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A L M R
Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records APPROVED ABBREVIATION LIST FOR USE IN MEDICAL RECORDS POLICY © DOCUMENT SUMMARY/KEY POINTS • All medical records must be legible and easily understood by all persons who access them; including consumers and external agencies. • Only approved abbreviations and symbols may be used in patient’s medical record. (draft NSW Health Policy Directive Health Care Records – Management & Documentation) • Medical diagnosis must be written in full. • If however, a medical diagnosis appears on the Approved Abbreviation list, it must be written in full in the first instance, followed by the abbreviation in brackets and then the abbreviation may be used thereafter. For example, urinary tract infection (UTI). This policy: o Contains the authorised list of abbreviations to be used at The Children’s Hospital at Westmead (CHW) including codes required for episode funding. o Applies to all medical records whether hard copy, electronic, a hybrid of both or in other forms. o Replaces any local abbreviation lists held at discipline or department level. • Approved Abbreviations for use when prescribing medications are also contained within the CHW Medication Management And Handling Practice Guideline http://intranet.kids/o/documents/policies/guidelines/2006-8232.pdf • The use of abbreviations is not permitted when documenting: • o On Consent Forms o Surgical Operations and Diagnostic Procedures requiring general anaesthetic o Name of drugs Abbreviations used on Forms that have been endorsed by the Forms Committee are only approved to be used within that Form itself Note: This is a list of Approved Abbreviations to be used within CHW. Any abbreviation outside of this list is NOT approved for use in clinical documentation at CHW. Approved by: Date Effective: Team Leader: CHW Policy and Procedure Committee 1st January 2012 CRU Project Officer CHW Improvement & Safety Committee Review Period: 3 years Area/Dept: Clinical Governance Unit Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 1 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records CHANGE SUMMARY • N/A – new policy. READ ACKNOWLEDGEMENT • All staff that document directly into patients health care records are required to read and acknowledge the document • All staff responsible for the maintenance, storage and review of health care records are required to read and acknowledge the document Approved by: Date Effective: Team Leader: CHW Policy and Procedure Committee 1st January 2012 CRU Project Officer CHW Improvement & Safety Committee Review Period: 3 years Area/Dept: Clinical Governance Unit Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 2 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records TABLE OF CONTENTS 1 Introduction/background ............................................................................................ 4 1.1 Definitions ...................................................................... Error! Bookmark not defined. 2 Scope ............................................................................................................................4 2.1 Inclusions.......................................................................................................................4 2.2 Exclusions .....................................................................................................................5 Abbreviations used on Forms: ............................................................................................. 5 eMR Pathology Orders – Abbreviations: ............................................................................. 5 Abbreviations for prescribing and ordering medications ...................................................... 5 3 When abbreviations cannot be used ......................................................................... 5 3.1 Abbreviations must not be used in the following situations: .......................................... 5 3.2 Use of Symbols and Chemical Names .......................................................................... 5 4 Medical diagnosis........................................................................................................ 5 5 Approved Abbreviation List ....................................................................................... 6 5.1 Staff Designations ......................................................................................................... 6 5.2 General Abbreviations (alphabetical list) ....................................................................... 