CIMI: some semantic interoperability questions

1. CIMI: some semantic interoperability questions 1. Independent items (what parts of an archetype may “stand alone” for reuse in other contexts?) E.g. the ‘color’ value for a urinalysis has no independent meaning outside of that context; or do we never allow such attributes (i.e. does color always need to be pre-coordinated as part of an independent concept?) E.g. globally unique identifiers for idependent items 2. relationships among different ‘independent’ items. These are sometimes important to describe between independent items in different archetypes e.g. a particular value in a given time-series archetype may need to be related to a different concept’s value in another archetype

2. 3. finding identical independent instantiated concepts with or without associated values across CIMI archetypes and templates (relates to isosemantic issue) 4. Statuses: it is critical to know that a particular recorded observation about a patient is in error, or has been corrected; or that a diagnosis is preliminary etc.; or that a report has been amended or has an addendum 5. Beyond orders and results: can I use an observation value as a treatment goal or a diagnostic criterion? 6. Are there lessons to be learned from Clinical statement models and/or models from CDA templates and documents CIMI: some semantic interoperability questions

3. 7. Modes of Terminology bindings: are there lessons to be learned from Terminfo? 8. Do we have guidance for the level of model granularity being used, and for which purposes and styles of implementation i.e. abstract models with many constraints vs. ‘complete’ models without constraints: and if both, how do we map between the two styles? 9. How do archetypes support conditional optionality e.g. if one attribute has a particular value, can that value determine the presence or absence of another attribute and its value-set? (This is sometimes called co-occurrence.) CIMI: some semantic interoperability questions