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October 6-9 Virtual Face to Face
This 4-days meeting is to move forward all the current work items in the continuous development cycle. The [[https://github.com/orgs/IHE/projects/8 ITI Project Planning Board]]
 
Meeting Location
- Virtual
 
Google Meet information for this meeting is:
 
[https://meet.google.com/ibw-dhuv-nin Join the Meeting Here]
 
 
== Agenda & Minutes ==
 
All times listed are tentative and may be revised during the meeting; refresh often.
 
=== Monday, 06 October 2025===
{| class="wikitable"
|+ Day 1: Monday, 06 October 2025
|-
! style="width: 10%" | Time
Virtual
(CST, UTC−06:00)
! style="width: 10%" | Leads
! style="width: 25%" | Activity
! style="width: 55%" | Notes
|-
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;9:00 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Luke / Oliver / Steve
| id="02-25-0830" |
* Introductions and Agenda Review
** Introductions
** Sponsor Communications
*** https://www.ihe.net/about_ihe/patent_disclosure_process/
** Agenda Review
** Decision Making and Goals
** Author commitments
*** wiki updates, T-cons, F2F participation, ...
** continuous development:  [[https://wiki.ihe.net/index.php/ITI_Continuous_Development Continuous Development]]
 
| style="text-align: left" |
 
''Participants'': Luke Duncan, Alessia Favero, Chris Melo, John Moehrke, Matt Blackmon, Oliver Egger, Ritika Rawlani, Steve Nichols, Carl Leitner, Spencer LaGesse, Diletta Babato
''Minutes'':
* Goals:
** VHL - continuing
** XCDR - continuing
** Sex & gender - published with CP Integration
** De-identification Handbook - continuing
 
|-
| style="text-align: center" | 9:00 <font style="font-variant: small-caps">am</font>&ndash;10:30 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Ritika / Carl
| id="02-25-0830" | Verifiable Health Links
| style="text-align: left" |
 
* https://build.fhir.org/ig/IHE/ITI.VHL/branches/f2f_draft/index.html
* Reviewed PKI transaction and content module
* Discussed need of this transaction since other profiles don't cover PKI since there are many ways to handle it.
* https://smart.who.int/trust/openapi/index.html#/GDHCN/postTrustedCertificate
* https://www.icao.int/icao-pkd/icao-master-list
* https://datatracker.ietf.org/doc/html/rfc2315
* https://www.who.int/news/item/19-09-2025-amended-international-health-regulations-enter-into-force
* https://racsel.org/conectaton2025/
* https://www.itu.int/en/ITU-T/Workshops-and-Seminars/2025/0509/Documents/Erik%20Andersen.pdf
 
|-
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" |  Vassil
| id="02-25-0830" | XCDR Endpoint Addressing
| style="text-align: left" |
* Reviewed work item
* CP has been started and will upload to Incoming.
|-
| style="text-align: center" | 1:00 <font style="font-variant: small-caps">pm</font>&ndash;3:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Luke / Oliver
| id="02-25-0830" | Github Maintenance
| style="text-align: left" |
* Reviewed pull requests and new issues across github repos
 
|}
 
=== Tuesday, 07 October 2025 ===
{| class="wikitable"
|+ Day 2: Tuesday, 07 October 2025
|-
! style="width: 10%" | Time
Virtual
(CST, UTC&minus;06:00)
! style="width: 10%" | Leads
! style="width: 25%" | Activity
! style="width: 55%" | Notes
|-
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;10:30 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Ritika / Carl
| id="02-25-0830" | VHL
| style="text-align: left" |
Participants: Luke, Spencer, Carl, Ritika, Alessia, Diletta, Oliver, Daniel Berezeanu ,Matt <br />
* Further discussed PKI issues
* Option vs separate profile
* Add open issue on PKI and option for actors and transaction
* https://www.etsi.org/deliver/etsi_ts/119600_119699/119612/02.02.01_60/ts_119612v020201p.pdf
* https://www.who.int/news/item/19-09-2025-amended-international-health-regulations-enter-into-force
|-
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Luke / Oliver
| id="02-25-0830" | Github Maintenance
| style="text-align: left" |
* Reviewed and accepted pull requests
|-
| style="text-align: center" | 1:00 <font style="font-variant: small-caps">pm</font>&ndash;3:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Luke / Oliver
| id="02-25-0830" | CP Integration
| style="text-align: left" |
* Reviewed all pending pull requests for CP Integration for 2025
|-
| style="text-align: center" | 3:00 <font style="font-variant: small-caps">am</font>&ndash;4:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Matt / Daniel
| id="02-25-0830" | Connectathon Discussion
| style="text-align: left" |
 
|-
| style="text-align: center" | 3:00 <font style="font-variant: small-caps">pm</font>&ndash;5:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" |
| id="02-25-0830" | tbd
| style="text-align: left" |
|}
 
