deemed as the best tester for the cookbook. Rob will provide the name of a radiology editor to test the cookbook with in April.

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February 12 2008 Publish/Subscribe White Paper

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Agenda Feb 12

Review the initial outline for the white paper.

Minutes Feb 12

The minutes are reflected at the discussion page of the Publish/Subscribe white paper.

Nest steps: Reorganize outline based on the discussions, and begin work on transactions and topics for the March face-to-face meeting.

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February 4 2008 Referral Request Use Case Review

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Agenda Feb 4

See Referral Page

Minutes Feb 4

Reviewed use cases from Rob. Reviewed Patient Care Workflow from PCC. Use cases agreed to by the group. Rob will write up more detailed description of use cases and specific constrained use cases for blood test, EKG and Ultrasound. These 3 tie into disciplines that have scheduled workflow profiles.

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January 8 2008 Security Cookbook

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Agenda Jan 8

The goal of the Jan. 8 tcon is to identify what are the learnings from the security cookbook use last year and from HITSP, to identify the people liable to provide details on those learnings and to organize the update of the security cookbook.

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.


8:00 - 8:10 General purpose of the call
8:10 - 8:35 Learnings from the security cookbook use and contact to be taken for detailed input
8:35 - 9:20 Main updates to be done
9:20 - 9:50 Definition of the general content of the training that should be provided to editors
9:50 - 10:00 Scheduling of further T-con if needed

Minutes Jan 8

Scope of the paper

The cookbook for the security section of IHE profiles is not intended to be a method for general risk assessment but is aimed at helping IHE profile editors to write the security section of their profile. Consequently it should not rephrase the fairly extensive documentation existing on general risk assessment and mitigation which could however be quoted in an appendix to the cookbook.

Likewise, the security section of an IHE profile is not intended to be a full risk assessment for a vendor's product integrating this profile or for an implementor's information system using such a product. However, the security section is aimed at helping vendors and implementors to complete their risk assessment in relation of the IHE profile(s) they are using. A clear statement should be integrated at the beginning of IHE technical frameworks indicating to vendors and implementors the scope of security sections. This statement will be integrated at the beginning of the cookbook as an editor's not to update the technical frameworks and explain the context to editors using the cookbook.

The cookbook is intended to be used by editors who are no security specialists, therefore it has to be easy to use. The lessons learned from last year joint security section editing will be used for writing the cookbook and provide examples to be used to illustrate the cookbook.

Content

Beside a generic list of risks derived from existing referentials and completed with former year security section editing input, the cookbook should include guideline in selecting relevant risks depending on the profile characteristics (type of actors, type of functions...).

The cookbook should provide guidelines to distinguish risks that are within the scope of an IHE profile and those outside the scope. A statement should explain that even though some security issues should not be overlooked during the development of a product, they are not within the scope of the security section of an IHE profile. For instance patient safety is an important security issue covered by regulation which should be respected while developing a product though not always within IHE security section scope. Consequently profiles could include security functions (i.e. for respect of regulation) that are not related to the profile's security section.

Once the risks relevant to an IHE security section have been assessed, the cookbook should provide guideline on how to mitigate those risks. A risk can be either mitigated through the profile (security functionalities or advised / mandatory grouping of actors) or left to the responsibility of the vendors / implementors.

The issue of the which risks should be presented in the profile (all risks even those not deemed relevant, all relevant risks including those left to the responsibility of the vendor / implementors, only the relevant risks mitigated through the profile) is still to be discussed.

For ease of use, the security cookbook could include a “cheat cheat” appendix to run experienced editors quickly through the writing of security section

Training of editors

Training of editors could be handled over a yearly t-con for all domains, domains co-chairs being in charge to pick up which current editors should attend. Considering IHE profile writing process, the yearly session could be organized in may.

Next Steps

Based on feedback from the call Manuel will write a revised version and distribute by Feb. 6. A followup tcon on Feb. 13 is scheduled to get feedback to the revised version.

