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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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Cimi modelling taskforce workshop groningen

CIMI Modelling Taskforce Workshop (Groningen)

Dr Linda Bird

2nd – 4th December 2012


Meeting goals

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 day agenda

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


Sunday 2 nd december

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


Monday 3 rd december

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


Tuesday 4 th december

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


Cimi modelling taskforce workshop groningen

CIMI Architectural Overview


Cimi modelling taskforce workshop groningen

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


Cimi modelling taskforce workshop groningen

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


Cimi modelling taskforce workshop groningen

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)


Cimi modelling taskforce workshop groningen

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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