Hi Andrew,
Thanks for showcasing Snomed CT. It is interesting to compare
and contrast Snomed CT with Docle. Docle carries a small class
library but wields a big stick with post-coordination and sheer human
readability. This post-coordination allows pro re nata denovo
synthesis of "molecular" codes by combining "atomic" concept codes.
Another way to view post-coordination is to view a code for a single
medical concept such as "manic depressive illness" as a gem, now we
can cut "facets" onto this gem to create variants. Amongst the facets
applicable for "manic-depressive illness" might be the presence or
absence of a past history or family history. Other facets might be
the the context and complex scenarioss such as associating a
treatment for manic-depressive illness and its outcome in the
patient. The Docle genus called moodDisorder^ (moodd^) has the
following 27 species (I am happy to take orders for more species to
be included....e.g. [EMAIL PROTECTED] - [EMAIL PROTECTED]). It is
printed below using its primary key - tertiary key - secondary key
(as used in MD). Using the base palette of 27 concepts we derive at
least 324 useful depression codes with their many "retrievable and
searchable" facets by splicing the codes. It explores the endless
possibilities of deriving even more depression related codes using
post-coordination.
The 27 species of mood disorder:
[EMAIL PROTECTED] , [EMAIL PROTECTED] , [EMAIL PROTECTED]
[EMAIL PROTECTED] , social anxiety disorder , [EMAIL PROTECTED]
anxietyDisorder , neurotic anxiety , anxid
[EMAIL PROTECTED] , gad , [EMAIL PROTECTED]
[EMAIL PROTECTED] , [EMAIL PROTECTED] , [EMAIL PROTECTED]
cycloThymia , cycloThymia , cyclt
depression , depression , depr
depression:major , depression-major , depr:majo
depression:minor , depression-minor , depr:mino
depression:recurrent , depression-recurrent , depr:recu
[EMAIL PROTECTED] , depressive pseudodementia , [EMAIL PROTECTED]
[EMAIL PROTECTED] , endogenous depression , [EMAIL PROTECTED]
[EMAIL PROTECTED] , post natal depression , [EMAIL PROTECTED]
[EMAIL PROTECTED] , reactive depression , [EMAIL PROTECTED]
griefReaction , griefReaction , grier
[EMAIL PROTECTED] , [EMAIL PROTECTED] , [EMAIL PROTECTED]
[EMAIL PROTECTED] , grief normal , [EMAIL PROTECTED]
insomnia:depression , insomnia-depression-related , inso:depr
manicDepressiveIllness , manicDepressiveIllness , mdi
manicSyndrome , hypomania , manis
mixedAnxietyDepression , mixedAnxietyDepression , mad
moodDisorder , disorder_of_mood , moodd
moodDisorder:dx,ctx:[EMAIL PROTECTED] ,
nervous_breakdown_self_diagnosed , moodd:dx,ctx:[EMAIL PROTECTED]
[EMAIL PROTECTED]@child , bereavement death of child , [EMAIL PROTECTED]@chil
[EMAIL PROTECTED]@friend , loss of friend permanent problem ,
[EMAIL PROTECTED]@frie
[EMAIL PROTECTED]@parent , problem_-_ death_-_ parent , [EMAIL PROTECTED]@pare
[EMAIL PROTECTED]@spouse , loss_of_partner , [EMAIL PROTECTED]@spou
Post-coordination for past history, no past history, family history,
no family history : 27X4 =108
The severity codes:
inca-pacitating , incapacitating, incapaci
mild , mild , mild
mildToModerate , mild_To_Moderate , mtm
mode-rate , mode-rate , moderate
moderateToSevere , moderate_To_Severe , mts
severe , severe ,seve
unde-tectable , undetectable , undetect
The OrderedCollection for past history('[EMAIL PROTECTED]:ph'
'moodd:dx,ctx:[EMAIL PROTECTED]:ph' 'mdi:ph' '[EMAIL PROTECTED]:ph'