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January 7 2008 Review new Profile Work

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Agenda Jan 7

The goal of the Jan. 7 tcon is to identify what questions need to be answered prior to the March face to face meeting, identify how much tcon time is needed to discuss the issues and schedule the tcons. The March meeting is used to resolve all major issues with a profile.

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.


12:00 - 12:30 Sharing Value Sets, issues and concerns identified, quantity of additional tcon time prior to March identified
12:30 - 1:00 Referral Request, issues and concerns identified, quantity of additional tcon time prior to March identified
1:00 - 1:30 ECON, issues and concerns identified, quantity of additional tcon time prior to March identified
1:30 - 2:00 Schedule tcons for the three above, as well as any other work items needing attention prior to the March meeting

Minutes Jan 7

Sharing Value Set

The document Meeting French group January 4th 2008 VS has been used as a basis for discussion.

The term “real use cases” has been used throughout the document to express that the use cases which will be used for that Sharing Value Set profile have been scoped down from real life use cases in order to have a manageable scope for a one-year piece of work. That issue will have to be presented as background information in the profile and can be based on the discussion presented in the document.

It is proposed by the French group that even though the profile won't be based on CTS 2, CTS 2 terminology be used for consistency.

It is stressed that sharing of value set within an enterprise is an as important use case as sharing of value set between enterprises and should be included in the profile as such. Particularly, the within an enterprise sharing of value set use case will stress some technical issues like updating critical system that sharing of value set between enterprises might overlook.

The profile will be based on CTS 1. However, CTS 1 web service specification being not in line with XDS use of web services, the editor is requesting help from the committee to insure consistency with IHE technical framework on that subject.

The issue on meta-data defining the value set has been provided as an example of the kind of work needed i.e. listing of existing set and choosing the most relevant one.

The French working group is identified as primary reviewer of the profile work.

Next T-con on Sharing Value Set is planned for friday february 15th from 10:00 to 12:00 central time.

Referral Request

The document Issues-7-jan-tcon has been used as a basis for discussion.

On the kind of transport required, it is suggested that one or any combination of the 3 possible transports should be acceptable.

On whether patient transport should be in or out of scope, it is suggested that it be considered out of scope.

The issue of the HL7 version to be used will be an important issue to be discussed at a future T-con. An out-laying of the differences between both version will be provided for the T-con on Referral Request technical issues.

It is also expected that the timeline of deployment will have an impact on which version should be used.

Next T-con on Referral Request are planned for:
- monday february 4th from 10:00 to 12:00 central time for reviewing of the use cases
- tuesday march 4th from 11:30 to 13:30 central time for reviewing of the technological alternatives

ECON

For the volume 1 section of ECON profile, detailed use cases should be provided for March face to face meeting. In particular, some of those use cases shall be aimed at showing the relevance of the profile for international (outside of USA) interests.

A “shopping list” will be provided for review during March face to face meeting. It will be based on the potential candidate standards listed in Emergency Contact Registry Query (ECON) detailed proposal and will give a quick description of the protocol part of each standard (message behavior), explain its relevance to the detailed use cases and outline pros & cons of its usage for ECON.

Considering the scope of ECON profile, security will be an essential issue. An outline of the security model of data will be presented during March face to face meeting.

Next T-con on Sharing Value Set is planned for tuesday march 4th from 14:00 to 15:00 central time.

Publish/Subscribe Infrastructure for XDS

Next T-con on Publish/Subscribe Infrastructure for XDS white paper is planned for tuesday february 12th from 11:00 to 13:00 central time.

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December 10 2007 Connectathon Q & A

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Agenda Dec 10

Further discussion on gaps and change proposals that affect some of the Integration Profiles that will be tested in January, 2008.

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.


9:00 - 9:05 Purpose of the phone call
9:05 - 9:35 XCA (including questions)
9:35 - 9:50 PIX/PDQ V3 (including WSDLs, questions)
9:50 - 10:20 XDS.b (questions)
10:20 - 10:35 BPPC
10:35 - 10:50 XUA
10:50 - 11:00 Time for other questions

Minutes Dec 10

XCA

A concern was raised regarding the XCA's WSDL. Details will be provided off-line to the athor and if needed, the WSDL will be updated accordingly.

