Royal Decree 768/2014 of 12 September, establishing the title of Superior Technician in Sanitary Documentation and Administration and establishing its minimum teachings, acts in accordance with Royal Decree 1147/2011, On 29 July, the general organisation of vocational training in the education system, which defines in Article 9 the structure of vocational training qualifications and courses of specialisation, is established on the basis of the National catalogue of vocational qualifications, the guidelines laid down by the European Union and other aspects of social interest and implements the aforementioned title of Sanitary Documentation and Administration.

Organic Law 2/2006, of 3 May, of Education, provides that educational administrations will develop the curriculum of vocational training diplomas, starting with the basic curriculum and under the conditions laid down in the Article 6a 4. The teaching centres shall develop and complete, where appropriate and as established by the educational authorities, the curriculum of the different stages and cycles in use of their autonomy as set out in Chapter II of Title V of the said Directive. Organic Law.

Royal Decree 768/2014 of 12 September 2014 in its Single Derogation Provision repeals Royal Decree 555/1995 of 7 April 1995 establishing the curriculum of the higher education cycle corresponding to the title of the Superior Technician in Sanitary Documentation, established under the Organic Law 1/1990, of October 3, of General Ordination of the Educational System.

In accordance with the above and once the Royal Decree 768/2014 of 12 September has set the professional profile of the title of Superior Technician in Sanitary Documentation and Administration, the basic aspects of the curriculum and other aspects of the academic organisation which ensure a common formation and guarantee the validity of the titles throughout the national territory, it is now necessary to determine, in the field of management of the Ministry of Education, Culture and Sport, the extension and contextualization of the contents of the professional modules included in this title, respecting the professional profile of the same.

The needs of an integrated labour market in the European Union require that vocational training courses pay particular attention to the languages of the Member States, incorporating them into their training offer. In this sense, this formative cycle incorporates in the curriculum training in the English language, in response to the provisions of Royal Decree 1147/2011, of July 29.

addition, the curriculum of this training cycle is established from the respect of the pedagogical, organizational and management autonomy of the centers that provide professional training, promoting these the work in the team of the teachers and the development of training, research and innovation plans in their teaching field and actions to promote the continuous improvement of training processes.

On the other hand, vocational training centres will develop the curriculum established in this order, taking into account the characteristics of pupils, with particular attention to the needs of people with disability.

Finally, it should be specified that the curriculum of this formative cycle integrates the scientific, technological and organizational aspects of the teachings established to achieve that the students acquire an overall view of the processes own production of the professional profile of the top technician in Sanitary Documentation and Administration.

In the process of drafting this order, the State School Board has issued a report.

For all of the above, in its virtue, I have:

CHAPTER I

General provisions

Article 1. Object.

This order is intended to determine, from the basic curriculum set out in Royal Decree 768/2014 of 12 September, establishing the title of Superior Technician in Sanitary Documentation and Administration and set out its minimum lessons, the curriculum of the higher grade training cycle corresponding to that title.

Article 2. Scope.

The curriculum established in this order will be applied in the territorial area of management of the Ministry of Education, Culture and Sport.

CHAPTER II

Curriculum

Article 3. Curriculum.

1. The curriculum for vocational training of the educational system corresponding to the title of Higher Technician in Documentation and Health Administration, set out in Royal Decree 768/2014 of 12 September, is determined in the terms set in this order.

2. The professional profile of the curriculum, which is expressed by the general competence, the professional, personal and social skills, and the qualifications and the competence units of the National Catalogue of Professional Qualifications, is the included in the title of Higher Technician in Sanitary Documentation and Administration, referred to in the previous section.

3. The general objectives of the training cycle curriculum, the objectives of the professional modules expressed in terms of learning outcomes and their assessment criteria are those included in the title of Senior Technical Documentation and Health Administration referred to in paragraph 1 of this Article.

4. The contents of the professional modules that make up this curriculum, adapted to the socio-economic reality as well as to the perspectives of economic and social development of the environment, are those set out in Annex I of this order.

Article 4. Adaptation to the socio-productive environment.

1. The curriculum of the training cycle regulated in this order is established taking into account the socio-economic reality and the geographical, socio-productive and labour characteristics of the environment for the implementation of the title.

2. Vocational training centres shall have the necessary educational, organisational and economic management autonomy for the development of the teaching and their adaptation to the specific characteristics of the socio-economic, cultural and professional.

3. The centres authorised to provide this training cycle will concretize and develop the organizational and curricular measures that are most appropriate to the characteristics of their students and their productive environment, in a flexible way and in the use of their Pedagogical autonomy, in the general framework of the educational project, in the terms established by the Organic Law 2/2006, of Education.

4. The curriculum of the training cycle regulated in this order will be developed in the didactic programs or curricular development, strengthening or creating the culture of prevention of occupational risks in the spaces where the different modules are delivered professionals, as well as promoting a culture of environmental respect, excellence in work, compliance with quality standards, creativity, innovation, gender equality and respect for equal opportunities, the " design for all people " and universal accessibility, especially in relation to people with disabilities.

Article 5. Adaptation to the educational environment.

1. The vocational training centres managed by the Ministry of Education, Culture and Sport will develop the curriculum established in this order, taking into account the characteristics of pupils and the environment, particularly in the light of persons with disabilities, in conditions of accessibility and with the necessary support resources to ensure that this student can cure these teachings under the same conditions as the rest.

2. Also, the lessons of this cycle will be taught with a flexible and open methodology, based on self-learning and adapted to the conditions, abilities and personal needs of the students, in order to allow the reconciliation of the learning with other activities and responsibilities.

Article 6. Duration and sequencing of professional modules.

1. The total duration of the lessons for this training cycle, including the vocational training module in the workplace, is 2,000 hours.

2. The professional modules of this training cycle, when offered under face-to-face arrangements, will be organised in two academic courses and will be in line with the weekly hourly sequencing and distribution set out in Annex II of this order.

3. The first academic year will be fully developed in the educational center. In order to be able to pursue the second course, it will be necessary to have completed the professional modules which, as a whole, are at least 80% of the hours of the first course.

4. The right of registration of those who have passed any professional module in another Autonomous Community shall be guaranteed in the terms laid down in Article 48.3 of Royal Decree 1147/2011 of 29 July 2011 establishing the general vocational training of the educational system.

5. In general, during the third quarter of the second year, and once the positive evaluation has been achieved in all the professional modules carried out in the educational centre, the vocational training module will be developed in job.

6. Exceptionally, and in order to facilitate the adaptation of the number of persons registered to the availability of training positions in enterprises, approximately half of the second-year students will be able to develop this vocational training module. Training in workplaces during the second trimester of the second year, provided they have positively overcome all the professional modules of the first academic year.

7. Without prejudice to the foregoing and as a result of the temporality of certain economic activities which may prevent the development of the vocational training module in the workplace from being in conformity with the above assumptions, the latter may be organise in other periods coinciding with the development of the economic activity of the professional profile of the title.

8. In any case, the evaluation of the vocational training module in the workplace will be conditional on the positive evaluation of the rest of the professional modules of the training cycle.

Article 7. Project Professional Module.

1. The project professional module has an interdisciplinary character and incorporates the technological and organizational variables related to the essential aspects of the professional competence of the title of Superior Technician in Documentation and Health Administration.

2. In general, this module will be taught by the teachers who are tutoring training in job centers.

3. The project professional module will be developed during the last period of the training cycle, combining individual and collective tutoring, so that at least 50% of the total duration will be carried out in an in-person manner and completed with remote tutoring in which information and communication technologies will be used.

