Description
Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients’ data (including verbal, written and electronic) are treated confidentially.
Alternative labels
maintain patients’ records and data
manage patients’ records and data
manage patients’, clients and social service users records and data
manage data of healthcare user
manage health care users’ data
manage health care user’s data
handle patients documentation
Skill type
skill/competence
Skill reusability level
cross-sector
Relationships with occupations
Essential skill
Manage healthcare users’ data is an essential skill of the following occupations:
Physiotherapist: Physiotherapists are autonomous health professionals who are responsible for developing, maintaining or restoring motor function and movement throughout the lifespan using evidence-based practice. They relieve pain and treat or prevent physical conditions associated with injury, disease or other impairments. Physiotherapists empower patients and their carers to manage the condition outside clinical settings. They work within their scope of practice and their professional Code of Conduct.Â
Paramedic in emergency responses: Paramedics in emergency responses provide emergency care to sick, injured, and vulnerable persons in emergency medical situations, before and during transport to a medical facility. They implement and oversee the transfer of the patient in connection with transport. They provide assistance in acute situations, implement life-saving emergency measures, and monitor the performance of the transportation process. As allowed by national law they may also provide oxygen, certain drugs, the puncture of peripheral veins and infusion of crystalloid solutions and perform endotracheal intubation if needed for the immediate prevention of threats for the life or health of an emergency patient.
Doctors’ surgery assistant: Doctors’ surgery assistants support doctors of medicine in medical measures, in performing simple support activities during medical procedures, standardised diagnostic programmes and standardised point-of-care tests, ensuring surgery hygiene, cleaning, disinfecting, sterilising and maintaining medical devices and performing the organisational and administrative tasks required for operating a doctor`s surgery under supervision, following the orders of the doctor of medicine.
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.
Anaesthetic technician: Anaesthetic technicians assist specialised doctors in anaesthetics. They prepare operating theatres and other specialised clinics for anaesthetic procedures, prepare the equipment needed for anaesthesia, and assist with inducing and maintaining adequate anaesthesia and post-anaesthesia procedures. They do so under supervision, following the orders of the doctor of medicine.
Acupuncturist: Acupuncturists make use of thin needles and insert them into acupuncture points in the body in order to restore the imbalances of the human body and overall good health. Acupuncturists focus on energy meridians to treat various conditions.
Biomedical scientist: Biomedical scientists perform all laboratory methods required as part of medical examination, treatment and research activities, particularly clinical-chemical, haematological, immuno-haematological, histological, cytological, microbiological, parasitological, mycological, serological and radiological tests. They perform analytical sample testing and report the results to the medical staff for further diagnosis. Biomedical Scientists may apply these methods in particular in the infection, blood or cellular sciences.
Occupational therapist: Occupational therapists assist individuals or groups who have occupational limitations due to diseases, physical disorders, and temporary or permanent mental disabilities, in regaining their ability to perform daily activities. They provide treatment and rehabilitation to enable them to actively participate in society, to live their lives according to their wishes and to perform those activities that are meaningful to them.
Front line medical receptionist: Front line medical receptionists greet clients and patients as they arrive at the medical facility and check them in, collect patient notes and make appointments work under the supervision and direction of healthcare institution manager.
Music therapist: Music therapists use music-therapeutic interventions to treat patients with behavioural disorders and pathogenic conditions to prevent, mitigate or eliminate symptoms and to change behaviours and attitudes requiring treatment. They promote and maintain or restore the development, maturity and health of the patient/client by music-therapeutic interventions. Music therapy especially provides help for people with with emotional, somatic, intellectually or socially induced behavioural disorders and pathogenic conditions, such as psychoses (schizophrenic disorders, bipolar disorders) and personality development disorders.
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Chiropractor: Chiropractors are responsible for the diagnosis, treatment and prevention of disorders related to the neuromusculoskeletal system and the effects of these disorders on general health. They are independent primary health care professionals.
Nuclear medicine radiographer: Nuclear Medicine Radiographers plan, prepare and perform nuclear medicine examinations, post-processing and treatment with a wide range of equipment and techniques using X-rays, magnetic resonance imaging and radiopharmaceuticals.
Clinical coder: Clinical coders read patients’ medical records. They analyse and interpret medical statements about diseases, injuries and procedures. Clinical coders convert this information into health classification codes in order to calculate treatment reimbursements, to produce statistics and to monitor health care performance.
Optician: Opticians help to improve and correct an individual’s vision according to prescriptions provided by a specialised doctor in ophthalmology or an optometrist. They fit spectacle lenses and frames, contact lenses, and other devices to the specifications of both the individual and the prescription. Opticians do not test patients vision nor write prescriptions for visual correction. Their scope of practice varies according to national regulations.
