ITI Planning Committee 2013/2014 Meetings

Introduction

This WIKI page documents the activities of the ITI Planning Committee during the 2013/2014 committee year (August 2013 - July 2014). These activities include:

• Call for Proposals : August-October
• Review and selection of Proposals : October-December
• Updates/Additions to Educational Materials/White Papers/Etc. : December-July

Proposal Webinars

Webinar Organization

Each webinar will be organized as follows (this will vary slightly depending upon how many proposals we will be reviewing:

• The two hour time allocation will be divided into 20-minute time-slots, with the remaining time for introductory remarks and follow-up discussion.
• Each 20-minute timeslot will be allocated to a profile/white paper proposal… the first 10 minutes will be taken up by a presentation by the proposal author, with the remaining 10 minutes reserved for discussion and any disposition (if required).
• Each 10-minute presentation will be comprised of a maximum of 5 Powerpoint slides, presenting the proposal concisely and completely.

Webinar 1

Date	Time	Coordinates	Recording of the meeting
30-Sept-2013	2:00-4:00p.m. CDT	Join Webex(password "meeting") 1-866-469-3239 923 349 275#	Listen On-line

Time	Proposal	Author/Presenter	Comments
2:00-2:10	Webinar Introduction, process	Karen Witting, Eric Heflin : co-Chairs	The goal for this week's call is to just explain and socialize the problem. Not to prioritize, not to select, not to talk about solution.
2:10-2:30	Federated Solution for Healthcare Provider Directory Specification	Matthew Rahn and Farrah Darbouze	Presentation Authors request to focus on the problem being solved: federation control, error handling, implementation ease, where request comes from, correlation of request to elements of the response to aid followup queries, etc.
2:30-2:50	Data Segmentation for Privacy (DS4P) using REST	Johnathan Coleman	Presentation Large need in terms of patient populations, DS is required for some especially sensitive information. Needs RESTful implementation guide.
2:50-3:10	Standardized Operational Log of Events (SOLE)	Bradley Erickson	Presentation Presentation found to be very clear, no questions.
3:10-3:30	Data Access Framework (DAF)	John Feikema	Presentation Concerns raised about scope being very large, unclear what the output would look like, unclear how this would interact with existing IHE profiles.
3:30-3:50	Mobile Patient Discovery	Justin Fyfe	Presentation Presentation was clear, no significant questions.
3:50-4:00	Discussion, Next Steps	Karen Witting, Eric Heflin : co-Chairs

Webinar 2

Date	Time	Coordinates	Recording of the meeting
1-Oct-2013	8:00-10:00 CDT	Join Webex(password "meeting") 1-866-469-3239 927 588 272#	Listen on-line

Time	Proposal	Author/Presenter	Comments
8:00-8:10	Webinar Introduction, process	Karen Witting, Eric Heflin : co-Chairs	Re-iterated message from prior call to focus on the problem
8:10-8:30	De-identification Handbook	Rob Horn	Continuation of partially completed deidentification white paper, about 1/2 completed. Guide for other IHE profile authors.
8:30-8:50	RESTful XDW and other RESTful extensions	Rob Horn	Presentation RESTful interface for XDW and profiles based on XDW. This could be an enhancement for MHD or an option to XDW. Discuss of conversion of MHD to FHIR - FHIR not stable so deferred. Editors suggesting splitting this into two work items, the work specific to XDW and a white paper road map of other areas that need a RESTful interface.
8:50-9:30	Redocumentation Proposals: Redoc Patient Profiles Redocumentation of XD* Profiles ReDoc Information Model (Document Sharing Roadmap) & Redoc Roadmap	Rob Horn Jeremy Huiskamp Bill Majurski	Bill missing so Gila presented in his place. Proposal 1 is to have a single section similar to XDS metadata that describes patient identity management. Proposal 2 do the same thing we did for the profile specific content in Vol 2 and 3 and make it consistent and easier to follow. Proposal 3 move content out of binding that is independent of the binding section. Editors requesting input to prioritize among these three, as it is felt that at most one should be pursued in the coming year. Editors will seek to clarify/contrast these three proposals for discussion next week.
9:30-9:50	Findings Notification	Gorkem Sevinc/Derrick Evans	Continuation of a white paper worked on in the prior year to communicate findings. It was emphasized that this is an issue designed to enhance patient safety and is considered urgent.
9:50-10:00	Discussion, Next Steps	Karen Witting, Eric Heflin : co-Chairs

Webinar 3

Date	Time	Coordinates	Recording of the meeting
3-Oct-2013	8:00-10:00 CDT	Join Webex(password "meeting") 1-866-469-3239 924 466 876#	Listen on-line

