document resume ce 004 185 ridener, norma a.; and others ... · ep 107 972. author title....
TRANSCRIPT
EP 107 972
AUTHORTITLE
INSTITUTION
SPONS AGENCYPUB DATENOTE
EDRS PRICEDESCRIPTORS
DOCUMENT RESUME
CE 004 185
Ridener, Norma A.; And OthersAn Analysis of the Medical Records ClerkingOccupation.Ohio State Dept. of Education, Columbus. Div. ofVocational Education.; Ohio State Univ., Columbus.,Trade and Industrial Education InstructionalMaterials Lab.Office of Education (DHEW), Washington, D.C.[75]102p.; For related documents, see CE 004 160-184, CE004 186-206; CE 004 263-268, and CE 004 425-427
MF-$006 HC-$5.70 PLUS POSTAGECommuniCation Skills; *Job Analysis; Kno edge Level;*Medical Record Technicians; *OccupationalInformation; Safety; Skill Analysis; SkillDevelopment; Subprofessionals; *Task Analysis; TomskPerformance; Work Attitudes
ABSTRACTThe general purp se of the occupational analysis is
to provide workable, basic information dealing with the.many andvaried duties performed in the medical records clerk occupation. Thedocument'opens with a brief introduction followed by a jobdescription. The bulk of the document is presented in table form.Nine duties are broken down into a number of tasks and for each taska two-page table is presented, showing on'the first page: tools,equipment, materials, objects acted upon; performance knowledge(related also to decisions, cues and errors); safety--hazard; and onthe second page: science; math--number systems; and communications(performance modes, examples, and skills and concepts). Dutiesinclude: processing charts; maintaining indeies; performing admissiontasks, receptionist functions, and record storage and retrieval;preparing statistical reports, birth and death certificates, andin an releases; releasing patient information; and transcribingmedical records. (BP)
**********************************************************************Document's acquired by ERIC include many informal unpublished
* materials not available from other sources. ERIC makes every effort ** to obtain the best copy available. nevertheless, items of marginal *
* reproducibility are often encountered and this affects the quality *
* of the microfiche and hardcopy reproductions ERIC makes available *
* via the ERIC Document Reproduction Service (EDRS). EDRS is not* responsible for the quality of the original document. Reproductions ** supplied by EDRS are the best that can be made from the original. *
***********************************************************************
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81
AN ANALYSIS OF THE MEDICAL RECORDS CLERKING OCCUPATION
Developed By
Norma A. RidenerInstructor, Senior Office MachinesPenta C.uunty Vocational SchoolPerrysburg, Ohio
and
Madeline BartonConsultantMt. Carmel Medical CenterColumbus, Ohio
Beverly J. NeubauerInstructor, Medical RecordsMontgomery County J.V.S.Clayton, Ohio
Dennis GramlichConsultantSt. Anthony HospitalColumbus, Ohio
Occupational AnalysisE.P.D.A. Sub Project 734n2
June 1, 1973 to December A., 1974Director: Tom; L. Hindes
Coordinator: William L. Ashley
The Instructional Materials LaboratoryTrade and Industrial Education
The Ohio State University
3
"The activity which is the subject of thisreport was supported in whole or in part bythe U.S. Office of Education, Department ofHealth, Education, and Welfare. However,the opinions that are expressed herein do notreflect the position or- policy of the U.S.Office of Education, and no official endorsement by the U.S. Office of Education shouldbe inferred."
4
Foreword
Preface
TABLE OF CONTENTS
v'i
Acknowledgment ix
Job Description xi
- DutiesA Processing Charts 1
B Maintaining Indexed 21C Performing Admission Tasks 39D Performing Receptionist Functions 45E Performirig Record Storage and Retrieval 55F Preparing Statistical Reports . 61G Preparing Birth and Death Certificates and Infant Releases 67H Releasing Patient Information 73I Transcribing Medical Reports 89
FOREWORD
The occupational analysis project was conducted by The Instructional Materials Labeiatory,Trade and Industrial Education, The Ohio State University in conjunction with the StateDepartment of Education, Division of VocationLI Education pursuant to a grant from the U.S.
Office of Education.
The Occupational Analysis project was proposed and conducted to train vocational educators
in the techniques of making a comprehensive occupational analysis. InAructors were selected
from Agriculture, Business, Distributive, Home Economics, and Trade and Industrial Education
to gain experience in developing anaFysis documents for sixty-one different occupations. Repre-
sentatives from Business, Industry, Medicine, and Education; were invoived with the vocational
instructu.s in coruucting the analysis process.
The project was conducted in three phases. Phase one involved the planning a,-.d devel,;rment
of thi 'Ivied sti.rtegie. The analysis process was based cn sound principles Lt learivilg :...d
beha lot Phase tv.,o was the tientification, selection anti orientation of &I parlieipantq. The
training; anti work shop sessions coAstituted the third phase Two-weefe_wcikshops were 'ield
during %\ift:ch teams of vocahoral instructors cond'icted -.n anif;ysis of 'lle, occupatiors in .o.q-ici..
they in employment experience. The instructors were assisted by bull. occupation,' :orlsult
al is and subject matter specialists.
(lc proji:ct csultcd 1:1 pi 1 seueing ore hundred twc trairt,(' °carrot: iristr uctct.: capable
onduhing anA assisting is a comprehensive; analysis of v. -)t..c. cupationt. O. cupr )1.1(.1 an.
yis-da4a--,-Aere generated 101 sixty one occupdtions. inituded a ,J,11011161
valiot.s tas'ics nerfoimed in each occi.pation. For each Iasi. g ALI' Si7t .1
tools aria equiprnet; firoceoural knowledge, safety collieots aro of
tics, science and ccrtmunication [seeded for sow wt.' tang i the cc( (mat; hi:
analysis (idle provided a bas:;-, for generating di:.tior tk mats, in-itc ,1'
performance objectives, critrrion measures, as %Nell as d rig spec. it F.ipporting sk'Irs ;nil
know'edije it th., ',ceder subiei t t.rias.
PREFACE
A general approach was used in describing the tasks of a Medical Records Clerk. These tasks would verydepending on whether the clerk was employed in a small or large hospital, health care institution, clin:c, orlaboratory. We attempted to generalize our tasks to fit a wide range of medical facilities.
In very small organizations, the Medical Records Clerk may also transcribe medical recora For this reason,the tasks of the transcriptionist were included. For larger hospitals, the Medical Records Clerk and the MedicalRecords Transcriber would be two separate job areas.
A
ACKNOWLEDGMENT
We wish to acknowledge the valuable assistance rendered by the following subject matterspecialists. They provided input to the vocational instructors in identifying related skillsand concepts of each respective subject matter area and served as training assistants in theanalysis process during the two-week workshops.
Rollin M. Barber, PsychologyThe Ohio State UniversityColumbus, Ohio
Jodi Beittel, Communications'Columbus, Ohio
Diana L. Buckeye, MathematicsUniversity of MichiganAvon Lake, Ohio
Rick Fien, ChemistryThe Ohio State UniversityBeachwood, Ohio
N. S. Gidwani, ChemistryColumbus Technical InstituteColumbus, Ohio
Bruce A. Hull, BiologyThe Ohio State UniversityColumbus, Ohio
Donald L. Hyatt, PhysicsWorthington High SchoolWorthington, Ohio
Glenn Marin, CommunicationsColumbus, Ohio
Jerry McDonald, Physical SciencesColumbus Technical InstituteReynoldsburg, Ohio
Colleen Osinski, PsychologyColumbus Technical InstituteColumbus, Ohio
David Porteous, CommunicationsUniversity of ConnecticutColchester, Connecticut
James A. Sherlock,-CommunicationsColumbus Tectinical InstituteColumbus, Ohio
Jim VanArsdall, MathematicsWorthington High SchoolWorthington, Ohio
Lillian Yontz, BiologyThe Ohio State UniversityCaldAell, Ohio
Acknowledgment is extended to the following I.M.L. staff members for their role inconducting the workshops; editing, revising, proofing and typing the analyses.
Faith Justice Research AssociateSheila Nelson Administrative AssistantMarsha Opritza Editorial ConsultantRita Buccilla TypistPeg Bushel man TypistCaroi Fausnaugh TypistMindy Fausnaugh TypistRita Hastings TypistCarol Hicks TypistSue Holsinger TypistBarbara Hughes TypistCarol Marvin, TypistPatti Nye TypistKathy Roediger Typi:AMary Sa lay Typist
9
JOB DESCRIPTION
Files and retrieves records and loose reports of hospital and clinic patients; maintains a signout systemof records and an updated index file of patients; and services patients' index for identifying patient by record
number.
Routinely checks for the existence of any prior medical record of every patient admitted as an inpatient oras an outpatient. Retrieves any prior record for inclusion with current record. May type index card from sourcereference sheet. Updates patients' index file by filing new cards or recording additional data on existing cards
and audits patients' index for any misfiles. Notes on index card when record is pulled and to which medicalunit or physician it is being sent. Files cards according to established filing system.
Files medical records by established numbering system and rechecks filing for proper location on filing shelves.
Answers inquiries from hospital departments regarding existence and whereabouts of medical records onspecified patients. Repairs or replaces worn or torn folders and may issue file folder on new admissions anddispatches them to patient care areas. Routinely retrieves records of patients scheduled for admission to clinic
or hospital.
Follows established procedures for dispatching medical records to other areas of the hospital.
Receives requests for information from medical records of patients by mail or telephone from such sources asphysicians, patients, lawyers, insurance companies, or health and welf re agencies. Processes requests for delivery
of records for use in answering correspondence. Checks for properly xecuted authorization to release medical
information on designated patients. Follows specified procedures for bstracting or copying specified portionsof medical records. Compares signatures and types standard letters to requesting parties following established
policies and procedures on the release of medical information.
Performs related duties such as answering and routing telephone calls and receiving people requesting information
and services in the department.
Transcribes medical reports on diagnostic woi..kups, therapeutic procedures, and clinical resumes for inclusionin medical records and for transmission to physicians or other medical care facilities, using transcribing machine
and typewriter.
Operates transcribing machine through the use of dials and pedals to control quality of voice reproduction andspeed of dictation, and uses ear devices to listen. Follows prescribed procedures for the use of %el IOUS formswith one or more carbon conies in tyring particular reports. Follows specified procedures for dispatching
to
finished reports to designated persons for approval and signature of dictator and for dispatching carbon copiesto designated persons or offices. Responsible for verifying accuracy of the dictator in identifying the patientby name, hospital number, location in hospital, and any,address which may involve the use of patient name files.Makes entries on prescribed control forms in regard to-which report was transcribed for a particular patient,dates dictation was received and transcritiaa, and name of dictator.
Job performance may involve the use of electric or automatic typewriters as well as disc, belt, or tape-drivendictating and transcribing equipment.
* Taken in part form Job Descriptions and Occupational Analysis for Hospitals and Related Health Services,Superintendent of Documents, U. S. Government Printing Office, Washington, D. C. 20402
Duty A Processing Chart (discharge patients)
1 Abstract information from record for manual indexes and/or statistics2 Abstract information frOm record onto data processing source document3 Analyze chart4 Assemble record in proper order5 Attach late miscellaneous reports to chart after initial assembly6 Complete records by other departments, e. g., route charts, request missing reports7 Complete records by physician r8 File chart ik appropriate sequence /of files9 Route charts through medical reviw committee .
