ITI Agenda 2020-2021 April 2021 F2F

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This 5-days meeting is to move forward all the current work items in the continuous development cycle.

Meeting Location
Virtual Face to Face
Zoom information for this meeting is
Meeting Number: 910 6864 2326
Password: N/A
Support material
Profile proposals and other support information may be found in the google drive

Agenda & Minutes

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

Agenda for ITI, PCC, and QRPH for the week can be found here

Monday, 10th May, 2021

Day 1: Monday, 10 May, 2021

Virtual (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–9:00 am
  • Luke / John

Participants: Sarah Bell, John Moerhke, Gianluca Pavan, Oliver Egger, Richard Stanley, Olive Bellamou-Huet, Steve Nichols, Lynn Felhofer, Martin Smock, Spencer LaGesse, Luke Duncan, Ritika Jain, Nathan McEachen, Joe Lamy, Vassil Peytchev, Bas van den Huevel, Maidul Islam, Ben Levy, Jeff Helman


  • Goals:
    • MHD IG Public Comment Resolution: Resolve comments and move to TI
    • MHD to a Federation: Continue work
    • mCSD Whitepaper: Review scope this week for publication vs. additional work
  • FHIR R5 updates
    • Subscription model is changing
      • Review for PMIR changes
        • There is an IG for R4 that we can use
        • Direction is moving towards only RESTful so that will impact the messaging model in PMIR
    • Balloting for which resources should move to Normative
      • 2 more rounds to result in R5
      • governance issues may delay this (~2000 open Jira tickets)
      • there will still be time to address in the future
      • Review resources used in IHE profiles to see what can be promoted in maturity even if not to Normative
        • MHD - List (1)
        • NPFS - DocumentReference (3)
        • QEDm/mXDE - Provenance (3)
        • mCSD - Practitioner (3), PractitionerRole (2), Location (3), Organization (3), HealthcareService (2)
        • SVCM - ConceptMap (3)
        • mACM - CommunicationRequest (2), Communication (2)

9:00 am–10:00 am Luke / Richard / Nathan mCSD Whitepaper

Minutes: See wiki notes

10:00 am–11:00 am John MHD Public Comment Resolution

Minutes: See issues on github

11:00 am–12:00 pm BREAK Global Consortium Listening Session

COVID-19 Vaccination Credentialing: Global Initiatives & Implications

As part of the Global Consortium for eHealth Interoperability’s support of a global response to COVID-19, it brings you a listening session with the leaders of the foremost global vaccination credentialing initiatives to discuss current milestones, potential barriers to use, and the appropriate governance in the management of this vital vaccination information. Listen as leaders from these organizations share their experiences working to support the largest mass vaccination program ever attempted.

Register Here:

12:00 pm–1:00 pm Joe MHD to a Federation


  • Reviewed recent changes
    • Reviewed changes to ITI-65
  • Discussed error handling and codes
  • Discussed HCID in Identifier
1:00 pm–2:00 pm John IG Publisher usage


  • Discussed technical issue on versions for referencing from other IGs.
    • Related to pending pull requests
    • Discussed formal versioning standard
  • Reviewed supplement template repository and MHD since it is the current formal work item and is farthest along
2:00 pm–3:00 pm John HTML Framework


  • Discussed authoring
  • CP process
    • Make edits on github with an issue and review files changes there
    • **Copy text from web page into CP Word document and follow the current process**
    • Add process to publications wiki and under ITI on
  • Discussed usage of vs. PDF
    • PDF takes precedence so is used more
    • searching is easier on the PDF
  • Discussed audit record display
    • Supplement content and gazelle aren't fully equivalent
    • No version control on gazelle
3:00 pm–4:00 pm PCC PCC TF Content-Creator and Content-Consumer to support FHIR-Documents


Tuesday, 11th May, 2021

Day 2: Tuesday, 11 May, 2021

Virtual (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–10:00 am John MHD Public Comment Resolution

Participants: Sarah, John, Oliver, Lynn, Joe, Olivia, Steve, Ritika, Spencer, Ben, Vassil, Martin, Luke

10:00 am–11:00 am John HTML Framework


  • Discussed using gazelle master model for actors and transaction list
  • Discussed general introduction issue
    • Vol 1 introduction will include links to sections in the general intro.
  • Add topic groupings for Vol 1 in addition to the numerical sorted listing.
12:00 pm–3:00 pm Sarah / Lynn / Luke / John CP Processing


  • Ballot 58 resolution
  • Changed monthly CP call to 2nd Tuesdays at 9AM CT
  • Continued working on new CPs
    • 1253 and 1220

Wednesday, 12th May, 2021

Day 3: Wednesday, 12 May, 2021

Virtual (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–9:00am Luke / Richard / Nathan / John mCSD Whitepaper / MHD IG Public Comment Review

Participants: Sarah, John, Joe, Lynn, Steve, Oliver, Richard, Spencer, Vassil, Luke

