Download CIMI Modelling Taskforce – Meeting Minutes

CIMI Modelling Taskforce – Meeting Minutes
Thursday 2nd August 2012 @ 20:00-22:00 UTC
Attendees
Core Members:
 Tom Beale – Ocean Informatics
 Linda Bird - Ministry of Health Holdings, Singapore
 Dave Carlson – VA
 Stephen Chu – NEHTA, Australia
 Gerard Freriks – EN13606 Association
 Stan Huff – Intermountain
 Mark Shafarman – HL7
 Rahil Qamar Siddiqui – NHS Connecting for Health
Technical Resources:
 Peter Hendler – Kaiser Permanente
 Daniel Karlsson – Linkopings University
 David Moner – EN13606 Association
 Galen Mulrooney, ONC (U.S.A.)
Clinical Modelling Resources:
 William Goossen – Results4Care
 Ian McNicoll – Ocean Informatics
 Tom Oniki – GE/Intermountain
 Hendry Wijaya – MOHHoldings, Singapore
Absentees
Core Members:
 Mike Lincoln – VA
 Josh Mandel – SMArt (apologies - vacation)
 Michael van der Zel – Results4Care & LifeLines (University Hospital Groningen) (apologies vacation)
Technical Resources:
 Grahame Grieve – Health Intersections
 Dipak Kalra – University College London
 Cecil Lynch – Accenture
Clinical Modelling Resource:
 Anneke Goossen – Results4Care
 Heather Leslie – Ocean Informatics
 Jay Lyle – VA (apologies)
 Sarah Ryan
 Marcelo Rodrigues dos Santos – UFMG
Agenda
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Individual Reports from Core Members
Other weekly news & updates
Demonstrations / Presentations:
o [ADL Workbench demonstration + UML tooling postponed]
o GitHub (Josh)
o An Overview of the SNOMED CT hierarchies (Daniel Karlsson)
o Intermountain/GE Patterns (Stan Huff?)
Ian McNicoll (CLUSTER.value example)
Weekly action plan
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Individual Reports from Core Members
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Linda Bird
o Github: Reference Model Issues discussions
o Google Docs: CIMI Model submissions
o Meeting planning
Stan Huff
o Tom Beale will be coming to Salt Lake City to assist in the conversion of CDL to ADL
Josh Mandel
o Github / Google Docs
William Goosen
o ISO DCM ballot is underway
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Other Weekly News & Updates
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CEM Browser Now Available! www.clinicalelement.com
Call for Models - Submissions
Wiki / Github / Repository
CIMI RM Patterns page (for discussion):
http://informatics.mayo.edu/CIMI/index.php/CIMI_RM_Patterns
 Quality Criteria for Clinical Models (for discussion):
http://informatics.mayo.edu/CIMI/index.php/ClinicalModelingActivity
 Clinical Models and SNOMED (Kaiser Perspective)
Brief Summary
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Thomas Beale showed the ADL 1.5 Workbench
o Discussion ensued regarding the proper use of “protocol”. The word “protocol”
does cause some confusion; it could probably be better named as “method”.
o Further discussion ensued regarding timing – do we include timing in data element
names such as 1-minute muscle tone, or do we handle this using groups? Answer
depends on the clinical protocols
o Questions arose regarding how to compare isosemantic models; do we need an
ontology to relate the named elements such that they can be compared?
Daniel Karlsson discussed the SNOMED
o Issue raised whether we are trying to mimic the SNOMED hierarchy in CIMI. Peter
Hendler has serious reservations if that’s what we’re doing, especially if we are
mixing the intensional and the extensional aspects of SNOMED.
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Stan and Tom Oniki discussed CDL
o Key, Item, Qualifier, Modifier, Attribution
o Entry: Observed, StandardLabObs, Procedure, Order, Intolerance, Allergy, Adverse
Reaction Summary, Admit/AdminDiagnosis
o Composition: Patient Encounter
Reference Patterns - ENTRY
Examples (openEHR, NHS, IMH/GE, EN13606, Singapore, others?)
Granularity of Entries (vs Sections/Clusters)
Reference Patterns – Background Discussion
At last week’s meeting:
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openEHR
o Observation
o Evaluation
o Instruction
o Action
NHS (Element)
o Observation (Finding Obs & Property Obs)
o Material entity
o Activity (Investigation, Material, General)
o Record Artefact
When exploring existing reference patterns, please consider:
1.
2.
3.
4.
The definition/scope of each reference pattern
How the reference pattern approach relates to the SNOMED CT hierarchies
The granularity of each ENTRY/Statement clinical model (vs use of Section & Cluster)
At least one example of the patterns used in real clinical models
Clinical Modelling Layers - Examples
CLUSTER
ENTRY
SECTION
COMPOSITION
Add
Implementation
Purpose Context
Dispensed
Medications GUI
Neonatal Blood
Pressure in EHR
Current
Medication List in
EHR
Discharge
Summary Doc or
Message
Add Care Setting
Context
G.P. Dispensed
Medication Item
Home Blood
Pressure
Outpatient Clinic
Current
Medication List
Inpatient Discharge
Summary
Add Specialty
Context
Paediatric
Medication Item
Neonatal Blood
Pressure
Nephrologist
Medication List
Cardiology
Discharge
Summary
Add Use Case
Context
Dispensed
Medication Item
Standing Blood
Pressure
Current
Medication List
Medication
Reconciliation
Report
Clinical Models
Medication Item
Blood Pressure
Medication List
Discharge
Summary
Reference
Patterns
Schedule,
Address,
Material
Observation,
Evaluation,
Instruction,
Action
List
Event Summary
Reference Model