/
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PLE
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S
Vis
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Rec
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of s
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and
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Logi
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(TA
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AT
TA
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SE
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LY
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KN
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SA
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--
HA
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Late
mis
cella
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s re
port
s,
Pat
ient
's c
hart
Bas
ic o
ffice
sup
plie
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Sor
t acc
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ng to
filin
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Loca
te c
hart
Pla
ce la
te m
isce
llane
ous
repo
rts
in p
rope
r or
der
infil
e
-
'
,
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
prop
er o
rder
Inst
itutio
n's
polic
yM
issi
ng o
r m
isfil
ed r
epor
ts w
ill c
ause
an
inco
m-
plet
e or
err
oneo
us m
edic
al r
ecor
d w
hich
coul
d af
fect
futu
re m
edic
al c
are,
med
ical
audi
t stu
dies
, and
sta
tistic
al in
form
atio
n
.4
(TA
SK
ST
AT
EM
E N
T)
,- i1
1 A
CH
LA
TI:
MIE
CF
.I.,_
AN
EO
US
RE
PO
Ic.-
S T
O c
HA
RT
AF
TI.
is: 1
TIA
l AS
SE
MB
I
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
ndin
tege
rs o
r, th
e nt
hr,b
er
line
(seq
uent
ial o
rder
ing)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Vie
win
gF
iles
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Vis
ual a
naly
sis
Rec
ogni
tion
of s
ymbo
ls, c
odLs
, and
em
blem
sLo
gic
--42
e-'
(TA
SK
ST
AT
EM
EN
T)
914
CO
MP
LET
E R
EC
OR
DS
BY
OT
HE
R D
EP
AR
TM
EN
TS
, e. g
.,R
OU
TE
CH
AR
TS
, RE
QU
ES
T M
ISS
ING
RE
PO
RT
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pat
ient
's c
hart
with
def
icie
ncie
s sl
ipIn
tero
ffice
mem
oT
elep
hone
.
Not
ify o
ther
dep
artm
ents
of m
issi
ng r
epor
tsan
d/or
def
icie
ncie
s as
not
ed o
n th
e de
ficie
ncie
ssl
ipv
Fol
low
up
to m
ake
sure
def
icie
ncy
is c
orre
cted
Not
e: A
rec
ord
cann
ot b
e co
nsid
ered
com
plet
eun
til a
ll en
trie
s in
the
reco
rd a
re c
ompl
ete
and
all p
arts
of t
he r
ecor
d ar
e at
tach
ed.
,
.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inco
mpl
ete
reco
rd (
note
: see
abo
ve)
.
Det
erm
ine
appr
opria
te p
erso
ns to
con
tact
inT
ype
of d
efic
ienc
yot
her
depa
rtm
ents
.
..
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E R
EC
OR
DS
BY
OT
HE
R D
EP
AR
TM
EN
TS
, e. g
., R
OU
TE
CH
AR
TS
,RE
QU
ES
T M
ISS
ING
RE
PO
RT
S
SC
IEN
CE
MA
TH
, N
UM
BE
R S
YS
TE
MS
k
, .
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
-- -
_E
XA
MP
LES
SK
ILLS
/CO
NC
EP
TS
.
Spe
akin
gR
eque
st in
form
atio
nC
larit
y of
exp
ress
ion
App
ropr
iate
dic
tion
and
enun
ciat
ion
Voc
abul
ary
'
Goo
d gr
amm
arC
ourt
esy
and
tact
-
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E R
EC
OR
DS
BY
PH
YS
ICIA
N
914
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N1
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Pat
ient
's c
hart
Tel
epho
ne a
nd/o
r le
tter
Phy
sici
ans'
dire
ctor
yB
asic
offi
ce s
uppl
ies
Phy
sici
an's
file
of i
ncom
plet
e re
cord
s
Acc
umul
ate
indi
vidu
al p
hysi
cian
's d
efic
ienc
ies
Not
ify p
hysi
cian
of s
uch
defic
ienc
ies
Ren
otify
As
nece
ssar
y
Not
e: r
ecor
d is
not
con
side
red
com
plet
e un
til a
llar
eas
for
whi
ch th
e ph
ysic
ian
is r
espo
nsib
lear
e co
mpl
eted
DE
CIS
ION
SC
UE
S
Inst
itutio
n's
polic
ies
on a
mou
nt a
nd ty
pe o
fde
ficie
nt in
form
atio
n
ER
RO
RS
Det
erm
ine
poin
t of n
otifi
catio
n
.
Inco
mpl
ete
reco
rds
(not
e: s
ee a
bove
)
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LET
E R
EC
OR
DS
BY
PH
YS
ICIA
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
.
Chr
onol
ogic
al c
ompu
tatio
ns a
s to
age
of t
he c
hart
..
CO
MM
UN
ICA
TIO
NS _
.
PE
RF
OR
MA
NC
E M
OD
ES
.
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Tel
epho
ne r
eque
sts
for
info
rmat
ion
Writ
ten
requ
ests
for
info
rmat
ion
4.6
Cla
rity
of e
xpre
ssio
nV
ocab
ular
yA
ppro
pria
te d
ictio
n an
d en
unci
atio
nG
ood
gram
mar
Cou
rtes
y an
d ta
ct
Spe
lling
(TA
SK
ST
AT
EM
EN
T)
FIL
E C
HA
RT
IN A
PP
RO
PR
IAT
E S
EQ
UE
NC
E O
F F
ILE
S
2.7
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pat
ient
s' c
hart
s an
d fil
esD
eter
min
e pr
oper
seq
uenc
e of
file
sF
ile c
hart
.
4
DE
CIS
ION
SC
UE
SE
RR
OR
S
Mis
filin
g w
ill le
ad to
del
ayed
ret
rieva
l of r
ecor
dw
hich
cou
ld in
turn
lead
to d
elay
ed tr
eat-
men
t of p
atie
nt if
nee
ded
in a
n em
erge
ncy
situ
atio
nC
hart
mig
ht n
ot b
e in
clud
ed in
app
ropr
iate
stud
ies
or m
ay d
evia
te fr
om th
e st
anda
rdpr
oces
s flo
w o
f the
rec
ord
Dis
crim
inat
e be
twee
n al
phab
etic
al, c
hron
olog
i-In
stitu
tion'
s po
licy
cal,
term
inal
dig
it, a
nd n
umer
ical
filin
g as
,pro
per
sequ
ence
(TA
SK
ST
AT
EM
EN
T)
FIL
E C
HA
RT
IN A
PP
RO
PR
IAT
E S
EQ
UE
NC
E O
F F
ILE
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
.
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
r In
the
num
ber
line
(seq
uent
ial o
rder
ing)
'.
,
\'
.C
OM
MU
NIC
AT
ION
S
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S.
,..V
iew
ing
-
Cha
rts
and
files
.
,
17
Vis
ual a
naly
sis
Logi
cR
ecog
hitio
n o'
sym
bols
, cod
es, a
nd e
mbl
ems
.
.47&
(TA
SK
ST
AT
EM
EN
T)
RO
UT
E C
HA
RT
S T
HR
OU
GH
ME
DIC
AL
RE
VIE
W C
OM
MIT
TE
E
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
Pat
ient
's c
hart
File
are
a fo
r re
view
com
mitt
ee c
haris
PE
RF
OR
MA
NC
E K
NO
WLE
DG
E
File
cha
rts
in a
ppro
pria
te a
rea
Pre
pare
cha
rts
for
com
mitt
ee r
evie
wA
fter
revi
ew, f
ile c
hart
s in
app
ropr
iate
file
SA
FE
TY
HA
ZA
RD
DE
CIS
ION
S
Det
erm
ine
prop
er p
repa
ratio
n of
cha
rt
CU
ES
Inst
itutio
n's
polic
yA
ppar
ent d
efic
ienc
ies
ER
RO
RS
The
cha
rt w
ould
leav
e th
e no
rmal
cha
rt fl
owpr
oces
s an
d co
uld
not b
e lo
cate
d up
on r
e-qu
est a
s ne
eded
(TA
SK
ST
AT
EM
EN
T)
RO
UT
E C
HA
RT
S T
HR
OU
GH
ME
DIC
AL
RE
VIE
W C
OM
MIT
TE
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
eleI
f...i.
rwal
min
bol
PE
RF
OR
MA
NC
E M
OD
ES
Vie
win
g
EX
AM
PLE
S
Cla
ssify
cha
rts
as to
spe
cific
rev
iew
com
mitt
ee
19
SK
ILLS
/CO
NC
EP
TS
Vis
ual a
naly
sis
Logi
cR
ecog
nitio
n of
sym
bols
, cod
es, a
nd e
mbl
ems
"Ai
Duty B. Maintaining Indexes
1 Abstract information from patient record onto data processing source document2 Coding of diseases and operations3 Maintain average length of stay by clinical service index (manually)4 Maintain diseases and operations index (manually)5 Maintain patients' index (manually)6 Maintain physicians' index (manually)7 Maintain registers, e.g., birth, death (manually)8 Prepare daily census report
3/
/
21
(TA
SK
ST
AT
EM
EN
T)
AB
ST
RA
CT
INF
OR
MA
TIO
N F
RO
M P
AT
IEN
T-R
EC
OR
DO
NT
O D
AT
A P
RO
CE
SS
ING
SO
UR
CE
DO
CU
ME
NT
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Dat
a pr
oces
sing
sys
tem
man
ual
Sou
rce
docu
men
t(pa
tient
's c
hart
)A
bstr
act f
orm
sB
asic
offi
ce s
uppl
ies
_.
Fol
low
"D
ata
Pro
cess
Sys
tem
" m
anua
l for
com
-pl
etio
n of
this
task
File
rep
orts
whe
n re
ceiv
ed
,'
.
-
DE
CIS
ION
SC
UE
S
"Dat
a pr
oces
s sy
stem
" m
anua
l
_
ER
RO
RS
Det
erm
ine
info
rmat
ion
to b
e ab
stra
cted
Tra
nsfe
rral
of d
ata
erro
rs fr
om c
hart
to a
b-st
ract
Man
y in
dexe
s ar
e ge
nera
ted
by,th
e pr
oces
s.M
isre
cord
ed in
form
atio
n m
ay c
ause
err
ors
inin
dexe
s w
hich
, in
turn
, cou
ld le
ad to
inad
e-qu
ate
data
for
both
med
ical
stud
ies
and
ad-.
min
istr
ativ
e st
atis
tical
_ re
port
s
(TA
SK
ST
AT
EM
EN
T)
AB
ST
RA
CT
INF
OR
MA
TIO
N F
RO
M P
AT
IEN
T R
EC
OR
D O
NT
O D
AT
A P
RO
CE
SS
ING
SO
UR
CE
DO
CU
ME
NT
\S
CIE
NC
EM
AT
HN
UM
BE
R S
YS
TE
MS
---
Fun
dam
enta
l ope
ratio
ns (
calc
ulat
ions
)A
dditi
on a
nd s
ubtr
actio
n al
gorit
hms
[Det
erm
ine
num
ber
of h
ospi
tal d
ays
I
.
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KU
LLS
/CO
NC
EP
TS
Rea
ding
.,
Writ
ing
Tra
nsfe
rral
of d
ata
.
Tra
nsfe
rral
of d
ata
-1/
Com
preh
ensi
onIn
form
atio
nal r
epor
ts
Logi
cS
pelli
ng1
.
