1. CIMI Meeting January 18 -20, 2013

2. CIMI Scottsdale Meeting Agenda Friday January 18, 2013 TopicTimeframe Welcome and Overview – Stan Huff8:00 a.m. -- 15 minutes IHTSDO Value Set Authoring Tool – John Gutai 8:15 a.m. – 45 minutes HL7 Logistic Support Services – Stan Huff9:00 a.m. -- 30 minutes Break9:30 a.m. Organizational Issues Business Entity Membership License agreements Operating Model 10:00 a.m. – 90 minutes Example Instances from ADL Workbench – Tom Beale11:30 p.m. – 30 minutes Lunch12:00 p.m.

3. CIMI Scottsdale Meeting Agenda Friday January 18, 2013 Syntax for Specifying Example Data Instances – Stan Huff1:00 p.m. – 30 minutes New Process Proposals1:30 p.m. – 60 minutes Break2:30 p.m. Update on OMG and UML Models – Dave Carlson and Robert Lario3:00 p.m. – 60 minutes Terminology authoring tools – Stan Huff  Requirements  Options  Availability  Cost  Management  Define selection process Peter Hendler -- IHTSDO Workbench Demonstration SnowOwl Demonstration 4:00 p.m. – 60 minutes

4. CIMI Scottsdale Meeting Agenda Saturday January 19, 2013 TopicTimeframe Model Authoring Tools – Stan Huff  Options  Availability  Cost  Management  Define selection process 8:00 a.m. – 60 minutes Break9:30 a.m. Relationship of CIMI to International Standards and Products – Stan Huff10:30 a.m. – 10 minutes Registry/Repository -- Stan Huff/Nicholas Repository Proposal -- Evert Jan Hoijtink HingX – Mark Shafarman 10:40 a.m. -- 90 minutes Lunch -- Working Lunch to Complete MTF Report12:00 p.m. Report from the MTF -- Linda Bird12:30 a.m. -- 120 minutes Break2:30 p.m. MTF Working Session3:00 p.m. – 120 minutes Sunday January 20, 2013 MTF Working Session8:00 a.m. -- 90 minutes Break9:30 a.m. Identify and Prioritize Near Term Projects -- Stan Huff10:00 a.m. – 60 minutes Review of Action Items and Next Steps11:00 a.m. – 60 minutes

5. https://www.surveymonkey.com/s/JLZ6522

6. Authoring Tool Options UML authoring tool – Results4Care – EA – Stereotyping to create classes – Each data element class expresses data element type – Bind to codes – Other classes include modifiers – Available for free as an open source tool – Also have an import/export tool Import – Excel – Intermountain – OpenEHR Generate an UML representation Export to CIMI ADL, HL7 v3, and view for clinicians Internal validator – Users – there are other users, but do not know how many Two Dutch users – sharing code sets, and generating v3 messages Michael using to define DCMs for summary of care and to import spreadsheets for life science project

7. Model repository – Can check out – Can edit Using terminology from a terminology server Will use the core reference model – Validation as items are checked back in – Need one editor that meets these requirements Probably a suite of tools, e.g., Value set editor + ? – How to get to a decision Task force to develop requirements Assess tools Make recommendations to the full group Needs to be done expeditiously – Spreadsheet proposal Core columns with extension columns Could start with AOM to define columns Will need a way to maintain metadata Need to be able to retain the relationships of the data – AOM Is a contraint model We have agreed to use AOM Need to be careful about going fine grained. Can lose the relationships between data elements Task Force – William – Linda – Joey – Harold – Dave – Galen – Mark – Alan – Niranjan – Michael Timeframe – – Short term – 6 weeks– March 1, 2013 – Long term

