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CIMI Quality Modeling Collaboration

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Welcome to the CIMI Quality Modeling Collaboration

The Clinical Quality Information (CQI) Working Group, in conjunction with the Clinical Decision Support (CDS) Working Group and the Federal Health Information Model (FHIM) Team have joined forces with the Clinical Information Model Initiative (CIMI) to develop a common clinical logical model from which Quality Information Core FHIR Profiles ((QI Core FHIR Profiles) and CIMI Detailed Clinical Models (DCM) will be derived.

As part of this effort, the joint team will focus on:

  • Enhancing the CIMI Reference Model to support CQI, CDS, and FHIM requirements
  • Developing and/or enhancing CIMI Reference Archetypes
  • Providing a formal semantic foundation to the CIMI logical model based on SNOMED, LOINC, and RxNORM (SOLOR)

An Introduction to the CIMI Architecture

The CIMI architecture is a layered architecture which each layer adding increasing domain specialization. At its core, it consists of four layers:

  • Proposed CIMI Reference Model - The core metamodel from which all archetypes are derived.
  • Foundational CIMI Reference Archetypes - The set of foundational archetypes that serve as the top level hierarchies for all downstream archetypes. These archetypes are closely aligned to ISO 13606 and OpenEHR.
  • Core CIMI Reference Archetypes - The set of foundational clinical archetypes upon which all detailed clinical models are built. They are sometimes referred to as the schematic anchors of the model - archetypes that provide the structure and general semantic constraints to be refined by downstream archetypes.
  • CIMI Detailed Clinical Models - The set of most constrained 'leaf-level' archetypes specifying formal and unambiguous constraints on parent archetypes to support the interoperable exchange of clinical information and knowledge.

CIMI Reference Archetype Requirements

  • Susan Matney's procedure spreadsheet can be found here.
  • Claude Nanjo's procedure spreadsheet can be found here.
  • Use case spreadsheet can be found here.