Foundation 1: Cimi Reference Model

FOUNDATION 1:CIMI REFERENCE MODEL

CIMI Reference Model - Core class CIMI Core Model

COMPOSITION

category :CODED_TEXTlanguage :CODED_TEXTjurisdiction :CODED_TEXT

CONTENT_ITEM

ENTRY

language :CODED_TEXT

SECTION

ARCHETYPED

archetype_id :Stringrm_version :String = 1.0.11 {readOnly}

LOCATABLE

archetype_node_id :Stringname :String

LINK

meaning :TEXT

ITEM

ELEMENT

null_flavor :CODED_TEXT [0..1]value :DATA_VALUE [0..1]

CLUSTER

structure_type :CODED_TEXT [0..1]

PARTICIPATION

function :CODED_TEXTdetails :ITEM [0..*]

CORE_LOCATABLEPARTY

details :ITEM [0..*]

Name: CIMI Core ModelAuthor: CIMI MTFVersion: 1.0.10Created: 30/11/2012 8:32:29 PMUpdated: 9/04/2013 1:29:40 PM

data 1..*

item

0..*

archetype_details

0..1

sourcelink

0..*

content0..*

item

1..*

participation

0..*

party

1..1

target

1

FOUNDATION 2:ARCHETYPE OBJECT MODEL

Archetype Object Model (AOM) 1.5

FOUNDATION 3: CIMI MODELLING PATTERNS

CIMI Modelling Layers

Reference Model

PatternsObservable,

Finding, Action, Material Entity

Observation,Clinical Activity

RequestClinical List Clinical Report

Clinical ModelsLaboratory Test

Result Item,Refernce Range

Laboratory Test Observation Medication List Laboratory

Results Report

Specialty Context

Biochemistry Test Result Item

Microbiology Test

Observation

Cardiology Medication List

Biochemistry Laboratory

Results Report

CLUSTER ENTRY SECTION COMPOSITION

Care Setting Context

Inpatient Laboratory Test

Result Item

Outpatient Laboratory Test

Observation

Outpatient Clinic Current

Medication List

Inpatient Laboratory

Results Report

Implementation Purpose Context

Laboratory Test Result Item API

Laboratory Test Observation GUI

Current Medication List in

EHR

Laboratory Report Message

Use Case Context

Full Blood Count Test Result Item

Gas and Carbon

Monoxide Panel Observation

Current Medication List

Full Blood Count Results Report

COMPOSITION modelling patterns

Clinical Report

COMPOSITION

constrains

CIMI-COMPOSITION.clinical_report

constrains

class CIMI Core Model

COMPOSITION

category :CODED_TEXTlanguage :CODED_TEXTjurisdiction :CODED_TEXT

CONTENT_ITEM

ARCHETYPED

archetype_id :Stringrm_version :String = 1.0.11 {readOnly}

LOCATABLE

archetype_node_id :Stringname :String

LINK

meaning :TEXT

PARTICIPATION

function :CODED_TEXTdetails :ITEM [0..*]

CORE_LOCATABLEPARTY

details :ITEM [0..*]

archetype_details

0..1

sourcelink

0..*

content0..*

participation

0..*

party

1..1

target

1

ENTRY modelling patterns

Clinical Report Header

Clinical Entry

Observation Request

Request

Clinical Activity Observation

ENTRY

constrains

constrainsconstrains

constrains

constrains

constrains

CIMI-ENTRY.clinical_entry

class CIMI Core Model

CONTENT_ITEM

ENTRY

language :CODED_TEXT

ARCHETYPED

archetype_id :Stringrm_version :String = 1.0.11 {readOnly}

LOCATABLE

archetype_node_id :Stringname :String

LINK

meaning :TEXT

ITEM

PARTICIPATION

function :CODED_TEXTdetails :ITEM [0..*]

CORE_LOCATABLEPARTY

details :ITEM [0..*]

data 1..*

archetype_details

0..1

sourcelink

0..*

participation

0..*

party

1..1

target

1

constrains

FOUNDATION 4: STYLE GUIDES

Archetype Map forLaboratory Results Report

Laboratory Results Report

Composition:

