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2017-04-13 CIMI Telecom Minutes

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<<< Pending Approval >>>
  • 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 (if available)
  • (at 5:00 pm EDT) The HSPC namespace (start from International edition, US edition, other?) - Stan
    • Special invite to Keith and Monique and Jim Case (Susan will email Jim)
    • The goal is that concepts used in CIMI/HSPC should be available to all international participants
    • Proposal
      • International release, promote concepts from US Edition, HSPC extension
      • For things in the US Edition that CIMI/HSPC need, CIMI would give a list to NLM (Jim) and they would ask for those concepts to be promoted to the International Release
      • New concepts
      • If we need it immediately (sooner than a few months) we create concepts in the HSPC extension, then submit the concepts directly to SNOMED International for inclusion in the International release
        • If the HSPC concept is a subtype of a concept in the US Extension, then we need to request promotion of both the US concept and HSPC concepts to SNOMED International
      • If we can wait for a few months, we can submit the concepts through the regular SNOMED request process
  • Brief updates on active projects (standing item)
    • PSS from EHR WG – Podiatry profile – Discuss next week
    • Skin and wound assessments – Jay and Susan
    • FHIM – CIMI integration – Galen
    • Harmonization of CIMI and FHIR datatypes – Richard (done?)
    • Graph/STAMP modeling paradigm – Richard
      • We will do this every other week in place of the “Patterns” meeting
    • Conversion of CIMI archetypes to FHIR logical models to FHIR profiles – 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
      • Richard has had some discussions with the MDMI team
    • Help to create documentation tool that reads a model and generates wiki pages (a document generation tool) [Claude, Michael van der Zel]
  • CIMI model review for FHIR team - Stan
    • 2 hour session, leave time for questions
    • Stan to contact Grahame
  • Review Argonauts profiles and FHIM classes for vital signs – Susan, Galen, All
  • Agenda planning for the Madrid WGM - Galen
    • People to send joint meeting topics and other agenda items to Galen. We will review next week.
  • 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
  • Review models 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
  • 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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