1. CIMI/IHTSDO DCM tooling ecosystem thoughts Thomas Beale Stan Huff

2. CIMI-based XSDs CIMI Tooling ecosystem (summary) CKM CIMI Editors, Reviewers Terminology Service CIMI archetypes Export IHTSDO releases SNOMED, LOINC etc Value sets IHC CEMs ADL Work bench (AWB) CIMI Modellers CIMI/IHTSDO modelling environment FHIR openEHR/13606 sites / vendors (current tools) e.g. FHIM (VHA) Import Intermountain Legacy environment (current tools) Other sites / users Clinical Modellers Workbench (CMW) proprietary Other sites / users Concrete format- based sites AML Bridge CIMI archetypes (XMI) CEML CEMs openEHR /13606 Other DCMs openEHR / 13606 archetypes CDA tpls / v3 msgs ModellingDevelopment Transformation UML/AML-tool based environment (future) Terminology CIMI extension

3. POTENTIAL PROJECT PHASES

4. The following slides mention broad possible phases, each 3-6 months in duration Could be broken down differently / more finely Order is not significant here, i.e. some development can occur in parallel

5. AWB++, CKM, some exports CKM Review Governance Publication CIMI Editors, Reviewers Terminology Service Querying, Subsets, etc CIMI archetypes Export IHTSDO releases SNOMED, LOINC etc Value sets RM Manager IHC CEMs openEHR /13606 Technical Transform ADL Workbench (AWB) CIMI Modellers CIMI/IHTSDO modelling environment Basic bridge XSDs, FHIR, other openEHR/13606 sites / vendors (current tools) arche type Import CEM conv Intermountain Legacy environment (current tools) Concrete format- based sites openEHR / 13606 archetypes CEML CEMs Ref-set builder Ref-set building CIMI extension

6. XSDs CMW core tool platform CKM Review Governance Publication CIMI Editors, Reviewers Terminology Service CTS2 Querying, Subsets, etc CIMI archetypes Export IHTSDO releases SNOMED, LOINC etc Value sets RM Manager IHC CEMs openEHR /13606 Other DCMs Technical Transform AWBAWB CIMI Modellers CIMI/IHTSDO modelling environment FHIR openEHR/13606 sites / vendors (current tools) e.g. FHIM (VHA) arche type Import CEM other conv Intermountain Legacy environment (current tools) Other sites / users CMW ADL/AOM tool platform Archetype Editor Template Editor Terminology Query-builder Terminology Binding Clinical Modeller UI proprietary Other sites / users Concrete format- based sites openEHR / 13606 archetypes CEML CEMs CDA tpls / v3 msgs Ref-set builder Ref-set building CIMI extension

7. XSDs CMW Clinical Modeller UI & ref-set builder CKM Review Governance Publication CIMI Editors, Reviewers Terminology Service CTS2 Querying, Subsets, etc CIMI archetypes Export IHTSDO releases SNOMED, LOINC etc Value sets RM Manager IHC CEMs openEHR /13606 Other DCMs Technical Transform AWBAWB CIMI Modellers CIMI/IHTSDO modelling environment FHIR openEHR/13606 sites / vendors (current tools) e.g. FHIM (VHA) arche type Import CEM other conv Intermountain Legacy environment (current tools) Other sites / users CMW ADL/AOM tool platform Archetype Editor Template Editor Terminology Query-builder Terminology Binding Clinical Modeller UI proprietary Other sites / users Concrete format- based sites IHTSDO tools Integration? openEHR / 13606 archetypes CEML CEMs CDA tpls / V3 msgs CIMI extension

8. XSDs AML bridge CKM Review Governance Publication CIMI Editors, Reviewers Terminology Service CTS2 Querying, Subsets, etc CIMI archetypes Export IHTSDO releases SNOMED, LOINC etc Value sets RM Manager IHC CEMs openEHR /13606 Other DCMs Technical Transform AWBAWB CIMI Modellers CIMI/IHTSDO modelling environment FHIR openEHR/13606 sites / vendors (current tools) e.g. FHIM (VHA) arche type Import CEM other conv Intermountain Legacy environment (current tools) Other sites / users CMW ADL/AOM tool platform Archetype Editor Template Editor Terminology Query-builder Terminology Binding Clinical Modeller UI proprietary Other sites / users Concrete format- based sites IHTSDO tools Integration? AML Bridge UML/AML-tool based environment AML-enabled UML tool Generation tools Software components S/W devs CIMI archetypes (XMI) openEHR / 13606 archetypes CEML CEMs CDA tpls / V3 msgs CIMI extension

9. REPRESENTATIVE DOWNSTREAM ENVIRONMENTS

10. Intermountain Legacy environment CKM Terminology Service CTS2 CIMI archetypes IHTSDO releases SNOMED, LOINC etc Value sets AWBAWB CIMI/IHTSDO modelling environment arche type CEM other CMW Development tools Deploy S/W devs XSD Technical Transforms CEML CEMs Intermountain legacy environment Local customisation ceType ?? Dev’t artefacts conv Model-based system app HIS FHIR WS ?? CIMI extension

11. Archetype-based sites / vendors CKM Terminology Service CTS2 CIMI archetypes IHTSDO releases SNOMED, LOINC etc Value sets AWBAWB CIMI/IHTSDO modelling environment arche type CEM other conv CMW Development tools Deploy S/W devs XSD Technical Transforms Specialised archetypes & templates openEHR/13606 product / project environment Local archetypes & templating Model-based system app openEHR EHR/HIS FHIR & IHE WS openEHR / 13606 archetypes API FHIR UI Dev’t artefacts Runtime OPTS openEHR.org CKM openEHR community Review Nehta CKM Moscow CKM Norway CKM Brasil CKM Slovenia CKM CIMI extension

12. Other environment – e.g. FHIM/MDHT/CDA CKM Terminology Service CTS2 CIMI archetypes IHTSDO releases SNOMED, LOINC etc Value sets AWBAWB CIMI/IHTSDO modelling environment arche type CEM other CMW MDHT Deploy S/W devs MDHT/FHIM/CDA conv app HIS CDA template Dev tools app CIMI extension

13. Other environment – HL7v3 messages CKM Terminology Service CTS2 CIMI archetypes IHTSDO releases SNOMED, LOINC etc Value sets AWBAWB CIMI/IHTSDO modelling environment arche type CEM other CMW Model ler Deploy S/W devs MDHT/FHIM/CDA conv app HIS HL7 v3 RMIM Dev tools app CIMI extension

14. CIMI  FHIR environment CKM Terminology Service CTS2 CIMI archetypes IHTSDO releases SNOMED, LOINC etc Value sets AWBAWB CIMI/IHTSDO modelling environment CMW Deploy S/W devs FHIR artefact dev environment FHIR conv FHIR WS FHIR profiles Dev tools HIS CIMI extension