There are 3 ways of "coding" that I know of: 1. primary coding (ask clinicians 
and other clinical users to code directly), 2. secondary coding (users record 
information, a team of specialists do the coding later), 3. assisted coding 
(software helps users to code, and there are many ways of doing this, from NLP 
to GUI wizards).
 But I'm not sure if Karsten was talking about this, let's wait :)

I was mainly talking about the first, which is standard in German ambulatory 

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