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VOCATIONAL SCHOOL of HEALTH SERVICES / DEPARTMENT of MEDICAL SERVICES and TECHNIQUES
MEDICAL DOCUMENTATION and SECRETARIAT
Course Catalog
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SHMYO
VOCATIONAL SCHOOL of HEALTH SERVICES / DEPARTMENT of MEDICAL SERVICES and TECHNIQUES / MEDICAL DOCUMENTATION and SECRETARIAT
Katalog Ana Sayfa
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TDOK1025Medical Documentation3+0+0ECTS:5
Year / SemesterFall Semester
Level of CourseShort Cycle
Status Compulsory
DepartmentDEPARTMENT of MEDICAL SERVICES and TECHNIQUES
Prerequisites and co-requisitesNone
Mode of Delivery
Contact Hours14 weeks - 3 hours of lectures per week
LecturerÖğr. Gör. Dr Murat KARATAŞ
Co-Lecturer
Language of instructionTurkish
Professional practise ( internship ) None
 
The aim of the course:
It is aimed to introduce students to medical documents and to teach them the system of organizing and using medical documents.
 
Learning OutcomesCTPOTOA
Upon successful completion of the course, the students will be able to :
LO - 1 : Explain basic concepts related to medical documentation and history. 11,
LO - 2 : Tell the importance of patient files, used areas, coverage and editing. 11,
LO - 3 : Explain information and automation systems in health care facilities.11,
CTPO : Contribution to programme outcomes, TOA :Type of assessment (1: written exam, 2: Oral exam, 3: Homework assignment, 4: Laboratory exercise/exam, 5: Seminar / presentation, 6: Term paper), LO : Learning Outcome

 
Contents of the Course
Basic concepts, Historical Development of Medical Documentation, Patient Files, Electronic Patient Files, Legal Aspects of Medical Documents, Functions of the Archive, Archival Materials and Methods of Storing Archival Materials, International Classification of Diseases, Official Correspondence, Medical Reports, Issues to be Considered in Editing Documents, Quality in Documentation, Medical Documentation in Non-Inpatient Health Institutions.
 
Course Syllabus
 WeekSubjectRelated Notes / Files
 Week 1Basic concepts
 Week 2Historical Development of Medical Documentation
 Week 3Patient Files, Electronic Patient Files
 Week 4Patient Files, Electronic Patient Files
 Week 5Legal Aspect of Medical Documents
 Week 6Legal Aspect of Medical Documents
 Week 7Functions of the archive
 Week 8Archival materials and methods of storing archive materials
 Week 9Midterm Exam
 Week 10International Classification of Diseases
 Week 11Official Correspondence
 Week 12Medical Reports
 Week 13Issues to be taken into consideration when preparing documents + Group Work + Presentation
 Week 14Quality in Documentation
 Week 15Medical Documentation in Hospitals Without Beds
 Week 16Final Exam
 
Textbook / Material
1Ünal, N. 2018; Tıbbi Belgeleme, Anadolu Üniversitesi Yayınları, Eskişehir.
2Sünbüloğlu, K., Sünbüloğlu, V. 1998; Tıbbi Dokümantasyon, Somgür Eğitim Hizmetleri, Ankara.
 
Recommended Reading
 
Method of Assessment
Type of assessmentWeek NoDate

Duration (hours)Weight (%)
Mid-term exam 9 00/00/2024 1 50
End-of-term exam 16 00/00/2024 1 50
 
Student Work Load and its Distribution
Type of workDuration (hours pw)

No of weeks / Number of activity

Hours in total per term
Yüz yüze eğitim 3 14 42
Sınıf dışı çalışma 2 14 28
Arasınav için hazırlık 4 6 24
Arasınav 1 1 1
Dönem sonu sınavı için hazırlık 6 8 48
Dönem sonu sınavı 1 1 1
Total work load144