Healthcare Code Sets, Clinical Terminologies, And Classification Systems

This new title will untangle the complicated world of healthcare vocabularies, terminologies, and classification systems! Healthcare Code Sets, Clinical Terminologies, and Classification Systems takes you into the future of healthcare, with its clear representation of new technology and the growing field of healthcare informatics. In the EHR, multiple terminologies, vocabularies, and classification systems are used to create encoded data that users can access, combine, manipulate, and share. HIM professionals need to learn these key systems to prepare for the adoption of the electronic health record. This textbook explains the components comprising the infrastructure for electronic health records, taking you beyond the standard diagnosis and procedure code sets and how they interact with emerging code sets and data standards. Discover how new terminologies, vocabularies, and classification systems work together with HIPAA standard code sets in the identification and organization of clinical data. Includes exercises, glossary, bibliography and references, an in-book answer key, and index. Foreword by James J. Cimiono, M.D., professor of Biomedical Informatics and Medicine Columbia College of Physicians and Surgeons. The authors wish to thank Ann H. Peden, MBA, RHIA, CCS, associate professor at the University of Mississippi Medical Center, who served as external reviewer of the text and provided excellent suggestions for its improvement. In addition, the authors thank the following reviewers of the nursing informatics content: Joyce Sensmeier, MS, RN, BC, CPHIMS and Pawan Goyal, MD, MHA, PMP, CPHIMS.