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Medical Data Management is a systematic introduction to the basicmethodology of professional clinical data management. It emphasizesgeneric methods of medical documentation applicable to such diversetasks as the electronic patient record, maintaining a clinical trialsdatabase, and building a tumor registry. This book is for all studentsin medical informatics and health information management, and it isideal for both the undergraduate and the graduate levels. The bookalso guides professionals in the design and use of clinicalinformation systems in various health care settings. It is aninvaluable resource for all health care professionals involved indesigning, assessing, adapting, or using clinical data managementsystems in hospitals, outpatient clinics, study centers, health plans,etc.The book combines a consistent theoretical foundation of medicaldocumentation methods outlining their practical applicability in realclinical data management systems. Two new chapters detail hospitalinformation systems and clinical trials. There is a focus on theinternational classification of diseases (ICD-9 and -10) systems, aswell as a discussion on the difference between the two codes. Allchapters feature exercises, bullet points, and a summary to providethe reader with essential points to remember. New to the Third Editionis a comprehensive section comprised of a combined Thesaurus andGlossary which aims to clarify the unclear and sometimes inconsistentterminology surrounding the topic.
List of contents
What Is Medical Documentation About?.- Basic Concepts of Clinical Data Management and Coding Systems.- Important Medical Coding Systems.- Typical Medical Documentation.- Utilization of Clinical Data Management Systems.- Clinical Data Management: Let's Make a Plan!.- Documentation in Hospital Information Systems.- Data Management in Clinical Studies.- Concluding Remarks.- Suggested Further Information.- Thesaurus of Medical Documentation.
About the author
Prof. Dr. phil. Wilhelm Gaus, Professur für Biometrie und Medizinische Dokumentation, Universität Ulm;Gründer und ehem. Leiter der Schule für Medizinische Dokumentation; ehem. Direktor des Instituts für Biometrie und Medizinische Dokumentation der Universität Ulm
Summary
Medical Data Management is a systematic introduction to the basic
methodology of professional clinical data management. It emphasizes
generic methods of medical documentation applicable to such diverse
tasks as the electronic patient record, maintaining a clinical trials
database, and building a tumor registry. This book is for all students
in medical informatics and health information management, and it is
ideal for both the undergraduate and the graduate levels. The book
also guides professionals in the design and use of clinical
information systems in various health care settings. It is an
invaluable resource for all health care professionals involved in
designing, assessing, adapting, or using clinical data management
systems in hospitals, outpatient clinics, study centers, health plans,
etc.
The book combines a consistent theoretical foundation of medical
documentation methods outlining their practical applicability in real
clinical data management systems. Two new chapters detail hospital
information systems and clinical trials. There is a focus on the
international classification of diseases (ICD-9 and -10) systems, as
well as a discussion on the difference between the two codes. All
chapters feature exercises, bullet points, and a summary to provide
the reader with essential points to remember. New to the Third Edition
is a comprehensive section comprised of a combined Thesaurus and
Glossary which aims to clarify the unclear and sometimes inconsistent
terminology surrounding the topic.
