Information Package

Program of Medical Documentation and Secretariat

TDS107

MEDICAL DOCUMENTATION I

Course Code
TDS107
Semester
First Term (Fall)
Theory+Practice
3 + 0
ECTS
4
Course TypeCompulsory Course
Course LevelAssociate Degree
Year of Study1
SemesterFirst Term (Fall)
ECTS4
Name of Lecturer(s)
Learning Outcomes

At the end of this course, the students;

  1. Defines the historical development of medical documentation, its basic concepts, and types of medical documents.
  2. Correctly applies quality standards, legal regulations, patient rights, and information technologies in the processes of creating, organizing, using, archiving, and analyzing medical documents.
  3. Learns ways to access medical information in the health field and plans effective and reliable information management within the framework of current technologies and ethical principles.
Mode of DeliveryFace to face
PrerequisitesNo
Recommended Optional Programme ComponentsNone
Course DescriptionThe definition of documentation and medical documentation, the history of documentation and medical documentation, the task and function of documentation, the types of documentation and medical documentation, the responsibilities of medical documentation process, the contents of patient files and medical forms, the information systems in health care providers.
Course Contents
WEEK TOPICS
1st Week Course Introduction: Introduction, Objectives, and Learning Goals
2nd Week Historical Accumulation Processes of Medical Knowledge
3rd Week History of Medical Documentation and Basic Concepts
4th Week Types of Medical Documents and Usage Processes -1-
5th Week Types of Medical Documents and Usage Processes -2-
6th Week Use and Analysis of Medical Documents (Patient File)
7th Week General Evaluation of Topics
8th Week Midterm Exam
9th Week Filing and Archiving (Management of Medical Document Flow)
10th Week Application of Quality Standards in Healthcare in Medical Documentation Processes-1
11th Week Application of Quality Standards in Healthcare in Medical Documentation Processes-2
12th Week Law and Patient Rights in Medical Documentation Processes
13th Week Use of Current Information Technologies in Medical Documentation Processes
14th Week Ways to Access Medical Information Using Artificial Intelligence Tools
Recommended or Required ReadingArtukoğlu, A. (2002). Tıbbi dokümantasyon. Türk Sağlık Eğitim Vakfı Yayınları.
Sherman, I. W. (2021). Dünyamızı değiştiren on iki hastalık (E. Tümbay ve M. Anğ Küçüker, Çev.). Türkiye İş Bankası Kültür Yayınları.
Planned Learning Activities and Teaching Methods
  • Lecture
  • Questions/Answers
  • Practice
  • Problem Solving
  • Presentation
Assessment Methods and Criteria
Quantity Percentage (%)
Mid-term 1 30
Assignment 1 10
Total(%) 40
Contribution of In-term Studies to Overall Grade(%) 40
Contribution of Final Examination to Overall Grade(%) 60
Total(%) 100
ECTS Allocated Based on Student Workload
Activities Quantity Duration (Hour) Total Workload (Hour)
Midterm exam 1 1 1
Preparation for Quiz
Individual or group work 14 3 42
Preparation for Final exam 1 20 20
Course hours 15 3 45
Preparation for Midterm exam 1 15 15
Laboratory (including preparation)
Final exam 1 1 1
Homework 1 1 1
Total Work Load125
Total Work Load / 30 (h)4.16
ECTS Credit of the Course4
Language of InstructionTurkish
Work Placement(s)No
LO1 LO2 LO3
K1 X X
K2 X
K3 X
K4 X X
K5
K6
K7
K8
K9 X X
K10
K11 X
K12
K13 X
K14