4. In any case and prior to the start of the vocational training module in the workplace, the teaching and learning activities to facilitate the development of the project professional module should be anticipated by the responsible teacher.

5. The evaluation of this professional module will be conditional on the positive evaluation of the rest of the professional modules of the training cycle, including the training in job centers.

Article 8. Bilingual teaching.

1. The curriculum of this training cycle incorporates the English language in an integrated way, at least in two professional modules, from among those that make up the whole of the training cycle. These modules will be taught by teachers with teaching assignment in them and, in addition, they will have the language enablement corresponding to level B2 of the Common European Framework of Reference for Languages.

2. In order to ensure that bilingual education is delivered in the two academic courses of the training cycle on an ongoing basis, professional modules of both courses will be chosen.

3. The modules which may be imparted in the English language are those listed in Annex III.

4. As a result of the greater complexity of the transmission and reception of teaching in a language other than the mother tongue, professional modules taught in the English language will increase their time load in three hours a week. for the set of modules that are delivered in the first year and two hours for which they are developed during the second course. In addition, the teachers who provide these professional modules will be assigned, in their individual hours, at least three hours a week for their preparation. These hours will have the same character as the reading hours.

5. Exceptionally and on a transitional basis up to the year 2020, when teachers with teacher allocation do not have the level of English required in these professional modules, they will share a total of three hours per week for all the teachers. modules to be delivered in the first year and two hours for those who develop during the second course with a teacher or a teacher of the English specialty. In this case, the programming of these modules will include at least one unit of work or didactics which will be developed exclusively in the English language and the other teaching units will incorporate teaching activities exclusively in English at that time allocated.

6. Exceptionally, in the case of students or students with disabilities who may have difficulties in their oral expression (cerebral palsy, deafness ...), more flexible and/or alternative measures will be put in place. the requirement for the provision of modules in the English language, so as to enable all the teaching of professional modules in the Spanish language. These adaptations shall in no case be taken into account in order to undermine the qualifications obtained.

CHAPTER III

Teachers, spaces and equipment

Article 9. Qualifications and accreditation of teacher requirements.

1. The specialties of teachers with teaching assignment in the professional modules which constitute the teachings established for the title referred to in Article 1 of this order, as well as the equivalent qualifications for the purposes of teaching, are the entries respectively in Annexes III A and III B to Royal Decree 768/2014 of 12 September 2014.

2. In order to ensure compliance with Article 12.3 of Royal Decree 768/2014 of 12 September 2014, for the delivery of the professional modules that make up the company, in private or public ownership centers of other administrations other than educational administrations, it must be established that all the requirements set out in that Article are met, with the following documentation:

(a) Photocopy of the official academic title required, in accordance with the qualifications included in Annex III C to Royal Decree 768/2014 of 12 September. Where the certificate submitted has direct correspondence with the professional module to be delivered, it shall be deemed to include in itself the objectives of that module. Otherwise, in addition to the titration, the documents referred to in subparagraph (b) or (c) shall be provided.

(b) In the event that it is necessary to justify that the teachings leading to the titration provided encompass the objectives of the professional modules that are intended to be taught:

Personal academic certification of studies performed, original or photocopied, issued by an official center, in which the teachings are recorded detailing the subjects.

Programs of the studies provided and submitted by the person concerned, original or photocopy of the studies, sealed by the corresponding official or authorized official or official University or Center.

c) Where it is necessary to justify by means of the work experience which, at least for three years, has developed its activity in the sector related to the family, its duration shall be credited by the appropriate supporting official document, which shall be added to:

Certification of the employer or employer in which the activity developed by the person concerned is specifically recorded. This activity must be implicitly related to the learning outcomes of the professional module that is intended to be delivered.

For those who are self-employed, a statement of the person concerned with the most representative activities related to learning outcomes.

Article 10. Spaces and equipment.

The spaces and facilities to be assembled by the vocational training centres, in order to enable the development of teaching activities, are those set out in Annex IV of this order and must comply with the Article 11 of Royal Decree 768/2014 of 12 September 2014, as well as the rules on equal opportunities, "design for all persons" and universal accessibility, prevention of occupational risks and safety and health at the workplace.

CHAPTER IV

Other offerings and mode of these teachings

Article 11. Distance offering.

1. Professional modules offered at a distance, when required by their characteristics, will ensure that students achieve all the objectives expressed in learning outcomes, through face-to-face activities.

2. The Provincial Directorates and the Board of Education shall take the necessary measures and shall give the precise instructions to the centres which are authorized to provide this training cycle under pressure for implementation and operation of the offer from the same distance.

3. Centres authorised to provide vocational training lessons at a distance shall have appropriate curriculum materials which will be adapted to the provisions of the fourth additional provision of the Organic Law 2/2006 of 3 May.

Article 12. Combined offering.

In order to respond to personal needs and interests and to provide the possibility to reconcile training with work activity, with other activities or situations, the offer of these teachings for people adults and young people in special circumstances may be combined between face-to-face and distance learning systems at the same time, provided that the same modules are not cured in both modes at the same time.

Article 13. Offer for adults.

1. The professional modules of this training cycle associated with the competence of the National Catalogue of Professional Qualifications may be the subject of a modular offer for adults.

2. This training will be developed with an open and flexible methodology, adapted to the conditions, capabilities and personal needs that enable them to reconcile learning with other activities and responsibilities, in compliance with the Chapter I of Title IV of Royal Decree 1147/2011 of 29 July 2011. In addition, such training shall be capitalizable in order to obtain a professional training certificate, in order to obtain evidence of the established access requirements.

3. In order to reconcile learning with other activities and responsibilities, the Provincial Directorates and the Board of Education may establish specific measures to comply with the provisions of Article 41 of Royal Decree 1147/2011, July 29 and enable a face-to-face and remote offering simultaneously.

4. In order to promote training throughout life, the Directorate-General for Vocational Training of the Ministry of Education, Culture and Sport may authorise the Provincial Directorates and the Education Ministry to give the training, in the centres of their competence, of professional modules organised in training units of shorter duration. In this case, each learning result, with its evaluation criteria and its corresponding block of contents, will be the minimum and indivisible unit of partition.

Additional disposition first. Authorization to impart these teachings.

The Provincial Directorates and the Board of Education will deal with the Directorate-General for Vocational Training with the authorization to provide the teaching of this training cycle, in full or in part, in In-person and distance-based arrangements, of the institutions that request it and comply with the requirements required under the current legislation.

Additional provision second. Linguistic enablement of bilingual teaching faculty.

Teachers who are to be taught in English must be in possession, before the date of commencement of each academic year, of the relevant language qualification, to which the Ministry of Education, Culture and Sport will carry out an enabling procedure before the start of each course.

Additional provision third. Training of bilingual teaching staff.

The Provincial Directorates and the Board of Education will schedule courses and training activities in the English language for all teachers of vocational training to be taught in professional modules. which may be taught in the English language, who will have the obligation to assist them until they obtain the required qualification. These measures shall apply until at least the year 2020.

The training to be offered will be three types:

a) Intensive training, through a course, preferably in face-to-face mode, during the month of September.

b) Long-term training throughout the school year, by means of a course that combines in-person and online form, which will be performed outside of the mandatory time in the training center. During the period of completion of the vocational training module in the workplace, this course will be intensified and will be carried out, as far as possible, within the required time of stay in the centre.

(c) Training in English-speaking country, through courses, which will be possible to include cultural visits and conferences, and which will be carried out at the end of the course after the completion of school activities in the training centres.

Single transient arrangement. Replacement of titles related to these teachings.

