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Detailed nomenclatures, clinical classifications, and diagnostic related groups lay along a common continuum of patient description, albeit at different levels of abstractions. The intellectual origins of classification, and present challenges of practical terminologies, and a unified potential future are outlined. Today’s classifications should be created and published as rule-driven databases, defined from well-formed patient descriptions at a detailed, nomenclature level. Then, analogous to the DRG grouper process, we can realize administrative and resource efficiencies from the detailed encoding of patients, which will enable an era of evidence-based medicine and best-practice as the norm.
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