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Medical history taking may also be impaired by various factors impeding a proper doctor-patient relationship, such as transitions to physicians that are unfamiliar to the patient. History taking of issues related to sexual or reproductive medicine may be inhibited by a reluctance of the patient to disclose intimate or uncomfortable information.
To change this template's initial visibility, the |state= parameter may be used: {{Medical records and physical exam | state = collapsed}} will show the template collapsed, i.e. hidden apart from its title bar. {{Medical records and physical exam | state = expanded}} will show the template expanded, i.e. fully visible.
CMS required history elements [1] Type of history CC HPI ROS Past, family, and/or social; Problem focused Required Brief N/A N/A Expanded problem focused Required Brief Problem pertinent N/A Detailed Required Extended Extended Pertinent Comprehensive Required Extended Complete Complete
Infobox for medical conditions Template parameters [Edit template data] This template prefers block formatting of parameters. Parameter Description Type Status name name Name of disease or medical condition (should be the same as the title of the article) Example Posttraumatic stress disorder String required synonym synonym synonyms Common terms for the illness or condition. Example Upper ...
It is used for alert (conscious) people, but often much of this information can also be obtained from the family or friend of an unresponsive person. In the case of severe trauma, this portion of the assessment is less important. A derivative of SAMPLE history is AMPLE history which places a greater emphasis on a person's medical history. [2]
External links to medical information Template parameters [Edit template data] This template prefers block formatting of parameters. Parameter Description Type Status QID QID Wikidata number Unknown suggested ICD11 ICD11 no description Unknown optional ICD10 ICD10 Note: ICD-10-CM has a separate parameter Unknown suggested ICD10CM ICD10CM no description Unknown optional ICD9 ICD9 no description ...