1. The students who, at the end of the school year 2015 -2016, meet the conditions required to pursue the second course of the title regulated in Royal Decree 543/1995, of April 7, for which the title of Superior Technician is established in Health documentation and the corresponding minimum teaching under the Organic Law 1/1990 of 3 October of General Management of the Educational System and which has not exceeded any of the professional modules of the first course of the title, it will have two calls in each of the two successive years to be able to overcome these modules professional. After that period, in the 2018-2019 school year, the convalidations will apply to the superimposed modules, as set out in Article 15.1 of Royal Decree 768/2014 of 12 September, governed by the Organic Law 2/2006, of 3 of May.

2. To the students who, at the end of the school year 2015 -2016, do not meet the conditions required to attend the second course of the title of Superior Technician in Sanitary Documentation, established by Royal Decree 543/1995, of April 7, under cover of The Organic Law 1/1990, of October 3, will be applied to the convalidations established in article 15.1 of the Royal Decree 768/2014, of 12 September, regulated by the Organic Law 2/2006, of May 3.

3. The students who, at the end of the school year 2016-2017, do not meet the conditions required to obtain the title of Superior Technician in Sanitary Documentation, established by Royal Decree 543/1995, of April 7, under the Law of Organic Law 1/1990, of 3 October, will have two calls in each of the two successive years to be able to overcome these professional modules, with the exception of the training module in the centre of work for which a school year will be available supplementary. The students who have passed that period have not obtained the title will be applied to the convalidations, for the modules surpassed, established in article 15.1 of the Royal Decree 768/2014, of 12 September, regulated by the Organic Law 2/2006, of 3 May.

Final disposition first. Application of the order.

The Directorate-General for Vocational Training, in the field of its powers, is authorised to take the measures and to issue the necessary instructions for the implementation of the provisions of this order.

Final disposition second. Implementation of these teachings.

1. In the course of 2015-2016, the first course of the training cycle referred to in Article 1 of this order will be implemented and the lessons of the first course covered by the Organic Law 1/1990 of 3 October will cease to be taught. corresponding to Royal Decree 543/1995 of 7 April.

2. In the course of 2016-2017 the second course of the training cycle referred to in Article 1 of this order will be implemented and the second course teachings covered by the Organic Law 1/1990 of 3 October will cease to be taught. corresponding to Royal Decree 543/1995 of 7 April.

Final disposition third. Entry into force.

This order will take effect the day following your publication in the "Official State Bulletin".

Madrid, 21 July 2015.-The Minister of Education, Culture and Sport, Iñigo Méndez de Vigo and Mr Mondez.

ANNEX I

Professional Modules

1. Professional Module: Managing patients.

Code: 1515.

Contents:

a) Hospital hospital bed management:

Healthcare center resources:

Types of health centers.

Resource types and distribution.

A center's service portfolio.

Normalization in care benefits. Legislation.

Bed management:

Basic concepts.

Bed resource distribution map in the center.

Bed allocation and coordination procedures.

Coordination procedures between surgical interventions, disposable income and beds.

Manual and computer recording systems and supports for recording of care episodes.

Billing check-in systems for episodes.

Computer application for bed management:

Result of database scan on occupancy and bed allocation.

Referral of patients:

Basic concepts.

Information needs and resource standardization.

pipeline management computing application.

Hospital bed utilization management regulations.

b) Managing income and high patients:

Functions of the patient intake service in a healthcare facility.

Demographics and Demographic Data:

Definition.

Data for filiation and opening of clinical history.

Patient master file.

Demographic indicators.

Computer application for managing the patient master file.

Individual health card:

Concepts, features, and functions.

Individual health card databases.

Revenue, High, and Move:

Definition.

Computing application for revenue management and hospital high-ups.

Waiting lists.

Computer application for emergency service admission management.

Clinical-administrative documentation management techniques.

Care episode records.

Fulfillment of paperwork related to billing for the service.

Billing record.

Patient classification procedures according to the billing record.

Case file techniques.

Episode control techniques and documentation moves.

Lineage regulations in the patient master file.

Revenue and hospital and emergency regulations.

Data protection regulations applicable to revenue and high.

c) Processing of test and treatment referrals:

Receiving requests for tests and treatments from the various services.

Processing of requests for tests and treatments directed to other hospital settings.

Computer records.

Map of reference health centers.

Healthcare Testing Catalogs and Services.

Paperwork to coordinate the citation of a healthcare facility and provide the necessary clinical documentation.

Derivations management regulations.

d) Health transport management and other complementary care services:

Complementary care benefits:

Oxygenotherapy and aerosoltherapy.

Dialysis.

Rehabilitation.

Day hospitals (geriatric, oncology, and radiation therapy).

Protocols for managing care capabilities. Normalization.

Legislation.

Computer application for the management of complementary capabilities.

Healthcare transport management:

Healthcare transport.

Transport types.

Indications.

Set transport rules.

Protocols for managing health transportation and demanding clinical needs.

Administrative-clinical documentation for the transfer or receipt of patients in health care.

Coordination of available health transport resources.

Rules set.

e) Realization of citations in outpatient activity and diagnostic tests:

Calendars:

Concepts and types.

Coordination of available resources.

Specific application for the management of outpatient citations and prior appointment in primary care, hospital care and diagnostic tests:

Structure of service and outpatient service agendas.

Paperwork for the citation of patients on established agendas for outpatient appointments.

Record the information for proper programming.

Coordination of the citation of outpatient activity in the center itself and with other centers:

Clinical documentation required.

Coordination procedures in outpatient referrals received at the hospital from other centers.

Reporting and statistics for outpatient activity:

Methodology.

2. Professional module: Clinical terminology and pathology.

Code: 1516.

Contents:

a) Identification of the structure and training of clinical terms:

The origin of the clinical terminology.

General characteristics of medical terms:

Functions.

Properties.

Semantic types of medical terms.

Medical term structure and construction:

Top resources.

Acronyms and acronyms.

Roots, prefixes, suffixes, and particles in medical terminology:

Classification of prefixes according to their meaning.

Classification of suffixes according to their meaning and the grammatical category.

Classification of roots according to the anatomical structure and functional characteristics.

Normalization in clinical terminology.

Abbreviations in the health documentation.

b) Recognition of the structure and general organization of the human body:

Body systems and appliances:

Classification.

Composition.

anatomical relationships between systems and appliances.

Functions of the different appliances and systems:

Physiological activity of appliances and systems.

Regulation of the activity.

Relationships between the function of systems and appliances.

Regions and body cavities:

Regional Division of the body.

Cavities in the skull, thorax, and abdomen.

Address and position terminology:

anatomical position.

Location and anatomical relationship terms.

Pathophysiological processes:

Infection and inflammation.

Immunity disorders.

Tumor development.

Hemodynamic disorders.

Eating and metabolism disorders.

Medical and surgical specialties.

c) Recognition of cardiovascular system disorders:

Functional parameters:

Blood Pressure.

Pulse.

Heart rhythm.

Heart manifestations.

Vascular manifestations.

Heart disease:

Valvulopathies.

Ischemic heart disease.

Driving disorders.

Heart failure.

Vascular pathology:

Arterial hypertension.

Lung circulation diseases.

Cerebrovascular Disease.

Arterial and venous pathology.

Blood Disorders and Haematopoietic Organs:

Anemias.

Leukopathies.

Coagulation defects.

Diagnostic and therapeutic procedures.

d) Recognition of respiratory tract disorders:

Physiology of breathing:

Mechanics of breathing.

Gas exchange.

