Anamnesis
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 |
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 |
More info
Field |
Description |
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
|
Medical Anamnesis
It has the following related modules and may be of interest to you:
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