  • mCSD Whitepaper
    • Make document less technical and more introductory
    • Focus on audience and simpler explanations
  • MHD IG
    • Appendices were included for easier linking
      • Will be moved to
    • Discussed profile vs. implementation guide text
    • Discussed incorporating Introduction into main section
    • Discussed adding MHD to FHIR endpoint connection type valueset
    • Worked on issues
9:00 am–11:00am Joe MHD to a Federation


  • Discussed error handling
  • Discussed MHD issue 62
  • Discussed MHD issue 81
  • What is the outcome?
    • Whitepaper
    • Additions to Vol 1 content in potentially multiple profiles
    • Additions to HIE Whitepaper
    • Various CPs
  • Discussed possible changes to mCSD and making some changes there, specifically around Endpoint resources

1:00 pm–2:00pm Sarah / Lynn / Luke / John CP Processing


3:00 pm–5:00pm All Joint Domain Meeting


Thursday, 13th May, 2021

Day 4: Thursday, 13 May, 2021

Virtual (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–9:00 am Joe MHD to a Federation

Participants: Sarah, John, Joe, Lynn, Oliver, Spencer, Ben, Chris, Steve, Eric Heflin, Vassil


  • Worked on use cases
    • Push to federated responder
    • Pull from federated responder
    • push or pull from federated initiator
      • perhaps separate use cases

9:00 am–10:00 am John HTML Framework


  • Discussed archives of HTML
  • Appendix Z was added into HTML for
    • Intro text will be reworked
  • Update to label figures and tables
  • Reviewed CP for ATNA as a pull request that was accepted into the staging area

10:00 am–11:00 am John MHD Public Comment Resolution


  • reviewed open issues
    • Discussed Test Plan
  • Reviewed QA output
  • Reviewed examples
12:00 pm–1:00 pm Sarah / Lynn / Luke / John CP Processing


  • Identify top 10 list for resolution
    • Look at recency
    • Blockers for final text
  • Reviewed old CPs to abandon

1:00 pm–2:00 pm John IG Publisher Usage


  • Discussed how author comments can be handled when a supplement modifies other supplements or final text
  • Reviewed QA process

Friday, 14th May, 2021

Day 5: Friday, 14 May, 2021

Virtual (CDT, UTC−05:00)

Leads Activity Notes
8:00 am–10:00 am John / Luke
  • Joint Planning/Tech
    • assessment of current work items
    • new work items selection
    • Review profiles for promotion to Final Text

Participants: Sarah, John, Lynn, Ben, Oliver, Steve, Chris, Olivia, Matt Blackmon, Spencer, Joe, Jeff, Richard, Nathan


Motion to promote MHD to Trial Implementation (4.0.0) pending quality review and outstanding issue resolution: John Moehrke / Oliver Egger: Approved 7,0,0

Motion to approve the following for Summer Quarter for ITI Tech workload: John Moehrke / Oliver Egger: Approved 7,0,0

  • Add to ITI Tech workload the two work items covering PIXm conversion to IG and group with adding PIXm feed transaction into one work item
  • PDQm and mCSD are recognized as background tasks, they will only be given time if they are progressed to "ready for public comment"

Supplements to promote to Final Text

  • APPC -- may be a candidate, but need advocate to aid with filling evaluation criteria.
    • Lynn will provide John a list of people / companies testing
    • John to craft a request for advocate to help with evaluation for Final Text
    • connectathon - 15 different companies have tested
    • have test plans, and schematron
    • deadline for decision is May 31 (ish)
  • no other supplements are candidates this year

Revision of html ITI Technical Framework

  • ?? APPC to integrate
    • 1 CP to be integrated
  • 19 (-1 already integrated) to be integrated into Final Text
    • 10 to be integrated into supplements

When do we want to publish ITI Technical Framework Rev 18?

  • committee members assigned in May meeting
  • committee members do the integration work during May-June
  • deliver to Mary July
  • so that publication in August

CP Integration

  • Need volunteers
    • CP integration into html
    • CP integration into WORD supplements
    • CP confirmation of others editing
  • Luke, John, Matt, Spencer, Ben, Steve, Joe, Oliver, Jeff
  • T-Cons were scheduled
    • HTML Publication - Biweekly starting May 17 at 10 CT
    • Patient Identity Feed and PIXm to IG - Biweekly starting June 14 at 9 CT
    • mCSD Whitepaper - Biweekly starting May 26 at 9 CT
    • MHD to a Federation - Biweekly starting May 27 at 11 CT
    • Open IG Publisher call - Biweekly starting May 24 at 10 CT
12:00 pm–1:00 pm Luke / Richard / Nathan mCSD Whitepaper

Minutes: Notes are on github wiki

1:00 pm–2:00 pm Luke / John
  • AOB
  • Closing


  • Integration work was assigned here