Dictation Instructions

DICTATION INSTRUCTIONS:

NOTE:  The preferred documentation method is Dragon or Epic Tools within the Epic Application.

In the rare instance you would need to use full dictation, please see the 3 approved worktypes below.

  • Dial 833-296-7053.
  • Enter site ID – 40# 
  • Enter Provider ID, followed by the # key.
  • Enter worktype, followed by the # key.
    • 501 = Transfer Summary
    • 502 = Preoperative H&P
    • 506 = Operative Report
  • Enter Patient Acct. Number (CSN Number), followed by the # key.
  • Press 2 to begin dictation.  Please state patient name and DOB.
  • When complete: Press 8 to end report and start new one or press 5

to end report/disconnect.

 

KEYPAD FUNCTIONS – NOTE:  These are different

1 = Pause                                Places your dictation on hold for up to 5 minutes.

2 = Record/Pause                   Press “2” to record or pause dictation.           

3 = Rewind                              Rewinds dictation 5 seconds.

4 = Fast Forward                     Fast forwards dictation 5 seconds.  To stop, press “3”.

5 = Disconnect                        Disconnects you.

7 = Play from Beginning         Takes you to the beginning of your dictation.

8 = End Report/Start New      Ends dictation and prompts you for the next worktype.


 
Dictation Work Types
Additional Work Type Codes can be found here:  Work Type Codes and Description PDF

Miscellaneous Consults Specialties Op Reports/Body Systems Discharge Summaries

H&P's
1000 - Surg HP
1100 - Med HP

Psych Evals
1200 - IP Psych Eval
1300 - OP Psych Eval

ER's
2200 - ER Admit
2300 - ER Outpatient

Progress Notes
1500 - Progress Note
1501 - Bariatric Prog Note
1502 - Wound Care Prog Note
1504 - Vascular Prog Note

Minutes
6700 - Medical Staff Meetings
 

1400 - General Consult Report
1401 - Allergy/Immunology Consult
1402 - Anesthesiology Consult
1403 - Cardiology Consult
1404 - Cardiopulm Rehab Consult
1405 - Cardiothoracic Surg Consult
1407 - Dental/Oral Surgery Consult
1408 - Dermatology Consult
1409 - Endocrinology Consult
1410 - ENT Consult
1411 - GI Consult
1412 - Infectious Disease Consult
1413 - Internal Medicine Consult
1414 - Neonatology Consult
1415 - Nephrology Consult
1416 - Neurology Consult
1417 - Neurosurgery Consult
1418 - OB/GYN Consult
1419 - Hem/Oncology Consult
1420 - Opthalmology Consult
1421 - Orthopaedic Consult
1422 - Pain Management Consult
1423 - Pediatric Consult
1424 - Perinatology Consult
1425 - Phys Med & Rehab Consult
1426 - Plastic Surgery Consult
1427 - Podiatry Consult
1428 - Pulmonology Consult
1429 - Readiation Therapy Consult
1430 - Rheumatology Consult
1431 - Surgical Consult
1432 - Urology Consult
1433 - Behavioral Medicine Consult
1434 - Wound Care Consult
1435 - Electrophysiology Consult
8000 - Perinatology Consult Note

Cardiac
3200 - Cardiac Cath/Diagnostic
3201 - Percut Coronary Intervention
3202 - EP Study
3203 - Tilt Table
3204 - Pacemaker Insertion, ICD Ck
4200 - Echocardiogram/Stress Echo
4201 - Stress Test
4202 - Event Recorder
4203 - TEE
4204 - Holter Monitor

GI
3300 - M2A, G-tube, Dilatation
3301 - Colonoscopy, Flex Sig
3302 - EGD, PEG Tube
3303 - ERCP Report

Neurology
4000 - EMG Report
4001 - EEG
4001 - Evoked Potential
4001 - Nerve Block
4001 - Radiofrequency Ablation
4001 - Trigger Point Injections
4002 - Epidural Steroid Injection

Inpatient OB/Gyn
1000 - Surgical H&P
1100 - Medical H&P
1418 - OB/GYN Consult
1500 - Progress Note
2100 - Discharge Summary
3108 - GYN Procedure
3112 - Obstetric Procedure
**Make sure you are in the correct
encounter and have the correct FIN number.

DO NOT use other generic codes for procedures.

3010 - Integumentary Procedure
3100 - Operative Procedure
3101 - ENT OP Note
3102 - Endocrine OP Note
3103 - Eye OP Note
3104 - Cystoscopy
3105 - Lithotripsy
3106 - GU OP Note
3107 - Colposcopy
3108 - GYN OP Note
3110 - Integumentary Procedure
3111 - Musculoskelatal/Ortho Proc
3112 - Obstetrical Procedure
3119 - Bronchoscopy
3120 - Pulmonary Function Study
3121 - Pulmonary Thoracic Proc
3123 - GI/Bariatric OP Note
3124 - Neurosurgery Report
3125 - Invasive Cardiac/Vascular Proc

2000 - Transfer Summary
2001 - Beh Med Transfer Sum
2100 - Discharge Summary
2101 - Beh Med Discharge Sum
2400 - Hospitalist Discharge

5500 - Correspondence

8500 - Sleep Studies