This has been out for a while but I just saw it today.
From the post:
Data interoperability is one of the key issues in assembling unified Electronic Patient Records, both within and across healthcare providers. ASIP Santé, the French national healthcare agency responsible for implementing nation-wide healthcare management systems, has been charged to ensure such interoperability for the French national healthcare.
The task is a daunting one since most healthcare providers use their own custom terminologies and medical codes. This is due to a number of issues with standard terminologies: 1) standard terminologies take too long to be updated with the latest terms; 2) significant internal data, systems, and expertise rely on the usage of legacy custom terminologies; and 3) a part of the business domain is not covered by a standard terminology.
The only way forward was to align the local custom terminologies and codes with the standard ones. This way local data can be automatically converted into the standard representation, which will in turn allow to integrate it with the data coming from other healthcare providers.
I assume the alignment of local custom terminologies is an ongoing process so as the local terminologies change, re-alignment occurs as well?
Kudos to Mondeca for they played an active role in the early days of XTM and I suspect that experience has influenced (for the good), their approach to this project.