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住院病历中英文对照(Inpatient medical records in English and Chinese)
住院病历中英文对照(Inpatient medical records in English and Chinese)
With the strengthening of communication between China and foreign countries, specialized English is becoming more and more important to hospitals! Took some time to sort out the inpatient medical records of English and Chinese format, sent up and share with you, and I hope to help people who can use it!
POMR (Problem-Oriented, Medical, Records) tabular format inpatient medical records
Biographical data:
General project:
Name, Age, Sex, Marital, status, Nativity, Race
Name age gender marital status, ethnic origin
Occupation, Date, of, admission, Informant, History
Occupational date of admission, history, history of the narrator
Chief complaint
Chief complaint
History of present illness
History of Present Illness
Past history
Past history:
Previous, health, status:, well, ordinary, bad, Infectious, diseases
Previous health status: good general bad infectious diseases
Immunizations, Allergies:, N, Y, clinical, manifestation
The vaccination history of allergy history with clinical manifestations
Allergen: Trauma: Surgery:
Allergen, history of trauma, history of operation
Review, of, systems: (Tick, if, positive, cross, if, negative., If, postive, you, should, out, write, down,, your,, disease, therapy, history, and, and, diagnose, brief, course, of, etc.)
Systematic review: (a play without me your * positive history should fill in the time of onset in the following space and briefly after treatment)
Respiratory system:
Respiratory system
Sore, throat, chronic, cough, sputum, hemoptysis, wheezing
Chronic sore throat cough asthma sputum hemoptysis
Dyspnea chest pain
Dyspnea, chest pain
Cadiovascular system:
circulatory system
Palpitation, dyspnea, on, exertion, hemoptysis, syncope
Palpitation dyspnea on exertion hemoptysis syncope
Edema, of, lower, limbs, precordial, pain, hypertention
Edema of lower extremities, precordial pain, hypertension
Digestive system:
Digestive system
Anorexia, sour, regurgitation, belch
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