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The National Cancer Institute has long been a leader in terminology related services and has provided the cancer community with structured terminology through the NCI Enterprise Vocabulary Services for several years. There are now a much wider range of terminology use cases for the needs from bedside to bench and back and Semantic Infrastructure 2.0 is being designed to address all of these use cases. The use cases require thinking beyond the capabilities of the existing metadata repository as demonstrated in caDSR and supporting semantic representations of concepts as they are used in clinical information exchange using the HL7 structured documents. Requirements are also recognized for binding concepts to information models in the abstract as domain values, for use in models such as the BRIDG domain analysis model or the life sciences DAM.
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A user has a group of caDSR common data elements which have been used in form construction in the past. Now the user would like to move these forms to the HL7 CDA structure. The user finds it possible to represent a portion but not all of the contextual meaning of the data elements in 11179. The user would like to transform the CDEs to HL7 V3 class structures in order to get the full contextual meaning as used in the CDA document. The user would like to submit the list of CDEs to the ECCF registry transformer and have a set of V3 object classes returned.
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