BPKMCH | ANNUAL REPORT - 2018

MEDICAL RECORD UNIT

Introduction

Medical record is an essent al part of a pat ent’s present and future health care. As a writen collect on of

informat on about a pat ent's health treatment, they are used essent ally for the present and cont nuing care

of the pat ents.In addit on medical records are used in the planning of health care facilit es and services for

medical research and product on and health care stat st cs

Data is nothing but facts and stat st cs stored or free-flowing over network generally its raw and unprocessed

data becomes informat on when it is processed, turning it into something meaningful.

Functions

Admission procedure, including pat ent ident ficat on, maintenance of the master pat ent

index (MPI)

Retrieval of the medical record for pat ent care and other authorized use

Discharge procedure and complet on discharged or the inpat ents have been discharge

Hospital-based cancer registrat on and coding of diseases with ICD 10

Filling medical records

Evaluat on of the medical record service and

Complet on of the monthly and annual stat st cs

Human Resources

Dipesh Kumar Yadav (Medical Record Officer)

Sangita Bhujel Sapkota (Assistant admin.)

Pravin Jha (Medical Record Assistant )

Bishnu Poudel (Junior Assistant Admin.)

Future Plans

EMR and HMIS are in pipeline