What are the Types of Medical Reports Used for Medical Transcription

Medical transcriptions are vital information that dictates medical details about a patient. A medical professional and patient must keep track of medical records and the history of medical interventions conducted on patients. When a doctor runs diagnostics, they rule out their observations of the patient and jot them down in the report. These notes are incomprehensible to ordinary people and sometimes to other healthcare professionals.

There are different specialties in medical science, such as radiology, urology, oncology, pediatrics, dermatology, general medicine, etc. Urology transcriptions and oncology transcriptions concern the most among patients/consumers often as they wish to get a basic understanding of their existing body conditions. Every patient must be aware of their body conditions. Medical transcriptionists are professionals that create transcriptions reports.

Let us look at the different types of medical transcriptions reports you must know.

History and Physical Report: The report is dictated by a physician right from the moment of the patient’s admission. It starts with the patient’s primary health concern, health history, the patient’s social cycle, a plan of treatment, and almost everything about the physical examination.

Consultation Report: Also, ruled out by a physician in the case when a patient gets referred to another physician who specializes in the medical field different than the former. The report may include some x-ray or lab reports indicating peculiarities that the referred physician can better understand.

Operative Reports: Reports created on the behest of an operative physician called operative reports. The details involve the type of surgery, the name of the operating physician, anaesthesiologists, and pre-operative and post-operative notes. Everything ruled out from the operative procedure is included in this report. For example, a urology transcription after vasectomy surgery.

Radiology Reports: These reports include the radiologist’s findings and interpretations of radiology lab reports such as CT scans, MRI scans, X-Rays, and nuclear medicine procedures.

Pathology Report: The dictations of a pathologist after observing microscopic findings of different samples collected from patients.

Laboratory Report: These are findings collected from the fluid samples collected from the patient’s blood or urine. For example, urology transcriptions.

Hospital Report: This is a comprehensive report involving different reports such as radiology reports, pathology reports, and almost all the reports of all procedures created during patient hospitalization.

Conclusion: Hence, these are the medical reports for which we need medical transcriptions to understand better. Medical transcriptions are the detailed and more insightful interpretation of medical reports received from healthcare providers.

Leave a Reply