GF gfrer at
Tue Apr 25 03:57:08 EDT 2017


I agree.
Attaching codes to nodes in the archetype is in order to disambiguate that archetype node concept/name.

In addition.
I think that we should NOT use SNOMED-CT codes for that purpose.
As far as I know this is the realm of LOINC. So we need LOINC codes to disambiguate nodes in an archetype.

In general LOINC is used to disambiguate the ‘Question’.
And SNOMED is used to disambiguate the ‘Answer’; the ‘Result'
This implicates that LOINC must be used in all Archetype nodes that are NO leaf-nodes.
SNOMED must be used in Leaf-nodes and stored as results and queried for as results.

Gerard   Freriks
+31 620347088
  gfrer at

Kattensingel  20
2801 CA Gouda
the Netherlands

> On 25 Apr 2017, at 06:23, Pablo Pazos <pablo.pazos at> wrote:
> Hi Bert,
> Maybe my wording is the issue here since I don't disagree with what you said.
> Take into account that I use the word "might" on every sentence, as the indication of an ability. Never said that 1. applies to all contexts, or 2. that those are hard rules. In those cases I would use "must" instead of "might".
> With that being said, when a SNOMED CT code is referenced directly as a bind to an archetype node, the purpose is to add definition to the archetype, not to use the code as part of the record. That can be done, but is not the purpose of having term bindings on the archetype. That is explained on the specs somewhere, is not my idea :)
> Cheers,
> Pablo.

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