information sheet no. 3. The new Ihfro Congress info(Milan info special for the ihfro congress milan 2010 participant)the complete info click hhtp ://www.Driwancybermuseum.wordpress.com


“The Milan Collections Exhibitions”



The Indonesian ‘s  IFHRO  South East asia President and Team will join the Milan IFHRO Congress 2010 in November 2010(one of the member of that team is Mrs Lily W ,SKM,MM is the wife of Dr Iwan s ) .this is the new info of the congress.

1. Location of congress is moved 

New Venue: the Congress has been moved to Milan downtown MIC Milano Convention Centre, the most important congress centre in the north of Italy!

The International Federation of Health Records Organizations is affiliated with the World Health Organization (WHO) and it supports national associations to implement and improve health records and the systems which support them.


The Associazione Italiana Documentazione Sanitaria is the Italian representative of IFHRO.

The ultimate news about:
  • Health Information Management and Patient Safety
  • Electronic Health Records, Electronic Medical Records, Patient Health Records
  • Privacy and Security
  • Health Information Management and Scientific Research
  • Management and Integration of Care
  • Monitoring and Evaluation of Health
  • Classification systems, Clinical Coding and Data Quality
  • Management and Quality of Medical Records

2. IHFRO Education day schedule

IFHRO Education Day


November 15, 2010



Milan, Italy


0900 am Welcome – Leonardo la Pietra, President AIDOS, Italy

Introductions and Overview – Claire Dixon


Lee, USA and Kelly Abrams, Canada0920 am Panel Presentation –


Exploration of Global Health Information Professional Education








kyung Boo, President, KMRA; Associate Professor, Eulji University, KoreaVicki Bennett, President, HIMAA, School of Population Health, University of


Queensland, Australia

Kelly Abrams, LOHIM Project, Canada

Claire Dixon


Lee, Executive Director, CAHIIM, Global Model Curriculum1045 am Break


1100 am Mervat Abdelhak , University of Pittsburgh, USA–


Computational Thinking andGenomics – Emerging Topics in Health Information Education









1130 am Leslie Gordon, Sitka, Alaska and Lynette Williamson, Oley, Pennsylvania, USA


Buildand Enhance an Online Course









1200 pm Lunch on your own


1315 pm Jennifer Nicol, School of Public Health, Queensland University of Technology, Australia


Education and Training Framework for HIS






1415 pm Break


1430 pm Discussion on


Global Health Information Education and Workforce Needs

Participantsbreak into small groups with Education Day faculty to respond to key questions,


identify issues and suggest action steps:



a) Global issues in education and workforce


b) Recommendations for IFHRO and member nations

1515 pm Groups report back and compile results

1600 pm Adjourn


National Standards for the structure and content of medical records.

The Medical Record Keeping Standards Programme of the Health Informatics Unit at the Royal College of Physicians, London.

Prof. Iain Carpenter, Health Informatics Unit, Royal College of Physicians, London/Centre for Health Service Studies, University of Kent, Canterbury

Mala Bridgelal Ram, Health Informatics Unit, Royal College of Physicians, London

Professor John Williams, Director, Health Informatics Unit, Royal College of Physicians, London/ School of Medicine, Swansea University

Patient medical records serve two principal purposes. The first is to support direct patient care by acting as an aide memoir for clinicians and supporting clinical decision making. The second is to provide a reliable source of data to support clinical audit, research, resource allocation and performance planning.  In the UK, the link between the two is the coding of diagnoses and procedures during a hospital stay that is then returned centrally for analysis and publication in the Hospital Episode Statistics.  We describe how the Health Informatics Unit at the Royal College of Physicians in London has co-ordinated the development of nationally agreed standards for the structure and content of medical records that have been agreed for all hospital specialties.

The programme emerged from a project aiming to compare the performance of gastro-enterology services between hospitals by analysing Hospital Episode Statistics (HES).  The study concluded that it was impossible, possibly because of errors in the coding of diagnoses and procedures imprecisely recorded in medical notes.  An audit of 149 sets of medical notes from 5 hospitals found that there was such variability between hospitals in how records are structured and organised that a comparative audit was not possible.   A subsequent literature search for evidence of the benefits of standardised medical notes, though patchy in coverage, demonstrated benefits to patient safety and care outcomes, as well as likely improvement in ease and accuracy of clinical coding.  This initiated the Record Standards programme at the Health Informatics Unit (HIU).  The national programme to develop an Electronic Patient Record (EPR) for the National Health Service (NHS) in England gave added weight and urgency to the work, as an EPR requires standardisation of data, ideally reflecting best clinical practice rather than requirements of a computer system.

