ITI Agenda October 2025 F2F

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

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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	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: [Continuous Development]	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	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
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 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
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)