Respiratory manifestations:

Dyspnea. Cough and expectoration.

Respiratory Pathology:

Acute respiratory infections.

Pneumonia and flu.

COPD.

Respiratory Failure.

Bronchopulmonary Carcinoma.

Diagnostic and therapeutic procedures.

e) Recognition of digestive system disorders:

Process of digestion and absorption.

Metabolism of food.

Nutrition disorders:

Malnutrition and malnutrition. Classification. Causes.

Nutrient-specific deficits.

Eating disorders. Anorexia. Bulimia.

Digestive manifestations.

digestive tract diseases:

Inflammatory pathology.

Tumor pathology.

Gastric and duodenal ulcers.

colon cancer.

Abdominal cavity hernias.

Hepatic and Biliary Pathology:

Biliary lithium.

Acute and chronic hepatitis.

Hepatic impairment and cirrhosis.

Pancreatic pathology:

Acute and chronic pancreatitis.

Diagnostic and therapeutic procedures.

f) Recognition of the disorders of the genitourinary apparatus:

The process of urine formation.

Urinary manifestations.

Renal pathology:

Acute and chronic inflammations.

Acute and chronic renal impairment.

urinary tract diseases:

Renal litiasis.

Male Genital Pathology:

Prostatic hyperplasia.

Female Genital Pathology:

Pelvic inflammatory disease.

Uterine tumor pathology.

Pathology of the breast. Breast cancer.

Diagnostic and therapeutic procedures.

3. Professional Module: Extraction diagnostics and procedures.

Code: 1517.

Contents:

a) Selection of medical diagnostics in clinical documentation:

Health and disease.

Pathology sources:

Etiology.

Physiopathology.

Semioologies. Signs and symptoms.

Disease groups.

Evolution of the disease:

Phases or periods.

Incidences in the course of the disease.

Clinical data in health documentation:

Reason for entry.

Personal background.

Family background.

Disease course.

b) Selection of diagnostic and therapeutic procedures in clinical documentation:

Diagnostics:

Features.

Types.

Resources for diagnostics.

Anamnesis.

Physical scan:

Patient observation. Palpation. Percussion. Auscultation.

Complementary scans:

Clinical analysis.

Measurement of electrical impulses. ECG. EEG. EMG.

Diagnostic techniques through the image.

Endoscopies.

Cytological and pathological study.

Treatment:

Drugs.

Surgical interventions.

Rehabilitation techniques.

Using physical agents.

Other therapeutic resources.

c) Identification of Cancer Diagnostics and Procedures:

Classification and epidemiology of neoplasms:

benign and malignant neoplasms.

Neoplasms based on anatomical location.

Neoplasms according to histology.

Epidemiological characteristics of cancer.

Oncology nomenclature.

Histological terms of tumors.

Tumor growth biology:

Growth and dissemination.

Primary neoplasms and metastasis.

Manifestations of tumors:

Local demonstrations.

General demonstrations. Constitutional syndrome.

Graduation and staging of the tumor:

TNM Classification.

Oncology diagnostics and procedures:

Radiation Therapy.

Chemotherapy.

d) Obtaining obstetric diagnostics and procedures:

Pregnancy. Phases:

Fetal growth: embryonic period and fetal period.

Diagnostic tests and medical controls.

prenatal diagnostic techniques.

Delivery. Phases:

Prepare.

Dilation and amniorrexis.

Expulsion.

Post-delivery and puerperium.

Incidents in pregnancy:

ectopic pregnancy.

Abortion.

Complications related to pregnancy and childbirth.

Incidences in childbirth:

Eutococcal delivery and dystocic delivery.

Alterations in pre-delivery.

Complications in the course of delivery.

Incidences in post-partum and puerperium.

Obstetric diagnostics and procedures:

Instrumental delivery.

C-section.

e) Identification of diagnostic and therapeutic diagnosis and procedures in injury and trauma:

Fractures and luxations:

Pathological fractures and traumatic fractures.

Types of traumatic fractures. Common locations.

Clinical terminology in trauma.

Fractures open and closed.

Wounds.

Injuries.

Burns:

Degrees.

Extension of the affected body surface.

Diagnostics and procedures in traumatology.

f) Identification of diagnostics and therapeutic procedures in poisonings:

Pharmacology:

Pharmacokinetics.

Therapeutic actions. Undesirable actions. Adverse actions.

Drug groups:

Antibiotics and other anti-infectives.

Anticoagulants.

Analgesics, antipyretics, and anti-inflammatory drugs.

Sedantes and hypnotics.

Diuretics.

Adverse drug reactions.

Poisoning by drugs and biological products.

Toxic effects of other non-medicinal substances.

Circumstances of intoxication.

g) Identification of diagnostic and therapeutic procedures in other pathologies:

Endocrine diseases:

Physiopathology of the endocrine glands.

General classification of endocrine pathology. Concept of hyper and hypofunction.

Acid-base balance disorders.

Ophthalmologic disorders.

Otorhinolaryngological disorders.

Neonate Pathology:

Congenital pathologies and more frequent syndromes.

Mental Disorders:

Classification of psychiatric pathology.

Dependency and abuse of external agents.

h) Extraction of diagnostic and procedure terms:

Clinical documents for coding:

Characteristics of the medical history.

Characteristics of the hospital discharge report.

Other clinical documents.

Clinical Terminology in Documents:

Localization of diseases.

Identification of diagnostic tests.

Recognition of therapeutic procedures.

Identification of acronyms and abbreviations.

Pool of diagnostics.

Pool of procedures.

4. Professional module: Health file and documentation.

Code: 1518.

Contents:

a) Characterization of the documentary needs of healthcare facilities:

General documentation:

Documentation types.

Parts of the documentation.

Information Circuits in Healthcare Centers:

Documentary catalog of healthcare facilities.

Clinical history as a basic document.

Healthcare documentation: administrative and care.

Characteristics of the different document types.

Regulatory documents:

High clinical report.

Informed Consent.

Pre-instruction documents.

Judicial trades. Relationship with the administration of justice.

Regulations in force applicable to health documents.

b) Design and elaboration of clinical-care documents:

Documentary Normalization.

Analysis of the contents of a document:

Major errors and dysfunctions in health documents.

Elements of a document.

Lines and guides for clinical document design:

Design of documents type of medical records.

Processing of computer graphics:

Top charts for health documents.

Graphic design and design computing applications.

Consumer and documentation costs.

Analysis of living documents and correction of deficiencies.

Registration and documents used in primary, specialized and hospital care:

Digital treatment of health documents.

descriptive documentation for the catalog.

Documentary regulations.

c) Verification of the quality of the clinical documentation:

Quality management in health documentation:

Incidence of errors.

Quality systems that are more applied in health documentation.

Quality control and evaluation program.

Design of quality control studies. Survey-type methodology.

Methodologies for designing protocols in quality control.

Documentary quality control methods.

Control of the quality of the medical history.

Audit concept applied to health documentation:

Documentary audit types.

Documentation commissions in healthcare facilities:

Functions.

Working methods.

d) Management of Clinical Stories from the Documentary Point of View:

Documentary features of the medical records:

Contents, functions, and users of the medical history.

Legal and regulatory requirements of clinical history.

Types and features of clinical history.

Particular aspects of the normalization of clinical history documents.

Clinical History Use and Fulfillment Regulations.

Study of the structure and blocks of documentary content of a source-oriented clinical history:

Documents support and related to the medical records.

Documents on media other than paper.

Specific documents.

A hospital document catalog: content and functions.

Electronic clinical history (H.C. E) /digital history.

Electronic clinical history in specialized care.

