BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E Requests for additions to the BIDMC Approved Abbreviation list can be submitted to: Medicalabbreviations@bidmc.harvard.edu See: Process for Use of Abbreviations on Medical Record Forms General Abbreviations Symbols Anesthesia Nutrition Services Psychiatry Radiation Oncology Rehabilitation Services Respiratory ā Al A2 AAA AAE AAL AAROM Ab A/B ABC ABCDE abd ABE ABG ABLB abn ABO ABP ABW ABx A1C AC a.c. A/C ACA ACBE ACE ACL ACP ACS ACT ACTA ACTH ACU ACV ADA ADD ADE ADH ADHD ADL ad lib adm ADR AE Pages 1 – 28 Page 28 Page 29 Page 29 Page 30 Page 31 Page 32 Page 33 Abbreviation Color Key: Black = Previously established Red = Recently confimed Blue = Unique to BIDMC before aortic first sound aortic second sound abdominal aortic aneurysm active assistance excercise anterior axillary line active assistive range of motion antibody TO BE USED FOR LAB TEST REFERENCE ONLY apnea & bradycardia airway, breathing and circulation asymmetry, border irregularity, color variation, diameter, evolution (Dermatology) abdomen, abdominal acute bacterial endocarditis arterial blood gas alternate binaural loudness balance (test) abnormality(ies) blood group system (type) arterial blood pressure actual body weight antibiotics glycosylated hemoglobin A1C acromioclavicular before meals anterior chamber of the eye anterior cerebral artery air contrast barium enema antigrade colonic enema anterior cruciate ligament (knee) acid phosphatase acute coronary syndrome activated clotting time automated computerized transverse axial tomography adrenal corticotropic hormone Ambulatory Care Unit assist control ventilation American Diabetes Association Attention-Deficit Disorder adverse drug event antidiuretic hormone attention-deficit hyperactivity disorder activities of daily living as desired admission adverse drug reaction above elbow (amputation) Revised 07/06/2010 Page 1 of 33 BIDMC APPROVED ABBREVIATION LIST AEB AED AER AFB AF/FL AFI A fib AFM AFO AFP Ag A/G AGA AGN AHG AHHD AHI AI AICD AID AIDS AIH AIN AIVR AJ AK A/K AKA ALB A-line ALK Alk-Phos ALL ALMI ALS ALT a.m. AMA amb AMI AML AMML amp amp amnio amt AMY ANA ANC anes ANF angio ANLL ANS ant ante anti-HBc anti-HBs anti-T. cruzi BIDMC Policy ADM-06 Appendix E as evidenced by automated external defibrillator auditory (acoustic) evoked response acid fast bacilli atrial fibrillation / flutter aminotic fluid index atrial fibrillation active fetal movement ankle fixation orthotic alpha fetoprotein antigen albumin to globulin ratio appropriate for gestational age acute glomerulonephritis antihemophilic globulin arteriosclerotic hypertensive heart disease apnea-hypopnea index aortic insufficiency automatic implantable cardioverter/defibrillator artificial insemination by donor acquired immune deficiency syndrome artificial insemination by husband anterior interosseous nerve accelerated idioventricular rhythm ankle jerk actinic keratosis above the knee above the knee amputation albumin TO BE USED FOR LAB TEST REFERENCE ONLY arterial catheter alkaline alkaline phosphatase TO BE USED FOR LAB TEST REFERENCE ONLY acute lymphocytic leukemia anterolateral myocardial infarction (location) amyotrophic lateral sclerosis alanine transaminase (serum glutamate pyruvate) TO BE USED FOR LAB TEST REFERENCE ONLY morning against medical advice ambulate, ambulatory, ambulation See also Rehabilitation Services list on page 32 acute myocardial infarction acute myelogenous leukemia acute myelomonocytic leukemia ampul amplitude (unique to ventilator - High Frequency Ossicilator [HFO] Neonatology specific amniocentesis amount amylase antinuclear antibody TO BE USED FOR LAB TEST REFERENCE ONLY absolute neutrophil count anesthesia antinuclear factor angiogram acute nonlymphoblastic leukemia autonomic nervous system anterior See also Radiation Oncology list on page 31 before antibody to Hepatitis B core antigen antibody to Hepatitis B surface antigen antibody to Trypanosoma cruzi Revised 07/06/2010 Page 2 of 33 BIDMC APPROVED ABBREVIATION LIST A/O AOD AODM AOM AP A&P APB APD APD APG APGAR APL AP&L appt. aPPT APPY APR AQ AR A-R ARBF ARC ARDS ARDSnet ARF ARM ARMD AROM ARROM ART AS ASA ASCVD ASD ASHD ASIS ASMI ASO ASPVD AST astig as tol AT ATFL ATN ATNB ATP ATPS ATV aud aud comp aus AV AVB 1° AVB AVF AVM avoc AVR BIDMC Policy ADM-06 Appendix E alert and oriented arterial occlusive disease adult onset diabetes mellitus acute otitis media anteroposterior (x-ray) assessment and plans abductor pollicus brevis afferent pupillary defect anteroposterior diameter Affiliated Physicians, Inc. appearance, pulse, grimace, activity and respiration abductor pollicis longus anteroposterior and lateral appointment activated partial thromboplastin time appendectomy abdominal perineal resection accomplishment quotient See also Psychiatry list on page 30 aortic regurgitation apical radial (pulses) awaiting return of bowel function AIDS related complex adult respiratory distress syndrome Acute Respiratory Distress Syndrome Network acute renal failure artificial rupture of membranes age related macular degeneration active range of motion See also Rehabilitation Services list on page 32 active resistive range of motion arterial aortic stenosis American Society of Anesthesiologists arteriosclerotic cardiovascular disease atrial septal defect arteriosclerotic heart disease anterior superior iliac spine anteroseptal myocardial infarction (location) antistreptolysin-O titer arteriosclerotic peripheral vascular disease aspartate transaminase TO BE USED FOR LAB TEST REFERENCE ONLY astigmatism as tolerated atrial tachycardia anterior talofibular ligament acute tubular necrosis auriculo temporal nerve block See also Anesthesia list on page 29 adenosine triphosphate ambient temperature / pressure, saturated w/ water vapor See also Respiratory list on page 33 all-terrain vehicle auditory auditory comprehension auscultation arterio-venous (or) arterioventricular atrioventricular block first degree atrioventricular block arteriovenous fistula arteriovenous malformation avocation aortic valve replacement Revised 07/06/2010 Page 3 of 33 BIDMC APPROVED ABBREVIATION LIST AVS AVSS A&W ax axB A-Z test B Ba Bab bact BAERs bal band baso BaS BBB BBBB BBS BC B&C BC/BS BCC BCE BCM BCP BE BEAM BEE BEI BF bHCG BIBA b.i.d. BIDMC BIDPO bil BiPAP BiPD BJ BJM BK BKA bl cult BM BMH BMI BMJ BMR BMT BNP BOM BOS BP BPC BPD BPH BPM BPP BPV BIDMC Policy ADM-06 Appendix E artiovenous shunt afebrile, vital signs stable alive and well axillary axillary block Aschheim-Zondek test (pregnancy test) black barium TO BE USED FOR ELEMENT REFERENCE ONLY Babinski bacteria brainstem auditory evoked responses balance band neutrpohil (stab) basophil barium swallow bundle branch block bilateral bundle branch block bilateral breath sounds bone conduction bed and chair Blue Cross/Blue Shield basal cell carcinoma basal cell epithelioma birth control method birth control pills below elbow brain electrical activity mapping See also Psychiatry list on page 30 basal energy expenditure butonal extractable iodine breast feeding beta human chorionic gonadotropin (pregnancy test) brought in by ambulance twice a day Beth Israel Deaconess Medical Center Beth Israel Deaconess Physicians Organization bilateral bilevel positive airway pressure biparietal diameter biceps jerk bones, joints, muscles below the knee below the knee amputation blood culture bowel movement bone marrow harvest body mass index bones, muscles, joints basal metabolic rate bone marrow transplant brain natriuretic peptide bilateral otitis media base of support See also Rehabilitation Services list on page 32 blood pressure