Radiographer: Radiographers use a range of technologies to examine, treat and care for patients. They work in the fields of Medical Imaging, Radiotherapy and Nuclear Medicine and apply ionising radiation, ultrasound, magnetic resonance imaging and radioactive sources.
Orthoptist: Orthoptists diagnose and treat anomalies of binocular vision. They examine, assess and treat vision impairments, squint, amblyopia and eye motility disorders. Orthoptists apply these methods in particular in the fields of paediatrics, neurology, neuro-ophthalmology, ophthalmology, orthoptics, optometry, pleoptics and strabology assessing functional diseases of the eye for improving functional disorders of the visual system. They also provide counselling, preventive measures and training activities and may refract and prescribe glasses, such as prism corrective glasses.
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Pharmacy technician: Pharmacy technicians, under the supervision of a pharmacist, check incoming goods, control stock, handle and store pharmaceuticals properly. Where permitted by national rules, they dispense medication and provide advice on their appropriate use.
Pharmacist: Pharmacists prepare, dispense, and provide prescriptions for, over the counter medication. They offer clinical information on medicines, report suspected adverse reactions, and provide personalised support to patients. Pharmacists formulate and test medications in laboratories, and store, preserve, and distribute them.
Diagnostic radiographer: Diagnostic radiographers plan, prepare and perform diagnostic imaging examinations and post processing, with a wide range of equipment and techniques using X-rays, strong magnetic fields or Magnetic Resonance Imaging (MRI) and high frequency sound (Ultrasound).
Speech and language therapist: Speech and language therapists focus on the aetiology, assessment, diagnosis, treatment, and prevention of communication and swallowing disorders in people of all ages in order to help them maintain, promote, improve, initiate, or recover the ability to communicate both verbally and nonverbally. They address the development of language, speech, vocal and hearing functions, and disorders and disabilities in the cranial, facial, and oral area.
Dietitian: Dietitians assess specific nutritional requirements of populations or individuals throughout their lives and translate this into advice which will maintain, reduce risk to, or restore people’s health. Using evidence-based approaches, dietitians work to empower individuals, families and groups to provide or select food which is nutritionally adequate, safe, tasty and sustainable. Beyond healthcare, dietitians improve the nutritional environment for all through governments, industry, academia and research.
Specialist pharmacist: Specialist pharmacists provide specialist services for companies in the pharmacy industry and in hospital pharmacies.  The role of the specialist pharmacist varies throughout Europe, subject to national rules and training.
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Massage therapist: Massage therapists provide therapeutic massage treatments to improve the well-being of their clients. They perform a variety of massage types such as shiatsu and swedish massage, according to their client’s needs and preferences.
Midwife: Midwives assist women in childbirth by providing the necessary support, care and advice during pregnancy, labour and the postpartum period, conduct births and provide care for the new-born. They advise on health, preventive measures, preparation for parenthood, detection of complications in mother and child, accessing of medical care, promoting normal birth and carrying out emergency measures.
Health psychologist: Health psychologists deal with the various aspects of health related behaviour of individuals and groups, by helping individuals or groups prevent illness and promote healthy behaviours by also providing counseling services. They perform tasks for the development of health promotion activities and projects on the basis of psychological science, research findings, theories, methods and techniques. They also engage in research about health related issues to influence public policy on health care issues.
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.
Advanced physiotherapist: Advanced physiotherapists are highly specialised. They make complex decisions and manage risks in unpredictable contexts and within a defined area. They may focus on a specific area of clinical practice, education, research or professional management.
Therapeutic radiographer: Therapeutic radiographers prepare and perform safe and accurate high-energy radiation treatments to patients, using a wide range of sophisticated equipment and techniques, to target the area to be treated, and computer planning to produce a plan of the dose distribution across the area to be treated.
Specialist biomedical scientist: Specialist biomedical scientists lead a department or specialist area, working as a diagnostic partner with a clinical team (investigating and diagnosing patient illnesses like diabetes, haematological disorders, coagulation, molecular biology or genomics) or undertaking clinical research projects.
Psychotherapist: Psychotherapists assist and treat healthcare users with varying degrees of psychological, psychosocial, or psychosomatic behavioural disorders and pathogenic conditions by means of psychotherapeutic methods. They promote personal development and well-being and provide advice on improving relationships, capabilities, and problem-solving techniques. They use science-based psychotherapeutic methods such as behavioural therapy, existential analysis and logotherapy, psychoanalysis or systemic family therapy in order to guide the patients in their development and help them search for appropriate solutions to their problems. Psychotherapists are not required to have academic degrees in psychology or a medical qualification in psychiatry. It is an independent occupation from psychology, psychiatry, and counselling.
