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Common Medical Abbreviations in Soap Notes
adm
- admit; admission; admitted
adv
- advise
approx
- approximate
C
- cervical (vertebrae); comprehensive history / exam
CT
- computed or computized tomography
dc
- discontinue
DC
discharge
EPF
- expanded problem-focused
ER
- emergency room
H
- hospital call
hosp
- hospital
HV
- hospital visit
HX, hx
- history
HX PX
- history and examination
i
- injection
IC
- initial consultation
M
- medication; married
MDM
- medical decision making
OV
- office visit
PF
- problem focused (history / exam
PO, P Op
- postoperative
p.r.n.
- as needed (pro re nata)
Pt, pt
- patient
PT
- physical therapy
PTR
- patient to return
PX
- physical examination
Reg
- regular
R/O
- rule out
RTW
- straight forward (decision making)
R
- right; residence call; report
L
- left; laboratory
LMP
- last mentrual period
MTF
- military treatment facility
TD
- temporary disability
Tr, trt
- treatment
UA, ua
- urinalysis
URI
- upper respiratory infection
W
- work; white
WNL
- within normal limits
WDL
- within defined limits
Common Symbols
- with
- positive
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