VITAL SIGN bronchoprovocation bronchopulmonary dysplasia benign prostatic hypertrophy beats per minute biophysical profile benign positional vertigo Revised 07/06/2010 Page 4 of 33 BIDMC APPROVED ABBREVIATION LIST brady BRAO BRB BRBPR BRP BS BSA BSE BSER BSO BSOM BSW BT BTL BTPS BUE BUN BVO BW Bx C C1-C7 Ca CABG CAD CAH cal CALGB Calc LDL cal ct CAO CaO2 CAP CAPD CAT cath C&B CBC CBD CBDE CBI CBS CC CCE CCO CCR CCRN CCS CCU CD C/D CDB CD&I C Dif CEA CEA CESI CF CFL BIDMC Policy ADM-06 Appendix E bradycardia branch retinal artery occlusion bright red blood bright red bleeding per rectum bathroom privileges blood sugar body surface area breast self examination brainstem evoked response bilateral salpingo-oophorectomy bilateral serous otitis media Bachelor of Social Work bleeding time bilateral tubal ligation body temperature pressure saturated See also Respiratory list on page 33 both upper extremities blood urea nitrogen TO BE USED FOR LAB TEST REFERENCE ONLY branch vein occlusion birth weight biopsy Celsius UNIT OF MEASUREMENT - TEMPERATURE cervical vertebrae 1 through 7 calcium TO BE USED FOR LAB TEST or ELEMENT REFERENCE ONLY coronary artery bypass graft coronary artery disease chronic active hepatitis calorie UNIT OF MEASUREMENT - ENERGY Cancer and Leukemia Group B calculated low density lipoprotein TO BE USED FOR LAB TEST REFERENCE ONLY calorie count chronic airway obstruction arterial oxygen content See also Respiratory list on page 33 community-acquired pneumonia continuous ambulatory peritoneal dialysis Children's ApperceptionTest See also Psychiatry list on page 30 catheter, catheterization chair and bed complete blood count common bile duct common bile duct exploration continous bladder irrigation chronic brain syndrome with correction (with glasses) Optometry reference only cyanosis, clubbing, edema continuous cardiac output counter clockwise rotation Certified Critical Care Registerd Nurse Certified Coding Specialist Coronary Care Unit closed drainage cup to disc ratio cough, and deep breath clean, dry, and intact See also Rehabilitation Services list on page 321 Clostridium difficile carcinoembryonic antigen carotid endarterectomy cervical epidural steroid injection See also Anesthesia list on page 29 cystic fibrosis calcaneofibular ligament Revised 07/06/2010 Page 5 of 33 BIDMC APPROVED ABBREVIATION LIST CFS CFT CG CGL cGy CHB CHD chemo CHF CHL CHO chol chr CI CIN CINA CIWA CK CK-MB CKD Cl CLIA CLL cl liq cm cm2 CMC CME CMG CML CMO CMP CMR CMS CMV CN CN1....CN12 CNM CNS C.N.S.C. C.N.S.D. CO CO C/O CO2 COAD cog test COHb COLD COM conc conj cont contu COPD CP CPAP CPB CPIP BIDMC Policy ADM-06 Appendix E chronic fatigue syndrome complement fixation test contact guarding See also Rehabilitation Services list on page 32 chronic granulocytic leukemia centigray See also Radiation Oncology list on page 31 complete heart block congenital heart disease chemotherapy congestive heart failure conductive hearing loss carbohydrate cholesterol chronic cardiac index cervical intraepithelial neoplasia Clinical Institute Narcotic Assessment Scale for Withdrawal Symptoms Clinical Institute Withdrawal Assessment for Alcohol creatine kinase creatine kinase MB fraction (primarily in cardiac muscle) chronic kidney disease chloride TO BE USED FOR LAB TEST or ELEMENT REFERENCE ONLY Clinical Laboratory Improvement Amendments chronic lymphocytic leukemia clear liquid centimeter UNIT OF MEASUREMENT – LENGTH square centimeter UNIT OF MEASUREMENT – LENGTH carpal metacarpal cystoid macular edema cystometrogram chronic myeloid leukemia comfort measures only cardiomyopathy See also Nutrition Services list on page 29 cardiovascular magnetic resonance circulation, motor, sensation cytomegalovirus cranial nerve See also Psychiatry list on page 30 cranial nerves 1 through 12 Certified Nurse Midwife central nervous system Certified Nutrition Support Clinician See also Nutrition Services list on page 29 Certified Nutrition Support Dietitian See also Nutrition Services list on page 29 cardiac output carbon monoxide complained/complaint of, complaints carbon dioxide TO BE USED FOR LAB TEST REFERENCE ONLY chronic obstructive airway disease cognitive testing See also Psychiatry list on page 30 carboxyhemoglobin chronic obstructive lung disease chronic otitis media concentrate conjunctiva continuous contusion chronic obstructive pulmonary disease cerebral palsy continuous positive airway pressure cardiopulmonary bypass chronic pulmonary insufficiency of prematurity Revised 07/06/2010 Page 6 of 33 BIDMC APPROVED ABBREVIATION LIST CPK CPK-MB CPM CPM CPNP CPPV CPR CPS CPT CPX CR Cr CRAO CRBBB CrCl CREF CREST CRF cric CRL CRNA CRP CRRT CRTT CRVO C&S C-section CSE CSF CSLTM CSM CSM CSOM C-spine CSRU CTA cTnl CTR CTS CT scan CT surgery CTV CV CVA CVC CVD CVF CVICU CVL CVO CvO2 CVP CVS CVVH C/W CWR CX CXR cyl BIDMC Policy ADM-06 Appendix E creatine phosphokinase creatine phosphokinase of muscle band continuous passive motion counts per minute Certified Pediatric Nurse Practitioner continuous positive pressure ventilation cardiopulmonary resuscitation counts per second chest physiotherapy choroid plexus complete remission creatinine TO BE USED FOR LAB TEST REFERENCE ONLY central retinal artery occlusion complete right bundle branch block creatinine clearance closed reduction, external fixation calcinosis, Raynaud’s disease, esophageal dysmotility, sclerodactyly, telangiectasia chronic renal failure cricothyroidotomy / cricothyrotomy crown rump length Certified Registered Nurse Anesthetist C-reactive protein continuous renal replacement therapy Certified Respiratory Therapy Technician central retinal vein occlusion culture and sensitivity cesarean section combined spinal / epidural See also Anesthesia list on page 29 cerebrospinal fluid KayPENTAX Computerized Speech Lab See also Rehabilitation Services list on page 32 carotid sinus massage circulation, sensation, movement chronic serous otitis media cervical spine Cardiac Surgical Recovery Unit clear to auscultation See also Rehabilitation Services list on page 32 cardiac troponin I carpal tunnel release carpal tunnel syndrome computerized tomography scan cardiothoracic surgery clinical target volume See also Radiation Oncology list on page 31 cardiovascular cerebrovascular accident central venous catheter cardiovascular disease central visual field Cardiovascular Intensive Care Unit central venous line central vein occlusion mixed venous oxygen content See also Respiratory list on page 33 central venous pressure clean voided specimen continuous venovenous hemofiltration consistent with clockwise rotation cervix chest x-ray cylinder Revised 07/06/2010 Page 7 of 33 BIDMC APPROVED ABBREVIATION LIST cysto DA DAPT DAT dB DB&C D bili D&C DCCV D&E DEA# derm DF DFE D fib DHL DI DIC diff DIP disch DJD DKA dL DLCO sb DM dmax DME DNA DNI DNR DO D.O. DOA DOB DOE DOL DPH DP DPL DPP DPT DR DRG DRR DSA DSD DSG DSM DSS DST DT DTR DTV DU DUB DUVC DVA DVT BIDMC Policy ADM-06 Appendix E cystoscopy degenerative arthritis Draw-A-Person Test See also Psychiatry list on page 30 diet as tolerated decibel UNIT OF MEASUREMENT - ACOUSTIC deep breathing and coughing See also Rehabilitation Services list on page 32 direct bilirubin TO BE USED FOR LAB TEST REFERENCE ONLY dilatation and curettage direct current cardioversion dilation and evacuation Drug Enforcement Administration number (physician’s federal narcotic number) dermatology dorsiflexion See also Rehabilitation Services list on page 32 dilated fundus examination defibrillation diffuse hystocytic lymphoma diabetes insipidus disseminated intravascular coagulation differential white cell count distal