Difference between revisions of "ITI Agenda 2018-2019 February 2019 F2F"

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This 5-days meeting is focused on a review of the first draft of work-items selected on November. The primary goal is to complete at least vol.1 content for each new work-item, but in some cases the Technical cmte will be able also to issue a public comment version for some profiles. Due to the agreeded scheduling the Release 4 updates have been published in public comment on January, so the goal for them will be the review of comments received.  
+
This 5-days meeting is focused on a review of the first draft of work-items selected on November. The primary goal is to complete at least vol.1 content for each new work-item, but in some cases the Technical committee will be able also to issue a public comment version for some profiles. Due to the agreed scheduling the Release 4 updates have been published in public comment on January, so the goal for them will be the review of comments received.  
  
'''Finally: starting from this year we are experimenting a continuous development process (as agreed by TC and PC in November) so on Friday we will review the prioritarization list of proposals submitted in october and we will decide if the TC can start the work on some of them.'''   
+
'''Finally: starting from this year we are experimenting a continuous development process (as agreed by TC and PC in November) so on Friday we will review the prioritization list of proposals submitted in October and we will decide if the TC can start the work on some of them.'''   
  
 
; Meeting Location
 
; Meeting Location
Line 7: Line 7:
  
 
; WebEx information for this meeting is:
 
; WebEx information for this meeting is:
: Meeting Number: TBD
+
: Meeting Number: 929 136 093
: Password: Ask Sarah Bell (sbell@himss.org)
+
: Password: Meeting1
: Link: TBD
+
: Link: https://himss.webex.com/himss/j.php?MTID=m32f977a6dddad4774af8bd3d5b2e5726
  
 
; Support material
 
; Support material
Line 39: Line 39:
 
* Introductions
 
* Introductions
 
* Sponsor Communications
 
* Sponsor Communications
*Search for an ITI Board Representative!  
+
*Present the new ITI Board Representative: Daniel Berenzeanu Thank you!  
 
* Agenda Review
 
* Agenda Review
 
* Decision Making and Goals
 
* Decision Making and Goals
Line 48: Line 48:
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
''Participants'':
+
''Participants'': Mauro Zanardini (Arsenal)
 +
Charles Parisot (InteropEHealth - GE)
 +
John Moehrke (byLight)
 +
Elliot Silver (Change Healthcare)
 +
Luke Duncan (IntraHealth)
 +
Ben Levy (Corepoint Health)
 +
Chris Melo (Philips)
 +
George Dixon (Allscripts)
 +
Lynn Felhofer (ITI Tech manager)
 +
Umberto Cappellini (Grapevine)
 +
Sylvie Colas (ASIP)
 +
Joe Lamy (AEGIS- SSA)
 +
Spencer LaGesse (Epic)
 +
Steve Nichols (GE)
 +
Vassil Peytchev (Epic)
 +
Matt Blackmon (Sequoia)
 +
Tarik Idris (ICW)
 +
Daniel Berenzeanu (ReadyComputing)
 +
Keith Boone (Audacious Inquiry)
 +
 
 +
 
 +
''Minutes'':
 +
 
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Luke Duncan
 +
| id="02-25-0915" | Facilities and Hierarchies in FHIR
 +
| style="text-align: left" |
 +
 
 +
''Minutes'': Charles asked to describe in detail the goal of the work-item.
 +
The Solution proposed deals with two issues:
 +
*define a representation of a Facility in Fhir: this is done as a location + organization (with 1..1 relationship).
 +
*The second goal  is related to the representation of muliple Hierarichies between Facilities:  same facility belong to different hierarchies.
 +
 
 +
Next steps for the work-item: Luke will put toghether suggestions , define an outline about how it can be done, during the next sessions we will evaluate available solutions.
 +
 
 +
Luke has proposed for discussion the following options: an organization-hierarchy extension, or different usages of the OrganizationAffiliation, Group, Linkage, HealthcareService and Contract resources.
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 10:45 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | &mdash;
 +
| id="11-15-1115" | Morning Break
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" |  Joe Lamy
 +
| id="02-25-1130" | XCA Deferred Option
 +
 
 +
| style="text-align: left" |
 +
 
 +
''Minutes'': The ITI Tech evaluated different technical options during the past months : DSUB , XCA like XCPD , DSUB + XDW, WS-Async option (there is not Ack from the application layer) , AS4 Async Option (does not cover long latencies as defined in a dedicated Closed Issue of AS4).  XDR + XDW it’s really complex. FHIR subscription model (it seems that the triggering event is an issue like in dsub).
 +
 
 +
 
 +
Note from John : AS4 could be used if a vendor is able to deal with it. The boundary conditions allows us to make a decision. Vol.1 need to have a paragraph that explains that the solution proposed has some pros compared to other potential solutions. We cannot exclude at priori the usage of other technical solutions. IT is the boundary of the use-case that identifies the solution applicable.
 +
 
 +
During the session, the ITI Tesch Reviewed vol1 content.
 +
 
 +
The intent for tomorrow: go through technical decisions 1 by 1.
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 12:30 <font style="font-variant: small-caps">am</font>&ndash;1:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | &mdash;
 +
| id="02-25-1230" | Lunch
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;3:15 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | John
 +
| id="02-25-1330" | Review PC for FHIR Release 4
 +
| style="text-align: left" |
 +
 
 +
''Minutes'': PC resolution. Documents can be found on gitHub [https://github.com/IHE/IT-Infrastructure/tree/master/FHIR-R4 GITHUB]  and the comment resolution spreadsheet can be found here: [https://docs.google.com/spreadsheets/d/1G3kimc_j3TOLx1dv03l_C0ymmGGfUFFlq73qKKKLkVw/edit?usp=sharing SPREADSHEET]
 +
 
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 3:15 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | &mdash;
 +
| id="02-25-1430" | Afternoon Break
 +
| style="text-align: center" | &mdash;
 +
 
 +
|-
 +
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;5:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Daniel/Derek
 +
| id="02-25-1530" | FHIR Patient Feed (aka "The Derek Project")
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
Address Merge now or waiting for the FHIR WG which is dealing with the topic for R5 (expected to be published in Q3 2020 -
 +
https://onfhir.hl7.org/2019/01/20/fhir-r5-roadmap/  ) ?
 +
 
 +
Draft of the supplement:
 +
 
 +
[https://docs.google.com/document/d/1VgjVgT8GW7sh7hIiCGVAQ6mc3giDyhZiEZ_fZlKZmB4/edit# GDOC]
 +
 
