The aim of the course is to analyze the characteristics, registration,protection and use of medical documents and to state the roles and responsibilities of medical secretaries.
Course Content
This course contains; Introduction: Aim of the course and lecture plan,General Concepts: Document,Documentation, Medical Document and Documentation,Historical evolution and general characteristics of medical documents,Significance and use of patient files,Scope and organization of patient files: confidentiality and ownership issues,Assessment of documents in patient files: electronical and print forms used,Concepts of archieve and medical archieve,Planning and organization of archieve services,Enumeration and organization of patient files and indices used,Methods of patient files enumeration,Indices used and establishing file follow-up system,Ministry of Health legislation regarding the management of in-patient healthcare organizations,Job description and responsibilities of medical archieve staff (K2 100-101, 114-118),Legal aspect of patient files; General evaluation.
Dersin Öğrenme Kazanımları
Teaching Methods
Assessment Methods
Recognizes basic definitions and concepts related to medical documents.
10, 16, 9
A
Manages privacy, protection and standardization of medical documents.
10, 16, 9
A
Uses medical documentation processes in healthcare institutions in accordance with legal regulations
10, 16, 9
A
Applies the processes of organizing and archiving patient files.
10, 16, 9
A
Identifies the importance of medical documentation for health services.
General Concepts: Document,Documentation, Medical Document and Documentation
Reading lecture note
3
Historical evolution and general characteristics of medical documents
Reading lecture note
4
Significance and use of patient files
Reading lecture note
5
Scope and organization of patient files: confidentiality and ownership issues
Reading lecture note
6
Assessment of documents in patient files: electronical and print forms used
Reading lecture note
7
Concepts of archieve and medical archieve
Reading lecture note
8
Planning and organization of archieve services
Reading lecture note
9
Enumeration and organization of patient files and indices used
Reading lecture note
10
Methods of patient files enumeration
Reading lecture note
11
Indices used and establishing file follow-up system
Reading lecture note
12
Ministry of Health legislation regarding the management of in-patient healthcare organizations
Reading lecture note
13
Job description and responsibilities of medical archieve staff (K2 100-101, 114-118)
Reading lecture note
14
Legal aspect of patient files; General evaluation
Reading lecture note
Resources
Lecture notes
Uçmaz R. Tıbbi Dokümantasyon 1, Uludağ Üniversitesi Meslek Yüksekokulu Yayınları, Bursa,2004.
Uçmaz R. Tıbbi Dokümantasyon 2, Uludağ Üniversitesi Meslek Yüksekokulu Yayınları, 2004.
Prof.Dr.Adil Artukoğlu, Tıbbi Dokümantasyon
Kadir Sümbüloğlu, Vildan Sümbüloğlu, Tıbbi Dokümantasyon, Somgür Yayıncılık, Ankara
Course Contribution to Program Qualifications
Course Contribution to Program Qualifications
No
Program Qualification
Contribution Level
1
2
3
4
5
1
The student acquires theoretical and practical knowledge related to his field at a basic level.
X
2
The student owns information about moral discipline and ethical rules related to his field.
X
3
The student uses theoretical and practical knowledge related to his field at a basic level; basic fundamental computer programs and related technologies.
X
4
The student manages a duty independently by using the knowledge about his field at a basic level.
X
5
The student evaluates the knowledge about his field at a basic level with a critical approach, he designates his learning needs and directs his learning.
X
6
The student uses information and communication technologies with at least at basic level of European Computer Using Licence basic level of computer software which his field of study requires.
X
7
The student complies with and contributes to quality management and processes.
X
8
The student has sufficient consciousness about individual and public health, environmental protection and work safety issues.
X
9
The student acts in accordance with laws, regulations, legislations and professional ethics related to individual duties, rights and responsibilities.
X
Assessment Methods
Contribution Level
Absolute Evaluation
Rate of Midterm Exam to Success
40
Rate of Final Exam to Success
60
Total
100
ECTS / Workload Table
Activities
Number of
Duration(Hour)
Total Workload(Hour)
Course Hours
14
2
28
Guided Problem Solving
14
2
28
Resolution of Homework Problems and Submission as a Report
2
5
10
Term Project
1
10
10
Presentation of Project / Seminar
1
1
1
Quiz
2
1
2
Midterm Exam
1
11
11
General Exam
1
21
21
Performance Task, Maintenance Plan
0
0
0
Total Workload(Hour)
111
Dersin AKTS Kredisi = Toplam İş Yükü (Saat)/30*=(111/30)
4
ECTS of the course: 30 hours of work is counted as 1 ECTS credit.
