| Term | Definition |
| abd | abduction |
| add | adduction |
| AE | above the elbow |
| AK | above the knee |
| AEA | above the elbow amputation |
| AKA | above the knee amputation |
| complaining of | c/o |
| date of birth | DOB |
| diagnosis | dx |
| history | Hx |
| history & physical | H & P |
| oxygen | O2 |
| past medical history | PMH |
| patient | pt. |
| prescription, treatment | Rx |
| rule out | r/o |
| status post, following | s/p |
| year old | y/o,yo |
| abduction | abd |
| adduction | add |
| above the elbow | AE |
| above the knee | AK |
| acquired immune deficiency syndrome | AIDS |
| adult respiratory distress syndrome | ARDS |
| acute renal failure | ARF |
| cancer | Ca |
| cerebral palsy | CP |
| chronic obstructive pulmonary disease | COPD |
| closed head injury | CHI |
| congestive heart failure | CHF |
| coronary artery disease | CAD |
| cerebrovascular accident | CVA |
| end-stage renal disease | ESRD |
| fracture | fx,Fx |
| gastroesophageal reflux disease | GERD |
| head injury | HI |
| hypertension | HTN |
| insulin dependent diabetes mellitus | IDDM |
| non-insulin dependent diabetes mellitus | NIDDM |
| myocardial infarction | MI |
| not otherwise specified | NOS |
| osteoarthritis | OA |
| rheumatoid arthritis | RA |
| spinal cord injury | SCI |
| traumatic brain injury | TBI |
| tuberculosis | TB |
| urinary tract infection | UTI |
| against medical advice | ama |
| discontinue/discharge | d/c,DC |
| dependent | D,D |
| maximum assistance(75%) | max A, |
| moderate assistance (50%) | mod A |
| minimum assistance (25%) | min A |
| contact guard | CG |
| stand by assist | SBA |
| supervised | S |
| Acetylsalicyalic acid (aspirin) | ASA |
| No Known Drug Allergies | NKDA |
| above the elbow amputation | AEA |
| above the knee amputation | AKA |
| below the knee amputation | BKA |
| below elbow amputation | BEA |
| coronary artery bypass graft | CABG |
| open reduction internal fixation | ORIF |
| percutaneous endoscopic gastrostomy | PEG |
| total hip replacement | THR |
| total knee replacement | TKR |
| fever of unknown origin | FUO |
| headache | HA |
| hard of hearing | HOH |
| shortness of breath | SOB |
| activity of daily living | ADL |
| active range of motion | AROM |
| ambulation | AMB |
| assistance | A |
| bilateral | B |
| durable medical equipment | DME |
| edge of bed | EOB |
| balance | bal |
| independent | I,(I) |
| left | L,(L) |
| Manual muscle test | MMT |
| occupational therapy/therapist | OT |
| out of bed | OOB |
| physical therapist/therapy | PT |
| passive range of motion | PROM |
| right | R,(R) |
| treatment(as in therapy) | Tx |
| upper extremity | UE |
| lower extremity | LE |
| wheelchair | w/c,WC |
| within functional limits | WFL |
| within normal limits | WNL |
| Americans with Disabilities Act | ADA |
| as much as necessary, sufficient quantity | qs |
| as needed | prn |
| at bedtime | hs |
| at once, immediately | stat |
| every day, daily | qd |
| every hour | qh |
| every ___ hours (2, 3, 4) | q ___ h (i.e. q2h). |
| four times a day | qid, q.i.d. |
| three time a day | tid,t.i.d. |
| times | X |
| twice daily | bid, b.i.d. |
| by or through | per |
| by mouth | po |
| intramuscular | IM |
| intravenous | IV |
| subcutaneous | subq, SQ |
| autonomic nervous system | ANS |
| central nervous system | CNS |
| cerebrospinal fluid | CSF |
| gastrointestinal | GI |
| genitourinary | GU |
