Data Representation,Coding, and Communication Standards |
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Institution: | 1. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada;2. Department of Medicine, Institute of Health Policy Management and Evaluation, University Health Network and University of Toronto, Toronto, Ontario, Canada |
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Abstract: | The immense volume of cases signed out by surgical pathologists on a daily basis gives little time to think about exactly how data are stored. An understanding of the basics of data representation has implications that affect a pathologist’s daily practice. This article covers the basics of data representation and its importance in the design of electronic medical record systems. Coding in surgical pathology is also discussed. Finally, a summary of communication standards in surgical pathology is presented, including suggested resources that establish standards for select aspects of pathology reporting. |
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Keywords: | Standards Pathology Coding Informatics |
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