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Medical Records

TermDefinition
EMR Electronic medical record
EPR Electronic patient record
EHR Electronic health record
CC Chief Complaint
HPI History of Present Illness
PMH Past Medical (and Surgical) History
SH Social History
FH Family History
ROS Review of Systems
PE Physical Examination
DS Discharge Summary
DX, Dx Diagnosis
H&P History and physical (examination)
HIPAA Health Insurance Portability and Accountability Act
ISMP Institute for Safe Medication Practices
Created by: notinitaly
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