 +
 
 +
 
 +
The mix between PDQ and PIX is risky. Question about the scope: we want to deal with cross-enterprise o single domain use-cases ?
 +
 
 +
 
 +
 
 +
Daniel to rework the transactions and actors as a basis for tomorrow’s discussion.
 +
 
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 5:30 <font style="font-variant: small-caps">pm</font>&ndash;5:45 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Mauro/Umberto
 +
| id="02-25-1545" | Wrap-up and Homework
 +
 
 +
 
 +
| style="text-align: left" | 
  
 
''Minutes'':  
 
''Minutes'':  
 +
*Luke has published some content that can be reviewed
 +
 +
*The PC resolution is published and people can look to  resolutions and comment on them .
 +
 +
*John will prepare a change log brief for architect.
 +
 +
 +
|}
 +
 +
=== Tuesday, 26th February, 2019 ===
 +
{| class="wikitable"
 +
|+ Day 2: Tuesday, 26th February, 2019
 +
|-
 +
! style="width: 10%" | Time
 +
Oak Brook
 +
(CST, UTC&minus;06:00)
 +
! style="width: 10%" | Leads
 +
! style="width: 25%" | Activity
 +
! style="width: 55%" | Notes
 +
|-
 +
| style="text-align: center" | 8:00 <font style="font-variant: small-caps">am</font>&ndash;8:30 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | &mdash;
 +
| id="11-15-0800" | Breakfast
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;8:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Umberto/Mauro
 +
| id="02-25-0830" | Introductions and Agenda Review
 +
 +
| style="text-align: left" |
 +
 +
''Participants'': Mauro Zanardini (Arsenal)
 +
John Moehrke (byLight)
 +
Luke Duncan (IntraHealth)
 +
Lynn Felhofer (ITI Tech manager)
 +
Umberto Cappellini (Grapevine)
 +
Sylvie Colas (ASIP)
 +
Gregorio Canal (Arsenal)
 +
Joe Lamy (AEGIS- SSA)
 +
Matt Blackmon (Sequoia)
 +
Ben Levy (corepoint Health)
 +
Elliot Silver (Change Healthcare)
 +
Charles PArisot ()
 +
Chris Melo (Philips)
 +
Vassil Peytchev (EPIC)
 +
Spencer LaGesse (Epic)
 +
Steve Nichols (GE)
 +
Tarik Idris (ICW)
 +
Matt Blackmon (Sequoia)
 +
Daniel Berenzeanu (readyComputing)
 +
 +
 +
''Minutes'': no updates needed to the agenda. Goal of today will be to progress on each work-item.
  
  
  
 
|-
 
|-
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;10:30 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;10:00 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | Luke Duncan
 
| style="text-align: center" | Luke Duncan
 
| id="02-25-0915" | Facilities and Hierarchies in FHIR
 
| id="02-25-0915" | Facilities and Hierarchies in FHIR
Line 61: Line 229:
  
 
''Minutes'':
 
''Minutes'':
 +
 +
We reviewed different options in order to fullfill the multiple hierarchies use-case. The explored solutions are:  List /OrganizationAffiliation / Extension that seem to be the most simple/applicable solutions.
 +
 +
The cmte agreed that this work-item will also incluce mCSD updates related to the revision of the named options that now are creating complexity both for vendors and for tech spec mantainance (if we need to create new option , we need to deal with all the combinations of the existing options). The result of the review will be that servers are supposed to support all the resources.
 +
 +
About hierarchies management use-case: the cmte propose to analyze in detail the solution based on a extension of the organization resource. This will allow us to use the search parameters defined as a standard extension ABOVE and BELOW. This will make things really more easy for the client side.
 +
 +
Luke will update the document in order to go through a line by line reading tomorrow.
  
 
|-
 
|-
| style="text-align: center" | 11:15 <font style="font-variant: small-caps">am</font>&ndash;11:30 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 10:00 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | John
 +
| id="11-15-1115" | FHIR Release 4 Updates
 +
| style="text-align: left" | ''Minute:'': continuation of PC review related to MHD supplement.
 +
|-
 +
| style="text-align: center" | 10:45 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
| id="11-15-1115" | Morning Break
 
| id="11-15-1115" | Morning Break
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
|-
 
|-
| style="text-align: center" | 11:30 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | Daniel
 
| style="text-align: center" | Daniel
| id="02-25-1130" | Enhance ITI-44 and ITI-46 transactions (PIXv3 Feed and Update Notification) to support also patient delete/deactivation and unmerge [https://docs.google.com/presentation/d/1vl2OUorwB2tfNSDn-pG2mhyErKAYJABjNN8DuUPcjeE/edit#slide=id.p14 Slides]
+
| id="02-25-1130" | FHIR Patient Feed (aka "The Derek Project")  
 +
 
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
 
''Minutes'':  
 
''Minutes'':  
 +
 +
Daniel searched for consensus on the actor-transaction diagram in order to have a clear technical approach to follow and in order to have a clear set of functionalities supported by the work-item.
 +
 +
The presentation used to explore different possibilities che can be found at this link: [ftp://iheyr2@ftp.ihe.net/IT_Infrastructure/iheitiyr17-2019-2020/Technical_Cmte/Patient%20Identity_Management_on_FHIR/PatientIdentityManagement.pptx presentation].
 +
 +
Discussion is on whether go for a simplified 2 actors, 1 transaction approach, or go for a more comprehensive solution such as adding a PIX Feed transaction to PIXm, and to create a new profile for demographics.
 +
 +
Publish/Subscribe may be left for a future extension of the profile (as we don’t know if we have time to address that this week).
 +
 +
Also, discussion open about using 1 transaction for both PIX and Demographics, or 2 different transactions.
 +
 +
Daniel will try to have some content published on FTP by tomorrow afternoon.
 +
  
 
|-
 
|-
Line 81: Line 276:
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
|-
 
|-
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;2:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;3:15 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | John
+
| style="text-align: center" | Joe
| id="02-25-1330" | Update core set of IHE-on-FHIR profiles to FHIR Release 4
+
| id="02-25-1330" | XCA Deferred Option
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
 
''Minutes'':  
 
''Minutes'':  
 +
 +
The cmte starts the review line by line of the profile focusing on the technical solutions available: the main point i s to figure out if this solution should be compatible with AS4, and which is the most elegant solution to make easy deployment phases and that will allow us to enhance mixed environments (with both actors tha support deferred and actors that do not support deferred). 
 +
 +
In order to cover those points, we need to go deeper in the messaging structure.
 +
 +
  
