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Difference between revisions of "CIMI Telecom Minutes 2017-02-16"

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** https://global.gotomeeting.com/join/754419973 Dialin: United States : +1 (224) 501-3316 Access Code: 754-419-973
 
** https://global.gotomeeting.com/join/754419973 Dialin: United States : +1 (224) 501-3316 Access Code: 754-419-973
 
** '''More phone numbers:''' Australia: +61 2 8355 1034, Belgium: +32 (0) 28 93 7002, Canada: +1 (647) 497-9372, Denmark: +45 89 88 03 61, Netherlands: +31 (0) 208 084 055, New Zealand: +64 4 974 7243, Spain: +34 932 20 0506, Sweden: +46 (0) 853 527 818, United Kingdom: +44 (0) 330 221 0098
 
** '''More phone numbers:''' Australia: +61 2 8355 1034, Belgium: +32 (0) 28 93 7002, Canada: +1 (647) 497-9372, Denmark: +45 89 88 03 61, Netherlands: +31 (0) 208 084 055, New Zealand: +64 4 974 7243, Spain: +34 932 20 0506, Sweden: +46 (0) 853 527 818, United Kingdom: +44 (0) 330 221 0098
−
** '''Telecom Audio:''' https://1drv.ms/u/s!AlkpZJej6nh_lIN6SipbDkxhJW-rUA
+
** '''Telecom Audio:''' https://1drv.ms/u/s!AlkpZJej6nh_k7906pJl4wSDGh7sMg
−
** '''Telecom Video:''' '''TBD (Joey Coyle or Patrick Langford)'''
+
** '''Telecom Video:''' http://www.opencem.org/cimi
 
* '''Co-Chairs:''' Stan Huff, Linda Bird, Galen Mulrooney, Richard Esmond; where, quorum requires 2 co-chairs  
 
* '''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.
 
* '''REQUESTED ACTION:''' Directly edit this WIKI page or send your feedback to CIMI@lists.HL7.org with your comments, questions, suggested updates.
Line 35: Line 35:
  
 
'''Highlighted names were in attendance.'''
 
'''Highlighted names were in attendance.'''
 +
  
 
=Executive Summary=
 
=Executive Summary=
 +
  
 
# Galen reported inability to enter CIMI's Intent to Ballot
 
# Galen reported inability to enter CIMI's Intent to Ballot
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## Laboratory Procedure
 
## Laboratory Procedure
 
#Claude presented proposed structure for Encounter
 
#Claude presented proposed structure for Encounter
 +
  
 
=Minutes (Annotated Agenda)=
 
=Minutes (Annotated Agenda)=
Line 62: Line 65:
  
  
−
TBD by Stan
+
* Record this call
−
 
+
* Agenda review
−
= Plan and Schedule =
+
* Review/Approval of Feb 9 minutes and Action Items
−
 
+
* Updates on active projects (standing item)
−
 
+
** Skin and wound assessments – Jay and Susan
−
[[file: CIMI2017-02-09Plan&Schedule.jpg|none|900px|Plan and Schedule]]
+
** '''Susan explained a UML style diagram of the skin assessment classes.'''
−
 
+
** FHIM – CIMI integration – Galen
 +
** Harmonization of CIMI and FHIR datatypes - Richard
 +
** Graph/STAMP modeling paradigm – Richard
 +
*** Rob McClure has been invited to participate
 +
** Conversion of CIMI archetypes to FHIR logical models to FHIR profiles – Claude
 +
** BMM parsing and serialization code – Claude
 +
** Creating ADL models from CEMs – Joey
 +
** LOKI – Patrick
 +
** CIMI Website – Patrick
 +
*** Patrick has compiled all of the models from the recent HL7 ballot and made them viewable in the CIMI browser.  It was very nicely done.
 +
*** Folks suggested the addition of a view that would show the derivation hierarchy for the models, and other enhancements.
 +
** Conclusions from the CIMI FHIM Task Force – Stan Huff
 +
*** Stan will update the document based on previous discussion, and bring the document back for review and approval in a few weeks (still not done)
 +
*** '''As noted by Stephen Hufnagel, this item has been overtaken by events. It is no longer relevant.  I will remove it from the to-do-list.''' 
 +
* Review plans for May ballot
 +
**  Status of the submission of the Notification of Intent to Ballot Form - Galen
 +
** Work plan
 +
*** 3/26 pub date
 +
*** 3/1 full content draft
 +
*** 3/10 content done
 +
*** 3/14 docs done: to Patrick for editing
 +
** Ballot content (top priorities)
 +
*** Modeling content [Claude, Galen]
 +
**** Claude and Galen will meet and make a prioritized list and figure out how far they can reach down the list
 +
***** Claude and Galen did not get a chance to meet
 +
***** Will try to meet soon
 +
**** Skin and wound assessments – plans are in place
 +
**** Quality measure – Jay and Claude to meet tomorrow, then reach out to Ken Kawamoto and Floyd Eisenberg
 +
**** Skin and wound assessment quality measure use case
 +
*** Documentation [Patrick, Editor]
 +
**** Documents created and edited on Google Docs, and then published to the wiki
 +
**** Overview/marketing pitch [Stan, Jay, Claude, Steve, Nona, Ask Laura]
 +
**** Updated and fleshed out style guide [Susan, Jay, Steve]
 +
**** Architecture guide [Claude]
 +
***** Holding off until the architecture is more stable, then he will do a new version that incorporates all of the changes
 +
**** Refine CIMI Process Definition for CIC #3 [Steve, Claude, Jay, Galen]
 +
**** (Help to create documentation) Tool that reads a model and generates wiki pages (a document generation tool) [Michael van der Zel, Claude]
 +
**** Tool that takes the BMM patterns and produces FHIR profiles [Richard, Michael van der Zel]
 +
**** Ken Lord MDMI tool – Steve and Richard to follow up
 +
* Review proposed changes to the model – Claude, Galen
 +
** '''The group reviewed models for PatientRelatedEducation, Procedures, SurgicalProcedure, Encounter, and encounter related models.'''
 +
** '''It was suggested that we adopt the FHIM representation of Encounters, as for expert review, and focus our attention on clinical data where we can have the greatest impact.'''
 +
* Review of updated assertion/evaluation table content - Stan
 +
* Future topics
 +
** Loading of concepts into SOLOR – Susan Matney
 +
** 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?
 +
* Any other business
  
