MEDICAL DOCUMENTATION PROGRAMME COURSE DESCRIPTION

Code	Name of the Course Unit	Semester	In-Class Hours (T+P)	Credit	ECTS Credit
OYP106	MEDICAL DOCUMENTATION	2	3	2	3

GENERAL INFORMATION
Language of Instruction :	Turkish
Level of the Course Unit :	ASSOCIATE DEGREE, TYY: + 5.Level, EQF-LLL: 5.Level, QF-EHEA: Short Cycle
Type of the Course :	Compulsory
Mode of Delivery of the Course Unit	-
Coordinator of the Course Unit	Assist.Prof. İLKSEN SARI O
Instructor(s) of the Course Unit
Course Prerequisite	No

OBJECTIVES AND CONTENTS
Objectives of the Course Unit:	This course aims to provide basic education about medical documentation and related concepts.
Contents of the Course Unit:	This course; medical documentation and its definition, the importance and history of medical documentation, its features, indexing of patient files, indexing systems of diseases and surgeries, filing and numbering of patient files, international classification of diseases, architectural structure and features of patient files archives, management and organization, organizational models, The definition and general characteristics of hospitals include e-transformation policies in health.

KEY LEARNING OUTCOMES OF THE COURSE UNIT (On successful completion of this course unit, students/learners will or will be able to)
It aims to learn the general functioning of the hospital.
Teaches the hospital automation system.
Provides professional development.
It provides equipment in the field of basic health and general culture.
Describe medical documentation and its importance.

WEEKLY COURSE CONTENTS AND STUDY MATERIALS FOR PRELIMINARY & FURTHER STUDY
Week	Preparatory	Topics(Subjects)	Method
1	Written, Visual Resources	Introduction of the Course, Explaining the Course Process	Lecture, Question and Answer
2	Literature Review	Medical Documentation and Description of the Document (Archive Definition and Types)	Lecture, Question and Answer
3	Written, Visual Resources	Importance of Medical Documentation	Lecture, Question and Answer
4	Written, Visual Resources	History of Medical Documentation (Patient Files)	Lecture, Question and Answer
5	Written, Visual Resources	Features of Medical Documentation (Health Records, Determination of archive location)	Lecture, Question and Answer
6	Written, Visual Resources	Indexing Patient Files (Patient, Doctor Indexes)	Lecture, Question and Answer
7	Written, Visual Resources	Indexing Systems for Diseases and Surgeries	Lecture, Question and Answer
8	-	MID-TERM EXAM	-
9	Literature Review	Filing and Numbering of Patient Files	Lecture, Question and Answer
10	Written, Visual Resources	International Classification of Diseases	Lecture, Question and Answer
11	Written, Visual Resources	Architectural Structure and Features of Patient Files Archives	Lecture, Question and Answer
12	Written, Visual Resources	Management and Organization of Patient Files Archives (Patient Files Archive Management)	Lecture, Question and Answer
13	Written, Visual Resources	Organization Models in Patient Files Archive (Organization of Document Services)	Lecture, Question and Answer
14	Written, Visual Resources	Definition and General Features of Hospitals	Lecture, Question and Answer
15	Written, Visual Resources	E-Transformation in Health (E-health)	Lecture, Question and Answer
16	-	FINAL EXAM	-
17	-	FINAL EXAM	-

SOURCE MATERIALS & RECOMMENDED READING
AUZEF, Tıbbi Dokümantasyon ve Arşiv Sistemi Ders Notları. https://cdn-acikogretim.istanbul.edu.tr/auzefcontent/ders/tibbi_dokumantasyon_ve_arsiv_bilgisi/1/index.html 2- Editör: Prof. Dr. Aylanur ATAKLI. (2016). Tıbbi Dokümantasyon ve Sekreterlik. Güneş Tıp Kitabevleri.
Editör: Prof. Dr. Aylanur ATAKLI. (2016). Tıbbi Dokümantasyon ve Sekreterlik. Güneş Tıp Kitabevleri.
MEGEP. (2008). Tıbbi Arşivleme. Ankara. http://ismek.ist/files/ismekOrg/file/2013_hbo_program_modulleri/tibbiarsivleme.pdf
Şahin KAVUNCUBAŞI; Selami YILDIRIM. (2018). Hastane ve Sağlık Kurumları Yönetimi. Siyasal Kitabevi
Reinhold Haux. (2006). Health İnformation Systems- Past, Present, Future. International Journal of Medical Informatics. (75). 268-281

ASSESSMENT
Assessment & Grading of In-Term Activities	Number of Activities	Degree of Contribution (%)	Description