'[EMAIL PROTECTED]:ph' 'manis:ph' '[EMAIL PROTECTED]:ph' 'anxid:ph'
'[EMAIL PROTECTED]@chil:ph' '[EMAIL PROTECTED]:ph' '[EMAIL PROTECTED]:ph' 'depr:majo:ph'
'depr:mino:ph' '[EMAIL PROTECTED]@spou:ph' 'depr:ph' 'cyclt:ph'
'[EMAIL PROTECTED]@pare:ph' '[EMAIL PROTECTED]:ph' 'grier:ph' 'moodd:ph'
'depr:recu:ph' '[EMAIL PROTECTED]:ph' '[EMAIL PROTECTED]@frie:ph' 'mad:ph'
'inso:depr:ph' '[EMAIL PROTECTED]:ph' '[EMAIL PROTECTED]:ph')
The OrderedCollection for no past history ('[EMAIL PROTECTED]:ph,ctx:no'
'moodd:dx,ctx:[EMAIL PROTECTED]:ph,ctx:no' 'mdi:ph,ctx:no'
'[EMAIL PROTECTED]:ph,ctx:no' '[EMAIL PROTECTED]:ph,ctx:no' 'manis:ph,ctx:no'
'[EMAIL PROTECTED]:ph,ctx:no' 'anxid:ph,ctx:no' '[EMAIL PROTECTED]@chil:ph,ctx:no'
'[EMAIL PROTECTED]:ph,ctx:no' '[EMAIL PROTECTED]:ph,ctx:no' 'depr:majo:ph,ctx:no'
'depr:mino:ph,ctx:no' '[EMAIL PROTECTED]@spou:ph,ctx:no' 'depr:ph,ctx:no'
'cyclt:ph,ctx:no' '[EMAIL PROTECTED]@pare:ph,ctx:no' '[EMAIL PROTECTED]:ph,ctx:no'
'grier:ph,ctx:no' 'moodd:ph,ctx:no' 'depr:recu:ph,ctx:no'
'[EMAIL PROTECTED]:ph,ctx:no' '[EMAIL PROTECTED]@frie:ph,ctx:no' 'mad:ph,ctx:no'
'inso:depr:ph,ctx:no' '[EMAIL PROTECTED]:ph,ctx:no' '[EMAIL PROTECTED]:ph,ctx:no')
The OrderedCollection for family history ('[EMAIL PROTECTED]:fh'
'moodd:dx,ctx:[EMAIL PROTECTED]:fh' 'mdi:fh' '[EMAIL PROTECTED]:fh'
'[EMAIL PROTECTED]:fh' 'manis:fh' '[EMAIL PROTECTED]:fh' 'anxid:fh'
'[EMAIL PROTECTED]@chil:fh' '[EMAIL PROTECTED]:fh' '[EMAIL PROTECTED]:fh' 'depr:majo:fh'
'depr:mino:fh' '[EMAIL PROTECTED]@spou:fh' 'depr:fh' 'cyclt:fh'
'[EMAIL PROTECTED]@pare:fh' '[EMAIL PROTECTED]:fh' 'grier:fh' 'moodd:fh'
'depr:recu:fh' '[EMAIL PROTECTED]:fh' '[EMAIL PROTECTED]@frie:fh' 'mad:fh'
'inso:depr:fh' '[EMAIL PROTECTED]:fh' '[EMAIL PROTECTED]:fh')
The OrderedCollection for no family history('[EMAIL PROTECTED]:fh,ctx:no'
'moodd:dx,ctx:[EMAIL PROTECTED]:fh,ctx:no' 'mdi:fh,ctx:no'
'[EMAIL PROTECTED]:fh,ctx:no' '[EMAIL PROTECTED]:fh,ctx:no' 'manis:fh,ctx:no'
'[EMAIL PROTECTED]:fh,ctx:no' 'anxid:fh,ctx:no' '[EMAIL PROTECTED]@chil:fh,ctx:no'
'[EMAIL PROTECTED]:fh,ctx:no' '[EMAIL PROTECTED]:fh,ctx:no' 'depr:majo:fh,ctx:no'
'depr:mino:fh,ctx:no' '[EMAIL PROTECTED]@spou:fh,ctx:no' 'depr:fh,ctx:no'
'cyclt:fh,ctx:no' '[EMAIL PROTECTED]@pare:fh,ctx:no' '[EMAIL PROTECTED]:fh,ctx:no'
'grier:fh,ctx:no' 'moodd:fh,ctx:no' 'depr:recu:fh,ctx:no'
'[EMAIL PROTECTED]:fh,ctx:no' '[EMAIL PROTECTED]@frie:fh,ctx:no' 'mad:fh,ctx:no'
'inso:depr:fh,ctx:no' '[EMAIL PROTECTED]:fh,ctx:no' '[EMAIL PROTECTED]:fh,ctx:no')
The OrderedCollection for evaluation with severity context denoted as
'severe' ('[EMAIL PROTECTED]:eval,ctx:seve'
'moodd:dx,ctx:[EMAIL PROTECTED]:eval,ctx:seve' 'mdi:eval,ctx:seve'
'[EMAIL PROTECTED]:eval,ctx:seve' '[EMAIL PROTECTED]:eval,ctx:seve'
'manis:eval,ctx:seve' '[EMAIL PROTECTED]:eval,ctx:seve'
'anxid:eval,ctx:seve' '[EMAIL PROTECTED]@chil:eval,ctx:seve'
'[EMAIL PROTECTED]:eval,ctx:seve' '[EMAIL PROTECTED]:eval,ctx:seve'
'depr:majo:eval,ctx:seve' 'depr:mino:eval,ctx:seve'
'[EMAIL PROTECTED]@spou:eval,ctx:seve' 'depr:eval,ctx:seve'
'cyclt:eval,ctx:seve' '[EMAIL PROTECTED]@pare:eval,ctx:seve'
'[EMAIL PROTECTED]:eval,ctx:seve' 'grier:eval,ctx:seve' 'moodd:eval,ctx:seve'
'depr:recu:eval,ctx:seve' '[EMAIL PROTECTED]:eval,ctx:seve'
'[EMAIL PROTECTED]@frie:eval,ctx:seve' 'mad:eval,ctx:seve'
'inso:depr:eval,ctx:seve' '[EMAIL PROTECTED]:eval,ctx:seve'
'[EMAIL PROTECTED]:eval,ctx:seve')
Replace seve with the other severity codes will add 27 x 7 = 189 codes
