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Medquist letter format question...

Posted By: Please see message on 2007-12-05
In Reply to:

Subject: Medquist letter format question...

I never usually have to type letters so I am unsure of the format.  Are we supposed to type the "Sincerely," and are we supposed to indent it? 


Thanks!




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Subject: Medquist, please tell them!!!!


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Subject: Probably would get more insight if you post this under MEDQUIST. Good luck to you!


format
Subject: format

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Subject: Format ?

5/5 strength throughout sensation is intact.  So the 5/5 is not at the start of the sentence, how would you reword this phrase?


OB format for G 3, P 1-1-0-2
Subject: OB format for G 3, P 1-1-0-2

Is this how you type that?  I havn't heard it transcribed that way before... Thanks!
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Subject: Format Help

How do you type the name of a book? Italics or quotations? TIA
Format help
Subject: Format help

I have a dictator who constantly repeats words, phrases, entire sentences!  Do you transcribe it twice or if she has already stated it, leave it out? 
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Subject: Format ?

Would it be MEDICATIONS: Include


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Subject: H & P Format

Just when I think I have it on format - I don't.  The following is under PHYSICAL EXAMINATION.  What would the subheading be?



Patient walks to the right occasionally. She has trouble getting started because of discomfort. She can walk on heels and toes briefly. However, on a tandem walk she really has difficulty with that. She does not line up her toes easily, loses her balance very easily with that.   This is typed as dr. dictated. Suggestions would be appreciated. 


Abbreviation Format

Hi... Can someone tell me the correct format for what comes after this med in a dictation:  "Zarontin 250 mg 500 500 250 500?"  Is this 500 am, 500 mid-am, 250 afternoon, 500 bedtime?


Thanks! 


Abbreviation Format
Subject: Abbreviation Format

Thanks!  I thought that would be a mega-dose as well, but that's what she said.  I did "slash" them though. 
format question
Subject: format question

Do you put immunizations under the Social History section in a report or by themselves?  I'm not testing, just confused.  The doctor is dictating:  "All immunizations are up to date" under Social  History.  Thanks.
Format question...
Subject: Format question...

Hi, I'm wondering whether AAMT BOS says to type this:  "image #31 series 3" or this: "image #31, series 3."  Comma or no?


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Format question
Subject: Format question

This is so small I hate to ask, but everytime I type this it just looks odd no matter what way I type it and would like to know how another MT would type this. 


If someone has a dull aching sensation or sharp stabbing sensation would you hiphenate (dull-aching sensation) or slash (dull/aching sensation) or just leave it (dull aching sensation)?  Thanks for any input to my "stupid" question.  


I would say cecal and S1-S2 is how I format it...nm
Subject: I would say cecal and S1-S2 is how I format it...nm

s
number format
Subject: number format

When transcribing a very large number, "1 million 120 thousand" is it considered more acceptable to use words or just to stick to numbers? 
Format question
Subject: Format question

I was hoping someone might be able to give me the rule for this.....Should departments be capitalized?  For instance, "she saw University of Virginia orthopedics"  Should orthopedics be capitalized or not? I'm always confused about this:)


format question
Subject: format question

I was taught that if the "orthopedics" came after the name of the place, it should be capitalized (UoV Orthopedics). If not, it wouldn't be capitalized(orthopedic department at UoV). Please correct me if I'm wrong, anyone! :)
Punct? format?
Subject: Punct? format?


REVIEW OF SYSTEMS


He is 6 feet tall and weighs 260 pounds. His weight has been stable. No rashes. No problems with his eyes, ears, nose or mouth. Respiratory: he is positive for a smoker, half pack per day, with a smokers cough. Cardiovascular: has a history of hypertension. No GI/GU problems. Musculoskeletal is stated in the HPI. No neurological or hematological disorders.


Is this how this should be put in paragraph form with the Respiratory and Cardiovascular??


Radiology Format ??
Subject: Radiology Format ??


DUPLEX SCAN OF LEGS



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RIGHT LEG: On the right side,


Is this layout correct? or is it


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Format rules in MT

Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home.   Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way.   Problem #1 - HYPERTENSION.  The patient is taking lisinopril currently.....  or if the doc did not say PROBLEM #1, then you transcribed it 1.  HYPERTENSION.  Blah, blah, blah.   When did this change and become wrong?  Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem.  Is this in the so-called AHDI BOS2? 


IMHO, using the capitalization on the problem is much easier to read, than this...


