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Methods Inf Med 1996; 35(04/05): 273-284
DOI: 10.1055/s-0038-1634682
Original Article
Schattauer GmbH

Review Paper: Coding Systems in Health Care

J. J. Cimino
1   Department of Medical Informatics Columbia University College of Physicians and Surgeons New York, NY, USA
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Publication History

Publication Date:
20 February 2018 (online)

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Abstract:

Computer-based patient data which are represented in a coded form have a variety of uses, including direct patient care, statistical reporting, automated decision support, and clinical research. No standard exists which supports all of these functions. Abstracting coding systems, such as ICD, CPT, DRGs and MeSH fail to provide adequate detail, forcing application developers to create their own coding schemes for systems. Some of these schemes have been put forward as possible standards, but they have not been widely accepted. This paper reviews existing schemes used for abstracting, electronic record systems, and comprehensive coding. It also discusses the remaining impediments to acceptance of standards and the current efforts to overcome them, including SNOMED, the Gabrieli Medical Nomenclature, the Read Clinical Codes, GALEN, and the Unified Medical Language System (UMLS).

Keywords:

Controlled Medical Vocabulary - Nomenclature - Taxonomy - Electronic Medical Records - Medical Record Coding - Review
 

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