Total number embodiments of depression codes demonstrated =27+108
+189= 324.....and thousands more depression codes if we use post-
coordination for associated treatments /outcomes etc, this compares
to the 190 CT codes (some repeating ones) below. If we extrapolate
this example to all the other codes - docle is "emergently" larger
than a full Snomed Ct list as we speak. And in reality the class
library in Docle need not have to stay small.
Interesting that your company is named "Medical Objects". The root
object in docle is objectMedica (objem) - which contains all medical
objects and all objects of medical thought.
We can build a coding/classification system based on the Docle "gems
and facets" method or use an ever-bloating enumerated list of
numbers mapped to descriptions. A number code is suspiciously like
a 'goto' statement in computer science. "Gems and facets" is about
naming, scripting and story telling in health. In a previous post I
mentioned that the Docle leverage is based on 1)merciless
refactoring of 2)human readable regular expressions in healthcare.
People talk about the burden of disease such as stroke/diabetes on
the community. What about the burden of using/reimposing the numeric
medical coding paradigm on the community and the pain for programmers?
HTH
Kuang
"Docle - in human and inhuman readable health language we trust."
On 27/11/2005, at 12:01 PM, Andrew McIntyre wrote:
Hello Ian,
Sunday, November 27, 2005, 9:57:52 AM, you wrote:
After about 20 years of this and numerous committee meetings you
would
end up reinventing HL7.
IH> I disagree, given "time again" you could make many improvements
to HL7.
IH> Would it be "better enough" to justify moving away from the
standard:
IH> that's a different question.
IH> The Australian extensions are poorly drafted and very ambiguous.
I doubt you would improve on it. HL7 V3 was an attempt to wipe the
slate clean and start again and its been going 10 years without
getting there. A lesson from nature is that evolution works, but
intelligent design does not. It is convoluted in places because of
backward compatibility, but at least there are lots of implementations
that need that. Most of our DNA is inactive baggage from the past, no
one has managed to clean out the DNA dross and still produce a working
person....
If the Australian extensions are not to your liking EMail me the
details and I will take the issues to the standards committee. They
could certainly be improved but the labour is all volunteer...
Snomed CT is the national terminology for the UK and US and has been
nominated as the choice for Australia, you can dispute the choice (I
actually think its a good choice) but if we have made a choice we
need
to get on with it and make it available.
IH> Big $$$, and quite path-specific (i.e. don't try coding a
discharge from
IH> a psychiatric ward with SNOMED)
IH> Again the problem is, whose prepared to pay? Vendors will (in
fairness must)
IH> pass the cost to GPs, who don't want to, hospitals are quite
happy with ICD10
IH> (with is basically free), so everyone points the finger at
NETHA, and round we go again....
What would happen is that Australia would buy a nation wide license
and then its freely available to all providers. Thats the only way it
would work and that's the situation in the US. LOINC is mostly
Pathology, will some clinical test names, but no clinical "values".
