john2072
czołg
Dołączył: 26 Sty 2011
Posty: 1715
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Skąd: England
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 Wysłany: Nie 18:47, 27 Mar 2011 Temat postu: Diagnostic test results• |
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yilai:
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er [link widoczny dla zalogowanych], etc. will be obtained as appropriate.Medical entries of the patient’s healthcare record include:• Physician orders• Diagnostic tests• Nursing entries• Physician entries• Therapists’ entries• Ancillary personnel entriesEmergency record:Patients evaluated and treated in the Emergency Department receive a condensed version of the inpatient healthcare record that includes:• Demographic information• Nursing assessment• Physician’s evaluation• Treatment• ConclusionsThe Medical Transcriptionist may need to transcribe a dictated note with a comprehensive visit that might include:• Diagnostic test results• Consents• InstructionsPhysician’s office healthcare records are maintained in the physician’s office and may include:• Many [link widoczny dla zalogowanych], but not all [link widoczny dla zalogowanych], of the same records and forms contained in the hospital healthcare record• Initial history and physical exam• Office visit notes• Progress notes• Diagnostic test results• Copies of acute hospitalization reports• Letters to insurance companies• Consultation lettersThe Medical Transcriptionists plays a vital role in the delivery of healthcare while accurately transcribing timely da
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