IHE Domain Coordination Committee Teleconference Minutes 2010-11-09

Attendees

• Juergen Brandstaetter - Pharm Tech
• Rick Butler - Eye Care Tech
• Chris Carr - RSNA
• Christel Daniel-Lebozec - AP Plan
• Didi Davis - QRPH Plan
• Laura Heermann - PCC Tech
• Mary Jungers - Doc Specialist
• Flora Lum - Eye Care Plan/Tech
• Mike Nusbaum - ITI Tech
• Geoff Pascoe - ITI Tech
• Andrea Pitkus - CAP (Lab)
• Amit Popat - QRPH Tech
• John Rhoads - PCD Plan
• Antje Schroeder - Cardio Tech
• Karen Witting - ITI Plan

Absent domains: Radiation Oncology, Radiology.

Minutes

General Committee Business

1. Roll Call see Roster

• Quorum attained

2. Review of Minutes

• October 26 Minutes

• Motion: Approve minutes as amended. Approved unanimously.

3. New Business: from Future Agenda Topics Page

4. Review Action Items List

Domain Announcements

• Domain Milestone Dates

• Radiology - Selected Profiles
  • Management of Radiology Report Templates
    • exchange of templates used to drive authoring of imaging reports
    • based on ~100 examples from work by RSNA Reporting Committee
    • input/use cases/participation sought from other imaging domains (CARD, EYE, PATH)
  • Imaging Object Quality Control and Maintenance
    • deletion/replacement mechanisms for DICOM objects which have copies stored in multiple locations
    • input/use cases/participation sought from other imaging domains (CARD, EYE, PATH)
  • Cross-Community Access for Images (XCA-I)
    • address imaging in the XCA framework; similar to adding imaging to XDS with XDS-I
    • input/use cases/participation sought from other imaging domains (CARD, EYE, PATH)
    • technical review/comments sought from ITI
  • Further details and proposal links here: Radiology Proposals 2010-2011

Domain Coordination Issues

• Domain Coordination Work Group Process Improvement Proposals

• Review of teleconference discussion notes and request for comment

(from 2010-10-26 minutes)

• Work Group identified two significant issues to be addressed:

1. Uniformity of process and work output across committees
2. Coordination of committee work items

• Coordination work between ITI (as infrastructure hub) and clinical specialties
• Coordination among clinical specialties with similar information processes and needs

• Potential Solutions for problem #1

• Enhance education materials and process, including Wiki, Webinars and templates
• Establish oversight body to enforce compliance (peer volunteer group or executive/expert review board)

• Potential Solutions for problem #2

• Expand domain liaison relationships to link specialties with one another and ITI
• Require early, substantive cross-domain review of supplement work proposals (could use Domain Coordination Committee)
• Perform strategic review of existing portfolio of profiles and identify gaps and overlap (for possible consolidation)

• ITI Strategic Planning model applicable across domains?

• Categorize profiles by themes
• Created matrix of liaisons with other domains and invite their input

• Only one domain liaison (pharmacy) actually provided report
• Need liaisons who are knowledgeable about ITI and the liaison domain
• Need to find additional ways to encourage participation

• Created matrix of national deployment committees and invited their input

• More reports were submitted from international groups

• Developed Matrix of Profiles by theme that can be applied across domains

• Action Item: Domain planning committees to fill in matrix with profiles and suggest revisions to category names (by email to list); deadline is Dec. 7

• Oversight body to review profile proposal activities

• Agreement that it needs to be done
• Needs to be formalized and have some degree of executive authority (like DICOM WG-06 and HL7 Architecture Review Board, for example)
• Needs to be imposed in a way that does not greatly increase workload for committee volunteers
• What would such a body oversee? What problem is it designed to solve?

• Uniformity of process and documentation. Allow only intentional and useful variation across domains.
• Coordination of substantive profile development across domains?

• What would its authority be? How/when would it operate? Prior approval of profile proposals? Could it deny requests for profile development?
• Would be useful to have as an administrative point of contact for domains seeking input on their processes
• Who would participate: Named volunteers (current and previous co-chairs)

• Action Items: Get terms of reference from DICOM; get Keith Boone to provide for HL7 Architecture Review Board; share with group and work within Domain Coordination Work Group
• Add Karen Witting and John Rhoads to Domain Coordination Work Group

• Create other groupings of domains (eg, diagnostic specialties) with comparable needs?
• General agreement that we need consistency across domains; should not expect total uniformity of process or needs

• Need to carefully consider the additional workload on volunteers and sponsor staff

• Need to keep getting input from international organizations and respect their viewpoints
• Need better secretarial support in getting information published domains

• ITI Domain Profile Coordination Matrix

• Review and gather input for profile coordination

• Structured Reporting Coordination Across Domains

• Need to make visible a set of valid CDA templates produced by IHE and work on coordinating their development

• Radiology and Anatomic Pathology

Documentation, Websites and Public Information

• Profile Overview Template

• Review and discuss refinement, simplification

Next steps and New Actions Items

• Next Meeting: November 23, 9am CT

• Agenda Items: Outcomes of committee meetings

• Following: Dec. 7, 9am CT

Domain Coordination Committee