Medical records

The anamnesis is the gathering of subjective data concerning a patient, comprising family and personal, signs and symptoms that you experience in your condition , experiences and , in particular, memories, which are used to analyze their clinical history. It is a medical history that may provide relevant information to diagnose possible diseases

Field	Description
Initial call classification	Options: Consultations Urgency Transference
Attention origin	Options: General illness Occupational disease Catastrophic event Mistreatment Work accident Aggression injury Sports injury
Chief complaint	Is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for a medical encounter. The patient's initial comments to a health care professional that help form the differential diagnosis
History of the present illness	Refers to a detailed interview triggered by the main complaint or the present symptom, Includes location, quality, severity, duration, timing, context, modify factors, associated signs and symptoms
External cause	Options: Work accident Car accident Rabies accident Ofídico accident Another type of accident Catastrophic event Injury aggression self-inflicted injury Suspected physical abuse Suspected sexual abuse Suspicion of sexual violence Suspicion of emotional abuse General disease Professional illness Other
Alert	This alert will appear as an eye-catching message each time this patient is searched. It is not shown in the medical record impression. It is useful to leave messages that can not be ignored

Medical records It has the following related modules and may be of interest to you:

Medical records

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