| Term | Definition |
| AB | abortion / away from / anti-body |
| ABNL | abnormal |
| ABX | antibiotics |
| AD | right ear |
| AS | left ear |
| AU | both ears |
| AMA | against medical advice |
| A&O | alert or awake and orientated |
| AMAP | as much as possible |
| b (circled) | both |
| Bx | biopsy |
| CHD | chronic heart disease / childhood disease / coronary heart disease / congenital heart disease |
| C/O | complains of / in the care of |
| COD | cause of death / condition on discharge |
| CXR | chest x-ray |
| D/C | discontinue and discharge |
| DOB | date of birth |
| DOC | date of conception |
| DRE | digital rectal exam |
| F/U | follow up |
| Fx | fracture |
| G&D | growth and development |
| HO | history of |
| H&P | history and physical |
| l (circled) | left |
| r (circled) | right |
| LBP | low blood pressure / low back pain |
| LBW | low birth weight |
| LMP | last menstrual period |
| NKA | no know allergies |
| NKDA | no know drug allergies |
| OD | overdose / right eye |
| OS | left eye / mouth |
| OU | both eyes |
| PPD | post partum depression / packs per day / purified protein derivative |
| ROM | range of motion |
| SOB | short of breath |
| SUD | sudden unexpected or unexplained death |
| Sz | seizure |
| CPE | complete physical exam |
| CPEP | complete physical exam and pap |
| ETOH | ethyl alcohol |
| T&A | tonsillectomy and adnoidectomy |
| TIA | transient ischemic attack |
| y/o | years old |
| Rx | prescription |
| dil | diluted / dilate |
| HS | hours of sleep / half strength |
| ICU | intensive care unit |
| I&D | incision and drainage |
| IM | intramuscular |
| inj. | injection |
| IV | intravenous |
| liq | liquid |
| MI | myocardial enfarction |
| NB | newborn |
| NPO | nothing by mouth |
| N&V | nausea and vomiting |
| OB | obstetrics |
| OCP | oral contraception pills |
| OH | occupational history |
| OTC | over the counter |
| pc | after meals / post consumption |
| p (with a line over it) | after |
| PI | present illness / past illness |
| PMH | past or present medical history |
| PRN | as needed / whenever necessary |
| q | every |
| q a.m. | every a.m. |
| qd | every day |
| qh | every hour |
| qhs | every bedtime / every hour of sleep |
| qns | quantity not sufficient |
| qs | quantity sufficient |
| qod | every other day |