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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