Location: Bldg 308
In accordance with 40-66, operation reports, medical evaluations boards, consultations, diagnoses and procedures and surgical reports will be typed and placed in all aspects of the patient medical records such as Essentris and HAIMS of all patients admitted to this MEDCEN.
The mission of the medical transcription section to provide comprehensive and accurate medically acceptable patient treatment records such as medical histories, physical examinations, narrative summaries, consultations diagnoses and procedures, surgical reports and medical evaluation boards. We provide guidance to the medical staff on the use of medical records requirements and formats and standards of acceptability. We insure that final documents meet established medical, legal accreditation and organizational requirements before it is sent to the appropriate physician for approval and signature.