interphalangeal (joints) discharge degenerative joint disease diabetic ketoacidosis deciliter diffusion capacity of carbon monoxide, single breath See also Respiratory list on page 33 diabetes mellitus depth of maximum dose See also Radiation Oncology list on page 31 durable medical equipment See also Rehabilitation Services list on page 32 deoxyribonucleic acid do not intubate do not resuscitate diet order Doctor of Osteopathy dead on arrival date of birth dyspnea on exertion day of life Department of Public Health dorsalis pedis (pulse) diagnostic peritoneal lavage duration of positive pressure diphtheria, pertussis, tetanus (immunization) diabetic retinopathy diagnostic related group digitally reconstructed radiograph See also Radiation Oncology list on page 31 digital subtraction angiography dry sterile dressing dressing Diagnostic and Statistical Manual of Mental Disorders See also Psychiatry list on page 30 Department of Social Services dexamethasone suppression test See also Psychiatry list on page 30 delirium tremens deep tendon reflexes due to void duodenal ulcer dysfunctional uterine bleeding double lumen umbilical venous catheter (NICU) See also Nutrition Services list on page 29 distance visual acuity deep vein thrombosis Revised 07/06/2010 Page 8 of 33 BIDMC APPROVED ABBREVIATION LIST DVT Px Dx EAC EBL EBV ECA ECC ECCE ECF ECG echo ECMO ECOG ECT ED ED&C EDD EEG EENT EEP EF EFM EFW e. g. EGA EGD EIP ELF EM EMC EMD EMG EMS ENG ENT EOB EOM EOMI eos EPAP EPB EP dept epi epis epith EPL EPS ERA ERCP ERE ERF ERG ERV ESI ESR ESRD est ESU ESWL BIDMC Policy ADM-06 Appendix E deep vein thrombosis prophylaxis diagnosis external auditory canal estimated blood loss Epstein-Barr virus external carotid artery endocervical curettage extracapsular cataract extraction extended care facility electrocardiogram echocardiogram extracorporeal circulation membrane oxygenation Eastern Cooperative Oncology Group electroconvulsive therapy Emergency Department electrodessication and curettage estimated date of delivery electroencephalogram eyes, ears, nose and throat end expiratory pressure ejection fraction external fetal monitor estimated fetal weight for example estimated gestational age esophagogastroduodenoscopy Early Intervention Program elective low forceps electron microscopy endometrial curettage electromechanical dissociation electromyograph electronic muscle stimulation electronystagmogram ears, nose, throat edge of bed See also Rehabilitation Services list on page 32 extraocular movement extraocular muscles intact eosinophil expiratory airway pressure See also Respiratory list on page 33 extensor pollicis brevis Electrophysiology Department epinephrine episiotomy epithelial extensor pollicis longus electrophysiologic study estrogen receptor assay endoscopic retrograde choliangiopancreatography external rotation in extension external rotation in flexion electroretinogram expiratory reserve capacity See also Respiratory list on page 33 epidural steroid injection See also Anesthesia list on page 29 erythrocyte sedimentation rate TO BE USED FOR LAB TEST REFERENCE ONLY end-stage renal disease estimated Electrosurgical Unit extracorporeal shock wave lithotripsy Revised 07/06/2010 Page 9 of 33 BIDMC APPROVED ABBREVIATION LIST ET EtCO2 ETT ETT EtOH EUA EUS eval ex exp ext F FA FAST FB FBS FCE FDA Fe F/E fem fem-pop FEN FEV FEV1 FEV3 FFA FFP FHPA FHR FHx fib fib FiO2 FeCO2 FeO2 FL flex sig FNF FOB FOS FQ FRC FROM FS FSBG FSD FSH FTN FTT F/U FUO FVC FWB Fx g GA GATB GB BIDMC Policy ADM-06 Appendix E eustachian tube end tidal carbon dioxide endotracheal tube exercise tolerance test alcohol exam under anesthesia endoscopic ultrasonography evaluation excision expired extension fahrenheit UNIT OF MEASUREMENT - TEMPERATURE fatty acid focused assessment by sonography in trauma foreign body fasting blood sugar functional capacity evaluation Food and Drug Administration iron TO BE USED FOR ELEMENT REFERENCE ONLY flexion/extension See also Rehabilitation Services list on page 32 femoral femoral popliteal (bypass) fluid, electrolytes, nutrition forced expiratory volume forced expiratory volume in 1 second forced expiratory volume in 3 seconds free fatty acid fresh frozen plasma functional health pattern assessment fetal heart rate VITAL SIGN family history fibrillation fibula fraction of inspired oxygen See also Respiratory list on page 33 fraction of expired carbon dioxide See also Respiratory list on page 33 fraction of expired oxygen See also Respiratory list on page 33 femoral / femur length flexible sigmoidoscopy finger-nose-finger (neurological test) father of baby force of stream (Urology) frequency functional residual capacity See also Respiratory list on page 33 full range of motion frozen section fingerstick blood glucose focal skin distance See also Radiation Oncology list on page 31 follicle stimulating hormone finger to nose failure to thrive follow up fever of unknown origin forced vital capacity full weight bearing fracture gram gestational age General Aptitude Test Battery See also Psychiatry list on page 30 gallbladder Revised 07/06/2010 Page 10 of 33 BIDMC APPROVED ABBREVIATION LIST GBS GC GCS Gd GDM GERD GETA GFR GG GH GI GIFT GL gluc GM + GM gm % GnRH GONB gonio GOO GSW G-tube GTT GTV GU GYN H HA HAAb HAL HAP HASCVD HBcAg HBeAb HBIG HBP HBcAb HBsAg HBV HC HCA HCAb hCG HCO3 Hct HCV HCVD HD HD HDL HDR HEENT HeliOx Hem/Onc HEP HF HFNC HFOV BIDMC Policy ADM-06 Appendix E gallbladder series gonococci (gonorrhea) Glasgow Coma Scale gadolinium TO BE USED FOR ELEMENT REFERENCE ONLY gestational diabetes mellitus gastroesophageal reflux disease general endotracheal anesthesia glomerular filtration rate gamma globulin TO BE USED FOR LAB TEST REFERENCE ONLY growth hormone gastrointestinal gamete intrafallopian transfer glaucoma glucose TO BE USED FOR LAB TEST REFERENCE ONLY gram positive gram negative grams per hundred milliliters gonadotropin releasing hormone greater occipital nerve block See also Anesthesia list on page 29 gonioscopy gastric outlet obstruction See also Nutrition Services list on page 29 gun shot wound gastrostomy tube glucose tolerance test gross tumor volume See also Radiation Oncology list on page 31 genitourinary gynecology hydrogen TO BE USED FOR ELEMENT REFERENCE ONLY headache Hepatitis A antibody TO BE USED FOR LAB TEST REFERENCE ONLY hyperalimentation hospital-acquired pneumonia hypertensive arteriosclerotic cardiovascular disease Hepatitis B core antigen Hepatitis Be antibody (antigen) Hepatitis B immune globulin high blood pressure Hepatitis B core antibody TO BE USED FOR LAB TEST REFERENCE ONLY Hepatitis B surface antigen TO BE USED FOR LAB TEST REFERENCE ONLY Hepatitis B virus head circumference Healthcare Associates Hepatitis C antibody TO BE USED FOR LAB TEST REFERENCE ONLY human chorionic gonadotropin bicarbonate hematocrit Hepatitis C virus hypertensive cardiovascular disease hemodialysis hospital day high density lipoprotein TO BE USED FOR LAB TEST REFERENCE ONLY hemodynamic response See also Rehabilitation Services list on page 32 head, ears, eyes, nose, throat helium and oxygen mix Hematology/Oncology home exercise program See also Rehabilitation Services list on page 32 high frequency high flow nasal cannula high frequency oscillatory ventilation Revised 07/06/2010 Page 11 of 33 BIDMC APPROVED ABBREVIATION LIST Hg Hgb HH H&H HHA HHC HHD HHN 5-HIAA HIV HL HLA HMD HMF HMFP HNP H2O HO H/O HOB HOH hosp H&P HPF HPI hr HR HSV ht HTLV III HTN HTO HTS HVD HVMA Hx hypo hyst Hz IABP IADHS IADL IASD IBC IBCLC IBD I bili IBS IBW IC ICA ICCE ICD ICD-9 ICF ICP ICS ICU I&D BIDMC Policy ADM-06 Appendix E mercury hemoglobin hiatal hernia