In the frame of federated and interoperable Electronic Health Records, specific coding systems are mandatory for filling out the Patient Summary. Because of the sensitivity of its content, PS needs to be validated by General Practitioners. This work proposes a support system based on standardized and formalized coding rules to ease the coding process supporting GPs in the compilation of the PS, thus avoiding coding errors and misspecifications of clinical data.

Coding rules for the patient summary: analysis and requirements to develop an automated coding system.

Chiaravalloti M T;Pasceri E;Cardillo E;Guarasci R;
2015

Abstract

In the frame of federated and interoperable Electronic Health Records, specific coding systems are mandatory for filling out the Patient Summary. Because of the sensitivity of its content, PS needs to be validated by General Practitioners. This work proposes a support system based on standardized and formalized coding rules to ease the coding process supporting GPs in the compilation of the PS, thus avoiding coding errors and misspecifications of clinical data.
2015
Istituto di informatica e telematica - IIT
Coding rules
Coding Support System
Coding systems
ICD-9-CM
Patient summary
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.14243/312431
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