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The medical history, case history, or anamnesis (from Greek: \u1f00\u03bd\u03ac, aná, "open", and \u03bc\u03bd\u03ae\u03c3\u03b9\u03c2, mnesis, "memory") of a patient is information gained by a physician by asking specific questions, either to the patient or to other people who know the person and can give suitable information, with the aim of obtaining ...
Anamnesis is the taking of a patient's personal medical history. The physician asks the patient questions regarding present illnesses, complaints and disorders and their course. Patients also have to provide details on their current living conditions (e.g. smoker/non-smoker, malignant diseases of family members etc.)
A medical record is a systematic documentation of a patient's medical history and care. It usually contains the patient's health information (PHI) which includes identification information, health history, medical examination findings and billing information.
A medical record is a systematic documentation of a patient's medical history and care. It usually contains the patient's health information (PHI) which includes identification information, health history, medical examination findings and billing information.
In general, a medical history includes an inquiry into the patient's 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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Each Medical Record shall contain sufficient, accurate information to identify the patient, support the diagnosis, justify the treatment, document the course and results, and promote continuity of care among health care providers.
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 health history questionnaire consists of a set of survey questions that help either medical researcher, doctors or medical professional, hospitals or small clinics to understand the population they provide medical services to.
The anamnesis can be divided into two large groups according to who the anamnestic data are obtained from. Direct anamnesis - is taken directly from the patient. Indirect anamnesis - is taken, for example, from the patient's escort.
A medical record is a systematic documentation of a patient's medical history and care. It usually contains the patient's health information (PHI) which includes identification information, health history, medical examination findings and billing information.

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