On the issue of support of SOAP 1.1 and 1.2, the Technical Committee is eager for any feedback the implementors could provide on its recommandation presented during last call (see Minutes of Nov 14th call).

PIX/PDQ V3

It is stressed the support material (schema, examples, wsdl...) available on the FTP site should be used over any other materiel that could be found outside of IHE.

PIX V3 support material
PDQ V3 support material

Q: Is there a list of changes between HL7 V3 schema and IHE PIX/PDQ V3 schema?
A: There isn't a formal list of changes; however, both files will be provided on ihe.net so that the changes can be identified.

Q: Will IHE changes to the schema be provided to HL7 to ensure an overall coherent schema?
A: An official feedback will be provided to HL7.

XDS.b

No significant issue has been raised since Nov 14th call.

Most of the troubles the pre-Connectathon tests run into are related to HTTP implementation within the packages used. The issues are recorded and will be dealt with over time.

Due to change of hardware, some reference material has been lost from the wiki. It will be quickly relocated in the Connectathon wiki (http://ihewiki.wustl.edu/wiki/index.php/Main_Page). Implementors are informed that internet crawler referencing might be out of date as the referencing hasn't been refreshed yet.

Q: Will support on XDS.b stop after Dec 20th as announced?
A: Bill Majurski is answering e-mail all year long on XDS-related topics. However, support requiring heavy investigations are unlikely to be pursued after Dec 20th due to Bill Majurski's availibility during Connectathon's preparation.

XUA

No specific issue has been raised during the call.

BPPC

No specific issue has been raised during the call.

Other

Implementors are reminded to do pre-Connectathon TLS connection tests as quickly as possible as implementation may vary from one system to another and lengthy debugging is better done prior to Connectathon if possible.

Q: Is it possible to be granted time extension for pre-Connectathon testing?
A: A list of time extension per profile will be provided in the coming days.

No further Connectathon Q & A T-con has been scheduled before Connectathon. Should the need for an additional T-con arise, a request will have to be made to IHE as soon as possible.

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December 5 2007 CP processing

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Agenda Dec 5

See CP 2007 page

Minutes Dec 5

See CP 2007 page

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December 3 2007 Final planning

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Agenda Dec 3

Review of ITI Technical committee's recommendations for year 6 (2007-2008) planning and vote on final planning.

ITI Technical committee's recommandations

Minutes Dec 3

Minutes

Attendees List Dec 3

Attendance: December 3, 2007
Attendees Dec 3
Robert Horn – AGFA X
George Cole - Allscripts X
Lori Fourquet – E-Healthsign X
Vassil Peytchev – Epic Systems X
John Moehrke – GE Medical Systems IT X
Charles Parisot, co-chair Planning – GE Medical Systems IT X
Ana Estelrich – GIP-DMP X
Manuel Metz – GIP-DMP X
John Donnelly - Intepro Solutions X
Sarah Knoop – IBM X
Karen Witting – IBM X
Michael Nusbaum - M. H. Nusbaum & Associates X
Anna Orlova - Public Health Data Standards Consortium X
David Heaney - McKesson X
Lynn Felhofer - MIR X
Lawrence Williams - Roadside Telematics Corp X
Glen Marshall – Siemens X
Chris Kenworthy – Siemens X
Michael Talley - University Bank X
Didi Davis - HIMSS Staff X
Gail Arnett - HIMSS Staff X
LaVerne Palmer - HIMSS Staff X


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November 14 2007 Connectathon Q & A T-con

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Agenda Nov 14

Discussion on some gaps and change proposals that affect some of the Integration Profiles that will be tested in January, 2008.

