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. 1998:280-4.

Just-in-time coding of the problem list in a clinical environment

J J Warren  1 , J Collins, C Sorrentino, J R Campbell
Affiliations

Just-in-time coding of the problem list in a clinical environment

J J Warren et al. Proc AMIA Symp. 1998.

Abstract

Clinically useful problem lists are essential to the CPR. Providing a terminology that is standardized and understood by all clinicians is a major challenge. UNMC has developed a lexicon to support their problem list. Using a just-in-time coding strategy, the lexicon is maintained and extended prospectively in a dynamic clinical environment. The terms in the lexicon are mapped to ICD-9-CM, NANDA, and SNOMED International classification schemes. Currently, the lexicon contains 12,000 terms. This process of development and maintenance of the lexicon is described.

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