Medical Records Management



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H


half

Hf

half gallon

HG

hard of hearing

HOH

head and neck

H&N

head, eyes, ears, nose, and throat

HEENT

headache

HA, h/a

Health Access, Nurturing Development Services

HANDS

Health Care Provider

HCP

health care worker

HCW

Health Insurance Portability & Accountability Act

HIPAA

health maintenance organization

HMO

health risk assessment

HRA

healthy balance

HB

heart disease

HD

heart rate, heart risk

HR

heart sounds

HS

Hemagglutination Inhibitor

HI

Hemagglutinin

H

Hematocrit

crit, Hct, HCT

Hemoglobin

HB, Hb, Hgb, Hg

Hemoglobin A

HbA

Hemoglobin A and Hemoglobin S (Sickle cell trait)

HbAS

Hemoglobin B

HbB

Hemoglobin C; a variant/abnormal hemoglobin

HbC

Hemoglobin F

HbF

Hemoglobin S

HbS

Hemoglobin S-C

HbS-C

Hepatitis A antibody

Anti-HAV

Hepatitis A virus

HAV

Hepatitis B core antigen

HBcAg

Hepatitis B eantibody (Antibody to HBeAg)

Anti-HBe

Hepatitis B e Antigen

HBeAg

Hepatitis B immune globulin

HBIG

Hepatitis B surface antibody (Antibody to HBsAg)

Anti-HBs

Hepatitis B surface antigen

HbsAg

Hepatitis B virus

HBV

Hepatitis C Virus

HCV

Hepatitis D virus

HDV

Hepatitis E virus

HEV

Herpes Simplex

HS

Herpes Simplex Virus

HSV

Herpes Simplex, Genitalis

HSG

Herpes zoster virus

HZV

hertz

Hz

high

hyper

high blood pressure

HBP

high density lipoprotein

HDL, HDLP

high density lipoprotein cholesterol

HDL-C

high efficiency particulate air filtration

HEPA

high grade squamous intraepithelial lesion

HSIL

history

Hx

history and physical

H&P

history of

h/o, H/O

history of present illness

HPI

HIV – postexposure prophylaxis

HIV-PEP

HIV Counseling and Testing

HIVCT

home blood glucose monitoring

HBGM

home visitor

HV

Homocystinuria

HCY

horizontal bitewings

BW

hormone replacement therapy

HRT

hospital

hosp

Home Visit

HV

Human Chorionic Gonadotropin

HCG

Human Delta Virus

HDV

Human diploid cell rabies vaccine

HDCV

Human Immunodeficiency Virus

HIV

Human Papillomavirus

HPV

Human Rabies Immune Globulin

HRIG

Human T-cell Leukemia Virus, Type 1

HTLV-1

husband

husb.

hydrogen

H

hygiene

hyg

Hypermethioninemia

MET

Hyperphenylalaninemia

H-PHE

hypertension

Hpn, HPN, HTN

hypertensive cardiovascular disease

HCVD

hypodermic injection

hypo

hysterectomy

hyst

I

ideal body weight

IBW

immediate, immediately (at once)

immed, stat

Immune Globulin

IG

Immune Serum Globulin

ISG

immunization

imm

Immunization Action Coalition

IAC

Immunofluorescence Assay

IFA

Immunoglobulin

Ig

Immunoglobulin A

IgA

Immunoglobulin G

IgG

Immunoglobulin M

IgM

impaired fasting glucose

IFG (pre-diabetes)

impaired glucose tolerance

IGT (pre-diabetes)

impaired, impairment

impair

important

import

impression

imp

Inborn error of metabolism

IEM

inch

in

Incisal

I

incision and drainage

I&D

incompatible

incompat

incomplete

incompl

increase

inc, incr

increment

incre

independent

ind

indicate, indication

indic

infant

Inf, I

Infant of diabetic mother

IDM

infect, infection

infect, infx

inflammation

inflam

influence

infl

Influenza A

H1N1

information

info

ingestion

ingest

inguinial

ing

inhalation

inh, inhal

inhibit, inhibitor

inhib

initial family planning

IFP, INF

initial office visit

IOV

Initial Preventive Physical Exam

IPPE

injecting drug user

IDU

injection

inject, inj

injury

inj

inspection, palpation, percussion and auscultation

IPPA

inspiration

insp

Inspiratory/expiratory

I/E

instructor, instructed

instr

instrument

inst

insufficient

insuff

insulin dependent diabetes

IDD

insulin dependent diabetes mellitus

IDDM

intake and output

I&O

Intensive Care Unit

ICU

Interferon Gamma Release Assay

IGRA

Interferon-gamma

INF-γ

Intermittent positive pressure

IPP

Intermittent positive pressure breathing

IPPB

International Board Certified Lactation Consultant

IBCLC

Interproximal

Interprox.