=== Wednesday, 08 October 2025===
{| class="wikitable"
|+ Day 3: Wednesday, 08 October 2025
|-
! style="width: 10%" | Time
Virtual
(CST, UTC&minus;06:00)
! style="width: 10%" | Leads
! style="width: 25%" | Activity
! style="width: 55%" | Notes
|-
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:00<font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Vassil
| id="02-25-0830" | XCDR Endpoint Addressing
| style="text-align: left" |
Participants: Luke, Oliver, Matt, Alessia, Spencer, Diletta, Steve, Vassil<br />
* Reviewed CP and proposed changes
* Will have recurring meeting starting Nov 6 at 10 CT
|-
| style="text-align: center" | 1:00 <font style="font-variant: small-caps">pm</font>&ndash;3:00<font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Oliver
| id="02-25-0830" | CP Maintenance
| style="text-align: left" |
* Reviewed Incoming CPs
|-
| style="text-align: center" | 3:00 <font style="font-variant: small-caps">pm</font>&ndash;5:00<font style="font-variant: small-caps">pm</font>
| style="text-align: center" | all
| id="02-25-0830" | Joint ITI/PCC/QRPH
| style="text-align: left" |
 
|}
 
=== Thursday, 09 October 2025===
{| class="wikitable"
|+ Day 4: Thursday, 09 October 2025
|-
! style="width: 10%" | Time
Virtual  
(CST, UTC&minus;06:00)
! style="width: 10%" | Leads
! style="width: 25%" | Activity
! style="width: 55%" | Notes
|-
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;10:30<font style="font-variant: small-caps">am</font>
| style="text-align: center" | Alain
| id="02-25-0830" | De-Identification Handbook
| style="text-align: left" |
 
|-
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;1:00 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Steve / Luke / Oliver
| id="02-25-0830" | ITI Tech/Planning
| style="text-align: left" |
== Attendees ==
* Steve Nichols – GE HealthCare, Planning co-chair
* Andrea Fourquet – eHealthSign
* Lori Fourquet – eHealthSign
* Andreas Klingler – Siemens
* Chris Melo – Philips
* Diletta Babato – Arsenàl.IT
* Gudrun Liß – IHE Germany
* John Moehrke – IHE Europe
* Luke Duncan – Path, Planning co-chair
* Oliver Egger – ahdis ag
* Raik Kuhlisch – gematik
* Spencer LaGesse – Epic
* Matt Blackmon – Sequoia
* Michael Onken – gematik
* Martin Rosner – Philips
* Vivi Hen – gematik
 
== Work Item Proposals Discussed ==
 
=== MHD FHIR R5 ([https://github.com/IHE/IT-Infrastructure/issues/229 Issue #229]) ===
'''Goal.''' Provide an MHD on FHIR R5 track in parallel to today’s normative MHD on FHIR R4 This will not deprecate R4. This is funded/sponsored by IHE-Europe.
 
; Editorial/Packaging approach
* Create a versioned branch of the MHD repo for the R5 work.
* Publish as a new major line with a suffix (e.g., 5.0.0-R5) so it’s clearly not replacing the 4.x line; R4 remains the recommended publication. And the version tested at connectathons
* IHE normally avoids multiple simultaneously-published versions; this plan intentionally carves out a method to keep both visible until a future convergence (likely at FHIR R6).
 
; Technical notes
* Many sections of MHD don’t change; the big changes are in DocumentReference.
* AuditEvent: profile directly for R5 (not strictly via BALP), keeping consistent with a future BALP upgrade.
* Dependencies: PDQm should be fine (normative resources); FormatCode is vocabulary (version-agnostic); IUA is version-agnostic; MHDS update is out of scope.
 
'''Timeline:''' Europe/EHDS would like a TI as early as Dec 2025; recognize this stresses normal governance. Aim to get as close as feasible.
 
'''Actors/options:''' Ensure both Source and Responder variants are supported where relevant; keep options tightly scoped and testable.
 
'''National/Regional use:''' Treat R5 line as suitable for national extensions and European projectathons (EHDS) while avoiding pressure on global sites to switch.
 
