{"title":"What Should Clinicians Know About How Coding Influences Epidemiological Research?","authors":"Jennifer Quint, Alex Brownrigg","doi":"10.1001/amajethics.2025.51","DOIUrl":null,"url":null,"abstract":"<p><p>Coded health care data from patients' health records are used in epidemiological research, especially on incidence or prevalence of disease; for drug safety monitoring or long-term cohort tracking; and to inform policy making. This article briefly summarizes the evolution of internationally recognized coding ontologies and nomenclature and describes applications of coded electronic health record (EHR) data in day-to-day health care operations, research, auditing, and policy development. This article also illuminates how errors can occur when EHR information is coded, considers errors' consequences, and suggests strategies for mitigating errors and improving overall use of coded EHR data.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 1","pages":"E51-57"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AMA journal of ethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1001/amajethics.2025.51","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Social Sciences","Score":null,"Total":0}
引用次数: 0
Abstract
Coded health care data from patients' health records are used in epidemiological research, especially on incidence or prevalence of disease; for drug safety monitoring or long-term cohort tracking; and to inform policy making. This article briefly summarizes the evolution of internationally recognized coding ontologies and nomenclature and describes applications of coded electronic health record (EHR) data in day-to-day health care operations, research, auditing, and policy development. This article also illuminates how errors can occur when EHR information is coded, considers errors' consequences, and suggests strategies for mitigating errors and improving overall use of coded EHR data.
期刊介绍：
The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.
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