Office Procedure Medical Records Management

About this set

Created by:

arianazu01  on October 6, 2010

Subjects:

veterinary assistant

Description:

Parts of History

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Office Procedure Medical Records Management

ENVIRONMENTAL HISTORY(EH)
Very important in any patient with skin problems or allergies
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ENVIRONMENTAL HISTORY(EH) Very important in any patient with skin problems or allergies
PAST HISTORY(PH) vaccines history, previous medical or surgical problems, breeding history, spayed or neutured.
DIETARY HISTORY (DH) specific diet, quantity, frequency, vitamins & minerals supplements , changes, treats or table scraps
HISTORY OF PRESENT ILLNESS (HPI) may ask: Duration, How did it Happened , Progress of the problem (better,worse or same )
CHIEF COMPLAINT (CC) Why is the patient here ?
PARTS OF HISTORY Chief complaint , History of present illness, Past history, Environmental history,Dietary History,

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