The goal was to develop consensus and evidence based structure and content standards for medical notes that would reflect professional best practice and be acceptable to all medical and surgical hospital services.

Our first step was to draft content and process standards for medical records from both the literature review and a review of standards published by medical professional bodies.  The standards covered generic issues applicable to all medical notes as well as headings to standardise the structure of admission, handover and discharge records.  The HIU separated the generic and content standards and consulted widely, seeking the views of practising doctors and professional and policy bodies.  Generic Medical Record Keeping standards were published by the College in 2007[1].

The development of the admission, handover and discharge record keeping standards started with a poll of practising hospital doctors to gauge the enthusiasm for standardising notes structure.  The question asked was ‘Should the same, standardised headings be used in the proforma for acute medical admissions in all NHS hospitals?’.  In the first of these, conducted by Doctors.net, 2:1 responded in favour, a second poll, of Members and Fellows of the RCP found 4:1 in favour.  Both polls were closed at 1,000 responses (Carpenter et al, 2007). 

With evident support for the proposal confirmed, examples of admission clerking documents from 36 NHS hospitals were used to produce draft headings which were then revised in a series of workshops and then put out to consultation in on-line questionnaire.  The workshops and on-line questionnaires included patients and carers from the RCP Patient Carer Network.  Over 3,000 doctors responded to the questionnaire and contributed over 1,500 written comments.  Of those who responded to the questionnaire, over 90% were in favour of a common structure for the whole NHS.

A further series of workshops and an updated literature review developed headings for use in documents to support handover between medical teams and in discharge documents for when patients leave hospital, the latter with specific input from General Practitioners in primary care.  The on-line handover and discharge consultations each generated around 1,500 completed questionnaires.

At the same time, the Presidents of the all the UK Medical Royal Colleges and specialist societies were contacted and asked to identify nominees who would examine, with their colleagues, the headings for the different types of records from the perspective of their own specialty.  Their responses were fed into revised headings which were then used to structure paper proformas to test the headings in practice.  The product of the exercise was piloted in hospitals [admission (10), handover(11) and discharge(8)], the discharge summary pilot included GPs who received discharge summaries using the standardised headings.

On April 17th 2008, the final revised standards were ‘signed off’ by the Academy of Medical Royal Colleges, attended by the Presidents from all colleges, including surgical, mental health and child health.  They were passed as fit for purpose with observations from psychiatry and paediatrics that although the information that they required was different from and additional to that covered by the standardised headings, their requirements could be accommodated within the proposed structure standards.

The standards have now been submitted to NHS Connecting for Health which is responsible for the development of the EPR in England.  Work on definitions that will meet the rigorous requirements for IT implementation is underway. Once completed they will be submitted to the NHS Information Standards Board for Health and Social Care following which all IT system suppliers will be required to use them for their EPR solutions.  Many hospitals and IT suppliers are already implementing them in both paper and electronic format.

The project has been enthusiastically received by a very wide range of organisations including the IT industry which see them as the means for rationalising their clinical information system applications.  The NHS Litigation Authority, which provides the clinical incident indemnity for NHS providers, are incorporating them into their Risk Management Standards for providers and the NHS Care Quality Commission who register all NHS providers will reference them in their standards required for registration.  They are being incorporated into the medical undergraduate and post graduate training curricula and will likely be referenced in the General Medical Council ‘Tomorrow’s Doctors’ standards document that describes the standards for knowledge, skills, attitudes and behaviours that medical students should learn at UK medical schools. The standards are recommended for use in IT systems in Scotland and are being introduced in Wales.

The NHS Digital and Health Information Policy Directorate has published a two part clinician’s guide to the standards. 

Part 1 describes the rationale for the process of developing and introducing the national professional record keeping standards.  It also lists the expected benefits from their introduction.

Part 2 contains the Generic Medical Record Keeping Standards and the structure and content standards for admission, handover and discharge documents.  