1.  Hypertension.  The blah, blah, blah..


2.  Diabetes mellitus type 2.  Uncontrolled.  Not compliant.


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format that to your accts specs (sm)
Subject: format that to your accts specs (sm)

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Subject: Format for multiple problems

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Subject: Format & Capitalization (psychiatric)

Capitalize verbal, performance, and full-scale?  Should I leave the subtest scores in a vertical list arrangement or use a different format?


On this administration of the Wechsler Adult Intelligence Scale-III, Mr. ___ obtained a verbal IQ of 57 (range 53-63), a performance IQ of 64 (range 59-73), and a full-scale IQ of 56 (range 53-61). These scores fall within the mild range of mental deficiency.


The following scatter of subtest scores was obtained:
VERBAL:
Vocabulary: 2
Similarity: 3
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Information: 3
Comprehension: 2


PERFORMANCE:
Picture Completion: 4
Digit Symbol: 4
Block Design: 4
Matrix Reasoning: 5
Picture Arrangement: 4


All the scores above fall within the mentally deficient range and are relatively even.


Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm


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Subject: In MSWord, go to Format, Font,..

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Subject: Just a general question on format

I have been using these forums for a while now and I keep seeing people using "nm" and "sm". What does this mean?

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Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever.

I do intend to buy my own soon but I have to wait till payday. :(


Much appreciated !
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Subject: Format/Grammar/Punctuation Help (psychiatric)

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He dictates in SOAP format so that might look out of place.
Subject: He dictates in SOAP format so that might look out of place.


Time format rules in BOS 3rd edition?
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever is easier.

I do intend to buy my own soon but I have to wait till payday and I'm starting a new company right now that uses that book :(

TIA !
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Subject: Axis format but employer prevails

I go like so


Axis   I


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          xxxxx


          xxxxx


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Axis  III


 


Axis   IV


 


Axis   V



 


 


 


3 months' time is the correct format
Subject: 3 months' time is the correct format


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Subject: letter

I am typing a letter to a claims manager, and doc states


"He does have a deposition coming to s/l furlation in the near future.


 


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That's it...boy if you don't get the first letter right you are sometimes
Subject: That's it...boy if you don't get the first letter right you are sometimes

stumped. Searches do not do good without that first letter. Thanks so much!
End of a Letter
Subject: End of a Letter

At the end of a letter, should I make "Thank you very much." a new paragraph? 
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I have never dictated a letter before.  When they state who the letter goes to, does that go in the cc field?
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Subject: letter help

When they state who the letter goes to, does that go in the cc field?
Thanks, but definitely s/l the first letter is a "b"..nm
Subject: Thanks, but definitely s/l the first letter is a "b"..nm

nm
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Subject: SOAP is a really archiac format, rarely used today

and occasionally used today but rare.....


As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm
Subject: As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm

x
Need help addressing a letter.
Subject: Need help addressing a letter.

How do I address the letter/envelope when MD dictates that the letter is to go to:  (Drs Max, Jones, Smith, and Brown.)  All of these MDS work in the same office together. 



I need help formating this the correct way.  Thanks.


 


Drs. Max,  Jones, Smith, and Brown


100 Medical Road.
Suite 700
Anywhere, USA 10000


AIc (its actually the letter "I" not the number ŕ"
Subject: AIc (its actually the letter "I" not the number ŕ"

/
letter help - chairman
Subject: letter help - chairman

I have doc dictating a letter to another doctor. he says the doctor's name and then Chairman, Credential Committee. Should I put the chairman after the doc's name or on a separate line with credential committee?
You're looking up A zero...you need A, letter O.
Subject: You're looking up A zero...you need A, letter O.

x
Regarding letter h (hour) per BOS...please sm

Letter h. (with a period) is the abbreviation for the Latin word hora, meaning hour.


q.6 h. (every 6 hours)


In instructions for medications, Latin abbreviations may be coupled with English terms, such as hour. These may be transcribed as dictated or the English translated to Latin.


every 4 hours or q.4 hours or q.4 h or q.4 h Copyright (c) 2002 American Association for Medical Transcription.  So does this mean we can do the q.4 h without the period at the end of h, because I am constantly having to remove capital letters from words following the h with a period.  Thanks.


thank you - I missed a few letter in there. = )
Subject: thank you - I missed a few letter in there. = )


use number 0, not the letter O.....
Subject: use number 0, not the letter O.....


Only apostrophe if there is only 1 letter, i.e. I's and O's, but other than that it would be C
Subject: Only apostrophe if there is only 1 letter, i.e. I's and O's, but other than that it would be CBCs, WBCs, etc. A1c is correct.