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. 2018 Oct 12;6(4):124. doi: 10.3390/healthcare6040124
Medical History Patient Characteristics
  • Onset/duration

  • Severity

  • Diagnostic history/exposure

  • Treatment history

  • Medications

  • Diagnostic tests and results

  • Comorbidities

  • Reproductive history

  • Family history

  • Mortality (cause and date)

  • Functional status, quality of life, symptoms

  • Marital status

  • Work status

  • Disability, work attendance (days lost from work), or absenteeism/presenteeism

  • Economic status

  • Healthcare resource utilization

  • Genetic information

  • Sources of care

Treatment Risks and Benefits Changes over Time
  • Medication, modes, duration of treatment

  • Adverse events

  • Treatment effectiveness

  • Medications/medical status

  • Patient characteristics

  • Changes in financial status