این کتاب برای دانشجویان رشته مدارک پزشکی در مقطع کاردانی به عنوان منبع اصلی درس «زبان تخصصی» به ارزش 2 واحد تدوین شده است.
گزیده کتاب
1. The Medical Record 2. Medical Records in Ambulatory Care 3. Hisory of Mental Health Care in the United States 4. Role of HIM Professional 5. History of the Problem-Oriented Medical Record 6. Basic Parts of the Problem-Oriented Medical Record 7. Responsibility for Medical Record Quality 8. Forms Design and Control 9. Types of Medical Record Documentation Analyses 10. Information Systems in Health Care References