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This is a list of abbreviations used in medical prescriptions, including hospital orders (the patient-directed part of which is referred to as sig codes). This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology § List of abbreviations for those).
It provides information for the continuation of care following discharge. [10] History and Physical - A History and Physical (H&P) note is a medical report that documents the current and past conditions of the patient. [11] Operative Note - The Operative Note is created immediately following a surgical or other high-risk procedure.
discharge DiTe: diphtheria-tetanus (combined vaccination) DIU: death in utero DJD: degenerative joint disease (osteoarthritis) DKA: diabetic ketoacidosis: dl: deciliter: dL: deciliter DLB: dementia with Lewy bodies: DLCO: diffusing capacity of the lung for carbon monoxide: DLE: disseminated lupus erythematosus (systemic lupus erythematosus) DLI
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes , preoperative notes, operative notes, postoperative notes, procedure notes, delivery notes, postpartum notes, and discharge notes. These notes constitute a large part of the medical record.
A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
patient (from Latin patiens, meaning "one who endures" or "one who suffers") PTA: percutaneous transluminal angioplasty post-traumatic amnesia prior to admission Peritonsillar abscess PTB: pulmonary tuberculosis: PTC: percutaneous transhepatic cholangiography: PTCA: percutaneous transluminal coronary angioplasty: PTD: prior to discharge preterm ...
The communication protocol is an application protocol that uses TCP/IP to communicate between systems. DICOM files can be exchanged between two entities that are capable of receiving image and patient data in DICOM format. HITM, European Association of Healthcare IT Managers; RIS, Radiology Information System; HIS, Hospital Information System