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FHIMS Documents and Links

March 2018
FHIM Fact Sheet
Understanding the FHIM:

1 Its primary purpose is a foundation on which to build architecture.  If we were speaking of the architecture of a building, then the FHIM is the common foundation.   The individual Federal agencies still will create their own elevations and floor plans.  FHIMS also gives healthcare IT Standards Development Organizations (SDOs) a common focus and frame of reference for planning purposes.

2. This model describes the information at a level of detail that is precise enough for business or clinical experts, but does not include implementation-platform specific details

3.  Information which is common among partner agencies is defined in the FHIM - agencies would extend the FHIM with agency-specific requirements.

4. One goal is that an implementation compliant with the FHIM would be compliant to - or be easily mapped to - the appropriate industry standard.

5.  A secondary goal is to use the FHIM to "harmonize" the various healthcare data standards themselves through agency participation directly in the SDOs.
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Inquiries of what the FHIM can do for your agency are welcome. We can set up a teleconference to explain how to use the FHIM in your agency. Contributors are also welcome. Need more detailed information in a particular domain? We are open to improvements. Anyone wishing to participate or contribute, please Contact Us.
The Federal Health Information Model Documents, Reports and Related Links

View the FHIM Model

View FHIM Fact Sheet

View FHIM Class/Attribute ListingMarch 2018

Slide Presentation: FHIM Model Content Overview

  Pressure Ulcer Model

Project Documents
  1. FHIM Model-Driven Implementation Process Guide
  2. Terminology Modeling Process Guide
  3. Information Modeling Process Guide
  4. Information Modeling Style Guide
Model Downloads
  1. FHIM Unfragmented Model March 2018
  2. FHIM XMI Version of the Model as .ZIP March 2018
Related Links
  1. Connect Open Source Software and Community
  2. FHIMS Registration Information
  3. ONC: Federal Health Architecture
  4. HealthIT.gov Federal Health Architecture (FHA)
  5. ONC Standards and Interoperability Framework
  6. EHR System Design Reference Model (EHR SD RM)
  7. Information Model Fundamentals
  8. S & I Framework: Clinical Information Models for LRI
  9. HL7 Virtual Medical Record (vMR)
Conferences, Presentations and Data Dictionaries
  1. Federal Health Architecture Data Sheet
  2. Healthcare IT Conferences
  3. Government Health IT News
  4. Mitre CMS Alliance to Modernize Healthcare
  5. Public Health Reporting: Clinical Element Data Dictionary (CEDD) Understanding data exchanged across S&I Initiative



The FHIMS Program

The FHIMS program is intended to coordinate the efforts of the partner agencies with the development of Electronic Medical Records, information and terminology standards, including the coordination of agency efforts at relevant Standards Development Organizations (SDOs).  This website was created for Healthcare IT professionals for collaborative purposes only and is subject to the terms of use.  It is not an official government website for the FHIMS program.   The FHIMS is an information model rather than a data model.  Data models are meant to be implemented, whereas information models are higher level specifications. 

Models, Source Code & Artifacts

  We have set up a project space in GITHUB. A teleconference is held every Friday at 2:30 p.m. Eastern Time. 

The Federal Health Information Model is a project under a larger program called Federal Health Interoperability Modeling and Standards (FHIMS), which is an initiative of the Federal Health Architecture (FHA). Briefly, the United States federal government has established a Federal Enterprise Architecture (FEA), which provides guidance to federal agencies on how they should develop their enterprise architectures. The methodology used by FEA, the Federal Segment Architecture Methodology (FSAM) recognizes that some "lines of businesses" in which the federal government is engaged cross agency boundaries. The healthcare line of business is one such case. As a result, the FHA was established as a partnership of over 20 departments and agencies to coordinate Healthcare Information Technology (sometimes called Healthcare IT, or HIT) activities among those partners. The FHA is managed by the Office of the National Coordinator for Health IT (ONC). The FHA has served as a forum by which the partner agencies have collaborated on several important initiatives, including the Nationwide Health Information Network.

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