Common Charting Abbreviations Flashcards by Jasmin Steele

Q

ADM

A

Admit; Admission; admitted

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Q

ADL

A

Activities of daily living

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Q

AM

A

Before noon

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Q

Amt

A

Amount

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Q

Ant

A

Anterior

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Q

AP

A

Anterior/Posterior

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Q

ASAP

A

As soon as possible

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Q

ax

A

axillary

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Q

BC

A

birth control

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Q

BM

A

Bowel movement

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Q

BP

A

Blood pressure

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Q

BSE

A

Breast self-examination

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Q

c

A

With

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Q

CC

A

Chief complaint

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Q

CMA (AAMA)

A

Certified medical assistant

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Q

c/o

A

Complains of

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Q

CPX

A

Complete physical exam

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Q

Cx

A

Canceled

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Q

def

A

Deficiency

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Q

DNS

A

Did not show

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Q

DOB

A

Date of birth

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Q

DOI

A

Date of injury

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Q

Dx

A

Diagnosis

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Q

EDC

A

Expected date of confinement

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Q

EDD

A

Expected date of delivery

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Q

EMS

A

Emergency medical services

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Q

Ex

A

Exam

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Q

FB

A

Foreign body

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Q

FH

A

Family history

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Q

FHS

A

Fetal heart sounds

Q

FTT

A

Failure to thrive

Q

HA

A

Headache

Q

H/O

A

History of

Q

H & P

A

History and physical

Q

HPI

A

History of present illness

Q

Hx

A

History

Q

Lac

A

Laceration

Q

LMP

A

Last menstrual period

Q

Lt

A

Left

Q

L & W

A

Living and well

Q

NBA

A

Newborn

Q

N/C

A

No complaints

Q

neg

A

Negative

Q

NKA

A

No known allergies

Q

NKDA

A

No known drug allergies

Q

N/V

A

Nausea and vomiting

Q

OV

A

Office visit

Q

PA

A

Posterior/Anterior

Q

PH

A

Past history

Q

px

A

Prognosis

Q

PX or PE

A

Physical exam

Q

PM

A

Afternoon

Q

postop

A

Post operative

Q

prog

A

Prognosis

Q

Pt

A

Patient

Q

RMA

A

Registered medical assistant

Q

R/O

A

Rule out

Q

ROM

A

Range of motion

Q

Rt

A

Right

Q

Rx

A

Prescription

Q

s

A

Without

Q

SH

A

Social history

Q

spec

A

Specimen

Q

SOAP

A

Subjective; objective; assessment; plans

Q

SOB

A

Shortness of breath

Q

S & S

A

Signs and symptoms

Q

STAT

A

Immediately

Q

surg

A

Surgical or surgery

Q

Sx or sx

A

Symptom

Q

UCHD

A

Usual childhood diseases

Q

VO

A

Verbal order

Q

w

A

With

Q

WNL

A

Within normal limits

Q

yr

A

Year