9:00 - 9:05 Purpose of the phone call
9:05 - 9:35 PIX/PDQ V3 (including WSDLs, questions)
9:35 - 9:50 XCA (including questions)
9:50 - 10:20 XDS.b (questions)
10:20 - 10:35 BPPC
10:35 - 10:50 XUA
10:50 - 11:00 Time for other questions

Minutes Nov 14

PIX/PDQ V3

All support material (schema, examples, wsdl...) are available on the FTP site

PIX V3 support material
PDQ V3 support material

It is pointed out that switching from PIX/PDQ V2 to PIX/PDQ V3 is affecting the way multiple candidates are represented. In V3 the level on which multiple candidates are shown is the subject element (vs the patient level in V2).

For PDQ, it is pointed out that in some case there are 2 separate operations for a single input message. That might generate an error when java tools are used. A walk around is presented in the example included in the support package.

Q: When using XDS.b, should the patient identity feed transaction use PIX V2 or PIX V3?
A: Both are supported, the choice is up to the developper.

Q: Does PIX/PDQ require TLS?
A: The requirement does not come from PIX or PDQ profile (PIX/PDQ could be used without TLS) but if the PIX/PDQ actor is a secure node /application (e.g. if used for patient identity feed for XDS registry), it is required to use TLS.

XCA

The CPs presented during the call can be found in the XCA Implementation Notes

On the issue of support of SOAP 1.1 and 1.2, the Technical Committee recommandation is that the receiving end point propose both and let the client choose its prefered protocole.

A XCA call will be organised in the coming weeks for specific questioning on the matter.

XDS.b

The CPs presented during the call can be found on http://ihewiki.wustl.edu/wiki/index.php/XDS_Main_Page#Known_Defects_and_Changes_to_the_XDS_Profile

It is pointed out that the Stored Query transation (ITI-18) is the same in XDS.a and XDS.b and that the transaction Query Registry (ITI-16) does not exist in XDS.b.

Q: What should be used for XDS.b: SOAP or WSDL?
A: Both should be used, WSDL is a way of describing the web service to implement and SOAP is the protocole used for communication.
The confusion might come from a web service functionality requiring the transmission of a WSDL. That functionnality is not part of XDS.b.

Q: Is WS Addressing required for XDS.b?
A: Yes it is.

Q: Is it acceptable to have 3 URLs depending of the profile and the protocol used (one for XDS.a, one for XDS.b over SOAP 1.1 and one for WDS.b over SOAP 1.2)?
A: Yes it is totally acceptable for XDS; some tools seem even to require it. It could however be an issue with XCA.

XUA

Q: Is there any discussion within the framework on how to handle SAML?
A: The Cross-enterprise User Assertion (XUA) profile is devoted to the use of SAML. It does not get into detail of how to use SAML meta-data or how clients should retrieve identity traits.

BPPC

Some contextual explaination written by Lynn will be included in the wiki page on the subject.

Q: Is BPPC required for Connectathon?
A: BPPC is a profile, as such, each participant chooses whether to present it for testing or not.

Other

The support of IHE connectathon pages presented during the call can be found on http://ihewiki.wustl.edu/wiki/index.php/Main_Page
The support of IHE connectathin pages will include a link to Tests Plans once those are published.

Q: Will the rejection of non valid certification be tested during the Connectathon?
A: This will be included in the MESA test but won't be tested during Connectathon.

A next Connectathon Q & A T-con will be scheduled second week of december later during the day.

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November 7 – 8 2007 Face to Face meeting

Logistics Nov 7 - 8

Location
RSNA Headquarters
820 Jorie Boulevard Oak Brook, IL 60523

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Agenda Nov 7 - 8

The following is a tentative agenda and might be revised during the meeting. All times are rough estimates and will be changed with little notice.

Links to the detailed proposals that will be discussed during the meeting are given below in the minutes section.

