ITI Technical Committee Agenda - April 2016 F2F

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April 2016 F2F – Public Comment Preparation Meeting April 25-29 2016

This 5-days meeting is focused on a review of Vol.2 and Vol.3 content of new work-item in order to prepare Public Comment versions. A formal vote is needed to approve the document for Public Comment.


Meeting Location: Oak Brook, Chicago, US: RSNA Headquarter

Meetings and Tcons

Webex information for this meeting is:

Meeting Number: 929 824 027

Meeting Password: Contact Nancy Ramirez at nramirez@himss.org for password

https://himss.webex.com/himss/j.php?MTID=mdd2314dbb47961a6981d18271be2a6fa

Agenda April 2016, Face to Face

All times listed are tentative at the moment and may be revised the day of the meeting.


Day 1, Monday, April 25, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:30am Participants:

Nancy Ramirez (HYMMS)

Bill Majursky (NIST)

Sylvie Colas (ASIP Santè)

Nader Cheaib (ASIP Santè)

Robert Horn (AGFA)

Mauro Zanardini (consorzio Arsenàl.IT)

Gila Pyke (Cognaissance)

Lynn Felhofer (IHE Tech Manager)

John Moherke (GE)

Ben Levy (Core Point Healthcare)

Harry Rhodes (AHIMA)

Daniel Berenzeanu (Ready Computing)

Luke Duncan (IntraHealth)

Elliot Silver (McKesson)

Christina Fowler (RTI)

Emily

Breione St. Claire CFHC

Jaclyn Bays

Lauren Lemieux (ACOG)

Nathan Sikes

Thomson Kuhn (ACP)

Laura Bright (Ready Computing)

Tarik Idris (ICW)

Charles Parisot (GE)

Chris Melo (Philips)

Diana Warner (AHIMA)


-Minutes:

  • Agenda review and updates
  • explanation of this week goals
FHIR DSTU2 UPDATES: mACM Luke 9:30am – 10:45am

-Minutes:

Luke leaded this session. He presented the mACM profile (Updated to align it to FHIR DSTU 2). The goal of this session is to understand the status of the review of this document. The alignment with DSTU 2 are quite complete. There are two open points:

  • Existence of a mysterious extension to the "communication" resource (probably needed by the PCD domain). This need to be understood and explained. The cmte asked to add an open issue related to this extension, and provide some text that describes the need for it.
  • There are gaps in describing Expected Actions: this cannot be put in OI. Luke will work on Expected Actions before Wednesday. He will provide an updated version of the document ASAP (if possible, it will be posted on Tuesday) and he will ask for off-line support.
BREAK 10:45am – 11:15am
CP's (XDS world) Lynn / Bill 11:15am – 12:30am

-Minutes: Bill lead this session. During the session many Cps are reviewed with the objective to gather guidance from the ITI Tech cmte in identifying a technical solution.

  • CP-533 Delete form Repository. Aim of this CP is to describe the HOW TO, and not to define what is appropriate for a specific environment. Proposal is to add this functionality to the Doc Administrator and add the requirement to this actor to previously delete the related metadata. The Delete Document transaction can reuse the semantic of Delete Metadata transaction.
  • CP-864 need more discussion later in this week. Lynn will dedicate some more time to this CP.
  • CP-888 (DSUB related) Elliot accepts explanations made via email by Mauro. Comments on it is retired.
  • CP-764: is completed: ready for ballot.
  • CP-767-02 with editorial changes is ready for ballot. Eliott is going to create another CP related to the homeCommunityId including in the referenceIDList metadata.

Many CPs are related to folder management. The Cmte should identify CPs that still needs works and CPs that we can reject due to low interest of thevendor community.

  • CP-799 immutabiliy of SubmissionSet is analyzed.
  • CP-804 content is analyzed
LUNCH 12:30am – 1:30pm
De-identification for family planning Gila 1:30pm – 3:30pm

-Minutes:

Gila lead this session. This session is dedicated to address comments received during PC period.

All comments reviewed , Gila has to made updates in the doc. This work item does not need additional time later during this week. Probably a call is enough to see if all the changes agreed are incorporated. Wednesday slot is not still needed. De-ID folks will schedule a call by the end of May. This call will be canceled if not needed (last Wednesday of May).