Info
rmat
iona
l rep
orts
.13
(TA
SK
ST
AT
EM
EN
T)
,C
OD
ING
OF
DIS
EA
SE
S A
ND
OP
ER
AT
ION
S
rt4
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Cod
e bo
oks
Inst
ruct
ion
book
Bas
ic o
ffice
sup
plie
sS
ourc
e do
cum
ent (
patie
nt's
cha
rt)
Fol
low
inst
ruct
ions
in a
ppro
pria
te c
odin
g m
anua
lR
ecor
d ap
prop
riate
cod
e fo
r ea
ch d
iagn
oses
and
oper
atio
n in
app
ropr
iate
are
a of
cha
rtS
pot a
nd in
terp
ret p
oor
term
inol
ogy
on th
e pa
rtof
the
phys
icia
n
DE
CIS
ION
S
Det
erm
ine
prop
er c
ode
CU
ES
Cod
e bo
oks'
and
syst
ems
(S.N
.D.O
., I.C
.D.A
.-8,
H-
I.C.D
.A.,
S.N
.O.P
.)In
stitu
tion'
s po
licy
ER
RO
RS
Acc
urat
e co
ding
of t
he c
orre
ct d
iagn
osis
and
oper
atio
n is
ess
entia
l as
inde
xes
are
mai
n-ta
ined
by
this
num
ber
(TA
SK
ST
AT
EM
EN
T)
CO
DIN
G O
FD
ISE
AS
ES
AN
D O
PE
RA
TIO
NS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Use
of n
umbe
rs w
ithou
t cal
cula
tion
- gi
ven
a co
ding
sys
tem
,re
cogn
ize
and
iden
tify
each
uni
t inv
olve
d by
ass
igni
ngne
cess
ary
sym
bols
, num
eric
al o
r lit
eral
---.
...C
OM
MU
NIC
AT
ION
S,-
,_
-.I
PE
RF
OR
MA
NC
E M
OD
ES
I
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
Rea
ding
.
Dia
gnos
is a
nd o
pera
tion
repo
rts
Cod
e bo
oks
.
'2c
_
Cla
ssifi
catio
nT
erm
inol
ogy
Gen
eral
voc
abul
ary
Logi
c
Com
preh
ensi
onD
efin
ition
Ter
min
olog
y
.15
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
AV
ER
AG
E L
EN
GT
H O
F S
TA
Y B
Y C
LIN
ICA
L S
ER
VIC
E IN
DE
X (
MA
NU
ALL
Y)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
-S
AF
ET
YH
AZ
AR
D
Reg
iste
rP
atie
nt's
cha
rtB
asic
offi
ce s
uppl
ies
Dai
ly a
naly
sis
of h
ospi
tal s
ervi
ce fo
rmC
alcu
lato
r (d
esira
ble)
Abs
trac
t app
ropr
iate
info
rmat
ion
from
cha
rt to
regi
ster
boo
kP
repa
re m
onth
ly in
dex
,
'
.
.
DE
CIS
ION
SC
UE
SE
RR
OR
S
_
Diic
rimin
ate
betw
een
serv
ices
Inst
itutio
n's
polic
y
.
Inac
cura
te r
ecor
ding
of t
his
info
rmat
ion
wou
ld p
rodu
ce fa
ulty
sta
tistic
al r
epor
ts_w
hich
are
use
d in
adm
inis
trat
ive
plan
ning
and
incl
ude
bed
allo
catio
n pe
r se
rvic
e,h
grow
tra
tes,
etc
.
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
AV
ER
AG
E L
EN
GT
H O
F S
TA
Y B
YC
LIN
ICA
L S
ER
VIC
E IN
DE
X (
MA
NU
ALL
Y)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Fun
dam
enta
l ope
ratio
ns (
calc
ulat
ions
)A
dditi
on, s
ubtr
actio
n, d
ivis
ion,
and
mul
tiplic
atio
n al
gorit
hms
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
_
Writ
ing
Cha
rts
Tra
nsfe
r da
ta
EX
AM
PLE
S
27
SK
ILLS
/CO
NC
EP
TS
Com
preh
ensi
onT
erm
inol
ogy
Cla
ssifi
catio
nT
erm
inol
ogy
Gen
eral
voc
abul
ary
Logi
c
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
DIS
EA
SE
S A
ND
OP
ER
AT
ION
S IN
DE
X (
MA
NU
ALL
Y)
fiR
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Dis
ease
or
oper
atio
n in
dex
card
Vis
ible
or
vert
ical
file
Typ
ewrit
er (
optio
nal)
Pat
ient
's c
hart
Bas
ic o
ffice
sup
plie
sC
olor
cod
ed' f
iles
Med
ical
dic
tiona
ryR
efer
ence
boo
k on
med
ical
app
ropr
iatio
ns
Pul
l app
ropr
iate
dis
ease
and
ope
ratio
n in
dex
card
sR
ecor
d ap
prop
riate
info
rmat
ion
onto
car
dF
ile c
ard
DE
CIS
ION
S
Det
erm
ine
prop
er o
rder
CU
ES
File
s ar
e ar
rang
ed in
num
eric
al o
rder
by
dise
ase
or o
pera
tion
code
num
ber
ER
RO
RS
Pul
l wro
ng c
ard
Rec
ord
wro
ng in
form
atio
n on
rig
ht c
ard
The
file
inde
xes
are
used
for
med
ical
car
eev
alua
tion
stud
ies
by s
peci
fic d
isea
seen
titie
s an
d ca
ses
that
had
bee
n m
isre
cord
-ed
wou
ld b
e ex
clud
ed fr
om a
ppro
pria
test
udy
and
incl
uded
in a
n in
appr
opria
test
udy
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
DIS
EA
SE
S A
ND
OP
ER
AT
ION
S IN
DE
X(M
AN
ULL
Y)
SG
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
.
Use
s of
num
bers
with
out c
alcu
latio
n -
give
n a
codi
ng s
yste
m,
.
reco
gniz
e an
d id
entif
y ea
ch u
nit i
nvol
ved
by a
ssig
ning
nece
ssar
y sy
mbo
ls, n
umer
ical
or
liter
al
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Writ
ing
Cha
rts
Tra
nsfe
r da
ta--
-)
9Q
Com
preh
end
com
mon
med
ical
abb
revi
atio
ns
Ter
min
olog
y
Cla
ssifi
catio
nT
erm
inol
ogy
1
Gen
eral
voc
abul
ary
Logi
c
19
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
PA
TIE
NT
S IN
DE
X (
MA
NU
ALL
Y)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
H Z
AR
D
Mas
ter
patie
nt fi
leT
ypew
riter
(op
tiona
l)10
0,B
asic
offi
ce s
uppl
ies
Mas
ter
patie
nt in
dex
card
sS
ourc
e do
cum
ents
(ad
mis
sidn
form
s)
Obt
ain
adm
issi
ons
info
rmat
ion
.
Che
ck fo
r pa
tient
inde
x ca
rd o
n fil
e up
onad
mis
sion
Upd
ate,
if o
n fil
eC
ompl
ete
new
car
d if
not o
n fil
e w
ith a
ppro
-pr
iate
info
rmat
ion
.
.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
corr
ect i
nfor
mat
ion
.
Che
ck a
dmitt
ing
info
rmat
ion
agai
nst o
ld c
ards
for
inco
nsis
tenc
ies
Wat
ch fo
r m
aide
n na
mes
and
sim
ilar
spel
lings
..
.
The
pat
ient
inde
x is
the
prim
ary
sour
cele
adin
g to
all
info
rmat
ion
for
that
pat
ient
If in
accu
rate
info
rmat
ion
is r
ecor
ded,
reco
rds
of th
at p
atie
nt m
ay b
e irr
etrie
vabl
ylo
st a
nd in
hibi
t app
ropr
iate
med
ical
car
e
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
PA
TIE
NT
'S IN
DE
X (
MA
NU
ALL
Y)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
1 \ \ \ \
.-
. 3
/.C
OM
MU
NIC
AT
ION
S
PE
RF
OR
MA
NC
E M
OD
ES
-
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Rea
ding
-
Writ
ing
Adm
issi
on in
form
atio
n
Tra
nsfe
r da
ta
,
Com
preh
ensi
onIn
form
atio
nal r
epor
tsT
erm
inol
ogy
Cla
ssifi
catio
nT
erm
inol
ogy
Gen
eral
voc
abul
ary
Logi
c
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
PH
YS
ICIA
NS
' :N
DE
X (
MA
NU
ALL
Y)
L12
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Vis
ible
or
vert
ical
file
(de
sira
ble)
Typ
ewrit
er (
optio
nal)
Phy
sici
ans'
inde
x ca
rds
Bas
ic ,o
ffice
sup
plie
sS
ourc
e do
ctim
ent (
patie
nt's
cha
rt o
r di
s-ch
arge
she
et)
Pul
l app
ropr
iate
phy
sici
an c
ard
Rec
ord
appr
opria
te in
form
atio
n on
file
car
d,
.
.
DE
CIS
ION
SC
UE
S
Be
awar
e of
cor
rect
spe
lling
of p
hysi
cian
'sna
me
Look
for
mor
e th
an o
ne p
hysi
cian
on
the
-- c
ase
ER
RO
RS
Det
erm
ine
if m
ore
than
'ne
phys
icia
n w
asre
spon
sibl
e fo
r th
e ca
re o
f pat
ient
.
Pul
ling
wro
ng c
ard
Rec
ordi
ng w
rong
info
rmat
ion
on th
e rig
htca
rd .
Som
e m
edic
al c
are
eval
uatio
n st
udic
s ar
edo
ne o
n th
e pa
tient
s of
the
part
icul
ar,-
-phy
siE
ran
and
mis
reco
rdin
g of
info
rmat
ion
coul
d ex
clud
e a
case
from
an
appr
opria
test
udy
(TA
SK
ST
AT
EM
EN
T)
MA
I NT
AIN
PH
-YS
tC+
AN
S' I
ND
EX
(M
AN
UA
LLY
)U
A L
LY)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
.,
..
.
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Writ
ing
Phy
sici
an c
ard
Tra
nsfe
r da
ta
-4-1
Com
preh
ensi
onT
erm
inol
ogy
Cla
ssifi
catio
nT
erm
inol
ogy
Logi
c
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
RE
GIS
TE
RS
, e. g
.. B
IRT
H D
EA
TH
(M
AN
UA
LLY
)
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Reg
iste
r bo
ok(s
)P
ens
(diff
eren
t col
ors)
Birt
h an
d de
ath
cert
ifica
tes
Rec
ord
appr
opria
te in
form
atio
n in
reg
iste
r fr
omap
prop
riate
cer
tific
ate
Use
red
ink
to r
ecor
d fe
tal d
eath
s
.
.
i
1
DE
CIS
ION
SC
UE
SE
RR
OR
S
Dis
crim
inat
e be
twee
n ty
pes
of in
form
atio
nfo
r re
cord
ing
Fet
al d
eath
s w
ould
not
be
coun
ted
as a
birt
han
d a
deat
h, b
ut a
s a
spec
ial c
ase
.
Mis
copy
info
rmat
ion
Mai
nten
ance
of d
ata
for
vita
l sta
tistic
s ag
en-
cies
mus
t be
high
lycc
urat
e as
this
is th
em
ost w
idel
y re
cogn
izffi
cial
rec
ord
-., _
.
--,..