'''Maintenance risk:''' Running two live lines (R4 & R5) adds overhead; keep diffs minimal and document precise deltas.
 
'''Future:''' Expect broad convergence at FHIR R6; the R5 branching/packaging pattern will inform how to run dual lines for other profiles later.
 
=== Full-Text Search for Document Sharing ([https://github.com/IHE/IT-Infrastructure/issues/225 Issue #225]) ===
'''Goal.''' Add server-side cross-document full-text search to IHE Document Sharing so clinicians can find relevant unstructured documents (e.g., PDFs) without opening each one.
 
; Key takeaways from discussion
* Complements existing metadata and structured-data queries (XDS/MHD, mXDE, QEDm).
* Scope is limited to MHD unstructured content search; leave structured extraction to existing
 
=== De-identification Support Enhancements ([https://github.com/IHE/IT-Infrastructure/issues/228 Issue #228]) ===
 
; Status / Notes
* Dependency on the De-identification Handbook updates
* Needs refinement (scope and details)
* Lacks an editor (volunteers requested)
 
== Consensus / Discussion ==
Promote MHD R5 and Full-Text Search to “In development”
* Proceed with MHD-R5 as a parallel line; R4 remains recommended.
* Keep MHD-R5 scope limited (no net-new functionality beyond R5 alignment).
* Prefer MHD-R5 branch + suffixed versioning to avoid confusion with the R4 line.
* MHD-R5 Does not conflict with Full-Text Search
* Scope Full-Text Search to MHD R4
 
== Action Items ==
John: Stand up the MHD-R5 branch, seed with change list (DocReference diffs, AuditEvent approach, examples, cross-reference table for Vol-3 ↔︎ profiles).
gematik (Michael, Raik) confirm IHE International Membership, Join ITI tech mailing list
Hagan: schedule meetings
* MHD R5: October 30 and 13th at 10AM US Central (opposite weeks of XCDR Endpoint)
* Full-Text Search: Starting November 27th at 10AM US Central (opposite weeks of XCDR Endpoint) continue every other week (Note this is a US holiday)
 
 
|}
 
 
[[Category:Agenda]]

Latest revision as of 10:04, 10 October 2025

This 4-days meeting is to move forward all the current work items in the continuous development cycle. The [ITI Project Planning Board]

Meeting Location - Virtual

Google Meet information for this meeting is:

Join the Meeting Here


Agenda & Minutes

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

Monday, 06 October 2025

Day 1: Monday, 06 October 2025
Time

Virtual (CST, UTC−06:00)

Leads Activity Notes
8:30 am–9:00 am Luke / Oliver / Steve

Participants: Luke Duncan, Alessia Favero, Chris Melo, John Moehrke, Matt Blackmon, Oliver Egger, Ritika Rawlani, Steve Nichols, Carl Leitner, Spencer LaGesse, Diletta Babato Minutes:

  • Goals:
    • VHL - continuing
    • XCDR - continuing
    • Sex & gender - published with CP Integration
    • De-identification Handbook - continuing
9:00 am–10:30 am Ritika / Carl Verifiable Health Links
11:00 am–12:00 pm Vassil XCDR Endpoint Addressing
  • Reviewed work item
  • CP has been started and will upload to Incoming.
1:00 pm–3:00 pm Luke / Oliver Github Maintenance
  • Reviewed pull requests and new issues across github repos

Tuesday, 07 October 2025

Day 2: Tuesday, 07 October 2025
Time

Virtual (CST, UTC−06:00)

Leads Activity Notes
8:30 am–10:30 am Ritika / Carl VHL

Participants: Luke, Spencer, Carl, Ritika, Alessia, Diletta, Oliver, Daniel Berezeanu ,Matt

11:00 am–12:00 pm Luke / Oliver Github Maintenance
  • Reviewed and accepted pull requests
1:00 pm–3:00 pm Luke / Oliver CP Integration
  • Reviewed all pending pull requests for CP Integration for 2025
3:00 am–4:00 pm Matt / Daniel Connectathon Discussion
3:00 pm–5:00 pm tbd

Wednesday, 08 October 2025

Day 3: Wednesday, 08 October 2025
Time

Virtual (CST, UTC−06:00)

Leads Activity Notes
11:00 am–12:00pm Vassil XCDR Endpoint Addressing

Participants: Luke, Oliver, Matt, Alessia, Spencer, Diletta, Steve, Vassil

  • Reviewed CP and proposed changes
  • Will have recurring meeting starting Nov 6 at 10 CT
1:00 pm–3:00pm Oliver CP Maintenance
  • Reviewed Incoming CPs
3:00 pm–5:00pm all Joint ITI/PCC/QRPH

