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Clinical Terminologies and Vocabularies
Medicine’s complex language is represented in clinical terminology and vocabulary systems. Clinical terminologies represent terms related to the medical field while vocabularies are collections of terms.
Both clinical terminologies and vocabularies provide a way to capture detailed data in an electronic health record (EHR). They support the transformation of paper-based to electronic records by providing a machine-readable data structure. Clinical terminologies are considered the input format while classification systems are the output format.
AHIMA has multiple resources related to clinical terminologies and vocabularies: