Create/Edit Patient Clinical Data

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Patient Clinical Data comprises five mandatory sections that must always be included in a Patient Summary Health History:

  • Allergies and intolerances
  • Current problems and diagnoses
  • Medical devices (implanted or external)
  • Major interventions
  • List of current medications


They also include several optional modules, such as:

  • Vaccinations
  • Problems that no longer exist
  • Social history (e.g., smoking, alcohol consumption)
  • Pregnancy history (for women)

Examples of the Clinical Data Sections

Allergies

Drug Allergies

No Drug Allergies

Surgical Procedures

Medication Summary

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