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Ch 2 HLHS101
Introduction To Health Records- word parts, terms and/or abbreviations
| Term | Definition |
|---|---|
| A SOAP note is | A pattern used in writing medical notes; Subjective, Objective, Assessment, Plan |
| afebrile AY-FEH-brail | to not have a fever |
| unremarkable | Another way of saying "normal" |
| morbidity mor-BID-ih-tee | the risk for being sick |
| idiopathic ih-dee-oh-PA-thik | no known specific cause; it just happens |
| prophylaxis PROH-fuh-LAK-sis | preventative treatment |
| supine SOO-pain | laying down on back |
| H&P (abbreviation common on health records) | history and physical |
| HPI (abbreviation common on health records) | history of present illness |
| PICC (abbreviations associated w/ orders and administering medicine) | peripherally inserted central catheter |