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Clinical Information Modeling Initiative Work Group
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- WIKI URL: http://wiki.hl7.org/index.php?title=Clinical_Information_Modeling_Initiative_Work_Group
- WIKI Curator: Stephen.Hufnagel.HL7@gmail.com
- Wiki Objective: maintain and communicate current information with CIMI members, partners and stakeholders.
- CIMI Co-chairs: Stan Huff, Linda Bird, Galen Mulrooney, Richard Esmond
- CIMI Telecoms: Thursdays at 3PM EST (4PM EDT), https://global.gotomeeting.com/join/754419973 US Dial-in 224-501-3316, Code: 754-419-973
- HL7 List server: CIMI@lists.HL7.org; where, you must be subscribed to the CIMI@lists.hl7.org list server to use it.
- CIMI Web Site: http://opencimi.org/
Contents
Executive Summary
- FHA SIGG (MDHT, MDMI) also produces SSA, CMS, FPG JET IPO (DES and eHMP) standard FHIR profiles, extensions and implementation artifacts,
- FHA’s MDMI RI supports all MU2 data elements and >90% of the C-CDA model.
- The present MDMI Referent Index (RI) scope is the US Core; where, FHIM is used for data-element value-sets.
- NLM’s VSAC (https://vsac.nlm) provides downloadable access to 2014 electronic Clinical Quality Measures (eCQMs). vocabulary value sets
- Each value set consists of the numerical values (codes) and human-readable names (terms),
- VCodes are drawn from standard vocabularies such as SNOMED CT®, RxNorm, LOINC and ICD-10-CM, such as
- eCQMs for patients with diabetes, clinical visits, etc.
- HL7's IIM&T Project working-draft documentation
Governance
- To encourage Information Model consistency, traceability and reuse:
- CIMI collaborates with other workgroups and organizations, which are governed apart from HL7.
- These projects are voluntarily being harmonized using CIMI Principles and Reference Models (e.g., PC, CQI, CDS, EHR, HSPC, etc.).
- Externally-developed CIMI-compliant information-models can be donated to HL7 for
- HL7 configuration management, peer review and standardization.
Projects
- FHIM integration of CIMI Clinical BMM & Archetypes (Patterns) #1 [Galen Mulrooney]
- US Core / QI Core integration of CIMI BMM & Archetypes (Patterns) #1 [Claude Nanjo]
- Patient Care Project 1253 "CIMI Clinical Model Proof of Concept" (Skin Wound Assessment)
- See http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=1253
- content #1 [Jay Lyle and Susan Matney]
- Terminology/SNOMED Expressions #1 [Jay Lyle and Susan Matney]
- SOLOR (SNOMED extension including LOINC and RxNorm) #1 [Keith Campbell and Susan Matney]
- Clinical Decision Support Workgroup's Quality measures #2 [Ken Kawamoto and Claude Nanjo]
- Refine PROCEDURE and CONTEXT based on Pilots #1 (Galen Mulrooney and Claude Nanjo)
- Family Planning Annual Report (FPAR) – HSPC pilot with ACOG #3 [Stan Huff, Susan Matney]
- Device interfaces MDEpiNet. #3 [Julia Skapik]
- FHIR JET (Joint Exploratory Team) #3 Nona Hall, IPO, VA,
Milestones
- 2010-05 – CIMI became an IHTSDO workgroup
- 2016-01 – CIMI became an HL7 workgroup
- 2016 Jan-Sep – CIMI-sponsored HL7 IIM&T investigative study
- CIMI Final Report: https://1drv.ms/w/s!AlkpZJej6nh_k9dlCRdJv51X0tFp9A
- 2016-08 ONC, FHA and IPO sponsored IIM&T Technical Forum
- 2016-09 CIMI-sponsored HL7 IIM&T Project #1316
- HL7 Project Scope Statement: https://1drv.ms/w/s!AlkpZJej6nh_k_1Hi-yFatfOvK8-gQ
- 2017-01 HL7 comments-only ballot
- 2017-05 HL7 Informative Standard
- 2017-09 HL7 Standard for Trial Use (STU)
- 2018-09 HL7 Standard for Trial Use (STU)
- 2019-09 HL7 Normative Standard
- NOTES:
- Added domains can add-to BMM.
- Added use-cases can add-to Reference Architypes, DCMs and FHIR profiles and extensions.
Communications
To inculcate the reuse of CIMI's principles, methodology, architecture, and artifacts (e.g., CLIM, FHIR and CDA profiles and extensions):
- collaboration with other projects and organizations. (see "References" below)
- informative and useful CIMI web-site and wiki (see "References" below)
- Free for use CIMI artefacts and open-source tools (see "References" below)
- "The CIMI Practitioners' Guide" is intended for non-modelers.
- "The CIMI Architecture, Methodology and Style Guide" is in each ballot package and is intended for modelers.
- CIMI Newsletters are published before and updated during each workgroup meeting.