Towards a single electronic clinical history per patient at the level of autonomous and/or national communities.

e) Managing the health documentation file:

Introduction and concept of hospital clinical file:

Most common file types.

File methods.

Responsible.

Functions of a central archive of medical records.

Organization and file systems.

File and new technologies.

Activity indicators and quality controls of the central archive of medical records.

The archive as a unit of support for teaching and biomedical research. Documentation circuit:

Maintaining data in documents in the file.

Process.

Recipients.

Applicable health legislation:

Law 14/1986 of 25 April, General of Health.

Law 41/2002 of 14 November, Basic Regulation of the Autonomy of the Patient and of Rights and Obligations in the Subject of Clinical Information and Documentation.

Organic Law 15/1999 of 13 December on the Protection of Personal Data.

Law 44/2003, of 21 November, for the Management of Health Professions.

5. Professional module: Health information and classification systems.

Code: 1519.

Contents:

a) Characterizing the elements of creating a health information system (SIS):

The information in the healthcare setting. Types of information.

Features and processing of the information.

Components of a SIS.

Clinical and non-clinical data, information and knowledge.

SIS in primary and specialized care:

Use and usefulness of SIS: activity control, quality control, cost control, planning, teaching and research, among others.

Need to use standards in health information.

b) Handling of disease classification systems:

Historical history of disease classification systems.

Encoding. Concept and utility.

Classifications and terminologies in use by the World Health Organization (WHO):

International Classification of Diseases, Ninth Review (CIE-9-CM).

International Classification of Diseases, 10th Review (CIE-10).

International primary care classification, second edition (CIAP-2).

International Classification of Diseases for Oncology (CIE-O).

SNOMED CT (Systematized Nomenclature of Medicine, Clinical Terms).

Other (DSM-IV, NANDA, NOC, NIC).

c) Use of CIE components:

Alphabetical index of diseases:

Main term, essential and non-essential modifiers. Tables.

Disease tabular list:

Chapter, section, category, subcategory, and subclassification.

Alphabetical index of procedures:

Main term, essential and non-essential modifiers.

Tabular list of procedures:

Chapter, category, subcategory, and subclassification.

Conventions in format and typography.

Structure of the tags.

Abbreviations, punctuation, and symbols.

Instructions, notes, and cross-references.

d) Selection of codes in CIE. General coding procedure:

Indexing of the care episode.

Documentary sources required for the encoding process.

Key terms in the diagnostic and procedure expression.

Code selection of the alphabetical index of diseases and procedures.

Code selection from the tabular list of diseases and procedures.

e) Application of regulations on coding with the international classification of diseases in their current edition (CIE):

Current legislation: state and regional.

American Regulations. Manuals.

Using coding manuals.

Encoding bulletins.

Technical Unit for the International Classification of Diseases for the National Health System of the Ministry of Health, Social Policy and Equality:

Structure, composition and competencies.

f) General rules for the coding of diagnoses with the international classification of diseases in their current edition (CIE):

Diagnostic classification:

Diagnostic concept.

Relationship with other concepts: reason for income, symptoms and signs, history.

Diagnostic types:

Primary diagnosis and secondary diagnosis.

anatomopathological diagnosis.

Combination codes and multiple encoding:

Multiple Encoding (italics and bracketed tags).

Acute, subacute, and chronic processes.

Other clinical data of interest:

Previous conditions.

abnormal findings.

Encoding using diagnostic markers present on entry (Present on admission-POA).

g) General rules for the codification of procedures with the international classification of diseases in their current edition (CIE):

Classification of procedures:

Procedure concept.

Multiple Encoding and Combination Codes:

Criteria that define the main procedure, secondary procedures.

Types of procedures:

Non-surgical diagnostic and therapeutic procedures. Clinical utility of the main procedures.

Obstetric procedures. Surgical diagnostic and therapeutic procedures.

Biopsies.

Significant procedures:

Implicit techniques in a procedure.

Boarding and closing paths.

Procedures for laparoscopy, thoracoscopy, arthroscopy, and other endoscopies.

h) Diagnostic coding processes with the international classification of diseases in their current edition (CIE):

Bad symptoms, signs, and states:

Overall symptom coding rule.

Injuries and poisonings:

Poisoning and poisonings.

Injuries and injuries.

General rules. Fractures.

Traumatic brain injuries.

Burns. Sequencing of burn codes and related conditions. Quantification of the extent of the burns.

Intoxications.

Adverse drug reactions (ADRs).

Late effects. Classification of late effects. Late effects of poisoning and RAM.

Complications of surgery and medical care:

Definition of complication. Features. Localization of the complication codes in the alphabetical index. Post-operative conditions not classified as complication.

Classification of factors that influence health status and contacts with health services:

General rules.

Usage as a primary or secondary diagnosis. Location terms of the codes in the alphabetical index.

External causes of injury and intoxication:

General rules. Enforcement.

Classification of external causes.

6. Professional Module: Ofimatica and information processing.

Code: 0649.

Contents:

a) Basic equipment, application, and network maintenance:

Hardware items.

Software items.

Operating systems.

Local networks: components, main configurations, resource exchange and update.

Internet Accessibility.

b) Writing of texts according to the typing technique:

Body posture to the terminal.

Composition of a computer terminal.

Finger placement.

Development of typing skill.

Writing text in English.

Correction of errors.

c) Managing files and finding information:

Internet and browsers.

Web Content Accessibility Requirements (UNE 139803:2004).

Browser utility.

Download and install applications, programs, and utilities through the web.

Web 2.0 Tools: blogs, wikis, video and image hosting services, and social networks, among others.

Compression and decompression of files.

Information seekers.

Import/Export of the information.

File techniques.

The computer file. Documentary management.

d) Making spreadsheets:

Structure and functions.

Installing and loading spreadsheets.

Design.

Editing spreadsheets.

Graphics.

Data processing.

Other utilities.

File management.

Printing spreadsheets.

Interrelationships with other applications.

e) Creating documents with text processors:

Structure and functions.

Installation and loading.

Design of documents and templates.

Editing text and tables.

File management.

Printing texts.

Interrelation to other applications.

Advanced options.

f) Using databases for the treatment of administrative information:

Structure and functions of a database.

Database types.

Design a database.

Using a database.

Interrelation to other applications.

g) Integrated file management:

Files integrated by multiple applications: spreadsheet, word processor, graphics, and others.

Recording, transmission, reception and understanding. Capture and replay devices.

Visual and/or sound content.

Objective of content communication.

Insert into other media or documents.

Obsolescence and Upgrade.

h) Email and eCalendar management:

Types of email accounts.

Workbench: Configuration and Customization.

Templates and corporate signatures.

News forums (news): message configuration, usage, and synchronization.

The address book: import, export, add contacts, create distribution lists, and make the list available to other office applications.

Post management: send, delete, save, and backups, among others.

Calendar management: appointments, calendar, notices, and tasks, among others.

Synchronization with mobile devices.

i) Making presentations:

Structure and functions.

Installation and loading.

Presentation procedure.

Application utilities.

Data Protection Procedure. Backups.

Interrelationships with other applications.

7. Professional Module: Sanitary Coding.

Code: 1520.

Contents:

a) Realization of the coding of infectious and parasitic diseases:

General rules.

Infection:

Evolution and concepts.

Infectious diseases of interest. Tuberculosis.

Bacteraemia, sepsis and septicaemia.

Coding specific rules for infections:

Human immunodeficiency virus (HIV).

HIV coding rules.

b) Realization of neoplasm diagnostic coding:

Classification of neoplasms based on their anatomical behavior and location.