  
 
|-
 
|-
| style="text-align: center" | 2:30 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 3:15 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Derek Ritz
+
| style="text-align: center" | &mdash;
| id="02-25-1430" | Add Feed transaction to PIXm (insert, update, link/unlink, and merge)
+
| id="02-25-1430" | Afternoon Break
 +
| style="text-align: center" | &mdash;
 +
 
 +
|-
 +
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;5:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | &mdash;
 +
| id="02-25-1530" | JOINT Meeting QRPH / PCC / ITI
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
''Minutes'':  
+
''Minutes'': To be added.
 +
 
 +
|-
 +
| style="text-align: center" | 5:30 <font style="font-variant: small-caps">pm</font>&ndash;5:45 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Mauro/Umberto
 +
| id="02-25-1545" | Wrap-up and Homework
 +
 
 +
 
 +
| style="text-align: left" | 
 +
 
 +
''Minutes'': home-work for today are:
 +
* review of MHD supplement
 +
* read the XCA deferred version published in FTP site
 +
 
 +
|}
 +
 
 +
=== Wednesday, 27th February, 2019 ===
 +
{| class="wikitable"
 +
|+ Day 3: Wednesday, 27th February, 2019
 +
|-
 +
! style="width: 10%" | Time
 +
Oak Brook
 +
(CST, UTC&minus;06:00)
 +
! style="width: 10%" | Leads
 +
! style="width: 25%" | Activity
 +
! style="width: 55%" | Notes
 +
|-
 +
| style="text-align: center" | 8:00 <font style="font-variant: small-caps">am</font>&ndash;8:30 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | &mdash;
 +
| id="11-15-0800" | Breakfast
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;8:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Umberto/Mauro
 +
| id="02-25-0830" | Introductions and Agenda Review
 +
 
 +
 
 +
| style="text-align: left" |
 +
 
 +
''Participants'':
 +
 
 +
Mauro Zanardini (Arsenal)
 +
John Moehrke (byLight)
 +
Luke Duncan (IntraHealth)
 +
Lynn Felhofer (ITI Tech manager)
 +
Umberto Cappellini (Grapevine)
 +
Sylvie Colas (ASIP)
 +
Gregorio Canal (Arsenal)
 +
Joe Lamy (AEGIS- SSA)
 +
Matt Blackmon (Sequoia)
 +
Ben Levy (corepoint Health)
 +
Elliot Silver (Change Healthcare)
 +
Charles PArisot (GE)
 +
Chris Melo (Philips)
 +
Vassil Peytchev (EPIC)
 +
Spencer LaGesse (Epic)
 +
Steve Nichols (GE)
 +
Tarik Idris (ICW)
 +
Matt Blackmon (Sequoia)
 +
Daniel Berenzeanu (readyComputing)
 +
Harry Solomon (x)
 +
 
 +
 
 +
''Minutes'': no changes to the agenda. Goal is to approve Release 4 updates for TI, define the baseline architecture of Patient Identity Management, proceeed on XCA , have a final version for Fac&Hie.
 +
 
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Luke Duncan
 +
| id="02-25-0915" | Facilities and Hierarchies in FHIR
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
Luke will post a new version by tonight that will include a revision of mCSD options and we will decide if the doc is ready for PC tomorrow.
 +
 
 +
The cmte agreed in publishing a new version in PC just after the publication of the Release 4 TI version. That will create some confusion in the readers, but we need to have something normative published for ONC.
 +
 
 +
 
 +
|-
 +
| style="text-align: center" | 9:45 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Sylvie/John
 +
| id="11-15-1115" | Continuous Development, ITI-Tech Backlog
 +
 
 +
| style="text-align: left" | ''Minutes'':
 +
 
 +
Planning co.chiars explained how we could manage the trello dashboard in order to keep track of the continuous development cycle.
 +
 
 +
This dashboard will be publicly available and will list:
 +
 
 +
* Potential Work-Items,
 +
* The ITI PLAN assessed list of proposals (with prioritization)
 +
* Ongoing works (in charge to ITI Tech o Plan)
 +
* Work-items that meet some specific milestones (TI , PC , etc.)
 +
 
 +
Sylvie will try to organize each block in order to have in the dashboard all the information needed in order to keep track of the status of the workitem (is it proceeding? do we need time during f2f for it? etc.)
 +
 
  
 
|-
 
|-
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;3:45 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 10:45 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
| id="02-25-1530" | Afternoon Break
+
| id="11-15-1115" | Morning Break
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
|-
 
|-
| style="text-align: center" | 3:45 <font style="font-variant: small-caps">pm</font>&ndash;4:15 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Gregorio
+
| style="text-align: center" | Joe
| id="02-25-1545" | Add RESTful feed to ATNA
+
| id="02-25-1130" | XCA Deferred Option
 +
 
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
The cmte asked to Consider support of AS4 for long latencies and app-level control.
 +
 
 +
Deferred shall be available everywhere over the XDS or XCA workflow. So the profile will affect XDS actors. The open question is: we need to define where in those workflow it’s possible to switch from deferred to non deferred.
 +
 
 +
Discussion on XDS.b groupings and how to handle retrieve.
  
 +
Important thing is to identify how to handle hte changes needed: new transactions? or do we need to use the XCPD approach. We will go with this approach for now.
  
| style="text-align: left" |
+
|-
 +
| style="text-align: center" | 12:30 <font style="font-variant: small-caps">am</font>&ndash;1:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | &mdash;
 +
| id="02-25-1230" | Lunch
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;2:00 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | John
 +
| id="02-25-1330" | Review PC for FHIR Release 4
 +
| style="text-align: left" |  
  
 
''Minutes'':  
 
''Minutes'':  
 +
 +
John moves the motion to approve for TI the full bucket of Release 4 updates. John will work with mary in order to see the docs published, Lynn will figure out how to keep the version 3 accessible in the Archive and make this clear and easily available to vendors/monitors for the CAT EU in Rennes. Elliot: seconds the motion. No abstensions , no opposite votes. Motion Approved. 
  
 
|-
 
|-
| style="text-align: center" | 4:15 <font style="font-variant: small-caps">pm</font>&ndash;4:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 2:00 <font style="font-variant: small-caps">pm</font>&ndash;3:15 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Umberto/Mauro
+
| style="text-align: center" | Lynn
| id="02-25-1615" | Review, homework, agenda updates
+
| id="02-25-1430" | CP / Mantainance
| style="text-align: left" |
+
| style="text-align: left" |  
 +
 
