Clinical documentation is information such as ICD-10 codes and other standards such as HL7 and SNOMED that healthcare professionals record in a patient's record. Documentation is often turned into coded data for inclusion in a public health database as a way to inform care decisions and be considered for reimbursement payments. This data can include vital signs, or other notes on a patient's condition. The change to ICD-10 codes will alter the level of clinical documentation required for many procedures and conditions.
18 Nov 2020
To prep for COVID-19 vaccine distribution, CIOs turn to data
CIOs should prepare a COVID-19 vaccine distribution plan now. Making sure immunization records are digitized and easy to access is a good first step. Continue Reading
17 Jul 2019
Healthcare NLP mines valuable insights from unstructured data
Most of the data in an EHR is unstructured and often ignored. Natural language processing enables healthcare providers to extract meaningful insights from this untapped resource. Continue Reading