6 A-B-C ................................................................................... Error! Bookmark not defined. D-E-F ...................................................................................................................................8 G-H-I ....................................................................................................................................9 J-K-L ..................................................................................................................................10 M-N-O ................................................................................................................................10 P-Q-R-S .............................................................................................................................11 T-U-V .................................................................................................................................12 W–X–Y–Z ..........................................................................................................................13 Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 3 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records 1 Introduction/background All medical records must be legible and easily understood by all persons who access them; including consumers and external agencies. Use of approved abbreviations will improve documentation, communication and patient outcomes by reducing misinterpretations and provide medico – legal protection for staff. Health care record The main purpose of a health care record is to provide a means of communication to facilitate the safe care and treatment of a patient/client. A health care record is the primary repository of information including medical and therapeutic treatment and intervention for the health and wellbeing of the patient/client during an episode of care and informs care in future episodes. The health care record is a documented account of a patient/client’s history of illness; health care plan/s; health investigations and evaluations; diagnosis; care; treatment; progress and health outcomes for each health service intervention or interaction. The health care record may also be used for communication with external health care providers, and statutory and regulatory bodies, in addition to facilitating patient safety improvements; investigation of complaints; planning; audit activities; research (subject to ethics committee approval, as required); education; financial reimbursement and public health. The record may become an important piece of evidence in protecting the legal interests of the patient/client, health care personnel, other personnel or Public Health Organisations (PHO). The health care record may be paper, electronic or a combination of both. Where a health care record exists in both paper and electronic form this is referred to as a hybrid record. Where PHOs maintain a hybrid record, health care personnel must have access to information that is included in each part of the record. 2 Scope This policy: • Applies to health care records that are the property of, and maintained by, PHO, including health care records of private patients seen in the PHO. • Does not apply to records that may be maintained by patient/clients and records that may be maintained by clinicians in respect of private patients seen in private rooms. • Replaces any local abbreviation list held at discipline or department level used for medical record documentation. 2.1 Inclusions • The approved abbreviation list applies to documentation in all health care records at the CHW whether they be in hard copy, electronic, in both (hybrid) or in any other forms (e.g. video/CD). • Abbreviations required for Episodic Based Funding Coding. Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 4 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records 2.2 Exclusions Abbreviations used on Forms: • Some CHW Forms contain abbreviations, legends or explanations for these abbreviations may be included on the actual Form. • In the circumstance that there are abbreviations on a Form, and this Form has a Medical Records barcode, then the abbreviation may continue to be used on the Form itself, however, it is not acceptable to be used within other clinical notes. eMR Pathology Orders – Abbreviations: • NSW Health, in the eMR Pathology Orders Design Recommendations, has included some abbreviations in the pathology orderables list. These abbreviations were included in the CHW Powerchart pathology orders build however may not be used outside of Powerchart in other clinical notes. Abbreviations for prescribing and ordering medications • Approved abbreviations for use when prescribing medications are also contained within the CHW Medication Management And Handling Practice Guideline