San Antonio 2012

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CIMI Meeting Highlights

January 12 – 14, 2012

CIMI held its 5th group meeting in San Antonio from January 12 – 14, 2012. Over 35 people attended in person with an additional 5 participants attending via WebEx. At this meeting, the group:

•Established the criteria for membership and the process for adding members to the CIMI group

•Authorised an interim executive committee

•Determined a tentative schedule of meetings for 2012

•Moved forward with the definition of the modeling framework

•Formalized two task forces to begin the modeling work so that example models can be presented at the next meeting

•Recognized the formation of a Glossary Group (lead to be announced)

•Agreed to plans for utilizing existing tools to rapidly develop and test a candidate reference model and to create a small group of example CIMI models that build on the reference model work

CIMI Organization Details

1.CIMI confirmed that membership will be opened to new organizations beginning January 15, 2012.

---Voting membership will be limited to organizations that contribute (build, review, test) to the development of the CIMI models

---Organizations wishing to become members will be asked to submit an application indicating how they will contribute to and optionally consume the products of CIMI

---Current CIMI voting members will be polled to approve new member applications.

2.A CIMI website, which will serve as the CIMI home page, is now in operation:

---The first version of a CIMI Glossary (prepared by Linda Bird) will be placed on the CIMI website

3.The group agreed to meet at 3 – 4 month intervals in 2012

---Meetings will be scheduled to precede or follow meetings of international standards groups to minimize travel costs for participants.

---The next meeting will be scheduled around the ISO/HL7 meetings to be held in Vancouver in May.

---A July/August meeting will most likely be virtual, since there are no standards meetings in that time frame.

---A September/October meeting will be scheduled around either the HL7 or IHTSDO meetings.

4.The format for future meetings will change to incorporate break out group sessions that will focus on detailed work on CIMI activities.

---Full group sessions will be held at the beginning of the meeting to confirm the agenda.

---A second full group session will be held at the end of the meeting to allow the sub-groups to report back and obtain full group approval of key decisions.

5.Key decisions will be communicated to the full membership after every CIMI Work Group meeting

6. The Interim Executive Committee is charged with defining governance and funding models for CIMI

---The appointment of this group is for a period of time not to exceed 6 months

---The members of the group include:

Colleen Brooks – MOHHoldings, Singapore
Jamie Ferguson – Kaiser Permanente
Stan Huff – Intermountain Health
Tom Jones - Tolven
Nicholas Oughtibridge – NHS Connecting for Health
Jane Millar – IHTSDO
Virginia Riehl – Virginia Riehl Consulting

Modeling Framework

1.The primary formalism for creating the CIMI models will be Archetype Definition Language version 1.5 (ADL 1.5)

---Work will begin immediately and, in order to more quickly assess available constraint methodology, this work will take advantage of the Archetype Object Model (AOM) from the OpenEHR Foundation

---A subgroup will continue preparations for utilizing the Unified Modeling Language (UML) from the Object Management Group (OMG) by preparing a CIMI UML profile authoring and by preparing for transformation of the CIMI models as they are developed

2.In order to provide required clinical meaning and richness, CIMI models will utilize tight binding to terminology

3.SNOMED CT will be the primary reference terminology

---LOINC was also approved as a reference terminology

---In the event of overlap, SNOMED CT will be the preferred source

---In the case that one of the selected reference terminology sets does not contain a term needed by the CIMI modeling activity, extensions to a selected reference terminology will, whenever possible, be proposed and will follow the known rules/ontology of the reference terminology

---(a)CIMI will maintain such extensions until such time as they are accepted by the organization responsible for the relevant reference terminology

---Other terminologies will be considered as the work progresses

---Implementations of CIMI models may be expected to use additional terminologies as needed for specific uses and geographies

---(a)It is understood that maximal semantic interoperability can only be achieved if such additional terminology elements are mapped back to the reference terminologies selected by CIMI

4.Common data types will be used

5.CIMI models will be valid regardless of programming language, serialization form, or target reference model

6.Models will be accompanied by informative run time instructions

7.CIMI models, once developed, will be available to all at no cost

Task Forces

1.CIMI established two task forces to immediately begin modeling work

2.The outputs, findings, and recommendations of the task forces will be shared with the full CIMI membership as work progresses and will be formal agenda items at the next in-person meeting

3. The two task forces are:

---A) The Reference Modeling Task Force is charged with defining a candidate CIMI reference model; members of the Reference Model Task Force are:

Thomas Beale – Ocean Informatics
Linda Bird (Leader) – MOHHoldings, Singapore
Kevin Coonan - Deloitte
Joey Coyle – Intermountain Health
Gerard Frerik – EN13606
Grahame Grieve - Health Intersections
David Moner – EN13606
Galen Mulroney – JP Systems
Laura Sato – NHS Connecting for Health
Michael van der Zel – Results4Care

---B) The Clinical Modeling Task Force is charged with the rapid testing of the candidate reference model and selected tools; members of the Clinical Modeling Task Force are:

Linda Bird – MOHHoldings Singapore
Diego Boscá – EN13606
Stephen Chu – NEHTA, Australia
Joey Coyle – Intermountain Health
Gerard Freriks – EN 13606
Heather Leslie – Ocean Informatics
Michael Lincoln – Veterans Administration, USA
Cecil Lynch (Leader) - Accenture

Rapid Development and Testing of a candidate Reference Model and Tools

1.Prior to the next meeting the two CIMI task forces will conduct the exercise of building simple clinically valid models to test the candidate reference model and to further define tooling requirements.

2.The results of this work will be reviewed at the next CIMI meeting in the expectation of being able to finalize the reference model and to select tooling to support further CIMI model development and maintenance. No additional new CIMI models will be undertaken until the initial review and feedback loop has been completed for the first few models.

3. As part of the rapid development strategy, the task forces plan to transform selected Intermountain Health clinical information models to ADL 1.5 models as a test of the methodology that CIMI has elected to employ