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
RE
GIS
TE
RS
, e. g
., B
IRT
H,
DE
AT
H (
MA
NU
ALL
Y)
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
o
'--
--
_.--
'
..---
----
--
/-
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
Writ
ing
.
Cer
tific
ates
.
Tra
nsfe
r da
ta
'IR
Com
preh
ensi
onD
etai
l/inf
eren
ceT
erm
inol
ogy
.
Cla
ssifi
catio
nT
erm
inol
ogy
.
Logi
c
,
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E D
AIL
Y C
EN
SU
S R
EP
OR
T
IT
OO
LS, E
QU
IPM
EN
T, M
AT
ER
IALS
,.O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Tw
enty
-fou
r ho
ur r
epor
ts fr
om e
ach
inpa
-tie
nt c
are
unit
or fl
oor
of h
ospi
tal (
daily
floor
cen
sus)
Typ
ewrit
erB
asic
offi
ce s
uppl
ies
Add
ing
mac
hine
Dai
ly h
ospi
tal c
ensu
s fo
rm
Tra
nsfe
r da
ta fr
om u
nit r
epor
ts to
hos
pita
lq
cens
us fo
rmC
heck
figu
res
for
accu
racy
Pre
pare
the
form
for
dist
ribut
ion
Rou
te to
var
ious
dep
artm
ents
File
offi
ce c
opy
,
,
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
of i
nfor
mat
ion
Be
sure
all
repo
rts
are
acco
unte
d
Cro
ss c
heck
figu
res
with
orig
inal
dat
aR
ecor
ding
figu
res
in w
rong
col
umns
Mis
sing
rep
orts
or
erro
rs in
com
puta
tions
will
cau
se a
n in
accu
rate
fina
l rep
ort w
hich
,in
turn
, gen
erat
es fa
ulty
sta
tistic
s w
ithw
hich
adm
inis
trat
ion
and
othe
r ag
enci
esus
e in
pla
nnin
g
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E D
AIL
Y C
EN
SU
S R
EP
OR
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Fun
dam
enta
t ope
ratio
ns (
calc
ulat
ions
)A
dditi
on a
nd s
ubtr
actio
n al
gorit
hm
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
Writ
ing
Pro
cess
rep
ort
Tra
nsfe
r da
ta
EX
AM
PLE
S
37
SK
ILLS
/CO
NC
EP
TS
Com
preh
ensi
onD
etai
l/inf
eren
ceT
erm
ineo
gy
Cla
ssifi
catio
nF
orm
atT
erm
inol
ogy
Logi
c
a.7
,
Duty C Performing Admission Tasks
I
1 Admit new patient2 Re-admit patient
39
(TA
SK
ST
AT
EM
EN
T)
AD
MIT
NE
W P
AT
IEN
Tg.
q
,T
OO
LS, E
QU
IPM
EN
T, M
AT
ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Adm
issi
on d
ata
_
Typ
ewrit
erM
ager
pat
ient
inde
x ca
rds
Pat
ient
's fo
lder
Bas
ic o
ffice
sup
plie
s
,
Obt
ain
adm
ittin
g in
form
atio
nC
ompl
ete
new
mas
ter
patie
nt in
dex
card
and
file
in a
ppro
pria
te a
rea
Com
plet
e ne
w p
atie
nt fo
lder
File
pat
ient
fold
er in
app
ropr
iate
are
aN
ote:
med
ical
rec
ords
dep
artm
ent m
ay b
ere
spon
sibl
e fo
r as
sign
ing
new
pat
ient
num
ber
.
'
..-
.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
whe
ther
new
or
re-a
dmitt
edP
atie
nt's
info
rmat
ion,
old
file
spa
tient
,
'
ri
Mis
reco
rdin
g in
form
atio
n on
new
ly a
dmitt
edpa
tient
cou
ld le
ad to
the
inab
ility
tofin
d th
e re
cord
if in
the
futu
re th
e pa
tient
is a
gain
adm
itted
as
wel
l as
poss
ibly
lead
ing
to fa
ulty
sta
tistic
al r
epor
ts
.
(TA
SK
ST
AT
EM
EN
T)
AD
MIT
NE
W P
AT
IEN
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
.
,-
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
rs a
nd in
tege
rs o
nth
e
sam
e nu
mbe
r lin
e (s
eque
ntia
l ord
erin
g)
e.
CO
MM
UN
ICA
TIO
NS
,--'
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
Rea
ding
Writ
ing
Adm
ittin
g in
form
atio
n
Tra
nsfe
r da
ta__
----
Al
,
Com
preh
ensi
onD
etai
liinf
ere
eIn
form
n r
epor
ts
lass
ifica
tion
Ter
min
olog
yLo
gic
(TA
SK
ST
AT
EM
EN
T)
RE
AD
MIT
PA
TIE
NT
p-..4
1
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Adm
ittin
g in
form
atio
nO
btai
n ad
mitt
ing
info
rmat
ion
Pat
ient
's fo
lder
Loca
te p
atie
nt's
nam
e in
alp
habe
tical
inde
xA
lpha
betic
inde
x ca
rd fi
lefil
e an
d up
date
inde
x ca
rdT
ypew
riter
Loca
te p
atie
nt's
fold
erB
asic
offi
ce s
uppl
ies
Pul
l fol
der
from
file
sR
epla
ce w
ith o
ut g
uide
Rou
te to
app
ropr
iate
are
aN
ote:
sys
tem
may
dic
tate
upd
atin
g of
pat
ient
fold
er
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
inin
g w
heth
er n
ew o
r re
-adm
itted
Pat
ient
's in
form
atio
nF
ailu
re to
iden
tify
patie
nt a
s ha
ving
bee
npa
tient
Old
file
spr
evio
usly
adm
itted
res
ults
in h
is/h
erN
ame
- ch
ange
mei
:lice
l rec
ord
not b
eing
util
ized
by
the
doct
or in
his
/her
car
e of
the
patie
nt
.-
._
I,
(TA
SK
ST
AT
EM
EN
T)
RE
AD
MIT
PA
TIE
NT
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
,
'
Loca
te b
y ap
prox
imat
ion
ratio
nal n
umbe
r an
d in
tege
rs o
n th
enu
mbe
r lin
e (s
eque
ntia
l ord
erin
g)
2
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Writ
ing
Adm
ittin
g in
form
atio
n
Tra
nsfe
r da
ta
Al
Com
preh
ensi
onD
etai
l/inf
eren
ceIn
form
atio
n re
port
s
Cla
ssifi
catio
nT
erm
inol
ogy
Logi
c-
r
''',
z-
Duty D Performing Receptionist Functions
1 Assist physicians with chart completion2 Handle telephone calls3 Promote good office relations4 Release information to visitors
(TA
SK
ST
AT
EM
EN
T)
AS
SIS
T P
HY
SIC
IAN
S W
ITH
CH
AR
T C
OM
PL
yroN
fi.a
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AK
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Phy
sici
an's
file
Gre
et p
hysi
cian
and
loca
te h
is in
com
plet
eP
atie
nt's
cha
rtre
cord
Dic
tatin
g eq
uipm
ent
Ass
ist p
hysi
cian
in. l
ocat
ing
defic
ienc
ies
in.
Bas
ic o
ffice
sup
plie
sin
divi
dual
cha
rts
Boo
th o
r de
sk (
wor
k ar
ea fo
r ph
ysic
ian)
Che
ck fo
r co
mpl
etio
n of
the
reco
rdR
oute
to n
ext p
roce
ss fi
le, i
f rec
ord
is c
ompl
ete.
..__
_R
efile
in p
hysi
cian
's fi
le,
if re
cord
is in
com
plet
eA
phy
sici
an's
tim
e is
mos
t val
uabl
e, a
nd if
his
or h
er ta
sk c
an b
e m
ade
easi
er, e
very
effo
rtsh
ould
be
mad
e to
ass
ist h
im o
r he
r
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
if ch
art i
s co
mpl
ete
App
aren
t def
icie
ncie
sM
isfil
ing
info
rmat
ion
Fai
lure
to p
oint
out
def
icie
ncie
s to
doc
tor
j
(TA
TS
TA
TE
ME
NT
)A
SS
IST
i'-I
YS
ICIA
NS
WIT
H C
HA
RT
CO
MP
LET
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
PE
R F
OR
MA
NC
MO
DE
S
Spe
akin
g
4iew
ing
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Con
vers
atio
n w
ith p
hysi
cian
Cha
rt fo
r de
ficie
ncie
s
47
SK
ILLS
/CO
NC
EP
TS
Cou
rtes
y an
d ta
ctC
heer
fuln
ess
Voc
abul
ary
Cla
rity
of e
xpre
-sio
n
Vis
ual a
naly
sis
Logi
c
tr.;.
.r;
(TA
SK
ST
AT
EM
EN
T)
HA
ND
LE T
ELE
PH
ON
E C
ALL
S
TO
OLS
, EnU
IPM
EN
T, M
AT
ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
-P
ER
FO
RM
AN
CE
KN
OW
LED
GE
.S
AF
ET
YH
AZ
AR
D
Tel
epho
neA
nsw
er p
hone
giv
ing
prop
er id
entif
icat
ion
Mes
sage
form
sId
entif
y da
ller
and
purp
ose
of c
all a
nd n
ote
Bas
ic o
ffice
sup
plie
son
mes
sage
form
..
77D
eter
min
e va
lidity
of r
eque
st fo
r in
form
atio
nan
d au
thor
izat
ion
if ap
plic
able
Ans
wer
inqu
iries
with
app
ropr
iate
info
rmat
ion
or r
efer
to a
ppro
pria
te in
divi
dual
or
depa
rt-
men
tF
ollo
w th
roug
h if
retu
rn c
all i
s ne
eded
DE
CIS
ION
SC
UE
SE
RR
OR
S_
Det
erm
ine
info
rmat
ion
to b
e gi
ven/
reco
rded
Typ
e of
cal
lln
stitu
tio'
polic
yV
iola
tion
of te
leph
one
tech
niqu
e an
det
ique
tteA
ccid
enta
lly c
uttin
g of
f of c
alle
rO
ffice
imag
e is
ofte
n pr
ojec
ted
thro
ugh
hand
ling
tele
phon
e ca
lls
(TA
SK
ST
AT
EM
EN
T)
HA
ND
LE T
ELE
PH
ON
E C
ALL
S
/
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Spe
akin
g
Writ
ing
EX
AM
PLE
S
Tel
epho
ne c
all
Rec
ordi
ng m
essa
ge
49
SK
I LLS
/CO
NC
EP
TS
Cla
rity
of e
xpre
ssio
nC
orre
ct g
ram
mar
App
ropr
iate
dic
tion
Pro
cess
inst
ruct
ion
oral
Exe
rcis
e ta
ct w
hen
deny
ing
info
rmat
ion
Pen
man
ship
Cla
ssifi
catio
n
(TA
SK
ST
AT
EM
EN
T)
PR
OM
OT
E G
OO
D O
FF
ICE
RE
LAT
ION
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Alw
ays
mai
ntai
n a
cour
teou
s an
d pl
easa
nt,
attit
ude
Use
tact
in d
ealin
g w
ith o
ther
dep
artm
ents
,ph
ysic
ians
, and
-th
e pu
blic
Mai
ntai
n a
neat
, attr
activ
e ap
pear
ance
Pro
vide
com
fort
for
phys
icia
ns a
nd v
isito
rsto
the
depa
rtm
ent
Loss
of e
mot
iona
l con
trol
und
er s
tres
sG
ood
wor
king
rel
atio
nshi
ps w
ith p
hysi
cian
s,of
3r
depa
rtm
ents
, and
out
side
age
ncie
sar
e es
sent
ial f
or m
axim
um e
ffici
ency
and
effe
ctiv
enes
s
DE
CIS
ION
SC
UE
SE
RR
OR
S
(TA
SK
ST
AT
EM
EN
T)
PR
OM
OT
E G
OO
D O
FF
ICE
RE
LAT
ION
S -
-
SC
IEN
CE
.,M
AT
HN
UM
BE
R S
YS
TE
MS
Pro
fess
iona
lism
:M
aint
ain
capa
city
to fo
ster
trus
t,co
nfid
entia
lity,
and
coo
pera
tion;
to g
ener
ate
inte
grity
, to
cope
with
con
flict
beha
vior
, to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
cha
ngin
g, m
ultip
le, p
erso
nal o
rsi
tuat
iona
l var
ible
s, a
nd to
exi
bit q
ualit
ies
of s
elf-
conf
iden
ce,
self-
cont
rol,
self-
relia
nce,
sel
f-re
spec
t, an
d ad
apta
bilit
yS
uper
visi
on:
Gra
nt c
onsc
ious
atte
ntio
n to
sm
ooth
ly fl
owin
g te
am w
ork,
mai
ntai
n re
gard
for
diffe
ring
view
s on
max
imum
effi
cien
cy o
f the
oper
atio
ns, e
xhib
it ca
paci
ty to
ace
rtai
n be
st s
ervi
ce fo
r th
e pa
rti-
cula
r pa
rty
type
req
uest
ed, s
how
and
des
crib
e fa
cilit
ies
with
appr
opria
te s
peed
and
cla
rity,
and
com
mun
icat
e pr
ide
in e
stab
lish-
men
t,
.
