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 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 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 existin 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 Moehrke: Set up the MHD-R5 branch and seed with the initial change list (DocumentReference diffs, AuditEvent approach, examples, and a cross-reference table). gematik participants (Michael Onken, Raik Kuhlisch) and interested parties: Provide EU/EHDS projectathon expectations and testing scenarios to guide scope and timing. Full-Text Search proponents: Draft initial option text for MHD actors and propose conformance test cases. Planning/Tech co-chairs: Define publication placement/labels so R5 is findable without implying replacement of R4.