Detail Informations of the Course
Course Description
Course
Code
Semester
T+P (Hour)
Credit
ECTS
MEDICAL DOCUMENTATION I
-
Fall Semester
2+0
2
4
Course Program
Prerequisites Courses
Recommended Elective Courses
Language of Course
Turkish
Course Level
Short Cycle (Associate's Degree)
Course Type
Required
Course Coordinator
Lect. Faruk AYDIN
Name of Lecturer(s)
Lect. Çağlayan KAVGAOĞLU
Assistant(s)
Aim
The aim of the course is to analyze the characteristics, registration,protection and use of medical documents and to state the roles and responsibilities of medical secretaries.
Course Content
This course contains; Introduction: Aim of the course and lecture plan,General Concepts: Document,Documentation, Medical Document and Documentation,Historical evolution and general characteristics of medical documents,Significance and use of patient files,Scope and organization of patient files: confidentiality and ownership issues,Assessment of documents in patient files: electronical and print forms used,Concepts of archieve and medical archieve,Planning and organization of archieve services,Enumeration and organization of patient files and indices used,Methods of patient files enumeration,Indices used and establishing file follow-up system,Ministry of Health legislation regarding the management of in-patient healthcare organizations,Job description and responsibilities of medical archieve staff (K2 100-101, 114-118),Legal aspect of patient files; General evaluation.
Dersin Öğrenme Kazanımları
Teaching Methods
Assessment Methods
Recognizes basic definitions and concepts related to medical documents.
10, 16, 9
A
Manages privacy, protection and standardization of medical documents.
10, 16, 9
A
Uses medical documentation processes in healthcare institutions in accordance with legal regulations
10, 16, 9
A
Applies the processes of organizing and archiving patient files.
10, 16, 9
A
Identifies the importance of medical documentation for health services.
General Concepts: Document,Documentation, Medical Document and Documentation
Reading lecture note
3
Historical evolution and general characteristics of medical documents
Reading lecture note
4
Significance and use of patient files
Reading lecture note
5
Scope and organization of patient files: confidentiality and ownership issues
Reading lecture note
6
Assessment of documents in patient files: electronical and print forms used
Reading lecture note
7
Concepts of archieve and medical archieve
Reading lecture note
8
Planning and organization of archieve services
Reading lecture note
9
Enumeration and organization of patient files and indices used
Reading lecture note
10
Methods of patient files enumeration
Reading lecture note
11
Indices used and establishing file follow-up system
Reading lecture note
12
Ministry of Health legislation regarding the management of in-patient healthcare organizations
Reading lecture note
13
Job description and responsibilities of medical archieve staff (K2 100-101, 114-118)
Reading lecture note
14
Legal aspect of patient files; General evaluation
Reading lecture note
Resources
Lecture notes
Uçmaz R. Tıbbi Dokümantasyon 1, Uludağ Üniversitesi Meslek Yüksekokulu Yayınları, Bursa,2004.
Uçmaz R. Tıbbi Dokümantasyon 2, Uludağ Üniversitesi Meslek Yüksekokulu Yayınları, 2004.
Prof.Dr.Adil Artukoğlu, Tıbbi Dokümantasyon
Kadir Sümbüloğlu, Vildan Sümbüloğlu, Tıbbi Dokümantasyon, Somgür Yayıncılık, Ankara
Course Contribution to Program Qualifications
Course Contribution to Program Qualifications
No
Program Qualification
Contribution Level
1
2
3
4
5
1
The student acquires theoretical and practical knowledge related to his field at a basic level.
X
2
The student owns information about moral discipline and ethical rules related to his field.
X
3
The student uses theoretical and practical knowledge related to his field at a basic level; basic fundamental computer programs and related technologies.
X
4
The student manages a duty independently by using the knowledge about his field at a basic level.
X
5
The student evaluates the knowledge about his field at a basic level with a critical approach, he designates his learning needs and directs his learning.
X
6
The student uses information and communication technologies with at least at basic level of European Computer Using Licence basic level of computer software which his field of study requires.
X
7
The student complies with and contributes to quality management and processes.
X
8
The student has sufficient consciousness about individual and public health, environmental protection and work safety issues.
X
9
The student acts in accordance with laws, regulations, legislations and professional ethics related to individual duties, rights and responsibilities.
