Tools

FHA sponsored FHIM and SIGG (MDHT and MDMI) have the capability for generating FHIR implementation models. With the adoption of CIMI information requirements (informed by FHIM), SIGG can generate CIMI archetypes and FHIR Structure Definitions (FSDs) and compare them to their source archetypes to confirm the process.

• FHIM & MDHT could then serve as one of the “translator” tools.
• MDMI can serve as one of the "mapping" tool.
• Part of the tool authoring activity is to add new SOLOR terminology content as necessary to meet requirements derived from existing specifications; where,
  • there is a versioning and publication step between the SOLOR box/layer and the CLIM box/layer. 
  • there is a versioning and publication step between the CLIM box/layer and MDHT/MDMI; where, the arrows metaphor conveys the publication step. 
• IHTSDO workbench with ISAAC plugin authoring tools are in the SOLOR box/layer. 
• ADL workbench, enterprise architect UML tool, etc. need to be able to import SOLOR content, so they can build the profiles using the SOLOR terminology foundation…

• SOLOR (SnOmed LOinc, Rxnorm) terminology authoring project can provide the terminology foundation for FHIM, CQF, DCMs and FHIR profile and extension development. SOLOR creates Lightweight Expression of Granular Objects (LEGOs) with description-logic semantics aka SNOMED expressions; where, SOLOR can be treated as a single, coherent terminology systems that covers essential healthcare domains.
• FHIM is FHA's Federal Healthcare Information Model, which is a high-level logical healthcare model, which covers approximately 36 clinical domains and has been vetted by Federal Agency SMEs and clinicians. Details are available at www.FHIMS.org
• CIMI is Clinical Information Model Initiative which defines Terms-of-Reference AKA Principles, modeling style guidelines, a CIMI Core Reference Model, Reference Archetypes, Patterns and Detailed Clinical Models (DCMs); where, a CIMI Model is a clear, complete, concise, correct and consistent logical semantic-and-syntactic description of a healthcare concept, which can be instantiated as a computable implementation object that is interoperable among systems.
• CQF is Clinical Quality Framework to support Continuous Quality Improvement (CQI) with a Quality Improvement and Clinical Knowledge or QUICK data model, Clinical Quality Language (CQL) supporting clinical decision support (CDS) and clinical quality measures (CQM).
• FHIR defines a set of "Resources" that represent granular clinical concepts; where, CIMI's CLIM and tooling can be used to create consistent FHIR and other implementation paradig profiles and extensions. SIGG creates FHIR Structure Definitions (FSDs); where, FHIR tools can convert FSDs into FHIR Resource extensions and profiles. FHIR Core Resources, Profiles and Extensions can be managed in isolation, or aggregated into complex documents.

The following is a list of authoring tools that might be pertinent to investigate as we develop CIMI tooling:

• Terminology Browsers
  • IHTSDO browser
• Value Set Editors
  • art-decor
  • Apelon
  • National Library of Medicine Value Set Authority (VSAC)
• CIMI Model Authoring Tool
  • ADL 2.0 web based archetype and template editors
  • Results 4 Care tool for online authoring of clinical content for Detailed Clinical Models
  • Results 4 Care UML template and Model creation / validation tool for Detailed Clinical Models
  • [Spanish ADL Authoring Tool from Spain (Gerard Freriks to provide info)]
• FHIR Profile Editors
  • Furore Forge FHIR profile editor
  • Model Driven Health Tools (MDHT)
• CIMI to FHIR Profile Conversion
  • Model Driven Message Interoperability
  • FHIR "logical model" work
• CIMI (mini)RM UML
  • Sparx Enterprise Architect Project 3.0.5 EAP
  • BMM Extension