.
.
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g'
List
enin
g
Co-
wor
kers
, phy
sici
ans,
vis
itors
Co-
wor
kers
, phy
sici
ans,
vis
itors
ci
Cou
rtes
y an
d ta
ctC
heer
fuln
ess
Aud
itory
dis
crim
inat
ion
Dis
crim
inat
e fa
cts
from
non
-fac
tsR
ecog
nize
opi
nion
sC
once
ntra
tion
Logi
c
cq
(TA
SK
ST
AT
EM
EN
T)
RE
LEA
SE
INF
OR
MA
TIO
N T
O V
ISIT
OR
Sgr
i
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pat
ient
's c
hart
Cop
y m
achi
neT
ypew
riter
(de
sira
ble)
Bas
ic o
ffice
sup
plie
sR
ecep
tion
or w
aitin
g ar
ea in
dep
artm
ent
wou
ld b
e de
sira
ble
Gre
et v
isito
rsD
eter
min
e va
lidity
of r
eque
st a
nd a
utho
rizat
ion
if ap
plic
able
Ref
er r
eque
sts
to a
ppro
pria
te d
epar
tmen
t, if
requ
est i
s m
ade
for
info
rmat
ion
not a
vaila
ble
in th
e M
edic
al R
ecor
ds D
epar
tmen
tLo
cate
cha
rtC
opy
or a
bstr
act a
ppro
pria
te in
form
atio
nG
ive
requ
este
d in
form
atio
n to
vis
itor
File
req
uest
and
/or
auth
oriz
atio
n
Pat
ient
med
ical
,inf
orm
atio
n is
use
d by
vario
us a
genc
ies
for
lega
l, m
edic
al, a
ndin
sura
nce
purp
oses
.P
atie
nt h
as p
rimar
yin
tere
st in
his
/her
med
ical
info
rmat
ion,
and
upon
pro
per
auth
oriz
atio
nit
shou
ld b
em
ade
avai
labl
e to
his
/her
rep
rese
ntat
ives
DE
CIS
ION
S
Det
erm
ine
whe
n to
giv
e ou
t con
fiden
tial
info
rmat
ion
Hos
pita
l pol
icy,
..
CU
ES
ER
RO
RS
Una
utho
rized
or
inva
lid r
eque
st o
r bu
llyin
gin
form
atio
n fr
om c
lerk
(TA
SK
ST
AT
EM
EN
T)
RE
LEA
SE
INF
OR
MA
TIO
N T
O V
ISIT
OR
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
_.
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
Writ
ing
Giv
e in
form
atio
n
Cop
y or
abs
trac
t inf
orm
atio
n
cl
Cla
rity
of e
xpre
ssio
nC
orre
ct g
ram
mar
App
ropr
iate
dic
tion
Pro
cess
inst
ruct
ion-
-ora
l
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic
I;
GI
Duty E Performing R.-IccIrd Storage and Retrieval
1 File and retrieve charts from appropriate process files
2 Microfilm records
555
(TA
SK
ST
AT
EM
EN
T)
FIL
E A
ND
RE
TR
IEV
E C
HA
RT
S F
RO
M A
PP
RO
PR
IAT
EP
RO
CE
SS
FIL
ES
CI
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Fili
ng e
quip
men
t (sh
elve
s, c
abin
ets,
etc
.)P
lace
cha
rts
in p
rope
r or
der
in a
ppro
pria
te_
Pat
ient
cha
rts
file
Pat
ient
fold
ers
Loca
te a
nd o
btai
n ch
art f
rom
spe
cifie
d fil
eIm
plem
ent s
ign-
out p
roce
dure
as
dict
ated
by
loca
l dire
ctiv
e
.
,.,
DE
CIS
ION
SC
UE
S.E
RR
OR
S
Dis
crim
inat
e be
twee
n ap
prop
riate
pro
cess
Inst
itutio
n's
polic
yO
verlo
okin
g ch
art
shel
ves
(inde
x fil
es, p
hysi
cian
's in
com
plet
e-
"
Mis
filin
g w
ill le
ad to
del
ayed
ret
rieva
l of
char
ts fi
les,
dic
tatio
n fo
lder
, Med
ical
reco
rd, w
hich
cou
ld in
turn
lead
to d
e-
Sta
ff R
evie
w C
omm
ittee
file
s)la
yed
trea
tmen
t of p
atie
nt, i
f nee
ded
in
Dis
crim
inat
e be
twee
n ap
prop
riate
filin
gan
em
erge
ncy
situ
atio
n.C
hart
mig
ht n
ot
syst
em,
i.e.,
alph
abet
ic, n
umer
ic, t
er-
be in
clud
ed in
app
ropr
iate
stu
dies
or
may
min
al d
igit
devi
ate
from
sta
ndar
d pr
oces
s flo
w o
f the
reco
rd
(TA
SK
ST
AT
EM
EN
T)
;-.IL
L A
NN
) R
ET
RI!
'. E
CH
AR
TS
FR
OM
,`-t
-,;(
:)''
.',1.
: I 7
riOC
ES
, i--
.1..-
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
\ ,Lo
cate
by
appr
oxim
atio
n ra
tiona
l num
bers
and
inte
gers
on
the
num
ber
line
(seq
uent
ial o
rder
ing)
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Vie
win
g
Writ
ing
1
EX
AM
PLE
S
File
s
Sig
n ou
t/in
files
SK
I LLS
/CO
NC
EP
TS
Vis
ual a
naly
sis,
rec
ogni
tion
of s
ymbo
ls, c
odes
,an
d em
blem
s, lo
gic
Pen
man
ship
, spe
lling
, cla
ssifi
catio
n, lo
gic
4;4
(TA
SK
ST
AT
EM
EN
T)
MIC
RO
FIL
M R
EC
OR
DS
.C
5
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
_
SA
FE
TY
HA
ZA
RD
Pat
ient
's c
hart
Bas
ic o
ffice
sup
plie
sM
icro
film
cam
era
(opt
iona
l)M
icro
film
dev
elop
ed (
optio
nal)
Mic
rofil
m r
eade
r/pr
inge
rM
icro
film
rep
rodu
cer
(opt
iona
l)F
ile fo
r st
orag
eF
ilm
Pre
pare
cha
rts
for
mic
rofil
min
gF
ilm p
ages
of c
hart
sP
roce
ss m
icro
film
(in
hou
se o
r by
ser
vice
)C
heck
pro
cess
ed m
icro
film
for
clar
ity a
ndco
mpl
eten
ess
Sto
re in
app
ropr
iate
file
'
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
time
sche
dule
s fo
r m
icro
film
ing
Inst
itutio
n's
polic
y
_ --F
ailu
re to
mai
ntai
n pr
oper
seq
uenc
e of
char
ts o
r fil
m
.
(TA
SK
ST
AT
EM
EN
T)
MIC
RO
FIL
M R
EC
OR
DS
SC
IEN
CE
MA
TH
--
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
d'ng
Vie
win
g
EX
AM
PLE
S
Equ
ipm
ent i
nstr
uctio
ns
Cha
rts,
fini
shed
-mic
rofil
m
59
SK
ILLS
/CO
NC
EP
TS
Com
preh
ensi
onD
etai
l/inf
eren
ceD
escr
iptio
n of
mec
hani
sm
Vis
ual a
naly
sis
Det
ail /
infe
renc
eLo
gic
Duty F Preparing Statistical Reports .
1 Prepare manually statistical reports for administration2 Prepare statistical reports for area health planning agency
61
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E M
AN
UA
LLY
ST
AT
IST
ICA
L R
EP
OR
TS
FO
R A
DM
INIS
TR
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
1111
=01
11
is
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Sta
tistic
al r
epor
t for
ms
Typ
ewrit
erC
alcu
lato
r (d
esira
ble)
Bas
ic o
ffice
sup
plie
sC
opy
mac
hine
Dat
a pr
oces
sing
sys
tem
s ou
tput
Dat
a fr
om o
ther
dep
artm
ents
(if
appr
opria
te)
Gat
her
data
nec
essa
ry fo
r re
port
-D
o th
e ne
cess
ary
com
puta
tions
on
the
data
Pre
pare
the
data
in ta
bula
r fp
rm--
supp
lem
entin
gth
e da
ta w
ith v
isua
l aid
s if
desi
rabl
e,M
ake
copi
es a
nd d
istr
ibut
e co
pies
to a
ppro
-pr
iate
dep
artm
ents
File
offi
ce c
opy
Not
e: a
dmin
istr
atio
n us
es s
tatis
tical
rep
orts
for
proj
ecte
d gr
owth
stu
dies
, fut
ure
plan
ning
,po
ssib
le p
urch
ases
, bed
allo
catio
n, e
tc.
DE
CIS
ION
S
Det
erm
ine
inco
nsis
tenc
ies
in d
ata
CU
ES
Che
ck ta
pe w
ith o
rigin
al d
ata
ER
RO
RS
Rev
ersa
l err
ors
_
Rec
ordi
ng fi
gure
s in
wro
ng c
olum
nsIn
accu
rate
info
rmat
ion
used
in p
roje
ctio
nre
port
s
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E M
AN
UA
LLY
ST
AT
IST
ICA
L R
EP
OR
TS
FO
R A
DM
INIS
TR
AT
ION
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
,
Add
ition
, sub
trac
tion,
mul
tiplic
atio
n, a
nd d
ivis
ion
.
