The problem list doesn’t have to be just a list of problems. Explore four ways to transform this essential component of the electronic health record (EHR) into a more clinically meaningful and helpful tool.
Clinical Interface Terminology
The fact that the letters IMO don’t just stand for Intelligent Medical Objects isn’t lost on this medical coding company. Indeed, we believe it’s high time IMO embraced our text-slang status, and we’re kicking things off with In My Opinion, a monthly Ideas series featuring Q&As with IMO employees. We’re thrilled to get started with Vidhya Sivakumaran, PhD. Vidhya over to you.
Electronic health records (EHRs) may be the foundational system for medical record keeping but as clinical demands and expectations grow it’s unrealistic to think that a single software can manage them all.
In a year so dominated by the pandemic, it’s hard to imagine that anyone read or thought of anything else – but the data says otherwise. Discover the IMO stories, webinars, and downloads that kept your peers clicking.
The transition to electronic patient records (EPRs) in the United Kingdom is an ongoing process. As organizations strive to incorporate SNOMED CT® into these vital tools, the need for clinical interface terminology is coming into sharper focus.
The discovery of the Rosetta Stone paved the way for a new understanding of Egyptian culture and language. So, what does this have to do with health IT? We’re glad you asked…
It’s been quite a year for clinical terminology, with the need for new medical coding terms never seeming to stop. Whether clinicians are documenting complexities related to COVID-19 or describing electric scooter mishaps, the latest updates to ICD-10-CM are here to help. Below, we take a look at five interesting changes to the standardized coding system that went into effect on the first of October.
In the US, structured clinical terminology is integrated into most electronic health records. However, across the pond there is no standard clinical terminology that is widely being used for documentation. This means clinicians must often go directly to code sets such as ICD-10 or SNOMED®* to document clinical encounters. IMO’s Senior Vice President of Global Clinical Services, Steven Rube, MD, takes a look at the reasons for this difference in the capture of patient data from a clinical informatics perspective.
Organization is everywhere these days, whether it’s targeted at getting your house, your finances, your job, or your life in order. So, it makes sense that there’s a need for organization within the medical field as well. What to tackle first? The medical problem list – an often-disorganized hub with an overwhelming amount of information – is a strong candidate for a revamp.
When COVID-19 first hit the US, clinicians struggled to accurately document cases of the new coronavirus, and the health IT industry quickly mobilized to provide the needed clinical terminology. Now, six months into the pandemic, COVID “long-haulers” are highlighting the ongoing need for appropriate clinical language to document side effects of the virus.
Electronic health records were never designed to be all things to all providers, leaving the door wide open for creative third-party vendors to identify opportunities for improvement and develop innovative solutions.
Every set of standardized clinical terminology has routine adjustments and updates. For some, there are annual revisions and for others, changes happen multiple times a year. Then, there are the medical coding terms that need to be added off-cycle. Having trouble keeping up? We’re here to help.