Get SUPPLEMENTAL MEDICAL HISTORY RECORD REQUIRED OF ... - Dcp Psc

In medicine, a social history (abbreviated "SocHx") is a portion of the medical history (and thus the admission note) addressing familial, occupational, and recreational aspects of the patient's personal life that have the potential to be clinically significant.

Social History: An age appropriate review of past and current activities (i.e. job, marriage, exercise, marital status, etc.)

The regulation requires you to maintain medical records for 7 years from the Date of Service (DOS). CMS recognizes you may rely upon an employer or another entity to maintain these records.

Why is a medical history important? Providing your primary care physician with an accurate medical history helps give him or her a better understanding of your health. It allows your doctor to identify patterns and make more effective decisions based on your specific health needs.

In general, a medical history includes an inquiry into the patient's medical history, past surgical history, family medical history, social history, allergies, and medications the patient is taking or may have recently stopped taking.

Which of the following would NOT be a part of a patient's social history? stated in the presentation? infection.

A record of information about a person's health. A personal medical history may include information about allergies, illnesses, surgeries, immunizations, and results of physical exams and tests. It may also include information about medicines taken and health habits, such as diet and exercise.

Social History (SH): An age appropriate review of the patient's past and current activities which may include significant information about: Marital status and/or living arrangements. Current employment. Occupational history. Use of drugs, alcohol or tobacco. Level of education. Sexual history. Other relevant social factors.