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CIMI Modelling Taskforce Example Instances

CIMI Modelling Taskforce Example Instances. Dr Linda Bird, IHTSDO Implementation Specialist. Example Instances - Audiences. Clinical Forms based Data entry to add data instances Support clinical verification Both good and bad examples Technical Multiple formats (with a primary format?)

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CIMI Modelling Taskforce Example Instances

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  1. CIMI Modelling TaskforceExample Instances Dr Linda Bird, IHTSDO Implementation Specialist

  2. Example Instances - Audiences • Clinical • Forms based • Data entry to add data instances • Support clinical verification • Both good and bad examples • Technical • Multiple formats (with a primary format?) • To support implementations • Transformable to other representations • Both good and bad examples

  3. Clinical Model Instance - Form

  4. Clinical Model Instance - Hierarchy

  5. Clinical Model Instance (MINIMAL)

  6. Clinical Model Instance (MAXIMAL)

  7. Possible Example Instance Levels Reference Model Instance Reference Pattern Instance Clinical Pattern Instance Clinical Model Instance Brief Clinical Model Instance

  8. Reference Model Instance

  9. Reference Model Instance <ITEM_GROUPxmlns:xsi=http://www.w3.org/2001/XMLSchema-instancexmlns=http://opencimi.orgarchetype_node_id= “id1.1.1.1” name = “blood_pressure” archetype_id= “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”> <item xsi:type= “ELEMENT” archetype_node_id = “id5.0.2” name = “Code”> <value xsi:type= “CODED_TEXT” code= 75367002 term = “blood pressure” terminology_id = http://snomed.info/scturi = http://snomed.info/id/75367002 /> </item> <item xsi:type= “ITEM_GROUP”archetype_node_id= “id0.1.1.1” name = “Systolic_blood_pressure”> <item xsi:type= “ELEMENT”archetype_node_id = “id5.0.8” name = “Result”> <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 120 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </element> </item_group> <item xsi:type= “ITEM_GROUP” archetype_node_id= “id0.1.1.2” name = “Diastolic_blood_pressure”> <item xsi:type= “ELEMENT”archetype_node_id = “id5.0.8” name = “Result”> <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 80 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </item> </item> </item_group>

  10. Reference Pattern Instance ITEM GROUP ITEM GROUP Clinical Statement Clinical Document Cluster Compound Clinical Statement Indivisible Clinical Statement

  11. Reference Pattern Instance <COMPOUND_CLINICAL_STATEMENTxmlns:xsi=http://www.w3.org/2001/XMLSchema-instancexmlns=http://opencimi.orgarchetype_node_id= “id1.1” name = “blood_pressure” archetype_id= “CIMI-CORE-ITEM_GROUP.compound_clinical_statement.v1.0.0”> <Element archetype_node_id = “id5” name = “Code”> <value xsi:type= “CODED_TEXT” code= 75367002 term = “blood pressure” terminology_id = http://snomed.info/scturi = http://snomed.info/id/75367002 /> </Element> <Clinical_statementxsi:type= “INDIVISIBLE_CLINICAL_STATEMENT” archetype_node_id= “id0.1” name = “Systolic_blood_pressure”> <Element archetype_node_id= “id5.0.8” name = “Result”> <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 120 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Element> </Clinical_statement> <Clinical_statementxsi:type= “INDIVISIBLE_CLINICAL_STATEMENT” archetype_node_id= “id0.1” name = “Diastolic_blood_pressure”> < Element archetype_node_id = “id5.0.8” name = “Result”> <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 80 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Element> </Clinical_statement> </Clinical_statement>

  12. Clinical Pattern Instance ITEM GROUP ITEM GROUP Clinical Statement Clinical Document Cluster Action Compound Clinical Statement Indivisible Clinical Statement Clinical Activity Observation Observation Set

  13. Clinical Pattern Instance <Observation_setxmlns:xsi=http://www.w3.org/2001/XMLSchema-instancexmlns=http://opencimi.orgarchetype_node_id= “id1.1.1” name = “blood_pressure” archetype_id= “CIMI-CORE-ITEM_GROUP.observation_set.v1.0.0”> <Code archetype_node_id = “id5.0.2” > <value xsi:type= “CODED_TEXT” code= 75367002 term = “blood pressure” terminology_id = http://snomed.info/scturi = http://snomed.info/id/75367002 /> </Code> <Observation archetype_node_id= “id0.1.1” name = “Systolic_blood_pressure”> <Result archetype_node_id= “id5.0.8” > <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 120 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Result> </Observation> <Observation archetype_node_id= “id0.1.1” name = “Diastolic_blood_pressure”> <Result archetype_node_id= “id5.0.8”> <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 80 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Result> </Observation_set>

  14. Clinical Model Instance ITEM GROUP ITEM GROUP Clinical Statement Clinical Document Cluster Action Compound Clinical Statement Indivisible Clinical Statement Clinical Activity Observation Observation Set Diastolic Blood Pressure Systolic Blood Pressure Blood Pressure

  15. Clinical Model Instance <Blood_pressurexmlns:xsi=http://www.w3.org/2001/XMLSchema-instancexmlns=http://opencimi.orgarchetype_node_id= “id1.1.1.1” archetype_id = “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”> <Code archetype_node_id = “id5” > <value xsi:type= “CODED_TEXT” code= 75367002 term = “blood pressure” terminology_id = http://snomed.info/scturi = http://snomed.info/id/75367002 /> </Code> <Systolic_blood_pressurearchetype_node_id= “id0.1.1”> <Result archetype_node_id= “id5.0.8” > <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 120 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Result> </Systolic_blood_pressure> <Diastolic_blood_pressurearchetype_node_id= “id0.1.1” > <Result archetype_node_id= “id5.0.8” > <value xsi:type= “QUANTITY”> <value xsi:type= “Real”> 80 </value> <units xsi:type= “CODED_TEXT” code = 259018001 term = “mmHg” terminology_id = http://snomed.info/scturi = http://snomed.info/id/259018001 /> </value> </Result> </Diastolic_blood_pressure> </Blood_pressure>

  16. Brief Clinical Model Instance <Blood_pressurexmlns:xsi=http://www.w3.org/2001/XMLSchema-instancexmlns=http://opencimi.orgarchetype_id= “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”> <Systolic_blood_pressure> <Result> <value> <value> 120 </value> </value> </Result> </Systolic_blood_pressure> <Diastolic_blood_pressure> <Result> <value> <value > 80 </value> </value> </Result> </Diastolic_blood_pressure> </Blood_pressure>

  17. Specialised Clinical Model Instance Laboratory Panel Laboratory Test • Automated differential panel • Blood by automated count panel • Complete blood count panel • Complete blood count with automated differential panel • Complete blood count with manual differential panel • Complete blood count without differential panel • Erythrocyte morphology panel • Gas and carbon monoxide panel • Leukocyte morphology panel • Manual differential panel • Platelet morphology panel • Smear morphology panel Laboratory Test Ordinal Laboratory Test Quantitative Acanthocytes presence in blood by light microscopy Anisocytosis presence in blood by light microscopy Auer rods presence in blood by light microscopy Background stain presence in blood by light microscopy Base deficit in blood Base excess in blood by calculation Basophils count per volume in blood Basophils per 100 leukocytes in blood Erythrocytes in blood automated Lymphocytes count per volume in blood

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