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Abbreviations O-T
Common Abbreviations used in medical documentation
152
Health Care
Undergraduate 1
10/27/2011
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Term
O: or "O"
 Definition
objective
Term
O2
 Definition
oxygen
Term
OA
 Definition
osteoarthritis
Term
OASIS
 Definition
outcome & assesment information set
Term
OB/GYN
 Definition
obstetrics & gynecology
Term
OBS
 Definition
Organic Brain Syndrome
Term
OCD
 Definition
Obsessive Compulsive Disorder
Term
OD
 Definition
once daily
Term
ODM
 Definition
opponens digiti minimi
Term
OI
 Definition
Osteogenesis Imperfecta
Term
OOB
 Definition
out of bed
Term
OP
 Definition
opponens pollicis, outpatient
Term
OR
 Definition
operating room
Term
ORIF
 Definition
open reduction internal fixation
Term
OSHA
 Definition
Occupational Safety & Health Administration
Term
OT
 Definition
occupational therapist
Term
OTC
 Definition
over-the-counter (ie, drugs)
Term
OTR/L
 Definition
occupational therapist registered and licensed
Term
oz
 Definition
ounce
Term
SaO2
 Definition
oxygen saturation
Term
P or 2/5
 Definition
poor (manual muscle test)
Term
P: or "P"
 Definition
plan
Term
p
 Definition
probability of success
Term
p!
 Definition
pain
Term
PA
 Definition
posterior-anterior
Term
PA-C
 Definition
physician assistant
Term
pc
 Definition
after meals
Term
PCA
 Definition
patient-controlled anesthesia
Term
PCL
 Definition
posterior cruciate ligament
Term
PD
 Definition
Parkinson's disease
Term
PDR
 Definition
Physician's Desk Reference
Term
PE
 Definition
pulmonary embolism
Term
PEG
 Definition
percutaneous endoscopic gastrostomy (tube)
Term
per
 Definition
by/through
Term
PERRLA
 Definition
pupils equal, round (regular), reactive
Term
PET
 Definition
positron emission tomography
Term
PF
 Definition
plantarflexion
Term
PFT
 Definition
pulmonary function test
Term
PI
 Definition
palmar interossei
Term
PIP
 Definition
proximal interphalangeal
Term
PL
 Definition
palmaris longus
Term
pm
 Definition
after noon
Term
PMH
 Definition
past (or previous) medical history
Term
PNF
 Definition
proprioceptive neuromuscular facilitation
Term
PNS
 Definition
peripheral nervous system
Term
po
 Definition
by mouth
Term
POMR
 Definition
problem-oriented medical record
Term
post-op
 Definition
post-operative
Term
PPO
 Definition
preferred provider organization
Term
PPS
 Definition
prospective payment system
Term
PQ
 Definition
pronator quadratus
Term
pre op
 Definition
before surgery
Term
PRN
 Definition
as needed
Term
PROM
 Definition
passive range of motion
Term
PRUJ
 Definition
proximal radioulnar joint
Term
PSIS
 Definition
posterior superior iliac spine
Term
PT
 Definition
physical therapist; pronator teres; prothrombin time
Term
pt. or Pt.