intestine

intest

intoxication

Intox

Intra Uterine Fetal Demise

IUFD

intra-amniotic

IA

intra-arterial

IA

intradermal, intradermally

ID

intramuscular, intramuscularly

IM

intrauterine device

IUD

intrauterine growth retardation

IGR, IUGR

intrauterine system

IUS

intravenous

IV

Intravenous pyelography

IVP

iodine

I

iron

Fe

Iron-deficiency anemia

IDA

irrigate, irrigation

irrig

Irritable Bowel Syndrome

IBS

isolation

isol

Isoniazid

INH

Isovaleric Acidemia

IVA

J

jaundice

jaund

joint

jnt, jt

juvenile

juv

Juvenile Onset Diabetes Mellitus

JODM

Juvenile Rheumatoid Arthritis

JRA

K

Kentucky AIDS Drug Assistance Program

KADAP

Kentucky Children’s Health Insurance Program

KCHIP

Kentucky Department of Education

KDE

Kentucky Diabetes Prevention and Control Program

KDPCP

Kentucky Domestic Violence Association

KDVA

Kentucky Early Intervention System

KEIS

Kentucky Health Insurance Assistance Program

KHIAP

Kentucky HIV Care Coordinator Program

KHCCP

Kentucky Revised Statutes

KRS

Kentucky Vaccines Program

KVP

Kentucky Women’s Cancer Screening Project

KWCSP

Ketoacidosis

KA

Ketone bodies

KB

kilocalorie

kcal

Kosher

K

Kosher-Dairy

K-D

Kentucky Association of Sexual Assault Programs

KASAP

Kentucky Association of Child Advocacy Centers

KACAC

Kentucky Department of Aging and Independent Living

DAIL

L

laboratory procedure

lab proc

lactating

lact

lactation amenorrhea method

LAM

lactic acid

LA

Lactic dehydrogenase

LDH

large

lg, mag

large-for-gestational-age

LGA

Laryngotracheo bronchitis

LTB

last (normal) menstrual period

LNMP

last menstrual period

LMP

latent TB infection

LTBI

lateral

lat

lead

Pb

left arm

LA

left deltoid

LD

left eye

LE

left forearm

LFA

left leg

LL

left lower lobe

LLL

left lower quadrant

LLQ

left lung

LL

Left Otitis Media, Suppurative, Acute

LOMSA

Left Otitis Media, Suppurative, Chronic

LOMSCH

Left quadrant

LQ

left to right

L-R, L/R

Left upper lobe

LUL

left upper quadrant

LUQ

left, length

L, lt

lethal dose

LD

Levodopa

L-dopa

Levovogestrel IUD

LNG IUD

Licensed Practical Nurse

LPN

Light and Accommodation

L&A

limited

Lmtd

Limited English Proficiency (Title VI)

LEP

lithium

Li

Live Attenuated Influenza Vaccine

LAIV

live birth

LB

live vaccine

LV

liver function test

LFT

Local Health Operations Branch

LHO

Long Acting

LA

Long-acting thyroid stimulator

LATS

Long-acting thyroid stimulator protector

LATS-P

Long-chain acyl-CoA dehydrogenase deficiency

LCAD

Loop Electrosurgical Excision Procedure

LEEP, LOOP, LETZ

loss of consciousness

LOC

loss of motion

LOM

Lost to Follow-up

LTF

low birth weight

LBW

low blood pressure

LBP

low carbohydrate

LoCHO

low cholesterol

LoChol

low density lipoprotein

LDL, LDLP

low density lipoprotein cholesterol

LDL-C

low fat diet

LFD

low grade squamous intraepithelial lesion

LSIL

low or below

hypo

low sodium

LoNa

lower arch of the jaw

MAND

lower extremity

LE

Lunelle

MPA/E2C

lung

L

Lupus Erythematosus

LE

Luteinizing Hormone

LH

Lymphogranuloma venerum

LGV

M

magnesium

Mag, Mg

Magnetic Resonance Imaging

MRI

Make Yours A Fresh Start Family

MYFSF

mammogram

Mammo

mandibular

md.

manifest

manif

Maple Syrup Urine Disease (WIC abbreviation)

MSUD

Marginal, margin

Marg.