November 7th, Wednesday: 8:30 a.m. to 5:30 p.m.
08:30 (.5) Continental Breakfast
09:00 (.5) Introductions/Agenda Review/Governance discussion
09:30 (2.5) First set :
              Emergency Contact Registry Query (ECON)
              Sharing Value Sets
              Cross-Entreprise Service Bus (XSB)
              Publish/Subscribe Infrastructure for XDS
12:00 (1) Lunch
01:00 (1.5) Second set :
              Asynchronous XDS.b
              Referral Request
              Extended PDQ
              Update to XDS-SD (Scanned Doc) 
                   to conform to PCC Content Profile template
02:30 (.5) White Papers :
              Cross-Community Architecture
              Sharing of Terminologies
              Policy-Driven Security and Privacy
03:00 (.5) review agenda for next day
03:30 (2) Joint meeting with PCC :
              Sharing of Terminology
              Referral Request
              On-demand queries for XDS
              Critical results
              Publish/Subscribe Infrastructure for XDS
              RFD/QED integration
              ECON Query
              XDS-SD Update
05:30 Adjourn
November 8th, Thursay: 8:30 a.m. to 3:00 p.m.
08:30 (.5) Continental Breakfast
09:00 (1) CPs critical to connectathon
10:00 (1) White papers from previous years (and followon from yesterday):
              Policy-Driven Security and Privacy
              Configuration management
              Cookbook on security section of IHE Profiles
              Template for XDS Affinity Domain Deployment Planning
11:00 (1) Discuss conclusions from discussions
          Build consensus for moving forward with lineup of profiles
          Consider alternatives to pass on to planning committee 
12:00 (1) Lunch
01:00 (1) Vote on lineup of profiles to move forward
02:00 (1) Schedule followup tcons
03:00 Adjourn

Minutes Nov 7 - 8

Governance

Link to tentative ITI Technical Committee Voting Procedures will be sent to the committee for reviewing.

The committee wants to stress that abstention is a perfectly acceptable vote especially when a member didn't have time to review the material subject of the vote before hand. It is reminded that though not counting for assessing whether a proposition is adopted, abstention counts toward quorum and maintaining voting privileges.

Webex is able to handle votes. This possibility will be investigated for T-con voting.


Emergency Contact Registry Query (ECON)

Emergency Contact Registry Query (ECON) detailed proposal

Several solid standards could be used for that profile. The detailed proposal has been edited to reflect those standards.

It is reminded that each new profile has to include risks assesment and risks mitigation. Any confidentiality issue will be adressed at that point.

The committee is stressing that Emergency Contact Registry Query profile should be about interoperability and not about how to populate an emergency contact database.

Though that profile should be small considering the number of pages, it should be assessed as a medium profile considering the amount of discussion needed to select the right standard.

Sharing Value Sets

Sharing value sets detailed proposal

In order to keep the profile simple, the scope will be limited to flat value sets. From prospective of profile development the value set shouldn't be limited but for developing and testing purpose the value set used should be an existing one.

The profile will be based on simple HL7 CTS transactions (a stable and well known standard). Even though a version 2 of CTS is under development, one of the requirement of CTS 2 is compatibility with CTS.

After scoping down, the profile is evaluated as a medium profile.

Cross-Entreprise Service Bus (XSB)

Cross-Entreprise Service Bus (XSB) detailed proposal

After discussion of the use cases, it has been agreed that the profile be move forth as a white paper. Upon white paper completion, next step will be decided on (depending on the technical scope, it could be as light as a CP to appendix V)

The white paper should be renamed to better reflect its scope.

Publish/Subscribe Infrastructure for XDS

Publish/Subscribe Infrastructure for XDS detailed proposal

After discussion, it appears that there isn't a stable standard on which to base that profile.

Considering the need for publish/subscribe infrastructure for XDS, it is proposed to work normatively on the content part of a publish/subscribe service and informatively on the standard that can be used to implement those services.

The subject could be handle as a new direction instead of a profile. Work on publish/subscribe (including demonstration) should then be handle by a group of people in parallel of committee work. Progresses will be presented during face to face meetings but no vote will be called.

The co-chairs will ask the sponsors for support of that new direction.

