ITI Planning Committee 2015/2016 Meetings

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Introduction

This WIKI page documents the activities of the ITI Planning Committee during the 2015/2016 committee year (August 2015 - July 2016). These activities include:

  • Call for Proposals : August-October
  • Review and selection of Proposals : October-December
  • Updates/Additions to Educational Materials/White Papers/Etc. : December-July

Proposal Webinars

Webinar Organization

Each webinar will be organized as follows (this will vary slightly depending upon how many proposals we will be reviewing:

  • Each webinar will be divided into 20-minute time-slots, with the remaining time for introductory remarks and follow-up discussion.
  • Each 20-minute time slot will be allocated to a profile/white paper proposal… the first 10 minutes will be taken up by a presentation by the proposal author, with the remaining 10 minutes reserved for discussion and any disposition (if required).
  • Each 10-minute presentation will be comprised of a maximum of 5 Powerpoint slides, presenting the proposal problem statement concisely and completely.

Webinar 1

Webinar #1 was not needed and has been canceled. Please see below for the schedule for the remaining webinars.

Webinar 2

Webinar #2 was not needed and has been canceled. Please see below for the schedule for the remaining webinars.

Webinar 3

All times are Central Time

Date Time Coordinates Recording of the meeting
2015-Oct-15 12:00pm-2:00pm CDT Join Webex(password "meeting") Download recording of Session #3
Time Proposal Author/Presenter Comments
12:00pm-12:10pm Webinar Introduction, process Daniel Berezeanu, Eric Heflin : Co-Chairs The goal for this series of webinars is to just explain and socialize the problem. The goals is NOT for the presenter to talk about the solution. And the goals is NOT for the ITI PC to prioritize or select which brief proposals move forward. Presenters should be prepared to present their brief proposal papers, or a power point with the same basic concepts. All webinars will be recorded and publicly posted. All ITI PC members are expected to review the webinars (live or via the recordings) prior to the F2F meetings.
12:10pm-12:30pm Enhanced Patient Privacy Consents Tarik Idris, John Moehrke, Frank Oemig, Jörg Caumanns 1-Facility specific consent

2-Consent for an episode of care 3-Provider blacklist, document author/source, document metadata, roles, Xid

There seems to be some overlap with existing standards. A full standards assessment will be required once the profile work begins.

Use of stylesheets, what will be the source of the policy statements, how are you planning to address specific policies. There could be many different sources of policies, but there are different approaches that could be applied including a central approach We are looking to create a portion in consent within probably PBBC, which they can use the meaning behind the modifications to core consent. Will this be applied to nation, state legislations within a determined structure? We can certainly within IHE have specific reach outs but normal public comment mechanism should be minimally acceptable.

12:30pm-12:50pm Re-documentation of Document Sharing Profiles Karen Witting What is the positive impact of this work on IHE?

Phase 1 most important, phase 2 more focused, the impact would be about the same as phase 2 and will provide significant impact with minimal work effort. The clarification and re-documentation of the existing standards provides ease of use and implementation without changes to any conformance criteria. How was the decision on what order the profiles to re-document? The work group decided to cover the provide, register and retrieve transactions and would be complete and the Query transaction in a later phase.

12:50pm-1:10pm HIT Standards for HIM Practices: Implementable White Paper Proposal Harry Rhodes, Anna Orlova, Diana Warner Can this effort be internationalized? Yes, we are already working internationally with collaborators.

Impact, original WP received 149 comments external to ITI, HIM vendors and implementers are showing much interest in the work IHE is doing.

1:10pm-1:20pm Discussion, Next Steps Co-Chairs Next steps: 1) more Brief Proposal webinars scheduled (please see below on this page for the details), 2) you should listen to all webinars prior to the October face-to-face meetings, 3) in Oct f2f meetings the ITI Planning Committee we will dive into these more deeply and assess against criteria in the spreadsheet (fit, value, effort, etc.), 4) vote on which move forward to ITI TC for their assessment. Also a reminder: All presenters should send their presentations so they can be posted on the public ftp site.

