module 4 PPA
PPA-1-ABBREVIATIONS CHART
Abbreviation
Letters Represent
Context Definition or Application within the Patient’s Chart
Source Document
From Jane’s Dare Medical Record found on bottom of Medical Record pages…
1. ICD
International Classifications of Diseases, Ninth Revision
Published by WHO This is a systematic classification of diagnosis codes. These codes are numeric and alphanumeric codes that represent medical diagnoses
ADMISSION SUMMARY
2. CM
Clinical Modification
This abbreviation out of context belongs collectively as the ICD-9-CM
These codes are added to ICD codes and can be used for diagnosis or procedure.
ADMISSION SUMMARY SHEET- FACE SHEET
3. N/A
Not Available
This abbreviation means not available.
Jane Dare don’t have a name or address of any institution from which she was discharged from in last 60 days.
ADMISSION SUMMARY SHEET
4. ER
Emergency Room
The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.
This 73 year old presents to the ER C/O of SOB 3-4 times a day.
HISTORY AND PHYSICAL
5. C/O
Complains of
To express feelings of pain, dissatisfaction, or resentment.
Jane dare C/O sob 3 to 4 times a day.
HISTORY AND PHYSICAL
6. SOB
Shortness of breath
To weep with convulsive movements of the chest.
While in the er jane complains of SOB 3 to 4 times a day.
HISTORY AND PHYSICAL
7. mg
Milligram
One thousandths of a gram.
Prescribed weights of different prescribed medications
Jane Dare takes Digoxin 0.125 mg
HISTORY AND PHYSICAL
8. po
By mouth.
Oral medication route
Furosemide 40 mg po
PHYSICIAN’S ORDERS AND PROGRESS NOTES
9. tid
Titrated initial dose.
a unit of information.
Jane dare prescription was Capoten 25 mg po tid.
HISTORY & PHYSICAL
10. qd
4 times daily.
To take 4 times a day.
Jane dare prescription was Milk of Magnesia 30 cc po qd prn
HISTORY & PHYSICAL
11. qod
Every other day.
To be
Abbreviation
Letters Represent
Context Definition or Application within the Patient’s Chart
Source Document
From Jane’s Dare Medical Record found on bottom of Medical Record pages…
1. ICD
International Classifications of Diseases, Ninth Revision
Published by WHO This is a systematic classification of diagnosis codes. These codes are numeric and alphanumeric codes that represent medical diagnoses
ADMISSION SUMMARY
2. CM
Clinical Modification
This abbreviation out of context belongs collectively as the ICD-9-CM
These codes are added to ICD codes and can be used for diagnosis or procedure.
ADMISSION SUMMARY SHEET- FACE SHEET
3. N/A
Not Available
This abbreviation means not available.
Jane Dare don’t have a name or address of any institution from which she was discharged from in last 60 days.
ADMISSION SUMMARY SHEET
4. ER
Emergency Room
The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.
This 73 year old presents to the ER C/O of SOB 3-4 times a day.
HISTORY AND PHYSICAL
5. C/O
Complains of
To express feelings of pain, dissatisfaction, or resentment.
Jane dare C/O sob 3 to 4 times a day.
HISTORY AND PHYSICAL
6. SOB
Shortness of breath
To weep with convulsive movements of the chest.
While in the er jane complains of SOB 3 to 4 times a day.
HISTORY AND PHYSICAL
7. mg
Milligram
One thousandths of a gram.
Prescribed weights of different prescribed medications
Jane Dare takes Digoxin 0.125 mg
HISTORY AND PHYSICAL
8. po
By mouth.
Oral medication route
Furosemide 40 mg po
PHYSICIAN’S ORDERS AND PROGRESS NOTES
9. tid
Titrated initial dose.
a unit of information.
Jane dare prescription was Capoten 25 mg po tid.
HISTORY & PHYSICAL
10. qd
4 times daily.
To take 4 times a day.
Jane dare prescription was Milk of Magnesia 30 cc po qd prn
HISTORY & PHYSICAL
11. qod
Every other day.
To be