marijuana

MJ

mastectomy

mast

Master Patient Index

MPI

Master’s Degree in Nursing

MSN

Masters of Public Health

MPH

Material Safety Data Sheets

MSDS

Maternal and Child Health Services

MCH

maternal grandfather/grandmother

MGF, MGM

Maxillary

mx.

median

md

medical history

M/Hx

medical nutrition therapy

MNT

medical record

MR

medical technologist

MT

Medium-chain acyl-CoA dehydrogenase deficiency

MCAD

Medroxyprogesterone acetate and estradiol cypionate

MPA/E2C

megahertz

mHz

member

mem

membrane

memb

Memorandum of Agreement

MOA

menstrual

menst

menstrual history

MH

menstrual period

MP

mental age

MA

mental health

MH

Mercury

Hg

metabolic, metabolism

metab

metastasis, metastasize

M, metas

Methotrexate

MTX

Methylmalonyl-CoA mutase deficiency

MUT

Microgram

mcg

microgram – 0.000001 gram

ug

Microhemagglutination assay for antibody to Treponema pallidum

MHA-TP

midline

mid

Milk of Magnesia

MOM

milliequivalent

mEq, meq

milliequivalent per liter

mEq/l

milligrams per deciliter

mg/dL

milligrams per kilogram

mg/kg

millimeters of mercury

mm Hg, mmttg

millimicron

m

minim

min

minimal effective dose

MED

minimum inhibitory concentration

MIDC

misoprotol

MIS

missed opportunity

MO

mitral valve

MV

mitral valve prolapse

MVP

mixture

mixt

Mobilizing for Action through Planning and Partners

MAPP

monoamine oxidase

MAO

monocytes

monos

Mononucleosis

mono

Monosodium glutamate

MSG

Monozygotic

MZ

months old

MO

mother

M

mother & father

M&F

mouth

os

moves all extremities

MAE

moves all extremities well

MAEW

Mucopurulent cervicitis

MPC

Mucous Membrane

MM

Multi-drug resistant

MDR

Multi-drug resistant TB

MDR TB

Multipara

multip

multiple

mult

Multiple carboxylase deficiency

MCD

Multiple Sclerosis

MS

Multi-Vitamin

MVI

murmur

mm

muscle

musc

musculoskeletal

MS

Mycobacteria other than TB

MOTT

Mycobacterium avium complex

MAC

Mycobacterium Tuberculosis

MTB

Myocardial infarction

MI

N

nanogram

ng

nanoliter

nl

nanometer

nm

nanosecond

ns

natural family planning

NFP

nausea and vomiting

N&V

nausea, vomiting, diarrhea

NVD

Necrotizing enterocolitis

NEC

Negative Intraepithelial Lesion

NIL

Neonatal Intensive Care Unit

NICU

nervous

nerv

nervous system

NS

Neural Tube Defect

NTD

New tuberculin (tuberculin residue)

TR

newborn

NB

Newborn, Term, Normal, Female/Male

NBTNF/M

nickel

Ni

Nicotine Replacement Therapy

NRT

nitrogen

N

nitroglycerin

NTG

no acute distress or no apparent distress

NAD

no complaints

N/C

no evidence of disease

NED

no known drug allergies

NKA, NKDA

no previous complaints

NPC

no previous history

NPH

nocturnal, night

Noc, noct

non stress test

NST

nondistended

ND

Nongonococcal urethritis

NGU

Nonketotic Hyperglycinemia

NKHG

Non-Insulin Dependent Diabetes Mellitus

NIDDM

Non-nucleoside reverse transcriptase inhibitors

NNRTI

Nonspecific urethritis

NSU

Nonsteroidal anti-inflammatory analgesic

NSAIA

Nonsteroidal anti-inflammatory drug

NSAID

non-tender

NT

Non-tender/Nondistended

NT/ND

Nontuberculosis mycobacteria

NTM

normal

N, n, NL, norm

normal full term delivery

NFTD

normal record

NR

normal shape, size & consistency

nssc

normal sinus rhythm

NSR

normal spontaneous (full term) delivery

NSD, NSFTD

normal spontaneous vaginal delivery

NSVD

normal vaginal delivery

NVD

not elsewhere classified

NEC

not known

NK

not significant

ns

not yet diagnosed

NYD

nothing by mouth

NPO

nothing per mouth (at night)

npo, npo/hs

Nucleic Acid Amplification

NAA

Nucleoside reverse transcriptase inhibitors

NRTI

nulliparous

Nullip

Nurse Case Manager

NCM

Nurse Practitioner

NP

nursing

nsg

Nutrition Education Per Protocols (WIC abbreviation)

NEPP

Nutritional Risk Criteria Code

NRCC
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