ICD10 is a classification and does not have the granularity needed for
proper EHR's. If clinical nodes were coded in SNOMED-CT then producing
the required ICD10 codes would be much easier to do, for hospital
reporting requirements.
Snomed-CT is definitely not a Pathology coding system any more. It has
rich clinical terms and basically absorbed all the Read "Clinical
Terms" from the UK - thats the "CT" bit.
If your patient had depression then you have a wealth of codes, at
various levels of detail to choose from: They are all related by
inheritance as well.
At the risk of spamming...This is a dump of "Depressive Disorder" and
its children.
Depressive disorder (SNOMED-CT:***89007)
Agitated depression (SNOMED-CT:***58005)
Atypical depressive disorder (SNOMED-CT:***659001)
Bipolar I disorder, most recent episode depressed with atypical
features (SNOMED-CT:***29003)
Major depressive disorder, single episode with atypical features
(SNOMED-CT:***25002)
Bipolar affective disorder, current episode depression (SNOMED-
CT:***627008)
Bipolar affective disorder, currently depressed, severe, with
psychosis (SNOMED-CT:***632009)
Bipolar affective disorder, currently depressed, moderate (SNOMED-
CT:***630001)
Bipolar affective disorder, currently depressed, mild (SNOMED-
CT:***629006)
Bipolar affective disorder, currently depressed, in full remission
(SNOMED-CT:***634005)
Bipolar I disorder, most recent episode depressed with melancholic
features (SNOMED-CT:***52004)
Bipolar II disorder, most recent episode major depressive (SNOMED-
CT:***95005)
Bipolar II disorder, most recent episode major depressive with
atypical features (SNOMED-CT:***68002)
Bipolar II disorder, most recent episode major depressive with
postpartum onset (SNOMED-CT:***87003)
Bipolar II disorder, most recent episode major depressive with
melancholic features (SNOMED-CT:***15001)
Bipolar II disorder, most recent episode major depressive with
catatonic features (SNOMED-CT:***07005)
Chronic bipolar I disorder, most recent episode depressed (SNOMED-
CT:***37008)
Chronic bipolar II disorder, most recent episode major depressive
(SNOMED-CT:***6001)
Depressed bipolar I disorder (SNOMED-CT:***68007)
Depressed bipolar I disorder in remission (SNOMED-CT:***07008)
Depressed bipolar I disorder in full remission (SNOMED-CT:***21000)
Depressed bipolar I disorder in partial remission (SNOMED-CT:***12000)
Mild depressed bipolar I disorder (SNOMED-CT:***86005)
Moderate depressed bipolar I disorder (SNOMED-CT:***31006)
Severe depressed bipolar disorder without psychotic features
(SNOMED-CT:***03008)
Severe depressed bipolar I disorder with psychotic features (SNOMED-
CT:***17007)
Severe depressed bipolar I disorder with psychotic features, mood-
incongruent (SNOMED-CT:***03008)
Severe depressed bipolar I disorder with psychotic features, mood-
congruent (SNOMED-CT:***61006)
Chronic depression (SNOMED-CT:***080009)
Chronic recurrent major depressive disorder (SNOMED-CT:***8002)
Cotard's syndrome (SNOMED-CT:***705009)
Depressive conduct disorder (SNOMED-CT:***542000)
Dysthymia (SNOMED-CT:***67006)
Early onset dysthymia (SNOMED-CT:***6003)
Primary dysthymia early onset (SNOMED-CT:***51003)
Secondary dysthymia early onset (SNOMED-CT:***9008)
Generalised neuromuscular exhaustion syndrome (SNOMED-CT:***42000)
Late onset dysthymia (SNOMED-CT:***94002)
Primary dysthymia late onset (SNOMED-CT:***11008)
Secondary dysthymia late onset (SNOMED-CT:***70009)
Primary dysthymia (SNOMED-CT:***76005)
Primary dysthymia early onset (SNOMED-CT:***51003)
Primary dysthymia late onset (SNOMED-CT:***11008)
Secondary dysthymia (SNOMED-CT:***80004)
Secondary dysthymia early onset (SNOMED-CT:***9008)
Secondary dysthymia late onset (SNOMED-CT:***70009)
Endogenous depression (SNOMED-CT:***706003)
Endogenous depression - recurrent (SNOMED-CT:***948002)
Recurrent major depressive episodes, in full remission (SNOMED-
CT:***615005)
Recurrent major depressive episodes, mild (SNOMED-CT:***610000)
Recurrent major depressive episodes, moderate (SNOMED-CT:***611001)
Recurrent major depressive episodes, severe, with psychosis (SNOMED-
CT:***613003)
Endogenous depression first episode (SNOMED-CT:***499006)
Involutional depression (SNOMED-CT:***717001)
