Book of style for medical transcription pdf

This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. Medical transcription, also known as MT, is an allied health profession, which deals in the process of transcription, or converting voice-book of style for medical transcription pdf reports as dictated by physicians or other healthcare professionals, into text format.


Medical records have been kept since humans began writing, as attested by ancient cave writings. Medical transcription as it is currently known has existed since the beginning of the 20th century, when standardization of medical data became critical to research. At that time, medical stenographers replaced physicians as the recorders of medical information, taking doctors’ dictation in shorthand. With the creation of audio recording devices, it became possible for physicians and their transcriptions to work asynchronously, thus beginning the profession of healthcare documentation as we currently know it.

Over the years, transcription equipment has changed from manual typewriters to electric typewriters to word processors to computers and from plastic disks and magnetic belts to cassettes and endless loops and digital recordings. SR fully replaces the MT.

In the past, these medical reports consisted of very abbreviated handwritten notes that were added in the patient’s file for interpretation by the primary physician responsible for the treatment. Ultimately, this mess of handwritten notes and typed reports were consolidated into a single patient file and physically stored along with thousands of other patient records in a wall of filing cabinets in the medical records department. Whenever the need arose to review the records of a specific patient, the patient’s file would be retrieved from the filing cabinet and delivered to the requesting physician. To enhance this manual process, many medical record documents were produced in duplicate or triplicate by means of carbon copy.

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