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    <div class="moz-cite-prefix">Hi, <br>
      <br>
      On my site, ideas grow slowly, during the week while writing and
      talking about it.<br>
      I think I have thought it over now.<br>
      <br>
      let me tell you what I have thought:<br>
      <br>
      1) There is not much change needed in the OpenEHR specs to unlock
      the full datamining potential of SNOMED. <br>
      2) Also there is hardly any change in  software architecture
      needed (of course, this depends on the implementation)<br>
      3) It is an addition, and easy to create, and no problem if your
      archetypes are going to be used in a Non-SNOMED country. The
      integration is in a very transparent way possible.<br>
      4) There needs to be software written. But it is software, largely
      based on ANTLR. I don't think that is a big project.<br>
      <br>
      Today, I wrote a post on it on my webblog.<br>
      <br>
      Maybe I miss something, but I guess I will hear about that.<br>
      <br>
      Check for yourself:<br>
<a class="moz-txt-link-freetext" href="http://www.bertverhees.nl/archetypes/needed-run-snomed-ct-expression-constraints-openehr-aql/">http://www.bertverhees.nl/archetypes/needed-run-snomed-ct-expression-constraints-openehr-aql/</a><br>
      <br>
      Best regards<br>
      Bert Verhees.<br>
      <br>
      <br>
      <br>
      <br>
      Op 8-9-2016 om 16:19 schreef Beatriz de Faria Leao:<br>
    </div>
    <blockquote
      cite="mid:72E13726-3821-4507-815A-F0E7F333A0D7@terra.com.br"
      type="cite">
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      Very good discussion.
      <div class="">Regarding Brazil - I cannot speak on behalf of the
        MOH but what we’ve been informed is that the MInister demanded
        the Financial Area to pay SNOMED-CT. We all hope this is going
        to happen soon. </div>
      <div class=""><br class="">
      </div>
      <div class="">Meanwhile some organizations (private hospitals)
        have a SNOMED license. THe Hospital I work with ( Sirio Libanes
        ) has recently developed a full POC using Marand’s backend, a
        Terminology server, an interoperability layer (Health Connect)
        and a legacy system (TASY from Phillips) and it was very
        successful. All archetypes we are using, specialising, or
        creating use SNOMED-CT as the reference terminology. We are
        working close with the team that is developing archetypes and
        templates for the national project.</div>
      <div class=""><br class="">
      </div>
      <div class="">I agree with Thomas. Terminologies are essential but
        not enough. It is necessary to have the information model and
        then the binding to the terminology set.</div>
      <div class=""><br class="">
      </div>
      <div class="">As soon as Brazil signs I think we could partner
        with Norway to support this OPENEHR -SNOMED CT initiative. </div>
      <div class=""><br class="">
      </div>
      <div class="">I invite you to come to the  CBIS 2016 - The
        Brazilian COnference on Health Informatics, November 27th -30th.
        OpenEHR will be one of the topics and we plan to show what we
        are doing. <a moz-do-not-send="true"
          href="http://www.sbis.org.br/cbis2016" class="">http://www.sbis.org.br/cbis2016</a></div>
      <div class=""><br class="">
        <div>
          <blockquote type="cite" class="">
            <div class="">On Sep 6, 2016, at 4:31 PM, Birger Haarbrandt
              <<a moz-do-not-send="true"
                href="mailto:birger.haarbrandt@plri.de" class="">birger.haarbrandt@plri.de</a>>
              wrote:</div>
            <br class="Apple-interchange-newline">
            <div class="">
              <meta charset="UTF-8" class="">
              <div class="">
                <p class="">I wish there was any activity regarding
                  SNOMED CT in Germany at all :( </p>
                <p class="">Cheers,</p>
                <p class="">Birger</p>
                <blockquote type="cite" class="">Erik Sundvall <<a
                    moz-do-not-send="true"
                    href="mailto:erik.sundvall@liu.se" class=""><a class="moz-txt-link-abbreviated" href="mailto:erik.sundvall@liu.se">erik.sundvall@liu.se</a></a>>
                  hat am 6. September 2016 um 19:01 geschrieben:<br
                    class="">
                  <br class="">
                  <div dir="ltr" class="">Mikaels thoughts resonate with
                    some discussion we had during the MIE/HEC2016
                    openEHR Developers' workshop.
