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MEDICAL RECORDS
MEDICAL RECORD TERMINOLOGY
Term | Definition |
---|---|
CC | CHIEF COMPLAINT |
HPI | HISTORY OF PRESENT ILLNESS |
PMH | PAST MEDICAL (AND SURGICAL) HISTORY |
FH | FAMILY HISTORY |
SH | SOCIAL HISTORY |
ROS | REVIEW OF SYSTEMS |
PE | PHYSICAL EXAMINATION |
DX | DIAGNOSIS |
EPR | ELECTRONIC PATIENT RECORD |
HIPAA | HEALTH INSURANCE PORTABILITY & ACCOUNTABILITY ACT OF 1996 |