 Definition
patient
Term
PTA
 Definition
physical therapist assistant; prior to admission
Term
PTB
 Definition
patellar tendon bearing
Term
PTCA
 Definition
percutaneous transluminal coronary angioplasty
Term
PTF
 Definition
posterior talofibular
Term
PTT
 Definition
partial thromboplastin time
Term
PVD
 Definition
peripheral vascular disease
Term
PWB
 Definition
partial weight bearing (usually 50% unless otherwise indicated; may need to check with physician to clarify)
Term
PWW
 Definition
pivot wheeled walker
Term
q
 Definition
every
Term
q2h
 Definition
every two hours
Term
q3h
 Definition
every three hours
Term
q4h
 Definition
every four hours
Term
q8h
 Definition
every eight hours
Term
qam
 Definition
every morning
Term
qd
 Definition
every day
Term
qn
 Definition
every night
Term
qid
 Definition
four times a day
Term
qod
 Definition
every other day
Term
QS
 Definition
quad set/ quadriceps set
Term
(R) or ®
 Definition
right
Term
RA
 Definition
rheumatoid arthritis
Term
RBC
 Definition
red blood cell
Term
RC
 Definition
radiocarpal
Term
RCL
 Definition
radial collateral ligament
Term
RD
 Definition
radial deviation
Term
RDS
 Definition
respiratory distress syndrome
Term
rehab
 Definition
rehabilitation
Term
reps
 Definition
repetitions
Term
RGO
 Definition
reciprocating gait orthosis
Term
RHD
 Definition
right hand dominant
Term
r/o; R/O
 Definition
rule out
Term
ROM
 Definition
range of motion
Term
ROS
 Definition
review of systems
Term
RPE
 Definition
rate of percieved exertion
Term
RR
 Definition
respiratory rate
Term
RROM
 Definition
resistive range of motion
Term
r/s
 Definition
reschedule
Term
RT
 Definition
respiratory therapy
Term
RTC
 Definition
return to clinic
Term
RTW
 Definition
return to work
Term
RV
 Definition
residual volume
Term
Rx
 Definition
prescription
Term
S: or "S"
 Definition
subjective
Term
s or SVN
 Definition
supervision
Term
SAC
 Definition
short arm cast
Term
SACH
 Definition
solid ankle cushion heel
Term
SAQ
 Definition
short arc quadriceps arc
Term
SBA
 Definition
stand by assist
Term
SC joint
 Definition
sternoclavicular joint
Term
SCI
 Definition
spinal cord injury
Term
SED
 Definition
suberythemal dose
Term
SI
 Definition
sacroiliac
Term
SIDS
 Definition
sudden infant death syndrome
Term
SL
 Definition
Scapholunate; sidelying
Term
SLC
 Definition
short leg cast
Term
SLE
 Definition
systemic lupus erythmatosus
Term
SLP
 Definition
speech language pathologist
Term
SLR
 Definition
straight leg raise
Term
SMA
 Definition
Spinal Muscular Atrophy
Term
SNF
 Definition
skilled nursing facility
Term
SO
 Definition
shoulder orthosis
Term
SOB
 Definition
shortness of breath
Term
s/p
 Definition
status post
Term
SPT
 Definition
student physical therapist
Term
SPTA
 Definition
student physical therapist assistant
Term
ST
 Definition
scapulothoracic
Term
stat
 Definition
immediately
Term
STG
 Definition
short term goal
Term
STM
 Definition
short term memory; soft tissue massage
Term
STSG
 Definition
split thickness skin graft
Term
T or 1/5
 Definition
trace (manual muscle test)
Term
T
 Definition
temperature
Term
TA
 Definition
therapeutic activity
Term
TB
 Definition
tuberculosis
Term
TBI
 Definition
traumatic brain injury
Term
tbsp or T
 Definition
tablespoon
Term
TENS
 Definition
transcutaneous electical nerve stimulation
Term
TFCC
 Definition
triangular fibrocartilagenous complex
Term
THA
 Definition
total hip arthroplasy
Term
THR
 Definition
total hip replacement
Term
TIA
 Definition
transient ischemic attack
Term
tid
 Definition
three times a day
Term
TKA
 Definition
total knee arthroplasy
Term
TKE
 Definition
terminal knee extension
Term
TKR
 Definition
total knee replacement
Term
TMJ
 Definition
temporomandibular joint
Term
TP
 Definition
therapeutic procedure
Term
PTN
 Definition
total parenteral nutrition
Term
TRP
 Definition
temperature pulse respiration
Term
tsp or t
 Definition
teaspoon
Term
TTP
 Definition
tender to palpation
Term
TTWB
 Definition
toe touch weight bearing
Term
TV
 Definition
tidal volume
Term
tx
 Definition
traction or treatment
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