Common Charting Abbreviations Flashcards

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0
Q

ADM

A

Admit; Admission; admitted

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1
Q

ADL

A

Activities of daily living

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2
Q

AM

A

Before noon

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3
Q

Amt

A

Amount

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4
Q

Ant

A

Anterior

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5
Q

AP

A

Anterior/Posterior

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6
Q

ASAP

A

As soon as possible

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7
Q

ax

A

axillary

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8
Q

BC

A

birth control

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9
Q

BM

A

Bowel movement

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10
Q

BP

A

Blood pressure

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11
Q

BSE

A

Breast self-examination

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12
Q

c

A

With

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13
Q

CC

A

Chief complaint

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14
Q

CMA (AAMA)

A

Certified medical assistant

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15
Q

c/o

A

Complains of

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16
Q

CPX

A

Complete physical exam

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17
Q

Cx

A

Canceled

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18
Q

def

A

Deficiency

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19
Q

DNS

A

Did not show

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20
Q

DOB

A

Date of birth

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21
Q

DOI

A

Date of injury

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22
Q

Dx

A

Diagnosis

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23
Q

EDC

A

Expected date of confinement

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24
Q

EDD

A

Expected date of delivery

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25
Q

EMS

A

Emergency medical services

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26
Q

Ex

A

Exam

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27
Q

FB

A

Foreign body

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28
Q

FH

A

Family history

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29
Q

FHS

A

Fetal heart sounds

30
Q

FTT

A

Failure to thrive

31
Q

HA

A

Headache

32
Q

H/O

A

History of

33
Q

H & P

A

History and physical

34
Q

HPI

A

History of present illness

35
Q

Hx

A

History

36
Q

Lac

A

Laceration

37
Q

LMP

A

Last menstrual period

38
Q

Lt

A

Left

39
Q

L & W

A

Living and well

40
Q

NBA

A

Newborn

41
Q

N/C

A

No complaints

42
Q

neg

A

Negative

43
Q

NKA

A

No known allergies

44
Q

NKDA

A

No known drug allergies

45
Q

N/V

A

Nausea and vomiting

46
Q

OV

A

Office visit

47
Q

PA

A

Posterior/Anterior

48
Q

PH

A

Past history

49
Q

px

A

Prognosis

50
Q

PX or PE

A

Physical exam

51
Q

PM

A

Afternoon

52
Q

postop

A

Post operative

53
Q

prog

A

Prognosis

54
Q

Pt

A

Patient

55
Q

RMA

A

Registered medical assistant

56
Q

R/O

A

Rule out

57
Q

ROM

A

Range of motion

58
Q

Rt

A

Right

59
Q

Rx

A

Prescription

60
Q

s

A

Without

61
Q

SH

A

Social history

62
Q

spec

A

Specimen

63
Q

SOAP

A

Subjective; objective; assessment; plans

64
Q

SOB

A

Shortness of breath

65
Q

S & S

A

Signs and symptoms

66
Q

STAT

A

Immediately

67
Q

surg

A

Surgical or surgery

68
Q

Sx or sx

A

Symptom

69
Q

UCHD

A

Usual childhood diseases

70
Q

VO

A

Verbal order

71
Q

w

A

With

72
Q

WNL

A

Within normal limits

73
Q

yr

A

Year