Medical Reports And Samples


Types of medical reports and samples:

MTinformation - medical reports and samples

There are many different types of reports that medical transcriptionists can type. An employer, medical transcription company, or doctor will provide you with a format they like to use. You will notice that most physicians dictate basically the same words for each report. I have a few doctors that use the same wording for all their reports and it only changes depending on what illness the patient has. All doctors use a certain format, but change it around to their specific likings. Since you will be typing for specific doctors you will get used to how they talk, say words, format their reports, and even be able to know what the doctor was trying to say when they mispronounce a word or if the dictation audio was not too clear.

When you see a doctor whether it’s an emergency visit, a stay in the hospital, a regular routine checkup, or if you are seeing a specialist for a specific problem, they document your visit by dictating notes that will be transcribed by a medical transcriptionist. It contains both subjective and objective information and forms the basis of most treatment plans.  There can be many reports done on one patient. No matter where the patient goes to get evaluated, reevaluated, a follow-up visit, surgery, or just a consultation a report is done dictating everything on that patient and the reason why that patient came to their office.

Tip: When you are typing a report and get stuck on a word that you do not understand or the doctor mumbled that word, don’t get frustrated and don’t spend too much time trying to figure it out. Go ahead and highlight the word so that you can come back to it later on. Most likely the doctor will repeat that word again in the dictation and then you can go back and type it correctly.

Below are the examples of proper grammar usage, punctuation, capitalization, abbreviations, numbers, numerals, and correct spelling for medical terms, and their plurals, and also a list of medical transcription specialties that can be useful.

Propper Grammar Usage – Punctuation, Capitalization, Abbreviations, Numbers, Numerals, And Correct Spelling For Medical Terms And Their Plurals.
Medical Transcription Specialties – List and description of 42 different specialties.

Samples Of Medical Reports With Audio

Different Samples Of Medical Reports:

These are transcribed medical transcription sample reports that were used by doctors. Medical transcription reports can be typed different ways. The doctor will provide you with a standard format they want you to use when you start typing for them.  These samples will give you a better understanding of what kind of different medical reports you will be typing either when you take an online training program or when you start working as a medical transcriptionist.

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CT Reports

Note Reports

X-Ray Reports

MRI Reports

Operative Reports

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Bone Density Reports

Ultrasound Reports

SOAP Note Reports

Chart Note Reports

Operative Note Reports

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Office Reports

Follow Up Reports

Consultation Reports

Discharge Summary Reports

Other Reports


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