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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 |