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The standardized format for the history starts with the chief concern (why is the patient in the clinic or hospital?) followed by the history of present illness (to characterize the nature of the symptom(s) or concern(s)), the past medical history, the past surgical history, the family history, the social history, their medications, their ...
A PMH is considered one of three elements of the "Past, Family, and Social History" (abbreviated as PFSH): [6] Past medical history: "the patient's past experiences with illnesses, operations, injuries and treatments"; Family history: "a review of medical events in the patient's family, including diseases which may be hereditary or place the ...
Chief complaints (CC) - what made patients seek medical attention. History of present illness (HPI) - circumstances relating to chief complaints. Past medical history (PMHx) Past surgical history; Current medications; Allergies; Family history (FHx) Social history (SocHx) Physical examination (PE) Laboratory results (Lab)
Genealogy typically includes very little of the medical history of the family, but the medical history could be considered a specific subset of the total history of a family. [ citation needed ] Accurate knowledge of a patient's family history may identify a predisposition to developing certain illnesses, which can inform clinical decisions and ...
Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) [1] (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).
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The Clinical History of the [Spanish] National Health System (Historia Clínica Digital del Sistema Nacional de Salud, HCDSNS) is intended to guarantee citizens and health professionals access to whatever clinical information is relevant for medical care of a particular patient. This history should be available at all authorized locations, but ...