Leeds/Rockville 2013 Meeting Highlights

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There were 50 participants in the meeting (Leeds, Rockville, and remote)

Voting Members present at the meeting

  • 1. CDISC – Julie Evans (alt)
  • 2. Canada Health Infoway –Ron Parker (alt, remote)
  • 3. en13606 Association – Gerard Freriks (remote)
  • 4. HL7 – John Quinn (alt)
  • 5. Intermountain Health – Stan Huff
  • 6. Kaiser – Jamie Ferguson
  • 7. Mayo Clinic – Harold Solbrig
  • 8. MOHHoldings Singapore – Linda Bird (alt, remote)
  • 9. NHS England – Nicholas Oughtibridge
  • 10. Results4Care - William Goossen
  • 11. South Korea – Sun-Ju Ahn
  • 12. Tolven – Tom Jones

By formal vote

  • 1. A motion was made, seconded and passed to freeze the CIMI RM DSTU 1.0.11 (Draft Standard for Trial Use). Because of concerns about whether a quorum of voting members was present, this resolution was confirmed on conference calls with the voting members.
  • 2. A motion made, seconded, and passed to accept an offer from the VHA to utilize their version of the IHTSDO workbench for terminology navigation and reference set selection/management and for authoring CIMI extensions to be submitted to SNOMED (or another suitable reference terminology). Because of concerns about whether a quorum of voting members was present, this resolution was confirmed on conference calls with the voting members.

Sense of the meeting agreement

Stan led a discussion about requirements for a repository, outlining requirements for supporting model development and publication. Following his suggestions for an approach to the Editorial Board and Model Governance, the sense of the meeting supported the approach for the editorial board

The group discussed the need to identify opportunities to implement CIMI models. This could include lab profiles for FHIR, ONC’s structured data capture initiative, VA/DoD lab and immunization models, and work at Oxford and Kaiser. Other topics addressed in the meeting (slides form each section will be in the CIMI Wiki

Modeling activity

Linda Bird reviewed progress with

  • Reference model
  • Demographics Model
  • Laboratory report model
  • Terminology binding
  • Specialisation
  • Data Type

The group identified the following priorities for MTF work:

  • VA/DoD iEHR projects (Stephen to send prioritized list)

---a) Immunizations (live by Sept 2014)

---b) Lab (live by Sept 2014)

--- 1) Individual measurements

--- 2) Panels

--- 3) Microbiology culture results

--- 4) Anatomic pathology (later)

---a) Pharmacy

---b) Order management (lab, radiology, medication)

  • NHS projects

---a) CDA templates – temperature

---b) Care Data Dictionary - future

  • Structured Data Capture – ONC
  • Commodity12 – Ready before November

---a) Diabetes – lab, physical findings, scales

---b) FHIR connectathon – lab data

The group requested that a web tutorial be arranged to explain how to complete the modeling templates.

Michael van der Zel reviewed gap analysis indicating the work that needs to be done before models are ready for use. Comments from community were noted.

Jamie Ferguson raised the topic of ADL being the preferred formalism and questioned the lack of progress with ADL in the creation of models for use. There was agreement that the CIMI Community would have the opportunity to re-visit this approach in the coming months. The group confirmed CIMI’s commitment to developing models in both ADL and UML.

Work on the OMG ADL ballot was discussed. There was agreement that there on the need to identify a formal sponsor and to have CIMI volunteers to move the work forward.

Dave Carlson discussed progress in UML modeling with a focus on terminology binding

Patrick Langford and Joey Coyle discussed progress in MindMap to ADL creation at Intermountain Health

Vocabulary tooling and binding

Michael Rossman and Peter Hendler presented the current Kaiser approach to vocabulary binding, including the employment of a “reasoner” that makes extensive use of “triplets” to drive the process.

Harold Solbrig reviewed the current status of terminology tooling. Harold expressed concerns about the lack of complete models in a CIMI repository. Harold discussed the principles of Agile development in relation to the tasks at hand.

Linda Bird led discussion of terminology binding. It was agreed that the modeling group (with Harold and Linda leading) will meet for 2 hours this coming week to clean up areas if ambiguity

Research data considerations

Steve Harris and Jim Davis from Oxford University made a presentation that focused on research-driven data standards. Several members noted the analogous activities being considered by ONC.

Steve Harris (Oxford) led a discussion of looking into caDSR (“nicely curated content”) with a tool that his team has developed.

Jennifer Sisto reviewed progress of ONC’s Structured Data Capture initiative


Henk Jan Meijer presented the approach that Portavita proposes for the “public view of CIMI”. Harold asked that the current URL be re-directed to the Portavita site once it has been populated with sufficient content. It was recommended that Sarah Ryan manage the style sheet for this new web site

Enterprise architecture

Bo Dagnall made the case for adopting an Enterprise Architecture Proposal. The group agreed to move forward with development of the CIMI Enterprise Architecture. An working group was established comprised of:

  • Bo Dagnall
  • Gerard Freiks
  • Sarah Ryan
  • Stan Huff
  • William Goosen
  • Steve Huffnagel
  • Niranjan Sharma
  • Michael van der Zel

Federal Health Information Model

Mike Lincoln discussed the Federal Health Information Model (FHIM) and Galen Mulrooney drilled down into Immunization Domain and also into “assessment”. Galen pointed out that the FHIM is at the RMIM level rather than at a Detailed Clinical Model (DCM) level

Next Meeting

The group agreed to hold the next meeting in June. Dates and locations will be determined and announced to the group via email.