Medical Data Management

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

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.

Medical Data Management is a systematic introduction to the basicmethodology of professional clinical data management. This bookaddresses important classification systems such as the ICD-9 and -10and instructs the reader in the process of patient care in a highlyspecialized healthcare system, with attention to maintaining medicalquality and cost-effectiveness in establishing an integrated andeasily manageable system. It speaks to healthcare professionalsneeding to learn the principles and implementation of integratedsystematic data management systems.

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.