ITI Agenda 2018-2019 February 2019 F2F

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: Minutes:
8:45 am–10:45 am	Luke Duncan	Facilities and Hierarchies in FHIR	Minutes:
10:45 am–11:00 am	—	Morning Break	—
11:00 am–12:30 am	Joe	XCA Deferred Option	Minutes:
12:30 am–1:30 pm	—	Lunch	—
1:30 pm–3:15 pm	John	Review PC for FHIR Release 4	Minutes:
3:15 pm–3:30 pm	—	Afternoon Break	—
3:30 pm–5:30 pm	Daniel	FHIR Patient Feed (aka "The Derek Project")	Minutes:
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	Luke Duncan	Facilities and Hierarchies in FHIR	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–3:15 pm	John	Approve for Trial Implementation FHIR Release 4 Update	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 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	Participants: Minutes:
8:45 am–9:15 am	John/sylvie/Daniel	ITI Board Report approval	Minutes:
9:15 am–10:45 am	John/sylvie	Planning Cmte: REVIEW PRIORITARIZATION MADE ON NOVEMBER / NEW PROPOSAL REVIEW	Minutes:
10:45 am–11:00 am	—	Morning Break	—
11:00 am–12:00 am	John/Sylvie	Planning Cmte: VOTE / APPROVAL for new proposals	Minutes:
12:00 am–12:30 am	Mauro/ Umberto	Planning Cmte: Tcon Scheduling	Minutes:
12:30 am–1:30 pm	—	Lunch	—
1:30 pm–1:45 pm	Umberto/Mauro	Adjurn / Wrap-up	Minutes:	}