Thank you for the comprehensive response Gurpreet! I believe that the documentation and demos describe well what the SNOMED direct implementation does. What I don’t see is a full discussion about what it doesn’t do, or what are the implications/consequences of doing a direct implementation of SNOMED rather than using CIEL/OCL.
What happens when you can’t find a term you are looking for? What happens when you need to add something to your local dictionary that is not in SNOMED? Who is managing the updates to the terminologies and how does that impact existing implementations of forms, value sets, etc.?
These are just a few examples which need to be prominently displayed with the results of this experiment. Thanks,