,, I
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Rea
ding
7 I
Writ
ing
I_
Cha
rts,
rep
orts
Tra
nsfe
r da
ta
63
Com
preh
ensi
onD
etai
l/inf
eren
ceT
erm
inol
ogy
Cla
ssifi
catio
nS
tatis
tical
form
atLo
gic
____
_---
,---
4,:q
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
TA
TIC
TIC
AL
RE
PO
RT
S F
OR
AR
EA
HE
ALT
H P
LAN
NIN
G A
GE
NC
Y
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Hea
lth p
lann
ing
agen
cy fo
rms
Typ
ewrit
erC
alcu
lato
r (d
esira
ble)
Bas
ic o
ffice
sup
plie
sC
opy
mac
hine
Dat
a pr
oces
sing
sys
tem
s ou
tput
Dat
a fr
om o
ther
dep
artm
ents
(if
appr
opria
te)
Gat
her
data
nec
essa
ry fo
r re
port
Do
the
nece
ssar
y co
mpu
tatio
ns o
n th
e da
taP
repa
re th
e da
ta in
tabu
lar
form
--su
pple
men
t-in
g th
e da
ta w
ith v
isua
l aid
s if
desi
rabl
eM
ake
copi
es a
nd d
istr
ibut
e co
pies
to a
ppro
-pr
iate
dep
artm
ents
File
offi
ce c
opy
Not
e: a
rea
heal
th p
lann
ing
agen
cies
use
thes
efig
ures
for
proj
ectin
g fu
ture
gro
wth
allo
win
gbe
d ex
pans
ion
in fa
cilit
ies,
app
rovi
ng p
ur-
chas
es o
f new
equ
ipm
ent,
etc.
DE
CIS
ION
S
Det
erm
ine
inco
nsis
tenc
ies
in d
ata
CU
ES
Che
ck ta
pe-t
o--
orig
inal
data
ER
RO
RS
Inac
cura
te in
forn
ziat
ion
used
in p
roje
ctio
nre
port
s
1
(TA
SK
ST
AT
EM
EN
T)
PR
EP
AR
E S
TA
TIS
TIC
AL
RE
PO
RT
S F
OR
AR
EA
HE
ALT
H P
LAN
NIN
GA
GE
NC
Y
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ition
, sub
trac
tion,
mul
tiplic
atio
n, a
nd d
ivis
ion
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Rea
ding
Writ
ing
Cha
rts,
rep
orts
Tra
nsfe
r da
ta
65
Com
preh
ensi
onD
etai
l/inf
eren
ceT
erm
inol
ogy
Cla
ssifi
catio
nF
orm
form
atLo
gic
P7I
1
Duty G Preparing Birth and Death Certificates and Infant Releases
,
1 Obtain additional information from parent or other informant
2 Type certificate
7z
67
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN A
DD
ITIO
NA
L IN
FO
RM
AT
ION
FR
OM
PA
RE
NT
OR
OT
HE
RIN
FO
RM
AN
T
11+
.001
1
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
- B
irth
and
deat
h ce
rtifi
cate
sIn
fant
rel
ease
form
sT
ypew
riter
Offi
ce s
uppl
ies
Pat
ient
's fo
lder
Tel
epho
ne a
nd d
irect
ory
Con
tact
fam
ily fo
r in
form
atio
nR
ecor
d in
form
atio
n on
cer
tific
ate
or r
elea
sefo
rmR
oute
f&t:p
to a
ppro
pria
te in
divi
dual
, fac
ility
,or
dep
artm
ent
Not
e: b
irth
and
deat
h ce
rtifi
cate
s m
ust b
eco
mpl
eted
in fu
ll be
fore
bei
ng fi
led
as a
llin
form
atio
n is
con
side
red
esse
ntia
l
,
i
,
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
of i
nfor
mat
ion
Inco
nsis
tenc
ies
ti
Mis
reco
rdin
g of
info
rmat
ion
(TA
SK
ST
AT
EM
EN
T)
OB
TA
IN A
DD
ITIO
NA
L IN
FO
RM
AT
ION
FR
OM
PA
RE
NT
OR
OT
HE
R IN
FO
RM
AN
T
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pro
fess
iona
lism
:M
aint
ain
capa
city
to fo
ster
trus
tM
aint
ain
capa
city
to fo
ster
con
fiden
tialit
yM
aint
ain
capa
city
to fo
ster
coo
pera
tion
Exh
ibit
qual
ities
of s
elf-
conf
iden
ce, s
elf-
cont
rol,
self-
relia
nce,
self-
resp
ect,
and
adap
tabi
lity
..
_
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Writ
ing
Req
uest
info
rmat
ion
Obt
ain
info
rmat
ion
Rec
ord
info
rmat
ion
sq
Cla
rity
of e
xpre
ssio
nC
ourt
esy
and
tact
Dis
crim
inat
e fa
cts
from
non
-fac
tsR
ecog
nize
opi
nion
sLo
gic
Not
e ta
king
Cla
ssifi
catio
nD
escr
iptio
nT
erm
inol
ogy
Logi
c
(TA
SK
ST
AT
EM
EN
T)
TY
PE
CE
RT
IFIC
AT
E
P7.
rit
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Birt
h or
dea
ns c
ertif
icat
esT
ypew
riter
Offi
ce s
uppl
ies
Pat
ient
's fo
lder
Typ
e ce
rtifi
cate
with
out a
ny e
rror
sR
oute
orig
inal
and
cop
y to
app
ropr
iate
are
aN
ote:
hos
pita
l may
issu
e co
mpl
imen
tary
birt
hce
rtifi
cate
s w
hich
be c
ompl
eted
and
rout
ed to
the
prop
er in
divi
dual
Not
e: lo
cal d
irect
ives
will
det
erm
ine
whe
reco
pies
are
to b
e ro
uted
-,
Lega
l haz
ard:
birt
h an
d de
ath
cert
ifica
tes
are
requ
ired
by h
ealth
dep
artm
ents
to b
efil
ed w
ithou
t err
or a
nd c
ompl
ete
'
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
accu
racy
and
com
plet
enes
s of
Orig
inal
sou
rce
of d
ata
cert
ifica
teT
ypin
g er
rors
(TA
SK
ST
AT
EM
EN
T)
TY
PE
CE
RT
IFIC
AT
E
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
\
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
Writ
ing
EX
AM
PLE
S
Pat
ient
's r
epor
ts
Tra
nsfe
r da
ta
71
SK
I LLS
/CO
NC
EP
TS
Com
preh
ensi
onD
etai
l/inf
eren
ceIn
form
atio
nal r
epor
tsP
rogr
ess
repo
rts
Ter
min
olog
y ;
Cla
ssifi
catio
nLo
gic
7r1
Duty H Releasing Patient Information
1 Comply with subpoenas2 Maintain register of requests and released information
3 Provide security for medical records
4 Respond to personal requests
5 Respond to telephone requests
6 Respond to written requests7 Type insurance diagnoses on forms for the business office
77
73
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LY W
ITH
SU
BP
OE
NA
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
-H
AZ
AR
D
Sub
poen
aP
atie
nt c
hart
Tra
nspo
rtat
ion
to c
ourt
hous
eT
elep
hone
and
dire
ctor
y
Upo
n re
ceip
t of s
ubpo
ena,
cal
l app
ropr
iate
atto
rney
to v
erify
tim
e an
d da
te o
f cou
rtap
pear
ance
Tak
e re
cord
s to
cou
rtT
estif
y in
cou
rt if
nee
ded
DE
CIS
ION
S
Det
erm
ine
prop
er p
roce
dure
CU
ES
Dire
ctiv
es m
ay d
iffer
with
this
task
in th
atco
py o
f rec
ords
may
acc
ompa
ny o
rigin
alre
cord
to c
ourt
.M
edic
al r
ecor
d cl
erk
may
not b
e de
sign
ated
to ta
ke r
ecor
ds to
cour
t, et
c.
ER
RO
RS
For
getti
ng a
bout
sch
edul
ed a
ppea
ranc
eIn
terp
retin
g m
edic
al in
form
atio
n in
stea
d of
just
rea
ding
itF
ailu
re to
res
pond
to c
ourt
ord
ers
is il
lega
l
(TA
SK
ST
AT
EM
EN
T)
CO
MP
LY W
ITH
SU
BP
OE
NA
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
i I 1
1
.
.
CO
MM
UN
ICA
TIO
NS
I1
1 I
PE
RF
OR
MA
NC
E M
OD
ES
_E
XA
MP
LES
SK
ILLS
/CO
NC
EP
TS
Spe
akin
g
Rea
ding
iI
Rea
d in
form
atio
n
Rec
ords
75
App
ropr
iate
dic
tion,
cla
rity
of e
xpre
ssio
n,an
d en
unci
atio
nC
ompr
ehen
sion
Ter
min
olog
y
--
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
RE
GIS
TE
RS
OF
RE
QU
ES
TS
AN
D R
ELE
AS
ED
INF
O M
T
RO
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Abs
trac
t led
ger
(loos
e-le
af d
esira
ble)
Bas
ic o
ffice
sup
plie
sT
ypew
riter
(op
tiona
l)
Rec
ord
nam
e, d
estin
atio
n, d
ate
sent
, and
any
othe
r pe
rtin
ent i
nfor
mat
ion
in r
egis
ter
Not
e: r
ecor
ds m
ust b
e m
aint
aine
d as
to w
here
and
to w
hom
info
rmat
ion
was
sen
t in
orde
rto
avo
id d
uplic
atio
n of
this
task
/
It.
'
DE
CIS
ION
SC
UE
S
4
1
ER
RO
RS
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
RE
GIS
TE
RS
OF
RE
QU
ES
TS
AN
D R
ELE
AS
ED
INF
OR
MA
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
. SY
ST
EM
S
\,
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
Tra
nsfe
r da
ta
----
_.
77
Cla
ssifi
catio
nLo
gic
(TA
SK
ST
AT
EM
EN
T)
PR
OV
IDE
SE
CU
RIT
Y F
OR
ME
DIC
AL
RE
CO
RD
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Med
ical
rec
ords
Insu
re th
at a
ny r
eque
st fo
r m
edic
al in
form
a-tio
n is
legi
timat
e an
d pr
oper
Do
not d
iscu
ss in
divi
dual
pat
ient
dat
a in
dis-
crim
inat
ely
or in
oth
er th
an w
ork
cont
ext
y.
.
I
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
valid
ity o
f req
uest
for
info
rmat
ion
Inst
itutio
n's
polic
yI
.\ \
-\.
,
Med
ical
rec
ords
info
rmat
ion
is o
f a h
ighl
ype
rson
al n
atur
e to
the
patie
nt a
ndco
nstit
utes
an
inva
sion
of p
rivac
y su
itif
rele
ased
indi
scrim
inat
ely
.
