ITI Agenda 2018-2019 November 2018 F2F

This 2-day meeting is focused on a review of the detailed profile proposals, and selection of work items for the 2018/2019 year based on committee resources and technical readiness.

Meeting Location

RSNA Building, Oak Brook, IL

WebEx information for this meeting is

Meeting Number: 928 055 789

Password: Ask Sarah Bell (sbell@himss.org)

Link: https://himss.webex.com/himss/j.php?MTID=m98c2e9191c0974c2e64a00c2ac09add7

Support material

Profile proposals and other support information may be found in the F2F Folder

Agenda & Minutes

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

Wednesday, 14th November, 2018

Day 1: Wednesday, 14 November, 2018

Time Oak Brook (CST, UTC−06:00)	Leads	Activity	Notes
8:00 am–8:30 am	—	Breakfast	—
8:30 am–9:15 am	Umberto/Mauro	Introductions and Agenda Review Introductions Sponsor Communications Search for an ITI Board Representative! Agenda Review Patent Disclosure Slides Decision Making and Goals Author commitments wiki updates, T-cons, F2F participation, ... continuos development: [Continuous Development]	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), Gregorio Canal (Arsenàl.IT), Tarik Idris (ICW), Derek Ritz (ecGroup) Minutes: Continuous development (John) See wiki Material John started putting down rules/issues: in accordance to the actual governance. The intent is to pilot the continous development this year, starting with a subset of those points, and create a prioritarization of actions in order to make this process usable in the future also by other domains. The primary goal is the ability to work on smaller and larger projects: wht the final goal to produce higher quality deliverable (profiles). One of the main issues will be how to do the planning evaluation. John is proposing to use t-cons (monthly decision call organized by the planning co-chairs) to get proposals in reviewable form ready for the next available f2f meeting. John and Sylvie will figure out how to maintain the list of propsals, and how to do the assesment during each F2F. Vassil would like to propose a less invasive change in our process: keep dedicated planning meetings twice a year, 2 entry points each year. Potentially iterating 1 year, but for small projects we could catch up with the previous cycle and complete in 6 months. Another important point is to not have public comments once a year from 3 domains at the same time. This put a lot of burden to cmte members in a 2 months period… The proposal will ask also to change the meeting organization. We would like to reduce the number of meeting to 4, full week meetings canceling the planning f2f.
9:15 am–10:00 am	Luke Duncan	Facilities and Hierarchies in FHIR	Minutes: Luke Duncan : Facilities and Hierarchies Elliot: raise the point that this seems to be a fundamental gap in the fhir modeling, shall we address it or hl7 should be in charge? Some additional points are that FHIR community seems interested in fixing this… There are a couple of discussions in Zulip related to this topic See this for example We can identify in this proposals two problems that would be addressed: multiple views for hierarchies and distinction between location/organization does not map well with the definition of facilities. First can be done using extension, not big deal (and IHE is a good venue in order to create and maintain this extension). The second is a more fundamental change. We could push this to FHIR core, saying that they have a problem… however this will affect only R5, that probably will come out in 2020... Luke goal is to described how to use the existing R4 resources to fulfill the need, and probably affect the changes in FHIR core in rder to fix it in R5. John sponsored this approach IHE is the good organization where to define extensions and where to analyze in detail the FHIR core Gaps.
10:00 am–11:15 am	Gregorio/Mauro	Add RESTful capabilities to DSUB	Minutes: Mauro: DSUB notify After planning cmte review the propsal has been changed a little bit. This because there was a strong push form different vendors to cover other use-cases. So the goal is also to cover some Lacks open in DSUB profile: reliable notifications, search for pending subscriptions, update of subscriptions, and email notifications (on that field: every year we receive a request about different vendors about the deprecation of NAV… this profile could solve also those gaps). In accordance to proposal the minimal set of functionalities that we should profile in order to declare success is the full of a subscription resource. However the tech group does not agreeed on this because we can’t restrict to that for a whole profile, the base use-case shall include also the notification capabilities. It is clear that there are proprietary ways in order to do that (See Android FIREBASE, or iOS push notification mechanism) but we need to profile this. another important goal is to develop the profile so that the backend may be eventually DSUB: it shall be interoperable with the actual DSUB solution. The profile should work with the main document sharing platform already defined by IHE: XDS.b , MHD and NPFSm.
11:15 am–11:30 am	—	Morning Break	—
11:30 am–12:30 am	Daniel	Enhance ITI-44 and ITI-46 transactions (PIXv3 Feed and Update Notification) to support also patient delete/deactivation and unmerge Slides	Minutes: Tarik: Enhance PIXv3 The goal of the proposal is only for Patient Deletion in order to fit GDPR requirements. The unmerge capabilities are out of scope (we identified that the unmerge functionality has too many implications in the Document Sharing world, and probably could not be addressed in a standardized way (there are local policies that need to be applied) ). HL7 v3 does not have deletion message, so we need to define it. The technical result will be: addition of a new message type in transaction [ITI-44] for patient deletion. But probably It has not only this implication, because we need to look into XAD-PID supplement in order to see if there are dependencies for [ITI-64] and maybe other transactions… (e.g. Delete Documents?). In fact, the outcome could be a trigger for further deletion of documents inside the Registry/Repository. This will be addresed as an option for [ITI-44]. And this option also describe how this transaction CAN trigger delete document transactions ()this should not be a Requirement, but we need more analysis on this topic ). Probably we will come out with: 2 Options one for the registry and one for the PIX source.
12:30 am–1:30 pm	—	Lunch	—
1:30 pm–2:30 pm	John	Update core set of IHE-on-FHIR profiles to FHIR Release 4	Minutes:
2:30 pm–3:30 pm	Derek Ritz	Add Feed transaction to PIXm (insert, update, link/unlink, and merge)	Minutes:
3:30 pm–3:45 pm	—	Afternoon Break	—
3:45 pm–4:15 pm	Gregorio	Add RESTful feed to ATNA	Minutes:
4:15 pm–4:30 pm	Umberto/Mauro	Review, homework, agenda updates
4:30 pm–5:30 pm	JOINT PCC ITI QRPH RADIOLOGY	Michael: asking about a PCC namespace and how it should be documented. john Stamm: Update on process for IHE getting new SNOMED codes (Chris Carr) Continuos Development? what's goingo on on FHIR? what about Release 4? John Moherke can report about these topics. Elliot: ask sponsors about updates on meeting locations for February and April.	Minutes:

Thursday, 15th November, 2018

Day 2: Thursday, 15th November, 2018

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 Agenda Review	Participants:
8:45 am–9:15 am	Lynn	TF Maintenance proposal Input to discussion	Minutes:
9:15 am–10:15 am	Joe Lamy	XCA Deferred Response Option	Minutes:
10:15 am–11:00 am	Umberto/Mauro	Complete evaluation matrix Determine technical feasibility of completion Determine committee capacity Primary author and Mentor assignments Decide on items work to be recommended to ITI Planning Committee	Minutes:
11:00 am–11:15 am	—	Morning Break	—
11:15 am–12:00 noon	Umberto/Mauro	Continue profile evaluation/selection
12:00 noon–12:30 pm	John/Sylvie	Joint session with ITI Planning Committee Finalize work item selection	Minutes:
12:30 pm–1:30 pm	—	Lunch	—
1:30 pm–2:00 pm	Mauro/Umberto	Schedule T-cons through to February F2F Remind authors of expectations	Minutes:
2:00 pm–3:30 pm	X	TBD , more discussion about continuous development?	Minutes:
3:30 pm–3:45 pm	Mauro/Umberto —	Wrap-up, Adjorn Afternoon "Break"	—