健康档案专员
健康档案工作人员确保患者档案和机构档案（无论是纸质还是数字形式）得到正确的创建、存放、跟踪、调取和处置。他们使档案可用于照护，保护档案免于丢失和未经授权的访问，并支持从纸质档案向数字档案的转变。
本文由人工智能助手从英文翻译而来，尚未经过母语人士审校。引自英国政府数字与数据专业能力框架（UK GDaD PCF）和 ESCO 的内容保留英文原文。
- 职族
- 信息治理
- UK GDaD PCF 角色
- 无：本参考资料定义该角色
- ESCO 职业
- medical records clerk (ISCO-08 3252); medical records manager (ISCO-08 3252)
级别
| 职级 | 角色级别 | UK GDaD PCF 级别 | 英国公务员职等 | 岗位评估分数 |
|---|---|---|---|---|
| 2 | 档案助理 | — | — | 181 |
| 3 | 档案专员 | — | — | 234 |
| 4 | 高级档案专员 | — | — | 291 |
| 5 | 健康档案经理 | — | — | 376 |
在数字医疗卫生组织中
- 患者档案必须在临床医生需要时可用，因此延误或丢失档案可能直接影响照护。
- 档案包含高度保密的信息，因此工作人员遵守严格的保密和访问规则，并可能经常阅读令人痛苦的内容。
- 大多数组织同时持有纸质和数字档案，因此该岗位包括扫描、编制索引和管理混合档案。
- 档案必须按照保存期限表保存规定的期限，然后归档或安全销毁，并留有审计线索。
- 档案团队经常处理查阅健康档案的请求，这些请求有法定时限。
ESCO 职业与技能
ESCO 列出了雇主对每种职业通常需要（必备）或可能需要（可选）的技能和知识。可将其用作发展谈话的检查清单。
medical records clerk
Medical records clerks organise, keep up-to-date and archive patients` records for medical staff availability. They transfer medical information from a patient’s paper records to an electronic template.
必备技能和知识（30）
技能与能力
- adhere to organisational guidelines
- apply organisational techniques
- archive healthcare users' records
- collect healthcare user's general data
- collect statistics on medical records
- comply with quality standards related to healthcare practice
- deliver case notes
- display medical problems
- follow clinical guidelines
- identify patients' medical records
- maintain healthcare user data confidentiality
- manage digital archives
- manage healthcare users' data
- perform backups
- perform clinical coding procedures
- process data
- type on electronic devices
- use electronic health records management system
- work in multidisciplinary health teams
知识
可选技能和知识（16）
技能与能力
- answer patients' questions
- communicate in foreign languages with health service providers
- communicate in healthcare
- communicate with customers
- handle paperwork
- manage digital documents
- participate in medical records' auditing activities
- review patient's medical data
- send samples to laboratory
- transfer medical information
- use communication techniques
- use databases
- work in a multicultural environment in health care
知识
medical records manager
Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.
必备技能和知识（30）
技能与能力
- apply organisational techniques
- archive healthcare users' records
- collect statistics on medical records
- communicate in healthcare
- comply with legislation related to health care
- follow clinical guidelines
- identify patients' medical records
- manage digital archives
- manage healthcare users' data
- manage information in health care
- oversee record management
- participate in medical records' auditing activities
- perform clinical coding procedures
- recruit employees
- supervise staff
- undertake clinical audit
- use e-health and mobile health technologies
- use electronic health records management system
- work in a multicultural environment in health care
- work in multidisciplinary health teams
知识
可选技能和知识（28）
技能与能力
- advise on medical records
- answer patients' questions
- collect healthcare user's general data
- evaluate employees
- formulate a treatment plan
- interview people
- maintain healthcare user data confidentiality
- maintain treatment records
- manage budgets
- manage workflow processes
- meet the requirements of social security reimbursement bodies
- monitor regulations in social services
- perform backups
- perform records management
- process data
- record healthcare users' billing information
- record treated patient's information
- review patient's medical data
- supervise daily information operations
- transfer medical information
知识
Contains ESCO v1.2.1 data (https://esco.ec.europa.eu/). © European Union. Reuse authorised under Commission Decision 2011/833/EU.