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Given that in primary care the coding reflects the actual content of the patient record for the purposes of direct patient care, the term clinical coding would appear to me to be accurate. Given that in secondary care the coding reflects classification of the information contained in the record according to a set of rules for a specific purpose in this case payment the term clinical coding would appear to me to be inaccurate. It would be really helpful in a holistic view of care if we used more accurate terms. So in this case we are dealing with PbR Classification Coding. This is not simply academic as Classification Coding rules may conflict or may create pervasive incentives for Record Content Coding and even individual care. Record Content Coding is about the coding of actual patient and client records for direct care by health and social care professionals.