Time	Proposal	Author/Presenter	Comments
8:00-8:10	Webinar Introduction, process	Karen Witting, Eric Heflin : co-Chairs
8:10-8:30	XDS-based Image Sharing under Patient Control	Chris Carr	presentation Use case is to provide the capability for a provider to make available to the patient, clinical content for their PHR through a unique identifier. The unique identifier is an episode identifier and there could be multiple supplied to a patient.
8:30-8:50	Dynamic Configuration Management	Shujah Das Gupta	presentation Scope is SOAP/DICOM as well as REST needs.
8:50-9:10	Secure Retrieve	Mauro Zanardini, Arianna Cocchiglia	presentation Creates a policy manager that decides if clinical data can be accessed by a requester, a proxy that supports policy enforcement
9:10-9:30	ATNA Repository federation	Mauro Zanardini, Arianna Cocchiglia	presentation This proposal creates an approach for performing queries against ATNA Audit Record Repositories.
9:30-9:50	Discussion, Next Steps	Karen Witting, Eric Heflin : co-Chairs

F2F Meeting

The following agenda is a draft and may be adjusted based on needs of the meeting

WEDNESDAY October 9 - DAY 1

Location	Webex/Tcon
RSNA Headquarters Oak Brook, IL	WEBEX INFO REMAINS THE SAME FOR BOTH OCT. 9 and OCT. 10 www.himss.webex.com Meeting Number: 929 064 471 Meeting Password: meeting

Time	Description	Presenter	Minutes/Notes
8:30-8:45 CT	Welcome
	Introductions Housekeeping Domain Sponsor Announcements Procedures, voting privileges, etc. Agenda review
8:45-9:15 CT	ITI Capacity and Evaluation Criteria
	Capacity of ITI for new profile/white paper proposals (decision) Evaluation Criteria 2012 Year Criteria Spreadsheet - final Process used to develop a prioritized work item list Ranking by Criteria Initial spreadsheet Ranking by Ballot	ITI co-chairs	Reviewed the process and agreed that each organization will get 5 votes. Also agreed that the list of proposals would be limited to approximately 5-10, depending on the size of the proposals.
9:15-9:45 CT	Advocacy Standardized Operational Log of Events (SOLE)	Brad Erickson	Discussed the lack of an information model or detailed requirements beyond the RAD domain. Scope would be to profile a framework for exchanging data, events, and concepts to be logged. Out-of-scope would be definitions of the data, events, or concepts proper. Those definitions likely belong in other domains.
9:45-10:15 CT	Advocacy Data Access Framework (DAF)	John Feikema	Discussed that this appears to be extremely large, and it was thought that 60% to 80% of the request is already covered by existing IHE (ITI, PCC, QRPH) profiles. Identified a need to clarify the split between various parts, and also identified the need for a work plan for approaching this large of a proposal. Clarified that the proposal is for a white paper, plus some small changes to existing profiles. QRPH has a 'structured data capture' effort that may overlapping with DAF. It was suggested that a task group of any interested individuals be formed to refine the DAF proposal for a well-scoped request for discussion tomorrow morning. The S&I Framework would be the proposed venue for much of the work on this white paper with formal review/input from the IHE. The proposing team will likely be able to provide some resource assistance. Keith B. will lead a small group to refine the proposal tonight. Alex L. suggested that this may be a 'new directions' effort. Tomorrow morning the ITI PC will conduct an assessment of DAF at 8:30am.
10:15-10:45 CT	Advocacy Data Segmentation for Privacy (DS4P) using REST	Johnathan Coleman	Discussed that DS4P is indicating eHealth Exchange involvement, which is not accurate. It actually appears to be in pilot with some eHealth Exchange Participants. DS4P was discussed with IHE last year, but not a formal proposal at that time. There was disagreement about the definition of DS4P with respect to push vs. pull. Seems to have some overlap with the DAF proposal. We may not have all prerequisite work done yet. A possible dependency is that RESTful DAF would need to be defined before DS4P could be completed. FHIR is also considering similar work. The DS4P proposers indicated they had committed resources to work on the white paper. One interesting point discussed is it may be valuable to think of DS4P as a work effort that incorporates elements into multiple other IHE profiles. May be a good chance to collaborate with other organizations outside of the IHE. This is difficult to scope as the REST solution (prerequisite work) is not stable yet.