The Guide can be downloaded as pdf’s or free hardcopies ordered on line at : www.rcplondon.ac.uk/clinical-standards/hiu/medical-records/Pages/clinicians-guides.aspx

[1] Carpenter, Iain; Bridgelal Ram, Mala; Croft, Giles P; Williams, John G, 2007. Medical records and record-keeping standards. Clinical Medicine: 7(4):328-331

3. Milan flea Market Info (happy shooping)

Milan Markets / Mercato (Milan, Italy)



// //


Milan MarketsFull of character and real life, the busy markets in Milan, Italy are an integral part of Milanese local life. They provide a great place to find bargains in Milan or just browse around the wide variety of stalls and enjoy the exciting atmosphere and local market banter. Milan’s bustling markets range from the very large to the small, discreet collection of stalls, situated in small squares in Milan. They are held in many districts of Milan and provide a fun way to shop, for both experienced and novice bargain hunters alike. Here are some of the main markets in Milan that are worth a visit.

Fiera di Senigallia – Via Calatafimi, Milan, Italy
Every Saturday along the small lake of Darsena is the long established Fiera di Senigallia flea market. Here you will find many bargains, including clothes, military items, jewellery and much more besides

DrIwan cybermuseum will add the historic collections of  Milan which found before and after the meetings for all the Health Information’s Experxt and Practitioner which join the IHFRO congress Milan 201o.

Dr Iwan s hope this info of the Milan collections exhibitions will help all the IHFRO MIlan congress participant to know more info about MIlan City and  they will seen that famous and legend city with city tour.

Greeting dan happry congress from the founder of cybermuseum

Dr Iwan Suwandy,MHA








—  Comune  —
Comune di Milano

A collage of Milan: A characteristic tramway to the top left, followed by a panorama of the city seen from the top of the Duomo, the FieraMilano complex, the Palazzo Lombardia, the exterior of the Duomo, the Naviglio Grande neighborhood, the Teatro alla Scala and the triumphal arch of the Galleria Vittorio Emanuele II.


Coat of arms
Milan is located in Italy

Location of Milan in Italy

Coordinates: 45°27′51″N 09°11′25″E / 45.46417°N 9.19028°E / 45.46417; 9.19028Coordinates: 45°27′51″N 09°11′25″E / 45.46417°N 9.19028°E / 45.46417; 9.19028
Country Italy
Region Lombardy
Province Milan (MI)
 – Mayor Letizia Moratti (PdL)
 – Total 183.77 km2 (71 sq mi)
Elevation 120 m (394 ft)
Population (31 March 2010)[1]
 – Total 1,310,320
 – Density 7,130.2/km2 (18,467.2/sq mi)
Demonym Milanès/Milanese
Time zone CET (UTC+1)
 – Summer (DST) CEST (UTC+2)
Postal code 20100, 20121-20162
Dialing code 02
Patron saint Ambrose
Saint day December 7
Website Official website

Milan (Italian: Milano, About this sound listen (help·info) Italian pronunciation: [miˈla(ː)no]; Western Lombard: Milan, About this sound listen (help·info)) is a city in Italy and the capital of the region of Lombardy and of the province of Milan. The city proper has a population of about 1,310,000, while the urban area is the largest in Italy and the fifth largest in the European Union with a population of 4,345,000 over an area of 2,370 km2 (915 sq mi).[2] The Milan metropolitan area, by far the largest in Italy, is estimated by the OECD to have a population of 7,400,000.[3]

The city was founded under the name of Medhlan,[4] by the Insubres, Celtic people. It was later captured by the Romans in 222 BC, and the city became very successful under the Roman Empire. Later Milan was ruled by the Visconti, the Sforza, the Spanish in the 16th century and the Austrians in the 18th century. In 1796, Milan was conquered by Napoleon I and he made it the capital of his Kingdom of Italy in 1805.[5][6] During the Romantic period, Milan was a major cultural centre in Europe, attracting several artists, composers and important literary figures. Later, during World War II, the city was badly affected by Allied bombings, and after German occupation in 1943, Milan became the main hub of the Italian resistance.[5] Despite this, Milan saw a post-war economic growth, attracting thousands of immigrants from Southern Italy and abroad.[5]

