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August 1, 1959


Author Affiliations

The Mount Sinai Hospital Fifth Avenue and 100th Street New York 29.

JAMA. 1959;170(14):1715. doi:10.1001/jama.1959.03010140095025

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To the Editor:—  As Chairman of the Advisory Medical Board of the Standard Nomenclature of Diseases and Operations published by the American Medical Association, I am seriously concerned about the adverse effect which a report published in the June, 1959, issue of the Journal of the American Association of Medical Record Librarians may have on the future use of the Standard Nomenclature in hospitals.Ten hospitals maintained dual indexes of diseases and operations in their record rooms, one using the numerical coding system of SNDO and the other, the coding system of the International Statistical Classification of Diseases, Injuries, and Causes of Death. The comparative trial is reported to have revealed that the coding and posting time was less with the ISC than with the SNDO. In using the two indexes to obtain records for study, it is reported that not only more records pertinent to the request but also

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