http://intranet.kids/o/documents/policies/guidelines/2006-8232.pdf#page=14 3 3.1 • • • 3.2 When abbreviations cannot be used Abbreviations must not be used at all in the following situations: On Consent forms In documentation of Surgical Operations and Diagnostic Procedures requiring general anaesthetic When documenting the name of a drug Use of Symbols and Chemical Names The use of symbols and chemical names in hand written or electronic clinical notes is not permitted as they can potentially be misinterpreted as per the NSW Therapeutic Advisory Group. http://www.ciap.health.nsw.gov.au/nswtag/publications/guidelines/TERMINOLOGY1206.pdf Symbols and Chemical Names need to be written out in full. 4 • • Medical Diagnosis Medical diagnosis must be written in full. If however, a medical diagnosis appears on the Approved Abbreviation list, it must be written in full in the first instance followed by the abbreviation in brackets and then the abbreviation may be used thereafter. For example, urinary tract infection (UTI). Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 5 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records 5 Approved Abbreviation List 5.1 Staff Designations Abbreviation Description (meaning) AHNM AMO CLT CNC CNE CNS DON Dr EEN EN JMO NE NP NUM Occ Ther Physio Reg RN RM RMO SMO SW SP VMO After Hours Nurse Manager Admitting Medical Officer Child Life Therapy Clinical Nurse Consultant Clinical Nurse Educator Clinical Nurse Specialist Director of Nursing Services Doctor Endorsed Enrolled Nurse Enrolled Nurse Junior Medical Officer Nurse Educator Nurse Practitioner Nurse Unit Manager Occupational Therapist Physiotherapist Registrar (Medical Officer) Registered Nurse Registered Midwife Resident Medical Officer Senior Medical Officer Social Worker Speech Pathologist Visiting Medical Officer 5.2 General Abbreviations (alphabetical list) ABBREVIATION DESCRIPTION (MEANING) COMMENT A-B-C AAA ABG ACT ADHD ADL ADC AEDs AF A.Flutter AFO aGVHD AIDS AICD A/O ARF Abdominal aortic aneurysm Arterial blood gas Acceptance and commitment therapy Attention deficient hyperactivity disorder Activities of daily living Adenocarcinoma Antiepileptic drugs Atrial fibrillation Atrial Flutter Ankle foot Orthosis Acute graft versus host disease Acquired immune deficiency syndrome Automatic implantation cardioverter defibrillator Application of Acute renal failure For patient with monitor For patient with monitor Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 6 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records AML AND Appt. ARDS ASD ATN Ausc. AV AVPU AVSD Ax bd BBB BCC BC BCPC BCPS BCG BIBA BIH BiPAP BMA BMAT BMI BMIz BNO BO BP BSA BSL BW Bx C (1-7) C&S Cals Cap CAPAC CAPD CAVH CAVHD CBT CCF CCU CERS CF CFRD CGH array CHI CNS CLL c/o Acute myeloid leukaemia Allow Natural Death Appointment Acute respiratory distress syndrome Atrial septal defect Acute tubular necrosis Auscultation Aortic Valve or Arteriovenous or Atrioventricular Alert, responds to voice, responds to pain, unresponsive Atrioventricular septal defect Assessment Twice daily – Twice a Day Bundle branch block Basal cell carcinoma Blood cultures Bidirectional cavopulmonary connection Bidirectional cavopulmonary shunt Baccili Calmette-Guerin Injection (TB Vaccine) Brought in by Ambulance Benign Intracranial Hypertension Bi-level positive airway pressure Bone Marrow Aspirate Bone Marrow Aspiration and trephine Body Mass Index Body Mass index for age Bowels Not Open Bowels Open Blood Pressure Body Surface Area Blood sugar level Birth weight Biopsy Cervical ( 1 – 7 ) e.g. C5 quadriplegic Culture and sensitivity Calories Capsule Community Acute Post-Acute Care Continuous ambulatory peritoneal dialysis Continuous Arteriovenous hemofiltration Continuous Arteriovenous haemodialysis Cognitive behaviour therapy Congestive cardiac failure Clean Catch Urine Clinical Emergency Response System Cystic Fibrosis Cystic Fibrosis Related diabetes Comparative Genomic Hybridization array Closed head injury Central nervous system Chronic lymphocytic leukaemia Chronic lymphoid leukaemia Complained of physio Paediatric Consciousness Score Only use as Cervical Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 7 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records COP CML CN (1-12) CP CPAP CPM CPP CPR CRF CREST CSA CSF CSU CT(Scan) CVAD CVC CVVH CVVHDF CVP CXR D-E-F DB & C DBD DCD D/C Dept. DOB DoCS D&V DI DIC DISIDA DNA DSA DTPA Dx DXRT DV D/W ECG Echo ECMO ECT EEG EER E/o EFR EHM EMG ENT EOM Change of Plaster Chronic myelocytic leukaemia Chronic myeloid leukaemia Cranial Nerve Cerebral Palsy Continuous positive airways pressure Continuous passive movement Cerebral Perfusion Pressure Cardiopulmonary resuscitation Chronic renal failure