Style Guide. Basic Style Guide. Courtesy of Global Medical Transcription. The 2. 00. 5 changes made by AAMT are not included in this style guide. Client. preference will always take precedence. Include them in an email to The GMT Webmaster. ![]() Use our free tool to find and compare meeting hotels and hotels with event space for your meetings and events. Let hotels bid for your business. Basic Style Guide Courtesy of Global Medical Transcription and MT Daily The 2005 changes made by AAMT are not included in this style guide. These are the generally. Works to advance health care capture and documentation. Member login, visitor center, and tools for professional development. Welcome to Kijiji, Canada's most popular free, local classifieds site. Select Location. To see classifieds ads or post your own ad, click an area. The Book of Style for Medical Transcription, 3rd Edition. The 3rd edition of The Book of Style for Medical Transcription from the Association for Healthcare. We created. this list for our students as a quick reference of generally accepted rules. Spacing. With Punctuation Marks. Do Not. Type a Space .. Type One. Space.. Type Two. Spaces.. II. When the next edition of the AAMT Book of Style is published (Spring. Use numerals. when numbers are directly used with symbols. Use numerals. when expressing ages. If it is an. approximate age, spell it out. Use numerals. to express size and measurements. Use numerals. for everything metric. Centimeters, millimeters, liters, etc. Use numerals. in all expressions pertaining to drugs - this includes strength, dosage. Z- PAK 2 daily on day 1, then 1 daily on days 2- 5. Spell out and. hyphenate fractions standing alone. He drank one- half a gallon of apple. Use numerals. to express mixed fractions. Use commas only. if there are 5 or more digits when expressing numbers. Use numerals. when expressing vital statistics including height, weight, blood pressure. Substitute a. hyphen for the word . He is to take 1- 2 tablets of Tylenol every 4- 6. Leave a space. between numerals and measurements unless they form a compound modifier. It is 1. 20. 0 ml.... A 4- cm nevus.... A. 2 x 2- mm lesion.... Always use 0. in front of the decimal point if the number is not a whole number. Use mixed fractions. English system measurements. Use numerals. for: Ages, units of measure, vital statistics, lab values and in other. Spell out the number or recast the sentence. Dictated as. 1. 0 milligrams of Reglan was administered stat. Exception - . It is acceptable to begin a sentence with a date. Plurals. - do not use an apostrophe to form plural numbers. She was in her. 2. She was born. in the 1. Series of. numbers - Use numerals if at least one is greater than nine or if there. Example - Jeff. has 1 job, 1 place of employment and 1. Cranial nerves. - Preferred: Roman numerals I- XII Diabetes type. Roman numerals I and II - this was recently standardized. American Diabetes Association. Apgar scores. - Use numerals for ratings and spell out numbers relating to minutes. Rationale. - to draw attention to the scores. Feet, inches, pounds, ounces, yards, grain, dram. Exceptions: Use tsp for. Use tbsp for. tablespoon Abbreviate all. Use F for Fahrenheit. IF accompanied by the symbol for degree. Fahrenheit. Use C for Celsius. IF accompanied by the symbol for degree. Celsius. In tables. Use ft or '. for feet. Use . Symbols Spell out a. Use symbols. when they are used with numbers Common Symbols Dictated. Number 3. 0 #3- 0 Twenty- twenty. BP 1. 20 over. 8. Grade two. over six. A positive. A+ Three point. Point five. centimeters. V. Capitalization. Capitalize.. Abbreviations. The first word. following a colon if it begins a complete sentence or is part of an outline. Most abbreviations. English words The first letter. The names of. the days of the week, months, holidays, historic events and religious festivals The names of. The names of. diseases that include proper nouns, eponyms or genus names The trade or. A quote when. it is a complete sentence The names of. Black, as a race designation would. Do Not Capitalize.. The spelled. out names of the chemical elements The seasons. The common names. The names of. viruses unless they include a proper noun Generic drug. The common noun. following the brand name. Example - Tylenol tablets The names of. Designations. based on skin color, like . Example - anti- inflammatory. Do use. a hyphen when compounded with the prefix self. Example. - self- administered, self- monitored. For Clarification. Use a hyphen after a prefix if not using a hyphen would change. Cancer. Classifications Stage and grade. Use Roman numerals. Use Arabic numerals. For clarity. use capital letters or arabic suffixes without spaces or hyphens. Here are some. examples: stage 0 stage Istage IA stage II stage III stage IIIAstage IIIBstage IV grade 1 grade 2 grade 3 grade 4 VIII. If dictated. q. When referring. Use Arabic numerals. If there is. no whole number, always add a 0 in front of the decimal point for clarity. Be aware that. some drugs are commonly dictated in either milligrams or micrograms. Example. - Synthroid 0. Synthroid 5. 0 mcg. Here are some examples: Creatinine 1. BUN 4. 2, phosphorus 4. WBC 1. 2. 4 with. CBC reveals. an RBC count of 1. WBC 6. 8, platelets 2. Electrolytes. reveal a serum sodium of 1. Use periods. to separate unrelated laboratory test results. For example, Potassium 3. Albumin 4. 0. Drug doses, names, dates, sets, etc. Keep all 3 items on the same line. Fred Farnsworth. January 1. Keep the entire date on the same line. Names. Names with junior. Use a comma before and a period after the abbreviation. Example - Jeramiah. Johnson, Jr. Names with ordinals. Example - Bernie. Schwartz III Incorrect - . Bernie Schwartz, III XI. Past Medical. History - Use past tense. Allergies. Allergies are. ALL CAPITAL LETTERS or bold font depending on client preference. If the patient. has no allergies use the phrase, . Capitalize brand. DO NOT capitalize generic medications. Use Latin drug. abbreviations. Don't mix Latin. and English terminology. When referring. to strength, dosage and directions - Use Arabic numerals only. If there is. no whole number, add a zero in front of the decimal point for clarity. Transcribe. Synthroid 0. Physical. Examination. Transcribe in. present tense in ALL of the major report formats. Vital Signs. - Should look like this: Temperature 9. BP 1. 40/8. 0, pulse 7. Assessment/Diagnosis/Impression. Typed entirely. in upper case. No abbreviated. medical terminology. Abbreviate units. MG, MM, CM, etc. The title Doctor. Verb tenses. Use past tense: In the past. In discharge. summaries EXCEPT for the History of Present Illness and the Physical Examination. When discussing. expired patients Use present. To describe. the physical examination Use the correct. Even if the. dictator inadvertently changes tense during the dictation. Consistent tense. Consistent left. and right alignment. Singulars versus. Headings - Are. they labeled properly? Sound- Alikes. Unnecessary. No abbreviations. Drugs correctly. capitalized. Formatting. headings and indentations. Proper use of. hyphens. Dates. Complete sentences. Punctuation. We encourage. Include them in an email to The. GMT Webmaster. Copyright.
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