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Medical Assist 23
Medical history
Question | Answer |
---|---|
Why should the medical chart be accurate,clear,concise, and complete | It is a legal document |
What does the demographic data form include | patients full name, address, home and work phone numbers, and date of birth. |
What is the CC (cheif complaint) | The symptoms or problem that brings the patient to the office |
What does the social history include | marital status, sexual orientation, smoking, and drinking |
Does the doctor or medical assistant obtain the medical history from the patient | The medical assistant does |
What are the 7 components of the medical history | personal data on the demographic form, CC, present illness, past medical history, family history, social, ROS |
Who performs the ROS | The physician |