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It includes the patients age, gender, most pertinent past medical history and major symptoms(s) and duration. Whenever possible, this statement should identify the docHub issue from the patients perspective, and include the patients words if the patient accurately represents the reason for the presentation.
It should include some or all of the following elements: Location: What is the location of the pain? Quality: Include a description of the quality of the symptom (i.e. sharp pain) Severity: Degree of pain for example can be described on a scale of 1 - 10. Duration: How long have you had the pain.
Past medical history (PMHx) Drug history (DHx) Family history (FHx) Social history (SHx)
Chief concern. History of present illness. Past medical history. Family history. Social history. Review of systems (ROS)
The medical history or case (medical) history of a patient is the information gained by a physician by asking relevant questions. These questions are related to complaints explained by the patient himself/ herself or/and by other people who can give suitable information.
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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.
History of Present Illness History of Present Illness (HPI)Review of Symptoms (ROS)Risk of Complications and/or Morbidity and MortalityBriefN/AMinimalBriefProblem PertinentLowExtended ProblemExtendedModerateExtended ProblemCompleteHigh
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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