hemoglobin and hematocrit Home Health Aid home health care hypertensive heart disease hand held nebulizer 5-hydroxyindoleacetic acid human immunodeficiency virus heparin lock human leukocyte antigen hyaline membrane disease human milk fortifier Harvard Medical Faculty Physicians herniated nucleus pulposus water House Officer history of head of bed See also Rehabilitation Services list on page 32 hard of hearing hospitalization history and physical high power field history of present illness hour heart rate VITAL SIGN herpes simplex virus height human T-cell lymphotrophic virus type III hypertension high tibial osteotomy heel to shin hypertensive vascular disease Harvard Vanguard Medical Associates history hypodermic injection hysterectomy hertz frequency UNIT OF MEASUREMENT - FREQUENCY intra-aortic balloon pump inappropriate antidiuretic hormone syndrome instrumental activities of daily living See also Rehabilitation Services list on page 32 interatrial septal defect iron binding capacity International Board-Certified Lactation Consultant inflammatory bowel disease indirect bilirubin irritable bowel syndrome ideal body weight See also Nutrition Services list on page 29 inspiratory capacity See also Respiratory list on page 33 internal carotid artery intracapsular cataract extraction implantable cardioverter-debifrillator International Statistical Classification of Diseases, 9th revision intracellular fluid intracranial pressure intercostal space Intensive Care Unit incision and drainage Revised 07/06/2010 Page 12 of 33 BIDMC APPROVED ABBREVIATION LIST ID IDDM I/E ratio IFUP Ig IgA IgE IgG IgM IGRT IHSS ILA ILBBB ILMI IM IMA IME IMI imp IMRT IMV in inf ing ingred inj INO INR int int-rot intub inver IO I&O IOFB IOL IOP IPAP IPPB IQ IR IRBBB IRE IRF irreg IRV IS ITP IUC IUD IUFD IUGR IUP IUPC IV IVC IVCD IVD IVDA BIDMC Policy ADM-06 Appendix E identification insulin dependent diabetes mellitus inspiratory to expiratory time ratio Infant Follow-up Program immunoglobulin immunoglobulin A immonoglobulin E immunoglobulin G immunoglobulin M TO BE USED FOR LAB TEST REFERENCE ONLY image guided radiation therapy See also Radiation Oncology list on page 31 idiopathic hypertrophic subaortic stenosis inferior lateral angle incomplete left bundle branch block inferolateral myocardial infarct intramuscular inferior mesenteric artery independent medical exam inferior myocardial infarction (location) impression intensity modulated radiation therapy See also Radiation Oncology list on page 31 intermittent mandatory ventilation inches UNIT OF MEASUREMENT - LENGTH inferior inguinal ingredient(s) See also Nutrition Services list on page 29 injection inhaled nitric oxide international normalized ratio internal internal rotation intubation inversion inferior oblique intake and output intraocular foreign body intraocular lens intraocular pressure inspiratory positive airway pressure See also Respiratory list on page 33 intermittent positive pressure breathing intelligence quotient Interventional Radiology incomplete right bundle branch block internal rotation in extension internal rotation in flexion irregular inspiratory reserve volume See also Respiratory list on page 33 incentive spirometer idiopathic thrombocytopenic purpura intrauterine catheter (indwelling) intrauterine device intrauterine fetal demise intrauterine growth restriction intrauterine pregnancy intrauterine pressure catheter intravenous inferior vena cava interventricular conduction delay/defect intravenous drip intravenous drug abuse Revised 07/06/2010 Page 13 of 33 BIDMC APPROVED ABBREVIATION LIST IVF IV fluids IVP IVPB JODM JP JR J-tube JVD JVP K K+ kcal kg KI KJ KUB KVO K-wire L L1....L5 LA lab lac LAD LAH lam LAN LAO LAP LAP lap chole lat lb LBBB LBP LBQC LC LCA L&D LDH LDL L.D.N. LE LEA LE prep LESI LF LFT LGA LH LHF Li lig LIH LIMA LINAC liq LL BIDMC Policy ADM-06 Appendix E in vitro fertilization intravenous fluids intravenous pyelogram intravenous piggyback juvenile onset diabetes mellitus Jackson-Pratt (drain) junctional rhythm jejunostomy tube jugular venous distention jugular venous pressure (pulse) thousand potassium TO BE USED FOR LAB TEST REFERENCE ONLY kilocalorie UNIT OF MEASUREMENT - ENERGY kilogram UNIT OF MEASUREMENT - MASS knee immobilizer knee jerk kidneys, ureters, bladder keep vein open Kirschner wire liter UNIT OF MEASUREMENT - VOLUME lumbar nerve 1 through 5 left atrium laboratory laceration left anterior descending (coronary vessels) left anterior hemiblock laminectomy lymphadenopathy left anterior oblique See also Radiation Oncology list on page 31 left atrial pressure leukocyte alkaline phosphatase laparoscopic cholecystectomy lateral pound UNIT OF MEASUREMENT - WEIGHT left bundle branch block low back pain large based quad cane See also Rehabilitation Services list on page 32 Lactation Consultant left coronary artery labor and delivery lactic dehydrogenase low density lipoprotein TO BE USED FOR LAB TEST REFERENCE ONLY Licensed Dietitian Nutritionist See also Nutrition Services list on page 29 lower extremity See also Rehabilitation Services list on page 32 lumbar epidural analgesia See also Anesthesia list on page 29 lupus erythematous preparation lumbar epidural steroid injection See also Anesthesia list on page 29 low forceps liver function tests large for gestational age luteinizing hormone left heart failure lithium TO BE USED FOR ELEMENT REFERENCE ONLY See also Psychiatry list on page 30 Iigament left inguinal hernia left internal mammary artery (graft) linear accelerator liquid long leg Revised 07/06/2010 Page 14 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E Llat LLB LLC LLE LLL LLQ LMA LME L/min LML LMP LMWH LOA LOB LOC LOM LOQ LOS LP LPHB LPO LR LS LSB LSB LSD LSO L-spine LT LTG LTH LTL LTT LUE LUL LUOQ LUQ LV LVEDP LVH LVOT L&W lymphs lytes m MAC mammo MAOI MAP MAS MAT MAWP max max A max PF MBD MBS MCA left lateral See also Radiation Oncology list on page 31 long leg brace long leg cast left lower extremity left lower lobe (lung) left lower quadrant (abdomen) laryngeal mask airway left mediolateral episiotomy liters per minute left middle lobe last menstrual period low molecular weight heparins leave of absence loss of balance See also Rehabilitation Services list on page 32 level of consciousness loss of motion lower outer quadrant length of stay lumbar puncture left posterior hemiblock left posterior oblique See also Radiation Oncology list on page 31 lactated ringers (IV solution) lumbosacral left sternal border lumbar sympathetic block See also Anesthesia list on page 29 lysergide left salpingo-oophorectomy lumbar spine Levin tube long term goal luteotropic hormone laparoscopic tubal ligation lactose tolerance test left upper extremity left upper lobe (lung) left upper outer quadrant left upper quadrant left ventricle left ventricular end diastolic pressure left ventricular hypertrophy left ventricular outflow tract living and well lymphocytes electrolytes (Na, K+, Cl etc.) meter UNIT OF MEASUREMENT - LENGTH monitored anesthesia care mammogram monoamine oxidase inibitor mean airway pressure See also Respiratory list on page 33 meconium aspiration syndrome Miller-Abbot tube mean airway pressure maximal / maximum maximal assistance See also Rehabilitation Services list on page 32 maximum peak flow minimal brain damage modified barium swallow middle cerebral artery Revised 07/06/2010 Page 15 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E mcg MCH MCHC mCi mcL MCL MCP MCT MCV MD M.D. MDI MDRD ME mec med meds MELD mEq met MeV MFAT MFR Mg mg MH MHT MI MIC MICU min min A mL MLC mm MMEFR MMF mmol MMPI MSE MMR Mn mod mod A mono mOsmol MPI MR MR M&R