CIMI Modelling Taskforce Example Instances Dr Linda Bird, IHTSDO Implementation Specialist.
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Transcript of CIMI Modelling Taskforce Example Instances Dr Linda Bird, IHTSDO Implementation Specialist.
CIMI Modelling TaskforceExample Instances
Dr Linda Bird, IHTSDOImplementation Specialist
1. Clinical▪ Forms based▪ Data entry to add data instances▪ Support clinical verification▪ Both good and bad examples
2. Technical▪ Multiple formats (with a primary format?)▪ To support implementations▪ Transformable to other representations▪ Both good and bad examples
Example Instances - Audiences
Clinical Model Instance - Form
Blood Pressure Entry
120 80
Mr Bill SIMPSON
Mr Bill SIMPSON
Blood Pressure:
mmHg/
Subject of record:
Information subject:
Clinical Model Instance - Hierarchy
Blood Pressure EntrySubject of record: Mr Bill SMITHInformation subject: Mr Bill SMITH
Result:
Systolic:
Diastolic:
Value: 120Units: mmHg
Value: 80Units: mmHg
Clinical Model Instance (MINIMAL)
Blood Pressure Entry
120 80
Mr Bill SIMPSON
Mr Bill SIMPSON
Blood Pressure:
mmHg/
Subject of record:
Information subject:
Clinical Model Instance (MAXIMAL)
Blood Pressure Entry
120 80
Mr Bill SIMPSON
Mr Bill SIMPSON
Blood Pressure:
mmHg/
Subject of record:
Information subject:
Identifier:
Reason:
Method:
Status:
Priority
Interpretation Category:
Possible Example Instance Levels
1. Reference Model Instance
2. Reference Pattern Instance
3. Clinical Pattern Instance
4. Clinical Model Instance
5. Brief Clinical Model Instance
Reference Model Instance
Reference Model Instance<ITEM_GROUP xmlns:xsi=http://www.w3.org/2001/XMLSchema-instance xmlns=http://opencimi.org archetype_node_id = “id1.1.1.1” name = “blood_pressure” archetype_id = “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”>
<item xsi:type = “ELEMENT” archetype_node_id = “id5.0.2” name = “Code”><value xsi:type = “CODED_TEXT” code = 75367002 term = “blood pressure” terminology_id = http://snomed.info/sct uri = http://snomed.info/id/75367002 /> </item>
<item xsi:type = “ITEM_GROUP” archetype_node_id = “id0.1.1.1” name = “Systolic_blood_pressure”>
< item xsi:type = “ELEMENT” archetype_node_id = “id5.0.8” name = “Result”><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 120 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </element> </item_group>
<item xsi:type = “ITEM_GROUP” archetype_node_id = “id0.1.1.2” name = “Diastolic_blood_pressure”>
<item xsi:type = “ELEMENT” archetype_node_id = “id5.0.8” name = “Result”><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 80 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </item> </item> </item_group>
Reference Pattern Instance
Clinical Document
ITEM GROUP
Clinical Statement
ITEM GROUP
Cluster
CompoundClinical Statement
IndivisibleClinical Statement
Reference Pattern Instance<COMPOUND_CLINICAL_STATEMENT xmlns:xsi=http://www.w3.org/2001/XMLSchema-instance xmlns=http://opencimi.org archetype_node_id = “id1.1” name = “blood_pressure” archetype_id = “CIMI-CORE-ITEM_GROUP.compound_clinical_statement.v1.0.0”>
<Element archetype_node_id = “id5” name = “Code”><value xsi:type = “CODED_TEXT” code = 75367002 term = “blood pressure” terminology_id = http://snomed.info/sct uri = http://snomed.info/id/75367002 /> </Element>
<Clinical_statement xsi:type = “INDIVISIBLE_CLINICAL_STATEMENT” archetype_node_id = “id0.1” name = “Systolic_blood_pressure”>
< Element archetype_node_id = “id5.0.8” name = “Result”><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 120 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Element> </Clinical_statement>
<Clinical_statement xsi:type = “INDIVISIBLE_CLINICAL_STATEMENT” archetype_node_id = “id0.1” name = “Diastolic_blood_pressure”>
< Element archetype_node_id = “id5.0.8” name = “Result”><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 80 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Element> </Clinical_statement> </Clinical_statement>