(TA
SK
ST
AT
EM
EN
T)
PR
OV
IDE
SE
CU
RIT
Y F
OR
ME
DIC
AL
RE
CO
RD
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
PE
RF
OR
MA
NC
E M
OD
ES
List
enin
g
CO
MM
UN
ICA
TIO
NS
EX
AM
PLE
S
Req
uest
s fo
r in
form
atio
n
Rep
ly to
req
uest
79
SK
ILLS
/CO
NC
EP
TS
Det
ectio
n of
pro
paga
nda
devi
ces
Dis
crim
inat
e f "
ts fr
om n
on-f
acts
Rec
ogni
ze o
pini
ons
Logi
cC
once
ntra
tion
Logi
cT
erm
inol
ogy
Enu
ncia
tion
(TA
SK
ST
AT
EM
EN
T)
RE
SP
ON
D T
O P
ER
SO
NA
L R
EQ
UE
ST
S
TO
OLS
, EQ
UI"
NIE
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Pat
ient
cha
rtG
reet
vis
itors
Cop
y m
achi
neD
eter
min
e va
lidity
of r
eque
st a
nd a
utho
riza-
Typ
ewrit
er (
desi
rabl
e),,
Bas
ic o
ffice
sup
plie
stio
n if
appl
icab
leIf
requ
est i
s m
ade
for
info
rmat
ion
not a
vail-
Rec
eptio
n or
wai
ting
area
in d
epar
tmen
tw
ould
be
desi
rabl
e,
I
'\ab
le in
the
Med
ical
Rec
ords
Dep
artm
ent,
refe
r re
ques
ts to
app
ropr
iate
dep
artm
ent
Loca
te c
hart
Cop
y or
abs
trac
t app
ropr
iate
info
rmat
ion
Giv
e re
ques
ted
info
rmat
ion
to v
isito
rF
ile r
eque
st a
ndro
r au
thor
izat
ion
Not
e:pa
tient
med
ical
info
rmat
ion
is u
sed
by v
ario
us a
genc
ies
for
lega
l, m
edic
al, a
ndin
sura
nce
purp
oses
.P
atie
nt h
as p
rimar
yin
tere
st in
his
/her
med
ical
info
rmat
ion,
and
upon
pro
per
auth
oriz
atio
n it
shou
ldbe
mad
e av
aila
ble
to h
is/h
er r
epre
sent
ativ
e
.
.D
EC
ISIO
NS
CU
ES
ER
RO
RS
Det
erm
ine
whe
n to
giv
e ou
t con
fiden
tial i
n-fo
rmat
ion
Inst
itutio
n's
polic
yU
naut
horiz
ed o
r in
valid
req
uest
or
bully
ing
info
rmat
ion
from
cle
rk
AS
K S
TA
TE
ME
NT
)R
ES
PO
ND
TO
PE
RS
ON
AL
RE
QU
ES
TS
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pro
fess
iona
lism
Mai
ntai
n ca
paci
ty to
fost
er tr
ust
Mai
ntai
n ca
paci
ty to
fost
er c
onfid
entia
lity
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to g
ener
ate
inte
grity
Mai
ntai
n ca
paci
ty to
cop
e w
ith c
onfli
ctbe
havi
orM
aint
ain
capa
city
to fu
nctio
n ef
ficie
ntly
whe
n en
coun
terin
g fa
stch
angi
ng, m
u; Ip
le, p
erso
nal o
r si
tuat
iona
l var
iabl
esE
xhib
it qu
aliti
es o
f sel
f-co
nfid
ence
, sel
f-co
ntro
l, se
lf-re
lianc
e,se
lf-re
spec
t, an
d ad
apta
bilit
7
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Spe
akin
g
List
enin
g
Rep
ly to
req
uest
s
Per
sona
l req
uest
s
81
Cla
rity
of e
xpre
ssio
nC
orre
ct g
ram
mar
App
ropr
iate
dic
tion
Pro
cess
inst
ruct
ion
oral
Exe
rcis
e ta
ct w
hen
deny
ing
info
rmat
ion
Det
ectio
n of
pro
paga
nda
devi
ces
Dis
crim
inat
e fa
cts
from
non
-fac
tsR
ecog
nize
opi
nion
sLo
gic
,4.:.
--11
(TA
SK
ST
AT
EM
EN
T)
RE
SP
ON
D T
O T
ELE
PH
ON
E R
EQ
UE
ST
S
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
,S
AF
ET
YH
AZ
AR
D
Tel
epho
neR
ecoi
d na
me
and
num
ber
of c
alle
r al
ong
with
Pat
ient
's c
hart
appr
opria
te in
form
atio
n to
iden
tify
patie
ntM
essa
ge p
adR
efer
the
requ
estin
g pa
rty
to a
ppro
pria
teB
asic
offi
ce s
uppl
ies
depa
rtm
ent i
f the
req
uest
is m
ade
for
Phy
sici
an's
dire
tory
info
rmat
ion
not a
vaila
ble
in th
e M
edic
al
\R
ecor
ds D
epar
tmen
tV
erify
the
phon
e nu
mbe
r an
d re
turn
the
call
.w
ith th
e re
ques
ted
info
rmat
ion
if th
e re
ques
tis
mad
e by
a m
embe
r of
the
med
ical
sta
ffN
ote:
rel
ease
of m
edic
al in
form
atio
n ov
er th
eph
one
to p
erso
ns o
ther
than
the
faci
lity'
sm
edic
al s
taff
is in
appr
opria
te e
xcep
t in
case
sof
ext
rem
e em
erge
ncy.
In a
ll ot
her
case
sex
cept
em
erge
ncie
s re
ques
ted,
pro
per
auth
or-
izat
ion
is n
eces
sary
in w
ritin
g
N
DE
CIS
ION
S
Det
erm
ine
whe
n to
giv
e ou
t con
fiden
tial
1 ns
titut
iort
.'s p
olic
yin
form
atio
n
CU
ES
ER
RO
RS
Rel
easi
ng in
form
atio
n to
unv
erifi
ed o
run
auth
oriz
ed p
arty
(TA
SK
ST
AT
EM
EN
T).
RE
SP
ON
D T
O T
ELE
PH
ON
E R
EQ
UE
ST
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Pro
fess
iona
lism
Mai
ntai
n ca
paci
ty to
fost
er tr
ust
Mai
ntai
n ca
paci
ty to
fost
er c
onfid
entia
lity
Mai
ntai
n ca
paci
ty to
fost
er c
oope
ratio
nM
aint
ain
capa
city
to g
ener
ate
inte
grity
Mai
ntai
ns c
apac
ity to
cop
e w
ith c
onfli
ct b
ehav
ior
Mai
ntai
n ca
paci
ty to
func
tion
effic
ient
ly w
hen
enco
unte
ring
fast
cha
ngin
g, m
ultip
le, p
erso
nal o
r si
tuli:
onal
var
iabl
esE
xhib
it qu
aliti
es o
f sel
f-co
nfid
ence
, sel
f-co
ntro
l, se
lf-re
lianc
e,se
lf-le
spec
t, an
d ad
apta
bilit
y
1
.
,,
...,
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E r
'OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Spe
akin
g
List
enin
g
!
Rep
ly 1
.3 r
eque
sts
i I
Tel
epho
ne r
eque
sts
1:11
Exe
rcis
e ta
ct w
hen
deny
ing
info
rmat
ion
Cla
rity
of e
xpre
ssio
nA
ppro
pria
te d
ictio
nP
roce
ss in
stru
ctio
n -
oral
Cor
rect
gra
mm
ar
Det
ictio
n of
pro
paga
nda
devi
ces
Dis
crim
inat
e fa
cts
from
non
-fac
tsR
ecog
nize
opi
nion
sLo
gic
(TA
SK
ST
AT
EM
EN
T)
RE
SP
ON
D T
O W
RIT
TE
N R
EQ
UE
ST
S
1ZS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
HA
ZA
RD
Writ
ten
requ
est
Pat
ient
's c
hart
Bas
ic o
ffice
sup
plie
sT
ypew
riter
Cop
y m
achi
ne
Det
erm
ine
valid
ity, o
f req
uest
and
aut
horiz
atio
nR
efer
req
uest
to a
ppro
pria
te d
epar
tmen
t if
requ
est i
s m
ade
for
info
rmat
ion
not a
vail-
able
in th
e M
edic
ai R
ecor
ds D
epar
tmen
tLo
cate
cha
rtC
opy
or a
bstr
act a
ppro
pria
te in
form
atio
nM
ail t
o re
ques
ting
faci
lity
File
req
uest
or
auth
oriz
atio
nN
ote:
Pat
ient
med
ical
info
rmat
ion
is u
sed
byva
rious
age
ncie
s fo
r le
gal,
med
ical
, and
insu
ranc
e pu
rpos
es.
Pat
ient
has
prim
ary
inte
rest
in h
is/h
er m
edic
al in
form
atio
n an
dup
on p
rope
r au
thor
izat
ion
it sh
ould
be
mad
eav
aila
ble
to h
is/h
er r
epre
sent
ativ
es.
DE
CIS
ION
SC
UE
SE
RR
OR
S
Det
erm
ine
who
is c
harg
ed fo
r in
form
atio
n,In
stitu
tion'
s pr
oced
ure
prop
riety
of a
utho
rizat
ion
.
Rel
ease
of i
nfor
mat
ion
to u
naut
horiz
ed p
arty
(TA
SK
ST
AT
EM
EN
T)
RE
SP
ON
D T
O W
RIT
TE
N R
EQ
UE
ST
S
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Not
e:if
and
whe
n ch
arge
s ar
e m
ade
for
copi
es o
f inf
orm
atio
n,ve
ry b
asic
acc
ount
ing
prin
cipl
esw
ill b
e ne
cess
ary
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KIL
LS/C
ON
CE
PT
S
Writ
ing
Rea
ding
Rep
ly to
writ
ten
requ
est
Writ
ten
requ
est
85
Cla
rity
of e
xpre
ssio
nV
ocab
ular
yG
ood
gram
mar
Spe
lling
Pro
cess
inst
ruct
ion
- w
ritte
n
Com
preh
ensi
onD
etai
l/inf
eren
ceM
edic
al te
rmin
olog
y
?....
*--,
(TA
SK
ST
AT
EM
EN
T)
TY
PE
INS
UR
AN
CE
DIA
GN
OS
IS O
N F
OR
MS
FO
R T
HE
BU
SIN
ES
S O
FF
ICE
TO
OLS
, QU
IPM
EN
T, M
AT
ER
IALS
,O
BJE
CT
S A
CT
ED
UP
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Insu
ranc
e di
egno
is fo
rms
Offi
ce s
upp:
ies
Typ
ewrit
erP
atie
nt's
cha
rt
Sor
t and
sum
mar
ize
pert
inen
t inf
orm
atio
nC
ompl
ete
insu
ranc
e di
agno
sis
form
Rou
te to
bus
ines
s of
fice
,_._
DE
CIS
ION
S.
CU
ES
ER
RO
RS
Det
erm
ine
accu
racy
and
cnr
ople
tene
ss o
fO
rigin
al s
ourc
e of
dat
ain
form
atio
n
.
Dia
gnos
is o
n w
rong
form
Mis
spel
ling
diag
nosi
sH
ealth
faci
lity
busi
ness
offi
ce c
anno
t bill
insu
ranc
e co
mpa
nies
with
out t
his
info
r-m
atio
n.