 +
The cmte decided new priorities for mantainance.
 +
 
 +
Mauro raised the question about the Gazelle tool used to manage audit records structure. The tool is in Gazelle Security Suite but it seems not ready to be fully used to maange our publication process. The alternative could be to set up a process that could be based on the versioning of the raw format that is used by GSS (XML structure).
 +
 
 +
john will revise the wiki page that describe how to use external tools in our documenation management process and will see if this could fit with actual functionalities of GSS. After having an updated version of the wiki, we will see with gazelle team if we could proceed with this process and which actions we need to take in order to use this raw format as a normative spec.
 +
 
 
|-
 
|-
| style="text-align: center" | 4:30 <font style="font-variant: small-caps">pm</font>&ndash;5:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 3:15 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | JOINT PCC ITI QRPH RADIOLOGY
+
| style="text-align: center" | &mdash;
| id="02-25-1630" |  
+
| id="02-25-1430" | Afternoon Break
 +
| style="text-align: center" | &mdash;
  
 +
|-
 +
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;5:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Daniel
 +
| id="02-25-1530" |  FHIR Patient Feed (aka "The Derek Project")
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
 
''Minutes'':
 
''Minutes'':
 +
 +
Daniel has proposed several different implementations of the mobile feed transaction, the actors supporting it and the relative groupings.
 +
 +
|-
 +
| style="text-align: center" | 5:30 <font style="font-variant: small-caps">pm</font>&ndash;5:45 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Mauro/Umberto
 +
| id="02-25-1545" | Wrap-up and Homework
 +
 +
 +
| style="text-align: left" | 
 +
 +
''Minutes'':
  
 
|}
 
|}
  
=== Tuesday, 26th February, 2019 ===
+
=== Thursday, 28th February, 2019 ===
 
{| class="wikitable"
 
{| class="wikitable"
|+ Day 2: Tuesday, 26th February, 2019
+
|+ Day 4: Thursday, 28th February, 2019
 
|-
 
|-
! style="width: 10%" | Time  
+
! style="width: 10%" | Time
Oak Brook
+
Oak Brook  
 
(CST, UTC&minus;06:00)
 
(CST, UTC&minus;06:00)
 
! style="width: 10%" | Leads
 
! style="width: 10%" | Leads
Line 141: Line 491:
 
| style="text-align: center" | 8:00 <font style="font-variant: small-caps">am</font>&ndash;8:30 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | 8:00 <font style="font-variant: small-caps">am</font>&ndash;8:30 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
| id="11-16-0800" | Breakfast
+
| id="11-15-0800" | Breakfast
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
|-
 
|-
 
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;8:45 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;8:45 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | Umberto/Mauro
 
| style="text-align: center" | Umberto/Mauro
| id="11-16-0830" | Introductions and Agenda Review
+
| id="02-25-0830" | Introductions and Agenda Review
 
* Introductions
 
* Introductions
* Agenda Review
 
| style="text-align: left" |  ''Participants'':  Luke Duncan (Intrahealth) , Ben Levy (Corepoint), Spencer LaGesse (Epic), Amid Trivedi (himss), Vassil (Epic), Sylvie Colas (ASIP), John Moherke (ByLight), Elliot Silver (Change Healthcare), Lynn  (ITI Tech PM), Joe Lamy (SSA), Umberto Cappellini (Grapevineworld), Mauro Zanardini (Arsenàl.IT), Tarik Idris (ICW), Derek Ritz (ecGroup), Chris Melo (Philips) 
 
  
|-
 
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;9:15 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | Lynn
 
| id="11-16-0845" | TF Maintenance proposal [ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr17-2019-2020/Technical_F2F_November/DETAILED_PROPOSALS/TF_Maintenance/ Input to discussion]
 
| style="text-align: left" |  ''Minutes'': Lynn - Maintenance
 
  
*FHIR Release 4 is out of scope for this proposal because addressed by John in a separate work-item.
+
| style="text-align: left" |
*Main Issues:
+
 
**several CPs are assigned to non-active members: retired people, or no longer active organizations
+
''Participants'':
**several CPs affect profiles that could be ready for FT publication. We need to be aggressive on those CPs.
+
 
**Lack of expertise in some topics: HL7 v3, HPD, ebRIM. 
+
''Minutes'':  
*The other key topics are: MU , ATNA BCP195. 
+
 
*It seems that there is less interest in participating on maintenance activities (probably due to the addressed topics...). This is also due to the retirement of some really active members (Ken, Elliott, Rob, ...).
+
 
*Lack of expertise, some CP are not moving because of retirement. Do we need to enroll new people asking Planning to do this? We should reduce distance between CAT and TECH CMTE. 
 
*Possible solution proposed by the group: ask specific people to take on a specific CP that affect actors of interest for them (this would allow to engage in Tech activities non-active members).
 
*Charles raise issues about the process of engaging submitters: how call are organized and how invitations are sent out. Lynn will try to be more direct in invite people to join specific CP calls. 
 
*Lynn, would like to ask submitters to propose also a solution not only raise the problem. This will make the CP process faster. 
 
*DECISION: Planning decided to not dedicate time during f2f time for CP or maintenance (except for specific critical topics).
 
  
 
|-
 
|-
| style="text-align: center" | 9:15 <font style="font-variant: small-caps">am</font>&ndash;10:15 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 
| style="text-align: center" | Joe Lamy
 
| style="text-align: center" | Joe Lamy
| id="11-16-0915" | XCA Deferred Response Option
+
| id="02-25-0915" | XCA Deferred  
| style="text-align: left" | ''Minutes'':  Joe Lamy: ''deferred XCA''
+
| style="text-align: left" |  
*The use-cases presented by Joe, cover two functionalities, deferred query and deferred retrieve
 
*A discussion is raised about deferred retrieve: it is borderline with async or if it’s indeed covering meaningful uses cases.
 
*There is suggestion to try to address deferred query with a combination of other profiles: it looks like we could cover the same use-case with a lightweight DSUB, or could be implemented with ad-hoc XDW workflow, that track the process of scanning of paper documents.
 
*Tarik: DSUB anyway is no good as it doesn’t fit the requirements to be cross-community.
 
*Is this end to end (involving XDS reg, Repository, XCA init, resp) ? Do we have any assumption about the communities (XDS, non-XDS) ?
 
*We don’t know if we need a deferred option for XDS.b as well. This will be explored later.
 
*we need to further explore if AS4 does not fit use-cases:
 
**use AS4 only for 1 transaction
 
**AS4-editors  themselves declared that it is no good for deferred
 
*Vassyl declared that we could have an issue combining AS4 and Deferred because we can’t add new soap headers. So the change should be in the body part of the message.
 