Clinical Pattern Instance
Clinical Document
ITEM GROUP
Clinical Statement
ITEM GROUP
Cluster
CompoundClinical Statement
IndivisibleClinical Statement
Observation Set Observation Clinical Activity
Action
Clinical Pattern Instance<Observation_set xmlns:xsi=http://www.w3.org/2001/XMLSchema-instance xmlns=http://opencimi.org archetype_node_id = “id1.1.1” name = “blood_pressure”
archetype_id = “CIMI-CORE-ITEM_GROUP.observation_set.v1.0.0”> <Code archetype_node_id = “id5.0.2” >
<value xsi:type = “CODED_TEXT” code = 75367002 term = “blood pressure” terminology_id = http://snomed.info/sct uri = http://snomed.info/id/75367002 />
</Code><Observation archetype_node_id = “id0.1.1” name = “Systolic_blood_pressure”>
< Result archetype_node_id = “id5.0.8” ><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 120 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Result> </Observation>
<Observation archetype_node_id = “id0.1.1” name = “Diastolic_blood_pressure”><Result archetype_node_id = “id5.0.8”>
<value xsi:type = “QUANTITY”><value xsi:type = “Real”> 80 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Result> </Observation_set>
Clinical Model Instance
Clinical Document
ITEM GROUP
Clinical Statement
ITEM GROUP
Cluster
CompoundClinical Statement
IndivisibleClinical Statement
Observation Set Clinical Activity
Action
Blood Pressure
Observation
Systolic Blood Pressure
Diastolic Blood Pressure
Clinical Model Instance<Blood_pressure xmlns:xsi=http://www.w3.org/2001/XMLSchema-instance xmlns=http://opencimi.org archetype_node_id = “id1.1.1.1” archetype_id = “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”>
<Code archetype_node_id = “id5” ><value xsi:type = “CODED_TEXT” code = 75367002 term = “blood pressure” terminology_id = http://snomed.info/sct uri = http://snomed.info/id/75367002 />
</Code><Systolic_blood_pressure archetype_node_id = “id0.1.1”>
<Result archetype_node_id = “id5.0.8” ><value xsi:type = “QUANTITY”>
<value xsi:type = “Real”> 120 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Result> </Systolic_blood_pressure>
<Diastolic_blood_pressure archetype_node_id = “id0.1.1” ><Result archetype_node_id = “id5.0.8” >
<value xsi:type = “QUANTITY”><value xsi:type = “Real”> 80 </value><units xsi:type = “CODED_TEXT” code = 259018001 term = “mmHg”
terminology_id = http://snomed.info/sct uri = http://snomed.info/id/259018001 /></value> </Result> </Diastolic_blood_pressure> </Blood_pressure>
Brief Clinical Model Instance
<Blood_pressure xmlns:xsi=http://www.w3.org/2001/XMLSchema-instance xmlns=http://opencimi.org archetype_id = “CIMI-CORE-ITEM_GROUP.blood_pressure.v1.0.0”>
<Systolic_blood_pressure> <Result> <value><value> 120 </value>
</value> </Result> </Systolic_blood_pressure><Diastolic_blood_pressure> <Result> <value>
<value > 80 </value></value> </Result> </Diastolic_blood_pressure> </Blood_pressure>
Specialised Clinical Model Instance
Laboratory Panel Laboratory Test
Automated differential panelBlood by automated count panel
Complete blood count panel- Complete blood count with
automated differential panel- Complete blood count with
manual differential panel- Complete blood count
without differential panelErythrocyte morphology panel
Gas and carbon monoxide panelLeukocyte morphology panel
Manual differential panelPlatelet morphology panelSmear morphology panel
Acanthocytes presence in blood by light
microscopyAnisocytosis presence in
blood by light microscopy
Auer rods presence in blood by light microscopy
Background stain presence in blood by
light microscopy
Laboratory Test Ordinal
Laboratory Test Quantitative
Base deficit in bloodBase excess in blood by
calculationBasophils count per
volume in bloodBasophils per 100
leukocytes in bloodErythrocytes in blood
automatedLymphocytes count per
volume in blood