Single major depressive episode (SNOMED-CT:***620009)
Single major depressive episode, in full remission (SNOMED-
CT:***606003)
Single major depressive episode, mild (SNOMED-CT:***601008)
Single major depressive episode, moderate (SNOMED-CT:***602001)
Single major depressive episode, severe, with psychosis (SNOMED-
CT:***604000)
Major depressive disorder (SNOMED-CT:***143000)
Major depression in remission (SNOMED-CT:***10003)
Major depression in complete remission (SNOMED-CT:***12003)
Major depression, single episode, in complete remission (SNOMED-
CT:***27009)
Recurrent major depression in complete remission (SNOMED-CT:***44001)
Major depression in partial remission (SNOMED-CT:***05009)
Major depression single episode, in partial remission (SNOMED-
CT:***47007)
Recurrent major depression in partial remission (SNOMED-CT:***35002)
Recurrent major depression in remission (SNOMED-CT:***19004)
Recurrent major depression in complete remission (SNOMED-CT:***44001)
Recurrent major depression in partial remission (SNOMED-CT:***35002)
Major depression, melancholic type (SNOMED-CT:***751009)
Major depression, single episode (SNOMED-CT:***23009)
Chronic major depressive disorder, single episode (SNOMED-CT:***83003)
Major depression single episode, in partial remission (SNOMED-
CT:***47007)
Major depression, single episode, in complete remission (SNOMED-
CT:***27009)
Major depressive disorder, single episode with postpartum onset
(SNOMED-CT:***22000)
Major depressive disorder, single episode with catatonic features
(SNOMED-CT:***92006)
Major depressive disorder, single episode with atypical features
(SNOMED-CT:***25002)
Major depressive disorder, single episode with melancholic features
(SNOMED-CT:***78009)
Mild major depression, single episode (SNOMED-CT:***98009)
Moderate major depression, single episode (SNOMED-CT:***39000)
Severe major depression, single episode, with psychotic features,
mood-congruent (SNOMED-CT:***11002)
Severe major depression, single episode, with psychotic features,
mood-incongruent (SNOMED-CT:***50007)
Severe major depression, single episode, without psychotic features
(SNOMED-CT:***41001)
Mild major depression (SNOMED-CT:***12008)
Mild major depression, single episode (SNOMED-CT:***98009)
Mild recurrent major depression (SNOMED-CT:***79007)
Moderate major depression (SNOMED-CT:***007)
Moderate major depression, single episode (SNOMED-CT:***39000)
Moderate recurrent major depression (SNOMED-CT:***18009)
Recurrent major depression (SNOMED-CT:***44007)
Chronic recurrent major depressive disorder (SNOMED-CT:***8002)
Mild recurrent major depression (SNOMED-CT:***79007)
Moderate recurrent major depression (SNOMED-CT:***18009)
Recurrent major depression in remission (SNOMED-CT:***19004)
Recurrent major depression in complete remission (SNOMED-CT:***44001)
Recurrent major depression in partial remission (SNOMED-CT:***35002)
Recurrent major depressive disorder with postpartum onset (SNOMED-
CT:***36009)
Recurrent major depressive disorder with catatonic features (SNOMED-
CT:***09009)
Recurrent major depressive disorder with atypical features (SNOMED-
CT:***94004)
Recurrent major depressive disorder with melancholic features
(SNOMED-CT:***768000)
Recurrent major depressive episodes (SNOMED-CT:***621008)
Severe recurrent major depression with psychotic features (SNOMED-
CT:***75009)
Severe recurrent major depression with psychotic features, mood-
incongruent (SNOMED-CT:***93003)
Severe recurrent major depression with psychotic features, mood-
congruent (SNOMED-CT:***78009)
Severe recurrent major depression without psychotic features
(SNOMED-CT:***74008)
Severe major depression with psychotic features (SNOMED-CT:***67007)
Severe major depression with psychotic features, mood-congruent
(SNOMED-CT:***36005)
Severe major depression, single episode, with psychotic features,
mood-congruent (SNOMED-CT:***11002)
Severe recurrent major depression with psychotic features, mood-
congruent (SNOMED-CT:***78009)
Severe major depression with psychotic features, mood-incongruent
(SNOMED-CT:***99002)
Severe major depression, single episode, with psychotic features,
mood-incongruent (SNOMED-CT:***50007)