                    <div class="">he Many of us think that a better
                      integration of the openEHR and the Snomed CT
                      modelling efforts would be great. But there are
                      not enough resources (e.g. dedicated time of
                      people with the right knowledge) being put into
                      doing this, since this is hard (but interesting)
                      work usually requiring somebody to pay people...</div>
                    <div class=""><br class="">
                    </div>
                    <div class="">When there are countries (or other
                      giant organizations) interested in using _both_
                      openEHR and SNOMED CT, then such resources may
                      start being allocated. (It is reasonable that
                      organizations listen to their members' needs.)
                      Norway might be/become such a country - they
                      already have a serious openEHR modelling effort
                      and will likely start using SNOMED CT more.</div>
                    <div class=""><br class="">
                    </div>
                    <div class="">What about Brazil? UK? Others? Dear
                      list members, please tell us if you know about big
                      efforts/programmes seriously interested in using
                      _both_ openEHR and SNOMED CT for real EHR systems
                      etc.</div>
                    <div class=""><br class="">
                      <div class="ox-45d675c7b1-gmail_extra">
                        <div class="">
                          <div class="ox-45d675c7b1-gmail_signature">
                            <div dir="ltr" class="">
                              <div class="">
                                <div dir="ltr" class="">
                                  <div dir="ltr" class="">Best regards,
                                    <div style="color: #222222;
                                      font-family: arial,sans-serif;
                                      font-size: 13px; background-color:
                                      #ffffff;" class="">Erik Sundvall </div>
                                    <div class=""><span style="color:
                                        #222222; font-family: arial,
                                        sans-serif; font-size: xx-small;
                                        background-color: #ffffff;"
                                        class="">Ph.D. Medical
                                        Informatics. Information
                                        Architect. Tel: +46-72-524 54 55
                                        (or 010-1036252 in Sweden)<br
                                          class="">
                                        Region Östergötland: <span
                                          style="color: blue;" class=""><a
                                            moz-do-not-send="true"
                                            href="mailto:erik.sundvall@regionostergotland.se"
                                            target="_blank" class=""><a class="moz-txt-link-abbreviated" href="mailto:erik.sundvall@regionostergotland.se">erik.sundvall@regionostergotland.se</a></a> </span></span><span
                                        style="color: #222222;
                                        font-family: arial,sans-serif;
                                        font-size: x-small;
                                        background-color: #ffffff;"
                                        class="">(previously <a
                                          moz-do-not-send="true"
                                          href="http://lio.se/"
                                          target="_blank" class="">lio.se</a>)
                                        <a moz-do-not-send="true"
                                          href="http://www.regionostergotland.se/cmit/"
                                          target="_blank" class="">http://www.regionostergotland.se/cmit/</a> <br
                                          class="">
                                      </span><span style="color:
                                        #222222; font-family:
                                        arial,sans-serif; font-size:
                                        x-small; background-color:
                                        #ffffff;" class="">Linköping
                                        University:</span><span
                                        style="font-size: xx-small;"
                                        class=""> <a
                                          moz-do-not-send="true"
                                          href="mailto:erik.sundvall@liu.se"
                                          target="_blank" class=""><a class="moz-txt-link-abbreviated" href="mailto:erik.sundvall@liu.se">erik.sundvall@liu.se</a></a>, </span><span
                                        style="color: blue; font-family:
                                        arial,sans-serif; font-size:
                                        x-small; background-color:
                                        #ffffff;" class=""><a
                                          moz-do-not-send="true"
                                          style="color: #1155cc;"
                                          href="http://www.imt.liu.se/%7Eerisu/"
                                          target="_blank" class=""><a class="moz-txt-link-freetext" href="http://www.imt.liu.se/~erisu/">http://www.imt.liu.se/~erisu/</a></a></span></div>
                                  </div>
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                              </div>
                            </div>
                          </div>
                        </div>
                        <br class="">
                        <div class="ox-45d675c7b1-gmail_quote">On Tue,
                          Sep 6, 2016 at 2:11 PM, Mikael Nyström <<a
                            moz-do-not-send="true"
                            href="mailto:mikael.nystrom@liu.se"
                            target="_blank" class=""><a class="moz-txt-link-abbreviated" href="mailto:mikael.nystrom@liu.se">mikael.nystrom@liu.se</a></a>>
                          wrote:<br class="">
                          <blockquote class="">
                            <div class="">
                              <div class="">
                                <p class="">Hi,</p>
                                <p class=""> </p>
                                <p class="">My more recent impressions
                                  from inside the SNOMED CT community
                                  are not entirely in line with Tom’s
                                  impression below.</p>
                                <p class=""> </p>
