On Thu, 3 Jul 2003, Tim Cook wrote:

> On Thu, 2003-07-03 at 18:08, Andrew Ho wrote:
>
> >   For example, we can see the TORCH social history "data model" in
> >
> > <socialhistory>
> >   <updated_time>2000/01/01</updated_time>
>
> No, that is not a data model. It is an exported record.

Tim,

  Thanks for pointing out that "social history" and "updated_time" are
elements of TORCH's exported record. However, are they not also elements
of TORCH's data model?

  My impression was that TORCH's exported record has a direct one-to-one
mapping to TORCH's data model. If this understanding is incorrect, please
let us know where we can find a true description of TORCH's data model.

> If it were a data model you could tell if this was a "date" type, a
> "time string" or a "character string".
...

  I understand that an exported record is but an example (=instance) of
the data maintained by TORCH. Thus, while it is possible to ascertain
something about the data model by looking at a part of an exported record,
what I quoted was certainly not a full description of the much larger
TORCH data model!

  For the purpose of illustrating the embedding of terminology within an
EMR (which was my purpose in mentioning this fragment of TORCH exported
record), I thought it sufficient to show just a small example.


--> In this example, "social history" is one of the "terminology" used by
TORCH.  Will TORCH reconcile this "social history" term with similar
terms (if any) in SNOMED CT ? If so, how do you plan to carry out the
mapping / translation between the two?

(As you can see, answering these questions may or may not require a full
review of the entire TORCH data model. :-)

  Just so that you won't mistakenly conclude that I am singling out TORCH,
GnuMed, OSCAR, TkFP, and other EMR's will also have to address the same
challenge. Your willingness to share your thoughts on this can help many
of us plan a better strategy.

Best regards,

Andrew
---
Andrew P. Ho, M.D.
OIO: Open Infrastructure for Outcomes
www.TxOutcome.Org

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