RIMBAA 201305 WGM Minutes Atlanta

These are the RIMBAA minutes of the May 2012 WGM held in Vancouver, CA

Monday Q3

Workgroup	Date/Time	Location	Chair/Scribe
RIMBAA WG	2013-05-06, 11:00-12:30	Atlanta, USA	Chair/Scribe: Andy Stechishin

Attendance

1. Andy Stechishin, CANA Software (chair/scribe)
2. Amnon Shabo, IBM
3. David Hay, HL7 NZ
4. Tim McKay, KP
5. Jamie Ferguson, KP
6. Justin Fyfe, Mohawk
7. Ciraene King, Logica UK
8. Michael Van Der Zel, UMCG Netherlands
9. Peirs Hollott, Seirra Medplus
10. Michael Rossman, KP
11. Enrique Meneses, Careflow Solutions KP
12. Ewout Kramer, Furore Netherlands
13. Linda Bird, Singapore

Minutes

1. Peter calls to order at 11:00
2. Administrative agenda items
   • Agenda Review/Additions/Changes
     • The "CIMI and FHIR, how are they similar and dissimilar (Michael van de Zel, UMCG)" agenda item was removed from todays agenda.
     • Plans for the week. Interesting meetings held by other WGs, e.g. FHIR
   • Approval of the minutes of the meeting in San Antonio
     • MOTION To approve the minutes of the January 2012 WGM as available here: http://www.hl7.org/documentcenter/public/wg/java/minutes/201201_RIMBAA_SanAntonio.zip (by general approval, 12-0-0)
   • Announcements
     • Peter mentiones MDHT tools presented by Dave at the CIMI meeting (prior to this WGM). Ask Dave to present to the RIMBAA group, what is the use of the tool within RIMBAA?
   • Tooling liason update (Michael)
   • Update of the RIMBAA three year plan. RIMBAA was given a 'penalty point' in the WG Health stats for not updating the three year plan within the last 10 months. This serves as a reminder to review and update the current three year plan.
     • The three year plan was briefly reviewed. 3 year plan inclusive FHIR?
3. A RIM and SNOMED based Web Service for Active Problem List (Michael Rossman and Enrique Meneses, Kaiser Permamente)
   • Presentation Michael Rossman and Enrique Meneses KP. Draft a modeling Reference Framework Model Driven Software Development Demonstration Use Case Health problem list and Terminology Services. (see [http://www.hl7.org/documentcenter/public/wg/java/Rossman_ModelDrivenSoftwareDesign.ppt http://www.hl7.org/documentcenter/public/wg/java/Rossman_ModelDrivenSoftwareDesign.ppt for his slides).
   • One service that given an identifier can produce an active medical problem list.
   • A terminology service from local codes to SNOMED ICD9 ICD10 Loinc and others.
   • Discuss why we use Interface terminology in E.H.R. Instead of “just use SNOMED”.
     • Protect end users from version changes in SNOMED. Show end users the terms they want to see not the SNOMED FSN or Preferred Name. Allows for changes to back end mapping without changing user interface.
   • Interface Terminology = what you see in the pull-down interface
   • Excel inputs can create any UML model. The legacy Epic data storage model is represented in UML, and our SMIRF like KP RIM like “domain model”. There is also a tool that you line up legacy model and SMIRM model on Excel and it will actually generate mapping language.
     • Model Driven Software Development. Canonical Information Model as a essential thing, currently DB oriented ER diagram Silo modeling. Connecting Legacy / Mud Field. Verification of the Information Model by the Clinician (SME), there should be a proper ralationship between the Conceptual Model and the PIM. There should be good enough view/documentation to do that. MRF Contents is comparable with the SMIRFs. Entities in Roles Participating in Acts. Simplified, like dbMotion.
     • Get a model of the Legacy model and relate that to the Domain Information Model (PIM level / canonical model) to do the mapping through the DIM to enable access to the data Similarities between the KP work and MDHT Dave Carlson. ModelSheet (Spreadsheet to express model elements, class, relationships, attributes) > compiles spreadsheet to XMI (UML and/or Ecore), import in RSA. Spreadsheet are the configuration for models and QVT / ATL scripts that do instance mappings then. The spreadsheet is just a view, like the MDHT Table. It would be ideal to have XMI as the exchange of models and a Table or UML as a view.
   • The Service can retrieve an active problem list and by using the Vocabular service it can add the SNOMED, ICD9 etc mappings to the original internal “interface” terms.
   • End result is an XML document with list of Active Medical Problems each of which has original text plus SNOMED plus other terms.
   • Can be used by call center for example.
4. The EHR functional information mapping project and relevance to RIMBAA (Stephen Hufnagel)
   • Stephen could not attend the RIMBAA meeting
5. Meeting adjourned at 12:30

Monday Q3

Workgroup	Date/Time	Location	Chair/Scribe
Tooling WG	2012-05-16, 13:45-15:00	Vancouver, CA	Chair/Scribe: Tooling WG

Minutes

• Joint meeting with Tooling, hosted by Tooling. See the tooling WG for minutes.
• Main topic: Tools for RIM based software development
• Categories that were mentioned:
  • Tools for Standards Implementers (RIMBAA)
  • “IHE”-like stuff
  • Tools for Standards Creators
  • The question was how to get to appropriate categories. The proposed approach was to create a list of software and then come up with categories for those. So 5 people will do this and then we try to consolidate the categories. The result we will use as "the" categories on that page.

Tuesday Q6

Workgroup	Date/Time	Location	Chair/Scribe
Tooling WG	2012-05-16, 19:00-21:00	Vancouver, CA	Chair/Scribe: Tooling WG

Minutes

• Joint meeting with Tooling, hosted by Tooling. See the tooling WG for minutes.

Thursday Q1

Workgroup	Date/Time	Location	Chair/Scribe
RIMBAA WG	2012-05-16, 09:00-10:30	Vancouver, CA	Chair/Scribe: Peter Hendler

Minutes

1. Peter calls to order at 09:00
2. Implementing FHIR on MongoDb with .NET (Ewout Kramer, Furore, see http://www.hl7.org/documentcenter/public/wg/java/Ewout_Kramer_PresentationRIMBAA201205.ppt for a copy of his slides)
3. Peter adjournes the meeting at 10:30