IHE Domain Coordination Committee Teleconference Minutes 2010-07-20

Attendees

• Chris Carr - RSNA
• Imran Chaudri - Eye Care Tech
• Tom Dolan - Cardio Tech
• Ken Fuchs - PCD Plan
• Rob Horn - ITI Tech
• Flora Lum, MD - AAO
• Mike McCoy, MD - PCC Plan
• Joan McMillen - RSNA
• Mike Nusbaum - ITI Plan
• Kevin O'Donnell - Rad Plan
• Andrea Pitkus - CAP
• Celina Roth - HIMSS
• Tone Southerland - PCC Tech
• Lisa Spellman - HIMSS
• Karen Witting - ITI Tech

Minutes

General Committee Business

1. Roll Call: Quorum Attained see Roster

2. Approval of Minutes

• IHE Domain Coordination Committee 2010-07-06 Teleconference

• Motion to Accept Minutes: Approved unaninmously

3. Flag any Future Agenda Topics for Next Meeting

• None advanced to agenda

4. Review Action Items List

Domain Announcements

1. Domain Milestone Dates

• Cardiology: Three profiles for trial implementation by 2010-07-23
• ITI: Five profiles for trial implementation plus white paper for public comment, Technical Framework volumes and ten updated Trial Implementation Supplements by July 26
• PCC: Eight new/revised supplements and two Technical Framework volumes (18 profiles total)
• QRPH: Five new or revised profile supplements for publication by Aug. 8

Domain Coordination Issues

1. Outcome of July 12 discussions about Anatomic Pathology content profile and template for content profile supplements

• Five domains have now created profiles incorporating CDA documents
• Three needs were identified to ensure that CDA documents are generated and referenced in an efficient, uniform way:

• Common Template for describing CDA documents
• Registry where CDA documents and their component modules (sections, subsections, entries) can be published and accessed
• Cross-domain method for defining, publishing and accessing CDA documents

• Note that there will be CPs against templates in future

• Action Item: Tone Southerland will produce overview of process for defining and publishing CDA documents in IHE profiles; Sept-Oct timeframe

• General consensus that we should try to incorporate all necessary profile components into a single supplement template

• Action Item: Mary Jungers and Tone Southerland will work on harmonizing current PCC template with general supplement template

2. ITI Cross-domain outreach process

• No update on previous activities
• Action Item: Chris Carr, Mike Nusbaum and Kevin O'Donnell to meet to discuss cross-domain strategic vision; call will follow Documentation Work Group call (see below)

3. HL7 Subgroup: ITI CP 211 Outcomes

• CP ballot failed, but CP was re-scoped and seven reviewers agreed to comment on authors' work

• Scope will be limited to HL7 versions 2.3.1 and 2.5; possibly brief notes on other versions

• Action Item: Chris Carr to forward information about HL7 Review group to Rob Horn and other interested parties; members can subscribe to the group at [1]

4. Complexity of IHE documentation

• NHIN Direct has expressed concerns about convenience and organization of IHE documentation: intends to incorporate IHE documentation into its own documents
• NHIN is not likely to propose making changes in documentation national extensions; IHE USA would be the logical group to take this on, but currently does not have the presence to do so
• Current method of organizing documents requires developers to consult multiple volumes in order to find all the documentation for a given actor/profile; complexity is multiplied for systems that implement multiple actor/profiles
• The Domain Coordination Committee and sponsors need to provide a way of better linking the components of specifications in Technical Framework documents

• Examples to consider include cross-indexing of document sections by actor/profile and providing some other guidance on how to implement in systems (eg, typical groupings of actors in various system categories)
• Other organizations (HL7, DICOM, HITSP, WC3) have addressed the complexity of their documentation with varying approaches and levels of success

• Action Item: Establish Documentation Work Group to review organization of Technical Frameworks and Supplements and suggest improvements; Group to include Mary Jungers, Mike Nusbaum, Kevin O'Donnell, Tone Southerland, Karen Witting; First Teleconference: Monday, July 26, 10am CT

5. Templates for content and transaction profiles

• See above for action items related to July 12 teleconference

6. Terminology codes in Trial Implementation profiles

• See above for action items related to July 12 teleconference

Documentation, Websites and Public Information

1. Document Publication Schedule

• Reviewed new version of Publication Inventory document that includes information on each profile and each document published by IHE

• Will be used to track publication activity and as index of publications in general

2. Process Page

• To be updated to enhance supplement author instructions

Next Meeting

• August 3, 9-10:30am CDT

Domain Coordination Committee