see below

Gerard   Freriks
+31 620347088
  [email protected]

Kattensingel  20
2801 CA Gouda
the Netherlands

> On 2 Apr 2018, at 23:35, A Verhees <[email protected]> wrote:
> 
> GF: "When we add to all this that only part of the epistemology can be 
> pre-coordinated it means that part of the temporal aspects for instance can 
> NOT be dealt with in SNOMED, then we have the situation that part of the 
> epistemology is in SNOMED and part defined in the Archetype/Template."
> ---
> Using SNOMED does not block using other terminologies or even local 
> terminologies.

13606 and OpenEHR do not block anything.
There are too many degrees of freedom.
All creating problems interpreting the data fully and safely.




> 
> In OpenEhr is always a part of the epistemology in the context of the 
> archetype, that is its power. Terminologies serve to undoubtable define the 
> presented data-item or act as a data-item. This is also the case in CEN13606

In most systems the full epistemology is not recorded.
It is there because of implicit or explicit agreements between users.
There are NO agreed standardised archetypes/patterns we all use to define the 
meta-data in order to document the full eppistemology
so data can be interpreted fully and safely.



> 
> 
> 
> Gerard   Freriks
> +31 620347088
>   [email protected] <mailto:[email protected]>
> 
> Kattensingel  20
> 2801 CA Gouda
> the Netherlands

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