Specialisation: Medical Documentation

 

Place of work / place of training:

·        Hospitals and other facilities of public health

·        University hospitals

·        Pharmaceutical companies

·        Medical research facilities

·        Medical academies

·        Public administrations, e.g. Public health departments

·        Publishing companies, e.g. academic publishing companies

·        Lobbies, associations, organisations, e.g. Employer’s liability insurance association, Association of Statutory Health Insurance Physicians

 

Fields of activity:

Specialists in Media and Information Services ("FAMI") with specialisation in the field of medical documentation render information services in different ways in the medical area and sector.

Their tasks include:

·        Description and indexing of surgical reports, anaesthesia charts, consultation reports, patient’s files and medical information

·        Classification of diagnostic results, diagnoses, therapies, medications, surgeries, complications and symptoms

·        Documentation of data of clinical studies concerning drug studies, drug monitoring, therapy-testing

·        Being in charge of hospitalization archives and patient’s report-archives, performance of administration tasks concerning patients

·        Creating and testing of acquisition-plans, data entry forms and database structures

·        Participation in schoolings

 

“FAMIs” with specialisation in the field of medical documentation are responsible for research, structuring and encoding of information. Additionally, they control, complete, update, maintain and save stored medical data as well as selecting data and editing them. If necessary for treatment, "FAMIs", for example, are also responsible for accounting and research as well as medical quality management. They make statistic analysis, present results and supervise the access to person related medical data.

Concerning patient related data there is a legal requirement to treat medical records confidentially which requires to encode these pieces of information or to make them anonymous in case of passing them on.