CIM+Scope+Statement


 * Scope Statement**

A care-centric model that outlines the test order and test results from the S&I Framework Laboratory Reporting Interface Use Case and describes the meaning and interrelation of the information dealt with by clinical laboratories. The objective of this model is to express clinical laboratory content in a consistent, re-usable and standardized manner. The scope will be limited to data exchange between laboratory information systems and electronic health records in an ambulatory care setting, but may also be leveraged by other providers and settings. It will specifically cover the core clinical concepts of laboratory and pathology tests (including general laboratory, microbiology and anatomical pathology).


 * Why would it be needed?**

This model would serve as a supplement to any harmonized implementation specification that is developed as part of the S&I Framework. This CIM could be used to determine specific areas where simplification to an implementation guide could be made (by defining only the core elements needed for exchange of laboratory test data).


 * What would it look like?**

The Laboratory CIM could be based on a single or multiple representations, based on a review of existing clinical information modeling efforts and the underlying information models of the standards/implementation guides being considered:
 * FHIM Lab Domain Model
 * NEHTA Laboratory DCM (Detailed Clinical Model)
 * HL7 V3 RIM and HL7 V3 Laboratory Results Model (normative)
 * HL7 V3 Specimen Model
 * IHE LAB Interfacing Profile (under development)

Consideration of LOINC and SNOMED as vocabularies (with underlying information models) Consideration of ELINCS information model (referenced within the implementation guide) - REACH OUT TO CHCF