Severe recurrent major depression with psychotic features, mood-
incongruent (SNOMED-CT:***93003)
Severe recurrent major depression with psychotic features (SNOMED-
CT:***75009)
Severe recurrent major depression with psychotic features, mood-
incongruent (SNOMED-CT:***93003)
Severe recurrent major depression with psychotic features, mood-
congruent (SNOMED-CT:***78009)
Severe major depression without psychotic features (SNOMED-
CT:***84000)
Severe major depression, single episode, without psychotic features
(SNOMED-CT:***41001)
Severe recurrent major depression without psychotic features
(SNOMED-CT:***74008)
Masked depression (SNOMED-CT:***500002)
Menopausal depression (SNOMED-CT:***88008)
Mild depression (SNOMED-CT:***495003)
Minor depressive disorder (SNOMED-CT:***89009)
Premenstrual dysphoric disorder (SNOMED-CT:***004)
Moderate depression (SNOMED-CT:***496002)
Post-schizophrenic depression (SNOMED-CT:***485007)
Postoperative depression (SNOMED-CT:***18004)
Postpartum depression (SNOMED-CT:***03003)
Major depressive disorder, single episode with postpartum onset
(SNOMED-CT:***22000)
Maternity blues (SNOMED-CT:***225001)
Mild postnatal depression (SNOMED-CT:***349002)
Severe postnatal depression (SNOMED-CT:***350002)
Postviral depression (SNOMED-CT:***079006)
Reactive depressive psychosis (SNOMED-CT:***676002)
Recurrent depression (SNOMED-CT:***616006)
Recurrent brief depressive disorder (SNOMED-CT:***68001)
Recurrent major depression (SNOMED-CT:***44007)
Chronic recurrent major depressive disorder (SNOMED-CT:***8002)
Mild recurrent major depression (SNOMED-CT:***79007)
Moderate recurrent major depression (SNOMED-CT:***18009)
Recurrent major depression in remission (SNOMED-CT:***19004)
Recurrent major depression in complete remission (SNOMED-CT:***44001)
Recurrent major depression in partial remission (SNOMED-CT:***35002)
Recurrent major depressive disorder with postpartum onset (SNOMED-
CT:***36009)
Recurrent major depressive disorder with catatonic features (SNOMED-
CT:***09009)
Recurrent major depressive disorder with atypical features (SNOMED-
CT:***94004)
Recurrent major depressive disorder with melancholic features
(SNOMED-CT:***768000)
Recurrent major depressive episodes (SNOMED-CT:***621008)
Severe recurrent major depression with psychotic features (SNOMED-
CT:***75009)
Severe recurrent major depression with psychotic features, mood-
incongruent (SNOMED-CT:***93003)
Severe recurrent major depression with psychotic features, mood-
congruent (SNOMED-CT:***78009)
Severe recurrent major depression without psychotic features
(SNOMED-CT:***74008)
Schizoaffective disorder, depressive type (SNOMED-CT:***60002)
Seasonal affective disorder (SNOMED-CT:***803002)
Severe depression (SNOMED-CT:***497006)
Stuporous depression (SNOMED-CT:***42004)
This is from the second last version, not the current.
All the talk of "Web Services" is a distraction. Any messaging
environment should have a "Service Orientated Architecture" by
default. What would be more useful is interface definitions and
national standards for EMail, HTTP Web Services, XML We
IH> You've hit the nail n the head.
IH> The problem is commerical forces are now arrayed *against* this.
IH> If messaging is standardised, there is little incentive to
IH> stick with a proprietary vendor once they (the vendor) have put
in the hard yards in setting it up,
IH> thus destroying their business model.
Well SMIME Email ala Argus is there, Thunderbird GNUPG is there, PGP
SMIME is pretty easy. We (Medical-Objects) have an open HTTP standard
that is very simple and has been implemented by 3rd parties without
problems.
A standard administrative/discovery interface is what's lacking. You
can do it with HL7 master files messages however. We have that but
there is no standard.
--
Best regards,
Andrew mailto:[EMAIL PROTECTED]
Andrew McIntyre
Buderim Gastroenterology Centre
www.buderimgastro.com.au
PH: 07 54455055 FAX: 54455047
_______________________________________________
Gpcg_talk mailing list
[email protected]
http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
_______________________________________________
Gpcg_talk mailing list
[email protected]
http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
