Redesign of Diagnostic Coding in Pediatrics: From Form-based to Discharge Letter Linked
by Hilco Prins, MSc, Hans Buller, MD, PhD, and Betty Zwetsloot-Schonk, MD, PhD
Abstract
Diagnostic coding after hospital discharge is mainly based on abstracting of paper medical records by medical record coders. Studies show that the quality of these data is often moderate, possibly because discharge registries play no role in daily patient care. Timely writing of discharge letters is needed to support continuity of care, at least in the Netherlands.