Table 3.

Developing an exercise medicine domain analysis model (DAM) with HL7 Clinical Interoperability Council (CIC)

Phase of analysis	Objectives
Phase 0: Engage CIC	Project description and scope statement accepted and approved by CIC
Phase I: Data element, story board, and activity diagram development	Develop detailed data element definitions that include the context of creation and use of these data elements in the clinical or research environments as represented by activity diagrams and story boards. A story board is narrative text that explains the work flow, inputs, and outputs of exercise testing. Story boards establish a common understanding of the data elements in the environment and workflow in unambiguous, nontechnical, easily understood language. Activity diagrams are detailed analyses of the flow of work and data in the testing or clinical environment.
Phase II: Vetting the work with professional societies	Phase I work products brought to key stakeholders' meetings for review and approval. The purpose of this step is to establish broad‐based consensus of the foundational DAM elements before proceeding. The output of this phase will be an approved data element list definitions, activity diagrams, and story boards.
Phase III: Developing HL7 standards	Develop detailed class models and structured documents to support automatic data exchange and aggregation. The results of this phase would include a fully specified DAM and clinical document architecture (CDA) specifications consistent with HL7 processes. The work products will become an ANSI‐standard and provide systems designers and application developers enough detailed information to be able to develop databases, transactions and applications that are uniform and support interoperability.