8. Registry/Repository Building models – Requires software development type of capabilities, e.g., check-in, check-out – GitHub/Collabnet/LifeRay GitHub can host software development project. Free if software is publically available. $7/mos for 5 accounts Collabnet – has more capabilities LifeRay – Has conceptual indexing. Open Source collaborative tool. Mayo may be willing to stand up LifeRay for CIMI Hive5 – Offers separate section for building models and then promote them to public availability. Has indexing. Intermountain – Has a repository. Could offer a partition to CIMI Managing contributed models – Could index models being contributed Would have one gold standard repository of CIMI models – For publishing purposes would have one big repository – Models could be distributed and be located by using Google – Distributed models would be harder to track usage Workflows – How do contributed models get to the point of being published? These may have an intermediate stage where they have their own storage – CIMI developed models that have a place where they can be worked on – Published models are in one publically available repository or possibly distrbuted What is a CIMI Model – Conformance is the basic level. – CIMI will have one official model that can be translated by users to their models – Fit for use – Will raise liability issues – Professional societies could take the models and use them in their own profiles. We would track in the repository if a society has approved a model. – We would track metadata on the models that would include who has – IHTSDO has a quality assurance process. Specifies criteria for evaluating content. CIMI could look at these criteria – Can have an approved CIMI model. There can be extensions to the CIMI model. SNOMED has processes for extensions that might be relevant to CIMI. CIMI could host extensions, but not consider them “official” CIMI models. We should have the capability to support this Distributed repositories – Registry says that the model is certified by CIMI and can point to where the model can be retrieved ISO Standard for Quality Metrics – Being proposed – Specific c criteria based on CIMI reference model Publication of Extensions – Could use an URI to identify extensions – Need an identifier for archetypes. This does not exist in OpenEHR – Need to have an identifier scheme – CIMI will not approve extension models – Four categories -- submissions to CIMI for review in the development of a model, models CIMI is working on, approved models, extensions/derivative models – Need a process to obtain ongoing feedback and update the models Proposal for Moving Forward – Stan will summarize the discussion and circulate for comments – Evert will share the requirements document that they have developed.

10. Welcome and Overview – Stan Huff 8:00 a.m. -- 15 minutes

11. IHTSDO Value Set Authoring Tool – John Gutai 8:15 a.m. – 45 minutes

12. HL7 Logistic Support Services 9:00 a.m. -- 30 minutes

13. IP Issues – Nicholas Oughtibridge 10:00 a.m. – 45 minutes Business Entity License agreement for contributor License agreement for users

14. Governance and Operations – Nicholas Oughtibridge 10:45 a.m. -- 90 minutes Organizational CIMI Artifact

15. CIMI Inc Provides or contracts for services Accepts payments Can enters into contracts for services Obtains legal, auditing, and accounting services There is a payment to be a member of CIMI Inc. This is unrelated to payments made to be part of the Modeling Collaborative Can be a member of CIMI Inc. without being a member of the Modeling Collaborative Governed by a board elected by the CIMI Inc. members CIMI Modeling Collaborative Develop, manage, and govern models and tools Comprised of Contributors and Participants Contributors are voting members Contributors enter into a mutual agreements Contributors may pay dues by mutual agreement Establishes a management committee Requests CIMI Inc. to arrange services Establishes and manages IP Policies

16. Membership Categories Contributors – Contribute models – Get voting rights – Pay dues Participants – Join discussions, – May be users of models, – Do not vote – Do not pay dues

17. Membership -- Jamie Ferguson 12:30 p.m. – 30 minutes

18. Example Instances from ADL Workbench – Tom Beale 1:00 p.m. – 30 minutes

19. Update on OMG and UML Models – Dave Carlson and Robert Lario 1:30 p.m. – 60 minutes

20. Terminology Authoring Tools 3:00 p.m. – 60 minutes Requirements Options Availability Cost Management Define selection process Peter Hendler -- IHTSDO Workbench Demonstration SnowOwl Demonstration

21. Model Authoring Tools 4:00 p.m. – 60 minutes  Options  Availability  Cost  Management  Define selection process

22. Saturday

23. Relationship of CIMI to International Standards and Products 8:00 a.m. – 30 minutes

24. Registry/Repository 8:30 a.m. -- 60 minutes

25. Report from the MTF 10:30 a.m. -- 90 minutes

26. MTF Working Session 1:00 p.m. – 90 minutes

27. Sunday

28. MTF Working Session 8:00 a.m. -- 90 minutes

29. Identify and Prioritize Near Term Projects 10:00 a.m. – 60 minutes

30. Review of Action Items and Next Steps 11:00 a.m. – 60 minutes Plans for next meeting