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Medical transcription, also known as MT, is an allied health profession dealing with the process of transcribing voice-recorded medical reports that are dictated by physicians, nurses and other healthcare practitioners. Medical reports can be voice files, notes taken during a lecture, or other spoken material.
A transcription service is a business service that converts speech (either live or recorded) into a written or electronic text document. Transcription services are often provided for business, legal, or medical purposes. The most common type of transcription is from a spoken-language source into text. Common examples are the proceedings of a ...
Audio typist. An audio typist is someone who specialises in typing text from a vocal source which they listen to. The original voice document is usually recorded onto microcassettes by someone dictating into a Dictaphone. The audio typist will have learnt to touch type at a high speed which means they can look at the monitor or keep an eye on a ...
Medical scribe. A medical scribe is an allied health paraprofessional who specializes in charting physician - patient encounters in real time, such as during medical examinations. They also locate information and patients for physicians and complete forms needed for patient care. Depending on which area of practice the scribe works in, the ...
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [6][7] In contrast, a ...