Medical Records & Abbreviations (Med. Term.)

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Last updated 10:50 PM on 8/16/26
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9 Terms

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EMR

Electronic Medical Record; patients chart from a single clinic or practice visit

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EHR

Electronic Health Record; information from multiple doctors from multiple visits

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CC

Chief Complaint; the main reason for the visit

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HPI

History of Present Illness; story of patients problem

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ROS

Review Of Symptoms; description of individual body systems in order to discover any symptoms not directly related to the main problem

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PMH / PMHx

Past Medical History; tells provider of any other significant past illnesses

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PSH / PSHx

Past Surgical History; tells of any significant past surgeries

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FH / FHx

Family History; significant illnesses that run in the family

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SH / SHx

Social History; any drugs, alcohol, living situation, and/or support use that can impact health