| bathroom priviledges | BRP |
| blood pressure | BP |
| nothing by mouth | npo,NPO |
| full weight bearing | FWB |
| non-weight-bearing | NWB |
| weight bearing as tolerated | WBAT |
| toe touch weight bearing | TTWB |
| blood urea nitrogen | BUN |
| bowel movement | BM |
| cardiopulmonary resuscitation | CPR |
| complete blood count | CBC |
| computer axial tomography | CAT,CT |
| electrocardiogram | EKG,ECG |
| electromyogram | EMG |
| electroencephalogram | EEG |
| hemodialysis | HD |
| Magnetic Resonance Imaging | MRI |
| Positron Emission Tomagraphy | PET |
| white blood count | WBC |
| Hepatitis B virus | HBV |
| intravenous pylogram | IVP |
| gun shot wound | GSW |
| motor vehicle accident | MVA |
| diagnostic related groups | DRG's |
| Center for Disease Control | CDC |
| coronary care unit | CCU |
| emergency department | ED |
| emergency room | ER |
| intensive care unit | ICU |
| operating room | OR |
| skilled nursing facility | SNF |
| Surgical intensive care unit | SICU |
| Transitional Care Unit | TCU |
| cubic centimeter | cc |
| milligram | mg |
| milliliter | ml |
| Beats per minute | BPM |
| Blood pressure | BP |
| Heart rate | HR |
| respiratory rate | RR |
| temperature | temp |
| vital signs | VS |
| 5150 | 3 day involuntary hold of client in locked environment |
| 5250 | 14 day hold |
| 5350 | Conservatorship |
| 6000 | Voluntary status in locked environment |
| ETOH | Alcohol |
| F/U | Follow Up |
| H/O | History Of |
| MMSE | Mini Mental Status Exam |
| OR | Own Recognizance (jail release program) |
| Ox3 | Oriented to person, place, time |
| PTA | Prior to Admission |
| BAD | Bipolar Affective Disorder |
| BPD | Borderline Personality Disorder |
| DD | Dual Diagnosis |
| DMDA | Depressive/Manic Depressive Association |
| PTSD | Post Traumatic Stress Disorder |
| SAD | Schizoaffective Disorder |
| SCPT | Schizophrenia Paranoid Type |
| LPS | Lanterman-Petris Short Act (CA) |
| B&C | Board and Care Home |
| AMI | Alliance for the Mentally Ill |
| APS | Adult Protective Services |
| CMHS | Community Mental Health Services |
| CVE | Community Vocational Enterprises |
| CPS | Child Protective Services |
| DMH | Department of Mental Health (state) |
| DMS | Division of Mental Health and Substance Abuse Services |
| DPH | Department of Public Health (SF) |
| BIB | Brought in By |
| JCAH | Joint Commission on Accreditation of Hospitals |
| NAMI | National Alliance for the Mentally Ill |
| NIMH | National Institute for Mental Health |
| SSA | Social Security Administration |
| SSDI | Social Security Disability Insurance |
| SSI | Supplemental Security Income |
| ADU | Acute Diversion Unit (SF) |
| L-Facility | Locked Facility (sub-acute, up to one year plus) |
| PES | Psychiatric Emergency Services |
| P-Con | Permanent Conservatorship |
| T-Con | Temporary Conservatorship |
| A/H | Auditory Hallucinations |
| DTO | Danger to Others |
| DTS | Danger to Self |
| EPS | Extra Pyramidal Symptoms |
| GD | Grave Disability (gravely disabled) |
| HI | Homicidal Ideation |
| IS | Internal Stimuli |
| PSD | Polysubstance Dependent |
| PSA | Polysubstance Abuse |
| SI | Suicidal Ideation |
| V/H | Visual Hallucinations |
| c | with |
| s | without |
| p | after |
| a | before |
| ↑ | increase |
| ↓ | decrease |
| Δ | change |
| → | yields |
| ♂ | male |
| ♀ | female |
| 2o | secondary to (due to) |
| - , (-) | negative |
| + | positive |