Thursday, 09 October 2025

Day 4: Thursday, 09 October 2025
Time

Virtual (CST, UTC−06:00)

Leads Activity Notes
8:30 am–10:30am Alain De-Identification Handbook
11:00 am–1:00 pm Steve / Luke / Oliver ITI Tech/Planning

Attendees

  • Steve Nichols – GE HealthCare, Planning co-chair
  • Andrea Fourquet – eHealthSign
  • Lori Fourquet – eHealthSign
  • Andreas Klingler – Siemens
  • Chris Melo – Philips
  • Diletta Babato – Arsenàl.IT
  • Gudrun Liß – IHE Germany
  • John Moehrke – IHE Europe
  • Luke Duncan – Path, Planning co-chair
  • Oliver Egger – ahdis ag
  • Raik Kuhlisch – gematik
  • Spencer LaGesse – Epic
  • Matt Blackmon – Sequoia
  • Michael Onken – gematik
  • Martin Rosner – Philips
  • Vivi Hen – gematik

Work Item Proposals Discussed

MHD FHIR R5 (Issue #229)

Goal. Provide an MHD on FHIR R5 track in parallel to today’s normative MHD on FHIR R4 This will not deprecate R4. This is funded/sponsored by IHE-Europe.

Editorial/Packaging approach
  • Create a versioned branch of the MHD repo for the R5 work.
  • Publish as a new major line with a suffix (e.g., 5.0.0-R5) so it’s clearly not replacing the 4.x line; R4 remains the recommended publication. And the version tested at connectathons
  • IHE normally avoids multiple simultaneously-published versions; this plan intentionally carves out a method to keep both visible until a future convergence (likely at FHIR R6).
Technical notes
  • Many sections of MHD don’t change; the big changes are in DocumentReference.
  • AuditEvent: profile directly for R5 (not strictly via BALP), keeping consistent with a future BALP upgrade.
  • Dependencies: PDQm should be fine (normative resources); FormatCode is vocabulary (version-agnostic); IUA is version-agnostic; MHDS update is out of scope.

Timeline: Europe/EHDS would like a TI as early as Dec 2025; recognize this stresses normal governance. Aim to get as close as feasible.

Actors/options: Ensure both Source and Responder variants are supported where relevant; keep options tightly scoped and testable.

National/Regional use: Treat R5 line as suitable for national extensions and European projectathons (EHDS) while avoiding pressure on global sites to switch.

Maintenance risk: Running two live lines (R4 & R5) adds overhead; keep diffs minimal and document precise deltas.

Future: Expect broad convergence at FHIR R6; the R5 branching/packaging pattern will inform how to run dual lines for other profiles later.

Full-Text Search for Document Sharing (Issue #225)

Goal. Add server-side cross-document full-text search to IHE Document Sharing so clinicians can find relevant unstructured documents (e.g., PDFs) without opening each one.

Key takeaways from discussion
  • Complements existing metadata and structured-data queries (XDS/MHD, mXDE, QEDm).
  • Scope is limited to MHD unstructured content search; leave structured extraction to existing

De-identification Support Enhancements (Issue #228)

Status / Notes
  • Dependency on the De-identification Handbook updates
  • Needs refinement (scope and details)
  • Lacks an editor (volunteers requested)

Consensus / Discussion

Promote MHD R5 and Full-Text Search to “In development”

  • Proceed with MHD-R5 as a parallel line; R4 remains recommended.
  • Keep MHD-R5 scope limited (no net-new functionality beyond R5 alignment).
  • Prefer MHD-R5 branch + suffixed versioning to avoid confusion with the R4 line.
  • MHD-R5 Does not conflict with Full-Text Search
  • Scope Full-Text Search to MHD R4

Action Items

John: Stand up the MHD-R5 branch, seed with change list (DocReference diffs, AuditEvent approach, examples, cross-reference table for Vol-3 ↔︎ profiles). gematik (Michael, Raik) confirm IHE International Membership, Join ITI tech mailing list Hagan: schedule meetings

  • MHD R5: October 30 and 13th at 10AM US Central (opposite weeks of XCDR Endpoint)
  • Full-Text Search: Starting November 27th at 10AM US Central (opposite weeks of XCDR Endpoint) continue every other week (Note this is a US holiday)


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