الرحيم الرحمنبسم هللا

Medical Record /Medical Informatics

course

by

Dr Hatem El Bitar Egyptian fellowship

mob:01005684344

By the end of the this course

you will be able to

1-Define medical records ,types ,cycle

2-medical records purposes ,responsibilities

3-unique patient number and its importance

4- Disease Classification and Clinical coding(icd9 vs.icd10)

5-differentiate bet inpatient and out patient medical records

6-define medical informatics and its importance

7-able to make organizational structure and select human resources know

Course OBJECTIVES

PART 1

Medical records

Medical Records

What is the Medical Record?

An instance or event of medical care

“Must contain sufficient data to

1-identify the patient

2-support the diagnosis or reason for attendance at the health care facility

3-justify the treatment and accurately document the results of that treatment”

(Huffman, 1990).

Purposes of Medical Records:

medical Purposes Non medical Purposes

Outpatient Medical Records & Forms

Thank you

PART 2

Medical informatics

Health Informatics

Dr Hatem El Bitar

lecturer in

mediance academy

course of

medical informatics

What is Health Informatics?

Simplistic definition:

It is the application of computers, communications and information technology and systems to all fields of medicine - medical care, medical education and medical research.

Why computers???

Patient numbers

In ER =1234\year

Try to remember

Why computers???

Patient numbers

In

IN PATIENT =12345\year

Try to remember

Why computers???

Patient numbers

In opd =123456\year

Try to remember

Why computers???

Do you still remember what we just said from

just seconds? and sum of them all

OFCOURSE NOT

humans enter data Computers process data

Decision making in the medical problems

THANK YOU

Dr Hatem El Bitar

01005684344

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Dr Hatem El Bitar

01005684344