2017-04-27 CIMI Telecom Minutes

<<< Approved >>>

• 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.
  • Please join the meeting from your computer, tablet or smartphone at https://snomed.zoom.us/my/snomedhl7
  • Telecom Video: http://www.opencem.org/cimi
• 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)

• Scribe: Stan.Huff@imail.org
• Telecom Audio: https://1drv.ms/u/s!AlkpZJej6nh_k7906pJl4wSDGh7sMg
• 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 and approval of minutes
  • http://wiki.hl7.org/index.php?title=CIMI_Minutes#CIMI_Minutes
  • Moved: Richard, 2nd: Jay Unamous (9)
• Okay to meet on May 4, or will people be travelling to Madrid already?
  • Meeting next week is cancelled
• Agenda planning for the Madrid WGM - Galen
  • Wednesday Q1 – discuss proposal for "pss-lite" to examine next steps for the KNART specification, to be presented to CDS, CQI, and CIMI as co-sponsors - Lorraine Constable
    • • Approved as an agenda item
  • 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 help from Domain Experts WGs
    • FHIR resources and profiles – CIMI and FHIR collaboration
    • Short presentation that we can share with all WGs – Claude to make a first draft presentation
    • Get on the co-chair meeting agenda – Stan
    • We are on the agenda
  • Remote access to sessions in Madrid – The process requires that our WG members request remote access from the co-chairs of the 2 workgroups and we can then provide them with registration forms to submit to Mary Ann Boyle (cost is $200 for the entire week). Remote attendance is applicable to the entire WG meeting but it is limited to the agenda for CQI and CDS – i.e., only 1 access number that requires the co-chairs to approve entry from the waiting room (and only for those registered). I am copying you since I know that CIMI often provides remote access. It will likely be difficult and potentially provide a lot of electronic feedback if we try to run 2 remote access points from the same room. Therefore, I asked Wayne and he suggested we could allow CIMI members who desired to register to submit registrations with the $200 fee as CQI / CDS members. Do you want to ask the CIMI members if they desire remote access indicating the pilot program during one of your calls?
    • Stan will bring the remote microphone and speakers to use as possible.
  • People to send joint meeting topics and other agenda items to Galen. We will do final review next week.
• 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
  • Probable attendees – Richard Esmond, Rob Hausam, Linda Bird, Jay Lyle
  • More about submissions: http://www.snomedexpo.org/call-for-papers
  • Lead author – Richard Esmond; Participants: Rob Hausam, (Susan), Stan
    • Draft presentation proposal from Steve Hufnagel
    • IIM&T Project / Pilot which is centered around the Wound-Care models
    • The Wound-Care models directly
    • The Observations / Assessment pattern
    • 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
    • Others?
    • We will plan to submit the two highlighted proposals
    • Rob is willing to help with the live presentation.
• Brief updates on active projects (standing item)
  • Skin and wound assessments – Jay and Susan
    • Meeting tomorrow is cancelled
  • 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
• FHIM – CIMI integration – Galen
  • Refactoring of FHIM is moving forward “apace”
  • Alignment with FHIR condition resource
  • Alignment with “concerns”
• Review of CIMI lab models – Stan, Joey, Patrick
  • http://models.opencimi.org
  • Review/approve strategy, then regenerate models using latest core models
  • 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 observation for quantitative, coded, ordinal, narrative, etc.
    • 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
    • Need to have standard terminology codes visible in browser
      • UCUM, LOINC, SNOMED CT
    • Synonyms for the models (blood sugar, hematocrit, neutrophil)
    • Work needs to be done to make the models complete and accurate
      • Mostly need to make the value sets correct
      • Should we release current set with incomplete models marked as “in process”, or only release models that we think are fit for use?
      • We will publish in the browser using classes modelled after FHIR Maturity Model classifications
      • Visual difference in the browser, filter on the classes, and filter downloads on the classification
    • Others?
  • Plans for a later version
    • Filters for showing different levels of details by default
    • Don’t show attributes with cardinality of “0”
    • Others?
• Review of updated assertion/evaluation table content – Stan
  • Pending – models need to be updated to the reference models and submitted in the ballot
• Review core models and archetypes and any proposed changes – Claude, Galen
• Graph/STAMP modeling paradigm – Richard
  • We will do this every other week in place of the “Patterns” meeting
  • People can review and edit the existing description and requirements at:
    • • https://docs.google.com/document/d/1VuEUXNHe4IE0DsukbU0PFDEJC4YYFYLmueqwC78s7G4/edit
• 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?