BREAK 3:30pm – 3:45pm
APPC (Advanced Policy Privacy Consent) Tarik 3:45pm – 5:15pm

Tarik started the review of the APPC profile. He will update the document tonight.

Homework/Wrap-up Gila/Mauro 5:15pm – 5:30pm

Day 2, Tuesday, April 26, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
AHIMA Updates AHIMA 9:00am – 9:30am Participants:

Nancy Ramirez (HYMMS)

Bill Majursky (NIST)

Sylvie Colas (ASIP Santè)

Nader Cheaib (ASIP Santè)

Robert Horn (AGFA)

Mauro Zanardini (consorzio Arsenàl.IT)

Gila Pyke (Cognaissance)

Lynn Felhofer (IHE Tech Manager)

John Moherke (GE)

Ben Levy (Core Point Healthcare)

Harry Rhodes (AHIMA)

Daniel Berenzeanu (Ready Computing)

John Stamm (EPIC)

Elliot Lavy (Quadramed)

Elliott Silver (McKesson)

Tarik Idris (ICW)

Charles Parisot (GE)

Diana Warner (AHIMA)


-Minutes:

Harry presented the status of AHIMA Activities. AHIMA asks how to proceed in their activities. The intent is to link the work done with Affinity Domain WP. AHIMA has identified a set of Business Requirements, and the intent will be to point out in the Affinity Domain White Paper that those requirements should be taken in considerations during the institution of a document sharing infrastructure. The set of Business Requirements builds a Framework as a set of actions that organization needs to fulfill (residual responsibility beyond standardized technologies). Residual issues should be reported to management, the important thing is to highline which is the personnel that can fulfill the issue.

This activity will be accomplished via a new proposal for next ITI cycle (Update of the Affinity Domain White Paper.

FHIR DSTU2 updates: RESTful ATNA Mauro/Rob 9:30am – 10:45am Participants:

to be added

-Minutes:

The intent for this week is to ballot DSTU 2 updates and Vol.1 updates for ATNA. Only a single document is reviewed, but they will be balloted separately. The goal of the session was to start the review of vol.1 content.

BREAK 10:45am – 11:15am
ATNA logging for RFD profiles: CP-ITI-916 (assigned to Rob Horn), QRPH-CP-134 & 149 (assigned to John Stamm) Lynn 11:15am – 12:30am

-Minutes:

PATH FORWARD:

  • Apply recent ITI CPs to the existing audit message definitions in CRD. (Rob H) …Lynn will give Rob the Word version of CRD to start with. Rob will give the updated content to John Stamm.
  • Per RFD-based profile in QRPH (John S):
    • Identify whether creation of data locally (vs transferring data) worth reporting via an audit message
    • Determine whether the profile de-identifies data. If it does, this is an auditable event.
    • When information is transferred what kind of subject is involved (a patient? a clinical trial subject? something else?)
    • Is it sufficient identify the transfer of data by a document id (i.e. a unique identifier for a document/form), or is more needed?
  • John S will attempt to create updated audit message definitions for the other QRPH profiles based on these questions. If he runs into questions, he will consult with Rob. That exercise make inform
  • CP-ITI-916 will be closed with a rationale based on today’s discussion!
  • a ‘good’ CRD message, John has QRPH CPs that will propagate the audit message definitions, as needed, to other QRPH profiles
  • Once we have gone through this exercise, we will evaluate the size of a potential update to the “ITI Security Cookbook” so to include a general process to help profile editors to construct the audit message tables for new profiles.
LUNCH 12:30am – 1:30pm
APPC (Advanced Policy Privacy Consent) Tarik 1:30pm – 3:30pm Tarik lead the discussion. The actual table that lists URNs (references to metadata elements) seems to be not clear. For PC it is enough. A discussion related to the use of homeCommunityId has been held: the homeCommunityId is not the actual home of the doc in all the deployments. This metadata was born as a transport mechanism so it is risky to use it for access control decision.
  • Tarik files a CP for XUA deprecating the homeCommunityId and defining Community ID. That id is the identifier of the requesting community. This will be used in APPC, and will be able to cover use-cases related to the requesting community to to the hosting community.
  • Title is considered not appropriate to affect access control decision.
  • A CP will be filed by Tarik about table 4.1.3.2-1. s

Tarik asks for review of the document after the publication of an updated version tomorrow.

The time slot of tomorrow will be dedicated to RESTful ATNA.