Specialist chiropractor: Specialist chiropractors have an advanced knowledge and understanding in a specific chiropractic area, acquiring complex decision making skills and clinical competency within the scope of the chiropractic profession. Specialist chiropractors may have undertaken an advanced course of studies to acquire the necessary skills and competency and qualification. Specialist chiropractors may be found in different specific fields such as education, functional neurology, orthopaedics, paediatrics, research, radiology, sport.
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Optometrist: Optometrists examine and test eyes to identify abnormalities, visual problems, or disease. They prescribe and fit lenses such as spectacles and contacts, and offer advice on visual problems. They may also refer patients to a medical practitioner. Their scope of practice and title varies according to national regulations.
Pharmacy assistant: Pharmacy assistants perform general duties, such as stock management, serving at the cash desk, or performing administrative duties. They deal with the inventory within the pharmacy under the supervision of a pharmacist.
Clinical psychologist: Clinical psychologists diagnose, rehabilitate, and support individuals affected by mental, emotional, and behavioural disorders and problems as well as mental changes and pathogenic conditions through use of cognitive tools and appropriate intervention. They use clinical psychological resources on the basis of psychological science, its findings, theories, methods, and techniques for the investigation, interpretation, and prediction of human experience and behaviour.
Audiologist: Audiologists assess, diagnose and treat patients ( children or adults) with audiological and vestibular disorders caused by infectious, genetic, traumatic or degenerative conditions, such as hearing loss, tinnitus, dizziness, imbalance, hyperacusis and auditory processing difficulties. They can prescribe a hearing aid and have a role in assessing and managing patients who may benefit from cochlear implants.Â
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Podiatrist: Podiatrists are foot specialists who study foot physiology and pathology from a structural and functional standpoint. They assess, diagnose, and treat physical, sporting injuries, rehabilitation, medical and surgical problems of the foot and lower limb in their clinical practice. Podiatrists are active outside the clinical environment in research, medico-legal, and forensic activities. Podiatrists act within the scope of their podiatry training, experience, and regulating authority of their member country.
Healthcare assistant: Healthcare assistants work together in a team with registered nurses within the occupational fields of nursing, care and maintenance of people of all age-groups in all diverse acute care settings as well as in primary care environments.
Dental practitioner: Dental practitioners prevent, diagnose and treat anomalies and diseases affecting the teeth, mouth, jaws and adjoining tissues.
Art therapist: Art therapists help patients overcome psychological and emotional difficulties through an artistic process which reflects emotions and feelings, focusing on patients who suffer a variety of problems such as mental, psychological, and behavioural disorders in order to facilitate self-understanding and awareness.
Physiotherapy assistant: Physiotherapy assistants work under supervision, within defined contexts using agreed treatment protocols and procedures such as collecting client data and maintaining the equipment required in physiotherapy interventions. The overall responsibility is retained by the delegating professional.
Optional skill
Manage healthcare users’ data is optional for these occupations. This means knowing this skill may be an asset for career advancement if you are in one of these occupations.
Medical administrative assistant: Medical administrative assistants work very closely with health professionals. They provide office support such as correspondence, fixing appointments and answering queries of patients.
Clinical perfusion scientist: Clinical perfusion scientists operate heart-lung equipment during surgical operations to ensure breathing and blood circulation. They work as part of the surgical team, connect patients to the heart-lung machines in preparation for surgery, monitor their condition during surgery, report to the team on the patients’ status and determine the necessary techniques according to their needs.
Dietetic technician: Dietetic technicians assist dietitians in planning nutritional programmes and in planning menus for patients as part of an overall treatment plan under supervision of a dietitian. Under supervision of a dietitian, dietetic technicians assist dietitians in patient reviews, enteral feeding discharge planning, and clinical auditing which includes nutritional screening.
Respiratory therapy technician: Respiratory therapy technicians assist doctors and surgeons to treat respiratory problems. They work in hospitals and medical facilities where they operate medical equipment to test patients’ respiratory conditions and aid in their treatment. Respiratory therapy technicians also tend to breathing equipment and machines during surgery.
Medical practice manager: Medical practice managers manage the day-to-day operations of a medical practice. They oversee the staff and business side of the practice.
Complementary therapist: Complementary therapists use a range of complementary and alternative therapies to work simultaneously with the clients` body, mind, and spirit in a holistic approach. They offer practices and services for holistic wellbeing, health maintenance, health education, health promotion and prevention of illness, along with the sustainable treatment of certain illnesses, especially chronic illnesses. Their practices include but are not limited to acupuncture, aromatherapy, banotherapy, homeopathy, and herbal medicine.
Recreational therapist: Recreational therapists offer treatment to persons who have behavioural disorders or conditions. They use techniques and interventions such as art, music, animals and dance to promote, maintain and restore the development and health of the patient.
References