Raynaud’s phenomenon Child Sexual Assault Cerebrospinal fluid Catheter specimen of urine Computerised axial tomography (scan) Central Venous Access Device Central Venous Catheter Continuous veno-veno haemofiltration Continuous veno-veno haemodialysis Central Venous Pressure Chest X-Ray Description/meaning Deep Breathing and coughing Donation after brain death Donation after cardiac death Discharge Department Date of Birth Department of Community Services Diarrhoea and vomiting Diabetes Insipidus Disseminated Intravascular Coagulopathy Diisopropyl iminodiacetic acid scan Deoxyribonucleic Acid Digital Subtraction Angiography Diethylene-triamine-penta-acetic acid Scan Diagnosis Deep X-Ray Therapy Domestic Violence Discussed with Electrocardiogram Echocardiogram Extracorporeal Membrane Oxygenation Electroconvulsive therapy Electro-encephalogram Estimated Energy Requirement Excision of ………. Estimate Fluid Replacement Expressed Human Milk Electromyogram Ear nose and throat External Ocular Muscles Comment also examination of Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 8 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records EPR EPS ERCP ESR ETT ESRF EUA EVD FBC F i O2 FNAB FEV1 FESS FIVD FROM FSCM FTT F/U FVC FWB G-H-I G (number) g GA GCS GFMCS GFR G&H GIT GM Stain GP GVHD Hb HC HCCC HH HMD hrly HR HSDNM Ht. ICC ICP IDC IG IIMS IM Inhaler IMI Inj I/O IOL IV IPPV IVAD Estimated Protein replacement Electrophysiological studies Endoscopic retrograde cholangio-pancreatogram Erythrocyte sedimentation rate Endotracheal tube End stage renal failure Examination under anaesthetic External Ventricular Drain Full blood count Fraction inspired oxygen Fine needle aspiration biopsy Forced expiratory volume over one second Functional endoscopic sinus surgery Fixed Interval Variable Dose Full Range of Movement Full strength cow’s milk Failure to thrive Follow up Forced vital capacity Full weight bearing Description/meaning Gravida Gram(s) General anaesthetic Glasgow Coma Scale Gross Motor Function classification system Glomerular Filtration Rate Blood Group and Hold Serum Gastrointestinal tract Gram Stain General Practitioner Graft versus host disease Haemoglobin Head Circumference Health Care Complaints Commission Hiatus hernia Hyaline membrane disease Hourly (write number of hours + hrly or hourly) Heart Rate Heart sounds dual and no murmur Height Intercostal catheter Intracranial pressure Indwelling catheter Intragastric Incident Information Management System Intramuscular Metered Dose Inhaler, MDI Intramuscular injection Injection Insertion of Intraocular lens Intravenous Intermittent positive-pressure ventilation Implantable venous access device Comment Neurology use e.g. 1 hrly or 4 hrly Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 9 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records IVI IVC IVP Intravenous injection Inferior vena cava Intravenous pyelogram J-K-L Description/meaning JVP kCal kJ KUB k-wire L L (1 to 5) Jugular venous pressure Kilocalories Kilojoules Kidney urinary bladder Kirshiner wire Litre(s) Lumbar e.g. L2 fracture LA LBO LBW LCT LFT’s LIF LIH LLL LLQ L/N LOC Local anaesthetic Laryngo broncho-oesphagoscopy Low birth Weight Long Chain Triglycerides Liver Function tests Left iliac fossa Left inguinal hernia Left lower lobe Left Lower Quadrant Lymph node Loss of consciousness LP LRD LRTI LSCS LUQ Lumbar puncture Living related donor Left respiratory tract infection Lower Segment Caesarean Section Left upper quadrant M-N-O MAP MAG3 mane MC&S MCT MDI Mec. MIBG microg mg mL MM mmol MMSE MODY mOsm MRI MRSA MSU MVA NAI NAD NBM Description/meaning Also intravenous cannula Comment Could be mistaken for the volume litres Not to be used for level of consciousness Comment Mean Arterial Pressure As per DTPA scan Morning Microscopy, culture & sensitivities Medium Chain Triglycerides Metered Dose Inhaler Meconium Meta-iodobenzylguanidine Microgram Milligram(s) Millilitre(s) Multiple myeloma Millimole Mini Mental State Exam Maturity onset diabetes mellitus in the young Milliosmoles Magnetic Resonance Imaging Multiple resistant staphylococcus aureus Methicillin resistant staphylococcus aureus Mid-stream specimen of urine Motor vehicle accident Non Accidental Injury No abnormality detected, e.g. ward test - N.A.D. Nil by mouth Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 10 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records NCA NEB NETS NG NHL NIDDM NIM NIV Nocte NOF NPA NR No. NWB O2 Sat. Obs. O/A O/E ODD OG Oint. ORIF OR OT P-Q-R-S P (number) PAC PAH PBSCT PCA pCO2 PE PEEP PEP PEG PERRLA Pess PFT pH P/hx PICC PIP PJ PKU PO POP Post-op PR Prem. Pre-med. prn Pre-op Pt. PPE PU Nurse controlled analgesia Nebulised Neonatal Emergency