Hi William, A small addition:
1)It seems unlikely that Practitioners, Patients and associated parties would be UNABLE to effectively communicate without speaking SNOMED. 2)It seems likely that a single, dominating system for handling day-to-day Healthcare-related activities it become efficient on a global scale. 3)Rigorous testing, including scalability, of SNOMED seems to be sparse: PERFORMANCE; Google search: "SNOMED performance |" http://etbsun2.nlm.nih.gov:8000/publis-ob-offi/pdf/2000-tal-ob-Ft.pdf (1 hit) SCALABILITY: Google search: "SNOMED scalability |" (no hits) EFFECTIVENESS: Google search: "SNOMED effectiveness |" (no hits) RELIABILITY: Google search: "SNOMED reliability |" (no hits) AVAILABILITY: Google search: "SNOMED availability |" http://quickstart.clari.net/qs_se/webnews/wed/bx/Bga-mckesson-info-sols.Rn1s_Dl9.html (1 hit); DIFFERENT KIND OF 'availability', i.e., availabile for use COMPLAINTS: Google search: "SNOMED complaint |" (no hits) ERRORS: Google search: "SNOMED error |" (no hits) SUSTAINABILITY: Google search: "SNOMED sustain |" (no hits) OK! I give up! SNOMED, it appears, has never been subjected to any kind of analysis. It appears to be in the same category as home repair contractors who provide an on-the-spot 'tail-light' warranty. To roll on this one and push it on the global healthcare community needs some justification I can't provide. -Thomas Clark Williamtfgoossen at cs.com wrote: > In een bericht met de datum 25-9-2003 15:10:09 West-Europa > (zomertijd), schrijft hammo001 at mc.duke.edu: > > >> >> I agree with Gerard that we need to be careful. However, that does not >> mean that we go to the lowest denominator. IF we think SNOMED is the >> best >> solution, then we need to spend our time and energy on finding how to >> make >> SNOMED available to the rest of the world. We have a debate in our >> school >> system in Durham. The poorer kids do not have access to the Internet >> and >> to laptops. The debate is whether to prohibit the use of computers and >> Internet for school work or to try to find methods that will provider >> laptops and Internet access to the poorer kids. I think the answer is >> simple. >> >> However, I do think it is important to make sure that SNOMED is the >> answer >> and will be acceptable before we move aggressively. >> >> Ed Hammond >> >> - >> If you have any questions about using this list, >> please send a message to d.lloyd at openehr.org > > > > > I agree with Ed in that if we can make this resource available, we > need to work on that. > I think it is OK that HL7 uses SNOMED as preferred terminology. > > However, I would be very dissapointed if this would become the only > terminology that the current v3 RIM and derivates could handle. I > believe also local, or specialty or situation specific terminologies / > vocabs etc. should be allowed in messages. > > But maybe I am overreacting, I did not hear / read that this would not > be the case. > > > William Goossen - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
