As Ricardo already said, "Pathological fracture of ankle due to secondary
osteoporosis" is less a "word" and more a "phrase" that computers can
easily understand, because it is equivalent to:
64572001 |Disease (disorder)| :
42752001 |Due to| = 703264005 |Secondary osteoporosis (disorder)|
{ 363698007 |Finding site| = 33696004 |Bone structure of ankle
(body structure)|,
116676008 |Associated morphology| = 22640007 |Pathologic
fracture (morphologic abnormality)| }
I don't know what is 'ancient' about being able to ask things like "give me
all the patients with a diagnosis of a disease due to osteoporosis" or "all
patients with fractures in the lower body"
2018-03-15 21:20 GMT+01:00 Philippe Ameline <[email protected]>:
> Le 15/03/2018 à 20:30, Ricardo Gonçalves a écrit :
>
>
> I too want to look at the the future and picture a state of art component
> and hopefully a [health] technological utopia, but a lot of work led us to
> what is currently available. Are we taking that to try/improve things and
> get somewhere? Are we holding back until something more mature, more
> usable, more future-alike comes up? Which path is more likely to bring us
> closer to the goal?
>
>
> Hi Ricardo,
>
> The question of settling in a local optimum or to go find a better place
> has probably been the most ancient question that sapiens has been facing ;-)
> Should we keep working hard in this place where harvesting is so hard, or
> should we try to climb this mountain and see if it is not easier on the
> other side?
>
> My opinion is that there is a good reason not to get stuck (trying hard
> forever) with Snomed.
>
> As you said, thinks started with classifications, then some people came up
> with coding systems and later on with ontology. The ability to tell things
> improved step by step and led to an evolution of information structures.
> Meanwhile, the whole society was transformed by ambient information
> systems to the point that we entered the post-industrial era, and, as you
> know it well, the chronic turn demands for a deep reinvention of the
> medical domain.
>
> My opinion is that you cannot cope with such challenges using a "language"
> that, due to its roots as a coding system, includes "words" like
> "Pathological fracture of ankle due to secondary osteoporosis" (concept
> 704293000).
>
> Time will tell if the settlers were more wise than the explorers... and we
> all have to keep in mind, as you nailed it, that we may have different
> goals.
>
> Best,
>
> Philippe
>
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