10:45-11:00 CT	Break
11:00-11:30 CT	Advocacy Secure Retrieve	Mauro Zanardini	The proposal appeared to be clear and there was limited discussion. Vendors are implementing their own non-standards based solutions to this problem now. No other ITI domains are held up by this work. This may not be an interoperability issue; it may be more of an internal organizational engineering problem.
11:30-12:00 CT	Advocacy ATNA Repository federation	Mauro Zanardini	Discussed that the proposal name implies direct federation support, but that is not the intent, thus this may be renamed to something similar to ATNA Query. Queries are scoped to those related to patient data use, collection, and disclosure.
12:00-12:30 CT	Advocacy Federated Solution for Healthcare Provider Directory Specification	Nagesh Bashyam (Dragon)	Discussed if this is IHE work or OASIS work. The proposal extends the base security model by putting a wrapper around DSML. This is a breaking change. May be better to extend DSML rather than employing a wrapper. Probably an ITI TC question. Is this a solution we should approach? Is the use case legit? Provenance is also a requirement and will be added to scope. Should we just adopt their solution? Looks like it is a USA-only solution that IHE-USA should profile instead of IHE Intnl. Probably should be called something other than Federated PD.
12:30-1:15 CT	LUNCH
1:15-1:45 CT	Advocacy XDS-based Image Sharing under Patient Control	Chris Carr	Discussed The PC discussed the requirements more and discovered the need is to allow a patient to transfer a group of documents between their providers EMR/HIS to their PHR. No additional sharing is contemplated. Push and pull both are required. Goal is to keep this out of the patient's email due to lack of a patient ability to automate. The patient doesn't have a PHR target at the time the encounter completes, and the patient completes the encounter transfer after creating a PHR account. The use case seems to need further refinement, especially related to the pre-conditions and the workflow. Decided that this will be a white paper proposal.
1:45-2:45 CT	Advocacy Re-documentation Proposals Redoc Patient Profiles Redocumentation of Document Sharing Profiles ReDoc Information Model Document Sharing Roadmap	Karen Witting/Gila Pyke/Rob Horn	presentation Refined each of the proposals: Redocumentation Document Sharing Profiles - significant work item to find and organize all profile specific document sharing specification. ReDoc Information Model - focus this on the MHD binding and what information would need to move out of the ebXML binding in order to support MHD. Redoc Patient Profiles - focus this on consolidating and clarifying the common information model for patient management profiles which is currently inconsistent and sometimes out of date. Decided to move only one forward to the vote tomorrow. Agreed almost unanimously to bring forward the Redocumention of Document Sharing Profiles. Keep the others on the roadmap for future years.
2:45-3:15 CT	Advocacy Continuation of White Papers from prior years De-identification Handbook Findings Notification	Rob Horn/Derrick Evans	Redocumentation: De-identification: is almost 1/2 done. Need to finish remainder. Rob will have scheduled day-job time to work on this over the next two months. Findings Notification: Derek will provide resource time. Critical for some domains and patient use cases.
3:15-3:30 CT	Break
3:15-3:50 CT	Advocacy Mobile Patient Discovery	Justin Fyfe
3:50-4:30 CT	Advocacy RESTful XDW and other RESTful extensions	Rob Horn	RESTful Roadmap - agreed to request that the Mobile Health Task Force consider developing this work. Rob will join that group and present his proposal. RESTful XDW -
4:30-5:00 CT	Advocacy Dynamic Configuration Management	Shujah Dasgupta	Discussed that this is a proposal concept submitted multiple times. This specific propoal seems overlery broad in scope. Distributed DNS was discussed as an alternative. Is there a use case for the updating of moving mobile devices to different locations? The proposer believes so. Should this be in DICOMM instead of IHE ITI? Ask is for a white paper. Focus will just be just the use case and problem statement.
5:00-5:30 CT	General Discussion and preparation for evaluation	ITI Planning co-chairs
	Continued discussion for work items not fully understood Re-review of Evaluation Criteria Conclude Process used to develop a prioritized work item list
5:30 pm CT	ADJOURN