Webinar 4

All times are Central Time

Date Time Coordinates Recording of the meeting
2015-Oct-19 3:30pm-5:30pm CDT Join Webex(password "meeting") Download recording of Session #4
Time Proposal Author/Presenter Comments
3:30pm-3:40pm Webinar Introduction, process Eric Heflin, Daniel Berezeanu : Co-Chairs Re-iterated message from prior call to focus on the problem, not the solution.
3:40pm-4:00pm Maintenance of Profiles Published in 2015 and earlier Lynn Felhofer TBD
4:00pm-4:20pm RESTful DSUB Rob Horn TBD
4:20pm-4:40pm Uniformal barcode processing for patient safety and efficiency Erik Zwarter, Vincent van Pelt TBD
4:40pm-4:50pm HPD Updates/USA National Extension Eric Heflin TBD
4:50pm-5:00pm Discussion, Next Steps Co-Chairs

Webinar 5

Webinar #5 was not needed and has been canceled. Please see above for the schedule for the remaining webinars.

F2F Meeting

The following agenda is a draft and may be adjusted based on needs of the meeting

WEDNESDAY October 22 - DAY 1

NOTE: THIS AGENDA IS SUBJECT TO CONSTANT REVISION. IT WILL BE LIKELY REVISED UP TO AND DURING THE MEETING.

Thursday October 21 - In Person Day 1

NOTE: THIS AGENDA WILL BE SUBJECT TO CONTINUOUS REVISION; IT WILL BE LIKELY REVISED UP TO AND DURING THE MEETING.

Location Webex/Tcon
RSNA Headquarters
Oak Brook, IL
Join webex

Meeting Password: Meeting

Time Description Presenter Minutes/Notes
8:30-8:45 CT Welcome
  • Introductions
  • Housekeeping
  • Domain Sponsor Announcements
  • Procedures, voting privileges, etc.
  • Agenda review
8:45-9:15 CT ITI Capacity and Evaluation Criteria
ITI co-chairs Goal:Determine how many votes each organization will get. Agree on approximate number of proposals to forward on to ITI TC. Evaluate each proposal at that time (while it is fresh). Agree on physical voting logistics (google spreadsheet, flip chart, other.)

Outcome: Reviewed the process and agreed that each organization will get 7 electronic votes. Also agreed that the list of proposals would be limited and prioritized to approximately 5-10, depending on the size of the proposals.

9:15-9:45 CT Advocacy SAML for Healthcare Workflows Deployment Alex DeJong presentation Designed to allow two factor authentication using SAML for work-flows. Required by some legal jurisdictions.

Q: What is the interoperability problem? It is not apparent that there is a need. A: SAML is not constrained enough to be interoperability. They've identified about 30 factors that are not constrained enough. They took this to OASIS and they indicated that this level of constraints was for each industry to define. Constraint on the SAML Web SSO profile to enable government mandated authenticated method. Q: Where would it be of use? A: USA, Canada, Europe. Initial ranking: 14 points.

9:45-10:00 CT Advocacy Health Context Sharing via SAML Alex DeJong presentation Can be thought of as mapping CCOW to SAML. Presenter asserts CCOW is a valuable profile, but it is difficult to implement. Would allow applications to share a patient context via SAML in an interoperable way. Comment was made that CCOW is dead. Would be a browser session based for some but not all information transfers.
10:00-10:15 CT Break
10:15-10:45 CT Advocacy ATNA Query Mauro Zanardini Presentation Policy an User driven requirements to have healthcare specific query mechanisms to ATNA.
10:45-11:15 CT Advocacy ATNA Repository RESTful Access Rob Horn Presentation Merging with ATNA Query

The 2 following proposals address similar use cases and will be joined together. Have minimal healthcare content and leverage existing Syslog access standards to access ATNA logs. Permit audit logs forwarding from local audit repository to another more central audit repository, possibly based on filter rules.

11:15-11:45 CT Advocacy Cross-Enterprise Document Network Interchange (XDN) Fred Behlen Presentation Problem is moving a repository from one vendor to another. Is an interoperability due to the amount of time to migrate due to insufficient speed. The current standards define an API, and vendors decide on how data is stored internally. It was asserted that this is not an interoperability issue and is a step backward to XDS.a which was similar. REST style indirection needed in XDS Registry .Security concerns in adding URI. Proposer agrees to make this a white paper, with a small scope.
11:45-11:55 CT Advocacy Redocumentation of XD* Profiles Karen Witting Resubmission of last year proposal.
11:55-12:00 CT Advocacy DSG Supplement Update John M There is minimal work left to get this out for public comment.
12:00-12:15 Advocacy Next steps in Cross Community Karen Witting The presenter can only work on one of her two proposals. This is a Planning committee White paper which could include a webinar.