General rules:

Morphology of neoplasms.

Neoplasms of lymphatic and hematopoietic tissue.

Neoplasms not specified as primary or secondary. Liver and lymph nodes.

General coding standards for neoplasms.

Primary diagnostic selection:

Income for the diagnosis or treatment of the tumor. Income exclusively for the administration of radiation therapy, chemotherapy, or immunotherapy.

Complications of neoplasms and their treatment:

Treatments.

Encoding diagnostic and therapeutic procedures.

c) Realization of the coding of systemic diseases, mental disorders, and other pathologies:

Primary diabetes mellitus.

Secondary Diabetes Mellitus:

Causes. Classification rules. Use of the fifth digit.

Coding for complications in diabetes.

Thyroid pathology.

Organic Mental Disorders.

Mental and behavioral disorders due to the use of psychotropic substances:

Alcohol and drug use guidelines. Use of the fifth digit.

Dependency syndrome. Withdrawal syndrome.

Dependencies to toxic.

Coding of diseases of the genitourinary apparatus.

Congenital abnormalities and diseases with origin in the perinatal period.

Diagnostic and therapeutic procedures.

d) Realization of the encoding of the circulatory system:

Valvular heart disease. Valvulopathies.

HTA and hypertensive disease:

Arterial hypertension (HTA).

Encoding of the HTA with associated systemic pathology.

Heart failure/heart failure:

Coding rules for heart failure. Specific cases.

Ischemic heart disease:

Acute Myocardial Infarction (AMI). Episode of care.

Coronary Arteriosclerosis.

cardiorespiratory arrest (PCR).

Cerebrovascular disorders:

Late effects of cerebrovascular disease.

Diagnostic and therapeutic procedures. Cardiac pacemaker. Cardiac catheterization. Percutaneous transluminal coronary angioplasty (ACTP).

e) Realization of the coding of diseases of the respiratory system:

Pneumonia, bronchopneumonia, and pneumonitis.

Chronic Obstructive Pulmonary Disease (COPD). Specific coding standards for COPD.

Respiratory failure as respiratory failure.

Pulmonary hypertension and corpulmonale.

Acute edema of the lung.

Pleural Effusion.

Diagnostic and therapeutic procedures.

f) Realizing the coding of diseases of the digestive system:

Digestive bleeding.

Gastrointestinal tract ulcers.

Digestive bleeding.

Peritonitis.

abdominal hernias.

Complications of ostomies.

Hepatitis. Specific coding regulations.

Hepatic cirrhosis and chronic hepatopathies.

Cholecystitis and cholelithiasis.

Pancreatic diseases.

Digestive diagnostic and therapeutic procedures.

g) Realizing the coding of pregnancy, delivery, and puerperium complications:

Coding of abortion.

Priority in the sequence of codes in pregnancy, childbirth, and puerperium.

Using quarters and quintos digits.

Pregnancy chronopathies.

Cronopathies of childbirth.

Current diseases that complicate pregnancy. Diabetes mellitus in pregnancy. Gestational diabetes.

Normal delivery:

Conditions associated with normal delivery.

Result of childbirth.

Coding of newborn income reasons.

8. Professional Module: Psychosocial care for the patient/user.

Code: 1521.

Contents:

a) Application of basic psychological support techniques:

Personality development.

Psychological changes and disease adaptation:

Psychology of the person with chronic disease.

Psychology of the person with cancer disease.

Psychology of the person with geriatric disease.

Psychology of the person with disabilities.

Psychology of the person with terminal illness.

Child and adolescent psychology.

Mechanisms and personality defense.

Disfunctions and changes in behavior.

Help relationship:

Components.

Skills.

Basic psychological support techniques.

b) Application of communication techniques:

Communication:

Elements.

Concepts.

Barriers.

Modifying factors.

Communication types.

Communication Techniques:

Language types.

Strategies for effective communication.

Personal and social skills.

Difficulties in communication and corrective measures.

User information:

Information characteristics.

Professional health communication-patient.

c) Psychosocial guidance and counselling:

Elements of anthropology and sociology:

Society, status and social functions.

Social perception of disease and disability.

Social Rejection.

Patient care:

Guidance and advice.

Internal Operating Manuals for the admission/reception services and citations of healthcare facilities.

Patients ' rights and duties:

General Health Law.

Patient autonomy and rights and obligations regarding information and clinical documentation.

Other current regulations.

Satisfaction surveys.

Information and guidance plan for patient care.

d) Claim attention:

Claim, complaint, and suggestion.

Techniques for dealing with conflicts and claims.

Filing and handling complaints, complaints, and suggestions:

Procedure.

Legislation in place.

Information systems:

Manual and automated logging.

Perception of the quality and degree of user satisfaction:

Cohesion and quality of the National Health System.

Methods for evaluation.

Improving the service provided.

e) Recognition of the intervention scope:

Organic and functional structures of health institutions:

Other non-healthcare resources.

Interprofessional teams and social agents.

High Technician role in Healthcare Documentation in the multidisciplinary patient care team.

Interprofessional communication.

Deontological responsibility:

Professional Secret.

Ethical code.

9. Professional module: Validation and exploitation of data.

Code: 1522.

Contents:

a) Realization of statistical analysis:

Sampling. Methods of observation of a population. Removing a sample.

Qualitative data distribution tables. Bar chart. Double-entry tables.

Frequency Distributions:

Pool of data.

Accumulated distributions.

Histogram.

Frequency Polygon.

Cumulative curve.

Other charts.

Position measures or central trend. Mean sample. Median. Quartiles and percentiles.

Variability or scatter measures:

Sampling variance. Standard deviation. Range. Interquartile range. Multiple data set.

Box chart.

Computer tools for the statistical treatment of clinical data:

Specific software for calculating statistical parameters.

Descriptive analysis. Statistical reports.

b) Calculation of probability values:

Distributions of continuous variables.

Normal distribution. Properties of the normal curve. Normal distribution. Typified. Typical values and standard deviation.

Probability calculation. Limits 2 σ.

c) Building a health information system (SIS):

Healthcare information systems:

Managing information and knowledge in the healthcare environment.

The medical history.

Care records.

Description of the elements of a clinical-care information system:

Filing of the patient.

Specific applications for recording and operating clinical-care data.

Health data quality control.

Legal aspects of information systems:

Organic Law 15/1999 of 13 December on the Protection of Personal Data.

d) Managing the structure, utilities, and validations of the minimum basic data set (CMBD):

Definition. Composition and characteristics of the CMBD.

Interterritorial Council CMBD Technical Committee:

Objective and functions. Basic requirements of the CMBD.

CMBD quality.

CMBD users.

CMBD applications and applications. Their integration as a system of information for clinical-care and administrative management.

Exploitation and validations:

Elaboration of dashboards and dissemination of information.

Shipments from the CMBD. Periodicity. Recipients.

e) Identification of patient classification systems:

Source. Medicare and Medicaid.

Fundamentals, characteristics, and need for patient classification systems.

Information required for processing.

Patient Classification Models: All Patient Diagnosis Relation Groups (APDRG).

Structure, hierarchy, and classification algorithms. APGRD with atypical or invalid information.

The concept of case-mix or hospital casuistics. Weight of GRD.

Application of patient classification systems in healthcare management:

Hospital product.

Measurement of the healthcare product.

Healthcare product characteristics.

Healthcare production process.

Primary and secondary production.

f) Quality of healthcare:

History and definition of quality in health services. Need to assess quality.

The cycle of continuous quality improvement.

Process Management:

Variability of clinical practice.

