CIMI Modelling Taskforce Example Instances Dr Linda Bird, IHTSDO Implementation 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

Clinical Model Instance - Hierarchy

Clinical Model Instance (MINIMAL)

Clinical Model Instance (MAXIMAL)

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

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Reference Pattern Instance Clinical Document ITEM GROUP Clinical Statement ITEM GROUP Cluster Compound Clinical Statement Indivisible Clinical Statement

Reference Pattern Instance

Clinical Pattern Instance Clinical Document ITEM GROUP Clinical Statement ITEM GROUP Cluster Compound Clinical Statement Indivisible Clinical Statement Observation SetObservationClinical Activity Action

Clinical Pattern Instance <Observation_set xmlns:xsi= xmlns= archetype_node_id = “id1.1.1” name = “blood_pressure” archetype_id = “CIMI-CORE-ITEM_GROUP.observation_set.v1.0.0”>

Clinical Model Instance Clinical Document ITEM GROUP Clinical Statement ITEM GROUP Cluster Compound Clinical Statement Indivisible Clinical Statement Observation SetClinical Activity Action Blood Pressure Observation Systolic Blood Pressure Diastolic Blood Pressure

Clinical Model Instance

Brief Clinical Model Instance

Specialised Clinical Model Instance Laboratory PanelLaboratory Test Automated differential panel Blood 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 panel Erythrocyte morphology panel Gas and carbon monoxide panel Leukocyte morphology panel Manual differential panel Platelet morphology panel Smear morphology panel Acanthocytes presence in blood by light microscopy Anisocytosis 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 blood Base excess in blood by calculation Basophils count per volume in blood Basophils per 100 leukocytes in blood Erythrocytes in blood automated Lymphocytes count per volume in blood