Hi Tom,

This looks good! 

My only question here is that if BPv1 and BPv2 are not compatible, they are 
probably 2 different concepts. The idea to use concept as the identifier is 
fine. 
Using Snomed CT here would be excellent. 

then we can have 
openEHR-EHR-Observation-SnomendCTConceptNameSNomedCTconceptId87654321. 

If the concept is non existing in Snomed CT, there are procedures to ask for 
the addition. 

Due to fine grainedness of SNomed CT to a high level it is probably a lot 
that can be handled with this, also avoiding the same concept used for 2 
different archetypes. 

I agree with the world wide management of this, but then again the ISO / CEN 
/ HL7 / CDSIC DCM approach (IHTSDO invited) would be helpful. 

If we move this way and identify the concept as such, we can have the 
clinical material specified, modeled in different formats but 
DCM-Concept-conceptID, 
OpenEHR-Concept-ConceptID.adl, and HL7templateIDConcept-ConceptID.xml would be 
identified as clinically exactly the same information, but technically 
fitting to another reference information model and technology, each with the 
peculiarities necessary to have it work for purpose.
 






Sincerely yours,

dr. William TF Goossen
director 
Results 4 Care b.v.
De Stinse 15
3823 VM Amersfoort
the Netherlands
email: Results4Care at cs.com
phone + 31654614458
fax +3133 2570169
www.results4care.nl
Dutch Chamber of Commerce number: 32133713 
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