Dr Linda Bird 2 nd 4 th December 2012 Meeting Goals Finalise draft CIMI Laboratory Results Report mindmaps Update CIMI Laboratory Results Report ADL 15 Drafts prepared by Tom amp Ian ID: 788199
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Slide1
CIMI Modelling Taskforce Workshop (Groningen)
Dr Linda Bird
2
nd
– 4
th
December 2012
Slide2Meeting GoalsFinalise draft CIMI Laboratory Results Report
mindmaps
Update CIMI Laboratory Results Report
ADL 1.5
Drafts prepared by Tom & Ian
Progress CIMI Implementation work
FHIR
profile, UML profile,
others
Confirm terminology binding methodology & progress Lab bindings.
Review reference model updates
Discuss approach for representation of model example instances
Planning for future
work / Brainstorm, reflection and scaling
Slide33-day Agenda
Q1
: 8:30 – 10:15
;
Q2
: 10:30 – 12:00
;
Q3
: 1:00 – 3:00
;
Q4
: 3:15 – 5:00
Sunday 2
nd
December
Q1: Introduction & Reference Model
Q2,: Lab Results modelling
Q3:
Lab Results
modelling
Q4:
Lab Results
modelling
Monday 3
rd
December
Q1: Lab Results modelling
Q2:
Lab Results
modelling
Q3: Implementation
Q4:
Implementation
Tuesday 4
th
December
Q1
: Terminology binding
Q2
:
Terminology binding
Q3
: Miscellaneous (e.g. Example instances, Style guide)
Q4: Planning future work
Slide4Sunday 2nd December
Q1: Introduction and Reference Model
Brief
scene setting and review of goals
CIMI model objectives (e.g.
Use-case agnostic models versus goal-state interoperability ... Or both?)
Reference model updates
Recap of Laboratory Test Result analysis, mindmaps & ADL completed so far
Q2, Q3 & Q4: Modelling
Comparative Analysis & Mindmap:
Laboratory Test Result When, Who, Where & How
Reference Range, Specimen, Anatomical Location, Test Procedure
Lab Report Composition, Lab
Request
Slide5Monday 3rd December
Q1 & Q2: Modelling (continued)
Comparative Analysis & Mindmap:
Lab Report Header, Patient Event
Lab Report Template (tying it all together)
Other models or outstanding issues identified during modelling
Q3 & Q4: Implementation
Review of ADL updates required
Mapping CIMI Models to FHIR profile and extensions
FHIR Connect-a-thon
Tooling and repositories
UML Profile
Other implementation planning
Slide6Tuesday 4th December
Q1 & Q2: Terminology Binding
Use cases, Requirements, Options and Proposals (using Heart Rate example)
Terminology Binding for the Laboratory Results Models
Q3 & Q4: Other Topics
Representing example data
Documentation of Style Guide
Planning future work
Other topics, as required
Slide7CIMI Architectural Overview
Slide8CIMI
Modelling
Layers
Reference Model
Modelling Patterns
Schedule,
Address,
Material
Observation,
Action
Clinical List
Event Summary,
Assessment
Clinical Models
Medication Item
Blood Pressure
Medication List
Discharge Summary
Add Specialty Context
Paediatric Medication Item
Neonatal Blood Pressure
Nephrologist
Medication List
Cardiology Discharge Summary
CLUSTER
ENTRY
SECTION
COMPOSITION
Add Care Setting Context
G.P. Dispensed Medication Item
Home Blood Pressure
Outpatient Clinic Current Medication List
Inpatient Discharge Summary
Add Implementation Purpose Context
Dispensed Medications GUI
Neonatal Blood Pressure in EHR
Current Medication List in EHR
Discharge Summary Doc or Message
Add Use Case Context
Dispensed Medication Item
Standing Blood Pressure
Current Medication List
Medication Reconciliation Report
Slide9Modelling
Layers
Reference Model
Modelling Patterns
Mater-
ial
Order
Report Item
Document
Clinical Models
Specimen
Laboratory Report Item
Laboratory Report
Specialty Context
Microbiolgy
Report Item
Microbiology Report
CLUSTER
(not standalone)
ENTRY (Clinical statement – standalone - with context)
SECTION (
navigtn
)
COMPOS-ITION
Care Setting Context
Implemnt.Purpose
Context
EHR
Message
Use Case Context
Order
Observ-ation
Clinical Entry
Event Summary
Admin Entry
Laboratory Order
Laboratory Result
Spec-
imen
Test Result
Reference Range
Document
Informaton
Patient Event
Observation Item
Hematocrit
Result
Hemat
ocrit
Ref
Rg
HematlgyTest
Result
Hematology
Ref
Rg
Decisin
Supprt
Hematocrit
Order
Complte
Blood Count
Admissin
Hematology
Order
Hemat-ology
Result
Inpatient
Admissin
GUI
Slide10Laboratory Results Report
Lab Report (Composition)
Test Result Group/Item (Cluster)
Lab Report Header (Entry)
Patient Event (Entry)
Lab Request (Entry)
Lab Test Result (Entry)
Reference Range (Cluster)
0..*
0..*
0..*
1..*
1
0..1
Specimen (Cluster)
was requested in
ADMIN
ADMIN
ORDER
OBS
0..*
Specimen (Cluster)
0..*
Slide11FoundationsCIMI Reference Model
Archetype Object Model
CIMI Modelling Patterns
CIMI Style Guide
Modelling Approach
Analyse clinical models submitted (with value sets)
Identify maximal set of data elements
Remove ‘out of scope’ data elements (Style Guide)
Select appropriate CIMI Modelling Patterns(Style Guide)
Define CIMI model (
Mindmap
, ADL, UML)
Add Terminology bindings
Meaning (nodes, node relationships)
Value sets (maximal set from submitted models)
Add Example Model Data Instances
Technical Validation
ADL, UML
Clinical Validation / Review
Confirm mappings from submitted models
Overview