THURSDAY October 10 - DAY 2

Time	Description	Minutes/Notes
8:30-8:35 CT	Welcome, review of the day's plan
8:35-9:00 CT	Continue DAF discussion	Motion: support PCC in developing a white paper for DAF. Approved. PCC will coordinate the white paper development with input and joint discussion with ITI. ITI will not further vote on DAF, approved to provide a support role to PCC.
9:00-10:30 CT	Discussion and Voting on prioritized work item list
	Complete Ranking by Criteria spreadsheet and review results Agree on voting approach - # of ballots per organization Ranking by Ballot - Voting	Each organization voted for 5 proposals. Results tallied in the spreadsheet.
10:30-11:00 CT	Break
11:00-12:30 CT	Decision of Prioritized List of proposals
	Review voting results Agree on prioritized list of proposals to be assessed by ITI Technical Committee Assignment of authors, due-dates, etc. for completion of Detailed Proposal (due date TBD) for turn-over to TC in November	Final Prioritization Matrix. The top seven vote getters will move forward but there was a tie for 8th place. A subsequent vote was taken, between Findings Notification, and RESTful XDW, agreed to move Findings NOtification forward and defer RESTful XDW. For now RESTful XDW will be part of the Mobile Health Roadmap. Proposals forwarded to ITI TC - due date for detailed Proposals Nov. 3: Standardized Operational Log of Events (SOLE) Mobile Patient Discovery Redocumentation of Document Sharing Profiles De-identification Handbook Secure Retrieve ATNA Repository federation Data Segmentation for Privacy (DS4P) using REST Findings Notification Discussed proposals not forwarded to ITI TC and plans for ITI Planning followup tasks: RESTful XDW and other RESTful extensions - to be forwarded to the Mobile Health Task Force Road Map and future consideration by ITI Federated Solution for Healthcare Provider Directory Specification - to be proposed as an IHE USA national extension, Eric & Alex to bring to IHE USA. IHE ITI will provide comments to the IHE-USA paper. Dynamic Configuration Management - to be developed by ITI Planning as a Briefing. Rob will work on a response during Q4 of 2013. Rob will also work to find the right venue. XDS-based Sharing under Patient Control - to be developed by ITI Planning as a Briefing.
	Suggestions for improvement for next year impact assessment process	Review of the process/suggestions for improvements Generally the impact areas were found useful but for most the discussion is more important than the actual # value chosen. Agreed for the first 3 impact areas (significance, global, adoption) to leave the meaning of the #s as vague to encourage discussion and discourage argument. Reviewed the alignment with ITI Tech areas and agreed to change this to a yes/no rating that is not counted in an overall rating. Decided to define the meanings of the #s for alignment with other IHE domains numbers as follows: 5 is when other IHE domains come to us directly and request work or if we believe they are dependent on us to do high priority work (example ATNA which came directly from Radiology). 3 is that the work item will be broadly useful among multiple other IHE domains (for example XDW). 1 is no immediate predictable interest outside of ITI, or something that is an internal IHE need (for example CT). 2 and 4 are middle ground between these definitions.
12:30-1:30 CT	LUNCH
1:30-2:00 pm CT	Marketing and publicity planning
	Educational presentation content and webinars Assess status and impact Plan work items for coming year Wiki profile descriptions Assess status and work to be done Discuss suggestions for other opportunities for communicating about ITI work	Review of wiki profile descriptions: DSUB update to be done by Mauro CSD to be done by Carl with input from Derek XUA to be updated by John Eric will update NAV to deprecate it (new icon). A discussion was help to determining if NAV is actually in use. No action at this time. Educational materials Discussion was made about the concept of PC making an outreach to HIE vendors, internationally, to obtain their involvement into ITI PC. Eric will put together a draft of slides, Alex will create a list of HIE vendors to target for outreach, plus others are encouraged to add additional vendors to the list. All participants will be accepted for outreach activities. Celina will follow up and see if the IHE USA Connectathon conference can have a spot reserved for this purpose. tcon schedule for Nov. 1 XDW Education . Mauro created a deck and will send it to the ITI PC for review on call on Nov 4th. Consent mgmt materials; Eric will schedule a tcon when material is ready for review. Manuel will work on educational material describing the XDS Metadata Update supplement starting in about 6 months. Co-chairs need to follow up. XAD-PID, no action this year. - leave on list On-demand, Karen will work on updated materials. Scheduled Jan 17th. SVS no materials are needed at this time, remove from list of future possibilities Mike N will work on updated content for IHE introductory charts. We will target this work for the spring, so it can reflect updates from this year. For the future, we'll add mobile education materials, but taking no action now. Add CSD educational material, possibly as an update to the existing HPD work, be provided by Dec 11th. IUA and XUA++ educational materials will be created by John as update to XUA. He will do an email review. Target Feb 1st.
2:00-2:30 CT	Consider suggestions for future ITI Planning Committee work
	White Papers Existing A Service-Oriented Architecture (SOA) View of IHE Profiles - Published 2009-09-28 Health Information Exchange: Enabling Document Sharing Using IHE Profiles - Published 2012-01-24 Consider suggestions for new white papers IT Infrastructure Strategy/Categories Review and assess ITI Outreach and liason activity Assess status and planning	White Papers No suggestions to existing papers New type of white paper - briefing - from two of the non-selected work items Consider improving the wiki experience. Suggestion to look at the use of tagging and find and deprecate pages that are misleading. Karen will bring to co-chairs committee request for tagging guidance and others will review and report on places where tagging could be improved. Perhaps use intern or student to support improving the ability to search for ITI material and find useful content. Strategy areas Separated patient and provider strategies and updated with new profiles
2:30 - 3:00 pm CT	Wrap-up
	Schedule followup tcons Assess Trial Implementation profiles movement to Final Text Educational presentations and webinars White Paper Updates Other	tcons schedule for HIE Outreach, XDW Educational Material, on-demand educational material, CSD educational material. failed to agree on joint tcon for response from ITI TC deferred scheduling joint tcon to assess TI move to FT, plan to schedule during May f2f other tcons to be scheduled as needed
3:00 pm CT	ADJOURN