ITI Agenda October 2025 F2F: Difference between revisions

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== Work Item Proposals Discussed ==
== Work Item Proposals Discussed ==


=== MHD FHIR R5 ===
=== 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.
'''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.


Line 221: Line 221:
'''Future:''' Expect broad convergence at FHIR R6; the R5 branching/packaging pattern will inform how to run dual lines for other profiles later.
'''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 ===
=== 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.
'''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
; Key takeaways from discussion
* Complements existing metadata and structured-data queries (XDS/MHD, mXDE, QEDm).
* Complements existing metadata and structured-data queries (XDS/MHD, mXDE, QEDm).
* Scope is limited to MHD unstructured content search; leave structured extraction to existin
* Scope is limited to MHD unstructured content search; leave structured extraction to existing


== Consensus ==
=== De-identification Support Enhancements ([https://github.com/IHE/IT-Infrastructure/issues/228 Issue #228]) ===
* Proceed with MHD-on-R5 as a parallel line; R4 remains recommended.
 
* Keep MHD-R5 scope limited to what is required for R5 alignment (no net-new functionality).
; Status / Notes
* Continue technical exploration of Full-Text Search within MHD with tight, testable options.
* 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 ==
== Action Items ==
# John Moehrke: Set up the MHD-R5 branch and seed with the initial change list (DocumentReference diffs, AuditEvent approach, examples, and a cross-reference table).
John: Stand up the MHD-R5 branch, seed with change list (DocReference diffs, AuditEvent approach, examples, cross-reference table for Vol-3 ↔︎ profiles).
# gematik participants (Michael Onken, Raik Kuhlisch) and interested parties: Provide EU/EHDS projectathon expectations and testing scenarios to guide scope and timing.
gematik (Michael, Raik) confirm IHE International Membership, Join ITI tech mailing list
# Full-Text Search proponents: Draft initial option text for MHD actors and propose conformance test cases.
Hagan: schedule meetings
# Planning/Tech co-chairs: Define publication placement/labels so R5 is findable without implying replacement of R4.
* 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)




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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