 
= Annotated Figures =
 
= Annotated Figures =
Line 77: Line 137:
  
  
−
[[file: CIMI2017-02-09ProposedFocalAssertion.jpg|none|900px|Proposed Focal Assertion Class]]
+
[[file: CIMI2017-02-16-01-DataStructure_Patient_Education.jpg|none|900px|DataStructure_Patient_Education]]
  
−
* '''Claude:''' Changes to the Assertion Model
 
−
** Focal Assertion specialization helps reduce the size of Assertion by specifying Body Location
 
−
** This is a '''"Design by Extension"''', which is preferred in object-oriented programming
 
−
** Another Base Assertion specialization is Device, which may have different attributes than other types of Assertions
 
−
* '''Stan:''' This Focal Assertion Model approach encourages post-coordination
 
−
** Name: fracture
 
−
** Body Location: femur
 
−
** pattern suitable for lacerations, ulcers, etc.
 
−
** previous Assertion model's name field will have redundant information or pre-coordinated concepts.
 
−
* '''Steve's Mind Map (below):''' includes the femur example's preferred post-coordinated and alternative pre-coordinated representations based-on Stan's Example Spread Sheet
 
−
** [[Media: CIMI2017-02-03UpdatedModelOptions-Examples-StanHuff.xlsx]]
 
  
 +
[[file: CIMI2017-02-16-02-DataStructure_Clinical_Statement_Topic.jpg|none|900px|DataStructure_Clinical_Statement_Topic]]
  
  
−
[[file: CIMI2017-02-09-01_DCM_Context.jpg|none|900px|DCM-context Mind-Map]]
+
[[file: CIMI2017-02-16-03_DataStructure_Encounter.jpg|none|900px|DataStructure_Encounter]]
  
  
−
[[file: CIMI2017-02-09ProposesFocalAssertion MM.jpg|none|900px|Proposed Focal Assertion Class Mind Map]]
 
  
 +
[[file: CIMI2017-02-16-04-DataStructure_Pharmacy.jpg|none|900px|DataStructure_Pharmacy]]
  
−
[[file: CIMI2017-02-09MindMapLegend.jpg|none|900px|Mind Map Legend]]
+
= PC Requirements for Skin-Wound DCM =
  
−
= PC Requirements for Skin-Wound DCM =
 
  
 
* '''2917-02-09-1000 ET Patient Care Workgroup Telecom'''
 
* '''2917-02-09-1000 ET Patient Care Workgroup Telecom'''
Line 117: Line 166:
 
### Data-Element and Value-Set Spreadsheet
 
### Data-Element and Value-Set Spreadsheet
 
## Mar 8: Presented at LOINC conference by Susan
 
## Mar 8: Presented at LOINC conference by Susan
−
 
  
  

Latest revision as of 20:06, 2 March 2017

<<< Under Construction - Approval: TBD >>>
  • 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.


Attendees

Linda Bird, Bruce Bray, Linda Buhl, Joey Coyle, Gary Dickinson, John Donally, Richard Esmond, Bret Heale, Stan Huff, Steve Hufnagel, Mark Kramer, Patrick Langford, Jay Lyle, Chris Macintosh, Susan Matney, Chris Melo, Galen Mulrooney, Claude Nanjo, Brian Pech Craig Parker, Serafina Versaggi.

Highlighted names were in attendance.