An international and cosmopolitan city, 13.9% of Milan’s population is foreign born.[7] The city remains one of Europe’s main transportation[8] and industrial hubs, and Milan is the EU‘s 10th most important centre for business and finance (2009)[9] with its economy (see economy of Milan) being the world’s 26th richest by purchasing power,.[10] The Milan metropolitan area has Europe’s 7th GDP in 2008.[11] The province of Milan (which increasingly is becoming a single administrative urban unit to supersede the limited commune) had a GDP pp per capita of around €40,000 in 2007 (161% of the EU 27 average) which was the highest of any Italian province [12] (Il Sole 24 Ore Quality of life survey 2008) and the city’s workers have the highest average income rates in Italy,[12] and 26th in the world.[13] In addition, Milan is the world’s 11th most expensive city for expatriate employees,[14] and according to a 2010 study by the Economist Intelligence Unit, the city is the world’s 12th most expensive to live in.[15] Its economic environment has made it, according to several studies, the world’s 20th and Europe’s 10th top business and financial centre,[16][17] having been highly successful in terms of city branding.[18]

Milan is recognised as a world fashion and design capital, with a major global influence in commerce, industry, music, sport, literature, art and media, making it one of GaWC‘s major Alpha world cities.[19] The Lombard metropolis is especially famous for its fashion houses and shops (such as along Via Monte Napoleone) and the Galleria Vittorio Emanuele in the Piazza Duomo (reputed to be the world’s oldest shopping mall). The city has a rich cultural heritage and legacy, a vibrant nightlife,[20][21] and has a unique cuisine; it is home to numerous famous dishes, such as the Panettone Christmas cake and the risotto alla Milanese. The city has a particularly famous musical, particularly operatic, tradition, being the home of several important composers (such as Giuseppe Verdi) and theatres (such as the Teatro alla Scala). Milan is also well-known for containing several important museums, universities, academies, palaces, churches and libraries (such as the Academy of Brera and the Castello Sforzesco) and two renowned football teams: A.C. Milan and F.C. Internazionale Milano. This makes Milan the 52th Europe’s tourist destination, with over 1.914 million foreign arrivals to the city in 2008.[22] The city hosted the 1906 World Exposition and will host the 2015 Universal Exposition(complete info look at dr iwan Cybermuseum ,please click hhtp://www.Driwancybermuseum.wordpress.com).[23]


logo IHFRO


INFO no 002



  • The 16th IFHRO Congress “in collaboration with the World Health Organization”
  • New Venue: the Congress has been moved to Milan downtown MIC Milano Convention Centre, the most important congress centre in the north of Italy!

The International Federation of Health Records Organizations is affiliated with the World Health Organization (WHO) and it supports national associations to implement and improve health records and the systems which support them.


The Associazione Italiana Documentazione Sanitaria is the Italian representative of IFHRO.

The ultimate news about:
  • Health Information Management and Patient Safety
  • Electronic Health Records, Electronic Medical Records, Patient Health Records
  • Privacy and Security
  • Health Information Management and Scientific Research
  • Management and Integration of Care
  • Monitoring and Evaluation of Health
  • Classification systems, Clinical Coding and Data Quality
  • Management and Quality of Medical Records
Under the Auspices of:

Supporting Partners:




Peta gedung konperensi stella Folare Milan




info sheet 002 : ihfro educations informations

1. The cause of death info




This core international curriculum describes entry-level requirements. Its purpose is to provide a basis for education for all countries.

Availability of resource materials and essential references needed for coding

  • Full set of ICD-10 (Tabular List, Instructions, and Index) (current edition as updated by WHO)
  • Periodic official WHO updates to ICD-10
  • Medical dictionary
  • Training materials relevant to core curriculum
  • Drug references
  • Abbreviation list
  • Contact person to ask questions


1. Knowledge of basic medical science

Intent: To develop an understanding of medical terminology that will be encountered in cause of death statements, the structure and function of the human body and the nature of disease

  • Medical terminology (A study of common medical terms related to major disease processes.)
  • Basic anatomy (A study of the structure of the human body utilizing a system approach.)
  • Basic physiology (A study of the functions affecting the human body.)
  • Concept of etiology and risk factors
  • Basic pathology (A study of the causes and nature and effects of diseases.)


At the conclusion of this module, the coder should be able to:

  • spell and define medical terms as well as explain the concepts of root/suffix/prefix word builds
  • identify the normal structure and function of all human body systems
  • name the typical causes, diagnosis, and treatment of common diseases
  • define the concept of etiology and its relationship to risk factors
  • state the nature and course of alterations in structure produced by etiological agents and mechanisms of the body


2. Legal/Ethical issues relevant to the country in which coding is being done

Intent:  To introduce legal and ethical issues applicable to health information, its collection and release. 