BREAK 3:30pm – 3:45pm
MHD / PIXm / PDQm ballot comments resolution John 3:45pm – 5:15pm

-Minutes:

PIX: the intent is to not profile something that is not compliant with FHIR servers. Restrictions are ok , deviation are not ok. The actual version of PIXm has the exact same behavior of PIXv2.

CP-922 is cancelled: no changes needed neither in pixm nor pixv2 or pixv3 because it s possible for a server to implement all 3 servers and meet the behavior to return the requested ID , likewise a proxy server could be able to store the context of the HTTP request before to respond so it has access to the requested patient ID.

There are still open comments from ballot 32 on PIXm , PDQm. Appendix Z and MHD are quite completed. MHD has just some comments from CAT EU.

PIXm: Daniel will check how many comments are left.

PDQm and MHD: John will review PDQm and MHD stuff and closes open comments during this meeting.

Thursday CP call will be dedicated to these topics.

Homework/Wrap-up Gila/Mauro 5:15pm – 5:30pm

-Minutes: Lynn brought up the issue related to: how to address future updates of fhir standard. The Cmte will discuss again this topic later in this week.

Another point is Ownership of documents, it has been suggested to identify owners for docs. -

Day 3, Wednesday, April 27, 2016

Activity Leads Central Time notes
Breakfast 8:30am – 8:50am
Introductions, Agenda Review Gila / Mauro 8:50am – 9:00am Participants:

to be added

-Minutes:

to be added

IHE Swiss national extensions and Security Proposal Charles P. / Tino 9:00am – 10:00am Participants:

to be added

-Minutes:

to be added

RESTful ATNA Mauro / Rob 10:00am – 10:45am Participants:

to be added

-Minutes:

to be added

BREAK 10:45am – 11:15am
FHIR DSTU2 updates: mACM John 11:15am – 12:30am Participants:

to be added

-Minutes:

to be added

LUNCH 12:30am – 1:30pm
CP

See TF Maintenance topics for this F2F here

Lynn 1:30pm – 3:30pm Participants:

to be added

-Minutes:

to be added

BREAK 3:30pm – 3:45pm
JOINT MEETING 3:45pm – 5:30pm -Agenda:
  • ITI, PCC, QRPH updates;
  • PCC BED profile
  • Workflow Workshop
  • IHE consistent Documentation for FHIR
  • Consistency in secure requirements for FHIR based profiles
  • Consistency in commands for queries and retrieves in FHIR based profiles
  • OID Management Update
  • Discuss PAM - fields that are constricted in PAM based profiles
  • TBD

Participants: to be added

-Minutes:

to be added

Day 4, Thursday, April 28, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Introductions, Agenda Review Gila / Mauro 9:00am – 9:15am Participants:

to be added

-Minutes:

to be added

FHIR DSTU2 updates: RESTful ATNA John/Mauro/Rob 9:15am – 10:45am Participants:

to be added

-Minutes:

to be added

BREAK 10:45am – 11:15am
Joint Planning /Techincal Cmtes: TI to FT Daniel B. 11:15am – 12:30am Participants:

to be added

-Minutes:

to be added

LUNCH 12:30am – 1:30pm
APPC Tarik 1:30pm – 3:30pm Participants:

to be added

-Minutes:

to be added

BREAK 3:30pm – 3:45pm
CPs

See TF Maintenance topics for this F2F here

Lynn 3:45pm – 5:15pm Participants:

to be added

-Minutes:

to be added

Homework, wrap-up Gila/Mauro 5:15pm – 5:30pm Participants:

to be added

-Minutes:

to be added

Day 5, Friday, April 29, 2016.

Activity Leads Central Time notes
Breakfast 8:30am – 9:00am
Final Review APPC: voting for PC publication Tarik 9:00am – 10:00am Participants:

to be added

-Minutes:

to be added

Finalize work items, and next steps Gila/Mauro 10:00am – 10:45am -Agenda
  • Schedule tons, including TI to TF
  • TF and TI editors assignment and publication plan
  • AOB
BREAK 1:45am – 11:15am Participants:

to be added

-Minutes:

to be added

CPs

See TF Maintenance topics for this F2F here

Lynn 11:15am – 12:30am Participants:

to be added

-Minutes:

to be added

Lunch 12:30pm – 1:00pm
Adjurn 1:00pm
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