Horst,

Once vendors have signed a licence (even open source stuff has a licence to
protect the opensource IP) they can use if and any of their customers can
use it.

The cost for each country to sign up is on their website and is pretty
reasonable based on national wealth.

If you are a software developer and want to use SNOMED in
practices/hospitals outside the member countries the cost is again very
reasonable and would be a small fraction of the software development or
purchase cost.  ($1000 or less - would need to check).  There has to be some
encouragement to get the other countries on board.

So whats the barrier.  

The biggest barrier will be the technical challenge of implementation and
actually using the SNOMED features to support software functionality

Peter


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Horst Herb
Sent: Wednesday, 2 May 2007 8:51 AM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] International Health Terminology SDO owns SNOMED IP

On Wednesday 02 May 2007, Jon Patrick wrote:
> I think this view does not take account of the mechanism for providing
> SCT nor the need to support it in further development.
> Someone has to pay to maintain it and develop it to a useful point. In
> OZ the government has decided to absorb that cost and provide it free to
> vendors and users. SCT has a potential to make a difference. If
> physicians take Horst's position it will not advance and its potential
> will be lost - that will truly make it a waste of money.

Oh no.
What you have now is 10 of the richest and most developed countries on this 
planet putting heaps of money into *preventing* other people from accessing 
the coding system.

Development costs, maintenance costs - of course. Real money. But you will 
find that the costs of preventing others form accessing it
("administration") 
will probably at least equal the costs of development and maintenance - come

on, how many people do you need (in a paid position) to maintain a 
vocabulary???

Now, if these countries had any common sense they would simply commit the 
money it takes to pay the developers and maintainers and their 
infrastructure - crumble of a peanut in the context of their budgets. 
Tadaaaaa - all of a sudden the system would have a chance of becoming a 
GLOBAL enabler of health communication and expert systems literally over 
night. Leading to others wanting to join the club because they want
influence 
and control, and willing to pay for the privilege. It does not take more
than 
a handful of functional synapses to see that.

But no, bureaucrats are so small minded that they can't see past their 
blinding fear somebody might benefit from something they haven't paid for,
so 
they rather destroy it before anybody else could make use of it. Morons.

Horst
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