Transport Service Nasogastric Non-Hodgkin’s lymphoma Non-insulin dependent diabetes mellitus Nurse Initiated Medication Non-invasive ventilation At night Neck of Femur Nasopharyngeal Aspirate Nodal Rhythm Number Non weight bearing Oxygen saturation Observation On admission or on arrival On examination Oppositional defiant disorder Orogastric Ointment Open Reduction Internal Fixation Operating Rooms Operating theatre Description/meaning Parity Pressure Area Care Pulmonary arterial hypertension Peripheral blood stem cell transplantation Patient controlled Anaelgesia Partial Pressure of Carbon Dioxide Pulmonary embolism Positive end-expiratory Pressure Positive expiratory pressure Percutaneous Endoscopic Gastrostomy Pupils equal, reactive, respond to light and accommodation Pessary Pulmonary function test Degree of acidity or alkalinity Past history Peripherally Inserted Central Catheter Peak Inspiratory Pressure Polyjoule Phenylketonuria Oral, By Mouth, orally Plaster of Paris Post-operative Per rectum Prematurity Pre-operative medication When required Pre-operative Patient Personal Protective Equipment Passed Urine Type II Diabetes Comment Neurology use Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 11 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records PUO PV P&V PWB qid RBC Resp. Rh RIF RIH RLL RLQ RML RNA ROM R/O RSV RTL RTW RUL RUQ Rx RVOT S (1-5) SA SAH SaO2 S/B SBR SCI SDH SG SLE SIADH SIDS SIMV SOB SPA SPOC SPECT SPONT SSS Stat Subcut Subling Supp SUDI SVC SVT T-U-V T (1-12) tab T&As TB TBI Pyrexia of unknown origin Per Vagina Percussion and vibrations Partial weight bearing Four times daily Red blood cells Respiratory Rhesus factor (SESIH = Rh –ve or Rh +ve) Right iliac fossa Right inguinal hernia Right lower lobe (lung) Right Lower quadrant Right middle lobe (lung) Ribonucleic acid Range of Movement Removal of Respiratory Syncytial Virus Reacts to light Returned to Ward Right upper lobe (lung) Right upper quadrant Treatment Right ventricular outflow tract Sacral vertebrae Sexual Assault Subarachnoid haemorrhage Arterial oxygen saturation Seen by Serum Bilirubin Subcutaneous injection Subdural haematoma Specific gravity System Lupus erythematosus Secretion of inappropriate antidiuretic hormone Sudden infant death syndrome Synchronised intermittent mandatory ventilation Short of breath Suprapubic aspiration Standard Paediatric Observation Chart Single photon emission computer tomography Spontaneous Sick sinus syndrome Immediately and once only (statim) Subcutaneous Sublingual Suppository Sudden unexpected death in infancy Superior vena cava Supraventricular tachycardia Description/meaning Previously known as SIDS Comment Thoracic e.g. T2 fracture Tablet Tonsillectomy and adenoidectomy Tuberculosis Traumatic Brain Injury Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 12 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory. Policy No: 1/C/11:8061-01:00 Policy: Approved Abbreviation List for use in Medical Records tds Temp. TENS TFT t/f or T/F TKVO TPN TPR TPT TRAM T2DM U/A UEC U/O URTI U/S UTI UWSD VBG VEB VF VQ scan VUJ VUR VUTD VV W–X–Y–Z WBAT WBC WCC Wt Three times daily Temperature Transcutaneous Electrical Nerve Stimulation Thyroid Function Test Transfer To keep vein open Total parenteral nutrition Temperature, pulse, respiration Trans Pyloric Tube Tranvenous rectus abdominis myocutaneous flap Type 2 diabetes Mellitus Urinalysis Urea, electrolytes, creatinine Urine Output Upper respiratory tract infection Ultrasound Urinary tract infection Under water seal drain Venous Blood Gas Ventricular ectopic beats Ventricular fibrillation Ventilation perfusion scan Vesico ureteric junction Vesico ureteric reflux Vaccinations up to date Varicose vein Description/meaning Comment Weight Bearing as tolerated White blood cells White cell count Weight Copyright notice and disclaimer: The use of this document outside The Children's Hospital at Westmead (CHW), or its reproduction in whole or in part, is subject to acknowledgement that it is the property of CHW. CHW has done everything practicable to make this document accurate, up-to-date and in accordance with accepted legislation and standards at the date of publication. CHW is not responsible for consequences arising from the use of this document outside CHW. A current version of this document is only available electronically from the Hospital. If this document is printed, it is only valid to the date of printing. Date of Publishing: 23 December 2011 2:37 PM Date of Printing: 23 December 2011 K:\CHW P&P\ePolicy\Dec 11\Approved Abreviation List for use in MR.docx Page 13 of 13 This Policy/Procedure may be varied, withdrawn or replaced at any time. Compliance with this Policy/Procedure is mandatory.