Executive Summary

  1. Galen reported inability to enter CIMI's Intent to Ballot
    1. 2017-02-16 Action-01 (Galen): Notify Lydia and
    2. find a way to Submit Notification of Intent to Ballot
  2. Susan presented PC DCM requirements for PC Wound Assessment Project
  3. Richard leading STAMP task-force
  4. Patrick demonstrated OpenCimi Mind Maps http://www.opencimi.org/model-browser
    1. Action-02 (CIMI WG:) Review Browser & Provide feedback to Patrick
    2. Action 03 (Patrick): add model inheritance hierarchy
  5. Joey demonstrated OpenCEMs hierarchy capability http://www.opencem.org/#/
  6. Gallen reported inability to enter CIMI's intent to ballot (deadline Sunday)
  7. Claude presented proposed Patirnt Education structure.
  8. Claude presented proposed Statement Topic for Procedure
    1. Surgical Procedure
    2. Laboratory Procedure
  9. Claude presented proposed structure for Encounter


Minutes (Annotated Agenda)

  • Scribe: Stan.Huff@imail.org
  • REQUESTED ACTION: Update wiki directly or send suggested changes to Scribe or cimi@lists.hl7.org
  • Bolded Items were discussed/annotated to the agenda


  • Record this call
  • Agenda review
  • Review/Approval of Feb 9 minutes and Action Items
  • Updates on active projects (standing item)
    • Skin and wound assessments – Jay and Susan
    • Susan explained a UML style diagram of the skin assessment classes.
    • FHIM – CIMI integration – Galen
    • Harmonization of CIMI and FHIR datatypes - Richard
    • Graph/STAMP modeling paradigm – Richard
      • Rob McClure has been invited to participate
    • Conversion of CIMI archetypes to FHIR logical models to FHIR profiles – Claude
    • BMM parsing and serialization code – Claude
    • Creating ADL models from CEMs – Joey
    • LOKI – Patrick
    • CIMI Website – Patrick
      • Patrick has compiled all of the models from the recent HL7 ballot and made them viewable in the CIMI browser. It was very nicely done.
      • Folks suggested the addition of a view that would show the derivation hierarchy for the models, and other enhancements.
    • Conclusions from the CIMI FHIM Task Force – Stan Huff
      • Stan will update the document based on previous discussion, and bring the document back for review and approval in a few weeks (still not done)
      • As noted by Stephen Hufnagel, this item has been overtaken by events. It is no longer relevant. I will remove it from the to-do-list.
  • Review plans for May ballot
    • Status of the submission of the Notification of Intent to Ballot Form - Galen
    • Work plan
      • 3/26 pub date
      • 3/1 full content draft
      • 3/10 content done
      • 3/14 docs done: to Patrick for editing
    • Ballot content (top priorities)
      • Modeling content [Claude, Galen]
        • Claude and Galen will meet and make a prioritized list and figure out how far they can reach down the list
          • Claude and Galen did not get a chance to meet
          • Will try to meet soon
        • Skin and wound assessments – plans are in place
        • Quality measure – Jay and Claude to meet tomorrow, then reach out to Ken Kawamoto and Floyd Eisenberg
        • Skin and wound assessment quality measure use case
      • Documentation [Patrick, Editor]
        • Documents created and edited on Google Docs, and then published to the wiki
        • Overview/marketing pitch [Stan, Jay, Claude, Steve, Nona, Ask Laura]
        • Updated and fleshed out style guide [Susan, Jay, Steve]
        • Architecture guide [Claude]
          • Holding off until the architecture is more stable, then he will do a new version that incorporates all of the changes
        • Refine CIMI Process Definition for CIC #3 [Steve, Claude, Jay, Galen]
        • (Help to create documentation) Tool that reads a model and generates wiki pages (a document generation tool) [Michael van der Zel, Claude]
        • Tool that takes the BMM patterns and produces FHIR profiles [Richard, Michael van der Zel]
        • Ken Lord MDMI tool – Steve and Richard to follow up
  • Review proposed changes to the model – Claude, Galen
    • The group reviewed models for PatientRelatedEducation, Procedures, SurgicalProcedure, Encounter, and encounter related models.
    • It was suggested that we adopt the FHIM representation of Encounters, as for expert review, and focus our attention on clinical data where we can have the greatest impact.
  • Review of updated assertion/evaluation table content - Stan
  • Future topics
    • Loading of concepts into SOLOR – Susan Matney
    • 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?
  • Any other business

Annotated Figures

  • Scribe: Stephen.Hufnagel.HL7@gmail.com
  • REQUESTED ACTION: Directly edit this page or send suggested changes to scribe or cimi@lists.hl7.org


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PC Requirements for Skin-Wound DCM

  • 2917-02-09-1000 ET Patient Care Workgroup Telecom
  • Attendees: Jay, Susan, Richard, Claude, Steve
  1. Skin Wound content & scope
    1. Braden
    2. Skin Assessment
    3. Wound Assessment, with Pressure Ulcer specialization
    4. No Skin Risk Assessment (out of scope)
  2. Schedule
    1. Feb 13: Requirements UML and Terminology spreadsheet finished
    2. Feb 13 to Mar 3 - VA verification and validation of spreadsheet
      1. Diagram
      2. Data-Element and Value-Set Spreadsheet
    3. Mar 8: Presented at LOINC conference by Susan


Skin Wound UML Requirements


Skin Wound Context Mind Map.jpg


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Skin Wound Detail-2


Skin Wound Detail-3
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