Tim Benson wrote:
> It may well be that SNOMED CT can provide a universal compositional scheme,
> and time will tell. I hope so. LOINC was originally designed to do one job
> for laboratory requests and reports. I am doubtful if attempts to extend its
> uses will prove satisfactory.
this is more or less the opinion of most clinical people associated with GEHR
(even though we think SNOMED-CT is probably the best hope for terminology
anyway).
> It is rather easy to prepare a scheme of identifiers used to do one clearly
> defined job. So one solution is to generate many such schemes. It may well
hence the template or archetype approach - each archetype defines a composition
of information for a purpose. Compositions mostly correspond to particular
usages, processes, contexts etc, so there is no getting out of creating various
archetypes each containing some of the same terms. A simple example is a GP's
psychiatric notes versus those of a specialist.
> be possible to take data generated by one scheme and to group it (m to 1) to
> meet another requirement. It may also be possible to group the same data in
> more than one different way to meet different needs. It goes without saying
Hence the idea of multi-level archetypes and archetype composition.
- thomas beale
