Medical transcription refers to the process of transcribing the voice-recorded medical reports as suggested by the medical practitioners. It is one of the parts of the healthcare system where the experts convert the oral dictation into written reports, which could be in the written or oral form. The concerned medical transcription service provider also edits the reports that have passed through speech recognition software. Because of the large number of patients, hospital authorities take the electronic account of all the patient record files, including the IME transcription.
Task of a transcriptionist
For each patient who visits a doctor in a
hospital, there is a medical record or the patient’s chart, which consists of his
medical history. The task of a medical
transcription service provider involves editing, printing and
returning the transcript. These experts receive the dictation via digital voice
files. Speech or voice recognition is also an important mode of transcription.
Speech
Recognition Technology
SRT is one of the most powerful tools by
which doctors can reach out to fellow healthcare professionals involved in
accessing patients’ health. They can determine the past and the present history
of the patient to ensure proper care. Medical transcription finds its use for legal
purposes as well.
IME transcription
Independent medical examination or the IME transcription constitutes –
• Record of the patients' treatment
• Physical body checkup
• Report by the investigator
• Whether or not patient has permanent disability
The process entails the following points:
• Introduction: This includes the full name of the patient, the onset of the report or the purpose of the report.
• History and Current Complaints: The history section includes the details about the patient and his current situation, medical and surgical history, family history and social habits.
• Physical Findings: It refers to the examination of the patient in person, which includes, among others, handgrip strength, circumferential measurements involving upper extremities, left forearm, right arm and right forearm.
• Diagnostic Studies: Involves laboratory tests, MRI’s and diagnostic studies.
• Medical Records Review: It includes reviewing the document and constitutes reports from workplace visits, treatments and diagnoses received by the patient.
To conclude, IME transcription is a boon for healthcare specialists as it serves in documenting the speech. To obtain the best results, it would be wise to hire the services of an experienced and renowned medical transcription service provider. Notably, Totalmed Transcription is the best to consider in this regard.
