1. CIMI Modelling Taskforce Example Instances Dr Linda Bird, IHTSDO Implementation Specialist

2. 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

3. Clinical Model Instance - Form

4. Clinical Model Instance - Hierarchy

5. Clinical Model Instance (MINIMAL)

6. Clinical Model Instance (MAXIMAL)

7. 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

8. Reference Model Instance

9. http://www.w3.org/2001/XMLSchema-instancehttp://opencimi.org http://snomed.info/scthttp://snomed.info/id/75367002 / 120 http://snomed.info/scthttp://snomed.info/id/259018001 80 http://snomed.info/scthttp://snomed.info/id/259018001

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

11. Reference Pattern Instance http://www.w3.org/2001/XMLSchema-instancehttp://opencimi.org http://snomed.info/scthttp://snomed.info/id/75367002 120 http://snomed.info/scthttp://snomed.info/id/259018001 80 http://snomed.info/scthttp://snomed.info/id/259018001

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

13. 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”http://www.w3.org/2001/XMLSchema-instancehttp://opencimi.org archetype_id = “CIMI-CORE-ITEM_GROUP.observation_set.v1.0.0”> http://snomed.info/scthttp://snomed.info/id/75367002 120 http://snomed.info/scthttp://snomed.info/id/259018001 80 http://snomed.info/scthttp://snomed.info/id/259018001

14. 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

15. Clinical Model Instance http://www.w3.org/2001/XMLSchema-instancehttp://opencimi.org http://snomed.info/scthttp://snomed.info/id/75367002 120 http://snomed.info/scthttp://snomed.info/id/259018001 80 http://snomed.info/scthttp://snomed.info/id/259018001

16. Brief Clinical Model Instance http://www.w3.org/2001/XMLSchema-instancehttp://opencimi.org 120 80

17. 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