Asynchronous XDS.b

Asynchronous XDS.b detailed proposal

Discussed standards in support of one request and multiple aysnchronous responses. WS-Enumeration may support this but is not a stable standard, only a member submission. Probably will need to scope to one request/one response support until standards are available. Concern that we not create lots of options on the functionality as we adopt newly available standards. Will require evaluation of security in an asynchronous environment. Expected mainly to be a Vol. 1 update to describe the option and Vol. 2 data which refers to WS-I Basic Profile and addresses security concerns. Assessed as Small - 10 pages. Author will be supplied by Microsoft, a name will be provided within the next four weeks.

Referral Request

Referral Request detailed proposal

Several options in terms of describing this as multiple profiles or options. Standards are clear, although choice between HL7V2.5 and HL7V3 will be complicated as there is no clear winner. Estimated as large, 100 page profile or set of profiles.

Extended PDQ

Extended PDQ detailed proposal

Discussion regarding whether to support all attribute fields in HL7 V2.5 Chap. 3 or just a subset of the fields. General feeling is to support a subset and the original submission specified a good subset. But should be re-evaluated as part of profile development.

Requires changes to PIX, PDQ, PAM, PIX V3, PDQ V3. Include in this update to PIX the adoption of the HL7v2.5 PAM Patient Identity Feed. Currently PIX is all v2.5 based except the patient identity feed which is a back level of HL7v2(.3?).

These changes touch a lot of profiles, but each change is very small. Judged as medium because of the significance to multiple profiles and coordination involved.

Update XDS-SD to PCC template

Concern with cross-domain maintenance of wiki and published document. Will need attention from PCC. Work on this could inform the planned Guide PCC will work on. Also need to consider BPPC. Small or medium, depending on support from PCC and need for ITI discussion time to resolve issues.

White Paper : Cross-Community Architecture

Cross-Community Architecture White Paper detailed proposal

Discussion of including multiple points of view. Charles to help get attention from US and other country national initiatives. Judged as largish white paper.

White Paper : Sharing of Terminologies

Terminology Sharing White Paper detailed proposal

Christel Daniel presented Terminology Presentation

Discussion of scope - consider scoping down to a roadmap only, describing the next steps after the 2008 profile.

White Paper : Policy-Driven Security and Privacy

See section on "whitepapers from previous years"

Joint PCC&ITI Discussion
  • Sharing of Terminology

Considering the scope of the "share value set" profile, no specific concern is voiced by PCC on the subject.
PCC will review the profile.

  • RFD/QED integration

After discussion on the RFD profile and its use with content profile, further work on the subject will be handled through future T-con between ITI and PCC.

  • Referral Orders

PCC is interested in that profile as a potential underlying profile for critical results.

  • Critical results

The key issue is to offer the ability for some one in a department to locate the contact to which critical results should be transmitted (who is the important provider to contact when a critical result is obtained for the patient).
An other important issue is the possibility to get a record of attempted contacts and of successful contacts. There is no auditing possibility to automatically know whether the patient has been properly informed.
Critical results workflow will be explored in a white paper by PCC.

  • ECON profile dependencies on PCC profile

Pre-hospital care workflow deals with emergency contact (a folder is created to store data related to emergency). Although related, the pre-hospital care workflow and ECON can be done independently.

  • XDS-SD Update to conform to PCC content profile templating

Experience sharing on how to extract wiki material and assessing how to manage evolution will be done through calls between PCC and ITI. Efforts will be done to involve LAB in order to prepare the same kind of update for XD-Lab.

  • On-demand queries for XDS

There is a need for a way for a provider to ask another provider for specific documents (e.g. last 3 documents of a specific type for a patient). A related sub use-case will be added to referral order for request of record (record being considered as a set of documents).

  • Publish/Subscribe Infrastructure for XDS

Concern from PCC that the direction chosen for this (new directions due to lack of standards) is a surprising choice. Expected to base this on XDS Stored Query. Explanations from ITI regarding the decision made and the issues with standards, including ebXML.