  
 +
''Minutes'':
  
 
|-
 
|-
| style="text-align: center" | 10:15 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 10:45 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Umberto/Mauro
+
| style="text-align: center" | &mdash;
| id="11-16-1015" | Complete [https://docs.google.com/spreadsheets/d/1XiZeIyndyfKAQXYu1a48j-lkNZUfSIINw9l2qLEBbew/edit?usp=sharing evaluation matrix]
+
| id="11-15-1115" | Morning Break
* Determine technical feasibility of completion
+
| style="text-align: center" | &mdash;
* Determine committee capacity
+
|-
* Primary author and Mentor assignments
+
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
Decide on items work to be recommended to ITI Planning Committee
+
| style="text-align: center" | Daniel
 +
| id="02-25-1130" | FHIR Patient Feed (aka "The Derek Project")
 +
 
 
| style="text-align: left" |  
 
| style="text-align: left" |  
  
''Minutes'': See below.
+
''Minutes'':  
+
 
 
|-
 
|-
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;11:15 <font style="font-variant: small-caps">am</font>
+
| style="text-align: center" | 12:30 <font style="font-variant: small-caps">am</font>&ndash;1:30 <font style="font-variant: small-caps">pm</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
| id="11-16-1100" | Morning Break
+
| id="02-25-1230" | Lunch
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 
|-
 
|-
| style="text-align: center" | 11:15 <font style="font-variant: small-caps">am</font>&ndash;12:00 <font style="font-variant: small-caps">noon</font>
+
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;1:45 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | Umberto/Mauro
+
| style="text-align: center" | Luke
| id="11-16-1115" | Continue profile evaluation/selection
+
| id="02-25-1330" | Facilities and Hierarchies in FHIR: '''APPROVE FOR PC'''
| style="text-align: left" | Mauro / Umberto: '''Technical Evaluation'''
+
| style="text-align: left" |  
*are there non achievable profiles?
+
 
**NO, in accordance to the technical evaluation made, there aren’t Detailed Proposals with clear unachievable technical issues.   
+
''Minutes'':  
**We identified only one blocking issue about “Enhance PIXv3” proposal: we do not have an editor for this proposal. This work-item is excluded from the prioritization.
+
 
*Also the development approach will affect the ITI Tech prioritization. The intent, as discussed during the Joint meeting, is to pilot a continuous development process. We will start from the draft of process proposed by John. We will take on new work-item as we will have some open slots (e.g. from February we will open the slot dedicated to the FHIR Release 4 updates because we will hopefully reach the publication goal as expected).
+
 
*About resources availability: the ITI tech identifies a lack of resources compared to the previous year. We need to acknowledge this. We should take on a lower total effort this year.
 
*The cmte has still a lot of concerns about the scope of  “PIXm update with feed transaction”. It is not clear if we need to cover all the dependencies for XDS and MHD.  Business problem: behavior of merging are described in some different profiles. Derek wants to see these behaviors covered in a FHIR profile, and also some other ITI members sees the importance of this proposal.
 
*The technical cmte agreed on taking on 2 small work-items and 2 large work-items for this cycle following the Planning prioritization.
 
*PIXm is moved over DSUB because of standards maturity (Subscription Resource has FMM level = 3, Patient resource goes normative in Release 4).
 
*Mauro moves the Motion to approve the follwing  profiles for development during the 2018/2019 cycle: XCA Deferred Response Option , Facilities and Hierarchies in FHIR, Update core set of IHE-on-FHIR profiles to FHIR Release 4, Add Feed transaction to PIXm (insert, update, link/unlink, and merge)  Ben second it 
 
 
|-
 
|-
| style="text-align: center" | 12:00 <font style="font-variant: small-caps">noon</font>&ndash;12:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 1:45 <font style="font-variant: small-caps">pm</font>&ndash;3:15 <font style="font-variant: small-caps">pm</font>
| style="text-align: center" | John/Sylvie
+
| style="text-align: center" | Lynn
| id="11-16-1200" | Joint session with ITI Planning Committee
+
| id="02-25-1330" | Mantainance / CPs
* Finalize work item selection
+
| style="text-align: left" |  
| style="text-align: left" | ''Minutes'': ITI Tech confirmed Planning prioritarization exept for: PIXv3 Unmerge/deletion (due to lack of editors able to work on the profile), DSUBm (due to lack of maturity of the baseline standard).
+
 
 +
''Minutes'':  
 +
 
 +
 
 
|-
 
|-
| style="text-align: center" | 12:30 <font style="font-variant: small-caps">pm</font>&ndash;1:30 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 3:15 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
| id="11-16-1230" | Lunch
+
| id="02-25-1430" | Afternoon Break
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
 +
 
|-
 
|-
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;2:00 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;5:30 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Joe Lamy
 +
| id="02-25-1530" | XCA Deferred Option
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
|-
 +
| style="text-align: center" | 5:30 <font style="font-variant: small-caps">pm</font>&ndash;5:45 <font style="font-variant: small-caps">pm</font>
 
| style="text-align: center" | Mauro/Umberto
 
| style="text-align: center" | Mauro/Umberto
| id="11-16-1330" | Schedule T-cons through to February F2F
+
| id="02-25-1545" | Wrap-up and Homework
Remind authors of expectations
+
 
| style="text-align: left" |  Tcons scheduled and sent to secretariat.
+
 
 +
| style="text-align: left" |   
 +
 
 +
''Minutes'':
 +
 
 +
|}
 +
 
 +
=== Friday, 1st March, 2019 ===
 +
{| class="wikitable"
 +
|+ Day 5: Friday, 1st March, 2019
 
|-
 
|-
| style="text-align: center" | 2:00 <font style="font-variant: small-caps">pm</font>&ndash;3:30 <font style="font-variant: small-caps">pm</font>
+
! style="width: 10%" | Time
| style="text-align: center" | John
+
Oak Brook
| id="11-16-1400" | TBD , more discussion about continuous development?
+
(CST, UTC&minus;06:00)
| style="text-align: left" |
+
! style="width: 10%" | Leads
 +
! style="width: 25%" | Activity
 +
! style="width: 55%" | Notes
 +
|-
 +
| style="text-align: center" | 8:00 <font style="font-variant: small-caps">am</font>&ndash;8:30 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | &mdash;
 +
| id="11-15-0800" | Breakfast
 +
| style="text-align: center" | &mdash;
 +
|-
 +
 
 +
| style="text-align: center" | 8:30 <font style="font-variant: small-caps">am</font>&ndash;8:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Umberto/Mauro
 +
| id="02-25-0830" | Introductions and Agenda Review
 +
 
