patient history
Prior health record
Patient history is the record of a person's past and present health information, collected by medical professionals to guide diagnosis and treatment.
It includes previous illnesses, surgeries, medications, allergies, family medical conditions, and lifestyle factors.
The doctor reviewed her patient history before the appointment.
Taking a thorough patient history is fundamental to clinical practice.
- symptomsIndicators of disease
- chief complaintPrimary reason seeking care
- anamnesisRecalled past, especially medical
- diagnosisIdentification of illness
- hereditary diseasesConditions passed through genes
note · memory · diet · blood pressure · chronic conditions · surgeries · ancestry · inherited traits · next of kin · hospitalizations · substance use · exercise · occupational hazards · medications · immunizations · smoking habits · family tree · alcohol consumption
- Nursing Practicecare plans, care plan, implementation, interventions, outcomes
- healthcaredoctors, nurses, hospitals, hospital, clinic
- medicinedoctor, doctors, hospital, medicine, surgery
- medical caresurgery, examination, injection, prescription, medication
- doctor tasksdiagnosis, treatment, prescribing, physical exams, surgery
- health recordsmedical chart, vaccination record, vaccination records, immunization record, immunization card
patient historyphysical examination
Medical evaluation of body
clinical examination · vital signs · lab results · diagnostic imaging · test results