(TA
SK
ST
AT
EM
EN
T)
TY
PE
INS
UR
AN
CE
DIA
GN
OS
IS O
N F
OR
MS
FO
R T
HE
BU
SIN
ES
SO
FF
ICE
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Rea
ding
Writ
ing
EX
AM
PLE
S
Cha
rts,
form
s
Fill
ing
out f
orm
s
SK
ILLS
/CO
NC
EP
TS
Com
preh
ensi
onD
etai
l/inf
eren
ceIn
form
atio
nal r
epor
tsM
edic
al te
rmin
olog
yIn
stru
ctio
ns
Cla
ssifi
catio
nD
escr
iptio
nM
edic
al te
rmin
olog
yLo
gic
Duty I Transcribing Medical Reports
1 Maintain a daily production record and log of cictation2 Maintain equipment in working order3 Pefform filing, mailing, and charting functions4 Transcribe medical information from transcribing station5 Transcribe medical information using automatic typewriters
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
A D
AIL
Y P
RO
DU
CT
ION
RE
CO
RD
AN
D L
OG
OF
DIC
TA
TIO
N
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
N
11P
ER
FO
RM
AN
CE
KN
OW
LED
GE
'alli
ml
SA
FE
TY
HA
ZA
RD
Dai
ly p
rodu
ctio
n re
cord
form
Bas
ic o
ffice
st.,
:- d
ies
Dic
tatio
n/tr
ansc
riptio
n lo
gM
easu
ring
devi
ce (
rule
rs, m
ete-
3, g
auge
s, e
tc.)
Com
pute
and
rec
ord
prO
duct
ion
figur
e in
ac-
cept
ed s
tand
ard
of m
easu
rem
ent (
wor
ds,
lines
, met
er r
eadi
ngs,
etc
.)R
ecor
d di
ctat
or, t
ype
of r
epor
t and
oth
erpe
rtin
ent i
nfor
mat
ion
into
dic
tatio
n lo
g
DE
CIS
ION
S
Det
erm
ine
accu
racy
of c
ompu
tatio
n
CU
ES
App
aren
t dis
crep
anci
es
ER
RO
RS
Err
ors
in c
ompu
tatio
n ca
n re
sult
in e
rror
s in
form
ulat
ing
intr
a-of
fice
proc
edur
es,
pers
onne
l allo
catio
ns, a
nd -
poss
ible
impl
e-m
enta
tion
of a
utom
ated
equ
ipm
ent
(TA
SK
ST
AT
EM
EN
T)
i
MA
INT
AIN
A D
AIL
Y P
RO
DU
CT
ION
RE
CO
RD
AN
D L
OG
OF
DIC
TA
TIO
N
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
Add
ing,
mul
tiply
ing
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
EX
AM
PLE
SS
KI L
LS/C
ON
CE
PT
S
4
Rea
ding
Writ
ing
Pro
duct
ion
log
1 !
Tra
Osf
er o
f dat
a/ 4 i
Com
preh
ensi
onD
etai
l/inf
eren
ce
Cla
ssifi
catio
nC
larit
y of
exp
ress
ion
Logi
c
(TA
SK
ST
AY
MA
INT
AIN
EQ
UIP
ME
NT
IN W
OR
KIN
G O
RD
ER
TO
OLS
, EQ
UIP
ME
N ,
MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
ON
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Tra
nscr
ibin
g an
ddi
ctat
ing
equi
pmen
tS
uppl
y ite
ms
for
equi
pmen
t (rib
bons
, rec
ord-
ing
med
ium
if a
ppro
pria
te, c
lean
ing
supp
lies)
Ser
vice
con
trac
t (if
appl
icab
le)
Rep
air
requ
est p
roce
dure
(w
ork
orde
rs, w
ork
requ
est s
lips,
tele
phon
e co
ntac
t)T
elep
hone
Insp
ect e
quip
men
t dai
ly fo
r pr
oper
wor
king
orde
rT
ake
imm
edia
te a
ctio
n to
cor
rect
any
mal
-fu
nctio
n of
mac
hine
Cle
arly
spe
cify
mal
func
tion
for
repa
irper
sor
Ret
est e
quip
men
t for
pro
per
wor
king
ord
eraf
ter
repa
irs a
re m
ade
Fol
low
rec
omm
ende
d pr
even
tive
mai
nten
ance
prog
ram
Util
ize
supp
ly it
ems
as n
eede
d
DE
CIS
ION
SC
UE
S
Det
erm
ine
exte
nt o
f mal
func
tion
or_p
riorit
y---
-A-F
ici a
bnor
mal
occ
urre
nces
in m
achi
ne o
pera
-of
-ser
vice
-cal
ltio
n
ER
RO
RS
Allo
win
g m
inor
mal
func
tions
to e
xist
Fai
lure
to m
aint
ain
prev
entiv
e m
aint
enan
cepr
ogra
mD
elay
in tu
rn-a
roun
d tin
y of
dic
tate
d re
port
s
(TA
SK
ST
AT
EM
EN
T)
MA
INT
AIN
EQ
UIP
ME
NT
IN W
OR
KIN
G O
RD
ER
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
-E
XA
MP
LES
SK
ILLS
/CO
NC
EP
TS
Spe
akin
g
Vie
win
g
Req
uest
rep
airs
Insp
ect e
quip
men
t OR
Cla
rity
of e
xpre
ssio
nV
ocab
ular
y
Vis
ual a
naly
sis
Des
crib
ing
Logi
cD
etai
l/inf
eren
ceR
ecog
nitio
nl o
f sym
bols
, cod
es, a
nd e
mbl
ems
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M F
ILIN
G, M
AIL
ING
, AN
D C
HA
RT
ING
FU
NC
TIO
NS
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,
OB
JEC
TS
AC
TE
D U
PO
NP
ER
FO
RM
AN
CE
KN
OW
LED
GE
SA
FE
TY
--
HA
ZA
RD
Cor
resp
onde
nce
mat
eria
l (le
tters
, env
elop
es)
Typ
ed r
epor
tsP
atie
nt's
cha
rtP
hysi
cian
's d
irect
ory
Bas
ic o
ffice
sup
plie
sT
ypew
riter
Sor
t cop
ies
and
dist
ribut
e th
roug
h in
ter-
offic
em
ail
Sen
d ou
tgoi
ng m
ail
appr
opria
te in
divi
dual
sA
ttach
app
ropr
iate
type
d re
port
s to
cha
rtF
ile c
opy
in a
ppro
pria
te a
rea
DE
CIS
ION
S
Dis
crim
inat
e be
twee
n de
stin
atiJ
ns o
f mat
eria
ls
CU
ES
Not
e on
dic
tate
d m
ater
ial w
here
cop
y is
to b
ese
nt
ER
RO
RS
Mis
filin
g of
info
rmat
ion
A r
epor
t is
of n
o va
lue
to th
e ph
ysic
ian
and
heal
th c
are
team
unt
il it
is a
ttach
ed to
the
patie
nt's
cha
rt
(TA
SK
ST
AT
EM
EN
T)
PE
RF
OR
M F
ILIN
G, M
AIL
ING
., A
ND
CH
AR
TIN
GF
UN
CT
ION
S/
SC
IEN
CE
MA
TH
NU
MB
ER
SY
ST
EM
S
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
E M
OD
ES
Vie
win
gS
ort m
ater
ial
EX
AM
PLE
S
IS
SK
ILLS
/CO
NC
EP
TS
Vis
ual a
naly
sis
Des
crib
ing
Logi
cR
ecog
nitio
n of
sym
bols
, em
blem
s, a
ndco
des
(TA
SK
ST
AT
EM
EN
T)
TR
AN
SC
RIB
E M
ED
ICA
L IN
FO
RM
AT
ION
FR
OM
TR
AN
SC
RIB
ING
ST
AT
ION
TO
OLS
, EQ
UIP
ME
NT
, MA
TE
RIA
LS,-
OB
JEC
TS
AC
TE
D U
PO
N--
PE
RF
OR
MA
NC
E K
NO
WLE
DG
ES
AF
ET
YH
AZ
AR
D
Tra
nscr
ibin
g m
achi
nes
Ope
rate
tran
scrib
erT
ypew
riter
(au
tom
atic
pre
ferr
ed)
Typ
e jo
bs in
acc
epta
ble
form
Bas
ic o
ffice
sup
plie
sM
edic
al d
ictio
nary
Reg
ular
dic
tiona
ryO
ther
med
ical
ret
eren
ces
Med
ical
cor
resp
onde
nce
on b
elts
or
disc
sN
ote:
ther
e is
a g
reat
var
iety
of t
ypes
of
dict
atin
g an
d tr
ansc
ribin
g eq
uipm
ent
iD
EC
ISIO
NS
CU
ES
ER
RO
RS
Inte
rpre
t doc
tor's
mea
ning
ver
sus
Rec
ogni
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unc
lear
sta
tem
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or
erro
neou
sM
isun
ders
tand
ing'
of d
icta
tion,
i.e.
, dic
tato
r's
actu
al d
icta
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info
rmat
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in d
icta
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voic
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unc
lear
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has
acce
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ine
num
ber
of c
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r ty
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fD
epar
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icie
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rans
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serv
ices
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pro
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docu
men
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acc
epta
ble
form
atph
ysic
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s in
ord
er to
ass
ist t
hem
in th
eir
prim
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goat
of p
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nt c
are.
Tim
ely
com
-pl
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thes
e re
port
s is
ess
entia
l als
ofo
r th
is g
oal
--U
se p
rope
r ca
re in
han
dlin
g va
rious
rec
ordi
ngeq
uipm
ent (
endl
ess
loop
; ran
ks; m
agne
ticbe
lt, d
iscs
, car
d an
d ta
pes;
cas
sette
s; a
ndpl
astic
bel
ts a
nd d
iscs
.)
..
(TA
SK
ST
AT
EM
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TR
AN
SC
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ED
ICA
L IN
FO
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FR
OM
TR
AN
SC
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ST
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SC
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MA
TH
NU
MB
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SY
ST
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S
Effe
cts
of te
mpe
ratu
re, h
umid
ity, m
agne
tism
on
reco
rdin
g eq
uipm
ent
CO
MM
UN
ICA
TIO
NS
PE
RF
OR
MA
NC
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OD
ES
EX
AM
PLE
SS
KIL
LS /C
ON
CE
PT
S
Writ
ing
List
enin
g
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nscr
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info
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Rec
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form
atio
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Cla
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of e
xpre
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pelli
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ood
gram
mar
Det
ails
and
infe
renc
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rmin
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med
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dis
crim
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ratio
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imin
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(TA
SK
ST
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EM
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TR
AN
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ED
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L IN
FO
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NT
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CS
T, T
y-D
ata,
Wan
g, R
emin
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actr
on,
Oliv
etti,
etc
.)
Fol
low
equ
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ent m
anua
l for
usa
ge a
nd s
peci
alap
plic
atio
nsO
pera
te tr
ansc
riber
Typ
e jo
bs in
acc
epta
ble
form
-:-
,
DE
CIS
ION
SC
UE
SE
RR
OR
S
Inte
rpre
tatio
n of
doc
tor's
mea
ning
ver
sus
actu
a: d
icta
tion
Det
erm
ine
num
ber
of c
opie
s pe
r ty
pe o
fdo
cum
ent a
nd a
ccep
tabl
e fo
rmat
Rec
ogni
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unc
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stap
m\e
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r er
rone
ous
info
rmat
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in d
icta
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epar
tmen
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icie
s
Mis
prog
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min
g th
e m
ater
ials
Sub
-sta
ndar
d re
port
s w
ould
pro
duce
a p
oor
depa
rtm
enta
l im
age
i ._
(TA
SK
ST
AT
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T)
TR
AN
SC
RIB
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L I N
FO
RM
AT
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US
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AU
TO
MA
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SC
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MA
TH
NU
MB
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SY
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OR
MA
NC
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OD
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Writ
ing
List
enin
g
EX
AM
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S
Tra
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info
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Rec
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form
atio
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med
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pelli
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ood
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and
infe
renc
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dis
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Noi
se d
iscr
imin
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once
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