 +
 
 +
| style="text-align: left" |
 +
 
 +
''Participants'':
 +
 
 +
''Minutes'':
 +
 
 +
 
 +
 
 +
|-
 +
 
 +
| style="text-align: center" | 8:45 <font style="font-variant: small-caps">am</font>&ndash;9:15 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | John/sylvie/Daniel
 +
| id="02-25-0915" | ITI Board Report approval
 +
| style="text-align: left" |
 +
 
 +
''Minutes'': The ITI committee voted for approval, the ITI board report. This report is sent to the IHE Board. The ITI committee voted for the four present ITI co-chairs to take the role of the ITI representative at the board, for 2019.
 +
 
 +
|-
 +
| style="text-align: center" | 9:15 <font style="font-variant: small-caps">am</font>&ndash;9:30 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | Daniel
 +
| id="02-25-0915" | '''PIMoF approval vol.1 content'''
 +
| style="text-align: left" |  
  
 
''Minutes'':
 
''Minutes'':
  
Some additional point of discussion related to Continuous Development:  
+
|-
 +
| style="text-align: center" | 9:30 <font style="font-variant: small-caps">am</font>&ndash;10:45 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | John/sylvie
 +
| id="02-25-0915" | Planning Cmte: REVIEW PRIORITARIZATION MADE ON NOVEMBER / NEW PROPOSAL REVIEW
 +
| style="text-align: left" |
 +
 
 +
''Minutes'': See the IHE/ITI work items dashboard: https://trello.com/b/IH4FPDhN
 +
 
 +
|-
 +
| style="text-align: center" | 10:45 <font style="font-variant: small-caps">am</font>&ndash;11:00 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | &mdash;
 +
| id="11-15-1115" | Morning Break
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 11:00 <font style="font-variant: small-caps">am</font>&ndash;12:00 <font style="font-variant: small-caps">am</font>
 +
| style="text-align: center" | John/Sylvie
 +
| id="02-25-1130" | Planning Cmte: VOTE / APPROVAL for new proposals
 +
 
 +
| style="text-align: left" |
  
ITI Tech co-chairs will send out to Mary the publication plan next week. Related to the contnuos developpment: ITI will try to confirm 4 weeks before that we are probably publishing stuff at the end of the next f2f. John has already discussed this with Mary, but he will try to cover in detail issues related to the publication in the wiki draft.  
+
''Minutes'': The ITI committee voted for approval, to change the scope of the "Add Restfull feed to ATNA" in "Combining ATNA Feed with ATNA Query update in FHIR R4" and to move this item into current development by the technical committee. The committee voted also to add the "Remainder ITI FHIR profiles to R4 (mACM, PIXm, and NPFS)" work item at the next face-to-face.
  
  
 
|-
 
|-
| style="text-align: center" | 3:30 <font style="font-variant: small-caps">pm</font>&ndash;3:45 <font style="font-variant: small-caps">pm</font>
+
| style="text-align: center" | 12:00 <font style="font-variant: small-caps">am</font>&ndash;12:30 <font style="font-variant: small-caps">am</font>
| style="text-align: center" | Mauro/Umberto<br>&mdash;
+
| style="text-align: center" | Mauro/ Umberto
| id="11-16-1530" | Wrap-up, Adjorn<br>Afternoon "Break"
+
| id="02-25-1130" |  Tcon Scheduling
 +
 
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
|-
 +
| style="text-align: center" | 12:30 <font style="font-variant: small-caps">am</font>&ndash;1:30 <font style="font-variant: small-caps">pm</font>
 
| style="text-align: center" | &mdash;
 
| style="text-align: center" | &mdash;
|}
+
| id="02-25-1230" | Lunch
 +
| style="text-align: center" | &mdash;
 +
|-
 +
| style="text-align: center" | 1:30 <font style="font-variant: small-caps">pm</font>&ndash;1:45 <font style="font-variant: small-caps">pm</font>
 +
| style="text-align: center" | Umberto/Mauro
 +
| id="02-25-1330" | Adjurn / Wrap-up
 +
| style="text-align: left" |
 +
 
 +
''Minutes'':
 +
 
 +
 
 +
|
 +
}
  
 
[[Category:Agenda]]
 
[[Category:Agenda]]

Latest revision as of 05:20, 5 March 2019

This 5-days meeting is focused on a review of the first draft of work-items selected on November. The primary goal is to complete at least vol.1 content for each new work-item, but in some cases the Technical committee will be able also to issue a public comment version for some profiles. Due to the agreed scheduling the Release 4 updates have been published in public comment on January, so the goal for them will be the review of comments received.

Finally: starting from this year we are experimenting a continuous development process (as agreed by TC and PC in November) so on Friday we will review the prioritization list of proposals submitted in October and we will decide if the TC can start the work on some of them.

Meeting Location
RSNA Building, Oak Brook, IL
WebEx information for this meeting is
Meeting Number: 929 136 093
Password: Meeting1
Link: https://himss.webex.com/himss/j.php?MTID=m32f977a6dddad4774af8bd3d5b2e5726
Support material
Profile proposals and other support information may be found in the [1]

Agenda & Minutes

All times listed are tentative, and may be revised during the meeting—refresh often.

Monday, 25th February, 2019

Day 1: Monday, 25 February, 2019
Time

Oak Brook (CST, UTC−06:00)

Leads Activity Notes
8:00 am–8:30 am Breakfast
8:30 am–8:45 am Umberto/Mauro Introductions and Agenda Review
  • Introductions
  • Sponsor Communications
  • Present the new ITI Board Representative: Daniel Berenzeanu Thank you!
  • Agenda Review
  • Decision Making and Goals
  • Author commitments
    • wiki updates, T-cons, F2F participation, ...
  • continuos development: [Continuous Development]

Participants: Mauro Zanardini (Arsenal) Charles Parisot (InteropEHealth - GE) John Moehrke (byLight) Elliot Silver (Change Healthcare) Luke Duncan (IntraHealth) Ben Levy (Corepoint Health) Chris Melo (Philips) George Dixon (Allscripts) Lynn Felhofer (ITI Tech manager) Umberto Cappellini (Grapevine) Sylvie Colas (ASIP) Joe Lamy (AEGIS- SSA) Spencer LaGesse (Epic) Steve Nichols (GE) Vassil Peytchev (Epic) Matt Blackmon (Sequoia) Tarik Idris (ICW) Daniel Berenzeanu (ReadyComputing) Keith Boone (Audacious Inquiry)


Minutes:


8:45 am–10:45 am Luke Duncan Facilities and Hierarchies in FHIR

Minutes: Charles asked to describe in detail the goal of the work-item. The Solution proposed deals with two issues:

  • define a representation of a Facility in Fhir: this is done as a location + organization (with 1..1 relationship).
  • The second goal is related to the representation of muliple Hierarichies between Facilities: same facility belong to different hierarchies.

