A quick look back at the competing specs for clinical coding and data exchange gives a glimpse of the some of the challenges still ongoing today. “It was a huge fight,” Roche, who is a partner at Avanti iHealth, told HIMSS TV.Thats mostly because of so many competing standards. There were specifications for data exchange, and different specs for clinical coding systems and, to make it even harder, they were at various levels of maturity.Today, “it is tremendously different because we have made certain standards freely available to the public. That makes it easy to use, easy to adopt.”

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