CRM Taskforce Meeting Minutes - 8 March 2012

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  • Linda Bird (Ministry of Health Holdings, Singapore)
  • Michael van der Zel (Results4Care)
  • Josh Mandel (SMArt)
  • Gerard Freriks (EN13606 Association)
  • Stan Huff (Intermountain Healthcare)
  • Thomas Beale (Ocean Informatics)
  • Grahame Grieve (Health Intersections)
  • Richard Kavanagh (NHS Connecting for Health)


  • Richard Kavanagh (NHS Connecting for Health)


  • Review remaining reference model requirements (limited time)
  • Review of candidate reference models (pros and cons)
  • Communication with wider CIMI group

Actions/Next steps

  • Brief Summary
  • Further discussion of motivation of reference model
  • Discussion of Information Pattern requirements
  • Discussion of Terminology Binding requirements
  • Action: Need to define how models should be layered (proposal from Michael)
  • Potential starting points for the CIMI reference model:
    • A profile, simplification or improvement of ISO13606-1
      • Simplicity of model (1-pager)
      • Use-case independent
      • Ability to constrain and specialise the reference model
      • Can define fixed clinical patterns on top
    • openEHR reference model
      • Set of existing models already in use
      • Existing tooling stack
    • openEHR/ISO13606-1 model
      • Currently work in progress
    • DCM reference model (ISO13972 based, Dutch)
      • Basically is UML with some style added via Profiles. “Normal” Class Diagrams will do the job. Coloring added for easier reading.
      • Have around 80 (Dutch) DCM’s ready
      • Have importers ready for CEML and OpenEHR ADL
    • EN13606 Association Proposal
      • Composition
      • Section
      • Entry
      • Cluster
      • Element
      • Leaf-node Type
  • Models that we plan to reference, which won’t be the starting point, include:
    • Parts of the Intermountain Clinical Element Model
    • Logical Record Architecture (NHS)
    • FHIM?


  • Linda Bird to:
    • Distribute minutes
  • All to:
    • Define pros & cons for each approach
    • Consider criteria for selection of starting point reference model