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CIMI Modelling Taskforce Workshop (Groningen)

CIMI Modelling Taskforce Workshop (Groningen). Dr Linda Bird 2 nd – 4 th December 2012. Meeting Goals. Finalise draft CIMI Laboratory Results Report mindmaps Update CIMI Laboratory Results Report ADL 1.5 Drafts prepared by Tom & Ian Progress CIMI Implementation work

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CIMI Modelling Taskforce Workshop (Groningen)

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  1. CIMI Modelling Taskforce Workshop (Groningen) Dr Linda Bird 2nd – 4th December 2012

  2. Meeting Goals • Finalise draft CIMI Laboratory Results Report mindmaps • Update CIMI Laboratory Results Report ADL 1.5 • Drafts prepared by Tom & Ian • Progress CIMI Implementation work • FHIR profile, UML profile, others • Confirm terminology binding methodology & progress Lab bindings. • Review reference model updates • Discuss approach for representation of model example instances • Planning for future work / Brainstorm, reflection and scaling

  3. 3-day Agenda Q1: 8:30 – 10:15; Q2: 10:30 – 12:00; Q3: 1:00 – 3:00; Q4: 3:15 – 5:00 • Sunday 2nd December • Q1: Introduction & Reference Model • Q2,: Lab Results modelling • Q3: Lab Results modelling • Q4: Lab Results modelling • Monday 3rd December • Q1: Lab Results modelling • Q2: Lab Results modelling • Q3: Implementation • Q4: Implementation • Tuesday 4th December • Q1: Terminology binding • Q2: Terminology binding • Q3: Miscellaneous (e.g. Example instances, Style guide) • Q4: Planning future work

  4. Sunday 2nd December Q1: Introduction and Reference Model • Brief scene setting and review of goals • CIMI model objectives (e.g. Use-case agnostic models versus goal-state interoperability ... Or both?) • Reference model updates • Recap of Laboratory Test Result analysis, mindmaps & ADL completed so far Q2, Q3 & Q4: Modelling • Comparative Analysis & Mindmap: • Laboratory Test Result When, Who, Where & How • Reference Range, Specimen, Anatomical Location, Test Procedure • Lab Report Composition, Lab Request

  5. Monday 3rd December Q1 & Q2: Modelling (continued) • Comparative Analysis & Mindmap: • Lab Report Header, Patient Event • Lab Report Template (tying it all together) • Other models or outstanding issues identified during modelling Q3 & Q4: Implementation • Review of ADL updates required • Mapping CIMI Models to FHIR profile and extensions • FHIR Connect-a-thon • Tooling and repositories • UML Profile • Other implementation planning

  6. Tuesday 4th December Q1 & Q2: Terminology Binding • Use cases, Requirements, Options and Proposals (using Heart Rate example) • Terminology Binding for the Laboratory Results Models Q3 & Q4: Other Topics • Representing example data • Documentation of Style Guide • Planning future work • Other topics, as required

  7. CIMI Architectural Overview

  8. CIMI Modelling Layers COMPOSITION CLUSTER ENTRY SECTION Dispensed Medications GUI Discharge Summary Doc or Message Add Implementation Purpose Context Neonatal Blood Pressure in EHR Current Medication List in EHR G.P. Dispensed Medication Item Inpatient Discharge Summary Add Care Setting Context Home Blood Pressure Outpatient Clinic Current Medication List Paediatric Medication Item Cardiology Discharge Summary Add Specialty Context Neonatal Blood Pressure Nephrologist Medication List Dispensed Medication Item Medication Reconciliation Report Add Use Case Context Standing Blood Pressure Current Medication List Medication Item Discharge Summary Clinical Models Blood Pressure Medication List Schedule, Address, Material Event Summary, Assessment Modelling Patterns Observation, Action Clinical List Reference Model

  9. Modelling Layers COMPOS-ITION CLUSTER (not standalone) ENTRY (Clinical statement – standalone - with context) SECTION (navigtn) DecisinSupprt GUI EHR Message Implemnt.Purpose Context Care Setting Context Inpatient Admissin Hematocrit Result Hematocrit Ref Rg Hematocrit Order Complte Blood Count Admissin Use Case Context HematlgyTest Result Hematology Ref Rg Hematology Order Hemat-ology Result Microbiolgy Report Item Microbiology Report Specialty Context Specimen Spec-imen Test Result Reference Range Laboratory Order Laboratory Result Patient Event Document Informaton Laboratory Report Item Laboratory Report Clinical Models Observation Item Mater-ial Modelling Patterns Order Order Observ-ation Report Item Admin Entry Event Summary Clinical Entry Document Reference Model

  10. Laboratory Results Report Lab Report (Composition) ADMIN 1 Lab Report Header (Entry) 0..1 ADMIN Patient Event (Entry) 0..* ORDER Lab Request (Entry) was requested in 1..* Lab Test Result (Entry) OBS 0..* Specimen (Cluster) 0..* Test Result Group/Item (Cluster) 0..* Specimen (Cluster) 0..* Reference Range (Cluster)

  11. Overview • Foundations • CIMI Reference Model • Archetype Object Model • CIMI Modelling Patterns • CIMI Style Guide • Modelling Approach • Analyse clinical models submitted (with value sets) • Identify maximal set of data elements • Remove ‘out of scope’ data elements (Style Guide) • Select appropriate CIMI Modelling Patterns(Style Guide) • Define CIMI model (Mindmap, ADL, UML) • Add Terminology bindings • Meaning (nodes, node relationships) • Value sets (maximal set from submitted models) • Add Example Model Data Instances • Technical Validation • ADL, UML • Clinical Validation / Review • Confirm mappings from submitted models

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