HL7 vMR Project Meeting Minutes
2010-06-24 (Th) 4:30pm US Eastern Time
Author: Kensaku Kawamoto, MD, PhD ()
- Attendees:
[ ] Joel Amoussou, Efasoft
[X] Scott Bolte, GE Healthcare
[X] Keith Boone, GE Healthcare
[X] André Boudreau, Chair, Canada Standards Collaborative Working Group for Individual Care
[ ] Leon Cameron, IPO
[ ] Clayton Curtis, Veterans Health Administration
[ ] Guilherme Del Fiol, Duke University
[ ] Jean-Charles Dufour, LERTIM – University of the Mediterranean
[ ] Jim Cimino, NIH Clinical Center
[ ] Robert Dunlop, InferMed
[X] Mark Diehl, American Dental Association
[ ] Bill Friggle, Sanofi-Aventis
[ ] Emory Fry, DOD
[X] Pat Gunther, Duke University
[ ] Teresa Hall, Indian Health Service
[X] Rob Hausam, Hospira
[ ] Nathan Hulse, Intermountain Healthcare
[ ] Vojtech Huser, Marshfield Clinic
[X] Ken Kawamoto, Duke University
[ ] Stephanie Klepacki, Indian Health Service
[ ] Thom Kuhn, American College of Physicians
[ ] Charles Lagor, Philips Research North America
[X] Zhijing (James) Liu, Siemens
[ ] Saverio Maviglia, Partners HealthCare
[X] Jim McClay, University of Nebraska Medical Center
[X] Andrew McIntyre, Medical Objects
[X] Chris Melo, Philips Healthcare
[ ] Shawn Myers, Healthwise
[ ] Dale Nelson, Zed-Logic Informatics, Co-chair, HL7 ITS
[ ] Beatriz Rocha, Partners Healthcare
[ ] Joe Rock, Philip Healthcare
[ ] Matt Sailors, The Methodist Hospital Research Institute
[ ] Elvino Saldanha, Active Health
[ ] Harm Scherpbier, Main Line Health
[ ] Peter Scott, Medical Objects
[X] David Shields, Duke University
[X] Howard Strasberg, Wolters Kluwer Health
[ ] Parag Someshwar, CitiusTech
[ ] Peter Tattam, Medical Objects
[ ] Jens Weber, University of Victoria
[ ] Thomas White, New York State Office of Mental Health, Columbia University
[ ] Carla Wood, Altos Solutions
- Action Items from Last Call:
· [X] David Shields/Duke Clinical Informatics: flesh out big picture/direction proposal discussed in today’s call further with examples/specifics, to discuss in 2 weeks
· [X] Ken: ask Galen Mulrooney if he can present on FHIM at next call
- Meeting Notes/Discussion Items:
- Federal Health Information Model (FHIM) demo by Galen Mulrooney, lead modeler for FHIM
o Background on FHIM
§ Common model across U.S. health agencies, including VHA, HHS, CMS, DOD, IHS, etc.
§ Harmonizing with RIM-based models, BRIDG, SPL, VHA model, etc.
§ Implementability considered in modeling process
§ In terms of abstraction, lies somewhere at following level:
· [more abstract] RIM – vMR – FHIM – RMIM [more detailed]
o Attributes
§ Using stereotypes to identify what corresponding RIM classes are
§ Data types:
· In previous attempts, problems occurred when model was too close to V3 in terms of data types, due to non-compatibility with other data types (e.g., from V2 messages). Thus, moved to use of more “standard” data types.
· ~40 data types based on HL7 V3 data types
· Id and Code are abstract data types, with concrete implementations (e.g., can use HL7 v2 identifier)
§ Discussed white paper by Galen on model transformations [available here]
§ Planning to validate via mapping with functional models (e.g., EHR functional model)
§ Using Open Health Tools modeling tool
o Current status
§ Various agencies contributed models, working between domains
§ Fully harmonized domains
· Demographics
· Security and privacy
§ Domains with almost finished harmonization
· Eligibility
· Behavioral health
§ Domains serving as next focus for harmonization
· Pharmacy
· Labs
o Discussion
§ Keith Boone:
· FHIM appears very intricate and complex; can a more abstract model be used for the vMR?
o Consensus: yes
§ Could we use the FHIM style for the vMR work?
· Consensus: yes
§ How could we use the FHIM logistically?
· Galen can periodically provide zipped up model
· Modeling is Eclipse-based, and models can be opened up in any Eclipse modeling tools (can be exported into Enterprise Architect, but some model elements are not appropriately handled)
§ Next steps
· Working session during next week’s call to explore expressing vMR DAM using FHIM style and data types
- Action Items:
[ ] Galen: provide FHIM as zipped up model to Ken, for distribution to CDS list
[ ] Ken: provide vMR UML DAM as EA file to Galen
[ ] Call in 1 week: have working session led by Galen to explore expressing vMR DAM using FHIM style and data types
- Next Call:
Next call in 1 week:
7/1 (Th)
- Times:
o http://www.timeanddate.com/worldclock/meetingtime.html?month=7&day=1&year=2010&p1=179&p2=47&p3=136&p4=44&iv=0
o 4:30pm US Eastern Time
o 6:30am Brisbane, Australia
Dial-in: 770-657-9270, Passcode 687054
Live Meeting Link: https://www.livemeeting.com/cc/vaoi/join?id=JTZP25&role=present&pw=gP%3DB5%40D
- Agenda:
- working meeting to explore expressing vMR DAM from May ballot using FHIM style and data types