Intro
to Transcription
Chapter 5
Worksheet
1. Explain the difference between hospital inpatients and outpatients.
2. Compare the “basic four” to the basic six”.
3. List the four methods of physical examination evaluation performed by the physician or health professional.
4. Who dictates the consultation report, and who receives the report?
5. Explain the focus of the pathology report.
6. List three types of radiology diagnostic procedures.
7. List six section headings contained in the dismissal summary.
8. What are “aged” reports, and what are the turnaround time parameters for these reports?
9. Which reports are usually dictated by someone other that the attending physician?
10. Explain how the separate line heading format differs from the freeform paragraph format.
_____ 1. Fluoroscopic Catherterization A. History and Physical Report
_____ 2. Hospital Course B. Operative Note
_____ 3. Review of Systems C. Consultation Report
_____ 4. Sponge Count D. Pathology Report
_____ 5. Gross and Microscopic Findings E. Radiology Report
_____ 6. Recommendations F. Discharge Summary
_____ 7. Follow-Up
_____ 8. Tissue Submitted
_____ 9. Chief Complaint
_____ 10. First Assistant