Entry:

Cluster:

Laboratory Report Header

Patient Encounter Summary

Laboratory Test Request Summary

Laboratory Test Observation

Action

Laboratory Test Request

Laboratory Test Observable

Laboratory Test Result Group

Laboratory Test Observable

Action

Action

Reference Range

Specimen

Action

LABORATORY MODELSPECIALISATIONS

Laboratory Model Specialisations

1. Complete Blood Count with Manual Differential Panel

2. Complete Blood Count with Auto Differential Panel

3. Complete Blood Count without Differential

4. Gas and Carbon Monoxide Panel

Complete Blood Count Specialisations

Laboratory Test Observation

Observation

ENTRY

constrains

constrains

Clinical Entry

constrains

constrains

Complete Blood Count

Complete Blood Count Without

Differential

Complete Blood Count With Auto

Differential

Complete Blood Count With

Manual Differential

constrainsconstrains

constrains

Complete Blood Count Without Differential

DEMOGRAPHICS MODELS

Participation & Party Reference Model class CIMI Core Model

PARTICIPATION

function :CODED_TEXTdetails :ITEM [0..*]

CORE_LOCATABLEPARTY

details :ITEM [0..*]

participation

0..*party

1..1

class CIMI Participation Model

«archetype_parent»LOCATABLE

+ archetype_node_id :String+ name :String

PARTY_RELATIONSHIP

+ type :CODED_TEXT+ details :ITEM [0..*]

PARTY

+ details :ITEM [0..*]

ROLE

+ type :CODED_TEXT

ACTOR

+ type :CODED_TEXT

+role

0..*

+source+relationship

0..*+target

1..1

CIMI Demographics Models

• CLUSTER– Location– Address– Electronic Contact– Party Name

• PARTY– ACTOR

• Person• Organisation

– ROLE• Person Role• Healthcare Consumer• Healthcare Provider

– Healthcare Provider Individual– Healthcare Provider Organisation

Location

CLUSTER

constrains

Address

CLUSTER

constrains

Address Detailed

Address

CLUSTER

constrains

constrains

Electronic Contact

CLUSTER

constrains

Party Name

CLUSTER

constrains

constrains

Actor Name

constrains

Party Name

Person Name

constrains

Party

PARTY

constrains

Actor

PARTY: ACTOR

constrains

Party

constrains

Person

Partyconstrains

Actor

constrains

Organisation

Partyconstrains

Actor

constrains

Role

PARTY: ROLE

constrains

Party

constrains

Person Role

Partyconstrains

Role

constrains

Healthcare Consumer

Partyconstrains

Role

constrains

constrains

Person Role

Healthcare Provider

Partyconstrains

Role

constrains

Healthcare Provider Individual

Partyconstrains

Role

constrains

constrains

Healthcare Provider

Healthcare Provider Organisation

Partyconstrains

Role

constrains

constrains

Healthcare Provider

FUTURE WORK

Future Work

• Foundations– Reference model

• Documentation and implementation– Archetype object model

• Extensions to support terminology– Modelling patterns

• Documentation and terminology bindings• Add new patterns to support new models

– Style guides• Complete content

• Models– Laboratory Results models

• Add instances, specialisations and complete terminology bindings– Immunization models– Temperature and other priorities

• Implementation– Generate ADL 1.5 for all modelling patterns and models– Build modelling foundations in tooling infrastructure– Create associated tooling, including instance generation and visualisations– Create transformations to priority implementation formats

• Governance– Establish modelling development, review and publication processes and procedures

• CIMI Web Page– http://informatics.mayo.edu/CIMI

• Google doc repository– http://content.clinicalmodels.org

• Google groups email list (cimi-modelling-taskforce)– http://groups.google.com/group/cimi-modelling-taskforce

?hl=en-GB• Issue tracking (github)

– https://github.com/clinicalmodels/cimi/

Online References

QUESTIONS