Medical history and current problems

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In progress

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Complete

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Important: The patient record will not be updated with information entered here. Information intended for the patient record should be entered there first.

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Gestation at birth

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weeks

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Birth weight

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kg

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Problems Complication occurring during pregnancy Complication occurring during labour and delivery Complication of the puerperium Hospital admission Lower respiratory tract infection Cough Ear infection Chronic otitis media with perforation Chronic mucoid otitis media Ventilation tube in tympanic membrane Passive smoker Acute rheumatic fever Acute rheumatic heart disease

• linkId: 033db7b3-80da-43e2-9838-88f3d51e5913
• Answers: #MedicalHistoryShortListInfants

Problems Lower respiratory tract infection Cough Ear infection Chronic otitis media with perforation Chronic mucoid otitis media Ventilation tube in tympanic membrane Childhood growth AND/OR development alteration Acute rheumatic fever Acute rheumatic heart disease Passive smoker Hospital admission

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• Answers: #MedicalHistoryShortListPrimarySchool

Problems Ear infection Hearing problem Asthma Hypertension Epilepsy Headache Migraine Diabetes mellitus Rheumatic heart disease Kidney disease Mental health problem

• linkId: c24ae0d2-8932-4b87-9b7e-a644b5eb2874
• Answers: #MedicalHistoryShortListAdolescents

Problems Type 2 diabetes mellitus Hypertension Myocardial infarction Stroke Kidney disease Hearing loss Epilepsy Asthma COPD Rheumatic heart disease Hepatitis B Head injury Mental health problem

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• Answers: #MedicalHistoryShortListAdultsAndOlderPeople

Other relevant medical history, operations, hospital admissions, etc ??

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• Answers: #MedicalHistory

Provide details of identified problems

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Medical history and current problems list

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Condition ??

• linkId: 59b1900a-4f85-4a8c-b9cd-3fe2fd76f27e
• Answers: #MedicalHistory

Clinical Status Active Inactive Recurrence Relapse Remission Resolved

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• Answers: #condition-clinical

Onset Date

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Recorded Date

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Health priorities, actions and follow-up

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Mark section as complete

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