  • Privacy and confidentiality principles (see appended proposed principles)
  • Use of person-identifiable information
  • Adherence to relevant laws and regulations
  • Access to person-identifiable information
  • Release of information
  • Professional ethics


At the conclusion of this module, the coder should be able to:

  • apply policies and procedures for access and disclosure of personal health information
  • utilize current laws and regulations related to health information initiatives
  • release patient-specific data to authorized users
  • practice and promote ethical standards of practice


3. General uses of underlying cause of death data

Intent:  To explain the purposes for which underlying cause of death data are collected and how they are used.

  • Context in which coding is done
  • Purposes for coding
  • Statistical outputs
  • Evidence for health policy
  • Planning and evaluating health services and programs
  • Medical and public health research
  • Clinical education


At the conclusion of this module, the coder should be able to:

  • list the common reasons underlying cause data are collected
  • describe the general uses of underlying cause of death data


4. Specific uses of underlying cause of death data

Intent: To introduce the specific uses of coded mortality data

  • Health situation and trend analysis
  • Leading causes of death
  • Definition of policies and priorities
  • Planning health programs and services
  • Health indicators
  • Trend analyses
  • A critical element to identify:
    • Public health problems
    • Groups at risk
    • Needs of medical and sanitary research
  • First or main source of information for certain diseases
  • At local level, investigation of cases, disease control measures
  • Specific population groups/problems (e.g., maternal and infant mortality, adolescents, elderly)
  • Quality of care
  • Outcomes of specific programs
  • Different technologies
  • Epidemiological surveillance (all listed causes)
  • Evaluation in health


At the conclusion of this module, the coder should be able to:

  • enumerate specific uses for underlying cause of death data


5. Users of mortality data

Intent:  To explain the different groups and stakeholders who are users of mortality data.

  • Epidemiologists
  • Statisticians
  • Program managers
  • Actuaries
  • Policy makers
  • Researchers
  • Demographers
  • Educators and students
  • International organizations (World Health Organization, United Nations)


At the conclusion of this module, the coder should be able to:

  • name specific users of underlying cause of death data


6. Sources of Mortality Data

Intent:  To explain the roles of the different persons responsible for reporting data on the deceased and the sources of that data.

  • Providers of data (e.g., medical officers, coroners, medical examiners, funeral directors, and other informants)
  • Source documents (e.g., death certificates, police reports, coroner reports, and other reports)


At the conclusion of this module, the coder should be able to:

  • state the various roles of the individuals reporting data on the deceased
  • relate the provider of data with the source
  • verify completeness, accuracy, and appropriateness of data and data sources


7. The International Classification of Diseases (ICD)

Intent: To develop an understanding of the ICD and to develop the knowledge and skills that are necessary to assign valid codes for causes of death.

  • Nomenclature and Classification
  • International context
  • WHO Family of International Classifications
      • Reference Classifications (ICD and International Classification of Functioning, Disability and Health [ICF])
      • Derived and related classifications
  • Standardization and comparability
  • History of the classification
  • Structure of classification
  • Updating mechanisms of classification


At the conclusion of this module, the coder should be able to:

  • distinguish a nomenclature from a classification
  • describe the WHO Family of International Classifications and their relationships to each other
  • discuss the history of the classification
  • state the structure of the classification
  • explain the classification’s update process


8. How to code

Intent: to provide detailed instruction and experience on how to apply the coding rules and assign codes.

  • How to use different volumes of the ICD
  • Concept of underlying cause of death
  • Definition
  • International format of medical certificate of cause of death
  • Rules, instructions and conventions for coding underlying cause of death
  • Appropriate exercises in selection and coding


At the conclusion of this module, the coder should be able to:

  • apply diagnosis codes using ICD-10
  • adhere to current established guidelines in code assignment


9. Quality Assurance

Intent:  To raise awareness about the various factors that influence the quality of coded data and describe techniques for assuring the highest quality data possible. 

  • Quality of source documents
  • Querying processes (e.g., sequencing on certificate, what and how to query)
  • Editing and validation
  • Timeliness, completeness and accuracy
  • Responsibility for data quality
  • Processes for accessing expert advice


At the conclusion of this module, the coder should be able to:

  • conduct analysis to ensure documentation in the record supports the diagnosis
  • validate coding accuracy using clinical information found on certificates
  • resolve discrepancies between coded data and supporting documentation

 the end @copyright Dr iwan suwandy,MHA 2010


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