Never has it been as important as today. Careful documentation is essential in all areas of medicine. Tailored to the needs of practice and teaching, this renowned textbook provides a comprehensive introduction to the fundamentals of medical documentation. In the 6th edition, which has been completely revised and updated, the authors maintain their successful concept: scientifically grounded and with a strong practical focus, they describe how medical information systems can be efficiently designed and utilized. Detailed descriptions include medical classification systems and forms of documentation. Specific topics covered include hospital information systems, documentation of clinical and scientific studies, and documentation systems for patient-centered, cross-institutional treatment. New content includes documentation requirements in Austria and Switzerland, as well as documentation for medicine.