MRG MRI MRN MRSA MS MSE msec MSK microgram UNIT OF MEASUREMENT - MASS mean corpuscular hemoglobin mean corpuscular hemoglobin concentration millicurie UNIT OF MEASUREMENT - RADIOACTIVITY microliter medial collateral ligament metacarpophalangeal joint medium chain triglyceride mean corpuscular volume muscular dystrophy Medical Doctor manic-depressive illness Modification of Diet in Renal Disease (study) Medical Examiner meconium medial medications model for end-stage liver disease (score) milliequivalent metastasis million (1,000,000) electron volts UNIT OF ENERGY See also Radiation Oncology list on page 31 multifocal atrial tachycardia myofascial release magnesium TO BE USED FOR ELEMENT REFERENCE ONLY milligram UNIT OF MEASUREMENT - MASS marital history malignant hypertension myocardial infarction minimum inhibitory concentration Medical Intensive Care Unit minute UNIT OF MEASUREMENT - TIME minimal assistance See also Rehabilitation Services list on page 32 milliliter UNIT OF MEASUREMENT - VOLUME multileaf collimator See also Radiation Oncology list on page 31 millimeter UNIT OF MEASUREMENT - LENGTH maximal mid-expiratory flow rate mean maximum flow millmole UNIT OF MEASUREMENT Minnesota Multiphasic Personality Inventory See also Psychiatry list on page 30 Mental Status Examination See also Psychiatry list on page 30 measles, mumps and rubella manganese TO BE USED FOR ELEMENT REFERENCE ONLY moderate moderate assistance See also Rehabilitation Services list on page 32 mononucleosis milliosmole UNIT OF MEASUREMENT myocardial perfusion imaging mitral regurgitation mental retardation measure and record input/output murmurs, rubs and gallops Magnetic Resonance Imaging medical record number methicillin resistant staphylococcus aureus Master of Science Mental Status Examination millisecond UNIT OF MEASUREMENT - TIME musculoskeletal Revised 07/06/2010 Page 16 of 33 BIDMC APPROVED ABBREVIATION LIST MSL M.S.W. M/T MTA MTP mu mU MV MVA MVC MVI MVP MVR Na+ N/A NABS NAD NAS NAT NB NBS NC N/CAN NCS neb NED neg NEOB Neuro ng NG NGT NH NIBP NICU NIDDM NIF NJT NKA NKDA NKFA NL NLP NMJ NND NNP noct non-std NOS NP N.P. NPH NPO NR NSAID NSD NSG NSR NSS BIDMC Policy ADM-06 Appendix E midsternal line Master of Social Work myringotomy with tubes metatarsal abduction metatarsophalangeal monitor unit See also Radiation Oncology list on page 31 milliunits UNIT OF MEASUREMENT megavolt UNIT OF ENERGY See also Radiation Oncology list on page 31 motor vehicle accident motor vehicle collision multiple vitamin injection mitral valve prolapse mitral valve replacement sodium TO BE USED FOR LAB TEST REFERENCE ONLY not applicable normoactive bowel sounds no acute distress no added salt nucleic acid test newborn normal bowel sounds See also Nutrition Services list on page 29 no complaints nasal cannula nerve conduction studies nebulizer (hand held) no evidence of disease negative New England Organ Bank Neurology / neurologic / neurological nanogram UNIT OF MEASUREMENT - MASS nasogastric nasogastric tube nursing home non-invasive blood pressure Neonatal Intensive Care Unit non-insulin dependent diabetes mellitus negative inspiratory force nasojejunal tube See also Nutrition Services list on page 29 no known allergies no known drug allergies no known food allergies See also Nutrition Services list on page 29 normal no light perception neuromuscular junction neonatal death Neonatal Nurse Practitioner nocturnal not standard (used with TPN solutions) See also Nutrition Services list on page 29 not otherwise specified nasopharyngeal Nurse Practitioner neutral protamine hagedorn isophane insulin nothing by mouth no refill nonsteroidal anti-inflammatory drug normal spontaneous delivery nursing normal sinus rhythm neurological signs stable Revised 07/06/2010 Page 17 of 33 BIDMC APPROVED ABBREVIATION LIST NST NSTEMI NSVD NT NT-proBNP NV N&V NVA NVD NWB O2 OA OA OB OBS obj occ OE OG OGT oint OKN OM OMR OOB op OPD OR ORIF Ortho OSA O.T. OTC OV oz P BIDMC Policy ADM-06 Appendix E nonstress test non ST segment elevation myocardial infarction normal spontaneous vaginal delivery nasotracheal N-terminal brain natriuretic peptide TO BE USED FOR LAB TEST REFERENCE ONLY neurovascular nausea and vomiting near visual acuity normal vaginal delivery non-weight bearing oxygen TO BE USED FOR ELEMENT REFERENCE ONLY osteoarthritis occiput anterior obstetrics organic brain syndrome See also Psychiatry list on page 30 objective occasionally otitis externa oral gastric (feeding) orogastric tube ointment opticokinetic nystagmus otitis media on-line medical record out of bed operation outpatient department operating room open reduction-internal fixation orthopedic / orthopaedic obstructive sleep apnea occupational therapy / Occupational Therapist See also Rehabilitation Services list on page 32 over the counter (sold without prescription) office visit ounce UNIT OF MEASUREMENT phosphorus TO BE USED FOR ELEMENT REFERENCE ONLY p after P2 P.A. PA P&A PAC PACEN PaCO2 PACU PADSS PAF PA line palp PaO2 PAP pap smear PAR para PAT path PAW PAWP pulmonic second heart sound Physician Assistant pulmonary artery percussion and auscultation premature atrial contraction paracentesis See also Nutrition Services list on page 29 partial pressure (tension) of carbon dioxide, artery Post-Anesthesia Care Unit post anesthesia discharge scoring system paroxysmal atrial fibrillation pulmonary artery line palpation arterial oxygen pressure pulmonary arterial pressure papanicolaou smear postanesthetic recovery number of pregnancies producing viable offspring (parity) preadmission testing pathology peak airway pressure See also Respiratory list on page 33 pulmonary artery wedge pressure _ _ Revised 07/06/2010 ( __ above and below p character) Page 18 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E PB PC p.c. PCA PCB PCCU PCI PCNT PCO2 PCP PCR PCTA PCV PCW PCWP PCXR PD PDA PDR PE PeCO2 Peds PEEP PEF PEFR PEG PERLA PERRL PERRLA PET PetCO2 PEx PF PF PFO PFSH PFT pH PH PHVA phaco PHx PI PICC PID PIH PIN PIP PIPJ PIV PKU Plt PLTc PM p.m. PMA PMHx PMI barometric pressure See also Respiratory list on page 33 pressure control after meals patient controlled analgesia paracervical block Post Coronary Care Unit percutaneous coronary intervention percutaneous nephrostomy tube partial pressure (tension) of carbon dioxide, artery Primary Care Physician polymerase chain reaction TO BE USED FOR LAB TEST REFERENCE ONLY percutaneous coronary transluminal angiography packed cell volume pulmonary capillary wedge pulmonary capillary wedge pressure portable chest x-ray peritoneal dialysis patent ductus arteriosus Physicians’ Desk Reference pulmonary embolism mixed expired carbon dioxide tension See also Respiratory list on page 33 pediatrics positive end expiratory pressure See also Respiratory list on page 33 peak expiratory flow peak expiratory flow rate percutaneous endoscopic gastrostomy pupils equally reactive to light and accomodation pupils equal, round, and reactive to light pupils equal, round, reactive to light and accommodation positron emission tomography peak end tidal carbon dioxide See also Respiratory list on page 33 physical examination peak flow plantar flexion See also Rehabilitation Services list on page 32 patent foramen ovale past, family and social history pulmonary function test hydrogen ion concentration (degree of acidity) pinhole pinhole visual acuity phacoemulsification past history present illness peripherally inserted central catheter pelvic inflammatory disease pregnancy induced hypertension posterior interosseous nerve peak inspiratory pressure See also Respiratory list on page 33 proximal interphalangeal joint peripheral