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Pt
Patient
DOB
Date of Birth
H&P
History and Physical
VS
Vital Signs
BP
Blood Pressure
HR
Heart Rate
RR
Respiratory Rate
Wt
Weight
Ht
Height
BMI
Body Mass Index
NKDA
No Known Drug Allergies
NKA
No Known Allergies
Rx
Prescription
OTC
Over-the-Counter (medications)
PRN
As Needed
BID
Twice a Day
TID
Three Times a Day
QID
Four Times a Day
q_h
Every _ Hours (e.g., q4h = every 4 hours)
AC
Before Meals
PC
After Meals
ETOH
Alcohol
Tob
Tobacco
SH
Social History
NPO
Nothing by Mouth (used for pre-surgery patients)
CBC
Complete Blood Count
CMP
Comprehensive Metabolic Panel
LFTs
Liver Function Tests
UA
Urinalysis
CXR
Chest X-Ray
EKG/ECG
Electrocardiogram
MRI
Magnetic Resonance Imaging
CT
Computed Tomography
HIPAA
Health Insurance Portability and Accountability Act
CMS
Centers for Medicare & Medicaid Services
EHR
Electronic Health Record
HMO
Health Maintenance Organization
PPO
Preferred Provider Organization
PCP
Primary Care Provider
SOB
Shortness of Breath
DOE
Dyspnea on Exertion
HTN
Hypertension (High Blood Pressure)
DM
Diabetes Mellitus
CAD
Coronary Artery Disease
CVA
Cerebrovascular Accident (Stroke)
MI
Myocardial Infarction (Heart Attack)