ITI Change Proposals 2020-21
This page contains the details of Change Proposal (CP) processing in the ITI domain for the 2020-21 publication cycle.
The ITI Change Proposal process follows the general IHE CP process described on the Change Proposal process page. The following sections give more detail on the process for folks involved in the CP process in the ITI domain.
The ITI-specific CP Process
The following text explains what the process used by the ITI technical committee in processing submitted CPs. It is consistent with the general IHE CP process and is informative only.
- Write a change proposal. Here is IHE's Change Proposal Template.
- Submit into the Incoming folder on the IHE Google Drive. This is typically done by directly uploading the CP into the folder (if you have access); otherwise, send it an email to the ITI Technical Committee members in charge of CPs (currently Sarah Bell or to an ITI Technical Committee co-chair).
- The new CPs are considered by the committee at periodic CP review calls. If CP is accepted it is given a CP #, assigned an editor, renamed to CP-ITI-xxx-00.doc and placed in the Assigned folder. If CP is rejected it is moved to the Rejected folder and the submitter is informed of explanation for rejection. Likely reasons for rejection are: duplicate, merged, withdrawn or not enough information to understand the request. Rejected CPs can be resubmitted with more information for reconsideration.
- Committee works with editor to draft the CP. Versions are kept in Assigned directory and numbered -00, -01, -02, etc.
- Committee decides CP is ready for ballot. Latest version of CP is moved to the Completed folder and old versions are moved to old_versions.
- ITI Tech co-chair or CP manager collects Completed CPs into a ballot. The Ballots folder will be used for this.
- Ballot is released to the general community for voting for 4 weeks
- Votes and comments are collected. All yes votes means the CP passed ballot and moved to Final Text. No votes are resolved by the committee. Sometimes CP is withdrawn, sometimes NO voter changes to yes vote after explanations. CP may be updated in this process. If updates are insignificant (clarification only) the CP is considered passed. If updates are significant the CP is submitted for another ballot.
- CP approved in ballot are put in Final Text status and scheduled to be integrated into the Technical Framework or Supplement.
- Refer to this Log of Approved ITI CPs.
- The Final Text folder holds CPs that have passed ballot but have not yet been integrated.
- CP status and ballots are tracked here
Change Proposal pages from previous years
Prior years work can be accessed at:
- ITI Change Proposals 2019-20
- ITI Change Proposals 2018-19
- ITI Change Proposals 2017-18
- ITI Change Proposals 2016-17
- ITI Change Proposals 2015-16
- ITI Change Proposals 2014-15
- ITI Change Proposals 2013-14
- ITI Change Proposals 2012-13
- ITI Change Proposals 2011-12
- ITI Change Proposals 2010-11
- ITI Change Proposals 2009-10
- ITI Change Proposals 2008-09
- ITI Change Proposals 2007-08
- ITI Change Proposals 2006-07
ITI CP Tracking
Location of CPs
All Change Proposal management is done on the IHE Documents on Google Drive here.
As CPs are processed through various statuses they move from one folder to another. The directories involved are:
- contains CPs which have been submitted but have not been assigned a CP number or an editor. This is the place that new incoming CPs are placed prior to the first stage of processing by the committee.
- contains CPs that have been assigned an editor and are being actively worked on by the committee, i.e. Assigned status
- contains the last version of a CP that is in Completed status. Its contents are approved by the Technical Committee and the CP is waiting to be put in a ballot.
- Final Text
- contains the last version of a CP that is in FinalText status. It is has been approved by ballot and is waiting to be integrated into the TF in the upcoming publication cycle.
- contains the version of the CP that was integrated into the TF, organized by year.
- CPs that have been submitted but rejected by the committee
- contains CPs that were once assigned but have been cancelled, i.e. Cancelled status
- contains Ballots that have been released for voting by the general community, organized by year.
ITI tracks status of its Change Proposals in this google doc: https://docs.google.com/spreadsheets/d/1gdr_Y8xZBvbb326J4z67cqprxOexFgtkPj_VlD3rB9E/edit?usp=sharing The Active CPs tab contains those that are Assigned, Completed, or Final Text in this cycle. There are also archive tabs for prior years.
Approved CPs integrated into the ITI Technical Framework
CPs that have passed ballot in since 2015, and that have been, or will be, integrated into the ITI Technical Framework are listed on this Log of Approved CPs.
CPs that have already been integrated into the Technical Framework are stored here.
The ITI Technical Committee integrates CPs into Technical Framework documents following this process : ITI CP Integration Process
Out for ballot: January 11, 2022. Comments due: Friday, February 11, 2022. Comments/votes resolved on CP review call during February vF2F, Feb 14-18, 2022.
Ballot 60 CPs are on Google Drive under IHE Documents here.
|793-03||Allow a FindDocumentsByReferenceId Query Without XDSDocumentEntry.patientID||Failed Ballot. Will be re-worked and re-balloted on future ballot.|
|938-03||Audit messages for ITI-30 and 31||Accepted pending updates|
|968-02||Fix optionality for AlternativeUserId field in SeR audit messages||Accepted|
|1129-01||AlternateUserId inconsistency ITI-18 and ITI-51||Accepted pending updates|
|1136-05||Inconsistent audit of homeCommunityId and respositoryUniqueId||Accepted pending updates|
|1229-01||Non-exist ATNA Audit Record references||Failed Ballot. Will be re-worked and re-balloted on future ballot.|
|1230-02||Update Appendix W and Z for common materials||Accepted|
|1250-01||ITI-52 ATNA Issues||Accepted pending updates|
|1260-01||ITI-18 – clarify that datetime parameter values can have single quotes||Failed Ballot. Will be re-worked and re-balloted on future ballot.|
|1261-01||Clarify Demographics Source in XCPD Response Message||Accepted|
|1268-00||Fix out-of-date code and system values in SVS||Accepted pending updates|
Out for ballot: July 26, 2021. Comments due: Monday, August 30, 2021. Comments/votes resolved on CP review call: September 14th, 2021
Ballot 59 CPs are on Google Drive under IHE Documents here.
