Personal medical history may include information about obstetric gynecology anamnesis
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 |
| External cause |
Options:
- ---------
- Work accident (Version 1)
- Car accident (Version 1)
- Rabies accident (Version 1)
- Ofídico accident (Version 1)
- Another type of accident (Version 1)
- Catastrophic event (Version 1)
- Injury aggression (Version 1)
- Self-inflicted injury (Version 1)
- Suspected physical abuse (Version 1)
- Suspected sexual abuse (Version 1)
- Suspicion of sexual violence (Version 1)
- Suspicion of emotional abuse (Version 1)
- General disease (Version 1)
- Professional illness (Version 1)
- Other (Version 1)
- Work accident
- Accident at home
- Traffic accident of common origin
- Work-related traffic accident
- Accident in the educational environment
- Other type of accident
- Catastrophic event of natural origin
- Assault injury
- self-inflicted injury
- Suspected physical violence
- Suspicion of psychological violence
- Suspected sexual violence
- Suspicion of negligence and abandonment
- IVE related to danger to the health or life of the woman
- IVE due to congenital malformation incompatible with life
- IVE for sexual violence, incest or non-consensual artificial insemination or transfer of a fertilized egg
- Adverse health event
- General illness
- Occupational illness
- Health promotion and maintenance – individual interventions
- Collective intervention
- Perinatal maternal population care
- Environmental risk
- Other Catastrophic Events
- Antipersonnel mine accident – MAP
- Improvised Explosive Device Accident – AEI
- Unexploded Ordnance Accident - UXO
- Another victim of the Colombian armed conflict
Identifier of the cause that originates the health service. Report according to the table RIPSCausaExternaVersion2 in web.sispro.gov.co |
| 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 |
Obstetric gynecology anamnesis
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