Protocols and clinical guidelines.

Quality measurement. Indicators:

Characteristics of the indicators. Indices, rates and control tables.

Patient safety.

Total Quality Management Models:

EFQM Model.

ISO Standards.

Joint commission international.

Management by competencies.

Prevention of risks and environment.

Accreditation and certification.

Research as a guarantee of quality of care:

Bibliographic searches in healthcare databases.

Use of scientific evidence.

10. Professional Module: Health administrative management.

Code: 1523.

Contents:

a) Managing health administrative tasks:

Healthcare employers types.

Public and private job openings in the healthcare sector.

Jobs in the sector:

Type-charts.

Selection methods and processes.

Job recruitment in the healthcare sector.

Using human resource management computing applications.

Documentation of recruitment and management processes.

Healthcare portfolio: Public, private, primary care and specialized:

Characterization and scheduling of service portfolios.

Purchasing Commissions.

Sourcing of healthcare facilities. Costs:

Processes and control systems.

Public procurement of resources.

Identifying sources of supply and search for potential suppliers.

Supplier management and tracking applications.

Provisioning process documentation.

b) Administrative management of research projects and clinical trials:

Healthcare research:

Research designs.

observational studies.

Experimental studies.

Clinical trial:

Types.

Phases.

Specific documentation.

Financing of clinical trials and research projects:

Public and private sources of financing.

Grants, aids, contests, and others.

Regular documents in the presentation to calls.

Coordination among research project participants:

Collaboration networks.

Participation in international projects.

Ethical requirements of experimental research. Ethical committees of clinical research.

Legislation related to experimental research.

Information and documents generated in a clinical trial.

Register of clinical trials.

c) Administrative management of healthcare projects:

The project. Project Management concept:

Managing project integration.

Managing project scope.

Project time management.

Managing project costs.

Managing project quality.

Managing the project's human resources.

Managing project communications.

Managing project risks.

Managing project acquisitions.

Healthcare projects:

Project types.

Organization, scheduling, and programming.

Rules and throttling in the application area.

Project environment (cultural and social, international and political, among others).

Influence of and on the organization.

Interpersonal skills.

Tracking and controlling a project.

Office applications in project management.

Digital conversion and preservation of documents.

d) Elaboration of health project documents:

Planning for project communications. Tools and techniques:

Analysis of communications requirements (organizational charts, relationships between stakeholders, departments and institutions involved, and needs for internal and external information, among others).

Communications technology (urgency, expected human resources, project duration and meeting logistics-face to face vs. virtual-).

Communications management plan (requirements, information chosen, person responsible for communicating and frequency of communications, among others).

Distribution of information:

Information collection and retrieval systems.

Formats and layouts.

Meeting Calls:

Face-to-face meetings: planned and produced documentation.

Virtual meetings: support software for meetings, portals, and collaborative management tools.

Performance reports:

Project reports and intermediate memos.

Presentations (hearings and methods).

Feedback and information to stakeholders.

e) Health project document administration:

Processes and control of project document management.

Review of the final document.

Presentation of project results. Reports and charts.

The web as a resource source.

The transfer of the information.

Presentation and publishing of final documents.

Existing legislation applicable to the development of health projects or biomedical research.

11. Professional module: Health documentation and administration project.

Code: 1524.

Contents:

a) Identification of the needs of the productive sector and the organization of the company:

Identification of job roles.

Industry structure and organization.

Company activity and its location in the industry.

Organization chart of the company. Functional relationship between departments.

Industry trends: productive, economic, organizational, employment and other.

Work procedures in the company scope. Systems and methods of work.

Determination of excluded labor relations and special labor relations.

Collective agreement applicable to the professional field.

Company culture: corporate image.

Quality and security systems applicable in the industry.

b) Design of projects related to the sector:

Analysis of the local reality, the business offer of the sector in the area and the context in which the professional training module will be developed in the workplace.

Collecting information.

The overall structure of a project.

Crafting a work script.

Project execution planning: objectives, content, resources, methodology, activities, timing, and evaluation.

Project Feasibility and Opportunity.

Review of applicable regulations.

c) Planning for project execution:

Sequencing of activities.

Elaboration of work instructions.

Making a risk prevention plan.

Documentation required for project execution schedule.

Compliance with safety and environmental standards.

Project quality assurance indicators.

d) Defining control and evaluation procedures for project execution:

Proposal for solutions to the objectives outlined in the project and justification of the selected ones.

Defining the project evaluation procedure.

Determining the variables that can be evaluated.

Documentation required for project evaluation.

Process and end product quality control.

Log of results.

12. Professional module: Training and employment orientation.

Code: 1525.

Contents:

a) Active job search:

Valuation of the importance of permanent training for the career and career of the senior technician in Sanitary Documentation and Administration.

Analysis of personal interests, skills and motivations for the professional career.

Identification of training itineraries related to the top technician in Sanitary Documentation and Administration.

Responsible for learning itself. Knowledge of the requirements and expected fruits.

Definition and analysis of the professional title of the Higher Technician in Sanitary Documentation and Administration.

Planning your own career:

Setting work goals, in the medium and long term, compatible with needs and preferences.

Realistic and consistent goals with current and projected training.

Job search process in small, mid-sized, and large companies in the industry.

Learning and employment opportunities in Europe. Europass, Ploteus.

Job search techniques and instruments.

Self-employment assessment as an alternative for professional insertion.

The decision-making process.

Setting a personal checklist of consistency between career plan, training, and aspirations.

b) Conflict management and work teams:

Valuation of the advantages and drawbacks of the team work for the organization's effectiveness.

Equipment classes in the Healthcare Documentation and Administration sector according to the functions they perform.

Analysis of the training of work teams.

Features of an effective work team.

The participation in the work team. Analysis of the possible roles of their members.

Conflict definition: features, sources, and stages of the conflict.

Methods for conflict resolution or suppression: mediation, reconciliation, and arbitration.

c) Job Contract:

The right of the job.

Intervention of public authorities in industrial relations.

Analysis of the individual labor relationship.

Determination of excluded labor relations and special labor relations.

Hiring contract modes and promotion measures.

Rights and duties arising from the employment relationship.

Working Conditions. Salary, work time and work rest.

Modifying, suspending, and extinguishing the work contract.

Representation of workers and workers.

Collective bargaining as a means of reconciling the interests of the business and business staff.

Analysis of a collective agreement applicable to the professional scope of the top technician in Sanitary Documentation and Administration.

Collective conflicts of work.

New work organization environments: subcontracting and teleworking, among others.

Benefits for workers and workers in new organizations: flexibility and social benefits, among others.

d) Social Security, Employment and Unemployment:

The Social Security System as a basic principle of social solidarity.

Structure of the Social Security system.

Determination of the principal obligations of the business and its staff in the field of Social Security: membership, high, low and contribution.

The protective action of Social Security.

Classes, requirements, and benefits.

Concept and situations that are protected by unemployment.

Systems of advice to the company's staff regarding their rights and duties.

e) Professional risk assessment:

Importance of preventive culture at all stages of professional activity.

Assessment of the relationship between work and health.

Analysis and determination of working conditions.

The concept of professional risk. Risk factor analysis.

Risk assessment in the company as a basic element of preventive activity.

Risk analysis linked to security conditions.

Risk analysis linked to environmental conditions.

Risk analysis linked to ergonomic and psychosocial conditions.

Specific risks in the health documentation and administration sector.

Determination of the possible health damage to the worker or worker that may arise from the identified risk situations.

f) Planning for risk prevention in the enterprise:

Rights and duties in the field of occupational risk prevention.

