Effective medical record management ensures organized documentation, patient confidentiality, and efficient healthcare delivery. This book covers the structure of medical records, digital health records, data entry protocols, and legal aspects of information handling. Readers gain insight into coding systems, archiving procedures, and hospital information systems (HIS). Emphasis is placed on accuracy, security, and compliance with health regulations. Practical exercises illustrate how to maintain records in various clinical scenarios. It serves as a guide for healthcare administrators, technicians, and data management personnel.
Chika Ekwueme specializes in health information management, with a particular interest in medical record digitization and data governance. She has worked with hospitals and health networks to implement secure and compliant documentation systems. Her research emphasizes the accuracy and accessibility of clinical records in improving patient outcomes. She has presented her findings at several international informatics conferences. Her focus includes coding standards, legal compliance, and interoperability within health documentation systems.