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The authors used a summation of the social distance scores to determine level of social distance (which is how they measured stigmatization)

PMID 1536343

How AI Medical Coding Improves Reporting Tobacco-related Conditions AI-assisted medical coding services can support tobacco-related ICD-10 coding by automatically identifying documentation about smoking status, nicotine dependence, or exposure to tobacco smoke in clinical notes and suggesting the appropriate ICD-10 codes for tobacco use