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What is Medical Transcription?

Medical transcription as the name suggests is the diligent process of converting a health care provider’s dictated notes in to accurate and readable data records. This includes a sophisticated yet simple method of listening to voice data and converting it in a hardcopy and readable form. The process of converting this voice data in readable format can be basically described as transcription. Most of the material transcribed include patient’s history, physical reports, patient assessment, workup, therapeutic procedures, clinical course, diagnosis, prognosis, clinic notes, office notes, pathology reports, operative reports, consultation notes, discharge summaries, letters, psychiatric reviews, laboratory reports, x-ray reports and many others similar kinds of medical records, etc. It is not as easy as a task of just transcribing voice data but also involves a lot of editing of dictated material for grammar, medical terminology and clarity as necessary and as appropriate. Medical transcription is usually carried out for medical professionals operating out of small clinics to large hospitals. These transcribed records are used for purposes of archives, reference or serve as legal proof of medical advice. In concise, this process starts with the health care providers seeing patients in their hospitals and clinics and dictating and recording important information about the patient’s history, physical examination, diseases, procedures, laboratory tests and diagnoses in the form of voice data. These are then heard by the medical transcriptionists who accurately interpret it and transform in to much needed readable and documented format.

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