Medical Transcription Flashcards
VPN
virtual private network
EHR
electronic health record = digital version of a patient’s paper chart
TATs
turnaround times (from dictation till the report availability)
Allied healthcare providers
These providers offer healthcare services generally not covered by the provincial healthcare plans (e.g. chiropractor, physiotherapist, respiratory therapist, and speech pathologist)
Attending or Attending physician
A licensed medical doctor (MD) responsible for an overall care of the patient in the hospital or clinic setting; the attending physician is the most responsible physician for that patient; the attending physician often supervises the residents and medical students.
Circle of care
A group of healthcare providers who are permitted to access a patient’s health information for the purpose of providing or assisting in providing healthcare.
Clinical fellow
A licensed medical doctor who is pursuing additional medical training in another specialty
Critical thinking
Observing, analyzing, and applying thought processes to ensure content accuracy and relevancy
Demographics
Unique information to identify patients
Facility
Medical service provider such as hospital or clinic
HCP
healthcare provider/professional
Healthcare providers
Professional providers of healthcare services, such as physicians, specialists, dentists, optometrists, nurse practitioners, and midwives
Hybrid record
Combination of a paper health record and an electronic health record
Locum tenens
A medical doctor who temporarily fulfills a physician’s duties because they are short-staffed in any healthcare environment
Medical student
An individual taking a four-year degree in medicine at a university level but is not yet a medical doctor
MRP
Most responsible physician - healthcare provider designated to have the overall responsibility in coordinating a patient’s stay in the hospital
MS
Medical student designation and corresponding year of study: MS-I, MS-II, MS-III, and MS-IV.
MT
Medical transcriptionist or medical transcription
Outsource
When an institution hires an outside company or contractor to perform the transcription of medical reports
PGY
Post-Graduate designation of residents: PGY-1, PGY-2, PGY-3, PGY-4, and PGY-5
PHI
Personal health information - identifiable information pertaining to an individual’s health and healthcare history
Resident
A medical student who has graduated and obtained a degree in medicine (MD); residents continue their training in clinical specialties and are supervised by an attending physician
SR
Speech recognition (editing voice files from existing text)
STAT
Immediately
