Create/Edit Patient Clinical Data
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)
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Figure 2.6: Create/Edit Patient Data.
Examples of the Clinical Data Sections
Allergies
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Figure 2.6: Allergies & Intolerances
