? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
Posted By: No Name on 2008-02-26
In Reply to: s/l Cyber-an or Syberan. see message - Elderberry
Subject: ? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
This is just a guess as I am not "computer savvy" in regards to tech terms.
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documentation
Subject: documentation
subtalar arthroereisis see site:
http://blue.regence.com/trgmedpol/surgery/sur144.html
I searched for documentation --sm
Subject: I searched for documentation --sm
but was unable to find a solid form of albuterol, although I am sure that I have seen a gel like substance to be placed in a nebulizer. I know that albuterol is a crystalline powder though and is soluable in water. Perhaps that is what I was thinking. sorry for the misconception on my part. Thanks for making me aware of it.
possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
please give me a book reference, not google.. i need hard copy documentation on 2 things
Subject: please give me a book reference, not google.. i need hard copy documentation on 2 things
Foxhollow device (is it Fox Hollow? Foxhollow? FoxHollow?)
silverhawk atherectomy ... (is it SilverHawk? Silverhawk? silverhawk?)
only hard copy in a book or something reputable please... Google isn't affording me the answers I need this time around. Thanks.
PROMPT CHART??
Subject: PROMPT CHART??
New to doing ER reports and Dr. dictates refer to PROMPT chart for rest of patient's records. Is this correct? Thanks in advance.
Chart Note
Subject: Chart Note
On lab work do I put it in right order (i.e. EKG after white count and hemoglobin) or just do as dictated?
In relation to what?
Subject: In relation to what?
Can you give some context? There are many meanings for this acronym, so a little background info would help.
In relation to what????
Subject: In relation to what????
x
sl osi-a-skied-men-a-relation
Subject: sl osi-a-skied-men-a-relation
She has mild hypertrophic degenerative changes in her acromioclavicular joint and diffuse _____ likely due to osteoporosis at that same site.
Thanks.
I checked wtih the original chart
Subject: I checked wtih the original chart
that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
s/l Labo and McCunning correction chart (sm)
Subject: s/l Labo and McCunning correction chart (sm)
Doc says: "I believe [patient] will probably need to have an epiphysiodesis done. I will have to look at 'Labo and McCunning' Correction Chart to decide when it is most appropriate to that."
thank you. Is the electronic dictionairy something I have to buy or on the net?
Subject: thank you. Is the electronic dictionairy something I have to buy or on the net?
nm
I just received the electronic BOS
Subject: I just received the electronic BOS
And right on the front of the manual at the bottom it says:
"American Association for Medial Transcription"
Who proofed that??
Copy from Electronic BOS 2E
Subject: Copy from Electronic BOS 2E
departments
Lowercase common nouns designating department names; reserve capitals for proper nouns or adjectives, in addresses, or when part of a federal government agency name.
She is head of the St. Mary's Hospital surgery department.
He works for the State Department in Washington, DC.
The patient is head of the English department at the local state university.
However, capitalize a department name that is referred to as an entity.
The patient was referred to Anesthesia for preoperative evaluation.
The report from Pathology indicates that the tumor is benign.
divisions
Lowercase common nouns naming institutional divisions.
the administrative division of Memorial Hospital
internal units
Lowercase common names for internal units of an organization.
The patient's medication was changed because apparently the pharmacy can no longer obtain paregoric.
Exception: Capitalization may be used for such internal units in the entity's references to itself in its own formal and/or legal documents.
Please note the change in Pharmacy hours...
Capitalize internal elements when their names are not generic terms.
Dr. Smith's Limb Deficiency Clinic
Copyright (c) 2002 American Association for Medical Transcription
In relation to what? Full sentence please? nm
Subject: In relation to what? Full sentence please? nm
s
Pulled chart. Definitely Celexa. Good thinking!
Subject: Pulled chart. Definitely Celexa. Good thinking!
I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM
in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
Likely face sheet..first page of chart which usually contains known diagnoses. NM
Subject: Likely face sheet..first page of chart which usually contains known diagnoses. NM
vibrated? Is this an electronic device....nm
Subject: vibrated? Is this an electronic device....nm
That is from my Sted's electronic dictionary. sm
Subject: That is from my Sted's electronic dictionary. sm
--Very cheap and very good. Has illustrations for anatomy etc. Great buy and you have it right on your PC. nm
Ref from Sted's Electronic Dict. sm
Subject: Ref from Sted's Electronic Dict. sm
Have copied a few pertinent to your question etc.
angina
1. A severe, often constricting pain, usually referring to angina pectoris.
2. Old term for a sore throat from any cause.
abdominal angina
intestinal angina
Wow!! I could not even find that in my old Sted's Electronic. sm
Subject: Wow!! I could not even find that in my old Sted's Electronic. sm
I love it when we can "out wit" them. Of course a lot of these guys, not only ESLs, make up the stuff. The first thing they taught was about the prefixes etc in the old transcription classes. I had been typing for about 2 years when they offered the class at a junior college where my husband was attending, he got me the book, which I still have, and I almost keeled over at all the different combos etc.