Acronyms
- BMM is CIMI Basic Meta Model components of the CIMI Reference Model (Architecture), used to harmonize the independently-developed Information models
- See http://wiki.hl7.org/index.php?title=CIMI_Practitioners%27_Guide
- CDA is HL7 Clinical Data Architecture. See http://www.hl7.org/implement/standards/product_brief.cfm?product_id=258
- C-CDA is HL7 Consolidated CDA. See http://www.hl7.org/implement/standards/product_brief.cfm?product_id=379
- CEM is Intermountain Clinical Element Models See http://www.opencem.org/#/
- CDS is HL7 Clinical Decision Support workgroup. See http://wiki.hl7.org/index.php?title=Clinical_Decision_Support
- CIMI is HL7 Clinical Information Model Initiative. See http://wiki.hl7.org/index.php?title=Clinical_Information_Modeling_Initiative_Work_Group
- CIMI Principles See http://wiki.hl7.org/index.php?title=CIMI_Practitioners%27_Guide
- CIMI Reference Models (aka Information Architecture) See http://wiki.hl7.org/index.php?title=CIMI_Practitioners%27_Guide
- CLIM Package of SOLOR, FHIM, CQF, CIMI DCMs, used to generate FHIR Profiles and Extensions, contains Federated CIMI-harmonized Clinical Logical Information Models, where, independent organizations maintain the component models and HL7 periodically configuration manages, ballots and standardizes them.
- CQF is ONC Clinical Quality Framework. See http://wiki.hl7.org/index.php?title=Clinical_Decision_Support
- CQI is HL7 Clinical Quality Initiative workgroup. See http://wiki.hl7.org/index.php?title=Clinical_Quality_Information
- DAF is ONC Data Access Framework (US Core). See http://wiki.siframework.org/Data+Access+Framework+Homepage
- DCM is CIMI Detailed Clinical Models. See http://www.opencimi.org/model-browser
- FHIM is Federal Health Information Model; where, FHIM specifies healthcare domains and their data modules and their data elements.
- See http://FHIMS.org
- FHIR is HL7 Fast Healthcare Information Resource standard and workgroup. See http://wiki.hl7.org/index.php?title=FHIR
- HcDir is ONC-FHA Provider Healthcare Directory. See http://wiki.siframework.org/Provider+Directories
- IIM&T Is CIMI-sponsored HL7 Integration of Information Models & Tools Project.
- See http://wiki.hl7.org/index.php?title=CIMI_Practitioners%27_Guide
- JET is DoD-VA Joint Exploratory Team.
- KNART is CDS Knowledge Artifact. See http://www.hl7.org/implement/standards/product_brief.cfm?product_id=337
- MDHT is SIGG Model Driven Health Tool. See https://projects.eclipse.org/proposals/model-driven-health-tools
- MDMI is SIGG Model Driven Message Interoperability.
- NIEM is National Information Exchange Package. See https://www.niem.gov/
- QI Core is FHIR Quality Improvement Core Implementation Guide . See https://www.hl7.org/fhir/qicore/qicore.html
- QUICK is CQI Quality Information and Clinical Knowledge logical model, used to specify eCQMs and FHIR QI Core.
- RI is SIGG-MDMI Referent Index. See https://github.com/MDMI/ReferentIndexContent
- SIGG is FHA Standards Implementation Guide Generator
- SOLOR is VA’s SnOmed LOinc, Rxnorm; where, HSPC hosts the SOLOR project to provide the terminology foundation for model development.
- VSAC is NLM Value Set Authority Center. https://vsac.nlm.nih.gov/
Acknowledgement
Collaboration that Grows with a Strong SME Base
- the contents of this Guide came from
- CIMI Co-Chairs
- Linda Bird BIT, IHTSDO
- Galen Mulrooney, FHA and VA contractor
- Richard Esmond, PenRad LLC
- Stanley Huff, Intermountain Healthcare
- Members of the following SDOs
- IHTSDO, POC: Linda Bird BIT
- HL7 Work Groups (PC, CDS, CIC, EHR, SOA, Vocab)
- The Open Group Healthcare Forum, Jason Lee POC
- ISO/CEN, POCs: Gerard Freriks, William Goossen, Gary Dickinson
- Federal Agency staff and contractors
- Department of Defense
- Veterans Administration
- Interagency Program Office
- ONC OST
- Federal Health Architecture (FHA)
- MITRE
- Members of the following Healthcare Organizations** Intermountain Healthcare
- PenRad, Inc., Results4Care
- HSPC and other interested parties
- Faculty, Staff and Students
- The University of Utah
CIMI Minutes
<<< Updated after each Thursday's Telecoms >>>
CIMI Newsletters
<<< Updated Quarterly >>>
CIMI Practitioners' Guide
<<< Working-Draft (not for official use) Document for Stakeholder Verification and Validation >>>
CIMI Architecture, Methodology and Style Guides
<<< Updated each ballot cycle >>>
CIMI 2010-2015 Archive (from Mayo wiki)
<<< This archive was last modified on 20 February 2015 >>> <<< Transition of Mayo-Wiki content to HL7-Wiki is underway >>>