>this is more or less the opinion of most clinical people associated with GEHR
>(even though we think SNOMED-CT is probably the best hope for terminology
>anyway).

SNOMED is proprietary (please tell me I'm wrong about that) making it 
essentially useless as far as medical terminology is concerned.  I know 
this sounds harsh, but I didn't have to pay anyone to use the words in this 
posting.  It's one thing to fudge around the issue of open source versus 
trade secret software (and I think GEHR does just that if only because it 
is not compiled on an open source compiler), but it is quite another to 
fudge around whether you can use terminology without paying a 
fee.  Proprietary terminologies, like proprietary table definitions, are 
simply unacceptable.  They are the dark ages being visited on medicine.  To 
say that SNOMED is really not what we want but it is the best thing we can 
use is a startling admission of defeat.

John


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