Comments, votes & resolution are here.
|1178-03||XDS: misalignment between example and description for localizedString||Failed Ballot - CP will be separated by issue and resubmitted|
|1246-00||PIXm target domain not recognized applies one or more||Approved|
|1253-05||XDR PatientID||Approved pending updates|
|1257-02||Clarify minimum for client authentication||Approved|
|1259-03||Add SVCM constraint for id||Approved pending updates|
Out for ballot: April 12, 2021. Comments due: Monday, May 10, 2021. Comments/votes resolved on CP review call on May 11, 2021.
Ballot 58 CPs are on Google Drive under IHE Documents here.
Comments, votes & resolution are here.
|975-00||Add reference to HL7v3 feed in description merge for Registry||Approved with updates|
|1093-04||XDSUnknownPatientId error should be allowed in ITI-18||Approved|
|1167-01||Improve guidance on use of MTOM and XOP in ITI-41 and ITI-43||Approved|
|1218-04||XCDR: Clarify/change patientId optionality||Approved|
|1220-06||XDR: Clarify patientId population and handling||Approved with updates|
|1225-03||XCDR: Address Cross-author updates||Approved|
|1233-00||XDS Too Many Results||Approved with updates|
|1235-00||CX confusion in XUA||Approved|
|1236-01||mCSD organization for jurisdictions||Approved with updates|
|1238-00||MHDS: editorial fix, missing words||Approved|
|1239-00||RESTful ATNA: fix Option name||Approved|
|1240-01||Correct Error Code in Stored Query Error behavior definition||Approved|
|1245-00||Broken Section Reference 126.96.36.199.2||Approved|
|1249-00||Vol2a Wrong Section Number||Approved|
|1251-00||Fix MTOM Section Reference||Approved with updates|
Out for ballot: Aug 21, 2020. Comments due: Sept. 21, 2020. Comments/votes resolved on CP review call on October 2, 2020.
Ballot 57 CPs are on Google Drive under IHE Documents here.
Comments, votes & resolution are here.
|1203-11||PMIR - clarify management of Patient Master Identity||Approved with updates|
|1207-01||PMIR clarification - use of RelatedPerson||Approved with updates|
|1209-02||Add Add formatCode XACML information to APPC||Approved|
|1212-00||XCPD Examples Include Error In detectedIssueEvent.code||Approved|
|1213-01||XCPD Revoke – Add Additional Context Information||Approved with updates|
|1214-00||PIXm: Error with Code on OperationOutcome||Approved|
|1215-00||PIXm examples fix||Approved|
|1216-00||RMD: Fix error in audit specification for ITI-62 for the Registry||Approved|
|1217-00||XDS MU and RMU – update on error reporting||Approved with updates|
|1221-00||Add note to ATNA option for DICOM Security profile alignment||Approved with updates|
|1222-02||PIXm - clarify use of sourceIdentifier parameter in query and response||Approved|
|1223-00||RMD audit fix for ITI-62 and 86||Approved|
For a list of CPs that are currently assigned see the 'Active CPs' tab in the CP status google doc.
Assigned CPs are stored here.
Strategies for smarter CP processing (from Jul-17 F2F)
We often have CPs that need a lot of rework after ballot:
- There is not enough review prior to ballot
- Perhaps too much effort on specificity vs remaining silent
- Look for opportunities to suggest that a small subset take a time-consuming or editorial problem offline and come back to the group with an updated change.
Gateway questions prior to accepting a CP (or finishing work on an existing CP):
- Is solving the problem necessary for interoperability?
- Has an implementer reported this problem, or should they, or... is this theoretical?
- Is the text inconsistent? If so, are we over-specifying, i.e. can we delete the inconsistency?
- Strongly suggest that a submitter propose a solution.
- Is this a problem that needs to be fixed?
Upcoming CP discussions
ITI CP review calls are typically held the second Tuesday of each month from 9-10am Central US. Changes to the 'traditional' schedule for CP calls are announced on the ititech email list.
April 2022 vF2F
Date/Time: April 27 @ 2:00pm CT, April 28 @ 4:00pm CT
Attendees: John Moehrke (ByLight), Luke Duncan (PATH), Steve Nichols (GE), Oliver Egger (adhis), Matt Blackmon (Sequoia), Spencer LaGesse (Epic), Lynn Felhofer, Sarah Bell
The ITI CP tracking spreadsheet is here.
(1) Process Incoming CPs
(2) Assigned CPs ready for discussion
- CP-ITI-1278-01 - Delayed Document Assembly–hash and size inconsistency (Lynn) - Completed, ready for ballot
- CP-ITI-1014-03 - XCDR Auditing of homeCommunityId (Lynn) - Completed, ready for ballot
- CP-ITI-1260-02 - ITI-18 – clarify that datetime parameter values can have single quotes (Spencer L.) - Completed, ready for ballot
- Review post Ballot updates:
(3) Open Issues in FHIR IGs
(4) Next in CPs
- CP Integration Discussion
- CP Integrations Assigned. See Pub 2022 tab here.
- Next Monthly CP Meeting is scheduled for May 10th, 2022 @ 9:00amCT / 10:00amET