Abbreviations common on health records

Question 1

VS

Answer 1

vital signs

Question 2

T

Answer 2

temperature

Question 3

BP

Answer 3

blood pressure

Question 4

HR

Answer 4

heart rate

Question 5

RR

Answer 5

respiratory rate

Question 6

Ht

Answer 6

height

Question 7

Wt

Answer 7

weight

Question 8

BMI

Answer 8

body mass index

Question 9

I/O

Answer 9

input/output. the amount of fluids a patient has taken in (IV or mouth) and produced (usually just urine)

Question 10

Dx

Answer 10

diagnosis

Question 11

DDx

Answer 11

differential diagnosis

Question 12

Tx

Answer 12

treatment

Question 13

Rx

Answer 13

prescription

Question 14

H&P

Answer 14

history and physical

Question 15

Hx

Answer 15

history

Question 16

CC

Answer 16

chief complaint (the main reason for the visit)

Question 17

HPI

Answer 17

history of present illness (the story of the symptoms)

Question 18

ROS

Answer 18

review of symptoms (anything else not directly related to the chief complaint)

Question 19

PMHx

Answer 19

past medical history

Question 20

FHx

Answer 20

family history

Question 21

NKDA

Answer 21

no known drug allergies

Question 22

PE

Answer 22

physical exam

Question 23

Pt

Answer 23

patient

Question 24

y/o

Answer 24

years old

Question 25

h/o

Answer 25

history of

Question 26

PCP

Answer 26

primary care provider

Question 27

f/u

Answer 27

follow up