Development of microcomputer based software for encoding and retrieving medical information in pathology

The development of a microcomputer-based software package for the entry, encoding, storage and retrieval of medical information in anatomic pathology is described. Computer assisted encoding of diagnostic language was based on SNOMED nomenclature and was found to automatically encode 92% to 98% of the cases in routine surgical pathology. This application package was based on CP/M operating system so it functions on a variety of micro-computers and can integrate with other common microcomputer packages such as word processing.