Medical Abbreviations
What part of the Report?
What part of SOAP note?
IFSP or IEP
Assessment Review
100

Activities of Daily Living

What are ADLs?

100

Speech and hearing development

History

100

Steph imitated /r/ in the initial position of single syllable words with 40% accuracy.

Objective (O)

100

Is for school age children.

IEP

100

Refers to the starting point for test administration

Basal

200

What is the difference between pt and PT?

pt=patient

PT=Physical Therapy

200

Physician name and number

Identifying Information

200

Steph was a little tired and grumpy today because it was too cold to go on a walk before therapy.

Subjective (S)

200

Is for infants and toddlers

IFSP

200

Tests that provide standard procedures for the administration and scoring

Standardized assessments

300

History of a right cerebral vascular accident

Hx of a R CVA

300

Referral to other professionals

Recommendations

300

Continue stated goals.  Continue with initial /r/ in next session.

Plan (P)

300

States the amount of time that the child will be served.

IEP
300

Tests that are always standardized

Norm referenced tests

400

three times a day

tid

400

Statement of dx/Prognosis

Summary

400

Steph was provided tactile prompts, which helped with her production of /r/.  Steph benefited from intermittent movement breaks in therapy. 

Assessment (A)

400

States the natural environment where services will be provided.

IFSP

400

Tests that do not attempt to compare an individual's performance to anyone else's.

Criterion-referenced tests

500

Patient has Cancer with fair Prognosis--abbrev. for Cancer and Prognosis?

Ca and Px

500
Standard scores

Assessment information

500

Dismiss from speech therapy.  All goals have been met.

Plan (P)

500

Involves families and other professionals

Both!!

500

A federal law designed to improve the health care system.

HIPAA

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