Next steps for the work-item: Luke will put toghether suggestions , define an outline about how it can be done, during the next sessions we will evaluate available solutions.

Luke has proposed for discussion the following options: an organization-hierarchy extension, or different usages of the OrganizationAffiliation, Group, Linkage, HealthcareService and Contract resources.


10:45 am–11:00 am Morning Break
11:00 am–12:30 am Joe Lamy XCA Deferred Option

Minutes: The ITI Tech evaluated different technical options during the past months : DSUB , XCA like XCPD , DSUB + XDW, WS-Async option (there is not Ack from the application layer) , AS4 Async Option (does not cover long latencies as defined in a dedicated Closed Issue of AS4). XDR + XDW it’s really complex. FHIR subscription model (it seems that the triggering event is an issue like in dsub).


Note from John : AS4 could be used if a vendor is able to deal with it. The boundary conditions allows us to make a decision. Vol.1 need to have a paragraph that explains that the solution proposed has some pros compared to other potential solutions. We cannot exclude at priori the usage of other technical solutions. IT is the boundary of the use-case that identifies the solution applicable.

During the session, the ITI Tesch Reviewed vol1 content.

The intent for tomorrow: go through technical decisions 1 by 1.


12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm John Review PC for FHIR Release 4

Minutes: PC resolution. Documents can be found on gitHub GITHUB and the comment resolution spreadsheet can be found here: SPREADSHEET


3:15 pm–3:30 pm Afternoon Break
3:30 pm–5:30 pm Daniel/Derek FHIR Patient Feed (aka "The Derek Project")

Minutes:

Address Merge now or waiting for the FHIR WG which is dealing with the topic for R5 (expected to be published in Q3 2020 - https://onfhir.hl7.org/2019/01/20/fhir-r5-roadmap/ ) ?

Draft of the supplement:

GDOC


The mix between PDQ and PIX is risky. Question about the scope: we want to deal with cross-enterprise o single domain use-cases ?


Daniel to rework the transactions and actors as a basis for tomorrow’s discussion.


5:30 pm–5:45 pm Mauro/Umberto Wrap-up and Homework


Minutes:

  • Luke has published some content that can be reviewed
  • The PC resolution is published and people can look to resolutions and comment on them .
  • John will prepare a change log brief for architect.


Tuesday, 26th February, 2019

Day 2: Tuesday, 26th February, 2019
Time

Oak Brook (CST, UTC−06:00)

Leads Activity Notes
8:00 am–8:30 am Breakfast
8:30 am–8:45 am Umberto/Mauro Introductions and Agenda Review

Participants: Mauro Zanardini (Arsenal) John Moehrke (byLight) Luke Duncan (IntraHealth) Lynn Felhofer (ITI Tech manager) Umberto Cappellini (Grapevine) Sylvie Colas (ASIP) Gregorio Canal (Arsenal) Joe Lamy (AEGIS- SSA) Matt Blackmon (Sequoia) Ben Levy (corepoint Health) Elliot Silver (Change Healthcare) Charles PArisot () Chris Melo (Philips) Vassil Peytchev (EPIC) Spencer LaGesse (Epic) Steve Nichols (GE) Tarik Idris (ICW) Matt Blackmon (Sequoia) Daniel Berenzeanu (readyComputing)


Minutes: no updates needed to the agenda. Goal of today will be to progress on each work-item.


8:45 am–10:00 am Luke Duncan Facilities and Hierarchies in FHIR

Minutes:

We reviewed different options in order to fullfill the multiple hierarchies use-case. The explored solutions are: List /OrganizationAffiliation / Extension that seem to be the most simple/applicable solutions.

The cmte agreed that this work-item will also incluce mCSD updates related to the revision of the named options that now are creating complexity both for vendors and for tech spec mantainance (if we need to create new option , we need to deal with all the combinations of the existing options). The result of the review will be that servers are supposed to support all the resources.

About hierarchies management use-case: the cmte propose to analyze in detail the solution based on a extension of the organization resource. This will allow us to use the search parameters defined as a standard extension ABOVE and BELOW. This will make things really more easy for the client side.

Luke will update the document in order to go through a line by line reading tomorrow.

10:00 am–10:45 am John FHIR Release 4 Updates Minute:: continuation of PC review related to MHD supplement.
10:45 am–11:00 am Morning Break
11:00 am–12:30 am Daniel FHIR Patient Feed (aka "The Derek Project")

Minutes:

Daniel searched for consensus on the actor-transaction diagram in order to have a clear technical approach to follow and in order to have a clear set of functionalities supported by the work-item.

The presentation used to explore different possibilities che can be found at this link: presentation.

Discussion is on whether go for a simplified 2 actors, 1 transaction approach, or go for a more comprehensive solution such as adding a PIX Feed transaction to PIXm, and to create a new profile for demographics.

Publish/Subscribe may be left for a future extension of the profile (as we don’t know if we have time to address that this week).

Also, discussion open about using 1 transaction for both PIX and Demographics, or 2 different transactions.

Daniel will try to have some content published on FTP by tomorrow afternoon.


12:30 am–1:30 pm Lunch
1:30 pm–3:15 pm Joe XCA Deferred Option

Minutes:

The cmte starts the review line by line of the profile focusing on the technical solutions available: the main point i s to figure out if this solution should be compatible with AS4, and which is the most elegant solution to make easy deployment phases and that will allow us to enhance mixed environments (with both actors tha support deferred and actors that do not support deferred).

In order to cover those points, we need to go deeper in the messaging structure.



3:15 pm–3:30 pm Afternoon Break
3:30 pm–5:30 pm JOINT Meeting QRPH / PCC / ITI

Minutes: To be added.