intravenous phenyl ketonuria platelet platelet count postmortem evening post menstrual age past medical history point of maximal impulse Revised 07/06/2010 Page 19 of 33 BIDMC APPROVED ABBREVIATION LIST PMN PMR PMS PMT PN PNA PNB PND PNP Pnx PO PO2 PO4 POC POC POD POE POI POLY PONV poplit pos post post-op POV PP PPD PPF PPFT PPI PPLAT PPN PPS PPV PR PRBC pre-op prep primip p.r.n. PROM PROM pron PS PS PSA PSHx PSI PSP PSG PSVT P.T. PT PTA PTB PTCA PTFE PTH PTPN BIDMC Policy ADM-06 Appendix E polymorphonuclear leukocyte polymyalgia rheumatica premenstrual syndrome premenstrual tension parenteral nutrition See also Nutrition Services list on page 29 pneumonia premature nodal beat paroxysmal nocturnal dyspnea peak negative pressure pneumothorax by mouth partial pressure (tension) of oxygen, artery phosphate point-of-care product of conception post operative day provider order entry point of interest See also Radiation Oncology list on page 31 polymorphonuclear leukocyte postoperative nausea and vomiting popliteal positive after after surgery privately owned vehicle postpartum purified protein derivative (of tuberculin) plasma protein fraction post pyloric feeding tube See also Nutrition Services list on page 29 proton pump inhibitor plateau pressure See also Respiratory list on page 33 peripheral parenteral nutrition postperfusion syndrome positive pressure ventilation per rectum packed red blood cells before surgery prepare / preperation primipara (1st pregnancy) as often as necessary premature rupture of membranes passive range of motion pronation pulmonary stenosis pressure support (ventilator mode) prostate specific antigen past surgical history pounds per square inch UNIT OF MEASUREMENT - WEIGHT See also Respiratory list on page 33 phenosulfonphthalein polysomnogram, polysomnography paroxysmal supraventricular tachycardia physical therapy /Physical Therapist See also Rehabilitation Services list on page 32 prothrombin time prior to admission patellar tendon bearing percutaneous transluminal coronary angioplasty polytetrafluoroethylene parathyroid hormone peripheral total parenteral nutrition Revised 07/06/2010 Page 20 of 33 BIDMC APPROVED ABBREVIATION LIST PTS PTT PTV PUBS PUD pul P&V PVB PVC PVD PVD PVR PVR PVT PWB PXAT Q QC QB q.i.d. QS qt quad R +R -R RA RAD RAO RBBB RBC RCA RCM R.C.P. RD RD R.D. RDA RDI RDS RDW REE ref REDF rehab REM RER RES resp retic RF RF Rh RHD RIA RIH RIMA RISS RLF BIDMC Policy ADM-06 Appendix E patella tendon suspension partial thromboplastin time planning target volume See also Radiation Oncology list on page 31 percutaneous umbilical blood sampling peptic ulcer disease pulmonary percussion and vibration premature ventricular beat premature ventricular contraction peripheral vascular disease posterior vitreous detachment postvoiding residual pulmonary vascular resistance paroxysmal ventricular tachycardia partial weight bearing paroxysmal atrial tachycardia every quality control blood flow four times a day sufficient quantity quart quadriceps respiration VITAL SIGN Rinne test positive Rinne test negative rheumatoid arthritis right axis deviation right anterior oblique See also Radiation Oncology list on page 31 right bundle branch block red blood cell (count) right coronary artery (coronary vessels) right costal margin Respiratory Care Practitioner See also Respiratory list on page 33 radial deviation retinal detachment Registered Dietitian See also Nutrition Services list on page 29 recommended daily allowance respiratory disturbance index respiratory distress syndrome red (cell) distribution width resting energy expenditure See also Respiratory list on page 33 referred reverse end – diastolic flow rehabilitation rapid eye movement renal excretion rate reticuloendothelial system respiratory reticulocyte rheumatoid factor TO BE USED FOR LAB TEST REFERENCE ONLY rheumatic fever Rhesus blood factor rheumatic heart disease radioimmunoassay right inguinal hernia right internal mammary artery regular insulin sliding scale retrolental fibroplasia Revised 07/06/2010 Page 21 of 33 BIDMC APPROVED ABBREVIATION LIST RLS RLE RLL RLQ RML RMR R.N. RNA R/O ROI ROM ROM ROS rot RP RPE RPO RPR RQ RR RRE RRR RSBI RSD RSI RSO RSR RT RTW RUE RUL RUOQ RUQ RV RV RVOT RVG RVH RW Rx S1 S2 S3 S4 S1 ... S5 S/A SAB SAD SAH SAM SAN sang SaCO SaO2 SASC sat SB SB SBE BIDMC Policy ADM-06 Appendix E ringer lactate solution right lower extremity right lower lobe right lower quadrant right middle lobe resting metabolic rate Registered Nurse ribonucleic acid rule out region of interest See also Radiation Oncology list on page 31 range of motion rupture of membranes review of systems rotator retinitis pigmentosa rating of perceived exertion See also Rehabilitation Services list on page 32 right posterior oblique See also Radiation Oncology list on page 31 rapid plasma reagin (syphilis) respiratory quotient See also Respiratory list on page 33 respiratory rate VITAL SIGN See also Respiratory list on page 33 round, regular and equal (pupils) regular rhythm and rate Rapid Shallow Breathing Index reflex sympathetic dystrophy rapid sequence induction/intubation right salpingo-oophorectomy regular sinus rhythm radiation therapy See also Radiation Oncology list on page 31 return to work right upper extremity right upper lobe right upper outer quadrant right upper quadrant right ventricle residual volume See also Respiratory list on page 33 right ventricular outflow tract radionuclide ventriculography right ventricular hypertrophy rolling walker See also Rehabilitation Services list on page 32 prescription first heart sound second heart sound third heart sound (ventricular filling gallop) fourth heart sound (atrial gallop) sacral vertebrae sugar and acetone spontaneous abortion source axis distance See also Radiation Oncology list on page 31 subarachnoid hemorrhage systolic anterior motion sinoatrial node sanguinous arterial saturation of carbon monoxide See also Respiratory list on page 33 arterial oxygen percent saturation See also Respiratory list on page 33 Skills and Simulation Center saturation small bowel scleral buckling subacute bacterial endocarditis Revised 07/06/2010 Page 22 of 33 BIDMC APPROVED ABBREVIATION LIST SBFT SBO SBP SBQC SBS SBT SC sc SCC SCT S/D SCD SDH SDS sec sed rate segs SEM SEMI SFA SG SGA SGB SGC SGOT SGPT SHx SIADH sib SICU SIDS SIG SIJB SIL SIMV SK-SD S/L SLB SLC SLE SLP SLR SMA SNF SNHL SO S-O SOAP SOB sol SOM SONB sono S/P SPA SPCO spec SPECT SpG BIDMC Policy ADM-06 Appendix E small bowel follow through small bowel obstruction systolic blood pressure small based quad cane See also Rehabilitation Services list on page 32 small bowel series spontaneous breathing test/trial subclavian without correction (without glasses) squamous cell carcinoma Sentence completion test See also Psychiatry list on page 30 systolic/diastolic ratio sequential compression device subdural hematoma same day surgery second UNIT OF MEASUREMENT - TIME sedimentation rate segmented neutrophils systolic ejection murmur subendocardial myocardial infarction (type) superficial femoral artery specific gravity small for gestational age stellate ganglion block See also Anesthesia list on page 29 Swan-Ganz catheter serum glutamic oxaloacetic transaminase serum glutamate pyruvate transaminase social history syndrome of inappropriate antidiuretic hormone secretion sibling Surgical Intensive Care Unit sudden infant death syndrome let it be marked (appears on prescription before direction for patient) sacroiliac joint block See also Anesthesia list on page 29 squamous intraepithelial lesion synchronized intermittent mandatory ventilation streptokinase-streptodornase