Medical Data Management

1. Front Matter

   Pages i-xvi

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2. What Is Medical Documentation About?

   Pages 1-9

3. Basic Concepts of Clinical Data Management and Coding Systems

   Pages 11-42

4. Important Medical Coding Systems

   Pages 43-61

5. Typical Medical Documentation

   Pages 63-74

6. Utilization of Clinical Data Management Systems

   Pages 75-87

7. Clinical Data Management: Let’s Make a Plan!

   Pages 89-102

8. Documentation in Hospital Information Systems

   Pages 103-116

9. Data Management in Clinical Studies

   Pages 117-127

10. Concluding Remarks

    Pages 129-129

11. Suggested Further Information

    Pages 131-135

12. Thesaurus of Medical Documentation

    Pages 137-195

13. Back Matter

    Pages 197-201

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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.

• Anästhesie-Informations-Management-System
• Hospital
• Radiologieinformationssystem
• classification
• hospitals
• medical informatics

• University for Health Informatics and Technology Tyrol, Innsbruck, Austria

  Florian Leiner

• Munich, Germany

  Florian Leiner

• Department of Biometry and Medical Documentation, University of Ulm, Ulm, Germany

  Wilhelm Gaus

• Institute for Health Information Systems, University for Health Informatics and Technology Tyrol, Innsbruck, Austria

  Reinhold Haux

• Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

  Petra Knaup-Gregori

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