Historial medico 2025

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Un historial mdico familiar es un registro de la informacin de salud de una familia.
Es una evaluacin sistemtica de todos los aspectos de la salud que busca obtener informacin adicional y establecer un diagnstico preciso. Esta etapa permite detectar sntomas, signos vitales, y signos ocultos de la enfermedad, sobre los cuales el paciente no est consciente.
Su nombre, fecha de nacimiento, tipo de sangre y contacto de emergencia. Fecha de su ltimo examen fsico. Fechas y resultados de las pruebas y estudios. Enfermedades ms importantes y cirugas, con fechas.
La historia clnica se puede definir como un documento donde se recoge la informacin que procede de la prctica clnica relativa a un paciente, y donde se mencionan todos los procesos a los que ha sido sometido1. Este documento forma parte importante en la atencin adecuada e integral del paciente.
Online Access to Your Health Information Check with your health care providers or doctors to see if they offer online access to your medical records. Terms sometimes used to describe electronic access to these data include personal health record, or PHR, or patient portal. Accessing Your Medical Records | AAFA.org Asthma and Allergy Foundation of America | AAFA advocacy advocacy-resources acces Asthma and Allergy Foundation of America | AAFA advocacy advocacy-resources acces
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Acceso en lnea a su informacin de salud Consulte con sus proveedores de atencin mdica o mdicos si ofrecen acceso en lnea a su historial mdico . Algunos trminos que se utilizan para describir el acceso electrnico a estos datos incluyen historial mdico personal o PHR o portal del paciente.
Cmo ver tu historial clnico desde el mvil En la pgina de inicio, pulsa en la opcin Mi Carpeta que vers en la parte inferior. En la seccin de Mis datos, pulsa en Salud y asuntos sociales. En el apartado de Salud, pulsa en Historia Clnica del Sistema Nacional de Salud.
De la historia clnica debe conservarse, junto con los datos de identificacin de cada paciente, como mnimo durante quince aos desde la fecha de alta de cada proceso asistencial, la siguiente documentacin: a) Las hojas de consentimiento informado. b) Los informes de alta.

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