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2. Operative report - Wikipedia

   en.wikipedia.org/wiki/Operative_report

   The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx), physical examination (PE), consent forms, surgeon′s orders, and identifies the anesthetist and anesthesia used. [2] [3]

3. List of medical abbreviations: D - Wikipedia

   en.wikipedia.org/wiki/List_of_medical...

   A comprehensive list of medical abbreviations starting with the letter D.

4. Department of Defense Medical Examination Review Board

   en.wikipedia.org/wiki/Department_of_Defense...

   Screenshot of the DoDMERB Website, 8 Feb 2023. The Department of Defense Medical Examination Review Board (DoDMERB) is an element of the United States Department of Defense (DoD) which processes the medical components of admission for applicants to the United States Service Academies; Service Reserve Officer Training Corps (ROTC) programs; the Uniformed Services University of the Health ...

5. Medical history - Wikipedia

   en.wikipedia.org/wiki/Medical_history

   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 ...

6. SAMPLE history - Wikipedia

   en.wikipedia.org/wiki/SAMPLE_History

   It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]

7. Medical record - Wikipedia

   en.wikipedia.org/wiki/Medical_record

   The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

8. Past medical history - Wikipedia

   en.wikipedia.org/wiki/Past_Medical_History

   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 patient at risk"; Social history: "an age-appropriate review of past and current activities".

9. Contract data requirements list - Wikipedia

   en.wikipedia.org/wiki/Contract_Data_Requirements...

   Guidance on how to fill in and handle DD Form 1423-1 is provided in publication 5010.12-M. Other US government agencies may include CDRLs in contracts, but these will not use the military's DD Form 1423. Most data items are developed and delivered in compliance with pre-defined data item descriptions (DID).