What is the core of the medical history? What is the main body of development of electronic medical

What is the core of the medical history? It is the pathogenesis, and whether he has had any trauma, whether he has had a urinary tract infection or bacterial infection, and whether he has been treated in other hospitals, that's all.

The history of present illness is a major component of the history and should include the first symptoms of the present disease, i.e., the entire process from the onset of the disease to the onset, progression, and changes of the disease at the time of the present visit. The main content has the following three aspects:1

Onset. The time, place and environment of the onset, the severity of the onset, the cause or cause of the onset, and the location, nature, duration and degree of the main symptoms. 2.

Evolution of the disease and diagnosis**. 3.General symptoms.

For example, mental state, chills, chills, fever, sweating (spontaneous sweating or night sweats), head and body discomfort, and changes in physical strength, appetite, food intake, sleep, urine, weight, etc.

It refers to the case, including the chief complaint, the history of the present illness, that is, the past history, etc. The specific contents of the present medical history include:1.

Duration of illness and condition of illness2. Occurrence and development of the main symptoms3. Accompanying symptoms4.

Diagnosis and treatment 5. General situation 6. The impact of health problems on it.

What are the core parts of a medical history What are the core parts of a medical history? What does the core section consist of? None refers to the case, including the chief complaint, the history of the present illness, the past history, and so on.

The core of death is whether you have a previous illness? Or a genetic history or something, you must have a diagnosis certificate from the hospital.

None refers to the case, including the chief complaint, the history of the present illness, the past history, and so on.

The Ministry of Health just held such a meeting, let the following to implement, why the construction law must not be talked about, this has to rely on themselves to implement and develop such a system.

Clause.

Items 2, 4, and 5 are all antibodies, and if they are positive, you have developed antibodies.

If you are healthy, of course you can get a health certificate.

At present, the research and development process of electronic medical records mainly focuses on the storage and preservation of medical records on computer platforms, and the important core value of real electronic medical records is to meet the information needs of clinical diagnosis and treatment sites and effectively improve the clinical decision-making of doctors. Knowing the types and application examples of electronic medical records in clinical decision support and their impact on medical activities, I still don't understand what level of subject you are talking about.