INTEGRATION OF MEDICAL CODING SYSTEMS WITH ELECTRONIC HEALTH RECORDS

Authors

  • Venkata Sambasivarao Kopparapu Advancesoft Inc, USA Author

Keywords:

Electronic Health Records (EHR), Medical Coding, ICD, SNOMED CT, HL7, Semantic Interoperability, Clinical Ontologies, Health Informatics, Data Standardization, AI In Healthcare

Abstract

The integration of medical coding systems with Electronic Health Records (EHRs) is a cornerstone for enhancing healthcare interoperability, clinical decision-making, and administrative efficiency. This research delves into the frameworks, methodologies, and impacts of harmonizing structured medical terminologies (e.g., ICD, SNOMED CT) with EHR systems. Emphasis is placed on the evolution of coding ontologies, the technical challenges of semantic interoperability, and the role of artificial intelligence in automating code assignment. Literature from reveals that such integrations not only improve data quality and billing accuracy but also empower large-scale analytics and personalized medicine. However, issues such as system fragmentation, mapping inconsistencies, and user resistance persist. A blend of ontology-driven frameworks, machine learning tools, and blockchain-based data traceability emerges as the future direction for robust EHR-coding interoperability.

 

References

Ceusters, W., & Smith, B. (2004). Ontology-based integration of medical coding systems and electronic patient records. PhilPapers. https://philpapers.org/rec/CEUOIO-2

Rector, A. L., Qamar, R., & Marley, T. (2009). Binding ontologies and coding systems to electronic health records and messages. Applied Ontology, 4(1), 51–69. https://doi.org/10.3233/AO-2009-0063

Meystre, S. M., Savova, G. K., Kipper-Schuler, K. C., & Hurdle, J. F. (2008). Extracting information from textual documents in the electronic health record. Yearbook of Medical Informatics, 17(1), 128–144. https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0038-1638592.pdf

Middleton, B., Wang, S. J., Prosser, L. A., Bardon, C. G., & Safran, C. (2003). A cost-benefit analysis of electronic medical records in primary care. The American Journal of Medicine, 114(5), 397–403. https://doi.org/10.1016/S0002-9343(03)00057-3

Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care. International Journal of Medical Informatics, 78(1), 22–31. https://doi.org/10.1016/j.ijmedinf.2008.06.005

Shickel, B., Tighe, P. J., Bihorac, A., & Rashidi, P. (2017). Deep EHR: A survey of recent advances in deep learning techniques for electronic health record analysis. IEEE Journal of Biomedical and Health Informatics, 22(5), 1589–1604. https://doi.org/10.1109/JBHI.2017.2767063

Donnelly, K. (2006). SNOMED-CT: The advanced terminology and coding system for eHealth. Studies in Health Technology and Informatics, 121, 279–290. https://books.google.com/books?id=0vHjxr2G0CEC

Johnson, A. E. W., Bulgarelli, L., Shen, L., Gayles, A., et al. (2023). MIMIC-IV, a freely accessible electronic health record dataset. Scientific Data, 10(1), 1–16. https://www.nature.com/articles/s41597-022-01899-x

Goldstein, B. A., Navar, A. M., & Pencina, M. J. (2016). Opportunities and challenges in developing risk prediction models with electronic health records data. Journal of the American Medical Informatics Association, 24(2), 198–208. https://doi.org/10.1093/jamia/ocw042

Broberg, C. S., Mitchell, J., Rehel, S., Grant, A., et al. (2015). EMR integration with a database for congenital heart disease. International Journal of Cardiology, 201(1), 200–206. https://doi.org/10.1016/j.ijcard.2015.05.140

Wang, C., Yao, C., Chen, P., Shi, J., et al. (2023). AI with ICD coding guided by embedded EHR systems. Microprocessors and Microsystems, 100, 104–110. https://doi.org/10.1016/j.micpro.2023.104735

Tange, H. J., Hasman, A., & Robbé, P. F. de Vries. (1997). Medical narratives in electronic medical records. International Journal of Medical Informatics, 46(1), 7–29. https://doi.org/10.1016/S1386-5056(97)00048-8

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Published

2024-06-16

How to Cite

Venkata Sambasivarao Kopparapu. (2024). INTEGRATION OF MEDICAL CODING SYSTEMS WITH ELECTRONIC HEALTH RECORDS. INTERNATIONAL JOURNAL OF COMPUTER ENGINEERING AND TECHNOLOGY, 15(3), 252-272. https://ijcet.in/index.php/ijcet/article/view/IJCET_15_03_024