Patients receive care in primary, secondary, and tertiary care settings, (Hammond, Cimino, 2006) with most communication centered on the patient's chart. Patients are cared for by physicians within the hospital and those doctors most likely will prescribe medications and place orders for labs and possibly procedures; x-rays, cat-scans, etc. for that patient during their stay. A doctor may consult with another physician to discuss the condition or treatment of a patient and by the means of this communication an industry standard of terminology must exist. Thus, the encoding of clinical knowledge using an accepted standard would allow many people and institutions to share the work done by others (Laureate Education, 2010). An approach to creating the development of medical coding or standards has been developed and named
Patients receive care in primary, secondary, and tertiary care settings, (Hammond, Cimino, 2006) with most communication centered on the patient's chart. Patients are cared for by physicians within the hospital and those doctors most likely will prescribe medications and place orders for labs and possibly procedures; x-rays, cat-scans, etc. for that patient during their stay. A doctor may consult with another physician to discuss the condition or treatment of a patient and by the means of this communication an industry standard of terminology must exist. Thus, the encoding of clinical knowledge using an accepted standard would allow many people and institutions to share the work done by others (Laureate Education, 2010). An approach to creating the development of medical coding or standards has been developed and named