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Basics of history taking Chief concern (CC) History of present illness (HPI) Past medical history (PMH) including preexisting illnesses, medication history, and allergies. Family history (FH) Social history (SH) Review of systems (ROS)
A medical history form is a questionnaire used by health care providers to collect information about the patients medical history during a medical or physical examination.
Steps Demographic and Biological Data. Reason for Seeking Health Care. Current and Past Medical History. Family History. Functional Health. Review of Body Systems.
It includes informationally typically found in paper charts as well as vital signs, diagnoses, medical history, immunization dates, progress notes, lab data, imaging reports, and allergies. Other information such as demographics and insurance information may also be contained within these records.
A record of information about a persons health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.
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A patients medical history may include details about past diseases, illnesses running in the family, previous diagnoses, medical abstract, therapies, allergies, and medication.
A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.
In general, a medical history includes an inquiry into the patients medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.

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