Level of Contribution
0	1	2	3	4	5

KNOWLEDGE
Theoretical
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Uses theoretical and practical knowledge in the field of forensic medicine to gain sufficient knowledge about basic, clinical medical sciences and forensic medicine.
2	Gain the ability to identify and solve problems that may be encountered in forensic medicine and autopsy procedures and to obtain postmortem samples by selecting and applying appropriate methods and techniques.
3	Selects the equipment required to have the ability to apply autopsy techniques and use modern imaging techniques.
4	Plans to perform the autopsy and reach a conclusion on determining the cause of death as a result of the autopsy.
5	Having the ability to express oneself adequately in Turkish and English improves self-confidence and professional competence in communicating on certain topics and expressing one's opinions in front of the public.
6	The awareness of the necessity of learning new things throughout life is achieved through technology and the ability to renew oneself.
7	The student gains information about non-field courses.

KNOWLEDGE
Factual
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Providing the materials needed for performing an autopsy and practically performing the autopsy with modern equipment.
2	Accesses information and lists the necessary resources according to this purpose.
3	Provides the ability to use information resources.

SKILLS
Cognitive
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Using the basic knowledge and skills acquired in the field, he/she interprets and evaluates the data, identifies and analyzes the problems and takes part/takes responsibility in the studies planned for the solution.
2	Defines problems using the basic knowledge and skills acquired in the field.
3	Analyzes data using the basic knowledge and skills acquired in the field.
4	Takes responsibility for the work planned for the solution.

SKILLS
Practical
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Interprets data using basic knowledge and skills acquired in the field of health.
2	Uses basic computer programs and related technologies related to the field of health.
3	Takes part in studies planned to solve problems identified in the field of health.

OCCUPATIONAL
Autonomy & Responsibility
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	He/she carries out a given task independently, using his/her basic knowledge in the field of health.
2	Works as a team member to solve unforeseen and complex problems encountered in healthcare-related practices.

OCCUPATIONAL
Learning to Learn
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Evaluates the basic knowledge and skills acquired in the field of health with a critical approach.
2	Being able to determine learning needs and direct learning.
3	Has the awareness of lifelong learning.

OCCUPATIONAL
Communication & Social
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Using the basic knowledge and skills he has on health-related issues, he informs relevant people and institutions, and conveys his thoughts and solution suggestions to problems in written and oral form.
2	She shares her thoughts on health-related issues and solutions to problems with experts and non-experts.
3	With awareness of social responsibility, she contributes to projects and events for the social environment she lives in.
4	Follows the information in the field and communicates with colleagues by using a foreign language at least at the European Language Portfolio A2 General Level.
5	Uses computer software and information and communication technologies at least at the basic level of the European Computer Usage License required by the field.
6	Monitors events on the society's and the world's agenda in the field of health.
7	Is sensitive to developments in the field of health.

OCCUPATIONAL
Occupational and/or Vocational
	Programme Learning Outcomes	Level of Contribution
		0	1	2	3	4	5
1	Acts in accordance with social, scientific, cultural and ethical values ​​during the collection, interpretation, application and announcement of the results of data related to the field of health.
2	Acts in accordance with quality management and processes.
3	Has sufficient awareness of individual and public health, environmental protection and occupational safety.
4	Acts in accordance with the laws, regulations, legislation and professional ethical rules regarding his/her duties, rights and responsibilities as an individual.
5	He/she is an example to society with his/her appearance, attitude, demeanor and behavior.
6	Has experience working with other health disciplines.
7	Develops solution suggestions by considering professional and ethical values.
8	Participates in quality management and processes.

WORKLOAD & ECTS CREDITS OF THE COURSE UNIT
Workload for Learning & Teaching Activities
Type of the Learning Activites	Learning Activities (# of week)	Duration (hours, h)	Workload (h)
Lecture & In-Class Activities	14	3	42
Preliminary & Further Study	14	1	14
Land Surveying	0	0	0
Group Work	0	0	0
Laboratory	0	0	0
Reading	1	3	3
Assignment (Homework)	0	0	0
Project Work	0	0	0
Seminar	0	0	0
Internship	0	0	0
Technical Visit	0	0	0
Web Based Learning	0	0	0
Implementation/Application/Practice	0	0	0
Practice at a workplace	0	0	0
Occupational Activity	0	0	0
Social Activity	0	0	0
Thesis Work	0	0	0
Field Study	0	0	0
Report Writing	0	0	0
Final Exam	1	1	1
Preparation for the Final Exam	1	6	6
Mid-Term Exam	1	1	1
Preparation for the Mid-Term Exam	1	6	6
Short Exam	0	0	0
Preparation for the Short Exam	0	0	0
TOTAL	33	0	73