GOOD GOING GIRL!!!!!!
This in relation to a bacteria count, etc.? Sounds like an odd value. nm
Subject: This in relation to a bacteria count, etc.? Sounds like an odd value. nm
s
see inside for link in relation to your query
Subject: see inside for link in relation to your query
http://www.gentili.net/signs/Default.htm
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
States: "Review of report in ____ suggests..." Again later in dictation: "Although this is not charted in ____. "
Many companies use software that provides an electronic signature. nm
Subject: Many companies use software that provides an electronic signature. nm
d
SM for cut and paste from Stedman's Electronic Med Dictationary.
Subject: SM for cut and paste from Stedman's Electronic Med Dictationary.
Tyndall phenomenon:
the visibility of floating particles in gases or liquids when illuminated by a ray of sunlight and viewed at right angles to the illuminating ray. Syn: Tyndall effect.
Tyndall effect:
Syn: Tyndall phenomenon.
Electronic atrial pacemaker rhythm?
Subject: Electronic atrial pacemaker rhythm?
Can you perhaps hear this?
dysdiadochokinesis as per Sted's Electronic Dict.
Subject: dysdiadochokinesis as per Sted's Electronic Dict.
My opinion: 1.5:1 I've always used ratio with relation to grafts. sm
Subject: My opinion: 1.5:1 I've always used ratio with relation to grafts. sm
Ratios with letters or words are hyphenated, numbers have a colon. Page 348, BOS.
Taylor RS study in relation to breast cancer
Subject: Taylor RS study in relation to breast cancer
Can anyone verify this or the spelling. No information other than she qualifies for the Taylor RS study.
These doctors work for the local university and also a local large cancer center so these studies are often used.
check von Gierke, in relation to diabetes and eyesight nm
Subject: check von Gierke, in relation to diabetes and eyesight nm
tendinitis, as per Stedmans Electronic Medical Dictionary 7.0
Subject: tendinitis, as per Stedmans Electronic Medical Dictionary 7.0
Tendinitis: Because this word is based on the Latin word tendo, with a genitive singular form of tendinis, and a combining form that is therefore tendin, the spelling tendonitis is irregular.
Is this in relation to an EMG or other study -- left shoulder -30 ER (evoked response) No msg.
Subject: Is this in relation to an EMG or other study -- left shoulder -30 ER (evoked response) No msg.
My electronic drug source has carboplatin only and onelook has same result. nm
Subject: My electronic drug source has carboplatin only and onelook has same result. nm
Wenzel is a German name - Joerg Wenzel, his naem is mentioned in relation to basal cell.carcinoma...
Subject: Wenzel is a German name - Joerg Wenzel, his naem is mentioned in relation to basal cell.carcinoma........Googl;e
Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to
Subject: Apparently also with stroke testing..."Alterations in reaching after stroke and their relation to movement direction and impairment severity latitude and longitude; footing, standing, standpoint, post; stage..."
term birth born a live child OR term birth born alive
Subject: term birth born a live child OR term birth born alive
x
Might be Angular Deformity correction chart taken from the Angular Deformity
Subject: Might be Angular Deformity correction chart taken from the Angular Deformity
s
Help with term
Subject: Help with term
Doc is saying, when he's giving DTR's or pulses are s/l "coolmen" or coolen" and strong. I've never encountered this word in 10 years, thought I figured it out once, forgot to write it down and now have the same doc back...just bugging me help anyone?
MRI term
Subject: MRI term
Doing an MRI of the back, s/l CCAB "Marlar"
is there a term C&P or CNP?
Subject: is there a term C&P or CNP?
Weight loss, check Hemoccult cards x 3, check s/l C&P, PSA.
tia 
OR term
Anyone heard of an Essure tubal occlusion? Thanks.
OB term
Subject: OB term
Has anyone ever heard of bicellar cerebellar diameter. All I can find is transverse cerebellar diameteter. Txs. - Linda
help with a term
Has anyone ever heard a dictator say "gimmed off with a rongeur"? Do you know of any good orthopedic websites I could research? I am an MT student in desperate need of some direction!!!
How is this term used? nm
Subject: How is this term used? nm
Term
Subject: Term
It is probably chronic cholecystitis
Term
Subject: Term
How about procurement officer
Help with ob-gyn term.
Subject: Help with ob-gyn term.
...progesterone receptor deficiency contributing to the very early pregnancy losses and failure of good s/l "prostentation".
Help with ob-gyn term
Subject: Help with ob-gyn term
Prosemination????
http://www.onelook.com/?w=prosemination
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