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2017-04-20 CIMI Telecom Minutes

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  • 2017 Minutes: http://wiki.hl7.org/index.php?title=CIMI_Minutes
  • Screen Sharing & Telecom Information: IHTSDO has generously provided a GoToMeeting connection for CIMI use.
  • Co-Chairs: Stan Huff, Linda Bird, Galen Mulrooney, Richard Esmond; where, quorum requires 2 co-chairs
  • REQUESTED ACTION: Directly edit this WIKI page or send your feedback to CIMI@lists.HL7.org with your comments, questions, suggested updates.


Minutes (Annotated Agenda)

  • Record this call
  • Agenda review
  • Review and approval of minutes
  • PSS from EHR WG – Podiatry profile – Michael Brody
  • Submission for SNOMED CT Expo 2017
    • Submissions Close Friday 5th May 2017 (21:00 UTC)
    • SNOMED CT Expo, 19 - 20 October 2017, Bratislava, Slovak Republic
    • More about submissions: http://www.snomedexpo.org/call-for-papers
    • Who can attend? Who wants to participate? Topics?
      • Possible topics
        • Finding versus observable styles – Jay
        • Approach to topics and context -
        • Alignment with the SNOMED CT concept model
        • Collaboration among CIMI, FHIR, SNOMED CT
        • CIMI’s use of SOLOR
      • Probable attendees – Richard, Rob Hausam, Linda
      • Lead – Richard; Participants: Rob, (Susan), Stan
  • Brief updates on active projects (standing item)
    • Skin and wound assessments – Jay and Susan
    • FHIM – CIMI integration – Galen
      • Refactoring of FHIM is moving forward “apace”
      • Alignment with FHIR condition resource
      • Alignment with “concerns”
      • I will put this on the agenda for next week
    • Conversion of CIMI archetypes to FHIR logical models to FHIR profiles – Claude
      • FHIR resource profile from FHIR logical profiles – Claude and Richard are collaborating
    • Tools to model things that get represented in BMM - Claude
    • Creating ADL models from CEMs – Joey
    • LOKI – Patrick Langford
    • CIMI Website – Patrick Langford
    • Tool that takes the BMM patterns and produces FHIR profiles [Richard, Michael van der Zel]
    • MDMI tools – Steve and Richard to follow up
    • Help to create documentation tool that reads a model and generates wiki pages (a document generation tool) [Claude, Michael van der Zel]
    • Review Argonauts profiles and FHIM classes for vital signs – Susan, Galen, All
  • CIMI model review for FHIR team - Stan
    • FHIR folks are interested, Stan could not arrange a time before Madrid
    • Will plan to schedule a time for a seminar during our joint meeting with FHIR in Madrid
  • Agenda planning for the Madrid WGM - Galen
    • People to send joint meeting topics and other agenda items to Galen. We will review next week.
  • Joey’s question about multiple inheritance
    • Multi inheritance – BaseClinicalStatement, IndividualClinicalStatement, CompundClinicalStatement
  • Outreach to other Working Groups at the Madrid meeting
    • Conceptual models – Domain experts (WGs) with CIMI help
      • Start with PC, Pharmacy?
    • Logical models – CIMI with Domain expert (WGs) help
    • FHIR resources and profiles – CIMI and FHIR
    • Short presentation that we can share with all WGs – Claude to make a first draft presentation
    • Get on the co-chair meeting agenda – Stan
    • Send out CIIC meeting information - Stan
  • Review of CIMI lab models – Stan, Joey, Patrick
    • http://models.opencimi.org
    • Review/approve strategy, the regenerate models (if needed) using latest core models
    • Topics
      • Describe the process that got us to the current set of models
      • Spreadsheet with long, short, and
    • Plans for the next version (continue next week)
      • We confirmed that the post coordinated style is the CIMI preferred style
      • Update the models to use the current core, reference models, and patterns
        • Need to make the archetypes of lab observations for quantitative, coded, ordinal,
      • We need user friendly names (phase 1)
        • Retain current file names
        • Add a column for “human edited pretty name”
        • Add a column for context 2000 Intermountain names
        • In display in the browser, use the “human edited pretty name” if it exists, and use the short LOINC name otherwise
      • Value sets:
      • Need to have standard terminology codes visible in browser
        • UCUM, LOINC, SNOMED CT
      • Synonyms for the models (blood sugar)
      • Others?
  • Review core models and archetypes and any proposed changes – Claude, Galen
  • Review of updated assertion/evaluation table content – Stan
    • Pending – models need to be updated to the reference models and submitted in the ballot
  • Graph/STAMP modeling paradigm – Richard
  • Planned work for September ballot
    • Models for lab data and regeneration of leaf node models (Stan, Patrick, Susan)
      • Work needs to be done to improve the quality
      • Start with highest volume and most used data elements
      • Use the SNOMED description logic maps that were generated as part of the SNOMED – LOINC agreement
      • Use of the “invariant” anchor patterns, Grahame’s “dictionaries”, abilities to do transformations of instance data
      • Claude – hierarchy of types: lab, quantitative lab, detailed clinical models
    • Process for scaling concept creation, distribution, refsets, STAMP versioning, implications of versioning and model dependencies for concepts that are referenced in CIMI models – Susan Matney
    • Clarification of binding – static versus dynamic binding, and related issues, allows conformance testing, binding in abstract types – Rob McClure
    • Further flesh out core reference models – Claude
      • Allergies/Intolerance/Adverse events
      • Action
      • Event
      • Medications: order, administration, dispense (FHIM)
      • Devices
      • Subtyping of results for radiology and imaging
      • Care plans
      • Harmonizing with QDM, FHIM, FHIR, CQI, VMR
    • Tooling
      • Generation of FHIR profiles from CIMI models
      • Model authoring tools
    • Strategy for testing of models
  • Any other business
  • Future topics
    • Loading of concepts into SOLOR – Susan Matney
    • The SOLOR Conundrum – Steve Hufnagel
    • Review CIMI Observation Result pattern - Stan
    • How will CIMI coordinate with DAF? - Claude
    • Granularity of models (schematic anchors) – from Richard
    • We need a way to identify the focal concept in indivisible and group statements
      • We would probably use the new metadata element
    • New principle: Don’t include static knowledge such as terminology classifications in the model: class of drug, invasiveness of procedure, etc.
    • Proposed policy that clusters are created in their own file – Joey, Stan
    • The role of openEHR-like templating in CIMI’s processes - Stan
    • IHTSDO work for binding SNOMED CT to FHIR resources – Linda, Harold
    • Which openEHR archetypes should we consider converting to CIMI models?
    • Transform of ICD-10 CM to CIMI models – Richard
    • Others?
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