slit lamp short leg brace short leg cast systemic lupus erythematosus speech language pathologist See also Rehabilitation Services list on page 32 straight leg raising See also Rehabilitation Services list on page 32 superior mesenteric artery Skilled Nursing Facility See also Rehabilitation Services list on page 32 sensineural hearing loss superior oblique salpingo-oophorectomy subjective, objective, assessment and plan shortness of breath solution serous otitis media supra orbital nerve block See also Anesthesia list on page 29 sonogram status post salt poor albumin (albumin human) saturation of hemogloben by pulse oximetry See also Respiratory list on page 33 specimen single-photon emission computed tomography specific gravity Revised 07/06/2010 Page 23 of 33 BIDMC APPROVED ABBREVIATION LIST SPL SPO2 SPP SP tube SR SROM SRT S&S SSCP SSD SSE SSI SSN SSS ST staph stat STD STEMI STH STPD strep STS STSG subl SUC supp SV SV SVC ScvO2 SVC SVD SVG SVI SvO2 SVR SVT SW SZ T T3 T4 T1 .... T12 T&A TAA TAB TAH TAHBSO TAM TAR TAT TB TBG TBI T bili tbl TCA TCC BIDMC Policy ADM-06 Appendix E sound pressure level oxygen saturation by pulse oximeter See also Rehabilitation list page32 / Respiratory on page 33 suprapubic prostatectomy suprapubic tube sinus rhythm spontaneous rupture of membrane speech reception threshold signs and symptoms substernal chest pain source to skin distance See also Radiation Oncology list on page 31 soapsuds enema Supplemental Security Income Social Security number sick sinus syndrome sinus tachycardia staphylococcus aureus immediately (statim) sexually transmitted disease ST elevation myocardial infarction somatotrophic hormone standard temperature and pressure – dry See also Respiratory list on page 33 streptococcus serologic test for syphillis split thickness skin graft sublingual urinary catheter – straight suppository stroke volume seminal vesicle See also Radiation Oncology list on page 31 superior vena cava central venous oxygen saturation slow vital capacity spontaneous vaginal delivery saphenous vein graft stroke volume index mixed venous oxygen saturation systemic vascular resistance supraventricular tachycardia standard walker See also Rehabilitation Services list on page 32 seizure temperature VITAL SIGN triiodothyronine TO BE USED FOR LAB TEST REFERENCE ONLY thyroxine TO BE USED FOR LAB TEST REFERENCE ONLY thoracic vertebrae 1 through 12 tonsillectomy and adenoidectomy thoracic aortic aneurysm therapeutic abortion total abdominal hysterectomy total abdominal hysterectomy, bilateral salpingo-oophorectomy total active motion total ankle replacement Thematic Apperception Test See also Psychiatry list on page 30 tuberculosis thyroxine binding globulin total body irradiation total bilirubin TO BE USED FOR LAB TEST REFERENCE ONLY tablespoon UNIT OF MEASUREMENT - VOLUME tricyclic antidepressant transitional cell carcinoma Revised 07/06/2010 Page 24 of 33 BIDMC APPROVED ABBREVIATION LIST TCDB T Chol TcPO2 TCO2 TCU TD TDWB TEC TEE TENS TER tert TESI TFB TFCC TFESI TFTs TG TGA TGV T&H THCEN th-cult ther ex THP THR Ti TIA tib TIBC t.i.d. TIMI tinc TJ TKO TKR TL Tl TLC TLD TLS-spine TM TMA Tmax TMB TMJ TMP TMT TNI TNM TnT TOF tol tomo TORCH TORP TOS TOXO TP BIDMC Policy ADM-06 Appendix E turn, cough and deep breath total cholesteral TO BE USED FOR LAB TEST REFERENCE ONLY transcutaneous oxygen total carbon dioxide Transitional Care Unit See also Rehabilitation Services list on page 32 tumor dose See also Radiation Oncology list on page 31 touch down weight bearing See also Rehabilitation Services list on page 32 total eosinophil count transesophageal echocardiography transcutaneous electrical nerve stimulation total elbow replacement tertiary thoracic epidural steroid injection See also Anesthesia list on page 29 trifascicular block triangular fibrocartilage complex transforaminal epidural steroid injection See also Anesthesia list on page 29 thyroid function tests triglycerides transposition of the great arteries transposition of great vessels type and hold thoracentesis throat culture therapeutic exercise See also Rehabilitation Services list on page 32 total hip prosthesis total hip replacement titanium TO BE USED FOR ELEMENT REFERENCE ONLY transient ischemic attack tibia total iron-binding capacity three times a day thrombolysis in myocardial infarction tincture triceps jerk to keep open total knee replacement tubal ligation thalium TO BE USED FOR ELEMENT REFERENCE ONLY total lung capacity See also Respiratory list on page 33 tubes, lines & drains thoracic, lumbar, sacral spine tympanic membrane transmetatarsal amputation temperature maximum VITAL SIGN transient monocular blindness temporomandibular joint transmembrane pressure tarsometatarsal total nodal irradiation primary tumor, regional lymph nodes, and distant metastasis troponin T tetralogy of Fallot tolerate tomography toxoplasmosis, other, rubella, cytomegalovirus, and herpes simplex total ossicular replacement prosthesis thoracic outlet syndrome toxoplasmosis antibody total protein TO BE USED FOR LAB TEST REFERENCE ONLY Revised 07/06/2010 Page 25 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E TPIT TPN TPR tr trach TRH Trig T3RU T&S TSH TSICU tsp T-spine TSR TSS TT TTN TTP TUR TURB TURBT TURP TURV TV TVR TWE UA UAC UBW UC UCG test u-cult UE UF UFR UFV UGI UIQ U-line UMN ung UNOS UO UOQ Ur Ac URI UROL URQ URR US USN USO UTI UUN UV UVC V VA trigger point injection therapy See also Anesthesia list on page 29 total parenteral nutrition See also Nutrition Services list on page 29 temperature, pulse, and respiration trace tracheostomy thyrotropin releasing hormone (thyroid) triglycerides TO BE USED FOR LAB TEST REFERENCE ONLY triiodothyronine (T3) resin uptake type and screen thyroid stimulating hormone Trauma Surgical Intensive Care Unit teaspoon UNIT OF MEASUREMENT - VOLUME thoracic spine total shoulder replacement toxic shock syndrome thrombin time transient tachypnea of the newborn thrombotic thrombocytopenic purpura transurethral resection transurethral resection of the bladder transurethral resection of bladder tumor transurethral resection of prostate transurethral resection valves tricuspid valve tricuspid valve replacement tapwater enema urinalysis umbilical artery catheter usual body weight See also Nutrition Services list on page 29 ulcerative colitis urinary chorionic gonadotropins test urine culture upper extremity See also Rehabilitation Services list on page 32 ultrafiltration ultrafiltration rate ultrafiltration volume upper gastrointestinal series upper inner quadrant umbilical line upper motor neuron (disease) ointment (unguentum) United Network for Organ Sharing urinary output upper outer quadrant uric acid TO BE USED FOR LAB TEST REFERENCE ONLY upper respiratory infection urology upper right quadrant urea reduction ratio ultrasonography ultrasonic nebulizer unilateral salpingo-oophorectomy urinary tract infection urinary urea nitrogen ultraviolet umbilical vein catheter minute volume (cardiac output) visual acuity Revised 07/06/2010 Page 26 of 33 BIDMC APPROVED ABBREVIATION LIST VAD vag VAP VAS VB VBG VC VCT VCO2 VD vdg VDRL VD/VT Ve VE VEA vent VER VF VICU vit VLDL VMA VMI VN VNA VO VO2 vol VP VPB VRE VS VSD VSS Vt V tach w/ WAIS WAP Wass WB WBAT WBC WC W/D WFL WIC WISC WISC-R wk WMA WMS WN WNL WNV w/o WOB WPW BIDMC Policy ADM-06 Appendix E vascular (venous) access device vagina ventilator associated pneumonia Visual Analog Scale See also Rehabilitation Services list on page 32 venous blood See also Respiratory list on page 33 venous blood gas vital capacity See also Respiratory list on page 33 venous clotting time carbon dioxide output venereal