What information would be included in the patients personal medical history quizlet?

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Past health history

Past health history includes the patient's past illnesses such as childhood illnesses, accidents, hospitalizations, and operations. Because the patient is describing a past accident, it should be documented under the past health history section. The patient is not mentioning any signs and symptoms; therefore, this should not be included in the reason for seeking care section. The patient is not mentioning present health status; therefore, this should not be included in the history of present illness. The patient does not mention daily activities; therefore, this should not be included under the "functional assessment" section.

Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong, and then call on your knowledge, skills, and abilities to choose from the remaining responses.

1] The patient's full name and address

2] Name of the medical practice releasing the information

3] Name of the individual or facility to receive the information

4] Specific information to be released

5] The purpose of or need for the information

6] Method of release of the information

7] Signature of the patient or his or her legal representative

8] Date that the consent from was signed

9] Expiration date of the consent form

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What kind of information is included in a patient's medical history?

A record of information about a person's health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.

What information should be included in a patient's medical records quizlet?

Allergies and current medications..
Procedures performed on the patient..
Specimens collected from the patient..
Laboratory tests ordered for the patient..
Instructions given to the patient regarding medical care..

What does the patient history include quizlet?

What does the patient's medical history contain? Personal data [demographics], chief complaint, present illness, Medical Hx, Family Hx, social and occupational, and review of systems.

What type of information is included in a patient's social history?

Social History, including marriage status, occupation, family situation, education, and habits, e.g., smoking status, alcohol consumption, diet, exercise, and sexual history.

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