Greg Caulton wrote: >> >> So I guess ultimately the question boils down to what is > >everyone/anyone else doing >> >> - OpenEHR >> - OpenEHR + LOINC >> - OpenEHR + SNOMED >> - All (tough especially as each system has its own set of terms and >> concepts of what is what) >> > > > *the mapping work still largely has to be done; both Snomed and LOINC > will be mapped to various archetypes, LOINC obviously more around > results. You could get involved with the effort;-) > >- thomas
The problem with SNOMED mapping (and you wouldn't want me doing that as I would be very bad at it) is that I assume (perhaps incorrectly) that the OpenEHR foundation could not distribute the mapping without the recipients first getting some kind of license for the SNOMED - not insurmountable but that does complicate things. I am not sure I fully understand the direction in OpenEHR for lab tests - creating an archetype per lab test seems overkill but there appear to be some lab test archetypes. Perhaps OpenEHR should just define 'types' of lab tests and leave the distinct tests to be defined as coded values. As I discovered with looking at a CCR export LOINC has more than lab tests and so there is definitely overlap - though it really needs clinicians and a non-trivial effort. Likely archetypes would need to be expanded to accommodate everything. Greg