disease voiding Venereal Disease Research Laboratory (test for syphilis) dead space to tidal volume ratio See also Respiratory list on page 33 minute ventilation (pulmonary function test) vaginal exam ventricular ectopic activity ventilator visual evoked responses ventricular fibrillation Vascular Intermediate Care Unit vitamin very low density lipoprotein TO BE USED FOR LAB TEST REFERENCE ONLY vanillymandelic acid visual motor integration See also Psychiatry list on page 30 visiting nurse Visiting Nurses’ Association See also Rehabilitation Services list on page 32 verbal order oxygen consumption volume venous pressure ventricular premature beat vancomycin resistant enterococci vital signs (temperature, pulse and respiration) ventricular septal defect vital signs stable tidal volume See also Respiratory list on page 33 ventricular tachycardia with Wechsler Adult Intelligence Scale See also Psychiatry list on page 30 wandering atrial pacemaker Wasserman test whole blood weight bearing as tolerated See also Rehabilitation Services list on page 32 white blood cell (count) wheelchair warm and dry within functional limits Women, Infants, and Children (program) Wechsler Intelligence Scale for Children See also Psychiatry list on page 30 Wechsler Intelligence Scale for Children – Revised See also Psychiatry list on page 30 week wall motion motility Wechsler Memory Scale See also Psychiatry list on page 30 well nourished within normal limits West Nile Virus without work of breathing Wolff-Parkinson-White (syndrome) Revised 07/06/2010 Page 27 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E WRAT wt W-T-D W/U X XM X-ray XRT YO yr YTD Wide Range Achievement Test See also Psychiatry list on page 30 weight wet to dry work up times cross match Radiology image radiation therapy years old year year to date SYMBOLS: ♀ ♂ ↓ ↑ = ≈ ≠ % female male ° 1° 2° 3° degree first degree second degree third degree – negative ′ " foot inch decrease increase equals approximately equal to not equal percent # α β γ number alpha beta gamma TM ® ∆ ψ ∴ → x Ø trademark (unregistered) trademark (registered) change check murmur psychiatric therefore results in times not, nothing Revised 07/06/2010 Page 28 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E ANESTHESIA: ATNB CESI CSE ESI GONB LEA LESI LSB SGB SIJB SONB TESI TFESI TPIT auriculo temporal nerve block cervical epidural steroid injection combined spinal / epidural epidural steroid injection greater occipital nerve block lumbar epidural analgesia lumbar epidural steroid injection lumbar sympathetic block stellate ganglion block sacroiliac joint block supra orbital nerve block thoracic epidural steroid injection transforaminal epidural steroid injection trigger point injection therapy NUTRITION SERVICES: CMP C.N.S.C. C.N.S.D. DUVC GOO IBW ingred NKFA L.D.N. NBS NJT non-std PACEN PN PPFT R.D. TPN UBW cardiomyopathy Certified Nutrition Support Clinician Certified Nutrition Support Dietitian double lumen umbilical venous catheter (NICU) gastric outlet obstruction ideal body weight ingredient(s) no known food allergies Licensed Dietitian Nutritionist normal bowel sounds nasojejunal tube not standard (used with TPN solutions) paracentesis parenteral nutrition post pyloric feeding tube Registered Dietitian total parenteral nutrition usual body weight Revised 07/06/2010 Page 29 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E PSYCHIATRY: AQ BEAM CAT CN cog test DAPT DSM DST GATB Li MMPI MSE OBS SCT TAT VMI WAIS WISC WISC-R WMS WRAT accomplishment quotient brain electrical activity mapping Children's ApperceptionTest cranial nerve cognitive testing Draw-A-Person Test Diagnostic and Statistical Manual of Mental Disorders dexamethasone suppression test General Aptitude Test Battery lithium TO BE USED FOR ELEMENT REFERENCE ONLY Minnesota Multiphasic Personality Inventory Mental Status Examination organic brain syndrome Sentence completion test Thematic Apperception Test visual motor integration Wechsler Adult Intelligence Scale Wechsler Intelligence Scale for Children Wechsler Intelligence Scale for Children – Revised Wechsler Memory Scale Wide Range Achievement Test Revised 07/06/2010 Page 30 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E RADIATION ONCOLOGY: ant cGy CTV dmax DRR FSD GTV IGRT IMRT LAO Llat LPO MLC MeV mu MV POI PTV RAO ROI RPO RT SAD SSD SV TD anterior centigray clinical target volume depth of maximum dose digitally reconstructed radiograph focal skin distance gross tumor volume image guided radiation therapy intensity modulated radiation therapy left anterior oblique left lateral left posterior oblique multileaf collimator million (1,000,000) electron volts UNIT OF ENERGY monitor unit megavolt UNIT OF ENERGY point of interest planning target volume right anterior oblique region of interest right posterior oblique radiation therapy source axis distance source to skin distance seminal vesicle tumor dose Revised 07/06/2010 Page 31 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E REHABILITATION SERVICES: amb AROM BOS CD&I CG CSLTM CTA DB&C DF DME EOB F/E HDR HEP HOB IADL LBQC LE LOB max A min A mod A O.T. PF P.T. RPE RW SBQC SLP SLR SNF SPO2 SW TCU TDWB ther ex UNOS UE VAS VNA WBAT ambulate, ambulatory, ambulation active range of motion base of support clean, dry, and intact contact guarding KayPENTAX Computerized Speech Lab (speech analysis system) clear to auscultation deep breathing and coughing dorsiflexion durable medical equipment edge of bed flexion/extension hemodynamic response home exercise program head of bed instrumental activities of daily living large based quad cane lower extremity loss of balance maximal assistance minimal assistance moderate assistance occupational therapy / Occupational Therapist plantar flexion physical therapy /physical Therapist rating of perceived exertion rolling walker small based quad cane speech language pathologist straight leg raising Skilled Nursing Facility oxygen saturation by pulse oximeter standard walker Transitional Care Unit touch down weight bearing therapeutic exercise United Network for Organ Sharing upper extremity Visual Analog Scale Visiting Nurses’ Association weight bearing as tolerated Revised 07/06/2010 Page 32 of 33 BIDMC APPROVED ABBREVIATION LIST BIDMC Policy ADM-06 Appendix E RESPIRATORY: Blood CaO2 CvO2 SaCO SaO2 SPCO SPO2 VB arterial oxygen content mixed venous oxygen content arterial saturation of carbon monoxide arterial oxygen percent saturation saturation of hemogloben by pulse oximetry oxygen saturation by pulse oximeter venous blood Gases ATPS BTPS DLCO sb EPAP FiO2 FeCO2 FeO2 IPAP MAP PAW PB PeCO2 PEEP PetCO2 PIP PPLAT PSI REE RQ RR STPD VD/VT Vt ambient temperature and pressure, saturated with water vapor body temperature pressure saturated diffusion capacity of carbon monoxide, single breath expiratory airway pressure fraction of inspired oxygen fraction of expired carbon dioxide fraction of expired oxygen inspiratory positive airway pressure mean airway pressure peak airway pressure barometric pressure mixed expired carbion dioxide tension positive end expiratory pressure peak end tidal carbon dioxide peak inspiratory pressure plateau pressure pounds per square inch UNIT OF MEASUREMENT - WEIGHT resting energy expenditure respiratory quotient respiratory rate VITAL SIGN standard temperature and pressure – dry dead space to tidal volume ratio tidal volume Lung Volume ERV FRC IC IRV RV TLC VC expiratory reserve capacity functional residual capacity inspiratory capacity inspiratory reserve volume residual volume total lung capacity vital capacity R.C.P. Respiratory Care Practitioner Revised 07/06/2010 Page 33 of 33