12:15-12:45 CT Lunch Break
1:00-1:45 CT Advocacy De-identification of healthcare data to central reporting authority Johanna Goderre Jones Presentation ITI helping QPHR to produce the Profile, possible outcome include changes to the handbook as well as educational materials. This profile also has the potential de be an international template that can later be adapted by each region . ITI TC, could help write an addendum to the white paper, as an example implementation based on Family Planning DeIdentification
1:45-2:15 CT Advocacy HIT Standards for Information Governance White Paper Diana Warner presentationQ:Is this a marketing white paper on how to use and leverage IHE stantards? It’s not a marketing exercise; it’s more about documenting clinical principals policies, practices and operations policies from an interoperability perspective. This White paper is targeting people writing profiles.

Q:Is this a planning committee deliverable? TC is the audience for this, but PC delivers this. ITI TC would have to review the White Paper. This White paper would have a large global international perspective.

2:15-2:30 CT Break
2:30-3:15 CT Advocacy Proposal Alerts Targeted at Humans Carl Leitner Presentation Wide variety Clinical and public health use cases would be solved.

The complexity might be bigger than anticipated; we should diminish the scope by not doing the feedback options now. There is lots of interest in solving this, but sizing and slicing this problem will be challenging. Concerns that if we do not tackle the feedback mechanism, might loose clinical relevance. Design must be expandable. From a need perspective this seems to have some overlap with PCD Alerts and Radiology Alerts, coordination will be required with other domains. The feedback loop, which may be an option, could significantly increases the size equivalent to XDS.

3:15-4:00 CT Advocacy Extending the Use of XDW to Cross-Community Environments Charles Parisot, David Pyke Radiology Workflow will cross borders; Radiology committee will give clear requirements

1 Profile and 1 supplement will be generated from this work Dependency to moving XDW to final text while it supports single and multiple communities. Other domains expect XDW to work in XCA.

3:45-4:15 CT Advocacy Delete Provide & Registered Document Set Gil Levi, Bill Majurski presentation Delete is going to interact with medical records policies; requests for deletion need extensive policy and administration workflow. Data is generally not deleted in the US before the legal retention period.

Could Access control solve the temporary delete problem, and the offline storage for the long-term storage? IOCM, requires a managed process to propagate changes. Q: What is the use case driving this? To complete the document lifecycle. There is interest in using this to enforce legal retention period. This effort would demonstrate the completeness of the solution mostly for political reasons. If the repository is the Archive of records, there is little need to delete. Acknowledgement can be Synchronous or asynchronous. Q: Would there be a way to delete in multiple repositories? Yes, but the registry would have to inform the delete source of the existence and placement of all documents.


4:15-4:30 CT MHD and HL7 FHIR Harmonization John M This is clearly understood by the workgroup, the presentation was skipped and we proceed directly to the evaluation. The Hackathon, should provide some feedback for incorporation. MHD will have to provide HL7 FHIR DSTU-1 response for January 2015. MHD will also have to incorporate HL7 FHIR DSTU-2 quickly .
4:30-4:35 CT National Extensions for Confidentiality Rob H Withdrawn due to lack of interest yet. More interest is anticipated in the future.


4:35-4:35 CT Advocacy QDA - Query Dispatch and Aggregate Vincent van Pelt No show.
4:35-4:50 CT Restful PIX Rob H PDQm already supports RESTful PIX, only minimal profiling will be required.

Q: Will the consumer have the patient ID? Yes. The PIX manager will not require a RESTful interface to register patients; they can keep using HL7V2 or V3.


5:15-6:00 CT General Discussion and preparation for evaluation ITI Planning co-chairs Voting procedures:

3 ongoing items will be passed on to ITI TC. The group will vote to add 5 more profiles. ITI TC will have to evaluate in more details the size of the proposals and could decide to take-on a subset of what is proposed to them.

Action items tomorrow: Give Karen guidance on witch items we would like her to do. We’ll vote before we give guidance.

We are ADJURNING the meeting.

  • Continued discussion for work items not fully understood
  • Re-review of Evaluation Criteria
  • Conclude Process used to develop a prioritized work item list
6:00 pm CT ADJOURN

THURSDAY October 23 - DAY 2

TBD

Remaining meetings will be posted here