{Fraud?} {Disarmed} Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread Thomas Beale
Williamtfgoossen at cs.com wrote:
> In een bericht met de datum 8-1-2006 21:31:57 West-Europa 
> (standaardtijd), schrijft gfrer at luna.nl:
>
>
>> Information is exchanged in communities.All clinical information 
>> belongs to the healthcare domain.
>>
>>
>> When clinical concept models (Archetypes) are expressed using an Open 
>> International Standard like the CEN/tc251 Archetypes,
>> both the Archetype expression and  the constituting clinical concept 
>> models are not owned in a commercial sense.
>>
>>
>> Gerard
>
>
>
> Sorry to be late in response, but this comment is only partly true. 
> After having made about 150 archetypes for use in HL7 v3 messages 
> (technical transition being no issue at all, clinical material is), we 
> have encountered several issues.
Hi William,
I didn't know anyone had made archetypes for HL7v3 (except our one test 
archetype). Can you provide a URL to them?
>
> Not all clinical information belongs to the healthcare domain. Many 
> instruments and scales are copyrighted and require a licencing fee. 
> Use in EHR or message is in that case no different from paper versions 
> or dedicated software. This is similar to use of vocab which is or is 
> not copyrighted.
Can you give an example of such a problem?
>
> Use of CEN / ISO or OpenEHR does not solve this issue, neither does 
> HL7: the clinical content can be owned in commercial sense.
- thomas beale




{Fraud?} {Disarmed} Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread Sandrine VILLAEYS
Je suis absente du bureau jusqu'au jeudi 4 mai 2006.

Sandrine Villaeys




Antw: Re: {Fraud?} {Disarmed} Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread williamtfgoos...@cs.com
www.zorginformatiemodel.nl has about 85 stroke patient related archetypes.
unfortunately most are in Dutch, but we have translated about 10 to English 
now, most the simple ones or the ones that explain the approach also in more 
technical way.

Key is the binding knowledge, variables, vocabulary, value set and unique 
coding for each element or node. 

William
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Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread Gerard Freriks
.uchsc.edu/son/sonweb.asp
> &
> Bestuurslid Vereniging voor Medische en Biologische  
> Informatieverwerking
> http://www.vmbi.nl/
> &
> Teacher in health and nursing informatics, MBA Health Management
> University of Applied Sciences, Osnabr?ck, Germany.
> http://www.wiso.fh-osnabrueck.de/aktuelle-lehre.html
> &
> Fellow of the Centre for Health Informatics Research and  
> Development (CHIRAD), School of Social Sciences, Kings Alfred's,  
> Winchester, UK.
> MailScanner has detected a possible fraud attempt from  
> "www.chirad.org.uk" claiming to be www.chirad.org.uk

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Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread Bert Verhees
>
> You refer to machine computer system interfaces and that these might
> be proprietary. Yes they could and will.
> But when the holy grail is about plug-and-play interoperability then
> these interfaces (archetypes) must be free to use.

Gerard, how about SNOMED-tables, they are expensive, and many other 
terminology-tables?
Will there be free replacement for that?

This question is also relevant for third world countries, or 
health-information-systems used by poor organisations, f.e. free health care 
systems for illegal immigrants in Europe and the USA.

They may be able to read messages, because messages probably have beside the 
code, also the description, but they cannot produce messages, because they 
will not be able to code their content

Thanks
Bert



Antw: Re: [GPCG_TALK] Archetype Maintenance

2006-05-03 Thread Gerard Freriks
Bert,

The example of SNOMED is a good one.

Looking at SNOMED we must ask the question:
Are words in a dictionary proprietary?
Do we have to pay for the use of these words in our conversations?

Of course the answer is: NO.
We have to pay for the medium: the book, the CD-ROM, the application.

The maintenance of the words used in any language is most often paid  
for by the State.
Language is a free commodity.

SNOMED is a Reference Terminology.
When local users map their local codes to SNOMED codes only the  
Terminology Server that does translations using SNOMED needs a licence.
In its proposed pricing scheme SNOMED will ask more money from rich  
countries (millions) and very small amounts (ten-hundred Euro;'s)  
from poor countries.
The are very sensible and indexed to the Gross National Product.

Gerard



--   --
Gerard Freriks, arts
Huigsloterdijk 378
2158 LR Buitenkaag
The Netherlands

T: +31 252 544896
M: +31 653 108732



On 3-mei-2006, at 11:23, Bert Verhees wrote:

>>
>> You refer to machine computer system interfaces and that these might
>> be proprietary. Yes they could and will.
>> But when the holy grail is about plug-and-play interoperability then
>> these interfaces (archetypes) must be free to use.
>
> Gerard, how about SNOMED-tables, they are expensive, and many other
> terminology-tables?
> Will there be free replacement for that?
>
> This question is also relevant for third world countries, or
> health-information-systems used by poor organisations, f.e. free  
> health care
> systems for illegal immigrants in Europe and the USA.
>
> They may be able to read messages, because messages probably have  
> beside the
> code, also the description, but they cannot produce messages,  
> because they
> will not be able to code their content
>
> Thanks
> Bert

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