5:30 pm–5:45 pm Mauro/Umberto Wrap-up and Homework


Minutes: home-work for today are:

  • review of MHD supplement
  • read the XCA deferred version published in FTP site

Wednesday, 27th February, 2019

Day 3: Wednesday, 27th February, 2019
Time

Oak Brook (CST, UTC−06:00)

Leads Activity Notes
8:00 am–8:30 am Breakfast
8:30 am–8:45 am Umberto/Mauro Introductions and Agenda Review


Participants:

Mauro Zanardini (Arsenal) John Moehrke (byLight) Luke Duncan (IntraHealth) Lynn Felhofer (ITI Tech manager) Umberto Cappellini (Grapevine) Sylvie Colas (ASIP) Gregorio Canal (Arsenal) Joe Lamy (AEGIS- SSA) Matt Blackmon (Sequoia) Ben Levy (corepoint Health) Elliot Silver (Change Healthcare) Charles PArisot (GE) Chris Melo (Philips) Vassil Peytchev (EPIC) Spencer LaGesse (Epic) Steve Nichols (GE) Tarik Idris (ICW) Matt Blackmon (Sequoia) Daniel Berenzeanu (readyComputing) Harry Solomon (x)


Minutes: no changes to the agenda. Goal is to approve Release 4 updates for TI, define the baseline architecture of Patient Identity Management, proceeed on XCA , have a final version for Fac&Hie.


8:45 am–10:45 am Luke Duncan Facilities and Hierarchies in FHIR

Minutes:

Luke will post a new version by tonight that will include a revision of mCSD options and we will decide if the doc is ready for PC tomorrow.

The cmte agreed in publishing a new version in PC just after the publication of the Release 4 TI version. That will create some confusion in the readers, but we need to have something normative published for ONC.


9:45 am–10:45 am Sylvie/John Continuous Development, ITI-Tech Backlog Minutes:

Planning co.chiars explained how we could manage the trello dashboard in order to keep track of the continuous development cycle.

This dashboard will be publicly available and will list:

  • Potential Work-Items,
  • The ITI PLAN assessed list of proposals (with prioritization)
  • Ongoing works (in charge to ITI Tech o Plan)
  • Work-items that meet some specific milestones (TI , PC , etc.)

Sylvie will try to organize each block in order to have in the dashboard all the information needed in order to keep track of the status of the workitem (is it proceeding? do we need time during f2f for it? etc.)


10:45 am–11:00 am Morning Break
11:00 am–12:30 am Joe XCA Deferred Option

Minutes:

The cmte asked to Consider support of AS4 for long latencies and app-level control.

Deferred shall be available everywhere over the XDS or XCA workflow. So the profile will affect XDS actors. The open question is: we need to define where in those workflow it’s possible to switch from deferred to non deferred.

Discussion on XDS.b groupings and how to handle retrieve.

Important thing is to identify how to handle hte changes needed: new transactions? or do we need to use the XCPD approach. We will go with this approach for now.

12:30 am–1:30 pm Lunch
1:30 pm–2:00 pm John Review PC for FHIR Release 4

Minutes:

John moves the motion to approve for TI the full bucket of Release 4 updates. John will work with mary in order to see the docs published, Lynn will figure out how to keep the version 3 accessible in the Archive and make this clear and easily available to vendors/monitors for the CAT EU in Rennes. Elliot: seconds the motion. No abstensions , no opposite votes. Motion Approved.

2:00 pm–3:15 pm Lynn CP / Mantainance

The cmte decided new priorities for mantainance.

Mauro raised the question about the Gazelle tool used to manage audit records structure. The tool is in Gazelle Security Suite but it seems not ready to be fully used to maange our publication process. The alternative could be to set up a process that could be based on the versioning of the raw format that is used by GSS (XML structure).

john will revise the wiki page that describe how to use external tools in our documenation management process and will see if this could fit with actual functionalities of GSS. After having an updated version of the wiki, we will see with gazelle team if we could proceed with this process and which actions we need to take in order to use this raw format as a normative spec.

3:15 pm–3:30 pm Afternoon Break
3:30 pm–5:30 pm Daniel FHIR Patient Feed (aka "The Derek Project")

Minutes:

Daniel has proposed several different implementations of the mobile feed transaction, the actors supporting it and the relative groupings.

5:30 pm–5:45 pm Mauro/Umberto Wrap-up and Homework


Minutes:

Thursday, 28th February, 2019

Day 4: Thursday, 28th February, 2019
Time

Oak Brook (CST, UTC−06:00)

Leads Activity Notes
8:00 am–8:30 am Breakfast
8:30 am–8:45 am Umberto/Mauro Introductions and Agenda Review
  • Introductions


Participants:

Minutes:


8:45 am–10:45 am Joe Lamy XCA Deferred

Minutes:

10:45 am–11:00 am Morning Break
11:00 am–12:30 am Daniel FHIR Patient Feed (aka "The Derek Project")

Minutes:

12:30 am–1:30 pm Lunch
1:30 pm–1:45 pm Luke Facilities and Hierarchies in FHIR: APPROVE FOR PC

Minutes:


1:45 pm–3:15 pm Lynn Mantainance / CPs

Minutes:


3:15 pm–3:30 pm Afternoon Break
3:30 pm–5:30 pm Joe Lamy XCA Deferred Option

Minutes:

5:30 pm–5:45 pm Mauro/Umberto Wrap-up and Homework


Minutes:

Friday, 1st March, 2019

Day 5: Friday, 1st March, 2019
Time

Oak Brook (CST, UTC−06:00)

Leads Activity Notes
8:00 am–8:30 am Breakfast
8:30 am–8:45 am Umberto/Mauro Introductions and Agenda Review


Participants:

Minutes:


8:45 am–9:15 am John/sylvie/Daniel ITI Board Report approval

Minutes: The ITI committee voted for approval, the ITI board report. This report is sent to the IHE Board. The ITI committee voted for the four present ITI co-chairs to take the role of the ITI representative at the board, for 2019.

9:15 am–9:30 am Daniel PIMoF approval vol.1 content

Minutes:

9:30 am–10:45 am John/sylvie Planning Cmte: REVIEW PRIORITARIZATION MADE ON NOVEMBER / NEW PROPOSAL REVIEW

Minutes: See the IHE/ITI work items dashboard: https://trello.com/b/IH4FPDhN

10:45 am–11:00 am Morning Break
11:00 am–12:00 am John/Sylvie Planning Cmte: VOTE / APPROVAL for new proposals

Minutes: The ITI committee voted for approval, to change the scope of the "Add Restfull feed to ATNA" in "Combining ATNA Feed with ATNA Query update in FHIR R4" and to move this item into current development by the technical committee. The committee voted also to add the "Remainder ITI FHIR profiles to R4 (mACM, PIXm, and NPFS)" work item at the next face-to-face.


12:00 am–12:30 am Mauro/ Umberto Tcon Scheduling

Minutes:

12:30 am–1:30 pm Lunch
1:30 pm–1:45 pm Umberto/Mauro Adjurn / Wrap-up

Minutes:


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