The same goes for SNOMED-CT. It is a proprietary standard and very expensive for 
poorer countries. So how can this become a standard nomenclature? Hopefully ICD-10-CM 
will see the light of day soon....
BTW
ICD-10 -PCS seems very promising to me - even though not yet implemented.

Nandalal

----- Original Message -----
From: Horst Herb <[EMAIL PROTECTED]>
Date: Sun, 28 Dec 2003 18:08:53 +1100
To: [EMAIL PROTECTED]
Subject: Re: OpenEHR vs. OIO semantics infrastructure, was Re: form-to-form 
translator, was Re: Solving the data type problem, was: ODB vs. RDMBS was: OIO-0.9.1 
released

> On Sun, 28 Dec 2003 13:12, Thomas Beale wrote:
> > exactly - this is the problem of N^2 translation that HL7v2 has. I was
> > just saying that Andrew's statement that "HL7 has failed" is not totally
> > correct; and regardless of the shortcomings (of which I can be as
> > critical as anyone else), there are quite a lot of implementations, and
> > there is a measure of success. It's been a step on the path, and a lot
> > of things were learned.
> 
> A lot has been learned, yes. But Andrew's statement - if we only look at what 
> is actually available AND in use today - is correct: HL7 has been en 
> exteremly expensive failure so far. A failure for more than a decade, that 
> is.
> 
> Current development looks promising and I wish them wholehearted success - but 
> in one aspect they haven't learned from their past errors, and I consider 
> this non-learning a gloomy sign: that is, they don't publish their work 
> freely. You have to become a member to access their "standards". It does not 
> matter that membership is cheap - even a cent a year would not be acceptable 
> fpr the very reason that a standard cannot be a practical and ubiquitously 
> accepted standard (such as POP3, HTTP, HTML) unless the specifications are 
> freely accessible to anybody.
> 
> Unless they start understanding this crucial issue, I reckon they are doomed. 
> No matter how much more money governments throw after them. The world in 
> general is not very fond of such "closed gentlemen's clubs", and end user 
> tolerance for such behaviour is close to zero nowadays.
> 
> Horst
> -- 
> "On two occasions I have been asked [by members of Parliament!], 'Pray, Mr.
> Babbage, if you put into the machine wrong figures, will the right answers
> come out?'  I am not able rightly to apprehend the kind of confusion of ideas
> that could provoke such a question."
> -- Charles Babbage
> 

-- 
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