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Introduction: With regard to the importance of Health Information Management in improvement of health care services, this study was done to determine the performance of Health Information Management Department of Valiasr hospital  of Tehran city in 2017. Methods: This mix-method study was done in 2017. For data collection in quantitative study, a valid and reliable check list and in qualitative study, 8 interviews were used. Excel 2013 and MAXQDA were used for the analysis of quantitative and qualitative data respectively. Results: According to the results, medical coding ward had poorer performance than other wards (2.37 out of 3). The problems of Health Information Management Department of Valiassr hospital were categorized in five main categories including organizational, human resources, financial, infrastructural and hardware and knowledge and professional categories. Also, scan of main sheets was the most important performed activity. Conclusion: With regard to the results of the present study, it is suggested that policy makers pay special attention to Health Information Management.