                                <p class="">The people that believe that
                                  SNOMED CT is on its own are nowadays
                                  quite few. My impression is that most
                                  people understand that SNOMED CT needs
                                  to be implemented using powerful
                                  information models (or data
                                  structures) to achieve all its
                                  benefits. However, the problem is that
                                  there are so many information models
                                  for health records around and some of
                                  them are (more or less) standardized
                                  and some of them are ad hoc and some
                                  of them are proprietary so there is
                                  difficult to interact and engage with
                                  all of them.</p>
                                <p class=""> </p>
                                <p class="">IHTSDO’s primary focus is
                                  their member countries (and potential
                                  member countries) and IHTSDO therefore
                                  focus on solving the terminology and
                                  ontology needs in these countries. In
                                  these member countries are SNOMED CT a
                                  large part of the terminology and
                                  ontology solution for the health care
                                  system. IHTSDO therefore focus on
                                  SNOMED CT and collaborations with
                                  other terminologies and
                                  classifications that are well used in
                                  the member countries, like ICD and
                                  LOINC. However, it is understandable
                                  that for people in non-member
                                  countries it seems like IHTSDO assumes
                                  that the whole world uses SNOMED CT.</p>
                                <p class=""> </p>
                                <p class="">                            
                                  Regards</p>
                                <p class="">                            
                                  Mikael</p>
                                <p class=""> </p>
                                <p class=""> </p>
                                <p class="">Thomas Beale wrote:</p>
                                <p class=""> </p>
                                <p class="">Indeed. Ideally we would
                                  work more closely with IHTSDO on this
                                  (I spent 4 y on standing committees
                                  there), but I think there is not yet
                                  the interest in this. There are still
                                  people who believe that a) SNOMED CT
                                  on its own, with only trivial data
                                  structures is all that is needed
                                  (that's a categorical error of
                                  thinking) and/or b) that the whole
                                  world uses SNOMED CT and that
                                  therefore the only terminology
                                  approach is SNOMED CT (an error today,
                                  and I suspect for years to come).</p>
                                <p class=""> </p>
                              </div>
                            </div>
                            <br class="">
                            ______________________________<wbr class="">_________________<br
                              class="">
                            openEHR-clinical mailing list<br class="">
                            <a moz-do-not-send="true"
                              href="mailto:openEHR-clinical@lists.openehr.org"
                              class="">openEHR-clinical@lists.<wbr
                                class="">openehr.org</a><br class="">
                            <a moz-do-not-send="true"
href="http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org"
                              target="_blank" class="">http://lists.openehr.org/<wbr
                                class="">mailman/listinfo/openehr-<wbr
                                class="">clinical_lists.openehr.org</a><br
                              class="">
                          </blockquote>
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                        <br class="">
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                  _______________________________________________<br
                    class="">
                  openEHR-clinical mailing list<br class="">
                  <a moz-do-not-send="true"
                    href="mailto:openEHR-clinical@lists.openehr.org"
                    class="">openEHR-clinical@lists.openehr.org</a><br
                    class="">
<a class="moz-txt-link-freetext" href="http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org">http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org</a></blockquote>
              </div>
              _______________________________________________<br
                class="">
              openEHR-clinical mailing list<br class="">
              <a moz-do-not-send="true"
                href="mailto:openEHR-clinical@lists.openehr.org"
                class="">openEHR-clinical@lists.openehr.org</a><br
                class="">
<a class="moz-txt-link-freetext" href="http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org">http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org</a></div>
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            <div class="">
              <div class="">Beatriz de Faria Leão</div>
              <div class=""><br class="">
              </div>
              <div class=""><a moz-do-not-send="true"
                  href="mailto:bfleao@gmail.com" class="">bfleao@gmail.com</a></div>
              <div class="">Fone: 11-98114-1617</div>
              <div class="">Skype: bfleao</div>
            </div>
            <div class=""><br class="">
            </div>
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      <pre wrap="">_______________________________________________
openEHR-clinical mailing list
<a class="moz-txt-link-abbreviated" href="mailto:openEHR-clinical@lists.openehr.org">openEHR-clinical@lists.openehr.org</a>
<a class="moz-txt-link-freetext" href="http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org">http://lists.openehr.org/mailman/listinfo/openehr-clinical_lists.openehr.org</a></pre>
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