When we have a DvCodedText and we want to express a List Of Values with
term-bindings, then we need SNOMED post-coordination in term-bindings.
Example:
Excision of lymph node: Procedure context (attribute)
58347006:408730004=410534003 <-- Not indicated
58347006:408730004=262008008 <-- Not performed
58347006:408730004=385671000 <-- Unsuccessful
See also
https://openehr.atlassian.net/browse/SPECPR-215
On 25-04-17 09:57, GF wrote:
Pablo,
I agree.
Attaching codes to nodes in the archetype is in order to disambiguate
that archetype node concept/name.
In addition.
I think that we should NOT use SNOMED-CT codes for that purpose.
As far as I know this is the realm of LOINC. So we need LOINC codes to
disambiguate nodes in an archetype.
In general LOINC is used to disambiguate the ‘Question’.
And SNOMED is used to disambiguate the ‘Answer’; the ‘Result'
This implicates that LOINC must be used in all Archetype nodes that
are NO leaf-nodes.
SNOMED must be used in Leaf-nodes and stored as results and queried
for as results.
Gerard Freriks
+31 620347088
gf...@luna.nl <mailto:gf...@luna.nl>
Kattensingel 20
2801 CA Gouda
the Netherlands
On 25 Apr 2017, at 06:23, Pablo Pazos <pablo.pa...@cabolabs.com
<mailto:pablo.pa...@cabolabs.com>> wrote:
Hi Bert,
Maybe my wording is the issue here since I don't disagree with what
you said.
Take into account that I use the word "might" on every sentence, as
the indication of an ability. Never said that 1. applies to all
contexts, or 2. that those are hard rules. In those cases I would use
"must" instead of "might".
With that being said, when a SNOMED CT code is referenced directly as
a bind to an archetype node, the purpose is to add definition to the
archetype, not to use the code as part of the record. That can be
done, but is not the purpose of having term bindings on the
archetype. That is explained on the specs somewhere, is not my idea :)
Cheers,
Pablo.
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