Responsibilities in the field of occupational risk prevention.

Managing prevention in the enterprise.

Representation of workers and workers on preventive matters.

Public bodies related to the prevention of occupational risks.

Planning for prevention in the enterprise.

Emergency and evacuation plans in work environments.

Elaboration of an emergency plan in a small or medium enterprise in the sector.

g) Application of prevention and protection measures in the enterprise:

Determination of individual and collective prevention and protection measures.

Action protocol in an emergency situation.

First aid. Medical urgency. Basic concepts.

Application of first aid techniques.

Training the company's personnel in the field of emergency plans.

Monitoring the health of workers and workers.

13. Professional module: Enterprise and entrepreneurial initiative.

Code: 1526.

Contents:

a) Entrepreneurship Initiative:

Innovation and economic development. Main features of innovation in the field of health documentation and administration (materials, technology and production organisation, among others).

Entrepreneurial culture as a social need.

The entrepreneurial character.

Key factors for entrepreneurial people: initiative, creativity and training.

Collaboration between entrepreneurs.

The performance of entrepreneurs as employees of a company related to health documentation and administration.

The performance of entrepreneurs as entrepreneurs in the health documentation and administration sector.

The risk in entrepreneurial activity.

Concept of entrepreneurship. Requirements for the exercise of business activity.

Personal goals versus business goals.

Business Plan: The business idea in the field of health documentation and administration.

Good practices of entrepreneurial culture in the activity of health documentation and administration, at the local level.

b) The company and its environment:

Basic company functions.

The enterprise as a system.

The overall business environment.

Analysis of the overall environment of a company related to health documentation and administration.

The company's specific environment.

Analysis of a company's specific environment related to health documentation and administration.

Relationships of a health documentation and administration company with your environment.

Relations of a health documentation and management company with the society as a whole.

Company culture: corporate image.

Social responsibility.

The Social Balance.

Business ethics.

Social and ethical responsibility of companies in the health documentation and administration sector.

c) Creating and starting a company:

Company concept.

Enterprise Types.

The responsibility of the owners of the business.

Taxation in companies.

Choice of the legal form. Dimension and number of partners.

Administrative formalities for the formation of a company.

Economic Feasibility and Financial Feasibility of a Company Related to Health Documentation and Administration.

Analysis of the sources of financing and budgeting of a company related to health documentation and administration.

Aid, grants and tax incentives for SMEs related to health documentation and administration.

Business plan: choice of legal form, economic and financial feasibility study, administrative procedures and management of grants and grants.

d) Administrative function:

Concept of basic accounting and notions.

Accounting operations: recording the economic information of a company.

Accounting as a true picture of the economic situation.

Analysis of accounting information.

Corporate Tax Obligations.

Requirements and deadlines for the filing of official documents.

Administrative management of a company related to health documentation and administration.

14. Professional module: Training in job centres.

Code: 1527.

Contents:

a) Identification of the structure and business organization:

Structure and business organization of the health documentation and administration sector.

Company activity and its location in the health documentation and administration sector.

Organization chart of the company. Functional relationship between departments.

The company's logistics organization. Suppliers, customers, and marketing channels.

Work procedures in the company scope. Systems and methods of work.

Human resources in the enterprise: training requirements and professional, personal and social skills associated with different jobs.

Quality system set in the job center.

The security system set in the job center.

b) Application of ethical and labour habits:

Personal Attitudes: empathy, punctuality.

Professional attitudes: order, cleanliness, responsibility and security.

Attitudes to the prevention of occupational and environmental risks.

Hierarchy in the enterprise. Communication with the work team.

Documentation of professional activities: methods of classification, coding, renewal and elimination.

Recognition and application of internal company rules, work instructions, standard work procedures, and others.

c) Realizing procedures for patient management:

Administrative and clinical procedures for hospitalization within an intake/reception service.

Care process billing records.

Revenue and High Management: Center criteria.

Management of outpatient appointments. The agendas of the services.

Realization of referrals.

Documentation and administrative procedures for these processes.

The confidentiality of patient data. Protocols.

d) Care for patients/users and family members:

General information about the center services for patients/users and family members.

Effective communication in difficult situations: assessment of the situations and circumstances of the patient/user and their family members.

Personal and social skills and skills involved in communicating with patients and their environment.

Psychological support techniques applicable in the center environment.

Attitude of the healthcare professional in these cases.

Communication protocols with patients/users and family members of the healthcare facility.

e) Extraction of diagnostic and care-episode procedures:

Description of hospital discharge reports.

Extracting information from reports:

Identification of the episode. Data.

Primary and secondary diagnostics.

Diagnostic and therapeutic procedures involved.

Health encoding processes of various types related to the activity of the center.

f) Exploitation and validation of health data through the structure of the CMBD:

Statistics calculations based on information from the center.

Interpretation and conclusions. Getting significant data.

CMBD uses and holdings in the center.

Relation of these to the quality levels of the center.

The rigor and accuracy in obtaining and handling data.

g) Realization of the health center's documentary and administrative management:

Identification of administrative documents for the center. Requirements and circuits of documentary information.

Management of medical records. Protocols.

Managing other administrative documents in the center.

Human resource management, provisioning, and control of material resources in the center.

Project management of projects in the health center: presentations, documentation for congresses and research projects, among others.

ANNEX II

Sequencing and weekly hourly distribution of professional modules

Top Grade Forming Cycle: Sanitary Documentation and Administration

1522. Data validation and exploitation

	Module	Duration (hours)	First Course (h/week)	Second
				2 Quarters (h/week)	1 quarter (hours)
	1515. Patient management	60	2
1516. Clinical terminology and pathology	170	5
1517. Removing diagnostics and procedures	170	5
	1518. Health file and documentation	105	3
1519. Health information and classification systems	115	4
	0649. Office automation and information processing	160	5
1525. Job training and guidance	90	3
reserved for the English imparted module	90	3
1520. Health coding	180		9
1521. Patient/user psychosocial care	80		4
120		6
1523. Health administrative management	120		6
1526. Enterprise and entrepreneurship	60		3
reserved for the imparted module in English	40
1527. Job center training	400			400
1524. Health documentation and administration project	40			40
in the formative cycle	2,000	30	30	440

ANNEX III

Modules capable of being imparted in the English language

1516. Clinical terminology and pathology.

1517. Extraction of diagnostics and procedures.

1519. Health information and classification systems.

0649. Office automation and information processing.

1520. Health coding.

1522. Validation and exploitation of data.

1523. Health administrative management.

ANNEX IV

Minimum spaces and equipment

Spaces:

Form Space

Computer Aug

Surface
30 pupils or students	20 pupils or students
	60	40
75	75
		90	60

Minimum Equipment:

Forative Space

-purpose Aula.	Computers installed in network, projection system, and internet. Audiovisual media. Application computer programs
Aug.	30 computers installed in network, with Internet connection for students or students. 1 computer for the teacher or teacher. 1 scanner. 1 printer. Classroom Furniture. Projection Canon. Projection screen. Player audiovisual. Electronic Pizarra. Data storage devices, USB sticks, portable hard drives, CDs, and DVDs. Operating system licenses. Application usage license General computer: word processing, spreadsheet, database, presentations, e-mail, photo retouch, firewall, antivirus, compressors and web page editing. Administrative management IT applications: integrated packages personnel management, purchase purchase, accounting, and warehouse, among others. Professional language dictionaries.
documentation case.	Broad tables for the proper use of the bibliography. Sillas. Projection Canon. Projection screen. Publications referred to classifications medical international. Professional language dictionaries