GrandisHIS 2026

Here is a highly focused quick-reference guide tailored specifically for transcribing Pediatrics. It covers the most common terminology used for symptoms, developmental milestones, and vaccinations.
​1. Pediatric Symptoms & Signs
​Children and infants present differently than adults. Dictations often feature specific terms for their behavioral and physiological changes.
​Feeding & Hydration Symptoms:
​Poor feed / Refusal of feeds: Inability or unwillingness to nurse or take a bottle.
​Projectile vomiting: bilious vomiting, blood stained vomitus, watery diarrhoea, blood & mucus in stool, , jaundice, yellow discoloration, icteric, eye discharge, conjunctival congestion
​Decreased urine output (Decreased UO): Fewer wet diapers than normal,
​Behavioral & Neurological Symptoms:
​Lethargy / Sluggishness: Drowsy, unresponsive, or lacking normal energy.
​Inconsolable crying
​Altered sensorium, fits , hemiplegia diplegia, hypotonia hypertonia ,ataxia,
​Respiratory & Other Symptoms:
​Tachypnea: Fast breathing rate. , nousy breathing, wheeze stridor, Doctors often count the respiratory rate (RR) for a full minute.
​Intercostal/Subcostal / suprastetbal retraction
​Grunting:
​High-grade fever, continuous fever, febrile seizure
​2. Developmental Milestones
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​Gross Motor: Big movements like head control, rolling "Head control achieved," "Sits with support / without support," "Cruising"
​Fine Motor: Precise hand movements like pincer grasp , transferring objects hand-to-hand, scribbling, or building blocks.
​Language: Communication skills, ranging from cooing and babbling to monosyllables, bisyllables, and full sentences.
​Social / Cognitive: How they interact with people. Key terms include Social smile (smiling back at someone), Stranger anxiety, and Imaginative play.
​Key Transcription Terms
​Developmental Delay (DD) / Global Developmental Delay (GDD): When a child is significantly behind in two or more milestone domains.
​Regression of milestones: A critical symptom where a child loses a skill they had previously mastered (e.g., losing the ability to speak or walk).
​Corrected Age / Adjusted Age: Used for preterm babies. It calculates their development based on their original due date rather than their actual birth date.
​3. Pediatric Vaccinations
​Vaccine names are frequently dictated as acronyms. Getting these capitalizations and combinations exact is vital.
​Common Vaccine Acronyms
​BCG: Bacillus Calmette-Guérin (given at birth for tuberculosis protection).
​OPV & IPV: Oral Polio Vaccine (drops) and Inactivated Polio Vaccine (injectable).
​DPT / DTaP / Tdap: Diphtheria, Pertussis (whooping cough), and Tetanus.
​MMR: Measles, Mumps, and Rubella.
​Hib: Haemophilus influenzae type b.
​PCV: Pneumococcal Conjugate Vaccine.
​Rotavirus: Oral vaccine protecting against severe diarrheal disease.
​Hep B / Hep A: Hepatitis B and Hepatitis A vaccines.
​Varicella: The chickenpox vaccine.
​HPV: Human Papillomavirus vaccine (given to older children/adolescents).
​Combination & Formatting Notes
​Pentavalent Vaccine: A single 5-in-1 injection protecting against Diphtheria, Pertussis, Tetanus, Hep B, and Hib.
​Hexavalent Vaccine: A 6-in-1 injection that includes the Pentavalent components plus IPV (Polio).
​Booster Doses: Follow-up doses given later in childhood to maintain immunity (e.g., "First DPT booster given at 18 months").
​Transcription Tip: When doctors review a child's chart, they will frequently dictate: "Vaccination status is up-to-date for age" or "Immunized as per IAP/WHO schedule." Ensure vaccine acronyms are kept fully capitalized.
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