new perspectives: module 17 - health and medical documents

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MODULE

Learning Outcomes

Health and Medical Documents

17

• Key and format medical correspondence.

• Key and format medical newsletters and brochures.

• Key and format SOAP notes.

• Key and format medical forms.

• Key and format medical reports.

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• You will be keying medical correspondence for Arondale Medical Center. The medical center is affiliated with the Arondale University College of Medicine. The center is operated by private medical practitioners and university staff.

• You will be keying letters and reports to patients, other medical firms, government, and regulatory agencies. Arondale Medical Center sends informational newsletters and brochures to community members promoting health awareness and disease prevention.

Arondale Medical Center Lesson 94


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Modified Block Letter Lesson 94

Center lines andremove space between lines

Arondale letterhead


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Memorandum with Table Lesson 94

Second-page heading


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1. Select the row or rows that are to be repeated.

2. Click Repeat Header Rows.

Table Tools Layout/Data/Repeat Header Rows

To repeat header row:

Repeat Header Rows Lesson 94

Repeated header row


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1. Click in table, then click Sort.

2. Click the My list has Header row button if necessary.

3. Click the drop-list arrow next to Sort by and choose Symptom.

4. Select Ascending order.

Table Tools Layout/Data/Sort

To sort in a table:

Sort in Table Lesson 94

Select Header row

Sort by Symptom


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Workplace Success Lesson 94


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Newsletter Lesson 95

Turn on Show/Hide to see the section break

Click on ¶ marker below the section break and key text


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Newsletter Lesson 95

Key title in text box; then rotate

text box and format

Apply Heading 1 style to side

headings

Insert round bullets

Tap ENTER 26 times to insert line down the page

Copy logo from banner heading

Use decimal tab to align numbers in table


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Brochure Pages 4 and 1 Lesson 95


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Brochure Pages 2 and 3 Lesson 95


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1. Choose the Basic Pie diagram in the Relationship group.

2. Click Add Shape to add the fourth quadrant. Right-click and choose Edit text to add text.

3. Drag the upper-right quadrant inward to form the pie.

4. Right-click and choose Fill to change the color of each shape.

Insert/Illustrations/SmartArt

To add shapes to a SmartArt diagram:

Create SmartArt Diagram

Grains

ProteinVegetables

Fruits

Lesson 95

Move the Grains shape inward to form the

circle

Dairy

Draw using the Oval shape


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1. Click the Shapes drop-list arrow.

2. Choose the Oval shape; the mouse changes to a cross.

3. Click in the document and drag to draw the shape.

4. Right-click and choose Add Text.

5. Use Shape Fill (Drawing Tools Format/Shape Styles) to change color.

Insert/Illustrations/Shapes

To draw a shape:

Draw Shapes Lesson 95

Oval shape


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• All medical offices keep recorded notes of the patient’s office visit, which are commonly called SOAP notes.

• SOAP notes contain the patient’s complaints, the physician’s findings, and the physician’s assessment and plan for treatment.

• S—SUBJECTIVE (what the patient tells the physician)

• O—OBJECTIVE (the physician’s findings as a result of a physical exam or evaluation)

• A—ASSESSMENT (the physician’s diagnosis or impression of the problem)

• P—PLAN (the planned treatment for the patient)

SOAP Notes Lesson 96


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SOAP Note Lesson 96

Key physician signature line in

footer

SUBJECTIVE

OBJECTIVE

ASSESSMENT

PLAN

Patient information and

vital signs


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1. In the Tabs dialog box, key the tab position in the Tab stop position box.

2. Select the desired alignment.

3. Under Leader, select option 4.

4. Click the Set button to display the tab setting in the Tab stop position box.

Home/Paragraph/Indents and Spacing/Tabs

To set an underline tab:

Underline Tab Lesson 96

Option 4 selects underline leader


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Disclosure and Consent to Treatment Lesson 96

Bottom margin 0.7"

Heading 1 style

Side headings: Heading 2 style

Right underline tabs 6.5"

Align numbers using decimal tab

Use SUM formula


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• Heading: The heading contains pertinent information necessary to identify the patient.

• The heading is keyed at the top of the report.

• Some headings are quite lengthy and can take up to one-third of the first page.

• Body: The body of the report contains the observations, test results, and/or findings.

• Conclusion: The conclusion includes the diagnosis and recommendations.

Parts of a Medical Report Lesson 97


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Medical Report Form Lesson 97

Title style

Apply Heading 1 style, then tap

ENTER twice

Tap ENTER four timesLeft underline

tab 3.0"


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Psychological Testing Report Lesson 97

Patient’s name, page number, and

date of testing


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• Arondale Medical Center will be hosting a health fair for the community on Saturday, October 11, 201- from 10:30 a.m. to 4:00 p.m.

• The fair will be held in the main concourse of Hess Office Park.

• Medical suppliers, pharmaceutical companies, hospitals, schools, and clinics will be invited to participate as vendors and presenters.

• Arondale University nursing students will be providing free flu shots and health screenings.

• Vendors and presenters will provide information tables and wellness seminars.

• You will assist in the planning and preparation of the health fair by sending documents to vendors and presenters and designing the program for the event.

Hess Office Park—Preparing for a Health Fair Lesson 98


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Health Fair Program page 1 Lesson 98

Insert arondale logo and name data file

Insert volunteers data file


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Health Fair Program Page 2 Lesson 98

Insert site plan data fileInsert microscope

online picture; change color to washout


new perspectives: module 17 - health and medical documents

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