Medical Data Management

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.

Autorentext
ALEX LUBERT is Morse Alumni Distinguished Teaching Professor of Music, Jewish Studies, and American Studies at the University of Minnesota, USA. MATTHEW BRIBITZER-STULL is Assistant Professor of Music Theory at the University of Minnesota, USA. GOTTFRIED WAGNER is great-grandson of composer Richard Wagner and great-great grandson of composer-pianist Franz Liszt. Dr. Wagner works internationally as a multimedia lecturer, director (stage, video, and radio), musicologist, and author. Alfred Winter is a professor of medical informatics at the Institute of Medical Informatics, Statistics and Epidemiology at Leipzig University, Germany. For many years, he was responsible for the strategic management of the information system at Leipzig University Medical Center and led numerous projects in tactical information management. He studied computer science at RWTH Aachen University in Aachen, Germany, and received his Ph.D. and a license for lecturing (German "Habilitation") for medical informatics from the Faculty of Theoretical Medicine at the University of Heidelberg. Dr. Winter's research focuses on methods and modeling tools for the management of health information systems and on the integration of information systems for patient care and research. He teaches architectures and management of health information systems in a medical informatics master's course at Leipzig University and as part of the international Frank - van Swieten Lectures on strategic information management. He has been a member of the board of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS) since 2005 and was its president in 2020 and 2021. At the European level, he has been a member of the board and secretary of the European Federation of Medical Informatics (EFMI) since 2014. He is also a member of the editorial board of several international journals and was editor of the German journal GMS Medical Informatics, Biometry and Epidemiology (MIBE) from 2010 to 2020. He is an elected member of the International Academy of Health Sciences Informatics. Elske Ammenwerth is a professor of health informatics and head of the Institute of Medical Informatics at the Private University for Health Sciences, Medical Informatics and Technology (UMIT TIROL) in Hall in Tirol, Austria. She studied medical informatics at the University of Heidelberg/University of Applied Sciences Heilbronn, Germany, and received her Ph.D. from the Medical Faculty of the University of Heidelberg. Her current research fields comprise health information systems, evidence-based health informatics, and patient-centered health information systems. She has authored or coauthored more than 400 scientific papers. Dr. Ammenwerth is the Austrian representative at the European Federation for Medical Informatics (EFMI) and at the International Medical Informatics Association (IMIA). She is an elected member of the International Academy of Health Sciences Informatics. Reinhold Haux is a professor for of medical informatics at the Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Germany. From 2007 to 2017 he served as executive director of this institute. He studied medical informatics at the University of Heidelberg/University of Applied Sciences Heilbronn, Germany, where he graduated with a M.Sc. degree (German "Diplom") in 1978. He received a Ph.D. from the Faculty for Theoretical Medicine at the University of Ulm in 1983 and a postdoctoral lecture qualification (German "Habilitation") for medical informatics and statistics from the Medical Faculty of RWTH Aachen University in 1987. Dr. Haux's current research fields are health-enabling technologies, health information systems and management, medical data management, and synergy and intelligence: extended interaction of living and non-living entities. The international Frank - van Swieten Lectures on strategic information management in health information systems have been part of his teaching activities since their start in 2001. He has been chairperson or member of information management boards at various hospitals in Germany and Austria. For the term from 2007 to 2010 he was president of the International Medical Informatics Association (IMIA), an NGO of the WorldHealth Organization. From 2001 to 2015 he was editor of the journal Methods of In

Inhalt
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.