  • Patient and Provider communication in the context of medical home and other things

Medical home isn't addressed within the ITI technical committee since it didn't make the cut during the ITI planning committee.
ITI technical committee does recognize the importance of the issue and will include it in the white paper on cross-community architecture. Any contribution from PCC on the subject will be greatly appreciated.

  • Consent and family history change

The subject has been defered to a future tcon specific for security/privacy

CPs critical to connectathon

See November 8, 2007 CP Minutes.

White papers from previous year
  • Policy-driven security and privacy (note, delayed from previous discussion)

Don volunteered to author this paper as original author (Matt Methany) has not responded to emails on the subject and has not submitted a detailed proposal. Paper will focus on policy and technology interface, how do we interact with a variety of policies? Don to organize work group to contribute to the paper.

  • Configuration management

Contributions from other domains has been minimal. Agreed to convert to a wiki page and continue to encourage contributions. Will evaluate next year to determine if it is ready for something to be published.

  • Cookbook on security and privacy writing profile

This paper needs to be updated with learning from its use last year and at HITSP. Manuel has agreed to own the document. After it is updated, training for ITI authors, and authors in other domains, should be developed. All domains should be encouraged to use this paper and feeding input back to the ITI committee. Update to paper should happen early in 2008 with a new version available for profile authors to use.

  • Template for XDS Affinity Domain Deployment

Several changes are being made based on feedback. After changes complete Dave will distribute to ITI tech committee and state a feedback date. After review by the committee we will publish it to ihe.net.

Conclusion

Voted on adoption of committee procedures as described in: ITI Technical Committee Voting Procedures. All voted in favor of adoption.

Reviewed spreadsheet at SizingChart.xls. Calculated sizing of each entry. Determined needed to cut a small amount.

Proposal was made to pass the spreadsheet as it stands to the planning committee and ask them to determine which to cut. Concern that planning committee would just cut white papers which is possibly not the best direction from a technical standpoint.

Proposal to vote on the non-maintenance items in the spreadsheet and choose the items with the greatest number of votes. Three votes per organization.

Vote on lineup of profiles to move forward

Vote is tabulated in SizingChart.xls

Agreed to:

  • Drop the XC Archictecture White Paper (lowest vote getter)
  • Scale back the Referral Profile (second lowest vote getter) to be only the referral request (not the get results path).

Official documentation of this decision will be authored by co-chairs, submitted to committee for review, and then delivered to ITI Planning.

Delivered to ITI Planning via email on November 27, 2007 ResponseToPlanning.pdf

Schedule followup tcons

Nov 14th 2007: Connectathon Q&A
Jan 8th 2008: Follow up on white paper: Cookbook on security and privacy writing profile

Joint meeting with PCC: PCC technical committee co-chairs will be contacted to assess opportunity for joint T-con before march Face-to-Face meeting.

Attendees List Nov 7 - 8

Attendance: November 7-8, 2007
Attendees Nov 7 Nov 8
Robert Horn – AGFA P P
George Cole - Allscripts X X
Don Jorgenson – Inpriva Inc. X X
Christel Lo Bozec - DIH-HEGP - APHP P P
Lori Fourquet – E-Healthsign X X
Vassil Peytchev – Epic Systems X X
John Moehrke – GE Medical Systems IT X X
Charles Parisot – GE Medical Systems IT X X
Harry Solomon – GE Healthcare X X
Ana Estelrich – GIP-DMP X X
Manuel Metz – GIP-DMP X X
Sarah Knoop – IBM P P
Karen Witting – IBM X X
Norbert Mikula – Microsoft X X
Bill Majurski - NIST P P
Floyd Eisenberg – Siemens X X
Glen Marshall – Siemens X X
Jim McInnis – Siemens X X
Michael Talley - University Bank P P
Gail Arnett - HIMSS Staff X X
LaVerne Palmer - HIMSS Staff X X

X in person P on phone


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