Clinical Terminology Research Paper

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I will examine types of clinical terminology, classification, and a code system. My goal is to compare and contrast their general characteristics, purpose, use, content, and structure. Clinical terminology will be examined in the paragraph below. The clinical terminology examined will be SNOMED CT.

SNOMED CT provides codes for clinical documentation and reporting. There is no book for SNOMED CT codes. Software applications are used to implement the codes using identifiers assigned to a clinical term such as diarrhea. SNOMED’s purpose is to standardize clinical terminology. Standardization makes it easier to produce accurate health care records by ensuring usability across systems. SNOMED is mainly concerned with ensuring that health care data is accurate and not a specific part of the health care process such as laboratory test results. The SNOMED system is made of three components concepts, descriptions, and relationships. Concepts are thoughts or ideas. “Descriptions are human readable representations of concepts.” Relationships allow concepts to link together. I will now examine International Classifications of Diseases 10th Revision Clinical Manifestation or
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Another purpose includes standardization of health care data. It is reviewed by the World health organization and revisions are approved by that same body. You can buy a book on these codes. ICD-10-CM is divided into 21 chapters and has an alphabetic index. The chapters are arranged by body systems such as the endocrine system. Diseases are another way the ICD-10-CM is organized. The codes are very short usually 3-7 numbers and letters long. The index is divided into two parts as well diseases and external causes such as burns. The organization of the ICD-10-CM is intended to make finding codes easier for the coder. I will now examine a code system called logical observation identifiers, names, and codes or LOINC for

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