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All of these independent decisions made by autonomous operating departments lead to a polyglot of data definitions for key clinical concepts and later to difficulty in standardizing clinical nomenclatures to define the findings and treatments for patients.
You might ask why health care organizations may not be better served with a layman who knows computer and communications technologies intimately and has supervised operations of information systems before as the chief information officer, and a clinician as clinical information officer, reporting to the layman and leading standardization of clinical nomenclatures, selection of clinical transaction systems, and data analysis for quality improvement and guideline development.

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